Gas chromatographic-mass spectrometric determination of isosorbide 5-mononitrate in human plasma

A highly specific and precise method using gas chromatography-mass spectrometry was developed for the measurement of isosorbide 5-mononitrate in plasma using isomannide mononitrate as internal standard. With regard to the numerous analytical problems encountered when organic mononitrates were determined in plasma, such as thermal instability and adsorption, compounds were silylated before gas chromatography. In order to increase the specificity of the assay, two specific ions of the isosorbide 5-monitrate were simultaneously recorded. The accuracy of the assay was tested day to day with quality specimens spiked blind to the analyst.

Gas chromatographic analysis of isomeric organic mononitrates in plasma

A specific, sensitive and precise capillary gas chromatographic method using electron-capture detection was developed for the determination of four isomeric vasodilating organic mononitrates, viz. L-isoidide mononitrate (L-IIMN), isosorbide-2-mononitrate (IS-2-MN), isomannide mononitrate (IMMN) and isosorbide-5-mononitrate (IS-5-MN), in rat plasma. With a sample size of 100 microliters of rat plasma, the detection limits were found to be between 0.5 and 2 ng/ml for these mononitrates, and the absolute recovery was found to range from 83 to 90%. The within-day coefficients of variation for the assay of the four isomers were less than 5%, while the between-day coefficients of variation were less than 10%. Because of the short retention times of these isomers in this assay, routine analyses of about sixty plasma samples per day can be carried out. The possibility of in vivo interconversion among these four isomers in rats was investigated after individual administration of each isomer. No interconversion was found based on examination of plasma samples. The gas chromatographic method was applied to the pharmacokinetic studies of these four isomers in rats; at an intravenous dose of 2 mg/kg, the biological half-lives of L-IIMN, IMMN, IS-2-MN and IS-5-MN were found to be 13.2, 25.2, 54.6 and 112 min, respectively.

Effect of in vitro organic nitrate tolerance on relaxation, cyclic GMP accumulation, and guanylate cyclase activation by glyceryl trinitrate and the enantiomers of isoidide dinitrate

Previously, it was shown that the D enantiomer of isoidide dinitrate was 10-fold more potent than the L enantiomer and 10-fold less potent than glyceryl trinitrate for stimulating cyclic GMP accumulation and relaxation of isolated rat aorta. In the present study, these organic nitrates were tested for their ability to induce tolerance to organic nitrate-induced relaxation, cyclic GMP accumulation, and guanylate cyclase activation in rat aorta in vitro. To compensate for the differences in vasodilator potency, tolerance was induced by incubating isolated rat aorta with concentrations of organic nitrates 1,000-fold greater than the EC50 for relaxation. Under these conditions, the EC50 for relaxation was increased significantly for each organic nitrate and to a similar degree on subsequent reexposure. These data suggest that the potential for inducing in vitro tolerance to relaxation was the same for the three organic nitrates tested. When activation of soluble guanylate cyclase by these compounds was assessed, the enantiomers of isoidide dinitrate were equipotent, but less potent than glyceryl trinitrate, suggesting that the site of enantioselectivity is not guanylate cyclase itself. In blood vessels made tolerant to organic nitrates by pretreatment with glyceryl trinitrate, vasodilator activity, cyclic GMP accumulation, and guanylate cyclase activation were attenuated on reexposure to each organic nitrate. In addition, differences in the potency of the three organic nitrates and the enantioselectivity of isoidide dinitrate for relaxation were abolished in tolerant tissue, whereas the potency difference between glyceryl trinitrate and isoidide dinitrate for activation of guanylate cyclase was unchanged.(ABSTRACT TRUNCATED AT 250 WORDS)

THE STEREOCHEMISTRY OF HALOGEN DISPLACEMENT BY NITRATE ION RACEMIZATION AND RETENTION OF CONFIGURATION IN THE SYNTHESIS OF DINITRATE ESTERS

The reaction of silver nitrate in dry acetonitrile with 2,5-dideoxy-2,5-diiodo-1,4;3,6-dianhydro-L-iditol resulted in formation of the dinitrate esters of the 1,4;3,6-dianhydrides of D-mannitol, D-glucitol, and L-iditol. Similarly both endo- and exo-nitrato groups were introduced in displacement of the endo-halogen in the 2-deoxy-2-iodo-5-O-acetyl and 2-deoxy-2-iodo-5-O-p-toluenesulfonyl derivatives of 1,4;3,6-dianhydro-L-iditol. Since both types of nitrato groups were stable to silver nitrate, the racemization occurred during the displacement and was attributed to formation of cyclic carbonium ion intermediates. The steric effect of the adjacent ring in the carbonium ions apparently suppressed the termolecular, ion-pair mechanism previously established for the metathesis of acyclic alkyl halides and caused preferential formation of the exo-nitrato derivatives.The heterogeneous reaction of meso-dibromostilbene with silver nitrate in acetic acid or acetonitrile gave meso-dihydrobenzoin dinitrate with overall retention of configuration. This result could be most readily reconciled with the contrasting sequence of retention and inversion previously reported for meso- and dl-2,3-dibromobutane if participation of neighboring phenyl groups occurred in the second displacement step.

Pharmacological properties of isoidide dinitrate

Isoidide dinitrate is a more active vasodepressor agent in anaesthetised animals than either of its geometric isomers, isosorbide dinitrate and isomannide dinitrate. Isoidide dinitrate also has the greatest vasodilator action of the three isomers on the vascular system of the dog hind leg and is a more potent hypotensive agent than isosorbide dinitrate in hypertensive rats. The greater activity of isoidide dinitrate may be attributable to its higher oil: water partition coefficient or enhanced drug-receptor interaction resulting from the spatial positions of the nitrate groups or both factors. No evidence was found for involvement of adrenergic receptors in responses of vascular or intestinal smooth muscle to isoidide dinitrate.