Metabolic fate of a high molecular weight
14C-labeled sodium hyaluronate (
14C-SL-1010), a highly purified preparation from the culture medium of
Streptococcus zooepidemicus, was studied in rabbits after intra-articular injection into the shoulder.
1. Radioactivity in the synovial fluid was eliminated biphasically with an apparent half-life of 57 hr during the first phase, when most radioactivity was eliminated. The fraction of
14C-labeled sodium hyaluronate to total radioactivity recovered from the synovial fluid was above 95%, indicating no metabolism in the synovial fluid.
2. In the joint region, the highest radioactivity was observed in the mesotendon, followed by the synovial tissue and tendon. In the whole body, the extremely high radioactivity was detected in the axillary lymph node, and relatively high radioactivity was observed in the liver and spleen than in other tissues. Approximately 90% of the radioactivity in the synovial tissue was derived from interstitial synovial fluid of synovial tissues. Analysis of distribution of radioactivity revealed that the main route of elimination of
14C-SL-1010 from the cavity was via the lymphatic system, since the level of radioactivity in the axillary lymph node was much higher than that in the liver.
3. Analysis of metabolism of
14C-SL-1010 in the synovial fluid and tissue, axillary lymph node, plasma and urine was done by gel filtration. Gel filtration patterns showed that
14C-SL-1010 was not metabolized in the synovial fluid. However, slight metabolism occurred in the synovial tissue and rapid metabolism occurred in the axillary lymph node. The radioactivity in the plasma 168 hr after injection was derived from plasma protein and that in the urine was mainly detected in the fraction of Vt of gel filtration except for a very small fraction such as oligosaccharide.
4. Excretion of radioactivity at 76 hr was 39, 1.6 and 1.4% in expired air, urine and feces, respectively.
5. The intra-articular injection of
14C-SL-1010 into the shoulder produced results similar to those after injection to the knee joint except for the site of lymphatic elimination; the elimination occurred mainly via the axillary lymph node after shoulder injection versus via the lumbar-iliac node after knee injection.
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