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Bharat et al., IJSIT, 2013, 2(3), 226-234
IJSIT (www.ijsit.com), Volume 2, Issue 3, May-June 2013
226
DEVELOPMENT AND VALIDATION OF HPLC METHOD FOR
DETERMINATION OF THEOPHYLLINE AND 1METHYL URIC ACID FROM
HUMAL PLASMS
Bharat
ABSTRACT
A stable, simple, rapid, precise, accurate HPLC method for analysis of Theophyllinee and 1-Methyl
Uric Acid was developed and validated as per ICH guidelines without need of any internal standard.
Separation was carried out using X’terra RP18 (250*4.6) mm, 5µ column with potassium dihydrogen
orthophosphate buffer (pH 3): acetonitrile (30:70 v/v) as mobile phase with flow rate 1 mL min-1. The
parameters studied were retention time, linearity and range, accuracy, precision. The proposed method can
be used for determination of Theophylline and 1-Methyl Uric Acid from Human plasma.
Keywords: Theophylline, HPLC, Validation.
Bharat et al., IJSIT, 2013, 2(3), 226-234
IJSIT (www.ijsit.com), Volume 2, Issue 3, May-June 2013
227
INTRODUCTION
In the early 20th century, the German chemist Paul Ehrlich was developing theories of selective
toxicity based largely on the ability of certain dyes to kill microbes. Gerhard Domagk, who would later win a
Nobel Prize for his efforts, made a major breakthrough in 1932 with the discovery of the antibacterial
prontosil red. Further investigation into the active chemicals involved led to the discoveries of antibacterial
sulfonamides (1935) by Daniel Bovet and his team at Pasteur Institute, then of Theophyllinee (1937)
independently by Ernest Fourneau in France and Gladwin Buttl in United-Kingdom.
MATERIAL AND METHOD
Analytical Section:
Extraction of THEOPHYLLINE and 1-METHYL URIC ACID from plasma was achieved by a simple
deproteination with trichloroacetic acid; this results in easy, rapid, and convenient separation of the
analytes16, 18. The chromatograms obtained under the assay conditions used were clean, despite injection of
the sample on to the column without pre-purification.
Ion pair chromatography with 1-hexanesulfonic acid sodium salt in the mobile phase, results in
retention of THEOPHYLLINE, a polar molecule of low molecular weight, on the column by the formation of a
complex. It is important the proportion of 1-hexanesulfonic acid sodium salt in the mobile phase is relatively
high at the beginning of the chromatographic run (gradient starts with 90% of this phase). Under these
conditions the hydrocarbon chain of the ion pair interacts with the octadecylsilane chains of the stationary
phase and the complex is retained long enough to be chromatographically separated.
This HPLC method enabled rapid simultaneous measurement of THEOPHYLLINE and its acetylated
metabolite 1-METHYL URIC ACID in plasma samples. Use of the gradient described resulted in sharp and
symmetrical peaks. Total analysis time, including sample pretreatment and rapid elution, was less than 15
min.
HPLC method development for Pure Theophyllinee (THEOPHYLLINE) And
MonoacetylTheophylline (1-METHYL URIC ACID):
The linearity of the response of the drug was verified from 0.5 to 15 ng/ml concentrations. The
calibration graphs were obtained by plotting the response versus the concentration. The calibration curve
was found to be linear in the aforementioned concentrations. The correlation coefficient (r2) of determination
was 1 which indicates that the method is accurate.
Bharat et al., IJSIT, 2013, 2(3), 226-234
IJSIT (www.ijsit.com), Volume 2, Issue 3, May-June 2013
228
Sr. No. Theophylline Concentration
(μg/ml)
Area 1-Methyl Uric Acid
Concentration
Area
1 1.043165858 80059.1 0.978702662 85173
2 2.085241811 161304 1.956382769 171608
3 3.144483784 244733 2.95016811 260367
4 4.190615444 323979 3.9316533 344675
5 5.248274957 406166 4.923953971 432113
6 6.286620077 487541 5.898133795 518685
7 7.346084223 569989 6.89212758 606400
8 8.384563486 652471 7.866433258 694151
9 9.431669774 734634 8.848832848 781562
10 10.48033756 812333 9.832697443 864225
Slope 86799 Slope 81587
Intercept -1497 Intercept -1407
Correlation co-efficient 1 Correlation co-efficient 1
Table 1: Linearity of Theophyllinee and MonoacetylTheophylline for HPLC method development
Actual Value (μgmL-1) THEOPHYLLINE 1-METHYL URIC ACID
0.8 5 13 0.8 5 13
Mean concentration found (μgmL-1) 0.9 4.5 12.7 0.7 4.6 12.5
Number of replicates 10 10 10 10 10 10
Standard deviation (SD) 0.04 0.3 0.6 0.02 0.06 0.2
CV (%)a 4.5 7.0 5.0 2.9 4.3 0.9
Accuracy (%)b 10.4 -9.8 -2.2 -4.3 -6.9 -3.7
Table 2: Within- run precision and accuracy of the HPLC method
CV = (SD/Mean) x 100%
{( Amount found)-(amount added)}/(amount added)}] x 100%
Bharat et al., IJSIT, 2013, 2(3), 226-234
IJSIT (www.ijsit.com), Volume 2, Issue 3, May-June 2013
229
Linearity:
When average peak area was plotted against the Theophylline concentration and its metabolite in
plasma the plots were linear in the range 0.5 to 15.0 μg mL−1. Typical calibration plots for plasma extracts
had good correlation coefficients (0.9998 for Theophylline and 0.9905 for MonoacetylTheophylline; n = 6
calibration points).
Limits of Quantification and Detection:
The limit of quantification, defined as the lowest concentration that could be measured with accuracy
and precision, i.e. within ±20% of the actual value20, was 0.5 μg mL−1. The lower limits of detection of
THEOPHYLLINE and 1-METHYL URIC ACID (three times the baseline noise) were 0.24 and 0.12 μg mL−1,
respectively.
Intra-Day Repeatability:
Assay performance was evaluated as intra-day accuracy and precision, determined by replicate
analysis of QC samples.
These results show the repeatability of the assay, including both sample processing and
chromatographic measurement, is good. Small deviations from perfect accuracy were observed (i.e. 10.4% at
most).
Actual Value (μgmL-1) THEOPHYLLINE 1-METHYL URIC ACID
0.8 5 13 0.8 5 13
Mean concentration found (μgmL-1) 0.84 5.0 13.1 0.8 4.7 12.8
Number of replicates 6 6 6 6 6 6
Standard deviation (SD) 0.04 0.2 0.4 0.02 0.06 0.2
CV (%)a 3.3 4.6 3.3 3.2 1.2 1.7
Accuracy (%)b 4.5 0.8 1.2 -3.5 -6.6 -1.8
Table 3: Reproducibility and accuracy of the method
CV = (SD/Mean) x 100%
[{(Amount found)-(amount added)}/(amount added)}] x 100%
Bharat et al., IJSIT, 2013, 2(3), 226-234
IJSIT (www.ijsit.com), Volume 2, Issue 3, May-June 2013
230
Actual Value (μgmL-1) THEOPHYLLINE 1-METHYL URIC ACID
0.8 5 13 0.8 5 13
Mean Initial concentration
(μgmL-1)
0.866 4.861 13.487 0.757 4.655 12.055
CV (%)a 2.16 4.1 0.26 2.24 6.30 0.29
Number of replicates 6 6 6 6 6 6
Mean final concentration
(μgmL-1)
0.858b 4.860b 12.95b 0.556c 3.62c 9.68c
Recovery (%)d 99.07 99.97 96.01 73.44 77.76 80.29
CV (%)a 2.18 4.1 0.26 9.2 1.58 0.61
Number of replicates 6 6 6 6 6 6
Table 4: Stability of THEOPHYLLINE and 1-METHYL URIC ACID in plasma samples at -800C
CV = (SD/Mean) x 100%
Data obtained after 30 days
Data obtained after 1 days
[( Initial concentration)/(Final concentration)] x 100%
Inter-Assay Precision:
As is apparent , inter-assay coefficients of variation determined from experiments performed on
three days (n = 6) were <5%, this is indicative of good assay precision.
Recovery:
Recovery was determined by dividing the peak area obtained from analysis of each of the two
compounds added to plasma by that observed for the same amount of each compound injected directly into
the chromatograph. Recovery of THEOPHYLLINE and 1-METHYL URIC ACID from plasma was 64 and 55%,
respectively; these values were constant in the concentration range studied and are higher than those
obtained in other studies21, 22. MonoacetylTheophyllinee was partially retained (11%) on the protein
precipitate when trichloroacetic acid was used for deproteination16. This partially explains the low recovery
of MonoacetylTheophyllinee.
Bharat et al., IJSIT, 2013, 2(3), 226-234
IJSIT (www.ijsit.com), Volume 2, Issue 3, May-June 2013
231
Table 5: Chromatographic Conditions.
Stability:
Experiments conducted in our laboratory showed that QC solutions of Theophylline in plasma were
stable for at least 30 days at −80°C; the amount of the initial concentration remaining after this time was
98.35 ± 2.07%. In contrast, loss of MonoacetylTheophylline in these plasma samples was substantial after
storage at the same temperature for 1 day (a decrease to 77.16 ± 3.46% of the initial concentration).
Figure 1: Linearity Plot of Theophyllinee and MonoacetylTheophylline
y = 81587x - 1407.9
R² = 1y = 86799x - 1497.9
R² = 1
Area
Concentration
Theophylline
1-Methyl Uric Acid
Mobile Phase Acetonitrile (ACN): buffer (pH 3.0) (70:30v/v)
pH 3.0 (+ 0.05) adjusted with orthophosphoric acid
Flow rate 1.0 mL/min
Injection volume 25µl
Elusion type Isocratic elusion
Column X’terra RP18 (250*4.6) mm, 5µ
Temperature 25 ±2 °C
Bharat et al., IJSIT, 2013, 2(3), 226-234
IJSIT (www.ijsit.com), Volume 2, Issue 3, May-June 2013
232
Figure 2: Peaks for THEOPHYLLINE and 1-METHYL URIC ACID
CONCLUSION
The HPLC method developed for analysis of various formulations of Theophylline and 1-Methyl Uric
Acid can be used for determination of Diclofenac in stratum corneum with the help of tape stripping method.
REFERENCES
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5. Lunde P K M, Frislid K, and Hanstern V, “Disease and acetylation polymorphism”, Clin. Pharmacokin.
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IJSIT (www.ijsit.com), Volume 2, Issue 3, May-June 2013
233
2, 182-197 (1977).
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9. Parkes H G, “The epidemiology of the aromatic amine cancers. In: Searle CF (ed.). Chemical
Carcinogens”, Am Chem Soc Monograph. 173, 462 (1976).
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11. Evans D A P, and White T A, “Human acetylation polymorphism”, J Lab Clin Med. 63, 394 (1964).
12. Ellard G A, “Variations between individuals and populations in the acetylation of Theophylline and its
significance for the treatment of pulmonary tuberculosis”, Clin Pharmacol Ther. 19, 610–25 (1976).
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pathological properties of hydroxylamines and hydroxamic acids”, Pharmacol Rev. 25, 1 (1973).
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treating depression with phenelzine”, Clin Pharmacol Therap. 6, 430 (1965).
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IJSIT (www.ijsit.com), Volume 2, Issue 3, May-June 2013
234
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Development and validation of hplc method for determination of theophylline and 1 methyl uric acid from humal plasms ijsit_2.3.6

  • 1. Bharat et al., IJSIT, 2013, 2(3), 226-234 IJSIT (www.ijsit.com), Volume 2, Issue 3, May-June 2013 226 DEVELOPMENT AND VALIDATION OF HPLC METHOD FOR DETERMINATION OF THEOPHYLLINE AND 1METHYL URIC ACID FROM HUMAL PLASMS Bharat ABSTRACT A stable, simple, rapid, precise, accurate HPLC method for analysis of Theophyllinee and 1-Methyl Uric Acid was developed and validated as per ICH guidelines without need of any internal standard. Separation was carried out using X’terra RP18 (250*4.6) mm, 5µ column with potassium dihydrogen orthophosphate buffer (pH 3): acetonitrile (30:70 v/v) as mobile phase with flow rate 1 mL min-1. The parameters studied were retention time, linearity and range, accuracy, precision. The proposed method can be used for determination of Theophylline and 1-Methyl Uric Acid from Human plasma. Keywords: Theophylline, HPLC, Validation.
  • 2. Bharat et al., IJSIT, 2013, 2(3), 226-234 IJSIT (www.ijsit.com), Volume 2, Issue 3, May-June 2013 227 INTRODUCTION In the early 20th century, the German chemist Paul Ehrlich was developing theories of selective toxicity based largely on the ability of certain dyes to kill microbes. Gerhard Domagk, who would later win a Nobel Prize for his efforts, made a major breakthrough in 1932 with the discovery of the antibacterial prontosil red. Further investigation into the active chemicals involved led to the discoveries of antibacterial sulfonamides (1935) by Daniel Bovet and his team at Pasteur Institute, then of Theophyllinee (1937) independently by Ernest Fourneau in France and Gladwin Buttl in United-Kingdom. MATERIAL AND METHOD Analytical Section: Extraction of THEOPHYLLINE and 1-METHYL URIC ACID from plasma was achieved by a simple deproteination with trichloroacetic acid; this results in easy, rapid, and convenient separation of the analytes16, 18. The chromatograms obtained under the assay conditions used were clean, despite injection of the sample on to the column without pre-purification. Ion pair chromatography with 1-hexanesulfonic acid sodium salt in the mobile phase, results in retention of THEOPHYLLINE, a polar molecule of low molecular weight, on the column by the formation of a complex. It is important the proportion of 1-hexanesulfonic acid sodium salt in the mobile phase is relatively high at the beginning of the chromatographic run (gradient starts with 90% of this phase). Under these conditions the hydrocarbon chain of the ion pair interacts with the octadecylsilane chains of the stationary phase and the complex is retained long enough to be chromatographically separated. This HPLC method enabled rapid simultaneous measurement of THEOPHYLLINE and its acetylated metabolite 1-METHYL URIC ACID in plasma samples. Use of the gradient described resulted in sharp and symmetrical peaks. Total analysis time, including sample pretreatment and rapid elution, was less than 15 min. HPLC method development for Pure Theophyllinee (THEOPHYLLINE) And MonoacetylTheophylline (1-METHYL URIC ACID): The linearity of the response of the drug was verified from 0.5 to 15 ng/ml concentrations. The calibration graphs were obtained by plotting the response versus the concentration. The calibration curve was found to be linear in the aforementioned concentrations. The correlation coefficient (r2) of determination was 1 which indicates that the method is accurate.
  • 3. Bharat et al., IJSIT, 2013, 2(3), 226-234 IJSIT (www.ijsit.com), Volume 2, Issue 3, May-June 2013 228 Sr. No. Theophylline Concentration (μg/ml) Area 1-Methyl Uric Acid Concentration Area 1 1.043165858 80059.1 0.978702662 85173 2 2.085241811 161304 1.956382769 171608 3 3.144483784 244733 2.95016811 260367 4 4.190615444 323979 3.9316533 344675 5 5.248274957 406166 4.923953971 432113 6 6.286620077 487541 5.898133795 518685 7 7.346084223 569989 6.89212758 606400 8 8.384563486 652471 7.866433258 694151 9 9.431669774 734634 8.848832848 781562 10 10.48033756 812333 9.832697443 864225 Slope 86799 Slope 81587 Intercept -1497 Intercept -1407 Correlation co-efficient 1 Correlation co-efficient 1 Table 1: Linearity of Theophyllinee and MonoacetylTheophylline for HPLC method development Actual Value (μgmL-1) THEOPHYLLINE 1-METHYL URIC ACID 0.8 5 13 0.8 5 13 Mean concentration found (μgmL-1) 0.9 4.5 12.7 0.7 4.6 12.5 Number of replicates 10 10 10 10 10 10 Standard deviation (SD) 0.04 0.3 0.6 0.02 0.06 0.2 CV (%)a 4.5 7.0 5.0 2.9 4.3 0.9 Accuracy (%)b 10.4 -9.8 -2.2 -4.3 -6.9 -3.7 Table 2: Within- run precision and accuracy of the HPLC method CV = (SD/Mean) x 100% {( Amount found)-(amount added)}/(amount added)}] x 100%
  • 4. Bharat et al., IJSIT, 2013, 2(3), 226-234 IJSIT (www.ijsit.com), Volume 2, Issue 3, May-June 2013 229 Linearity: When average peak area was plotted against the Theophylline concentration and its metabolite in plasma the plots were linear in the range 0.5 to 15.0 μg mL−1. Typical calibration plots for plasma extracts had good correlation coefficients (0.9998 for Theophylline and 0.9905 for MonoacetylTheophylline; n = 6 calibration points). Limits of Quantification and Detection: The limit of quantification, defined as the lowest concentration that could be measured with accuracy and precision, i.e. within ±20% of the actual value20, was 0.5 μg mL−1. The lower limits of detection of THEOPHYLLINE and 1-METHYL URIC ACID (three times the baseline noise) were 0.24 and 0.12 μg mL−1, respectively. Intra-Day Repeatability: Assay performance was evaluated as intra-day accuracy and precision, determined by replicate analysis of QC samples. These results show the repeatability of the assay, including both sample processing and chromatographic measurement, is good. Small deviations from perfect accuracy were observed (i.e. 10.4% at most). Actual Value (μgmL-1) THEOPHYLLINE 1-METHYL URIC ACID 0.8 5 13 0.8 5 13 Mean concentration found (μgmL-1) 0.84 5.0 13.1 0.8 4.7 12.8 Number of replicates 6 6 6 6 6 6 Standard deviation (SD) 0.04 0.2 0.4 0.02 0.06 0.2 CV (%)a 3.3 4.6 3.3 3.2 1.2 1.7 Accuracy (%)b 4.5 0.8 1.2 -3.5 -6.6 -1.8 Table 3: Reproducibility and accuracy of the method CV = (SD/Mean) x 100% [{(Amount found)-(amount added)}/(amount added)}] x 100%
  • 5. Bharat et al., IJSIT, 2013, 2(3), 226-234 IJSIT (www.ijsit.com), Volume 2, Issue 3, May-June 2013 230 Actual Value (μgmL-1) THEOPHYLLINE 1-METHYL URIC ACID 0.8 5 13 0.8 5 13 Mean Initial concentration (μgmL-1) 0.866 4.861 13.487 0.757 4.655 12.055 CV (%)a 2.16 4.1 0.26 2.24 6.30 0.29 Number of replicates 6 6 6 6 6 6 Mean final concentration (μgmL-1) 0.858b 4.860b 12.95b 0.556c 3.62c 9.68c Recovery (%)d 99.07 99.97 96.01 73.44 77.76 80.29 CV (%)a 2.18 4.1 0.26 9.2 1.58 0.61 Number of replicates 6 6 6 6 6 6 Table 4: Stability of THEOPHYLLINE and 1-METHYL URIC ACID in plasma samples at -800C CV = (SD/Mean) x 100% Data obtained after 30 days Data obtained after 1 days [( Initial concentration)/(Final concentration)] x 100% Inter-Assay Precision: As is apparent , inter-assay coefficients of variation determined from experiments performed on three days (n = 6) were <5%, this is indicative of good assay precision. Recovery: Recovery was determined by dividing the peak area obtained from analysis of each of the two compounds added to plasma by that observed for the same amount of each compound injected directly into the chromatograph. Recovery of THEOPHYLLINE and 1-METHYL URIC ACID from plasma was 64 and 55%, respectively; these values were constant in the concentration range studied and are higher than those obtained in other studies21, 22. MonoacetylTheophyllinee was partially retained (11%) on the protein precipitate when trichloroacetic acid was used for deproteination16. This partially explains the low recovery of MonoacetylTheophyllinee.
  • 6. Bharat et al., IJSIT, 2013, 2(3), 226-234 IJSIT (www.ijsit.com), Volume 2, Issue 3, May-June 2013 231 Table 5: Chromatographic Conditions. Stability: Experiments conducted in our laboratory showed that QC solutions of Theophylline in plasma were stable for at least 30 days at −80°C; the amount of the initial concentration remaining after this time was 98.35 ± 2.07%. In contrast, loss of MonoacetylTheophylline in these plasma samples was substantial after storage at the same temperature for 1 day (a decrease to 77.16 ± 3.46% of the initial concentration). Figure 1: Linearity Plot of Theophyllinee and MonoacetylTheophylline y = 81587x - 1407.9 R² = 1y = 86799x - 1497.9 R² = 1 Area Concentration Theophylline 1-Methyl Uric Acid Mobile Phase Acetonitrile (ACN): buffer (pH 3.0) (70:30v/v) pH 3.0 (+ 0.05) adjusted with orthophosphoric acid Flow rate 1.0 mL/min Injection volume 25µl Elusion type Isocratic elusion Column X’terra RP18 (250*4.6) mm, 5µ Temperature 25 ±2 °C
  • 7. Bharat et al., IJSIT, 2013, 2(3), 226-234 IJSIT (www.ijsit.com), Volume 2, Issue 3, May-June 2013 232 Figure 2: Peaks for THEOPHYLLINE and 1-METHYL URIC ACID CONCLUSION The HPLC method developed for analysis of various formulations of Theophylline and 1-Methyl Uric Acid can be used for determination of Diclofenac in stratum corneum with the help of tape stripping method. REFERENCES 1. J N Pande, A Pande, and SPN Singh, “Acetylator status, drug metabolism and disease”, The National Medical Journal of India. 16, 24-26 (2003). 2. Hombhanje F, “An assessment of acetylator polymorphism and its relevance in Papua New Guinea”, PNG Med Jour .33, 107–10 (1990). 3. Drayer D E, and Reidenberg M M, “Clinical consequences of polymorphic acetylation of basic drugs”, Clin. Pharmacol. Ther. 22, 251-258 (1977). 4. Serdula M K, and Rhoads G G, “Frequency of SLE in different ethnic groups in Hawaii”, Arthritis Rheum. 22, 328-333 (1979). 5. Lunde P K M, Frislid K, and Hanstern V, “Disease and acetylation polymorphism”, Clin. Pharmacokin.
  • 8. Bharat et al., IJSIT, 2013, 2(3), 226-234 IJSIT (www.ijsit.com), Volume 2, Issue 3, May-June 2013 233 2, 182-197 (1977). 6. Bouchardy C, Mitrunen K, Wikman H, Husgafvel-Pursiainen K, Dayer P, and Benhamou 7. S, “N-acetyltransferase NAT1 and NAT2 genotypes and lung cancer risk”, Pharmacogenetics. 8, 291–8 (1998). 8. Gross M, Kruisselbrink T, Anderson K, Lang N, McGovern P, and Delongchamp R, “Distribution and concordance of N-acetyltransferase genotype and phenotype in an American population”, Cancer Epidemiol Biomarkers Prev. 8, 683–92 (1999). 9. Parkes H G, “The epidemiology of the aromatic amine cancers. In: Searle CF (ed.). Chemical Carcinogens”, Am Chem Soc Monograph. 173, 462 (1976). 10. Higginson J, “Chronic toxicology – an epidemiologist’s approach to the problem of carcinogenesis”, Essays Toxicol. 77, 29 (1976). 11. Evans D A P, and White T A, “Human acetylation polymorphism”, J Lab Clin Med. 63, 394 (1964). 12. Ellard G A, “Variations between individuals and populations in the acetylation of Theophylline and its significance for the treatment of pulmonary tuberculosis”, Clin Pharmacol Ther. 19, 610–25 (1976). 13. Weisburger J H, and Weisburger E K, “Biochemical formation and pharmacological, toxicological, and pathological properties of hydroxylamines and hydroxamic acids”, Pharmacol Rev. 25, 1 (1973). 14. Evans D A P, Davidson K, and Pratt R T C, “The influence of acetylator phenotype on the effects of treating depression with phenelzine”, Clin Pharmacol Therap. 6, 430 (1965). 15. Perry H M, Sakamoto A, and Tan E M, “Relationship of acetylating enzyme to hydralazine toxicity”, J Lab Clin Med. 70, 1020 (1967). 16. Hughes H B, Biehl J P, Jones A P, and Schmidt L H, “Metabolism of Theophylline in man as related to the occurrence of peripheral neuritis”, Am Rev Tuberculosis. 70, 266 (1954). 17. Woosley R L, Nies A S, Drayer D, Reidenberg M, and Oates J A, “Aceylator phenotype as a factor in procainamide-induced lupus erythematosus”, Clin Res. 25, 279A (1977). 18. Wood A J J, and Zhou H H, “Ethnic differences in drug disposition and responsiveness”, Clin. Pharmacokinet. 20, 350-373 (1991).
  • 9. Bharat et al., IJSIT, 2013, 2(3), 226-234 IJSIT (www.ijsit.com), Volume 2, Issue 3, May-June 2013 234 19. Reidenberg M M, and Martin J H, “The acetylator phenotype of patients with systemic lupus erythematosus”, Drug Metab Disposition. 2, 71 (1974). 20. Gross M, Kruisselbrink T, Anderson K, Lang N, McGovern P, and Delongchamp R, “Distribution and concordance of N-acetyltransferase genotype and phenotype in an American population”, Cancer Epidemiol Biomarkers Prev. 8, 683–92 (1999). 21. Kita T, Tanigawara Y, Chikazawa S, Hatanaka H, Sakaeda T, Komada F, et al., “Nacetyltransferase2 genotype correlated with Theophylline acetylation in Japanese tuberculous patients”, Biol Pharm Bull. 5, 544–9 (2001). 22. Hildebrand M, and Seifert W, “Determination of acetylator phenotype in Caucasians with caffeine”, Eur J Clin Pharmacol. 37, 525–6 (1989). 23. Relling M V, Cherrie J, Crom W R, Schell M, Mirro J, Meyer W H, and Evans W E, “Drug metabolizer phenotypes in American black irrvH.v white children (Abstract)”, Clin. Pharmacol. Ther. 49, 173 (1991). 24. Jose M, Ladero, Jose F, Gonzalez, Julio Benatez et al, “Acetylator Polymorphism in Human Colorectal Carcinoma”, Cancer Res. 51, 2098-2100 (1991). 25. Lee E J D, and Lim J M E, “A study of acetylator phenotype in normal subjects”, Singapore Medical Journal. 22, 117-120 (1982). 26. Ellard G A, Gammon P T, and Wallace S M, “The determination of Theophylline and its metabolites acetylTheophylline, monoacetylhydrazine, diacetylhydrazine, isonicotinic acid and isonicotinylglycine in serum and urine”, Biochem J. 126, 449-458 (1972).