A method for determining drug concentration relationships between plasma and cerebrospinal fluid (CSF) in rats is described. Continuous CSF samples were collected directly from the third anterior ventricle with an indwelling cannula inserted through the bregma point, and drug concentrations were determined by high-pressure liquid chromatography and radioimmunoassay iicromethods. Three antibiotics with different abilities to cross the blood-CSF barrier (chloramphenicol, piperacillin, and gentamicin) were tested. This method was found to be reproducible for each drug even if the antibiotic levels were low and the sample volumes very small. Peak CSF concentrations occurred between 0.75 and 1.25 h after injection for all three antibiotics. Percent penetration values at 1 h were 50, L2, and 5.4% for chloramphenicol, piperacillin, and gentamicin, respectively. Several techniques have been described for collecting cerebrospinal fluid (CSF) from various animals (13). In larger animals such as rabbits and dogs, continuous sampling of CSF in pharmacokinetic studies is done with a cannula implanted generally in the cisterna magna. The present report presents a simple, rapid cannulation technique for repeated sampling of CSF in rats. The CSF samples were collected directly from the third anterior ventricle with an indwelling cannula.This technique was tested and applied to study the pharmacokinetics in the CSF of three antibiotics from different families (chloramphenicol, piperacillin, and gentamicin) chosen for their varying ability to cross the blood-CSF barrier in mammalian species (2-4, 6).
MATERIALS AND METHODSAnimals. Male Wistar rats (350 g) were anesthetized by intraperitoneal injection of urethane (1.25 g kg-1), and a catheter was inserted in the aortic arch by the carotid artery to allow blood sampling and antibiotic injection. The animals werte then placed on a stereotaxic table or in a surgical head holder. During deep anesthesia a subcutaneous injection of 2% Xylocaine was given locally. Five minutes later a hole was made in the skull at the bregma point (Fig. 1), and a cannula (1-mm external diameter) with a mandrel was placed into the third ventricle 6.5 mm under the brain surface. The mandrel was removed, and a needle (0.5-mm external diameter) was inserted into the cannula. This needle connected with polyethylene tubing to a peristaltic pump (Gilson) (flow rate, 2 ml min 1). Under these conditions, the CSF flow rate was 1 ,ul min 1 and was stable throughout the course of the experiment, which lasted 3 h. CSF was sampled every 15 min in small conical polypropylene tube (Ependorff). Arterial blood pressure was controlled and remained stable during the experiment.Monosuccinate sodium chloramphenicol (165 mg kg-1), piperacillin sodium (20 mg kg '), and gentamicin sulfate (20 mg kg-1) were injected in a bolus in the arterial catheter.
* Corresponding author.High-pressure liquid chromatography assay. Concentrations of chloramphenicol and piperacillin in plasma and CSF samples were measured by high-pressure liquid...