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Hypothesizing that the active <jats:italic>S<\/jats:italic> enantiomer of <jats:styled-content style=\"fixed-case\">VGB<\/jats:styled-content> would preferentially accumulate in eye and visual cortex (<jats:styled-content style=\"fixed-case\">VC<\/jats:styled-content>) as one potential mechanism for ocular toxicity, we infused racemic <jats:styled-content style=\"fixed-case\">VGB<\/jats:styled-content> into mice via subcutaneous minipump at 35, 70, and 140\u00a0mg\/kg\/d (n\u00a0=\u00a06\u20108 animals\/dose) for 12\u00a0days. <jats:styled-content style=\"fixed-case\">VGB<\/jats:styled-content> enantiomers, total <jats:styled-content style=\"fixed-case\">GABA<\/jats:styled-content> and \u03b2\u2010alanine (<jats:styled-content style=\"fixed-case\">BALA<\/jats:styled-content>), 4\u2010guanidinobutyrate (4\u2010<jats:styled-content style=\"fixed-case\">GBA<\/jats:styled-content>), and creatine were quantified by mass spectrometry in eye, brain, liver, prefrontal cortex (<jats:styled-content style=\"fixed-case\">PFC<\/jats:styled-content>), and <jats:styled-content style=\"fixed-case\">VC<\/jats:styled-content>. Plasma <jats:styled-content style=\"fixed-case\">VGB<\/jats:styled-content> concentrations increased linearly by dose (3\u00a0\u00b1\u00a00.76 (35\u00a0mg\/kg\/d); 15.1\u00a0\u00b1\u00a01.4 (70\u00a0mg\/kg\/d); 34.6\u00a0\u00b1\u00a03.2\u00a0\u03bcmol\/L (140\u00a0mg\/kg\/d); mean\u00a0\u00b1\u00a0SEM) with an <jats:italic>S<\/jats:italic>\/<jats:italic>R<\/jats:italic> ratio of 0.74\u00a0\u00b1\u00a00.02 (n\u00a0=\u00a014). Steady state <jats:italic>S<\/jats:italic>\/<jats:italic>R<\/jats:italic> ratios (35, 70\u00a0mg\/kg\/d doses) were highest in eye (5.5\u00a0\u00b1\u00a00.2; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001), followed by <jats:styled-content style=\"fixed-case\">VC<\/jats:styled-content> (3.9\u00a0\u00b1\u00a00.4), <jats:styled-content style=\"fixed-case\">PFC<\/jats:styled-content> (3.6\u00a0\u00b1\u00a00.3), liver (2.9\u00a0\u00b1\u00a00.1), and brain (1.5\u00a0\u00b1\u00a00.1; n\u00a0=\u00a013\u201014 each). Total <jats:styled-content style=\"fixed-case\">VGB<\/jats:styled-content> content of eye exceeded that of brain, <jats:styled-content style=\"fixed-case\">PFC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">VC<\/jats:styled-content> at all doses. High\u2010dose <jats:styled-content style=\"fixed-case\">VGB<\/jats:styled-content> diminished endogenous metabolite production, especially in <jats:styled-content style=\"fixed-case\">PFC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">VC<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">GABA<\/jats:styled-content> significantly increased in all tissues (all doses) except brain; <jats:styled-content style=\"fixed-case\">BALA<\/jats:styled-content> increases were confined to liver and <jats:styled-content style=\"fixed-case\">VC<\/jats:styled-content>; and 4\u2010<jats:styled-content style=\"fixed-case\">GBA<\/jats:styled-content> was prominently increased in brain, <jats:styled-content style=\"fixed-case\">PFC<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">VC<\/jats:styled-content> (and eye at high dose). Linear correlations between enantiomers and <jats:styled-content style=\"fixed-case\">GABA<\/jats:styled-content> were observed in all tissues, but only in <jats:styled-content style=\"fixed-case\">PFC<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">VC<\/jats:styled-content> for <jats:styled-content style=\"fixed-case\">BALA<\/jats:styled-content>, 4\u2010<jats:styled-content style=\"fixed-case\">GBA<\/jats:styled-content>, and creatine. Preferential accumulation of the <jats:styled-content style=\"fixed-case\">VGB <\/jats:styled-content><jats:italic>S<\/jats:italic> isomer in eye and <jats:styled-content style=\"fixed-case\">VC<\/jats:styled-content> may provide new insight into <jats:styled-content style=\"fixed-case\">VGB<\/jats:styled-content> ocular toxicity.<\/jats:p>","DOI":"10.1002\/prp2.456","type":"journal-article","created":{"date-parts":[[2019,1,8]],"date-time":"2019-01-08T16:54:03Z","timestamp":1546966443000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Preclinical tissue distribution and metabolic correlations of vigabatrin, an antiepileptic drug associated with potential use\u2010limiting visual field defects"],"prefix":"10.1002","volume":"7","author":[{"given":"Dana C.","family":"Walters","sequence":"first","affiliation":[{"name":"Department of Pharmacotherapy College of Pharmacy and Pharmaceutical Sciences Washington State University Spokane Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erwin E. 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