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Metabolism of testosterone and progesterone by cytochrome P450 2C19 allelic variants 细胞色素P450 2C19等位基因变异体对睾酮和孕酮的代谢。
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2023-10-10 DOI: 10.1002/bdd.2378
Shiori Takeji, Mai Okada, Shu Hayashi, Kengo Kanamaru, Yuichi Uno, Hiromasa Imaishi, Tomohide Uno

CYP2C19 is a member of the human microsomal cytochrome P450 (CYP). Significant variation in CYP2C19 levels and activity can be attributed to polymorphisms in this gene. Wildtype CYP2C19 and 13 mutants (CYP2C19.1B, CYP2C19.5A, CYP2C19.5B, CYP2C19.6, CYP2C19.8, CYP2C19.9, CYP2C19.10, CYP2C19.11, CYP2C19.13, CYP2C19.16, CYP2C19.19, CYP2C19.23, CYP2C19.30, and CYP2C19.33) were coexpressed with NADPH-cytochrome P450 reductase in Escherichia coli. Hydroxylase activity toward testosterone and progesterone was also examined. Ten CYP2C19 variants showed Soret peaks (450 nm) typical of P450 in the reduced CO-difference spectra. CYP2C19.11 and CYP2C19.23 showed higher testosterone 11α, 16α-/17- and progesterone 6β-,21-,16α-/17α-hydroxylase activities than CYP2C19.1B. CYP2C19.6, CYP2C19.16, CYP2C19.19, and CYP2C19.30 showed lower activity than CYP2C19.1B. CYP2C19.9, CYP2C19.10. CYP2C19.13, and CYP2C19.33 showed different hydroxylation activities than CYP2C19.1B. These results indicated that CYP2C19 variants have very different substrate specificities for testosterone and progesterone.

CYP2C19是人微粒体细胞色素P450(CYP)的成员。CYP2C19水平和活性的显著变化可归因于该基因的多态性。野生型CYP2C19和13个突变体(CYP2C19.1B、CYP2C19.5A、CYP2C1955B、CYP2C19.6、CYP2C19.8、CYP2C19.7、CYP2C19.10、CYP2C19.11、CYP2C1913、CYP2C19.1 6、CYP2C19.19、CYP2C19 23、CYP2C19.30和CYP2C19.33)在大肠杆菌中与NADPH细胞色素P450还原酶共表达。还检测了对睾酮和孕酮的羟化酶活性。10个CYP2C19变体在减少的CO差异光谱中显示P450的典型Soret峰(450nm)。CYP2C19.11和CYP2C19.23显示出比CYP2C19.1B更高的睾酮11α,16α-/17和孕酮6β,21-,16α-1/17α-羟化酶活性。CYP2C19.13和CYP2C19.33显示出与CYP2C19.1B不同的羟基化活性。这些结果表明CYP2C19变体对睾酮和孕酮具有非常不同的底物特异性。
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引用次数: 0
Pharmacokinetic–pharmacodynamic modeling of the active components of Shenkang injection in rats with chronic renal failure and its protective effect on damaged renal cells 肾康注射液有效成分在慢性肾功能衰竭大鼠体内的药动学-药效学模型及其对受损肾细胞的保护作用。
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2023-09-07 DOI: 10.1002/bdd.2377
Lin Zhou, Xiaohui Wang, Jinlan Xia, Liyuan Zhang, Lianping Xue, Qingquan Jia, Zhihui Fu, Zhi Sun
<p>The study aimed to explore the pharmacokinetic and pharmacodynamic alterations of the active components of Shenkang injection (i.e. hydroxy saffron yellow pigment A [HSYA], tanshinol, rheum emodin, and astragaloside IV) in rats with chronic renal failure (CRF), and establish a pharmacokinetic–pharmacodynamic model (PK-PD model) in order to provide a scientific and theoretical basis for the rational clinical use of Shenkang injection. Sprague–Dawley (SD) rats were randomly divided into a normal group, model group, and Shenkang injection group. A rat model of CRF was induced by adenine gavage and then followed by drug administration via tail vein injection. Orbital blood was collected at different timepoints and the blood concentrations of the four active components were measured by UHPLC-Q-Orbitrap HRMS. Serum levels of creatinine (Scr), urea nitrogen (BUN), and uric acid (UA) were determined using an automatic biochemical analyzer. A PK-PD model was established, and DAS 3.2.6 software was used for model fitting as well as statistical analysis. TGF-β1 was utilized to induce normal rat kidney cells to construct a renal fibrosis model to investigate the protective effect of the pharmacological components on renal fibrosis. The pharmacokinetic analysis of hydroxy saffron yellow pigment A, tanshinol, rheum emodin, and astragaloside IV based on UHPLC-Q-Orbitrap HRMS was stable. The linear regression equations for the four active components were as follows: <i>Y</i> = 0.031X + 0.0091 (<i>R</i><sup>2</sup> = 0.9986) for hydroxy saffron yellow pigment A, <i>Y</i> = 0.0389X + 0.164 (<i>R</i><sup>2</sup> = 0.9979) for tanshinol, <i>Y</i> = 0.0257X + 0.0146 (<i>R</i><sup>2</sup> = 0.9973) for rheum emodin, and <i>Y</i> = 0.0763X + 0.0139 (<i>R</i><sup>2</sup> = 0.9993) for astragaloside IV, which indicated good linear relationships. The methodological investigation was stable, with the interday and intraday precision RSD <10%. Meanwhile, the recoveries ranged between 90% and 120%, in accordance with the requirements for in vivo analysis of drugs. Compared with the model group, the levels of Scr, BUN, and UA were significantly decreased after 20 min in the Shenkang injection group (<i>p</i> < 0.01). The PK-PD model showed that the four active components in the Shenkang injection group could fit well with the three effect measures (i.e. Scr, BUN, and UA), with the measured values similar to the predicted values. The cell model of renal fibrosis showed that the connective tissue growth factor and FN1 protein expression levels were significantly lower in the Shenkang injection group than those in the model group, and the cell fibrosis was improved. The established method for in vivo analysis of Shenkang injection was highly specific, with good separation of the components and simple operation. The total statistical moment could well integrate the pharmacokinetic parameters of the four active components. After treatment with Shenkang injection, all index
本研究旨在探讨肾康注射液有效成分(羟基藏红花黄素A [HSYA]、丹参醇、大黄素、黄芪甲苷IV)在慢性肾衰竭(CRF)大鼠体内的药动学和药效学变化,并建立药动学-药效学模型(PK-PD模型),为临床合理使用肾康注射液提供科学理论依据。SD大鼠随机分为正常组、模型组和参康注射液组。采用腺嘌呤灌胃诱导大鼠慢性肾衰模型,再经尾静脉注射给药。在不同时间点采集眼眶血,采用UHPLC-Q-Orbitrap HRMS测定四种有效成分血药浓度。采用全自动生化分析仪测定血清肌酐(Scr)、尿素氮(BUN)和尿酸(UA)水平。建立PK-PD模型,利用DAS 3.2.6软件进行模型拟合和统计分析。利用TGF-β1诱导正常大鼠肾细胞构建肾纤维化模型,探讨其药理成分对肾纤维化的保护作用。基于UHPLC-Q-Orbitrap HRMS对羟基藏红花黄素A、丹参醇、大黄素、黄芪甲苷的药动学分析结果稳定。4种有效成分的线性回归方程分别为:羟基藏红花黄素A Y = 0.031X + 0.0091 (R2 = 0.9986),丹参酚Y = 0.0389X + 0.164 (R2 = 0.9979),大黄素Y = 0.0257X + 0.0146 (R2 = 0.9973),黄芪甲苷IV Y = 0.0763X + 0.0139 (R2 = 0.9993),线性关系良好。方法调查稳定,日间和日间精密度RSD
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引用次数: 0
Integration of artificial neural network and physiologically based biopharmaceutic models in the development of sustained-release formulations 人工神经网络和基于生理的生物制药模型在缓释制剂开发中的集成
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2023-08-30 DOI: 10.1002/bdd.2376
Frederico Severino Martins, Luiza Borges, Rene Oliveira do Couto, Stephan Schaller, Osvaldo de Freitas

Model-informed drug development is an important area recognized by regulatory authorities and is gaining increasing interest from the generic drug industry. Physiologically based biopharmaceutics modeling (PBBM) is a valuable tool to support drug development and bioequivalence assessments. This study aimed to utilize an artificial neural network (ANN) with a multilayer perceptron (MLP) model to develop a sustained-release matrix tablet of metformin HCl 500 mg, and to test the likelihood of the prototype formulation being bioequivalent to Glucophage® XR, using PBBM modeling and virtual bioequivalence (vBE). The ANN with MLP model was used to simultaneously optimize 735 formulations to determine the optimal formulation for Glucophage® XR release. The optimized formulation was evaluated and compared to Glucophage® XR using PBBM modeling and vBE. The optimized formulation consisted of 228 mg of hydroxypropyl methylcellulose (HPMC) and 151 mg of PVP, and exhibited an observed release rate of 42% at 1 h, 47% at 2 h, 55% at 4 h, and 58% at 8 h. The PBBM modeling was effective in assessing the bioequivalence of two formulations of metformin, and the vBE evaluation demonstrated the utility and relevance of translational modeling for bioequivalence assessments. The study demonstrated the effectiveness of using PBBM modeling and model-informed drug development methodologies, such as ANN and MLP, to optimize drug formulations and evaluate bioequivalence. These tools can be utilized by the generic drug industry to support drug development and biopharmaceutics assessments.

基于模型的药物开发是监管当局认可的一个重要领域,并且正在获得仿制药行业越来越多的兴趣。基于生理的生物制药建模(PBBM)是支持药物开发和生物等效性评估的重要工具。本研究旨在利用人工神经网络(ANN)和多层感知器(MLP)模型开发一种盐酸二甲双胍500 mg缓释基质片,并利用PBBM建模和虚拟生物等效性(vBE)测试原型配方与Glucophage®XR生物等效性的可能性。采用带MLP模型的人工神经网络对735个处方进行了同时优化,以确定Glucophage®XR释放的最佳处方。采用PBBM模型和vBE对优化后的制剂进行评价,并与Glucophage®XR进行比较。优化后的配方由228 mg羟丙基甲基纤维素(HPMC)和151 mg PVP组成,在1 h、2 h、4 h和8 h的释放率分别为42%、47%、55%和58%。PBBM模型可有效评估两种二甲双胍配方的生物等效性,而vBE评估则证明了翻译模型在生物等效性评估中的实用性和相关性。该研究证明了使用PBBM模型和基于模型的药物开发方法(如ANN和MLP)来优化药物配方和评估生物等效性的有效性。这些工具可被仿制药行业用于支持药物开发和生物制药评估。
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引用次数: 1
Linking in vitro–in vivo extrapolations with physiologically based modeling to inform drug and formulation development 将体内外推断与基于生理学的建模联系起来,为药物和配方开发提供信息
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2023-08-25 DOI: 10.1002/bdd.2375
Rodrigo Cristofoletti, Amin Rostami-Hodjegan
Quantitative in vitro–in vivo extrapolations (IVIVE) have been applied extensively to predict drug metabolism and transporter kinetics (Sodhi & Benet, 2021; Wood et al., 2017; Zamek‐Gliszczynski et al., 2013). However, initially, IVIVE were mainly based on mean in vitro data, giving no estimation of between or within subject variability (BSV/WSV) and, therefore, have a limited ability to address the extremes of risk in real patients or replicate scenarios such as bioequivalence. In other words, ADME properties were estimated considering an average subject, if such a subject exists, under a constant non‐variant condition for all the physiology and biology. Integrating IVIVE with PBPK modeling enables predictions in virtual cohorts including estimation of BSV (Rostami‐Hodjegan & Tucker, 2007), and some recent advances were also made to address the WSV that are essential elements of virtual bioequivalence studies (Bego et al., 2022). Historically, Monte Carlo simulations are used when developing population PBPK models which commonly do not consider the parameter’s inter‐dependencies. However, it is imperative to mechanistically incorporate covariates in these models and to employ correlated Monte Carlo simulations instead (Jamei, 2016; Jamei et al., 2009). In doing so, the predicted PK properties are inherently affected by the relevant covariates (Rostami‐Hodjegan & Tucker, 2007). However, translation of in vitro ADME properties within PBPK models is associated with uncertainties related not only to the knowledge gaps in system parameters, but also to the translatability (scaling) of drug parameters (Rostami‐Hodjegan, 2018). In this context, Mao and co‐workers applied PBPK modeling to predict human PK and assessed model performance retrospectively using clinical data for 18 Genentech compounds (Mao et al., 2023). Currently, the main regulatory application of PBPK modeling is to investigate enzyme‐ or transporter‐mediated drug–drug interactions (Zhang et al., 2020). In this special issue, Vijaywargi and co‐workers compared the performance of static and PBPK models to predict transporter‐mediated DDIs. The authors also discussed the usefulness of endogenous biomarkers, the use of empirical scaling factors, enzyme–transporter interplay, and acceptance criteria for model validation to meet the regulatory expectations (Vijaywargi et al., 2023). The separation between system and drug parameters is an important feature of PBPK modeling with respect to extrapolating results between species and populations. In this special issue Alsmadi and Alzughoul integrate preclinical data and a IVIVE‐PBPK model to extrapolate drug elimination in renally impaired patients (Alsmadi & Alzughoul, 2023). In turn, Liang and co‐workers successfully applied PBPK modeling to optimize azithromycin dosing to pediatrics (Liang et al., 2023) and Zhang and co‐workers developed a PBPK‐based dose decision framework to inform clinical trials with a novel anesthetic agent in special popu
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引用次数: 0
Influence of Gegenqinlian decoction on pharmacokinetics and pharmacodynamics of saxagliptin in type 2 diabetes mellitus rats 葛根芩连汤对2型糖尿病大鼠沙格列汀药动学和药效学的影响。
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2023-08-18 DOI: 10.1002/bdd.2374
Chao Yu, Mingyu Cui, Yifeng Yin, Fengmei Zhu, Yue Sui, Xueying Yan, Yingli Gai

Gegenqinlian decoction (GQD) is a classic prescription of traditional Chinese medicine (TCM), which originated from Shanghanlun. The combination of GQD and hypoglycemic drugs (saxagliptin, Sax, metformin) is often used to treat Type 2 diabetes mellitus (T2DM) in TCM clinics. However, the herb–drug interactions (HDIs) between GQD and hypoglycemic drugs are still unclear. In order to determine the safety of the combination, we assessed the influences of GQD on the pharmacokinetics and pharmacodynamics of Sax in T2DM rats. The plasma concentration of Sax (5 mg/kg) pretreated with GQD (freeze-dried powder, 1.35 g/kg) or not was determined by high-performance liquid chromatography (HPLC), and pharmacokinetics parameters were calculated. The influence of GQD on the pharmacodynamics of Sax was investigated by detecting the levels of weight, (see abbreviations list) OGTT, TC, TG, LDL-C, HDL-C, FBG, FINS, HOMA-IR, QUICKI, AST, ALT, and the liver coefficient. The Cmax, AUC0-t,and AUC0-∞ of Sax increased significantly in the combination group whether in normal or T2DM rats. The results of pharmacodynamics showed that the weight of rats in each treatment group increased. FBG, TC, TG, LDL-C, and HOMA-IR decreased, HDL-C, FINS, and QUICKI increased significantly (p < 0.05) compared with the model control group. The result showed that the combination of GQD and Sax could not only improve the hypoglycemic effect but also increase the plasma exposure of Sax. The potential HDIs between GQD and Sax should be taken into consideration in clinics. Moreover, for the complexity of the human compared with experimental animals, as well as genetic differences, the in-depth study should be carried out to assess the uniformity of the pharmacokinetics and pharmacodynamics between rats and humans.

葛根芩连汤(GQD)是一种经典的中药方剂,起源于上汉伦。中药临床常用GQD联合降糖药物(沙格列汀、萨克斯、二甲双胍)治疗2型糖尿病(T2DM)。然而,GQD与降糖药之间的草药相互作用(hdi)仍不清楚。为了确定联合用药的安全性,我们评估了GQD对2型糖尿病大鼠Sax药代动力学和药效学的影响。采用高效液相色谱法测定经GQD(冻干粉,1.35 g/kg)和未经GQD预处理的Sax (5 mg/kg)血浆浓度,并计算药代动力学参数。通过测定大鼠体重、OGTT、TC、TG、LDL-C、HDL-C、FBG、FINS、HOMA-IR、QUICKI、AST、ALT和肝脏系数,探讨GQD对Sax药效学的影响。无论是正常大鼠还是T2DM大鼠,联合用药组Sax的Cmax、AUC0-t、AUC0-∞均显著升高。药效学结果显示,各给药组大鼠体重均有所增加。FBG、TC、TG、LDL-C和HOMA-IR降低,HDL-C、FINS和QUICKI显著升高(p . 2)
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引用次数: 0
Transition of average drug-to-antibody ratio of trastuzumab deruxtecan in systemic circulation in monkeys using a hybrid affinity capture liquid chromatography-tandem mass spectrometry 使用混合亲和捕获液相色谱-串联质谱法测定猴子体内循环中曲妥珠单抗-德鲁克斯替康的平均药物抗体比。
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2023-08-03 DOI: 10.1002/bdd.2371
Hiromi Habara, Hiromi Okamoto, Yoko Nagai, Masataka Oitate, Hideo Takakusa, Nobuaki Watanabe

Trastuzumab deruxtecan (T-DXd, DS-8201a) is an antibody–drug conjugate, comprising an anti-HER2 antibody at a drug-to-antibody ratio of 7–8 with the topoisomerase I inhibitor DXd. In this study, the concentrations of antibody-conjugated DXd and total antibody were determined and observed to decrease over time following intravenous administration of T-DXd to monkeys. The drug-to-antibody ratio of T-DXd also decreased in a time-dependent manner, which reached approximately 2.5 in 21 days after administration. It was suggested that antibody-conjugated DXd of T-DXd was relatively stable in vivo compared with that of other reported antibody–drug conjugates.

Trastuzumab deruxtecan(T-DXd,DS-8201a)是一种抗体-药物缀合物,包含与拓扑异构酶I抑制剂DXd的药物与抗体之比为7-8的抗HER2抗体。在本研究中,测定了抗体偶联的DXd和总抗体的浓度,并观察到在猴子静脉给药T-DXd后随着时间的推移而降低。T-DXd的药物与抗体的比率也以时间依赖的方式降低,在给药后21天达到约2.5。与其他报道的抗体-药物偶联物相比,T-DXd的抗体偶联DXd在体内相对稳定。
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引用次数: 0
Self-micellizing solid dispersion of tacrolimus: Physicochemical and pharmacokinetic characterization 他克莫司的自胶化固体分散体:物理化学和药代动力学表征。
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2023-08-01 DOI: 10.1002/bdd.2373
Keisuke Makino, Ryota Tsukada, Atsushi Kambayashi, Kohei Yamada, Hideyuki Sato, Satomi Onoue

The present study was undertaken to develop a self-micellizing solid dispersion (SMSD) of tacrolimus (TAC) to improve the biopharmaceutical properties of TAC. An SMSD formulation of TAC (SMSD/TAC) and amorphous solid dispersion formulation of TAC (ASD/TAC) were prepared with Soluplus®, an amphiphilic copolymer, and hydroxypropyl cellulose, respectively. Physicochemical properties were characterized in terms of morphology, crystallinity, storage stability, interaction of TAC with Soluplus®, and micelle-forming potency; pharmacokinetic behavior was also evaluated in rats. Tacrolimus in both formulations was in an amorphous state. After storage at 40°C/75% relativity humidity for 4 weeks, there were no significant changes in the crystallinity of TAC between nonaged and aged SMSD/TAC, whereas slight recrystallization was observed in aged ASD/TAC. The results of circular dichroism (CD) and infrared spectroscopic analyses were indicative of the potent drug–polymer interaction in SMSD/TAC, possibly leading to the prevention of recrystallization. Compared with other TAC samples, SMSD/TAC exhibited significant improvement in the dissolution behavior of TAC through the immediate formation of fine micelles. After the oral administration of TAC samples (10 mg TAC/kg) to rats, there was marked enhancement in systemic exposure to TAC with both formulations; in particular, SMSD/TAC achieved an increase in bioavailability ca. 20-fold higher than crystalline TAC. The SMSD approach might provide an effective dosage form for TAC with enhanced physicochemical stability and oral absorption.

为了提高他克莫司(TAC)的生物制药性能,研究了他克莫司的自胶化固体分散体(SMSD)。用两亲性共聚物Soluplus®和羟丙基纤维素分别制备了TAC的SMSD配方(SMSD/TAC)和TAC的非晶固体分散配方(ASD/TAC)。从形貌、结晶度、储存稳定性、TAC与Soluplus®的相互作用和胶束形成能力等方面表征了TAC的理化性质;对大鼠的药代动力学行为也进行了评价。两种剂型中的他克莫司均处于无定形状态。在40°C/75%相对湿度下保存4周后,未老化的SMSD/TAC与老化的SMSD/TAC结晶度无明显变化,而老化的ASD/TAC有轻微的再结晶。圆二色性(CD)和红外光谱分析结果表明SMSD/TAC中药物-聚合物相互作用强,可能导致再结晶的阻止。与其他TAC样品相比,SMSD/TAC通过立即形成细胶束,显著改善了TAC的溶解行为。在给大鼠口服TAC样品(10 mg TAC/kg)后,两种剂型的TAC系统暴露均显著增加;特别是,SMSD/TAC的生物利用度比结晶TAC高约20倍。SMSD方法可能为TAC提供一种有效的剂型,具有增强的物理化学稳定性和口服吸收。
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引用次数: 0
Irinotecan-induced gastrointestinal damage alters the expression of peptide transporter 1 and absorption of cephalexin in rats 伊立替康诱导的胃肠道损伤改变了大鼠肽转运蛋白1的表达和头孢氨苄的吸收。
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2023-07-28 DOI: 10.1002/bdd.2372
Ayuko Imaoka, Tomoki Hattori, Takeshi Akiyoshi, Hisakazu Ohtani

Irinotecan causes severe gastrointestinal damage, which may affect the expression of intestinal transporters. However, neither the expression of peptide transporter 1 (Pept1) nor the pharmacokinetics of Pept1 substrate drugs has been investigated under irinotecan-induced gastrointestinal damage. Therefore, the present study quantitatively investigated the effects of irinotecan-induced gastrointestinal damage on the intestinal expression of Pept1 and absorption of cephalexin (CEX), a typical Pept1 substrate, in rats. Irinotecan was administered intravenously to rats for 4 days to induce gastrointestinal damage. The expression of Pept1 mRNA and the Pept1 protein in the upper, middle, and lower segments of the small intestine of irinotecan-treated rats was assessed by quantitative real-time polymerase chain reaction (PCR) and western blotting, respectively. The pharmacokinetic profile of CEX was examined after its oral or intravenous administration (10 mg/kg). In irinotecan-treated rats, ∼2-fold increases in Pept1 protein levels were observed in all three segments, whereas mRNA levels remained unchanged. The oral bioavailability of CEX significantly decreased to 76% of that in control rats. The decrease in passive diffusion caused by intestinal damage may have overcome the increase in Pept1-mediated uptake. In conclusion, irinotecan may decrease the intestinal absorption of Pept1 substrate drugs; however, it increased the expression of intestinal Pept1.

伊立替康引起严重的胃肠道损伤,可能影响肠道转运蛋白的表达。然而,在伊立替康诱导的胃肠道损伤下,肽转运蛋白1(Pept1)的表达和Pept1底物药物的药代动力学都没有得到研究。因此,本研究定量研究了伊立替康诱导的胃肠道损伤对大鼠肠道中Pept1表达和典型的Pept1底物头孢氨苄(CEX)吸收的影响。给大鼠静脉注射伊立替康4天,以引起胃肠道损伤。分别通过定量实时聚合酶链反应(PCR)和蛋白质印迹法评估伊立替康治疗的大鼠小肠上段、中段和下段中Pept1mRNA和Pept1蛋白的表达。口服或静脉给药(10 mg/kg)后检查CEX的药代动力学特征。在伊立替康治疗的大鼠中,在所有三个片段中观察到Pept1蛋白水平增加了约2倍,而mRNA水平保持不变。CEX的口服生物利用度显著降低至对照大鼠的76%。肠道损伤引起的被动扩散的减少可能已经克服了Pept1介导的摄取的增加。总之,伊立替康可能降低Pept1底物药物的肠道吸收;然而,它增加了肠道Pept1的表达。
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引用次数: 0
Selective inhibitory effects of suberosin on CYP1A2 in human liver microsomes 木栓松素对人肝微粒体CYP1A2的选择性抑制作用。
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2023-07-13 DOI: 10.1002/bdd.2370
Sanjita Paudel, Hyoje Jo, Taeho Lee, Sangkyu Lee

Suberosin is a natural phytoconstituent isolated from Citropsis articulata, especially employed for its anticoagulant properties. Although metabolic studies assessing suberosin have been conducted, it is possible interactions with drugs and food have not yet been investigated. In the present study, we analyzed the selective inhibitory effects of suberosin on cytochrome P450 (CYP) enzymes using a cocktail probe assay. Various concentrations of suberosin (0–50 μM) were incubated with isoform-specific CYP probes in human liver microsomes (HLMs). We found that suberosin significantly inhibited CYP1A2-catalyzed phenacetin O-deethylation, exhibiting IC50 values of 9.39 ± 2.05 and 3.07 ± 0.45 μM with and without preincubation in the presence of β-NADPH, respectively. Moreover, suberosin showed concentration-dependent, but not time-dependent, CYP1A2 inhibition in HLMs, indicating that suberosin acts as a substrate and reversible CYP1A2 inhibitor. Using a Lineweaver-Burk plot, we found that suberosin competitively inhibited CYP1A2-catalyzed phenacetin O-deethylation. Furthermore, suberosin showed similar inhibitory effects on recombinant human CYP1A1 and 1A2. In conclusion, suberosin may elicit herb–drug interactions by selectively inhibiting CYP1A2 during the concurrent administration of drugs that act as CYP1A2 substrates.

亚erosin是从牙合雪铁龙中分离出来的一种天然植物成分,尤其因其抗凝血特性而被广泛应用。尽管已经进行了评估木栓松素的代谢研究,但可能与药物和食物的相互作用尚未得到研究。在本研究中,我们使用鸡尾酒探针分析了木栓松对细胞色素P450(CYP)酶的选择性抑制作用。不同浓度的木栓松素(0-50μM)与同种型特异性CYP探针在人肝微粒体(HLM)中孵育。我们发现木栓松素显著抑制CYP1A2催化的非那西丁O-去甲基化,在β-NADPH存在下预孵育和不预孵育时,其IC50值分别为9.39±2.05和3.07±0.45μM。此外,木栓松在HLMs中表现出浓度依赖性但非时间依赖性的CYP1A2抑制,表明木栓松是一种底物和可逆CYP1A2抑制剂。使用Lineweaver-Burk图,我们发现木栓松素竞争性地抑制CYP1A2催化的非那西丁O-去甲基化。此外,木栓松素对重组人CYP1A1和1A2表现出相似的抑制作用。总之,木栓松素可能通过在作为CYP1A2底物的药物同时给药期间选择性抑制CYP1A2而引发草药-药物相互作用。
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引用次数: 0
Coming full circle: The potential utility of real-world evidence to discern predictions from a physiologically based pharmacokinetic model 循环往复:现实世界证据的潜在效用,以辨别基于生理的药代动力学模型的预测
IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2023-06-22 DOI: 10.1002/bdd.2369
Joseph A. Grillo, Douglas McNair, Ping Zhao

Today real word data (RWD) are playing a greater role in informing health care decisions. A physiologically based pharmacokinetic model (PBPK) and observed exposure–risk relationship predicted an increased bleeding risk induced by rivaroxaban (RXB) in patients with mild to moderate chronic kidney disease (CKD) taking concomitant medications that are combined Pgp-CYP3A inhibitors. In this commentary, we explore the potential use of RWD to assess the clinical consequence of this complex drug–drug interaction predicted from PBPK. This is a retrospective, case control, pilot study using a RWD dataset of 896,728 patients with mild to moderate chronic kidney disease and rivaroxaban use that was refined based upon combined Pgp-CYP3A inhibitor exposure and report of drug-induced bleeding (DIB). The odds ratio of patients with mild to moderate chronic kidney disease taking rivaroxaban with or without concurrent Pgp-CYP3A inhibitor use having a DIB was calculated. The odds ratio for DIB was 2.04 (CI95 1.82, 2.3; p < 0.001) suggesting an approximate doubling of bleeding risk which is consistent with the rivaroxaban exposure changes predicted by the published PBPK model and observed exposure–risk relationship. This exploratory analysis demonstrated the potential utility of RWD to assess model-based predictions as part of a drugs life cycle management.

今天,真实世界数据(RWD)在卫生保健决策方面发挥着更大的作用。基于生理学的药代动力学模型(PBPK)和观察到的暴露-风险关系预测,在服用联合Pgp-CYP3A抑制剂的轻中度慢性肾病(CKD)患者中,利伐沙班(RXB)引起的出血风险增加。在这篇评论中,我们探讨了RWD的潜在用途,以评估PBPK预测的这种复杂的药物-药物相互作用的临床后果。这是一项回顾性,病例对照,试点研究,使用RWD数据集896,728例轻中度慢性肾病和利伐沙班患者,根据Pgp-CYP3A抑制剂联合暴露和药物性出血(DIB)报告进行了改进。计算轻度至中度慢性肾病患者服用利伐沙班合并或不同时使用Pgp-CYP3A抑制剂并发生DIB的优势比。DIB的优势比为2.04 (CI95 1.82, 2.3;p & lt;0.001),表明出血风险大约增加了一倍,这与已发表的PBPK模型预测的利伐沙班暴露变化和观察到的暴露-风险关系一致。这一探索性分析证明了RWD作为药物生命周期管理的一部分,在评估基于模型的预测方面的潜在效用。
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引用次数: 1
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Biopharmaceutics & Drug Disposition
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