Choi Jun-Shik, Choi Hoo-Kyun, Shin Sang-Chul
College of Pharmacy, Chosun University, 375 Susukdong, Dongku, Gwangju 501-759, South Korea.
Int J Pharm. 2004 May 4;275(1-2):165-70. doi: 10.1016/j.ijpharm.2004.01.032.
The purpose of this study was to investigate the effect of flavone on the bioavailability of paclitaxel orally coadministered in rats. Paclitaxel (40 mg/kg) and flavone (2, 10, 20 mg/kg) were orally administered to rats orally. The plasma concentration of paclitaxel with flavone increased significantly (P < 0.01) compared to that of paclitaxel control. Area under the plasma concentration-time curve (AUC) of paclitaxel with the dose of 2-20 mg/kg flavone was significantly (P < 0.05 at 10 mg/kg, P < 0.01 at 20 mg/kg) higher than that of control. AUCs of paclitaxel were increased dose-dependently in the dose range of flavone. The absorption rate constant (Ka) of paclitaxel with the dose of 10-20 mg/kg flavone was significantly increased (P < 0.05 at 10 mg/kg, P < 0.01 at 20 mg/kg) compared to that of control. Peak concentration (Cmax) of paclitaxel with the dose of 10-20 mg/kg flavone were significantly increased (P < 0.05 at 10 mg/kg, P < 0.01 at 20 mg/kg) compared to that of control. Half-life (t(1/2)) of paclitaxel with the dose of 10-20 mg/kg flavone was significantly prolonged (P < 0.05 at 10 mg/kg, P < 0.01 at 20 mg/kg) compared to that of control. The relative bioavailability increased significantly by about 2.38- or 3.10-fold (P < 0.05 at 10 mg/kg, P < 0.01 at 20 mg/kg) compared to that of paclitaxel control. Based on these results, It might be considered that the bioavailability of paclitaxel coadministered with flavone was significantly enhanced by the both inhibition of cytochrome P-450 and the P-gp efflux pump in the intestinal mucosa. It could be possible to administer paclitaxel orally besides the established i.v. route.
本研究的目的是调查黄酮对大鼠口服共给药时紫杉醇生物利用度的影响。将紫杉醇(40毫克/千克)和黄酮(2、10、20毫克/千克)口服给予大鼠。与紫杉醇对照组相比,联合黄酮的紫杉醇血浆浓度显著升高(P<0.01)。黄酮剂量为2 - 20毫克/千克时,紫杉醇的血浆浓度-时间曲线下面积(AUC)显著高于对照组(10毫克/千克时P<0.05,20毫克/千克时P<0.01)。在黄酮剂量范围内,紫杉醇的AUC呈剂量依赖性增加。黄酮剂量为10 - 20毫克/千克时,紫杉醇的吸收速率常数(Ka)显著高于对照组(10毫克/千克时P<0.05,20毫克/千克时P<0.01)。黄酮剂量为10 - 20毫克/千克时,紫杉醇的峰浓度(Cmax)显著高于对照组(10毫克/千克时P<0.05,20毫克/千克时P<0.01)。黄酮剂量为10 - 20毫克/千克时,紫杉醇的半衰期(t(1/2))显著长于对照组(10毫克/千克时P<0.05,20毫克/千克时P<0.01)。与紫杉醇对照组相比,相对生物利用度显著提高约2.38倍或3.10倍(10毫克/千克时P<0.05,20毫克/千克时P<0.01)。基于这些结果,可能认为联合黄酮时紫杉醇的生物利用度因细胞色素P - 450的抑制和肠黏膜中P - gp外排泵的抑制而显著提高。除了已有的静脉注射途径外,口服给予紫杉醇也是可行的。