Agarwal Sheetal, Boddu S H S, Jain Ritesh, Samanta Swapan, Pal Dhananjay, Mitra Ashim K
Division of Pharmaceutical Sciences, School of Pharmacy, University of Missouri-Kansas City, 5005 Rockhill Road, Kansas City, MO 64110-2499, USA.
Int J Pharm. 2008 Jul 9;359(1-2):7-14. doi: 10.1016/j.ijpharm.2008.03.031. Epub 2008 Mar 28.
Lopinavir (LVR) is extensively metabolized by CYP3A4 and is prevented from entering the cells by membrane efflux pumps such as P-gp and MRP2. In an approach to evade the first-pass metabolism and efflux of LVR, peptide prodrugs of LVR [valine-valine-lopinavir (VVL) and glycine-valine-lopinavir (GVL)] were synthesized. Prodrugs were identified with 1H and 13C NMR spectra and LC/MS/MS was employed to evaluate their mass and purity. Solubility studies indicated that the prodrugs have enhanced aqueous solubilities relative to parent LVR. Accumulation and transport data of VVL and GVL across MDCKII-MDR1 and MDCKII-MRP2 cells indicated evasion of prodrugs' efflux by P-gp and MRP2 significantly. Permeability studies across Caco-2 cells indicated that the prodrugs are transported by peptide transporters and have increased permeability as compared with LVR. VVL and GVL exhibited significantly better degradation rate constants as compared with LVR in rat liver microsomes. Enzymatic stability studies in Caco-2 cell homogenate indicated that the peptide prodrugs are first converted to the ester intermediate (amino acid prodrug VL) and then finally to the parent drug. Overall, the advantages of utilizing peptide prodrugs include chemical modification of the compound to achieve targeted delivery via peptide transporters present across the intestinal epithelium, significant evasion of efflux and CYP3A4 mediated metabolism and significantly better solubility profiles. Therefore, in vitro studies demonstrated that peptide prodrug derivatization of LVR may be an effective strategy for evading its efflux and enhancing its systemic concentrations.
洛匹那韦(LVR)通过CYP3A4进行广泛代谢,并且会被P - gp和MRP2等膜外排泵阻止进入细胞。为了规避LVR的首过代谢和外排,合成了LVR的肽前药[缬氨酸 - 缬氨酸 - 洛匹那韦(VVL)和甘氨酸 - 缬氨酸 - 洛匹那韦(GVL)]。通过1H和13C NMR光谱鉴定前药,并采用LC/MS/MS评估其质量和纯度。溶解度研究表明,相对于母体LVR,前药的水溶性有所提高。VVL和GVL跨MDCKII - MDR1和MDCKII - MRP2细胞的积累和转运数据表明,前药能显著规避P - gp和MRP2的外排。跨Caco - 2细胞的渗透性研究表明,前药通过肽转运体转运,与LVR相比通透性增加。与LVR在大鼠肝微粒体中的情况相比,VVL和GVL表现出明显更好的降解速率常数。在Caco - 2细胞匀浆中的酶稳定性研究表明,肽前药首先转化为酯中间体(氨基酸前药VL),然后最终转化为母体药物。总体而言,利用肽前药的优势包括对化合物进行化学修饰,以通过存在于肠道上皮的肽转运体实现靶向递送,显著规避外排和CYP3A4介导的代谢,以及显著更好的溶解度特征。因此,体外研究表明,LVR的肽前药衍生化可能是一种有效策略,可规避其外排并提高其全身浓度。
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