Department of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Cancer Prev Res (Phila). 2011 Mar;4(3):384-95. doi: 10.1158/1940-6207.CAPR-10-0296.
One of several challenges in design of clinical chemoprevention trials is the selection of the dose, formulation, and dose schedule of the intervention agent. Therefore, a cross-over clinical trial was undertaken to compare the bioavailability and tolerability of sulforaphane from two of broccoli sprout-derived beverages: one glucoraphanin-rich (GRR) and the other sulforaphane-rich (SFR). Sulforaphane was generated from glucoraphanin contained in GRR by gut microflora or formed by treatment of GRR with myrosinase from daikon (Raphanus sativus) sprouts to provide SFR. Fifty healthy, eligible participants were requested to refrain from crucifer consumption and randomized into two treatment arms. The study design was as follows: 5-day run-in period, 7-day administration of beverages, 5-day washout period, and 7-day administration of the opposite intervention. Isotope dilution mass spectrometry was used to measure levels of glucoraphanin, sulforaphane, and sulforaphane thiol conjugates in urine samples collected daily throughout the study. Bioavailability, as measured by urinary excretion of sulforaphane and its metabolites (in approximately 12-hour collections after dosing), was substantially greater with the SFR (mean = 70%) than with GRR (mean = 5%) beverages. Interindividual variability in excretion was considerably lower with SFR than with GRR beverage. Elimination rates were considerably slower with GRR, allowing for achievement of steady-state dosing as opposed to bolus dosing with SFR. Optimal dosing formulations in future studies should consider blends of sulforaphane and glucoraphanin as SFR and GRR mixtures to achieve peak concentrations for activation of some targets and prolonged inhibition of others implicated in the protective actions of sulforaphane. Cancer Prev Res; 4(3); 384-95. ©2011 AACR.
设计临床化学预防试验的挑战之一是选择干预剂的剂量、剂型和剂量方案。因此,进行了一项交叉临床试验,以比较两种西兰花芽衍生饮料中萝卜硫素的生物利用度和耐受性:一种富含萝卜硫苷(GRR),另一种富含萝卜硫素(SFR)。SFR 由 GRR 中所含的萝卜硫苷经肠道微生物群生成,或通过用来自白萝卜(Raphanus sativus)芽的辣根过氧化物酶处理 GRR 生成。招募了 50 名健康、合格的参与者,要求他们避免十字花科蔬菜的摄入,并随机分为两个治疗组。研究设计如下:5 天的导入期,7 天给予饮料,5 天洗脱期,7 天给予相反的干预。采用同位素稀释质谱法测量每天收集的尿液样本中萝卜硫苷、萝卜硫素和萝卜硫素硫代结合物的水平。生物利用度,通过排泄的萝卜硫素及其代谢物(给药后约 12 小时的收集)来衡量,用 SFR(平均 = 70%)比 GRR(平均 = 5%)饮料要高得多。SFR 比 GRR 饮料的个体间排泄变异性低得多。GRR 的消除率要慢得多,因此可以实现稳态给药,而不是 SFR 的推注给药。在未来的研究中,最佳的给药配方应考虑将萝卜硫素和萝卜硫苷混合作为 SFR 和 GRR 混合物,以达到某些目标的峰值浓度,并延长其他与萝卜硫素保护作用相关的目标的抑制作用。Cancer Prev Res; 4(3); 384-95. ©2011 AACR.