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高剂量纳米姜黄素的药物动力学及人体耐受性研究,姜黄素是一种新型高生物利用度抗癌药物。

Dose-escalation and pharmacokinetic study of nanoparticle curcumin, a potential anticancer agent with improved bioavailability, in healthy human volunteers.

机构信息

Outpatient Oncology Unit, Kyoto University Hospital, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan.

出版信息

Cancer Chemother Pharmacol. 2012 Jan;69(1):65-70. doi: 10.1007/s00280-011-1673-1. Epub 2011 May 21.

Abstract

BACKGROUND

More and more preclinical studies support the idea that curcumin, a plant-derived natural polyphenol, could be a promising anticancer drug. However, poor bioavailability has limited its efficacy in clinical trials, and plasma curcumin levels remain low despite patients taking gram doses of curcumin.

METHODS

This study aimed to evaluate the safety and pharmacokinetics of newly developed nanoparticle curcumin with increased water solubility (named THERACURMIN). Six healthy human volunteers were recruited and received THERACURMIN at a single oral dose of 150 mg. After an interval of 2 weeks, the same subjects then received THERACURMIN at a single dose of 210 mg. Plasma curcumin levels were measured at 0, 1, 2, 4, 6, and 24 h after THERACURMIN intake using high-performance liquid chromatography (HPLC).

RESULTS

One subject reported grade 1 diarrhea after intake of 150 mg THERACURMIN. No other toxicities were observed in this study. C (max) for THERACURMIN at 150 and 210 mg was 189 ± 48 and 275 ± 67 ng/ml (mean ± SEM), respectively, and the area under the curve for 24 h was estimated to be 2,649 ± 350 and 3,649 ± 430 ng/ml × h (mean ± SEM), respectively. The t (1/2) was estimated to be 9.7 ± 2.1 h for 150 mg and 13.0 ± 3.3 h for 210 mg.

CONCLUSION

THERACURMIN can safely increase plasma curcumin levels in a dose-dependent manner at least up to 210 mg without saturating the absorption system. To the best of our knowledge, THERACURMIN is the first nanoparticle formulation of curcumin that demonstrates improved bioavailability in human subjects. We believe this compound could be a promising tool when testing the potential anticancer effects of curcumin in clinical trials.

摘要

背景

越来越多的临床前研究支持姜黄素(一种植物来源的天然多酚)可以成为一种有前途的抗癌药物的观点。然而,由于生物利用度低,其在临床试验中的疗效受到限制,尽管患者服用的姜黄素剂量达到了克级,但血浆中的姜黄素水平仍然很低。

方法

本研究旨在评估新型纳米姜黄素(命名为 THERACURMIN)的安全性和药代动力学。招募了 6 名健康志愿者,单次口服 150mg THERACURMIN。2 周后,相同的受试者再次单次口服 210mg THERACURMIN。使用高效液相色谱法(HPLC)在摄入 THERACURMIN 后 0、1、2、4、6 和 24 小时测量血浆姜黄素水平。

结果

1 名受试者在摄入 150mg THERACURMIN 后报告了 1 级腹泻。在这项研究中没有观察到其他毒性。150 和 210mg THERACURMIN 的 Cmax 分别为 189±48 和 275±67ng/ml(均值±SEM),24 小时 AUC 估计分别为 2649±350 和 3649±430ng/ml×h(均值±SEM)。T1/2 估计为 150mg 时为 9.7±2.1h,210mg 时为 13.0±3.3h。

结论

THERACURMIN 可以安全地以剂量依赖性方式增加血浆姜黄素水平,至少在 210mg 时不会使吸收系统饱和。据我们所知,THERACURMIN 是第一个在人体中显示出生物利用度提高的姜黄素纳米颗粒制剂。我们相信,当在临床试验中测试姜黄素的潜在抗癌作用时,这种化合物可能是一种很有前途的工具。

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