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黄芪注射液对格列喹酮药代动力学及肝脏摄取的影响

Pharmacokinetics and hepatic uptake of gliquidone affected by Huangqi injection.

作者信息

Zhang Fan, Wei Yuhui, Zhou Yan, Wang Dan, Zhou Liting, Zhang Jianping, Wu Xinan

机构信息

Department of Pharmacy, The First Hospital of Lanzhou University, Lanzhou, 730000, People's Republic of China,

出版信息

Eur J Drug Metab Pharmacokinet. 2014 Dec;39(4):255-61. doi: 10.1007/s13318-013-0154-9. Epub 2013 Oct 2.

Abstract

The root of Astragalus membranaceus also known as Huang Qi in China is a common traditional Chinese herb with extensive pharmacological activities. Huangqi injection (HI), a common preparation of Huang Qi, was wildly co-administered with gliquidone to treat diabetes mellitus and diabetic nephropathy in clinic of China. The aim of the study was to investigate the effect of HI on the pharmacokinetics and hepatic uptake of gliquidone and related mechanism to ensure the safety and efficacy of their usage. Normal rats (n = 5) and streptozotocin (STZ)-induced diabetic rats (n = 5) were administered orally with 120 mg/kg gliquidone alone or in combination with 8 ml/kg HI (i.v.), HI was given intravenously 5 min before that of gliquidone. The plasma concentration of gliquidone was determined by HPLC-fluorescence. In addition, hepatic uptake of gliquidone with or without HI was evaluated in fresh primary rat hepatocytes. Co-administration of HI with gliquidone could significantly increased the bioavailability of gliquidone in normal and STZ-induced diabetic rats (n = 5); the concentration of gliquidone in fresh primary rat hepatocytes was greatly decreased by HI. This study suggested that when HI and gliquidone co-administering to normal and diabetic rats, the pharmacokinetics of gliquidone was greatly changed, and these changes connect with HI inhibiting hepatic uptake of gliquidone, and transportation of gliquidone across liver mucosal membrane inhibited by HI would be the main mechanisms.

摘要

黄芪在中国也被称为黄耆,是一种常见的传统中药,具有广泛的药理活性。黄芪注射液(HI)是黄芪的一种常见制剂,在中国临床上常与格列喹酮联合使用治疗糖尿病和糖尿病肾病。本研究的目的是探讨HI对格列喹酮药代动力学和肝脏摄取的影响及其相关机制,以确保其使用的安全性和有效性。将正常大鼠(n = 5)和链脲佐菌素(STZ)诱导的糖尿病大鼠(n = 5)单独口服120 mg/kg格列喹酮或与8 ml/kg HI(静脉注射)联合给药,HI在格列喹酮给药前5分钟静脉注射。采用高效液相色谱-荧光法测定格列喹酮的血浆浓度。此外,在新鲜原代大鼠肝细胞中评估有无HI时格列喹酮的肝脏摄取情况。HI与格列喹酮联合给药可显著提高正常和STZ诱导的糖尿病大鼠(n = 5)中格列喹酮的生物利用度;HI可使新鲜原代大鼠肝细胞中格列喹酮的浓度大幅降低。本研究表明,当HI与格列喹酮联合应用于正常和糖尿病大鼠时,格列喹酮的药代动力学发生了很大变化,这些变化与HI抑制格列喹酮的肝脏摄取有关,HI抑制格列喹酮跨肝黏膜膜的转运可能是主要机制。

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