Zhang Wen, Di Liu-qing, Li Jun-Song, Shan Jin-jun, Kang An, Qian Shuai, Chen Le-tian
School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, PR China; Jiangsu Engineering Research Center for Efficient Delivery System of TCM, PR China; Nanjing Engineering Research Center for Industrialization of Chinese Medicine Pellets, PR China.
School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, PR China; Jiangsu Engineering Research Center for Efficient Delivery System of TCM, PR China; Nanjing Engineering Research Center for Industrialization of Chinese Medicine Pellets, PR China.
J Ethnopharmacol. 2014 Jul 3;154(3):584-92. doi: 10.1016/j.jep.2014.03.047. Epub 2014 Apr 3.
Glycyrrhizae uralenis (GU) is often prescribed together with Cortex daphnes (CD) in traditional Chinese medicinal practice to increase the efficacy of CD on the treatment of rheumatoid arthritis (RA), but the reasons were still unknown. In order to clarify the rationality of herbaceous compatibility between CD and GU, the comparative evaluations on pharmacokinetic behaviors of daphnetin (a predominantly active ingredient in CD) after intragastric administration of CD and CD-GU (combination of CD and GU) extract were studied. In addition, the effects of glycyrrhizin and liquiritin, active ingredients of Glycyrrhiza triterpenes and Glycyrrhiza flavones respectively, on the pharmacokinetics of daphnetin were also investigated.
Five groups of rats were orally administered with CD extract, CD-GU extract, pure daphnetin, co-administration of daphnetin and glycyrrhizin as well as co-administration of daphnetin and liquiritin at the same single dose of daphnetin (20 mg/kg). The rat plasma concentrations of daphnetin were determined by our developed UPLC-MS/MS method. The pharmacokinetics of daphnetin in above groups were investigated and compared.
Comparing with oral administration of CD extract, AUC and Tmax of daphnetin significantly increased after giving CD-GU (p<0.05). In addition, in comparison to daphnetin alone, co-administration of daphnetin with liquiritin significantly increased the AUC and Cmax of daphnetin for ~1.5-fold, while co-administered with glycyrrhizin showed limited impact on the pharmacokinetics of daphnetin.
In this study, it was found that liquiritin, one of the major components of GU, significantly enhanced the bioavailability of the main component daphnetin in CD. In addition, the bioavailability of daphnetin in the CD-GU prescription was also significantly higher than that in CD alone, which could be due to liquiritin. Such results explained the mechanism of the increased efficacy in treating RA with the combined use of CD and GU.
在传统中医实践中,光果甘草(GU)常与瑞香皮(CD)一起使用,以提高CD治疗类风湿性关节炎(RA)的疗效,但其原因尚不清楚。为了阐明CD与GU配伍的合理性,研究了灌胃给予CD提取物和CD-GU(CD与GU的组合)提取物后,瑞香素(CD中的主要活性成分)的药代动力学行为的比较评价。此外,还研究了甘草三萜和甘草黄酮的活性成分甘草酸和甘草苷对瑞香素药代动力学的影响。
五组大鼠以相同的单剂量瑞香素(20mg/kg)分别口服给予CD提取物、CD-GU提取物、纯瑞香素、瑞香素与甘草酸联合给药以及瑞香素与甘草苷联合给药。采用我们建立的UPLC-MS/MS方法测定大鼠血浆中瑞香素的浓度。研究并比较了上述各组中瑞香素的药代动力学。
与口服CD提取物相比,给予CD-GU后瑞香素的AUC和Tmax显著增加(p<0.05)。此外,与单独使用瑞香素相比,瑞香素与甘草苷联合给药使瑞香素的AUC和Cmax显著增加约1.5倍,而与甘草酸联合给药对瑞香素的药代动力学影响有限。
本研究发现,GU的主要成分之一甘草苷显著提高了CD中主要成分瑞香素的生物利用度。此外,CD-GU方剂中瑞香素的生物利用度也显著高于单独使用CD时,这可能归因于甘草苷。这些结果解释了CD与GU联合使用治疗RA疗效增加的机制。