鉴定饮食来源的成分作为肠道葡萄糖醛酸化的有效抑制剂。
Identification of diet-derived constituents as potent inhibitors of intestinal glucuronidation.
作者信息
Gufford Brandon T, Chen Gang, Lazarus Philip, Graf Tyler N, Oberlies Nicholas H, Paine Mary F
机构信息
Section of Experimental and Systems Pharmacology (B.T.G., M.F.P.) and Department of Pharmaceutical Sciences (G.C., P.L.), Washington State University College of Pharmacy, Spokane, Washington; and Department of Chemistry and Biochemistry, University of North Carolina at Greensboro, Greensboro, North Carolina (T.N.G., N.H.O.).
Section of Experimental and Systems Pharmacology (B.T.G., M.F.P.) and Department of Pharmaceutical Sciences (G.C., P.L.), Washington State University College of Pharmacy, Spokane, Washington; and Department of Chemistry and Biochemistry, University of North Carolina at Greensboro, Greensboro, North Carolina (T.N.G., N.H.O.)
出版信息
Drug Metab Dispos. 2014 Oct;42(10):1675-83. doi: 10.1124/dmd.114.059451. Epub 2014 Jul 9.
Drug-metabolizing enzymes within enterocytes constitute a key barrier to xenobiotic entry into the systemic circulation. Furanocoumarins in grapefruit juice are cornerstone examples of diet-derived xenobiotics that perpetrate interactions with drugs via mechanism-based inhibition of intestinal CYP3A4. Relative to intestinal CYP3A4-mediated inhibition, alternate mechanisms underlying dietary substance-drug interactions remain understudied. A working systematic framework was applied to a panel of structurally diverse diet-derived constituents/extracts (n = 15) as inhibitors of intestinal UDP-glucuronosyl transferases (UGTs) to identify and characterize additional perpetrators of dietary substance-drug interactions. Using a screening assay involving the nonspecific UGT probe substrate 4-methylumbelliferone, human intestinal microsomes, and human embryonic kidney cell lysates overexpressing gut-relevant UGT1A isoforms, 14 diet-derived constituents/extracts inhibited UGT activity by >50% in at least one enzyme source, prompting IC(50) determination. The IC(50) values of 13 constituents/extracts (≤10 μM with at least one enzyme source) were well below intestinal tissue concentrations or concentrations in relevant juices, suggesting that these diet-derived substances can inhibit intestinal UGTs at clinically achievable concentrations. Evaluation of the effect of inhibitor depletion on IC(50) determination demonstrated substantial impact (up to 2.8-fold shift) using silybin A and silybin B, two key flavonolignans from milk thistle (Silybum marianum) as exemplar inhibitors, highlighting an important consideration for interpretation of UGT inhibition in vitro. Results from this work will help refine a working systematic framework to identify dietary substance-drug interactions that warrant advanced modeling and simulation to inform clinical assessment.
肠细胞内的药物代谢酶是外源性物质进入体循环的关键屏障。葡萄柚汁中的呋喃香豆素是饮食来源的外源性物质的典型例子,它们通过基于机制的抑制肠道CYP3A4与药物发生相互作用。相对于肠道CYP3A4介导的抑制作用,饮食物质与药物相互作用的其他潜在机制仍未得到充分研究。一个有效的系统框架被应用于一组结构多样的饮食来源成分/提取物(n = 15),作为肠道UDP-葡萄糖醛酸转移酶(UGT)的抑制剂,以识别和表征饮食物质与药物相互作用的其他肇事者。使用一种涉及非特异性UGT探针底物4-甲基伞形酮、人肠微粒体和过表达与肠道相关的UGT1A同工型的人胚胎肾细胞裂解物的筛选试验,14种饮食来源的成分/提取物在至少一种酶源中抑制UGT活性超过50%,促使进行IC(50)测定。13种成分/提取物的IC(50)值(在至少一种酶源中≤10 μM)远低于肠道组织浓度或相关果汁中的浓度,这表明这些饮食来源的物质在临床可达到的浓度下可以抑制肠道UGT。使用水飞蓟宾A和水飞蓟宾B(来自水飞蓟(Silybum marianum)的两种关键黄酮木脂素作为典型抑制剂)评估抑制剂消耗对IC(50)测定的影响,结果显示有显著影响(高达2.8倍的变化),这突出了在体外解释UGT抑制作用时的一个重要考虑因素。这项工作的结果将有助于完善一个有效的系统框架,以识别那些需要进行高级建模和模拟以指导临床评估的饮食物质与药物相互作用。