Ramakrishna Rachumallu, Bhateria Manisha, Singh Rajbir, Bhatta Rabi Sankar
Pharmacokinetics and Metabolism Division, CSIR-Central Drug Research Institute, Lucknow, 226031, Uttar Pradesh, India; Academy of Scientific and Innovative Research, New Delhi, 110001, India.
Pharmacokinetics and Metabolism Division, CSIR-Central Drug Research Institute, Lucknow, 226031, Uttar Pradesh, India.
J Steroid Biochem Mol Biol. 2016 Oct;163:183-92. doi: 10.1016/j.jsbmb.2016.05.018. Epub 2016 May 17.
16-dehydropregnenolone (DHP) is a promising novel antihyperlipidemic agent developed and patented by Central Drug Research Institute (CDRI), India. The purpose of the present study was to investigate whether DHP influences the activities and mRNA expression of hepatic drug-metabolizing cytochrome P450 (CYP) enzymes (CYP1A2, CYP2C11, CYP2D2, CYP2E1 and CYP3A1) in Sprague-Dawley (SD) rats. A cocktail suspension of CYP probe substrates which contained caffeine (CYP1A2), tolbutamide (CYP2C11), dextromethorphan (CYP2D2), chlorzoxazone (CYP2E1) and dapsone (CYP3A1) was administered orally on eighth- or fifteenth-day to rats pre-treated with DHP intragastrically at a dose of 36 and 72mg/kg for one week and two weeks. The concentrations of probe drugs in plasma were estimated by liquid chromatography-tandem mass spectrometry (LC-MS/MS). Alongside, the effect of DHP on CYPs activity and mRNA expression levels were assayed in isolated rat liver microsomes and by real-time reverse transcription-polymerase chain reaction (RT-PCR), respectively. DHP had significant inducing effects on CYP1A2, 2C11, 2D2 and 2E1 with no effect on CYP3A1 in dose- and time-dependent manner, as revealed from the pharmacokinetic profiles of the probe drugs in rats. In-vitro microsomal activities and mRNA expression results were in good agreement with the in-vivo pharmacokinetic results. Collectively, the results unveiled that DHP is an inducer of rat hepatic CYP enzymes. Hence, intense attention should be paid when DHP is co-administered with drugs metabolized by CYP1A2, 2C11, 2D2 and 2E1, which might result in drug-drug interactions and therapeutic failure.
16-脱氢孕烯醇酮(DHP)是印度中央药物研究所(CDRI)研发并获得专利的一种很有前景的新型抗高血脂药物。本研究的目的是调查DHP是否会影响Sprague-Dawley(SD)大鼠肝脏药物代谢细胞色素P450(CYP)酶(CYP1A2、CYP2C11、CYP2D2、CYP2E1和CYP3A1)的活性和mRNA表达。在第8天或第15天,给预先经胃内给予剂量为36和72mg/kg的DHP处理1周和2周的大鼠口服一种包含咖啡因(CYP1A2)、甲苯磺丁脲(CYP2C11)、右美沙芬(CYP2D2)、氯唑沙宗(CYP2E1)和氨苯砜(CYP3A1)的CYP探针底物混合悬浮液。通过液相色谱-串联质谱法(LC-MS/MS)测定血浆中探针药物的浓度。同时,分别在分离的大鼠肝微粒体中以及通过实时逆转录-聚合酶链反应(RT-PCR)检测DHP对CYPs活性和mRNA表达水平的影响。从大鼠体内探针药物的药代动力学特征可知,DHP对CYP1A2、2C11、2D2和2E1有显著的诱导作用,对CYP3A1无影响,且呈剂量和时间依赖性。体外微粒体活性和mRNA表达结果与体内药代动力学结果高度一致。总体而言,结果表明DHP是大鼠肝脏CYP酶的诱导剂。因此,当DHP与经CYP1A2、2C11、2D2和2E1代谢的药物合用时,应予以高度关注,因为这可能导致药物相互作用和治疗失败。