水飞蓟素与(-)-表没食子儿茶素没食子酸酯(天然膳食黄酮类化合物)的二元组合对大鼠奥卡西平药代动力学的影响。
Influence of the dual combination of silymarin and (-)-epigallocatechin gallate, natural dietary flavonoids, on the pharmacokinetics of oxcarbazepine in rats.
作者信息
Ferreira Ana, Rodrigues Márcio, Marques Alexandre, Falcão Amílcar, Alves Gilberto
机构信息
CICS-UBI - Health Sciences Research Centre, University of Beira Interior, Av. Infante D. Henrique, 6200-506 Covilhã, Portugal; CNC - Center for Neuroscience and Cell Biology, University of Coimbra, 3004-517 Coimbra, Portugal.
CICS-UBI - Health Sciences Research Centre, University of Beira Interior, Av. Infante D. Henrique, 6200-506 Covilhã, Portugal; UDI-IPG - Research Unit for Inland Development, Polytechnic Institute of Guarda, 6300-749 Guarda, Portugal.
出版信息
Food Chem Toxicol. 2017 Aug;106(Pt A):446-454. doi: 10.1016/j.fct.2017.06.015. Epub 2017 Jun 8.
Considering the potential of flavonoids in reversing the P-glycoprotein (P-gp)-mediated multidrug resistance, this work aimed to assess the combined effects of silymarin and (-)-epigallocatechin gallate (EPG) on the pharmacokinetics of the P-gp substrates oxcarbazepine (OXC) and licarbazepine (LIC). Rats were pre-treated intraperitoneally with silymarin (25 mg/kg), EPG (25 mg/kg), silymarin/EPG (12.5/12.5 mg/kg; 6.25/18.75 mg/kg; 18.75/6.25 mg/kg) or verapamil (25 mg/kg, reference P-gp inhibitor) before the intraperitoneal administration of OXC (50 mg/kg). Pre-treatment with dual silymarin/EPG combinations originated peak plasma concentrations of OXC and LIC (pharmacologically active metabolite of OXC) similar to those achieved in the presence of verapamil (positive control). Moreover, the effects promoted by silymarin/EPG combinations on the magnitude of systemic drug exposure to OXC and LIC were also reflected in the corresponding drug levels attained in the brain (biophase). These findings evidence the synergistic effect of silymarin and EPG in enhancing the degree of systemic exposure to OXC and LIC in rats, which occurred in a comparable extent to that observed with verapamil. Hence, our findings support the combination of flavonoid-type P-gp inhibitors and P-gp substrate antiepileptic drugs as a potential therapeutic strategy for the management of pharmacoresistant epilepsy.
鉴于黄酮类化合物在逆转P-糖蛋白(P-gp)介导的多药耐药性方面的潜力,本研究旨在评估水飞蓟素和(-)-表没食子儿茶素没食子酸酯(EPG)对P-gp底物奥卡西平(OXC)和利卡巴平(LIC)药代动力学的联合影响。在腹腔注射OXC(50 mg/kg)之前,大鼠腹腔注射水飞蓟素(25 mg/kg)、EPG(25 mg/kg)、水飞蓟素/EPG(12.5/12.5 mg/kg;6.25/18.75 mg/kg;18.75/6.25 mg/kg)或维拉帕米(25 mg/kg,参考P-gp抑制剂)进行预处理。水飞蓟素/EPG联合预处理产生的OXC和LIC(OXC的药理活性代谢物)的血浆峰值浓度与维拉帕米(阳性对照)存在时所达到的浓度相似。此外,水飞蓟素/EPG联合对OXC和LIC全身药物暴露量的影响也反映在大脑(生物相)中相应的药物水平上。这些发现证明了水飞蓟素和EPG在提高大鼠对OXC和LIC全身暴露程度方面的协同作用,其程度与维拉帕米观察到的相当。因此,我们的研究结果支持将黄酮类P-gp抑制剂与P-gp底物抗癫痫药物联合使用,作为治疗药物抵抗性癫痫的潜在治疗策略。