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基于急性胰腺炎大鼠胰腺的药代动力学和药效学靶向的大承气汤口服最佳时间。

Optimal timing for the oral administration of Da-Cheng-Qi decoction based on the pharmacokinetic and pharmacodynamic targeting of the pancreas in rats with acute pancreatitis.

机构信息

Department of Integrative Medicine, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.

Digestive System Department, Sichuan Integrative Medicine Hospital, Chengdu 610041, Sichuan Province, China.

出版信息

World J Gastroenterol. 2017 Oct 21;23(39):7098-7109. doi: 10.3748/wjg.v23.i39.7098.

Abstract

AIM

To identify the optimal oral dosing time of Da-Cheng-Qi decoction (DCQD) in rats with acute pancreatitis (AP) based on the pharmacokinetic and pharmacodynamic parameters.

METHODS

First, 24 male Sprague-Dawley rats were divided into a sham-operated group [NG(a)] and three model groups [4hG(a), 12hG(a) and 24hG(a)]. The NG(a) and model groups were administered DCQD (10 g/kg.BW) intragastrically at 4 h, 4 h, 12 h and 24 h, respectively, after AP models induced by 3% sodium taurocholate. Plasma samples were collected from the tails at 10 min, 20 min, 40 min, 1 h, 2 h, 4 h, 8 h, 12 h and 24 h after a single dosing with DCQD. Plasma and pancreatic tissue concentrations of the major components of DCQD were determined by high-performance liquid chromatography tandem mass spectroscopy. The pharmacokinetic parameters and serum amylase were detected and compared. Second, rats were divided into a sham-operated group [NG(b)] and three treatment groups [4hG(b), 12hG(b) and 24hG(b)] with three corresponding control groups [MG(b)s]. Blood and pancreatic tissues were collected 24 h after a single dosing with DCQD. Serum amylase, inflammatory cytokines and pathological scores of pancreatic tissues were detected and compared.

RESULTS

The concentrations of emodin, naringin, honokiol, naringenin, aloe-emodin, chrysophanol and rheochrysidin in the 12hG(a) group were higher than those in the 4hG(a) group in the pancreatic tissues ( < 0.05). The area under the plasma concentration-time curve from time 0 to the time of the last measurable concentration values (AUC→) for rhein, chrysophanol, magnolol and naringin in the 12hG(a) group were larger than those in the 4hG(a) or 24hG(a) groups. The 12hG(a) group had a higher C than the other two model groups. The IL-10 levels in the 12hG(b) and 24hG(b) groups were higher than in the MG(b)s (96.55 ± 7.84 77.46 ± 7.42, 251.22 ± 16.15 99.72 ± 4.7 respectively, < 0.05), while in the 24hG(b) group, the IL-10 level was higher than in the other two treatment groups (251.22 ± 16.15 154.41 ± 12.09/96.55 ± 7.84, < 0.05). The IL-6 levels displayed a decrease in the 4hG(b) and 12hG(b) groups compared to the MG(b)s (89.99 ± 4.61 147.91 ± 4.36, 90.82 ± 5.34 171.44 ± 13.43, < 0.05).

CONCLUSION

Late-time dosing may have higher concentrations of the most major components of DCQD, with better pharmacokinetics and pharmacodynamics of anti-inflammation than early-time dosing, which showed the late time to be the optimal dosing time of DCQD for AP.

摘要

目的

基于药代动力学和药效学参数,确定大承气汤(DCQD)治疗急性胰腺炎(AP)的最佳口服给药时间。

方法

首先,将 24 只雄性 Sprague-Dawley 大鼠分为假手术组[NG(a)]和三组模型组[4hG(a)、12hG(a)和 24hG(a)]。NG(a)和模型组分别在 AP 模型诱导后 4 h、4 h、12 h 和 24 h 时给予 DCQD(10 g/kg.BW)灌胃。尾静脉采血,于单次灌胃后 10 min、20 min、40 min、1 h、2 h、4 h、8 h、12 h 和 24 h 采集血浆样本。采用高效液相色谱串联质谱法测定 DCQD 主要成分的血浆和胰腺组织浓度。检测并比较药代动力学参数和血清淀粉酶。其次,大鼠分为假手术组[NG(b)]和三组治疗组[4hG(b)、12hG(b)和 24hG(b)],每组设三个相应的对照组[MG(b)s]。单次灌胃后 24 h 采集血样和胰腺组织。检测并比较血清淀粉酶、炎症细胞因子和胰腺组织病理评分。

结果

12hG(a)组胰腺组织中大黄素、柚皮苷、和厚朴酚、柚皮素、芦荟大黄素、大黄酸和大黄素甲醚的浓度均高于 4hG(a)组( < 0.05)。12hG(a)组大黄酸、大黄酸、大黄素、和厚朴酚和柚皮素的药时曲线下面积(AUC→)大于 4hG(a)或 24hG(a)组。12hG(a)组 C 最大。12hG(b)和 24hG(b)组的白细胞介素-10(IL-10)水平均高于 MG(b)s(96.55 ± 7.84 77.46 ± 7.42,251.22 ± 16.15 99.72 ± 4.7,均 < 0.05),而 24hG(b)组的 IL-10 水平高于其他两个治疗组(251.22 ± 16.15 154.41 ± 12.09/96.55 ± 7.84,均 < 0.05)。4hG(b)和 12hG(b)组的白细胞介素-6(IL-6)水平均低于 MG(b)s(89.99 ± 4.61 147.91 ± 4.36,90.82 ± 5.34 171.44 ± 13.43,均 < 0.05)。

结论

与早期给药相比,晚期给药可能具有更高浓度的 DCQD 主要成分,具有更好的抗炎药代动力学和药效学,表明晚期是 DCQD 治疗 AP 的最佳给药时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1172/5656457/6d1ab391d06b/WJG-23-7098-g001.jpg

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