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