Center for Drug Delivery Systems, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, China.
Institute of Drug Metabolism, School of Pharmaceutical Sciences, Anhui University of Chinese Medicine, Hefei, China.
J Pharm Pharmacol. 2019 Nov;71(11):1645-1654. doi: 10.1111/jphp.13155. Epub 2019 Aug 21.
Pharmacokinetics of vitamins is still a challenge. In this study, folic acid (FA) was used as a model drug and aimed at investigating a reliable method for its detailed pharmacokinetic evaluations.
An high-performance liquid chromatography-tandem mass spectrometry method was developed and performed to determinate the FA and 5-methyltetrahydrofolic acid (5-methylTHF) simultaneously, which was applied to characterize the circadian rhythms as well as the pharmacokinetics of different preparations.
The plasma concentration of 5-methylTHF in fasted state was twofold higher than that in fed state. The circadian rhythms were studied before the pharmacokinetics and revealed that free FA was almost undetected in blank plasma, while 5-methylTHF had a slight decrement at 12:00. Hence, the pharmacokinetics of FA was conducted and showed that the administration of FA solution resulted in enhancing bioavailability of 5-methylTHF comparing with FA raw material suspension, whereas the free FA level in plasma was similar. The mechanism could be that FA was rapidly metabolized to 5-methylTHF in intestinal epithelial cell after absorption, which revealed that intestinal metabolism would affect its bioavailability.
A suitable method was established considering the baseline level, circadian rhythms and intestinal metabolism to investigate the pharmacokinetics of FA for guiding the further research of vitamins.
维生素的药代动力学仍然是一个挑战。本研究以叶酸(FA)为模型药物,旨在探索一种可靠的方法来详细评估其药代动力学。
建立并实施了一种高效液相色谱-串联质谱法,同时测定 FA 和 5-甲基四氢叶酸(5-methylTHF),用于表征昼夜节律和不同制剂的药代动力学。
空腹状态下 5-methylTHF 的血浆浓度是进食状态下的两倍。在药代动力学之前进行了昼夜节律研究,结果表明空白血浆中几乎检测不到游离 FA,而 5-methylTHF 在 12:00 时略有下降。因此,进行了 FA 的药代动力学研究,结果表明 FA 溶液给药可提高 5-methylTHF 的生物利用度,与 FA 原料药混悬剂相比,而游离 FA 水平在血浆中相似。其机制可能是 FA 在吸收后在肠上皮细胞中迅速代谢为 5-methylTHF,这表明肠道代谢会影响其生物利用度。
考虑到基线水平、昼夜节律和肠道代谢,建立了一种合适的方法来研究 FA 的药代动力学,以指导维生素的进一步研究。