Department of Medicinal Medicine, The Second Hospital of Shandong University, Jinan, Shandong, China.
Department of Medicine, Qingdao Municipal Hospital (East Campus), Qingdao, Shandong, China.
Pharm Biol. 2021 Dec;59(1):1528-1532. doi: 10.1080/13880209.2021.1990355.
The interaction between nobiletin and anemarsaponin BII could affect the pharmacological activity of these two drugs during their combination.
The co-administration of nobiletin and anemarsaponin BII was investigated to explore the interaction and the potential mechanism.
Male Sprague-Dawley rats were only orally administrated with 50 mg/kg nobiletin as the control and another six rats were pre-treated with 100 mg/kg anemarsaponin BII for 7 d followed by the administration of nobiletin. The transport and metabolic stability of nobiletin were evaluated , and the effect of anemarsaponin BII on the activity of CYP3A4 was also assessed to explore the potential mechanism underlying the interaction.
The increasing C (2309.67 ± 68.06 μg/L vs. 1767.67 ± 68.86 μg/L), AUC (28.84 ± 1.34 mg/L × h vs. 19.57 ± 2.76 mg/L × h), prolonged t (9.80 ± 2.33 h vs. 6.24 ± 1.53 h), and decreased clearance rate (1.46 ± 0.26 vs. 2.42 ± 0.40) of nobilein was observed in rats. Anemarsaponin BII significantly enhanced the metabolic stability of nobiletin in rat liver microsomes (half-life increased from 31.56 min to 39.44 min) and suppressed the transport of nobiletin in Caco-2 cells (efflux rate decreased from 1.57 ± 0.04 to 1.30 ± 0.03). The inhibitory effect of anemarsaponin BII on CYP3A4 was also found with an IC value of 10.23 μM.
The interaction between anemarsaponin BII and nobiletin was induced by the inhibition of CYP3A4, which should draw special attention in their clinical co-administration.
橙皮素与重楼皂苷 BII 的相互作用可能会影响这两种药物联合使用时的药理活性。
研究橙皮素和重楼皂苷 BII 的联合给药,以探讨相互作用及其潜在机制。
雄性 Sprague-Dawley 大鼠仅口服给予 50mg/kg 橙皮素作为对照,另 6 只大鼠预先给予 100mg/kg 重楼皂苷 BII 连续 7d,然后给予橙皮素。评估橙皮素的转运和代谢稳定性,并评估重楼皂苷 BII 对 CYP3A4 活性的影响,以探讨相互作用的潜在机制。
与对照组相比(2309.67±68.06μg/L 比 1767.67±68.86μg/L),大鼠中橙皮素的 C(28.84±1.34mg/L×h 比 19.57±2.76mg/L×h)、AUC(28.84±1.34mg/L×h 比 19.57±2.76mg/L×h)增加,t(9.80±2.33h 比 6.24±1.53h)延长,清除率降低(1.46±0.26 比 2.42±0.40)。重楼皂苷 BII 显著增强了橙皮素在大鼠肝微粒体中的代谢稳定性(半衰期从 31.56min 增加到 39.44min),并抑制了 Caco-2 细胞中橙皮素的转运(外排率从 1.57±0.04 降低到 1.30±0.03)。还发现重楼皂苷 BII 对 CYP3A4 的抑制作用的 IC 值为 10.23μM。
重楼皂苷 BII 与橙皮素的相互作用是由 CYP3A4 的抑制引起的,在联合用药时应特别注意。