Liu Siqi, Ding Pengmin, Wu Mengjiao, Zhu Zhihao, Tao Jiayue, Wang Jing, Xue Zhe, Wang Rufeng
School of Life Sciences, Beijing University of Chinese Medicine, Beijing 102488, China.
School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing 102488, China.
Phytomedicine. 2023 Jul 25;116:154844. doi: 10.1016/j.phymed.2023.154844. Epub 2023 Apr 30.
Xiaoer Chaige Tuire Oral Liquid (XCT) is a preparation composed of 7 traditional Chinese medicines including Bupleuri Radix, Puerariae Lobatae Radix, Scutellariae Radix, Gypsum Fibrosum, Artemisiae Annuae Herba, Paeoniae Radix Alba and Glycyrrhizae Radix Et Rhizoma Praeparata Cum Melle in proportion. According to traditional Chinese medicine theory, it has the function of dispelling wind evil and relieving exterior syndrome, clearing summer heat and dampness, and reducing internal heat. So, it is indicated for pediatric upper respiratory tract infection caused by exogenous wind-heat. Modern pharmacological studies have indicated that XCT has a variety of activities such as anti-inflammation and antivirus.
To screen potential quality markers (Q-markers) of XCT by tracking in vivo bioactive compounds concomitantly using in vitro sequential metabolism and in vivo biopharmaceutical analysis.
In vitro metabolic models including artificial gastric juice, intestinal juice, intestinal microbiota, Caco-2 cell monolayer and liver S9 were employed to simulate metabolism of main compounds of XCT in the body. High performance liquid chromatography with diode-array detection (HPLC-DAD) was used to quantitatively determine main components of XCT preparation and its sequential metabolism samples. Ultra performance liquid chromatography with QExactive Orbitrap tandem mass spectrometry (UPLC-QExactive-HF-x-Orbitrap-MS) was used to qualitatively determine in vivo components of XCT preparation in rat plasma and metabolites obtained with liver S9 fraction of rats.
Twenty-five compounds were identified from the preparation of XCT. Sequential in vitro metabolism studies indicated that most of these compounds except baicalin and baicalein were stable in artificial gastric juice, albiflorin, glycyrrhizic acid, gallic acid and baicalein were unstable in artificial intestinal juice, daidzin, liquiritin and genistin were hydrolyzed into their aglycones daidzein, liquiritigenin and genistein by intestinal microbiota, and 7 compounds thereout including benzoic acid, puerarin, 3'-methoxypuerarin, paeoniflorin, scopoletin, daidzein and liquiritigenin were shown to be well absorbed with Caco-2 cell monolayer model. These 7 compounds were demonstrated to be metabolized via hydroxylation and glycosylation by liver S9 system. Ten components of XCT preparation including puerarin, baicalin, wogonoside, benzoic acid, daidzein, baicalein, wogonin, oroxylin A, isoscopoletin and isoliquiritigenin were identified from rat plasma by in vivo biopharmaceutical analysis. Most of the compounds screened with both in vitro and in vivo metabolic studies were shown to be active against inflammation and influenza virus.
A screening strategy for potential quality markers (Q-markers) of XCT preparation based on tracking in vivo bioactive compounds using the combination of in vitro sequential metabolism and in vivo biopharmaceutical analysis was established. With this strategy, a total of 12 compounds including puerarin, daidzein, benzoic acid, baicalin, baicalein, wogonoside, wogonin, oroxylin A, 3'-methoxypuerarin, paeoniflorin, scopoletin and liquiritigenin were screened to be potential Q-markers of XCT, which provides a material basis for quality control and development of XCT.
小儿柴桂退热口服液(XCT)是一种由柴胡、葛根、黄芩、石膏、青蒿、白芍、炙甘草7味中药按比例组成的制剂。根据中医理论,其具有疏风解表、清热燥湿、泻火解毒之功效,用于小儿外感风热所致的上呼吸道感染。现代药理研究表明,XCT具有抗炎、抗病毒等多种活性。
通过体外连续代谢和体内生物药剂学分析相结合的方法,同步追踪体内生物活性成分,筛选XCT的潜在质量标志物(Q-标志物)。
采用人工胃液、肠液、肠道菌群、Caco-2细胞单层和肝S9等体外代谢模型模拟XCT主要成分在体内的代谢过程。采用高效液相色谱-二极管阵列检测法(HPLC-DAD)对XCT制剂及其连续代谢样品中的主要成分进行定量测定。采用超高效液相色谱- QExactive Orbitrap串联质谱法(UPLC-QExactive-HF-x-Orbitrap-MS)对大鼠血浆中XCT制剂的体内成分及大鼠肝S9组分代谢产物进行定性测定。
从XCT制剂中鉴定出25种化合物。体外连续代谢研究表明,除黄芩苷和黄芩素外,大多数化合物在人工胃液中稳定,芍药苷、甘草酸、没食子酸和黄芩素在人工肠液中不稳定,大豆苷、甘草苷和染料木苷被肠道菌群水解为苷元大豆素、甘草素和染料木素,其中包括苯甲酸、葛根素、3'-甲氧基葛根素、芍药苷、东莨菪内酯、大豆素和甘草素在内的7种化合物在Caco-2细胞单层模型中表现出良好的吸收。这7种化合物经肝S9系统代谢后发生羟基化和糖基化反应。通过体内生物药剂学分析从大鼠血浆中鉴定出XCT制剂的10种成分,包括葛根素、黄芩苷、汉黄芩苷、苯甲酸、大豆素、黄芩素、汉黄芩素、木犀草素、异东莨菪内酯和异甘草素。体外和体内代谢研究筛选出的大多数化合物均具有抗炎和抗流感病毒活性。
建立了一种基于体外连续代谢和体内生物药剂学分析相结合的方法同步追踪体内生物活性成分筛选XCT制剂潜在Q-标志物的策略。通过该策略,共筛选出葛根素、大豆素、苯甲酸、黄芩苷、黄芩素、汉黄芩苷、汉黄芩素、木犀草素、3'-甲氧基葛根素、芍药苷、东莨菪内酯和甘草素12种化合物作为XCT的潜在Q-标志物,为XCT的质量控制和开发提供了物质基础。