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1.
J Nanobiotechnology ; 19(1): 330, 2021 Oct 20.
Article in English | MEDLINE | ID: mdl-34670552

ABSTRACT

BACKGROUND: Supramolecular theranostics have exhibited promising potentials in disease diagnosis and therapy by taking advantages of the dynamic and reversible nature of non-covalent interactions. It is extremely important to figure out the stability of the driving forces in physiological environment for the preparation of theranostic systems. METHODS: The host-guest complexation between cucurbit[8]uril (CB[8]), 4,4'-bipyridinium, and napththyl guest was fully studied using various characterizations, including nuclear magnetic resonance spectroscopy, ultraviolet-visible (UV-vis) spectroscopy, isothermal titration calorimetry (ITC). The association constants of this ternary complex were determined using isothermal titration calorimetry. The stability of the non-covalent interactions and self-assemblies form from this molecular recognition was confirmed by UV-vis spectroscopy and dynamic light scattering (DLS). A supramolecular nanomedicine was constructed on the basis of this 1:1:1 ternary recognition, and its in vitro and in vivo anticancer efficacy were thoroughly evaluated. Positron emission tomography (PET) imaging was used to monitor the delivery and biodistribution of the supramolecular nanomedicine. RESULTS: Various experiments confirmed that the ternary complexation between 4,4'-bipyridinium, and napththyl derivative and CB[8] was stable in physiological environment, including phosphate buffered solution and cell culture medium. Supramolecular nanomedicine (SNM@DOX) encapsulating a neutral anticancer drug (doxrubincin, DOX) was prepared based on this molecular recognition that linked the hydrophobic poly(ε-caprolactone) chain and hydrophilic polyethylene glycol segment. The non-covalent interactions guaranteed the stability of SNM@DOX during blood circulation and promoted its tumor accumulation by taking advantage of the enhanced permeability and retention effect, thus greatly improving the anti-tumor efficacy as compared with the free drug. CONCLUSION: Arising from the host-enhanced charge-transfer interactions, the CB[8]-based ternary recognition was stable enough in physiological environment, which was suitable for the fabrication of supramolecular nanotheranostics showing promising potentials in precise cancer diagnosis and therapy.


Subject(s)
Bridged-Ring Compounds , Drug Delivery Systems/methods , Imidazoles , Theranostic Nanomedicine/methods , Animals , Antibiotics, Antineoplastic/chemistry , Antibiotics, Antineoplastic/pharmacokinetics , Bridged-Ring Compounds/chemistry , Bridged-Ring Compounds/pharmacokinetics , Bridged-Ring Compounds/toxicity , Caproates/chemistry , Doxorubicin/chemistry , Doxorubicin/pharmacokinetics , Drug Stability , Female , Hep G2 Cells , Humans , Imidazoles/chemistry , Imidazoles/pharmacokinetics , Imidazoles/toxicity , Lactones/chemistry , Mice , Mice, Nude , Positron-Emission Tomography , Spectrum Analysis , Tissue Distribution , Xenograft Model Antitumor Assays
2.
Biomed Chromatogr ; 35(7): e5101, 2021 Jul.
Article in English | MEDLINE | ID: mdl-33625739

ABSTRACT

Clinically, Wangbi Capsule (WBC) is widely used in the treatment of Rheumatoid arthritis (RA) because of its remarkable therapeutic effect. To reveal the mechanism, a pharmacokinetic-pharmacodynamic (PK-PD) model was developed for the first time to assess the relationship between time-concentration (dose)-effect. Freund's Complete Adjuvant was used to induce the adjuvant-induced arthritis model. Multi-indices were used to evaluate the therapeutic effect and an S-Imax PK-PD model was established based on the concentrations of osthole, 5-O-methylvisamminoside, cimifugin, albiflorin, paeoniflorin and icariin and the levels of interleukin-1ß and prostaglandin E2 using a two-compartment PK model together with a PD model with an effect-site compartment. The results suggest that WBC can treat RA by regulating the levels of prostaglandin E2 and interleukin-1ß. For the PK-PD model, the parameters indicated that WBC had a large safety margin and all six bioactive ingredients of WBC have therapeutic effects on RA. Among them icariin, osthole and 5-O-methylvisamminoside may be the main effective substances. This study provided a scientific basis for further study of population pharmacokinetics / population pharmacodynamics (PPK/PPD), to develop a reasonable administration plan and improve individualized drug therapy.


Subject(s)
Anti-Inflammatory Agents , Arthritis, Experimental , Drugs, Chinese Herbal , Animals , Anti-Inflammatory Agents/administration & dosage , Anti-Inflammatory Agents/chemistry , Anti-Inflammatory Agents/pharmacokinetics , Anti-Inflammatory Agents/pharmacology , Arthritis, Experimental/drug therapy , Arthritis, Experimental/metabolism , Benzopyrans/blood , Benzopyrans/pharmacokinetics , Bridged-Ring Compounds/blood , Bridged-Ring Compounds/pharmacokinetics , Disease Models, Animal , Drugs, Chinese Herbal/administration & dosage , Drugs, Chinese Herbal/chemistry , Drugs, Chinese Herbal/pharmacokinetics , Drugs, Chinese Herbal/pharmacology , Flavonoids/blood , Flavonoids/pharmacokinetics , Freund's Adjuvant/adverse effects , Glucosides/blood , Glucosides/pharmacokinetics , Joints/drug effects , Joints/metabolism , Male , Medicine, Chinese Traditional , Monoterpenes/blood , Monoterpenes/pharmacokinetics , Rats , Rats, Sprague-Dawley
3.
Invest New Drugs ; 38(2): 340-349, 2020 04.
Article in English | MEDLINE | ID: mdl-31102119

ABSTRACT

Activating FLT3 internal tandem duplication (FLT3-ITD) mutations in acute myeloid leukemia (AML) associate with inferior outcomes. We determined that pacritinib, a JAK2/FLT3 inhibitor, has in vitro activity against FLT3-ITD and tyrosine kinase domain (TKD) mutations. Therefore, we conducted a phase I study of pacritinib in combination with chemotherapy in AML patients with FLT3 mutations to determine the pharmacokinetics and preliminary toxicity and clinical activity. Pacritinib was administered at a dose of 100 mg or 200 mg twice daily following a 3 + 3 dose-escalation in combination with cytarabine and daunorubicin (cohort A) or with decitabine induction (cohort B). A total of thirteen patients were enrolled (five in cohort A; eight in cohort B). Dose limiting toxicities include hemolytic anemia and grade 3 QTc prolongation in two patients who received 100 mg. Complete remission was achieved in two patients in cohort A, one of whom had a minor D835Y clone at baseline. One patient in cohort B achieved morphologic leukemia free state. Seven patients (two in cohort A; five in cohort B) had stable disease. In conclusion, pacritinib, an inhibitor of FLT3-ITD and resistant-conferring TKD mutations, was well tolerated and demonstrated preliminary anti-leukemic activity in combination with chemotherapy in patients with FLT3 mutations.


Subject(s)
Antineoplastic Agents/therapeutic use , Bridged-Ring Compounds/therapeutic use , Janus Kinase 2/antagonists & inhibitors , Leukemia, Myeloid, Acute/drug therapy , Protein Kinase Inhibitors/therapeutic use , Pyrimidines/therapeutic use , fms-Like Tyrosine Kinase 3/antagonists & inhibitors , Adult , Aged , Antineoplastic Agents/adverse effects , Antineoplastic Agents/pharmacokinetics , Antineoplastic Agents/pharmacology , Antineoplastic Combined Chemotherapy Protocols/adverse effects , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Bridged-Ring Compounds/adverse effects , Bridged-Ring Compounds/pharmacokinetics , Bridged-Ring Compounds/pharmacology , Cell Line, Tumor , Cell Survival/drug effects , Cytarabine/adverse effects , Cytarabine/therapeutic use , Daunorubicin/adverse effects , Daunorubicin/therapeutic use , Decitabine/adverse effects , Decitabine/therapeutic use , Drug Resistance, Neoplasm/drug effects , Female , Humans , Kaplan-Meier Estimate , Leukemia, Myeloid, Acute/genetics , Leukemia, Myeloid, Acute/metabolism , Leukemia, Myeloid, Acute/mortality , Male , Middle Aged , Mutation , Pilot Projects , Protein Kinase Inhibitors/adverse effects , Protein Kinase Inhibitors/pharmacokinetics , Protein Kinase Inhibitors/pharmacology , Pyrimidines/adverse effects , Pyrimidines/pharmacokinetics , Pyrimidines/pharmacology , fms-Like Tyrosine Kinase 3/genetics , fms-Like Tyrosine Kinase 3/metabolism
4.
Arch Toxicol ; 94(6): 1995-2007, 2020 06.
Article in English | MEDLINE | ID: mdl-32239239

ABSTRACT

Acute intoxication with picrotoxin or the rodenticide tetramethylenedisulfotetramine (TETS) can cause seizures that rapidly progress to status epilepticus and death. Both compounds inhibit γ-aminobutyric acid type-A (GABAA) receptors with similar potency. However, TETS is approximately 100 × more lethal than picrotoxin. Here, we directly compared the toxicokinetics of the two compounds following intraperitoneal administration in mice. Using LC/MS analysis we found that picrotoxinin, the active component of picrotoxin, hydrolyses quickly into picrotoxic acid, has a short in vivo half-life, and is moderately brain penetrant (brain/plasma ratio 0.3). TETS, in contrast, is not metabolized by liver microsomes and persists in the body following intoxication. Using both GC/MS and a TETS-selective immunoassay we found that mice administered TETS at the LD50 of 0.2 mg/kg in the presence of rescue medications exhibited serum levels that remained constant around 1.6 µM for 48 h before falling slowly over the next 10 days. TETS showed a similar persistence in tissues. Whole-cell patch-clamp demonstrated that brain and serum extracts prepared from mice at 2 and 14 days after TETS administration significantly blocked heterologously expressed α2ß3γ2 GABAA-receptors confirming that TETS remains pharmacodynamically active in vivo. This observed persistence may contribute to the long-lasting and recurrent seizures observed following human exposures. We suggest that countermeasures to neutralize TETS or accelerate its elimination should be explored for this highly dangerous threat agent.


Subject(s)
Brain/drug effects , Bridged-Ring Compounds/toxicity , Convulsants/toxicity , GABA Antagonists/toxicity , Picrotoxin/analogs & derivatives , Seizures/chemically induced , Animals , Biotransformation , Brain/metabolism , Brain/physiopathology , Bridged-Ring Compounds/pharmacokinetics , Convulsants/pharmacokinetics , GABA Antagonists/pharmacokinetics , Lethal Dose 50 , Male , Mice , Picrotoxin/pharmacokinetics , Picrotoxin/toxicity , Receptors, GABA-A/metabolism , Seizures/metabolism , Seizures/physiopathology , Sesterterpenes , Tissue Distribution , Toxicokinetics
5.
J Sep Sci ; 42(15): 2534-2549, 2019 Aug.
Article in English | MEDLINE | ID: mdl-31144455

ABSTRACT

A simple and sensitive liquid chromatography with tandem mass spectrometry method was developed for simultaneous quantification of paeoniflorin, albiflorin, oxypaeoniflorin, liquiritin, liquiritigenin, glycyrrhetinic acid, and glycyrrhizin in rat plasma after oral administration of Shaoyao-Gancao decoction, which is traditionally used in the treatment of polycystic ovary syndrome. The plasma samples were pretreated with methanol as precipitant. The method exhibited good linearity (correlation coefficient (R2 ) > 0.99) with lower quantification limits of 0.595-4.69 ng/mL for all analytes. Intra- and interbatch precision, accuracy, recovery, and stability of the method were all within accepted criteria. The results showed that the pharmacokinetic behaviors of the seven compounds were altered in the pathological status of polycystic ovary syndrome. Furthermore, a total of 36 metabolites were structurally identified based on their accurate masses and fragment ions. The major metabolic pathway involves phase I metabolic reactions (such as hydroxylation), phase II metabolic reactions (such as sulfation and glucuronidation conjugation) as well as the combined multiple-step metabolism. This study is the first report on the pharmacokinetic and metabolic information of Shaoyao-Gancao decoction in both normal and model rats, which would provide scientific evidences for the bioactive chemical basis of herbal medicines and also promote the clinical application of Shaoyao-Gancao decoction for treating polycystic ovary syndrome.


Subject(s)
Drugs, Chinese Herbal/therapeutic use , Polycystic Ovary Syndrome/drug therapy , Administration, Oral , Animals , Bridged-Ring Compounds/blood , Bridged-Ring Compounds/metabolism , Bridged-Ring Compounds/pharmacokinetics , Chromatography, High Pressure Liquid , Drugs, Chinese Herbal/administration & dosage , Drugs, Chinese Herbal/analysis , Drugs, Chinese Herbal/metabolism , Drugs, Chinese Herbal/pharmacokinetics , Female , Flavanones/blood , Flavanones/metabolism , Flavanones/pharmacokinetics , Glucosides/blood , Glucosides/metabolism , Glucosides/pharmacokinetics , Glycyrrhetinic Acid/blood , Glycyrrhetinic Acid/metabolism , Glycyrrhetinic Acid/pharmacokinetics , Glycyrrhizic Acid/blood , Glycyrrhizic Acid/metabolism , Glycyrrhizic Acid/pharmacokinetics , Monoterpenes/blood , Monoterpenes/metabolism , Monoterpenes/pharmacokinetics , Rats , Rats, Sprague-Dawley , Tandem Mass Spectrometry
6.
BJU Int ; 122(5): 898-908, 2018 11.
Article in English | MEDLINE | ID: mdl-29862643

ABSTRACT

OBJECTIVE: To investigate the effect of three anticancer drugs (mitomycin c (MMC), doxorubicin or gemcitabine) on bladder wall morphology and the uptake of paclitaxel or docetaxel following coadministration. The primary objective of this study was to measure the uptake of MMC, doxorubicin or gemcitabine with or without exposure of the tissue to amine terminated cationic nanoparticles (CNPs) and to investigate any possible exfoliation effects of the three drugs on intact bladder tissue. The secondary objective was to investigate the uptake of taxane drugs (docetaxel, DTX) and paclitaxel, (PTX) from surfactant micelle formulations in the presence of MMC, doxorubicin or gemcitabine. MATERIALS AND METHODS: Sections of fresh pig bladder tissue were incubated in Franz diffusion cells with the urothelial side exposed to solutions of doxorubicin, MMC and gemcitabine containing radioactive drug for 90 min. Some tissue samples were simultaneously exposed to each of the three drugs in combination with the surfactant micelle formulations of PTX (Taxol) or DTX (Taxotere). Tissue sections were then cryostat sectioned for drug quantitation by liquid scintillation counting or fixed for scanning electron microscopy and haematoxylin and eosin staining. RESULTS: All three drugs caused exfoliation of the urothelial layer of bladder tissues. Drug uptake studies showed that all three drugs effectively penetrated the lamina propria through to the muscular layer over a 2-h incubation and these levels were unaffected by pre-treatment with CNPs. The uptake levels of the taxane drugs PTX and DTX were significantly enhanced following simultaneous treatment of bladders with MMC, doxorubicin or gemcitabine. CONCLUSION: The exfoliation effects of MMC, doxorubicin and gemcitabine allow for good tissue penetration of these drugs with no additional effect from CNP treatment of bladders. The observed exfoliation effect of these amine-containing drugs probably arises from a cationic interaction with the mucus and urothelium cell layer in a manner similar to that previously reported for CNPs. These studies suggest that the lack of long-term clinical efficacy of these drugs may not arise from poor intravesical drug penetration but may result from a rapid diffusion of the drugs into the deeper vascularised muscular region with rapid drug clearance. The enhanced uptake of PTX or DTX following co-administration with MMC, doxorubicin or gemcitabine probably arises from the removal of the urothelial barrier by exfoliation allowing for improved taxane partitioning into superficial layers. These effects may allow for dual drug intravesical strategies offering greatly improved taxane uptake and potential additive drug effects for improved efficacy.


Subject(s)
Antineoplastic Agents/pharmacokinetics , Bridged-Ring Compounds/pharmacokinetics , Deoxycytidine/analogs & derivatives , Doxorubicin/pharmacokinetics , Mitomycin/pharmacokinetics , Taxoids/pharmacokinetics , Urinary Bladder , Animals , Cations , Deoxycytidine/pharmacokinetics , Male , Nanoparticles , Swine , Urinary Bladder/chemistry , Urinary Bladder/cytology , Urinary Bladder/metabolism , Urothelium/cytology , Urothelium/metabolism , Gemcitabine
7.
Pak J Pharm Sci ; 31(4(Special)): 1643-1647, 2018 Jul.
Article in English | MEDLINE | ID: mdl-30203753

ABSTRACT

In this study, in-depth observation and investigation of blood-brain barrier permeability and neuroprotective effect of Trichosanthes kirilowii cassia twig particles on rats with cerebral ischemia-reperfusion injury were performed. Focal cerebral ischemia-reperfusion injury model was established by middle cerebral artery occlusion method, reperfusion was implemented 2 hours after ischemia; qualitative analysis and investigation of trichosanthes kirilowii cassia twig particles in plasma, brain tissue and cerebrospinal fluid in normal and middle cerebral artery occlusion (MCAO) rats were done by high-performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS); changes in neurological deficits, cerebral infarction stereometry, blood-brain barrier permeability and histopathological changes of MCAO model rats were observed. Qualitative analysis by HPLC-MS/MS results showed that ingredients, paeoniflorin, albiflorin, liquiritin in Trichosanthes kirilowii cassia twig particles can reach the brain through the blood-brain barrier. In the model group, glycyrrhizin and glycyrrhizic acid can be detected in brain tissue or cerebrospinal fluid. In addition, Trichosanthes kirilowii cassia twig particles can significantly lower neurological deficits of rats in middle cerebral artery occlusion model, reduce the Evans blue penetration, contract infarct size, and reduce pathological tissue injury of cerebral ischemia reperfusion. The ingredients of Trichosanthes kirilowii cassia twig particles can reach the brain tissue through the blood-brain barrier and play a role in neuroprotection of rats with cerebral ischemia-reperfusion injury, which has important research significance and brings scientific experimental, theoretical basis for clinical drug use.


Subject(s)
Neuroprotective Agents/pharmacology , Reperfusion Injury/prevention & control , Trichosanthes/chemistry , Animals , Blood-Brain Barrier/drug effects , Brain/metabolism , Brain/pathology , Bridged-Ring Compounds/pharmacokinetics , Flavanones/pharmacokinetics , Glucosides/pharmacokinetics , Glycyrrhizic Acid/cerebrospinal fluid , Glycyrrhizic Acid/pharmacokinetics , Infarction, Middle Cerebral Artery , Male , Monoterpenes/pharmacokinetics , Neuroprotective Agents/pharmacokinetics , Plant Components, Aerial/chemistry , Plant Extracts/chemistry , Plant Extracts/pharmacokinetics , Plant Extracts/pharmacology , Rats , Recovery of Function/drug effects , Reperfusion Injury/pathology
8.
Biomed Chromatogr ; 31(12)2017 Dec.
Article in English | MEDLINE | ID: mdl-28557007

ABSTRACT

A simple and sensitive HPLC-MS/MS method was developed and fully validated for simultaneous determination of ginsenoside Rb1, ginsenoside Rg1, paeoniflorin, albiflorin and oxypaeoniflorin in rat plasma. Plasma samples were pretreated with protein precipitation using acetonitrile. The chromatographic separation was carried out on a C18 column with a gradient mobile phase consisting of acetonitrile and water (containing 0.1% formic acid). All analytes and digoxin (internal stand, IS) were quantitated through electrospray ionization in negative ion multiple reaction monitoring mode. All calibration curves exhibited good linearity (r > 0.9960) over a wide concentration range for all components. The intra-day and inter-day precisions (RSD) at three different levels were all <12.0% and the accuracies (RE) ranging from -6.1 to 6.2%. The extraction recoveries of the five compounds ranged from 89.2 to 97.1%. The validated method was successfully applied in a comparative pharmacokinetic study of Wen-Yang-Huo-Xue soft capsule (WYHXSC) in rats. Compared with single pure component, the exposure of the investigated components, except for oxypaeoniflorin, increased after oral administration of WYHXSC in rats, which suggested a synergistic effects between the herbs in the WYHXSC preparations.


Subject(s)
Bridged-Ring Compounds/blood , Chromatography, High Pressure Liquid/methods , Drugs, Chinese Herbal/analysis , Ginsenosides/blood , Glucosides/blood , Monoterpenes/blood , Animals , Bridged-Ring Compounds/chemistry , Bridged-Ring Compounds/pharmacokinetics , Drugs, Chinese Herbal/administration & dosage , Drugs, Chinese Herbal/chemistry , Drugs, Chinese Herbal/pharmacokinetics , Ginsenosides/chemistry , Ginsenosides/pharmacokinetics , Glucosides/chemistry , Glucosides/pharmacokinetics , Linear Models , Male , Monoterpenes/chemistry , Monoterpenes/pharmacokinetics , Rats , Rats, Sprague-Dawley , Reproducibility of Results , Sensitivity and Specificity , Tandem Mass Spectrometry/methods
9.
J Pharmacol Exp Ther ; 358(1): 125-37, 2016 07.
Article in English | MEDLINE | ID: mdl-27189974

ABSTRACT

The amyloid-ß peptide (Aß)-in particular, the 42-amino acid form, Aß1-42-is thought to play a key role in the pathogenesis of Alzheimer's disease (AD). Thus, several therapeutic modalities aiming to inhibit Aß synthesis or increase the clearance of Aß have entered clinical trials, including γ-secretase inhibitors, anti-Aß antibodies, and amyloid-ß precursor protein cleaving enzyme inhibitors. A unique class of small molecules, γ-secretase modulators (GSMs), selectively reduce Aß1-42 production, and may also decrease Aß1-40 while simultaneously increasing one or more shorter Aß peptides, such as Aß1-38 and Aß1-37. GSMs are particularly attractive because they do not alter the total amount of Aß peptides produced by γ-secretase activity; they spare the processing of other γ-secretase substrates, such as Notch; and they do not cause accumulation of the potentially toxic processing intermediate, ß-C-terminal fragment. This report describes the translation of pharmacological activity across species for two novel GSMs, (S)-7-(4-fluorophenyl)-N2-(3-methoxy-4-(3-methyl-1H-1,2,4-triazol-1-yl)phenyl)-N4-methyl-6,7-dihydro-5H-cyclopenta[d]pyrimidine-2,4-diamine (BMS-932481) and (S,Z)-17-(4-chloro-2-fluorophenyl)-34-(3-methyl-1H-1,2,4-triazol-1-yl)-16,17-dihydro-15H-4-oxa-2,9-diaza-1(2,4)-cyclopenta[d]pyrimidina-3(1,3)-benzenacyclononaphan-6-ene (BMS-986133). These GSMs are highly potent in vitro, exhibit dose- and time-dependent activity in vivo, and have consistent levels of pharmacological effect across rats, dogs, monkeys, and human subjects. In rats, the two GSMs exhibit similar pharmacokinetics/pharmacodynamics between the brain and cerebrospinal fluid. In all species, GSM treatment decreased Aß1-42 and Aß1-40 levels while increasing Aß1-38 and Aß1-37 by a corresponding amount. Thus, the GSM mechanism and central activity translate across preclinical species and humans, thereby validating this therapeutic modality for potential utility in AD.


Subject(s)
Amyloid Precursor Protein Secretases/metabolism , Amyloid beta-Peptides/antagonists & inhibitors , Aniline Compounds/pharmacology , Aniline Compounds/pharmacokinetics , Brain/drug effects , Bridged-Ring Compounds/pharmacology , Bridged-Ring Compounds/pharmacokinetics , Pyrimidines/pharmacology , Pyrimidines/pharmacokinetics , Amyloid beta-Peptides/cerebrospinal fluid , Amyloid beta-Peptides/genetics , Aniline Compounds/chemistry , Animals , Brain/enzymology , Brain/metabolism , Bridged-Ring Compounds/chemistry , Cell Line , Dogs , Dose-Response Relationship, Drug , Drug Evaluation, Preclinical , Female , Humans , Macaca fascicularis , Pyrimidines/chemistry , Rats, Sprague-Dawley , Receptors, Notch/metabolism , Species Specificity , Tissue Distribution
10.
Biomed Chromatogr ; 29(3): 416-24, 2015 Mar.
Article in English | MEDLINE | ID: mdl-25042570

ABSTRACT

Zengmian Yiliu (ZMYL), a traditional Chinese formula, is designed to improve clinical efficacy and reduce adverse effects in combination with cisplatin in ovarian cancer chemotherapy. In ZMYL, Radix Paeoniae Alba (RPA, made from root of Paeonia lactiflora Pall.) acts as an adjunctive drug in cancer treatment by ameliorating side effects induced by radio- and chemotherapy. The pharmacokinetics differences between isomer albiflorin and paeoniflorin, the main components of RPA, after oral administration decoction of single-herb RPA and ZMYL were compared using a sensitive and accurate UPLC-MS/MS. The results indicate that there are statistically significant differences between the pharmacokinetic parameters: decreasing area under the plasma concentration-time curve (AUC), maximum concentration (Cmax ), elimination rate constant (Ke ) and increasing apparent volume of distribution (Vd ) and clearance (CL) for albiflorin, increasing distribution half-life (T1/2d ) and decreasing elimination half-life (T1/2e ), distribution rate constant (Kd ) and absorption rate constant (Ka ) for paeoniflorin in the ZMYL group compared with the single-herb RPA group. In comparison with albiflorin, the pharmacokinetic parameters of paeoniflorin included significantly increasing mean residence time (MRT) and Vd , decreasing CL and Ke in the single-herb RPA group and increasing MRT and T1/2d and decreasing CL, Ke and Kd in the ZMYL group. Both paeoniflorin and albiflorin are more likely, as the main active ingredients in RPA and ZMYL, to play a variety of pharmacological effects, and herb-herb interactions occur, resulting in different pharmacokinetics of albiflorin and paeoniflorin in RPA and ZMYL.


Subject(s)
Bridged-Ring Compounds/pharmacokinetics , Chromatography, High Pressure Liquid/methods , Drugs, Chinese Herbal/administration & dosage , Glucosides/pharmacokinetics , Monoterpenes/pharmacokinetics , Tandem Mass Spectrometry/methods , Administration, Oral , Animals , Area Under Curve , Bridged-Ring Compounds/blood , Drug Stability , Drugs, Chinese Herbal/chemistry , Female , Glucosides/blood , Half-Life , Herb-Drug Interactions , Isomerism , Limit of Detection , Male , Monoterpenes/blood , Paeonia/chemistry , Rats, Sprague-Dawley , Reproducibility of Results
11.
Molecules ; 20(5): 9295-308, 2015 May 20.
Article in English | MEDLINE | ID: mdl-26007184

ABSTRACT

Gan-Sui-Ban-Xia Decoction (GSBXD) was first presented by Zhang Zhongjing in the book Synopsis of Golden Chamber during the Han Dynasty period. The formula was then used for the treatment of persistent fluid retention with floating pulse in Traditional Chinese Medicine (TCM), which in modern medicine is known as malignant ascites. Here, a rapid liquid chromatography-tandem mass spectrometry (LC-MS/MS) method has been developed for the determination of glycyrrhizinic acid, liquiritin, paeoniflorin, albiflorin after oral administration of GSBXD plus-minus Gansui and Gancao anti-drug combination to investigate the possible pharmacokinetic profile differences of different prescriptions with GSBXD in normal rats. The differences of pharmacokinetic parameters among groups were tested by the Student's t-test with p < 0.05 as the level of significance. Significant differences were found between the Gansui and Gancao anti-drug combination and other herbs in GSBXD on pharmacokinetic profile of glycyrrhizinic acid, liquiritin, paeoniflorin and albiflorin. The obtained knowledge might contribute to the rationality of the clinic use of GSBXD and also reveal the compatibility conditions of the Gansui and Gancao anti-drug combination.


Subject(s)
Bridged-Ring Compounds/pharmacokinetics , Drugs, Chinese Herbal/pharmacokinetics , Flavanones/pharmacokinetics , Glucosides/pharmacokinetics , Glycyrrhizic Acid/pharmacokinetics , Monoterpenes/pharmacokinetics , Administration, Oral , Animals , Ascites/drug therapy , Bridged-Ring Compounds/blood , Chromatography, Liquid , Drug Combinations , Euphorbia/metabolism , Flavanones/blood , Glucosides/blood , Glycyrrhiza uralensis/metabolism , Glycyrrhizic Acid/blood , Male , Medicine, Chinese Traditional , Monoterpenes/blood , Paeonia/metabolism , Pinellia/metabolism , Rats , Rats, Wistar , Tandem Mass Spectrometry
12.
Invest New Drugs ; 32(6): 1083-95, 2014 Dec.
Article in English | MEDLINE | ID: mdl-25078948

ABSTRACT

BMS-275,183 is a novel oral C-4 methyl carbonate analogue of paclitaxel. Recently, a drug-drug interaction between BMS-275,183 and benzimidazole proton pump inhibitors (PPIs) was suggested in clinical trials resulting in elevated drug exposure and toxicity. We explored whether the interaction takes place at the level of P-glycoprotein (Pgp, MDR1, ABCB1), Breast Cancer Resistance Protein (BCRP, ABCG2) and MRP2 (ABCC2) using in vitro and in vivo models. In vitro cell survival, drug accumulation, efflux and transport studies with BMS-275,183 were performed employing MDCKII (wild-type, MDR1, BCRP, MRP2) and LLCPK (wild-type and MDR1) cells. In vivo the pharmacokinetics and tissue distribution of BMS-275,183 after p.o. and i.v. administration were explored in Mdr1a/1b(-/-) and wild-type mice, in presence or absence of the PPI pantoprazole. Results In vitro, BMS-275,183 was found to be a good substrate for MDR1, a moderate substrate for MRP2 and not a substrate for BCRP. In vivo, oral bioavailability, plasma AUC0-6h and brain concentrations were significantly 1.5-, 4-, and 2-fold increased, respectively, in Mdr1a/1b(-/-) compared with wild-type mice (p < 0.001). However, oral co-administration of pantoprazole (40 mg/kg) did not alter the pharmacokinetics of BMS-275,183 in wild-type mice. Conclusions BMS-275,183 is efficiently transported by Pgp and to a lesser extent by MRP2 in vitro. Genetic deletion of Pgp significantly altered the pharmacokinetics and brain distribution of p.o. and i.v. administered BMS-275,183 in Mdr1a/1b-/- compared to wild-type mice. Oral co-administration of BMS-275,183 with pantoprazole did not affect the pharmacokinetics of BMS-275,183 in wild-type mice, suggesting no interaction with PPI at the dose employed.


Subject(s)
ATP-Binding Cassette Transporters/metabolism , Antineoplastic Agents/pharmacokinetics , Bridged-Ring Compounds/pharmacokinetics , Multidrug Resistance-Associated Proteins/metabolism , Neoplasm Proteins/metabolism , 2-Pyridinylmethylsulfinylbenzimidazoles/pharmacology , ATP Binding Cassette Transporter, Subfamily B/genetics , ATP Binding Cassette Transporter, Subfamily B/metabolism , ATP Binding Cassette Transporter, Subfamily G, Member 2 , ATP-Binding Cassette Transporters/genetics , Animals , Antineoplastic Agents/blood , Antineoplastic Agents/pharmacology , Brain/metabolism , Bridged-Ring Compounds/blood , Bridged-Ring Compounds/pharmacology , Cell Line , Cell Survival/drug effects , Dibenzocycloheptenes/pharmacology , Dogs , Drug Interactions , Female , Humans , Kidney/metabolism , Lung/metabolism , Mice, Knockout , Multidrug Resistance-Associated Protein 2 , Multidrug Resistance-Associated Proteins/genetics , Myocardium/metabolism , Neoplasm Proteins/genetics , Paclitaxel/pharmacology , Pantoprazole , Quinolines/pharmacology , Spleen/metabolism , Swine , Tissue Distribution
13.
Cancer Chemother Pharmacol ; 93(6): 525-539, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38734836

ABSTRACT

Taxanes are a widely used class of anticancer agents that play a vital role in the treatment of a variety of cancers. However, toxicity remains a major concern of using taxane drugs as some toxicities are highly prevalent, they can not only adversely affect patient prognosis but also compromise the overall treatment plan. Among all kinds of factors that associated with taxane toxicity, taxane exposure has been extensively studied, with different pharmacokinetic (PK) parameters being used as toxicity predictors. Compared to other widely used predictors such as the area under the drug plasma concentration curve versus time (AUC) and time above threshold plasma drug concentration, maximum plasma concentration (Cmax) is easier to collect and shows promise for use in clinical practice. In this article, we review the previous research on using Cmax to predict taxane treatment outcomes. While Cmax and toxicity have been extensively studied, research on the relationship between Cmax and efficacy is lacking. Most of the articles find a positive relationship between Cmax and toxicity but several articles have contradictory findings. Future clinical trials are needed to validate the relationship between Cmax and treatment outcome and determine whether Cmax can serve as a useful surrogate endpoint of taxane treatment efficacy.


Subject(s)
Neoplasms , Precision Medicine , Taxoids , Humans , Taxoids/pharmacokinetics , Taxoids/adverse effects , Neoplasms/drug therapy , Antineoplastic Agents/pharmacokinetics , Antineoplastic Agents/adverse effects , Area Under Curve , Treatment Outcome , Bridged-Ring Compounds/pharmacokinetics , Bridged-Ring Compounds/adverse effects
14.
Int J Pharm ; 660: 124351, 2024 Jul 20.
Article in English | MEDLINE | ID: mdl-38897491

ABSTRACT

Piroxicam (PX) is a nonsteroidal anti-inflammatory drug (NSAID) commonly associated with gastrointestinal (GI) injuries, including dyspepsia, heartburn, inflammation, bleeding, ulceration, and life-threatening perforation. The ß-cyclodextrin (ß-CD)-based PX formulation (PX@CD) has been shown to reduce gastric side effects by improving PX's solubility and dissolution rates. However, the solubility of PX can only be increased to a limited extent by ß-CD, due to the low binding constant between PX and ß-CD (∼100 M-1). As a result, adverse reactions such as epigastric pain and pyrosis are still commonly reported. Cucurbit[7]uril (CB[7]) is a synthetic macrocyclic host compound that binds strongly to various drugs. In this study, we demonstrated that CB[7] forms complexes with PX in the gastric acid environment with a binding constant approximately 70 times higher than that between ß-CD and PX. The PX@CB[7] inclusion complexes exhibited rapid dissolution rates in the gastric environment. In addition, PX@CB[7] showed significantly higher oral bioavailability and maximum concentration (Cmax) compared to PX and PX@CD (1:2.5), resulting in improved anti-inflammatory effects in both mouse and rat models. Moreover, PX@CB[7] (1:2.5) had the least adhesion to the gastric mucosa and caused the mildest gastric side effects in rat models when compared to PX, PX@CD (1:2.5), and PX@CB[7] (1:1). Lastly, CB[7] demonstrated good oral biocompatibility in a subacute toxicity evaluation study. These findings indicate that CB[7] could be used as an excipient to improve treatment effectiveness and decrease adverse reactions in orally administered formulations with a favorable safety profile.


Subject(s)
Anti-Inflammatory Agents, Non-Steroidal , Biological Availability , Bridged-Ring Compounds , Imidazoles , Piroxicam , Solubility , beta-Cyclodextrins , Animals , Piroxicam/administration & dosage , Piroxicam/chemistry , Piroxicam/pharmacokinetics , Piroxicam/adverse effects , Imidazoles/chemistry , Imidazoles/administration & dosage , Imidazoles/pharmacokinetics , Imidazoles/adverse effects , Bridged-Ring Compounds/chemistry , Bridged-Ring Compounds/administration & dosage , Bridged-Ring Compounds/pharmacokinetics , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Anti-Inflammatory Agents, Non-Steroidal/chemistry , Anti-Inflammatory Agents, Non-Steroidal/pharmacokinetics , Anti-Inflammatory Agents, Non-Steroidal/adverse effects , beta-Cyclodextrins/chemistry , beta-Cyclodextrins/administration & dosage , Male , Mice , Rats, Sprague-Dawley , Rats , Drug Liberation , Administration, Oral , Heterocyclic Compounds, 2-Ring , Macrocyclic Compounds , Imidazolidines
15.
Eur J Drug Metab Pharmacokinet ; 38(4): 283-93, 2013 Dec.
Article in English | MEDLINE | ID: mdl-23430690

ABSTRACT

Guizhi decoction (GZD) is a classic traditional Chinese medicine formula, clinically used for the treatment of influenza, common cold, and other pyretic conditions. A sensitive, specific, and validated liquid chromatography-tandem mass spectrometric (LC-MS/MS) method was developed to investigate the pharmacokinetic properties of cinnamic acid, hippuric acid, paeoniflorin, and glycyrrhetic acid in rat. After single dose oral administration of 7.9 g extract/kg body weight GZD in rats, plasma concentrations of cinnamic acid, hippuric acid, paeoniflorin, and glycyrrhetic acid were measured by LC-MS/MS. Pharmacokinetic parameters were calculated from the plasma concentration-time data. The values of AUC0-t, half-life (t 1/2), and C max were 7.2 ± 2.3 µg h/mL, 1.2 ± 0.3 h, and 9.2 ± 5.2 µg/mL for cinnamic acid, 53 ± 31 µg h/mL, 2.8 ± 2.0 h, and 17 ± 3 µg/mL for hippuric acid, 1.1 ± 0.5 µg h/mL, 1.9 ± 1.1 h, and 0.6 ± 0.3 µg/mL for paeoniflorin, and 11 ± 6 µg h/mL, 6.6 ± 2.5 h, and 0.9 ± 0.6 µg/mL for glycyrrhetic acid, respectively. The results would offer useful information for effective components of GZD in vivo.


Subject(s)
Drugs, Chinese Herbal/pharmacokinetics , Administration, Oral , Animals , Benzoates/administration & dosage , Benzoates/pharmacokinetics , Bridged-Ring Compounds/administration & dosage , Bridged-Ring Compounds/pharmacokinetics , Calibration , Chromatography, High Pressure Liquid , Cinnamates/administration & dosage , Cinnamates/pharmacokinetics , Drugs, Chinese Herbal/administration & dosage , Female , Freezing , Glucosides/administration & dosage , Glucosides/pharmacokinetics , Glycyrrhetinic Acid/administration & dosage , Glycyrrhetinic Acid/pharmacokinetics , Half-Life , Hippurates/administration & dosage , Hippurates/pharmacokinetics , Indicators and Reagents , Mass Spectrometry , Monoterpenes , Plant Extracts/chemistry , Plant Extracts/pharmacokinetics , Quality Control , Rats , Rats, Sprague-Dawley , Reference Standards , Reproducibility of Results , Tandem Mass Spectrometry
16.
Yao Xue Xue Bao ; 48(6): 933-9, 2013 Jun.
Article in Zh | MEDLINE | ID: mdl-23984531

ABSTRACT

The objective of the present study was to establish a method based on principal component analysis (PCA) for the study of transdermal delivery of multiple components in Chinese medicine, and to choose the best penetration enhancers for the active fraction of Xiangfusiwu decoction (BW) with this method. Improved Franz diffusion cells with isolated rat abdomen skins were carried out to experiment on the transdermal delivery of six active components, including ferulic acid, paeoniflorin, albiflorin, protopine, tetrahydropalmatine and tetrahydrocolumbamine. The concentrations of these components were determined by LC-MS/MS, then the total factor scores of the concentrations at different times were calculated using PCA and were employed instead of the concentrations to compute the cumulative amounts and steady fluxes, the latter of which were considered as the indexes for optimizing penetration enhancers. The results showed that compared to the control group, the steady fluxes of the other groups increased significantly and furthermore, 4% azone with 1% propylene glycol manifested the best effect. The six components could penetrate through skin well under the action of penetration enhancers. The method established in this study has been proved to be suitable for the study of transdermal delivery of multiple components, and it provided a scientific basis for preparation research of Xiangfusiwu decoction and moreover, it could be a reference for Chinese medicine research.


Subject(s)
Drugs, Chinese Herbal/chemistry , Drugs, Chinese Herbal/pharmacokinetics , Skin Absorption , Administration, Cutaneous , Alkenes/pharmacology , Animals , Azepines/pharmacology , Benzophenanthridines/isolation & purification , Benzophenanthridines/pharmacokinetics , Berberine Alkaloids/isolation & purification , Berberine Alkaloids/pharmacokinetics , Bridged-Ring Compounds/isolation & purification , Bridged-Ring Compounds/pharmacokinetics , Coumaric Acids/isolation & purification , Coumaric Acids/pharmacokinetics , Drug Combinations , Drug Synergism , Drugs, Chinese Herbal/administration & dosage , Drugs, Chinese Herbal/isolation & purification , Glucosides/isolation & purification , Glucosides/pharmacokinetics , In Vitro Techniques , Male , Monoterpenes/isolation & purification , Monoterpenes/pharmacokinetics , Permeability , Plants, Medicinal/chemistry , Principal Component Analysis , Rats , Rats, Sprague-Dawley , Skin Absorption/drug effects
17.
Zhongguo Zhong Yao Za Zhi ; 38(2): 253-62, 2013 Jan.
Article in Zh | MEDLINE | ID: mdl-23672052

ABSTRACT

OBJECTIVE: To verify established the total quantum statistic moments model with astragaloside IV, paeoniflorin, tetramethylpyrazine in Buyanghuanwu injection, in order to establish a pharmacokinetic experimental method with multi-component traditional Chinese medicine (TCM) compound system. METHOD: The RP-HPLC was adopted, with the chromatographic column of C18, 4.6 mm x 250 mm, 5 microm. As for astragaloside IV, the ELSD detector was adopted with acetonitrile-water (35: 65) as the mobile phase at 1 mL x min(-1); the pressure of column was (15.0 +/- 0.408) MPa, the column temperature was 30 degrees C. Regarding paeoniflorin and tetramethylpyrazine, the detection of wavelengths was 254 nm, with acetonitrile-water (35:65) as the mobile phase at 1 mL x min(-1), the column pressure of (15.17 +/- 0.41) MPa. The pharmacokinetic parameters for single component were dealt with DAS and the total quantum statistical moment (TQSM) parameters were calculated using formulations. RESULT: All of the three components followed the two compartmental pharkacokinetic model (P < 0.01) in rats. Compared with the superimposed total concentration, each single component showed difference in parameters up to 10 000 times at most, whereas the RSD of TQSM parameters was 3.510%. The TQSM pharmacokinetic parameters of the three components in Buyanghuanwu injection showed that AUC(t), MRT(t), VRT(t), CL(t), V(t), were (119.8 +/- 27.20) g x min x L(-1), (210.0 +/- 54.49) min, (5.608 +/- 2.723) x 10(4) min2, (0.319 6 +/- 0.068 8) mL x min(-1) x kg(-1) and (64.12 +/- 8.243) mL x kg(-1), respectively, suggesting that the half-life time for the three components were (145.5 +/- 37.76) min and 95% of them were metabolized within 0-674. 2 min. CONCLUSION: The TQSM can be used to study pharmacokinetic parameters of multi-component TCM compound, because the method can characterize the pharmacokinetic regularity of quantum-time change in a multi-component system.


Subject(s)
Benzoates/pharmacokinetics , Bridged-Ring Compounds/pharmacokinetics , Drugs, Chinese Herbal/pharmacokinetics , Glucosides/pharmacokinetics , Models, Statistical , Pyrazines/pharmacokinetics , Saponins/pharmacokinetics , Triterpenes/pharmacokinetics , Animals , Chromatography, High Pressure Liquid , Male , Medicine, Chinese Traditional , Monoterpenes , Rats
18.
Zhongguo Zhong Yao Za Zhi ; 38(14): 2394-8, 2013 Jul.
Article in Zh | MEDLINE | ID: mdl-24199579

ABSTRACT

To observe in vitro the effect of rat drug serum on the proliferation of HSC-T6 hepatic stellate cells in the pharmacokinetic model for determining peoniflorin in Fufang Biejia Ruangan tablet, in order to discover the rational daily administration frequency of Fufang Biejia Ruangan tablet. Fufang Biejia Ruangan tablet was orally administered to rats with different daily administration frequency. Their blood was collected from veins behind eye sockets at different time points before the administration and after the first administration, in order to determine the concentration of peoniflorin in blood plasma and the effect of rat drug serums on the proliferation of HSC-T6. A comprehensive analysis was made on the relationship between pharmacodynamics and pharmacokinetics to determine the rational daily administration frequency of Fufang Biejia Ruangan tablet. The results showed a good correlation between the inhibitory effect of Fufang Biejia Ruangan tablet-contained serum on HSC-T6 and the concentration of peoniflorin in blood. The two-time administration group showed higher pharmacologic and pharmacokinetic AUCs than one-time administration and three-time administration groups. In conclusion, Fufang Biejia Ruangan table is recommended to be taken twice a day for treating liver fibrosis in chronic hepatitis.


Subject(s)
Drugs, Chinese Herbal/administration & dosage , Drugs, Chinese Herbal/pharmacokinetics , Hepatic Stellate Cells/drug effects , Administration, Oral , Animals , Area Under Curve , Benzoates/administration & dosage , Benzoates/blood , Benzoates/pharmacokinetics , Bridged-Ring Compounds/administration & dosage , Bridged-Ring Compounds/blood , Bridged-Ring Compounds/pharmacokinetics , Cell Proliferation/drug effects , Cells, Cultured , Glucosides/administration & dosage , Glucosides/blood , Glucosides/pharmacokinetics , Hepatic Stellate Cells/metabolism , Liver Cirrhosis/drug therapy , Liver Cirrhosis/metabolism , Male , Monoterpenes , Rats , Rats, Sprague-Dawley , Tablets/administration & dosage , Tablets/pharmacokinetics
19.
Planta Med ; 78(3): 237-43, 2012 Feb.
Article in English | MEDLINE | ID: mdl-22161762

ABSTRACT

Shaoyao-Gancao-Tang (SGT) is a traditional Chinese prescription containing Radix Paeoniae alba and Radix Glycyrrhizae and is commonly used to relieve pains. Albiflorin and paeoniflorin are the main effective compounds of Radix Paeoniae alba, and the pharmacokinetic differences of the two compounds in rats after oral administration of SGT and single herb Paeony decoction were studied. At different time points (5, 10, 15, 20, 30, 45, 60, 90, 120, 180, 240, 360, and 540 min) after administration, plasma concentrations of albiflorin and paeoniflorin were determined using a simple and reliable UPLC method, and main pharmacokinetic parameters were evaluated. It was found that there were significant differences (p < 0.05 or p < 0.01) between the two groups. The results indicated that some components in the other ingredient herb of SGT (Radix Glycyrrhizae) had a pharmacokinetic interaction with albiflorin and paeoniflorin and hence reduced their systematic exposure level.


Subject(s)
Benzoates/pharmacokinetics , Bridged-Ring Compounds/pharmacokinetics , Drugs, Chinese Herbal/pharmacokinetics , Glucosides/pharmacokinetics , Animals , Drugs, Chinese Herbal/administration & dosage , Glycyrrhiza/chemistry , Male , Monoterpenes , Paeonia/chemistry , Phytotherapy , Plant Extracts/pharmacokinetics , Plants, Medicinal/chemistry , Rats , Rats, Sprague-Dawley
20.
Molecules ; 17(12): 14908-17, 2012 Dec 13.
Article in English | MEDLINE | ID: mdl-23519262

ABSTRACT

Shaoyao-Gancao (Paeoniae Radix Alba and Glycyrrhizae Radix et Rhizoma) is a traditional Chinese drug pair widely used in decoctions for relieving pains, especially abdominal pain. We aimed to determine the intestinal absorption and interaction of three active compounds (glycyrrhizic acid, liquiritin, and paeoniflorin) in this drug pair. We investigated the transport of these compounds across intestinal epithelial cells by using the Caco-2 cell monolayer in both the apical-to-basolateral (A-B) and B-A directions. All compounds could only travel through the Caco-2 cell monolayer at a low level when the cells were treated with single component solutions. In the presence of verapamil, an inhibitor of P-glycoprotein (P-gp), the absorptive permeability (P(AB)) of paeoniflorin and liquiritin increased significantly (p < 0.05) and efflux ratios decreased, while the absorption of glycyrrhizic acid did not change significantly, which indicated that paeoniflorin and liquiritin might be P-gp substrates. In addition, when liquiritin and glycyrrhizic acid in Gancao extract and paeoniflorin in Shaoyao extract were examined, P(AB) of paeoniflorin and liquiritin were significantly higher, while glycyrrhizic acid retained the same absorption level compared to the corresponding single component solutions, which suggested that some certain ingredients in the extracts can promote the absorption of paeoniflorin and liquiritin, but not that of glycyrrhizic acid. Furthermore, compared to the results of treatment with individual extracts, treatment of cells with a mixture of the two extracts considerably increased (p < 0.05) the absorption of glycyrrhizic acid and paeoniflorin and showed no change in the absorption of liquiritin, which implied that the transport of glycyrrhizic acid and paeoniflorin is increased by some ingredients from the complementary drug in the drug pair, while that of liquiritin remains unaffected.


Subject(s)
Drugs, Chinese Herbal/pharmacokinetics , Intestinal Absorption , ATP Binding Cassette Transporter, Subfamily B, Member 1/antagonists & inhibitors , ATP Binding Cassette Transporter, Subfamily B, Member 1/metabolism , Benzoates/pharmacokinetics , Biological Transport , Bridged-Ring Compounds/pharmacokinetics , Caco-2 Cells , Flavanones/pharmacokinetics , Glucosides/pharmacokinetics , Glycyrrhizic Acid/pharmacokinetics , Humans , Intestinal Absorption/drug effects , Monoterpenes , Paeonia/chemistry , Verapamil/pharmacology
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