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1.
Acta Biochim Pol ; 67(1): 135-141, 2020 Mar 19.
Artículo en Inglés | MEDLINE | ID: mdl-32191410

RESUMEN

Recently, embryo muscle development, which is crucial for postnatal skeletal muscle growth, has been investigated widely. Nutrients in ovo were suggested to be critical in embryo muscle development since the chick growth mostly relies on nutrients in eggs at the early developmental stage. Phytosterol esters (PE), which are derived from the reactions between phytosterols and fatty acids, were demonstrated to have important effects on lipid and cholesterol metabolism regulation. In order to reveal the effect of maternal lipid metabolism on the deposition of nutrients in eggs and the development of embryonic muscles, broiler hens were fed with a diet supplemented with 5% PE or control diet. Lipid deposition in eggs and growth of the hatched chicks were studied. We found that PE increased bile acid (BA) deposition in the eggs and serum of hens (p=0.02 and p<0.01, respectively), altered insulin and glucose level differentially in female and male offspring, and promoted body weight (p=0.02 for male and female on day 49), muscle fiber density (p=0.02 for female on day 49), and myogenin and myogenic determination factor (myoD) expression (p=0.03 and p=0.02 on day 49) by the activation of BA receptors in female, but not in male, offspring. Our study determined for the first time that PE promoted muscle development of chicks hatching from eggs laid by the hens, through regulating bile acid (BA) deposition and this may be attributed to the activation of BA receptors.


Asunto(s)
Suplementos Dietéticos , Desarrollo de Músculos/efectos de los fármacos , Fitosteroles/farmacología , Animales , Ácidos y Sales Biliares/análisis , Ácidos y Sales Biliares/sangre , Peso Corporal , Pollos , Femenino , Glucosa/metabolismo , Insulina/metabolismo , Metabolismo de los Lípidos , Masculino , Óvulo/efectos de los fármacos , Factores Sexuales
2.
Fitoterapia ; 139: 104366, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31629868

RESUMEN

Phytochemical investigation of the ethyl acetate extract of Lycopodiastrum casuarinoides (Spring) Holub (Lycopodiaceae) led to the isolation of nine compounds, including two new serratene triterpenoids, serrat-14-en-3α,21α-diol (1), 26-nor-8-oxo-21-one-α-onocerin (6), one new abietane diterpenoid, lycocasuarinone A (7), one new sesquiterpene acid, 7, 9-diene-1,4-epoxy-2-hydroxy-10-carboxylic acid (8) and one new chromone derivative, 5,7-dihydroxy-2-methyl esterchromone (9), together with four known serratene triterpenoids (2-5). Abietane diterpenoid (7) and sesquiterpene acid (8) from Lycopodiastrum casuarinoides are reported for the first time. Their structures and stereochemistry were unambiguously elucidated by spectroscopic analysis and comparison with known ones. All the compounds were tested for acetylcholinesterase (AChE) and butyrocholinesterase (BuChE) inhibitory activities. Bioactivity assays revealed that compound 6 exhibited the most potent AChE inhibitory effect.


Asunto(s)
Abietanos/farmacología , Inhibidores de la Colinesterasa/farmacología , Lycopodiaceae/química , Sesquiterpenos/farmacología , Triterpenos/farmacología , Abietanos/aislamiento & purificación , China , Inhibidores de la Colinesterasa/aislamiento & purificación , Estructura Molecular , Fitoquímicos/aislamiento & purificación , Fitoquímicos/farmacología , Componentes Aéreos de las Plantas/química , Sesquiterpenos/aislamiento & purificación , Triterpenos/aislamiento & purificación
3.
EMBO Rep ; 20(9): e47892, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31318145

RESUMEN

The conversion of skeletal muscle fiber from fast twitch to slow-twitch is important for sustained and tonic contractile events, maintenance of energy homeostasis, and the alleviation of fatigue. Skeletal muscle remodeling is effectively induced by endurance or aerobic exercise, which also generates several tricarboxylic acid (TCA) cycle intermediates, including succinate. However, whether succinate regulates muscle fiber-type transitions remains unclear. Here, we found that dietary succinate supplementation increased endurance exercise ability, myosin heavy chain I expression, aerobic enzyme activity, oxygen consumption, and mitochondrial biogenesis in mouse skeletal muscle. By contrast, succinate decreased lactate dehydrogenase activity, lactate production, and myosin heavy chain IIb expression. Further, by using pharmacological or genetic loss-of-function models generated by phospholipase Cß antagonists, SUNCR1 global knockout, or SUNCR1 gastrocnemius-specific knockdown, we found that the effects of succinate on skeletal muscle fiber-type remodeling are mediated by SUNCR1 and its downstream calcium/NFAT signaling pathway. In summary, our results demonstrate succinate induces transition of skeletal muscle fiber via SUNCR1 signaling pathway. These findings suggest the potential beneficial use of succinate-based compounds in both athletic and sedentary populations.


Asunto(s)
Fibras Musculares Esqueléticas/efectos de los fármacos , Fibras Musculares Esqueléticas/metabolismo , Músculo Esquelético/metabolismo , Ácido Succínico/farmacología , Animales , Ciclo del Ácido Cítrico/efectos de los fármacos , Masculino , Ratones , Ratones Endogámicos C57BL , Contracción Muscular/efectos de los fármacos , Fatiga Muscular/efectos de los fármacos , Músculo Esquelético/efectos de los fármacos , Cadenas Pesadas de Miosina/metabolismo , Consumo de Oxígeno/efectos de los fármacos , Transducción de Señal/efectos de los fármacos
4.
Fitoterapia ; 130: 203-209, 2018 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-30213757

RESUMEN

Four new trace alkaloids with lycodine-related structures, Lycocasuarinines A-D (1-4), together with seven known analogues (5-11), were isolated from the chloroform extract of Lycopodiastrum casuarinoides. The structures and stereochemistry of 1-4 were elucidated by spectroscopic analysis (IR, UV, MS, NMR, HRESIMS and CD) and comparison with known ones. The acetylcholinesterase (AChE) and butyrocholinesterase (BuChE) inhibitory activities of nine isolates were evaluated. Lycocasuarinine D (4) showed the most potent AChE inhibitory effect. In addition, a plausible biogenetic pathway of compound 4 was proposed.


Asunto(s)
Alcaloides/aislamiento & purificación , Inhibidores de la Colinesterasa/aislamiento & purificación , Lycopodiaceae/química , China , Estructura Molecular , Fitoquímicos/aislamiento & purificación , Componentes Aéreos de las Plantas/química
5.
Fitoterapia ; 127: 69-73, 2018 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-29421239

RESUMEN

Three new compounds, pictalignans A (1), B (2), C (3), along with three known analogues, syringaresinol (4), 3,3',5-trimethoxy-4',7-epoxy-8,5'-neoligan-4',9,9'-triol (5), 4,9-dihydroxy-4',7-epoxy-8',9'-dinor-8,5'-neolignan-7'-oic acid (6) were isolated from the 75% aqueous ethanol extract of Selaginella picta. Their structures were established by physicochemical properties and spectroscopic methods, and absolute configurations of new compounds were elucidated by experimental and calculated ECD spectra. Compounds 1-3 are neolignans with additional one or two C6-C3 structural units attached to hydroxypropyl group, which are extremely rare in nature. All new compounds exhibited moderate protective effect against the injury of HT-22 cells induced by L-Glutamate in vitro, and compound 1 showed better protective effect than positive drug with the concentrations of 10 µM to 15 µM.


Asunto(s)
Lignanos/aislamiento & purificación , Fármacos Neuroprotectores/aislamiento & purificación , Selaginellaceae/química , Células HT29 , Humanos , Lignanos/farmacología , Estructura Molecular , Fármacos Neuroprotectores/farmacología , Extractos Vegetales/química
6.
Environ Sci Technol ; 51(18): 10503-10510, 2017 Sep 19.
Artículo en Inglés | MEDLINE | ID: mdl-28832135

RESUMEN

The increasing use of cupric oxide nanoparticles (CuO NPs) has raised concerns about their potential environmental toxicity. Aerobic granular sludge (AGS) is a special form of microbial aggregates. In this study, the removal efficiencies of nitrogen and phosphorus, enzyme activities and microbial community of AGS under long-term exposure to CuO NPs (at concentrations of 5, 20, 50 mg/L) in aerobic/oxic/anoxic (A/O/A) sequencing batch reactors (SBRs) were investigated. The results showed the chronic toxicity caused by different concentrations of CuO NPs (5, 20, 50 mg/L) resulted in increases in the production of ROS of 110.37%, 178.64%, and 188.93% and in the release of lactate dehydrogenase (LDH) of 108.33%, 297.05%, 335.94%, respectively, compared to the control. Besides, CuO NPs decreased the activities of polyphosphate kinase (PPK) and exophosphatase (PPX), leading to lower phosphorus removal efficiency. However, the NH4+-N removal rates remained stable, and the removal efficiencies of TN increased due to the synthesis of nitrite and nitrous oxide (N2O) reductases. In addition, CuO NPs at concentrations of 0, 5, 20 mg/L increased the secretion of protein (PN) to 90, 91, 105 mg/gVSS, respectively, which could alleviate the toxicity of CuO NPs. High-throughput sequencing showed that CuO NPs increased the abundance of nitrogen-removal bacteria and reduced the abundance of phosphorus-removal bacteria, which is consistent with the results of pollutant removal upon long-term exposure to CuO NPs.


Asunto(s)
Nanopartículas , Nitrógeno , Fósforo , Aguas del Alcantarillado , Eliminación de Residuos Líquidos , Reactores Biológicos , Cobre
7.
Fitoterapia ; 119: 45-50, 2017 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-28390973

RESUMEN

Three new neolignans, lycocernuasides B-D (1-3), three new serratane triterpenoids, lycernuic ketones D (8) and E (9), and lycernuic A (10), together with six known compounds, were isolated from the 75% aqueous EtOH extract of Palhinhaea cernua. Their structures and absolute configurations were established primarily by NMR, HRESIMS and circular dichroism (CD). All compounds were evaluated the inhibitory activities of xanthine oxidase. Compounds 1-3 displayed moderate inhibitory effects on xanthine oxidase with IC50 values of 30.36µM, 42.65µM and 35.33µM, respectively.


Asunto(s)
Lignanos/química , Lycopodiaceae/química , Triterpenos/química , Xantina Oxidasa/antagonistas & inhibidores , Animales , Bovinos , Inhibidores Enzimáticos/química , Inhibidores Enzimáticos/aislamiento & purificación , Lignanos/aislamiento & purificación , Estructura Molecular , Triterpenos/aislamiento & purificación
8.
Am J Chin Med ; 41(4): 801-15, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23895153

RESUMEN

The lignan extracts from the tree bark of Eucommia ulmoides Oliv., a famous traditional Chinese medicine, have been demonstrated to have inhibitory effects on aldose reductase activity in spontaneously hypertensive rat myocardium. This study was aimed to investigate the hypertensive cardiac remodeling effects of the lignan extracts together with epalrestat. Ten-week-old male spontaneously hypertensive rats were randomly divided into three groups (n = 12, each) and administered 100 mg/kg/d of captopril (angiotensin converting enzyme inhibitor), 100 mg/kg/d of epalrestat (aldose reductase inhibitor) or 300 mg/kg/d of lignan extracts by gavage for 16 weeks. Sex-, age-, and number-matched normotensive Wistar Kyoto rats with spontaneously hypertensive rats were treated with distilled water (vehicle) as controls. Systolic blood pressures were measured periodically. Echocardiography examination was taken when rats were 24 weeks old. We found that both captopril and lignan extracts lowered blood pressure, and inhibited aldose reductase activity similarly to epalrestat. Echocardiography examination and histomorphometry indices were improved in all treated groups (p < 0.05). Therefore, lignan extracts could prevent hypertensive cardiac remodeling, which is likely related to aldose reductase inhibition.


Asunto(s)
Aldehído Reductasa/antagonistas & inhibidores , Eucommiaceae , Lignanos/farmacología , Corteza de la Planta , Extractos Vegetales/farmacología , Remodelación Ventricular/efectos de los fármacos , Aldehído Reductasa/efectos de los fármacos , Inhibidores de la Enzima Convertidora de Angiotensina/farmacología , Animales , Presión Sanguínea/efectos de los fármacos , Captopril/farmacología , Masculino , Ratas , Ratas Endogámicas SHR , Ratas Endogámicas WKY , Rodanina/análogos & derivados , Rodanina/farmacología , Tiazolidinas/farmacología
9.
Clin Pharmacokinet ; 50(9): 605-11, 2011 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-21827215

RESUMEN

BACKGROUND AND OBJECTIVES: St John's wort (SJW; Hypericum perforatum) has been one of the most commonly used herbal remedies for mood disorders. This study aimed to investigate the effect of SJW, a pregnane X receptor (PXR) agonist, on the pharmacokinetics and pharmacodynamics of repaglinide, a widely consumed glucose-lowering drug. METHODS: In a two-phase, randomized, crossover study with a 4-week washout period between phases, 15 healthy subjects with specific solute carrier organic anion transporter family member 1B1 (SLCO1B1) genotypes were given pretreatment with SJW 325 mg or placebo three times daily for 14 days, and a single dose of repaglinide 1 mg was administered followed by 75 g glucose at 15 minutes after repaglinide administration. RESULTS: In all subjects, SJW had no effect on the total area under the plasma concentration-time curve from time zero to infinity (AUC(∞)), the peak plasma concentration (C(max)) or the elimination half-life (t(½)) of repaglinide. In addition, SJW had no significant effect on the blood glucose-lowering and insulin-elevating effects of repaglinide. CONCLUSION: Consumption of SJW for 14 days had no clinically significant effect on the pharmacokinetics and pharmacodynamics of repaglinide.


Asunto(s)
Carbamatos/farmacocinética , Depresión/tratamiento farmacológico , Interacciones de Hierba-Droga/genética , Hypericum , Hipoglucemiantes/farmacocinética , Piperidinas/farmacocinética , Extractos Vegetales/farmacocinética , Receptores de Esteroides/agonistas , Carbamatos/sangre , Carbamatos/farmacología , Estudios Cruzados , Sistema Enzimático del Citocromo P-450/metabolismo , Genotipo , Humanos , Hipoglucemiantes/farmacología , Transportador 1 de Anión Orgánico Específico del Hígado , Transportadores de Anión Orgánico/genética , Fitoterapia , Piperidinas/sangre , Piperidinas/farmacología , Placebos , Extractos Vegetales/farmacología , Receptor X de Pregnano , Receptores de Esteroides/genética , Receptores de Esteroides/metabolismo , Adulto Joven
10.
Biochem Biophys Res Commun ; 411(1): 32-9, 2011 Jul 22.
Artículo en Inglés | MEDLINE | ID: mdl-21722625

RESUMEN

OBJECTIVES: To investigate the effects of magnesium lithospermate B (LAB) on intracellular reactive oxygen species (ROS) production induced by high dose of glucose or H(2)O(2), we explored the influences of LAB on the expression of heme oxygenase-1 (HO-1) and nuclear factor E2-related factor-2 (Nrf2) in HEK293T cells after treatment with high dose of glucose. MATERIALS AND METHODS: The total nuclear proteins in HEK293T cells were extracted with Cytoplasmic Protein Extraction Kit. The ROS level was determined by flow cytometry. The mRNA and protein expression of HO-1 and Nrf2 were determined by quantitative reverse transcription polymerase chain reaction (qRT-PCR) and Western blot. RESULTS: LAB reduced the ROS production in HEK293T cells cultured under oxidative stress. High dose of glucose enhanced the expression of HO-1 mRNA and HO-1 protein in a time-dependent manner. LAB enhanced the expression of HO-1 mRNA and HO-1 protein in a dose-dependent manner treated with high dose of glucose. The amount of Nrf2 translocation was enhanced after cells were pretreated with 50µmol/L or 100µmol/L LAB. Silencing of Nrf2 gene eliminated the enhanced expression of HO-1 protein induced by high dose of glucose plus LAB. CONCLUSIONS: LAB plays an important role against glucose-induced intracellular oxidative damage. The enhanced expression of HO-1 mRNA and HO-1 protein caused by LAB is regulated via Nrf2 signal pathway.


Asunto(s)
Medicamentos Herbarios Chinos/farmacología , Depuradores de Radicales Libres/farmacología , Glucosa/toxicidad , Estrés Oxidativo/efectos de los fármacos , Secuencia de Bases , Células HEK293 , Hemo-Oxigenasa 1/biosíntesis , Humanos , Peróxido de Hidrógeno/toxicidad , Datos de Secuencia Molecular , Factor 2 Relacionado con NF-E2/biosíntesis , Especies Reactivas de Oxígeno/metabolismo
11.
J Ethnopharmacol ; 132(1): 213-8, 2010 Oct 28.
Artículo en Inglés | MEDLINE | ID: mdl-20723593

RESUMEN

ETHNOPHARMACOLOGICAL RELEVANCE: Liu wei di huang wan (LDW), a well-known traditional Chinese medicine, is frequently combined with other prescription or non-prescription drugs in China. AIM OF THE STUDY: This study was designed to investigate the effects of LDW on the activities of CYP1A2, CYP2A6, N-acetyltransferase 2 (NAT2) and xanthine oxidase (XO) in healthy subjects, using caffeine as a probe drug. MATERIALS AND METHODS: Twelve unrelated healthy males were enrolled in a single-blind, randomized, placebo-controlled, two-phase crossover study. Placebo or LDW (12 pills, 0.2 g/pill, twice daily) was given to each participant for 14 continuous days with a wash-out period of 2 weeks. A dose of 100 mg caffeine was given afterwards to test the activities of drug-metabolizing enzymes of interest. RESULTS: Compared to placebo, LDW significantly induced the CYP1A2 activity, as determined by an increase in the ratio of (AFMU+1U+1X)/17U and the formation of 17X and 1X after taking caffeine. Interestingly, LDW significantly decreased the ratio of 17U/(17U+17X+1X+1U+AFMU) and the formation of 17U (CYP2A6-mediated) (by 39.2%; 95%CI: 23.1-55.3%; P=0.026), and decreased the ratio of AFMU/(AFMU+1U+1X) and the formation of AFMU (NAT2-catalyzed) (by 26.2%; 95%CI: 9.2-61.6%; P=0.038), suggesting a marked inhibition of CYP2A6 and NAT2, respectively. CONCLUSIONS: LDW can induce CYP1A2 and suppress CYP2A6 and NAT2 activities, and affect caffeine metabolism in vivo.


Asunto(s)
Hidrocarburo de Aril Hidroxilasas/antagonistas & inhibidores , Arilamina N-Acetiltransferasa/antagonistas & inhibidores , Citocromo P-450 CYP1A2/biosíntesis , Medicamentos Herbarios Chinos/farmacología , Adulto , Cafeína/administración & dosificación , Cafeína/metabolismo , Cafeína/farmacocinética , China , Citocromo P-450 CYP2A6 , Inducción Enzimática , Humanos , Inactivación Metabólica , Masculino , Adulto Joven
12.
Ann Pharmacother ; 44(6): 1038-45, 2010 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-20484172

RESUMEN

BACKGROUND: Curcumin is a kind of plant polyphenol that is extracted from the rhizome of Curcuma longa. Studies about the effect of curcumin on the activity of drug-metabolizing enzymes in humans are lacking. OBJECTIVE: To investigate the effect of curcumin on the activities of CYP1A2, CYP2A6, N-acetyltransferase (NAT2), and xanthine oxidase (XO) in vivo, using caffeine as a probe drug. METHOD: Sixteen unrelated, healthy Chinese men were recruited for the study. There were 2 phases in the study. In the first phase, volunteers orally received 100 mg caffeine and 0- to 12-hour blood and urine samples were collected. In the second phase, volunteers received 1000 mg curcumin once daily for 14 continuous days, and blood and urine samples were collected on day 15, following the same procedure used on the first day. Urinary caffeine metabolite ratios were used as the indicators of the activities of CYP1A2, CYP2A6, NAT2, and XO. The pharmacokinetics of caffeine and its metabolites were determined by high-performance liquid chromatography. RESULTS: In the curcumin-treated group, CYP1A2 activity was decreased by 28.6% (95% CI 15.6 to 41.8; p < 0.000), while increases were observed in CYP2A6 (by 48.9%; 95% CI 25.3 to 72.4; p < 0.000). Plasma area under the curve from zero to 12 hours of 1,7-dimethylxanthine (17X) was decreased by 27.2% (95% CI 6.1 to 48.3; p = 0.014). The urinary excretion of 17X and 1-methylxanthine was significantly decreased by 36.4% (95% CI 19.4 to 53.6; p < 0.000) and 31.2% (95% CI 8.5 to 54.1; p = 0.010), respectively. The excretion of 1,7-dimethylurate (17U) was significantly increased by 77.3% (95% CI 5.6 to 148.8; p = 0.036). No significant changes were observed for caffeine, 1-methylurate, and 5-acetylamino-6-formylamino-3-methyluracil between the 2 study phases. CONCLUSIONS: The results indicated that curcumin inhibits CYP1A2 function but enhances CYP2A6 activity. Simultaneously, some pharmacokinetic parameters relating to 17X were affected by curcumin. If this finding is confirmed by other studies, the possibility of herb-drug interactions associated with curcumin should be considered in clinical practice.


Asunto(s)
Hidrocarburo de Aril Hidroxilasas/biosíntesis , Pueblo Asiatico , Curcumina/farmacocinética , Inhibidores del Citocromo P-450 CYP1A2 , Flavonoides/farmacocinética , Fenoles/farmacocinética , Adolescente , Adulto , Hidrocarburo de Aril Hidroxilasas/metabolismo , Cafeína/farmacocinética , Estudios Cruzados , Curcumina/química , Citocromo P-450 CYP1A2/metabolismo , Citocromo P-450 CYP2A6 , Regulación hacia Abajo/efectos de los fármacos , Flavonoides/química , Interacciones de Hierba-Droga/fisiología , Humanos , Masculino , Fenoles/química , Extractos Vegetales/farmacocinética , Polifenoles , Regulación hacia Arriba/efectos de los fármacos , Adulto Joven
13.
J Clin Pharmacol ; 44(6): 577-81, 2004 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-15145964

RESUMEN

Induction of cytochrome p450 isozymes is the major cause for clinical drug interactions of St. John's wort. The relationships of St. John's wort to cytochrome p450 isoforms have been fully investigated, but its effect on CYP2C19 is lacking. Thus, the aim of the present study was to observe the effect of St. John's wort on CYP2C19 activity using CYP1A2 as a control. Twelve healthy adult men-6 extensive metabolizers of CYP2C19 (2C19(*)1/2C19(*)1) and 6 poor metabolizers (4 2C19(*)2/2C19(*)2 and 2 2C19(*)2/2C19(*)3)-were enrolled in a two-phase, randomized, crossover manner. All subjects took a 300-mg St. John's wort tablet or placebo three times daily for 14 days, and then the activities of CYP2C19 and CYP1A2 were measured using mephenytoin and caffeine. It was found that St. John's wort treatment significantly increased CYP2C19 activity in CYP2C19 wild-genotype subjects, with urinary 4'-hydroxymephenytoin excretion raised by 151.5% +/- 91.9% (p = 0.0156), whereas no significant alteration was observed for CYP2C19 poor metabolizers. Repeated St. John's wort administration did not affect the CYP1A2 phenotypic ratio for both CYP2C19 genotype subjects. In conclusion, St. John's wort is an inducer to the human CYP2C19, and clinicians should pay great attention when St. John's wort is added to or withdrawn from an existing drug regimen containing substrates for such enzymes.


Asunto(s)
Hidrocarburo de Aril Hidroxilasas/metabolismo , Hypericum/efectos adversos , Mefenitoína/análogos & derivados , Oxigenasas de Función Mixta/metabolismo , Extractos Vegetales/efectos adversos , Adulto , Hidrocarburo de Aril Hidroxilasas/genética , Cafeína/metabolismo , Estudios Cruzados , Citocromo P-450 CYP1A2/metabolismo , Citocromo P-450 CYP2C19 , Genotipo , Humanos , Hypericum/metabolismo , Masculino , Mefenitoína/metabolismo , Mefenitoína/orina , Oxigenasas de Función Mixta/genética , Extractos Vegetales/metabolismo , Polimorfismo Genético
14.
Clin Pharmacol Ther ; 75(3): 191-7, 2004 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-15001970

RESUMEN

OBJECTIVE: St John's wort, an extract of the medicinal plant Hypericum perforatum, is widely used as an herbal antidepressant. Although the ability of St John's wort to induce cytochrome P450 (CYP) 3A4-mediated reaction has been well established, the effect on CYP2C19 is still not determined. Thus the objective of this study was to determine the impact of St John's wort on the pharmacokinetic profiles of omeprazole and its metabolites. METHODS: Twelve healthy adult men (6 CYP2C19*1/CYP2C19*1, 4 CYP2C19*2/CYP2C19*2 and 2 CYP2C19*2/CYP2C19*3) were enrolled in a 2-phase randomized crossover design. In each phase the volunteers received placebo or a 300-mg St John's wort tablet 3 times daily for 14 days. Then all subjects took a 20-mg omeprazole capsule orally. Blood samples were collected up to 12 hours after omeprazole administration. Omeprazole and its metabolites were quantified by use of HPLC with ultraviolet detection. RESULTS: Omeprazole and its metabolites all exhibit CYP2C19 genotype-dependent pharmacokinetic profiles. After a 14-day treatment with St John's wort, substantial decreases in plasma concentrations of omeprazole were observed. The peak plasma concentration (C(max)) significantly decreased by 37.5% +/- 13.3% (P =.001) in CYP2C19*2/CYP2C19*2 or *3 and by 49.6% +/- 20.7% (P =.017) in CYP2C19*1/CYP2C19*1; the area under the concentration-time curve extrapolated to infinity [AUC(0- infinity )] decreased by 37.9% +/- 21.3% (P =.014) and 43.9% +/- 23.7% (P =.011) in CYP2C19 mutant and wild genotypes, respectively. Moreover, the C(max) and AUC(0- infinity ) of omeprazole sulfone increased by 160.3% +/- 45.5% (P =.001) and by 136.6% +/- 84.6% (P =.014), 155.5% +/- 58.8% (P =.001), and 158.7% +/- 101.4% (P =.017) in mutant and wild genotypes, respectively. St John's wort increased the C(max) of 5-hydroxyomeprazole by 38.1% +/- 30.5% (P =.028) and the AUC(0- infinity ) by 37.2% +/- 26% (P =.005) in CYP2C19 wild-type subjects, whereas it did not produce any significant alterations to the corresponding pharmacokinetic parameters in subjects with variant genotypes. CONCLUSION: St John's wort induces both CYP3A4-catalyzed sulfoxidation and CYP2C19-dependent hydroxylation of omeprazole and enormously decreases the plasma concentrations of omeprazole. Clinically relevant interactions with other drugs may occur and must be taken into account when St John's wort is being taken.


Asunto(s)
Hidrocarburo de Aril Hidroxilasas/metabolismo , Sistema Enzimático del Citocromo P-450/metabolismo , Hypericum/fisiología , Oxigenasas de Función Mixta/metabolismo , Omeprazol/metabolismo , Adolescente , Adulto , Análisis de Varianza , Área Bajo la Curva , Hidrocarburo de Aril Hidroxilasas/sangre , Catálisis/efectos de los fármacos , Estudios Cruzados , Citocromo P-450 CYP2C19 , Citocromo P-450 CYP3A , Sistema Enzimático del Citocromo P-450/sangre , Interacciones Farmacológicas/fisiología , Humanos , Hidroxilación/efectos de los fármacos , Masculino , Oxigenasas de Función Mixta/sangre , Omeprazol/sangre , Extractos Vegetales/farmacología , Sulfóxidos/sangre , Sulfóxidos/metabolismo
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