韩凤梅, 彭志红, 王俊俊, 陈 勇. 雷公藤内酯与甘草次酸合用对大鼠体内细胞色素P450酶的影响J. 药学学报, 2013,48(7): 1136-1141.
引用本文: 韩凤梅, 彭志红, 王俊俊, 陈 勇. 雷公藤内酯与甘草次酸合用对大鼠体内细胞色素P450酶的影响J. 药学学报, 2013,48(7): 1136-1141.
HAN Feng-mei, PENG Zhi-hong, WANG Jun-jun, CHEN Yong. In vivo effect of triptolide combined with glycyrrhetinic acid on rat cytochrome P450 enzymesJ. 药学学报, 2013,48(7): 1136-1141.
Citation: HAN Feng-mei, PENG Zhi-hong, WANG Jun-jun, CHEN Yong. In vivo effect of triptolide combined with glycyrrhetinic acid on rat cytochrome P450 enzymesJ. 药学学报, 2013,48(7): 1136-1141.

雷公藤内酯与甘草次酸合用对大鼠体内细胞色素P450酶的影响

In vivo effect of triptolide combined with glycyrrhetinic acid on rat cytochrome P450 enzymes

  • 摘要:

    雷公藤内酯 (triptolide, TP) 是中药雷公藤的主要有效成分, 但其严重的多器官毒性导致其治疗窗很窄。本文研究了雄性Wistar大鼠连续灌胃TP (0.05, 0.3, 0.6 mg·kg−1·day−1) 以及TP (0.6 mg·kg−1·day−1) 联用甘草次酸 (glycyrrhetic acid, GA) (30 mg·kg−1·day−1) 7天后, 对大鼠肝脏4种细胞色素P450mRNA表达及酶活性的影响。结果表明, 高剂量TPCYP2E1, 1A2, 3A1以及2C11mRNA表达水平较对照组显著上调, TPGA联用组较TP高剂量组进一步上调了CYP3A1, 2C11以及2E1mRNA表达水平。同时, 与对照组相比, 高剂量TP组和TPGA联用组均显著提高了CYP3A对睾酮6β-羟化反应的活性 (分别为2.2倍与4.1)。由于TP在雄性大鼠体内中主要由CYP3A2代谢, 因此本研究表明, TP诱导的CYP3A活性增加可能是TP在大鼠肝脏快速清除的重要原因, GA可通过促进TP的肝清除降低TP的肝毒性。此外, 本研究还提示TPGACYP3A底物药物共用时, 可能发生药物相互作用。

     

    Abstract:

    Triptolide (TP) is a major active component in Tripterygium root, but its therapeutic window was very narrow due to its severe multi-organ toxicity.  In this work, the effect of TP combined with glycyrrhetic acid (GA) on mRNA expression and activity of four cytochrome P450 (CYP) enzymes in rat liver was studied after intragastric administration of TP (0.05, 0.3 and 0.6 mg·kg−1·day−1) and TP (0.6 mg·kg−1·day−1) combined with GA (30 mg·kg−1·day−1) for 7 consecutive days.  Compared with the control, the high dose of TP significantly up-regulated the mRNA expression levels of CYP2E1, 1A2, 3A1 and 2C11, the co-administration of TP and GA further up-regulated the mRNA expression levels of CYP3A1, 2C11 and 2E1 as compared with the high dose of TP.  Meanwhile, TP at high dose and combined with GA significantly increased CYP3A-associated testosterone 6β-hydroxylation activity (2.2-fold and 4.1-fold, respectively) as compared with the control.  Because TP is mainly metabolized by CYP3A2 in male rats, the present work indicated that TP-induced increase of CYP3A activity might be an important reason for the rapidly metabolic clearance of TP in rat liver, and GA can reduce the hepatotoxicity of TP by promoting its hepatic metabolic clearance.  Furthermore, the results also suggest that the drug interactions might be occurred when TP and GA were co-administered with other CYP3A substrate drugs.

     

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