灯盏乙素与缬沙坦在大鼠体内药动学相互作用的研究
Pharmacokinetic interaction between scutellarin and valsartan in rats
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摘要:
灯盏花素是从干燥的灯盏细辛中提取的黄酮类混合物, 其主要活性成分是灯盏乙素, 而缬沙坦是抗高血压药, 两药在临床上常联合应用治疗糖尿病肾病, 联合用药增强了对糖尿病肾病的保护作用。本研究旨在 探讨灯盏乙素和缬沙坦在大鼠体内的药动学相互作用。18只雄性SD大鼠分别单独或联合给予灯盏花素注射液 (20 mg·kg−1, iv) 和缬沙坦 (15 mg·kg−1, ig), 采用高效液相色谱法 (HPLC) 测定灯盏乙素和缬沙坦的浓度, 通过非隔室模型计算药动学参数。研究发现与缬沙坦联合用药后灯盏乙素的药动学参数发生明显改变, 血浆清除率和胆汁清除率显著降低, 而单独给药及联合给药后缬沙坦的药动学参数没有显著性变化。实验结果表明联合使用缬沙坦减少了灯盏乙素的胆汁排泄, 其原因可能是缬沙坦抑制由Mrp2 (多药耐药相关蛋白2) 介导的灯盏乙 素的胆汁排泄。
Abstract:Scutellarin is the main effective constituent of breviscapine, a flavonoid mixture isolated from the dried whole plant of Erigeron breviscapus (Vant.) Hand−Mazz, and valsartan is used as an antihypertensive drug. These two drugs have already been clinically used together to treat diabetic nephropathy (DN) in China, and the combined medications showed some enhanced protection against DN. The aim of this study is to investigate the potential pharmacokinetic interaction between scutellarin and valsartan in rats. Breviscapine injection (20 mg·kg−1, iv) and valsartan (15 mg·kg−1, ig), either alone or together were given to 18 male Sprague-Dawley rats. Concentrations of scutellarin and valsartan were quantified by HPLC, and pharmacokinetic parameters were calculated by non-compartmental methods. We found that the pharmacokinetic parameters of scutellarin altered significantly after co-administration of oral valsartan. The plasma clearance (CLp) and the bile clearance (CLb) of scutellarin were reduced significantly in the presence of valsartan. After oral administration of valsartan with or without intravenous scutellarin, however, the pharmacokinetic parameters of valsartan were comparable. In conclusion, our data suggests that the concurrent use of valsartan reduces the biliary excretion of scutellarin, and this may be due to the inhibitory effect of valsartan on the biliary excretion of scutellarin mediated by Mrp2 (Multidrug resistance-associated protein 2).
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