Baicalin Enhanced Oral Bioavailability of Sorafenib in Rats by Inducing Intestine Absorption

Background: Sorafenib (SOR) is an oral, potent, selective, irreversible epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI) used as the first-line therapy for advanced hepatocellular carcinoma (HCC). Baicalin (BG) is used as adjuvant therapy for hepatitis, which accounts for the le...

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Autores principales: Jingyao Wei, Ruijuan Liu, Jiali Zhang, Shuaibing Liu, Dan Yan, Xueqian Wen, Xin Tian
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:4a48cab5eb4c44fbbdb5dd4acb8b11582021-11-08T07:07:03ZBaicalin Enhanced Oral Bioavailability of Sorafenib in Rats by Inducing Intestine Absorption1663-981210.3389/fphar.2021.761763https://doaj.org/article/4a48cab5eb4c44fbbdb5dd4acb8b11582021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fphar.2021.761763/fullhttps://doaj.org/toc/1663-9812Background: Sorafenib (SOR) is an oral, potent, selective, irreversible epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI) used as the first-line therapy for advanced hepatocellular carcinoma (HCC). Baicalin (BG) is used as adjuvant therapy for hepatitis, which accounts for the leading cause of the development of HCC, and is commonly coadministered with SOR in clinic. The purpose of the current study was to characterize the pharmacokinetic changes of SOR and the potential mechanism when SOR is administered concomitantly with BG in rats for single and multiple doses.Methods: Parallel randomized pharmacokinetic studies were performed in rats which received SOR (50 mg/kg, i.g.) alone or coadministered with BG (160 mg/kg, i.g.) for single and multiple doses (7 days). Plasma SOR levels were quantified by ultra-performance liquid chromatography–tandem mass spectrometry (UPLC-MS/MS). Rat liver microsomes (RLMs) which isolated from their livers were analyzed for CYP3A and SOR metabolism activities. The inhibitory effect of BG on the metabolism of SOR was also assessed in pooled human liver microsomes (HLMs). The effects of BG on the intestine absorption behaviors of SOR were assessed in the in situ single-pass rat intestinal perfusion model.Results: Coadministration with BG (160 mg/kg, i.g.) for single or multiple doses significantly increased the Cmax, AUC0–t, and AUC0–∞ of orally administered SOR by 1.68-, 1.73-, 1.70-fold and 2.02-, 1.65-, 1.66- fold in male rats and by 1.85-, 1.68-, 1.68-fold and 1.57-, 1.25-, 1.24- fold in female rats, respectively (p < 0.01 or p < 0.05). In vitro incubation assays demonstrated that there were no significant differences of Km, Vmax, and CLint of 1-OH MDZ and SOR N-oxide in RLMs between control and multiple doses of BG-treated groups. BG has no obvious inhibitory effects on the metabolism of SOR in HLMs. In comparison with SOR alone, combining with BG significantly increased the permeability coefficient (Peff) and absorption rate constant (Ka) of the SOR in situ single-pass rat intestinal perfusion model.Conclusion: Notably enhanced oral bioavailability of SOR by combination with BG in rats may mainly account for BG-induced SOR absorption. A greater understanding of potential DDIs between BG and SOR in rats makes major contributions to clinical rational multidrug therapy in HCC patients. Clinical trials in humans and HCC patients need to be further confirmed in the subsequent study.Jingyao WeiJingyao WeiRuijuan LiuRuijuan LiuJiali ZhangJiali ZhangShuaibing LiuShuaibing LiuDan YanDan YanXueqian WenXueqian WenXin TianXin TianFrontiers Media S.A.articlebaicalinsorafenibbioavailabilitydrug–drug interactionsin situ single-pass rat intestinal perfusion modelTherapeutics. PharmacologyRM1-950ENFrontiers in Pharmacology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic baicalin
sorafenib
bioavailability
drug–drug interactions
in situ single-pass rat intestinal perfusion model
Therapeutics. Pharmacology
RM1-950
spellingShingle baicalin
sorafenib
bioavailability
drug–drug interactions
in situ single-pass rat intestinal perfusion model
Therapeutics. Pharmacology
RM1-950
Jingyao Wei
Jingyao Wei
Ruijuan Liu
Ruijuan Liu
Jiali Zhang
Jiali Zhang
Shuaibing Liu
Shuaibing Liu
Dan Yan
Dan Yan
Xueqian Wen
Xueqian Wen
Xin Tian
Xin Tian
Baicalin Enhanced Oral Bioavailability of Sorafenib in Rats by Inducing Intestine Absorption
description Background: Sorafenib (SOR) is an oral, potent, selective, irreversible epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI) used as the first-line therapy for advanced hepatocellular carcinoma (HCC). Baicalin (BG) is used as adjuvant therapy for hepatitis, which accounts for the leading cause of the development of HCC, and is commonly coadministered with SOR in clinic. The purpose of the current study was to characterize the pharmacokinetic changes of SOR and the potential mechanism when SOR is administered concomitantly with BG in rats for single and multiple doses.Methods: Parallel randomized pharmacokinetic studies were performed in rats which received SOR (50 mg/kg, i.g.) alone or coadministered with BG (160 mg/kg, i.g.) for single and multiple doses (7 days). Plasma SOR levels were quantified by ultra-performance liquid chromatography–tandem mass spectrometry (UPLC-MS/MS). Rat liver microsomes (RLMs) which isolated from their livers were analyzed for CYP3A and SOR metabolism activities. The inhibitory effect of BG on the metabolism of SOR was also assessed in pooled human liver microsomes (HLMs). The effects of BG on the intestine absorption behaviors of SOR were assessed in the in situ single-pass rat intestinal perfusion model.Results: Coadministration with BG (160 mg/kg, i.g.) for single or multiple doses significantly increased the Cmax, AUC0–t, and AUC0–∞ of orally administered SOR by 1.68-, 1.73-, 1.70-fold and 2.02-, 1.65-, 1.66- fold in male rats and by 1.85-, 1.68-, 1.68-fold and 1.57-, 1.25-, 1.24- fold in female rats, respectively (p < 0.01 or p < 0.05). In vitro incubation assays demonstrated that there were no significant differences of Km, Vmax, and CLint of 1-OH MDZ and SOR N-oxide in RLMs between control and multiple doses of BG-treated groups. BG has no obvious inhibitory effects on the metabolism of SOR in HLMs. In comparison with SOR alone, combining with BG significantly increased the permeability coefficient (Peff) and absorption rate constant (Ka) of the SOR in situ single-pass rat intestinal perfusion model.Conclusion: Notably enhanced oral bioavailability of SOR by combination with BG in rats may mainly account for BG-induced SOR absorption. A greater understanding of potential DDIs between BG and SOR in rats makes major contributions to clinical rational multidrug therapy in HCC patients. Clinical trials in humans and HCC patients need to be further confirmed in the subsequent study.
format article
author Jingyao Wei
Jingyao Wei
Ruijuan Liu
Ruijuan Liu
Jiali Zhang
Jiali Zhang
Shuaibing Liu
Shuaibing Liu
Dan Yan
Dan Yan
Xueqian Wen
Xueqian Wen
Xin Tian
Xin Tian
author_facet Jingyao Wei
Jingyao Wei
Ruijuan Liu
Ruijuan Liu
Jiali Zhang
Jiali Zhang
Shuaibing Liu
Shuaibing Liu
Dan Yan
Dan Yan
Xueqian Wen
Xueqian Wen
Xin Tian
Xin Tian
author_sort Jingyao Wei
title Baicalin Enhanced Oral Bioavailability of Sorafenib in Rats by Inducing Intestine Absorption
title_short Baicalin Enhanced Oral Bioavailability of Sorafenib in Rats by Inducing Intestine Absorption
title_full Baicalin Enhanced Oral Bioavailability of Sorafenib in Rats by Inducing Intestine Absorption
title_fullStr Baicalin Enhanced Oral Bioavailability of Sorafenib in Rats by Inducing Intestine Absorption
title_full_unstemmed Baicalin Enhanced Oral Bioavailability of Sorafenib in Rats by Inducing Intestine Absorption
title_sort baicalin enhanced oral bioavailability of sorafenib in rats by inducing intestine absorption
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/4a48cab5eb4c44fbbdb5dd4acb8b1158
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