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出 处:《中国药理学通报》2015年第B11期211-211,共1页Chinese Pharmacological Bulletin
摘 要:Aim The present study developed a CYP3A4-expressed Caco-2 monolayer model at which effects of the efflux-metabolism alliance on the transport and uptake of clausenamide(CLA) enantiomers as CYP3A4 substrates were investigated. The apparent permeability coefficients (Papp) of ( - ) and ( + )CLA were higher in the ab- sorptive direction than those in the secretory direction with efflux ratios(ER) of 0. 709 ± 0.411 and 0. 867± 0. 250 ( Х10^-6 -1 cm · s ), respectively. Their bidirectional transports were significantly reduced by (75.6 ± 87.5)% af- ter treatment with verapamil ( a P-glycoprotein inhibitor) that increased the rate of metabolism by CYP3 A4, whereas the CYP3A4 inhibitor ketoconazole treatment markedly enhanced the basolateral to apical flux of ( - ) and ( + ) CLA with ERs being 2. 934 ± 1. 432 and 1. 877 ± 0. 148 ( Х 10^-6 cm/s) respectively. These changes could be blocked by the duel CYP3A4/P-glycoprotein inhibitor cyclosporine A, consequently, Papp values for CLA enanti- omers in both directions were significantly greater than those obtained by using verapamil or ketoconazole, and their ERs were similar to those following ( - ) or ( + )-isomer treatment alone. Furthermore, the uptake of ( - )CLA was more than that of ( + )CLA in the transfected cells. Incubation with ketoeonazole decreased the intracellular concentrations of the two enantiomers. This effect disappeared in the presence of a CYP3A4 inducer dexametha- sone. These results indicated that CYP3A4 could influence P-gp efflux, transport and uptake of CLA enantiomers as CYP3A4 substrates and that a duel inhibition to CYP3A4/ P-glycoprotein could enhance their absorption and bioavailability, which provides new insight into the efflux-metabolism alliance and will benefit the clinical pharma- cology of (?) CLA as a candidate drug for treatment of Alzheimer' s disease.
关 键 词:CLAUSENAMIDE ENANTIOMERS CYTOCHROME P450 3A4 P-GLYCOPROTEIN CACO-2 cell line
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