Abstract
Purpose
To evaluate the impact of intestinal first-pass metabolism (Fg) by cytochrome P4503A (CYP3A) and uridine 5’-diphosphate-glucuronosyltransferases (UGT) on in vivo oral absorption of their substrate drugs.
Methods
CYP3A and UGT substrates were orally administered to portal-vein cannulated (PV) rats to evaluate their intestinal availability (Fa · Fg). In the case of CYP3A substrates, vehicle or 1-aminobenzotriazole (ABT), a potent inhibitor of CYP enzymes, was pretreated to assess Fg separately from Fa (Enzyme-inhibition method). On the other hand, since potent inhibitors of UGT have not been identified, Fg of UGT substrate was calculated from total amount of metabolites generated in enterocytes (Metabolite-distribution method).
Results
After oral administration of CYP3A substrates in ABT-pretreated rats, the portal and systemic plasma concentrations of the metabolite were nearly the same, indicating almost complete inhibition of intestinal CYP3A-mediated metabolism. Using Enzyme-inhibition method, Fg of midazolam (1 mg/kg) was calculated as 0.71. Additionally, total amount of raloxifene-6-glucuronide generated in enterocytes after oral administration of raloxifene was estimated using Metabolite-distribution method and Fg of raloxifene (0.98 μmol/kg) was calculated as 0.21.
Conclusions
PV rats enabled in vivo quantitative assessment of intestinal first-pass metabolism by CYP3A and UGT. This method is useful for clarifying the cause of low bioavailability.
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Abbreviations
- ABT:
-
1-Aminobenzotriazole
- ANT:
-
Antipyrine
- BUS:
-
Buspirone
- CYP:
-
Cytochrome P450
- D-FEL:
-
Dehydrofelodipine
- FEX:
-
Fexofenadine
- FEL:
-
Felodipine
- MDZ:
-
Midazolam
- 6-OH-BUS:
-
6-Hydroxybuspirone
- 1-OH-MDZ:
-
1-Hydroxy-midazolam
- 4-OH-MDZ:
-
4-Hydroxy-midazolam
- P-gp:
-
P-glycoprotein
- PV rats:
-
Portal vein-cannulated rats
- RLX:
-
Raloxifene
- R4’G:
-
Raloxifene-4’-glucuronide
- R6G:
-
Raloxifene-6-glucuronide
- UGT:
-
Uridine 5’-diphosphate –glucuronosyltransferase
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ACKNOWLEDGMENTS & DISCLOSURES
We thank Kunihiko Morisaki (Charles River Laboratories Japan), Dr. Jiro Kuze (Taiho Pharmaceutical Co. Ltd.), and Dr. Toshiyuki Kume (Mitsubishi Tanabe Pharma Corporation) for useful discussions.
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Matsuda, Y., Konno, Y., Hashimoto, T. et al. Quantitative Assessment of Intestinal First-pass Metabolism of Oral Drugs Using Portal-vein Cannulated Rats. Pharm Res 32, 604–616 (2015). https://doi.org/10.1007/s11095-014-1489-x
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DOI: https://doi.org/10.1007/s11095-014-1489-x