Pharmacokinetic Herb-Drug Interactions of Xiang-Sha-Liu-Jun-Zi-Tang and Paclitaxel in Male Sprague Dawley Rats and Its Influence on Enzyme Kinetics in Human Liver Microsomes

Paclitaxel is a prescribed anticancer drug used to treat various cancers. It is a substrate of cytochrome P-450 (CYP-450) enzymes. Despite its efficacy, paclitaxel has severe side effects. Herbal medicines are commonly used to treat the side effects of chemotherapy. They can be administered before,...

Full description

Bibliographic Details
Main Authors: Alinafe Magret Kapelemera, Yow-Shieng Uang, Li-Hsuan Wang, Tien-Yuan Wu, Fang-Yu Lee, Li Tai, Ching-Chiung Wang, Chia-Jung Lee
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2022.858007/full
_version_ 1811311477473148928
author Alinafe Magret Kapelemera
Yow-Shieng Uang
Yow-Shieng Uang
Li-Hsuan Wang
Tien-Yuan Wu
Fang-Yu Lee
Li Tai
Ching-Chiung Wang
Ching-Chiung Wang
Ching-Chiung Wang
Ching-Chiung Wang
Chia-Jung Lee
Chia-Jung Lee
Chia-Jung Lee
author_facet Alinafe Magret Kapelemera
Yow-Shieng Uang
Yow-Shieng Uang
Li-Hsuan Wang
Tien-Yuan Wu
Fang-Yu Lee
Li Tai
Ching-Chiung Wang
Ching-Chiung Wang
Ching-Chiung Wang
Ching-Chiung Wang
Chia-Jung Lee
Chia-Jung Lee
Chia-Jung Lee
author_sort Alinafe Magret Kapelemera
collection DOAJ
description Paclitaxel is a prescribed anticancer drug used to treat various cancers. It is a substrate of cytochrome P-450 (CYP-450) enzymes. Despite its efficacy, paclitaxel has severe side effects. Herbal medicines are commonly used to treat the side effects of chemotherapy. They can be administered before, during, and after chemotherapy. Xiang-Sha-Liu-Jun-Zi Tang (XSLJZT) is a herbal formula commonly used in breast cancer patients. The main purpose of this study was to assess the pharmacokinetic (PK) influence of XSLJZT on paclitaxel PK parameters, determine its effect on CYP-450 enzyme expression, and evaluate its effect on enzyme activity. Sprague Dawley rats were classified into pretreatment and co-treatment groups, where XSLJZT was pre-administered for 3, 5, and 7 days and co-administered 2 h before paclitaxel administration. The rat liver tissues and Hep-G2 cells were used to determine the effects of XSLJZT on CYP3A1/2 and CYP3A4 enzymes respectively. Western blot analysis was used to detect changes in the CYP3A1/2 and CYP3A4 enzymes expression. The influence of XSLJZT on enzyme activity was evaluated using human liver microsomes, and a liquid chromatography-tandem mass spectrometric system was developed to monitor paclitaxel levels in rat plasma. Results demonstrated that XSLJZT increased the area under the concentration versus time curve (AUC) for paclitaxel in pretreatment groups by 2-, 3-, and 4-fold after 3, 5, and 7 days, respectively. In contrast, no significant change in the AUC was observed in the co-treatment group. However, the half-life was prolonged in all groups from 17.11 min to a maximum of 37.56 min. XSLJZT inhibited CYP3A1/2 expression in the rat liver tissues and CYP3A4 enzymes in Hep-G2 cells in a time-dependent manner, with the highest inhibition observed after 7 days of pretreatment in rat liver tissues. In the enzyme kinetics study, XSLJZT inhibited enzyme activity in a competitive dose-dependent manner. In conclusion, there is a potential interaction between XSLJZT and paclitaxel at different co-treatment and pretreatment time points.
first_indexed 2024-04-13T10:19:36Z
format Article
id doaj.art-5b8946e3f5934a49b0e5a787b43ed7e1
institution Directory Open Access Journal
issn 1663-9812
language English
last_indexed 2024-04-13T10:19:36Z
publishDate 2022-04-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pharmacology
spelling doaj.art-5b8946e3f5934a49b0e5a787b43ed7e12022-12-22T02:50:33ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-04-011310.3389/fphar.2022.858007858007Pharmacokinetic Herb-Drug Interactions of Xiang-Sha-Liu-Jun-Zi-Tang and Paclitaxel in Male Sprague Dawley Rats and Its Influence on Enzyme Kinetics in Human Liver MicrosomesAlinafe Magret Kapelemera0Yow-Shieng Uang1Yow-Shieng Uang2Li-Hsuan Wang3Tien-Yuan Wu4Fang-Yu Lee5Li Tai6Ching-Chiung Wang7Ching-Chiung Wang8Ching-Chiung Wang9Ching-Chiung Wang10Chia-Jung Lee11Chia-Jung Lee12Chia-Jung Lee13PhD Program in Clinical Drug Development of Herbal Medicine, Taipei Medical University, Taipei, TaiwanGraduate Institute of Pharmacognosy, Taipei Medical University, Taipei, TaiwanRosetta Pharmamate Co., Ltd, New Taipei City, TaiwanSchool of Pharmacy, Taipei Medical University, Taipei, TaiwanDepartment of Pharmacology, School of Medicine, College of Medicine, Tzu Chi University, Hualien, TaiwanGraduate Institute of Pharmacognosy, Taipei Medical University, Taipei, TaiwanRosetta Pharmamate Co., Ltd, New Taipei City, TaiwanPhD Program in Clinical Drug Development of Herbal Medicine, Taipei Medical University, Taipei, TaiwanGraduate Institute of Pharmacognosy, Taipei Medical University, Taipei, TaiwanSchool of Pharmacy, Taipei Medical University, Taipei, TaiwanTraditional Herbal Medicine Research Center, Taipei Medical University Hospital, Taipei, TaiwanPhD Program in Clinical Drug Development of Herbal Medicine, Taipei Medical University, Taipei, TaiwanGraduate Institute of Pharmacognosy, Taipei Medical University, Taipei, TaiwanTraditional Herbal Medicine Research Center, Taipei Medical University Hospital, Taipei, TaiwanPaclitaxel is a prescribed anticancer drug used to treat various cancers. It is a substrate of cytochrome P-450 (CYP-450) enzymes. Despite its efficacy, paclitaxel has severe side effects. Herbal medicines are commonly used to treat the side effects of chemotherapy. They can be administered before, during, and after chemotherapy. Xiang-Sha-Liu-Jun-Zi Tang (XSLJZT) is a herbal formula commonly used in breast cancer patients. The main purpose of this study was to assess the pharmacokinetic (PK) influence of XSLJZT on paclitaxel PK parameters, determine its effect on CYP-450 enzyme expression, and evaluate its effect on enzyme activity. Sprague Dawley rats were classified into pretreatment and co-treatment groups, where XSLJZT was pre-administered for 3, 5, and 7 days and co-administered 2 h before paclitaxel administration. The rat liver tissues and Hep-G2 cells were used to determine the effects of XSLJZT on CYP3A1/2 and CYP3A4 enzymes respectively. Western blot analysis was used to detect changes in the CYP3A1/2 and CYP3A4 enzymes expression. The influence of XSLJZT on enzyme activity was evaluated using human liver microsomes, and a liquid chromatography-tandem mass spectrometric system was developed to monitor paclitaxel levels in rat plasma. Results demonstrated that XSLJZT increased the area under the concentration versus time curve (AUC) for paclitaxel in pretreatment groups by 2-, 3-, and 4-fold after 3, 5, and 7 days, respectively. In contrast, no significant change in the AUC was observed in the co-treatment group. However, the half-life was prolonged in all groups from 17.11 min to a maximum of 37.56 min. XSLJZT inhibited CYP3A1/2 expression in the rat liver tissues and CYP3A4 enzymes in Hep-G2 cells in a time-dependent manner, with the highest inhibition observed after 7 days of pretreatment in rat liver tissues. In the enzyme kinetics study, XSLJZT inhibited enzyme activity in a competitive dose-dependent manner. In conclusion, there is a potential interaction between XSLJZT and paclitaxel at different co-treatment and pretreatment time points.https://www.frontiersin.org/articles/10.3389/fphar.2022.858007/fulltraditional Chinese medicine formulaXiang-Sha-Liu-Jun-Zi tangpaclitaxelpharmacokineticsenzyme kinetics
spellingShingle Alinafe Magret Kapelemera
Yow-Shieng Uang
Yow-Shieng Uang
Li-Hsuan Wang
Tien-Yuan Wu
Fang-Yu Lee
Li Tai
Ching-Chiung Wang
Ching-Chiung Wang
Ching-Chiung Wang
Ching-Chiung Wang
Chia-Jung Lee
Chia-Jung Lee
Chia-Jung Lee
Pharmacokinetic Herb-Drug Interactions of Xiang-Sha-Liu-Jun-Zi-Tang and Paclitaxel in Male Sprague Dawley Rats and Its Influence on Enzyme Kinetics in Human Liver Microsomes
Frontiers in Pharmacology
traditional Chinese medicine formula
Xiang-Sha-Liu-Jun-Zi tang
paclitaxel
pharmacokinetics
enzyme kinetics
title Pharmacokinetic Herb-Drug Interactions of Xiang-Sha-Liu-Jun-Zi-Tang and Paclitaxel in Male Sprague Dawley Rats and Its Influence on Enzyme Kinetics in Human Liver Microsomes
title_full Pharmacokinetic Herb-Drug Interactions of Xiang-Sha-Liu-Jun-Zi-Tang and Paclitaxel in Male Sprague Dawley Rats and Its Influence on Enzyme Kinetics in Human Liver Microsomes
title_fullStr Pharmacokinetic Herb-Drug Interactions of Xiang-Sha-Liu-Jun-Zi-Tang and Paclitaxel in Male Sprague Dawley Rats and Its Influence on Enzyme Kinetics in Human Liver Microsomes
title_full_unstemmed Pharmacokinetic Herb-Drug Interactions of Xiang-Sha-Liu-Jun-Zi-Tang and Paclitaxel in Male Sprague Dawley Rats and Its Influence on Enzyme Kinetics in Human Liver Microsomes
title_short Pharmacokinetic Herb-Drug Interactions of Xiang-Sha-Liu-Jun-Zi-Tang and Paclitaxel in Male Sprague Dawley Rats and Its Influence on Enzyme Kinetics in Human Liver Microsomes
title_sort pharmacokinetic herb drug interactions of xiang sha liu jun zi tang and paclitaxel in male sprague dawley rats and its influence on enzyme kinetics in human liver microsomes
topic traditional Chinese medicine formula
Xiang-Sha-Liu-Jun-Zi tang
paclitaxel
pharmacokinetics
enzyme kinetics
url https://www.frontiersin.org/articles/10.3389/fphar.2022.858007/full
work_keys_str_mv AT alinafemagretkapelemera pharmacokineticherbdruginteractionsofxiangshaliujunzitangandpaclitaxelinmalespraguedawleyratsanditsinfluenceonenzymekineticsinhumanlivermicrosomes
AT yowshienguang pharmacokineticherbdruginteractionsofxiangshaliujunzitangandpaclitaxelinmalespraguedawleyratsanditsinfluenceonenzymekineticsinhumanlivermicrosomes
AT yowshienguang pharmacokineticherbdruginteractionsofxiangshaliujunzitangandpaclitaxelinmalespraguedawleyratsanditsinfluenceonenzymekineticsinhumanlivermicrosomes
AT lihsuanwang pharmacokineticherbdruginteractionsofxiangshaliujunzitangandpaclitaxelinmalespraguedawleyratsanditsinfluenceonenzymekineticsinhumanlivermicrosomes
AT tienyuanwu pharmacokineticherbdruginteractionsofxiangshaliujunzitangandpaclitaxelinmalespraguedawleyratsanditsinfluenceonenzymekineticsinhumanlivermicrosomes
AT fangyulee pharmacokineticherbdruginteractionsofxiangshaliujunzitangandpaclitaxelinmalespraguedawleyratsanditsinfluenceonenzymekineticsinhumanlivermicrosomes
AT litai pharmacokineticherbdruginteractionsofxiangshaliujunzitangandpaclitaxelinmalespraguedawleyratsanditsinfluenceonenzymekineticsinhumanlivermicrosomes
AT chingchiungwang pharmacokineticherbdruginteractionsofxiangshaliujunzitangandpaclitaxelinmalespraguedawleyratsanditsinfluenceonenzymekineticsinhumanlivermicrosomes
AT chingchiungwang pharmacokineticherbdruginteractionsofxiangshaliujunzitangandpaclitaxelinmalespraguedawleyratsanditsinfluenceonenzymekineticsinhumanlivermicrosomes
AT chingchiungwang pharmacokineticherbdruginteractionsofxiangshaliujunzitangandpaclitaxelinmalespraguedawleyratsanditsinfluenceonenzymekineticsinhumanlivermicrosomes
AT chingchiungwang pharmacokineticherbdruginteractionsofxiangshaliujunzitangandpaclitaxelinmalespraguedawleyratsanditsinfluenceonenzymekineticsinhumanlivermicrosomes
AT chiajunglee pharmacokineticherbdruginteractionsofxiangshaliujunzitangandpaclitaxelinmalespraguedawleyratsanditsinfluenceonenzymekineticsinhumanlivermicrosomes
AT chiajunglee pharmacokineticherbdruginteractionsofxiangshaliujunzitangandpaclitaxelinmalespraguedawleyratsanditsinfluenceonenzymekineticsinhumanlivermicrosomes
AT chiajunglee pharmacokineticherbdruginteractionsofxiangshaliujunzitangandpaclitaxelinmalespraguedawleyratsanditsinfluenceonenzymekineticsinhumanlivermicrosomes