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Vol. 30, Issue 8, 924-930, August 2002
Laboratorium voor Farmacotechnologie en Biofarmacie, Campus
Gasthuisberg O&N, KULeuven, Belgium (J.v.G., S.D., G.v.d.M., R.K.); and
Rega Institute for Medical Research, KULeuven, Belgium (L.N., E.D.C.)
The effect of discrete esters and ester mixtures on the intestinal
stability and absorption of tenofovir disoproxil fumarate (tenofovir DF, an esterase-sensitive prodrug of the antiviral tenofovir) was compared with the effect of strawberry extract, which
has been shown to enhance the absorption of the prodrug across Caco-2
monolayers and in rat ileum. In addition, the mechanism of absorption
enhancement was investigated. In rat intestinal homogenates, complete
inhibition of the conversion of tenofovir DF (as obtained by strawberry
extract) could only be obtained at relatively high concentrations of
the discrete esters or by using mixtures of esters (e.g., propyl
p-hydroxybenzoate 0.02%, octyl acetate 0.02%, ethyl
caprylate 0.01%). Coincubation of tenofovir DF with this mixture also
resulted in an enhancement of its absorption in the in vitro Caco-2
system as well as in rat ileum. As tenofovir DF is a substrate for
P-glycoprotein (P-gp)-related efflux carriers in the Caco-2 model, the
modulatory effect of the ester mixtures was studied on the
functionality of P-gp using cyclosporin A (CsA) as a model substrate.
Strawberry extract as well as the mixture of three esters interfered
with the absorptive transport of CsA across Caco-2 monolayers,
illustrating that both mixtures interfere with both esterase-activity
and P-gp functionality. This concerted barrier was not observed in rat
ileum, suggesting differential functional activities of the biochemical
barrier toward tenofovir DF in different absorption systems. Overall,
our results illustrate that modulation of the biochemical barrier
(metabolism and efflux) of tenofovir DF by ester mixtures can be used
to increase the intestinal absorption of tenofovir DF in an in vitro
and an in situ absorption model; the mechanism of action appears to be
a complex interplay of different systems; the differential expression of carriers and enzymes in different systems illustrates the difficulty of extrapolating observations between different systems/species.
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