@article {Wen65, author = {Zhiming Wen and Todd E. Dumas and Sarah J. Schrieber and Roy L. Hawke and Michael W. Fried and Philip C. Smith}, title = {Pharmacokinetics and Metabolic Profile of Free, Conjugated, and Total Silymarin Flavonolignans in Human Plasma after Oral Administration of Milk Thistle Extract}, volume = {36}, number = {1}, pages = {65--72}, year = {2008}, doi = {10.1124/dmd.107.017566}, publisher = {American Society for Pharmacology and Experimental Therapeutics}, abstract = {Silymarin, a mixture of polyphenolic flavonoids extracted from milk thistle (Silybum marianum), is composed mainly of silychristin, silydianin, silybin A, silybin B (SBB), isosilybin A (ISBA), and isosilybin B. In this study, the plasma concentrations of free (unconjugated), conjugated (sulfated and glucuronidated), and total (free and conjugated) silymarin flavonolignans were measured using liquid chromatography-electrospray ionization-mass spectrometry, after a single oral dose of 600 mg of standardized milk thistle extracts to three healthy volunteers. Pharmacokinetic analysis indicated that silymarin flavonolignans were rapidly eliminated with short half-lives (1{\textendash}3 and 3{\textendash}8 h for free and conjugated, respectively). The AUC0{\textrightarrow}$\infty$ values of the conjugated silymarin flavonolignans were 4- to 30-fold higher than those of their free fractions, with SBB (mean AUC0{\textrightarrow}$\infty$ = 51 and 597 μg {\textperiodcentered} h/l for free and conjugated, respectively) and ISBA (mean AUC0{\textrightarrow}$\infty$ = 30 and 734 μg {\textperiodcentered} h/l for free and conjugated, respectively) exhibiting higher AUC0{\textrightarrow}$\infty$ values in comparison with other flavonolignans. Near the plasma peak times (1{\textendash}3 h), the free, sulfated, and glucuronidated flavonolignans represented approximately 17, 28, and 55\% of the total silymarin, respectively. In addition, the individual silymarin flavonolignans exhibited quite different plasma profiles for both the free and conjugated fractions. These data suggest that, after oral administration, silymarin flavonolignans are quickly metabolized to their conjugates, primarily forming glucuronides, and the conjugates are primary components present in human plasma. The American Society for Pharmacology and Experimental Therapeutics}, issn = {0090-9556}, URL = {https://dmd.aspetjournals.org/content/36/1/65}, eprint = {https://dmd.aspetjournals.org/content/36/1/65.full.pdf}, journal = {Drug Metabolism and Disposition} }