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Research ArticleArticle

Hepatic Dipeptidyl Peptidase-4 Controls Pharmacokinetics of Vildagliptin In Vivo

Mitsutoshi Asakura, Tatsuki Fukami, Miki Nakajima, Hideaki Fujii, Koichiro Atsuda, Tomoo Itoh and Ryoichi Fujiwara
Drug Metabolism and Disposition February 2017, 45 (2) 237-245; DOI: https://doi.org/10.1124/dmd.116.073866
Mitsutoshi Asakura
Graduate School of Pharmaceutical Sciences (M.A.), Medicinal Research Laboratories (H.F.), Center for Clinical Pharmacy and Clinical Sciences (M.A., K.A.), Laboratory of Medicinal Chemistry (H.F.), and Department of Pharmaceutics (T.I., R.F.), School of Pharmacy, Kitasato University, Tokyo, Japan; Drug Metabolism and Toxicology, Faculty of Pharmaceutical Sciences, Kanazawa University, Kanazawa, Japan (T.F., M.N.)
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Tatsuki Fukami
Graduate School of Pharmaceutical Sciences (M.A.), Medicinal Research Laboratories (H.F.), Center for Clinical Pharmacy and Clinical Sciences (M.A., K.A.), Laboratory of Medicinal Chemistry (H.F.), and Department of Pharmaceutics (T.I., R.F.), School of Pharmacy, Kitasato University, Tokyo, Japan; Drug Metabolism and Toxicology, Faculty of Pharmaceutical Sciences, Kanazawa University, Kanazawa, Japan (T.F., M.N.)
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Miki Nakajima
Graduate School of Pharmaceutical Sciences (M.A.), Medicinal Research Laboratories (H.F.), Center for Clinical Pharmacy and Clinical Sciences (M.A., K.A.), Laboratory of Medicinal Chemistry (H.F.), and Department of Pharmaceutics (T.I., R.F.), School of Pharmacy, Kitasato University, Tokyo, Japan; Drug Metabolism and Toxicology, Faculty of Pharmaceutical Sciences, Kanazawa University, Kanazawa, Japan (T.F., M.N.)
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Hideaki Fujii
Graduate School of Pharmaceutical Sciences (M.A.), Medicinal Research Laboratories (H.F.), Center for Clinical Pharmacy and Clinical Sciences (M.A., K.A.), Laboratory of Medicinal Chemistry (H.F.), and Department of Pharmaceutics (T.I., R.F.), School of Pharmacy, Kitasato University, Tokyo, Japan; Drug Metabolism and Toxicology, Faculty of Pharmaceutical Sciences, Kanazawa University, Kanazawa, Japan (T.F., M.N.)
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Koichiro Atsuda
Graduate School of Pharmaceutical Sciences (M.A.), Medicinal Research Laboratories (H.F.), Center for Clinical Pharmacy and Clinical Sciences (M.A., K.A.), Laboratory of Medicinal Chemistry (H.F.), and Department of Pharmaceutics (T.I., R.F.), School of Pharmacy, Kitasato University, Tokyo, Japan; Drug Metabolism and Toxicology, Faculty of Pharmaceutical Sciences, Kanazawa University, Kanazawa, Japan (T.F., M.N.)
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Tomoo Itoh
Graduate School of Pharmaceutical Sciences (M.A.), Medicinal Research Laboratories (H.F.), Center for Clinical Pharmacy and Clinical Sciences (M.A., K.A.), Laboratory of Medicinal Chemistry (H.F.), and Department of Pharmaceutics (T.I., R.F.), School of Pharmacy, Kitasato University, Tokyo, Japan; Drug Metabolism and Toxicology, Faculty of Pharmaceutical Sciences, Kanazawa University, Kanazawa, Japan (T.F., M.N.)
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Ryoichi Fujiwara
Graduate School of Pharmaceutical Sciences (M.A.), Medicinal Research Laboratories (H.F.), Center for Clinical Pharmacy and Clinical Sciences (M.A., K.A.), Laboratory of Medicinal Chemistry (H.F.), and Department of Pharmaceutics (T.I., R.F.), School of Pharmacy, Kitasato University, Tokyo, Japan; Drug Metabolism and Toxicology, Faculty of Pharmaceutical Sciences, Kanazawa University, Kanazawa, Japan (T.F., M.N.)
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  • Fig. 1.
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    Fig. 1.

    Metabolic pathways of vildagliptin in humans. The major metabolic pathway of vildagliptin in humans is DPP-4–mediated hydrolysis at the cyano group to produce a carboxylic acid metabolite M20.7 (He et al., 2009a; Asakura et al., 2015). Vildagliptin is also metabolized to form amide bond hydrolysis (M15.3), glucuronidation (M20.2), and oxidation on the pyrrolidine moiety of vildagliptin (M20.9 and M21.6). Reported amount of vildagliptin and metabolites in urine and feces is indicated as percentage of dose (He et al., 2009a).

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    Fig. 2.

    Pharmacokinetics study of vildagliptin and M20.7. Pharmacokinetics of vildagliptin (A) and its main metabolite M20.7 (B) in control mice administered with vildagliptin (10 mg/kg, per os) (n = 4), mice coadministered with vildagliptin (10 mg/kg, per os) and sitagliptin (1000 mg/kg) (n = 3), and STZ-induced diabetic mice administered with vildagliptin (10 mg/kg, per os) (n = 3) are shown. Results are shown as means ± S.D. of the plasma concentrations of vildagliptin and M20.7.

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    Fig. 3.

    DPP-4 activities and vildagliptin cyano group-hydrolyzing activities in liver, kidney, small intestine, and plasma in control mice and STZ-induced diabetic mice. Tissues were collected 48 hours after administration of vildagliptin in the pharmacokinetics study, and then pooled samples of each tissue in control mice (n = 4) and STZ-induced diabetic mice (n = 3) were prepared. (A) DPP-4 activities in S9 fractions and plasma were measured using Gly-Pro-AMC as a substrate. Data represent the means ± S.D. of three independent experiments. **P < 0.01. (B) The DPP-4 protein expression levels were determined by Western blot analysis. Liver, kidney, small intestine S9 fractions, and plasma (100 µg protein) of control mice and STZ-induced diabetic mice were subjected to NuPAGE 4–12% Bis-Tris gel and probed with the anti–DPP-4 antibody. (C) The vildagliptin cyano group-hydrolyzing activities in S9 fractions were measured. The substrate concentration was 1 µM. Data represent the means ± S.D. of three independent experiments. **P < 0.01. ND, not detectable. (D) The estimated DPP-4 activities (nmol/min/tissue or plasma) in whole liver, kidney, small intestine tissues, and plasma are shown. Data represent the means ± S.D. **P < 0.01. (E) The estimated M20.7 formation rates (pmol/h/tissue) in whole liver, kidney, and small intestine tissues are shown. Data represent the means ± S.D. **P < 0.01. ND, not detectable.

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    Fig. 4.

    Correlation between hepatic DPP-4 activities and vildagliptin cyano group-hydrolyzing activities in individual mice. The relationships between hepatic DPP-4 activities and hepatic M20.7 formation rates (A) and the AUC0–8 hours values of M20.7 (B) in individual mice are shown. The correlation analysis was performed using the Spearman rank method. Data represent the means of triplicate determinations.

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    Fig. 5.

    The mRNA expression levels of Dpp-4 (A), Foxa2 (B), collagen, type I, α1 (C), Fabp4 (D), adiponectin (E), Hnf-1α (F), and Fabp1 (G) in liver, kidney, and small intestine of control mice and STZ-induced diabetic mice. Expression was normalized with the expression of cyclophilin, and the expression level in each tissue of control mice was defined as 1. Data represent the means ± S.D. of three independent experiments. *P < 0.05; **P < 0.01. ND, not detectable.

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    Fig. 6.

    Interindividual variability of hepatic DPP-4 activities and vildagliptin cyano group-hydrolyzing activities. (A) The hepatic DPP-4 activities in a panel of 23 individual HLMs were measured using a Gly-Pro-AMC as a substrate. Data represent the means ± S.D. of three independent experiments. (B) The vildagliptin cyano group-hydrolyzing activities in a panel of 23 individual HLMs were measured. The substrate concentration was 1 µM. Data represent the means ± S.D. of three independent experiments.

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    Fig. 7.

    Correlation analyses between hepatic vildagliptin cyano group-hydrolyzing activities and other drug-metabolizing enzyme activities in individual HLMs and characteristics of 23 donors. The relationships between hepatic vildagliptin cyano group-hydrolyzing activities and DPP-4 (A), arylacetamide deacetylase (B), CES1 (C), and CES2 (D) activities of individual HLMs from 23 donors are shown. The relationships between hepatic vildagliptin cyano group-hydrolyzing activities and age (E) and BMI (F) of 23 donors are also shown. The correlation analysis was performed using the Spearman rank method. Data represent the means of triplicate determinations.

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    TABLE 1

    Species differences of metabolite levels in plasma after oral administration

    Australian public assessment report for vildagliptin, Department of Health and Ageing, Therapeutic Goods Administration, 2010 April. Available from: http://www.tga.gov.au/auspar/auspar-vildagliptin (accessed June 7, 2016).

    SpeciesMetabolite (% of Total AUC)
    Parental VildagliptinM15.3M20.2M20.7
    Human268.19.556
    Mouse46Trace3.817
    Rat4001142
    Dog23261.433
    Rabbit22530.97.4
    Monkey200.8724.9
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    TABLE 2

    AUC0–8 hours in three mouse groups following oral administration of vildagliptin (10 mg/kg)

    GroupNumbersAUC0–8 hours (ng × h/mL)
    VildagliptinM20.7
    Control mice490 ± 1426 ± 2.6
    Control mice + sitagliptin (1000 mg/kg)3108 ± 218.5 ± 2.1**
    STZ-induced diabetic mice (day7)368 ± 1610 ± 0.8**
    • ↵** P < 0.01 versus control mice.

Additional Files

  • Figures
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  • Data Supplement

    Files in this Data Supplement:

    • Supplemental Data -

      Supplemental Table 1 - Characteristics of 23 donors used in this study

      Supplemental Table 2 - Primer sequences used for real-time RT-PCR analyses

      Supplemental Figure 1 - Body weight (A), blood glucose (B), and plasma DPP-4 activity (C) in STZ-induced diabetic mice

      Supplemental Figure 2 - Correlation analysis between hepatic vildagliptin-hydrolyzing activities and protein expression levels of CYP3A4 in individual HLMs

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Drug Metabolism and Disposition: 45 (2)
Drug Metabolism and Disposition
Vol. 45, Issue 2
1 Feb 2017
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Research ArticleArticle

Hepatic DPP-4 Controls Pharmacokinetics of Vildagliptin

Mitsutoshi Asakura, Tatsuki Fukami, Miki Nakajima, Hideaki Fujii, Koichiro Atsuda, Tomoo Itoh and Ryoichi Fujiwara
Drug Metabolism and Disposition February 1, 2017, 45 (2) 237-245; DOI: https://doi.org/10.1124/dmd.116.073866

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Research ArticleArticle

Hepatic DPP-4 Controls Pharmacokinetics of Vildagliptin

Mitsutoshi Asakura, Tatsuki Fukami, Miki Nakajima, Hideaki Fujii, Koichiro Atsuda, Tomoo Itoh and Ryoichi Fujiwara
Drug Metabolism and Disposition February 1, 2017, 45 (2) 237-245; DOI: https://doi.org/10.1124/dmd.116.073866
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