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Research ArticleSpecial Section on Natural Products: Experimental Approaches to Elucidate Disposition Mechanisms and Predict Pharmacokinetic Drug Interactions

Influence of Zuojin Pill on the Metabolism of Venlafaxine in Vitro and in Rats and Associated Herb-Drug Interaction

Yue Li, Juan Li, Dongmin Yan, Qian Wang, Jingyi Jin, Bo Tan and Furong Qiu
Drug Metabolism and Disposition October 2020, 48 (10) 1044-1052; DOI: https://doi.org/10.1124/dmd.120.000048
Yue Li
Laboratory of Clinical Pharmacokinetics, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China (Y.L., J.L., D.Y., Q.W., J.J., B.T., F.Q.) and Department of Pharmacy, Pudong New Area People’s Hospital, Shanghai, China (J.L.)
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Juan Li
Laboratory of Clinical Pharmacokinetics, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China (Y.L., J.L., D.Y., Q.W., J.J., B.T., F.Q.) and Department of Pharmacy, Pudong New Area People’s Hospital, Shanghai, China (J.L.)
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Dongmin Yan
Laboratory of Clinical Pharmacokinetics, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China (Y.L., J.L., D.Y., Q.W., J.J., B.T., F.Q.) and Department of Pharmacy, Pudong New Area People’s Hospital, Shanghai, China (J.L.)
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Qian Wang
Laboratory of Clinical Pharmacokinetics, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China (Y.L., J.L., D.Y., Q.W., J.J., B.T., F.Q.) and Department of Pharmacy, Pudong New Area People’s Hospital, Shanghai, China (J.L.)
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Jingyi Jin
Laboratory of Clinical Pharmacokinetics, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China (Y.L., J.L., D.Y., Q.W., J.J., B.T., F.Q.) and Department of Pharmacy, Pudong New Area People’s Hospital, Shanghai, China (J.L.)
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Bo Tan
Laboratory of Clinical Pharmacokinetics, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China (Y.L., J.L., D.Y., Q.W., J.J., B.T., F.Q.) and Department of Pharmacy, Pudong New Area People’s Hospital, Shanghai, China (J.L.)
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  • For correspondence: tbot@163.com
Furong Qiu
Laboratory of Clinical Pharmacokinetics, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China (Y.L., J.L., D.Y., Q.W., J.J., B.T., F.Q.) and Department of Pharmacy, Pudong New Area People’s Hospital, Shanghai, China (J.L.)
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  • For correspondence: furong_qiu@126.com
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Figures

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  • Fig. 1.
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    Fig. 1.

    The primary metabolic pathway of VEN in humans.

  • Fig. 2.
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    Fig. 2.

    The remaining VEN and generated demethylation metabolites, ODV, NDV, and NODV, after 60-minute incubation of VEN in HLM (A) or RLM (B). Data for each component were normalized to spiked VEN concentration in reaction mixtures and represented as means ± S.D. in triplicates.

  • Fig. 3.
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    Fig. 3.

    Michaelis-Menten plots for formation of ODV by RLM (A), HLM (B), CYP2D6*1/*1 (C), and CYP2D6*10/*10 (D). Data were presented as means ± S.D. in triplicates.

  • Fig. 4.
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    Fig. 4.

    Inhibitory effects of ZJP (150 μg/ml), coptisine (CPS, 30 μM), berberine (BBR, 30 μM), quinine (QNN, 2 μM), quinidine (QND, 2 μM), and ketoconazole (KTZ, 2 μM) on the metabolism of VEN and formation of ODV, NDV, and NODV in HLM (A–D) and RLM (E–H). Each column represented the remaining VEN (% control) or product formation (% spiked VEN). Data were presented as means ± S.D. in triplicates. *P < 0.05 compared with the control. Cntl, control.

  • Fig. 5.
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    Fig. 5.

    Inhibitory effects (IC50) of ZJP (A–D), coptisine (E–H), and berberine (I–L) on ODV formation in HLM, RLM, CYP2D6*1/*1, and CYP2D6*10/*10, respectively. Data were presented as means ± S.D. in triplicates. The curve represented the fitting of the observed ODV formation rate (% control) (y) vs. the inhibitor concentration (x). Conc., concentration.

  • Fig. 6.
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    Fig. 6.

    Mean plasma concentration-time profiles of VEN (A), ODV (B), and NDV (C) after intragastric administration of VEN alone or coadministration with ZJP (VEN+ZJP) in rats (n = 6). Data were presented as means ± S.D. Conc., concentration.

  • Fig. 7.
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    Fig. 7.

    Hepatic exposures of VEN (A), ODV (B), NDV (C), NODV (D), and ODV/VEN ratio (E) at 2 hours after intragastric administration of VEN alone or coadministration with ZJP (VEN+ZJP) in rats (n = 6). Data were presented as means ± S.D. *P < 0.05 compared with the VEN group. Conc., concentration.

Tables

  • Figures
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    • View popup
    TABLE 1

    Mass spectrometry parameters for measuring VEN and its metabolites, ODV, NDV, and NODV

    AnalytesTransition (m/z)Spray Voltage (V)Temp. (°C)DP (V)CE (V)CXP (V)EP (V)
    VEN278.2 > 58.1550040046461210
    ODV264.2 > 58.1550040046461210
    NDV264.2 > 246.1550040035141210
    NODV250.2 > 232.1550040030141210
    Diphenhydramine256.0 > 167.1550040046251210
    • Temp., temperature. DP, declustering potential. CE, collision energy. CXP, CXP, cell exit potential. EP, entrance potential.

    • View popup
    TABLE 2

    Enzymatic kinetics parameters of VEN in RLM, HLM, and rhCYP2D6s

    SubjectKm (μM)Vmax (nmol/min per Milligram Protein or nmol/min per Picomoles P450)CLint (μl/min per Milligram Protein or μl/min per Picomoles P450)
    RLM41.2 ± 23.40.480 ± 0.01311.7 ± 5.5
    HLM39.9 ± 1.10.182 ± 0.0045.7 ± 0.2
    rhCYP2D6*1/*111.3 ± 3.20.014 ± 0.0031.2 ± 0.3
    rhCYP2D6*10/*10148.2 ± 26.50.013 ± 0.0020.088 ± 0.016
    • View popup
    TABLE 3

    IC50 of ZJP, berberine, and coptisine toward VEN metabolism in microsomes and rhCYP2D6

    InhibitorsIC50 value
    ODVNDVNODV
    RLMZJP (μg/ml)129.9 ± 2.6>57542.8 ± 8.0
    Berberine (μM)64.5 ± 11.5>100059.5 ± 18.6
    Coptisine (μM)27.0 ± 6.2>20016.9 ± 0.1
    HLMZJP (μg/ml)30.5 ± 5.5>28811.5 ± 10.2
    Berberine (μM)30.5 ± 9.6>500>500
    Coptisine (μM)2.3 ± 1.3>100>100
    rhCYP2D6*1/*1ZJP (μg/ml)15.4 ± 4.5N/AN/A
    Berberine (μM)2.5 ± 0.9
    Coptisine (μM)0.7 ± 0.2
    rhCYP2D6*10/*10ZJP (μg/ml)2.3 ± 1.0N/AN/A
    Berberine (μM)1.5 ± 0.2
    Coptisine (μM)2.2 ± 0.2
    • N/A, not applicable.

    • View popup
    TABLE 4

    Pharmacokinetic parameters of VEN, ODV, and NDV in rats after oral administration of VEN alone or VEN combined with ZJP

    AnalyteGroupsCmax (ng/ml)Tmax (h)t1/2 (h)CLz/F (l/h per kilogram)AUC0–24 (µg/l × h)
    VENVEN3.47 ± 0.801.0 ± 0.62.4 ± 2.2231.7 ± 18.611.1 ± 0.9
    VEN+ZJP2.01 ± 0.85*3.1 ± 1.8*4.0 ± 2.2198.7 ± 151.315.5 ± 7.6
    ODVVEN4.82 ± 4.181.1 ± 0.96.2 ± 3.3172.7 ± 123.519.3 ± 11.3
    VEN+ZJP3.41 ± 2.002.1 ± 1.410.9 ± 6.5116.8 ± 66.823.7 ± 12.8
    NDVVEN1.24 ± 0.902.0 ± 1.85.1 ± 2.9468.0 ± 208.76.45 ± 4.34
    VEN+ZJP1.91 ± 1.023.6 ± 2.26.1 ± 4.5215.4 ± 132.1*13.5 ± 5.7*
    • ↵* P < 0.05 compared with VEN group. CLz/F, apparent oral clearance.

Additional Files

  • Figures
  • Tables
  • Data Supplement

    • Supplemental Data -

      Supplementary Table 1 - The contents of four alkaloids in Zuojin Pill.

      Supplementary Table 2 - Mass spectrometry parameters for measuring four major alkaloids of
      ZJP (berberine, coptisine, evodiamine, and rutaecarpine).

      Supplementary Table 3 - Intra- and inter-batch precision and accuracy of coptisine, berberine,
      evodiamine, and rutaecarpine in rat livers (Mean ±S.D., n = 5).

      Supplementary Table 4 - Stability of coptisine, berberine, evodiamine, and rutaecarpine in rat
      livers (Mean ±S.D., n = 3).

      Supplementary Table 5 - Intra-batch precision and accuracy of VEN, ODV, NDV, and NODV
      in rat livers (Mean ±S.D., n = 5).

      Supplementary Figure 1 - Inhibitory effects (IC50) of quinidine (A) and quinine (B) on ODV
      formation in HLM and RLM, respectively. Data were presented as mean ± S.D. in triplicates.

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Drug Metabolism and Disposition: 48 (10)
Drug Metabolism and Disposition
Vol. 48, Issue 10
1 Oct 2020
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Research ArticleSpecial Section on Natural Products: Experimental Approaches to Elucidate Disposition Mechanisms and Predict Pharmacokinetic Drug Interactions

Influence of Zuojin Pill on Venlafaxine

Yue Li, Juan Li, Dongmin Yan, Qian Wang, Jingyi Jin, Bo Tan and Furong Qiu
Drug Metabolism and Disposition October 1, 2020, 48 (10) 1044-1052; DOI: https://doi.org/10.1124/dmd.120.000048

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Research ArticleSpecial Section on Natural Products: Experimental Approaches to Elucidate Disposition Mechanisms and Predict Pharmacokinetic Drug Interactions

Influence of Zuojin Pill on Venlafaxine

Yue Li, Juan Li, Dongmin Yan, Qian Wang, Jingyi Jin, Bo Tan and Furong Qiu
Drug Metabolism and Disposition October 1, 2020, 48 (10) 1044-1052; DOI: https://doi.org/10.1124/dmd.120.000048
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