Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/56503
Type: Artigo de Periódico
Title: Evaluation of the effects of maytenus ilicifolia on the activities of cytochrome p450 3a and p-glycoprotein
Authors: Sara Batistado Nascimento
Whocely Victor de Castro
Mariana de Lima Nascimento
Laís Lobato de Araújo
Flávio Martins de Oliveira
Maria do Carmo Vieira
Joaquim Maurício Duarte-almeida
João Máximo Siqueira
Isabela da Costa César
Hartmut Derendorf
Abstract: Abstract: Background: Maytenus ilicifolia is a Brazilian popular medicine commonly used to treat ulcer and gastritis. Despite the absence of toxicity regarding its consumption, possible interactions when co-administrated with conventional drugs, are unknown. Objective: This study aimed to evaluate the effects of M. ilicifolia extracts on Cytochrome P450 3A (CYP3A) and P-glycoprotein (P-gp) activities. Methods: The extracts were obtained by infusion (MI) or turbo-extraction using hydro-acetonic solvent (MT70). The content of polyphenols in each extract was determined. To assess the modulation of M. ilicifolia on P-gp activity, the uptake of fexofenadine (FEX) by Caco-2 cells was investigated in the absence or presence of MI or MT70. The effect on CYP3A activity was evaluated by the co-administration of midazolam (MDZ) with each extract in male Wistar rats. The pharmacokinetic parameters of the drug were determined and compared with those from the control group. The content of total phenolic compounds, tannins, and flavonoids on MT70 extract was about double of that found in MI. Results: In the presence of the extracts, the uptake of the P-gp marker (FEX) by Caco-2 cells increased from 1.7 ± 0.4 ng.mg-1 protein (control) to 3.5 ± 0.2 ng.mg-1 protein (MI) and 4.4 ± 0.5 ng.mg-1 protein (MT70), respectively. When orally co-administrated with MDZ (substrate of CYP3A), the extracts augmented the AUC(0-∞) (Control: 911.7 ± 215.7 ng.h.mL-1; MI: 1947 ± 554.3 ng.h.mL-1; MT70: 2219.0 ± 506.3 ng.h.mL-1) and the Cmax (Control: 407.7 ± 90.4 ng.mL-1; MI: 1770.5 ± 764.5 ng.mL-1; MT70: 1987.2 ± 544.9 ng.mL-1) of the drug in rats indicating a 50% reduction of the oral Cl. No effect was observed when midazolam was given intravenously. Conclusion: The results suggest that M. ilicifolia can inhibit the intestinal metabolism and transport of drugs mediated by CYP3A and P-gp, respectively, however, the involvement of other transporters and the clinical relevance of such interaction still need to be clarified.
Subject: Farmácia
Biofarmácia
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: FAR - DEPARTAMENTO DE PRODUTOS FARMACÊUTICOS
FARMACIA - FACULDADE DE FARMACIA
Rights: Acesso Restrito
metadata.dc.identifier.doi: http://doi.org/10.2174/1389200221666200512112718
URI: http://hdl.handle.net/1843/56503
Issue Date: 2020
metadata.dc.url.externa: https://www.eurekaselect.com/article/106564
metadata.dc.relation.ispartof: Current Drug Metabolism
Appears in Collections:Artigo de Periódico

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