Effect of probucol on the oral bioavailability of cyclosporine A

We have previously reported the reduction in oral bioavailability of cyclosporine A (CsA) by probucol, a lipid-lowering drug. To evaluate the mechanism, we examined the effect of probucol on the transport of CsA across Caco-2 cell monolayers, on the influence of CsA pharmacokinetics in rats, and on...

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Veröffentlicht in:European journal of pharmaceutical sciences 2004-05, Vol.22 (1), p.71-77
Hauptverfasser: Sugimoto, Koh-ichi, Sudoh, Toshiaki, Tsuruoka, Shuichi, Yamamoto, Yoshihisa, Maezono, Sachiko, Watanabe, Yoshiteru, Fujimura, Akio
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container_end_page 77
container_issue 1
container_start_page 71
container_title European journal of pharmaceutical sciences
container_volume 22
creator Sugimoto, Koh-ichi
Sudoh, Toshiaki
Tsuruoka, Shuichi
Yamamoto, Yoshihisa
Maezono, Sachiko
Watanabe, Yoshiteru
Fujimura, Akio
description We have previously reported the reduction in oral bioavailability of cyclosporine A (CsA) by probucol, a lipid-lowering drug. To evaluate the mechanism, we examined the effect of probucol on the transport of CsA across Caco-2 cell monolayers, on the influence of CsA pharmacokinetics in rats, and on the change of ultraviolet-absorption spectrum of the drug. Pretreatment with probucol (50 μM) inhibited ( P
doi_str_mv 10.1016/j.ejps.2004.02.009
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To evaluate the mechanism, we examined the effect of probucol on the transport of CsA across Caco-2 cell monolayers, on the influence of CsA pharmacokinetics in rats, and on the change of ultraviolet-absorption spectrum of the drug. Pretreatment with probucol (50 μM) inhibited ( P&lt;0.001) both the apical-to-basal (−73.1%) and basal-to-apical (−77.8%) fluxes of [ 3 H ]-CsA. In rats, probucol orally given 6 h after, but not simultaneous with CsA did not decrease peak CsA concentration or area under the blood CsA concentration–time curve following a single oral dosing of CsA after the pretreatment with probucol for 7 days. These data indicate that P-glycoprotein-mediated active transport from intracellular to apical is not involved in the mechanism of probucol–CsA interaction, and absorption of CsA decreases in the presence of probucol in the gastrointestinal tract. In difference spectral analysis, probucol reduced the absorption peak of CsA in a concentration-dependent manner, indicating that probucol could form a complex with CsA. 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To evaluate the mechanism, we examined the effect of probucol on the transport of CsA across Caco-2 cell monolayers, on the influence of CsA pharmacokinetics in rats, and on the change of ultraviolet-absorption spectrum of the drug. Pretreatment with probucol (50 μM) inhibited ( P&lt;0.001) both the apical-to-basal (−73.1%) and basal-to-apical (−77.8%) fluxes of [ 3 H ]-CsA. In rats, probucol orally given 6 h after, but not simultaneous with CsA did not decrease peak CsA concentration or area under the blood CsA concentration–time curve following a single oral dosing of CsA after the pretreatment with probucol for 7 days. These data indicate that P-glycoprotein-mediated active transport from intracellular to apical is not involved in the mechanism of probucol–CsA interaction, and absorption of CsA decreases in the presence of probucol in the gastrointestinal tract. In difference spectral analysis, probucol reduced the absorption peak of CsA in a concentration-dependent manner, indicating that probucol could form a complex with CsA. These results suggest that probucol interferes with CsA absorption probably by physicochemical mechanism such as complex formation, but not the enhancement of P-glycoprotein function.</description><subject>Administration, Oral</subject><subject>Animals</subject><subject>Anticholesteremic Agents - administration &amp; dosage</subject><subject>Anticholesteremic Agents - pharmacology</subject><subject>ATP-Binding Cassette, Sub-Family B, Member 1 - metabolism</subject><subject>Bioavailability</subject><subject>Biological and medical sciences</subject><subject>Biological Availability</subject><subject>Biological Transport, Active</subject><subject>Caco-2</subject><subject>Caco-2 Cells</subject><subject>Cyclosporine - antagonists &amp; inhibitors</subject><subject>Cyclosporine - pharmacokinetics</subject><subject>Cyclosporine A</subject><subject>General pharmacology</subject><subject>Humans</subject><subject>Intestinal Absorption - drug effects</subject><subject>Male</subject><subject>Medical sciences</subject><subject>P-glycoprotein</subject><subject>Pharmaceutical technology. Pharmaceutical industry</subject><subject>Pharmacology. 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Pharmaceutical industry</topic><topic>Pharmacology. Drug treatments</topic><topic>Probucol</topic><topic>Probucol - administration &amp; dosage</topic><topic>Probucol - pharmacology</topic><topic>Rats</topic><topic>Rats, Wistar</topic><topic>Spectrophotometry, Ultraviolet</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sugimoto, Koh-ichi</creatorcontrib><creatorcontrib>Sudoh, Toshiaki</creatorcontrib><creatorcontrib>Tsuruoka, Shuichi</creatorcontrib><creatorcontrib>Yamamoto, Yoshihisa</creatorcontrib><creatorcontrib>Maezono, Sachiko</creatorcontrib><creatorcontrib>Watanabe, Yoshiteru</creatorcontrib><creatorcontrib>Fujimura, Akio</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of pharmaceutical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sugimoto, Koh-ichi</au><au>Sudoh, Toshiaki</au><au>Tsuruoka, Shuichi</au><au>Yamamoto, Yoshihisa</au><au>Maezono, Sachiko</au><au>Watanabe, Yoshiteru</au><au>Fujimura, Akio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of probucol on the oral bioavailability of cyclosporine A</atitle><jtitle>European journal of pharmaceutical sciences</jtitle><addtitle>Eur J Pharm Sci</addtitle><date>2004-05-01</date><risdate>2004</risdate><volume>22</volume><issue>1</issue><spage>71</spage><epage>77</epage><pages>71-77</pages><issn>0928-0987</issn><eissn>1879-0720</eissn><abstract>We have previously reported the reduction in oral bioavailability of cyclosporine A (CsA) by probucol, a lipid-lowering drug. 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In difference spectral analysis, probucol reduced the absorption peak of CsA in a concentration-dependent manner, indicating that probucol could form a complex with CsA. These results suggest that probucol interferes with CsA absorption probably by physicochemical mechanism such as complex formation, but not the enhancement of P-glycoprotein function.</abstract><cop>Shannon</cop><pub>Elsevier B.V</pub><pmid>15113585</pmid><doi>10.1016/j.ejps.2004.02.009</doi><tpages>7</tpages></addata></record>
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identifier ISSN: 0928-0987
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subjects Administration, Oral
Animals
Anticholesteremic Agents - administration & dosage
Anticholesteremic Agents - pharmacology
ATP-Binding Cassette, Sub-Family B, Member 1 - metabolism
Bioavailability
Biological and medical sciences
Biological Availability
Biological Transport, Active
Caco-2
Caco-2 Cells
Cyclosporine - antagonists & inhibitors
Cyclosporine - pharmacokinetics
Cyclosporine A
General pharmacology
Humans
Intestinal Absorption - drug effects
Male
Medical sciences
P-glycoprotein
Pharmaceutical technology. Pharmaceutical industry
Pharmacology. Drug treatments
Probucol
Probucol - administration & dosage
Probucol - pharmacology
Rats
Rats, Wistar
Spectrophotometry, Ultraviolet
Time Factors
title Effect of probucol on the oral bioavailability of cyclosporine A
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