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1.
J Chromatogr Sci ; 58(5): 411-417, 2020 Apr 25.
Artigo em Inglês | MEDLINE | ID: mdl-32086519

RESUMO

A binary mixture of Silymarin (SR) and Vitamin E (VE) acetate, of an antioxidant and a hepatoprotective effect, has been analyzed using a sensitive, selective and economic high performance thin layer chromatographic (HPTLC) method in their pure forms, pharmaceutical formulation and spiked human plasma. SR and VE were separated on 60F254 silica gel plates using hexane:acetone:formic acid (7:3:0.15, v/v/v) as a developing system with UV detection at 215 nm. The method was evaluated for linearity, accuracy, precision, selectivity, limit of detection (LOD) and limit of quantification (LOQ). SR and VE were detected in the linear range of 0.2-2.5 and 0.2-4.5 µg/band, respectively. Method validation was done as per ICH guidelines and acceptable results of accuracy of 99.86 ± 1.190 and 100.22 ± 1.609 for SR and VE, respectively were obtained. The method has been successfully applied for determination of the studied drugs in their pharmaceutical formulation without any interference from excipients, and in spiked plasma samples. Results obtained by the developed HPTLC-densitometric method were statistically compared to those obtained by the reported HPLC methods and no significant difference was found between them.


Assuntos
Cromatografia em Camada Fina/métodos , Silimarina/análise , Vitamina E/análise , Cápsulas/análise , Cromatografia Líquida de Alta Pressão , Densitometria , Excipientes , Humanos , Limite de Detecção , Substâncias Protetoras/análise , Reprodutibilidade dos Testes , Silimarina/sangue , Solventes/química , Raios Ultravioleta , Vitamina E/sangue
2.
Spectrochim Acta A Mol Biomol Spectrosc ; 204: 188-195, 2018 Nov 05.
Artigo em Inglês | MEDLINE | ID: mdl-29933154

RESUMO

A rapid, highly sensitive and roubst spectrofluorimetric method was developed for trace analysis of silymarin (SLM) in active pharmaceutical ingredient (API), pharmaceutical preparations and human plasma. The proposed method is based on reaction of SLM with a novel reagent; 3-amino-5-pyridin-3-yl-1,2,4-triazole (3-APT); in the presence of 0.04 M sodium hydroxide. The formed fluorescent product was formed within 5 min and was measured at 504 nm after excitation at 390 nm. All reaction parameters were optimized and the proposed method was validated according to ICH guidelines. The developed method was linearly correlated at the concentration range of 0.05-8 µg mL-1 with good correlation coefficient 0.9993, limit of detection 10.79 ng mL-1 and limit of quantitation 32.71 ng mL-1. The relative standard deviations %RSD values were 1.59-2.69% and 1.47-2.62% in case of intra- and inter-day precision, respectively. Computational molecular modeling and NMR spectroscopy were used to identify the reaction mechanism between SLM and 3-APT. The proposed method was employed for determination of SLM in API or bulk material, pharmaceutical capsules and sachets. Further, the method was sensitive enough to be applied for analysis of the free (unconjugated) SLM flavonolignans in human plasma samples.


Assuntos
Corantes Fluorescentes/química , Piridinas/química , Silimarina/análise , Triazóis/química , Humanos , Limite de Detecção , Modelos Lineares , Espectroscopia de Ressonância Magnética , Modelos Moleculares , Reprodutibilidade dos Testes , Silimarina/sangue , Silimarina/química , Espectrometria de Fluorescência
3.
Clin Ther ; 40(1): 103-113.e1, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29273470

RESUMO

PURPOSE: The purpose of this study was to compare the bioavailability between 2 milk thistle-containing dietary supplements, Product B and IsaGenesis, in healthy volunteers. METHODS: Bioavailability between Product B, originally formulated as a powdered capsule, and IsaGenesis, reformulated as a soft gel, were compared by measuring silybin A and silybin B as surrogate pharmacokinetic markers for differences in absorption and bioavailability. For this randomized, open-label, crossover pharmacokinetic study, 12 healthy volunteers consumed a single-dose serving of each supplement separated by at least a 7-day washout period. Serial blood samples were obtained at 0, 0.5, 1, 1.5, 2, 3, 4, 6, and 8 hours and analyzed via LC-MS/MS. FINDINGS: Rapid absorption and elimination of silybin A and silybin B have been observed after oral administration of both Product B and IsaGenesis. However, the absorption rate and extent, as indicated by mean the Cmax and mean plasma AUC, were significantly higher for the IsaGenesis soft gel formulation. The dose-corrected mean Cmax was 365% and 450% greater for silybin A and B, respectively, relative to powdered Product B. The time to Tmax was reached, on average, at least 1 hour earlier with IsaGenesis relative to Product B for both silybin A and silybin B. IMPLICATIONS: The IsaGenesis soft gel formulation provided substantially greater absorption and bioavailability of silybin A and silybin B relative to the powdered Product B supplement. ClinicalTrials.gov Identifier: NCT02529605.


Assuntos
Antioxidantes/farmacocinética , Suplementos Nutricionais , Extratos Vegetais/farmacocinética , Silybum marianum , Silimarina/farmacocinética , Administração Oral , Adulto , Antioxidantes/administração & dosagem , Área Sob a Curva , Disponibilidade Biológica , Cápsulas , Cromatografia Líquida , Estudos Cross-Over , Composição de Medicamentos , Feminino , Géis , Humanos , Masculino , Extratos Vegetais/administração & dosagem , Pós , Silibina , Silimarina/administração & dosagem , Silimarina/sangue , Espectrometria de Massas em Tandem , Equivalência Terapêutica , Adulto Jovem
4.
Int J Nanomedicine ; 12: 7025-7038, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29026299

RESUMO

In this study, a glycogen-gold nanohybrid was fabricated to enhance the potency of a promising hepatoprotective agent silymarin (Sly) by improving its solubility and gut permeation. By utilizing a facile green chemistry approach, biogenic gold nanoparticles were synthesized from Annona reticulata leaf phytoconstituents in combination with Sly (SGNPs). Further, the SGNPs were aggregated in glycogen biopolymer to yield the therapeutic nanohybrids (GSGNPs). Transmission electron microscopy, UV-Vis spectroscopy, X-ray diffraction, and Fourier transform infrared spectroscopy analysis confirmed the successful formation and conjugation of both SGNPs and GSGNPs. The fabricated nanohybrids showed significant protection against CCl4-induced hepatic injury in Wistar rats and maintained natural antioxidant (superoxide dismutase and catalase) levels. Animals treated with GSGNPs (10 mg/kg) and SGNPs (20 mg/kg) retained usual hepatic functions with routine levels of hepatobiliary enzymes (aspartate transferase, alanine transaminase, alkaline phosphatase, and lactate dehydrogenase) and inflammatory markers (interleukin-1ß and tumor necrosis factor-α) with minimal lipid peroxidation, whereas those treated with 100 mg/kg of Sly showed the similar effect. These results were also supported by histopathology of the livers where pronounced hepatoprotection with normal hepatic physiology and negligible inflammatory infiltrate were observed. Significant higher plasma Cmax supported the enhanced bioavailability of Sly upon GSGNPs treatment compared to SGNPs and free Sly. Graphite furnace atomic absorption spectrophotometry analysis also substantiated the efficient delivery of GSGNPs over SGNPs. The fabricated therapeutic nanohybrids were also found to be biocompatible toward human erythrocytes and L929 mouse fibroblast cells. Overall, due to increased solubility, bioavailability and profuse gut absorption; GSGNPs demonstrated tenfold enhanced potency compared to free Sly.


Assuntos
Glicogênio/química , Ouro/química , Nanopartículas Metálicas/química , Silimarina/farmacologia , Animais , Antioxidantes/farmacologia , Biomarcadores/metabolismo , Tetracloreto de Carbono , Sobrevivência Celular/efeitos dos fármacos , Citocinas/sangue , Humanos , Mediadores da Inflamação/metabolismo , Peroxidação de Lipídeos/efeitos dos fármacos , Fígado/efeitos dos fármacos , Fígado/patologia , Masculino , Nanopartículas Metálicas/ultraestrutura , Camundongos , Extratos Vegetais/química , Substâncias Protetoras/química , Substâncias Protetoras/farmacologia , Ratos Wistar , Silimarina/sangue , Superóxido Dismutase/metabolismo , Fator de Necrose Tumoral alfa/metabolismo , Difração de Raios X
5.
Int J Pharm ; 493(1-2): 366-73, 2015 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-26222744

RESUMO

Silibinin, the main active component of Silybum marianum is a hepatoprotective and antioxidant agent with antitumor effect, exhibiting very low aqueous solubility and oral bioavailability limiting its use in therapeutics. We characterized serum and tissue pharmacokinetics of SLB, calculated its absolute bioavailability and developed an open loop physiologically based pharmacokinetic (PBPK) model, after oral (per os, p.o) and intravenous (i.v.) administration in mice as water-soluble silibinin-hydroxypropyl-beta-cyclodextrin (SLB-HP-ß-CD) lyophilized product. 60 C57Bl/6J mice were divided into groups of 5, each group representing one sampling time point. SLB-HP-ß-CD lyophilized product was administered orally (50mg/kg) and i.v. (20mg/kg) after reconstitution with water for injection. Blood and tissue samples were collected at selected time points after animal sacrificed, properly treated and analyzed with HPLC-PDA for non-metabolized and total SLB. NONMEM pharmacokinetic analysis revealed a 2-compartment PK model to describe serum SLB pharmacokinetics, with zero order absorption after oral administration and was applied as forcing function to an open loop PBPK model incorporating heart, liver, kidneys and lungs. Tissue/plasma Kp values were estimated using i.v. data and can be used to predict tissue SLB distribution after oral administration. Absolute oral bioavailability of SLB from the lyophilized SLB-HP-ß-CD product was 10 times higher than after administration of pure SLB.


Assuntos
Antioxidantes , Silimarina , beta-Ciclodextrinas/química , 2-Hidroxipropil-beta-Ciclodextrina , Administração Intravenosa , Administração Oral , Animais , Antioxidantes/administração & dosagem , Antioxidantes/química , Antioxidantes/farmacocinética , Disponibilidade Biológica , Liofilização , Masculino , Camundongos Endogâmicos C57BL , Modelos Biológicos , Silibina , Silimarina/administração & dosagem , Silimarina/sangue , Silimarina/química , Silimarina/farmacocinética , Distribuição Tecidual
6.
Int J Nanomedicine ; 10: 2403-16, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25848259

RESUMO

Roux-en-Y gastric bypass (RYGB) is a popular surgery to reduce the body weight of obese patients. Although food intake is restricted by RYGB, drug absorption is also decreased. The purpose of this study was to develop novel self-nanoemulsifying drug delivery systems (SNEDDS) for enhancing the oral delivery of silymarin, which has poor water solubility. The SNEDDS were characterized by size, zeta potential, droplet number, and morphology. A technique of RYGB was performed in Sprague-Dawley rats. SNEDDS were administered at a silymarin dose of 600 mg/kg in normal and RYGB rats for comparison with silymarin aqueous suspension and polyethylene glycol (PEG) 400 solution. Plasma silibinin, the main active ingredient in silymarin, was chosen for estimating the pharmacokinetic parameters. SNEDDS diluted in simulated gastric fluid exhibited a droplet size of 190 nm with a spherical shape. The nanocarriers promoted silibinin availability via oral ingestion in RYGB rats by 2.5-fold and 1.5-fold compared to the suspension and PEG 400 solution, respectively. A significant double-peak concentration of silibinin was detected for RYGB rats receiving SNEDDS. Fluorescence imaging showed a deeper and broader penetration of Nile red, the fluorescence dye, into the gastrointestinal mucosa from SNEDDS than from PEG 400 solution. Histological examination showed that SNEDDS caused more minor inflammation at the gastrointestinal membrane as compared with that caused by PEG 400 solution, indicating a shielding of direct silymarin contact with the mucosa by the nanodroplets. SNEDDS generally showed low-level or negligible irritation in the gastrointestinal tract. Silymarin-loaded SNEDDS were successfully developed to improve the dissolution, permeability, and oral bioavailability of silymarin. To the best of our knowledge, this is the first investigation reporting the usefulness of SNEDDS for improving drug malabsorption elicited by gastric bypass surgery.


Assuntos
Sistemas de Liberação de Medicamentos/métodos , Emulsões , Derivação Gástrica , Nanopartículas , Silimarina , Administração Oral , Animais , Emulsões/administração & dosagem , Emulsões/química , Emulsões/farmacocinética , Nanopartículas/administração & dosagem , Nanopartículas/química , Ratos , Ratos Sprague-Dawley , Silibina , Silimarina/administração & dosagem , Silimarina/sangue , Silimarina/química , Silimarina/farmacocinética , Solubilidade
7.
Int J Pharm ; 485(1-2): 108-21, 2015 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-25735668

RESUMO

In the present study, nanostructured lipid carriers (NLCs) with three different lipid combinations (solid lipid:liquid lipid) were prepared through emulsification and ultrasonication using a Box-Behnken design. From the design, the best lipid combination was glyceryl monostearate and oleic acid, which gives particle of smaller size (223.73 ± 43.39nm) with high drug entrapment efficiency (78.65 ± 2.2%). In vitro release studies show that 84.60 ± 5.66% of drug was released in 24h. In vivo studies revealed that drug absorption occurs through lymphatic pathway as only 5.008 ± 0.011µg/ml of peak plasma concentration was achieved in blood plasma in presence of chylomicron inhibitor. The peak plasma concentration (Cmax) for silymarin loaded NLC was found to be 25.565 ± 0.969µg/ml as compared to silymarin suspension whose Cmax was found to be 14.050 ± 0.552 µg/ml, this confirms 2-fold increase in relative bioavailability. In vivo studies revealed that 19.268 ± 1.29µg of drug reaches to liver in 2h whereas negligible drug concentration reported in other organs. It was concluded that drug loaded NLCs was beneficial for targeting liver or other lymphatic disorders through lymphatic transport pathway. Finally, the main purpose of modifying lymphatic transport system was successfully achieved through NLCs.


Assuntos
Portadores de Fármacos , Glicerol/química , Fígado/metabolismo , Sistema Linfático/metabolismo , Nanopartículas , Ácido Oleico/química , Silimarina/administração & dosagem , Administração Oral , Animais , Disponibilidade Biológica , Células CACO-2 , Química Farmacêutica , Quilomícrons/metabolismo , Emulsões , Feminino , Glicerol/análogos & derivados , Humanos , Interações Hidrofóbicas e Hidrofílicas , Absorção Intestinal , Taxa de Depuração Metabólica , Modelos Estatísticos , Nanomedicina , Tamanho da Partícula , Ratos Wistar , Silimarina/sangue , Silimarina/química , Silimarina/farmacocinética , Solubilidade , Sonicação , Tecnologia Farmacêutica/métodos , Distribuição Tecidual
8.
J Ethnopharmacol ; 163: 149-56, 2015 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-25623616

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: Botanical medicines are frequently used in combination with therapeutic drugs, imposing a risk for harmful botanical-drug interactions (BDIs). Among the existing BDI evaluation methods, clinical studies are the most desirable, but due to their expense and protracted time-line for completion, conventional in vitro methodologies remain the most frequently used BDI assessment tools. However, many predictions generated from in vitro studies are inconsistent with clinical findings. Accordingly, the present study aimed to develop a novel ex vivo approach for BDI assessment and expand the safety evaluation methodology in applied ethnopharmacological research. MATERIALS AND METHODS: This approach differs from conventional in vitro methods in that rather than botanical extracts or individual phytochemicals being prepared in artificial buffers, human plasma/serum collected from a limited number of subjects administered botanical supplements was utilized to assess BDIs. To validate the methodology, human plasma/serum samples collected from healthy subjects administered either milk thistle or goldenseal extracts were utilized in incubation studies to determine their potential inhibitory effects on CYP2C9 and CYP3A4/5, respectively. Silybin A and B, two principal milk thistle phytochemicals, and hydrastine and berberine, the purported active constituents in goldenseal, were evaluated in both phosphate buffer and human plasma based in vitro incubation systems. RESULTS: Ex vivo study results were consistent with formal clinical study findings for the effect of milk thistle on the disposition of tolbutamide, a CYP2C9 substrate, and for goldenseal׳s influence on the pharmacokinetics of midazolam, a widely accepted CYP3A4/5 substrate. Compared to conventional in vitro BDI methodologies of assessment, the introduction of human plasma into the in vitro study model changed the observed inhibitory effect of silybin A, silybin B and hydrastine and berberine on CYP2C9 and CYP3A4/5, respectively, results which more closely mirrored those generated in clinical study. CONCLUSIONS: Data from conventional buffer-based in vitro studies were less predictive than the ex vivo assessments. Thus, this novel ex vivo approach may be more effective at predicting clinically relevant BDIs than conventional in vitro methods.


Assuntos
Interações Ervas-Drogas , Hydrastis , Midazolam/farmacologia , Extratos Vegetais/farmacologia , Silybum marianum , Tolbutamida/farmacologia , Adulto , Benzilisoquinolinas/sangue , Berberina/sangue , Citocromo P-450 CYP2C9/metabolismo , Citocromo P-450 CYP3A/metabolismo , Feminino , Humanos , Masculino , Microssomos Hepáticos/metabolismo , Silibina , Silimarina/sangue , Adulto Jovem
9.
Drug Dev Ind Pharm ; 41(4): 552-9, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24495272

RESUMO

In this study, the in vivo oral absorption of a nanocrystal tablet formulation of a BCS II poorly water-soluble drug was compared with that of its water-soluble salt form. Silybin is used as the model drug, and its nanosuspension was prepared by high-pressure homogenization. Effect of process and formulation parameters on properties of the nansuspensions was investigated. Dried powder of the nanosuspension was prepared by spray drying and used for preparing tablets. A pharmacokinetic study was performed in Beagle dogs to compare the absorption for tablets of silybin nanocrystals and silybin meglumine. In vivo absorption of nanocrystal silybin tablet in Beagle dogs was determined. X-ray powder diffraction results indicated that silybin existed in a crystalline state after homogenization. In vivo absorption study in rats showed that the peroral absorption of silybin was enhanced remarkably by decreasing particle size. In vivo absorption of nanocrystal silybin tablet in Beagle dogs was comparable with that of the commercially available tablet of the water-soluble salt form of silybin. In conclusion, it is possible to increase the bioavailability of poorly soluble drugs by preparing its water-soluble derivative.


Assuntos
Antioxidantes/farmacocinética , Nanopartículas/química , Absorção pela Mucosa Oral , Silimarina/farmacocinética , Animais , Animais Endogâmicos , Antioxidantes/análise , Antioxidantes/química , Disponibilidade Biológica , Cães , Composição de Medicamentos , Liberação Controlada de Fármacos , Estabilidade de Medicamentos , Excipientes/química , Masculino , Meglumina/química , Microscopia Eletrônica de Varredura , Nanopartículas/ultraestrutura , Tamanho da Partícula , Pós , Ratos Wistar , Silibina , Silimarina/sangue , Silimarina/química , Suspensões , Comprimidos
10.
Antivir Ther ; 20(2): 149-55, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-24912382

RESUMO

BACKGROUND: HCV kinetic analysis and modelling during antiviral therapy have not been performed in decompensated cirrhotic patients awaiting liver transplantation. Here, viral and host parameters were compared in three groups of patients treated with daily intravenous silibinin (SIL) monotherapy for 7 days according to the severity of their liver disease. METHODS: Data were obtained from 25 patients, 12 non-cirrhotic, 8 with compensated cirrhosis and 5 with decompensated cirrhosis. The standard-biphasic model with time-varying SIL effectiveness (from 0 to final effectiveness [εmax]) was fitted to viral kinetic data. RESULTS: Baseline viral load and age were significantly associated with the severity of liver disease (P<0.0001). A biphasic viral decline was observed in most patients with a higher first phase decline in patients with less severe liver disease. The εmax was significantly (P≤0.032) associated with increasing severity of liver disease (non-cirrhotic εmax [se]=0.86 [0.05], compensated cirrhotic εmax=0.69 [0.06] and decompensated cirrhotic εmax=0.59 [0.1]). The second phase decline slope was not significantly different among groups (mean 1.88 ±0.15 log10 IU/ml/week, P=0.75) as was the rate of change of SIL effectiveness (k=2.12/day [se=0.18/day]). HCV-infected cell loss rate (δ [se]=0.62/day [0.05/day]) was high and similar among groups. CONCLUSIONS: The high loss rate of HCV-infected cells suggests that sufficient dose and duration of SIL might achieve viral suppression in advanced liver disease.


Assuntos
Antioxidantes/farmacocinética , Hepatite C/tratamento farmacológico , Cirrose Hepática/tratamento farmacológico , Modelos Estatísticos , Silimarina/farmacocinética , Adulto , Fatores Etários , Idoso , Antioxidantes/administração & dosagem , Antioxidantes/metabolismo , Disponibilidade Biológica , Morte Celular/efeitos dos fármacos , Simulação por Computador , Feminino , Hepacivirus/efeitos dos fármacos , Hepacivirus/fisiologia , Hepatite C/complicações , Hepatite C/patologia , Hepatite C/virologia , Hepatócitos/efeitos dos fármacos , Hepatócitos/patologia , Hepatócitos/virologia , Humanos , Injeções Intravenosas , Cirrose Hepática/complicações , Cirrose Hepática/patologia , Cirrose Hepática/virologia , Masculino , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Silibina , Silimarina/administração & dosagem , Silimarina/sangue , Carga Viral/efeitos dos fármacos
11.
Drug Metab Dispos ; 42(10): 1611-6, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25028567

RESUMO

Milk thistle (Silybum marianum) extracts are widely used as a complementary and alternative treatment of various hepatic conditions and a host of other diseases/disorders. The active constituents of milk thistle supplements are believed to be the flavonolignans contained within the extracts. In vitro studies have suggested that some milk thistle components may significantly inhibit specific cytochrome P450 (P450) enzymes. However, determining the potential for clinically significant drug interactions with milk thistle products has been complicated by inconsistencies between in vitro and in vivo study results. The aim of the present study was to determine the effect of a standardized milk thistle supplement on major P450 drug-metabolizing enzymes after a 14-day exposure period. CYP1A2, CYP2C9, CYP2D6, and CYP3A4/5 activities were measured by simultaneously administering the four probe drugs, caffeine, tolbutamide, dextromethorphan, and midazolam, to nine healthy volunteers before and after exposure to a standardized milk thistle extract given thrice daily for 14 days. The three most abundant falvonolignans found in plasma, following exposure to milk thistle extracts, were silybin A, silybin B, and isosilybin B. The concentrations of these three major constituents were individually measured in study subjects as potential perpetrators. The peak concentrations and areas under the time-concentration curves of the four probe drugs were determined with the milk thistle administration. Exposure to milk thistle extract produced no significant influence on CYP1A2, CYP2C9, CYP2D6, or CYP3A4/5 activities.


Assuntos
Inibidores das Enzimas do Citocromo P-450/farmacologia , Sistema Enzimático do Citocromo P-450/metabolismo , Extratos Vegetais/farmacologia , Silybum marianum/química , Cafeína/farmacocinética , Dextrometorfano/farmacocinética , Suplementos Nutricionais/análise , Feminino , Interações Ervas-Drogas , Humanos , Masculino , Midazolam/farmacocinética , Silibina , Silimarina/análogos & derivados , Silimarina/sangue , Tolbutamida/farmacocinética , Adulto Jovem
12.
Drug Metabol Drug Interact ; 29(4): 261-7, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25029082

RESUMO

BACKGROUND: The aim of this study was to investigate the effect of silymarin pretreatment on domperidone oral bioavailability in humans. METHODS: The rats were pretreated with silymarin for 7 days. The transport of domperidone across the rat intestine (duodenum, jejunum, ileum, and colon) was studied by using in vitro everted and non-everted sac methods. Samples were collected at preset time points and replaced with buffer. The drug content in the samples was estimated. The first part of the study included oral administration of 10 mg domperidone tablet alone, and blood was sampled from the antecubital vein. The second part of the study was conducted after a washout period of 2 weeks. Five hundred milligrams of silymarin was administered twice daily for 6 days. On day 7, one tablet each of 10 mg domperidone and 500 mg silymarin were administered concomitantly. RESULTS: In the everted sac and non-everted sac study with silymarin pretreatment, domperidone transport increased from the duodenum, jejunum, ileum, and colon. The silymarin pretreatment increased the bioavailability of domperidone. There was a statistically significant difference in the pharmacokinetic parameters Cmax, T1/2, AUC0-∞, and AUC0-24. CONCLUSIONS: The significant difference in absorption of domperidone on pretreatment with silymarin is due to the inhibition of P-glycoprotein and CYP3A. Silymarin, which inhibits CYP3A4, should be contraindicated for domperidone.


Assuntos
Domperidona/administração & dosagem , Domperidona/sangue , Voluntários Saudáveis , Silimarina/administração & dosagem , Silimarina/sangue , Adulto , Animais , Disponibilidade Biológica , Interações Medicamentosas/fisiologia , Humanos , Masculino , Técnicas de Cultura de Órgãos , Ratos , Ratos Wistar , Resultado do Tratamento
13.
Artigo em Inglês | MEDLINE | ID: mdl-24317417

RESUMO

To investigate the pharmacokinetics of silibinin and silibinin hemisuccinate in human plasma, two high-performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS) methods were developed and validated. The methods require a small volume of sample (100µL), and the recovery of the analytes was complete with a good reproducibility (CV% 1.7-9.5), after a simple protein precipitation. Naringenin was used as internal standard. The chromatographic methods provided a good separation of diastereoisomers A and B of both silibinin and silibinin hemisuccinate onto a Chromolith Performance RP18e 100mm×3mm column, with a resolution of peaks from plasma matrix in less than 6min. The methods precision values expressed as CV% were always ≤6.2% and the accuracy was always well within the acceptable 15% range. Quantification was performed on a triple-quadrupole tandem mass spectrometer by Selected Reaction Monitoring (SRM) mode, in a negative ion mode, via electrospray ionization (ESI). The lower limit of quantitation was set at 5.0ng/mL (silibinin) and 25.0ng/mL (silibinin hemisuccinate), and the linearity was validated up to 1000.0 and 12,500.0ng/mL, for silibinin and silibinin hemisuccinate, respectively, with correlation coefficients (R(2)) of 0.991 or better. The methods were suitable for pharmacokinetic studies and were successfully applied to human plasma samples from subjects treated intravenously with Legalon(®) SIL at the dose of 20mg/kg, expressed as silibinin.


Assuntos
Antioxidantes/análise , Silimarina/sangue , Succinatos/sangue , Espectrometria de Massas em Tandem/métodos , Cromatografia Líquida de Alta Pressão/métodos , Humanos , Isomerismo , Limite de Detecção , Masculino , Silybum marianum/química , Reprodutibilidade dos Testes , Silibina , Silimarina/análise , Succinatos/análise
14.
J Biomater Appl ; 28(6): 887-96, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24008629

RESUMO

The main purpose of this study was to prepare binary lipids-based nanostructured lipid carriers to improve the oral bioavailability of silymarin, a poorly water-soluble liver protectant. Silymarin-loaded nanostructured lipid carriers were prepared by the method of high-pressure homogenization with glycerol distearates (Precirol ATO-5) and oleic acid as the solid and liquid lipids, respectively, and lecithin (Lipoid E 100) and Tween-80 as the emulsifiers. The silymarin-nanostructured lipid carrier prepared under optimum conditions was spherical in shape with mean particle size of ∼78.87 nm, entrapment efficiency of 87.55%, loading capacity of 8.32%, and zeta potential of -65.3 mV, respectively. In vitro release of silymarin-nanostructured lipid carriers was very limited even after 12 h, while in vitro lipolysis showed fast digestion of nanostructured lipid carriers within 1 h. Relative oral bioavailability of silymarin-nanostructured lipid carriers in Beagle dogs was 2.54- and 3.10-fold that of marketed Legalon® and silymarin solid dispersion pellets, respectively. It was concluded that nanostructured lipid carriers were potential drug delivery systems to improve the bioavailability of silymarin. Other than improved dissolution, alternative mechanisms such as facilitated absorption as well as lymphatic transport may contribute to bioavailability enhancement.


Assuntos
Lipídeos/química , Nanoestruturas , Silimarina/farmacocinética , Administração Oral , Animais , Disponibilidade Biológica , Cães , Lipólise , Microscopia Eletrônica de Transmissão , Tamanho da Partícula , Silimarina/administração & dosagem , Silimarina/sangue
15.
Integr Cancer Ther ; 13(1): 46-53, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23757319

RESUMO

PURPOSE: To determine the maximum tolerated dose per day of silybin phosphatidylcholine (Siliphos) in patients with advanced hepatocellular carcinoma (HCC) and hepatic dysfunction. EXPERIMENTAL DESIGN: Patients with advanced HCC not eligible for other therapies based on poor hepatic function were enrolled in a phase I study of silybin phosphatidylcholine. A standard phase I design was used with 4 planned cohorts, dose escalating from 2, 4, 8, to 12 g per day in divided doses for 12 weeks. RESULTS: Three participants enrolled in this single institution trial. All enrolled subjects consumed 2 g per day of study agent in divided doses. Serum concentrations of silibinin and silibinin glucuronide increased within 1 to 3 weeks. In all 3 patients, liver function abnormalities and tumor marker α-fetoprotein progressed, but after day 56 the third patient showed some improvement in liver function abnormalities and inflammatory biomarkers. All 3 participants died within 23 to 69 days of enrolling into the trial, likely from hepatic failure, but it could not be ruled out that deaths were possibly due to the study drug. CONCLUSION: Short-term administration of silybin phosphatidylcholine in patients with advanced HCC resulted in detectable increases in silibinin and its metabolite, silibinin glucuronide. The maximum tolerated dose could not be established. Since patients died soon after enrollment, this patient population may have been too ill to benefit from an intervention designed to improve liver function tests.


Assuntos
Antioxidantes/administração & dosagem , Carcinoma Hepatocelular/tratamento farmacológico , Neoplasias Hepáticas/tratamento farmacológico , Fosfatidilcolinas/administração & dosagem , Silybum marianum , Silimarina/administração & dosagem , Antioxidantes/efeitos adversos , Carcinoma Hepatocelular/sangue , Carcinoma Hepatocelular/patologia , Progressão da Doença , Relação Dose-Resposta a Droga , Humanos , Neoplasias Hepáticas/sangue , Neoplasias Hepáticas/patologia , Masculino , Dose Máxima Tolerável , Pessoa de Meia-Idade , Silybum marianum/efeitos adversos , Fosfatidilcolinas/efeitos adversos , Silibina , Silimarina/efeitos adversos , Silimarina/sangue
16.
Am J Vet Res ; 74(10): 1327-32, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24066917

RESUMO

OBJECTIVE: To determine the oral bioavailability, single and multidose pharmacokinetics, and safety of silibinin, a milk thistle derivative, in healthy horses. ANIMALS: 9 healthy horses. PROCEDURES: Horses were initially administered silibinin IV and silibinin phospholipid orally in feed and via nasogastric tube. Five horses then consumed increasing orally administered doses of silibinin phospholipid during 4 nonconsecutive weeks (0 mg/kg, 6.5 mg/kg, 13 mg/kg, and 26 mg/kg of body weight, twice daily for 7 days each week). RESULTS: Bioavailability of orally administered silibinin phospholipid was 0.6% PO in feed and 2.9% via nasogastric tube. During the multidose phase, silibinin had nonlinear pharmacokinetics. Despite this, silibinin did not accumulate when given twice daily for 7 days at the evaluated doses. Dose-limiting toxicosis was not observed. CONCLUSIONS AND CLINICAL RELEVANCE: Silibinin phospholipid was safe, although poorly bio-available, in horses. Further study is indicated in horses with hepatic disease.


Assuntos
Cavalos/metabolismo , Extratos Vegetais/farmacocinética , Silybum marianum/química , Silimarina/farmacocinética , Administração Oral , Análise de Variância , Animais , Área Sob a Curva , Disponibilidade Biológica , Cromatografia Líquida , Relação Dose-Resposta a Droga , Intubação Gastrointestinal/veterinária , Espectrometria de Massas , Extratos Vegetais/administração & dosagem , Extratos Vegetais/sangue , Silibina , Silimarina/administração & dosagem , Silimarina/sangue
17.
J Asian Nat Prod Res ; 15(2): 117-29, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23421757

RESUMO

Apoptosis in murine dermal cells is retarded by ultraviolet B (UVB) irradiation-induced autophagic intervention while simultaneously epidermal cells commit apoptosis, during which inflammatory cytokines released from the lost epidermal cells promote immune responses of dermal inflammatory cells, forming morphological symptoms of acute cutaneous diseases. Autophagy is involved in prevention or provocation of apoptosis of dermal or epidermal cells of UVB-irradiated mice via modulation of intracellular metabolism, intervening the balance between cell death and survival in dermis and epidermis. p53 expressed in immune system affects autophagy function through activating or inactivating genes encoding apoptotic factors and inflammatory cytokines. Silibinin protects dermal and epidermal cells of UVB irradiated skin against abnormally autophagy-mediated apoptosis adjustments. In this study, how UVB irradiation intervenes autophagy in dermal and epidermal cells as well as how silibinin protects UVB irradiated skin through physiological recovering of autophagy function in dermis and epidermis are focused and elucidated preliminarily. Silibinin treatment (50 mg/kg/day for 4 days) reversed dermal and epidermal autophagy levels from UVB irradiation-induced improper autophagy intervention, repaired the balance between cell survival and death in dermis and epidermis, and protected skin against damage through mediation of p53 activation in dermal and epidermal cells.


Assuntos
Autofagia/efeitos da radiação , Epiderme/efeitos da radiação , Inflamação/metabolismo , Silimarina/farmacologia , Proteína Supressora de Tumor p53/metabolismo , Animais , Apoptose/genética , Apoptose/efeitos da radiação , Autofagia/genética , Epiderme/metabolismo , Células Epiteliais/metabolismo , Inflamação/genética , Masculino , Camundongos , Estrutura Molecular , Silibina , Silimarina/sangue , Silimarina/química , Neoplasias Cutâneas/genética , Neoplasias Cutâneas/metabolismo , Neoplasias Cutâneas/prevenção & controle , Proteína Supressora de Tumor p53/genética
18.
Eur J Pharm Sci ; 48(1-2): 64-71, 2013 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-23123331

RESUMO

The objective of this study was to prepare a 72 h-release formulation of silybin (72 h-SLB) using a combination of solid dispersion, gel matrix and porous silica nanoparticles (PSNs) and to investigate the in vitro/in vivo correlations (IVIVCs). The results of scanning electron microscopy and N(2) adsorption demonstrated that empty PSNs possessed a spherical shape, a highly porous structure, a large specific surface area (385.89 ± 1.12 m(2)/g) and a small pore size (2.74 nm on average). The in vitro dissolution profiles of both 72 h-SLB and silybin-loaded PSNs in different concentrations (0.01, 0.06 and 0.08M) of Na(2)CO(3) solutions revealed that 0.06 M Na(2)CO(3) solution was the optimal medium in which silybin could be released from 72 h-SLB with first-order release kinetics and from PSNs with Higuchi kinetics. Furthermore, the IVIVCs of 72 h-SLB and silybin-loaded PSNs in beagle dogs were also established. Using 0.06 M Na(2)CO(3) solution as the in vitro dissolution medium, a good linear relationship could be achieved for both 72 h-SLB and silybin-loaded PSNs. The findings support the fact that the 72 h-SLB (consisting of solid dispersion, regular gel matrix and PSNs) together with Na(2)CO(3) solution as an in vitro dissolution medium can be developed into a promising formulation for poorly soluble drugs, which enjoys a good IVIVC.


Assuntos
Nanopartículas/química , Dióxido de Silício/química , Dióxido de Silício/farmacocinética , Silimarina/química , Silimarina/farmacocinética , Animais , Preparações de Ação Retardada/administração & dosagem , Preparações de Ação Retardada/química , Preparações de Ação Retardada/farmacocinética , Cães , Suco Gástrico/química , Secreções Intestinais/química , Cinética , Masculino , Nanopartículas/administração & dosagem , Dióxido de Silício/administração & dosagem , Silibina , Silimarina/administração & dosagem , Silimarina/sangue , Bicarbonato de Sódio/química , Solubilidade
19.
Artigo em Inglês | MEDLINE | ID: mdl-22766231

RESUMO

Silymarin, an extract of crushed achenes of the milk thistle plant Silybum marianum is a multi-constituent mixture, 70-80% of which consists of a complex assortment containing the flavonolignans silybin A and B, isosilybin A and B, silydianin, and silychristin, and the flavonoid taxifolin. To date, numerous pharmacological actions of the silymarin extract have been documented in the biomedical literature, including hepatoprotective, anti-inflammatory, anti-tumor, and anti-fibrotic activities. The present study describes a novel liquid chromatographic-tandem mass spectrometric method for simultaneous analysis of silychristin, silydianin, silybin A and silybin B, isosilybin A and isosilybin B, and taxifolin in human plasma employing liquid-liquid extraction. This assay provides excellent resolution of the individual silymarin constituents via utilization of a 100 A 250 mm × 2 mm, 5 µm C(18) column with the mobile phase consisting of 51% methanol, 0.1% formic acid, and 10mM ammonium acetate. The lower limit of quantification was 2 ng/ml for each constituent. Calibration curves were linear over the range from 2 ng/ml to 100 ng/ml for all analytes (r(2)>0.99). The intra- and inter-day accuracies were 91-106.5% and 95.1-111.9%, respectively. The intra- and inter-day precision was within 10.5%. Additionally, recovery, stability, and matrix effects were fully validated as well. This method was successfully applied to human plasma samples from subjects treated with the milk thistle extract Legalon(®).


Assuntos
Cromatografia Líquida/métodos , Silimarina/sangue , Espectrometria de Massas em Tandem/métodos , Estabilidade de Medicamentos , Feminino , Humanos , Extração Líquido-Líquido , Masculino , Silybum marianum , Extratos Vegetais , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Silimarina/química , Silimarina/farmacocinética
20.
Acta Biomater ; 8(6): 2104-12, 2012 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-22343518

RESUMO

The purpose of this study was to develop porous silica nanoparticles (PSNs) as a carrier to improve oral bioavailability of poorly water-soluble drugs, using silymarin as a model. PSNs were synthesized by reverse microemulsion and ultrasonic corrosion methods. A 3-day release formulation consisting of a silymarin solid dispersion, a hydrophilic gel matrix and silymarin-loaded PSNs was prepared. In vitro release studies indicated that both the silymarin-loaded PSNs and the 3-day release formulation showed a typical sustained-release pattern over a long period, about 72 h. The in vivo studies revealed that the 3-day release formulation gave a significantly higher plasma concentration and larger area under the concentration-time curves than commercial tablets when orally administered to beagle dogs. This implies that the prepared 3-day release formulation significantly enhanced the oral bioavailability of silymarin, suggesting that PSNs can be used as promising drug carriers for oral sustained release systems. Thus providing a technically feasible approach for improving the oral bioavailability and long-term efficacy of poorly soluble drugs.


Assuntos
Sistemas de Liberação de Medicamentos , Nanopartículas , Dióxido de Silício , Silimarina/farmacocinética , Administração Oral , Animais , Disponibilidade Biológica , Preparações de Ação Retardada , Cães , Masculino , Microscopia Eletrônica de Transmissão , Difração de Pó , Silimarina/administração & dosagem , Silimarina/sangue
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