Ursodeoxycholic acid pretreatment reduces oral bioavailability of the multiple drug resistance-associated protein 2 substrate baicalin in rats

Planta Med. 2013 Nov;79(17):1615-9. doi: 10.1055/s-0033-1350935. Epub 2013 Oct 17.

Abstract

Baicalin is a major bioactive component of Scutellaria baicalensis and a substrate of multiple drug resistance-associated protein 2. Expression of multiple drug resistance-associated protein 2 is regulated by NF-E2-related factor 2. The aim of this study was to explore whether ursodeoxycholic acid, an NF-E2-related factor 2 activator, could influence the oral bioavailability of baicalin. A single dose of baicalin (200 mg/kg) was given orally to rats pretreated with ursodeoxycholic acid (75 mg/kg and 150 mg/kg, per day, intragastrically) or normal saline (per day, intragastrically) for six consecutive days. The plasma concentration of baicalin was measured with the HPLC method. The result indicated that the oral bioavailability of baicalin was significantly and dose-dependently reduced in rats pretreated with ursodeoxycholic acid. Compared with control rats, the mean area under concentration-time curve of baicalin was reduced from 13.25 ± 0.24 mg/L h to 7.62 ± 0.15 mg/L h and 4.97 ± 0.21 mg/L h, and the C(max) value was decreased from 1.31 ± 0.03 mg/L to 0.62 ± 0.05 mg/L and 0.36 ± 0.04 mg/L in rats pretreated with ursodeoxycholic acid at doses of 75 mg/kg and 150 mg/kg, respectively, for six consecutive days. Hence, ursodeoxycholic acid treatment reduced the oral bioavailability of baicalin in rats, probably due to the enhanced efflux of baicalin from the intestine and liver by multiple drug resistance-associated protein 2.

MeSH terms

  • ATP-Binding Cassette Transporters / metabolism*
  • Administration, Oral
  • Animals
  • Area Under Curve
  • Biological Availability
  • Cholagogues and Choleretics / pharmacology
  • Dose-Response Relationship, Drug
  • Drug Resistance, Multiple
  • Flavonoids / blood
  • Flavonoids / pharmacokinetics*
  • Intestinal Mucosa / metabolism
  • Liver / metabolism
  • Male
  • NF-E2-Related Factor 2 / metabolism*
  • Plant Extracts / blood
  • Plant Extracts / pharmacokinetics*
  • Rats
  • Rats, Sprague-Dawley
  • Scutellaria / chemistry*
  • Scutellaria baicalensis
  • Ursodeoxycholic Acid / pharmacology*

Substances

  • ATP-Binding Cassette Transporters
  • Abcc2 protein, rat
  • Cholagogues and Choleretics
  • Flavonoids
  • NF-E2-Related Factor 2
  • Plant Extracts
  • Scutellaria baicalensis extract
  • baicalin
  • Ursodeoxycholic Acid