Hydroxy propyl Cyclodextrins: Potential Synergism with Carcinogens

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Abstract

The solubility of the lipophilic carcinogens benzo[a]pyrene and aflatoxin Bi in water increases linearly and substantially with the concentration of hydroxypropyl β-cyclodextrin present. Results of a kinetic study of naphthalene, a model for more potent carcinogens, indicate that the increase in the dissolution rate and in the transport through the aqueous phase into a nonpolar phase is on the same order of magnitude as the increase in solubility. Consequently, hydroxypropyl β-cyclodextrin, when used in pharmaceutical formulations, has the potential to increase the absorption of carcinogens which enter the gastrointestinal tract either as food components or from air pollution through saliva. Only the above mechanism's simple proportionality needs be considered for estimating the increases in carcinogen absorption in the upper gastrointestinal tract and in the colon. In the presence of bile, however, additional factors are involved and the proportionality does not apply. Bile micelles, which themselves are effective solubilizers of lipophilic carcinogens, were disrupted by hydroxypropyl β-cyclodextrin because of the formation of complexes with bile salts. Thus, in the presence of bile, two systems for delivery of carcinogens may coexist: that of cotransport with lipids and that of delivery through solubilization by hydroxypropyl β-cyclodextrin.

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    The release mechanism of a compound from a cyclodextrin complex upon oral administration has been suggested to be a combination of dilution, which must be assumed to be constant across groups, and competitive displacement by bile salts present within the intestinal tract,20,21 that is, differences in stability constants between cyclodextrins of both compound and bile salts may in theory influence the release and thereby the absorption. To the best of our knowledge, the stability constant between β-cyclodextrin and benzo[a]pyrene has not been determined, but the apparent stability constants measured by phase solubility studies has been reported for 2-HP-β-cyclodextrin to be 5344 M−1 and 25,900 M−1,22,23 the later value measured in the presence of 15 mM sodium taurocholate, that is, with competitive interaction. For γ-cyclodextrin, we have found an apparent stability constant of 37,050 M−1 at 37°C in a phase solubility study (data not shown); the relative affinity of benzo[a]pyrene toward the 2 different classes of cyclodextrins was in the same range.

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    Lipid digestion products induce secretion of pancreatic and biliary fluids which alter the luminal environment of the small intestine [38]. Bile salts decrease the partition coefficient of drugs in intestinal media [39–41] while pancreatic lipases participate to lipid digestion [42] and contribute to the release of drugs from oil [43]. Thus, the resulting mixed micelles probably increase the amount of IND available for absorption.

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    Thus, although cyclodextrins are able to increase solubility of lipophilic compounds like BaP, the rate of release from the complex may be decreased in the in vivo situation. In conclusion, rather than causing enhanced absorption of benzo[a]pyrene as proposed by Horsky and Pitha,9 our results indicate that β‐cyclodextrin may act as a scavenger for such compounds following oral administration, thus reducing the systemic exposure by preventing absorption. This finding emphasizes the need to exercise caution in interpreting in vitrosolubility information data when extrapolating to the in vivosituation.

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Abstract published in Advance ACS Abstracts, November 1, 1995.

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