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Pharmacokinetic Comparison of Nine Bioactive Compounds of Guanxinshutong Capsule in Normal and Acute Myocardial Infarction Rats

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Abstract

Background and Objectives

Guanxinshutong capsules (GXST) are usually used to treat acute myocardial infarction (AMI), and the clinical effect of GXST is significant. However, there have been only a few studies on the pharmacokinetics of GXST against AMI injury. The objective of this study was to investigate the pharmacokinetics of nine bioactive compounds of GXST in normal and AMI rats.

Methods

In this work, a rat model of AMI was established by ligating the left anterior descending coronary artery. The pharmacokinetic parameters of nine bioactive compounds (gallic acid, danshensu, protocatechuic aldehyde, rosmarinic acid, salvianolic acid B and salvianolic acid A, dihydrotanshinone I, cryptotanshinone, and tanshinone IIA) in the plasma of AMI and normal rats were compared under the same dose of GXST by a LC-MS/MS method. Then, we selected P-glycoprotein (P-gp) and some representative cytochrome P450 enzymes (CYPs) for molecular docking to further analyze the interaction between these compounds.

Results

The pharmacokinetic studies showed that the area under the concentration-time curve (AUC) and maximum concentration (Cmax) of phenolic acids were relatively large, while the half-life (T½) of tanshinones was longer. Among the nine components, salvianolic acid B in AMI rats had the maximum area under the concentration–time curve (AUC0-∞ = 1961.8 ng·h/mL), which showed a significant difference compared with normal rats (P < 0.05). Tanshinone IIA in AMI rats had the longest half-life (T½ = 10.1 h), and it was markedly longer than that in normal rats (P < 0.01). In addition, compared with the normal group, the AUC, Cmax, T½ , and time to reach Cmax (Tmax) of gallic acid increased significantly in AMI rats (P < 0.05 or P < 0.01). For the molecular docking results, it was found that gallic acid may interact with CYP1A2, CYP2D6, and CYP2C9, while danshensu may interact with CYP2C9. Tanshinones may interact with CYP1A2, CYP2D6, CYP2C9, and P-gp.

Conclusions

The results suggest that the pathological injury caused by AMI has a significant impact on the pharmacokinetic characteristics of some active compounds in GXST, which are conducive to providing a reference and promoting rational clinical drug use.

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References

  1. Han A, Lu Y, Zheng Q, Zhang J, Zhao Y, Zhao M, et al. Qiliqiangxin Attenuates Cardiac Remodeling via Inhibition of TGF-β1/Smad3 and NF-κB Signaling Pathways in a Rat Model of Myocardial Infarction. Cell Physiol Biochem. 2018;45:1797–806.

    Article  CAS  PubMed  Google Scholar 

  2. Lin B, Feng D, Xu J. Cardioprotective effects of microRNA-18a on acute myocardial infarction by promoting cardiomyocyte autophagy and suppressing cellular senescence via brain derived neurotrophic factor. Cell Biosci BioMed Central. 2019;9:1–12.

    Google Scholar 

  3. Yusuf S, Reddy S, Ôunpuu S, Anand S. Clinical cardiology : new frontiers global burden of cardiovascular diseases. Circulation. 2001;104:2746–53.

    Article  CAS  PubMed  Google Scholar 

  4. Lee TL, Lee MH, Chen YC, Lee YC, Lai TC, Lin HYH, et al. Vitamin D attenuates ischemia/reperfusion-induced cardiac injury by reducing mitochondrial fission and mitophagy. Front Pharmacol. 2020;11:1–17.

    Article  CAS  Google Scholar 

  5. Lu C-Y, Lu P-C, Chen P-C. Utilization trends in traditional Chinese medicine for acute myocardial infarction. J Ethnopharmacol. 2019;241:112010.

    Article  PubMed  Google Scholar 

  6. Zhang Y, Wu J, Guo S, Lin W, Zhang B, Chen X, et al. The clinical efficacy and safety of the Chinese herbal medicine Astragalus (Huangqi) preparation for the treatment of acute myocardial infarction: a systematic review of randomized controlled trials. Medicine (Baltimore) 2019;98:e15256.

    Article  Google Scholar 

  7. Cao Y, He X, Lui F, Huang Z, Zhang Y. Chinese medicinal formula Guanxin Shutong capsule protects the heart against oxidative stress and apoptosis induced by ischemic myocardial injury in rats. Exp Ther Med. 2014;7:1033–9.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Liu F, Huang ZZ, Sun YH, Li T, Yang DH, Xu G, et al. Four Main Active Ingredients Derived from a Traditional Chinese Medicine Guanxin Shutong Capsule Cause Cardioprotection during Myocardial Ischemia Injury Calcium Overload Suppression. Phyther Res. 2017;31:507–15.

    Article  CAS  Google Scholar 

  9. Liu F, Du X, Liu PR, Sun YH, Zhang YM. Screening and analysis of key active constituents in Guanxinshutong capsule using mass spectrum and integrative network pharmacology. Chin J Nat Med. 2018;16:302–12.

    CAS  PubMed  Google Scholar 

  10. Zhou F, Zhang L, Gu L, Zhang Y, Hou C, Bi K, et al. Simultaneous quantification of 13 compounds in Guanxin Shutong capsule by HPLC method. J Chromatogr Sci. 2016;54:971–6.

    Article  CAS  PubMed  Google Scholar 

  11. Yan X, Zhang QY, Zhang YL, Han X, Bin GS, Li HH. Gallic acid attenuates angiotensin II-induced hypertension and vascular dysfunction by inhibiting the degradation of endothelial nitric oxide synthase. Front Pharmacol. 2020;11:1–10.

    Article  CAS  Google Scholar 

  12. Sohrabi F, Dianat M, Badavi M, Radan M, Mard SA. Does gallic acid improve cardiac function by attenuation of oxidative stress and inflammation in an elastase-induced lung injury? Iran J Basic Med Sci. 2020;23:1130–8.

    PubMed  PubMed Central  Google Scholar 

  13. Wang X, Guo D, Li W, Zhang Q, Jiang Y, Wang Q, et al. Danshen (Salvia miltiorrhiza) restricts MD2/TLR4-MyD88 complex formation and signalling in acute myocardial infarction-induced heart failure. J Cell Mol Med. 2020;24:10677–92.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Ye T, Xiong D, Li Y, Gong S, Zhang L, Li B, et al. Inhibition of nuclear factor kappa B as a mechanism of Danshensu during Toll-like receptor 2-triggered inflammation in macrophages. Int Immunopharmacol. 2020;83:106419 (Elsevier).

    Article  CAS  PubMed  Google Scholar 

  15. Zhou ZY, Zhao WR, Zhang J, Chen XL, Tang JY. Sodium tanshinone IIA sulfonate: a review of pharmacological activity and pharmacokinetics. Biomed Pharmacother. 2019;118:109362 (Elsevier).

    Article  CAS  PubMed  Google Scholar 

  16. Wan YJ, Wang YH, Guo Q, Jiang Y, Tu PF, Zeng KW. Protocatechualdehyde protects oxygen-glucose deprivation/reoxygenation-induced myocardial injury via inhibiting PERK/ATF6α/IRE1α pathway. Eur J Pharmacol. 2021;891:173723.

    Article  CAS  PubMed  Google Scholar 

  17. Xu L, Deng Y, Feng L, Li D, Chen X, Ma C, et al. Cardio-protection of salvianolic acid b through inhibition of apoptosis network. PLoS One. 2011;6.

  18. Guo R, Li L, Su J, Li S, Duncan SE, Liu Z, et al. Pharmacological activity and mechanism of tanshinone iia in related diseases. Drug Des Devel Ther. 2020;14:4735–48.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Li YJ, Duan CL, Liu JX. Salvianolic acid A promotes the acceleration of neovascularization in the ischemic rat myocardium and the functions of endothelial progenitor cells. J Ethnopharmacol. 2014;151:218–27.

    Article  CAS  PubMed  Google Scholar 

  20. National Research Council (US) Committee for the Update of the Guide for the Care and Use of Laboratory Animals. In: Guide for the Care and Use of Laboratory Animals, 8th edition. Natl. Acad. Press. 2011.

  21. Wu W, Wang H, Yu C, Li J, Gao Y, Ke Y, et al. Association of ADAMTS-7 levels with cardiac function in a rat model of acute myocardial infarction. Cell Physiol Biochem. 2016;38:950–8.

    Article  CAS  PubMed  Google Scholar 

  22. Bitencourt-Ferreira G, Pintro VO, de Azevedo WF. Docking with AutoDock4. Methods Mol Biol. 2019;2053:125–48.

    Article  CAS  PubMed  Google Scholar 

  23. Chen F, Li L, Tian DD. Salvia miltiorrhiza roots against cardiovascular disease: consideration of herb-drug interactions. Biomed Res Int. 2017;2017:9868694.

    PubMed  PubMed Central  Google Scholar 

  24. Ow Y-Y, Stupans I. Gallic acid and gallic acid derivatives: effects on drug metabolizing enzymes. Curr Drug Metab. 2005;4:241–8.

    Article  Google Scholar 

  25. He X, Li G, Chen Y, Xiao Q, Yu X, Yu X, et al. Pharmacokinetics and pharmacodynamics of the combination of rhein and curcumin in the treatment of chronic kidney disease in rats. Front Pharmacol. 2020;11:1–10.

    Article  CAS  Google Scholar 

  26. Wang H, Zhou G, Zhuang M, Wang W, Fu X. Utilizing network pharmacology and molecular docking to explore the underlying mechanism of Guizhi Fuling Wan in treating endometriosis. PeerJ. 2021;9:e11087.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Saqib F, Mujahid K, Aslam MA, Modhi A, Moga MA, Bobescu E, et al. Ex vivo and in vivo studies of Viola tricolor Linn. as potential cardio protective and hypotensive agent: Inhibition of voltage-gated Ca++ ion channels. FASEB J. 2020;34:9102–19.

    Article  CAS  PubMed  Google Scholar 

  28. Athukuri BL, Neerati P. Enhanced oral bioavailability of metoprolol with gallic acid and ellagic acid in male Wistar rats: Involvement of CYP2D6 inhibition. Drug Metab Pers Ther. 2016;31:229–34.

    CAS  PubMed  Google Scholar 

  29. Metsugi Y, Miyaji Y, Ogawara KI, Higaki K, Kimura T. Appearance of double peaks in plasma concentration-time profile after oral administration depends on gastric emptying profile and weight function. Pharm Res. 2008;25:886–95.

    Article  CAS  PubMed  Google Scholar 

  30. Yuan J, Wei F, Luo X, Zhang M, Qiao R, Zhong M, et al. Multi-component comparative pharmacokinetics in rats after oral administration of Fructus aurantii Extract, Naringin, Neohesperidin, and Naringin-Neohesperidin. Front Pharmacol. 2020;11:1–12.

    Article  CAS  Google Scholar 

  31. Zhang P, Ma H, Lin X, Qiu F. Simultaneous quantification and rat pharmacokinetics of formononetin-7-O-β-d-glucoside and its metabolite formononetin by high-performance liquid chromatography–tandem mass spectrometry. J Sep Sci. 2020;43:2996–3005.

    Article  CAS  PubMed  Google Scholar 

  32. Qin WW, Wang L, Jiao Z, Wang B, Wang CY, Qian LX, et al. Lower clearance of sodium tanshinone IIA sulfonate in coronary heart disease patients and the effect of total bilirubin: a population pharmacokinetics analysis. Chin J Nat Med. 2019;17:218–26.

    CAS  PubMed  Google Scholar 

  33. Liu J, Wu J, Wang X, Cai Z. Study of the phase I and phase II metabolism of a mixture containing multiple tanshinones using liquid chromatography/tandem mass spectrometry. Rapid Commun Mass Spectrom. 2007;21:2992–8.

    Article  CAS  PubMed  Google Scholar 

  34. Dai H, Wang M, Li X, Wang L, Li Y, Xue M. Structural elucidation of in vitro and in vivo metabolites of cryptotanshinone by HPLC-DAD-ESI-MSn. J Pharm Biomed Anal. 2008;48:885–96.

    Article  CAS  PubMed  Google Scholar 

  35. Hamilton KL. Antioxidants and cardioprotection. Med Sci Sports Exerc. 2007;39:1544–53.

    Article  CAS  PubMed  Google Scholar 

  36. Zhu H, Li Y. NAD(P)H: Quinone oxidoreductase 1 and its potential protective role in cardiovascular diseases and related conditions. Cardiovasc Toxicol. 2012;12:39–45.

    Article  CAS  PubMed  Google Scholar 

  37. Zhan S, Guo W, Shao Q, Fan X, Li Z, Cheng Y. A pharmacokinetic and pharmacodynamic study of drug-drug interaction between ginsenoside Rg1, ginsenoside Rb1 and schizandrin after intravenous administration to rats. J Ethnopharmacol. 2014;152:333–9.

    Article  CAS  PubMed  Google Scholar 

  38. Wang X, Cheung CM, Lee WYW, Or PMY, Yeung JHK. Major tanshinones of Danshen (Salvia miltiorrhiza) exhibit different modes of inhibition on human CYP1A2, CYP2C9, CYP2E1 and CYP3A4 activities in vitro. Phytomedicine. 2010;17:868–75.

    Article  CAS  PubMed  Google Scholar 

  39. Qiu F, Zhang R, Sun J, Jiye A, Hao H, Peng Y, et al. Inhibitory effects of seven components of danshen extract on catalytic activity of cytochrome P450 enzyme in human liver microsomes. Drug Metab Dispos. 2008;36:1308–14.

    Article  CAS  PubMed  Google Scholar 

  40. Li K, Lai H. TanshinoneIIA enhances the chemosensitivity of breast cancer cells to doxorubicin through down-regulating the expression of MDR-related ABC transporters. Biomed Pharmacother. 2017;96:371–7.

    Article  CAS  PubMed  Google Scholar 

  41. Ye LH, Zhao XQ, Kong LT, Wang LS, Tao X, Wu H, et al. Inhibitory effects of Danhong Injection and its major constituents on human cytochrome P450 enzymes in vitro. Biomed Chromatogr. 2018;32:e4250.

    Article  PubMed  CAS  Google Scholar 

  42. Gao X, Mu J, Guan S, Li Q, Du Y, Zhang H, et al. Simultaneous determination of phenolic acids and diterpenoids and their comparative pharmacokinetic study in normal and acute blood stasis rats by UFLC–MS/MS after oral administration of Guan-Xin-Shu-Tong capsules. J Chromatogr B. 2018;1072:221–8.

    Article  CAS  Google Scholar 

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Authors and Affiliations

Authors

Corresponding authors

Correspondence to Haitong Wan or Huifen Zhou.

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Funding

This work was supported by the National Key R&D Program of China (No.2017YFC1700400, 2017YFC1700403), and the Key Laboratory of TCM Encephalopathy of Zhejiang Province (No. 2020E10012).

Conflict of interest

The authors declare no conflicts of interest.

Ethics Approval

Animal welfare and experiments were strictly in accordance with the Regulation for the Administration of Affairs Concerning Experimental Animals (State Science and Technology Commission, 1988) and approved by the Institutional Animal Care and Use Committee (IACUC), ZJCLA, (Hangzhou, China).

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Not applicable.

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Availability of data and materials

Data for this study are available on request.

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Author contributions

HW, YH, and HZ conceived the idea and designed the study. WF participated in the data collecting. YY and PZ participated in the experimental study and statistical analysis. MF established the acute myocardial infarction model in rats. YY and JY wrote the manuscript. All authors read and approved the final manuscript.

Additional information

Huifen Zhou and Haitong Wan are co-corresponding authors.

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Yang, Y., Yang, J., Fu, W. et al. Pharmacokinetic Comparison of Nine Bioactive Compounds of Guanxinshutong Capsule in Normal and Acute Myocardial Infarction Rats. Eur J Drug Metab Pharmacokinet 47, 653–665 (2022). https://doi.org/10.1007/s13318-022-00777-6

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  • DOI: https://doi.org/10.1007/s13318-022-00777-6

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