Toward a better understanding of metabolic and pharmacokinetic characteristics of low-solubility, low-permeability natural medicines

Today, it is very challenging to develop new active pharmaceutical ingredients. Developing good preparations of well-recognized natural medicines is certainly a practical and economic strategy. Low-solubility, low-permeability natural medicines (LLNMs) possess valuable advantages such as effectiveness, relative low cost and low toxicity, which is shown by the presence of popular products on the market. Understanding the in vivo metabolic and pharmacokinetic characteristics of LLNMs contributes to overcoming their associated problems, such as low absorption and low bioavailability. In this review, the structure-based metabolic reactions of LLNMs and related enzymatic systems, cellular and bodily pharmacological effects and metabolic influences, drug-drug interactions involved in metabolism and microenvironmental changes, and pharmacokinetics and dose-dependent/linear pharmacokinetic models are comprehensively evaluated. This review suggests that better pharmacological activity and pharmacokinetic behaviors may be achieved by modifying the metabolism through using nanotechnology and nanosystem in combination with the suitable administration route and dosage. It is noteworthy that novel nanosystems, such as triggered-release liposomes, nucleic acid polymer nanosystems and PEGylated dendrimers, in addition to prodrug and intestinal penetration enhancer, demonstrate encouraging performance. Insights into the metabolic and pharmacokinetic characteristics of LLNMs may help pharmacists to identify new LLNM formulations with high bioavailability and amazing efficacy and help physicians carry out LLNM-based precision medicine and individualized therapies.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:52

Enthalten in:

Drug metabolism reviews - 52(2020), 1 vom: 01. Feb., Seite 19-43

Sprache:

Englisch

Beteiligte Personen:

Yang, Jie [VerfasserIn]
Li, Kailing [VerfasserIn]
He, Dan [VerfasserIn]
Gu, Jing [VerfasserIn]
Xu, Jingyu [VerfasserIn]
Xie, Jiaxi [VerfasserIn]
Zhang, Min [VerfasserIn]
Liu, Yuying [VerfasserIn]
Tan, Qunyou [VerfasserIn]
Zhang, Jingqing [VerfasserIn]

Links:

Volltext

Themen:

Biological Products
Drug delivery systems
Flavonoids
Journal Article
Low solubility–low permeability
Metabolism
Natural medicines
Pharmacodynamics
Pharmacokinetics
Research Support, Non-U.S. Gov't
Review
Terpenes

Anmerkungen:

Date Completed 14.04.2020

Date Revised 14.04.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/03602532.2020.1714646

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM305813633