Rapid intestinal glucuronidation and hepatic glucuronide recycling contributes significantly to the enterohepatic circulation of icaritin and its glucuronides in vivo

Icaritin (ICT), a prenylflavonoid derivative extracted from the Epimedium genus, has exhibited antitumor effects in hepatocellular carcinoma (HCC) cells and safety and tolerance in clinical settings. However, ICT exhibits low blood concentration and the in vivo dominant plasma species of ICT is glucuronides [icaritin-3-glucuronide (G1), icaritin-7-glucuronide (G2) and icaritin-3, 7-diglucuronide (DIG)]. Therefore, how ICT reaches the liver and exerts its effect with low toxicity remains unknown. Therefore, pharmacokinetic experiments (p.o. 5 mg/kg with/out 50 mg/kg inhibitor combo), intestinal perfusion (2 μM ICT), portal vein infusion (1.6 μM ICT, 7.1 μM G1, 6.8 μM G2 and 4.4 μM DIG), and in vitro studies (the concentration range of substrates: 0.3-10 μM) were conducted in the present study. Ultimately, ICT was shown to undergo glucuronidation by the intestine and subsequent uptake by hepatocytes via organic anion transporting peptides (OATPs) as conjugates, followed by biliary excretion mainly as diglucuronide. In conclusion, we found for the first time that the intestine is considered as the major metabolic organ, liver as the main recycling organ for the enterohepatic recycling (EHR) of ICT. Moreover, DIG is the main species in the systemic circulation following oral administration of ICT which explains the low toxicity of ICT in clinical settings.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:94

Enthalten in:

Archives of toxicology - 94(2020), 11 vom: 02. Nov., Seite 3737-3749

Sprache:

Englisch

Beteiligte Personen:

Rong, Yi [VerfasserIn]
Tu, Yifan [VerfasserIn]
Yin, Taijun [VerfasserIn]
Meng, Zhiyun [VerfasserIn]
Dou, Guifang [VerfasserIn]
Hu, Ming [VerfasserIn]

Links:

Volltext

Themen:

Diglucuronidation
Enterohepatic recycling (EHR)
Flavonoids
Glucuronides
Hepatocellular carcinoma (HCC)
Icaritin
Journal Article
Organic Anion Transporters
Research Support, Non-U.S. Gov't
UFE666UELY

Anmerkungen:

Date Completed 06.08.2021

Date Revised 24.01.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00204-020-02867-3

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM314902317