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Effect of green tea on pharmacokinetics of 5-fluorouracil in rats and pharmacodynamics in human cell lines in vitro
Authors:Jinping QiaoChenxin Gu  Weihu ShangJinglei Du  Wei YinMeilin Zhu  Wei WangMei Han  Weidong Lu
Affiliation:a Key Laboratory of Radiopharmaceuticals, Ministry of Education, College of Chemistry, Beijing Normal University, Beijing 100875, PR China
b Osher Research Center, Harvard Medical School, Boston, MA 02215, USA
c College of Nature Resources and Technology, Beijing Normal University, Beijing 100875, PR China
Abstract:
Tea drinking is widely practiced in the world and has recently increased among cancer patients. However, the effects of concurrent consumption of tea on the bioavailability and the net therapeutic potential of co-administered chemical drugs are not clear. In this study, the effects of green tea on the pharmacokinetics of 5-fluorouracil (5-FU) in rats and the pharmacodynamics in human cell lines in vitro were studied. The pharmacokinetic experiment indicated that there was an approximately 151% increase in the maximum plasma concentration (Cmax) and an approximately 425% increase in the area under the plasma concentration curve (AUC) of 5-FU in the green tea-treated group compared with the control group. Green tea consumption increased the plasma concentration of 5-FU. In addition, the pharmacodynamics experiment showed that at the moderate dose level (equivalent to <6 cups daily in human), neither fresh green tea extract nor (−)-epigallocatechin-3-gallate (EGCG) showed significant additive effects on the cytotoxicity of 5-FU in human cell lines. The results showed that it is crucial to perform therapeutic drug monitoring (TDM) when the cancer patients have a habit of drinking green tea.
Keywords:5-FU, 5-fluorouracil   AUC, the area under the curve   Cmax, the maximum concentration   CV, coefficients of variation   EC, (&minus  )-epicatechin   ECG, (&minus  )-epicatechin-3-gallate   EGC, (&minus  )-epigallocatechin   EGCG, (&minus  )-epigallocatechin-3-gallate   HPLC, high performance liquid chromatography   LOQ, the limit of quantification   t1/2(ka), the absorption half-life   t1/2(ke), the elimination half-life   Tmax, the time to reach the maximum concentration   TDM, therapeutic drug monitoring
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