三七总皂苷肠溶微囊的药代动力学及体内外相关性

目的:考察三七总皂苷(panax notoginseng saponins,PNS)肠溶微囊在Beagle犬体内的释药行为及其体内外相关性研究。方法:采用双周期交叉试验设计,6只健康Beagle犬口服市售血栓通胶囊或自制PNS肠溶微囊(胶囊型)后,用HPLC法测定血药浓度,计算两制剂的药代动力学参数,进行生物利用度比较,并对体外累积释放度和体内累积吸收百分率进行线性回归。结果:自制PNS肠溶微囊对市售血栓通胶囊的相对生物利用度为三七皂苷R1(R1)313.63%,人参皂苷Rb1(Rb1)314.35%,人参皂苷Rg1(Rg1)202.03%,上述3成分在体内的平均滞留时间均延长,R1,Rb1和Rg1的体内外相关系数分别为0.866 4,0.958 0和0.719 2。结论:自制PNS肠溶微囊与市售血栓通胶囊相比生物利用度更高,Rb1体内外相关性较好,可用一定的体外释放条件进行体内行为的预测,R1和Rg1体内外相关性较差。     

三七皂苷中人参皂苷Rg1与Rb1口服吸收及其体内药代动力学的研究和比较

分别考察三七总皂苷(PNS)在大鼠灌胃和静脉给药后的人参皂苷Rg₁(Rg₁)、人参皂苷Rb₁(Rb₁)的胆汁排泄；采用平衡透析法测定药物的血浆蛋白结合率；并结合药代动力学的实验结果，研究和比较Rg₁与Rb₁的口服吸收及其体内药代动力学性质。结果表明，静脉给药后10 h，Rg₁及Rb₁胆汁排泄累积量分别为给药剂量的(61.48±18.30)%和(3.94±1.49)%；灌胃给药后12 h，Rg₁及Rb₁胆汁排泄累积量分别为给药剂量的(0.91±0.51)%和(0.055±0.02)%。Rg₁及Rb₁的血浆蛋白结合率分别为6.56%～12.74%和80.11%～89.69%。Rg₁的胃、肠和肝的通过率(F_S，F_I和F_H)分别为49.85%，13.05%和50.56%；Rb₁分别为25.82%，4.18%和65.77%。因此，肠壁吸收差是Rg₁和Rb₁生物利用度低的主要原因。Rg₁具有较高的胆汁排泄和较低的血浆蛋白结合率，Rb₁的胆汁排泄较低，而血浆蛋白结合率较高。Rb₁的肠黏膜透过性和体内消除速度都低于Rg₁，但前者的平均滞留时间(MRT)和血药浓度曲线下面积(AUC)均大于后者。     

三七皂苷的口服吸收机制

目的研究三七总皂苷(PNS)的口服吸收机制。方法采用Caco-2细胞和动物等模型研究PNS中人参皂苷Rb_l(Rb_l)和人参皂苷Rg_l(Rg_l)的胃肠道内稳定性、肠道黏膜吸收机制及吸收过程中胃、肠及肝对药物的影响。结果Rb_l和Rg_l在胃液酸性环境下易被破坏，而在近中性环境内基本保持稳定。Rb_l和Rg_l在大肠内容物中易降解，尤以Rb_l降解较为明显；二者在小肠内容物中则相对稳定。Rb_l和Rg_l在Caco-2细胞层的摄取受温度的影响，而pH的变化及环孢菌素A的加入对二者摄取均无显著性影响。在实验考察的浓度范围内，细胞内Rb_l(或Rg_l)的摄取量随Rb_l(或Rg_l)的浓度的增加而呈线性增加，Rb_l(或Rg_l)单体与总皂苷中的Rb_l(或Rg_l)在Caco-2细胞模型中的吸收特性无明显差异。而Rg_l的细胞摄取量［(1.07±0.16) μg·mg^-1(protein)］(C₀=1 mg·mL^-1)相对Rb_l［(0.77±0.03) μg·mg^-1(protein)］(C₀=1 mg·mL^-1)较高。Caco-2细胞转运实验表明，Rb_l和Rg_l单体的转运透过系数(P_app)分别为(5.9±1.0)×10^{-8cm·s-1和(2.59±0.17)×10-7 cm·s-1(C₀=1 mg·mL-1)，二者转运都不受环孢菌素A影响。PNS溶液灌胃、十二指肠及门静脉给药后测得Rb_l大鼠绝对生物利用度分别为0.71%，2.75%和65.77%；Rg_l分别为3.29%，6.60%和50.56%。结论三七总皂苷(包括Rb_l和Rg_l)的肠道吸收机制为单纯被动扩散，吸收过程不受细胞膜内P-gp和MRP外排载体的调控，PNS中其他成分对Rb_l或Rg_l的吸收特性无明显影响。胃液的酸性环境、大肠菌丛产生的酶及肝脏的首过作用均对其口服吸收产生影响，而肠道黏膜的透过性低是其口服吸收差的主要影响因素。}     

Self-micelle formation and the incorporation of lipid in the formulation affect the intestinal absorption of Panax notoginseng

The purpose of this research is to evaluate the effect of self-micelle formation and incorporation of lipid in the formulation on absorption of ginsenosides Rg1 and Rb1 from intestinal tract in rats. Ginsenosides Rg1 and Rb1 were extracted from Panax notoginseng saponins (PNS). The critical micellar concentration (CMC) of PNS in deionzied water was determined to be 0.339 mg/ml. At normal physiological ionic strengths, PNS was salted out from the solution above the CMC. The particle size of the micelle grows as PNS concentration increases. By in situ injection to a closed loop of the rat jejunum, AUC0-6h obtained after administration of low concentration solution (12 mg/ml) was 3.61 times for ginsenoside Rg1 and 3.84-folds for ginsenoside Rb1 compared with high concentration solution (120 mg/ml). The release rate of ginsenosides in aqueous medium was too slow to complete in 24h, especially for Rb1. The data suggested that the self-micelle formation tendency in ginsenosides might prevent them from permeation or absorption through the cell membrane of gastrointestinal (GI) tract. To inhibit the formation of micelles, lipid was incorporated in the PNS formulation. The intraduodenal bioavailability in rats showed that the bioavailability was enhanced remarkably relative to the aqueous solution. AUC 0-infinity of ginsenoside Rg1 and Rb1 in the lipid-based formulation were 207.52+/-53.95 and 1961.72+/-686.60 microg ml(-1) h, compared with 7.87+/-2.85 and 148.58+/-36.73 microg ml(-1) h, respectively from its aqueous solution. These findings suggested a new strategy to increase the absorption of amphiphilic saponins.     

三七皂苷长循环纳米粒的肠吸收及药动学研究

目的:研究三七皂苷(PNS)长循环纳米粒(PNS-LCN)的肠吸收及药动学。方法:采用大鼠外翻肠囊实验,测定PNS、PNS-LCN和PNS-壳聚糖物理混合物(Cs)中三七皂苷R1、Rg1、Rb1在大鼠十二指肠、空肠、回肠、结肠的渗透系数(Papp);大鼠分别灌胃给予PNS、PNS-LCN、PNS-Cs后于不同时间点取血,测定大鼠血浆中R1、Rg1、Rb1的血药浓度。结果:与PNS比较,PNS-LCN中R1在十二指肠和空肠,Rg1在空肠和回肠,Rb1在回肠和结肠的Papp升高;PNS-Cs中R1在十二指肠,Rg1在十二指肠、空肠和回肠,Rb1在十二指肠、空肠、回肠和结肠的Papp升高,差异有统计学意义(P<0.01或P<0.05)。PNS-LCN中R1、Rg1、Rb1生物利用度分别为PNS的3.65、3.63、2.96倍;PNS-Cs中R1、Rg1、Rb1生物利用度分别为PNS的0.31、0.77、1.36倍。结论:PNS-LCN可以明显提高PNS中R1、Rg1、Rb1的生物利用度,是PNS-LCN提高PNS渗透性和延长PNS在大鼠体内消除时间等综合作用的结果。     

三七皂甙对心肌腺苷三磷酸酶的影响(英文)

三七总皂甙(PNS)能抑制心肌总ATP酶活力,但对Na~( )-K~( )-ATP酶无明显影响。三七皂甙单体Rb_1及Rg_1对心肌总ATP酶活力均有抑制作用,但Rb_1的抑制效力显著大于Rg_1·Rb_1能抑制豚鼠离体心房肌的自律性和收缩性,Rg_1也能抑制豚鼠离体心房肌的自律性,但对心房肌的收缩性却无明显影响。提示PNS抑制心肌收缩力这一作用的主要有效成份是Rb_1·     

三七总皂苷肠溶胶囊在比格犬体内的药代动力学

目的探讨三七总皂苷(PNS)肠溶胶囊在比格犬体内的药代动力学。方法比格犬采用随机交叉给药方案,口服PNS肠溶胶囊86.2 mg·kg-1或血栓通胶囊111.8 mg·kg-1后,用反相高效液相色谱法同时测定犬血浆中三七皂苷R1、人参皂苷Rg1和Rb1的血药浓度,采用3P97药动学软件计算药动学参数和基于曲线下面积(AUC0-∞)自定义权重系数整合血药浓度后的药动学参数。结果与参比制剂血栓通比较,受试制剂PNS R1、Rg1、Rb1的达峰时间延长:R10.18±0.09 vs(0.16±0.06)h,Rg12.03±0.76 vs(1.74±0.27)h,Rb1 0.76±0.39 vs(0.74±0.17)h;吸收延迟时间延长:R1 0.96±0.16 vs(0.50±0.11)h,Rg10.87±0.05 vs(0.02±0.01)h,Rb10.92±0.12 vs(0.44±0.07)h,3种成分及其整合后PNS的相对生物利用度分别为248.41%,107.19%,152.94%和155.31%。整合后,血栓通胶囊和PNS肠溶胶囊的主要药动学参数分别为:AUC0→t39.17±3.89 vs(46.91±3.86)mg.L-1.h,Lag时间0.45±0.18 vs(0.92±0.13)h,tmax0.74±0.17 vs(0.77±0.13)h,Cl(3.84±0.24 vs 1.84±0.97 L.kg-1.h-1)。结论本实验制备的PNS肠溶胶囊能提高PNS的口服生物利用度。     

三七皂甙对急性脑缺血的保护作用

三七总皂甙对沙土鼠脑缺血再灌流损伤有明显保护作用;能减少脑缺血45min再灌流6h的卒中指数,并降低再灌流24h的死亡率。三七总皂甙单体Rb_1对树鼩局部脑缺血有保护作用:能减轻树鼩局部脑缺血12h后的脑水肿,并降低缺血脑组织的钙含量及缩小梗塞范国,而三七总皂甙单体Rg_1的作用不明显。     

Absorption profiles of sanchinoside R1 and ginsenoside Rg1 in the rat intestine.

Panax notoginseng is used as a therapeutic agent in Chinese medicine for stopping hemorrhage and also as a general health remedy. Although Panax notoginseng saponins (PNS) are currently attracting attention due to their hemorheological properties, the absorption profiles of PNS have still not been fully investigated. In the present study, an in situ intestinal perfusion rat model was used to investigate the absorption mechanism of sanchinoside R1 (R1) and ginsenoside Rg1 (Rg1), two main components of PNS. Quantitative analysis methods for R1 and Rg1 were first established, then concentrations of R1 and Rg1 in the perfusate were measured in real time through assessment of circulating perfusate in the rat small intestine. The absorption rate constant (k(a)) values for R1 were 0.1223, 0.0946 and 0.0904 h(-1) at a dose of 1, 10 and 100 mg respectively, while those of Rg1 were 0.1169, 0.1134 and 0.1089 h(-1) at a dose of 1, 10 and 100 mg respectively. The optimal absorption site for both of these compounds was found to be the duodenum, which indicated that the bioavailability of the orally administered PNS preparation was relatively low. Finally, the effect of certain absorption promoters on the absorption rates of R1 and Rg1 was investigated. It was found that carbomer and borneol could enhance the permeability of R1 and Rg1 on the intestinal wall (P < 0.05), which indicated that a suitable absorption promoter could improve the absorption of PNS and increase its bioavailability.     

疾病以及配伍对人参皂苷在大鼠体内的药动学影响

目的 建立SD大鼠血浆中人参皂苷Rb1、Rb2和Rg1的HPLC分析方法,对比分析配伍白术挥发油前后,人参皂苷在慢性萎缩性胃炎模型大鼠体内药动学特征。方法 SD大鼠分为4组,其中单用正常组和单用模型组均给药人参总皂苷292 mg·kg^-1,配伍正常组和配伍模型组均给药人参总皂苷292 mg·kg^-1和白术挥发油0.1 mL·kg^-1。于给药前和给药后不同时间点进行眼眶取血,采用HPLC测定各成分的血药浓度,并采用Winnolin 6.3软件计算其药动学参数。结果 与单用正常大鼠比较,单用模型组大鼠体内人参皂苷Rb1的C_max和AUC值降低,T_max、T_1/2以及MRT增加,人参皂苷Rb2和Rg1则呈现出AUC增加的变化;而配伍正常组大鼠体内人参皂苷Rb1、Rb2和Rg1的C_max和AUC值均增加,T_max、T_1/2以及MRT值均缩短。与单用模型组大鼠比较,配伍模型组大鼠体内人参皂苷Rb1和Rg1的C_max和AUC值均增加,T_max、T_1/2以及MRT值均降低。结论 在相同给药剂量下,疾病状态机体对人参皂苷的吸收和代谢呈现缓慢趋势,而配伍后能促进皂苷成分在体内的吸收,同时加快代谢消除,为人参的临床用药提供参考依据。     

三七总皂苷油包水微乳的处方筛选及体内外评价

筛选口服油包水(W/O)微乳处方以提高三七总皂苷(panax notoginsenoside，PNS)中人参皂苷Rb₁的体内肠吸收，分别采用大鼠体内肠吸收、脂质体和平行人工膜(parallel artificial membrane permeability assay，PAMPA)等模型分别研究微乳的体内药代动力学及体外对膜流动性和药物膜转运性质的影响。主要以磷脂/乙醇(SP/EtOH)为表面活性剂，与PNS水溶液(400 mg·mL^-1)和不同油相分别制备11个W/O微乳处方。多数微乳处方可提高药物的大鼠体内肠吸收，其吸收促进作用除与所含表面活性剂有关外，不同油相的选用也会产生一定影响，其吸收促进作用大小为月桂酸甘油酯≈肉蔻豆酸异丙脂>棕榈酸异丙脂>棕榈酸异辛酯。长链(>C₁₄)脂肪酸酯的吸收促进作用低于中链脂肪酸酯(C₈~C₁₄)。多数微乳处方可不同程度的提高脂质体的膜流动性。PAMPA研究中，稀释后微乳(D-ME)中药物的有效透过系数(P_e)多数高于PNS对照溶液，表明微乳中的组分可以提高药物的膜透过能力，稀释前微乳(ME)的P_e与大鼠体内肠吸收具有相对较好的直线相关性(r=0.774 0)。W/O微乳可以促进人参皂苷Rb₁的肠吸收，吸收促进作用与其提高生物膜流动性有一定关系。PAMPA可以尝试引入制剂处方研究(如吸收促进剂等)的某些领域中。     

三七总皂苷鼻用凝胶喷雾剂的药动学与药效学研究

目的研究自制三七总皂苷鼻用凝胶喷雾剂的生理适应性、家兔给药后体内的药动学过程,及其对心血管疾病的保护作用。方法选用扫描电镜法,考察喷雾剂的鼻纤毛毒性;HPLC法测定三七总皂苷鼻用凝胶喷雾剂家兔鼻腔给药后血样中人参皂苷Rb1、Rg1的浓度,考察药物在体内的动力学过程,并计算药动学参数;建立大鼠急性缺血性心肌梗死模型,考察三七总皂苷鼻用凝胶喷雾剂对心脑血管疾病的保护作用。结果三七总皂苷鼻用凝胶喷雾剂给药后,Rb1、Rg1在家兔体内的过程符合二室模型,其绝对生物利用度比三七总皂苷滴鼻液高,分别为（42．31±7．54）％和（81．06±32．71）％;可大幅减少大鼠左冠状动脉闭塞所致的心肌梗死面积,且呈剂量依赖性,剂量越高,保护作用越强;该喷雾剂基本无明显鼻纤毛毒性。结论药动学、药效学及鼻纤毛毒性试验结果证明,三七总皂苷鼻腔给药制剂具有很好的开发前景。     

治疗性人乳头瘤病毒16型疫苗的人参皂苷单体佐剂筛选研究

目的 研究不同人参皂苷单体佐剂对治疗性人乳头瘤病毒16型（human papillomavirus type 16,HPV16）重组疫苗免疫效果的影响,筛选合适的人参皂苷单体作为候选佐剂。方法 选择5种人参皂苷单体Rb1、Rh1-1、Rh1-2、Rg1、Rg3,分别与治疗性HPV16重组疫苗联合免疫C57BL/6小鼠,用酶联免疫斑点试验比较各组小鼠的特异性细胞免疫应答水平,同时比较这5种人参皂苷单体对治疗性HPV16重组疫苗抑制小鼠肿瘤生长的影响。结果 人参皂苷单体Rg1、Rb1可以显著提高治疗性HPV16重组疫苗特异性细胞免疫应答（HPV+Rg1组vs HPV组：t=3.729,P=0.006;HPV+Rb1组vs HPV组：t=3.204,P=0.013）,同时可以在小鼠特异性肿瘤模型建立4周时,有效抑制肿瘤的生长水平（HPV+Rg1组vs HPV组：t=2.318,P=0.032;HPV+Rb1组vs HPV组：t=2.258,P=0.037）。结论 人参皂苷单体Rg1、Rb1能在C57BL/6小鼠中提高治疗性HPV16重组疫苗的特异性免疫效果,有望成为候选佐剂。     

Comparison of the pharmacological effects of Panax ginseng and Panax quinquefolium

Medical application of Panax ginseng was first found in "Shen-Nong Herbal Classic"around 200 AD Panax quinquefolium was first introduced in "Essential of Materia Medica" in 1694 in China. The most important bioactive components contained in P ginseng and P quinquefolium are ginseng saponins (GS). The contents of ginsenoside Rb1, Re, and Rd in P quinquefolium are higher than they are in P ginseng. In P ginseng, the contents of Rg1,Rb2, and Rc are higher than they are in P quinquefolium. P ginseng had a higher ratio of Rg1: Rb1, and which was lower in P quinquefolium. After steaming for several hours, the total GS will decrease. However, some ginsenosides (Rg2, 20R-Rg2, Rg3, Rh1 and Rh2) increase, while others (Rb1, Rb2, Rb3, Rc, Rd, Re, and Rg1) decrease. However, variation, especially in P quinquefolium, is high. P ginseng and P quinquefolium are general tonics and adaptogens. Rg1 and Rb1 enhance central nervous system (CNS) activities, but the effect of the latter is weaker. Thus, for the higher contents of Rg1, P ginseng is a stimulant, whereas the Rb1 contents of P quinquefolium are mainly calming to the CNS. Re, Rg1, panaxan A and B from P ginseng are good for diabetes. Re and Rg1 enhance angiogenesis, whereas Rb1, Rg3 and Rh2 inhibit it. Rh2, an antitumor agent, can be obtained from Rb1 by steaming. The content of Re in P quinquefolium are higher than in P ginseng by 3-4 times. The vasorelax, antioxidant, antihyperlipidemic, and angiogenic effects of Re are reported. Thus, for the CNS "hot," wound healing and hypoglycemic effects, P ginseng is better than P quinquefolium. For anticancer effects, P quinquefolium is better.     

Active absorption of ginsenoside Rg1 in vitro and in vivo: the role of sodium‐dependent glucose co‐transporter 1

Objectives Our previous study suggested that adrenaline (epinephrine) could be an effective absorption enhancer for ginsenoside Rg1 (Rg1). This study focused on the transport mechanism of Rg1 and the role of sodium‐dependent glucose co‐transporter 1 in the regulation of Rg1 uptake after exposure to adrenaline. Methods Caco‐2 cells were used as an in‐vitro model to assess the absorption mechanism of Rg1. Also the effect of D‐glucose on adrenaline‐induced absorption of Rg1 was investigated in vivo in rats. Key findings Results showed that the uptake of Rg1 was temperature‐dependent. The transport from the basolateral side to the apical side was significantly lower compared with that from the apical to the basolateral side (P < 0.01). The transport of Rg1 was concentration dependent (Km was 41.60 mM, Vmax was 353.75 mol/cm²/min). Cells incubated with D‐glucose‐free medium exhibited significantly greater Rg1 uptake (+ 62.6%) compared with cells in D‐glucose‐containing medium. The data indicated that sodium‐dependent glucose co‐transporter 1 was involved in the transport of Rg1. Adrenaline‐induced uptake of Rg1 was significantly inhibited in the presence of phlorizin and the absence of Na⁺. In the in‐vivo study in rats, it was found that after co‐administration with D‐glucose, the adrenaline‐induced absorption of Rg1 was inhibited. The area under the concentration‐time curve (AUC_0→∞) value was significantly decreased from 64.57 ± 27.08 to 1.37 ± 0.42 μg/ml h (P < 0.001). Conclusions The data suggested that adrenaline enhanced the absorption of Rg1 by regulating sodium‐dependent glucose co‐transporter 1.     

人参皂甙Rb1和Rg1促智作用机制的探讨──对小鼠脑神经发育的影响

以0.125,0.25mg·ml^-1的人参皂甙Rb1和Rg1水溶液作为刚断乳小鼠唯一的饮用水,喂养4周至新成年。对照组动物给自来水,人参皂甙摄入量为Rb128.6及56.1mg·kg^-1;Rg127.4及53.9mg·kg^-1。结果发现Rb1和Rg1均可促进幼鼠身体发育和脑神经发育,并易化小鼠成年后跳台法和避暗法记忆获得过程。用突触定量技术,首次发现较长期给予Rb1和Rg1可明显增加小鼠海马CA3区椎体细胞上层的突触数目(P<0.01),从而揭示了人参皂甙促进动物学习记忆的组织形态学基础。     

人参皂苷Rb_1、Rg_1对许旺细胞NGF表达的影响

目的:研究人参皂苷Rb1和Rg1影响许旺细胞神经生长因子(NGF)的表达程度。方法:分离纯化成人新鲜离体神经许旺细胞,置于人参皂苷条件培养基孵育48h;采用间接免疫荧光法标记细胞,流式细胞仪检测许旺细胞NGF表达率。结果:人参皂苷Rb1和Rg1各实验组许旺细胞表达NGF的百分率较对照组显著升高(P<0.05);人参皂苷Rb1与Rg1组之间许旺细胞表达NGF的百分率无显著差异。结论:人参皂苷Rb1和Rg1可以通过促进许旺细胞合成分泌NGF而具有潜在加速周围神经损伤修复的作用。     

In vitro effect of standardized ginseng extracts and individual ginsenosides on the catalytic activity of human CYP1A1, CYP1A2, and CYP1B1.

Ginseng extract has been reported to decrease the incidence of 7,12-dimethylbenz[a]anthracene (DMBA)-initiated tumorigenesis in mice. A potential mechanism for this effect by ginseng is inhibition of DMBA-bioactivating cytochrome P450 (P450) enzymes. In the present in vitro study, we examined the effect of a standardized Panax ginseng (or Asian ginseng) extract (G115), a standardized Panax quinquefolius (or North American ginseng) extract (NAGE), and individual ginsenosides (Rb1, Rb2, Rc, Rd, Re, Rf, and Rg1) on CYP1 catalytic activities, as assessed by 7-ethoxyresorufin O-dealkylation. G115 and NAGE decreased human recombinant CYP1A1, CYP1A2, and CYP1B1 activities in a concentration-dependent manner. Except for the competitive inhibition of CYP1A1 by G115, the mode of inhibition was the mixed-type in the other cases. A striking finding was that NAGE was 45-fold more potent than G115 in inhibiting CYP1A2. Compared with G115, NAGE also preferentially inhibited 7-ethoxyresorufin O-dealkylation activity in human liver microsomes. Rb1, Rb2, Rc, Rd, Re, Rf, and Rg1, either individually or as a mixture and at the levels reflecting those found in an inhibitory concentration (100 microg/ml) of NAGE or G115, did not influence CYP1 activities. However, at a higher ginsenoside concentration (50 microg/ml), Rb1, Rb2, Rc, Rd, and Rf inhibited these activities. Overall, our in vitro findings indicate that standardized NAGE and G115 extracts, which were not treated with calf serum or subjected to acid hydrolysis, inhibited CYP1 catalytic activity in an enzyme-selective and extract-specific manner, but the effects were not due to Rb1, Rb2, Rc, Rd, Re, Rf, or Rg1.