Journal
BRITISH JOURNAL OF PHARMACOLOGY
Volume 166, Issue 6, Pages 1793-1803Publisher
WILEY
DOI: 10.1111/j.1476-5381.2012.01887.x
Keywords
sulphasalazine; curcumin; pharmacokinetic interaction; BCRP; drug absorption; in vivo inhibitor; non-linear pharmacokinetics; microdosing
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Funding
- New Energy and Industrial Technology Development Organization
- Ministry of Education, Science, and Culture of Japan [23136101]
- Grants-in-Aid for Scientific Research [23136101, 23590206] Funding Source: KAKEN
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BACKGROUND AND PURPOSE An ATP-binding cassette (ABC) transporter, breast cancer resistance protein (BCRP)/ABCG2, limits oral bioavailability of sulphasalazine. Here we examined the effect of curcumin, the principal curcuminoid of turmeric, on oral bioavailability of microdoses and therapeutic doses of sulphasalazine in humans. EXPERIMENTAL APPROACH Effects of curcumin were measured on the ATP-dependent sulphasalazine uptake by hBCRP-expressing membrane vesicles and on oral bioavailability of sulphasalazine in wild-type and Bcrp(/) mice. Eight healthy Japanese subjects received an oral dose of sulphasalazine suspension (100 mu g) or tablets (2 g) alone or after curcumin tablets (2 g). Uptake of sulphasalazine was studied in HEK293 cells transfected with the influx transporter (OATP)2B1. KEY RESULTS Curcumin was a potent hBCRP inhibitor in vitro (Ki 0.70 +/- 0.41 mu M). Curcumin increased the area under the curve (AUC)08 of plasma sulphasalazine eightfold in wild-type mice at 300 and 400 mg center dot kg-1, but not in Bcrp(/) mice. Curcumin increased AUC024 of plasma sulphasalazine 2.0-fold at microdoses and 3.2-fold at therapeutic doses in humans. Non-linearity of the doseexposure relationship was observed between microdoses and therapeutic doses of sulphasalazine. Sulphasalazine was a substrate for OATP2B1 (Km 1.7 +/- 0.3 mu M). Its linear index (dose/Km) at the therapeutic dose was high and may saturate OATP2B1. CONCLUSIONS AND IMPLICATIONS Curcumin can be used to investigate effects of BCRP on oral bioavailability of drugs in humans. Besides the limited dissolution, OATP2B1 saturation is a possible mechanism underlying non-linearity in the doseexposure relationship of sulphasalazine.
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