2011
DOI: 10.3109/00498254.2010.529180
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Intestinal absorption mechanisms of berberine, palmatine, jateorhizine, and coptisine: involvement of P-glycoprotein

Abstract: The absorption and transport mechanisms of berberine, palmatine, jateorhizine, and coptisine were studied using a Caco-2 cells uptake and transport model, with the addition of cyclosporin A and verapamil as P-glycoprotein (P-gp) inhibitors and MK-571 as a multidrug resistance-associated protein 2 (MRP(2)) inhibitor. In the uptake experiment, berberine, palmatine, jateorhizine, and coptisine were all taken into Caco-2 cells, and their uptakes were increased in the presence of cyclosporin A or verapamil. In the … Show more

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Cited by 87 publications
(61 citation statements)
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“…It has been historically used as an anti-diarrheal, anti-protozoal, and antimicrobial agent in Ayurvedic and Chinese medicine. It also possesses multitude of biological effects, including antiinflammatory, antidiabetic, lipid peroxidation, and neuroprotective activity (Liu et al, 2009;Lee et al, 2010;Wu et al, 2010;Zhou et al, 2010;Zhao et al, 2011). However, quaternary amine cation of BER causes poor water solubility, resulting in low bioavailability.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…It has been historically used as an anti-diarrheal, anti-protozoal, and antimicrobial agent in Ayurvedic and Chinese medicine. It also possesses multitude of biological effects, including antiinflammatory, antidiabetic, lipid peroxidation, and neuroprotective activity (Liu et al, 2009;Lee et al, 2010;Wu et al, 2010;Zhou et al, 2010;Zhao et al, 2011). However, quaternary amine cation of BER causes poor water solubility, resulting in low bioavailability.…”
Section: Introductionmentioning
confidence: 99%
“…However, quaternary amine cation of BER causes poor water solubility, resulting in low bioavailability. In addition, BER also induce the activity of multidrug efflux transporter P-glycoprotein (P-gp) in the intestine, responsible for active efflux of drug from cells, cause its own ejection resulting in 90% reduction in BER transport (Zhang et al, 2011;Di Pierro et al, 2012;Shan et al, 2013). Moreover, intramuscular and intravenous administration may leads to risk of adverse reactions, such as drug rash and anaphylactic shock.…”
Section: Introductionmentioning
confidence: 99%
“…Given that the rhizoma coptidis alkaloids are substrates of P-gp (Zhang et al, 2011), the reduced intestinal efflux of berberine indicated that the function of intestinal P-gp was decreased with LPS pretreatment. This assumption was confirmed by the reduced intestinal efflux of vinblastine and Rh-123, substrates of P-gp (Ogihara et al, 2006;Tomita et al, 2010).…”
Section: Discussionmentioning
confidence: 99%
“…Likewise, berberine exhibits extremely low plasma concentrations after oral administration (Zuo et al, 2006;Liu et al, 2009). Researchers have proposed the following mechanisms for the low plasma concentrations of these alkaloids: 1) the alkaloids are metabolized in the intestine ; 2) absorbed alkaloids are pumped out by intestinal (Zhang et al, 2011) or hepatic (Tsai and Tsai, 2004) P-glycoprotein (P-gp); 3) absorbed alkaloids are metabolized quickly and extensively after absorption (Tsai and Tsai, 2004;Zuo et al, 2006;Yang et al, 2010); and 4) absorbed alkaloids are distributed widely in tissues Ma et al, 2010). The low plasma concentrations of the alkaloids are insufficient indicators of their in vivo bioactivities.…”
Section: Introductionmentioning
confidence: 99%
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