Untargeted metabolomics reveals the mechanism of quercetin enhancing the bioavailability of ticagrelor

Abstract

Ticagrelor is a first-line clinical drug for the treatment of acute coronary syndrome, but its oral bioavailability is relatively low. Flavonoids (polyphenol compounds commonly found in plant foods) seriously affect human metabolism and health. This study compared the effects of quercetin, luteolin and catechin on the pharmacokinetic parameters of ticagrelor and found that quercetin can significantly increase the C max and area under the curve from time zero to 36 h (AUC 0-36 ) of ticagrelor, that is, quercetin can enhance the bioavailability of ticagrelor, but luteolin and catechin cannot.The difference between the ticagrelor group and the combination of quercetin and ticagrelor was analyzed through untargeted metabolomics methods and multivariate data analysis, which identified changes in the levels of seven metabolites (deoxycholic acid, taurocholic acid, glycocholic acid, glycoursodeoxycholic acid, tryptophan, phenylalanine and kynurenine). Based on the changes of these metabolites, we found that the metabolic pathways of phenylalanine, tyrosine and tryptophan and the biosynthetic pathway of bile acids were changed. A metabolomics study revealed that quercetin improves the oral bioavailability of ticagrelor and that this might rely on changing the metabolic pathways of phenylalanine, tyrosine and tryptophan and the biosynthetic pathway of bile acids. The research results at the metabolic level provide us with a strong basis and direction for further exploring the mechanism underlying quercetin's ability to enhance the bioavailability of ticagrelor, and this may be useful for finding new agents that enhance the bioavailability.

Bile Acids and Risk of Adverse Cardiovascular Events and All-Cause Mortality in Patients with Acute Coronary Syndrome

“…An untargeted metabolomics study conducted on rats to evaluate the synergistic effect of some flavonoids on ticagrelor, an antiplatelet oral therapy that is considered to be one of the first-line oral therapy for atherosclerosis and ACS, found that after enhancing the bioavailability of ticagrelor, the plasma levels of GCA and GUDCA decreased, while DCA levels increased [31]. Another metabolomics study conducted in patients with unstable angina (UA) revealed that GCA could be consider as a plasma metabolic biomarker for this condition [32].…”

Insight gained via ultra‐performance liquid chromatography tandem mass spectrometry‐based metabolomics: Protective effect of Artemisia argyi H.Lév. & Vaniot essential oil on lipopolysaccharide‐induced liver injury mice

“…& Vaniot essential oil (AAEO) has been proven to have anti‐inflammatory and antioxidant pharmacological effects (Batiha et al, 2020; Zhang et al, 2023), but its protective effect on LPS‐induced liver injury in mice is still unclear. Therefore, this study planned to use ultra‐performance liquid chromatography tandem mass spectrometry (UPLC‐MS/MS; Zhang et al, 2021) technology to explore the protective effect and mechanism of AAEO on lipopolysaccharide (LPS)‐induced liver injury at the metabolic level.…”