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Asian Journal of Pharmacodynamics and Pharmacokinetics

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Official <strong>Journal</strong> <strong>of</strong> International Quarterly Publication ISSN 1608-2281<br />

Original <strong>Journal</strong> Name: <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> Drug Metabolism <strong>and</strong> Pharmacokinetcs (2001-2005)<br />

力 力 <br />

<strong>Asian</strong> <strong>Journal</strong> <strong>of</strong><br />

<strong>Pharmacodynamics</strong> <strong>and</strong><br />

<strong>Pharmacokinetics</strong><br />

Academic Editor-in-Chief<br />

Chang-Xiao Liu <strong>and</strong> Yuichi Sugiyama<br />

Volume Number 1 March 2009<br />

Hong Kong Medical Publisher


<strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong><br />

An International Quarterly Publication<br />

ISSN 1608-2281 NR 3880/169/00<br />

http://www.hktmc.com/ChineseMedia/Magazine/Medicine/ajdmpk<br />

Publisher President<br />

Kwong Cheung Ku Hong Kong Medical Publisher 24/F Yuen Long Trading Center, 99-109 Castle Peak Road, Yuen<br />

Long, Hong Kong, China<br />

Academic Editor-in-chief<br />

Chang-Xiao Liu Tianjin Institute <strong>of</strong> Pharmaceutical Research, 308 An-Shan West Road, Tianjin 300193, China<br />

Yuichi Sugiyama Department <strong>of</strong> Molecular <strong>Pharmacokinetics</strong>, The University <strong>of</strong> Tokyo, Tokyo, 113-0033, Japan<br />

Assistant Academic Editor-in-Chief<br />

Da-Fang Zhong Shanghai Institute <strong>of</strong> Materia Medica, Chinese Academy <strong>of</strong> Sciences, 646 Songtao Road Shanghai,<br />

201203, China<br />

Guang-Hua Du Institute <strong>of</strong> Materia Medica, Chinese Academy <strong>of</strong> Medical Sciences, Beijing, 100050, China<br />

Qiang Zhang School <strong>of</strong> Pharmaceutical Sciences, Peking University, Beijing, 100083, China<br />

Publishing Editor-in-chief<br />

Annie Ning Editor-in-chief <strong>of</strong> Hong Kong Medical Publisher<br />

Hui Qing Shi Vice-editor-in-chief <strong>of</strong> Hong Kong Medical Publisher<br />

Members <strong>of</strong> Editorial Committee<br />

Henning H. Blume (Oberursel,<br />

GERMANY)<br />

Zheng-Min Chen (Tianjin, CHINA)<br />

Moses SS Chow (Hong Kong, CHINA)<br />

Guang-Hua Du (Beijing, CHINA)<br />

Paul Fawcett (Otago, NEW ZEALAND)<br />

Jack Gao (Carborough, CANADA)<br />

Mei-Yu Geng (QingdaoCHINA<br />

Patrick M. Gennissel (Paris, FRANCE)<br />

Kun Han (Chungbuk, KOREA)<br />

Guo-Zhu Han (Dalian, CHINA)<br />

Pei Hu (Beijing, CHINA)<br />

Zhuo-Han Hu (Shanghai, CHINA)<br />

Xi Huang (Chengdu, CHINA)<br />

Jun-Yan Hong (New Jersey, USA)<br />

Li-Ya Ju (Charenton le Pont, FRANCE)<br />

Devarakonda R. Krishna (Kakatiya,<br />

INDIA)<br />

June Lee (NIH, USA)<br />

Jian-Guo Li (Wilmington, USA)<br />

Lin-Lin Li (Xinjiang, CHINA)<br />

Zhi-Bin Lin (Beijing, CHINA)<br />

Terry D. Lindstrom (Indiana, USA)<br />

Chang-Xiao Liu (Tianjin, CHINA)<br />

Xiao-Dong Liu (Nanjing, CHINA)<br />

Ke-Xin Liu (Dalian, CHINA)<br />

Jian-Shi Lou (Tianjin, CHINA)<br />

Takeo Murakawa (Osaka, JAPAN)<br />

Terumichi Nakagawa (Kyoto, JAPAN)<br />

Charles H. Nightingale (Hartford, USA)<br />

Inotsume Nobuo (Hokkaido, JAPAN)<br />

Richard ZM Qian (Hong Kong, CHINA)<br />

Madhubala Rentala (New Delhi,<br />

INDIA)<br />

Jin-Xiu Ruan (Beijing, CHINA)<br />

Guo-Wei Sang (Beijing, CHINA)<br />

Xiang-Guo Shi (Boston, USA)<br />

Duan-Yun Si (Tianjin, CHINA)<br />

Chang Koo Shim (Seoul, KOREA)<br />

Yuichi Sugiyama (Tokyo, JAPAN)<br />

Ding-Feng Su (Shanghai, CHINA)<br />

Nikolaus Sucher (Hong Kong, CHINA)<br />

Yong-Da Sun (Bradford, UK)<br />

Hui-Qing Shi (Hong Kong, CHINA)<br />

Chang-Koo Shim (Seoul, KOREA)<br />

Guang-Ji Wang (Nanjing, CHINA)<br />

Hui Wang (Wuhan, CHINA)<br />

Ming-Wei Wang (Shanghai, CHINA)<br />

Zhi-Min Wang (Beijing, CHINA)<br />

Yi-Tao Wang (Macau, CHINA)<br />

Guang-Li Wei (Tianjin, CHINA)<br />

Chun-Fu Wu (ShenyangCHINA)<br />

Jinn Wu (New Jersey, USA)<br />

Fu-Ming Xie ( Indiana, USA)<br />

Guo-Wang Xu (Dalian, CHINA)<br />

Ming Xue (Beijing, CHINA)<br />

Bao-Feng Yang (HarbinCHINA)<br />

Zong-Hui Yuan (Wuhan, CHINA)<br />

Fan-Dian Zeng (Wuhan, CHINA)<br />

Su Zeng (Hangzhou, CHINA)<br />

Qiang Zhang (Beijing, CHINA)<br />

Jiang Zheng (SeattleUSA)<br />

Da-Fang Zhong (Shanghai, CHINA)<br />

Hong-Hao Zhou (Changsha, CHINA)<br />

Yao-Wei Zhu (PA, USA)<br />

Zhu Zhu (Beijing, CHINA)


<strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong><br />

(An International Quarterly Publication)<br />

Volume 9 Number 1 March 2009<br />

Content<br />

3 Ethical Guideline to Authors, Editors <strong>and</strong> Reviewers<br />

Special Repart<br />

5 Introduction to Pr<strong>of</strong>essor Leslie Z. Benet <strong>and</strong> his Lecture in China: Predicting Drug Absorption <strong>and</strong><br />

Disposition Using a Biopharmaceutics Drug Disposition Classification System<br />

Review Papers<br />

11 Hai-Yu Xu , Tie-Jun Zhang , Xue-Yu Zhu,Yu-Bo Li. Recent advance on chemical compositions <strong>and</strong><br />

pharmacodynamic <strong>and</strong> pharmacokinetic studies <strong>of</strong> Rhizoma Coptidis<br />

27 Tie-Feng Cheng, Yong-Da Sun, Duan-Yun SiChang-Xiao Liu. Attention on research <strong>of</strong><br />

pharmacology <strong>and</strong> toxicology <strong>of</strong> nanomedicines<br />

Research Papers<br />

51 Rui Zhang, Benjie Wang, Hengli Zhao, Chunmin Wei, Guiyan Yuan, Ruichen Guo. Tissue<br />

distribution <strong>of</strong> Curcumol in rats after intravenous injection <strong>of</strong> zedoary turmeric oil fat emulsion<br />

58 Sama Venkatesh, Yanadaiah JP, Zareen N, Madhava Reddy B, Ramesh M. Antinociceptive effect<br />

<strong>of</strong> Aerva lanata ethanolic extract in mice: A possible mechanism<br />

63<br />

Run Li, Zong-Peng Zhang, Yi-Hong Tian. Therapeutic effect <strong>and</strong> mechanism for anti-fibrosis <strong>of</strong><br />

polyhydroxysilbene <strong>of</strong> Rhizoma Scirpi in hepatic fibrosis rats<br />

71 Xiao-Pu Nie, Wen-Yuan Gao, Pei-Gen Xiao. Changes <strong>of</strong> the adenosine content in single <strong>and</strong> mixed<br />

decoctions <strong>of</strong> Gualou-xiebai-baijiu Decoction<br />

Information <strong>and</strong> News<br />

10 Publication News Chinese Herbal Medicines<br />

26 Tianjin Centre for Drug Safety Evaluation <strong>and</strong> Research<br />

50 Publication News Drug Evaluation Research<br />

50 The 3rd <strong>Asian</strong> Pacific ISSX Meeting<br />

77 Successful the 2nd <strong>Asian</strong>–Pacific Regional ISSX Meeting<br />

78 Information for authors<br />

2


Ethical Guideline. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> Pharacodynamics <strong>and</strong> <strong>Pharmacokinetics</strong> 2009;9(1):3-4<br />

<strong>Asian</strong> <strong>Journal</strong> <strong>of</strong><br />

<strong>Pharmacodynamics</strong> <strong>and</strong><br />

<strong>Pharmacokinetics</strong><br />

ISSN 1608-2281<br />

Copyright by Hong Kong Medical Publisher<br />

Publisher Homepage: www.hktmc.com<br />

Ethical Guideline to Authors, Editors <strong>and</strong> Reviewers<br />

Drug products are specific goods with safety<br />

<strong>and</strong> effectiveness in medical health case. All <strong>of</strong><br />

researchers (authors), reviewers <strong>and</strong> editors must<br />

abide by medical ethical obligation, <strong>and</strong> also must<br />

deter to ethical obligation for publication. These<br />

guidelines are <strong>of</strong>fered as ethical behavior st<strong>and</strong>ards.<br />

We now present a set <strong>of</strong> ethical guidelines for<br />

persons engaged in the publication <strong>of</strong> drug research,<br />

specifically, for editors, authors, <strong>and</strong> reviewers. We<br />

believe that the guidelines <strong>of</strong>fered are understood<br />

<strong>and</strong> subscribed to by the pharmaceutical research<br />

scientists. They may be helpful to those who are<br />

related to editors, authors, <strong>and</strong> reviewers <strong>of</strong> journal<br />

publication.<br />

Ethical Obligation <strong>of</strong> Authors<br />

1. An author’s key obligation is to present an<br />

accurate account <strong>of</strong> the research paper.<br />

2. An author should recognize that journal<br />

space is precious resource created at considerable<br />

cost. Therefore, an author has an obligation to use it<br />

widely <strong>and</strong> economically.<br />

3. An author should cite those publications that<br />

are influential in determining the nature <strong>of</strong> the<br />

reported study work <strong>and</strong> that will guide the reader<br />

to the earlier work quickly <strong>and</strong> that are essential for<br />

underst<strong>and</strong>ing the present investigation.<br />

4. An author is obligated to perform a literature<br />

search to find, <strong>and</strong> then cite, the original<br />

publications that describe the current research,<br />

closely related citation to sources should also be<br />

made when a non-author supplied these.<br />

5. An author should identify the source <strong>of</strong> all<br />

information quoted or <strong>of</strong>fered. Information obtained<br />

privately, ad in conversation, should not be used in<br />

the author’s work without explicit permission from<br />

the investigators with whom the information is<br />

originated.<br />

6. The authors should reveal to the editor any<br />

potential conflict <strong>of</strong> interest. The authors should<br />

ensure that no contractual relations or proprietary<br />

considerations exist that would affect the<br />

publication <strong>of</strong> information in a submitted<br />

manuscript.<br />

7. The co-authors <strong>of</strong> a paper should be all those<br />

persons who have made significant scientific<br />

contributions to the investigation reported <strong>and</strong> share<br />

duty <strong>and</strong> accountability for the results. Other<br />

contributions should be indicated in a footnote or in<br />

an acknowledgments section.<br />

8. The author who submits a manuscript for<br />

publication takes the responsibility <strong>of</strong> having<br />

included as co-authors all persons appropriate <strong>and</strong><br />

none inappropriate.<br />

9. The submitting author should have sent each<br />

living co-author a draft copy <strong>of</strong> the manuscript <strong>and</strong><br />

have obtained the co-author’s assent to the<br />

co-authorship <strong>of</strong> it.<br />

10. It is improper for an author to submit<br />

manuscripts describe essentially the same research<br />

in more than one journal for primary publication,<br />

unless it is a resubmission <strong>of</strong> a manuscript rejected<br />

for or withdrawn from publication.<br />

Ethical Obligation <strong>of</strong> Editors<br />

1. An editor should respect the intellectual<br />

independence <strong>of</strong> authors.<br />

2. An editor should give unbiased<br />

consideration to all manuscripts submitted, <strong>and</strong><br />

judge each on its merits without regard to race,<br />

religion, nationality, sex, seniority, or institutional<br />

affiliation <strong>of</strong> authors.<br />

3. An editor should consider manuscripts<br />

submitted for publication with reasonable speed.<br />

3


Ethical Guideline. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> Pharacodynamics <strong>and</strong> <strong>Pharmacokinetics</strong> 2009;9(1):3-4<br />

4. An editor should not disclose any<br />

information about a manuscript under consideration<br />

to anyone other than those from whom pr<strong>of</strong>essional<br />

advice is sought.<br />

5. Editorial responsibility <strong>and</strong> authority for any<br />

manuscript authored by an editor <strong>and</strong> submitted to<br />

the journal should be distributed to some other<br />

qualified editors <strong>of</strong> the journal. The editorial<br />

consideration <strong>of</strong> the manuscript in any way or form<br />

by the author-editor would constitute a conflict <strong>of</strong><br />

interest, <strong>and</strong> is therefore improper.<br />

6. The sole responsibility for acceptance or<br />

rejection <strong>of</strong> a manuscript rests with the editor.<br />

Responsible <strong>and</strong> prudent exercise <strong>of</strong> the duty<br />

normally requires that editor seek advice from<br />

reviewers, chosen for their expertise <strong>and</strong> good<br />

judgment, as to the quality <strong>and</strong> reliability <strong>of</strong><br />

manuscript submitted for publication.<br />

7. The editor <strong>and</strong> members <strong>of</strong> the editor’s staff<br />

should not disclose any information about a<br />

manuscript under consideration to anyone other<br />

than those from whom pr<strong>of</strong>essional advice is sought.<br />

The editor <strong>and</strong> members <strong>of</strong> the editor’s staff may<br />

disclose or publish manuscript titles <strong>and</strong> author<br />

names <strong>of</strong> papers that have been accepted for<br />

publication.<br />

8. Unpublished information, or interpretations<br />

disclosed in a submitted manuscript should not be<br />

used in an editor’s own research without the consent<br />

<strong>of</strong> author.<br />

9. An author may request that the editor not<br />

choose certain reviewers in consideration <strong>of</strong> a<br />

manuscript.<br />

10. When a manuscript is closely related to the<br />

current or past research <strong>of</strong> an editor as to create a<br />

conflict <strong>of</strong> interest, the editor should arrange some<br />

other qualified person to take editorial responsibility<br />

for that manuscript.<br />

Ethical Obligation <strong>of</strong> Reviewers<br />

1As the reviewing <strong>of</strong> manuscripts is an<br />

essential step in journal publication, therefore in the<br />

operation <strong>of</strong> the reviewers, every reviewer has an<br />

obligation to do a fair share <strong>of</strong> reviewing.<br />

2. A reviewer <strong>of</strong> a manuscript should judge<br />

objectively the quality <strong>of</strong> the manuscript, <strong>of</strong> its<br />

experimental <strong>and</strong> theoretical work, <strong>of</strong> its<br />

interpretations <strong>and</strong> its exposition, in accordance<br />

with high scientific <strong>and</strong> literary st<strong>and</strong>ards. A<br />

reviewer should respect the intellectual<br />

independence <strong>of</strong> the authors.<br />

3. A chosen reviewer who feels inadequately<br />

qualified to judge the research reported in a<br />

manuscript should return it to editor.<br />

4. A reviewer should explain <strong>and</strong> support their<br />

judgment adequately so that editors <strong>and</strong> authors<br />

may underst<strong>and</strong> the basis <strong>of</strong> their comments.<br />

5. A reviewer should treat a manuscript sent for<br />

review as a confidential document. It should neither<br />

be shown to nor be discussed with other expect, in<br />

special cases, to persons from whom specific advice<br />

may be sought. In that event, the identifications <strong>of</strong><br />

those consulted should be disclosed to the editor.<br />

6. A reviewer should act promptly, submitting<br />

a report in a timely manner. If a reviewer receives a<br />

manuscript at a time when circumstances preclude<br />

prompt attention to it, the unreviewed manuscript<br />

should be returned immediately to the editor.<br />

7. A reviewer should be alert to failure <strong>of</strong><br />

authors to cite relevant work by other persons,<br />

bearing in mind that compliantly that the reviewer<br />

own research was insufficiently cited may seem<br />

self-serving. A reviewer should call the editor’s<br />

attention any substantial similarity between the<br />

manuscript under consideration <strong>and</strong> any published<br />

paper <strong>and</strong> any manuscript submitted concurrently to<br />

other journals.<br />

8. A reviewer should be sensitive to the<br />

appearance <strong>of</strong> a conflict <strong>of</strong> interest when the<br />

manuscript under review is closely related to the<br />

reviewer’s work in progress or published. If in<br />

doubt, the reviewer should return the manuscript<br />

promptly without review, advising the editor <strong>of</strong> the<br />

conflict <strong>of</strong> interest or bias.<br />

9. A reviewer should not evaluate a manuscript<br />

authored or co-authored by a person with whom the<br />

reviewer has a personal or pr<strong>of</strong>essional connection<br />

if the relationship would bias judgment <strong>of</strong> the<br />

manuscript.<br />

10. A reviewer should not use or disclose<br />

unpublished information, arguments, or<br />

interpretations contained in a manuscript under<br />

consideration.<br />

11. The review <strong>of</strong> submitted manuscript may<br />

sometimes justify criticism, even severe criticism,<br />

from a reviewer.<br />

4


Special Report. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):5-9<br />

<strong>Asian</strong> <strong>Journal</strong> <strong>of</strong><br />

<strong>Pharmacodynamics</strong> <strong>and</strong><br />

<strong>Pharmacokinetics</strong><br />

ISSN 1608-2281<br />

Copyright by Hong Kong Medical Publisher<br />

Publisher Homepage: www.hktmc.com<br />

Special report<br />

Introduction to Pr<strong>of</strong>essor Leslie Z. Benet <strong>and</strong> his Lecture in China:<br />

Predicting Drug Absorption <strong>and</strong> Disposition Using a Biopharmaceutics<br />

Drug Disposition Classification System<br />

Pr<strong>of</strong>essor Leslie Z. Benet visited Tianjin<br />

Institute <strong>of</strong> Pharmaceutical Research, China on<br />

Wednesday January 7, 2009. During the visitation,<br />

Pr<strong>of</strong>essor Benet made an academic<br />

lecture/presentation titled “Predicting Drug<br />

Absorption <strong>and</strong> Disposition Using a<br />

Biopharmaceutics Drug Disposition Classification<br />

System” to scientists from Tianjin State Laboratory<br />

<strong>of</strong> <strong>Pharmacokinetics</strong> <strong>and</strong> <strong>Pharmacodynamics</strong>.<br />

Introduction to Pr<strong>of</strong>essor Leslie Z. Benet<br />

Pr<strong>of</strong>essor Leslie Z. Benet, Ph.D., Distinguished<br />

Clinical Research Lecturer <strong>and</strong> chairman <strong>of</strong> the<br />

department <strong>of</strong> biopharmaceutical sciences<br />

(1978-1998), University <strong>of</strong> California, San<br />

Francisco (UCSF), has received international<br />

recognition for his work related to pharmacokinetics<br />

<strong>and</strong> pharmacodynamics. Dr. Benet with six<br />

honorary doctorates is recognized with the highest<br />

scientific awards <strong>of</strong> nine pr<strong>of</strong>essional societies,<br />

including the Distinguished Pharmaceutical<br />

Scientist award <strong>of</strong> the American Association <strong>of</strong><br />

Pharmaceutical Scientists, the Rawls-Palmer<br />

Progress in Medicine award <strong>of</strong> the American<br />

Society for Pharmacology <strong>and</strong> Therapeutics, the<br />

Higuchi Research Prize <strong>of</strong> the American<br />

Pharmacists Association <strong>and</strong> the Host-Madsen<br />

Medal <strong>of</strong> the International Pharmaceutical<br />

Federation (FIP). Dr. Benet formerly served as<br />

Chair <strong>of</strong> the Pharmacology Study Section <strong>and</strong> the<br />

Pharmacological Sciences Review Committee for<br />

the NIH, the FDA Center for Biologics (CBER)<br />

Peer Review Committee, the FDA Expert Panel on<br />

Individual Bioequivalence, the Board <strong>of</strong><br />

Pharmaceutical Sciences <strong>of</strong> the FIP, the Organizing<br />

Committee for the Millenial World Congress <strong>of</strong><br />

Pharmaceutical Sciences, the Congressionally<br />

m<strong>and</strong>ated IOM/NRC Committee on Accelerating<br />

the Research, Development <strong>and</strong> Acquisition <strong>of</strong><br />

Medical Countermeasures Against Biological<br />

Warfare Agents <strong>and</strong> as a member <strong>of</strong> the FDA<br />

Generic Drugs Advisory Committee <strong>and</strong> the FDA<br />

Science Board. He was the Founder <strong>and</strong> first<br />

President <strong>of</strong> the American Association <strong>of</strong><br />

Pharmaceutical Scientists that now numbers more<br />

than 13,000 members. Dr. Benet’s research interests,<br />

more than 490 scientific publications, 7 books <strong>and</strong><br />

11 patents are in the areas <strong>of</strong> pharmacokinetics,<br />

biopharmaceutics, drug delivery <strong>and</strong><br />

pharmacodynamics.<br />

Lecture: Predicting Drug Absorption <strong>and</strong><br />

Disposition Using a Biopharmaceutics Drug<br />

Disposition Classification System<br />

The Biopharmaceutics classification system<br />

5


Special Report. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):5-9<br />

The Biopharmaceutics classification system<br />

(BCS) has been one <strong>of</strong> the most significant<br />

prognostic tools created to promote product<br />

development in recent years. It is a scientific<br />

framework for classifying drug substances based on<br />

their aqueous solubility <strong>and</strong> intestinal permeability<br />

characteristics, which will substantially facilitate<br />

drug product selection <strong>and</strong> approval process for a<br />

large group <strong>of</strong> drug c<strong>and</strong>idates. The goal <strong>of</strong> the BCS<br />

is to function as a tool for developing in vitro<br />

dissolution specifications for drug products that are<br />

predictive <strong>of</strong> their in vivo performance.<br />

According to the BCS, drug substances are<br />

classified as follows:<br />

Class 1: High Solubility-High Permeability:<br />

generally very well-absorbed compounds<br />

Class 2: Low Solubility-High Permeability:<br />

exhibit dissolution rate-limited absorption<br />

Class 3: High Solubility-Low Permeability:<br />

exhibit permeability rate-limited absorption<br />

Class 4: Low Solubility-Low Permeability:<br />

very poor oral bioavailability.<br />

The Class Boundaries:<br />

• A drug substance is considered HIGHLY<br />

SOLUBLE when the highest dose strength is<br />

soluble in250 ml water over a pH range <strong>of</strong> 1 to<br />

7.5.<br />

• A drug substance is considered HIGHLY<br />

PERMEABLE when the extent <strong>of</strong> absorption in<br />

humans is determined to be 90% <strong>of</strong> an<br />

administered dose, based on mass-balance or in<br />

comparison to an intravenous reference dose.<br />

• A drug product is considered to be<br />

RAPIDLY DISSOLVING when 85% <strong>of</strong> the<br />

labeled amount <strong>of</strong> drug substance dissolves within<br />

30 minutes using USP apparatus I or II in a volume<br />

<strong>of</strong> 900 ml buffer solutions.<br />

The pH-solubility pr<strong>of</strong>ile <strong>of</strong> the test drug<br />

substance should be determined in aqueous media<br />

with a pH in the range <strong>of</strong> 1-7.5 using traditional<br />

shake-flask method as well as acid or base titration<br />

methods. A sufficient number <strong>of</strong> pH conditions<br />

should be evaluated to accurately define the<br />

pH-solubility pr<strong>of</strong>ile. Concentration <strong>of</strong> the drug<br />

substance in selected buffers (or pH conditions)<br />

should be determined using a validated<br />

stability-indicating assay that can distinguish the<br />

drug substance from its degradation products.<br />

The permeability class <strong>of</strong> a drug substance can<br />

be determined in human subjects using mass<br />

balance, absolute BA, or intestinal perfusion<br />

approaches: 1. Pharmacokinetic Studies in Humans:<br />

a. Mass Balance Studies b. Absolute Bioavailability<br />

Studies; 2. Intestinal Permeability Methods: The<br />

following methods can be used to determine the<br />

permeability <strong>of</strong> a drug substance from the<br />

gastrointestinal tract: (1) in vivo intestinal perfusion<br />

studies in humans; (2) in vivo or in situ intestinal<br />

perfusion studies using suitable animal models; (3)<br />

in vitro permeation studies using excised human or<br />

animal intestinal tissues; or (4) in vitro permeation<br />

studies across a monolayer <strong>of</strong> cultured epithelial<br />

cells; 3. Instability in the Gastrointestinal Tract:<br />

determining the extent <strong>of</strong> absorption in humans<br />

based on mass balance studies using total<br />

radioactivity in urine does not take into<br />

consideration the extent <strong>of</strong> degradation <strong>of</strong> a drug in<br />

the gastrointestinal fluid prior to intestinal<br />

membrane permeation.<br />

Dissolution testing should be carried out in<br />

USP Apparatus I at 100 rpm or Apparatus II at 50<br />

rpm using 900 mL <strong>of</strong> the following dissolution<br />

media: (1) 0.1 N HCl or Simulated Gastric Fluid<br />

USP without enzymes; (2) a pH 4.5 buffer; <strong>and</strong> (3) a<br />

pH 6.8 buffer or Simulated Intestinal Fluid USP<br />

without enzymes. For capsules <strong>and</strong> tablets with<br />

gelatin coating, Simulated Gastric <strong>and</strong> Intestinal<br />

Fluids USP (with enzymes) can be used. When<br />

comparing the test <strong>and</strong> reference products,<br />

dissolution pr<strong>of</strong>iles should be compared using a<br />

similarity factor (f 2 ). The similarity factor is a<br />

logarithmic reciprocal square root transformation <strong>of</strong><br />

the sum <strong>of</strong> squared error <strong>and</strong> is a measurement <strong>of</strong><br />

the similarity in the percent (%) <strong>of</strong> dissolution<br />

between the two curves. Two dissolution pr<strong>of</strong>iles<br />

are considered similar when the f 2 value is 50.<br />

By underst<strong>and</strong>ing the relationship between a<br />

drug’s absorption, solubility, <strong>and</strong> dissolution<br />

characteristics, it is possible to define situations<br />

when in vitro dissolution data can provide a<br />

surrogate for in vivo bioequivalence<br />

assessments,that is to find under which<br />

circumstances dissolution testing can be prognostic<br />

for in vivo performance.<br />

6


Special Report. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):5-9<br />

The Biopharmaceutics Drug Disposition<br />

Classification System (BDDCS)<br />

The development <strong>of</strong> the BCS was a major step<br />

in bringing rational science to regulation, allowing<br />

waivers <strong>of</strong> in vivo bioavailability <strong>and</strong><br />

bioequivalence testing (“biowaiver”) <strong>of</strong> immediate<br />

release dosage forms for high-solubility,<br />

highpermeability drugs when such drug products<br />

also exhibited rapid dissolution. This application <strong>of</strong><br />

science yielded a decrease in the regulatory burden.<br />

When the BCS was first developed there was only a<br />

nascent underst<strong>and</strong>ing <strong>of</strong> the importance <strong>of</strong> drug<br />

transporters to bioavailability. However, as pointed<br />

out here, for Class 1 compounds neither efflux nor<br />

absorptive transporters should influence oral<br />

bioavailability, <strong>and</strong> meal effects on Fextent should<br />

be negligible.<br />

The Biopharmaceutics Drug Disposition<br />

Classification System (BDDCS) replaces the<br />

permeability criteria with the major route <strong>of</strong><br />

elimination because <strong>of</strong> the belief that it is easier <strong>and</strong><br />

less ambiguous to determine the assignment <strong>of</strong><br />

BDDCS for marketed drugs based on the extent <strong>of</strong><br />

metabolism than using permeability (i.e. extent <strong>of</strong><br />

absorption) in BCS assignments. Designation <strong>of</strong> the<br />

major route <strong>of</strong> drug elimination as part or instead <strong>of</strong><br />

the permeability criteria would reduce the<br />

regulatory burden for many more Class 1<br />

compounds, would eliminate the ambiguity <strong>and</strong><br />

difficulty in determining 90% (or 85%) absorption<br />

for Classes 1 <strong>and</strong> 2 compounds, <strong>and</strong> would allow<br />

predictability <strong>of</strong> absorption <strong>and</strong> disposition<br />

characteristics <strong>of</strong> drugs in all four BDDCS.<br />

BDDCS Class compounds would then be<br />

designated as:<br />

Class 1: high solubility, extensive metabolism.<br />

Waiver <strong>of</strong> in vivo bioequivalence studies for<br />

BDDCS Class 1 drugs would still require rapid<br />

dissolution.<br />

Class 2: poor solubility, extensive metabolism<br />

Class 3: high solubility, poor metabolism<br />

Class 4: low solubility, poor metabolism.<br />

When initially proposed, “extensive<br />

metabolism” was defined as ≥50% metabolism <strong>of</strong><br />

an oral dose in vivo in humans. Further<br />

consideration <strong>of</strong> this parameter designation led to<br />

the realization that there are very few<br />

drugs/compounds that are intermediately<br />

metabolized. It is now proposed that the<br />

definition <strong>of</strong> “extensive metabolism” be pushed<br />

to ≥70% metabolism <strong>of</strong> an oral dose in vivo in<br />

humans while the “poor metabolism” be defined<br />

as ≥50% <strong>of</strong> the dose be excreted unchanged. Use<br />

<strong>of</strong> the more stringent BDDCS metabolism criteria<br />

versus the BCS permeability characterization<br />

resulted in only 10 compounds requiring<br />

reclassification <strong>and</strong> allowed for the inclusion <strong>of</strong><br />

an additional 38 drugs/compounds.<br />

Predicting Drug Absorption <strong>and</strong> Disposition<br />

The BDDCS was developed to allow prediction<br />

<strong>of</strong> in vivo pharmacokinetic performance <strong>of</strong> drug<br />

products. It may be useful in predicting overall drug<br />

disposition, including routes <strong>of</strong> drug elimination<br />

<strong>and</strong> the effects <strong>of</strong> efflux <strong>and</strong> absorptive transporters<br />

on oral drug absorption; when transporter-enzyme<br />

interplay will yield clinically significant effects (e.g.,<br />

low bioavailability <strong>and</strong> drug-drug interactions); the<br />

direction, mechanism, <strong>and</strong> importance <strong>of</strong> food<br />

effects; <strong>and</strong> transporter effects on postabsorption<br />

systemic drug concentrations following oral <strong>and</strong><br />

intravenous dosing. These predictions are supported<br />

by a series <strong>of</strong> studies investigating the effect <strong>of</strong><br />

transporter inhibition <strong>and</strong> induction on drug<br />

metabolism.<br />

Major Routes <strong>of</strong> Drug Elimination:<br />

Class 1 <strong>and</strong> Class 2: compounds are eliminated<br />

primarily via metabolism;<br />

Class 3 <strong>and</strong> Class 4: compounds are primarily<br />

eliminated unchanged into the urine <strong>and</strong> bile.<br />

For the 130 drugs/compounds gathered from<br />

the literature, only 13 <strong>of</strong> the substances do not have<br />

readily accessible, critically evaluated<br />

pharmacokinetic parameters. If you know the<br />

intestinal absorption (or more likely a surrogate as<br />

Caco-2 permeability) <strong>of</strong> an NME, you can predict<br />

whether the major route <strong>of</strong> elimination <strong>of</strong> the NME<br />

will be metabolism.<br />

Note that the permeability parameter does not<br />

predict the ability for the NME to enter the liver/<br />

hepatocytes (since a number <strong>of</strong> non-metabolized<br />

Classes 3 & 4 compounds will be excreted in the<br />

bile), but rather the access to the metabolic enzymes<br />

within the hepatocytes.<br />

Oral Dosing <strong>and</strong> the Predictability <strong>of</strong><br />

7


Special Report. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):5-9<br />

Transporter Effects:<br />

Since extent <strong>of</strong> metabolism correctly predicts<br />

high vs low intestinal permeability for at least 33 <strong>of</strong><br />

35 drugs , where human permeability<br />

measurements exist. Benet <strong>and</strong> co-workers propose<br />

the following: “We recommend that regulatory<br />

agencies add the extent <strong>of</strong> drug metabolism (i.e., <br />

90% metabolized) as an alternate method for the<br />

extent <strong>of</strong> drug absorption (i.e., 90% absorbed) in<br />

defining Class 1 drugs suitable for a waiver <strong>of</strong> in<br />

vivo studies <strong>of</strong> bioequivalence.”<br />

Class 1: highly soluble, high permeability,<br />

extensively metabolized drugs<br />

• Transporter effects will be minimal in the<br />

intestine <strong>and</strong> the liver.<br />

• Even compounds like verapamil that can<br />

be shown in certain cellular systems<br />

(MDR1-MDCK) to be a substrate <strong>of</strong> P-gp will<br />

exhibit no clinically significant P-gp substrate<br />

effects in the gut <strong>and</strong> liver.<br />

• A major proposition (<strong>and</strong> probably the<br />

primary advance in knowledge) <strong>of</strong> BDDCS is that<br />

Class 1 drugs are not substrates for transporters in<br />

the intestine <strong>and</strong> liver. (but not at the BBB <strong>and</strong> the<br />

kidney)<br />

Class 2: poorly soluble, highly permeable,<br />

extensively metabolized drugs<br />

• Efflux transporter effects will be<br />

important in the intestine <strong>and</strong> the liver.<br />

• In the intestine efflux transporter <br />

enzyme (CYP 3A4 <strong>and</strong> UGTs) interplay can<br />

markedly affect oral bioavailability.<br />

• In the liver the efflux transporter-enzyme<br />

interplay will yield counteractive effects to that seen<br />

in the intestine.<br />

• Uptake transporters can be important for<br />

the liver but not the intestine.<br />

• Following oral dosing, major significant<br />

interactions will occur for Class 2 drugs that are<br />

substrates for intestinal enzymes (e.g. CYP3A,<br />

UGTs) <strong>and</strong> efflux transporters (e.g. P-gp, MRP2,<br />

BCRP). Since concomitant inhibition <strong>of</strong> the<br />

intestinal enzyme <strong>and</strong> the efflux transporter both<br />

lead to less gut metabolism that synergistically<br />

increase systemic AUC. It is not surprising that<br />

drugs removed from the market due to drug-drug<br />

interactions predominate for orally dosed drugs that<br />

are substrates for CYP3A <strong>and</strong> P-gp.<br />

Class 3: highly soluble, low permeability, poorly<br />

metabolized drugs.<br />

• Uptake transporters will be important for<br />

intestinal absorption <strong>and</strong> liver entry for these poor<br />

permeability drugs.<br />

• However, once these poorly permeable<br />

drugs get into the enterocyte or the hepatocyte<br />

efflux transporter effects can occur.<br />

Class 4: poorly soluble, low permeability,<br />

poorly metabolized drugs<br />

• Oral bioavailability is minimal <strong>and</strong><br />

transporter effects could be relevant.<br />

Food Effects (High-Fat Meals):<br />

It is well-known that food can influence drug<br />

bioavailability, both increasing <strong>and</strong> decreasing the<br />

extent <strong>of</strong> availability (Fextent) <strong>and</strong> the rate <strong>of</strong><br />

availability.<br />

Class 1: High-fat meals will have no significant<br />

effect on F extent for Class 1 compounds.<br />

• Because complete absorption may be<br />

expected for high solubility/high permeability<br />

compounds, <strong>and</strong> as noted previously, no transporter<br />

drug interactions would be expected for Class 1<br />

compounds.<br />

• However, high-fat meals may delay<br />

stomach emptying <strong>and</strong> therefore cause an increase<br />

in peak time.<br />

Class 2: High-fat meals will increase F extent for<br />

Class 2 compounds<br />

• Due to inhibition <strong>of</strong> efflux transporters in<br />

the intestine <strong>and</strong> additional solubilization <strong>of</strong> drug in<br />

the intestinal lumen (e.g., micelle formation).<br />

• Peak time could decrease due to<br />

inhibition <strong>of</strong> efflux cycling or increase due to<br />

slowing <strong>of</strong> stomach emptying;<br />

• Formulation changes that markedly<br />

increase the solubility <strong>of</strong> Class 2 compounds will<br />

decrease or eliminate the high-fat meal effects for<br />

these drugs.<br />

Class 3: High-fat meals will decrease F extent for<br />

Class 3 compounds<br />

• Due to inhibition <strong>of</strong> uptake transporters<br />

in the intestine.<br />

Class 4: For Class 4 compounds, it is difficult to<br />

predict what will occur.<br />

Postabsorption Effects <strong>and</strong> Intravenous<br />

8


Special Report. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):5-9<br />

Dosing:<br />

For intravenous dosing, drug concentrations at<br />

the eliminating organ will always be relatively low<br />

due to the diluting effects <strong>of</strong> volume <strong>of</strong> distribution,<br />

as compared to concentrations <strong>of</strong> drug in the<br />

intestine. Therefore, saturation <strong>of</strong> transporters (<strong>and</strong><br />

enzymes) will be minimal, if at all, <strong>and</strong> solubility<br />

considerations will be unimportant when<br />

measurable systemic concentrations <strong>of</strong> the drug are<br />

achieved.<br />

• High extraction ratio drugs, where<br />

clearance approaches blood flow, are mainly limited<br />

to Class 1 compounds.<br />

• Post intestinal absorption <strong>and</strong> following<br />

intravenous dosing, both uptake <strong>and</strong> efflux<br />

transporters can be important determinants <strong>of</strong> the<br />

disposition for Classes 2, 3, <strong>and</strong> 4 compounds.<br />

• Biliary secretion <strong>of</strong> parent drug can be an<br />

important component <strong>of</strong> disposition for Classes 3<br />

<strong>and</strong> 4 compounds.<br />

• Renal elimination <strong>of</strong> Classes 3 <strong>and</strong> 4<br />

compounds can be affected by both uptake <strong>and</strong><br />

efflux transporters.<br />

Potential Drug-Drug Interactions Predicted<br />

by BDDCS:<br />

Class 1: Only metabolic in the intestine <strong>and</strong><br />

liver<br />

• Drug-drug interactions for Class 1<br />

compounds will be primarily metabolic, with<br />

transporter-enzyme interplay only becoming<br />

important for those drugs where high permeability<br />

is a result <strong>of</strong> rapid transporter uptake rather than<br />

high Log P.<br />

Class 2: Metabolic, efflux transporter <strong>and</strong> efflux<br />

transporter-enzyme interplay in the<br />

intestine. Metabolic, uptake<br />

transporter, efflux transporter <strong>and</strong><br />

transporter-enzyme interplay in liver.<br />

• Drug-drug interactions are not limited to<br />

enzymatic processes but can frequently be mediated<br />

by transporter interactions <strong>and</strong> <strong>of</strong>ten involve<br />

transporter-enzyme interplay for Class 2<br />

compounds.<br />

• Following oral dosing, major significant<br />

interactions will occur for Class 2 drugs that are<br />

substrates for both intestinal enzymes (e.g., CYP3A,<br />

UGTs) <strong>and</strong> intestinal apical efflux transporters (e.g.,<br />

P-glycoprotein, MRP2, BCRP).<br />

• The enzyme-efflux transporter interplay<br />

that is so important in the intestine will not be as<br />

significant in the liver (<strong>and</strong> the kidney) due to the<br />

reverse order in which drug molecules encounter<br />

the two proteins.<br />

• Inhibition <strong>of</strong> hepatic uptake transporters<br />

can lead to significantly increased systemic drug<br />

concentrations for Class 2 compounds<br />

Class 3 <strong>and</strong> 4: Uptake transporter, efflux<br />

transporter <strong>and</strong> uptake-efflux transporter interplay.<br />

Inhibition <strong>of</strong> hepatic <strong>and</strong> renal uptake<br />

transporters can lead to significant increases in the<br />

systemic concentration <strong>of</strong> Classes 3 <strong>and</strong> 4<br />

compounds.<br />

Conclusions<br />

The interplay between transporters, both influx<br />

<strong>and</strong> efflux, <strong>and</strong> metabolic enzymes in the intestine<br />

<strong>and</strong> the liver could differ depending on the drug’s<br />

solubility <strong>and</strong> permeability characteristics as<br />

reflected in the Biopharmaceutical Classification<br />

System (BCS). Although BCS has had a marked<br />

effect in decreasing the regulatory burden by<br />

allowing a waiver <strong>of</strong> in vivo bioequivalence studies<br />

for a limited number <strong>of</strong> Class 1 drugs, little<br />

predictive use has been made <strong>of</strong> Classes 2, 3, <strong>and</strong> 4<br />

in the BCS categorization. In general, BCS Classes<br />

1 <strong>and</strong> 2 are highly metabolized, whereas BCS<br />

Classes 3 <strong>and</strong> 4 drugs are primarily excreted<br />

unchanged via the biliary or renal routes. Therefore,<br />

changing the permeability component to a route <strong>of</strong><br />

elimination component in a Biopharmaceutics Drug<br />

Disposition Classification System (BDDCS) will<br />

facilitate predictions, markedly exp<strong>and</strong> the number<br />

<strong>of</strong> Class 1 drugs eligible for waiver <strong>of</strong> in vivo<br />

bioequivalence studies, <strong>and</strong> provide new insight. It<br />

may be easier to determine classification based on<br />

major routes <strong>of</strong> elimination than upon permeability;<br />

an extent <strong>of</strong> metabolism criterion for waiver <strong>of</strong> in<br />

vivo bioequivalence studies; <strong>and</strong> how predictive<br />

algorithms may be developed using only in vitro or<br />

in silico methods to facilitate class assignment in<br />

BDDCS. A further advantage <strong>of</strong> BDDCS is that a<br />

preliminary class assignment for NMEs may be<br />

obtained from a metabolism measure in human<br />

hepatocytes, prior to in vivo studies in humans.<br />

Underst<strong>and</strong>ing transporter-enzyme interactions in<br />

terms <strong>of</strong> the permeability <strong>and</strong> solubility <strong>of</strong> drug<br />

9


Special Report. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):5-9<br />

compounds <strong>of</strong>fers the potential for predicting:<br />

1. Major routes <strong>of</strong> elimination;<br />

2. Transporter effects <strong>of</strong> drug absorption;<br />

3. Food (High Fat Meal) effects;<br />

4. Transporter effects on post absorption<br />

systemic levels <strong>and</strong> after i.v. dosing;<br />

5. Enzyme transporter interplay;<br />

6. Drug-drug interaction potential <strong>and</strong> its<br />

relationship to enzyme-transporter interplay;<br />

7. Previously unexplained effects <strong>of</strong> renal<br />

disease on hepatic metabolism that can result from<br />

accumulation <strong>of</strong> substances (toxins) in renal failure<br />

that modify hepatic uptake <strong>and</strong> efflux transporters;<br />

8. The translation <strong>of</strong> pharmacogenetic<br />

differences in metabolic enzymes (genetic<br />

polymorphisms) that do not always result in the<br />

expected differences in vivo. Phenotype-genotype<br />

discordance (as well as changes in the relationship<br />

as a function <strong>of</strong> disease states) may be explained by<br />

the effects <strong>of</strong> transporters on metabolic clearance;<br />

Obtaining a realistic perspective <strong>of</strong> new<br />

techniques (e.g., predictive ADME, QSAR,<br />

microdosing, systems biology). If validation <strong>of</strong> the<br />

technique primarily uses Class 1 drugs, there is no<br />

assurance that the technique will work for NMEs.<br />

It may be easier to determine classification based on<br />

major routes <strong>of</strong> elimination than upon permeability; an<br />

extent <strong>of</strong> metabolism criterion for waiver <strong>of</strong> in vivo<br />

bioequivalence studies; <strong>and</strong> how predictive algorithms<br />

may be developed using only in vitro or in silico methods<br />

to facilitate class assignment in BDDCS.<br />

(Gu Y, Si DY <strong>and</strong> Liu CX)<br />

Publication News<br />

Chinese Herbal Medicines<br />

Chinese Herbal Medicines, an academic journal in English edition, has been approved by the State Press<br />

<strong>and</strong> Publication Administration in December 2008.<br />

Approval <strong>Journal</strong> number is CN 12-1410/R. Chinese Herbal Medicines will <strong>of</strong>ficially be published in 2009,<br />

in China.<br />

Sponsored by Tianjin Institute <strong>of</strong> Pharmaceutical Research <strong>and</strong> Institute <strong>of</strong> Medicinal Plants, Chinese<br />

Academy <strong>of</strong> Medical Sciences. Published by Chinese herbal medicines magazine. Edited by Editorial<br />

Committee <strong>of</strong> Chinese herbal medicines<br />

Chinese Herbal Medicines, an international journal, is the <strong>of</strong>ficial publication Sponsored by Tianjin<br />

Institute <strong>of</strong> Pharmaceutical Research <strong>and</strong> Institute <strong>of</strong> Medicinal Plants, Chinese Academy <strong>of</strong> Medical<br />

Sciences. The <strong>Journal</strong>’s purposes are to provide a forum for the studies on Chinese herbal medicines,<br />

traditional medicines <strong>and</strong> natural products. The <strong>Journal</strong> will accept the following contributions:<br />

original research articles; review papers, short communications; letters to the editor; book reviews;<br />

conference announcements <strong>and</strong> news. The journal covers the wide range from the research to<br />

development <strong>and</strong> application <strong>of</strong> traditional medicines, herbal medicines <strong>and</strong> natural products, which<br />

including medicinal resource, phytochemical, pharmacological, toxicological, pharmacokinetic <strong>and</strong><br />

therapeutic studies <strong>of</strong> active ingredients <strong>and</strong> complex formulations in experimental <strong>and</strong> clinical trials.<br />

Original articles in English are published.<br />

10


Xu HY et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):11-25<br />

<strong>Asian</strong> <strong>Journal</strong> <strong>of</strong><br />

<strong>Pharmacodynamics</strong> <strong>and</strong><br />

<strong>Pharmacokinetics</strong><br />

ISSN 1608-2281<br />

Copyright by Hong Kong Medical Publisher<br />

Publisher Homepage: www.hktmc.com<br />

Recent advance on chemical compositions <strong>and</strong> pharmacodynamic <strong>and</strong><br />

pharmacokinetic studies <strong>of</strong> Rhizoma Coptidis<br />

Hai-Yu Xu 1,3 , Tie-Jun Zhang 2 , Xue-Yu Zhu 2 ,Yu-Bo Li 1,3<br />

1 Tianjin State Key Laboratory <strong>of</strong> Pharmacidymanamics <strong>and</strong> Pharmcokinetics, Tianjin Institute <strong>of</strong><br />

Pharmaceutical Research, Tianjin 300193, China<br />

2<br />

Tianjin Research Center <strong>of</strong> Modern Chinese Medicines, Tianjin Institute <strong>of</strong> Pharmaceutical Research,<br />

Tianjin 300193, China<br />

3 Tianjin University <strong>of</strong> Traditional Chinese Medicine, Tianjing, 300193, China.<br />

Abstract<br />

Key words<br />

Rhizoma Coptidis has long been used for the treatment <strong>of</strong> gastrointestinal disorders, pyretic<br />

toxicity, abdominal typhus, bacillary dysentery, Swelling <strong>of</strong> throat in traditional oriental<br />

medicine in china. Recent studies found that its active constituents are alkaloids comprising<br />

berberine, coptisine, palmaine, jatrorrhizine etc. And also Rhizoma Coptidis has been proved to<br />

have extensive pharmacological activities including anti-cancer, anti-microbial activity,<br />

hypoglycemic activity, LDL-lowering activity, anti-inflammatory potential <strong>and</strong> antioxygen <strong>and</strong><br />

free radicals scavenging etc.. In order to improve its therapeutic value <strong>and</strong> reduce its side effects,<br />

it is necessary to study the relationship between its activity <strong>and</strong> pharmacokinetics in vitro <strong>and</strong> in<br />

vivo. Some studies have been showed that berberine, an important ingredient in Coptis chinensis<br />

Franch displays a linear pharmacokinetic phenomenon <strong>and</strong> has poor bioavailability. This article<br />

summarizes chemical compositions, pharmacological actions <strong>and</strong> pharmacokinetics <strong>of</strong> Rhizoma<br />

Coptidis.<br />

Rhizoma Coptidis; chemical constituents; antimicrobial activity; hypoglycemic Activity;<br />

anticancer action; anti-inflammatory; antioxygen; cardiovascular action; free radicals<br />

scavenging; pharmacokinetics<br />

Article history Received 22 June 2008; Accepted 30 December 2008<br />

Publication data Pages: 15; Tables: 0; Figures: 4; References: 58; Paper ID: 1608-2281-2009-0901011-15<br />

Corresponding author Pr<strong>of</strong>essor Zhang Tie-Jun, Tianjin Institute <strong>of</strong> Pharmaceutical Research,308 An-Shan West Road, Tianjin,<br />

300193, China. E-mail: tiezheng4@sina.com.<br />

Introduction<br />

Herbs have been widely employed as important<br />

remedies all over the world [1] . Progress in science <strong>and</strong><br />

technology in recent decades has been made possibly<br />

not only to isolate <strong>and</strong> to characterize the biologically<br />

active constituents <strong>of</strong> herbs, but also to evaluate their<br />

biological activities. Rhizoma Coptidis, the dried root<br />

<strong>and</strong> rhizome <strong>of</strong> “Huang-lian” named in Chinese, has<br />

long been used for the treatment <strong>of</strong> gastrointestinal<br />

disorders, pyretic toxicity, abdominal typhus,<br />

bacillary dysentery, Swelling <strong>of</strong> throat in traditional<br />

oriental medicine. Ethnopharmacologically, the<br />

property <strong>and</strong> taste <strong>of</strong> Rhizoma Coptidis are bitter <strong>and</strong><br />

11


Xu HY et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):11-25<br />

cold; the meridians are into heart, liver, stomach <strong>and</strong><br />

large intestine. The functions are to clear heat <strong>and</strong> dry<br />

dampness, <strong>and</strong> to reduce fire <strong>and</strong> dispel toxins. It is<br />

used to eliminate heat in the heart for insomnia,<br />

fidget, delirium due to high fever, inflammation <strong>of</strong><br />

the month <strong>and</strong> tongue, <strong>and</strong> to stop diarrhea for acute<br />

enteritis <strong>and</strong> dysentery. [2] It can be devided into 3<br />

spicies which are Coptis chinensis Franch, (Fig 1,<br />

www.newdruginfo.com) Coptis deltoidea C.Y.<br />

Cheng et Hsiao <strong>and</strong> C. teeta Wall. Rhizoma Coptidis<br />

(Fig 2, www.zgycsc.com) is thought as high grade<br />

which has good effect <strong>and</strong> little toxin, recorded in<br />

TCM Classic Shennong Bencaojing.<br />

Recent in the chemical Constituents <strong>and</strong><br />

pharmacological studies,it indicate that the total<br />

alkaloids is thought as main active ingredients <strong>and</strong><br />

berberine is the highest in the total alkaloids <strong>of</strong><br />

Rhizoma Coptidis. Rhizoma Coptidis <strong>and</strong> berberine<br />

have been proved to have extensive pharmacological<br />

activities, such as antibacterial effect, antiinflammatory<br />

effects, antioxygen <strong>and</strong> free radicals<br />

scavenging ect. <strong>and</strong> new pharmacological activities,<br />

such as hypoglycemic <strong>and</strong> hypolipidemic effects,<br />

anticancer <strong>and</strong> effects on cardiovascular system etc..<br />

In order to improve its therapeutic value <strong>and</strong> reduce<br />

its side effects, it is necessary to study the<br />

relationship between its activity <strong>and</strong><br />

pharmacokinetics in vitro <strong>and</strong> in vivo. Some studies<br />

have been showed that berberine ,an important<br />

ingredient in Coptis chinensis Franch displays a<br />

linear pharmacokinetic phenomenon <strong>and</strong> have poor<br />

bioavailability.<br />

In this review paper, we collected some<br />

information about chemical instistuents,<br />

pharmacological actions <strong>and</strong> pharmacokinetics <strong>of</strong><br />

Rhizoma Coptidis. The introduced information on<br />

Rhizoma Coptidis will help us to know<br />

pharmacological actions, the mechanism <strong>of</strong> TCM,<br />

secondary exploitation for Rhizoma Coptidis <strong>and</strong> its<br />

be value for studies on TCM<br />

Chemical Constituents<br />

In Rhizoma Coptidis, major chemical<br />

constituents are several alkaloids such as<br />

berberine,coptisine, palmaine, jatrorrhizine,<br />

worenine, epiberberine (Fig 3) which <strong>of</strong> all are<br />

both protoberberine <strong>and</strong> quaternary-amine alkaloid.<br />

the content <strong>of</strong> berberine is approximately 5 percent<br />

to 8 percent ,which is the most constituent <strong>of</strong> the<br />

total alkaloids. In addition, Rhizoma Coptidis may<br />

contain magn<strong>of</strong>lorine, ferulaic acid (Fig 4) <strong>and</strong> so<br />

on [3] .<br />

Fig 1. Coptis chinensis Franch<br />

Fig 2. Rhizoma Coptidis<br />

Kobayashi [4] et al had reported that inhibitors <strong>of</strong><br />

topoismerase I <strong>and</strong> topoismerase II were separated<br />

from Rhizoma Coptidis which could duplicate,<br />

transcribe <strong>and</strong> recombine DNA in the cell. Aqueous<br />

extract <strong>of</strong> Rhizoma Coptidis may make<br />

cleavable-complex <strong>of</strong> DNA Topoismerase steadily in<br />

mammal. Both epiberberine <strong>and</strong> groenl<strong>and</strong>icine are<br />

active constitutents <strong>of</strong> topoismerase I mediating DNA<br />

cleavage <strong>and</strong> berberrubine is a specific inductor <strong>of</strong><br />

topoismeras I mediating DNA cleavage. Hirano [4] et<br />

al had separated lariciresinol <strong>and</strong> anti-ferulaic<br />

acid-duplet hydroxyl-benzene-ethyl ester.<br />

12


Xu HY et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):11-25<br />

In mixed decoction <strong>of</strong> Rhizoma Coptidis <strong>and</strong><br />

Radix et Rhizoma Glycyrrhizae, the former’s main<br />

constituent may be remained, but chemical<br />

constituents <strong>of</strong> Radix et Rhizoma Glycyrrhizae<br />

disappear completely. But no new chemical<br />

compound could be found in the process [6] . Studing<br />

on content variation <strong>of</strong> chemical constituents during<br />

combination <strong>of</strong> Rhizoma Coptidis with Fructus<br />

Evodiae,the dissolution rate <strong>of</strong> jateorhizine, coptisine,<br />

palmatine <strong>and</strong> berberine decreased obviously. At the<br />

same time, the dissolution rate lineared correlation<br />

with the proportion <strong>of</strong> Rhizoma Coptidis. It could be<br />

concluded that Rhizoma Coptidis’ Alkaloids reacted<br />

with Fructus Evodiae’s Flavonoids [7] .<br />

Berberine Coptisine Palmatine<br />

Jatrorrhizine Worenine Epiberberine<br />

Fig 3. Chemical structures <strong>of</strong> berberine,coptisine, palmatine, jatrorrhizine, worenine <strong>and</strong> epiberberine<br />

<br />

Magn<strong>of</strong>lorine<br />

<br />

<br />

Ferulaic acid<br />

Fig 4. Chemical structures <strong>of</strong> magn<strong>of</strong>lorine <strong>and</strong> ferulaic acid<br />

Pharmacological Actions<br />

In Traditional Chinese Medicine, Coptidis<br />

Rhizoma has the effects <strong>of</strong> suppressing fever,<br />

dispelling dampness <strong>and</strong> deintoxication. Through<br />

modern pharmacological studies, it has been proved<br />

to have many pharmacological effects including<br />

antimicrobial activity, hypoglycemic activity,<br />

anti-inflammatory, antioxygen <strong>and</strong> free radicals<br />

scavenging <strong>and</strong> anticancer effects etc..Berberine, the<br />

major component <strong>of</strong> this herb, has also many<br />

pharmacological effects including inhibition <strong>of</strong><br />

adipocyte differentiation, anti-cancer effects,<br />

anti-microbial effects, LDL-lowering effects <strong>and</strong><br />

anti-inflammatory potential [8] .<br />

Antimicrobial Activity<br />

Coptis <strong>and</strong> berberine showed wide inhibitory<br />

actionon bafungi prorozoon <strong>and</strong> virus in vitro <strong>and</strong> in<br />

vivo. [2] Berberine was found to be active against a<br />

number <strong>of</strong> Gram-positive <strong>and</strong> Gram-negative bacteria,<br />

such as Stephylococcus aureus, S. hemolylicus,<br />

13


Xu HY et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):11-25<br />

Salmonella typhsa, Shigella dysenterial, S.<br />

paradysenterial, <strong>and</strong> so on. Berberine sulfate showed<br />

to be bacterial to vibrio chloral <strong>and</strong> <strong>and</strong> bacteriostatic<br />

to Stephylococcus aureus at concentrations <strong>of</strong> 35 <strong>and</strong><br />

50 µg·mL -1 , respectively. It showed bacteriadal<br />

activity against Stephylococcus aureus at 50-500<br />

µg·ml -1 in culture medium. Berberine sulfate in<br />

concentrations 10-25µg·ml -1 inhibited the growth <strong>of</strong><br />

11 fugni. Oral administration <strong>of</strong> berberine sulfate at<br />

dose <strong>of</strong> 35-700 mg·kg -1 was effective in treating<br />

c<strong>and</strong>icans infections <strong>of</strong> the intestine in mice. [9]<br />

Rhizoma Coptidis has strong antibacterial action<br />

<strong>and</strong> broad spectrum antibacterial activities, including<br />

Gram-positive <strong>and</strong> Gram-negative bacteria, aerobe<br />

<strong>and</strong> anaerobe. The biologically active constituent <strong>of</strong><br />

C. chinensis extract is characterized as the<br />

isoquinoline alkaloids,such as berberine,<br />

palmatine,jateorhizine, coptisine etc.. Those<br />

constituents are potent inhibitors <strong>of</strong> sortase (a<br />

bacterial surface protein anchoring transpeptidase<br />

from Staphylococcus aureus ATCC 6538p), with an<br />

IC 50 value <strong>of</strong> 8.7 µg·mL -1 <strong>and</strong> have antibacterial<br />

activity against Gram-positive bacteria with a<br />

minimum inhibitory concentration (MIC) in the range<br />

<strong>of</strong> 50–400 µg·mL -1 . Among the four isoquinoline<br />

alkaloids tested, berberine chloride had the strongest<br />

inhibitory activity [10] . George Tegos [11] et al have<br />

reported that the activities <strong>of</strong> berberine were<br />

considerably against the gram-positive bacterium<br />

Staphylococcus aureus <strong>and</strong> Bacillus megaterium <strong>and</strong><br />

that disabling <strong>of</strong> the MDRs (multidrug resistance<br />

pumps ) in gram-negative species leaded to a striking<br />

increase in antimicrobial activity. Gram-negative<br />

bacteria had an effective permeability barrier,<br />

comprised <strong>of</strong> the outer membrane, which restricts the<br />

penetration <strong>of</strong> amphipathic compounds, <strong>and</strong><br />

multidrug resistance pumps (MDRs), which extrude<br />

toxins across this barrier. Direct measurement <strong>of</strong> the<br />

uptake <strong>of</strong> berberine, a model plant antimicrobial,<br />

confirmed that disabling <strong>of</strong> the MDRs strongly<br />

increases the level <strong>of</strong> penetration <strong>of</strong> berberine into the<br />

cells <strong>of</strong> gram-negative bacteria.<br />

Rhizoma Coptidis have long been used for the<br />

treatment <strong>of</strong> gastrointestinal disorders, insomnia,<br />

refractoriness dental ulcer, tinnitus in traditional<br />

oriental medicine [12] . According to the Basic Theory<br />

<strong>of</strong> Chinese Traditional Medicine, it has the efficacy<br />

<strong>of</strong> Clearing away heat, depriving evil wetness <strong>and</strong><br />

purging fire for removing toxin. These pharmacologic<br />

actions attribute to antibacterial action which can<br />

cure infectious diseases. For example, Zuo-Jin-Wan,<br />

a Chinese medical formula including Rhizoma<br />

Coptidis <strong>and</strong> Fructus Evodiae, is used to cure<br />

gastrointestinal disorders, such as peptic ulcer,<br />

chronic gastritis, functional dyspepsia etc., which are<br />

correlated to Zuo-Jin-Wan on anti-Hp action [13] .<br />

Hypoglycemic Activity<br />

Rhizome Coptidis <strong>and</strong> its major constituent<br />

berberine have good hypoglycemic <strong>and</strong><br />

hypolipidemic effects. The potential glucoselowering<br />

effect <strong>of</strong> berberine was noted when it was<br />

used for diarrhea in diabetic patients. In vitro <strong>and</strong> in<br />

vivo studies have showed its effects on<br />

hyperglycemia <strong>and</strong> dyslipidemia. Zhang Y [14] et al<br />

have reported that in the berberine group, fasting <strong>and</strong><br />

postload plasma glucose decreased from 7.0 ±0.8 to<br />

5.6 ± 0.9 <strong>and</strong> from 12.0 ± 2.7 to 8.9 ± 2.8 mM·L -1 ,<br />

HbA1c from 7.5 ±1.0% to 6.6 ±0.7%, triglyceride<br />

from 2.51 ±2.04 to 1.61±1.10 mM·L -1 , total<br />

cholesterol from 5.31±0.98 to 4.35±0.96 mM·L -1 , <strong>and</strong><br />

low-density lipoprotein-cholesterol from 3.23 ± 0.81<br />

to 2.55 ± 0.77 mM·L -1 , with all parameters differing<br />

from placebo significantly. The glucose disposal rate<br />

was increased after berberine treatment. Mild to<br />

moderate constipation was observed in five<br />

participants in the berberine group. So berberine is<br />

effective <strong>and</strong> safe in the treatment <strong>of</strong> type 2 diabetes<br />

<strong>and</strong> dyslipidemia. In one clinical study, 60 patients<br />

with type 2 diabetes were treated with berberine for<br />

1–3 months, <strong>and</strong> 90% <strong>of</strong> patients showed<br />

improvement in their clinical symptoms [15] .<br />

Recently, it has been reported that activating the<br />

AMP-activated protein kinase (AMPK) pathway is<br />

the underlying mechanism for berberine improving<br />

insulin resistance, lowering blood sugar, <strong>and</strong><br />

correcting lipid metabolism disorders [16-19] .<br />

Berberine can reduce body weight <strong>and</strong> lipid<br />

levels <strong>and</strong> improve insulin action .Berberine acutely<br />

activates AMPK activity, <strong>and</strong> induces a variety <strong>of</strong><br />

metabolic effects consistent with AMPK<br />

activation. These include activation <strong>of</strong> GLUT4<br />

translocation; increasing phosphorylation <strong>of</strong> AMPK,<br />

ACC, <strong>and</strong> p38 MAPK; reducing lipid content in<br />

adipocytes; increasing expression <strong>of</strong> genes involved<br />

14


Xu HY et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):11-25<br />

in lipid oxidation; <strong>and</strong> decreasing expression <strong>of</strong> genes<br />

involved in lipid synthesis [20] .<br />

Berberine <strong>and</strong> other AMPK agonists, such as<br />

metformin,have no effect on blood glucose. The<br />

chronic effects involving changes in gene expression,<br />

which likely contribute to reducing fat cell<br />

differentiation <strong>and</strong> increasing mitochondrial<br />

biogenesis, again contribute to lipid lowering, fat<br />

mass reducing, <strong>and</strong> insulin sensitivity improving. A<br />

significant reduction in the expression <strong>of</strong> lipogenic<br />

genes in adipose tissue following treatment with<br />

berberine either in vitro or in vivo. Moreover,<br />

berberine inhibit adipocyte differentiation probably<br />

by inhibiting PPAR activity which is an important<br />

transcriptional regulator <strong>of</strong> adipogenesis in 3T3-L1<br />

cells [21, 22] .<br />

Anticancer action<br />

Berberine is the anti-tumor constituent <strong>of</strong><br />

Rhizome Coptidis <strong>and</strong> can inhibit different<br />

tumors’cell growth including colon carcinoma, liver<br />

tumor, carcinoma <strong>of</strong> bladder <strong>and</strong> leukemia etc.. The<br />

anti-tumor mechanism <strong>of</strong> berberine is different<br />

according to different tumors.<br />

Both hepatovirus <strong>and</strong> environmental pollution<br />

are two main causative agents <strong>of</strong> liver tumor. And<br />

nitrosamine is main material <strong>of</strong> environmental<br />

pollution, produced by product, N-methyl-<br />

N′-nitro-N-nitroguanidine which is larvaceous<br />

carcinogenic factor in stomach acid environment.<br />

Berberine could significantly inhibit the<br />

carcinogenesis induced by 20-methylcholanthrene<br />

(200 µg·0.1ml -1 per a mouse) or N-nitrosodiethylamine<br />

(NDEA; 0.02% NDEA in distilled<br />

water, 2.5 ml to each an animal by gavage, five days<br />

a week for 20 weeks) in a dose-dependent manner.<br />

Administration <strong>of</strong> berberine (0.5, 2.5 or 5.0 mg·kg -1 )<br />

could significantly reduce the incidence <strong>of</strong> tumour in<br />

animals after an injection <strong>of</strong> 20-methylcholanthrene<br />

<strong>and</strong> increase their life span compared with the<br />

control [23] . At the same time, berberine also reduced<br />

cell proliferation <strong>and</strong> alpha-fetoprotein expression in<br />

human hepatoma HepG2 cells. Multidrug resistance<br />

transporter (pgp-170) is known to be overexpressed<br />

in Hep G2 cells. Lin etc. found that berberine could<br />

modulate the expression <strong>and</strong> function <strong>of</strong> pgp-170 in<br />

hepatoma cells <strong>and</strong> other hepatoma cell lines, which<br />

suggest that treatment <strong>of</strong> tumor cells with berberine<br />

may result in reduced retention <strong>of</strong> chemotherapeutic<br />

agents [24].<br />

Of course, berberine also can inhibit colon<br />

carcinoma cell growth. Li etc. thinked that the<br />

inhibition <strong>of</strong> cell growth by huanglian was associated<br />

with up to 8-fold suppression <strong>of</strong> cyclin B1 protein.<br />

This resulted in complete inhibition <strong>of</strong> cdc2 kinase<br />

activity <strong>and</strong> accumulation <strong>of</strong> cells in G 2 . Therefore,<br />

the effect <strong>of</strong> huanglian on inhibiting tumor growth<br />

seems to be mediated by the selective suppression <strong>of</strong><br />

cyclin B1, which results in the inhibition <strong>of</strong> cdc2<br />

kinase activity. Inhibition <strong>of</strong> cyclin dependent kinase<br />

(cdk) activity is emerging as an attractive target for<br />

cancer chemotherapy [25] . Fukuda etc. used a<br />

beta-galactosidase reporter gene system <strong>and</strong> found<br />

berberine, an isoquinoline alkaloid effectively<br />

inhibiting COX-2 transcriptional activity in colon<br />

cancer cells in a dose- <strong>and</strong> time-dependent manner at<br />

concentrations higher than 0.3 µM [26] ; Berberine also<br />

inhibited arylamine Nacetyltransferase (NAT)<br />

activity in a human colon tumor (adenocarcinoma)<br />

cell line in a dose-dependent manner [27] .<br />

In conclusion, Rhizome Coptidis can inhibit<br />

tumour cells growth through different mechanisms <strong>of</strong><br />

action. These results indicate that traditional Chinese<br />

herbs may represent a new source <strong>of</strong> agents in cancer<br />

therapy. Furthermore,it have many advantages such<br />

as high safetyaffluent resourceslow prices,little<br />

side effects ETC. So anti-tumor action <strong>of</strong> Rhizome<br />

Coptidis in clinic will have broad <strong>and</strong> bright prospect.<br />

Anti-Inflammatory action<br />

Rhizome Coptidis demonstrate anti-inflammatory<br />

effects in various experimental models.<br />

Berberine, which has strong anti-inflammatory<br />

effects [28-30] , is a major active constituent in Rhizoma<br />

Coptidis. Recently studies show that berberine could<br />

inhibit active chronic inflammation, delayed type<br />

hypersensitivity <strong>and</strong> experimental ulcerative colitis<br />

etc..<br />

The mechanism <strong>of</strong> anti-inflammatory activity<br />

have not yet been clarified completely. But a lot <strong>of</strong><br />

studies focused on the following aspects. Firstly,<br />

berberine could exhibite the inhibition for the<br />

adhesion <strong>of</strong> leukocyte <strong>and</strong> endothelial cell. Leukocyte<br />

trafficking plays an important role in inflammatory<br />

reaction.He Yu [31] et al studied the simulative<br />

inflammatory reaction state in vivo through inducing<br />

15


Xu HY et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):11-25<br />

human poly morphonulear leucocyte’s(PMN) <strong>and</strong><br />

endothelial cell’s adhesion increasing by IL-1TNF<br />

<strong>and</strong> the results showed that berberine inhibited not<br />

only the adhesion <strong>of</strong> endothelial cell induced by IL-1<br />

<strong>and</strong> TNF together with PMN but also the adhesion <strong>of</strong><br />

PMN induced by TNF together with endothelial cell.<br />

Secondly, berberine could regulate transcription<br />

factors related to inflammatory diseases. Bong-Hyuk<br />

Choi et al reported that BBR reduced the mRNA<br />

expression level <strong>of</strong> inflammation factors such as TNF,<br />

IL-6, CRP <strong>and</strong> HP. The mRNA expression level <strong>of</strong><br />

HP is most significantly reduced by BBR treatments<br />

among these. The mRNA expression levels <strong>of</strong> other<br />

inflammatory factor are decreased by 39%, 17% <strong>and</strong><br />

19%, respectively [32] . Thirdly,berberine could also<br />

inhibite inflammatory cytokine. Kuo CL et al studied<br />

that the anti-inflammatory mechanism <strong>of</strong> berberine is<br />

mediated through COX-2 regulation <strong>and</strong> found that<br />

berberine induced effect occurred rapidly (3 h) as a<br />

result <strong>of</strong> reduced COX-2 protein, but not enzyme<br />

activity. These anti-inflammatory effects paralleled to<br />

the in vivo results where berberine pretreatment <strong>of</strong><br />

Wistar rat inhibited the production <strong>of</strong> exudates <strong>and</strong><br />

PGE2 in carrageenan induced air pouch [33] .<br />

Antioxygen <strong>and</strong> Free Radicals Scavenging<br />

Activating oxides which is produced by<br />

sunshine, ultraviolet radiation, ionizing radiation,<br />

chemical reaction <strong>and</strong> metabolism is very important<br />

reason <strong>of</strong> pathologic demages,such as DNA demage,<br />

cancer <strong>and</strong> cell ageing. So antioxygen agents play<br />

very important roles in treatment with these diseases,<br />

especially crude drugs are in well with people<br />

because <strong>of</strong> strong antioxygen <strong>and</strong> low toxicity.<br />

Schinella G R studied the antioxidant properties <strong>of</strong><br />

twenty medical herbs used in the traditional<br />

Mediterranean <strong>and</strong> Chinese medicine <strong>and</strong> founded<br />

that Coptis chinensis at a concentration <strong>of</strong> 100<br />

microg/ml exhibited the highest scavenging activity<br />

on the superoxide radical [34] . Moreover, many<br />

efficacies <strong>of</strong> Coptis chinensis such as checking<br />

diarrhea, deintoxication, anti-inflammatory etc. were<br />

possiblly concerned with antixoygen <strong>and</strong> free radicals<br />

scavening [35] .<br />

The aqueous extracts <strong>of</strong> Coptis chinensis<br />

exhibited the highest potency in inhibiting rat<br />

erythrocyte hemolysis <strong>and</strong> lipid peroxidation in rat<br />

kidney <strong>and</strong> brain homogenates <strong>and</strong> also demonstrated<br />

strong superoxide- <strong>and</strong> hydroxyl radical-scavenging<br />

activity, but exerted only a slight pro-oxidant effect [36] .<br />

In Coptis chinensis, berberine, jatrorrhizine, <strong>and</strong><br />

magn<strong>of</strong>lorine behaved antioxidant activities <strong>and</strong><br />

antiradical activities. Jatrorrhizine <strong>and</strong> magn<strong>of</strong>lorine<br />

showed better activities than berberine not bearing<br />

any readily abstractable hydrogen on its skeleton. The<br />

former two showed antiperoxidative efficiency in<br />

DOPC liposomal membrane comparable to that <strong>of</strong> an<br />

effective scavenger <strong>of</strong> peroxyl radicals––stobadine. It<br />

could be concluded that the favorable antioxidant<br />

features <strong>of</strong> the hydroxylated alkaloids were most<br />

probably ensured by the combination <strong>of</strong> reasonably<br />

high antiradical reactivity with high lipophilicity. [37]<br />

Effects on cardiovascular system<br />

The antiarrythmic action <strong>of</strong> Coptis <strong>and</strong> the role<br />

<strong>of</strong> berberine was assessed in various animal modes.<br />

Berberine was shown to be able to raise the VFT <strong>of</strong><br />

the normal <strong>and</strong> ischemic myocardium in aneshetized<br />

rats. Experiments on isolated papillary muscle <strong>and</strong><br />

right atrium preparations from guinea pig leart<br />

indicated that berberine has positive inotropic <strong>and</strong><br />

negative effects. [2]<br />

To observe the effects <strong>of</strong> active ingredients<br />

from Chinese drugs for activating blood circulation<br />

<strong>and</strong> detoxicating, including notoginseng saponins,<br />

Coptis chinensis, giant knotweed rhizome <strong>and</strong><br />

rhubarb, on blood lipids <strong>and</strong> inflammatory reaction <strong>of</strong><br />

aortic atherosclerotic plaques in ApoE knockout mice.<br />

ApoE knockout mice were fed with high-fat diet for<br />

26 weeks, then they were r<strong>and</strong>omized into 6 groups,<br />

the untreated model group <strong>and</strong> the test groups treated<br />

with various test drugs respectively. After ending the<br />

13 weeks <strong>of</strong> treatment, all the mice were sacrificed<br />

with their blood lipids detected, <strong>and</strong> their heart <strong>and</strong><br />

aorta were taken out to make slices with paraffin<br />

embedding. Four sections from aortic root <strong>of</strong> each<br />

mouse were chosen to measure <strong>and</strong> calculate the<br />

percentage <strong>of</strong> lipid core (LC) in the total area <strong>of</strong><br />

plaque (TP) <strong>and</strong> the lipid/collagen ratio (L/C) in the<br />

plaque by HE <strong>and</strong> Movat staining respectively, <strong>and</strong><br />

the mean value <strong>of</strong> the four sections was taken for<br />

analysis. The expressions <strong>of</strong> granulocyte-macrophage<br />

colony-stimulating factor (GM-CSF) <strong>and</strong> tumor<br />

necrosis factor-α (TNF-α) in mice's aorta root were<br />

determined by immunohistochemical staining as well.<br />

After being treated for 13 weeks, either the<br />

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Xu HY et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):11-25<br />

percentage <strong>of</strong> LC in TP <strong>and</strong> the L/C ratio was<br />

significantly lower in all the test drug treated groups<br />

than those in the model group, respectively (P < 0.01),<br />

especially prominent in the group treated with giant<br />

knotweed rhizome. Although lowering <strong>of</strong> the two<br />

indexes presented in all <strong>of</strong> the groups treated by<br />

notoginseng saponins, Coptis chinensis <strong>and</strong> giant<br />

knotweed rhizome, significant difference still<br />

presented between giant knotweed rhizome treated<br />

group vs notoginseng saponins <strong>and</strong> Coptis chinensis<br />

treated group (P < 0.05). As for the expressions <strong>of</strong><br />

GM-CSF <strong>and</strong> TNF-α, in comparing with the<br />

untreated model group, significant decreasing <strong>of</strong> the<br />

TNF-α showed only in the rhubarb treated group,<br />

while that <strong>of</strong> GM-CSF could be found in all the test<br />

drug treated groups (P < 0.05). All the four drugs<br />

tested in the recommended dosage can stabilize the<br />

vulnerable plaques in ApoE knockout mice by<br />

improving the constitution <strong>of</strong> plaque, among them,<br />

giant knotweed rhizome <strong>and</strong> rhubarb, the drugs<br />

possess both the actions <strong>of</strong> activating blood<br />

circulation <strong>and</strong> detoxicating, show more significant<br />

effect, <strong>and</strong> their mechanisms may be related to their<br />

actions in regulating lipid metabolism <strong>and</strong> inhibiting<br />

inflammatory reaction. [38]<br />

We known that vascular smooth muscle cell<br />

(SMC) proliferation plays an important role in the<br />

pathogenesis <strong>of</strong> atherosclerosis <strong>and</strong> post-angioplasty<br />

restenosis. Berberine is a well-known component <strong>of</strong><br />

Coptis chinensis, <strong>and</strong> is capable <strong>of</strong> inhibiting SMC<br />

contraction <strong>and</strong> proliferation, yet the exact<br />

mechanism is unknown. Therefore, Liang KW et al<br />

investigated the effect <strong>of</strong> berberine on SMC growth<br />

after mechanic injury in vitro. DNA synthesis <strong>and</strong><br />

cell proliferation assay were performed to show that<br />

berberine inhibited serum-stimulated rat aortic SMC<br />

growth in a concentration-dependent manner.<br />

Mechanical injury with sterile pipette tip stimulated<br />

the regrowth <strong>of</strong> SMCs. Treatment with berberine<br />

prevented the regrowth <strong>and</strong> migration <strong>of</strong> SMCs into<br />

the denuded trauma zone. Western blot analysis<br />

showed that activation <strong>of</strong> the MEK 1/2<br />

(mitogen-activated protein kinase 1/2 ), extracellular<br />

signal-regulated kinase (ERK), <strong>and</strong> up-regulation <strong>of</strong><br />

early growth response gene (Egr-1), c-Fos <strong>and</strong> Cyclin<br />

D1 were observed sequentially after mechanic injury<br />

in vitro. Semi-quantitative reverse-transcription PCR<br />

assay further confirmed the increase <strong>of</strong> Egr-1, c-Fos,<br />

platelet-derived growth factor (PDGF) <strong>and</strong> Cyclin D1<br />

expression in a transcriptional level. However,<br />

berberine significantly attenuated MEK/ERK<br />

activation <strong>and</strong> downstream target (Egr-1, c-Fos,<br />

Cyclin D1 <strong>and</strong> PDGF-A) expression after mechanic<br />

injury in vitro. Their study showed that berberine<br />

blocked injury-induced SMC regrowth by<br />

inactivation <strong>of</strong> ERK/Egr-1 signaling pathway thereby<br />

preventing early signaling induced by injury in vitro.<br />

The anti-proliferative properties <strong>of</strong> berberine may be<br />

useful in treating disorders due to inappropriate SMC<br />

growth. [39]<br />

Berberine was considered to be useful in<br />

treating some diseases <strong>of</strong> the cardiovascular system,<br />

such as hypertension <strong>and</strong> chronic heart failure (CHF).<br />

Hong Y et al investigated the inhibitory effect <strong>of</strong><br />

berberine on experimental cardiac hypertrophy,<br />

which is regarded as a risk factor <strong>of</strong> CHF <strong>and</strong> other<br />

heart diseases. Forty-two male SD rats were divided<br />

into four groups: age-matched control, aortic b<strong>and</strong>ing<br />

model, berberine-treated group <strong>and</strong> captopril-treated<br />

group. Cardiac hypertrophy was induced by<br />

suprarenal abdominal aorta constriction. These drugs<br />

were orally administered for 8 weeks starting from 4<br />

weeks after surgery at dosage <strong>of</strong> berberine 10 mg·kg -1<br />

<strong>and</strong> captopril 50 mg·kg -1 . Blood pressure (BP) was<br />

measured four times during the period <strong>of</strong> the<br />

experiment, <strong>and</strong> hemodynamic parameters, cardiac<br />

index, cell size <strong>of</strong> left ventricular myocardium <strong>and</strong><br />

total protein <strong>of</strong> left ventricular tissue were detected 8<br />

weeks after treatment with these drugs. The data from<br />

the present study showed that: The BP <strong>of</strong> the aorta<br />

b<strong>and</strong>ed rats was increased compared with those <strong>of</strong> the<br />

normal (P < 0.001) <strong>and</strong> the age-matched control rats<br />

(P< 0.001), <strong>and</strong> berberine showed no significant<br />

effect on it; after 8 weeks <strong>of</strong> treatment with berberine,<br />

the elevated left ventricular end diastolic pressure<br />

(LVEDP) was slightly decreased compared with the<br />

aortic b<strong>and</strong>ed rats. Meanwhile, the maximum rates <strong>of</strong><br />

contraction <strong>and</strong> relaxation (± dp/dtmax) was<br />

increased (P < 0.05) <strong>and</strong> the time to reach the point<br />

<strong>of</strong> maximum rate from beginning <strong>of</strong> contraction<br />

(t-dp/dt) was shortened (P < 0.01), indicating that the<br />

functions <strong>of</strong> heart, both contraction <strong>and</strong> relaxation,<br />

were improved; cardiac growth was inhibited by<br />

treatment with berberine. Both whole heart <strong>and</strong> left<br />

ventricular weight were notably decreased compared<br />

with the b<strong>and</strong>ed rats (P < 0.05 <strong>and</strong> P < 0.01); <strong>and</strong> the<br />

17


Xu HY et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):11-25<br />

cell size <strong>of</strong> left ventricular myocardium was<br />

significantly reduced (P < 0.001) <strong>and</strong> the total protein<br />

<strong>of</strong> left ventricular tissue was slightly down-regulated<br />

by treatment with berberine. These results suggest<br />

that berberine can improve abnormal cardiac function<br />

<strong>and</strong> can prevent the development <strong>of</strong> left ventricular<br />

hypertrophy induced by pressure-overload. This<br />

indicates that it may have therapeutic potential in the<br />

treatment <strong>of</strong> CHF. [40]<br />

<strong>Pharmacokinetics</strong> studies<br />

It has been reported that berberine is valuable<br />

for long-term treatment <strong>of</strong> ventricular premature<br />

beats (VPBs) <strong>and</strong> leads to a decrease in mortality for<br />

patients with congestive heart failure (CHF). In order<br />

to improve its therapeutic value <strong>and</strong> reduce its side<br />

effects, it is necessary to study the relationship<br />

between its activity <strong>and</strong> plasma concentration in<br />

patients with CHF. Patients with CHF were treated<br />

with conventional therapy for 2 weeks. Immediately<br />

after the data from a dynamic electrocardiogram<br />

(DCG) <strong>and</strong> left ventricular ejection fraction (LVEF)<br />

were obtained, 1.2 g·d -1 <strong>of</strong> oral berberine was given.<br />

After 2 weeks <strong>of</strong> berberine therapy, the DCG data<br />

<strong>and</strong> LVEF were reassessed <strong>and</strong> the plasma berberine<br />

concentration was measured by HPLC. Plasma<br />

samples were pretreated by extraction with<br />

chlor<strong>of</strong>orm. Berberine in all samples was determined<br />

using a mu Bondapak C 18 column, a mobile phase <strong>of</strong><br />

acetonitrile: 0.02 mol·L -1 phosphoric acid (45:55, v/v),<br />

<strong>and</strong> a UV detector at 346 nm. The mean recovery was<br />

96.5%. The linear range was 40-1600 ng·mL -1 . The<br />

detection limit for berberine in plasma was 0. 4 ng.<br />

The decrease in frequency <strong>and</strong> complexity <strong>of</strong> VPBs<br />

<strong>and</strong> the increase in LVEF in patients with plasma<br />

berberine concentrations higher than 0.11 mg·L -1<br />

were more significant than at concentrations lower<br />

than 0.11 mg·L -1 (P< 0.01 vs P < 0.05). [41] <br />

In the study to investigate the mechanisms by<br />

which berberine is transported in the secretory <strong>and</strong><br />

absorptive directions across Caco-2 cell monolayers,<br />

the basolateral-to-apical (B-A) flux was 30-fold<br />

greater than the apical-to-basolateral flux <strong>and</strong><br />

temperature dependent (i.e., drastic decrease at 4<br />

degrees C compared with 37 degrees C). The above<br />

results suggest the involvement <strong>of</strong> a carrier-mediated<br />

active transport mechanism for the B-A transport <strong>of</strong><br />

berberine. However, no significant concentration<br />

dependency for the permeability (P app ) <strong>of</strong> berberine<br />

was observed for B-A transport over a concentration<br />

range <strong>of</strong> 5-300 µM, indicating that the K m value <strong>of</strong><br />

berberine for the carrier system is greater than 300<br />

µM. Well-documented P-glycoprotein (P-gp)<br />

substrates such as verapamil, daunomycin, <strong>and</strong><br />

rhodamine123 inhibited the B-A flux <strong>of</strong> berberine,<br />

whereas tetraethylammonium <strong>and</strong> taurocholate did<br />

not, suggesting that P-gp is involved in the transport.<br />

For the case <strong>of</strong> daunomycin, the B-A flux, but not the<br />

apical-to-basolateral flux, was significantly increased<br />

after pretreatment <strong>of</strong> the cell monolayers with<br />

berberine. In addition, the uptake <strong>of</strong> 1 microM<br />

daunomycin into Caco-2 cells was decreased as a<br />

result <strong>of</strong> this pretreatment. These results suggest that<br />

the repeated administration <strong>of</strong> berberine may<br />

up-regulate P-gp functions in Caco-2 cells. If this<br />

occurs in the gastrointestinal epithelial cells, the<br />

repeated administration <strong>of</strong> berberine may reduce the<br />

gastrointestinal absorption <strong>of</strong> P-gp substrates<br />

including chemotherapeutic agents such as<br />

daunomycin. [42]<br />

Berberine is an important ingredient in Coptis<br />

chinensis Franch but has been shown to have poor<br />

bioavailability in the dog. The aim <strong>of</strong> this study was<br />

to use the P-glycoprotein (P-glycoprotein) inhibitors<br />

cyclosporin A, verapamil <strong>and</strong> the monoclonal<br />

antibody C219 in in vivo <strong>and</strong> in vitro models <strong>of</strong><br />

intestinal absorption to determine the role <strong>of</strong><br />

P-glycoprotein in berberine absorption. In the rat<br />

recirculating perfusion model, berberine absorption<br />

was improved 6-times by P-glycoprotein inhibitors.<br />

In the rat everted intestinal sac model, berberine<br />

serosal-to-mucosal transport was significantly<br />

decreased by cyclosporin A. In Ussing-type chambers,<br />

the rate <strong>of</strong> serosal-to-mucosal transport across rat<br />

ileum was 3 times greater than in the reverse<br />

direction <strong>and</strong> was significantly decreased by<br />

cyclosporin A. In Caco-2 cells, berberine uptake was<br />

significantly increased by P-glycoprotein inhibitors<br />

<strong>and</strong> by monoclonal antibody C219. P-glycoprotein<br />

appears to contribute to the poor intestinal absorption<br />

<strong>of</strong> berberine which suggests P-glycoprotein inhibitors<br />

could be <strong>of</strong> therapeutic value by improving its<br />

bioavailability. [43]<br />

In order to investigate the detailed<br />

pharmacokinetics <strong>of</strong> berberine <strong>and</strong> its mechanisms <strong>of</strong><br />

18


Xu HY et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):11-25<br />

hepatobiliary excretion, an in vivo microdialysis<br />

coupled with HPLC was performed. In the control<br />

group, rats received berberine alone; in the<br />

drug-treated group, 10 min before berberine<br />

administration, the rats were injected with<br />

cyclosporin A (CsA), a P-gp inhibitor; quinidine,<br />

both organic cation transport (OCT) <strong>and</strong> P-gp<br />

inhibitors; SKF-525A (proadifen), a cytochrome<br />

P450 inhibitor; <strong>and</strong> probenecid to inhibit the<br />

glucuronidation. The results indicate that berberine<br />

displays a linear pharmacokinetic phenomenon in the<br />

dosage range from 10 to 20 mg·kg -1 , since a<br />

proportional increase in the area under the<br />

concentration-time curve (AUC) <strong>of</strong> berberine was<br />

observed in this dosage range. Moreover, berberine<br />

was processed through hepatobiliary excretion<br />

against a concentration gradient based on the<br />

bile-to-blood distribution ratio (AUC bile /AUC blood );<br />

the active berberine efflux might be affected by P-gp<br />

<strong>and</strong> OCT since coadministration <strong>of</strong> berberine <strong>and</strong><br />

CsA or quinidine at the same dosage <strong>of</strong> 10 mg·kg -1<br />

significantly decreased the berberine amount in bile.<br />

In addition, berberine was metabolized in the liver<br />

with phase I demethylation <strong>and</strong> phase II<br />

glucuronidation, as identified by liquid<br />

chromatography/t<strong>and</strong>em mass spectrometry. Also, the<br />

phase I metabolism <strong>of</strong> berberine was partially<br />

reduced by SKF-525A treatment, but the phase II<br />

glucuronidation <strong>of</strong> berberine was not obviously<br />

affected by probenecid under the present study<br />

design. [44]<br />

In order to investigate the pharmacokinetics <strong>of</strong><br />

berberine in Coptidis rhizoma extract in rat<br />

hippocampus <strong>and</strong> plasma, a simple <strong>and</strong> accurate<br />

high-performance liquid chromatography method was<br />

employed in this study. Berberine was determined<br />

using a Hypersil C 18 column with an isocratic mobile<br />

phase <strong>of</strong> acetonitrile-0.05 M potassium dihydrogen<br />

phosphate (containing 0.5% triethylamine, pH 3.0)<br />

<strong>and</strong> with UV detection at 236 nm. The lower limit <strong>of</strong><br />

quantification for berberine in both hippocampus <strong>and</strong><br />

plasma was 24 ng·ml -1 , <strong>and</strong> the lowest concentrations<br />

<strong>of</strong> berberine determined in rat hippocampus <strong>and</strong><br />

plasma samples were 30.7 ng·mL -1 at 48 h <strong>and</strong> 38.5<br />

ng·mL -1 at 4 h, respectively. The calibration curve for<br />

berberine was linear over the concentration range<br />

24--6000 ng·mL -1 . At this concentration range, the<br />

overall recoveries (90.6--94.2%) for berberine were<br />

determined <strong>and</strong> the accuracy <strong>of</strong> intra- <strong>and</strong> inter-day<br />

assays from rat samples were less than 7% RSD.<br />

Following intravenous administration <strong>of</strong> C. rhizoma<br />

extract at a dose <strong>of</strong> 10.2 mg/kg containing 3 mg/kg<br />

berberine, berberine in the plasma eliminated rapidly<br />

t 1/2β =1.13 h). However, berberine in the hippocampus<br />

increased rapidly t 1/2α =0.215 h), peaked at 3.67 h with<br />

a concentration <strong>of</strong> 272 ng·g -1 , <strong>and</strong> had a slow<br />

elimination rate t 1/2β =12.0 h), which suggests that<br />

berberine could have a direct action on neuron <strong>and</strong><br />

accumulate in the hippocampus. This study first<br />

showed the pharmacokinetic characteristics <strong>of</strong><br />

berberine in rat hippocampus <strong>and</strong> the kinetic<br />

characteristics <strong>of</strong> berberine are dissimilar in the<br />

hippocampus <strong>and</strong> plasma. [45] <br />

To study the effects <strong>of</strong> berberine (BBR) on the<br />

blood concentration <strong>and</strong> pharmacokinetics <strong>of</strong><br />

cyclosporin A (CsA) in renal-transplant recipients., a<br />

r<strong>and</strong>omized <strong>and</strong> controlled clinical trial was carried<br />

out in 52 renal-transplant recipients were treated with<br />

CsA <strong>and</strong> 0.2 g BBR three times daily for 3 months,<br />

while another 52 subjects received CsA without BBR<br />

co-administration. Blood trough concentration <strong>of</strong><br />

CsA <strong>and</strong> biochemistry indexes for hepatic <strong>and</strong> renal<br />

functions were determined. For the pharmacokinetic<br />

study, six renal-transplant recipients were included<br />

with a 3-mg/kg dosage <strong>of</strong> CsA twice daily before <strong>and</strong><br />

after oral co-administration <strong>of</strong> 0.2 g BBR three times<br />

daily for 12 days. The trough blood concentrations<br />

<strong>and</strong> the ratios <strong>of</strong> concentration/dose <strong>of</strong> CsA in the<br />

BBR-treated group increased by 88.9% <strong>and</strong> 98.4%,<br />

respectively, compared with those at baseline (P <<br />

0.05). As for the BBR-free group, they rose by 64.5%<br />

<strong>and</strong> 69.4%, respectively, relative to those at baseline<br />

(P < 0.01). Nevertheless, the final blood concentrations<br />

<strong>and</strong> the ratios <strong>of</strong> concentration/dose <strong>of</strong> CsA<br />

in BBR-treated patients were still 29.3% <strong>and</strong> 27.8%,<br />

respectively, higher than those in BBR-free patients<br />

(P < 0.05). No significant effects on liver or renal<br />

functions were observed under co-administration <strong>of</strong><br />

BBR. After co-administration <strong>of</strong> BBR in 6 patients<br />

for 12 days, the mean AUC <strong>of</strong> CsA was increased by<br />

34.5% (P < 0.05). The mean time taken to reach the<br />

peak blood concentration (T max ) <strong>and</strong> the mean<br />

half-life (t 1/2 ) <strong>of</strong> CsA were increased by 1.7 h <strong>and</strong> 2.7<br />

h, respectively (P < 0.05). The average percentage<br />

increases in the steady-state drug concentration (C ss )<br />

<strong>and</strong> minimum blood concentration (C min ) were 34.5%<br />

19


Xu HY et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):11-25<br />

<strong>and</strong> 88.3%, respectively (P < 0.05). In addition, the<br />

average percentage decrease in CL/F was 40.4% (P <<br />

0.05) <strong>and</strong> the peak-to-through fluctuation index was<br />

significantly reduced (P < 0.01). The study showed<br />

that BBR can markedly elevate the blood<br />

concentration <strong>of</strong> CsA in renal-transplant recipients in<br />

both clinical <strong>and</strong> pharmacokinetic studies. This<br />

combination may allow a reduction <strong>of</strong> the CsA<br />

dosage. The mechanism for this interaction is most<br />

likely explained by inhibition <strong>of</strong> CYP3A4 by BBR in<br />

the liver <strong>and</strong>/or small intestine. [46]<br />

A rapid <strong>and</strong> sensitive LC-MS/MS method was<br />

developed to simultaneously determine berberine,<br />

palmatine <strong>and</strong> jatrorrhizine in rat plasma. After<br />

mixing with the internal st<strong>and</strong>ard (IS)<br />

tetrahydropalmatine, plasma samples were pretreated<br />

by protein precipitation with acetonitrile-methanol<br />

(1:2, v/v). Chromatographic separation was carried<br />

out on a C18 column using a mixture <strong>of</strong> water<br />

(containing 0.1% formic acid) <strong>and</strong> acetonitrile (30:70,<br />

v/v) as mobile phase. The detection was performed<br />

by selected reaction monitoring (SRM) mode via<br />

electrospray ionization (ESI) source operating in the<br />

positive ionization mode. The method was linear over<br />

the concentration range <strong>of</strong> 1.0-250.0 ng·mL -1 for all<br />

components. The intra- <strong>and</strong> inter-day precision values<br />

were less than 14.6% <strong>and</strong> the deviations were within<br />

±4.0%. The fully validated LC-MS/MS method has<br />

been successfully applied to the pharmacokinetic<br />

study <strong>of</strong> berberine, palmatine <strong>and</strong> jatrorrhizine in rat<br />

plasma after oral administration <strong>of</strong> coptis-evodia herb<br />

couple. Three peaks were observed in both individual<br />

<strong>and</strong> mean plasma-concentration curves <strong>of</strong> berberine,<br />

palmatine <strong>and</strong> jatrorrhizine, which may be attributed<br />

to distribution re-absorption <strong>and</strong> enterohepatic<br />

circulation. [47]<br />

Berberine (Ber) <strong>and</strong> its main metabolites were<br />

identified <strong>and</strong> quantified using liquid chromatography/electrospray<br />

ionization/ion trap mass<br />

spectrometry. Rat plasma contained the main<br />

metabolites, berberrubine, thalifendine, demethyleneberberine,<br />

<strong>and</strong> jatrorrhizine, as free <strong>and</strong><br />

glucuronide conjugates after p.o. Ber administration.<br />

Moreover, the original drug, the four main<br />

metabolites, <strong>and</strong> their glucuronide conjugates were<br />

all detected in liver tissues after 0.5 h <strong>and</strong> in bile<br />

samples 1 h after p.o. Ber administration. Therefore,<br />

the metabolic site seemed to be the liver, <strong>and</strong> the<br />

metabolites <strong>and</strong> conjugates were evidently excreted<br />

into the duodenum as bile. The pharmacokinetics <strong>of</strong><br />

Ber <strong>and</strong> the four metabolites were determined in<br />

conventional <strong>and</strong> pseudo germ-free rats (treated with<br />

antibiotics) after p.o. administration with 40 mg·kg -1<br />

Ber. The AUC 0-limt <strong>and</strong> mean transit time values <strong>of</strong><br />

the metabolites significantly differed between<br />

conventional <strong>and</strong> pseudo germ-free rats. The amounts<br />

<strong>of</strong> metabolites were remarkably reduced in the<br />

pseudo germ-free rats, whereas levels <strong>of</strong> Ber did not<br />

obviously differ between the two groups. The<br />

intestinal flora did not exert significant metabolic<br />

activity against Ber <strong>and</strong> its metabolites, but it played<br />

a significant role in the enterohepatic circulation <strong>of</strong><br />

metabolites. In this sense, the liver <strong>and</strong> intestinal<br />

bacteria participate in the metabolism <strong>and</strong> disposition<br />

<strong>of</strong> Ber in vivo. [48]<br />

To investigate whether baicalin <strong>and</strong> berberine<br />

affects the transport <strong>of</strong> nimodipine (NMD) across the<br />

blood-brain barrier (BBB). Primary-cultured, rat<br />

brain microvascular endothelial cells (rBMEC) were<br />

used as an in vitro model <strong>of</strong> the BBB. When cells<br />

became confluent, the steady-state uptake <strong>of</strong> NMD by<br />

rBMEC with or without baicalin <strong>and</strong> berberine was<br />

measured. The effects <strong>of</strong> baicalin <strong>and</strong> berberine on<br />

the efflux <strong>of</strong> NMD from rBMEC were also studied.<br />

Baicalin (2-5 µg·mL -1 ) increased the uptake <strong>of</strong> NMD,<br />

<strong>and</strong> baicalin (10-20 µg·mL -1 ) decreased the uptake.<br />

The steady-state uptake <strong>of</strong> NMD was higher than that<br />

<strong>of</strong> control group in the presence <strong>of</strong> 0.01-1 µg·mL -1<br />

berberine, but was lower in the presence <strong>of</strong> 2-10<br />

µg·mL -1 berberine. Their results indicated that the<br />

bidirectional effect <strong>of</strong> baicalin <strong>and</strong> berberine on the<br />

uptake <strong>of</strong> NMD by rBMEC was found. Higher<br />

concentration showed an inhibitory effect, <strong>and</strong> lower<br />

concentration demonstrated an increasing effect. [49]<br />

Hong ZY et al [50-57] , School <strong>of</strong> Pharmacy,<br />

Second Military Medical University , have studied<br />

the pharmacokinetics <strong>of</strong> tetrahydropalmatine (THP).<br />

They investigated the stereoselective pharmacokinetic<br />

process <strong>of</strong> THP in rats. The concentrations <strong>of</strong><br />

tetrahydropalmatine enantiomers in rat plasma were<br />

determined by coupled achiral <strong>and</strong> chiral HPLC<br />

method. The differences in plasma concentrations<br />

<strong>and</strong> pharmacokinetic parameters between the two<br />

enantiomers were compared by paired t-test. The<br />

plasma levels <strong>of</strong> l-THP were always higher than those<br />

<strong>of</strong> d-THP in eight rats. There was significant<br />

20


Xu HY et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):11-25<br />

difference between the main pharmacokinetic<br />

parameters <strong>of</strong> the two enantiomers. THP showed<br />

significant stereoselective pharmaco- kinetics in rats<br />

after an ig dose <strong>of</strong> the racemate. [50]<br />

selective chiral HPLC method coupled with<br />

achiral column was developed <strong>and</strong> validated to<br />

separate <strong>and</strong> quantify THP enantiomers in dog<br />

plasma. Chromatography was accomplished by two<br />

steps: (1) racemic THP was separated from biological<br />

matrix <strong>and</strong> collected on a Kromasil C18 column (150<br />

mmx4.6 mm, 5µm) with the mobile phase<br />

acetonitrile-0.1% phosphoric acid solution, adjusted<br />

with triethylamine to pH 6.15 (47:53); (2)<br />

enantiomeric separation was performed on a<br />

Chiralcel OJ-H column (250 mmx4.6 mm, 5µm) with<br />

the mobile phase anhydrous ethanol. The detection<br />

wavelength was set at 230 nm. (+)-THP <strong>and</strong> (-)-THP<br />

were separated with a resolution factor (Rs) <strong>of</strong> at<br />

least 1.6 <strong>and</strong> a separation factor (alpha) greater than<br />

1.29. Linear calibration curves were obtained over<br />

the range <strong>of</strong> 0.025-4 µg·mL -1 in plasma for each <strong>of</strong><br />

(+)-THP <strong>and</strong> (-)-THP (R 2 >0.999) with a limit <strong>of</strong><br />

detection (LOD) <strong>of</strong> 0.005 µg·mL -1 <strong>and</strong> the recovery<br />

was greater than 88% for each enantiomer. The<br />

method was used to determine the pharmacokinetics<br />

<strong>of</strong> THP enantiomers after oral administration <strong>of</strong><br />

racemic THP. The results presented herein showed<br />

the stereoselective disposition kinetics <strong>of</strong> THP in<br />

dogs <strong>and</strong> were a further contribution to the<br />

underst<strong>and</strong>ing <strong>of</strong> the kinetic behavior <strong>of</strong> THP<br />

analogues. [51]<br />

The main objective <strong>of</strong> this study was to<br />

determine the brain pharmacokinetics <strong>and</strong> tissue<br />

distribution <strong>of</strong> THP enantiomers in rats after oral<br />

administration <strong>of</strong> racemic THP (rac-THP). Rats (5<br />

animals/group/per time) were given a single oral dose<br />

<strong>of</strong> rac-THP <strong>and</strong> killed after different post-treatment<br />

times. The concentrations <strong>of</strong> THP enantiomers in<br />

plasma, cortex, cerebellum, diencephalon, brain stem,<br />

striatum <strong>and</strong> hippocampus were measured using a<br />

validated chiral HPLC method coupled with an<br />

achiral column. The pharmacokinetic pr<strong>of</strong>iles <strong>of</strong> the<br />

two enantiomers in six brain regions were<br />

significantly different. The peak concentrations (C max )<br />

<strong>and</strong> AUC 0-infinity values <strong>of</strong> the (-)-enantiomer were<br />

significantly greater than the corresponding values<br />

for the (+)-enantiomer while the striatum contained<br />

the highest peak concentrations compared with the<br />

plasma <strong>and</strong> other brain regions. The tissue<br />

distribution studies also revealed significant<br />

differences between the two enantiomers in all tissues<br />

except the lung. The highest concentrations <strong>of</strong> both<br />

enantiomers were found in the liver. The (-)/(+)-THP<br />

ratios in six brain regions <strong>and</strong> other tissues were<br />

consistent with that observed in plasma indicating<br />

that the stereoselective disposition <strong>of</strong> THP in rat brain<br />

<strong>and</strong> other tissues reflects the situation in plasma. [52]<br />

THP is the active component in Rhizoma<br />

corydalis <strong>and</strong> the medicine Yuanhu-Baizhi (YB),<br />

which consists <strong>of</strong> Rhizoma corydalis <strong>and</strong> Radix<br />

angelicae dahuricae. The aim <strong>of</strong> this work was to<br />

compare pharmacokinetic features <strong>of</strong> THP<br />

enantiomers in rats dosed with racemic THP<br />

(rac-THP), Rhizoma corydalis, or YB extracts. A<br />

single dose <strong>of</strong> rac-THP (5 mg·kg -1 ) or extracts <strong>of</strong><br />

Rhizoma corydalis <strong>and</strong> YB (both equivalent to 5<br />

mg·kg -1 <strong>of</strong> rac-THP) was given orally to three groups<br />

<strong>of</strong> Sprague-Dawley rats, respectively. Blood samples<br />

were collected periodically <strong>and</strong> plasma<br />

concentrations <strong>of</strong> THP enantiomers were determined<br />

using an achiral-chiral HPLC method previously<br />

reported, with some modifications. The C max ratio<br />

(-/+) <strong>of</strong> THP was 2.91, 1.38, <strong>and</strong> 1.19, <strong>and</strong> the AUC 0<br />

approximately infinity) ratio (-/+) <strong>of</strong> THP was 2.84, 1.50, <strong>and</strong><br />

1.35 in rats after dosed with rac-THP, extracts <strong>of</strong><br />

Rhizoma corydalis <strong>and</strong> YB, respectively. The mean<br />

AUC 0 approximately infinity <strong>and</strong> C max <strong>of</strong> (+)-THP dosed with<br />

YB extracts were 0.652 ± 0.30 µg·h·ml -1 <strong>and</strong> 0.148<br />

±0.09 µg·ml -1 , significantly higher (P < 0.05) than<br />

those dosed with rac-THP <strong>and</strong> Rhizoma corydalis<br />

extracts. The mean AUC 0 approximately infinity <strong>and</strong> T max <strong>of</strong><br />

rac-THP dosed with YB extracts were 1.500 ± 0.56<br />

µg·h·ml -1 <strong>and</strong> 2.12 ±1.1 h, significantly higher (P <<br />

0.05) than those dosed with rac-THP or Rhizoma<br />

corydalis extracts. These findings suggested the<br />

stereoselectivity in pharmacokinetics <strong>of</strong> THP<br />

enantiomers in rats was decreased when dosed in<br />

plant form, while the AUC 0-approximately infinity <strong>of</strong><br />

rac-THP increased when YB extracts were dosed,<br />

confirming the compatibility in drug combination <strong>of</strong><br />

Rhizoma corydalis <strong>and</strong> Radix angelicae dahuricae. [53]<br />

The main objective <strong>of</strong> this study was to<br />

determine the brain pharmacokinetics <strong>and</strong> tissue<br />

distribution <strong>of</strong> THP enantiomers in rats after oral<br />

administration <strong>of</strong> racemic THP (rac-THP). Rats (5<br />

animals/group/per time) were given a single oral dose<br />

21


Xu HY et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):11-25<br />

<strong>of</strong> rac-THP <strong>and</strong> killed after different post-treatment<br />

times. The concentrations <strong>of</strong> THP enantiomers in<br />

plasma, cortex, cerebellum, diencephalon, brain stem,<br />

striatum <strong>and</strong> hippocampus were measured using a<br />

validated chiral HPLC method coupled with an<br />

achiral column. The pharmacokinetic pr<strong>of</strong>iles <strong>of</strong> the<br />

two enantiomers in six brain regions were<br />

significantly different. The peak concentrations (C max )<br />

<strong>and</strong> AUC 0-infinity values <strong>of</strong> the (-)-enantiomer were<br />

significantly greater than the corresponding values<br />

for the (+)-enantiomer while the striatum contained<br />

the highest peak concentrations compared with the<br />

plasma <strong>and</strong> other brain regions. The tissue<br />

distribution studies also revealed significant<br />

differences between the two enantiomers in all tissues<br />

except the lung. The highest concentrations <strong>of</strong> both<br />

enantiomers were found in the liver. The (-)/(+)-THP<br />

ratios in six brain regions <strong>and</strong> other tissues were<br />

consistent with that observed in plasma indicating<br />

that the stereoselective disposition <strong>of</strong> THP in rat brain<br />

<strong>and</strong> other tissues reflects the situation in plasma. [54]<br />

To investigate the stereoselective pharmacokinetic<br />

process <strong>of</strong> THP in rats, the concentrations <strong>of</strong> THP<br />

enantiomers in rat plasma were determined by<br />

coupled achiral <strong>and</strong> chiral HPLC method. The plasma<br />

levels <strong>of</strong> l-THP were always higher than those <strong>of</strong><br />

d-THP in eight rats. There was significant difference<br />

between the main pharmacokinetic parameters <strong>of</strong> the<br />

two enantiomers. THP showed significant<br />

stereoselective pharmacokinetics in rats after an ig<br />

dose <strong>of</strong> the racemate. [55]<br />

A selective chiral HPLC method coupled with<br />

achiral column was developed <strong>and</strong> validated to<br />

separate <strong>and</strong> quantify THP-enantiomers in dog<br />

plasma. Chromatography was accomplished by two<br />

steps: (1) racemic THP was separated from biological<br />

matrix <strong>and</strong> collected on a Kromasil C18 column (150<br />

mmx4.6 mm, 5 µm) with the mobile phase<br />

acetonitrile-0.1% phosphoric acid solution, adjusted<br />

with triethylamine to pH 6.15 (47:53); (2)<br />

enantiomeric separation was performed on a<br />

Chiralcel OJ-H column (250 mmx4.6 mm, 5 µm)<br />

with the mobile phase anhydrous ethanol. The<br />

detection wavelength was set at 230 nm. (+)-THP <strong>and</strong><br />

(-)-THP were separated with a resolution factor (Rs)<br />

<strong>of</strong> at least 1.6 <strong>and</strong> a separation factor α greater than<br />

1.29. Linear calibration curves were obtained over<br />

the range <strong>of</strong> 0.025-4 µg·mL -1 in plasma for each <strong>of</strong><br />

(+)-THP <strong>and</strong> (-)-THP (R2>0.999) with a limit <strong>of</strong><br />

detection (LOD) <strong>of</strong> 0.005 µg·mL -1 <strong>and</strong> the recovery<br />

was greater than 88% for each enantiomer. The<br />

relative st<strong>and</strong>ard deviation (RSD) <strong>and</strong> relative error<br />

values were less than 10% at upper <strong>and</strong> lower<br />

concentrations. The method was used to determine<br />

the pharmacokinetics <strong>of</strong> THP enantiomers after oral<br />

administration <strong>of</strong> racemic THP. The results presented<br />

herein showed the stereoselective disposition kinetics<br />

<strong>of</strong> THP in dogs <strong>and</strong> were a further contribution to the<br />

underst<strong>and</strong>ing <strong>of</strong> the kinetic behavior <strong>of</strong> THP<br />

analogues. [56]<br />

THP is a racemic mixture which contains 50%<br />

<strong>of</strong> the (+) <strong>and</strong> 50% <strong>of</strong> (-) enantiomer. The (-)<br />

enantiomer accounts for most <strong>of</strong> the analgesic effects.<br />

Plasma concentrations <strong>of</strong> THP enantiomers were<br />

analyzed by chiral HPLCon a Chiralcel OJ column<br />

with quantification by UV at 230 nm. The method<br />

was used to determine the pharmacokinetics <strong>of</strong> THP<br />

enantiomers in rats <strong>and</strong> dogs after oral administration<br />

<strong>of</strong> rac-THP or (-)-THP. The pharmacokinetic pr<strong>of</strong>iles<br />

<strong>of</strong> the two enantiomers after dosing with rac-THP<br />

were significantly different both in rats <strong>and</strong> dogs. The<br />

mean C max <strong>and</strong> AUC 0-infinity values in rats were 1.93<br />

±0.36 µg·ml -1 <strong>and</strong> 6.65 ± 2.34 µg·h·ml -1 for the (-)<br />

enantiomer, <strong>and</strong> 1.11 ± 0.25 µg·mL -1 <strong>and</strong> 2.03 ±0.45<br />

µg·h·ml -1 for the (+) enantiomer. The mean C max <strong>and</strong><br />

AUC 0-infinity in dogs were 1.60 ± 0.81µg·mL -1 <strong>and</strong><br />

9.88 ±2.58 µg·h·mL -1 for the (-) enantiomer, while<br />

0.36 ± 0.21 µg·mL -1 <strong>and</strong> 1.22 ± 0.40 µg·h·ml -1 for the<br />

(+) enantiomer. The rac-THP at 40 mg·kg -1 <strong>and</strong><br />

(-)-THP at 20 mg/kg had very similar plasma<br />

concentration-time pr<strong>of</strong>iles, <strong>and</strong> C max , AUC 0-infinity ,<br />

<strong>and</strong> t 1/2 <strong>of</strong> the (-) enantiomer in both rats <strong>and</strong> dogs,<br />

indicating that the two treatments were equivalent<br />

with respect to the pharmacokinetic properties <strong>of</strong> the<br />

(-) enantiomer. [57]<br />

Application <strong>of</strong> Rhizoma Coptidis<br />

Rhizoma Coptidis is used in traditional Chinese<br />

medicine for long history in China. The earliest<br />

record was listed in Shengnong Bencaojing. Five to<br />

seven year old roots or rhizomes <strong>of</strong> Coptis chinensis<br />

Franch, Coptis deltoidea C.Y. Cheng et Hsiao or C.<br />

teeta Wall are the medicinal use in in traditional<br />

Chinese medicine.<br />

22


Xu HY et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):11-25<br />

Rhizoma Coptidis is a very useful herb in<br />

traditional oriental medicine. Cheng [58] did statistics<br />

<strong>of</strong> 13 reciping books before the Song Dynasty in<br />

which Chinese medicinal formulaes including<br />

Rhizoma Coptidis were approximate 5 percentage <strong>of</strong><br />

all. There are many known formulaes having<br />

continued to be used until now such as Zuojinwan<br />

(including Rhizoma Coptidis <strong>and</strong> Fructus Evodiae, 6<br />

1)Fanzuojinwan (including Rhizoma Coptidis <strong>and</strong><br />

Fructus Evodiae16), Coptidis Decoction for<br />

Detoxification(including Rhizoma Coptidis, Radix<br />

Scutellariae, Cortex Phellodendri <strong>and</strong> Gardenia<br />

jasminoides Ellis).<br />

Most chemical constituents <strong>of</strong> Rhizoma Coptidis<br />

had been found <strong>and</strong> total alkoids had been thinked as<br />

main active components espcially berberine.<br />

Pharmacological action <strong>of</strong> Coptis chinensis <strong>and</strong><br />

berberine had been studied systematically.Both in<br />

Traditional Chinese <strong>and</strong> Western Medicine,berberine<br />

was widly applied to treat with infectious diseases<br />

including not only mainly gastrointestinal bacterial<br />

infection but also respiratory infection <strong>and</strong><br />

dermatologic infection. Recently, new pharmacologic<br />

action such as anticancer, hypoglycemic activity<br />

improving function <strong>of</strong> the circulatory system are<br />

more <strong>and</strong> more paid attention to by people. With the<br />

development <strong>of</strong> the living st<strong>and</strong>ard <strong>of</strong> the people <strong>and</strong><br />

aging <strong>of</strong> societal population, the incidence <strong>of</strong><br />

diabetescardiovascular disease <strong>and</strong> hypertension<br />

were increasing <strong>and</strong> both Coptis chinensis <strong>and</strong><br />

berberine have good efficacy to treat with these<br />

diseases. Bescause <strong>of</strong> extensive pharmacologic<br />

effects <strong>and</strong> affluent resource <strong>of</strong> Coptis chinensis in<br />

China , it is worth doing more in-depth research on<br />

its chemical composition <strong>and</strong> pharmacologic action<br />

<strong>and</strong> making full use <strong>of</strong> it.<br />

Acknowledgement This project was<br />

supported by National Key Technologies R&D<br />

Program <strong>of</strong> China in the Eleventh h Five-year Plan<br />

under Grant No. 2006BAI06A01 <strong>and</strong><br />

No.2007BAI41B06<br />

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24


Xu HY et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):11-25<br />

liquid chromatography-t<strong>and</strong>em mass spectrometry in rat<br />

plasma <strong>and</strong> its application in a pharmacokinetic study after<br />

oral administration <strong>of</strong> coptis-evodia herb couple. J<br />

Chromatogr B Analyt Technol Biomed Life Sci. 2008;<br />

863(2):195-205.<br />

48. Zuo F, Nakamura N, Akao T, Hattori M. <strong>Pharmacokinetics</strong><br />

<strong>of</strong> berberine <strong>and</strong> its main metabolites in conventional <strong>and</strong><br />

pseudo germ-free rats determined by liquid<br />

chromatography/ion trap mass spectrometry. Drug Metab<br />

Dispos. 2006; 34(12):2064-72.<br />

49. Zhang DM, Liu HY, Xie L, Liu XD. Effect <strong>of</strong> baicalin <strong>and</strong><br />

berberine on transport <strong>of</strong> nimodipine on primary-cultured,<br />

rat brain microvascular endothelial cells. Acta Pharmacol<br />

Sin. 2007; 28(4):573-8.<br />

50. Hong ZY, Fan GR, Chai YF, Wen J, Yin XP, Wu YT.<br />

Stereoselective pharmacokinetics <strong>of</strong> tetrahydropalmatine in<br />

rats. Acta Pharmacol Sin. 2005; 40(8):746-9.<br />

51. Hong ZY, Fan GR, Chai YF, Yin XP, Wen J, Wu YT.<br />

Chiral liquid chromatography resolution <strong>and</strong> stereoselective<br />

pharmacokinetic study <strong>of</strong> tetrahydropalmatine enantiomers<br />

in dogs. J Chromatogr B Analyt Technol Biomed Life Sci.<br />

2005; 826(1-2):108-13.<br />

52. Hong Z, Fan G, Le J, Chai Y, Yin X, Wu Y. Brain<br />

pharmacokinetics <strong>and</strong> tissue distribution <strong>of</strong><br />

tetrahydropalmatine enantiomers in rats after oral<br />

administration <strong>of</strong> the racemate. Biopharm Drug Dispos.<br />

2006; 27(3):111-7.<br />

53. Hong Z, Le J, Lin M, Fan G, Chai Y, Yin X, Wu Y.<br />

Comparative studies on pharmacokinetic fates <strong>of</strong><br />

tetrahydropalmatine enantiomers in different chemical<br />

environments in rats. Chirality. 2008; 20(2):119-24.<br />

54. Hong Z, Fan G, Le J, Chai Y, Yin X, Wu Y. Brain<br />

pharmacokinetics <strong>and</strong> tissue distribution <strong>of</strong><br />

tetrahydropalmatine enantiomers in rats after oral<br />

administration <strong>of</strong> the racemate. Biopharm Drug Dispos.<br />

2006; 27(3):111-7.<br />

55. Hong ZY, Fan GR, Chai YF, Wen J, Yin XP, Wu YT.<br />

Stereoselective pharmacokinetics <strong>of</strong> tetrahydropalmatine in<br />

rats. Acta Pharm Sin. 2005; 40(8):746-9.<br />

56. Hong ZY, Fan GR, Chai YF, Yin XP, Wen J, Wu YT.<br />

Chiral liquid chromatography resolution <strong>and</strong> stereoselective<br />

pharmacokinetic study <strong>of</strong> tetrahydropalmatine enantiomers<br />

in dogs. J Chromatogr B Analyt Technol Biomed Life Sci.<br />

2005; 826(1-2):108-13.<br />

57. Hong Z, Fan G, Chai Y, Yin X, Wu Y. Stereoselective<br />

pharmacokinetics <strong>of</strong> tetrahydropalmatine after oral<br />

administration <strong>of</strong> (-)-enantiomer <strong>and</strong> the racemate. Chirality.<br />

2005; 17(5):293-6.<br />

58. Cheng FX, Gao XS. Scence Statistics <strong>of</strong> TCM Formula<br />

including Rhizoma Coptidis. Chinese Traditional Patent<br />

Medicine. 1997;9(8):40-40.<br />

25


Tianjin Centre for Drug Safety Evaluation <strong>and</strong><br />

Research<br />

Good Laboratory Practice certification<br />

Tianjin Centre for Drug Safety Evaluation <strong>and</strong><br />

Research affiliated in Tianjin Institute <strong>of</strong> Pharmaceutical<br />

Research has already passed the Good Laboratory Practice<br />

(GLP) certification by State Food <strong>and</strong> Drug Administration<br />

(SFDA), which has filled the gap in Tianjin municipality<br />

since there was no institution for GLP safety evaluation<br />

before.<br />

SFDA designated the experts who are engaged in the<br />

on-the-spot inspection for the Centre according to the latest<br />

revision <strong>of</strong> GLP certification method (Tentative Version).<br />

The inspection team members learnt the reports on the GLP<br />

construction <strong>and</strong> checked the complete s<strong>of</strong>t <strong>and</strong> hard<br />

conditions as well as the reference materials <strong>of</strong> non-clinical<br />

safety evaluation for drug experiments. Based on the GLP<br />

st<strong>and</strong>ard, all the experts confirmed that the Centre has<br />

already performed 493 items <strong>of</strong> various experiments for<br />

safety evaluation among 228 novel drugs, drafted <strong>and</strong><br />

carried out 744 st<strong>and</strong>ard operating procedures (SOP), <strong>and</strong><br />

built up a perfect quality-assured system. They also agreed<br />

that the studies on the safety evaluation, the arrangement,<br />

<strong>and</strong> the operation in the Centre could be carried on more<br />

smoothly <strong>and</strong> better under the desirable GLP st<strong>and</strong>ard.<br />

In the light <strong>of</strong> the comments <strong>of</strong> Mr.Xianglong DAI<br />

<strong>and</strong> Mr.Dongliang YANG, etc., the mayors <strong>and</strong> leaders <strong>of</strong><br />

Tianjin municipality, Tianjin Centre for Drug Safety<br />

Evaluation <strong>and</strong> Research has been built <strong>and</strong> listed in the<br />

first-approval item in the support <strong>of</strong> Tianjin Special Fund<br />

for Technical Innovation. In Tianjin, the Centre has set up<br />

the modern integrated pharmaceutical Industry<br />

(GAP-GLP-GCP-GMP), become an essential technical<br />

platform in the innovative system <strong>of</strong> novel drugs, <strong>and</strong> will<br />

make the innovatory potential <strong>of</strong> novel drugs promote<br />

greatly. Also it will provide a technical prop for the<br />

sustainable developing in modern pharmaceutical Industry<br />

<strong>and</strong> the establishment <strong>of</strong> China International Innovation<br />

Zone for Biomedicine.<br />

26


Cheng TF et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):27-49<br />

<strong>Asian</strong> <strong>Journal</strong> <strong>of</strong><br />

<strong>Pharmacodynamics</strong> <strong>and</strong><br />

<strong>Pharmacokinetics</strong><br />

ISSN 1608-2281<br />

Copyright by Hong Kong Medical Publisher<br />

Publisher Homepage: www.hktmc.com<br />

Attention on research <strong>of</strong> pharmacology <strong>and</strong> toxicology <strong>of</strong><br />

nanomedicines<br />

Tie-Feng Cheng 1, 2 , Yong-Da Sun 3,4, , Duan-Yun Si 2,3 Chang-Xiao Liu 2,3<br />

1 Key Laboratory for Special Functional Materials, Henan University, Kaifeng, 475001, China<br />

2 Research Center <strong>of</strong> New Drug Evaluation, The State Key Laboratories <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong><br />

<strong>Pharmacokinetics</strong>, Tianjin Institute <strong>of</strong> Pharmaceutical Research, Tianjin 300193, China<br />

3<br />

Research Center <strong>of</strong> Biological Evaluation <strong>of</strong> Nanopharmaceuticals, China National Academy <strong>of</strong><br />

Nanotechnology <strong>and</strong> Engineering, Tianjin, 300457, China<br />

4.<br />

Tianjin Crystec Pharmaceutical technology Ltd, Tianjin, 300457, China<br />

Abstract<br />

Key words<br />

In the 21st century, nanoscience <strong>and</strong> nanotechnology obtains the world attention due to this<br />

revolutionary theory <strong>and</strong> technical features. Nanoscience <strong>and</strong> nanotechnology cover the theory<br />

<strong>and</strong> technology <strong>of</strong> physics, chemistry, medicine, material science, biomedical engineering <strong>and</strong><br />

biology, therefore, they have no less contribution to science <strong>and</strong> technology as biotechnology<br />

<strong>and</strong> information technology. Recent years have witnessed the rapid development <strong>of</strong> China’s<br />

nanoscience <strong>and</strong> nanotechnology with widespread influence. It was attended by scientists <strong>of</strong> the<br />

world. Research, development <strong>and</strong> application <strong>of</strong> nanotechnology research in China can be<br />

summed up in three characteristics: the first, China government in support <strong>of</strong> sustainable<br />

development; the second, significant academic achievements, <strong>and</strong> the third, a clear consensus on<br />

sustainable development for nanoscience <strong>and</strong> nanotechnology research <strong>and</strong> development. In this<br />

review paper, we discussed the pharmacology <strong>and</strong> toxicology <strong>of</strong> nanomedicines, <strong>and</strong> presented<br />

some issues on research <strong>and</strong> development <strong>and</strong> application <strong>of</strong> nanomedicines in the future.<br />

Nanoscience; nanotechnology; nanomedicines; pharmacology; toxicology; China; sustainable<br />

development; academic achievements<br />

Article history Received 26 December 2008; Accepted 27 February 2009<br />

Publication data Pages: 23; Tables: 2; Figures: 1; References: 47; Paper ID: 1608-2281-2009-0901027-23<br />

Corresponding author Pr<strong>of</strong>essor Chang-Xiao Liu, Tianjin Institute <strong>of</strong> Pharmaceutical Research, 308 An-Shan West Road, Tianjin,<br />

300193, China. E-mail: liuchangxiao@vip.163.com.<br />

Introduction<br />

Nanoscience <strong>and</strong> nanotechnology has attracted<br />

full attention <strong>of</strong> scientists around the world due to the<br />

breakthrough theory <strong>and</strong> technical feature. Nanoscience<br />

<strong>and</strong> nanotechnology, as a newly emerging leading-edge<br />

discipline, cover many fields such as physics, chemistry,<br />

medicine, material science, biomedical engineering <strong>and</strong><br />

biology, therefore, the rapid development <strong>of</strong> nanoscience<br />

<strong>and</strong> nanotechnology has contributed more <strong>and</strong> more deep<br />

27


Cheng TF et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):27-49<br />

knowledge to other discipline as biotechnology <strong>and</strong><br />

information technology information technology. [1]<br />

Recently, nanotechnology proves its diverse<br />

applications to take up the international market in<br />

areas <strong>of</strong> biomedicine, informatics, energy resource,<br />

astronautics, oceanography <strong>and</strong> national defense,<br />

<strong>and</strong> so on. These applications <strong>of</strong>fer huge economic<br />

<strong>and</strong> technological potentialities. Current advances in<br />

nanoscience <strong>and</strong> nanotechnology have led to the<br />

development <strong>of</strong> the new field <strong>of</strong> nanomedicine,<br />

which includes many applications <strong>of</strong> nanomaterials<br />

<strong>and</strong> nanodevices for diagnostic <strong>and</strong> therapeutic<br />

purposes. At the Third Annual Meeting <strong>of</strong> the<br />

American Academy <strong>of</strong> Nanomedicine held at the<br />

University <strong>of</strong> California San Diego, in San Diego,<br />

USA, during September 7-8, 2007. The discussion<br />

was focused on successful translational<br />

nanomedicine: from bench to bedside. There were<br />

four keynote lectures <strong>and</strong> eight scientific<br />

symposiums in this meeting. The researchers <strong>and</strong><br />

investigators reported the results <strong>and</strong> process <strong>of</strong><br />

current nanomedicine research <strong>and</strong> approaches to<br />

clinical applications. The meeting provided exciting<br />

information for nanomedicine clinical-related<br />

researches <strong>and</strong> strategy for further development <strong>of</strong><br />

nanomedicine research which will be benefits to<br />

clinical practice. [2]<br />

Recent years have witnessed the rapid<br />

development <strong>of</strong> China’s nano-science <strong>and</strong><br />

technology with widespread influence. It was<br />

attended by scientists <strong>of</strong> the world. On January<br />

2008, a proposal to convene a Sino-US symposium<br />

on nanomedicine <strong>and</strong> nanobiology was jointly made<br />

by Dr. Elias Zerhouni (Director <strong>of</strong> the National<br />

Institutes <strong>of</strong> Health, USA), Dr. John E. Niederhuber<br />

(Director <strong>of</strong> the National Cancer Institute, USA <strong>and</strong><br />

Dr. Samuel Wilson (Director <strong>of</strong> the National<br />

Institute <strong>of</strong> Environmental Health Sciences, USA).<br />

To integrate outst<strong>and</strong>ing research forces in China<br />

<strong>and</strong> carry out exchanges with scholars <strong>of</strong> the world,<br />

in particular US, the Xiangshan Science Conference<br />

(the 331st Xiangshan Science Conference) on<br />

nanotechnology <strong>and</strong> nanomedicine for cancer<br />

treatment held from 21 to 24 October in Beijing,<br />

China. Pr<strong>of</strong>essor Zhao YL (Chinese National<br />

Research Center <strong>of</strong> Nanosceince), Pr<strong>of</strong>essor Robert<br />

P. Blumenthal (Center for Cancer Research<br />

Nanobiology ProgramNational Cancer Institute –<br />

Frederick, National Institutes <strong>of</strong> Health, USA, <strong>and</strong><br />

Pr<strong>of</strong>essor Michael M. Gottesman (National Cancer<br />

Institute, National Institutes <strong>of</strong> Health, USA), as<br />

co-chairmen <strong>of</strong> this meeting, lead scientists from<br />

China <strong>and</strong> USA to discussed nanoscience,<br />

nanotechnology <strong>and</strong> nanomedicines for cancer<br />

treatment. An emerging field that takes full<br />

advantage <strong>of</strong> expertise <strong>and</strong> research approaches<br />

from such academic disciplines as nanotechnology,<br />

biology, chemistry, physics, medicine,<br />

pharmaceutics <strong>and</strong> public health. No single<br />

discipline can deal with the new field characterized<br />

with a lot <strong>of</strong> interdisciplinary <strong>and</strong> comprehensive<br />

studies. It is both a topic at the cutting-edge <strong>of</strong><br />

science development <strong>and</strong> an important social issue<br />

closely related to people’s health <strong>and</strong> environment,<br />

<strong>of</strong>fering unlimited opportunities for innovation. The<br />

meeting was focused on nanomedicines <strong>and</strong><br />

nanotechnology for cancer treatment, environmental<br />

health <strong>of</strong> nanotechnology <strong>and</strong> its safety, <strong>and</strong> the<br />

strategy <strong>and</strong> policy for nanotechnology<br />

development. Central topics: (1) Molecular Basis <strong>of</strong><br />

Nanomedicine, (2) Development <strong>of</strong> “Smart”<br />

Nanoparticles, biomarker <strong>and</strong> targeted delivery for<br />

cancer therapy <strong>and</strong> imaging, (3) Nanotechnology :<br />

Path to the clinic promises <strong>and</strong> hurdles <strong>and</strong> (4) The<br />

molecular basis for engineered nanomaterial<br />

interactions with human health <strong>and</strong> the environment.<br />

The 4 topics provided exciting information for<br />

nanomedicine researches in basis <strong>and</strong> clinical<br />

research strategy for further development <strong>of</strong><br />

nanomedicines. [3]<br />

Research <strong>and</strong> development <strong>of</strong> nanoscience<br />

<strong>and</strong> nanomedicines in China<br />

Now in China, nanoscience <strong>and</strong><br />

nanotechnology become ever more consequential in<br />

our lives, we in the scientific community need to<br />

better inform <strong>and</strong> educate the public about the<br />

transformations this new nano era is likely to bring.<br />

Among the fields that have enjoyed particularly<br />

rapid development in China in the past decade are<br />

nanoscience <strong>and</strong> nanotechnology. These terms refer<br />

to the growing knowledge base <strong>and</strong> technical<br />

framework for underst<strong>and</strong>ing <strong>and</strong> manipulating<br />

matter on nanometer scale ranging from the atomic<br />

to the cellular. Like many other countries, we in<br />

28


Cheng TF et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):27-49<br />

China expect that the development <strong>of</strong> nanoscience<br />

<strong>and</strong> nanotechnology will greatly affect many areas<br />

<strong>of</strong> scientific research <strong>and</strong> industrial development,<br />

<strong>and</strong> many aspects <strong>of</strong> everyday life. [4]<br />

Research, development <strong>and</strong> application <strong>of</strong><br />

nanotechnology research in China can be summed<br />

up in three characteristics: the first, the government<br />

in support <strong>of</strong> sustainable development; the second,<br />

significant academic achievements, <strong>and</strong> the third, a<br />

clear consensus on nano-innovation.<br />

The government in support <strong>of</strong> sustainable<br />

development<br />

When the concept <strong>of</strong> nanoscience <strong>and</strong><br />

nanotechnology was first introduced in the 1980s, it<br />

was received favorably in China. The initial interest<br />

was in part stimulated by the development <strong>of</strong> new<br />

tools <strong>and</strong> techniques for observing materials on the<br />

nanoscale, especially scanning probe microscopes<br />

(SPMs). Soon after the concept began trickling<br />

through the scientific ranks, the Chinese Academy<br />

<strong>of</strong> Sciences (CAS), the National Natural Science<br />

Foundation <strong>of</strong> China (NSFC), <strong>and</strong> the State Science<br />

<strong>and</strong> Technology Commission (SSTC)/ the Ministry<br />

<strong>of</strong> Science <strong>and</strong> Technology (MOST) began funding<br />

nanoscience-related work <strong>and</strong> activities. China also<br />

has helped those who work in nanoscience <strong>and</strong><br />

nanotechnology to develop their sense <strong>of</strong> being part<br />

<strong>of</strong> a new research <strong>and</strong> development community.<br />

Since 1990, for example, dozens <strong>of</strong> international<br />

<strong>and</strong> domestic conferences in the field have been<br />

held in China. These conferences addressed a wide<br />

range <strong>of</strong> topics in nanoscience <strong>and</strong> nanotechnology<br />

<strong>and</strong> attracted wide attention <strong>and</strong> public interest. In<br />

the 1990s, support for the development <strong>of</strong><br />

nanoscience <strong>and</strong> nanotechnology increased<br />

substantially, largely through several major<br />

initiatives. In 1990, for example, SSTC launched<br />

the nearly decade-long "Climbing Up" project on<br />

nanomaterial science. In 1999, MOST started a<br />

national basic research project (“973” Plan) entitled<br />

"Nanomaterial <strong>and</strong> Nanostructure" <strong>and</strong> has been<br />

funding basic research on nanomaterials, such as<br />

nanotubes, ever since. China National High<br />

Technology Plan(“863” Plan), which encompasses<br />

many categories <strong>of</strong> technology, has included a<br />

series <strong>of</strong> projects for nanomaterial applications.<br />

From 1990 to 2005 alone, over 1200 projects were<br />

implemented. In addition, during this period, NSFC<br />

approved nearly 1000 grants for small-scale projects<br />

in related areas. With so much going on in<br />

nano-related R&D in so many different places in<br />

China, we created in 2000 the National Steering<br />

Committee for Nanoscience <strong>and</strong> Nanotechnology to<br />

oversee national policy <strong>and</strong> planning in these<br />

arenas. [4]<br />

Moving forward in nanoscience <strong>and</strong><br />

nanotechnology requires a particularly wide<br />

spectrum <strong>of</strong> skills <strong>and</strong> knowledge. The dem<strong>and</strong> for<br />

multidisciplinary research platforms with<br />

components assembled from academia <strong>and</strong> industry<br />

<strong>and</strong> that also have educational functions has become<br />

especially strong in recent years. According to<br />

incomplete statistics, more than 50 universities, 50<br />

institutes <strong>and</strong> over 300 industry enterprises in China<br />

have engaged in nanoscience <strong>and</strong> nanotechnology<br />

research <strong>and</strong> development, with the involvement <strong>of</strong><br />

more than 3000 researchers across China. To move<br />

forward <strong>and</strong> become more competitive in<br />

nanoscience <strong>and</strong> nanotechnology, China needs to<br />

continue to exp<strong>and</strong> its now-limited research<br />

infrastructure. In some areas, such as nanoscale<br />

devices with novel electronic <strong>and</strong> optoelectronic<br />

features, efforts to consolidate resources to tackle<br />

key technological issues are under way. Efforts<br />

have also been made to pursue industrial-scale<br />

production <strong>of</strong> nanomaterials, such as CNTs,<br />

polymeric nanocomposites, <strong>and</strong> nanoparticle<br />

materials, with the intention <strong>of</strong> opening up<br />

opportunities for new businesses to sprout <strong>and</strong> grow.<br />

The nanoscience <strong>and</strong> nanotechnology community in<br />

China has made remarkable advances across the<br />

research <strong>and</strong> development spectrum, from<br />

fundamental scientific research to studies into the<br />

potential societal implications <strong>of</strong> new<br />

nanotechnologies. China still has a long way to go<br />

to improve the overall competitiveness <strong>of</strong> its<br />

nanoscience <strong>and</strong> nanotechnology enterprise. [4]<br />

During the Ninth Five-year Plan period<br />

(1996-2000), the national “863” Plan supported by<br />

China government starts the projects <strong>of</strong> improving<br />

nanobiotechnology; during the Tenth Five-year<br />

period (2001-2005) national 863 <strong>and</strong> 973<br />

Plans <strong>and</strong> National Natural science made<br />

29


Cheng TF et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):27-49<br />

nanoscience, nanotechnology, <strong>and</strong> nanomedicine<br />

studies as priority subjects to support by<br />

government. During the Eleventh Five-year Plan<br />

period (2006-2010), the state is increased support<br />

for nanoscience <strong>and</strong> nanotechnology research, the<br />

annual input on billions <strong>of</strong> funds to carry out<br />

research, one <strong>of</strong> three subjects <strong>of</strong><br />

nanopharmaceuticals are listed <strong>of</strong> the research plan.<br />

Significant academic achievements<br />

The scientific output <strong>of</strong> Chinese nanoscientists<br />

is becoming ever more significant. According to the<br />

Scientific Citation Index, CAS ranked fourth in the<br />

world in total number <strong>of</strong> citations among those<br />

institutions <strong>and</strong> universities that published more<br />

than 100 nanotechnology papers from 1992 to 2002.<br />

Another recent analysis <strong>of</strong> nanoscience productivity<br />

around the world ranked China at the top for the<br />

first 8 months <strong>of</strong> 2004. This should not give the<br />

Chinese research community reason to be overly<br />

optimistic, however. The volume <strong>of</strong> published<br />

papers <strong>and</strong> total number <strong>of</strong> citations is only one<br />

indicator <strong>of</strong> the value <strong>of</strong> research. Another is the<br />

impact, or the number <strong>of</strong> citations per paper. From<br />

2001 to 2003, the number <strong>of</strong> citations per<br />

nanotechnology paper published by scientists in the<br />

United States, Germany, Japan, <strong>and</strong> China was<br />

about 6.56, 4.54, 3.7, <strong>and</strong> 2.28, respectively.<br />

Since 2006, Chinese basic research papers on<br />

nanoscience <strong>and</strong> nanotechnology <strong>and</strong> total number<br />

<strong>of</strong> citations have become the world's second largest,<br />

behind only the United States. According to<br />

statistical data from www.cnki.net (2004-2008),<br />

Chinese scholars published a large number <strong>of</strong><br />

nano-page research thesis in Chinese academic<br />

journals (as shown in Table 1).<br />

Table 1. Papers published in Chinese journals from<br />

2004 to 2008<br />

Year Nanoscience <strong>and</strong><br />

nanotechnology<br />

Nanomedicine<br />

2004 179 11<br />

2005 226 22<br />

2006 280 41<br />

2007 169 18<br />

2008 235 7<br />

A clear consensus on nano-innovation<br />

Facing on the arduous in nanoscience <strong>and</strong><br />

nanotechnology research, <strong>and</strong> the risks <strong>of</strong><br />

nanopharmaceutical industry, we think in this area<br />

should pay attention on four-oriented development,<br />

according to China's national conditions. The first is<br />

the practice research-oriented, combining basic <strong>and</strong><br />

application. The second is to set up different<br />

pr<strong>of</strong>essional disciplines for the research bases <strong>and</strong><br />

to strengthen the efficacy, safety, <strong>and</strong> the<br />

industrialization, <strong>and</strong> feasibility study <strong>of</strong><br />

nanomedicines in order to ensure sustainable<br />

development. The third, focus on solving the<br />

challenging problem <strong>of</strong> the difficult implementation,<br />

<strong>and</strong> breakthroughs in nanoscience <strong>and</strong><br />

nanotechnology. The fourth, the complexity in<br />

research <strong>and</strong> development <strong>of</strong> the new technologies<br />

requires to support with long-term development,<br />

<strong>and</strong> to know the risks for technological<br />

transformation to industrialization.<br />

Nanotoxilogy <strong>and</strong> Nanopharmacology<br />

Nanotechnology is a newly fashionable field<br />

but in the world <strong>of</strong> drug development it is certainly<br />

not new. Nanotechnology has a vital role to play in<br />

realizing cost-effective diagnostic, therapeutic <strong>and</strong><br />

prevent tools. The applications <strong>of</strong> nanotechnology<br />

for treatment, diagnosis, monitoring <strong>and</strong> control <strong>of</strong><br />

biological systems have recently been referred to as<br />

nanomedicine. The nanocarriers have been made <strong>of</strong><br />

safe materials, including synthetic biodegradable<br />

polymers, lipids <strong>and</strong> polysaccharides. Nanomedicines<br />

(nanopharmaceuticals) are the convergence<br />

<strong>of</strong> nanotechnology <strong>and</strong> biotechnology <strong>and</strong> an<br />

important component <strong>of</strong> nanotechnology.<br />

Application <strong>of</strong> nanotechnology is just started in<br />

traditional Chinese medicines.<br />

Nanopharmaceuticals or "Nanomedicines" can<br />

be developed either as drug delivery systems or<br />

biologically active drug products. They comprise<br />

nanometre size scale complex systems, consisting<br />

<strong>of</strong> at least two components, one <strong>of</strong> which being the<br />

active ingredient. Drug delivery is an<br />

interdisciplinary area <strong>of</strong> research that aims at<br />

making the administration <strong>of</strong> complex new drugs<br />

feasible, as well as adding critical value to the drugs<br />

that are currently in the market. At present, one <strong>of</strong><br />

30


Cheng TF et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):27-49<br />

the most attractive areas <strong>of</strong> research in drug delivery<br />

is the design <strong>of</strong> nanomedicines consisting <strong>of</strong><br />

nanosystems that are able to deliver drugs to the<br />

right place, at appropriate times. The goal <strong>of</strong> the<br />

present article is to review the advances we have<br />

made in the development <strong>and</strong> characterization <strong>of</strong><br />

nanosystems intended to be used as drug carriers for<br />

mucosal administration. These nanocarriers are able<br />

to protect the associated drug against degradation<br />

<strong>and</strong> facilitate its transport across critical <strong>and</strong><br />

specific barriers. Some are further able to release<br />

the associated drug to the target tissue in a<br />

controlled manner. These nanocarriers have been<br />

made <strong>of</strong> safe materials, including synthetic<br />

biodegradable polymers, lipids <strong>and</strong> polysaccharides.<br />

The change in the physicochemical <strong>and</strong> structural<br />

properties <strong>of</strong> engineered nanosized materials with a<br />

decrease in size could be responsible for a number<br />

<strong>of</strong> material interactions that could lead to<br />

toxicological effects. At present, scientists must<br />

accept that it is still very early in the toxicological<br />

evaluation for nanomaterials <strong>and</strong> nanomedicines,<br />

<strong>and</strong> few data on the safety <strong>and</strong> toxicity. The safety<br />

evaluation <strong>of</strong> nanomedicines includes workforce<br />

exposure limits in manufacturing process,<br />

environment impact with general impact <strong>and</strong> to<br />

patients after administration <strong>and</strong> safety for human<br />

use, such as depends on route <strong>of</strong> administration,<br />

dose <strong>and</strong> dosing frequency, as well as safety in drug<br />

delivery relates to toxicity <strong>of</strong> drug payload. The<br />

biomedical evaluation <strong>of</strong> nanomedicines includes<br />

biodistribution, metabolic fate, Persistance <strong>of</strong><br />

non-degradable systems, Specific therapeutic issues<br />

<strong>and</strong> immunogenicity. We must pay an attention on<br />

the relative issues <strong>of</strong> nanomedicines with human<br />

health <strong>and</strong> safety <strong>and</strong> toxicity to develop the<br />

evaluation methods <strong>of</strong> nanoproducts <strong>and</strong> make<br />

nanotechnology play a great role in the progress in<br />

nanotechnology <strong>and</strong> medicines <strong>and</strong> medicine<br />

engineering .[5]<br />

Evaluation on safety <strong>and</strong> toxicology <strong>of</strong><br />

nanomedicines<br />

The toxicology <strong>of</strong> nanomedicines used in<br />

device manufacture should be considered during<br />

their entire life cycle at stages <strong>of</strong> manufacture <strong>and</strong><br />

preclinical <strong>and</strong> clinical development, consumer <strong>and</strong><br />

staff safety <strong>and</strong> waste management in environment.<br />

The development <strong>of</strong> in vitro models <strong>of</strong> testicular<br />

toxicity may provide important tools for<br />

investigating specific mechanisms <strong>of</strong> toxicity in the<br />

testis. Although various systems have been reported,<br />

their application in toxicological studies has been<br />

limited by the poor ability to replicate the complex<br />

biochemical, molecular, <strong>and</strong> functional interactions<br />

observed in the testis. In vitro models have been<br />

established, <strong>and</strong> some <strong>of</strong> them have tried to<br />

reproduce the complex interactions that take place<br />

between the different germ cells. These models are<br />

limited by the poor viability <strong>of</strong> freshly isolated germ<br />

cells. So the development <strong>of</strong> a germ-line stem cell is<br />

<strong>of</strong> great interest. After previous studies to develop<br />

an immortalized cell line [6-8] with promising<br />

application in the study <strong>of</strong> testis toxicity. In vivo<br />

system for evaluation on safety <strong>and</strong> toxicology is<br />

very importance. This evidence <strong>of</strong> physiologically<br />

significant histopathological changes clearly<br />

indicates the potential <strong>of</strong> these nanomaterials for<br />

human toxicity at realistic doses.<br />

Nanoscale materials are seeming application in<br />

direct interventions to improve public health both<br />

through therapeutic strategies <strong>and</strong> environmental<br />

remediation. Recent years have seen the emergence<br />

<strong>of</strong> nano-engineered drug delivery strategies.<br />

Approval <strong>of</strong> abraxane, a nano-formulation <strong>of</strong> taxol<br />

for the treatment <strong>of</strong> breast cancer, was received by<br />

Food <strong>and</strong> Drug Administration (FDA), USA. This<br />

protein nano-bead conjugated pharmaceutical has<br />

increased water solubility allowing for elimination<br />

<strong>of</strong> the toxicity associated with the solvent vehicle<br />

<strong>and</strong> improved therapeutic index. The benefit <strong>of</strong><br />

abraxane relies on the nanoscale formulation rather<br />

than on the emergent properties <strong>of</strong> the<br />

nanomaterials as a therapeutic modality. [9] Powers et<br />

al pointed out that basis nanoparticle<br />

characterization techniques are discussed, along<br />

with some <strong>of</strong> the issues <strong>and</strong> implications associated<br />

with measuring nanoparticle properties <strong>and</strong> their<br />

interactions with biological systems. Recommendations<br />

regarding how to approach<br />

nanomaterial characterization include using proper<br />

sampling <strong>and</strong> measurement techniques, forming<br />

multidisciplinary teams, <strong>and</strong> making measurements<br />

as close to the biological action point as possible. [10]<br />

The science <strong>of</strong> toxicology has provided the<br />

31


Cheng TF et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):27-49<br />

foundation for underst<strong>and</strong>ing <strong>and</strong> studying the<br />

interactions between chemical drugs <strong>and</strong> biology.<br />

While the use <strong>of</strong> nanomaterials, nanomedicines/<br />

nanopharmaceuticals is rather new in the<br />

commercial products, the philosophical basis for<br />

performing the toxicological evaluation <strong>of</strong> these<br />

products is not expected to be different form other<br />

chemical drugs.<br />

At present, scientists must accept that it is still<br />

very early in the toxicological evaluation for<br />

nanomaterials, nanomedicines/nanopharmaceuticals,<br />

<strong>and</strong> few data on the safety <strong>and</strong> toxicity. The basic<br />

tenet <strong>of</strong> study designed to develop a study system <strong>of</strong><br />

toxic effects <strong>of</strong> nanomaterials, nanomedicines/<br />

nanopharmaceuticals on biological systems is to<br />

underst<strong>and</strong> the physico-chemical characteristics <strong>of</strong><br />

nanomaterials, nanomedicines. Therefore, the<br />

approach to addressing the safety <strong>and</strong> toxicity <strong>of</strong><br />

these products will best be conducted via<br />

multidisciplinary terms. Many traditional methods<br />

<strong>and</strong> approaches will likely be applicable to study <strong>of</strong><br />

nanomaterials,nanomedicines/nanopharmaceuticals.<br />

Nanotechnology research <strong>and</strong> development is<br />

directed toward underst<strong>and</strong>ing <strong>and</strong> creating<br />

improved materials, devices, <strong>and</strong> systems that<br />

exploit these properties. In a review, Thomas et al<br />

reviewed that a limited subset <strong>of</strong> products that<br />

contain nanoscale materials, assess the available<br />

data for evaluating the consume exposures <strong>and</strong><br />

potential hazard associated with these products, <strong>and</strong><br />

discuss the capacity <strong>of</strong> US regulatory agencies to<br />

address the potential risks associated with these<br />

products. [11] Some <strong>of</strong> the potential impacts <strong>of</strong><br />

dermal exposure to nanoscale materials include the<br />

following: (1) enhanced amount <strong>and</strong> depth <strong>of</strong><br />

penetration <strong>of</strong> active ingredients in cosmetic into<br />

the skin resulting in increased activity, (2)<br />

ingredients that are chemically unstable in air <strong>and</strong><br />

light (as retinal <strong>and</strong> vitamin E) may be more readily<br />

used in topical products following encapsulation in<br />

nanoparticles, <strong>and</strong> (3) <strong>and</strong> timed release <strong>of</strong><br />

ingredients may become more feasible in topical<br />

products <strong>and</strong> could allow for improved<br />

effectiveness equivalent to current controlled<br />

release orally administered drugs.<br />

Table 2. The biomedical evaluation <strong>of</strong> nanomedicines<br />

Evaluation terms<br />

Evaluation contents<br />

Biodistribution<br />

Whole organism, cellular level<br />

Metabolic fate<br />

Absorption, distribution, metabolism <strong>and</strong> excretion<br />

Immunogenicity<br />

IgG/IgM production, cytokine induction<br />

Persistance <strong>of</strong> non-degradable systems<br />

Possibility <strong>of</strong> lysosomal storage disease<br />

Biocompatibility<br />

Biological environment <strong>and</strong> toxicology <strong>and</strong> adverse<br />

effect to patients<br />

Specific therapeutic issues<br />

Therapeutic index <strong>of</strong> nanomedicines <strong>and</strong> its delivery<br />

systems in drug delivery relates to toxicity pf drug<br />

payload<br />

Due to the nanotechnology combines with<br />

biotechnology, a newly emerging cross-disciplinary<br />

field nanobiotechnology, this becomes the new<br />

developing area. As the research <strong>and</strong> application <strong>of</strong><br />

nanotechnology, studying <strong>and</strong> underst<strong>and</strong>ing the<br />

complex relationship between nanomaterials/<br />

nanomedicines <strong>and</strong> biological system will show<br />

special important to environmental, human health<br />

<strong>and</strong> safety. Criticism <strong>of</strong> the use <strong>of</strong> laboratory<br />

animals for the safety testing <strong>of</strong> chemicals is<br />

increasing, in society as a whole <strong>and</strong> also in the<br />

scientific world. This criticism is not only limited to<br />

ethical concerns, but scientific considerations also<br />

play a significant role. It should be realized that the<br />

animal bioassays presently used in toxicity testing<br />

are model systems for the prediction <strong>of</strong> toxicity in<br />

humans or the environment. In the last few decades<br />

new technologies <strong>and</strong> new knowledge have become<br />

available. This development is the result <strong>of</strong><br />

intensive fundamental toxicological research <strong>and</strong> the<br />

implementation <strong>of</strong> new methods <strong>and</strong> technologies. [12 ]<br />

The biomedical evaluation <strong>of</strong> nanomedicines<br />

includes biodistribution, metabolic fate, persistance<br />

<strong>of</strong> non-degradable systems, Specific therapeutic issues<br />

<strong>and</strong> immunogenicity (Table 2). [1]<br />

32


Cheng TF et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):27-49<br />

Intraperitoneal injection <strong>of</strong> [Gd@C 82 (OH) 22 ] n<br />

nanoparticles decreased activities <strong>of</strong> enzymes<br />

associated with the metabolism <strong>of</strong> reactive oxygen<br />

species (ROS) in the tumor-bearing mice. Several<br />

physiologically relevant ROS were directly<br />

scavenged by nanoparticles, <strong>and</strong> lipid peroxidation<br />

was inhibited in this study. [Gd@C 82 (OH) 22 ] n<br />

nanoparticles significantly reduced the electron spin<br />

resonance (ESR) signal <strong>of</strong> the stable<br />

2,2-diphenyl-1-picryhydrazyl radical measured by<br />

ESR spectroscopy. Like-wise, studies using ESR<br />

with spin-trapping demonstrated efficient<br />

scavenging <strong>of</strong> superoxide radical anion, hydroxyl<br />

radical, <strong>and</strong> singlet oxygen (1O2) by<br />

[Gd@C 82 (OH) 22 ] n nanoparticles. In vitro studies<br />

using liposomes prepared from bovine liver<br />

phosphatidylcholine revealed that nanoparticles also<br />

had a strong inhibitory effect on lipid peroxidation.<br />

Consistent with their ability to scavenge ROS <strong>and</strong><br />

inhibit lipid peroxidation, we determined that<br />

[Gd@C 82 (OH) 22 ]n nanoparticles also protected cells<br />

subjected in vitro to oxidative stress. Studies using<br />

human lung adenocarcinoma cells or rat brain<br />

capillary endothelial cells demonstrated that<br />

[Gd@C 82 (OH) 22 ] n nanoparticles reduced H 2 O 2 -<br />

induced ROS formation <strong>and</strong> mitochondrial damage.<br />

[Gd@C 82 (OH) 22 ] n nanoparticles efficiently inhibited<br />

the growth <strong>of</strong> malignant tumors in vivo. In<br />

summary, the results obtained in this study reveal<br />

antitumor activities <strong>of</strong> [Gd@C 82 (OH) 22 ] n<br />

nanoparticles in vitro <strong>and</strong> in vivo. Because ROS are<br />

known to be implicated in the etiology <strong>of</strong> a wide<br />

range <strong>of</strong> human diseases, including cancer, the<br />

present findings demonstrate that the potent<br />

inhibition <strong>of</strong> [Gd@C 82 (OH) 22 ] n nanoparticles on<br />

tumor growth likely relates with typical capacity <strong>of</strong><br />

scavenging reactive oxygen species. [13]<br />

Evaluation on pharmacology <strong>of</strong><br />

nanomedicines<br />

Nanotechnology manifests itself in a wide<br />

range <strong>of</strong> materials that can be useful to medical<br />

application. Virtually all <strong>of</strong> these materials have<br />

been designed with chemically modifiable surfaces<br />

to attach a variety <strong>of</strong> legends that can turn these<br />

nanomaterials into biosensors, molecular-scale<br />

fluorescent tags, imaging agents, targeted molecular<br />

delivery vehicles, <strong>and</strong> other useful biological tools.<br />

The unprecedented freedom to design <strong>and</strong> modify<br />

nanomaterials to target cells, chaperone drugs,<br />

image biomolecular processes, sense <strong>and</strong> signal<br />

molecular responses to therapeutic agents, <strong>and</strong> guide<br />

surgical procedures is the fundamental capability<br />

<strong>of</strong>fered by nanotechnology, which promises to<br />

impact drug development, medical diagnostics, <strong>and</strong><br />

clinical applications pr<strong>of</strong>oundly (Fig 1). [14]<br />

Fig 1. Medical applications <strong>of</strong> nanotechnology. The<br />

size <strong>and</strong> tailorability <strong>of</strong> nanoparticles may lea<br />

to their widespread use in a variety <strong>of</strong> medical<br />

applications. [14]<br />

Engineered nanomaterials are at the leading<br />

edge <strong>of</strong> the rapidly developing nanosciences <strong>and</strong> are<br />

founding an important class <strong>of</strong> new materials with<br />

specific physicochemical properties different from<br />

bulk materials with the same compositions. The<br />

potential for nanomaterials is rapidly exp<strong>and</strong>ing<br />

with novel applications constantly being explored in<br />

different areas. The unique size-dependent<br />

properties <strong>of</strong> nanomaterials make them very<br />

attractive for pharmaceutical applications.<br />

Investigations <strong>of</strong> physical, chemical <strong>and</strong> biological<br />

properties <strong>of</strong> engineered nanomaterials have yielded<br />

valuable information. Cytotoxic effects <strong>of</strong> certain<br />

engineered nanomaterials towards malignant cells<br />

form the basis for one aspect <strong>of</strong> nanomedicine. It is<br />

inferred that size, three dimensional shape,<br />

hydrophobicity <strong>and</strong> electronic configurations make<br />

them an appealing subject in medicinal chemistry.<br />

Their unique structure coupled with immense scope<br />

for derivatization forms a base for exciting<br />

developments in therapeutics. This review article<br />

addresses the fate <strong>of</strong> absorption, distribution,<br />

metabolism <strong>and</strong> excretion (ADME) <strong>of</strong> engineered<br />

nanoparticles in vitro <strong>and</strong> in vivo. It updates the<br />

distinctive methodology used for studying the<br />

biopharmaceutics <strong>of</strong> nanoparticles. This review<br />

addresses the future potential <strong>and</strong> safety concerns<br />

<strong>and</strong> genotoxicity <strong>of</strong> nanoparticle formulations in<br />

33


Cheng TF et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):27-49<br />

general. It particularly emphasizes the effects <strong>of</strong><br />

nanoparticles on metabolic enzymes as well as the<br />

parenteral or inhalation administration routes <strong>of</strong><br />

nanoparticle formulations. This paper illustrates the<br />

potential <strong>of</strong> nanomedicine by discussing<br />

biopharmaceutics <strong>of</strong> fullerene derivatives <strong>and</strong> their<br />

suitability for diagnostic <strong>and</strong> therapeutic purposes.<br />

Future direction is discussed as well. [15]<br />

With the rapid development <strong>of</strong> quantum dot<br />

(QD) technology, water-soluble QDs have the<br />

prospect <strong>of</strong> being used as a biological probe for<br />

specific diagnoses, but their biological behaviors in<br />

vivo are little known. Our recent in vivo studies<br />

concentrated on the bio-kinetics <strong>of</strong> QDs coated by<br />

hydroxyl group modified silica networks (the QDs<br />

are 21.3±2.0 nm in diameter <strong>and</strong> have maximal<br />

emission at 570 nm). Male ICR mice were<br />

intravenously given the water-soluble QDs with a<br />

single dose <strong>of</strong> 5 nmol/mouse. Inductively coupled<br />

plasma-mass spectrometry was used to measure the<br />

(111)Cd content to indicate the concentration <strong>of</strong><br />

QDs in plasma, organs, <strong>and</strong> excretion samples<br />

collected at predetermined time intervals.<br />

Meanwhile, the distribution <strong>and</strong> aggregation state <strong>of</strong><br />

QDs in tissues were also investigated by<br />

pathological examination <strong>and</strong> differential<br />

centrifugation. The plasma half-life <strong>and</strong> clearance<br />

<strong>of</strong> QDs were 19.8±3.2 h <strong>and</strong> 57.3±9.2 ml·h -1·kg -1 ,<br />

respectively. The liver <strong>and</strong> kidney were the main<br />

target organs for QDs. The QDs metabolized in<br />

three paths depending on their distinct aggregated<br />

states in vivo. A fraction <strong>of</strong> free QDs, maintaining<br />

their original form, could be filtered by glomerular<br />

capillaries <strong>and</strong> excreted via urine as small<br />

molecules within five days. Most QDs bound to<br />

protein <strong>and</strong> aggregated into larger particles that<br />

were metabolized in the liver <strong>and</strong> excreted via feces<br />

in vivo. After five days, 8.6% <strong>of</strong> the injected dose <strong>of</strong><br />

aggregated QDs still remained in hepatic tissue <strong>and</strong><br />

it was difficult for this fraction to clear. [16]<br />

There is growing interest in developing<br />

tissue-specific multifunctional drug delivery<br />

systems with the ability to diagnose or treat several<br />

diseases. One class <strong>of</strong> such agents, composite<br />

nanodevices (CNDs), is multifunctional<br />

nanomaterials with several potential medical uses,<br />

including cancer imaging <strong>and</strong> therapy. Nanosized<br />

metal-dendrimer CNDs consist <strong>of</strong> poly(amidoamine)<br />

dendrimers (in various sizes, surface substituents,<br />

<strong>and</strong> net charges) <strong>and</strong> inorganic nanoparticles,<br />

properties <strong>of</strong> both <strong>of</strong> which can be individually<br />

modified <strong>and</strong> optimized. In this study we examine<br />

effects <strong>of</strong> size <strong>and</strong> surface charge on the behavior <strong>of</strong><br />

Au-dendrimer CNDs in mouse tumor models.<br />

Quantitative biodistribution <strong>and</strong> excretion analyses<br />

including 5-nm <strong>and</strong> 22-nm positive surface, 5-nm<br />

<strong>and</strong> 11-nm negative surface, <strong>and</strong> a 5-nm neutral<br />

surface CNDs were carried out in the B16 mouse<br />

melanoma tumor model system. Results seen with<br />

the 22-nm CND in the B16 melanoma model were<br />

corroborated in a prostate cancer mouse tumor<br />

model system. Quantitative in vivo studies confirm<br />

the importance <strong>of</strong> charge <strong>and</strong> show for the first time<br />

the importance <strong>of</strong> size in affecting CND<br />

biodistribution <strong>and</strong> excretion. Interestingly, CNDs<br />

<strong>of</strong> different size <strong>and</strong>/or surface charge had high<br />

levels <strong>of</strong> uptake (“selective targeting”) to certain<br />

organs without specific targeting moieties placed on<br />

their surfaces. Researchers conclude that size <strong>and</strong><br />

charge greatly affect biodistribution <strong>of</strong> CNDs.<br />

These findings have significance for the design <strong>of</strong><br />

all particle-based nanodevices for medical uses. The<br />

observed organ selectivity may make these<br />

nanodevices exciting for several targeted medical<br />

applications. [17]<br />

Study on responses <strong>of</strong> Ferric oxide<br />

nanoparticles:<br />

Ferric oxide (Fe 2 O 3 ) nanoparticles are <strong>of</strong><br />

considerable interest for application in<br />

nanotechnology related fields. However, as iron<br />

being a highly redox-active transition metal, the<br />

safety <strong>of</strong> iron nanomaterials need to be further<br />

studied. In this study, the size, dose <strong>and</strong> time<br />

dependent <strong>of</strong> Fe 2 O 3 nanoparticle on pulmonary <strong>and</strong><br />

coagulation system have been studied after<br />

intratracheal instillation. The Fe 2 O 3 nanoparticles<br />

with mean diameters <strong>of</strong> 22 <strong>and</strong> 280 nm, respectively,<br />

were intratracheally instilled to male Sprague<br />

Dawley rats at low (0.8 mg·kg -1 ) <strong>and</strong> high (20<br />

mg/kg) doses. The toxic effects were monitored in<br />

the post-instilled 1, 7 <strong>and</strong> 30 days. Our results<br />

showed that the Fe 2 O 3 nanoparticle exposure could<br />

induce oxidative stress in lung. Alveolar<br />

macrophage (AM) over-loading <strong>of</strong> phagocytosed<br />

nanoparticle by high dose treatment had occurred,<br />

34


Cheng TF et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):27-49<br />

while the non-phagocytosed particles were found<br />

entering into alveolar epithelial in day 1 after<br />

exposure. Several inflammatory reactions including<br />

inflammatory <strong>and</strong> immune cells increase, clinical<br />

pathological changes: follicular hyperplasia, protein<br />

effusion, pulmonary capillary vessel hyperaemia<br />

<strong>and</strong> alveolar lipoproteinosis in lung were observed.<br />

The sustain burden <strong>of</strong> particles in AM <strong>and</strong><br />

epithelium cells has caused lung emphysema <strong>and</strong><br />

pro-sign <strong>of</strong> lung fibrosis. At the post-instilled day<br />

30, the typical coagulation parameters, prothrombin<br />

time (PT) <strong>and</strong> activated partial thromboplastin time<br />

(APTT) in blood <strong>of</strong> low dose 22 nm-Fe 2 O 3 treated<br />

rats were significantly longer than the controls. We<br />

concluded that both <strong>of</strong> the two-sized Fe 2 O 3 particle<br />

intratracheal exposure could induce lung injury.<br />

Comparing with the submicron-sized Fe 2 O 3 particle,<br />

the nano-sized Fe 2 O 3 particle may increase<br />

microvascular permeability <strong>and</strong> cell lysis in lung<br />

epitheliums <strong>and</strong> disturb blood coagulation<br />

parameters significantly. [18]<br />

Superparamagnetic iron oxide nanoparticles<br />

(SPIONs) are applied in stem cell labeling because<br />

<strong>of</strong> their high magnetic susceptibility as compared<br />

with ordinary paramagnetic species, their low<br />

toxicity, <strong>and</strong> their ease <strong>of</strong> magnetic manipulation.<br />

The present work is the study <strong>of</strong> CD133+ stem cell<br />

labeling by SPIONs coupled to a specific antibody<br />

(AC133), resulting in the antigenic labeling <strong>of</strong> the<br />

CD133+ stem cell, <strong>and</strong> a method was developed for<br />

the quantification <strong>of</strong> the SPION content per cell,<br />

necessary for molecular imaging optimization. Flow<br />

cytometry analysis established the efficiency <strong>of</strong> the<br />

selection process <strong>and</strong> helped determine that the<br />

CD133 cells selected by chromatographic affinity<br />

express the transmembrane glycoprotein CD133.<br />

The presence <strong>of</strong> antibodies coupled to the SPION,<br />

expressed in the cell membrane, was observed by<br />

transmission electron microscopy. Quantification <strong>of</strong><br />

the SPION concentration in the marked cells using<br />

the ferromagnetic resonance technique resulted in a<br />

value <strong>of</strong> 1.70 × 10–13 mol iron (9.5 pg) or 7.0 × 10 6<br />

nanoparticles per cell (the measurement was carried<br />

out in a volume <strong>of</strong> 2 µL containing about 6.16 × 10 5<br />

pg iron, equivalent to 4.5 × 10 11 SPIONs). [19]<br />

Mechanisms <strong>of</strong> development <strong>of</strong> protein<br />

misfolding diseases<br />

Misfolding <strong>and</strong> self-assembly <strong>of</strong> proteins in<br />

nanoaggregates <strong>of</strong> different sizes <strong>and</strong> morphologies<br />

(nanoensembles, primarily nan<strong>of</strong>ilaments <strong>and</strong><br />

nanorings) is a complex phenomenon that can be<br />

facilitated, impeded, or prevented by interactions<br />

with various intracellular metabolites, intracellular<br />

nanomachines controlling protein folding, <strong>and</strong><br />

interactions with other proteins. A fundamental<br />

underst<strong>and</strong>ing <strong>of</strong> molecular processes leading to<br />

misfolding <strong>and</strong> self-aggregation <strong>of</strong> proteins<br />

involved in various neurodegenerative diseases will<br />

provide important information to help identify<br />

appropriate therapeutic routes to control these<br />

processes. An elevated propensity <strong>of</strong> misfolded<br />

protein conformation in solution to aggregate with<br />

the formation <strong>of</strong> various morphologies impedes the<br />

use <strong>of</strong> traditional physiochemical approaches for<br />

studies <strong>of</strong> misfolded conformations <strong>of</strong> proteins.<br />

Kransnoslobodtsev et al tethered the protein<br />

molecules to surfaces to prevent aggregation <strong>and</strong>,<br />

with force spectroscopy using an atomic force<br />

microscopy, probed the interaction between protein<br />

molecules depending on their conformations.<br />

Research results show that formation <strong>of</strong> filamentous<br />

aggregates is facilitated at pH values corresponding<br />

to the maximum <strong>of</strong> rupture forces. They report here<br />

on development <strong>of</strong> a novel surface chemistry for<br />

anchoring <strong>of</strong> amyloid β (Aβ) peptides at their<br />

N-terminal moieties. The use <strong>of</strong> the site-specific<br />

immobilization procedure allowed us to measure the<br />

rupture <strong>of</strong> Aβ-Aβ contacts at the single-molecule<br />

level. The rupture <strong>of</strong> these contacts is accompanied<br />

by the extension <strong>of</strong> the peptide chain detected by a<br />

characteristic elastomechanical component <strong>of</strong> the<br />

force-distance curves. Potential applications <strong>of</strong><br />

nanomechanical studies for underst<strong>and</strong>ing the<br />

mechanisms <strong>of</strong> development <strong>of</strong> protein misfolding<br />

diseases are discussed. [20]<br />

Research <strong>and</strong> Application <strong>of</strong> Carbon<br />

Nanotubes<br />

A good representative <strong>of</strong> this fast-moving field<br />

is the family <strong>of</strong> nanomaterials known as carbon<br />

nanotubes (CNTs). These all-carbon tubes are just a<br />

few nanometers in diameter, which makes them<br />

comparable in girth to DNA molecules, <strong>and</strong> come in<br />

either singlewalled varieties or multiwalled varieties<br />

with a nesting <strong>of</strong> carbon shells resembling the<br />

35


Cheng TF et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):27-49<br />

structure <strong>of</strong> a retractable antenna. CNTs are<br />

nanodevices with important potential applications in<br />

biomedicine such as drug <strong>and</strong> gene delivery.<br />

Recognition <strong>of</strong> functionalization <strong>of</strong><br />

nanotubes<br />

Current advances in nanotechnology have led<br />

to the development <strong>of</strong> the new field <strong>of</strong><br />

nanomedicine, which includes many applications <strong>of</strong><br />

nanomaterials <strong>and</strong> nanodevices for diagnostic <strong>and</strong><br />

therapeutic purposes. The same unique physical <strong>and</strong><br />

chemical properties that make nanomaterials so<br />

attractive may be associated with their potentially<br />

calamitous effects on cells <strong>and</strong> tissues. The recent<br />

study on nanomedicine <strong>and</strong> nanotoxicology<br />

published by Kagan et al demonstrated that<br />

aspiration <strong>of</strong> single-walled CNTs elicited an<br />

unusual inflammatory response in the lungs <strong>of</strong><br />

exposed mice with a very early switch from the<br />

acute inflammatory phase to fibrogenic events<br />

resulting in pulmonary deposition <strong>of</strong> collagen <strong>and</strong><br />

elastin. This was accompanied by a characteristic<br />

change in the production <strong>and</strong> release <strong>of</strong><br />

proinflammatory to anti-inflammatory pr<strong>of</strong>ibrogenic<br />

cytokines, decline in pulmonary function, <strong>and</strong><br />

enhanced susceptibility to infection. Chemically<br />

unmodified (nonfunctionalized) CNTs are not<br />

effectively recognized by macrophages.<br />

Functionalization <strong>of</strong> nanotubes results in their<br />

increased recognition by macrophages <strong>and</strong> is thus<br />

used for the delivery <strong>of</strong> nanoparticles to<br />

macrophages <strong>and</strong> other immune cells to improve the<br />

quality <strong>of</strong> diagnostic <strong>and</strong> imaging techniques as<br />

well as for enhancement <strong>of</strong> the therapeutic<br />

effectiveness <strong>of</strong> drugs. These observations on<br />

differences in recognition <strong>of</strong> nanoparticles by<br />

macrophages have important implications in the<br />

relationship between the potentially toxic health<br />

effects <strong>of</strong> nanomaterials <strong>and</strong> their applications in the<br />

field <strong>of</strong> nanomedicine. [21] Although membrane<br />

proteins consist <strong>of</strong> a substantial amount <strong>of</strong> the<br />

human genome <strong>and</strong> are the main drug targets, the<br />

study <strong>of</strong> cell membrane proteins in situ is<br />

complicated by the technical limitations. The recent<br />

development <strong>of</strong> atomic force microscopy (AFM)<br />

opens a new way to study the functions <strong>of</strong> cell<br />

membrane proteins in situ at the single-molecule<br />

level. A detailed procedure for investigation <strong>of</strong><br />

angiotensin II type 1 receptor by AFM with<br />

functionalized tip is introduced in this article. Some<br />

prospective methods to improve the imaging<br />

resolution are also discussed. [22]<br />

CNTs are nanodevices with important potential<br />

applications in biomedicine such as drug <strong>and</strong> gene<br />

delivery. Brain diseases with no current therapy<br />

could be c<strong>and</strong>idates for CNT-based therapies. Little<br />

is known about toxicity <strong>of</strong> CNTs <strong>and</strong> <strong>of</strong> their<br />

dispersion factors in the brain. Reaearchers show<br />

that multiwall CNTs (MWCNTs) coated with<br />

Pluronic F127 (PF127) surfactant can be injected in<br />

the mouse cerebral cortex without causing<br />

degeneration <strong>of</strong> the neurons surrounding the site <strong>of</strong><br />

injection. They also show that, contrary to previous<br />

reports on lack <strong>of</strong> PF127 toxicity on cultured cell<br />

lines, concentrations <strong>of</strong> PF127 as low as 0.01% can<br />

induce apoptosis <strong>of</strong> mouse primary cortical neurons<br />

in vitro within 24 hours. However, the presence <strong>of</strong><br />

MWCNTs can avoid PF127-induced apoptosis.<br />

These results suggest that PF127-coated MWCNTs<br />

do not induce apoptosis <strong>of</strong> cortical neurons.<br />

Moreover, the presence <strong>of</strong> MWCNTs can reduce<br />

PF127 toxicity. [23]<br />

Interactions <strong>of</strong> multiwalled carbon nanotubes<br />

(MWCNTs) with human epidermal keratinocytes<br />

(HEKs) were studied with respect to the effect <strong>of</strong><br />

surfactant on dispersion <strong>of</strong> MWCNT aggregates <strong>and</strong><br />

cytotoxicity. Our earlier studies had shown that the<br />

unmodified MWCNTs were localized within the<br />

cytoplasmic vacuoles <strong>of</strong> HEKs <strong>and</strong> elicited an<br />

inflammatory response. However, MWCNTs in<br />

solution tend to aggregate <strong>and</strong>, therefore, cells are<br />

exposed to large MWCNT aggregates. The purpose<br />

<strong>of</strong> this study was to find a surfactant that prevents<br />

the formation <strong>of</strong> large aggregates <strong>of</strong> MWCNTs<br />

without being toxic to the HEKs. HEKs were<br />

exposed to serial dilutions (10% to 0.1%) <strong>of</strong> L61,<br />

L92, <strong>and</strong> F127 Pluronic <strong>and</strong> 20 or 60 Tween for 24<br />

hours. HEK viability, proportional to surfactant<br />

concentration, ranged from 27.1% to 98.5% with<br />

Pluronic F127; viability with the other surfactants<br />

was less than 10%. Surfactants dispersed <strong>and</strong><br />

reduced MWCNT aggregation in medium.<br />

MWCNTs at 0.4 mg·ml -1 in 5% or 1% Pluronic<br />

F127 were incubated with HEKs <strong>and</strong> assayed for<br />

interleukin 8 (IL-8). MWCNTs were cytotoxic to<br />

HEKs independent <strong>of</strong> surfactant exposure. In<br />

36


Cheng TF et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):27-49<br />

contrast, MWCNT-induced IL-8 release was<br />

reduced when exposed to 1% or 5% Pluronic F127<br />

(P


Cheng TF et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):27-49<br />

Pegylated liposomal doxorubicin is a<br />

formulation <strong>of</strong> doxorubicin in which the molecule<br />

itself is packaged in a liposome made <strong>of</strong> various<br />

lipids with an outer coating <strong>of</strong> polyethylene glycol.<br />

Liposomal technology is being used in increasing<br />

amounts in the therapy <strong>of</strong> a variety <strong>of</strong> cancers,<br />

including ovarian cancers. A reviews written by<br />

Green et al on the mechanistic actions <strong>of</strong> this<br />

formulation, the Phase II <strong>and</strong> Phase III data that<br />

helped define the role <strong>of</strong> pegylated liposomal<br />

doxorubicin in recurrent ovarian cancer, as well as a<br />

discussion <strong>of</strong> some <strong>of</strong> the side-effects <strong>and</strong> their<br />

management. [27] Pegylated liposomal doxorubicin<br />

is one <strong>of</strong> a new class <strong>of</strong> drug formulations. The<br />

doxorubicin molecules in pegylated liposomal<br />

doxorubicin are encapsulated in a bilayer sphere <strong>of</strong><br />

lipids. This vesicle is then surrounded by a dense<br />

layer <strong>of</strong> polyethylene glycol (PEG), hence the name<br />

pegylated liposomal doxorubicin. The size <strong>of</strong> the<br />

liposomes, approximately 100 nm, prevents them<br />

from entering tissues with tight capillary junctions,<br />

such as the heart <strong>and</strong> gastrointestinal tract, as well<br />

as selectively depositing the liposome into the<br />

tumor. In contrast to normal vessels, the vessels <strong>of</strong><br />

the tumor are tortuous, dilated, have<br />

morphologically abnormal endothelial cells, <strong>and</strong> are<br />

leaky due to large spaces between pericytes. The<br />

study on mechanism <strong>of</strong> action exhibited that these<br />

physical characteristics allow more extravasation <strong>of</strong><br />

the vesicles into the tumor, thus encouraging more<br />

deposition <strong>of</strong> the chemotherapy agent into the tumor.<br />

The PEG coating on the liposome creates a<br />

hydrophilic layer around the liposome that buffers<br />

the liposome wall from the surrounding milieu. This<br />

decreases proteins from binding to the lipid bilayer.<br />

These proteins act as opsonins, attracting<br />

foreign particles that in turn activate the<br />

mononuclear phagocytic cells. This leads to break<br />

down <strong>of</strong> the liposome <strong>and</strong> release <strong>of</strong> the drug.<br />

Therefore, the PEG coating on the liposome<br />

increases the longevity <strong>of</strong> the liposome. Pegylated<br />

liposomal doxorubicin was cleared via the<br />

lymphatic system <strong>and</strong> returned to the circulation. In<br />

tumor tissue, however, there are no lymphatics.<br />

Therefore, when the liposome is deposited it<br />

remains for a longer time. This allows a higher dose<br />

<strong>of</strong> doxorubicin to be released in the tumor, <strong>and</strong> a<br />

lower dose in normal tissue. Collectively, there is<br />

preferential uptake <strong>and</strong> decreased clearance <strong>of</strong> the<br />

drug delivery system, increasing the exposure <strong>of</strong> the<br />

tumor to the drug. When the liposome does leave<br />

the intravascular compartment, in normal tissues it<br />

is Phase II single-agent studies In a subsequent<br />

Phase II study, evaluated 79 better-defined patients<br />

all <strong>of</strong> whom were platinum <strong>and</strong> taxane refractory.<br />

Eighty-five percent <strong>of</strong> the patients had received<br />

more than 2 prior chemotherapy regimens. These<br />

“doubly refractory” patients were treated with 50<br />

mg/m 2 <strong>of</strong> pegylated liposomal doxorubicin every 4<br />

weeks. Fourteen partial responses <strong>and</strong> 1 complete<br />

response were reported for an overall response rate<br />

<strong>of</strong> 16.9%. The median time to response was 15<br />

weeks. The median progression-free survival for all<br />

patients treated in this study was 19.3 weeks (range<br />

0.7–86 weeks). In addition, 36 patients (57%) were<br />

classified as having stable disease, <strong>and</strong> achieved a<br />

median progression-free survival <strong>of</strong> 21.9 weeks.<br />

This was one <strong>of</strong> the first studies to show that disease<br />

stabilization in recurrent ovarian cancer is <strong>of</strong><br />

clinical benefit. All patients reported at least 1<br />

adverse event, but the majority were grade 1 or 2.<br />

Asthenia <strong>and</strong> palmar-plantar erythrodysesthesia<br />

(PPE) were seen in 41.6%. Only 1 patient<br />

experienced any cardiac complications, <strong>and</strong> there<br />

were no treatment-related deaths. This study<br />

demonstrated that pegylated liposomal doxorubicin<br />

was useful in this drug-resistant setting, <strong>and</strong><br />

associated with no life-threatening toxicities.<br />

In China, Liang W et al research results on<br />

doxorubicin- containing PEG-PE micelles are an<br />

important contribution to nanomedicine<br />

development (which is called “nanoparticles carry<br />

chemotherapy drug deeper into solid tumors”).<br />

Editorial members, Dreher MR <strong>and</strong> Chilkoti A in J<br />

Natl Cancer Inst get a high evaluation for their<br />

research. Solid tumors account for more than 85%<br />

<strong>of</strong> cancer mortality. To obtain nutrients for growth<br />

<strong>and</strong> to metastasize, cancer cells in solid tumors must<br />

grow around existing vessels or stimulate formation<br />

<strong>of</strong> new blood vessels. These new vessels are<br />

abnormal in structure <strong>and</strong> characterized by leakage,<br />

tortuousness, dilation, <strong>and</strong> a haphazard pattern <strong>of</strong><br />

interconnection. Tumor structure <strong>and</strong> blood flow<br />

hinder the treatment <strong>of</strong> solid tumors. To reach<br />

cancer cells in optimal quantity, a therapeutic agent<br />

must pass through an imperfect blood vasculature to<br />

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Cheng TF et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):27-49<br />

the tumor, cross vessel walls into the interstitium<br />

<strong>and</strong> penetrate multiple layers <strong>of</strong> solid tumor cells.<br />

Recent studies have demonstrated that poor<br />

penetration <strong>and</strong> limited distribution <strong>of</strong> doxorubicin<br />

in solid tumors are the main causes <strong>of</strong> its<br />

inadequacy as a chemotherapeutic agent.<br />

Encapsulation <strong>of</strong> doxorubicin into PEG-PE micelles<br />

increased its accumulation <strong>and</strong> penetration in<br />

tumors in terms <strong>of</strong> both the percentage <strong>of</strong> cells that<br />

were reached by the drug <strong>and</strong> the intracellular levels<br />

that were attained. This increased accumulation <strong>and</strong><br />

penetration can be attributed to the efficient<br />

internalization <strong>of</strong> the drug-containing micelles by<br />

the endocytotic cell uptake mechanism <strong>and</strong><br />

enhanced permeability <strong>and</strong> retention <strong>of</strong> tumors with<br />

leaky vasculature. High intracellular retention is<br />

especially important because doxorubicin must be<br />

internalized to be effective in tumor therapy. The<br />

doxorubicin- containing PEG-PE micelles had<br />

greatly increased antitumor activity in both<br />

subcutaneous <strong>and</strong> lung metastatic LLC tumor<br />

models compared with free doxorubicin. However,<br />

mice treated micelle- encapsulated doxorubicin<br />

showed fewer signs <strong>of</strong> toxicity than those treated<br />

with free doxorubicin. This drug packaging<br />

technology may provide a new strategy for design<br />

<strong>of</strong> cancer therapies. [29,30] At our laboratory, studied<br />

nanoparticle <strong>of</strong> doxorubicin eliminate the<br />

accumulation in tissues <strong>of</strong> tumor-bearing mice.<br />

Compared with general doxorubicin preparation,<br />

which is a marketed product, nanoparticle micelle<br />

<strong>of</strong> doxorubicin has the similar pharmacokinetics in<br />

the tissue, <strong>and</strong> the similar concentrations in the<br />

tumor tissue. Howerever, the accumulation <strong>of</strong><br />

doxorubicin in the heart, spleen, kidney, lung,<br />

tumor, muscle <strong>and</strong> skin decreased significantly after<br />

three intravenous injections, showing that the<br />

nano-micelle can accumulatew the elimilation <strong>of</strong><br />

doxorubicin in most tissues. It is deduced that the<br />

study was effects <strong>of</strong> doxorubicin after clinical use<br />

may be reduced significantly. [31]<br />

Pegylated liposomal doxorubicin is effective<br />

<strong>and</strong> well tolerated in relapsed ovarian cancer. When<br />

compared with topotecan in a phase III r<strong>and</strong>omized<br />

trial, pegylated liposomal doxorubicin showed<br />

several advantages: improved quality <strong>of</strong> life, fewer<br />

severe adverse events, fewer dose modifications,<br />

less hematologic support, <strong>and</strong> lower total cost per<br />

patient. In platinum-sensitive patients, pegylated<br />

liposomal doxorubicin also produced a survival<br />

advantage. Results from prospective <strong>and</strong><br />

retrospective studies further demonstrate the<br />

improved cardiac safety <strong>of</strong> pegylated liposomal<br />

doxorubicin compared to conventional<br />

anthracyclines. Based on survival <strong>and</strong> toxicity<br />

advantages <strong>and</strong> a once-monthly administration<br />

schedule, pegylated liposomal doxorubicin is the<br />

first-choice nonplatinum agent for relapsed ovarian<br />

cancer. Pegylated liposomal doxorubicin may also<br />

have clinical application in combination regimens<br />

for platinum-sensitive ovarian cancer, as<br />

consolidation/maintenance therapy for ovarian<br />

cancer, as a component <strong>of</strong> first-line therapy for<br />

ovarian cancer, <strong>and</strong> in the treatment <strong>of</strong> other<br />

gynecologic malignancies. Future clinical trials will<br />

further define <strong>and</strong> maximize the role <strong>of</strong> pegylated<br />

liposomal doxorubicin in the treatment <strong>of</strong> ovarian<br />

cancer <strong>and</strong> other gynecologic malignancies. [32]<br />

Doxorubicin nanoparticles<br />

A novel hyaluronic acid-poly(ethylene<br />

glycol)-poly(lactide-co-glycolide) (HA-PEG-PLGA)<br />

copolymer was synthesized <strong>and</strong> characterized by<br />

infrared <strong>and</strong> nuclear magnetic resonance<br />

spectroscopy. The nanoparticles <strong>of</strong> doxorubicin<br />

(DOX)-loaded HA-PEG-PLGA were prepared <strong>and</strong><br />

compared with monomethoxy (polyethylene glycol)<br />

(MPEG)-PLGA nanoparticles. Nanoparticles were<br />

prepared using drug-to-polymer ratios <strong>of</strong> 1:1 to 1:3.<br />

Drug-to-polymer ratio <strong>of</strong> 1:1 is considered the<br />

optimum formulation on the basis <strong>of</strong> low particle<br />

size <strong>and</strong> high entrapment efficiency. The optimized<br />

nanoparticles were characterized for morphology,<br />

particle size measurements, differential scanning<br />

calorimetry, x-ray diffractometer measu- rement,<br />

drug content, hemolytic toxicity, subacute toxicity,<br />

<strong>and</strong> in vitro DOX release. The in vitro DOX release<br />

study was performed at pH 7.4 using a dialysis<br />

membrane. HA-PEG-PLGA nanoparticles were<br />

able to sustain the release for up to 15 days. The<br />

tissue distribution studies were performed with<br />

DOX-loaded HA-PEG-PLGA <strong>and</strong> MPEG-PLGA<br />

nanoparticles after intravenous (IV) injection in<br />

Ehrlich ascites tumor–bearing mice. The tissue<br />

distribution studies showed a higher concentration<br />

<strong>of</strong> DOX in the tumor as compared with<br />

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Cheng TF et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):27-49<br />

MPEG-PLGA nanoparticles. The in vivo tumor<br />

inhibition study was also performed after IV<br />

injection <strong>of</strong> DOX-loaded HA-PEG-PLGA<br />

nanoparticles up to 15 days. DOX-loaded<br />

HA-PEG-PLGA nanoparticles were able to deliver<br />

a higher amount <strong>of</strong> DOX as compared with<br />

MPEG-PLGA nanoparticles. The DOX-loaded<br />

HA-PEG-PLGA nanoparticles reduced tumor<br />

volume significantly as compared with<br />

MPEG-PLGA nanoparticles. [33] Chitosan, PCEP<br />

(poly{[(cholesteryl oxocarbonylamido ethyl) methyl<br />

bis(ethylene) ammonium iodide] ethyl phosphate}),<br />

<strong>and</strong> magnetic nanoparticles (MNPs) were evaluated<br />

for the safe delivery <strong>of</strong> genes in the eye. Prow et al<br />

studied ocular nanoparticle toxicity <strong>and</strong> transfection<br />

<strong>of</strong> the retina <strong>and</strong> retinal pigment epithelium. Rabbits<br />

were injected with nanoparticles either intravitreally<br />

(IV) or subretinally (SR) <strong>and</strong> sacrificed 7 days later.<br />

Eyes were grossly evaluated for retinal pigment<br />

epithelium abnormalities, retinal degeneration, <strong>and</strong><br />

inflammation. All eyes were cryopreserved <strong>and</strong><br />

sectioned for analysis <strong>of</strong> toxicity <strong>and</strong> expression <strong>of</strong><br />

either enhanced green or red fluorescent proteins.<br />

All <strong>of</strong> the nanoparticles were able to transfect cells<br />

in vitro <strong>and</strong> in vivo. IV chitosan showed<br />

inflammation in 12/13 eyes, whereas IV PCEP <strong>and</strong><br />

IV MNPs were not inflammatory <strong>and</strong> did not induce<br />

retinal pathology. SR PCEP was nontoxic in the<br />

majority <strong>of</strong> cases but yielded poor transfection,<br />

whereas SR MNPs were nontoxic <strong>and</strong> yielded good<br />

transfection. Therefore, researchers concluded that<br />

the best nanoparticle evaluated in vivo was the least<br />

toxic nanoparticle tested, the MNP. [34]<br />

Liposomes targeted by fusion phage<br />

proteins<br />

Targeting <strong>of</strong> nanocarriers has long been sought<br />

after to improve the therapeutic indices <strong>of</strong><br />

anticancer drugs. Jayanna et al provide the pro<strong>of</strong><br />

<strong>of</strong> principle for a novel approach <strong>of</strong> nanocarrier<br />

targeting through their fusion with target-specific<br />

phage coat proteins. The source <strong>of</strong> the targeted<br />

phage coat proteins are l<strong>and</strong>scape phage<br />

libraries—collections <strong>of</strong> recombinant filamentous<br />

phages with foreign r<strong>and</strong>om peptides fused to all<br />

4000 copies <strong>of</strong> the major coat protein. Prashanth et<br />

al exploit in our approach the intrinsic<br />

physicochemical properties <strong>of</strong> the phage major coat<br />

protein as a typical membrane protein. L<strong>and</strong>scape<br />

phage peptides specific for specific tumors can be<br />

obtained by affinity selection, <strong>and</strong> purified fusion<br />

coat proteins can be assimilated into liposomes to<br />

obtain specific drug-loaded nanocarriers. As a<br />

paradigm for inceptive experiments, a<br />

streptavidin-specific phage peptide selected from a<br />

l<strong>and</strong>scape phage library was incorporated into<br />

100-nm liposomes. Targeting <strong>of</strong> liposomes was<br />

proved by their specific binding to streptavidincoated<br />

beads. [35]<br />

Drug Loading <strong>and</strong> Release From<br />

Biodegradable Microcapsules<br />

Microcapsules made <strong>of</strong> biopolymers are <strong>of</strong><br />

both scientific <strong>and</strong> technological interest <strong>and</strong> have<br />

many potential applications in medicine, including<br />

their use as controlled drug delivery devices. The<br />

present study makes use <strong>of</strong> the electrostatic<br />

interaction between polycations <strong>and</strong> polyanions to<br />

form a multilayered microcapsule shell <strong>and</strong> also to<br />

control the loading <strong>and</strong> release <strong>of</strong> charged drug<br />

molecules inside the microcapsule. Micron-sized<br />

calcium carbonate (CaCO 3 ) particles were<br />

synthesized <strong>and</strong> integrated with chondroitin sulfate<br />

(CS) through a reaction between sodium carbonate<br />

<strong>and</strong> calcium nitrate tetrahydrate solutions suspended<br />

with CS macromolecules. Oppositely charged<br />

biopolymers were alternately deposited onto the<br />

synthesized particles using electrostatic<br />

layer-by-layer self-assembly, <strong>and</strong> glutaraldehyde<br />

was introduced to cross-link the multilayered shell<br />

structure. Microcapsules integrated with CS inside<br />

the multilayered shells were obtained after<br />

decomposition <strong>of</strong> the CaCO 3 templates. The<br />

integration <strong>of</strong> a matrix (i.e., CS) permitted the<br />

subsequent selective control <strong>of</strong> drug loading <strong>and</strong><br />

release. The CS-integrated microcapsules were<br />

loaded with a model drug, bovine serum albumin<br />

labeled with fluorescein isothiocyanate (FITC-BSA),<br />

<strong>and</strong> it was shown that pH was an effective means <strong>of</strong><br />

controlling the loading <strong>and</strong> release <strong>of</strong> FITC-BSA.<br />

Such CS-integrated microcapsules may be used for<br />

controlled localized drug delivery as biodegradable<br />

devices, which have advantages in reducing<br />

systemic side effects <strong>and</strong> increasing drug efficacy.<br />

[36]<br />

40


Cheng TF et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):27-49<br />

Amphotericin B–intercalated liposomes<br />

Nanotechnology in drug delivery is a rapidly<br />

exp<strong>and</strong>ing field. Nanosized liposomal preparations<br />

are already in use for efficient drug delivery with<br />

better therapeutic indices. Existing methods <strong>of</strong><br />

liposome preparation are limited by problems <strong>of</strong><br />

scale-up, difficulty in controlling size, <strong>and</strong><br />

intercalation efficiency. Here researchers prepare<br />

amphotericin B–intercalated liposomes by a novel<br />

process where amphotericin B <strong>and</strong> purified<br />

phosphatidyl choline are solubilized in suitable<br />

solvent <strong>and</strong> precipitated in supercritical fluid carbon<br />

dioxide (known as a gas antisolvent technique), to<br />

obtain microsized particles that are subsequently<br />

introduced into a buffer solution. The morphology<br />

<strong>of</strong> liposomes was characterized through a<br />

phase-contrast microscope, <strong>and</strong> the particle size<br />

distribution studied by laser technique showed<br />

nanosize with a narrow range <strong>of</strong> size distribution<br />

(between 0.5 <strong>and</strong> 15 µm) <strong>and</strong> a higher intercalation<br />

efficiency. In vitro studies conducted using<br />

Aspergillus fumigatus (MTCC 870) strain proved to<br />

be efficient in the retardation <strong>of</strong> the growth <strong>of</strong> the<br />

organism. [37]<br />

Dicl<strong>of</strong>enac-loaded biopolymeric nanosuspensions<br />

Polymeric nanoparticle suspensions (NS) were<br />

prepared from poly(lactide-co- glycolide) <strong>and</strong><br />

poly(lactide-co-glycolide-leucine) {poly[Lac (Glc-<br />

Leu)]} biodegradable polymers <strong>and</strong> loaded with<br />

dicl<strong>of</strong>enac sodium (DS), with the aim <strong>of</strong> improving<br />

the ocular availability <strong>of</strong> the drug. NS were<br />

prepared by emulsion <strong>and</strong> solvent evaporation<br />

technique <strong>and</strong> characterized on the basis <strong>of</strong><br />

physicochemical properties, stability, <strong>and</strong> drug<br />

release features. The nanoparticle system showed an<br />

interesting size distribution suitable for ophthalmic<br />

application. Stability tests (as long as 6 months'<br />

storage at 5°C or at 25°C/60% relative humidity) or<br />

freeze-drying were carried out to optimize a suitable<br />

pharmaceutical preparation. In vitro release tests<br />

showed a extended-release pr<strong>of</strong>ile <strong>of</strong> DS from the<br />

nanoparticles. To verify the absence <strong>of</strong> irritation<br />

toward the ocular structures, blank NS were applied<br />

to rabbit eye <strong>and</strong> a modified Draize test performed.<br />

Polymer nano- particles seemed to be devoid <strong>of</strong> any<br />

irritant effect on cornea, iris, <strong>and</strong> conjunctiva for as<br />

long as 24 hours after application, thus apparently a<br />

suitable inert carrier for ophthalmic drug delivery.<br />

[38]<br />

Paclitaxel nanoparticles<br />

Karmali et al have used tumor-homing<br />

peptides to target abraxane, a clinically approved<br />

paclitaxel-albumin nanoparticle, to tumors in mice.<br />

The targeting was accomplished with two peptides,<br />

CREKA <strong>and</strong> LyP-1 (CGNKRTRGC). Fluorescein<br />

(FAM)-labeled CREKA-abraxane, when injected<br />

intravenously into mice bearing MDA-MB-435<br />

human cancer xenografts, accumulated in tumor<br />

blood vessels, forming aggregates that contained<br />

red blood cells <strong>and</strong> fibrin. FAM-LyP-1-abraxane<br />

co-localized with extravascular isl<strong>and</strong>s expressing<br />

its receptor, p32. Self-assembled mixed micelles<br />

carrying the homing peptide <strong>and</strong> the label on<br />

different subunits accumulated in the same areas <strong>of</strong><br />

tumors as LyP-1-abraxane, showing that Lyp-1 can<br />

deliver intact nanoparticles into extravascular sites.<br />

Untargeted, FAM-abraxane was detected in the<br />

form <strong>of</strong> a faint meshwork in tumor interstitium.<br />

LyP-1-abraxane produced a statistically highly<br />

significant inhibition <strong>of</strong> tumor growth compared<br />

with untargeted abraxane. These results show that<br />

nanoparticles can be effectively targeted into<br />

extravascular tumor tissue <strong>and</strong> that targeting can<br />

enhance the activity <strong>of</strong> a therapeutic nanoparticle.<br />

[39]<br />

Nano–atropine sulfate dry powder inhaler<br />

The work <strong>of</strong> Raisuddin Ali et al was to develop,<br />

characterize, <strong>and</strong> carry out a clinical trial with<br />

nano–atropine sulfate (nano-AS) dry powder inhaler<br />

(DPI), because this route may <strong>of</strong>fer several<br />

advantages over the conventional intramuscular<br />

route as an emergency treatment, including ease <strong>of</strong><br />

administration <strong>and</strong> more rapid bioavailability.<br />

Different batches <strong>of</strong> nanoparticles <strong>of</strong> AS were<br />

produced using variants <strong>of</strong> nanoprecipitation<br />

method. The influence <strong>of</strong> the process parameters,<br />

such as the types <strong>and</strong> quantity <strong>of</strong> solvent <strong>and</strong><br />

nonsolvent, the stirring speed, the solventto-nonsolvent<br />

volume ratio, <strong>and</strong> the drug<br />

concentration, was investigated. The methodology<br />

resulted in optimally sized particles. Bulk properties<br />

<strong>of</strong> the particles made by the chosen methodology<br />

41


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were evaluated. A clinical trial was conducted in six<br />

healthy individuals using a single DPI capsule<br />

containing 6 mg nano-AS DPI in lactose. Early<br />

blood bioavailability <strong>and</strong> atropinization pattern<br />

confirmed its value as a potential replacement to<br />

parenteral atropine in field conditions. The<br />

formulation seems to have the advantage <strong>of</strong> early<br />

therapeutic drug concentration in blood due to<br />

absorption through the lungs as well as sustained<br />

action due to absorption from the gut <strong>of</strong> the<br />

remaining portion <strong>of</strong> the drug. [40]<br />

Drug delivery <strong>of</strong> siRNA therapeutics<br />

A review by Daniela Reischl <strong>and</strong><br />

Andreas Zimmer focuses on different pathways for<br />

siRNA delivery <strong>and</strong> summarizes recent progress<br />

made in the use <strong>of</strong> vector-based siRNA technology.<br />

Gene therapy is a promising tool for the treatment<br />

<strong>of</strong> human diseases that cannot be cured by rational<br />

therapies. The major limitation for the use <strong>of</strong> small<br />

interfering RNA (siRNA), both in vitro <strong>and</strong> in vivo,<br />

is the inability <strong>of</strong> naked siRNA to passively diffuse<br />

through cellular membranes due to the strong<br />

anionic charge <strong>of</strong> the phosphate backbone <strong>and</strong><br />

consequent electrostatic repulsion from the anionic<br />

cell membrane surface. Therefore, the primary<br />

success <strong>of</strong> siRNA applications depends on suitable<br />

vectors to deliver therapeutic genes. Cellular<br />

entrance is further limited by the size <strong>of</strong> the applied<br />

siRNA molecule. Multiple delivery pathways, both<br />

viral <strong>and</strong> nonviral, have been developed to bypass<br />

these problems <strong>and</strong> have been successfully used to<br />

gain access to the intracellular environment in vitro<br />

<strong>and</strong> in vivo, <strong>and</strong> to induce RNA interference<br />

(RNAi). [41]<br />

Translational implications for diagnosis <strong>and</strong><br />

therapy: Esophageal adenocarcinoma arises in the<br />

backdrop <strong>of</strong> Barrett metaplasia-dysplasia sequence,<br />

with the vast majority <strong>of</strong> patients presenting with<br />

late-stage malignancy. Mesothelin, a glycophosphatidylinositol-anchored<br />

protein, is aberrantly<br />

overexpressed on the surface <strong>of</strong> many solid cancers.<br />

Mesothelin expression was assessed in esophageal<br />

tissue microarrays encompassing the entire<br />

histological spectrum <strong>of</strong> Barrett-associated<br />

dysplasia <strong>and</strong> adenocarcinoma. Mesothelin<br />

expression was observed in 24/84 (29%) <strong>of</strong> invasive<br />

adeno- carcinomas <strong>and</strong> in 5/34 (15%) lymph node<br />

metastases. In contrast, normal squamous <strong>and</strong><br />

cardiac mucosa, as well as noninvasive Barrett<br />

lesions, failed to label with mesothelin. Mesothelin<br />

was expressed in the esophageal adenocarcinoma<br />

cell line JH-EsoAd1 but not in primary human<br />

esophageal epithelial cells. Anti-mesothelin<br />

antibody–conjugated CdSe/CDS/ ZnS quantum rods<br />

were synthesized, <strong>and</strong> confocal bioimaging<br />

confirmed robust binding to JH-EsoAd1 cells.<br />

Anti-mesothelin antibody– conjugated nanoparticles<br />

can be useful for the diagnosis <strong>and</strong> therapy<br />

<strong>of</strong> mesothelin-overexpressing esophageal adenocarcinomas.<br />

[42]<br />

Research <strong>and</strong> development <strong>of</strong> nanomedicines<br />

in the future<br />

Nanotechnology will alter our relationship with<br />

molecules <strong>and</strong> matter pr<strong>of</strong>oundly. Research on<br />

productive nanosystems will eventually develop<br />

programmable, molecular-scale systems that make<br />

other useful nano-structured materials <strong>and</strong> devices.<br />

These systems will enable a new manufacturing base<br />

that can produce both small <strong>and</strong> large objects<br />

precisely <strong>and</strong> inexpensively. Nano-risk research is<br />

conducted by agencies that oversee health <strong>and</strong><br />

environmental regulations. Nanotechnology, dealing<br />

with functional structures <strong>and</strong> materials smaller than<br />

100nm, is emerging as a truly interdisciplinary research<br />

area spanning several traditional scientific disciplines. In<br />

keeping with the growing trend, there is a strong need for a<br />

platform to share original research related to applications <strong>of</strong><br />

nanotechnology in biomedical fields. At the hearing,<br />

leaders <strong>of</strong> the Nanotechnology Environmental <strong>and</strong><br />

Health Implications working group, an interagency<br />

panel that coordinates federal funding on health <strong>and</strong><br />

environmental risks <strong>of</strong> nanotechnology, released a<br />

long-overdue report outlining research needed to<br />

buttress regulation <strong>of</strong> products in the field. There is<br />

far less agreement on how that money should be<br />

spent <strong>and</strong> coordinated. Research on Nanotech<br />

environmental health <strong>and</strong> safety in government<br />

agencies, academic institutions, <strong>and</strong> industry is being<br />

performed in an ad hoc fashion according to<br />

individual priorities. Yet the vast majority <strong>of</strong><br />

nanotoxicology studies focus on those materials,<br />

while ignoring broad classes <strong>of</strong> other materials<br />

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already on the market. [43]<br />

The nanomedicine research is a goal <strong>and</strong> needs a<br />

long-term plan, which is to quantitatively<br />

characterize the molecular-scale components, or<br />

nanomachinery, <strong>of</strong> living cells <strong>and</strong> to precisely<br />

control <strong>and</strong> manipulate these molecular <strong>and</strong><br />

supramolecular assemblies in living cells to improve<br />

human health. Nanomedicine will exploit <strong>and</strong> build<br />

upon other research findings in nanotechnology <strong>and</strong><br />

apply it to the study <strong>of</strong> molecular systems in living<br />

cells that contain a multitude <strong>of</strong> nanoscale structures,<br />

such as membrane transporters, processes such as<br />

self-assembly <strong>of</strong> protein–nucleic acid complexes, <strong>and</strong><br />

nanomachines such as molecular motors. The<br />

benefits <strong>of</strong> nanomedicine include dramatically<br />

exp<strong>and</strong>ed knowledge <strong>of</strong> the human genome, a greater<br />

underst<strong>and</strong>ing <strong>of</strong> the pathophysiology <strong>of</strong> specific<br />

diseases at the molecular scale, more specific<br />

treatment <strong>of</strong> diseases, <strong>and</strong> the ability to underst<strong>and</strong><br />

the dynamic behavior <strong>of</strong> dysfunctional cellular<br />

machinery in the context <strong>of</strong> the total cell<br />

machinery. [44] Robert A <strong>and</strong> Freitas Jr given an<br />

overview <strong>of</strong> this rapidly exp<strong>and</strong>ing <strong>and</strong> exciting<br />

nanomedicine field. Over the next 5 to 10 years,<br />

nanomedicine will address many important medical<br />

problems by using nanoscale-structured materials <strong>and</strong><br />

simple nanodevices that can be manufactured today.<br />

Many approaches to nanomedicine being pursued<br />

today are already close enough to fruition that it is<br />

fair to say that their successful development is almost<br />

inevitable, <strong>and</strong> their subsequent incorporation into<br />

valuable medical diagnostics or clinical therapeutics<br />

is highly likely <strong>and</strong> may occur very soon. [45]<br />

The science <strong>of</strong> nanomedicine exploits <strong>and</strong> builds<br />

upon novel research findings in nanotechnology,<br />

biology, <strong>and</strong> medicine; it unifies the efforts <strong>of</strong><br />

scientists, engineers, <strong>and</strong> physicians determined to<br />

apply their latest research results to translational <strong>and</strong><br />

clinical medicine by developing novel approaches<br />

<strong>and</strong> a better underst<strong>and</strong>ing <strong>of</strong> solutions to<br />

health-relatedissues, ultimately improving the quality<br />

<strong>of</strong> life. The last few years have seen unprecedented<br />

advances in the field <strong>of</strong> biology. The decoding <strong>of</strong> the<br />

human genome coupled with improving gene<br />

transfection technologies <strong>of</strong>fer great opportunities for<br />

treating illnesses. In analysis <strong>and</strong> diagnosis,<br />

lab-on-a-chip methods have surpassed earlier ex-vivo<br />

<strong>and</strong> in-vivo detection methods while also aiding<br />

toxicology efforts. In medicine, improvements in<br />

targeted drug delivery, imaging, <strong>and</strong> therapy have led<br />

to such successful interventions in cancer therapies.<br />

[46]<br />

Although there are only a few FDA-approved<br />

nanopharmaceuticals on the market today, these<br />

formulations are already impacting medicine <strong>and</strong><br />

promise to alter healthcare. Based on their ability to<br />

reduce time-to-market, extend the economic life <strong>of</strong><br />

proprietary drugs <strong>and</strong> create additional revenue<br />

streams, nanopharmaceuticals should greatly impact<br />

medical practice <strong>and</strong> healthcare. However, if this is to<br />

happen effectively, there are a few key biological<br />

requirements for nanopharmaceuticals to fulfill: (1)<br />

they must exhibit stealth qualities to evade<br />

macrophage attack <strong>and</strong> the immune response; (2) be<br />

nontoxic <strong>and</strong> traceable; (3) display effective<br />

pharmacokinetic properties; (4) be biodegradable<br />

following systemic administration through any route<br />

(but the polymer must protect the embedded active);<br />

<strong>and</strong> (5) they must be selective to be effective in<br />

targeting specific tissue sites. Srikumaran Melethil<br />

(Chair <strong>and</strong> Pr<strong>of</strong>essor <strong>of</strong> Pharmaceutical Sciences at<br />

the University <strong>of</strong> Findlay, Findlay, OH) discussed the<br />

metabolic fate <strong>of</strong> nanopharmaceuticals upon delivery<br />

to the human body, <strong>and</strong> presented pharmacokinetic<br />

data relating to numerous nanoparticulate drugs <strong>and</strong><br />

highlighted the critical role <strong>of</strong> the FDA in<br />

nanomedicine. According to him, further knowledge<br />

<strong>of</strong> how the human body transports, distributes <strong>and</strong><br />

clears nanoparticles via the vascular <strong>and</strong> lymphatic<br />

systems (i.e.,biodistribution <strong>of</strong> nanoparticles) is also<br />

needed to get a h<strong>and</strong>le on metabolic <strong>and</strong> toxicity<br />

issues. Nanomedicine will eventually become an<br />

integral part <strong>of</strong> mainstream medicine <strong>and</strong> a st<strong>and</strong>ard<br />

in the drug industry. For example, the market impact<br />

<strong>of</strong> nanopharmaceuticals on the pharmaceutical <strong>and</strong><br />

biotech industries is already being felt. However, for<br />

nanomedicine to be a viable commercial entity,<br />

desperately needed reforms to overhaul the PTO<br />

along with clearer regulatory guidelines <strong>and</strong> safety<br />

st<strong>and</strong>ards from federal agencies such as the FDA will<br />

be needed.<br />

Ethical question <strong>of</strong> nanomedicine is an important<br />

issue. Ginger Gruters (The President's Council on<br />

Bioethics, Washington, DC) presented on ethical<br />

considerations that are likely to play a significant role<br />

in nanomedicine, <strong>and</strong> stated that, as with other<br />

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Cheng TF et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):27-49<br />

biomedical advances coming before it, nanomedicine<br />

will face significant ethical challenges as it moves<br />

from pro<strong>of</strong>-<strong>of</strong>-concept to the clinic. Along the<br />

way,ethical questions regarding social justice,<br />

privacy <strong>and</strong> confidentiality, long-term risks <strong>and</strong><br />

benefits, <strong>and</strong> human enhancement are certain to<br />

arise. [47]<br />

Appurtenances:<br />

Introduction to <strong>Journal</strong>s on Nano<br />

Nature Nanotechnology<br />

Nature Nanotechnology is a multidisciplinary<br />

journal that publishes papers <strong>of</strong> the highest quality <strong>and</strong><br />

significance in all areas <strong>of</strong> nanoscience <strong>and</strong><br />

nanotechnology. The journal covers research into the<br />

design, characterization <strong>and</strong> production <strong>of</strong> structures,<br />

devices <strong>and</strong> systems that involve the manipulation <strong>and</strong><br />

control <strong>of</strong> materials <strong>and</strong> phenomena at atomic, molecular<br />

<strong>and</strong> macromolecular scales. Both bottom-up <strong>and</strong><br />

top-down approaches - <strong>and</strong> combinations <strong>of</strong> the two - are<br />

covered. Nature Nanotechnology also encourages the<br />

exchange <strong>of</strong> ideas between chemists, physicists, material<br />

scientists, biomedical researchers, engineers <strong>and</strong> other<br />

researchers who are active at the frontiers <strong>of</strong> this diverse<br />

<strong>and</strong> multidisciplinary field. Coverage extends from basic<br />

research in physics, chemistry <strong>and</strong> biology, including<br />

computational work <strong>and</strong> simulations, through to the<br />

development <strong>of</strong> new devices <strong>and</strong> technologies for<br />

applications in a wide range <strong>of</strong> industrial sectors<br />

(including information technology, medicine,<br />

manufacturing, high-performance materials, <strong>and</strong> energy<br />

<strong>and</strong> environmental technologies). Organic, inorganic <strong>and</strong><br />

hybrid materials are all covered. Research areas covered<br />

in the journal include: Carbon nanotubes <strong>and</strong> fullerenes,<br />

Computational nanotechnology, Electronic properties <strong>and</strong><br />

devices, Environmental, health <strong>and</strong> safety<br />

issues,Molecular machines <strong>and</strong> motors, Molecular<br />

self-assembly, Nanobiotechnology, Nan<strong>of</strong>luidics,<br />

Nanomagnetism <strong>and</strong> spintronics, Nanomaterials,<br />

Nanomedicine,<br />

Nanometrology <strong>and</strong> instrumentation,<br />

Nanoparticles, Nanosensors <strong>and</strong> other devices, NEMS,<br />

Organic–inorganic nanostructures, Photonic structures<br />

<strong>and</strong> devices, Quantum information, Structural properties,<br />

Surface patterning <strong>and</strong> imaging <strong>and</strong> Synthesis <strong>and</strong><br />

processing.<br />

Nature Nanotechnology also publishes review<br />

articles, news <strong>and</strong> views, research highlights about<br />

important papers published in other journals,<br />

commentaries, book reviews, correspondence, <strong>and</strong> articles<br />

about the broader nanotechnology picture — funding,<br />

commercialization, ethical <strong>and</strong> social issues, <strong>and</strong> so on. In<br />

this way, the journal aims to be the voice <strong>of</strong> the<br />

worldwide nanoscience <strong>and</strong> nanotechnology community.<br />

Nature Nanotechnology <strong>of</strong>fers readers <strong>and</strong> authors high<br />

visibility, access to a broad readership, high st<strong>and</strong>ards <strong>of</strong><br />

copy editing <strong>and</strong> production, rigorous peer review, rapid<br />

publication, <strong>and</strong> independence from academic societies<br />

<strong>and</strong> other vested interests.<br />

<strong>Journal</strong> <strong>of</strong> Nanoscience <strong>and</strong> Nanotechnology<br />

<strong>Journal</strong> <strong>of</strong> Nanoscience <strong>and</strong> Nanotechnology (JNN)<br />

is an international <strong>and</strong> multidisciplinary peer-reviewed<br />

journal with a wide-ranging coverage, consolidating<br />

research activities in all areas <strong>of</strong> nanoscience <strong>and</strong><br />

nanotechnology into a single <strong>and</strong> unique reference source.<br />

JNN is the first cross-disciplinary journal to publish<br />

original full research articles, rapid communications <strong>of</strong><br />

important new scientific <strong>and</strong> technological findings,<br />

timely state-<strong>of</strong>-the-art reviews with author's photo <strong>and</strong><br />

short biography, <strong>and</strong> current research news encompassing<br />

the fundamental <strong>and</strong> applied research in all disciplines <strong>of</strong><br />

science, engineering <strong>and</strong> medicine. Topics covered in the<br />

journal include: Synthesis <strong>of</strong> Nanostructured <strong>and</strong><br />

Nanoscale Materials, Nan<strong>of</strong>abrication <strong>and</strong> Processing <strong>of</strong><br />

Nanoscale Materials <strong>and</strong> Device; Atomic <strong>and</strong> Nanoscale<br />

Characterization <strong>of</strong> Functional Materials <strong>and</strong><br />

Bio-assemblies; Nanoprobes, Properties <strong>of</strong> Nanoscale<br />

Materials, Nanocatalysis; Nanocomposites, Nanoparticles,<br />

Nanocrystalline Materials, <strong>and</strong> Nanoclusters;<br />

Superlattices, Quantum Dots, Quantum Wires, Quantum<br />

Wells, Nanoscale Thin Films ; Fullerenes, Nanotubes,<br />

Nanorods, Molecular Wires, Molecular Nanotechnology;<br />

Supramolecules, Dendrimers, Self-Assemblies,<br />

Low-dimension Structures; Nanophysics, Nanoelectronics,<br />

Nano-Optics, Nanomagnetism <strong>and</strong> Nanodevices; Atomic<br />

Manipulation, Computational Nanotechnology, Molecular<br />

Nanoscience; Nanochips, Nanosensors <strong>and</strong><br />

Nano-integration, Nan<strong>of</strong>luidics, Nanomachining;<br />

Structure Analysis at Atomic, Molecular, <strong>and</strong> Nanometer<br />

range; Nanorobotics, Nanotribology, <strong>and</strong> Novel<br />

Applications <strong>of</strong> Nanostructured Materials <strong>and</strong><br />

Nanobiotechnology, Biochemical Assemblies, BioMEMS,<br />

Biomimetic Materials Nanoscale Genomics, DNA<br />

Sequencing, Nanomedicines, Drug Delivery, Biomedical<br />

Nanotechnolog.<br />

44


Cheng TF et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):27-49<br />

Nano<br />

NANO is an international peer-reviewed journal for<br />

nanoscience <strong>and</strong> nanotechnology that presents forefront<br />

fundamental research <strong>and</strong> new emerging topics. It<br />

features timely scientific reports <strong>of</strong> new results <strong>and</strong><br />

technical breakthroughs <strong>and</strong> also contains interesting<br />

review articles about recent hot issues. NANO provides an<br />

ideal forum for presenting original reports <strong>of</strong> theoretical<br />

<strong>and</strong> experimental nanoscience <strong>and</strong> nanotechnology<br />

research. Research areas <strong>of</strong> interest include:<br />

nanomaterials including nano-related biomaterials, new<br />

phenomena <strong>and</strong> newly developed characterization tools,<br />

fabrication methods including by self-assembly, device<br />

applications, <strong>and</strong> numerical simulation, modeling, <strong>and</strong><br />

theory.<br />

Nano Letters<br />

Nano Letters reports on fundamental research in all<br />

branches <strong>of</strong> the theory <strong>and</strong> practice <strong>of</strong> nanoscience <strong>and</strong><br />

nanotechnology, providing rapid disclosure <strong>of</strong> the key<br />

elements <strong>of</strong> a study, publishing preliminary, experimental,<br />

<strong>and</strong> theoretical results on the physical, chemical, <strong>and</strong><br />

biological phenomena, along with processes <strong>and</strong><br />

applications <strong>of</strong> structures within the nanoscale range.<br />

Among the areas <strong>of</strong> interest the journal covers are:<br />

Synthesis <strong>and</strong> processing <strong>of</strong> organic, inorganic, <strong>and</strong><br />

hybrid nanosized materials by physical, chemical, <strong>and</strong><br />

biological methods; Modeling <strong>and</strong> simulation <strong>of</strong> synthetic,<br />

assembly, <strong>and</strong> interaction processes; Characterization <strong>of</strong><br />

size-dependant properties; <strong>and</strong> Realization <strong>and</strong><br />

application <strong>of</strong> novel nanostructures <strong>and</strong> nanodevices The<br />

Nano Letters manuscript submission process is fully<br />

electronic, to ensure the rapid publication <strong>of</strong> results.<br />

Manuscripts should be submitted via our secure Web site.<br />

Manuscripts submitted by hardcopy mail or by e-mail will<br />

not be processed. Introduction Nano Letters invites<br />

original reports <strong>of</strong> fundamental research in all branches <strong>of</strong><br />

the theory <strong>and</strong> practice <strong>of</strong> nanoscience <strong>and</strong><br />

nanotechnology.<br />

<strong>Journal</strong> <strong>of</strong> Nano Research<br />

<strong>Journal</strong> <strong>of</strong> Nano Research (J Nano R) is a<br />

multidisciplinary peer-reviewed journal, which publishes<br />

high quality work on ALL aspects <strong>of</strong> nanoscience <strong>and</strong><br />

nanotechnology. Currently, it st<strong>and</strong>s alone in serving the<br />

global “nano” community in providing up-to-date<br />

information on all developments <strong>and</strong> progresses being<br />

made in nanoscience <strong>and</strong> nanotechnology <strong>and</strong> the future<br />

predictions for this extraordinary technology.<br />

<strong>Journal</strong> <strong>of</strong> Nanotechnology Online<br />

The Online <strong>Journal</strong> <strong>of</strong> Nanotechnology is based on a<br />

free access publishing model, coupled with what is<br />

believed to be a unique development in the field <strong>of</strong><br />

scientific publishing – the distribution <strong>of</strong> journal revenue<br />

between the authors, peer reviewers <strong>and</strong> site operators<br />

(OARS). The revenue received from the journal related<br />

advertising <strong>and</strong> sponsorship will be distributed according<br />

to the following general criteria: Authors receive a<br />

revenue share <strong>of</strong> 50% <strong>of</strong> the related revenue their<br />

contributions attract. Peer reviewers receive a revenue<br />

share <strong>of</strong> 20%. The site administrators receive a revenue<br />

share <strong>of</strong> 30%. This revenue share will apply throughout<br />

the on-line published life <strong>of</strong> the individual article or paper.<br />

The Online <strong>Journal</strong> <strong>of</strong> Nanotechnology papers will<br />

benefit from being hosted on the AZoNano.com website<br />

<strong>and</strong> database platform as they will take advantage <strong>of</strong> the<br />

existing AZoNano.com search tools. These search tools<br />

make it very easy for site visitors to locate nanotech<br />

information which directly relates to their research areas,<br />

applications <strong>and</strong> industrial sectors.<br />

<strong>Journal</strong> <strong>of</strong> Nano Education<br />

The <strong>Journal</strong> <strong>of</strong> Nano Education (JNE) is a<br />

peer-reviewed international journal that aims to provide<br />

the most complete <strong>and</strong> reliable source <strong>of</strong> information on<br />

current developments in nanoscale science, technology,<br />

engineering, <strong>and</strong> medical education. JNE publishes a<br />

comprehensive range <strong>of</strong> articles including topics in the<br />

following areas: Nanoscale science, technology,<br />

engineering, <strong>and</strong> medical education at the K-12,<br />

undergraduate <strong>and</strong> graduate levels (formal <strong>and</strong> informal,<br />

including public outreach <strong>and</strong> dissemination activities);<br />

K-12 science teacher education <strong>and</strong> pr<strong>of</strong>essional<br />

development; Scientific <strong>and</strong> technological literacy/public<br />

underst<strong>and</strong>ing <strong>of</strong> nanoscale science, technology,<br />

engineering, <strong>and</strong> medicine; Curriculum development <strong>and</strong><br />

assessment; Social <strong>and</strong> ethical issues associated with<br />

nanoscale science, technology, engineering, <strong>and</strong> medical<br />

research; Workforce preparation (pr<strong>of</strong>essional <strong>and</strong><br />

vocational); National <strong>and</strong> state science st<strong>and</strong>ards <strong>and</strong> their<br />

relationships to the goals <strong>of</strong> nanoeducation initiatives<br />

worldwide; Current nanoscale science, technology,<br />

engineering, <strong>and</strong> medical education research; Other<br />

pertinent areas <strong>of</strong> interest to nanoscale science,<br />

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technology, engineering, <strong>and</strong> medical researchers &<br />

educators. JNE also will serve as a forum for commentary<br />

<strong>and</strong> debate on related issues.<br />

<strong>Journal</strong> <strong>of</strong> Computational <strong>and</strong> Theoretical<br />

Nanoscience<br />

<strong>Journal</strong> <strong>of</strong> Computational <strong>and</strong> Theoretical<br />

Nanoscience is an international peer-reviewed journal<br />

with a wide-ranging coverage, consolidates research<br />

activities in all aspects <strong>of</strong> computational <strong>and</strong> theoretical<br />

nanoscience into a single reference source. This journal<br />

<strong>of</strong>fers scientists <strong>and</strong> engineers peer-reviewed research<br />

papers in all aspects <strong>of</strong> computational <strong>and</strong> theoretical<br />

nanoscience <strong>and</strong> nanotechnology in chemistry, physics,<br />

materials science, engineering <strong>and</strong> biology to publish<br />

original full papers <strong>and</strong> timely state-<strong>of</strong>-the-art reviews<br />

<strong>and</strong> short communications encompassing the fundamental<br />

<strong>and</strong> applied research. Topics include: Assemblers, basic<br />

physics, biological systems, biochemical systems, bionics,<br />

biophysics, CAD, carbon systems, cellular mechanisms,<br />

chaotic systems, circuits, clusters, cluster systems,<br />

complex aggregates, computer codes, crystal growth, data<br />

analysis, defined chain length molecules, devices,<br />

diffusion processes, DNA, drug design, dynamics,<br />

electronics, electronic properties, enzyme reactivity <strong>and</strong><br />

reactions, equation <strong>of</strong> state, friction, computational<br />

genomics, gene technology, genetics, holistic views,<br />

information theory, interactions, ion channelling, kinetics,<br />

macromolecules, molecular interactions, large scale<br />

simulations, liquids, liquid crystals, luminescence,<br />

magnetic structures, manufacturing, many-particle<br />

systems, metallurgy, materials, material properties,<br />

mechanical models, metals, mathematical methods,<br />

molecule design, molecular dynamics, molecular<br />

mechanics, Monte Carlo simulations, multi-scale methods,<br />

nanomachines, nano-optics, nanorobotics,<br />

nanotechnology <strong>and</strong> ethics, noble gases, nonlinear optics,<br />

numerical algorithm, numerical procedures, oligomers,<br />

optoelectronics, phase transitions, phenomenological<br />

theory, philosophical implications <strong>and</strong> positions, photonic<br />

crystals, polymers, potential development, protein folding,<br />

quantum chemistry, quantum computers, quantum dots,<br />

quantum electronics <strong>and</strong> optics, quantum technology,<br />

replicators, RNA, semiconductors, superconductors, solid<br />

state physics, statistical physics, structural chemistry,<br />

structures, structures on surfaces, surfaces, technological<br />

applications, theoretical biosciences, theoretical physics,<br />

thermodynamics thought experiments, wear, <strong>and</strong> much<br />

more.<br />

<strong>Journal</strong> <strong>of</strong> Biomedical Nanotechnology<br />

<strong>Journal</strong> <strong>of</strong> Biomedical Nanotechnology (JBN) is<br />

being created as an international peer-reviewed periodical<br />

that covers applications <strong>of</strong> nanotechnology in all fields <strong>of</strong><br />

life sciences. JBN publishes original full papers <strong>and</strong><br />

timely state-<strong>of</strong>-the-art reviews with author's photo <strong>and</strong><br />

biography, <strong>and</strong> short communications encompassing the<br />

fundamental <strong>and</strong> applied research aspects. To speed up<br />

the reviewing process, we will provide on-line refereeing<br />

<strong>of</strong> all articles submitted in electronic form. Authors<br />

receive these benefits: Electronic submission <strong>of</strong> articles,<br />

Fast reviewing, Rapid times to publication, No page<br />

charges, Free color where justified, Distinguished<br />

editorial board <strong>and</strong> Available in print <strong>and</strong> online<br />

editions. Topics include: Broadly speaking, <strong>Journal</strong> <strong>of</strong><br />

Biomedical Nanotechnology covers applications <strong>of</strong><br />

nanotechnology in biotechnology, medicine, biosciences,<br />

<strong>and</strong> all other related fields <strong>of</strong> life sciences. The coverage<br />

includes applications <strong>of</strong> nanotechnology in all fields <strong>of</strong><br />

life sciences, all kinds <strong>of</strong> nanoscale biomaterials,<br />

biomimetics <strong>of</strong> biological materials <strong>and</strong> machines,<br />

nanoprobes, biocompatible surfaces, functional<br />

bioengineered materials, polypeptides, bioceramics,<br />

biopolymers, organic-inorganic hybrid biomaterials,<br />

nanocomposites, biological macromolecules, proteins,<br />

enzymes, kinases, phosphatases, DNA-based<br />

nanostructures, molecular assemblies, biomolecules, cells,<br />

<strong>and</strong> glycans, biochips, microarrays, biocompatibility<br />

aspects <strong>of</strong> materials, interactions between biomaterials,<br />

protein-surface, cells, tissue <strong>and</strong> organs, cellular matrix<br />

interaction,, artificial muscles <strong>and</strong> organs, biomembranes,<br />

bioseparation process, drug delivery, biopolymers for<br />

orthopedic <strong>and</strong> cardiovascular applications, dentistry,<br />

bone, bioanalysis, biosensors, molecular sensors, clinical<br />

diagnostic techniques, nanoparticles for drug delivery,<br />

dendrimers for medicine, biomedical implantation,<br />

biomechanics, bioinstrumentation, nanoscale physiology<br />

<strong>and</strong> pathology, bioinformatics, nanoscale genetics <strong>and</strong><br />

genome research, gene expression, immunoassays,<br />

proteomics <strong>and</strong> protein-based nanostructures, sequencing<br />

<strong>of</strong> nucleic acid, DNA <strong>and</strong> RNA, biomarkers,<br />

biocomputing, instrumentation techniques for<br />

nanobioscience, nanoscale cellular <strong>and</strong> tissue engineering,<br />

nanodevices, biomedical nanoelectronics, biomedical<br />

microsystems, biochemistry <strong>and</strong> biophysics aspects,<br />

46


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BioMEMS, nan<strong>of</strong>abrication, nanotubes, lab-on-a-chip,<br />

biological motors, biomembranes, nan<strong>of</strong>ilters, biosensors,<br />

nanotechnologies for cell <strong>and</strong> tissues, nan<strong>of</strong>luidics,<br />

pharmaceutical nanotechnology, drug <strong>and</strong> gene delivery,<br />

therapeutic proteins, disease control, cancer therapeutics,<br />

diagnostic techniques, nanoscale imaging, nanoanalysis,<br />

spectroscopic studies using X-ray, STM, AFM, SNOM,<br />

systems biology, computational biology, etc., <strong>and</strong> much<br />

more.<br />

International <strong>Journal</strong> <strong>of</strong> Nanoscience (IJN)<br />

International <strong>Journal</strong> <strong>of</strong> Nanoscience (IJN) This<br />

inter-disciplinary, internationally-reviewed research<br />

journal covers all aspects <strong>of</strong> nanometer scale science <strong>and</strong><br />

technology. Articles in any contemporary topical areas<br />

are sought, from basic science <strong>of</strong> nanoscale physics <strong>and</strong><br />

chemistry to applications in nanodevices, quantum<br />

engineering <strong>and</strong> quantum computing. IJN will include<br />

articles in the following research areas (<strong>and</strong> other related<br />

areas): Properties Effected by Nanoscale Dimensions,<br />

Atomic Manipulation, Coupling <strong>of</strong> Properties at the<br />

Nanoscale; Controlled Synthesis, Fabrication <strong>and</strong><br />

Processing at the Nanoscale; Nanoscale Precursors <strong>and</strong><br />

Assembly, Nanostructure Arrays, Fullerenes, Carbon<br />

Nanotubes <strong>and</strong> Organic Nanostructures, Quantum Dots,<br />

Quantum Wires, Quantum Wells, Superlattices;<br />

Nanoelectronics, Single Electron Electronics <strong>and</strong> Devices,<br />

Molecular Electronics, Quantum Computing;<br />

Nanomechanics, Nanobiological Function <strong>and</strong> Life<br />

Sciences; Nanoscale Instrumentation <strong>and</strong> Characterization<br />

<strong>and</strong> Nano-optics, Photonic Crystals with Nanoscale<br />

Structural Fidelity.<br />

Nano Research<br />

With the development <strong>of</strong> modern nanotecnology<br />

<strong>and</strong> the inburst <strong>of</strong> various new ideas, new concepts <strong>and</strong><br />

new thinking manners, more <strong>and</strong> more researchers have<br />

realized that nanotechnology must roots in the essences <strong>of</strong><br />

international culture, with deep apperception to the<br />

traditional Chinese characteristics, absorbing <strong>and</strong><br />

digesting the foreign consciousness, so that publishers can<br />

construct this journal with a high impact factor in the<br />

future; <strong>and</strong> find the real progress <strong>of</strong> Chinese<br />

nanotechnology which is recognized by the whole world.<br />

ACS Nano<br />

ACS Nano is an international forum for the<br />

communication <strong>of</strong> comprehensive articles on nanoscience<br />

<strong>and</strong> nanotechnology research at the interfaces <strong>of</strong><br />

chemistry, biology, materials science, physics, <strong>and</strong><br />

engineering. Moreover, the journal helps facilitate<br />

communication among scientists from these research<br />

communities in developing new research opportunities,<br />

advancing the field through new discoveries, <strong>and</strong> reaching<br />

out to scientists at all levels. ACS Nano publishes<br />

comprehensive articles on synthesis, assembly,<br />

characterization, theory, <strong>and</strong> simulation <strong>of</strong> nanostructures<br />

(nanomaterials <strong>and</strong> assemblies, nanodevices, <strong>and</strong><br />

self-assembled structures), nanobiotechnology,<br />

nan<strong>of</strong>abrication, methods <strong>and</strong> tools for nanoscience <strong>and</strong><br />

nanotechnology, <strong>and</strong> self- <strong>and</strong> directed-assembly. In<br />

addition to comprehensive, original research articles, ACS<br />

Nano <strong>of</strong>fers thorough reviews, perspectives on<br />

cutting-edge research, conversations with nanoscience<br />

<strong>and</strong> nanotechnology thought leaders, <strong>and</strong> discussions <strong>of</strong><br />

topics that provide distinctive views about the future <strong>of</strong><br />

nanoscience <strong>and</strong> nanotechnology.<br />

Nanomedicine<br />

Nanomedicine: Nanotechnology, Biology, <strong>and</strong><br />

Medicine (Nanomedicine: NBM) is an international,<br />

peer-reviewed journal. Each quarterly issue <strong>of</strong><br />

Nanomedicine: NBM presents basic, clinical, <strong>and</strong><br />

engineering research in the field <strong>of</strong> nanomedicine. Article<br />

categories include basic, diagnostic, experimental, clinical,<br />

engineering, pharmacologic, <strong>and</strong> toxicologic<br />

nanomedicine. In addition, regular features will address<br />

the commercialization <strong>of</strong> nanomedicine advances, ethics<br />

in nanomedicine, funding opportunities, <strong>and</strong> other topics<br />

<strong>of</strong> interest to researchers <strong>and</strong> clinicians. We invite authors<br />

to submit original manuscripts <strong>and</strong> review articles. The<br />

<strong>Journal</strong> is indexed or abstracted in PubMed/MEDLINE,<br />

BIOSIS Previews, EMBASE, SCOPUS, Biological<br />

Abstracts, Science Citation Index Exp<strong>and</strong>ed (SciSearch),<br />

Biotechnology Citation Index®, <strong>and</strong> <strong>Journal</strong> Citation<br />

Reports/Science Edition.<br />

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Development <strong>and</strong> characterization <strong>of</strong> hyaluronic<br />

acid–anchored PLGA nanoparticulate carriers <strong>of</strong><br />

doxorubicin. Nanomed 2007; 3(4):246-257.<br />

34. Tarl W. Prow, Imran Bhutto, Sahng Y. Kim, Rhonda<br />

Grebe, Carol Merges, Koichi Uno, Mohamed Mennon,<br />

Li Rodriguez, Kam Leong, Gerard A. Lutty. Ocular<br />

nanoparticle toxicity <strong>and</strong> transfection <strong>of</strong> the retina <strong>and</strong><br />

retinal pigment epithelium. Nanomed 2008; 4(4):340-349.<br />

35. Prashanth K. Jayanna, Vladimir P. Torchilin, Valery<br />

A. Petrenko. Liposomes targeted by fusion phage proteins.<br />

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36. Qinghe Zhao, Bingyun Li. pH-controlled drug loading <strong>and</strong><br />

release from biodegradable microcapsules. Nanomed 2008;<br />

4(4):302-310.<br />

37. Udaya Sankar Kadimi, Deepan Raja Balasubramanian,<br />

Usha Rani Ganni, Manohar Balaraman, Venkateswaran<br />

Govindarajulu. In vitro studies on liposomal amphotericin<br />

B obtained by supercritical carbon dioxide–mediated<br />

process. Nanomed 2007; 3(4):273-289.<br />

38. Sagar M. Agnihotri, Pradeep R. Vavia. Dicl<strong>of</strong>enac-loaded<br />

biopolymeric nanosuspensions for ophthalmic application.<br />

Nanomed 2009; 5(1):90-95.<br />

39. Priya Prakash Karmali, Venkata Ramana Kotamraju, Mark<br />

Kastantin, Matthew Black, Dimitris Missirlis, Matthew<br />

Tirrell, Erkki Ruoslahti. Targeting <strong>of</strong> albumin-embedded<br />

paclitaxel nanoparticles to tumors. Nanomed 2009;<br />

5(1):73-82.<br />

40. Raisuddin Ali, Gaurav K. Jain, Zeenat Iqbal, Sushma<br />

Talegaonkar, Pragati P<strong>and</strong>it, Sunita Sule, Geena Malhotra,<br />

Roop K. Khar, Aseem Bhatnagar, Farhan J. Ahmad.<br />

Development <strong>and</strong> clinical trial <strong>of</strong> nano-atropine sulfate dry<br />

powder inhaler as a novel organophosphorous poisoning<br />

antidote. Nanomed 2009 5(1):59-63.<br />

41. Daniela Reischl, Andreas Zimmer. Drug delivery <strong>of</strong><br />

siRNA therapeutics: potentials <strong>and</strong> limits <strong>of</strong> nanosystems.<br />

Nanomed 2009 5(1):8-20.<br />

42. Hector Alvarez, Pamela Leal Rojas, Ken-Tye Yong, Hong<br />

Ding, Gaixia Xu, Paras N. Prasad, Jean Wang, Marcia<br />

Canto, James R. Eshleman, Elizabeth A. Montgomery,<br />

Anirban Maitra. Mesothelin is a specific biomarker <strong>of</strong><br />

invasive cancer in the Barrett-associated adenocarcinoma<br />

progression model: translational implications for diagnosis<br />

<strong>and</strong> therapy. Nanomed 2008; 4(4):295-301.<br />

43. Robert F. Service Policy: Priorities Needed for Nano-Risk<br />

Research <strong>and</strong> Development. Science 2006; 314:5796.<br />

44. Wei CM, Yih TC. Nanomedicine: Nanotechnology,<br />

Biology, <strong>and</strong> Medicine 2005; 1:1.<br />

45. Robert A <strong>and</strong> Freitas Jr. What is nanomedicine?<br />

Nanomedicine: Nanotechnology Biology <strong>and</strong> Medicine<br />

2005; 1:2– 9<br />

46. Lajos P. Balogh.The future <strong>of</strong> nanomedicine <strong>and</strong> the future<br />

<strong>of</strong> Nanomedicine: NBM. Nanomedicine: Nanotechnology<br />

Biology <strong>and</strong> Medicine 2009;5:1.<br />

47. Raj Bawa. NanoBiotech 2008: Exploring global advances<br />

in nanomedicine. Nanomedicine: Nanotechnology Biology<br />

<strong>and</strong> Medicine 2009; 5 :5–7.<br />

49


Publication News<br />

Drug Evaluation Research<br />

Drug Evaluation Research has been approved by the State Press <strong>and</strong> Publication<br />

Administration <strong>of</strong> China in December 2008. Approval <strong>Journal</strong> number is CN 12-1409/R. Drug<br />

Evaluation Research will <strong>of</strong>ficially be published in 2009, in China. Sponsored by China<br />

Pharmaceutical Society <strong>and</strong> Tianjin Institute <strong>of</strong> Pharmaceutical Research. Published by China<br />

Pharmaceutical Society <strong>and</strong> Tianjin Institute <strong>of</strong> Pharmaceutical Research. Edited by Editorial<br />

Committee <strong>of</strong> Drug Evaluation Research.<br />

Drug Evaluation Research, a national journal, is an <strong>of</strong>ficial publication <strong>of</strong> Chinese<br />

Pharmaceutical Society, <strong>and</strong> will be edited by an editorial committee affiliated to Tianjin Institute<br />

<strong>of</strong> Pharmaceutical Research, Tianjin, China. The <strong>Journal</strong>’s purpose is to provide a forum for the<br />

studies on the academic <strong>and</strong> technological evaluation <strong>and</strong> research <strong>of</strong> drugs including chemical<br />

drugs, biotechnical drugs, traditional Chinese medicines, herbal medicines, <strong>and</strong> natural products.<br />

The <strong>Journal</strong> will accept the following contributions: original research articles <strong>and</strong> review papers<br />

on drug design, drug screening, drug quality, drug formulation, pharmacodynamics,<br />

pharmacokinetics, toxicokinetics, safety pharmacology <strong>and</strong> safety research, as well as clinical<br />

evaluation; short communications; international information on drug evaluation; letters to the<br />

editor, book reviews, conference announcements <strong>and</strong> news.<br />

The 3rd <strong>Asian</strong> Pacific ISSX Meeting<br />

May 10 - 12, 2009<br />

The Imperial Queen's Park Hotel| Bangkok, Thail<strong>and</strong><br />

Underst<strong>and</strong>ing Xenobiotics for Better Drug Development <strong>and</strong> Therapy<br />

The 3rd <strong>Asian</strong> Pacific Regional Meeting <strong>of</strong> the International Society for the Study <strong>of</strong><br />

Xenobiotics, it is our pleasure to invite you to the meeting which will be held May 10 – 12, 2009<br />

in Bangkok, Thail<strong>and</strong>. he theme <strong>of</strong> this meeting is Underst<strong>and</strong>ing Xenobiotics for Better Drug<br />

Development <strong>and</strong> Therapy. Symposia will address topics including Drug Safety <strong>and</strong><br />

Development, the Exposure, Disposition <strong>and</strong> Health Effects <strong>of</strong> Arsenic, Genome-Based<br />

Technologies for Drug Toxicity Assessment, Drug Metabolizing Enzymes involved in Activation<br />

<strong>and</strong> Detoxification, <strong>and</strong> much more including a symposium on the Development <strong>of</strong> Herbal<br />

Medicines.<br />

This meeting provides an extremely valuable <strong>and</strong> truly unique opportunity for Xenobiotic<br />

researchers to gather, exchange ideas <strong>and</strong> expertise. The outst<strong>and</strong>ing scientific program will focus<br />

on underst<strong>and</strong>ing Xenobiotics for better drug development <strong>and</strong> therapy. This meeting is endorsed<br />

by the faculty <strong>of</strong> Pharmaceutical Sciences at Chulalongkorn University in Bangkok, Thail<strong>and</strong>.<br />

50


Zhang R et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009;9(1):51-57<br />

<strong>Asian</strong> <strong>Journal</strong> <strong>of</strong><br />

<strong>Pharmacodynamics</strong> <strong>and</strong><br />

<strong>Pharmacokinetics</strong><br />

ISSN 1608-2281<br />

Copyright by Hong Kong Medical Publisher<br />

Publisher Homepage: www.hktmc.com<br />

Tissue distribution <strong>of</strong> Curcumol in rats after intravenous injection<br />

<strong>of</strong> zedoary turmeric oil fat emulsion<br />

Rui Zhang 1 , Benjie Wang 1 , Hengli Zhao 2 , Chunmin Wei 1 , Guiyan Yuan 1 , Ruichen Guo 1*<br />

1 Institute <strong>of</strong> Clinical Pharmacology, Qilu Hospital <strong>of</strong> Sh<strong>and</strong>ong University, 107 Wenhua West Road, Jinan,<br />

250012, China<br />

2 Department <strong>of</strong> Pharmacy, The Second Hospital <strong>of</strong> Sh<strong>and</strong>ong University,247 Beiyuan Road, Jinan, 250033,<br />

China<br />

Abstract<br />

Key words<br />

Aim To determine the concentration <strong>of</strong> curcumol in different tissues <strong>and</strong> investigate the tissue<br />

distribution <strong>of</strong> curcumol in rats after intravenous injection <strong>of</strong> zedoary turmeric oil fat emulsion.<br />

Methods Wister rats were intravenously injected with a dose <strong>of</strong> 10.0 mg·kg -1 zedoary turmeric<br />

oil fat emulsions. The tissue samples (heart, liver, lung, kidney <strong>and</strong> brain) were collected at<br />

scheduled times. Curcumol was extracted with chlor<strong>of</strong>orm/isopropyl alcohol (95:5, v/v) from<br />

tissue homogenates <strong>and</strong> separated on a C 18 column with a mobile phase <strong>of</strong> acetonitrile (0.3M<br />

ammonium acetate containing 0.1% formic acid)/water (0.1% formic acid) (95:5, v/v). Detection<br />

was carried out by positive elevtrospray ionization (ESI) in multiple reactions monitoring<br />

(MRM) mode <strong>of</strong> 254.3→219.4 (m/z) for curcumol <strong>and</strong> 220.3→128.1 (m/z) for ornidazole (I.S.),<br />

respectively. Results Curcumol was distributed to liver, kidney, brain, heart, lung 10 min after<br />

intravenous injection <strong>and</strong> obtained the maximum concentration <strong>of</strong> 108.85±65.91, 105.19±42.92,<br />

92.38±17.63, 82.96±38.06, 10.01±2.97 µg·g -1 , respectively. Conclusions The method was<br />

successfully applied in the tissue distribution study. The results showed that the curcumol was<br />

markedly decreased after 0.5 h <strong>and</strong> almost eliminated at 5 h after administration.<br />

Curcumol; tissue distribution; LC-MS/MS<br />

Article history Received 6 August 2008; Accepted 30 December 2008<br />

Publication data Pages: 7 ; Tables: 4; Figures: 4 ; References: 10 ; Paper ID 1608-2281-2009-0901051-07<br />

Corresponding author Pr<strong>of</strong>. Ruichen GuoInstitute <strong>of</strong> Clinical Pharmacology, Qilu Hospital <strong>of</strong> Sh<strong>and</strong>ong University, 107 Wenhua<br />

West Road, Jinan, 250012, China Tel: +86 531 82169636; Fax: +86 531 86109975 E-mail address:<br />

grc7636@126.com<br />

Introduction<br />

Zedoary turmeric oil is the essential oil derived<br />

from the rhizome <strong>of</strong> Chinese medicinal herb<br />

Curcuma phaeocaulis Valeton, C. kwangsinensis S.G.<br />

Lee et C. F. Liang <strong>and</strong> C. wenyujin Y. H. Chen et C.<br />

Ling [1] . It possesses the activities <strong>of</strong> antitumor,<br />

antivirus, antiinflammation, antibacterial, <strong>and</strong> so on.<br />

Curcumol (content was about 4.12%) is an important<br />

ingredient with antibiosis <strong>and</strong> antiviral effects in<br />

zedoary turmeric oil [2-4] , which can inhibited the<br />

growth <strong>of</strong> Bacterium typhi, Bacterium coli,<br />

respiratory syncytial virus (RSV), bastard measles,<br />

chickenpox virus, <strong>and</strong> so on [5] .<br />

51


Zhang R et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009;9(1):51-57<br />

The pharmacokinetic <strong>and</strong> tissue distribution<br />

studies were important for clinical application. These<br />

studies <strong>of</strong> curcumol by isotope tracer method was<br />

reported [6] , it was sensitive enough to determine the<br />

low concentration <strong>of</strong> curcumol in biotic sample, but<br />

the radioactivity were the sum <strong>of</strong> 3 H labeled original<br />

<strong>and</strong> its metabolites, which can not exactly illustrate<br />

the disposition process in vivo. In order to illustrate<br />

the disposal process <strong>of</strong> curcumol in vivo more exactly,<br />

other analysis method should be developed. Several<br />

quantitative method <strong>of</strong> curcumol in medical material<br />

<strong>and</strong> preparations such as RP-HPLC [1] , infrared<br />

spectrophotometry [7] , thin-layer scanning method [8]<br />

<strong>and</strong> vapor phase chromatography [9] were reported.<br />

These methods were not sensitive enough to<br />

quantitate the curcumol in biological specimen. We<br />

had developed a high-performance liquid<br />

chromatography coupled with t<strong>and</strong>em mass<br />

spectrometry quantitative detection method<br />

(HPLC-MS/MS) to determine the curcumol in plasma<br />

<strong>and</strong> the method had been applied in pharmacokinetics<br />

study in Beagle dogs successfully [10] . In this study,<br />

the established method was validated in tissue<br />

samples <strong>and</strong> used to investigate tissue distribution <strong>of</strong><br />

curcumol after intravenous injection zedoary turmeric<br />

oil fat emulsion in rats. The chemical structure <strong>of</strong><br />

curcumol is shown in Fig 1.<br />

CH 2<br />

O<br />

OH<br />

CH 3<br />

CH(CH 3 )<br />

Fig 1. Chemical structure <strong>of</strong> curcumol<br />

Materials <strong>and</strong> methods<br />

Chemicals <strong>and</strong> materials<br />

Zedoary turmeric oil fat emulsion (Lot No:<br />

20051213, 200mg/100ml) was supplied by the<br />

Research Institute <strong>of</strong> Sh<strong>and</strong>ong Juren Biology<br />

Medicinal Technology (Sh<strong>and</strong>ong, China). Curcumol<br />

st<strong>and</strong>ard (Lot No: 100185-200405, 99.1%) was<br />

obtained from National Institute for the Control <strong>of</strong><br />

Pharmaceutical <strong>and</strong> Biological Products (Beijing,<br />

2<br />

China). Ornidazole (internal st<strong>and</strong>ard, >99.6%) was<br />

donated by the Institute <strong>of</strong> Wuhan Jingxi Chemical<br />

Production (Hubei, China). Acetonitrile (Lot No:<br />

044263), formic acid (Lot No: 406014), chlor<strong>of</strong>orm<br />

(Lot No: 506023) <strong>and</strong> isopropyl alcohol (Lot No:<br />

503027) were chromatographic grade from TEDIA<br />

Company (USA); ammonium acetate (Lot No:<br />

20050516) was analytical grade from Tianjin Ti<strong>and</strong>a<br />

Chemistry Industry Factory (Tianjin, China).<br />

Animal<br />

Male <strong>and</strong> female Wister rats (20020 g) were<br />

purchased from the Laboratory Animal Center <strong>of</strong><br />

Sh<strong>and</strong>ong University(Jinan, China) .<br />

Apparatus<br />

The LC-MS/MS system include a 1100 Series<br />

HPLC (Agilent company, USA) <strong>and</strong> API 4000<br />

MS/MS (Applied Biosystem, USA); AX-205<br />

Electronic Balance (METTLER TOLEDO Instrument<br />

Shanghai Company); XW-80A Vortex (Shanghai<br />

Jingke Industry Company); SORVALL Bi<strong>of</strong>uge<br />

PRIMO centrifuge (Kendro Company,USA).<br />

Chromatographic Condition<br />

Separation was carried out on a Diamonsil TM C 18<br />

column (150mm×4.6mm, 5µm) (Dikma Technologies,<br />

China) <strong>and</strong> eluted with a mobile phase <strong>of</strong> acetonitrile<br />

(0.3M ammonium acetate containing 0.1% formic<br />

acid-water (0.1% formic acid) (95:5, v/v). The flow<br />

rate was 1.0 mL·min -1 . 40µL <strong>of</strong> extracted samples<br />

was injected for analysis.<br />

Mass spectrometric condition<br />

The ESI source was set to positive ion mode<br />

with the following parameters: ion source<br />

temperature 550 °C, spray voltage 5500 V, sheath<br />

gas 70 psi <strong>and</strong> auxiliary gas 40 psi, the collision<br />

gas was argon at a pressure <strong>of</strong> 12.5 V (curcumol)<br />

<strong>and</strong> 20 V (ornidazole, I.S.) for collision-induced<br />

dissociation (CID). Quantification was performed<br />

using multiple reaction monitoring (MRM) <strong>of</strong><br />

254.3→219.4 (m/z) for curcumol <strong>and</strong><br />

220.3→128.1 (m/z) for ornidazole (I.S.),<br />

respectively.<br />

Preparation <strong>of</strong> stock <strong>and</strong> working st<strong>and</strong>ard<br />

solutions<br />

52


Zhang R et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009;9(1):51-57<br />

A stock solutions <strong>of</strong> curcumol at 100 µg·mL -1<br />

<strong>and</strong> ornidazol at 50 µg·mL -1 were prepared by<br />

dissolving appropriate amounts st<strong>and</strong>ards in mobile<br />

phase, respectively. The stock solution <strong>of</strong> curcumol<br />

was diluted subsequently to obtain a series working<br />

st<strong>and</strong>ard solutions. The stock solution <strong>of</strong> I.S. was<br />

further diluted to a working concentration <strong>of</strong><br />

0.05µg·mL -1 . All solutions were stored at 4 °C.<br />

Preparation <strong>of</strong> calibration <strong>and</strong> quality control<br />

Samples (QC)<br />

Wister rats without administration were<br />

sacrificed <strong>and</strong> tissues were collected. Blank tissue<br />

homogenate was spiked by appropriate concentration<br />

<strong>of</strong> working st<strong>and</strong>ard solution to yield final<br />

concentrations between 0.25-50 ng·mL -1 <strong>of</strong> curcumol<br />

in tissue homogenate. Quality control samples were<br />

prepared in the same way at three concentration <strong>of</strong><br />

1.0, 10, 40ng·mL -1 .<br />

Sample preparation<br />

The tissue samples were accurately weighted<br />

<strong>and</strong> cut into pieces <strong>and</strong> homogenated after adding the<br />

appropriate amount <strong>of</strong> 0.9% sodium chloride solution<br />

(3 mL·g -1 tissue). 1.0 mL tissue homogenate were<br />

transferred to a centrifuge tube, ornidazole (15 µL,<br />

0.05 µg·mL -1 ) <strong>and</strong> sodium hydroxide solutions (100<br />

µL, 0.1M) were added <strong>and</strong> well-mixed. Then 5ml <strong>of</strong><br />

chlor<strong>of</strong>orm / isopropyl alcohol (95:5, v/v) was added.<br />

The mixture was vortex-mixed for 2min <strong>and</strong><br />

centrifuged at 4000 r·min -1 for 5min. The organic<br />

phase was moved <strong>and</strong> evaporated to dryness under<br />

gentle nitrogen stream in water-bath at 37 °C. The<br />

residues were reconstituted with 100 µL mobile phase<br />

<strong>and</strong> 40 µL was injected into the HPLC/MS/ MS<br />

system.<br />

Tissue distribution study<br />

Rats were acclimated for at least 1 week before<br />

experiments. Thirty Wister rats were r<strong>and</strong>omized into<br />

six groups <strong>and</strong> intravenously injected with a single<br />

dose <strong>of</strong> 10.0 mg·kg -1 zedoary turmeric oil fat<br />

emulsions. Then five rats per group were sacrificed at<br />

0.17, 0.5, 1.0, 2.0, 3.0 <strong>and</strong> 5.0 h after administration<br />

<strong>and</strong> tissue samples (heart, liver, lung, kidney <strong>and</strong><br />

brain) were collected, respectively. Tissue samples<br />

were rinsed individually with 0.9% sodium chloride<br />

solution, blotted with filter paper, <strong>and</strong> stored<br />

immediately at -20 °C until analysis. The<br />

experimental procedures were carried out in<br />

accordance with the St<strong>and</strong>ard Operating Procedure<br />

for Animal Experimentation <strong>of</strong> Sh<strong>and</strong>ong University<br />

(Sh<strong>and</strong>ong, China).<br />

Results<br />

Method validation<br />

Specificity Five batches <strong>of</strong> different blank tissue<br />

homogenate were analyzed on HPLC-MS/MS to<br />

assess specificity. Typical chromatograms in kidney<br />

<strong>and</strong> heart were shown in Fig 2 <strong>and</strong> 3.<br />

A B C<br />

Fig 2. Chromatograms <strong>of</strong> blank kidney (A), blank kidney spiked with curcumol <strong>and</strong> I.S.<br />

(B), kidney sample spiked with I.S. (C) 1: ornidazole; 2: Curcumol<br />

53


Zhang R et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009;9(1):51-57<br />

A B C<br />

Fig 3. Chromatograms <strong>of</strong> blank heart (A), blank heart spiked with curcumol(B), kidney samples (C) 1: Curcumol<br />

Table 1. The st<strong>and</strong>ard curve equation <strong>of</strong> curcumol in five tissues (n=5)<br />

tissue regression equation linear range (ng·mL -1 ) R 2<br />

heart Y=4890C+1740 0.5-50.0 0.9968<br />

liver Y=4230C+3530 0.25-50.0 0.9990<br />

lung Y=8510C-1240 0.25-25.0 0.9967<br />

kidney Y=0.075C-0.00532 0.5-25.0 0.9988<br />

brain Y=3970C-729 0.5-50.0 0.9970<br />

Table 2. Precision <strong>and</strong> accuracy data for curcumol in tissues (n=5, mean±SD)<br />

Tissue<br />

QC<br />

Intra-day<br />

Inter-day<br />

( ng·mL -1 ) C( ng·mL -1 ) RSD (%) RE (%) C( ng·mL -1 ) RSD (%) RE (%)<br />

Heart 1.0 0.96±0.05 5.3 -4.4 0.97±0.05 5.3 -3.4<br />

10 9.75±0.17 1.7 -2.5 9.70±0.26 2.7 -3.0<br />

40 39.79±0.61 1.5 -0.5 39.56±0.71 1.8 -1.1<br />

Liver 0.5 0.47±0.03 6.5 -6.4 0.48±0.03 5.5 -4.3<br />

5.0 4.92±0.11 2.2 -1.5 4.92±0.11 2.3 -1.7<br />

40 39.87±0.62 1.6 -0.3 39.61±0.71 1.8 -1.0<br />

Lung 0.5 0.48±0.02 3.3 -4.0 0.48±0.02 4.8 -3.9<br />

4.0 3.91±0.10 2.7 -2.4 3.94±0.09 2.2 -1.4<br />

20 19.63±0.41 2.1 -1.8 19.66±0.36 1.8 -1.7<br />

Kidney 1.0 0.97±0.03 3.1 -2.8 0.97±0.03 3.5 -2.9<br />

5.0 4.95±0.06 1.3 -1.0 4.95±0.08 1.7 -1.0<br />

20 19.86±0.42 2.1 -0.7 19.74±0.41 2.1 -1.3<br />

Brain 1.0 0.97±0.04 4.3 -3.2 0.97±.04 4.6 -2.8<br />

5.0 4.93±0.07 1.3 -1.4 4.95±0.08 1.6 -1.0<br />

40 39.64±0.44 1.1 -0.9 39.72±0.87 2.2 -0.7<br />

54


Zhang R et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009;9(1):51-57<br />

Table 3. Stability <strong>of</strong> curcumol in liver (n=5, mean±SD)<br />

QC( ng·mL -1 ) C( ng·mL -1 ) RSD (%) RE (%)<br />

25°C,4h 0.5 0.49±0.01 2.0 -2.1<br />

5.0 4.93±0.06 1.2 -1.3<br />

40 38.77±0.69 1.8 -3.1<br />

freeze/thaw* 0.5 0.49±0.01 2.2 -2.6<br />

5.0 4.92±0.07 1.4 -1.6<br />

40 39.41±0.62 1.6 -1.5<br />

-20°C, 1day 0.5 0.48±0.01 1.9 -4.1<br />

5.0 4.90±0.07 1.5 -1.9<br />

40 38.56±0.77 2.0 -3.6<br />

-20°C, 7days 0.5 0.48±0.01 2.1 -3.8<br />

5.0 4.80±0.05 1.0 -4.1<br />

40 37.68±0.39 1.0 -5.8<br />

* After three freeze/thaw cycles at -20°C<br />

Calibration <strong>and</strong> LOQ Five sets <strong>of</strong> calibration<br />

curves were prepared over the concentration range as<br />

shown in Table 1. The linear regression <strong>of</strong> the curve<br />

for the peak area ratio (Y) versus concentration(C)<br />

was plotted. The R 2 values for the st<strong>and</strong>ard curves are<br />

also listed in Table 1. The calibration curve <strong>of</strong><br />

curcumol in five tissues showed good linearity. All<br />

coefficients <strong>of</strong> correlation were between 0.9967 <strong>and</strong><br />

0.9990. The limit <strong>of</strong> quantitation (LOQ) in liver <strong>and</strong><br />

lung was 0.25 ng·mL -1 . For other tissues, LOQ was<br />

0.5 ng·mL -1 . The limit <strong>of</strong> quantitation for all samples<br />

was sufficient for tissue distribution study.<br />

Extraction recovery The extraction recovery<br />

was calculated at three QC levels. QC samples were<br />

treated as “Sample Preparation”. The extraction<br />

recovery was obtained by comparing the curcumol<br />

peak area in tissue samples with those found by direct<br />

injection <strong>of</strong> corresponding st<strong>and</strong>ard solutions. The<br />

mean extraction recovery for all tissues was higher<br />

than 42.3%.<br />

Precision <strong>and</strong> Accuracy The precision <strong>and</strong><br />

accuracy <strong>of</strong> method were assessed by intra-day <strong>and</strong><br />

inter-day RSD (relative st<strong>and</strong>ard deviation) <strong>and</strong> RE<br />

(relative error). The precision was less than 6.5% <strong>and</strong><br />

the accuracy was less than 6.4%. The results were<br />

shown in Table 2.<br />

Stability The stability <strong>of</strong> curcumol in tissue<br />

homogenate was studied by analyzing <strong>of</strong> QC samples.<br />

The samples, which were placed at room temperature<br />

(25 °C) for 4h, freezing/thawing for three cycles,<br />

stored at -20 °C for 1day <strong>and</strong> 7days, were<br />

investigated. Results <strong>of</strong> stability in liver were shown<br />

in Table 3. The stabilities <strong>of</strong> curcumol in other tissues<br />

were investigated in the same way, the data were not<br />

shown. Curcumol was found to be stable (RE<br />

within±8.2%) at different conditions. No significant<br />

degradation occurred during extraction <strong>and</strong> storage<br />

processes.<br />

Tissue distribution<br />

Curcumol was distributed to liver, kidneys, brain,<br />

heart, lungs 10 min after intravenous injection <strong>and</strong><br />

obtained the maximum concentration <strong>of</strong><br />

108.85±65.91, 105.19±42.92, 92.38±17.63, 82.96±<br />

38.06, 10.01±2.97 µg·g -1 , respectively. The concentrations<br />

<strong>of</strong> curcumol in various tissues <strong>of</strong> rats at<br />

scheduled time after intravenous injection <strong>of</strong> 10<br />

mg·kg -1 zedoary turmeric oil fat emulsion were<br />

presented in Table 4 <strong>and</strong> tissues concentration-time<br />

column pr<strong>of</strong>iles <strong>of</strong> curcumol were shown in Fig 4.<br />

Discussion<br />

55


Zhang R et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009;9(1):51-57<br />

Zedoary turmeric oil fat emulsion was a new<br />

preparation <strong>of</strong> zedoary turmeric oil. The<br />

pharmacokinetic <strong>and</strong> tissue distribution results <strong>of</strong><br />

animal were necessary to its clinical application.<br />

Zedoary turmeric oil was a multicomponent drug. We<br />

<br />

always took the active component as the target<br />

analyte to study its disposition process in vivo.<br />

Curcumol was selected in this study for its high<br />

content <strong>and</strong> effects.<br />

Table 4 . Mean tissue concentrations <strong>of</strong> curcumol in rats at scheduled time after intravenous injection <strong>of</strong><br />

zedoary turmeric oil fat emulsion(µg·g -1 n=5, mean±SD<br />

Time Heart Liver Lung Kidney Brain<br />

0.17h 82.96±38.06 108.85±65.91 10.01±2.97 105.19±42.92 92.38±17.63<br />

0.5h 21.02±12.36 32.66±40.21 3.99±1.25 40.66±18.32 35.32±6.7<br />

1h 16.20±19.99 23.01±19.54 1.66±0.3 26.35±16.11 18.85±10.42<br />

2h 2.65±1.76 10.81±4.16 1.56±0.39 12.76±9.71 4.76±2.34<br />

3h 2.25±0.68 9.41±7.88 0.73±0.49 7.26±5.39 3.31±2.06<br />

5h 0 5.1±3.02 0.82±0.2 4.74±4.05 2.61±1.32<br />

ND: not detected<br />

120<br />

100<br />

concentration(µg/g)<br />

80<br />

60<br />

40<br />

0.17h<br />

0.5h<br />

1h<br />

2h<br />

3h<br />

5h<br />

20<br />

0<br />

Heart Liver Lung Kidney Brain<br />

Fig 4. Tissue distribution pr<strong>of</strong>iles <strong>of</strong> curcumol at scheduled time after intravenous injection<br />

<strong>of</strong> zedoary turmeric oil fat emulsion<br />

The quantitation methods <strong>of</strong> five tissues were<br />

different in this study. The results <strong>of</strong> specificity in<br />

method validation showed that no distinguish<br />

interference from endogenous compounds was<br />

observed to curcumol in all tissues, but ornidazole<br />

I.S. was interfered in most tissues except kidney.<br />

So internal st<strong>and</strong>ard method was selected to<br />

determine the curcumol in kidney, <strong>and</strong> external<br />

st<strong>and</strong>ard method was used to other tissues.<br />

As listed in Table 4, curcumol was detected at<br />

10 min after intravenous injection <strong>and</strong> undetected in<br />

heart or lower concentrations detected in other tissues<br />

at 5h after administration, which indicated that<br />

curcumol was distributed rapidly <strong>and</strong> no long-term<br />

accumulation in tissues. It can be seen from Fig 3,<br />

that curcumol in all tissues showed similar dynamic<br />

56


Zhang R et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009;9(1):51-57<br />

change, the maximum concentration was at 10 min<br />

<strong>and</strong> markedly decreased at 30min, then declined with<br />

time. The highest level <strong>of</strong> curcumol appeared in the<br />

liver, followed by kidney, brain, heart, <strong>and</strong> the lowest<br />

level <strong>of</strong> curcumol appeared in the lung. These<br />

implied that curcumol were mainly metabolized <strong>and</strong><br />

eliminated in the liver <strong>and</strong> kidney. The higher<br />

concentration in the brain <strong>and</strong> heart indicated that<br />

curcumol can pass through the blood-brain barrier,<br />

which attributed to its application in cardiovascular<br />

<strong>and</strong> cerebrovascular disease. The lowest concentration<br />

in lung perhaps called in a question in the use<br />

<strong>of</strong> disease <strong>of</strong> respiratory system, especially<br />

pneumonia.<br />

The satisfactory outcome was obtained in<br />

present study, but only five main tissues <strong>of</strong> rats were<br />

investigated, it could not supply the distribution<br />

information <strong>of</strong> curcumol in vivo completely, so<br />

experiments including more tissues or experiments in<br />

other more superior animals should be studied.<br />

Conclusion<br />

The tissue distribution <strong>of</strong> curcumol after<br />

intravenous injection <strong>of</strong> zedoary turmeric oil fat<br />

emulsion was investigated in the present study. The<br />

established LC-MS/MS method was validated <strong>and</strong><br />

applied in determination <strong>of</strong> curcumol in tissues. The<br />

results showed that curcumol was distributed rapidly<br />

<strong>and</strong> no long-term accumulation in tissues.<br />

References<br />

1. Wu YC, Liu TY, Jiang LG, Bai ZZ. Determination <strong>of</strong><br />

curcumol <strong>and</strong> germacrone in zedoary turmeric oil by<br />

RP-HPLC. Infomation <strong>of</strong> traditional Chinese medicine 2004;<br />

21(4):64-65.<br />

2. Xia Q, Zhao KJ, Huang ZG, Zhang P, Dong TT, Li SP, Tsim<br />

KW. Molecular genetic <strong>and</strong> chemical assessment <strong>of</strong><br />

Rhizoma Curcumae in China. J Agric Food Chem 2005;<br />

53(15): 6019-6026.<br />

3. Yang FQ, Li SP, Chen Y, Lao SC, Wang YT, Dong TT,<br />

Tsim KW. Identification <strong>and</strong> quantitation <strong>of</strong> eleven<br />

sesquiterpenes in three species <strong>of</strong> Curcuma rhizomes by<br />

pressurized liquid extraction <strong>and</strong> gas chromatography -mass<br />

spectrometry. J Pharm Biomed Anal 2005; 39(3-4):552-558.<br />

4. Zhou X, Li ZW, Wang DP, Liang GY, Peng BX. Study on<br />

fingerprint <strong>of</strong> volatile oil <strong>of</strong> Curcumol wenyujin by GC-MS.<br />

China <strong>Journal</strong> <strong>of</strong> Chinese Materia 2004; 29(12):1138-1141.<br />

5. Zhao Y, Yang R G, Luo M. Progress in pharmacological<br />

action <strong>and</strong> clinical application <strong>of</strong> zedoary turmeric oil. J<br />

Practical Tradit Chin internal med 2006; 20: 125-126.<br />

6. Su CY, Liu JY, Xu HX, et al. The metabolism <strong>of</strong><br />

3 H-curcumol in normal rats <strong>and</strong> tumor-bearing mice. Acta<br />

Pharm Sin 1980; 15:257-262.<br />

7. Yang SD, Chen JM, Chen YH. Determination <strong>of</strong> curcumol<br />

in zedoary turmeric oil <strong>of</strong> Curcumol wenyujin. Acta Pharm<br />

Sin 1979; 1: 356-360.<br />

8. Tian SJ, Liang WF. Study <strong>of</strong> zedoary turmeric<br />

oil—Determination <strong>of</strong> curcumol <strong>and</strong> curdione in Curcumol<br />

wenyujin with thin-layer scanning method. Chin J Pharm<br />

Anal 1985; 5: 136.<br />

9. Gu XM, Yang Y. Determination <strong>of</strong> curcumol in zedoary<br />

turmeric oil <strong>and</strong> peppermint oil by vapor phase<br />

chromatography. Chin J Pharm Anal 1982; 2: 75.<br />

10. Zhang R, Wang BJ, Zhao HL, et al. Determination <strong>of</strong><br />

curcumol in plasma by HPLC-MS/MS method <strong>and</strong> its<br />

pharmacokinetics in Beagle Dogs. Acta Pharmaceutica<br />

Sinica 2007; 42(8):973-977.<br />

57


Venkatesh S et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009;9(1):58-62<br />

<strong>Asian</strong> <strong>Journal</strong> <strong>of</strong><br />

<strong>Pharmacodynamics</strong> <strong>and</strong><br />

<strong>Pharmacokinetics</strong><br />

ISSN 1608-2281<br />

Copyright by Hong Kong Medical Publisher<br />

Publisher Homepage: www.hktmc.com<br />

Antinociceptive effect <strong>of</strong> Aerva lanata ethanolic extract in mice:<br />

A possible mechanism<br />

Sama Venkatesh 1* , Yanadaiah JP 1 , Zareen N 1 , Madhava Reddy B 1 , Ramesh M 2<br />

1 G. Pulla Reddy College <strong>of</strong> Pharmacy, Mehdipatnam, Hyderabad-500 028, India<br />

2 Jubilant Innovation, Yeshwantapur, Bangalore-560 022, India<br />

Abstract<br />

Key words<br />

Aim Aerva lanata Juss is traditionally claimed to be useful in the treatment <strong>of</strong> urolithiasis,<br />

strangury, diabetes, headache <strong>and</strong> pains. In the present study, 80% aqueous ethanolic extract <strong>of</strong><br />

(the dried aerial parts <strong>of</strong>) A. lanata Juss is investigated for antinociceptive activity. Methods<br />

Male Swiss Albino mice were used to test the antinociceptive activity on acetic acid-induced<br />

writhing <strong>and</strong> hot plate test, at an oral dose <strong>of</strong> 50 <strong>and</strong> 100 mg·kg -1 . The aspirin <strong>and</strong> morphine<br />

served as st<strong>and</strong>ards. Results indicate that the ethanolic extract has produced a significant<br />

(P


Venkatesh S et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009;9(1):58-62<br />

The ethanolic extract <strong>of</strong> whole plant <strong>of</strong> A. lanata was<br />

reported to possess nephroprotective activity <strong>and</strong> in<br />

the treatment <strong>of</strong> acute renal injury caused by<br />

nephrotoxins like cisplatin <strong>and</strong> gentamicin [13] . To the<br />

best <strong>of</strong> our knowledge no report is available on the<br />

analgesic activity <strong>of</strong> A. lanata. In view <strong>of</strong> the fact that<br />

the plant is used by the traditional healers to alleviate<br />

headache among the natives, the present study was<br />

undertaken to verify the claim <strong>and</strong> evaluate the<br />

antinociceptive property <strong>of</strong> the aerial parts <strong>of</strong> A.<br />

lanata with the aim <strong>of</strong> developing a natural analgesic<br />

agent.<br />

Material <strong>and</strong> Methods<br />

Plant Material<br />

Aerva lanata Juss. aerial parts were collected<br />

from Surampet, Karimnagar district, Andhra Pradesh,<br />

India <strong>and</strong> authenticated by Dr. Prabhakar Reddy,<br />

Taxonomist, Department <strong>of</strong> Botany, Osmania<br />

University, Hyderabad. A voucher specimen<br />

(AVL-12-2006) is being maintained in the<br />

Department <strong>of</strong> Pharmacognosy <strong>and</strong> Phytochemistry,<br />

G. Pulla Reddy College <strong>of</strong> Pharmacy, Hyderabad,<br />

Andhra Pradesh, India. The aerial parts were cut, air<br />

dried <strong>and</strong> grounded into powder.<br />

Preparation <strong>of</strong> Extract<br />

Dried aerial parts powder (650 g) was extracted<br />

with 80% aqueous ethanol by maceration for seven<br />

days. The concentrated aqueous ethanolic extract (23<br />

g; % yield 3.53) was tested for qualitative<br />

phytoconstitiuents <strong>and</strong> indicated the presence <strong>of</strong><br />

alkaloids, steroids <strong>and</strong>/or triterpenoids, flavonoids<br />

<strong>and</strong> their glycosides <strong>and</strong> tannins<br />

[14] , which<br />

corroborated with the earlier findings.<br />

Animals<br />

Male Swiss Albino mice (25-30 g) were used<br />

throughout the experiment. They were maintained<br />

under st<strong>and</strong>ard environmental conditions. Animals<br />

had free access to feed <strong>and</strong> tap water ad libitum<br />

during the quarantine period. The animal<br />

experimentation was carried according to the<br />

Committee for the Purpose <strong>of</strong> Control <strong>and</strong><br />

Supervision <strong>of</strong> Experimentation on Animals<br />

(CPCSEA) guidelines <strong>and</strong> Institutional Animal Ethics<br />

Committee approved all the procedures for investigating<br />

experimental pain in conscious animals [15] .<br />

Acetic acid-induced abdominal writhing test<br />

The Siegmund et al [16] technique modified by<br />

Koster et al [17] was adopted to assess the<br />

antinociceptive activity in pre-screened mice. Over<br />

night (16 h) fasted mice were divided into six groups<br />

<strong>of</strong> six animals each. Group-1 served as a control<br />

group, which received 0.5% CMC (carboxy methyl<br />

cellulose) in water. Group-2 <strong>and</strong> 3 received<br />

ethanolic extract <strong>of</strong> A. lanata at a dose <strong>of</strong> 50 <strong>and</strong> 100<br />

mg·kg -1 , respectively as a fine suspension in 0.5%<br />

CMC, orally. Group-4 animals served as positive<br />

control animals received acetyl salicylic acid (100<br />

mg·kg -1 , po). In an attempt to investigate the<br />

participation <strong>of</strong> opioid system in the antinociceptive<br />

effect <strong>of</strong> this plant, separated groups <strong>of</strong> mice were<br />

pretreated with non selective opioid receptor<br />

antagonist, naloxone (5 mg·kg -1 , ip), which was<br />

injected 15 min before the administration <strong>of</strong> extract<br />

(100 mg·kg -1 , p.o) <strong>and</strong> acetyl salicylic acid (100<br />

mg·kg -1 , p.o) for Group-5 <strong>and</strong> 6, respectively. After<br />

30 min administration, all the animals were given an<br />

intraperitoneal (i.p) injection <strong>of</strong> 0.6% acetic acid<br />

(volume <strong>of</strong> injection 0.1 ml/10 g) <strong>and</strong> number <strong>of</strong><br />

writhes produced in these animals was recorded for<br />

30 min.<br />

Hot-plate test<br />

The method <strong>of</strong> Eddy <strong>and</strong> Leimback [18] <strong>and</strong><br />

Hosseinzabeh et al [19] was employed. The<br />

temperature <strong>of</strong> hot plate (Eddy’s hot plate, Dolphin,<br />

Mumbai, India) was maintained at 55 ± 0.2°C.<br />

Animals were placed into the Perspex square on the<br />

heated surface, <strong>and</strong> the time between placement <strong>and</strong><br />

licking <strong>of</strong> paws <strong>and</strong> jumping was recorded as<br />

response latency. Over night (16 h) fasted mice were<br />

divided into six groups <strong>of</strong> ten animals each. Control<br />

animals were treated with 0.5% CMC (Group-1),<br />

while morphine (5 mg·kg -1 , p.o) was used as positive<br />

control (Group-4). Aqueous ethanolic extract <strong>of</strong> A.<br />

lanata was administered orally, at dose <strong>of</strong> 50 <strong>and</strong> 100<br />

mg·kg -1 as a fine 0.5% CMC suspension (Group-2<br />

<strong>and</strong> 3, respectively). The opioid receptor antagonist<br />

naloxone (5 mg·kg -1 , i.p) was also tested along with<br />

oral administration <strong>of</strong> ethanolic extract (100 mg·kg -1 ,<br />

Group-5) <strong>and</strong> morphine (5 mg·kg -1 , Group-6). All<br />

59


Venkatesh S et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009;9(1):58-62<br />

substances were administered 30 min before the<br />

beginning <strong>of</strong> experiment. The reaction time was<br />

measured before <strong>and</strong> at 30, 60, 90, 120 <strong>and</strong> 180 min<br />

after substance administration. The latency period <strong>of</strong><br />

40 sec was defined as complete analysis <strong>and</strong><br />

measurement was terminated if the latency exceeded<br />

latency period to avoid injury.<br />

Table 1. Effect <strong>of</strong> A. lanata ethanolic extract on the acetic acid-induced abdominal writhing in mice (Mean ± S.E.M, n = 6)<br />

Group<br />

Treatment<br />

Dose<br />

(mg·kg -1 )<br />

Number <strong>of</strong> writhes<br />

% Inhibition<br />

1 Control --- 75.35 ± 1.73 ---<br />

2 Aq ethanolic ext. 50 38.5 ± 2.67 * 48.90<br />

3 Aq. ethanolic ext. 100 21.74 ± 0.89 * 71.14<br />

4 Acetyl salicylic acid (positive control) 100 22.72 ± 1.59 * 69.84<br />

5 Aq. ethanolic ext. + Naloxone (ip) 100 + 5 25.8 ± 1.11 * 65.75<br />

6 Acetyl salicylic acid + Naloxone (ip) 100 + 5 28.16 ± 1.07 * 62.62<br />

*p


Venkatesh S et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009;9(1):58-62<br />

Statistical Analysis<br />

The results were expressed as mean ± S.E.M.<br />

The differences between experimental groups were<br />

compared by one-way ANOVA (control versus<br />

treatment by Bonferroni’s method; using J<strong>and</strong>al<br />

Scientific, Sigmastat statistical s<strong>of</strong>tware, version 1.0)<br />

<strong>and</strong> were considered statistically significant when P <<br />

0.05.<br />

Results<br />

Effect <strong>of</strong> acetic acid- induced writhing test<br />

Oral administration <strong>of</strong> A. lanata ethanolic<br />

extract (50 <strong>and</strong> 100 mg·kg -1 ) has produced dose<br />

dependent significant (P


Venkatesh S et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009;9(1):58-62<br />

aqueous ethanolic extract <strong>of</strong> A. lanata is a potential<br />

analgesic agent.<br />

Acknowledgements The authors wish to<br />

thank All India Council <strong>of</strong> Technical Education, New<br />

Delhi, India financial support. The authors also wish<br />

to thank management <strong>of</strong> the college for providing<br />

research facilities.<br />

References<br />

1. Kirtikar KR, Basu BD. Indian Medicinal Plants. 2 nd edn, Vol.<br />

4, India: International Book Distributors; 1996; p. 2051.<br />

2. Anonymous. The Wealth <strong>of</strong> India: A Dictionary <strong>of</strong> Indian<br />

Raw Materials <strong>and</strong> Industrial Products. Vol. 1A, India:<br />

CSIR Publications; 1959; p. 91.<br />

3. Chopra RN, Nayar SL, Chopra IC, Glossary <strong>of</strong> Indian<br />

Medicinal Plants. India: CSIR Publications; 1956; p. 8.<br />

4. Zapesochnaya GG, Pervykh LN, Kurkin VA. A study <strong>of</strong><br />

the herb Aerva lanata. III. Alkaloids. Chem. Nat Comp<br />

1991; 27: 336-40.<br />

5. Pervykh LN, Karasartov BS, Zapesochnaya GG. A study<br />

<strong>of</strong> the herb Aerva lanata. IV.<br />

Flavonoid<br />

glycosides. Chem Nat Comp 1993; 28: 509-10.<br />

6. Wassel GM, Ammar NM. Phytochemical study <strong>of</strong> Aerva<br />

lanata. Fitoterapia 1987; 58: 367.<br />

7. Ch<strong>and</strong>ra S, Shastry MS. Chemical constituents <strong>of</strong> Aerva<br />

lanata. Fitoterapia 1990; 61: 188.<br />

8. Vetrichelvan T, Jegadeesan M, Senthil MP, Murali NP,<br />

Sasikumar K. Diuretic <strong>and</strong> anti-inflammatory activities <strong>of</strong><br />

Aerva lanata in rats. Ind J Pharm Sci 2000; 62: 300-2.<br />

9. Vetrichelvan T, Jegadeesan M. Anti-diabetic activity <strong>of</strong><br />

alcoholic extracts <strong>of</strong> Aerva lanata Juss. in rats. J<br />

Ethnopharmacol 2002; 80: 103-7.<br />

10. Chowdhury D, Sayeed A, Islam A, Shah Alam Bhuiyan M,<br />

Astaq Mohal Khan GR. Antimicrobial activity <strong>and</strong><br />

cytotoxicity <strong>of</strong> Aerva lanata. Fitoterapia 2002; 73: 92-4.<br />

11. Nevin KG, Vijayammal PL. Effect <strong>of</strong> Aerva lanata on<br />

solid tumor induced by DLA cells in mice. Fitoterapia<br />

2003; 74: 578-82.<br />

12. Nevin KG, Vijayammal PL. Effect <strong>of</strong> Aerva lanata against<br />

hepatotoxicity <strong>of</strong> carbon tetrachloride in rats. Environ<br />

Toxicol Pharmacol 2005; 20: 471-7.<br />

13. Shirwaikar A, Deepti I, Malini S. Effect <strong>of</strong> Aerva lanata on<br />

cisplatin <strong>and</strong> gentamicin models <strong>of</strong> acute renal failure. J<br />

Ethnopharmacol 2004; 90: 81-6.<br />

14. Kokate CK. Practical Pharmacognosy. 4 th ed, India:<br />

Vallabh Prakashan; 1994; p. 112-20.<br />

15. Zimmermann M. Ethical guidelines for investigation <strong>of</strong><br />

experimental pain in conscious animals. Pain 1983; 16:<br />

109-10.<br />

16. Siegmund E, Cadmus RA, Lu G. A method for evaluating<br />

both non-narcotic <strong>and</strong> narcotic analgesics. Proc Soc Exp<br />

Biol Med 1957; 95: 729-31.<br />

17. Koster R, Andersin N, Debber EJ. Acetic acid for<br />

analgesics screening. Federation Proceedings 1959; 18:<br />

412.<br />

18. Eddy NB, Leimback D. Synthetic analgesics. II.<br />

Dithienylbutenyl- <strong>and</strong> dithienylbutyl-amines. J Pharmacol<br />

Exp Ther 1953; 107: 385-93.<br />

19. Hosseinzabeh H, Ramezani M, Salmami G.<br />

Antinociceptive, anti-inflammatory <strong>and</strong> acute toxicity<br />

effects <strong>of</strong> Zataria mullifora Boiss extracts in mice <strong>and</strong> rats.<br />

J Ethnopharmacol 2000; 73: 379-85.<br />

20. Collier HO, Dinen LC, Johnson CA, Schneider C. The<br />

abdominal constriction responses <strong>and</strong> its suppression by<br />

analgesic drugs in mice. Br J Pharmacol <strong>and</strong> Chemother<br />

1968; 32: 295-310.<br />

21. Janssen PA, Niemegeers CJ, Dony JG. The inhibitory<br />

effect <strong>of</strong> fentanyl <strong>and</strong> other morphine-like analgesics on<br />

the warm water induced tail withdrawal reflex in rats.<br />

Drug Res 1963; 13: 502-7.<br />

62


Li R et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):63-70<br />

<strong>Asian</strong> <strong>Journal</strong> <strong>of</strong><br />

<strong>Pharmacodynamics</strong> <strong>and</strong><br />

<strong>Pharmacokinetics</strong><br />

ISSN 1608-2281<br />

Copyright by Hong Kong Medical Publisher<br />

Publisher Homepage: www.hktmc.com<br />

Therapeutic effect <strong>and</strong> mechanism for anti-fibrosis <strong>of</strong><br />

polyhydroxysilbene <strong>of</strong> Rhizoma Scirpi in hepatic fibrosis rats<br />

Run Li, Zong-Peng Zhang, Yi-Hong Tian<br />

Research Center for New Drug Evaluation, Tianjin State Key Laboratory <strong>of</strong> <strong>Pharmacokinetics</strong> <strong>and</strong><br />

<strong>Pharmacodynamics</strong>, Tianjin Institute <strong>of</strong> Pharmaceutical Research, Tianjin 300193, China<br />

Abstract<br />

Key words<br />

Aim To study therapeutic effect <strong>and</strong> mechanism for anti-fibrosis <strong>of</strong> polyhydroxysilbene <strong>of</strong><br />

Rhizoma Scirpi in hepatic fibrosis rats. Methods Fluidextract contained polyhydroxystilbene<br />

(PHS), The radix <strong>of</strong> Spcirpus yagara Ohwi. Was extracted with ethyl acetatethe therapeutic<br />

effect <strong>and</strong> mechanism on hepatic fibrosis is studied in this article. The test assay included serum<br />

levels <strong>of</strong> ALT, AST, TP, ALB <strong>and</strong> the levels <strong>of</strong> HA, LN, MDA, SOD <strong>and</strong> hapetic tissue<br />

pathomorphological examination. Results In animal experiment, study showed that the<br />

levels <strong>of</strong> ALT, AST in serum <strong>and</strong> the levels <strong>of</strong> HA, LN, MDA in rats liver in treatment groups is<br />

significant lower than that in pathologic control group(model group, group B).Compared with<br />

rats in pathologic control groupthe levels <strong>of</strong> SOD significant increased in the groups rats<br />

treated with Fluidextract or malotilate.In vitro, hepatic microsomes <strong>of</strong> rats were prepared by<br />

centrifugation. NADPH/Vit-C or cysteine/FeSO 4 reaction system is used to induce the<br />

production <strong>of</strong> MDA in rats liver microsomes. Conclusion The fluidextract suggested a better<br />

antioxidant effect.A dose-response relationship was found between the antioxidant effect <strong>and</strong><br />

concentration <strong>of</strong> the fluidextract in the two reaction systems.The antioxidant effect may be one<br />

<strong>of</strong> the cardinal mechanisms in the therapeutic effect <strong>of</strong> extract <strong>of</strong> Spcirpus yagara Ohwi to<br />

hepatic fibrosis.<br />

Spcirpus yagara Ohwi, polyhydroxystilbene, Hepatic fibrosis, lipid peroxidation, Hepatic<br />

microsomes<br />

Article history Received 9 December 2006; Accepted 21 July 2008<br />

Publication data Pages: 8; Tables: 5 ; Figures: 7; References:18; Paper ID 1608-2281-2009-09010063-08<br />

Corresponding author Pr<strong>of</strong>essor Zong-Peng Zhang, Research Center for New Drug Evaluation, Tianjin State Key<br />

Laboratory <strong>of</strong> <strong>Pharmacokinetics</strong> <strong>and</strong> <strong>Pharmacodynamics</strong>, Tianjin Institute <strong>of</strong> Pharmaceutical<br />

Research, Tianjin 300193, China. E-mail: zhang88985@163.com<br />

Introduction<br />

Hepatic fibrosis is a common pathological<br />

process <strong>of</strong> chronic hepatic disease, leading to the<br />

development <strong>of</strong> irreversible cirrhosis in patents [1-3] .<br />

There are various kinds <strong>of</strong> chronic liver injuries all<br />

over the world, causing great affection to patents.<br />

Therefore, searches for effective ways to inhibit<br />

63


Li R et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):63-70<br />

fibrosis <strong>and</strong> prevent the development <strong>of</strong> cirrhosis<br />

are great significance [4] . Chinese traditional <strong>and</strong><br />

herbal medicines, which are well known for the<br />

long history <strong>of</strong> prevent therapy <strong>of</strong> various diseases<br />

with low cost <strong>and</strong> few side effects, have particular<br />

potentials in the treatment <strong>of</strong> hepatic fibrosis [5-11] .<br />

Rhizoma Sparganii, which is a dried radix <strong>of</strong><br />

Sparganium stoloniferum Buch.-Ham. (Family:<br />

Sparganiaceae) possesses wide pharmacological<br />

activities <strong>and</strong> is a commonly used traditional Chinese<br />

medicine for the treatment <strong>of</strong> chronic hepatitis in<br />

clinics <strong>of</strong> traditional medicine. Xiao <strong>and</strong> his<br />

co-workers reported that the Rhizoma Sparganii can<br />

protent hepetic cells, alleviate degeneration <strong>and</strong><br />

necrosis, recover hepatic cell structure <strong>and</strong> liver<br />

function, <strong>and</strong> reduce the proliferation <strong>of</strong> fibrous tissue<br />

in the rat immunohepatic fibrosis model. Rhizoma<br />

Spcirpi, which is a dried radix <strong>of</strong> Spcirpus yagara<br />

Ohwi (family: Scirpusaceae) (Fig 1, www.<br />

zwy.csuft.edu.cn is also sued as a substitute for<br />

Rhizoma Sparganii in traditional Chinese medicine [15] .<br />

In chemical ingredients, the two herbs are different.<br />

Polyhydroxystilbene (3, 3, 4, 5-tetrahydroxystilbene),<br />

scirpusia A <strong>and</strong> B, veroeratrol, betulin <strong>and</strong> betulinic<br />

acid were found from Spciepus yagara <strong>and</strong> were not<br />

found from Sparganium stoloniferum.<br />

Polyhydroxystilbene is a main chemical ingredient <strong>of</strong><br />

Spciepus yagara <strong>and</strong> its pharmacological activity on<br />

inhibition <strong>of</strong> lever fibrosis was not investigated.<br />

Fig 1. Spciepus yagara Ohwi<br />

In this study, the effects <strong>of</strong> Polyhydroxystilbene<br />

extraction from Spciepus yagara on lever<br />

fibrosis used an induced lever fibrosis model by<br />

carbon tetrachloride in rats. The antioxidant effect to<br />

be one <strong>of</strong> the cardinal mechanisms in the therapeutic<br />

effect to hepatic fibrosis was employed to examine.<br />

Materials <strong>and</strong> methods<br />

The extract <strong>and</strong> drug<br />

Polyhydroxystilbene fluidextract (PHS)<br />

extracted from plant materimals <strong>of</strong> Spcirpus yagara<br />

Ohwi. Rhizome with ethyl acetate is<br />

Yellowish-brown. Eevery gram <strong>of</strong><br />

polyhydroxystibene fluidextract is equivalent to 300<br />

g crude materials.As a positive control drug <br />

malotilate tablets are purchased from Shanxi Yabao<br />

Pharmaceutical Co.Ltd., China.<br />

Animals<br />

Wister rats, male <strong>and</strong> female, with body weight<br />

from 250g to 300gsupplied by laboratory animal<br />

unit <strong>of</strong> Tianjin Institute <strong>of</strong> Pharmaceutical Research.<br />

Instruments <strong>and</strong> Reagents<br />

The centrifugeVITALAB Selectra 2 automatic<br />

biochemistry analyzer <strong>and</strong> ELISA were used in<br />

experiment.The biochemistry assay kits <strong>and</strong> the<br />

quality control serums are provided by Zhongsheng<br />

Beikong Bio-technology <strong>and</strong> Science Inc <strong>of</strong> china.<br />

The rat hyaluronic acid HA<strong>and</strong> lamininLN<br />

ELISA kits are manufactured by Market inc <strong>of</strong><br />

U.S.A.<br />

Methods <strong>of</strong> animal experiment<br />

Rats are r<strong>and</strong>omly divided into 6 groups<br />

(6/group), group A, B, C,D, E <strong>and</strong> F respectively.Rats<br />

at group BCDE <strong>and</strong> F received a single oral dose<br />

<strong>of</strong> 30% CCl 4 (0.2ml/100g) in sesame oil by gavage<br />

for 8 weeks.After 2 weeksrats at group C received a<br />

single oral doses <strong>of</strong> 75mg·kg -1·d -1 malotilate<br />

suspensions in water by gavage for 6 weeks<strong>and</strong><br />

group A, D, E <strong>and</strong> F received a single oral doses <strong>of</strong> 0,<br />

0.15, 0.6, 2.4 mg·kg -1·d -1 polyhydroxystilbene<br />

fluidextract fluidextract suspensions in water/tween<br />

80 by gavage for 6 weeks.Rats fasted 16 h <strong>and</strong> then<br />

sacrificed after the last dose.At the same timesblood<br />

<strong>and</strong> liver sample were also collected.<br />

Assay methods for serum biochemiscal<br />

values<br />

The serum biochemistry values including<br />

alanine aminotransferase (ALT), aspartate<br />

aminotrasferase(AST), total protein(TP), albumin<br />

64


Li R et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):63-70<br />

(ALB) <strong>and</strong> the values <strong>of</strong> superoxide dismutase<br />

(SOD)hydroxyproline (Hyp) in liver were assayed<br />

using automatic biochemistry analyzer with the<br />

methods <strong>of</strong>fered by biochemistry assay kits [16] . The<br />

serum values <strong>of</strong> HA LN were assayed using<br />

ELIASA with the methods <strong>of</strong>fered by ELISA<br />

kits.The concentration <strong>of</strong> MDA in liver was measured<br />

with thiobarbituric acid (TBA) method (colorimetry).<br />

Pathological examination<br />

The pathological change <strong>of</strong> hepatic slice by HE<br />

dyeingwere observed under the light microscope.<br />

The classification <strong>and</strong> statistical analysis <strong>of</strong> hepatic<br />

fibrosis refer to Consensus on evaluation <strong>of</strong> the<br />

diagnosis <strong>and</strong> efficacy <strong>of</strong> hepatic fibrosis [11] .<br />

Methods <strong>of</strong> anti-peroxidized experiment in<br />

vitro<br />

In vitro,hepatic microsomes <strong>of</strong> rats were<br />

prepared by centrifugation [12,13] . The production <strong>of</strong><br />

MDA in rats liver microsomes were induced with<br />

NADPH/Vit-C [14] <strong>and</strong> cysteine/FeSO 4 reactive<br />

system [16] . The concentration <strong>of</strong> MDA in rats liver<br />

microsomes suggesting peroxidized levels <strong>of</strong> liver<br />

microsomes, were measured with thiobarbituric acid<br />

method (TBAcolorimetry).<br />

Statistical analysis<br />

All data were analyzed by SPSS for windows<br />

statistical package. Measurement data were analyzed<br />

by ANOVA, ranked data were analyzed by<br />

Kruskal-Wallis test. P values were less than 0.05<br />

were considered to be statistically significant.<br />

Results<br />

Animal experiment<br />

Effect on liver functions At the end <strong>of</strong><br />

treatment period5/12 animals died in group B <strong>and</strong> D,<br />

3/12 animals in group C, E <strong>and</strong> F died respectively<br />

while no died in group A. Decrease in mortality was<br />

observed in group C, E <strong>and</strong> F.<br />

Table 1. Effect <strong>of</strong> polyhydroxystibene fluidextract on serum AST, ALT, TP <strong>and</strong> ALB values <strong>of</strong> rats (Mean± SD)<br />

Animal<br />

amountn<br />

ALT<br />

u/L<br />

AST<br />

u/L<br />

TP<br />

g/L<br />

ALB<br />

g/L<br />

Group A 9 31.8±9.2 ** 115.6±34.7 ** 74.1±5.5 33.8±3.5 *<br />

Group B 7 183.9±59.0 346.8±110.7 70.3±6.2 29.9±2.9<br />

Group C 9 87.6±31.2 ** 167.4±63.2 ** 71.5±4.4 30.1±2.2<br />

Group D 7 152.7±51.3 265.6±64.9 72.2±5.5 29.3±2.9<br />

Group E 8 176.5±93.8 328.6±131.1 69.6±4.9 29.7±2.9<br />

Group F 8 109.7±62.0 * 195.8±53.2 * 71.0±4.3 30.4±2.6<br />

Significant relative to group B* p


Li R et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):63-70<br />

As shown in Table 1, the ALT, AST values in<br />

group B is significant higher than that in group A<br />

(P


Li R et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):63-70<br />

At the concentrations <strong>of</strong> 75µg·ml -1 , <strong>and</strong> 375µ·ml -1 , the<br />

lipid peroxidation value was signaficantly lower than<br />

that <strong>of</strong> control group (p


Li R et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):63-70<br />

was 1.04±0.05 in reaction system. Polyhydroxystilbene<br />

fluidextract completely inhibited the lipid<br />

peroxidation induce by cysteine <strong>and</strong> FeSO 4 in the<br />

system at the concentration <strong>of</strong> 5µg·ml -1 . At the<br />

concentrations <strong>of</strong> 5µg·ml -1 <strong>and</strong> 10 µg·ml -1 , the lipid<br />

peroxidation value was lower than that <strong>of</strong> control<br />

group (P


Li R et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):63-70<br />

Discussion<br />

Stigma <strong>of</strong> blood stasis always appears in hepatic<br />

fibrosis patients. For its effect <strong>of</strong> activating blood<br />

circulation to dissipate blood stasis, Spcirpus yagara<br />

Ohwi always occurs in herbalist doctor`s<br />

prescriptions for treatment <strong>of</strong> the hepatic fibrosis.<br />

Pharmacological studies in animal models indicated,<br />

the pharmacological effect <strong>of</strong> Spcirpus yagara Ohwi<br />

is in accord with the traditional efficacy. In fact, it is<br />

a question that the pharmacological research <strong>of</strong><br />

Spcirpus yagara Ohwi still stagnated in the research<br />

<strong>of</strong> its traditional effect, such as effect <strong>of</strong> activating<br />

blood circulation <strong>and</strong> releasing pains.From a<br />

literature survey ,it appears that none <strong>of</strong> the previous<br />

investigators is concerned with the anti-hepatic<br />

fibrosis effect <strong>of</strong> Spcirpus yagara Ohwi. According<br />

to the Chinese tridetional medical theories, stagnation<br />

<strong>and</strong> block <strong>of</strong> the blood vessel was the pathogenesis<br />

on hepatic fibrosis patients.Ameliorated the blood<br />

sludging very avails to hepatic fibrosis patients.<br />

Spcirpus yagara Ohwi can meliorate economy<br />

microcirculation, <strong>and</strong> can meliorate blood providing<br />

<strong>of</strong> liver.<br />

Fig 7. Effects <strong>of</strong> polyhydroxystibene fluidextract on lipid perxidation induced<br />

by cysteine/FeSO 4 in liver microsomes <strong>of</strong> rats<br />

Thereforethe therapeutic effect <strong>of</strong> Spcirpus<br />

yagara Ohwi on hepatic fibrosis was studied with the<br />

harmacological method by us in our laboratory, at the<br />

same time, we hope to reveal the mechanism <strong>of</strong> its.<br />

Experimental observation shown,<br />

polyhydroxystibene fluidextract which has certain<br />

effect on hepatic fibrosis <strong>of</strong> rats model, could<br />

significantly meliorate the hepatic function <strong>of</strong> model<br />

rats,protect hepatocyte <strong>and</strong> abate hepatocyte<br />

necrosis.Rats striked by CCl 4 shown obvious stigma<br />

<strong>of</strong> injured by lipid peroxidationthe SOD values in its<br />

liver decreased significantlythe content <strong>of</strong> MDA<br />

increased.It is generally accepted that lipid<br />

peroxidation is the bridge between hepatic fibrosis<br />

<strong>and</strong> continuate hepatitis (Liu, 2002). Thereforby<br />

employing reactional system <strong>of</strong> NADPH/Vit-C or<br />

cysteine/FeSO 4 we focused attention on the<br />

mechanism <strong>of</strong> therapeutic hepatic fibrosis effect <strong>of</strong><br />

Spcirpus yagara Ohwi.<br />

As the result in above, PHS fluidextract can<br />

resist liver microsame injury <strong>of</strong> lipid peroxides<br />

completely inhibited the lipid peroxidation induced<br />

by Vit-c <strong>and</strong> NADPH in microsomes at the<br />

concentration <strong>of</strong> 5mg·ml -1 <strong>and</strong> completely inhibited<br />

the lipid peroxidation induced by cysteine <strong>and</strong><br />

FeSO 4 in the system at the concentration <strong>of</strong><br />

1.6mg·ml -1 .<br />

In conclusion, polyhydroxystibene fluid extract<br />

is an effective substantiate in treating hepatic<br />

fibrosis. Its mechanism might be probably related to<br />

the effect <strong>of</strong> anti-lipid peroxidation.<br />

Acknowledgments Authors are very grateful to<br />

Pr<strong>of</strong>essor Liu CX for his helps. This work is completed<br />

partly by Guo CM, Wang JJ, Cheng XX, Hu LZhang JX<br />

<strong>and</strong> Wang H. This study was supported by National Basis<br />

Research Plan (973 Plan) No 2007CB516807.<br />

References<br />

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2. Wang YJ <strong>and</strong> Sun ZQ. Advance in cytology <strong>and</strong> molecular<br />

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1994; 2:244-246.<br />

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therapy for liver cirrhosis <strong>and</strong> liver fibrosis World Chin J <strong>of</strong><br />

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6. Li JM. Recent condition <strong>of</strong> traditional Chinese herb on<br />

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7. Xi ZT, Shan CM, Jiang XL, Luan XY, <strong>and</strong> Li KK.<br />

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27: 929-932.<br />

8. Liu P, Hu YY, Liu ZQ, Zhu DY, Xue HM, Xu ZQ, Wang Q,<br />

Guan HL <strong>and</strong> Zhang ZQ clinical observation <strong>of</strong><br />

salvianolic acid B in treament <strong>of</strong> liver fibrosis in chronic<br />

hepatitis B. World J Gastroenterol 2002; 8: 679-685.<br />

9. Liu SQ Yu JP, Ran ZX. .Effect <strong>of</strong> Ginkgo Biloba<br />

Extract(EGB) on Liver Fibrosis in Rats.<strong>Journal</strong> <strong>of</strong> Chinese<br />

Clinical Medicine 2002; 3(11):1-3.<br />

10. Cai DY, Zhao G, Chen JC, Ye GM, Bing PH, <strong>and</strong> Fan BW.<br />

Therapeutic effect <strong>of</strong> Zijin capsule in liver fibrosis in rats.<br />

World J Gastroenterol 1998; 4: 263-265<br />

11. Zeng MD, Wang TL,Wang BN (Hepatic Fibrosis Study<br />

Group <strong>of</strong> Chinese Liver Disease Association)Consensus<br />

on evaluation <strong>of</strong> the diagnosis <strong>and</strong> efficacy <strong>of</strong> hepatic<br />

fibrosis. Chin J Hepatology 2002; 10(5):327-328.<br />

12. Minotti GAust SD.The requirement for ironIIin the<br />

initiation <strong>of</strong> lipid proxidation by iron <strong>and</strong> hydrogen<br />

peroxide.J Biol Chem 1987; 262(3):1098.<br />

13. Tang WX, Dan ZL, Yan HM, Wu CH, Zhang G, Liu M, Li<br />

Q <strong>and</strong> li SB. Experimental study <strong>of</strong> effect <strong>of</strong> ganyanping on<br />

fibrosis in rat livers. World J Gastroenterol 2003;<br />

9:1292-1295<br />

14. Rolf T Yasush H, Charles SL. Hepatic Microsomal<br />

Alcohol-oxidizing. J Biol Chem 1975; 250(18):7397.<br />

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Biochem.J 1969; 113:315-323.<br />

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material Medica 1:26-34. Beijing: Chemical Industry Press.<br />

17. Zhang ZP, Tian YH, Li R, Cheng XQ, Guo SM, Zhang JX,<br />

Wang JX, <strong>and</strong> Hu L. The comparison <strong>of</strong> the normal blood<br />

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70


Nie XP et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):71-76<br />

<strong>Asian</strong> <strong>Journal</strong> <strong>of</strong><br />

<strong>Pharmacodynamics</strong> <strong>and</strong><br />

<strong>Pharmacokinetics</strong><br />

ISSN 1608-2281<br />

Copyright by Hong Kong Medical Publisher<br />

Publisher Homepage: www.hktmc.com<br />

Changes <strong>of</strong> the adenosine content in single <strong>and</strong> mixed decoctions<br />

<strong>of</strong> Gualou-xiebai-baijiu decoction<br />

Xiao-Pu Nie 1 , Wen-Yuan Gao 1 *, Pei-Gen Xiao 2<br />

1 School <strong>of</strong> Pharmaceutical Science <strong>and</strong> Technology, Tianjin University, Tianjin 300072, China<br />

2<br />

Institute <strong>of</strong> Medicinal Plant, Chinese Academy <strong>of</strong> Medical Sciences <strong>and</strong> Peking Union Medical College,<br />

Beijing 100094, China<br />

Abstract Aim To investigate the adenosine content in single <strong>and</strong> mixed decoctions <strong>of</strong><br />

Gualou-xiebai-baijiu decoction, we developed a simple <strong>and</strong> rapid High-performance liquid<br />

chromatographic (HPLC) method for the determination <strong>of</strong> adenosine, an active constitute to<br />

restrain platelet aggregation in Gualou-xiebai-baijiu decoction. Methods The decoctions were<br />

separated on a HiQsilC 18 column4.6mm×250mm5µm<strong>and</strong> detected by ultraviolet detection<br />

at a wavelength <strong>of</strong> 260nm <strong>and</strong> at the temperature <strong>of</strong> 30 °C. The use <strong>of</strong> methanol-water (10:90,<br />

v/v) as the mobile phase at a flow rate <strong>of</strong> 1.0 mL·min -1 enabled the baseline separation <strong>of</strong> the<br />

drugs free from interferences with isocratic elution. Results The content <strong>of</strong> adenosine in the<br />

mixed decoction is much higher than those in the single decoction which was extracted with<br />

20% ethanol. But it is much less than in the single decoction which was extracted with 10% <strong>and</strong><br />

30% ethanol. The content <strong>of</strong> adenosine in single <strong>and</strong> mixed decoctions have exceeding<br />

significant difference (P


Nie XP et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):71-76<br />

Numerous studies have shown substantial evidence<br />

that adenosine modulates cardiovascular control at<br />

the level <strong>of</strong> the nucleus tractus solitarius (NTS) [3-6] .<br />

In the last few years, there are more <strong>and</strong> more<br />

researches on the differences between the single<br />

decoction <strong>and</strong> the mixed decoction<br />

[7] .To our<br />

knowledge, however, there is no report on<br />

Gualou-xiebai-baijiu decoction in this aspect.<br />

Adenosine (Fig. 1) is an active constitute to inhibit<br />

platelet aggregation <strong>and</strong> has been separated from both<br />

Fructus trichosanthisi <strong>and</strong> Bulbus alliimacrostemi [8,9] .<br />

Moreover, Fructus trichosanthisi <strong>and</strong> Bulbus<br />

alliimacrostemi are <strong>of</strong>ten paired a basic prescription<br />

in many prescriptions to treat cardiovascular disease<br />

in traditional Chinese medicine [10] .<br />

Nowadays, coronary heart disease CHD is<br />

severely harming human health for its high<br />

incidence <strong>and</strong> death rate. CHD belongs to<br />

arthromyodynia category according to traditional<br />

Chinese medicine. The traditional Chinese medicine<br />

plays more <strong>and</strong> more important role in the treatment<br />

<strong>of</strong> CHD. Gualou-xiebai-baijiu decoction is a<br />

well-known classic preparation in traditional<br />

Chinese medicine. It originates from Jinkui Yaolue,<br />

a famous pharmaceutical book written by Zhang<br />

Zhong-Jing in the Han dynasty. The prescription<br />

consists <strong>of</strong> Fructus trichosanthisi <strong>and</strong> Bulbus<br />

alliimacrostemi <strong>and</strong> is extracted with wine [11] . It has<br />

been used to treat CHD <strong>and</strong> angina pectoris for<br />

several hundred years <strong>and</strong> has achieved good results<br />

in modern clinical practice [12] .<br />

HO<br />

N<br />

NH 2<br />

N<br />

H<br />

OH<br />

O<br />

N<br />

N<br />

OH<br />

Fig 1. Chemical structure <strong>of</strong> adenosine<br />

In this paper, we established a simple <strong>and</strong> rapid<br />

High-performance liquid chromatographic (HPLC)<br />

method for the determination <strong>of</strong> adenosine in<br />

Gualou-xiebai-baijiu-tang <strong>and</strong> then investigated the<br />

content <strong>of</strong> adenosine in single <strong>and</strong> mixed decoction<br />

<strong>of</strong> Gualou-xiebai-baijiu decoction.<br />

Materials <strong>and</strong> methods<br />

Chemicals <strong>and</strong> reagents<br />

The crude herb <strong>of</strong> Fructus trichosanthis <strong>and</strong><br />

Bulbus allii macrostem were purchased from Anguo<br />

Meiwei Pharmaceutical Co. (Hebei, China).<br />

Adenosine was obtained from National Engineering<br />

Research Center <strong>of</strong> technique <strong>of</strong> manufacture <strong>of</strong> the<br />

traditional Chinese medicine solid preparation<br />

(Jiangxi, China). Methanol (chromatographic<br />

grade) was purchased from Concord Technological<br />

Company (Tianjin, China). Water was twice<br />

distilled water. Other reagents used were at least<br />

analytical grade.<br />

Equipment<br />

The HPLC system consists <strong>of</strong> an Agilent1100<br />

serials pump, solvent degasser, column oven, UV<br />

detector. This system was operated with a Chem<br />

Station s<strong>of</strong>tware (Version: A.09.01) (Agilent,<br />

USA).The HPLC consists <strong>of</strong> a 5µm C18 column<br />

(4.6×250mm) (HiQ silC 18 , Japan) <strong>and</strong> a safeguard<br />

column <strong>of</strong> the same material.<br />

Chromatographic conditions<br />

The column temperature was kept constant at<br />

30 <strong>and</strong> the mobile phase flow rate was<br />

1.0mL·min -1 . All <strong>of</strong> injection volume was 10µL.<br />

For quantitative assay, the mobile phase was<br />

methanol -water (10:90, v/v) <strong>and</strong> the UV detector<br />

measured absorbance at 260 nm.<br />

St<strong>and</strong>ard solutions<br />

Stock solution <strong>of</strong> adenosine <strong>of</strong> 19.84µg·mL -1<br />

was prepared in 90% methanol. Appropriate<br />

dilutions (v/v) <strong>of</strong> the stock solutions were made<br />

with 90% methanol to obtain working solutions<br />

from 1.984 to 19.84µg·mL -1 <strong>of</strong> adenosine. These<br />

solutions were used for the study <strong>of</strong> linearity,<br />

accuracy, repeatability <strong>and</strong> recovery.<br />

The linearity <strong>of</strong> the method was established by<br />

using 5 st<strong>and</strong>ard solutions for adenosine<br />

(concentration range <strong>of</strong> 1.984–19.84µg·mL -1 ),<br />

assayed in triplicate on the experiment.<br />

72


Nie XP et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):71-76<br />

Sample preparation<br />

Mixed decoction preparation The Fructus<br />

Trichosanthis <strong>and</strong> Bulbus Allii Macrostemi 5.0g<br />

(the proportion <strong>of</strong> Fructus Trichosanthis <strong>and</strong> Bulbus<br />

Allii Macrostemi was 3:2), were soaked by 20%<br />

ethanol (40ml) for 0.5h. Then they were extracted in<br />

a regurgitate bath for 1 h. The decoction was<br />

filtered through absorbent gauze. The remainder<br />

slags were continually extracted in a regurgitate<br />

bath for 1 h by 20% ethanol (30ml). The decoction<br />

was filtered through absorbent gauze <strong>and</strong> merged<br />

with the first decoction. For determination <strong>of</strong><br />

adenosine, the solution was filtered through a<br />

membrane (0.22µm) <strong>and</strong> then injected into HPLC.<br />

Single decoction preparation The Fructus<br />

Trichosanthis 3.0g was soaked by 20% ethanol<br />

(24ml) for 0.5h. Then they were extracted in a<br />

regurgitate bath for 1 h. The decoction was filtered<br />

through absorbent gauze. The remainder slags were<br />

continually extracted in a regurgitate bath for 1 h by<br />

20% ethanol (18ml). The decoction was filtered<br />

through absorbent gauze <strong>and</strong> merged with the first<br />

decoction.<br />

The Bulbus Allii Macrostemi 2.0g was<br />

extracted by the same method as Fructus<br />

Trichosanthis. Finally, the decoction <strong>of</strong> Fructus<br />

Trichosanthis <strong>and</strong> Bulbus Allii Macrostemi was<br />

filtered through a membrane (0.22µm) <strong>and</strong> then<br />

injected into HPLC.<br />

Data analysis<br />

Statistical analysis was performed using the<br />

repeated-measures ANOVA test, followed by t test, to<br />

compare different group.<br />

Results <strong>and</strong> discussion<br />

Selection <strong>of</strong> chromatographic conditions<br />

A good separation condition should satisfy the<br />

need that the analyzed peaks have baseline<br />

separation with adjacent peaks within a short<br />

analysis time as far as possible. To obtain the<br />

chromatograms with good separation, we tried<br />

various mobile phase. According to literatures [13, 14] ,<br />

buffer salt solutions which were prepared<br />

complicatedly were used <strong>and</strong> damage the<br />

chromatographic column. So we tried the mixtures<br />

<strong>of</strong> acetonitrile <strong>and</strong> water (18:92, 4:96, v/v) as<br />

mobile phase but separation was not satisfactory.<br />

When the mixtures <strong>of</strong> methanol <strong>and</strong> water (15:85,<br />

13:87 <strong>and</strong> 12:88, v/v) were used as mobile phase,<br />

the analyzed peaks did not have baseline separation<br />

with adjacent peaks. Only when using methanol <strong>and</strong><br />

water (10:90, v/v) satisfactory separation result can<br />

be obtained.<br />

Table 1. Recovery <strong>of</strong> adenosine in Gualou-xiebai-baijiu decoction<br />

Sample Initial content (µg) Amount added (µg) Recovery (%) Average value <strong>of</strong> recovery (%) R.S.D. (%)<br />

1 100.5985 100.192 99.4<br />

2 108.3180 108.128 102.0<br />

3 99.6212 103.168 99.7<br />

4 98.3459 98.208 98.5<br />

100.0 1.6<br />

5 102.5576 102.176 101.8<br />

6 100.1929 100.192 98.5<br />

Method validation<br />

Linearity The linear range for adenosine<br />

(1.984–19.84µ·mL -1 ) was evaluated. In linearity<br />

range was used 5 different st<strong>and</strong>ard solutions <strong>of</strong> the<br />

lower <strong>and</strong> upper limit concentration. Calibration<br />

curves were obtained by plotting the peak area<br />

versus adenosine concentrations (µ·mL -1 ) <strong>and</strong><br />

resulted in straight lines over the concentration<br />

range. The linearity equations were calculated by<br />

using linear regression analysis, <strong>and</strong> typical<br />

calibration curves were defined by the following<br />

equations: y = 30.206x-5.3233, r=0.9997.<br />

It is possible to conclude that, for adenosine,<br />

the functions are linear in the working range.<br />

73


Nie XP et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):71-76<br />

mAU<br />

4<br />

VWD1 A, Wavelength=260 nm (NIE\GX000037.D)<br />

19.047<br />

2<br />

0<br />

-2<br />

-4<br />

0 5 10 15 20 25<br />

A<br />

mi<br />

<br />

VWD1 A, Wavelength=260 nm (NIE\GX000127.D)<br />

mAU<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

-20<br />

0 5 10 15 20 25<br />

18.970<br />

mi<br />

<br />

VWD1 A, Wavelength=260 nm (NIE\GX000149.D)<br />

mAU<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

0 5 10 15 20 25<br />

<br />

VWD1 A, Wavelength=260 nm (NIE\GX000119.D)<br />

VWD1 A, Wavelength=260 nm (NIE\GX000141.D)<br />

mAU<br />

mAU<br />

18.968<br />

mi<br />

<br />

80<br />

80<br />

60<br />

40<br />

60<br />

40<br />

20<br />

0<br />

-20<br />

0 5 10 15 20 25<br />

VWD1 A, Wavelength=260 nm (NIE\GX000125.D)<br />

mAU<br />

80<br />

60<br />

40<br />

20<br />

0<br />

18.940<br />

mi<br />

<br />

-20<br />

0 5 10 15 20 25<br />

18.845<br />

mi<br />

<br />

20<br />

0<br />

0 5 10 15 20 25<br />

VWD1 A, Wavelength=260 nm (NIE\GX000139.D)<br />

mAU<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

0 5 10 15 20 25<br />

<br />

18.968<br />

18.944<br />

mi<br />

mi<br />

<br />

<br />

Fig 2. HPLC chromatograms <strong>of</strong> chemical reference substance <strong>and</strong> sample<br />

Accuracy The accuracy <strong>of</strong> this method was<br />

determined by comparing the calculated<br />

concentration using calibration curves to the known<br />

concentrationR.S.D.=0.41%,n=6.<br />

Stability The stability study shows that the<br />

decoction containing adenosine is stable at room<br />

temperature for 12hR.S.D.=1.5%,n=6.<br />

Repeatability The content <strong>of</strong> adenosine in 5<br />

74


Nie XP et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):71-76<br />

samples was prepared according to the method in<br />

2.5.1. The obtained R.S.D. values were 1.55%.The<br />

method is precise when working under the same<br />

operating conditions (e.g. same operator <strong>and</strong><br />

equipment).<br />

Recovery The recoveries <strong>of</strong> six samples were<br />

investigated. Average recovery <strong>of</strong> adenosine was<br />

generally above 98%.The results are shown in Table<br />

1.<br />

Sample analysis<br />

Chromatogram Typical chromatograms <strong>of</strong><br />

samples are shown in Fig.2. All samples were<br />

completely separated. The results presented here<br />

show that a HPLC method for the measurement <strong>of</strong><br />

adenosine has been developed. The categories <strong>of</strong><br />

compounds in Gualou-xiebai-baijiu decoction<br />

extracted from different solution have changed. The<br />

categories <strong>of</strong> compounds in Gualou-xiebai-baijiu<br />

decoction which extracted by same solution but<br />

different decoction styles are uniform on the whole.<br />

A chromatogram <strong>of</strong> a adenosine st<strong>and</strong>ard<br />

solution sample; B chromatogram <strong>of</strong> a mixed<br />

decoction sample by 10% ethanol; C chromatogram<br />

<strong>of</strong> a single decoction sample by 10% ethanol; D<br />

chromatogram <strong>of</strong> a mixed decoction sample by 20%<br />

ethanol; E chromatogram <strong>of</strong> a single decoction<br />

sample by 20% ethanol; F chromatogram <strong>of</strong> a<br />

mixed decoction sample by 30% ethanol; G<br />

chromatogram <strong>of</strong> a single decoction sample by 30%<br />

ethanol.<br />

Analysis mixed decoction samples by<br />

different ethanol concentrations Samples were<br />

prepared according to the method in 2.5.1, by 10%<br />

ethanol, 20% ethanol <strong>and</strong> 30% ethanol, respectively.<br />

Then the contents <strong>of</strong> adenosine in them were<br />

investigated. The results are shown in Fig.3.<br />

Fig 3. Results <strong>of</strong> adenosine content in Gualou-xiebai-baijiu decoction<br />

single decoction compared to mixed decoction which were extracted from the same solution.( ** P


Nie XP et al. <strong>Asian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacodynamics</strong> <strong>and</strong> <strong>Pharmacokinetics</strong> 2009; 9(1):71-76<br />

ethanol had the best protection effect to the rats<br />

which had undergone a thirty-minute ligature <strong>of</strong><br />

coronary left anterior descending branch <strong>and</strong> used<br />

as a model <strong>of</strong> ischemic reperfusion [15] . It is possible<br />

that the content <strong>of</strong> adenosine in the decoction is<br />

higher at 20% ethanol than in other concentration<br />

ethanol solutions (10% <strong>and</strong> 30%). The traditional<br />

Chinese medicine prescriptions <strong>of</strong>ten produce a<br />

joint action through many ways <strong>and</strong> targets. More<br />

active constitutes <strong>and</strong> pharmacology researches on<br />

the traditional Chinese medicine prescriptions<br />

should be done in more aspects.<br />

Conclusion<br />

A simple <strong>and</strong> rapid High-performance liquid<br />

chromatographic (HPLC) method for the<br />

determination <strong>of</strong> adenosine is developed. This<br />

method is achieved by methanol <strong>and</strong> reversed phase<br />

HPLC with ultraviolet detection. This assay method<br />

developed the quality control <strong>of</strong> the preparations<br />

including Fructus Trichosanthis <strong>and</strong> Bulbus Allii<br />

Macrostemi. The adenosine content in the single<br />

<strong>and</strong> mixed decoctions has very significant<br />

difference. The dissolution <strong>of</strong> adenosine isrelated<br />

with both the ethanol concentration <strong>and</strong> decoction.<br />

Active constitutes <strong>and</strong> pharmacology researches on<br />

the traditional Chinese medicine prescriptions,the<br />

influencing action <strong>of</strong> decoction style should be<br />

considered.<br />

References<br />

1. Fredholm BB, Abbracchio MP, Burnstock G, et al.<br />

Nomenclature <strong>and</strong> classification <strong>of</strong> purinoceptors.<br />

Pharmacol Rev 1994; 46: 143–156.<br />

2. Fredholm BB: Purinoceptors in the nervous system.<br />

Pharmacol Toxicol 1995; 76: 228–239.<br />

3. Barraco RA, O’Leary DS, Ergene E, et al. Activation <strong>of</strong><br />

purinergic receptor subtypes in the nucleus tractus solitarius<br />

elicits specific regional vascular response patterns. J Auton<br />

Nerv Syst 1996; 59: 113–124.<br />

4. Barraco RA, Phillis JW. Subtypes <strong>of</strong> adenosine receptors in<br />

the brainstem mediate opposite blood pressure responses.<br />

Neuropharmacology 1991; 30: 403–407.<br />

5. Mosqueda-Garcia R, Tseng CJ, Appalsamy M, et al.<br />

Modulatory effects <strong>of</strong> adenosine on baroreflex activation in<br />

the brainstem <strong>of</strong> normotensive rats. Eur J Pharmacol 1989;<br />

174: 119–122.<br />

6. Scislo TJ, O’Leary DS: Mechanisms mediating regional<br />

sympathoactivatory responses to stimulation <strong>of</strong> NTS A1<br />

adenosine receptors. Am J Physiol Heart Circ Physiol 2002;<br />

283: H1588–H1599.<br />

7. Deng Y Y, Gao W Y, Chen H X. et al. Advances in studies<br />

on variability <strong>of</strong> single <strong>and</strong> mixed decoction <strong>of</strong> the<br />

traditional Chinese medicine prescription. Chinese<br />

Traditional <strong>and</strong> Herbal Drugs 2005; 36(12):1909-1911.<br />

8. Liu D L, Qu G X, Wang N L. et al. Antiplatelet aggregation<br />

constituents from Trichosanthes kirilowii. Chinese<br />

Traditional <strong>and</strong> Herbal Drugs 2004; 35(12):1334-1336.<br />

9. Peng J P. Chemical constituents in Allium macrostemon<br />

Bunge <strong>and</strong> Allium chinense GDon <strong>and</strong> their inhibitory<br />

effects on human platelet aggregation. ShenyangShenyang<br />

College <strong>of</strong> Pharmacy 1993.<br />

10. Chao Z M, He B. Overviews in studies on<br />

Gualou-xiebai-tang. Chin J Exp Tradit Med Form 1999;<br />

5(1):57-60.<br />

11. Xu P Y. Pharmacology <strong>of</strong> traditional Chinese medical<br />

formulae. Beijing: People’s Medical Publishing House, 1995;<br />

371-373.<br />

12. Wu B, Cheng X J, Wang M W. The Selected Effective<br />

Prescription <strong>of</strong> Gualou-xiebai-baijiu-tang on Myocardial<br />

Anoxia <strong>and</strong> Ischemia in Rodents.Chinese Traditional <strong>and</strong><br />

Herbal Drugs 2000; 31(11):844-845.<br />

13. Jin H. Determination <strong>of</strong> Adenosine in Chongcaoyifei<br />

Capsule by HPLC. Chinese Traditional Patent Medicine,<br />

2006; 28(1):147-148.<br />

14. Yang F M. Determination <strong>of</strong> Adenosine in Jinhe Tiangen<br />

Capsule by HPLC.Chin J Pharm Anal 2005; 25(1):101-103.<br />

15. Nie X P, Man S L, Zhang Y J et al. The extracts isolated by<br />

different ethanol concentrations from Fructus trichosanthis<br />

<strong>and</strong> Bulbus allii macrostemonis influencing the experimental<br />

myocardial ischemia. Biopharmaceutical Forum<br />

Metabonomics in Research <strong>of</strong> Traditional Chinese<br />

Medicines. Hong Kong: Hong Kong Medical Publisher,<br />

2007.<br />

76


Successful the 2nd <strong>Asian</strong>–Pacific Regional ISSX Meeting<br />

International Society for Study <strong>of</strong><br />

Xenebiotics (ISSX) held the 2nd <strong>Asian</strong>–Pacifi c<br />

Regional Meeting at the School <strong>of</strong> Pharmacy,<br />

Fudan University in Shanghai, China, from May<br />

11–13. The meeting, co-chaired by Honghao<br />

Zhou, Yuichi Sugiyama <strong>and</strong> Zhuohan Hu,<br />

attracted a total <strong>of</strong> 517 meeting participants <strong>and</strong><br />

additional accompanying persons. The four short<br />

courses held on Monday, May 11 had a<br />

combined enrollment <strong>of</strong> 398. The regional<br />

breakdown was 79% <strong>Asian</strong> Pacific,19% North<br />

American, 2% European. Eighteen countries<br />

were represented (Table 1).<br />

Table 1 <strong>Asian</strong>-Pacific Regional ISSX Meeting<br />

attendees by countries<br />

Country/ Regional Attendees<br />

China 239<br />

USA 93<br />

Japan 83<br />

South 42<br />

Taiwan, China 20<br />

UK 8<br />

Australia 7<br />

than 10 abstracts presented from 6 institutions in<br />

China (Table 2).<br />

Fig 1. News <strong>of</strong> this meeting<br />

340 abstracts were accepted by this meeting.<br />

297 abstracts were accepted as posters <strong>and</strong><br />

presented during the poster sessions held on<br />

Monday, May 12 <strong>and</strong> Tuesday, May 13. All<br />

accepted abstracts have been published in a<br />

special supplemental issue <strong>of</strong> Drug Metabolism<br />

Reviews. ISSX is very appreciative <strong>of</strong> the<br />

extraordinary efforts <strong>of</strong> the meeting’s able<br />

organizing committee, led by Honghao Zhou,<br />

Yuichi Sugiyama, <strong>and</strong> Zhuohan Hu, as well as<br />

the strong support <strong>and</strong> involvement <strong>of</strong> the<br />

members <strong>of</strong> the ISSX Meeting<br />

Organizing Committee. The ISSX Web site<br />

will feature a full report <strong>of</strong> the scientific sessions<br />

<strong>of</strong> the 2nd <strong>Asian</strong>–Pacific Regional Meeting.<br />

News <strong>of</strong> this meeting was published in<br />

ISSX Newsletters 2008;28(2):6 (Fig 1).<br />

ISSX published a special issue <strong>of</strong> Drug<br />

Metabolism Reviews (IF=5.59) (Fig 2). 340<br />

abstracts were published in the issue. From the<br />

publication, we found that drug metabolism<br />

research is an active study filed in China. More<br />

Fig 2. Abstracts’ publication <strong>of</strong> this Meeting<br />

Table 2 More than 10 abstracts presented<br />

from 6 institutions<br />

No. Institution Paper<br />

number<br />

1 Shanghai Research Center <strong>of</strong> Drug 33<br />

Metabolism<br />

2 Shanghai Institute <strong>of</strong> liver Disease 20<br />

3 Tianjin Institute <strong>of</strong> Pharmaceutical 15<br />

Research<br />

4 Center South University 12<br />

5 China Pharmaceutical University 11<br />

6 Second Military Medical University 11<br />

77


<strong>Asian</strong> <strong>Journal</strong> <strong>of</strong><br />

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4-8 key words for indexing.<br />

Text<br />

Papers should be organized in the following format:<br />

Introduction, Materials <strong>and</strong> methods, Results, discussion,<br />

<strong>and</strong> references.<br />

Introduction<br />

summarizes the rationale <strong>and</strong> gives a concise<br />

background. Use references to provide the most salient<br />

background rather than an exhaustive review. The last<br />

sentence should state tersely your purpose to do this study.<br />

An uncommon or new compound should be identified by<br />

the chemical name <strong>and</strong> structural formula.<br />

Materials <strong>and</strong> methods<br />

Materials International Nonproprietary Names<br />

(INN) or generic names should be employed whenever<br />

possible. If necessary, the proprietary name may be added<br />

once, in parentheses. The first letter <strong>of</strong> the drug name<br />

should be small for INN or generic names, but capitalized<br />

for proprietary names. Manufacturers <strong>and</strong> specifications<br />

should be given for main drugs, chemicals, <strong>and</strong><br />

instruments. The drug administration schedule should be<br />

identified, includes dose <strong>and</strong> route <strong>of</strong> administration.<br />

Scientific name for all microorganism, plants, <strong>and</strong><br />

animals should be given. The sex, age, <strong>and</strong> actually<br />

measured body weights <strong>of</strong> tested animals or humans<br />

should be expressed as mean, st<strong>and</strong>ard deviation, <strong>and</strong><br />

total range.<br />

Methods: Offer technical information to allow the<br />

experiments to be repeated. Describe new methods or<br />

modifications <strong>and</strong> identify the unusual instruments <strong>and</strong><br />

procedures in sufficient detail. The routes <strong>of</strong><br />

administration may be abbreviated, eg, intraarterial (ia),<br />

intracerebroventricular (icv), intragastric gavage (ig),<br />

intramuscular (im), intraperitoneal (ip), intravenous (iv),<br />

per os (po), subcutaneous (sc). Dosage is expressed as per<br />

kg ( in animals).<br />

Statistical Methods: Statistical methods should be<br />

described to verify the results. Give number <strong>of</strong><br />

observations <strong>and</strong> subjects. Report losses to observations,<br />

such as dropouts from the study. Only homogeneous data<br />

can be averaged. The st<strong>and</strong>ard deviation (s) is much<br />

preferred to st<strong>and</strong>ard error (s x ).<br />

Suitable techniques should be chosen for the<br />

statistical treatments, eg, t test (group or paired<br />

comparisons), chi-squqre test, Ridit, probit, logit,<br />

regression, correlation, analysis <strong>of</strong> variance (ANOVA),<br />

analysis <strong>of</strong> covariance, etc.<br />

Effective digits are determined by the precision <strong>of</strong><br />

the measuring instruments. Do not include more digits<br />

than are justified by the accuracy <strong>of</strong> the determinations.<br />

Results<br />

Simple data may be set forth in text with no need <strong>of</strong><br />

tables or figures. Described results should be<br />

underst<strong>and</strong>able <strong>and</strong> clear. The word “significantly” should<br />

be replaced by its synonyms, if it indicates, or the p value,<br />

if it indicates statistical significance. The tables <strong>and</strong><br />

figures should be prepared according to following<br />

principles. Summarize or emphasize the results followed<br />

by tables or figures. Reserve extensive interpretations <strong>of</strong><br />

the results for the discussion section.<br />

Tables: Each table should have a brief title. Type<br />

each table on separate sheet. If the table must exceed one<br />

page, duplicate all headings on the second sheet. Number<br />

tables in the order in which they are cited in the text.<br />

Define all abbreviations <strong>and</strong> indicate the units <strong>of</strong><br />

measurement for all values. Explain all empty spaces or<br />

dashes. If data from any other source, published or<br />

unpublished, are used, obtain a permission letter for their<br />

use <strong>and</strong> cite the source in the legend.<br />

Figures: Figures should be pr<strong>of</strong>essionally drawn in<br />

black ink <strong>and</strong>, if possible, submitted as glossy,<br />

high-contrast black-<strong>and</strong>-white photographs between three<br />

<strong>and</strong> six inches in width. Letters, numbers, <strong>and</strong> symbols<br />

should be clear throughout, <strong>and</strong> should be large enough to<br />

remain legible when reduced for publication. In general,<br />

the size is height: width = 2;3. Be sure that all spelling is<br />

correct, that there are no broken letters or uneven type,<br />

<strong>and</strong> that abbreviations used are consistent with those in<br />

the text. The data for drawing the figures should be typed<br />

on separate sheets <strong>and</strong> submitted along with the figures.<br />

Quantity <strong>and</strong> unit: Physical quantity is printed in<br />

italic type. A subscript that represents a symbol for a<br />

physical quantity is printed in italic type. A solidus (/)<br />

shall not be followed by a multiplication sign or a<br />

division sign unless parentheses are inserted to avoid any<br />

ambiguity. In complicated cases negative powers or<br />

parentheses shall be used. SI units must be used.<br />

Discussion<br />

Discussion should deal with interpretations <strong>of</strong> your<br />

79


esults. Emphasize any new <strong>and</strong> important aspects <strong>and</strong><br />

relate your results to other studies. Discuss the<br />

shortcomings in your experiments. New hypotheses <strong>and</strong><br />

recommendations may be proposed when warranted.<br />

End with a brief conclusion, which ought to be linked<br />

with the goal stated in introduction.<br />

Acknowledgments<br />

Acknowledgments may briefly include (1)<br />

contributors that do not warrant authorship; (2) technical<br />

help; <strong>and</strong> (3) financial or material support.<br />

References<br />

Type references double-spaced <strong>and</strong> number them<br />

consecutively in the order in which they are first<br />

mentioned in text, not alphabetically. The references<br />

should conform to the style recommended in the AMA<br />

Manual <strong>of</strong> Style. References in text, tables, <strong>and</strong> legends<br />

are identified by Arabic numerals typed parenthetically.<br />

Authors are responsible for the accuracy <strong>and</strong><br />

completeness <strong>of</strong> the references.<br />

For journal articles, include: (1) author name(s) <strong>of</strong><br />

all authors; (2) title; (3) journal title abbreviated as it<br />

appears in the Index Medicus or spelled out if it is not<br />

listed; (4) year <strong>of</strong> publication; (5) volume number; (6)<br />

issue; <strong>and</strong> (7) inclusive page numbers.<br />

For books, list: (1) author name(s); (2) title,<br />

including number <strong>of</strong> editions; (3) chapter title if<br />

appropriate; (4) editor; (5) place <strong>of</strong> publication, publisher,<br />

<strong>and</strong> year published; (6) volume number <strong>and</strong> (7) page<br />

numbers if appropriate.<br />

For Conference proceedings <strong>and</strong> conference papers,<br />

list: (1) author name(s) <strong>of</strong> all authors; (2) title; (3) Name<br />

<strong>of</strong> Conference proceedings or Conference Paper<br />

Collection; (4) year, month, data, place (Country, city); (5)<br />

place <strong>of</strong> publication, publisher, <strong>and</strong> year published; (6)<br />

volume number <strong>and</strong> (7) inclusive page numbers.<br />

Unpublished observations <strong>and</strong> personal<br />

communications should not appear in the references.<br />

Manuscripts that have been accepted for publication but<br />

have not yet been published may appear in the references:<br />

include authors, manuscript title, <strong>and</strong> name <strong>of</strong> journal<br />

followed by “in press” in parentheses.<br />

Sample references<br />

1. Abraham BK, Adithan C, Usha Kiran P, Asad M,<br />

Koumaravelou K. Genetic polymorphism <strong>of</strong> CYP2D6 in<br />

kamataka <strong>and</strong> <strong>and</strong>hra pradesh population in india. Acta<br />

Pharmacol Sin 2000; 21: 494-8.<br />

2. Liu CX. Studies on Drug Metabolism <strong>and</strong><br />

pharmacokinetics in China. ISSX Newsletter 1990; 9(2):<br />

1-2.<br />

3. Milton AS. Prostagl<strong>and</strong>ins <strong>and</strong> fever. In: Sharma HS,<br />

Westman J, editors. Progress in brain research; v 115. Brain<br />

function in hot environment. Amsterdam: Elsevier; 1998;<br />

129-39.<br />

4. Wnag LCK. Current drug safety testing in USA.<br />

Proccedings <strong>of</strong> International Symposium on Traditional<br />

Medicines <strong>and</strong> Modren Pharmacology; 1987 May 2-4;<br />

Beijing, China. Beijing: Chinese Pharmacological Society;<br />

1987; 257-61.<br />

5. World Health Organization. Good manufacturing practices<br />

for pharmaceutical products. Annex 1. Thirty-second<br />

Report <strong>of</strong> the WHO Expert Committee on Specifications<br />

for pharmaceutical preparation. WHO Technical Report<br />

Series N.823. Geneva, Switzerl<strong>and</strong>: World Health<br />

Organization.<br />

6. Guo FK, Li YL, Wu SG. Antisense IRAK-2 oligonucleotide<br />

inhibits interleukin-1-induced nuclear factor-kB activiation<br />

in vitro. Acta Pharmacol Sin 2000; 21: in press.<br />

Editor’s Note<br />

The instruction for manuscript preparation assume<br />

certain resources are available to the author. Although<br />

compliance with these instructions will increase the<br />

probability <strong>of</strong> publication in the <strong>Journal</strong>, authors should<br />

not be discouraged in submitting manuscripts that do not<br />

completely comply with these instructions. If an author<br />

feels his/her manuscript is worthy <strong>of</strong> publication in the<br />

<strong>Journal</strong>, he/she should do as much as possible to comply,<br />

then submit it to the editor. If the editor <strong>and</strong> editorial<br />

board agree on its desirability for publication, the<br />

Editorial Office will assist in satisfying the publisher’s<br />

manuscript preparation requirements.<br />

Review <strong>and</strong> Publication Process<br />

Manuscripts are examined by the Editor <strong>and</strong> in most<br />

cases by reviewers. Decisions <strong>of</strong> the Editor are final. All<br />

material accepted for publication is subject to copyediting.<br />

Authors will receive page pro<strong>of</strong>s before publication, <strong>and</strong><br />

should answer all queries <strong>and</strong> carefully check all editorial<br />

changes at this point.<br />

The first author <strong>of</strong> each article will freely receive 4<br />

copies <strong>of</strong> the complete issue.<br />

Copyright Protection<br />

The submission <strong>of</strong> the manuscript by author means<br />

that the authors automatically agree to assign exclusive<br />

copyright to Hong Kong Medical Publisher once this<br />

manuscript is accepted for publication. The work should<br />

not be published elsewhere in any forms without written<br />

permission <strong>of</strong> the Publisher. The paper published in Hong<br />

Kong Medical Publisher is protected by copyright, which<br />

covers the translation rights <strong>and</strong> exclusive right to<br />

reproduce <strong>and</strong> distribute all <strong>of</strong> the articles published in<br />

Hong Kong Medical Publisher.<br />

80

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