1. Metabolism-mediated drug interaction potential of HS-23, a new herbal drug for the treatment of sepsis in human hepatocytes and liver microsomes
- Author
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Sun-Mee Lee, Hyeon-Uk Jeong, Sung Hum Yeon, Yong-Yeon Cho, Ju-Hyun Kim, Hye Suk Lee, Ji Young Lee, Young-Mok Kim, Soon-Sang Kwon, and S.-J. Hong
- Subjects
CYP2B6 ,Herb-Drug Interactions ,Pharmacology ,Cytochrome P-450 Enzyme System ,Tandem Mass Spectrometry ,Sepsis ,Drug Discovery ,Humans ,Glucuronosyltransferase ,CYP2A6 ,biology ,CYP3A4 ,Plant Extracts ,Organic Chemistry ,Cytochrome P450 ,Drug interaction ,UGT2B7 ,Lonicera ,Botanical drug ,Inactivation, Metabolic ,biology.protein ,Microsome ,Hepatocytes ,Microsomes, Liver ,Molecular Medicine ,Chromatography, Liquid - Abstract
HS-23, an extract of the dried flower buds of Lonicera japonica, is a new botanical drug currently being evaluated in a phase I clinical study in Korea for the treatment of sepsis. The in vitro induction and inhibition potentials of HS-23 on the drug-metabolizing enzymes using human hepatocytes and liver microsomes were assessed to evaluate herb–drug interaction according to botanical drug guideline and drug interaction guidance of FDA. HS-23 slightly inhibited CYP2A6, CYP2B6, CYP2C9, CYP2C19, and CYP3A4 enzyme activities in human liver microsomes with IC50 values of 80.6, 160.7, 169.5, 85.4, and 76.6 μg/mL, respectively. HS-23 showed negligible inhibition of CYP1A2, CYP2C8, CYP2D6, UGT1A1, UGT1A4, UGT1A9, and UGT2B7 activities in human liver microsomes. Based on these results, HS-23 may not inhibit the metabolism of CYP2A6, CYP2B6, CYP2C9, CYP2C19, and CYP3A4-catalyzed drugs in humans. HS-23 did not affect the mRNA expression of CYP1A2, CYP2B6, and CYP3A4 after 48 h treatment at three concentrations (0.5, 5, and 50 μg/mL) in three independent human hepatocytes, indicating that HS-23 has no effect on herb–drug interactions that up- or down-regulate CYP1A2, CYP2B6, and CYP3A4. These results indicate that the administration of HS-23 in human may not cause clinically relevant inhibition and induction of these cytochrome P450 (CYP) and UDP-glucuronosyltransferase (UGT) enzymes and HS-23 may be promising therapeutic agent for treatment of sepsis.
- Published
- 2014