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Effect of Ginkgo biloba extract on pharmacokinetics of clopidogrel and its mechanism |
WANG Dongyin, HUANG Qiuling, CHEN Lifeng, and CHEN Zhimin |
The 180th Hospital of PLA, Quanzhou 362000,China |
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Abstract Objective To study the effects of Ginkgo biloba extract on pharmacokinetics of clopidogrel and its mechanism.Methods Fourteen healthy male volunteers took a single 100-mg oral dose of clopidogrel either alone or after pretreatment with 240 mg Ginkgo biloba extract daily for 14 days. On day 14, a single 100-mg oral dose of clopidogrel was administered. Plasma SR26334 concentrations of clopidogrel from zero to 24 h were measured by high-performance liquid chromatography.Results AUC(0-t)(3192.3±45.035), AUC(0-∞)(3343.017±43.829) and Cmax(340.988±11.257) of SR26334 in the combination group was significantly higher than that of the single-drug group (P<0.05).Conclusions Ginkgo biloba extractcan increase the bioavailability and absorption of clopidogrel. The mechanism may be related to Ginkgo biloba’s significant inhibition of P-glycoprotein.
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Received: 01 August 2018
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[1] |
常秀娟, 张 帅, 孙晓萍, 等. 丹皮酚银杏叶提取物组合物对大鼠脑缺血再灌注损伤的保护作用研究[J]. 现代药物与临床, 2015, 30(9): 1063-1067.
|
[2] |
毕 珣, 卢嘉文, 蔡东联. 银杏及叶中黄酮类化合物生理功效的研究进展[J]. 武警医学, 2004,15(6): 458-459.
|
[3] |
李战宁, 孟宏涛, 闫 鲲, 等. EGB761对VH-64尤文肉瘤细胞的促凋亡作用[J]. 武警医学, 2015, 26(6): 603-605.
|
[4] |
陈 琳, 郭成贤, 阳国平,等. 影响氯吡格雷反应个体差异的非遗传与遗传因素研究进展[J]. 中国临床药理学与治疗学, 2015, 20(10):1177-1182.
|
[5] |
Kelly R P, Close S L, Farid N A, et al. Pharmacokinetics and pharmacodynamics following maintenance doses of prasugrel and clopidogrel in Chinese carriers of CYP2C19 variants[J]. Br J Pharmacol, 2011,73(1):93-105.
|
[6] |
张连军, 莫 鸣, 徐冬梅. 银杏叶提取物联合氯吡格雷治疗缺血性脑卒中的临床疗效与安全性[J]. 实用临床医药杂志, 2018,18(7):751.
|
[7] |
许永福, 饶 志. 银杏叶片对氯吡格雷大鼠体内药物动力学的影响[J]. 甘肃医药, 2013, 32(1): 14-17.
|
[8] |
叶林虎, 孔令提, 曹芳瑞. 荷叶提取物对P-糖蛋白功能的影响[J]. 中国临床药理学杂志, 2016,32 (17): 1602-1605.
|
[9] |
杨珅珅, 刘安丽, 周 倩, 等. P-糖蛋白介导的中药-化学药相互作用研究进展[J]. 中草药, 2017, 48(15): 3189-3197.
|
[10] |
李险峰. 阿托伐他汀钙联合氯吡格雷治疗短暂性脑缺血发作疗效观察[J]. 中国实用神经疾病杂志, 2016(3): 41-42.
|
[11] |
马书红, 陈冬梅. 硫酸氢氯吡格雷联合阿司匹林治疗不稳定型心绞痛的临床疗效[J]. 临床合理用药杂志, 2016, 9(9):3-5.
|
[12] |
Schuetz E G, Beck W T, Schuetz J D. Modulators and substrates of P-glycoprotein and cytochrome P4503A coordinately up-regulate these proteins in human colon carcinoma cells[J]. Mol Pharmacol, 1996, 49(2):311-318.
|
[13] |
Ashihara H, Kato M, Crozier A. Handbook of experimental pharmacology[J]. Handb Exp Pharmacol,2011, 200(200):11-31.
|
[14] |
雷 燕, 张建华, 张 明,等. P-糖蛋白抑制剂研究进展[J]. 广州化工, 2016, 44(6):27-30.
|
[15] |
Shirasaka Y, Kawasaki M, Sakane T, et al. Induction of human P-glycoprotein in Caco-2 cells: development of a highly sensitive assay system for P-glycoprotein-mediated drug transport[J]. Drug Metab Pharmacok, 2006, 21(5):414-423.
|
|
|
|