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원문정보

Effects of Nimodipine on the Pharmacokinetics of Warfarin in Rats: A Possible Role of P-glycoprotein and CYP3A4 Inhibition by Nimodipine

문홍섭, 이종기, 범진필

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초록

영어

Purpose: The aim of this study was to investigate the effect of nimodipine on the pharmacokinetics of warfarin after oral and intravenous administration of warfarin in rats. Methods: Warfarin was administered orally (0.2 mg/kg) or intravenously (0.05 mg/kg) without or with oral administration of nimodipine (0.5 or 2 mg/kg) in rats. The effect of nimodipine on the P-glycoprotein as well as cytochrome P450 (CYP) 3A4 activity was also evaluated. Results: Nimodipine inhibited CYP3A4 enzyme activity with 50% inhibition concentration (IC50) of 10.2 μM. Compared to those animals in the oral control group (warfarin without nimodipine), the area under the plasma concentration–time curve (AUC) of warfarin was significantly greater (0.5 mg/kg, P<0.05; 2 mg/kg, P<0.01) by 31.3-57.6%, and the peak plasma concentration (Cmax) was significantly higher (2 mg/kg, P<0.05) by 29.4% after oral administration of warfarin with nimodipine, respectively. Consequently, the relative bioavailability of warfarin increased by 1.31- to 1.58-fold and the absolute bioavailability of warfarin with nimodipine was significantly greater by 64.1-76.9% compared to that in the control group (48.7%). In contrast, nimodipine had no effect on any pharmacokinetic parameters of warfarin given intravenously. Conclusion: Therefore, the enhanced oral bioavailability of warfarin may be due to inhibition of CYP 3A4-mediated metabolism rather than P-glycoprotein-mediated efflux by nimodipine.

목차

Abstract
 MATERIALS AND METHODS
  Chemicals and apparatus
  Animal experiments
  Oral and intravenous administration of warfarin
  HPLC assay
  CYP inhibition assay
  Rhodamine-123 retention assay
  Pharmacokinetic analysis
  Statistical analysis
 RESULTS
  Inhibitory effect of nimodipine on CYP3A4 activity
  Rhodamine-123 retention assay
  Effect of nimodipine on the pharmacokinetics of warfarin after oral administration
  Effect of nimodipine on the pharmacokinetics of warfarin after intravenous administration
 DICUSSION
 ACKNOWLEDGEMENT
 REFERENCES

저자정보

  • 문홍섭 Hong Seop Moon. 목포대학교 약학대학
  • 이종기 Chong Ki Lee. 초당대학교 의료관리학부
  • 범진필 Jin Pil Burm. 조선간호대학교 간호학과

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