Skip to main content
Top
Published in: Journal of Natural Medicines 3/2018

01-06-2018 | Original Paper

Effect of the active ingredient of Kaempferia parviflora, 5,7-dimethoxyflavone, on the pharmacokinetics of midazolam

Authors: Wataru Ochiai, Hiroko Kobayashi, Satoshi Kitaoka, Mayumi Kashiwada, Yuya Koyama, Saho Nakaishi, Tomomi Nagai, Masaki Aburada, Kiyoshi Sugiyama

Published in: Journal of Natural Medicines | Issue 3/2018

Login to get access

Abstract

5,7-Dimethoxyflavone (5,7-DMF), one of the major components of Kaempferia parviflora, has anti-obesity, anti-inflammatory, and antineoplastic effects. On the other hand, in vitro studies have reported that it directly inhibits the drug metabolizing enzyme family cytochrome P450 (CYP) 3As. In this study, its safety was evaluated from a pharmacokinetic point of view, based on daily ingestion of 5,7-DMF. Midazolam, a substrate of CYP3As, was orally administered to mice treated with 5,7-DMF for 10 days, and its pharmacokinetic properties were investigated. In the group administered 5,7-DMF, the area under the curve (AUC) of midazolam increased by 130% and its biological half-life was extended by approximately 100 min compared to the control group. Compared to the control group, 5,7-DMF markedly decreased the expression of CYP3A11 and CYP3A25 in the liver. These results suggest that continued ingestion of 5,7-DMF decreases the expression of CYP3As in the liver, consequently increasing the blood concentrations of drugs metabolized by CYP3As.
Literature
2.
go back to reference Potikanond S, Sookkhee S, Na Takuathung M, Mungkornasawakul P, Wikan N, Smith DR, Nimlamool W (2017) Kaempferia parviflora extract exhibits anti-cancer activity against HeLa cervical cancer cells. Front Pharmacol 8:630CrossRef Potikanond S, Sookkhee S, Na Takuathung M, Mungkornasawakul P, Wikan N, Smith DR, Nimlamool W (2017) Kaempferia parviflora extract exhibits anti-cancer activity against HeLa cervical cancer cells. Front Pharmacol 8:630CrossRef
3.
go back to reference Sawasdee P, Sabphon C, Sitthiwongwanit D, Kokpol U (2009) Anticholinesterase activity of 7-methoxyflavones isolated from Kaempferia parviflora. Phytother Res 23:1792–1794CrossRef Sawasdee P, Sabphon C, Sitthiwongwanit D, Kokpol U (2009) Anticholinesterase activity of 7-methoxyflavones isolated from Kaempferia parviflora. Phytother Res 23:1792–1794CrossRef
5.
go back to reference Wattanapitayakul SK, Suwatronnakorn M, Chularojmontri L, Herunsalee A, Niumsakul S, Charuchongkolwongse S, Chansuvanich N (2007) Kaempferia parviflora ethanolic extract promoted nitric oxide production in human umbilical vein endothelial cells. J Ethnopharmacol 110:559–562CrossRef Wattanapitayakul SK, Suwatronnakorn M, Chularojmontri L, Herunsalee A, Niumsakul S, Charuchongkolwongse S, Chansuvanich N (2007) Kaempferia parviflora ethanolic extract promoted nitric oxide production in human umbilical vein endothelial cells. J Ethnopharmacol 110:559–562CrossRef
6.
go back to reference Wattanapitayakul SK, Chularojmontri L, Herunsalee A, Charuchongkolwongse S, Chansuvanich N (2008) Vasorelaxation and antispasmodic effects of Kaempferia parviflora ethanolic extract in isolated rat organ studies. Fitoterapia 79:214–216CrossRef Wattanapitayakul SK, Chularojmontri L, Herunsalee A, Charuchongkolwongse S, Chansuvanich N (2008) Vasorelaxation and antispasmodic effects of Kaempferia parviflora ethanolic extract in isolated rat organ studies. Fitoterapia 79:214–216CrossRef
7.
go back to reference Tewtrakul S, Subhadhirasakul S, Kummee S (2008) Anti-allergic activity of compounds from Kaempferia parviflora. J Ethnopharmacol 116:191–193CrossRef Tewtrakul S, Subhadhirasakul S, Kummee S (2008) Anti-allergic activity of compounds from Kaempferia parviflora. J Ethnopharmacol 116:191–193CrossRef
8.
go back to reference Rujjanawate C, Kanjanapothi D, Amornlerdpison D, Pojanagaroon S (2005) Anti-gastric ulcer effect of Kaempferia parviflora. J Ethnopharmacol 102:120–122CrossRef Rujjanawate C, Kanjanapothi D, Amornlerdpison D, Pojanagaroon S (2005) Anti-gastric ulcer effect of Kaempferia parviflora. J Ethnopharmacol 102:120–122CrossRef
9.
go back to reference Mekjaruskul C, Sripanidkulchai B (2015) Pharmacokinetic interaction between Kaempferia parviflora extract and sildenafil in rats. J Nat Med 69:224–231CrossRef Mekjaruskul C, Sripanidkulchai B (2015) Pharmacokinetic interaction between Kaempferia parviflora extract and sildenafil in rats. J Nat Med 69:224–231CrossRef
10.
go back to reference Akase T, Shimada T, Terabayashi S, Ikeya Y, Sanada H, Aburada M (2011) Antiobesity effects of Kaempferia parviflora in spontaneously obese type II diabetic mice. J Nat Med 65:73–80CrossRef Akase T, Shimada T, Terabayashi S, Ikeya Y, Sanada H, Aburada M (2011) Antiobesity effects of Kaempferia parviflora in spontaneously obese type II diabetic mice. J Nat Med 65:73–80CrossRef
11.
go back to reference Horikawa T, Shimada T, Okabe Y, Kinoshita K, Koyama K, Miyamoto K, Ichinose K, Takahashi K, Aburada M (2012) Polymethoxyflavonoids from Kaempferia parviflora induce adipogenesis on 3T3-L1 preadipocytes by regulating transcription factors at an early stage of differentiation. Biol Pharm Bull 35:686–692CrossRef Horikawa T, Shimada T, Okabe Y, Kinoshita K, Koyama K, Miyamoto K, Ichinose K, Takahashi K, Aburada M (2012) Polymethoxyflavonoids from Kaempferia parviflora induce adipogenesis on 3T3-L1 preadipocytes by regulating transcription factors at an early stage of differentiation. Biol Pharm Bull 35:686–692CrossRef
12.
go back to reference Kobayashi H, Horiguchi-Babamoto E, Suzuki M, Makihara H, Tomozawa H, Tsubata M, Shimada T, Sugiyama K, Aburada M (2016) Effects of ethyl acetate extract of Kaempferia parviflora on brown adipose tissue. J Nat Med 70:54–61CrossRef Kobayashi H, Horiguchi-Babamoto E, Suzuki M, Makihara H, Tomozawa H, Tsubata M, Shimada T, Sugiyama K, Aburada M (2016) Effects of ethyl acetate extract of Kaempferia parviflora on brown adipose tissue. J Nat Med 70:54–61CrossRef
13.
go back to reference Matsushita M, Yoneshiro T, Aita S, Kamiya T, Kusaba N, Yamaguchi K, Takagaki K, Kameya T, Sugie H, Saito M (2015) Kaempferia parviflora extract increases whole-body energy expenditure in humans: roles of brown adipose tissue. J Nutr Sci Vitaminol (Tokyo) 61:79–83CrossRef Matsushita M, Yoneshiro T, Aita S, Kamiya T, Kusaba N, Yamaguchi K, Takagaki K, Kameya T, Sugie H, Saito M (2015) Kaempferia parviflora extract increases whole-body energy expenditure in humans: roles of brown adipose tissue. J Nutr Sci Vitaminol (Tokyo) 61:79–83CrossRef
14.
go back to reference Okabe Y, Shimada T, Horikawa T, Kinoshita K, Koyama K, Ichinose K, Aburada M, Takahashi K (2014) Suppression of adipocyte hypertrophy by polymethoxyflavonoids isolated from Kaempferia parviflora. Phytomedicine 21:800–806CrossRef Okabe Y, Shimada T, Horikawa T, Kinoshita K, Koyama K, Ichinose K, Aburada M, Takahashi K (2014) Suppression of adipocyte hypertrophy by polymethoxyflavonoids isolated from Kaempferia parviflora. Phytomedicine 21:800–806CrossRef
15.
go back to reference Shimada T, Horikawa T, Ikeya Y, Matsuo H, Kinoshita K, Taguchi T, Ichinose K, Takahashi K, Aburada M (2011) Preventive effect of Kaempferia parviflora ethyl acetate extract and its major components polymethoxyflavonoid on metabolic diseases. Fitoterapia 82:1272–1278CrossRef Shimada T, Horikawa T, Ikeya Y, Matsuo H, Kinoshita K, Taguchi T, Ichinose K, Takahashi K, Aburada M (2011) Preventive effect of Kaempferia parviflora ethyl acetate extract and its major components polymethoxyflavonoid on metabolic diseases. Fitoterapia 82:1272–1278CrossRef
16.
go back to reference Yoshino S, Kim M, Awa R, Kuwahara H, Kano Y, Kawada T (2014) Kaempferia parviflora extract increases energy consumption through activation of BAT in mice. Food Sci Nutr 2:634–637CrossRef Yoshino S, Kim M, Awa R, Kuwahara H, Kano Y, Kawada T (2014) Kaempferia parviflora extract increases energy consumption through activation of BAT in mice. Food Sci Nutr 2:634–637CrossRef
17.
go back to reference Toda K, Hitoe S, Takeda S, Shimoda H (2016) Black ginger extract increases physical fitness performance and muscular endurance by improving inflammation and energy metabolism. Heliyon 2:e00115CrossRef Toda K, Hitoe S, Takeda S, Shimoda H (2016) Black ginger extract increases physical fitness performance and muscular endurance by improving inflammation and energy metabolism. Heliyon 2:e00115CrossRef
18.
go back to reference Welbat JU, Chaisawang P, Chaijaroonkhanarak W, Prachaney P, Pannangrong W, Sripanidkulchai B, Wigmore P (2016) Kaempferia parviflora extract ameliorates the cognitive impairments and the reduction in cell proliferation induced by valproic acid treatment in rats. Ann Anat 206:7–13CrossRef Welbat JU, Chaisawang P, Chaijaroonkhanarak W, Prachaney P, Pannangrong W, Sripanidkulchai B, Wigmore P (2016) Kaempferia parviflora extract ameliorates the cognitive impairments and the reduction in cell proliferation induced by valproic acid treatment in rats. Ann Anat 206:7–13CrossRef
19.
go back to reference Park JE, Woo SW, Kim MB, Kim C, Hwang JK (2017) Standardized Kaempferia parviflora extract inhibits intrinsic aging process in human dermal fibroblasts and hairless mice by inhibiting cellular senescence and mitochondrial dysfunction. Evid Based Complementary Altern Med 2017:6861085 Park JE, Woo SW, Kim MB, Kim C, Hwang JK (2017) Standardized Kaempferia parviflora extract inhibits intrinsic aging process in human dermal fibroblasts and hairless mice by inhibiting cellular senescence and mitochondrial dysfunction. Evid Based Complementary Altern Med 2017:6861085
20.
go back to reference Li H, Zhang X, Wang W (2017) Anticancer activity of 5, 7-dimethoxyflavone against liver cancer cell line HEPG2 involves apoptosis, ROS generation and cell cycle arrest. Afr J Tradit Complement Altern Med 14:213–220CrossRef Li H, Zhang X, Wang W (2017) Anticancer activity of 5, 7-dimethoxyflavone against liver cancer cell line HEPG2 involves apoptosis, ROS generation and cell cycle arrest. Afr J Tradit Complement Altern Med 14:213–220CrossRef
21.
go back to reference Song Y, Kim MB, Kim C, Kim J, Hwang JK (2016) 5,7-Dimethoxyflavone attenuates obesity by inhibiting adipogenesis in 3T3-L1 adipocytes and high-fat diet-induced obese C57BL/6J mice. J Med Food 19:1111–1119CrossRef Song Y, Kim MB, Kim C, Kim J, Hwang JK (2016) 5,7-Dimethoxyflavone attenuates obesity by inhibiting adipogenesis in 3T3-L1 adipocytes and high-fat diet-induced obese C57BL/6J mice. J Med Food 19:1111–1119CrossRef
22.
go back to reference Mekjaruskul C, Jay M, Sripanidkulchai B (2012) Modulatory effects of Kaempferia parviflora extract on mouse hepatic cytochrome P450 enzymes. J Ethnopharmacol 141:831–839CrossRef Mekjaruskul C, Jay M, Sripanidkulchai B (2012) Modulatory effects of Kaempferia parviflora extract on mouse hepatic cytochrome P450 enzymes. J Ethnopharmacol 141:831–839CrossRef
23.
go back to reference Walle UK, Walle T (2007) Bioavailable flavonoids: cytochrome P450-mediated metabolism of methoxyflavones. Drug Metab Dispos 35:1985–1989CrossRef Walle UK, Walle T (2007) Bioavailable flavonoids: cytochrome P450-mediated metabolism of methoxyflavones. Drug Metab Dispos 35:1985–1989CrossRef
24.
go back to reference Anakk S, Kalsotra A, Kikuta Y, Huang W, Zhang J, Staudinger JL, Moore DD, Strobel HW (2004) CAR/PXR provide directives for Cyp3a41 gene regulation differently from Cyp3a11. Pharmacogenomics J 4:91–101CrossRef Anakk S, Kalsotra A, Kikuta Y, Huang W, Zhang J, Staudinger JL, Moore DD, Strobel HW (2004) CAR/PXR provide directives for Cyp3a41 gene regulation differently from Cyp3a11. Pharmacogenomics J 4:91–101CrossRef
25.
go back to reference Yang J, Hao C, Yang D, Shi D, Song X, Luan X, Hu G, Yan B (2010) Pregnane X receptor is required for interleukin-6-mediated down-regulation of cytochrome P450 3A4 in human hepatocytes. Toxicol Lett 197:219–226CrossRef Yang J, Hao C, Yang D, Shi D, Song X, Luan X, Hu G, Yan B (2010) Pregnane X receptor is required for interleukin-6-mediated down-regulation of cytochrome P450 3A4 in human hepatocytes. Toxicol Lett 197:219–226CrossRef
26.
go back to reference Ghosal A, Satoh H, Thomas PE, Bush E, Moore D (1996) Inhibition and kinetics of cytochrome P4503A activity in microsomes from rat, human, and cdna-expressed human cytochrome P450. Drug Metab Dispos 24:940–947PubMed Ghosal A, Satoh H, Thomas PE, Bush E, Moore D (1996) Inhibition and kinetics of cytochrome P4503A activity in microsomes from rat, human, and cdna-expressed human cytochrome P450. Drug Metab Dispos 24:940–947PubMed
27.
go back to reference Maenpaa J, Hall SD, Ring BJ, Strom SC, Wrighton SA (1998) Human cytochrome P450 3A (CYP3A) mediated midazolam metabolism: the effect of assay conditions and regioselective stimulation by alpha-naphthoflavone, terfenadine and testosterone. Pharmacogenetics 8:137–155PubMed Maenpaa J, Hall SD, Ring BJ, Strom SC, Wrighton SA (1998) Human cytochrome P450 3A (CYP3A) mediated midazolam metabolism: the effect of assay conditions and regioselective stimulation by alpha-naphthoflavone, terfenadine and testosterone. Pharmacogenetics 8:137–155PubMed
28.
go back to reference Reves JG, Fragen RJ, Vinik HR, Greenblatt DJ (1985) Midazolam: pharmacology and uses. Anesthesiology 62:310–324CrossRef Reves JG, Fragen RJ, Vinik HR, Greenblatt DJ (1985) Midazolam: pharmacology and uses. Anesthesiology 62:310–324CrossRef
29.
go back to reference Bei D, An G (2016) Pharmacokinetics and tissue distribution of 5,7-dimethoxyflavone in mice following single dose oral administration. J Pharm Biomed Anal 119:65–70CrossRef Bei D, An G (2016) Pharmacokinetics and tissue distribution of 5,7-dimethoxyflavone in mice following single dose oral administration. J Pharm Biomed Anal 119:65–70CrossRef
30.
go back to reference Hisaka A, Sugiyama Y (1998) Analysis of nonlinear and nonsteady state hepatic extraction with the dispersion model using the finite difference method. J Pharmacokinet Biopharm 26:495–519CrossRef Hisaka A, Sugiyama Y (1998) Analysis of nonlinear and nonsteady state hepatic extraction with the dispersion model using the finite difference method. J Pharmacokinet Biopharm 26:495–519CrossRef
31.
go back to reference Nelson DR, Zeldin DC, Hoffman SM, Maltais LJ, Wain HM, Nebert DW (2004) Comparison of cytochrome P450 (CYP) genes from the mouse and human genomes, including nomenclature recommendations for genes, pseudogenes and alternative-splice variants. Pharmacogenetics 14:1–18CrossRef Nelson DR, Zeldin DC, Hoffman SM, Maltais LJ, Wain HM, Nebert DW (2004) Comparison of cytochrome P450 (CYP) genes from the mouse and human genomes, including nomenclature recommendations for genes, pseudogenes and alternative-splice variants. Pharmacogenetics 14:1–18CrossRef
32.
go back to reference Li Y, Cui Y, Hart SN, Klaassen CD, Zhong XB (2009) Dynamic patterns of histone methylation are associated with ontogenic expression of the Cyp3a genes during mouse liver maturation. Mol Pharmacol 75:1171–1179CrossRef Li Y, Cui Y, Hart SN, Klaassen CD, Zhong XB (2009) Dynamic patterns of histone methylation are associated with ontogenic expression of the Cyp3a genes during mouse liver maturation. Mol Pharmacol 75:1171–1179CrossRef
33.
go back to reference Sakuma T, Takai M, Endo Y, Kuroiwa M, Ohara A, Jarukamjorn K, Honma R, Nemoto N (2000) A novel female-specific member of the CYP3A gene subfamily in the mouse liver. Arch Biochem Biophys 377:153–162CrossRef Sakuma T, Takai M, Endo Y, Kuroiwa M, Ohara A, Jarukamjorn K, Honma R, Nemoto N (2000) A novel female-specific member of the CYP3A gene subfamily in the mouse liver. Arch Biochem Biophys 377:153–162CrossRef
34.
go back to reference Dai D, Bai R, Hodgson E, Rose RL (2001) Cloning, sequencing, heterologous expression, and characterization of murine cytochrome P450 3a25*(Cyp3a25), a testosterone 6beta-hydroxylase. J Biochem Mol Toxicol 15:90–99CrossRef Dai D, Bai R, Hodgson E, Rose RL (2001) Cloning, sequencing, heterologous expression, and characterization of murine cytochrome P450 3a25*(Cyp3a25), a testosterone 6beta-hydroxylase. J Biochem Mol Toxicol 15:90–99CrossRef
35.
go back to reference Peng L, Yoo B, Gunewardena SS, Lu H, Klaassen CD, Zhong XB (2012) RNA sequencing reveals dynamic changes of mRNA abundance of cytochromes P450 and their alternative transcripts during mouse liver development. Drug Metab Dispos 40:1198–1209CrossRef Peng L, Yoo B, Gunewardena SS, Lu H, Klaassen CD, Zhong XB (2012) RNA sequencing reveals dynamic changes of mRNA abundance of cytochromes P450 and their alternative transcripts during mouse liver development. Drug Metab Dispos 40:1198–1209CrossRef
36.
go back to reference Kitaoka S, Hatogai J, Iimura R, Yamamoto Y, Oba K, Nakai M, Kusunoki Y, Ochiai W, Sugiyama K (2018) Relationship between low midazolam metabolism by cytochrome P450 3A in mice and the high incidence of birth defects. J Toxicol Sci 43:65–74CrossRef Kitaoka S, Hatogai J, Iimura R, Yamamoto Y, Oba K, Nakai M, Kusunoki Y, Ochiai W, Sugiyama K (2018) Relationship between low midazolam metabolism by cytochrome P450 3A in mice and the high incidence of birth defects. J Toxicol Sci 43:65–74CrossRef
37.
go back to reference Zhao M, Xiaofei L, Gang C, Wei L, Jing X, Gang H, Ruini C, Rui N, Wei S, Jian Y, Bingfang Y (2012) DEC1 binding to the proximal promoter of CYP3A4 ascribes to the downregulation of CYP3A4 expression by IL-6 in primary human hepatocytes. Biochem Pharmacol 84:701–711CrossRef Zhao M, Xiaofei L, Gang C, Wei L, Jing X, Gang H, Ruini C, Rui N, Wei S, Jian Y, Bingfang Y (2012) DEC1 binding to the proximal promoter of CYP3A4 ascribes to the downregulation of CYP3A4 expression by IL-6 in primary human hepatocytes. Biochem Pharmacol 84:701–711CrossRef
Metadata
Title
Effect of the active ingredient of Kaempferia parviflora, 5,7-dimethoxyflavone, on the pharmacokinetics of midazolam
Authors
Wataru Ochiai
Hiroko Kobayashi
Satoshi Kitaoka
Mayumi Kashiwada
Yuya Koyama
Saho Nakaishi
Tomomi Nagai
Masaki Aburada
Kiyoshi Sugiyama
Publication date
01-06-2018
Publisher
Springer Singapore
Published in
Journal of Natural Medicines / Issue 3/2018
Print ISSN: 1340-3443
Electronic ISSN: 1861-0293
DOI
https://doi.org/10.1007/s11418-018-1184-z

Other articles of this Issue 3/2018

Journal of Natural Medicines 3/2018 Go to the issue