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Published in: European Journal of Drug Metabolism and Pharmacokinetics 2/2014

01-06-2014 | Original Paper

Pharmacokinetic interaction studies of fenugreek with CYP3A substrates cyclosporine and carbamazepine

Authors: Fahad I. Al-Jenoobi, Mohd Aftab Alam, Khalid M. Alkharfy, Saleh A. Al-Suwayeh, Hesham M. Korashy, Abdullah M. Al-Mohizea, Muzaffar Iqbal, Abdul Ahad, Mohammad Raish

Published in: European Journal of Drug Metabolism and Pharmacokinetics | Issue 2/2014

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Abstract

The present study investigated the effect of fenugreek seed powder on disposition of CYP3A substrates, cyclosporine and carbamazepine. Rabbits were treated with fenugreek seed powder (300 mg/kg p.o.) for 8 days and on 8th day the single dose of cyclosporine (30 mg/kg, p.o.) and carbamazepine (40 mg/kg, p.o.) were administered to the corresponding group after 1 h of fenugreek administration. Blood samples were drawn at several time points and analyzed by using UPLC-MS (cyclosporine) and HPLC (carbamazepine). Pharmacokinetic parameters were calculated by using PKSolver. The present investigation reveals that there was no statistically significant difference between pre- and post-treated pharmacokinetic parameters such as AUC0–t , AUC0–∞, C max, T max, T 1/2, K el, MRT0–∞, V z/F , and Cl/F for cyclosporine and carbamazepine. Two tailed “P” values for all these pharmacokinetic parameters were more than 0.05, indicating insignificant impact of fenugreek treatment on the disposition of cyclosporine and carbamazepine. Further, fenugreek may also not have any significant effect on the functionality of P-glycoprotein as cyclosporine is a substrate to P-glycoprotein. The outcomes of present study suggested that fenugreek may not likely to interfere cyclosporine and carbamazepine pharmacokinetics, when co-administered with these drugs.
Literature
go back to reference Al-Jasass FM, Al-Jasser MS (2012) Chemical composition and fatty acid content of some spices and herbs under Saudi Arabia conditions. Scientific World J 5 (Article ID 859892) Al-Jasass FM, Al-Jasser MS (2012) Chemical composition and fatty acid content of some spices and herbs under Saudi Arabia conditions. Scientific World J 5 (Article ID 859892)
go back to reference Azaizeh H, Saad B, Cooper E, Said O (2010) Traditional arabic and islamic medicine, a re-emerging health aid. Evid Based Complement Alternat Med (7)4:419–424PubMedCentralPubMedCrossRef Azaizeh H, Saad B, Cooper E, Said O (2010) Traditional arabic and islamic medicine, a re-emerging health aid. Evid Based Complement Alternat Med (7)4:419–424PubMedCentralPubMedCrossRef
go back to reference Barone GW, Gurley BJ, Ketel BL, Lightfoot ML, Abul-Ezz SR (2000) Drug interaction between St John’s wort and cyclosporine-A. Ann Pharmacother 34(9):1013–1016PubMedCrossRef Barone GW, Gurley BJ, Ketel BL, Lightfoot ML, Abul-Ezz SR (2000) Drug interaction between St John’s wort and cyclosporine-A. Ann Pharmacother 34(9):1013–1016PubMedCrossRef
go back to reference Barone GW, Gurley BJ, Ketel BL, Abul-Ezz SR (2001) Herbal supplements: a potential for drug interactions in transplant recipients. Transplantation 71(2):239–241PubMedCrossRef Barone GW, Gurley BJ, Ketel BL, Abul-Ezz SR (2001) Herbal supplements: a potential for drug interactions in transplant recipients. Transplantation 71(2):239–241PubMedCrossRef
go back to reference Burstein AH, Horton RL, Dunn T, Alfaro RM, Piscitelli SC, Theodore W (2000) Lack of effect of St John’s Wort on carbamazepine pharmacokinetics in healthy volunteers. Clin Pharmacol Ther 68(6):605–612PubMedCrossRef Burstein AH, Horton RL, Dunn T, Alfaro RM, Piscitelli SC, Theodore W (2000) Lack of effect of St John’s Wort on carbamazepine pharmacokinetics in healthy volunteers. Clin Pharmacol Ther 68(6):605–612PubMedCrossRef
go back to reference Chen LC, Chen YF, Chou MH, Lin MF, Yang LL, Yen KY (2002) Pharmacokinetic interactions between carbamazepine and the traditional Chinese medicine Paeoniae Radix. Biol Pharm Bull 25(4):532–535PubMedCrossRef Chen LC, Chen YF, Chou MH, Lin MF, Yang LL, Yen KY (2002) Pharmacokinetic interactions between carbamazepine and the traditional Chinese medicine Paeoniae Radix. Biol Pharm Bull 25(4):532–535PubMedCrossRef
go back to reference Chiang HM, Chao PD, Hsiu SL, Wen KC, Tsai SY, Hou YC (2006) Ginger significantly decreased the oral bioavailability of cyclosporine-A in rats. Am J Chin Med 34(5):845–855PubMedCrossRef Chiang HM, Chao PD, Hsiu SL, Wen KC, Tsai SY, Hou YC (2006) Ginger significantly decreased the oral bioavailability of cyclosporine-A in rats. Am J Chin Med 34(5):845–855PubMedCrossRef
go back to reference Crettol S, Venetz JP, Fontana M, Aubert JD, Pascual M, Eap CB (2008) CYP3A7, CYP3A5, CYP3A4, and ABCB1 genetic polymorphisms, cyclosporine-A concentration, and dose requirement in transplant recipients. Ther Drug Monit 30(6):689–699PubMedCrossRef Crettol S, Venetz JP, Fontana M, Aubert JD, Pascual M, Eap CB (2008) CYP3A7, CYP3A5, CYP3A4, and ABCB1 genetic polymorphisms, cyclosporine-A concentration, and dose requirement in transplant recipients. Ther Drug Monit 30(6):689–699PubMedCrossRef
go back to reference Dresser GK, Spence JD, Bailey DG (2000) Pharmacokinetic-pharmacodynamic consequences and clinical relevance of cytochrome P450 3A4 inhibition. Clin Pharmacokinet 38:41–57PubMedCrossRef Dresser GK, Spence JD, Bailey DG (2000) Pharmacokinetic-pharmacodynamic consequences and clinical relevance of cytochrome P450 3A4 inhibition. Clin Pharmacokinet 38:41–57PubMedCrossRef
go back to reference Duclos J, Goecke H (2001) Hierba del clavo (Geumchiloense) modifying cyclosporine-A levels: potential risk for transplanted people. Rev Med Chill 129(7):789–790 Duclos J, Goecke H (2001) Hierba del clavo (Geumchiloense) modifying cyclosporine-A levels: potential risk for transplanted people. Rev Med Chill 129(7):789–790
go back to reference Garg SK, Islam AS, Kumar N (1998) Effect of Septilin—a herbal preparation on pharmacokinetics of carbamazepine in rabbits. Indian J Physiol Pharmacol 42(4):527–532PubMed Garg SK, Islam AS, Kumar N (1998) Effect of Septilin—a herbal preparation on pharmacokinetics of carbamazepine in rabbits. Indian J Physiol Pharmacol 42(4):527–532PubMed
go back to reference Giessmann T, May K, Modess C, Wegner D, Hecker U, Zschiesche M, Dazert P, Grube M, Schroeder E, Warzok R, Cascorbi I, Kroemer HK, Siegmund W (2004) Carbamazepine regulates intestinal P-glycoprotein and multidrug resistance protein MRP2 and influences disposition of talinolol in humans. Clin Pharmacol Ther 76(3):192–200PubMedCrossRef Giessmann T, May K, Modess C, Wegner D, Hecker U, Zschiesche M, Dazert P, Grube M, Schroeder E, Warzok R, Cascorbi I, Kroemer HK, Siegmund W (2004) Carbamazepine regulates intestinal P-glycoprotein and multidrug resistance protein MRP2 and influences disposition of talinolol in humans. Clin Pharmacol Ther 76(3):192–200PubMedCrossRef
go back to reference Hassanzadeh E, Chaichi MR, Mazaheri D, Rezazadeh S, Badi HAN (2011) Physical and chemical variabilities among domestic iranian Trigonella foenum-graecum (Trigonella foenum-graceum) seeds. Asian J Plant Sci 10:323–330CrossRef Hassanzadeh E, Chaichi MR, Mazaheri D, Rezazadeh S, Badi HAN (2011) Physical and chemical variabilities among domestic iranian Trigonella foenum-graecum (Trigonella foenum-graceum) seeds. Asian J Plant Sci 10:323–330CrossRef
go back to reference Hoareau L, DaSilva EJ (1999) Medicinal plants: a re-emerging health aid. EJB 2(2):56–70 Hoareau L, DaSilva EJ (1999) Medicinal plants: a re-emerging health aid. EJB 2(2):56–70
go back to reference Hu Z, Yang X, Chan SY, Heng PW, Chan E, Duan W, Koh HL, Zhou S (2005) Herb–drug interactions: a literature review. Drugs 65(9):1239–1282PubMedCrossRef Hu Z, Yang X, Chan SY, Heng PW, Chan E, Duan W, Koh HL, Zhou S (2005) Herb–drug interactions: a literature review. Drugs 65(9):1239–1282PubMedCrossRef
go back to reference Izzo AA (2005) Herb–drug interactions: an overview of the clinical evidence. FundamClinPharmacol 19(1):1–16 Izzo AA (2005) Herb–drug interactions: an overview of the clinical evidence. FundamClinPharmacol 19(1):1–16
go back to reference Kerr BM, Thummel KE, Wurden CJ, Klein SM, Kroetz DL, Gonzalez FJ, Levy RH (1994) Human liver carbamazepine metabolism. Role of CYP3A4 and CYP2C8 in 10,11-epoxide formation. Biochem Pharmacol 47(11):1967–1979CrossRef Kerr BM, Thummel KE, Wurden CJ, Klein SM, Kroetz DL, Gonzalez FJ, Levy RH (1994) Human liver carbamazepine metabolism. Role of CYP3A4 and CYP2C8 in 10,11-epoxide formation. Biochem Pharmacol 47(11):1967–1979CrossRef
go back to reference Lambert JP, Cormier J (2001) Potential interaction between warfarin and boldo-Trigonella foenum-graecum. Pharmacotherapy 21(4):509–512PubMedCrossRef Lambert JP, Cormier J (2001) Potential interaction between warfarin and boldo-Trigonella foenum-graecum. Pharmacotherapy 21(4):509–512PubMedCrossRef
go back to reference Lee SY, Lee JY, Kang W, Kwon KI, Park SK, Oh SJ, Ma JY, Kim SK (2013a) Cytochrome P450-mediated herb–drug interaction potential of Galgeun-tang. Food Chem Toxicol 51:343–349PubMedCrossRef Lee SY, Lee JY, Kang W, Kwon KI, Park SK, Oh SJ, Ma JY, Kim SK (2013a) Cytochrome P450-mediated herb–drug interaction potential of Galgeun-tang. Food Chem Toxicol 51:343–349PubMedCrossRef
go back to reference Lee SY, Lee JY, Kang W, Kwon KI, Oh SJ, Ma JY, Kim SK (2013b) In vitro and in vivo assessment of cytochrome P450-mediated herb–drug interaction of Ssang-hwa-tang. Food Chem 136(2):450–457PubMedCrossRef Lee SY, Lee JY, Kang W, Kwon KI, Oh SJ, Ma JY, Kim SK (2013b) In vitro and in vivo assessment of cytochrome P450-mediated herb–drug interaction of Ssang-hwa-tang. Food Chem 136(2):450–457PubMedCrossRef
go back to reference Madar Z, Abel R, Samish S, Arad J (1988) Glucose-lowering effect of Trigonella foenum-graecum in non-insulin dependent diabetics. Eur J Clin Nutr 42(1):51–54PubMed Madar Z, Abel R, Samish S, Arad J (1988) Glucose-lowering effect of Trigonella foenum-graecum in non-insulin dependent diabetics. Eur J Clin Nutr 42(1):51–54PubMed
go back to reference Moore LB, Goodwin B, Jones SA, Wisely GB, Serabjit-Singh CJ, Willson TM, Collins JL, Kliewer SA (2000) St. John’s wort induces hepatic drug metabolism through activation of the pregnane X receptor. Proc Natl Acad Sci USA 97(13):7500–7502 Moore LB, Goodwin B, Jones SA, Wisely GB, Serabjit-Singh CJ, Willson TM, Collins JL, Kliewer SA (2000) St. John’s wort induces hepatic drug metabolism through activation of the pregnane X receptor. Proc Natl Acad Sci USA 97(13):7500–7502
go back to reference Moschella C, Jaber BL (2001) Interaction between cyclosporine-A and Hypericum perforatum (St. John’s wort) after organ transplantation. Am J Kidney Dis 38(5):1105–1107PubMedCrossRef Moschella C, Jaber BL (2001) Interaction between cyclosporine-A and Hypericum perforatum (St. John’s wort) after organ transplantation. Am J Kidney Dis 38(5):1105–1107PubMedCrossRef
go back to reference Ohnishi N, Yonekawa Y, Nakasako S, Yokoyama T, Yoshioka M, Kuroda K (1999) Studies on interactions between traditional herbal and Western medicines. I. Effects of Sho-seiryu-to on the pharmacokinetics of carbamazepine in rats. Biol Pharm Bull 22(5):527–531PubMedCrossRef Ohnishi N, Yonekawa Y, Nakasako S, Yokoyama T, Yoshioka M, Kuroda K (1999) Studies on interactions between traditional herbal and Western medicines. I. Effects of Sho-seiryu-to on the pharmacokinetics of carbamazepine in rats. Biol Pharm Bull 22(5):527–531PubMedCrossRef
go back to reference Ohnishi N, Nakasako S, Okada K, Umehara S, Takara K, Nagasawa K, Yoshioka M, Kuroda K, Yokoyama T (2001) Studies on interactions between traditional herbal and Western medicines. IV: lack of pharmacokinetic interactions between Saiko-ka-ryukotsu-borei-to and carbamazepine in rats. Eur J Drug Metab Pharmacokinet 26(1–2):129–135PubMedCrossRef Ohnishi N, Nakasako S, Okada K, Umehara S, Takara K, Nagasawa K, Yoshioka M, Kuroda K, Yokoyama T (2001) Studies on interactions between traditional herbal and Western medicines. IV: lack of pharmacokinetic interactions between Saiko-ka-ryukotsu-borei-to and carbamazepine in rats. Eur J Drug Metab Pharmacokinet 26(1–2):129–135PubMedCrossRef
go back to reference Omeish AF, Abbadi W, Ghanma IM, Drabaa Z, Botoosh FA, Seif A, Massadeh M (2011) Hospital-based study on the use of herbal medicine in patients with coronary artery disease in Jordan. J Pak Med Assoc 61(7):683–687PubMed Omeish AF, Abbadi W, Ghanma IM, Drabaa Z, Botoosh FA, Seif A, Massadeh M (2011) Hospital-based study on the use of herbal medicine in patients with coronary artery disease in Jordan. J Pak Med Assoc 61(7):683–687PubMed
go back to reference Qiu W, Jiang XH, Liu CX, Ju Y, Jin JX (2009) Effect of berberine on the pharmacokinetics of substrates of CYP3A and P-gp. Phytother Res 23(11):1553–1558PubMedCrossRef Qiu W, Jiang XH, Liu CX, Ju Y, Jin JX (2009) Effect of berberine on the pharmacokinetics of substrates of CYP3A and P-gp. Phytother Res 23(11):1553–1558PubMedCrossRef
go back to reference Sharma RD (1986) Effect of Trigonella foenum-graecum seeds and leaves on blood glucose and serum insulin responses in human subjects. Nutr Res 6(12):1353–1364CrossRef Sharma RD (1986) Effect of Trigonella foenum-graecum seeds and leaves on blood glucose and serum insulin responses in human subjects. Nutr Res 6(12):1353–1364CrossRef
go back to reference Sharma RD, Sarkar A, Hazra DK, Misra B, Singh JB, Maheshwari SK, Sharma SK (1996) Hypolipidaemic Effect of Trigonella foenum-graecum seeds: a chronic study in non-insulin dependent diabetic patients. Phytother Res 10(4):332–334CrossRef Sharma RD, Sarkar A, Hazra DK, Misra B, Singh JB, Maheshwari SK, Sharma SK (1996) Hypolipidaemic Effect of Trigonella foenum-graecum seeds: a chronic study in non-insulin dependent diabetic patients. Phytother Res 10(4):332–334CrossRef
go back to reference Sowmya P, Rajyalakshmi P (1999) Hypocholesterolemic effect of germinated Trigonella foenum-graecum seeds in human subjects. Plant Foods Hum Nutr 53(4):359–365PubMedCrossRef Sowmya P, Rajyalakshmi P (1999) Hypocholesterolemic effect of germinated Trigonella foenum-graecum seeds in human subjects. Plant Foods Hum Nutr 53(4):359–365PubMedCrossRef
go back to reference Tang J, Song X, Zhu M, Zhang J (2009) Study on the pharmacokinetics drug–drug interaction potential of Glycyrrhiza uralensis, a traditional Chinese medicine, with lidocaine in rats. Phytother Res 23(5):603–607PubMedCrossRef Tang J, Song X, Zhu M, Zhang J (2009) Study on the pharmacokinetics drug–drug interaction potential of Glycyrrhiza uralensis, a traditional Chinese medicine, with lidocaine in rats. Phytother Res 23(5):603–607PubMedCrossRef
go back to reference Zhou SF (2008) Drugs behave as substrates, inhibitors and inducers of human cytochrome P450 3A4. Curr Drug Metab 9(4):310–322CrossRef Zhou SF (2008) Drugs behave as substrates, inhibitors and inducers of human cytochrome P450 3A4. Curr Drug Metab 9(4):310–322CrossRef
go back to reference Zhou J, Chan L, Zhou S (2012) Trigonelline: a plant alkaloid with therapeutic potential for diabetes and central nervous system disease. Curr Med Chem 19(21):3523–3531PubMedCrossRef Zhou J, Chan L, Zhou S (2012) Trigonelline: a plant alkaloid with therapeutic potential for diabetes and central nervous system disease. Curr Med Chem 19(21):3523–3531PubMedCrossRef
Metadata
Title
Pharmacokinetic interaction studies of fenugreek with CYP3A substrates cyclosporine and carbamazepine
Authors
Fahad I. Al-Jenoobi
Mohd Aftab Alam
Khalid M. Alkharfy
Saleh A. Al-Suwayeh
Hesham M. Korashy
Abdullah M. Al-Mohizea
Muzaffar Iqbal
Abdul Ahad
Mohammad Raish
Publication date
01-06-2014
Publisher
Springer International Publishing
Published in
European Journal of Drug Metabolism and Pharmacokinetics / Issue 2/2014
Print ISSN: 0378-7966
Electronic ISSN: 2107-0180
DOI
https://doi.org/10.1007/s13318-013-0149-6

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