Volume 130, Issue 3 pp. 364-374
ORIGINAL ARTICLE

Effects of paeoniflorin-6′-O-benzene sulfonate on the pharmacokinetics, excretion and tissue distribution of leflunomide in rats

Ning Xiao

Ning Xiao

Institute of Clinical Pharmacology, Key Laboratory of Anti-inflammatory and Immune Medicine, Ministry of Education, Anti-inflammatory Immune Drugs Collaborative Innovation Center, Anhui Medical University, Hefei, China

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Feng Xiao

Feng Xiao

Institute of Clinical Pharmacology, Key Laboratory of Anti-inflammatory and Immune Medicine, Ministry of Education, Anti-inflammatory Immune Drugs Collaborative Innovation Center, Anhui Medical University, Hefei, China

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Jinzhang Gao

Jinzhang Gao

Institute of Clinical Pharmacology, Key Laboratory of Anti-inflammatory and Immune Medicine, Ministry of Education, Anti-inflammatory Immune Drugs Collaborative Innovation Center, Anhui Medical University, Hefei, China

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Zhengkun Xu

Zhengkun Xu

Institute of Clinical Pharmacology, Key Laboratory of Anti-inflammatory and Immune Medicine, Ministry of Education, Anti-inflammatory Immune Drugs Collaborative Innovation Center, Anhui Medical University, Hefei, China

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Qianlei Wang

Qianlei Wang

Institute of Clinical Pharmacology, Key Laboratory of Anti-inflammatory and Immune Medicine, Ministry of Education, Anti-inflammatory Immune Drugs Collaborative Innovation Center, Anhui Medical University, Hefei, China

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Jiajie Kuai

Jiajie Kuai

Institute of Clinical Pharmacology, Key Laboratory of Anti-inflammatory and Immune Medicine, Ministry of Education, Anti-inflammatory Immune Drugs Collaborative Innovation Center, Anhui Medical University, Hefei, China

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Wei Wei

Corresponding Author

Wei Wei

Institute of Clinical Pharmacology, Key Laboratory of Anti-inflammatory and Immune Medicine, Ministry of Education, Anti-inflammatory Immune Drugs Collaborative Innovation Center, Anhui Medical University, Hefei, China

Correspondence

Wei Wei and Chun Wang, Institute of Clinical Pharmacology, Key Laboratory of Anti-inflammatory and Immune Medicine, Ministry of Education, Anti-inflammatory Immune Drugs Collaborative Innovation Center, Anhui Medical University, Hefei, Anhui 230032, China.

Email: [email protected];[email protected]

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Chun Wang

Corresponding Author

Chun Wang

Institute of Clinical Pharmacology, Key Laboratory of Anti-inflammatory and Immune Medicine, Ministry of Education, Anti-inflammatory Immune Drugs Collaborative Innovation Center, Anhui Medical University, Hefei, China

Correspondence

Wei Wei and Chun Wang, Institute of Clinical Pharmacology, Key Laboratory of Anti-inflammatory and Immune Medicine, Ministry of Education, Anti-inflammatory Immune Drugs Collaborative Innovation Center, Anhui Medical University, Hefei, Anhui 230032, China.

Email: [email protected];[email protected]

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First published: 18 November 2021
Citations: 2

Ning Xiao and Feng Xiao contributed equally to this work.

Funding information: Project for Basic and Clinical Cooperative Research in Anhui Medical University, Grant/Award Number: 2019xkjT016; Key Projects of Anhui Province University Outstanding Youth Talent Support Program, Grant/Award Number: gxyqZD2019017; Natural Science Foundation of Anhui Province, Grant/Award Number: 2008085QH402; National Natural Science Foundation of China, Grant/Award Number: 81973332

Abstract

Paeoniflorin-6′-O-benzene sulfonate (CP-25) is a novel ester derivative of paeoniflorin, which has been shown to have synergistic pharmacodynamic effects with leflunomide (LEF). To determine the effects of CP-25 on the pharmacokinetics of LEF in rats, we developed a ultra-high performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS)-based method for the determination of levels of teriflunomide (TER, an active metabolite of LEF). This method was used to determine TER concentrations in the plasma, urine, faeces and bile; heart, liver, spleen, lung, kidney, intestinal, brain and synovial tissues; and peripheral blood mononuclear cells (PBMCs) of rats in the control (LEF [10 mg/kg]) and combined (CP-25 [50 mg/kg × 7d] plus LEF [10 mg/kg]) groups. TER area under the curve [AUC], Tmax, mean residence time (MRT), t1/2α and t1/2β were significantly lower, and clearance (CL) was significantly higher in the combined group than in the control group. Oral CP-25 administration in combination with LEF was found to promote TER excretion in urine, faeces and bile and to reduce its contents in most tissues and organs, especially in the liver, which may reduce LEF-induced liver injury. CP-25 also increased TER exposure in the synovium and its absorption by PBMCs, and this could explain the synergistic effects of CP-25 and LEF.

CONFLICT OF INTEREST

The author reports no conflicts of interest in this work.

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