Planta Med 2021; 87(05): 395-403
DOI: 10.1055/a-1271-7092
Pharmacokinetic Investigations
Original Papers

Comparative Pharmacokinetics of Puerarin Alone and in Pueraria mirifica Extract in Female Cynomolgus Monkeys

Sureerat Namken
1   Department of Biology, Faculty of Science, Chulalongkorn University, Bangkok, Thailand
,
Phanit Songvut
2   Department of Pharmacology and Physiology, Faculty of Pharmaceutical Sciences, Chulalongkorn University, Bangkok, Thailand
3   Translational Research Unit, Chulabhorn Research Institute, Bangkok, Thailand
,
Nitra Nuengchamnong
4   Science Laboratory Centre, Faculty of Science, Naresuan University, Phitsanulok, Thailand
,
Taratorn Kemthong
5   National Primate Research Center of Thailand-Chulalongkorn University, Saraburi, Thailand
,
Phisit Khemawoot
6   Preclinical Pharmacokinetics and Interspecies Scaling for Drug Development Research Unit, Chulalongkorn University, Bangkok, Thailand
7   Chakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Samutprakarn, Thailand
,
Suchinda Malaivijitnond
1   Department of Biology, Faculty of Science, Chulalongkorn University, Bangkok, Thailand
5   National Primate Research Center of Thailand-Chulalongkorn University, Saraburi, Thailand
6   Preclinical Pharmacokinetics and Interspecies Scaling for Drug Development Research Unit, Chulalongkorn University, Bangkok, Thailand
› Author Affiliations
Supported by: 90th Anniversary Chulalongkorn University Fund (Ratchadaphiseksomphot Endowment Fund)
Supported by: Chulalongkorn University Research Unit Grant
Supported by: Scholarship from the Graduate School, Chulalongkorn University to commemorate the 72nd Anniversary of his Majesty King Bhumibol Adulyadej

Abstract

Pueraria mirifica is an endemic Thai plant that has been used for rejuvenation and in the relief of various aging diseases. Puerarin is one of the major isoflavones found in this plant and shows several pharmacological activities in relation to the Thai traditional use of P. mirifica. Therefore, comparative pharmacokinetics of pure puerarin alone and that in a P. mirifica extract in cynomolgus monkeys were conducted in order to investigate the pharmacokinetic profiles of the 2 preparations. To this end, puerarin and P. mirifica extract, at an equivalent dose of 10 mg/kg of puerarin, were orally dosed to adult female monkeys for 7 consecutive days. A single intravenous injection of puerarin at a dose of 1 mg/kg was also peformed. Serial blood samples and excreta were collected from 0 – 24 h and 0 – 48 h after dosing. Determination of the puerarin levels and its metabolites in biological samples was conducted by liquid chromatography tandem mass spectrometry. Plasma levels of aspartate aminotransferase, alanine aminotransferase, and creatinine fluctuated in the normal range, with no abnormal physical signs in the animal. The absolute oral bioavailability of puerarin was approximately 1% in both preparations. Accumulation of puerarin was found after oral dosing for 7 consecutive days in both groups. Major metabolites of puerarin found in monkeys were hydroxylation and deglycosylation products. A negligible amount of unchanged puerarin was detected in urine and feces. Pharmacokinetic profiles obtained from this study could help to design the prescribed remedy of puerarin and P. mirifica extract phytopharmaceutical products for human use.



Publication History

Received: 05 May 2020

Accepted after revision: 21 September 2020

Article published online:
15 October 2020

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  • References

  • 1 Inham JL, Tahara S, Pope GS. Chemical Components and Pharmacology of the rejuvenating Plant Pueraria mirifica . In: Keung WM. ed. Pueraria: The Genus Pueraria . London: Taylor & Francis; 2002: 97-118
  • 2 Kerr A. A reputed rejuvenator. J Siam Soc 1932; 8: 336-338
  • 3 Wanandorn PW. A reputed rejuvenator. J Siam Soc 1933; 9: 145-147
  • 4 Cherdshewasart W, Panriansaen R, Picha P. Pretreatment with phytoestrogen-rich plant decreases breast tumor incidence and exhibits lower profile of mammary ERα and ERβ . Maturitas 2007; 58: 174-181
  • 5 Suthon S, Jaroenporn S, Charoenphandhu N, Suntornsaratoon P, Malaivijitnond S. Anti-osteoporotic effects of Pueraria candollei var. mirifica on bone mineral density and histomorphometry in estrogen-deficient rats. J Nat Med 2016; 70: 225-233
  • 6 Wattanapitayakul SK, Chularojmontri L, Srichirat S. Effects of Pueraria mirifica on vascular function of ovariectomized rabbits. J Med Assoc Thai 2005; 88: S21-29
  • 7 Muangman V, Cherdshewasart W. Clinical trial of the phytoestrogen-rich herb, Pueraria mirifica as a crude drug in the treatment of symptoms in menopausal women. Siriraj Hosp Gaz 2001; 53: 300-310
  • 8 Chandeying V, Sangthawan M. Efficacy comparison of Pueraria mirifica against conjugated equine estrogen with/without medroxyprogesterone acetate in the treatment of climacteric symptoms in perimenopausal women: phase III study. J Med Assoc Thai 2007; 90: 1720-1726
  • 9 Chansakaow S, Ishikawa T, Sekine K, Okada M, Higuchi Y, Kudo M, Chaichantipyuth C. Isoflavonoids from Pueraria mirifica and their estrogenic activity. Planta Med 2000; 66: 572-575
  • 10 Wang Y, Wang WL, Xie WL, Li LZ, Sun J, Sun WJ, Gong HY. Puerarin stimulates proliferation and differentiation and protects against cell death in human osteoblastic MG-63 cells via ER-dependent MEK/ERK and PI3K/Akt activation. Phytomedicine 2013; 20: 787-796
  • 11 Li B, Yu S. Effect of puerarin on the bone metabolism in vitro . Beijing Da Xue Xue Bai 2003; 35: 74-77
  • 12 Coull BM, William LS, Goldstein LB, Meschai JF, Heitzman D, Chuturvedi S, Chaturvedi KC, Johnston S, Starkman LB, Morgenstern JL, Wilterdink SR, Levine JL. Anticoagulants and antiplatelet agents in acute ischemic stroke. Neurology 2002; 59: 13-22
  • 13 Zhang H, Liu Y, Lao M, Ma Z, Yi X. Puerarin protects Alzheimerʼs disease neuronal cybrids from oxidant-stress induced apoptosis by inhibiting pro-death signaling pathways. Exp Gerontol 2011; 46: 30-37
  • 14 Jin S, Son Y, Min BS, Jung H, Choi J. Anti-inflammatory and antioxidant activities of constituents isolated from Pueraria lobata roots. Arch Pharm Res 2012; 35: 823-837
  • 15 Zhang S, Shen S, Shen Y, Yang D, Liu X, Sun-Chi AC, Xu H. Puerarin induces angiogenesis in myocardium of rat with myocardial infarction. Biol Pharm Bull 2006; 29: 945-950
  • 16 Chung HJ, Chung MJ, Houng SJ, Jeun J, Kweon DK, Chung HC, Park JT, Park KH, Lee SJ. Toxicological evaluation of the isoflavone puerarin and its glycosides. Eur Food Res Technol 2009; 230: 145-153
  • 17 Jin XL, Zhu XY. Pharmacokinetics of puerarin in rats, rabbits, and dogs. Zhongguo Yao Li Xue Bao 1992; 13: 284-288
  • 18 Yang R, Wang Q, Zeng H, Qin Z, Li J, Qu L. Determination of puerarin in biological samples and its application to a pharmacokinetic study by flow-injection chemiluminescence. Luminescence 2011; 26: 368-373
  • 19 Ouyang Z, Zhao M, Tang J, Pan L. In vivo pharmacokinetic comparisons of ferulic acid and puerarin after oral administration of monomer, medicinal substance aqueous extract and Nao-De-Sheng to rats. Pharmacogn Mag 2012; 8: 256-262
  • 20 Anukunwithaya T, Poo P, Hunsakunachai N, Rodsiri R, Malaivijitnond S, Khemawoot P. Absolute oral bioavailability and disposition kinetics of puerarin in female rats. BMC Pharmacol Toxicol 2018; 19: 25-33
  • 21 Su HF, Lin Q, Wang XY, Fu Y, Gong T, Sun X, Zhang R. Absorptive interactions of concurrent oral administration of (+)-catechin and puerarin in rats and the underlying mechanisms. Acta Harmacol Sin 2016; 37: 545-554
  • 22 Li Y, Pan WS, Chen SL, Xu HX, Yang DJ, Chan ASC. Pharmacokinetic, tissue distribution, and excretion of puerarin and puerarin-phospholipid complex in rats. Drug Dev Ind Pharm 2006; 32: 413-422
  • 23 Cao L, Pu J, Cao QR, Chen BW, Lee BJ, Cui JH. Pharmacokinetics of puerarin in pregnant rats at different stages of gestation after oral administration. Fitoterapia 2013; 86: 202-207
  • 24 Cui S, Zhao C, Tang X, Chen D, He Z. Study on the bioavailability of puerarin from Pueraria lobata isoflavone self-microemulsifying drug-delivery systems and tablets in rabbits by liquid chromatography mass spectrometry. Biomed Chromatogr 2005; 19: 375-378
  • 25 Ren F, Jing Q, Shen Y, Ma H, Cui J. Quantitative determination of puerarin in dog plasma by HPLC and study on the relative bioavailability of sustained release tablets. J Pharm Biomed Anal 2006; 41: 549-553
  • 26 Kong H, Zhang G, Cheng J, Shi R, Zhang M, Cao P, Zhao Y, Qu H, Wang Q. Distribution kinetics of puerarin in rat hippocampus after acute local cerebral ischemia. J Pharm Biomed Anal 2019; 164: 196-201
  • 27 Jung HR, Kim SJ, Ham SH, Cho JH, Lee YB, Cho HY. Simultaneous determination of puerarin and its active metabolite in human plasma by UPLC-MS/MS: application to a pharmacokinetic study. J Chromatogr B Analyt Technol Biomed Life Sci 2014; 971: 64-71
  • 28 Prasain JK, Jones K, Brissie N, Moore R, Wyss JM, Barnes S. Identification of puerarin and its metabolites in rats by liquid chromatography-tandem mass spectrometry. J Agric Food Chem 2004; 52: 3708-3712
  • 29 Yasuda T, Kano Y, Saito K, Ohsawa K. Urinary and biliary metabolites of puerarin in rats. Biol Pharm Bull 1995; 18: 300-303
  • 30 Cauvin AJ, Peters C, Brennan FT. Advantages and Limitations of commonly used nonhuman Primate Species in Research and Development of Biopharmaceuticals. In: Bluemel J, Korte S, Schenck E, Weinbauer GF. eds. The nonhuman Primate in nonclinical Drug Development and Safety Assessment. London: Academic Press; 2015: 379-395
  • 31 Chen EP, Doan KMM, Portelli S, Coatney R, Vaden V, Shi W. Gastric pH and gastric residence time in fasted and fed conscious cynomolgus monkeys using the Bravo® pH system. Pharm Res 2008; 25: 123-134
  • 32 Schwarz R, Kaspar A, Seelig J, Kunnecke B. Gastrointestinal transit times in mice and humans measured with 27Al and 19F nuclear magnetic resonance. Magn Reson Med 2002; 48: 255-261
  • 33 Bolondi L, Bortolotti M, Santi V, Calletti T, Gaiani S, Labo G. Measurement of gastric emptying time by real-time ultrasonography. Gastroenterol 1985; 89: 752-759
  • 34 Ward FW, Coates ME. Gastrointestinal pH measurement in rats: influence of the microbial flora, diet and fasting. Lab Anim 1987; 21: 216-222
  • 35 Komori M, Kikuchi O, Sakuma T, Funaki J, Kitada M, Kamataki T. Molecular cloning of monkey liver cytochrome P450 cDNAs: similarity of the primary sequences to human cytochromes P450. Biochim Biophys Acta 1992; 1171: 141-146
  • 36 Trisomboon H, Malaivijitnond S, Watanabe G, Cherdshewasart W, Taya K. The Estrogenic effect of Pueraria mirifica on gonadotrophin levels in aged monkeys. Endocrine 2006; 29: 129-134
  • 37 Kittivanichkul D, Charoenphandhu N, Malaivijitnond S. Pueraria mirifica alleviates cortical bone loss in naturally menopausal monkeys. J Endocrinol 2016; 231: 121-133
  • 38 Satoh H, Nomiya N, Imai D, Sato S, Sakurai K, Takasuna K, Furuhama K. A method for estimating the glomerular filtration rate in conscious monkeys. J Appl Toxicol 2016; 36: 266-270
  • 39 David MP, Christain JT, Zhongze MA, Machael TBA, David YWL, Scott EL. Pharmacokinetic profile of the isoflavone puerarin after acute and repeated administration of a novel kudzu extract to human volunteers. J Altern Complement Med 2006; 12: 543-548
  • 40 Khemawoot P, Saunders D, Rasameesorai M, Melendez V, Imerbsin R, Ohrt C, Fracisco S, Teja-Isavadharm P. Absolute bioavailability of cis-mirincamycin and trans-mirincamycin in healthy rhesus monkeys and ex vivo antimalarial activity against Plasmodium falciparum . Antimicrob Agents Chemother 2011; 55: 5881-5886
  • 41 Takahashi M, Washio T, Suzuki N, Igeta K, Fujii Y, Hayashi M, Shirasaka Y, Yamashita S. Characterization of gastrointestinal drug absorption in cynomolgus monkeys. Mol Pharm 2008; 5: 340-348
  • 42 Krause W, Kuhne G, Schillinger E. Pharmacokinetics and biotransformation of methane sulphonanilides with anti-inflammatory activity in the rat and monkey – comparison with piroxicam. Xenobiotica 1983; 13: 265-272
  • 43 Wang Q, Wu Y, Xiang F, Feng Y, Li Z, Ding Y. Effects of puerarin on the pharmacokinetics of triptolide in rats. Pharm Biol 2019; 57: 407-411
  • 44 Thiebut F, Tsuruo T, Hamada H, Gottesman MM, Pastan I, Willingham MC. Cellular localization of the multidrug resistence gene product P-glycoprotein in normal human tissues. Proc Natl Acad Sci U S A 1987; 84: 7735-7738
  • 45 Paine MF, Hart HL, Ludington SS, Haining RL, Rettie AD, Zeldin DC. The human intestinal cytochrome P450 “pie”. Drug Metab Dispos 2006; 345: 880-886
  • 46 Thummel KE. Gut instincts: CYP3A4 and intestinal drug metabolism. J Clin Invest 2007; 117: 3173-3176
  • 47 Zhang L. Pharmacokinetics and drug delivery systems for puerarin, a bioactive flavone from traditional Chinese medicine. Drug Deliv 2019; 26: 860-869
  • 48 Luo CF, Cai B, Hou N, Yuan M, Liu SM, Ji H, Xiong LG, Xiong W, Luo JD, Chen MS. UDP-glucuronosyltransferase 1A1 is the principal enzyme responsible for puerarin metabolism in human liver microsomes. Arch Toxicol 2012; 86: 1681-1690