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纸质出版日期:2015
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徐倩, 徐国兵. 香豆素类化合物代谢研究进展[J]. 中国实验方剂学杂志, 2015,21(3):222-225.
XU Qian, XU Guo-bing. Metabolism Research Review of Coumarin Compounds[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(3): 222-225.
徐倩, 徐国兵. 香豆素类化合物代谢研究进展[J]. 中国实验方剂学杂志, 2015,21(3):222-225. DOI: 10.13422/j.cnki.syfjx.2015030222.
XU Qian, XU Guo-bing. Metabolism Research Review of Coumarin Compounds[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(3): 222-225. DOI: 10.13422/j.cnki.syfjx.2015030222.
香豆素类化合物广泛存在于中草药中
是天然药物重要的组成成分
具有较显著的药理作用
如镇痛、抗炎、抗肿瘤、抗心律失常等。香豆素类化合物进入人体内后能很快吸收并分布
且多数集中于心、肝、肺、脾等血液充盈的组织中。香豆素类化合物的体内药动学行为首先受给药方式的影响
经口服、腹腔注射、肌肉注射等血管外给药时
以一室模型为主
经静脉注射、静脉滴注等血管内给药时
主要以二室模型为主。其次会受香豆素类化合物分布速率影响
如分布相较为缓慢的化合物
其分布相被吸收相所掩盖
所以
部分药物口服时表现为一室模型
静脉注射时则表现为二室模型。另外
香豆素类化合物的体内药动学行为也会受动物种属和个体的差异的影响
这主要是由于CYP同工酶的影响。香豆素类化合物的代谢过程较复杂
但由于其具有相同的母核
所以代谢具有相似性
且需要大量酶的参与
进入人体内首先会发生羟基化、脱氢、脱甲基、内酯环开环等Ⅰ相代谢
再与葡萄糖醛酸、硫酸和谷胱甘肽等发生结合反应生成水溶性较大的化合物排出体外。作者整理近年来香豆素类化合物的文献资料
对香豆素类化合物的在体内的分布及代谢机制进行综述
将为其应用开发研究及临床合理用药提供科学依据。
Coumarins
widely existed in Chinese herbal medicine
are important components in the natural medicine. They had shown various pharmacological effects
such as analgesic
anti-inflammatory
anti-tumor
anti-arrhythmic
etc. Coumarins can be quickly absorbed and distributed in human body
and concentrated mostly in the organs with rich blood such as heart
liver
lung
spleen and so on. The pharmacokinetic behavior of coumarins is firstly affected by delivery way in vivo. It is prior to one-compartment model when delivery way is extravascular administration such as oral
intraperitoneal injection and muscle injection and so on. When intravascular administration
such as intravenous injection and intravenous drip
the two-compartment model is primary. Second
it is affected by the distribution rate of coumarins as slow distribution phase are covered by absorption phase. So some drugs performance one-compartment model when oral administration
but it performances two rooms model when intravenous. In addition
the pharmacokinetic behavior of coumarins is also affected by animal species and individual differences in vivo
because of the CYP isoenzymes. The metabolic process of coumarins is complex
but the metabolic processes are similar because they have the same parent nuclear. A large numbers of enzymes are involved the metabolism of coumarins. When coumarins entered the body
phase Ⅰ metabolism occured firstly
such as hydroxylation
dehydrogenation
demethylation
lactone ring open-loop and so on
then phase Ⅱ metabolism reacted with glucuronic acid
sulfuric acid and glutathione etc. generated larger water-soluble compounds
and excreted finally. The author arranged documents on coumarins from recent years
reviewed the documents on biodistribution and metabolic mechanism of coumarins
which would lay the foundation for their development and clinical rational application.
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