LC478, a Novel Di-Substituted Adamantyl Derivative, Enhances the Oral Bioavailability of Docetaxel in Rats

P-glycoprotein (P-gp)-mediated efflux of docetaxel in the gastrointestinal tract mainly impedes its oral chemotherapy. Recently, LC478, a novel di-substituted adamantyl derivative, was identified as a non-cytotoxic P-gp inhibitor in vitro. Here, we assessed whether LC478 enhances the oral bioavailab...

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Main Authors: Seung Yon Han (Author), Qili Lu (Author), Kyeong Lee (Author), Young Hee Choi (Author)
Format: Book
Published: MDPI AG, 2019-03-01T00:00:00Z.
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Summary:P-glycoprotein (P-gp)-mediated efflux of docetaxel in the gastrointestinal tract mainly impedes its oral chemotherapy. Recently, LC478, a novel di-substituted adamantyl derivative, was identified as a non-cytotoxic P-gp inhibitor in vitro. Here, we assessed whether LC478 enhances the oral bioavailability of docetaxel in vitro and in vivo. LC478 inhibited P-gp mediated efflux of docetaxel in Caco-2 cells. In addition, 100 mg/kg of LC478 increased intestinal absorption of docetaxel, which led to an increase in area under plasma concentration-time curve (<i>AUC</i>) and absolute bioavailability of docetaxel in rats. According to U.S. FDA criteria (<i>I</i>, an inhibitor concentration in vivo tissue)/(<i>IC</i><sub>50</sub>, inhibitory constant in vitro) >10 determines P-gp inhibition between in vitro and in vivo. The values 15.6&#8211;20.5, from (LC478 concentration in intestine, 9.37&#8211;12.3 &#956;M)/(<i>IC</i><sub>50</sub> of LC478 on P-gp inhibition in Caco-2 cell, 0.601 &#956;M) suggested that 100 mg/kg of LC478 sufficiently inhibited P-gp to enhance oral absorption of docetaxel. Moreover, LC478 inhibited P-gp mediated efflux of docetaxel in the ussing chamber studies using rat small intestines. Our study demonstrated that the feasibility of LC478 as an ideal enhancer of docetaxel bioavailability by P-gp inhibition in dose (concentration)-dependent manners.
Item Description:1999-4923
10.3390/pharmaceutics11030135