Beta
210582

Enhanced Oral Bioavailability of Paclitaxel in Presence of P-gp Blockers: Smart Extraction Procedure, Antitumor and Side Effects Study in Mice

Article

Last updated: 27 Dec 2024

Subjects

-

Tags

Pharmacology and toxicology

Abstract

Paclitaxel is microtubule-stabilizing anticancer drug . Because of its poor bioavailability, the drug is usually given by I.V. infusion, formulated in a mixture of Cremophor EL and ethanol . Oral administration of Paclitaxel would offer several advantages to the patient: avoid the adverse effects caused by Cremophor EL vehicle , medication would no longer require a visit to the out-patient clinic, and it may allow the achievement of lasting therapeutic plasma levels. Oral bioavailability of Paclitaxel may be enhanced by the co-administration of Cyclosporine and Verapamil as P-gp efflux pump blockers. Rh-123, an indirect index of P-gp transport was used to measure the P-gp efflux pump activity in the intestinal wall likes Paclitaxel. . The results showed that dichloromethane (DCM) was the most efficient organic solvent to extract paclitaxel from the plasma samples with a recovery of almost 100%. The oral bioavailability of paclitaxel was enhanced 2.7 fold by verapamil, and up to 5.7 fold by cyclosporine, showing that both drugs effectively inhibited the P-gp pump in the intestinal tract, allowing for better absorption of paclitaxel. Concerning the antitumor activity of Paclitaxel, both Cyclosporine and Verapamil did not adversely affect the antitumor activity of Paclitaxel in tumor-bearing mice, while Cyclosporine showed 4.3 days delay in tumor growth compared to control untreated mice. Additionally, toxicity's parameters such as leukocytes count, serum level of LDH and CK were investigated to ensure that the enhanced absorption of Paclitaxel does not aggravate its toxicity.

DOI

10.21608/aijpms.2021.69294.1056

Keywords

Paclitaxel, Extraction, oral bioavailability, P-gp blockers, antitumor, histopathology, toxicity

Authors

First Name

Mona

Last Name

Sakr

MiddleName

-

Affiliation

Department of Pharmacology and Toxicology, Faculty of Pharmacy (Girls), Al-Azhar University, Cairo, Egypt

Email

monamohammed.pharmg@azhar.edu.eg

City

-

Orcid

-

First Name

Moneim

Last Name

Osman

MiddleName

-

Affiliation

Department of Pharmacology, National Cancer Institute, Cairo, Egypt

Email

moneimosman@hotmail.com

City

-

Orcid

-

First Name

Magda

Last Name

Ismail

MiddleName

-

Affiliation

Department of Pharmaceutical Chemistry, Faculty of Pharmacy (Girls), Al-Azhar University, Cairo, Egypt

Email

m.elalfy101@gmail.com

City

-

Orcid

0000-0002-3915-9786

First Name

Yasmine

Last Name

Attia

MiddleName

-

Affiliation

Department of Pharmacology, National Cancer Institute, Cairo University, Cairo, Egypt.

Email

yasmin.m.attia@gmail.com

City

-

Orcid

-

Volume

2

Article Issue

1

Related Issue

30579

Issue Date

2022-01-01

Receive Date

2021-03-24

Publish Date

2022-01-01

Page Start

108

Page End

116

Print ISSN

2735-4598

Online ISSN

2735-4601

Link

https://aijpms.journals.ekb.eg/article_210582.html

Detail API

https://aijpms.journals.ekb.eg/service?article_code=210582

Order

11

Type

Original research articles

Type Code

1,562

Publication Type

Journal

Publication Title

Azhar International Journal of Pharmaceutical and Medical Sciences

Publication Link

https://aijpms.journals.ekb.eg/

MainTitle

Enhanced Oral Bioavailability of Paclitaxel in Presence of P-gp Blockers: Smart Extraction Procedure, Antitumor and Side Effects Study in Mice

Details

Type

Article

Created At

23 Jan 2023