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ENHANCED ORAL BIO-AVAILABILITY OF PACLITAXEL WITH P-GP BLOCKERS: SMART EXTRACTION, ANTI-TUMOR AND SIDE EFFECTS STUDY IN MICE

Article

Last updated: 13 Dec 2022

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Tags

Paclitaxel
extraction
oral bioavailability
P-gp blockers
antitumor
histopathology
toxicity
ENHANCED ORAL BIO-AVAILABILITY OF PACLITAXEL WITH P-GP BLOCKERS: SMART EXTRACTION, ANTI-TUMOR AND SIDE EFFECTS STUDY IN MICE
The 1st International Online Conference Pharmaceutical and Medical Sciences: A Response to COVID-19 Theme: Support Healthcare Heroes
Pharmaceutical revolution

Abstract

Paclitaxel as microtubule-stabilizing agents comprises an anticancer drug especially ovarian and breast carcinoma. Because of its poor bioavailability, the drug is usually given by intravenous infusion, formulated in a mixture of Cremophor EL and ethanol (1:1, v/v: paclitaxel). Oral administration of Paclitaxel would offer several advantages to the patient: avoid the adverse effects caused by Cremophor EL vehicle of injectable preparation, 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 Permeability glycoprotein (P-gp) efflux pump blockers. Rhodamine-123 (Rh), an indirect index of P-gp transport was used to measure spectrofluorometrically the P-gp efflux pump activity in the intestinal wall. 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 in tumor-bearing mice, as compared to control untreated mice. Additionally, toxicity's parameters such as leukocytes count, serum level of lactate dehydrogenase (LDH) and creatine kinase (CK) were investigated to ensure that the enhanced absorption of Paclitaxel does not aggravate its toxicity.

Categories

Pharmaceutical revolution

Keywords

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

Authors

First Name

Mona

Last Name

Kamal

Affiliation

Pharmacology and toxicology depart., Faculty of Pharmacy Al-Azhar University, Cairo.

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City

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Orcid

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First Name

Magda

Last Name

Ismail

Affiliation

Pharmaceutical chemistry, Faculty of Pharmacy, Al-Azhar University, Cairo, Egypt.

Email

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City

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Orcid

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Publish Date

14 Jun 2021

Link

https://pmsazhar.conferences.ekb.eg/article_1055.html

Order

8

Publication Type

Conference

Publication Title

The 1st International Online Conference Pharmaceutical and Medical Sciences: A Response to COVID-19 Theme: Support Healthcare Heroes

Publication Link

https://pmsazhar.conferences.ekb.eg/

Details

Type

Article

Locale

en

Created At

13 Dec 2022