Archives of Pathology & Laboratory Medicine 2007-07-01

Drug-herb interaction: effect of St John's wort on bioavailability and metabolism of procainamide in mice.

Amitava Dasgupta, Melissa Hovanetz, Margaret Olsen, Alice Wells, Jeffrey K Actor

文献索引：Arch. Pathol. Lab. Med. 131(7) , 1094-8, (2007)

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摘要

St John's wort induces the activity of the cytochrome P450 enzyme system causing treatment failure because of increased metabolism of many drugs. Procainamide is metabolized by a different pathway to N-acetyl procainamide.To study St John's wort-procainamide interaction using a mouse (Swiss Webster) model.One group of mice (group A, 4 mice in each group) was fed St John's wort each day for 2 weeks (last dose 1 day before administration of procainamide); another group (group B) received the same dose of St John's wort for 1 week. The third group (group C) received only a single dose 1 hour before administration of procainamide, and the control group (group D) received no St John's wort. All groups later received a single oral dose of procainamide. Blood was drawn 1, 4, and 24 hours after administration of procainamide and concentrations in serum of procainamide as well as N-acetyl procainamide were measured using immunoassays.The procainamide concentrations 1 hour after administration was highest in group C (mean, 11.59 microg/mL) followed by group A (9.92 microg/mL), whereas group B (7.44 microg/mL) and control group D (7.36 microg/mL) showed comparable values. The concentration in group C was significantly greater than the control group D (P = .03, 2-tailed independent t test). N-Acetyl procainamide concentrations and estimated half-life of procainamide among groups were comparable. In a separate experiment when mice were fed purified hypericin, the active component of St John's wort, a significant increase in bioavailability (53%) of procainamide was observed compared with the control group.St John's wort has an acute effect to increase bioavailability of procainamide but has no effect on its metabolism.