Ko
Cattoor
a,
Jean-Paul
Remon
b,
Koen
Boussery
c,
Jan
Van Bocxlaer
c,
Marc
Bracke
d,
Denis
De Keukeleire
a,
Dieter
Deforce
ae and
Arne
Heyerick
*a
aUGent-Ghent University, Faculty of Pharmaceutical Sciences, Laboratory of Pharmacognosy and Phytochemistry, Harelbekestraat 72, B-9000, Ghent, Belgium. E-mail: Arne.Heyerick@UGent.be; Fax: +32 (0)9 264 8192; Tel: +32 (0)9 264 8058
bUGent-Ghent University, Faculty of Pharmaceutical Sciences, Laboratory of Pharmaceutical Technology, Harelbekestraat 72, B-9000, Ghent, Belgium
cUGent-Ghent University, Faculty of Pharmaceutical Sciences, Laboratory of Medicinal Biochemistry and Clinical Analysis, Harelbekestraat 72, B-9000, Ghent, Belgium
dGhent University Hospital, Faculty of Medicine and Health Sciences, Laboratory of Experimental Cancer Research, De Pintelaan 185, B-9000, Ghent, Belgium
eUGent-Ghent University, Faculty of Pharmaceutical Sciences, Laboratory of Pharmaceutical Biotechnology, Harelbekestraat 72, B-9000, Ghent, Belgium
First published on 17th June 2011
Iso-α-acids (IAA) and their reduced derivatives (dihydro-iso-α-acids (DHIAA) and tetrahydro-iso-α-acids (THIAA)) have been administered to Caco-2 cell monolayers (30, 60, and 120 μM) to investigate epithelial transport, in both absorptive and secretive directions. In addition, 25 mg kg−1 IAA, DHIAA, and THIAA were applied to New Zealand white rabbits (±3–3.5 kg) in a single intravenous and oral dose. The most important pharmacokinetic parameters (Cmax, tmax, half life, clearance, and AUC0−∞) and the absolute bioavailability were determined for each class of hop acid. The results from the in vitro Caco-2 study of IAA, DHIAA, and THIAA, showed a higher membrane permeability for IAA and THIAA, both in absorptive (PappAB range 1.6–5.6 × 10−6 cm s−1) and secretive directions (PappBA range 5.7–16.3 × 10−6 cm s−1), when compared to DHIAA. Factors limiting transport of DHIAA could include phase II metabolism. After oral and i.v. dosing to New Zealand white rabbits, the absolute bioavailability for IAA was determined to be 13.0%. The reduced derivatives reached higher bioavailabilities with 28.0% for DHIAA and 23.0% for THIAA. The area under curve AUC0−∞ upon oral gavage for DHIAA and THIAA was 70.7 ± 48.4 μg h ml−1 and 57.4 ± 9.0 μg h ml−1, respectively, while that for IAA was 10.6 ± 5.3 μg h ml−1. Phase I metabolism was indicated as the main factor limiting the bioavailability of IAA. Bioavailability of DHIAA is mostly influenced by phase-II metabolism as shown by enzymatic hydrolysis of plasma samples upon administration of DHIAA.
HBA originate from female hop flowers (Humulus lupulus L.) and are used in the brewing process as the main flavouring agent and as a natural preservative. During wort boiling with hop, the α-acids, the main bitter acids present in hops, are converted into iso-α-acids thereby providing beer with its typical bitter taste and foam stability. In hop, the α-acids are present as a mixture of 3 major analogues (cohumulone, n-humulone, and adhumulone), differing in the nature of the acyl side chain (Fig. 1). For each analogue, two different beer-soluble products (cis- and trans-) can be formed, resulting in six different iso-α-acids (IAA) or isohumulones (Fig. 1).14 Due to the susceptibility of IAA to form light-induced off-flavours,15–19 light stable beers, containing reduced derivatives, such as dihydro-iso-α-acids (DHIAA) and tetrahydro-iso-α-acids (THIAA) (Fig. 1), instead of IAA, have been developed by the brewing industry. The reduced derivatives, in general, are also more stable with respect to oxidation, while THIAA, specifically, are also used to further enhance foam stability.20 DHIAA are produced by hydride reduction of IAA, introducing an additional chiral centre on the acyl side chain, leading to two epimeric reaction products for each iso-α-analogue.21 As a result, theoretically, the group of DHIAA can consist of twelve stereoisomeric products (Fig. 1). THIAA are formed by hydrogenation of the double bonds present in the side chains of IAA, thus also consisting of cis- and trans-isomeric pairs, totalling six stereoisomers.22,23
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| Fig. 1 Molecular structures of hop α-acids, iso-α-acids and reduced derivatives. IAA: iso-α-acids, DHIAA: dihydro-iso-α-acids, THIAA: tetrahydro-iso-α-acids. | ||
Depending on the bitterness, the hop-derived bitter acid content in beers can vary from 10 up to 100 mg l−1,24–26 while commercially available hop-based food supplements may contain up to 400 mg of hop-derived bitter acids.27 The presence of such high concentrations of IAA and derivatives could possibly explain the positive health effects associated with ingestion of preparations containing these products.
In this area, the number of scientific publications on the possible health-benefits of HBA is increasing, while, until now, little is known on absorption, distribution, metabolism, and excretion (ADME) of these compounds. In one study on the safety, efficacy and anti-inflammatory activity of DHIAA from hops, Hall et al. reported limited data on the human absorption of DHIAA. Following oral administration of 1000 mg of DHIAA to 2 healthy human subjects, a maximum concentration in the lower micromolar range was reached at 4 h post administration.28
In the present study, different aspects of the bioavailability of the HBA present in beer were investigated. First, using a Caco-2 cell model system the intestinal absorption of IAA, DHIAA, and THIAA was studied in vitro. Differentiated human epithelial Caco-2 cells are commonly applied as a screening tool for the prediction of intestinal absorption of compounds.29 Notably, in vitro permeability coefficients measured for reference compounds obtained in the Caco-2 cell model have shown good correlation with results based on in vivo studies.
Second, pharmacokinetic parameters for IAA, DHIAA, and THIAA were investigated upon both intravenous and oral dosing in New Zealand white rabbits. Knowledge on the bioavailabilities and the pharmacokinetic parameters of hop-derived IAA, DHIAA, and THIAA is essential to understand possible health benefits associated to preparations containing hop-derived compounds such as beer and hop-based food supplements.
:
10. For transport studies, Caco-2 cells were seeded at a density of 1 × 105 cells cm−2 on Transwell® membrane inserts (0.4 μm pore diameter, 12 mm diameter, Corning Costar, New York, USA) and cultured until late confluence. Cell culture medium was changed every other day. Monolayers were investigated between days 18 and 24 post-seeding. Cells with passage numbers 25–50 were used. The integrity of each monolayer of differentiated cells was monitored by measuring the transepithelial electrical resistance (TEER) with a Millicel-ERS volt-ohmmeter (Millipore, Bedford, MA, USA). The TEER is a measure for the presence of tight junctions between adjacent cells. The volumes amounted to 1.5 ml at the apical side (AP) and 2.6 ml at the basolateral side (BL) of the monolayer.
In the experimental setup, different donor concentrations (30, 60, and 120 μM) were applied by adding a solution of IAA, DHIAA, or THIAA to either the AP compartment (for absorptive transport study; AP-to-BL) or to the BL compartment (for secretive transport study; BL-to-AP). Donor solutions were diluted from commercially available solutions of potassium salts of hop-derived bitter acids at pH 8–10 (Isohop®, Redihop®, and Tetrahop Gold® containing respectively 200, 300, and 90 mg ml−1 of IAA, DHIAA, and THIAA) in HBSS (dilution factor >4000). Blank transport medium was added to the other (receiving) compartment. After 1, 2, and 4 h of incubation, samples were taken out from the basolateral (for AP-to-BL transport) or apical (for BL-to-AP transport) side and the volume was replaced with blank transport medium. At the last sampling point (4 h), an aliquot of the donor compartment was included. In order to quantify the absorbed intracellular amounts, excessive transport medium was removed and monolayers were extracted with EtOH (200 μl AP; 750 μl BL) during 30 min. Each experiment was performed in triplicate (three sequential wells with Caco-2 monolayers were tested), in correspondence with several other reports on methodologies of the in vitro transport experiments across Caco-2 monolayers.31–33
Samples (apical (200 μl) and basolateral (750 μl)) taken from the Caco-2 assay at different incubation times were spiked with internal standard (IS) (1.0 μg). Having an almost identical molecular structure, THIAA were applied as internal standard in case of samples containing IAA and DHIAA. In samples following dosing of THIAA, DHIAA were used as internal standard. Next, samples were acidified (pH 2) with H3PO4 (0.1M; 1.5 volumes) followed by extraction with ethyl acetate (EtOAc; 4 volumes). Collected organic phases were evaporated (N2) and residues were reconstituted in 100μl methanol (MeOH). Samples were stored at −20 °C until LC-MS analysis.
000 units/ml) and sulfatase (330 units/ml) activity from H. pomatia (30 μl) from a solution in NaOAc buffer (0.1 M, pH 5) was added. Samples were incubated for 2 h at 37 °C. Subsequently, samples were extracted as described in section ‘Bidirectional transport assay'. Replicate control samples were included with no enzyme treatment to determine the extent of glucuronidation and/or sulfation. Cellular levels of conjugated hop-derived acids were calculated by subtracting the amount of free hop acid (no enzyme treatment) from the amount of total hop-derived acids (+ β-glucuronidase/sulfatase).
| Compound | m/z (negative ionization) | retention time (min) |
|---|---|---|
| a IAA: iso-α-acids; DHIAA: dihydroiso-α-acids; THIAA: tetrahydroios-α-acids. | ||
| IAA | ||
| cis-isoco | 347 | 11.1 |
| trans-isoco | 347 | 11.7 |
| cis-isoad | 361 | 13.8 |
| cis-iso-n + trans-isoad | 361 | 14.3 |
| trans-iso-n | 361 | 14.8 |
| DHIAA | ||
| cis-DHisoco | 349 | 7.4 |
| cis-DHisoco | 349 | 9.4 |
| cis-DHisoad | 363 | 9.9 |
| cis-DHiso-n | 363 | 10.3 |
| cis-DHisoad | 363 | 11.7 |
| cis-DHiso-n | 363 | 12.3 |
| THIAA | ||
| cis-THisoco | 351 | 16.7 |
| trans-THisoco | 351 | 17.9 |
| cis-THisoad | 365 | 19.1 |
| cis-THiso-n | 365 | 19.4 |
| trans-THisoad | 365 | 20.5 |
| trans-THiso-n | 365 | 20.8 |
In all of the cases, the degree of extrapolation of AUC0−∞ was lower than 20%. Peak concentration (Cmax) and the time at which this occurred (tmax) were obtained from the observed data. Oral bioavailability (F) was determined by the ratio of the AUC0−∞ following oral and i.v. dosing.
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| Fig. 2 Cumulative concentrations (μM) of IAA, DHIAA, and THIAA transported across Caco-2 monolayers in absorptive (A) (AP-to-BL) and secretive (B) (BL-to-AP) directions in function of different donor concentrations for 4 h incubation and in absorptive (C) (AP-to-BL) and secretive (D) (BL-to-AP) directions in function of time for a donor concentration of 120 μM. Each point was the mean ± standard deviation of three experiments. | ||
For all the hop-derived acids, the amount transported into the receiver chambers increased linearly with time, in both absorptive and secretive directions. The rates of transport are presented in Table 2, which shows the values for the apparent permeability coefficients Papp and efflux ratios (ratio of PappBAversus PappAB) for the hop-derived acids in the AP-to-BL, as well as in the BL-to-AP direction. The PappAB values ranged from 1.58 × 10−6 to 5.57 × 10−6 cm s−1. Both IAA and THIAA showed similar absorption transport rates, since differences in their PappAB values were not statistically significant. In secretive transport, the PappBA of the hop-derived acids varied from 5.68 × 10−6 to 16.28 × 10−6 cm s−1. Efflux ratios of IAA and THIAA were similar around 3, slightly lower than the value for DHIAA which was around 3.5.
| Compound | Papp (× 10−6 cm s−1) | Efflux ratio | |
|---|---|---|---|
| AP-to-BL | BL-to-AP | ||
| a Significant difference in Papp (AP-to-BL) of DHIAA versus IAA and THIAA. P < 0.0001. b Significant difference in Papp (BL-to-AP) of DHIAA versus IAA and THIAA. P < 0.0001. | |||
| IAA | 4.62 ± 1.29 | 13.02 ± 3.13 | 2.8 ± 1.4 |
| DHIAA | 1.58 ± 0.22a | 5.68 ± 0.87b | 3.5 ± 1.0 |
| THIAA | 5.57 ± 1.22 | 16.28 ± 2.71 | 2.9 ± 1.1 |
To probe possible phase-II metabolism of IAA, DHIAA, and THIAA, enzymatic hydrolysis of fractions from cell monolayers was carried out with a mixture of sulfatase and glucuronidase activities. The presence of conjugates could not be demonstrated in samples of IAA and THIAA. The amounts, quantified after deconjugation, were not significantly different from the non-hydrolyzed levels, indicating that formation of phase-II metabolites of IAA and THIAA seems unlikely. However, enzymatic hydrolysis of cellular fractions of DHIAA showed that up to 60% of the intracellular amount was conjugated as a glucuronide or a sulfate.
| Parameter | i.v. administration | Oral administration | ||||
|---|---|---|---|---|---|---|
| IAA | DHIAA | THIAA | IAA | DHIAA | THIAA | |
| a Significant difference in CL of IAA versus DHIAA and THIAA upon i.v. dosing. P < 0.005. b Significant difference in t1/2 of IAA versus DHIAA and THIAA upon i.v. dosing. P < 0.05. c Significant difference in AUC0−∞ of IAA versus DHIAA and THIAA upon i.v. dosing. P < 0.001. d Significant difference in AUC0−∞ of IAA versus DHIAA and THIAA upon oral dosing. P < 0.05. | ||||||
| Cl (ml h−1) | 931 ± 91a | 258 ± 67 | 300 ± 7 | — | — | — |
| t1/2 (h) | 0.32 ± 0.03b | 0.88 ± 0.29 | 0.69 ± 0.07 | — | — | — |
| AUC0−∞ (h μg ml−1) | 81 ± 8c | 252 ± 7 | 250 ± 6 | 10.6 ± 5.3d | 71 ± 48 | 57 ± 9 |
| Cmax (μg ml−1) | — | — | — | 2.5 ± 1.6 | 6.6 ± 3.8 | 7.7 ± 4.3 |
| tmax (h) | — | — | — | [0.5–6.0] | [4.0–12.0] | [0.5–6.0] |
| F (%) | — | — | — | 13.0 ± 6.5 | 28.0 ± 19.4 | 23.0 ± 3.6 |
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| Fig. 3 Plasma concentration curves in rabbits following intravenous (0.5–60 min; n = 3) administration of 25 mg kg−1 IAA, DHIAA, and THIAA. Values represent the mean plasma concentration and error bars represent the standard deviation. IAA: iso-α-acids; DHIAA: dihydro-iso-α-acids; THIAA: tetrahydro-iso-α-acids. | ||
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| Fig. 4 Individual plasma concentration-time profiles (log concentration (μg ml−1) versus time (h)) in rabbits following oral (0.5–24 h; n = 6) administration of 25 mg kg−1 IAA, DHIAA, and THIAA. IAA: iso-α-acids; DHIAA: dihydro-iso-α-acids; THIAA: tetrahydro-iso-α-acids. | ||
After i.v. injection of 25 mg kg−1 of IAA, DHIAA, and THIAA, the plasma level of IAA declined faster (clearance of IAA was 931 ± 91 ml h−1) than that of DHIAA and THIAA, which showed both a similar elimination slope (Fig. 3). This is also illustrated by a half-life (t1/2) of 0.32 ± 0.03 h for IAA versus 0.72 ± 0.10 h and 0.69 ± 0.07 h for DHIAA and THIAA, respectively.
When orally dosed, the plasma concentration-time profile of the individual rabbits (n = 6) was obtained as shown in Fig. 4.
Since large interindividual variation was observed for the time to reach absorption maximum, tmax was described as a range of values. For DHIAA, tmax ranged 4.0–12 h post dosing, while the tmax of IAA and THIAA varied 0.5–6 h after ingestion. For IAA, a Cmax of 2.5 ± 1.6 μg ml−1 (or equal to 6.9 ± 4.4 μM) was determined, while for DHIAA, a maximum concentration was found, 2 to 3 times higher than that of IAA (6.6 ± 3.8 μg ml−1 equalling 18.2 ± 10.5 μM). Following oral dosing of THIAA, a Cmax of 7.7 ± 4.3 μg ml−1 (equal to 21.2 ± 11.8 μM) could be distinguished. The area under curve AUC0−∞ upon oral gavage for DHIAA and THIAA was 70.7 ± 48.4 μg h ml−1 and 57.4 ± 9.0 μg h ml−1, respectively. This was almost 6 to 7 times higher than the value calculated for IAA, for which the AUC0−∞ was 10.6 ± 5.3 μg h ml−1.
The absolute bioavailability for IAA was determined to be 13.0 ± 6.5%. The reduced derivatives reached higher absolute bioavailabilities of 28.0 ± 19.4% for DHIAA, and 23.0 ± 3.6% for THIAA.
To investigate possible phase-II metabolism of IAA, DHIAA, and THIAA, enzymatic hydrolysis of plasma samples following oral treatment was carried out with a mixture of sulfatase and glucuronidase activities. The amounts of IAA and THIAA, quantified after the enzymatic reactions, were not significantly different from the non-hydrolyzed levels; hence, the presence of conjugates could not be demonstrated in samples of IAA and THIAA. However, enzymatic hydrolysis of plasma samples of DHIAA resulted in a value for the AUC0−∞ of 140 ± 43 μg h ml−1. From these results, the percentage of DHIAA being conjugated as a sulfate or a glucuronide could be estimated to be around 50%.
The pharmacokinetic data of THIAA were assessed as an example to determine a possible difference in bioavailability between the cis- and trans-stereoisomers or between the different co- versus n-homologues (Table 4 and 5). The different side chain at C1 (isopentanoyl in n- and ad-, isobutyryl in co-analogues) resulted in a higher bioavailability of the n-analogues compared to the co-analogues (47% versus 18%). On the other hand, there was no difference in bioavailability observed in favour of the cis-THIAA (17%) compared to the trans-THIAA (19%).
| cis-THIAA | trans-THIAA | |
|---|---|---|
| F (%) | 17.0 ± 3.0 | 19.0 ± 4.0 |
Apparently, a higher grade of lipophilicity (of the n- versus co-analogue) has more influence on the bioavailability than the difference in steric structure of the compounds, since the presence of the side chains on different faces of the five-membered ring of the cis- and trans-analogues did not have any effect on the bioavailability.
| Compound | Intravenous | Oral | Fraction unabsorbed (% of dose) | ||
|---|---|---|---|---|---|
| Urine | Faeces | Urine | Faeces | ||
| a Significant difference in urinary amount of DHIAA versus IAA and THIAA upon i.v. dosing. P < 0.005. b Significant difference in faecal amount of IAA versus DHIAA and THIAA upon i.v. dosing. P < 0.05. c Significant difference in urinary amount of DHIAA versus IAA and THIAA upon oral dosing. P < 0.001. | |||||
| IAA | 0.5 ± 0.2 | 0.9 ± 0.2b | 0.13 ± 0.05 | 6.0 ± 1.8 | 5.1 ± 2.0 |
| DHIAA | 15.4 ± 1.4a | 8.4 ± 1.8 | 12.1 ± 4.8c | 13.1 ± 1.1 | 4.7 ± 2.9 |
| THIAA | 0.8 ± 0.2 | 10.1 ± 2.1 | 1.0 ± 0.1 | 25.6 ± 3.6 | 15.5 ± 4.9 |
In the faeces, the %dose of intact THIAA following oral application was 25.6 ± 7.6%, while the %dose of DHIAA and IAA were respectively 13.1 ± 1.1% and 6.0 ± 1.8%. Following i.v. administration, urinary %dose of intact DHIAA were determined to be 15.4 ± 1.4%. The levels of IAA and THIAA were comparable, 0.50 ± 0.2% and 0.8 ± 0.2%, respectively.
Faecal %dose of intact IAA after i.v. dosing, were yet again very low compared to these of the reduced derivatives, 0.9 ± 0.2%. For DHIAA and THIAA, comparable percentages could be determined; 8.4 ± 1.8% and 10.1 ± 2.1% for DHIAA and THIAA, respectively. From these data, it was possible to calculate the unabsorbed fraction as the difference in the faecal %dose following oral and i.v. administration. This was around 5% of the ingested dose for IAA and DHIAA, in contrast with THIAA, for which an unabsorbed fraction of 15.5 ± 4.9% was calculated. Large differences between the different classes of hop-derived acids could be observed: urinary excretion of DHIAA upon both oral and i.v. dosing exceeded the values of IAA and THIAA, which were significantly lower. The differences in urinary excretion between IAA and THIAA were not statistically significant. Samples of faeces and urine were also subjected to enzymatic hydrolysis with a mixture of sulfatase and glucuronidase activities to screen for the presence of possible phase-II conjugates of IAA, DHIAA, and THIAA. Subtracting the amounts upon enzymatic hydrolysis from the control samples (with no enzyme treatment), showed no significant conjugation of IAA or THIAA in urine or faeces. However, enzymatic hydrolysis of urine samples of DHIAA following oral ingestion, showed that up to 22% of the excreted amount of DHIAA was conjugated as a sulfate or a glucuronide.
The dose solutions used in the rabbit trials are diluted from commercially available Isohop®, Redihop® and Tetrahop Gold®, which are stable solutions of potassium salts of respectively IAA, DHIAA, and THIAA at pH 8–10. For stability and solubility reasons, dose formulations were obtained by dilution with ammonium acetate buffer with pH 10.Nevertheless, a potential influence on bioavailability by the use of non-physiological pH, should be considered for further investigation.
An animal dose of 25 mg kg−1 in the pharmacokinetic study can be translated to a human equivalent dose (HED) using the following formula: HED = 25 mg kg−1 × Km factor (rabbit)/Km factor (human), in which the Km factor (kg m−2) is calculated from the ratio of the body weight (kg) and body surface area (m2) of a species. The FDA draft guidelines report values for the Km of 12 for rabbits and 37 for humans, based on the ratio of the body weight and the body surface area (BSA).41,42 In this way, a HED of 8 mg kg−1 could be calculated, which would correspond with a dose around 500 mg for a human weight of 60–70 kg. This is in the line with the amounts of hop-derived acids present in commercially available dietary supplements (usually 400 mg or more) and the doses (single or frequent dosing) used in clinical trials with animals8,43,44 or humans.9,10,28 However, this dose is not practical for moderate beer consumption, since a provided amount of 400–500 mg hop-derived acids would require at least 5 litres of beer intake.
In all of the publications cited, no adverse effects were reported. In one report, Chappel et al. conducted a study to determine the effect associated with subchronic oral administration of THIAA (as well as hexahydroiso-α-acids) in the dog. Most of the materials were excreted in the faeces and the no-observed-adverse-effect level (NOAEL) of the compounds was 100 and 50 mg kg−1 body weight, for THIAA and hexahydroiso-α-acids, respectively. As for dogs, the observations showed that these compounds were generally well tolerated.45
Also, in an observational human trial to investigate the efficacy of a formula containing DHIAA (Meta050) (440 mg daily for eight weeks) on pain in patients with rheumatic disease, did not result in clinically relevant changes in blood pressure, complete blood counts, or liver and kidney function. Furthermore, there was no negative impact on gastrointestinal markers normally affected by selective COX-2 enzyme inhibitors, as concluded from normal fecal calprotectin excretion. Similar data were obtained after administration of pure DHIAA (450 mg daily for 2 weeks).10,46
In this study, the oral bioavailability of IAA was found to be less than 15%, while bioavailability of the reduced derivatives was higher (23% for THIAA and 28% for DHIAA). However, differences in bioavailability were determined to be not statistically significant, because of large inter-individual variation in the animals. Factors limiting a high bioavailability can be diverse, but typically include inefficient absorption and rapid metabolism (i.e., the first-pass effect).
Results from the Caco-2 experiments showed that permeability (AP-to-BL) mechanisms other than passive diffusion seem unlikely, as indicated by the linear dose-transport and time-transport relationships, and the lack of saturation effects. A passive diffusion transport mechanism occurs most probably transcellularly, since the paracellular pathway is restricted by the tight junctions of intestinal epithelium.47 Also, the surface area of the luminal cell membrane of the intestinal epithelium is 1000-fold larger than that of the paracellular space.48 Based on the PappAB, a ranking in absorption is suggested as follows, THIAA ≈ IAA > DHIAA. Because of the linear dose-transport relationship, Papp values were independent of the dose applied for all the HBA tested. In studies attempting to correlate passive drug permeability in Caco-2 experiments with drug absorption in humans after oral administration, moderately to well absorbed compounds (20–80% fraction absorbed) were found to have permeability coefficients 10−6 < Papp < 10 × 10−6 cm s−1 whereas poorly absorbed drugs had Papp < 0.1 × 10−6 cm s−1 (< 20% fraction absorbed).35,49 This is supported by the calculated unabsorbed fractions (4% for IAA and DHIAA and 15% for THIAA), obtained from the amounts determined in the faeces upon oral and i.v. application, suggesting efficient absorption of IAA, DHIAA, and THIAA. However, this calculation of unabsorbed fraction is likely an underestimated value, since a significant fraction of the administered compounds can be unabsorbed but potentially metabolized/degraded by the microbiota into diverse metabolites which were not detected in the analysis.
For all different hop-derived acids tested, secretion (from BL-to-AP) showed a linear relationship between dose and amount transported suggesting that secretion is also expected to occur by passive diffusion. Efflux would only become important when concentrations at the luminal side attain 20–50% of that at the blood side, independent of the involvement of active transporters (since diffusion is forced by a concentration gradient). Most likely, this is only reached just before complete absorption. However, efflux permeability coefficients (BL-to-AP) (PappBA ranged 6 – 16 × 10−6 cm s−1) and efflux ratios (around 3–3.5) were substantial, so additional experiments using specific inhibitors for efflux pumps (Pgp, MRP-2, and BCRP) providing proof of possible active efflux mechanism involvement would be important. In earlier presented work, the in vitro transport of hop α-acids and β-acids across Caco-2 monolayers has been studied, showing efficient epithelial transport of hop α-acids (Papp > 10 × 10−6 cm s−1), whereas the permeability of β-acids was limited by the involvement of Pgp and MRP-2 type efflux transporters and phase-II metabolism.50
The lower Papp value of DHIAA compared to that of IAA and THIAA could be explained by a substantial conjugation of DHIAA, following absorption in the Caco-2 cells, from where the major fraction being conjugated can transfer to the BL compartment, or back into the AP compartment, whether or not with the involvement of active transport mechanisms, most often of the MRP-type family.51 Although the Caco-2 cell model is recognized rather as a model of human intestinal absorption than of phase II intestinal metabolism, there are many examples of conjugation reactions of xenobiotics by Caco-2 cells in the literature,52–54 including flavonoids originating from hops, which are known to be extensively conjugated by Caco-2 cells.55 Nevertheless, absorption of hop-derived acids is suggested to be efficient in rabbits, indicated by substantial plasma concentrations in the μg ml−1 (or lower μM) scale. From the pharmacokinetic data of DHIAA obtained following oral application, an AUC0−8h of 30.6 h μg ml−1 could be determined, which is in accordance with the results published by Hall et al., taken into account an HED of 560 mg. Following oral application of a dose of 700 mg DHIAA administered to 2 healthy human subjects, an AUC0−8h of 26 μg h ml−1 was calculated, which is in line with the results of our study.28
Prior to absorption and introduction of a compound in the systemic circulation and exposure to liver enzymes, intestine epithelial cells (enterocytes) provide the first site for CYP-catalyzed and phase-II metabolism,56 since the highest catalytic activity resides in the proximal region of the small intestine.57–59 Following oral dosing, only minor amounts of intact IAA were determined in urine and faeces. The mass balance (a summed total of %dose in urine and faeces of intact and conjugated forms over 24h) of IAA was ≤ 6% in our study, indicating metabolism/degradation of IAA to be the most important path of elimination and factor influencing its bioavailability. This seems consistent with the low levels recovered in urine and faeces after i.v. administration of IAA. Compared to IAA, the mass balance of the reduced derivatives following oral dosing was substantially higher, totalling 47% for DHIAA and 25% for THIAA of the dose administered, showing a substantial part of orally administered DHIAA and THIAA escapes metabolism/degradation in vivo in rabbits.
Previous experiments reported by Aniol et al. showed that hop α-acids and β-acids are totally degraded when incubated with peroxidase enzymes from plant extracts.60 This could suggest the involvement of P450 enzymes in the metabolism of HBA. Furthermore, two reports describe the induction of quinine reductase activity by humulones and isohumulones and the activation of CYP3A4, CYP2B6 and some multidrug resistance (MDR1) levels in human hepatocytes indicating that these hop-derived acids can stimulate both phase-I and phase-II detoxification processes.5,61 The recent reports of Intelmann and Hofmann on the identification of degradation products of IAA formed upon beer ageing62 indicates the proneness of IAA to oxidative degradation, partly based on findings already established much earlier by several authors.63–70
Although phase-II conjugation of IAA and THIAA cannot be completely ruled out, in none of the plasma, urine, and faecal samples proof for sulfation or glucuronidation could be demonstrated. This corresponds also with the results of the enzymatic hydrolysis of Caco-2 monolayer samples. Other possible phase-II metabolism reactions (conjugation of glutathione or amino acids…) should, however, be further investigated. On the contrary, in the plasma and urine samples following DHIAA ingestion, substantial sulfation or glucuronidation was evident. The presence of an accessible alcoholic group in the acyl side chain of the molecular structure of DHIAA explains the absence of conjugation of IAA and THIAA. The enolic group, present in the molecular structures of IAA and THIAA, may be inactive for conjugation in view of its acidity or due to intramolecular hydrogen bonding with the adjacent carbonyl group in the acyl side chain.
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