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A pharmacokinetic study to correlate the hypoglycemic effect of phlorizin in rats: Identification of metabolites as inhibitors of sodium/glucose cotransporters
Authors:Roshan M. Borkar  Abhinav Kanwal  Bandu Raju  Sai Sharanya Pulimamidi  Agneesh Pratim Das  Subhash Mohan Agarwal  Sanjay K. Banerjee  Ragampeta Srinivas
Affiliation:1. Analytical Chemistry Division, CSIR-Indian Institute of Chemical Technology, Hyderabad, India;2. Non-Communicable Diseases Group, Translational Health Science and Technology Institute (THSTI), Faridabad, India

Department of Pharmacology, All India Institute of Medical Sciences, Bathinda, India;3. Department of Pharmaceutical Analysis, National Institute of Pharmaceutical Education and Research (NIPER), Guwahati, India;4. Bioinformatics Division, ICMR-National Institute of Cancer Prevention and Research, Noida, India;5. Non-Communicable Diseases Group, Translational Health Science and Technology Institute (THSTI), Faridabad, India

Department of Biotechnology, National Institute of Pharmaceutical Education and Research (NIPER), Guwahati, India

Abstract:Phlorizin (PRZ) is a natural product that belongs to a class of dihydrochalcones. The unique pharmacological property of PRZ is to block glucose absorption or reabsorption through specific and competitive inhibitors of the sodium/glucose cotransporters (SGLTs) in the intestine (SGLT1) and kidney (SGLT2). This results in glycosuria by inhibiting renal reabsorption of glucose and can be used as an adjuvant treatment for type 2 diabetes. The pharmacokinetic profile, metabolites of the PRZ, and efficacy of metabolites towards SGLTs are unknown. Therefore, the present study on the characterization of hitherto unknown in vivo metabolites of PRZ and pharmacokinetic profiling using liquid chromatography-electrospray ionization tandem mass spectrometry (LC/ESI/MS/MS) and accurate mass measurements is undertaken. Plasma, urine, and feces samples were collected after oral administration of PRZ to Sprague–Dawley rats to identify in vivo metabolites. Furthermore, in silico efficacy of the identified metabolites was evaluated by docking study. PRZ at an intraperitoneal dose of 400 mg/kg showed maximum concentration in the blood to 439.32 ± 8.84 ng/mL at 1 h, while phloretin showed 14.38 ± 0.33 ng/mL at 6 h. The pharmacokinetic profile of PRZ showed that the maximum concentration lies between 1 and 2 h after dosing. Decreased blood glucose levels and maximum excretion of glucose in the urine were observed when the PRZ and metabolites were observed in plasma. The identification and characterization of PRZ metabolites by LC/ESI/MS/MS further revealed that the phase I metabolites of PRZ are hydroxy (mono-, di-, and tri-) and reduction. Phase II metabolites are O-methylated, O-acetylated, O-sulfated, and glucuronide metabolites of PRZ. Further docking study revealed that the metabolites diglucuronide metabolite of mono-hydroxylated PRZ and mono-glucuronidation of PRZ could be considered novel inhibitors of SGLT1 and SGLT2, respectively, which show better binding affinities than their parent compound PRZ and the known inhibitors.
Keywords:LC-ESI-Q-TOF  metabolites  pharmacokinetic study  phloritin  phlorizin  validation
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