Inhibitory effect of a bitter melon extract on the P-glycoprotein activity in intestinal Caco-2 cells

Tomoko Konishi1, Hideo Satsu, Yasuo Hatsugai

  • 1Department of Applied Biological Chemistry, Graduate School of Agricultural and Life Sciences, The University of Tokyo, 1-1-1 Yayoi, Bunkyo-ku, Tokyo 113-8657, Japan.

Insights

Certain plant extracts, including bitter melon, inhibit P-glycoprotein (P-gp), a transporter affecting drug absorption. Researchers identified 1-monopalmitin as a key compound that alters drug pharmacokinetics by blocking P-gp.

Area of Science:

  • Pharmacology
  • Biochemistry
  • Natural Products Chemistry

Background:

  • P-glycoprotein (P-gp) is a key efflux transporter in drug pharmacokinetics.
  • Inhibiting P-gp can enhance drug absorption and efficacy.
  • Natural compounds are explored for their potential to modulate P-gp activity.

Purpose of the Study:

  • To investigate the P-gp inhibitory effects of various plant extracts.
  • To identify the specific compound responsible for P-gp inhibition in bitter melon.
  • To elucidate the structural features of monoglycerides responsible for P-gp inhibition.

Main Methods:

  • Caco-2 cell assays using rhodamine-123 and [(3)H]-daunomycin accumulation.
  • Chromatographic separation of bitter melon extract (tC18, HPLC with Pegasil C4 and ODS columns).
  • Structural elucidation using Nuclear Magnetic Resonance ((1)H-NMR) and Fast Atom Bombardment Mass Spectrometry (FAB-MS).

Main Results:

  • Bitter melon, soybean, dokudami, and welsh onion extracts inhibited P-gp.
  • 1-monopalmitin was identified as the active P-gp inhibitory compound from bitter melon.
  • Inhibitory activity correlated with monoglyceride chain length, not fatty acid unsaturation.

Conclusions:

  • 1-monopalmitin is a potent inhibitor of P-gp.
  • Monoglycerides can alter drug pharmacokinetics by inhibiting P-gp-mediated efflux.
  • The chain length of monoglycerides is crucial for P-gp inhibitory activity.