中国药物警戒 ›› 2018, Vol. 15 ›› Issue (8): 493-498.

• 综述 • 上一篇    下一篇

薯蓣皂苷药理作用、潜在肝毒性及药代动力学研究进展

罗攀1, 吕春明2, 周文斌2, 寇芳1, 魏海1 *   

  1. 1上海中医药大学交叉科学研究院,上海 201203;
    2上海铸连智能科技有限公司,上海 201323
  • 收稿日期:2018-10-11 修回日期:2018-10-11 出版日期:2018-08-20 发布日期:2018-10-11
  • 通讯作者: 魏海,男,博士,研究员·博导,生物药剂学、系统生物学和新型释药系统。E-mail:wei_hai@hotmail.com
  • 作者简介:罗攀,男,在读硕士,药物代谢动力学。

Progress of Pharmacology, Potential Hepatotoxicity and Pharmacokinetics of Dioscin

LUO Pan1, LV Chunming2, ZHOU Wenbin2, KOU Fang1, WEI Hai1*   

  1. 1Institute of Interdisciplinary ComplexResearch, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China;
    2Shanghai Zhulian Intelligent Technology Co., Ltd., Shanghai 201323, China
  • Received:2018-10-11 Revised:2018-10-11 Online:2018-08-20 Published:2018-10-11

摘要: 薯蓣皂苷属于甾体皂苷中的异螺旋甾烷醇型衍生物,是多种植物药、中成药和中药复方的药效物质基础及质控成分。文章综述了近年来薯蓣皂苷的药理学作用、潜在肝毒性及药代动力学研究成果。薯蓣皂苷药理作用广泛,尤其在心血管药理方面,临床应用潜力巨大,但其潜在的肝毒性需要被关注,同时药代动力学方面其胃肠道吸收差、代谢缓慢并且生物利用度极低,亦需被关注。薯蓣皂苷的肝毒性与剂量相关,由于薯蓣皂苷存在潜在的肝毒性,临床应用相关药物时应加以防范。

关键词: 薯蓣皂苷, 药理作用, 肝毒性反应, 药代动力学

Abstract: Dioscin is an iso-spirostanol derivative. It is the major effective component for the quality control of many herbal medicines, Chinese patent medicines and herbal medicine prescriptions. This paper reviewed the researches on the pharmacology, hepatotoxicity and pharmacokinetics of dioscin in recent years. Dioscin has many pharmacological effects, especially in the cardiovascular regulation. However, the potential hepatotoxicity of dioscin should be paid more attention. Its poor absorption, slow metabolism and low bioavailability should also be noticed. The dose-dependent hepatotoxicity of dioscin should be taken into account for the safety of the prescriptions containing dioscin in clinic.

Key words: dioscin, pharmacological effects, hepatotoxicity, pharmacokinetics

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