An increasing number of cancer patients are using herbs in combination with conventional chemotherapeutic treatment. It is therefore important to study the potential consequences of the interactions between herbs and anticancer drugs. The effects of extracts from Panax ginseng (PGS) and Salvia miltiorrhiza Bunge (SMB) on the pharmacokinetics of 5-fluorouracil (5-FU) were performed in vivo and detected by high performance liquid chromatography (HPLC), while, an ATP assay was used to study the pharmacodynamic interactions in vitro. The results of the pharmacokinetic experiments showed a significant increase in the elimination half-life (t1/2(k e )) of 5-FU in the PGS-pretreated group and in the area under the curve (AUC) in the SMB-pretreated group compared with the control group. However, after SMB pretreatment, weight loss was observed in rats. The results of pharmacodynamic experiments showed that neither PGS nor SMB, when used alone, directly inhibited cancer cell growth at 0.1-100 μg/ml. Moreover, PGS had a synergistic cytotoxic effect with 5-FU on human gastric cancer cells but not on normal gastric cells. The results imply that when combined with 5-FU, PGS may be a better candidate for further study. This study might provide insights for the selection of herbal-chemotherapy agent interactions.

译文

:越来越多的癌症患者将草药与常规化学疗法结合使用。因此,重要的是研究草药与抗癌药物之间相互作用的潜在后果。人参(PGS)和丹参(SMB)的提取物对5-氟尿嘧啶(5-FU)药代动力学的影响在体内进行,并通过高效液相色谱(HPLC)检测,而ATP测定用于研究体外药效学相互作用。药代动力学实验的结果表明,在PGS预处理组中,5-FU的消除半衰期(t1 / 2(ke))显着增加;在SMB预处理组中,曲线下面积(AUC)显着增加与对照组相比。然而,在SMB预处理后,在大鼠中观察到体重减轻。药效学实验的结果表明,单独使用PGS和SMB均不能以0.1-100μg/ ml的浓度直接抑制癌细胞的生长。而且,PGS与5-FU对人胃癌细胞具有协同的细胞毒性作用,但对正常胃细胞没有协同作用。结果表明,当与5-FU结合使用时,PGS可能是进一步研究的更好候选者。这项研究可能为选择草药-化学治疗剂相互作用提供见解。

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