Peppermint (Mentha piperita L.) extract effectively inhibits cytochrome P450 3A4 (CYP3A4) mRNA induction in rifampicin-treated HepG2 cells

Biosci Biotechnol Biochem. 2019 Jul;83(7):1181-1192. doi: 10.1080/09168451.2019.1608802. Epub 2019 Apr 27.

Abstract

Interaction between foods and drugs is an important consideration in pharmaceutical therapy. Therefore, here, we examined the suppressive effects of the extracts from seven edible herbs on the induction of CYP3A4 gene expression in rifampicin-treated HepG2 cells. We evaluated the structure and suppressive activity of the most effective active compound isolated from dried peppermint (Mentha piperita L.). The structure of the compound was identified as that of pheophorbide a based on spectroscopic data. It suppressed the induction of CYP3A4 mRNA expression by rifampicin in a dose-dependent manner. Quantitative high-performance liquid chromatography showed that 2 g of dry leaves 0.43 mg in one cup of peppermint tea. These findings demonstrate that pheophorbide a suppresses the induction of CYP3A4 mRNA expression in rifampicin-treated HepG2 cells. Pheophorbide is known to cause photosensitivity. However, the effective dose of pheophorbide a that had a suppressive effect was very low, indicating a high safety margin. Abbreviations: DAD: diode array detector; DMEM: Dulbecco's modified Eagle's medium; ELISA: enzyme-linked immunosorbent assay; HPLC: high-performance liquid chromatography; PCR: polymerase chain reaction; PXR: pregnane X receptor; CAR: constitutive androstane receptor; AHR: aryl hydrocarbon receptor; TLC: thin-layer chromatography.

Keywords: CYP3A4; interaction; peppermint; pheophorbide a.

MeSH terms

  • Antibiotics, Antitubercular / pharmacology*
  • Cell Survival / drug effects
  • Chlorophyll / analogs & derivatives*
  • Chlorophyll / chemistry
  • Chlorophyll / pharmacology
  • Chromatography, High Pressure Liquid
  • Cytochrome P-450 CYP3A / genetics*
  • Hep G2 Cells
  • Humans
  • Mentha piperita / chemistry*
  • Molecular Structure
  • Plant Extracts / chemistry
  • Plant Extracts / pharmacology*
  • Proton Magnetic Resonance Spectroscopy
  • RNA, Messenger / antagonists & inhibitors*
  • RNA, Messenger / biosynthesis*
  • Rifampin / pharmacology*
  • Structure-Activity Relationship

Substances

  • Antibiotics, Antitubercular
  • Plant Extracts
  • RNA, Messenger
  • Chlorophyll
  • Cytochrome P-450 CYP3A
  • CYP3A4 protein, human
  • pheophorbide a
  • Rifampin