Gastrointestinal tract complexation

The absorption of sulfonylureas from the upper gastrointestinal tract is faidy rapid and complete. The agents are transported in the blood as protein-bound complexes. As they are released from protein-binding sites, the free (unbound) form becomes available for diffusion into tissues and to sites of action. Specific receptors are present on pancreatic islet P-ceU surfaces which bind sulfonylureas with high affinity. Binding of sulfonylureas to these receptors appears to be coupled to an ATP-sensitive channel to stimulate insulin secretion. These agents may also potentiate insulin-stimulated glucose transport in adipose tissue and skeletal muscle. 

Tannate Complexation. Certain dmgs, those that contain amine groups, complex readily with tannic acid. Such complexes release the dmg gradually and uniformly. The rate seems to be affected by the pH and the electrolytes present in the gastrointestinal tract. At lower pH, the dmg is released more quickly. Other complexing compounds have also been used. 

Sucralfate [54182-58-0] an aluminum salt of sucrose octasulfate, is used as an antacid and antiulcer medication (59). Bis- and tris-platinum complexes of sucrose show promise as antitumor agents (60). Sucrose monoesters are used in some pharmaceutical preparations (21). A sucrose polyester is under evaluation as a contrast agent for magnetic resonance imaging (mri) (61). Oral adrninistration of this substance opacifies the gastrointestinal tract and eliminates the need for purging prior to mri. 

Appetite control is a complex function of the brain that regulates feeding behaviour. This function integrates cognitive and emotional factors with a complex array of signals from the gastrointestinal tract and from adipose tissue. 

Myo-inositol is one of the most biologically active forms of inositol. It exists in several isomeric forms, the most common being the constituent of phospholipids in biological cell membranes. It also occurs as free inositol and as inositol hexaphosphate (IP6) also known as phytate which is a major source from food. Rice bran is one of the richest sources of IP6 as well as free inositol. Inositol is considered to belong to the B-complex vitamins. It is released in the gastrointestinal tract of humans and animals by the dephosphorylation of IP6 (phytate) by the intestinal enzyme phytase. Phytase also releases intermediate products as inositol triphosphate and inositol pentaphosphate. Inositol triphosphate in cellular membrane functions as an important intra- and intercellular messenger, that merits its value as a nutritional therapy for cancer. 

For carotenoids, the type of matrix varies from relatively simple matrices in which the free carotenoid is dissolved in oil or encapsulated in supplements to more complex matrices in which the carotenoid is within plant foods. It is clear that the efficiency of the process by which the compound becomes more accessible in the gastrointestinal tract is inversely related to the degree of complexity of the food matrix. Carotenoid bioavailability is indeed far greater in oil or from supplements than from foods and usually the pure carotenoid solubilized in oil or in water-soluble beadlets is employed as a reference to calculate the relative bioavailability of the carotenoid from other foods. ... 

Inorganic lead ions are not known to be metabolized in the body but they are complexed by macromolecules. Lead that is not retained in the body is excreted principally by the kidney as salts or through biliary clearance into the gastrointestinal tract in the form of organometallic conjugates. 

Gastrointestinal absorption of lead is influenced by dietary and nutritional calcium and iron status. An inverse relationship has been observed between dietary calcium intake and PbB concentration (Mahaffey et al. 1986 Ziegler et al. 1978). Complexation with calcium (and phosphate) in the gastrointestinal tract and competition for a common transport protein have been proposed as possible mechanisms for this interaction (Barton et al. 1978a Heard and Chamberlain 1982). Absorption of lead from the... 

In a normal human adult, about 2 g of zinc is filtered by the kidneys daily and about 0.3 to 0.6 mg is actually excreted each day (Goyer 1986). Zinc homeostasis in rats, unlike most mammals, is maintained by zinc secretion from the intestines rather than by regulation of zinc absorption (Elinder 1986). Initial uptake of zinc from the rat gastrointestinal tract involves binding to albumin and transport of the zinc-albumin complex from intestine to liver (Hoadley and Cousins 1988). 

Another important advance adding to the value of PBPK modeling in the pharmaceutical industry are physiological, mechanistic models developed to describe oral absorption in humans and preclinical species. Oral absorption is a complex process determined by the interplay of physiological and biochemical processes, physicochemical properties of the compound and formulation factors. Physiologically based models to predict oral absorption in animals and humans have recently been reviewed [18, 19] and several models are now commercially available. The commercial models have not been published in detail because of proprietary reasons but in essence they are transit models segmenting the gastrointestinal tract... 

Absorption of some highly ionized compounds (e.g., sulfonic acids and quaternary ammonium compounds) from the gastrointestinal tract cannot be explained in terms of the transport mechanisms discussed earUer. These compounds are known to penetrate the Upid membrane despite their low Upid-water partition coefficients. It is postulated that these highly lipophobic drugs combine reversibly with such endogenous compounds as mucin in the gastrointestinal lumen, forming neutral ion pair complexes it is this neutral complex that penetrates the Upid membrane by passive diffusion. 

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