Pharmacokinetic interaction among co-existing herbal ingredients leading to high plasma concentrations of Z-butylidenephthalide, a minor ingredient in Rhizoma Chuanxiong, in rat. Running title: Pharmacokinetics of Z-butylidenephthalide in rat Keywords: Z-butylidenephthalide; Rhizoma Chuanxiong; pharmacokinetics; first-pass metabolism; hydration; ligustilide; interaction Pharmacokinetic interaction among co-existing herbal ingredients leading to high plasma concentrations of Z-butylidenephthalide, a minor ingredient in Rhizoma Chuanxiong, in rat. Ru Yan1, 2, Nga Ling Ko1, Bin Ma1, Yun Kau Tam3 and Ge Lin1* 1 School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong, SAR; 2Institute of Chinese Medical Sciences, University of Macau, Taipa, Macau, SAR; 3Sinoveda Canada Inc., Edmonton, Alberta, Canada Abstract Pharmacokinetics (PK) study of herbal medicines is a great challenge, because which component(s) is(are) the bioactive ingredients in individual herbs is largely unknown. Most of the reported PK studies of herbal medicines were conducted on the major ingredients regardless of their activities. However, PK of components with low content in herbs is often ignored. The present study investigated PK of Z-butylidenephthalide (BuPh), a bioactive phthalide present in a significantly low quantity in Rhizoma Chuanxiong, a medicinal herb widely prescribed for the treatment of cardiovascular disorders. PK of BuPh was investigated in rats using Chuanxiong extract, a fraction containing BuPh and ligustilide, a major bioactive phthalide in the herb, and pure BuPh, respectively. The results demonstrated that BuPh exhibited rapid intestinal absorption, wide distribution and quick elimination with a low oral bioavailability (16-19%) due to extensive first-pass metabolism. Interestingly, AUC of BuPh via intake of the fraction (9-fold) and the extract (4-fold) was significantly greater than that obtained fro pure BuPh, which was evidenced to be due to metabolic conversion from ligustilide. Our findings demonstrated that although naturally presented in low amount BuPh reached significant systemic concentrations by PK interaction via metabolic convention from ligustilide, a major component in the herb. Therefore, study of herbal medicines should be more appropriate to focus on in vivo profile of the ingredients co-existed in herbs.