Metabolism and pharmacokinetics of medium chain fatty acids after oral administration of royal jelly to healthy subjects.

The unique fatty acids in royal jelly (RJ), 10-hydroxy-2-decenoic acid and 10-hydroxydecanoic acid are expected to be associated with many health benefits, but little is known on the pharmacokinetics and metabolism. The aim of this study is to confirm the metabolism and pharmacokinetics of RJ fatty acids in humans. Twelve volunteers received RJ capsules or enzyme treated RJ (ETRJ) capsules (800 mg). The other group received two doses of ETRJ tablets (800 mg and 1600 mg). Plasma samples were collected up to 12 h after the RJ intake and urine samples were collected within 24 h after ETRJ tablet consumption. The samples were analyzed by LC/MS/MS. A multivariate analysis of the RJ dose plasma samples detected 2-decenedioic acid (2-DA), sebacic acid (SA), and 3-hydroxysebacic acid (3-HSA) with significantly different intensities (P < 0.05) before and after RJ intake. The area under the concentration (AUC) of 2-DA, SA, and 3-HSA was 2500.05 ± 569.58, 322.57 ± 137.36, and 242.98 ± 58.36 ng h mL-1, respectively. By enzyme treatment, the AUC of 2-DA, SA, and 3-HSA was significantly increased (P < 0.05). The values of AUC and urinary excretion of these metabolites were dose-dependent. The major RJ fatty acids were metabolized to dicarboxylate, absorbed into the circulation and their absorption increased by enzyme treatment. This study provides useful information that will support studies aimed at clarifying the identity of bioactive RJ constituents and their biological effect, and further the development of RJ. This journal is © The Royal Society of Chemistry.

Introduction

Royal jelly (RJ) is a secretion product of the cephalic glands of honey bees (Apis mellifera L.) and is one of the most attractive functional foods. It is the specific food for the queen honey bee throughout her life period and it is involved in the fertility and longevity of the queen.[1]

A multitude of pharmacological activities have been reported in experimental animals[2-6] and in clinical trials,[7-10] including antitumor,[2] anti-oxidant,[3] anti-inflammatory,[4] antibacterial,[5] and anti-aging,[6] improvement of chills,[7] neck muscle strain,[8] tinnitus,[9] female menopausal symptoms,[10] age associated muscle strength decline,[11] and lipoprotein metabolism by lowering serum total cholesterol and leading to low-density lipoprotein levels, as well.[12]

The chemical composition of RJ consists of: water (60–70%), proteins (9–18%), sugars (7.5–23%), lipids (3–8%), and other trace compounds. The two major unique fatty acids in RJ are trans-10-hydroxy-2-decenoic acid (10H2DA) and 10-hydroxydecanoic acid (10HDAA) which comprise 60–80% of RJ lipids.[13] Moreover, the characterizations of fatty acids composition in RJ have been determined as a set of C8, C10, and C12 fatty acids.[14] Several pharmacological activities of 10H2DA and 10HDAA have been reported in animal experiments[15-19] and these fatty acids are expected to play an important role in the pharmacological activities of RJ.

Generally, medium chain fatty acids (MCFAs) containing 8–12 carbons are absorbed more efficiently than long chain fatty acids and transported in the portal blood directly to the liver, unlike long chain fatty acids. Subsequently, MCFAs enter the mitochondria independently of the carnitine transport system and undergo preferential β-oxidation; the resulting glut of acetyl-CoA derives ketone body production, being linked to many health benefits.[20] However, there is little known on the pharmacokinetics of the MCFAs from RJ. In addition, the pharmacokinetic influence of protease treated RJ, which has been reported to reduce the immunoreactivity and allergenicity of RJ,[21] has not been investigated yet. The aim of this study is to confirm the metabolism and pharmacokinetics of RJ fatty acids in humans. The effect of protease treatment of RJ on the fatty acids absorption is also investigated.

Materials and methods

Chemicals and materials

LC/MS grade methanol was obtained from Kanto Chemical Co., Inc. (Tokyo, Japan) and LC/MS grade acetonitrile and HPLC grade acetic acid were obtained from Wako Pure Chemical Industries, Ltd. (Osaka, Japan). 10H2DA was purchased from Hangzhou Eastbiopharm, Co.,Ltd. (Hangzhou, China), and 10HDAA was purchased from Combi-Blocks, Inc. (San Diego, USA). 2-Decenedioic acid (2-DA) was purchased from Sundia MediTech Co., Ltd. (Shanghai, China); decanedioic acid (sebacic acid, SA) and 8-hydroxyoctanoic acid were purchased from Sigma-Aldrich Co., LLC. (St. Louis, USA); 3-hydroxysebacic acid (3-HSA) was purchased from Santa Cruz Biotechnology (Dallas, USA); 12-hydroxydodecanoic acid was purchased from MP Biomedicals, LLC. (California, USA); traumatic acid was purchased from Cayman Chemical (Ann Arbor, USA). Dodecenedioic acid and trans-2-heptenoic acid were purchased from Tokyo Chemical Industry Co., Ltd. (Tokyo, Japan). 3,10-Dihydroxydecanoic acid was isolated from RJ and obtained by HRFABMS and 13C NMR data. The spectroscopic data were completely identical to those reported by Melliou and Chunou.[22] The RJ powder was obtained by freeze drying of RJ and the enzyme treated RJ (ETRJ) powder was obtained by degradation of RJ protein using protease and freeze drying. The RJ powder standardized to contain minimum 3.8% 10H2DA, minimum 0.6% 10HDAA and the ETRJ powder standardized to contain minimum 3.5% 10H2DA, minimum 0.6% 10HDAA, respectively. The capsules were prepared by encapsulating RJ or ETRJ powder in hard capsules and ETRJ tablets were sugar coated containing 9.2% diluents. Both capsules and tablets were obtained from Yamada Bee Company, Inc.

Extraction of RJ fatty acids

Each RJ sample (200 mg) used in clinical trials was extracted with 3 mL methanol and centrifuged at 2000 × g for 10 min at room temperature; the supernatant was collected into a new vial. The same extraction was repeated three times and collected supernatant was diluted with methanol up to a concentration of 10 μg mL−1. The extracts were filtered with a 0.2 μm filter (DISMIC 13HP, Advantec, Tokyo, Japan), and 3 μL of the filtrates were injected into LC/MS/MS system.

Study design and sampling

Twelve volunteers (Group A, 6 men and 6 women, aged 26–33 y) with no apparent diseases participated in this study. One week before the study and during the study, the volunteers were directed not to take RJ, supplements or drinks including RJ. Baseline samples were collected after a 12 h evening fast. The subjects received RJ capsules or ETRJ capsules (800 mg – 4 capsules) in 2 experimental periods separated by 6 day wash-out period. Further, the other twelve volunteers (Group B, 6 men and 6 women, aged 26–32 y) received two doses of ETRJ tablets (800 mg – 3 tablets and 1600 mg – 6 tablets) in 2 experimental periods separated by 6 day wash-out period. Table 1 shows demographics of the subjects in each group. Blood samples were collected before the RJ intake and at 30 min, 1, 2, 4, 8, and 12 h after the RJ intake (Fig. 1). The collected blood samples were centrifuged at 2000 × g for 3 min at room temperature. The urine samples were obtained before RJ consumption and between 0–3, 3–6, 6–12, and 12–24 h after the ETRJ tablets consumption. The obtained plasma and urine samples were stored at −80 °C until LC/MS/MS analysis. This study design was carried out in accordance with the principles outlined in the Declaration of Helsinki and approved by Yamada Bee Co. Ethics Committee (Registered Japan Agency for Medical Research and Development, No. 16000050). All of the subjects gave their written informed consent.

Clinical and demographic characteristics of study participantsa

Group	n	Age	Height (cm)	Weight (kg)	BMI (kg m−2)
A (Female)	6	27.8 ± 1.3	157.2 ± 3.1	55.3 ± 1.2	22.4 ± 1.0
A (Male)	6	27.5 ± 2.1	174.0 ± 4.3	68.2 ± 7.0	22.5 ± 2.1
B (Female)	6	27.0 ± 0.6	156.8 ± 2.9	53.7 ± 4.1	21.9 ± 1.9
B (Male)	6	27.2 ± 2.2	173.4 ± 4.1	66.2 ± 5.3	22.0 ± 1.7

All values are mean ± SDs; Group A, the subjects received RJ and ETRJ capsules; Group B, the subjects received two dose of ETRJ (800 mg and 1600 mg); BMI, body mass index; ETRJ, enzyme treated royal jelly; RJ, royal jelly.

Fig. 1

(A) Flow diagram of participants through the study. ETRJ, enzyme treated royal jelly; RJ, royal jelly; W/O, wash out. (B) Schematic representation of the study design. The subjects ingested RJ for at least 12 h after fasting. The blood samples were obtained before and 30 min, 1 h, 2 h, 4 h, 8 h, and 12 h after RJ intake. In group B, the urine samples were collected before RJ intake and between 0–3, 3–6, 6–12, and 12–24 h after RJ intake.

Plasma and urine samples preparation

For LC/MS/MS analysis, 50 μL of plasma were mixed with 500 μL methanol and centrifuged at 10 000 × g for 5 min at room temperature. The collected supernatant was evaporated with nitrogen gas and dissolved with 150 μL methanol. The samples were filtered with a 0.2 μm filter, and 3 μL of the filtrates were injected into LC/MS/MS system. Two hundreds μL of urine were centrifuged at 10 000 × g for 5 min at room temperature and the supernatant was diluted with 800 μL methanol. Centrifugation was performed under the same conditions; the supernatants were evaporated with nitrogen gas and dissolved with 200 μL of 50% methanol solution. The samples were filtered and 3 μL were injected into LC/MS/MS system.

LC/MS/MS analysis

LC analysis was performed using an Ultimate3000 system (Thermo Scientific). Separation of metabolites was performed at 40 °C using a reversed phase column (Acquity UPLC BEH C18, 2.1 × 100 mm, 1.7 μm i.d. Waters). Injections were carried out with an autosampler maintained at 5 °C. The mobile phase consisting of water with 0.01% acetic acid (A) and acetonitrile (B) was pumped at a flow rate of 0.3 mL min−1. The gradient system was as follows: 5% B (0–2 min), 5–100% B (2–22 min), 100% B (22–25 min), 5% B (25–30 min). MS/MS was performed on a Q-Exactive focus Orbitrap type mass spectrometer (Thermo Scientific) equipped with heated electrospray ion source (HESI) in the positive and negative modes. Mass detection and quantification of analytes were accomplished in full scan (70 000 resolution FWHM at m/z 200, mass range of m/z 70–1000) and data dependent MSMS (13 500 resolution FWHM at m/z 200). Ion source conditions for both ionization polarities were: spray voltage 3.5 kv (positive), 2.5 kv (negative), sheath gas 50 arbitrary units, auxillary gas: 10 arbitrary units, sweep gas: 0 arbitrary units, heater temperature: 400 °C, capillary temperature: 250 °C, S-lens RF level: 50, and collision energy: 15, 30, 45 eV (normalized stepped collision). The instrument was calibrated using Ultramark 1621 (Thermo Fisher Scientific) prior to the beginning of the analysis.

Data processing and analysis

Thermo Scientific Compound Discoverer version 2.1 software was used for comparative analysis. Results from differential analysis of aligned chromatographic peaks were filtered requiring a minimum 2-fold change in peak area and significant increase in peak area between RJ capsules pre-dose and after-dose samples (student's t test P < 0.05). The metabolites have been presumed on the basis of their exact mass, which was compared to those registered in the Chemspider (http://www.chemspider.com), the Kyoto Encyclopedia of Genes and Genomes (http://www.genome.jp), Human Metabolome Database (http://www.hmdb.ca/) and mzCloud (https://www.mzcloud.org). Quantification of fatty acids (10H2DA, 10HDAA, 2-DA, SA, and 3-HSA) was performed using the plasma and/or urine matrix standard curves. The standard curves were obtained by analyzing standard samples with concentrations ranging from 5 to 2000 ng mL−1. Pharmacokinetic analysis, maximum plasma concentration (Cmax) and the time to reach Cmax (Tmax) were taken directly from observed plasma concentration–time profiles. The elimination half-life (t1/2) for the RJ fatty acids was calculated as 0.693/Kel, where Kel is the slope of the linear regression of the plasma concentration. The area under the plasma concentration–time curve (AUC 0–12 h, ng h mL−1) was calculated by the trapezoidal rule up to the last measured data point, 12 h. Data on plasma concentration and AUC values of 2-DA, SA, and 3-HSA acid after ingestion of RJ capsules and ETRJ capsules were subjected to statistical analysis by using analysis of variance and a paired t test with JMP for Windows 5 (SAS Institute Japan, Tokyo, Japan).

Results

Fatty acids content in RJ

As shown in Table 2, the fatty acids content in RJ capsules, ETRJ capsules, and ETRJ tablets were as follows: 4.1–4.3% 10H2DA (m/z: 185.1183 [M − H]−), 1.3–1.6% 10HDAA (m/z: 187.1340 [M−H]−), 0.44–0.51% 2-DA (m/z: 199.0976 [M − H]−), 0.28–0.3% SA (m/z: 201.1132 [M−H]−), 0.36–0.43% 3,10-dihydroxydecanoic acid (m/z: 203.1289 [M − H]−), 0.31–0.34% 8-hydroxyoctanoic acid (m/z: 159.1027 [M − H]−), 0.046–0.053% 12-hydroxydodecanoic acid, 0.026–0.029% traumatic acid (2-dodecenedioic acid, m/z: 227.1289 [M − H]−), and 0.018–0.021% dodecanedioic acid (m/z: 229.1445 [M − H]−), respectively.

Content of fatty acids in RJ used in clinical trialsa

Compounds	Carbon number	RJ capsules (%)	ETRJ capsules (%)	ETRJ tablets (%)
10-Hydroxy-2-decenoic acid	C10	4.344 ± 0.036	4.267 ± 0.111	4.097 ± 0.163
10-Hydroxydecanoic acid	C10	1.563 ± 0.026	1.347 ± 0.061	1.532 ± 0.013
2-Decenedioic acid	C10	0.509 ± 0.013	0.435 ± 0.019	0.475 ± 0.020
Sebacic acid	C10	0.302 ± 0.007	0.279 ± 0.003	0.287 ± 0.005
3,10-Dihydroxydecanoic acid	C10	0.425 ± 0.023	0.363 ± 0.010	0.403 ± 0.016
8-Hydroxyoctanoic acid	C8	0.344 ± 0.015	0.312 ± 0.012	0.335 ± 0.009
12-Hydroxydodecanoic acid	C12	0.046 ± 0.004	0.049 ± 0.001	0.053 ± 0.001
Traumatic acid	C12	0.027 ± 0.002	0.026 ± 0.002	0.029 ± 0.003
Dodecanedioic acid	C12	0.018 ± 0.001	0.018 ± 0.004	0.021 ± 0.005

All values are means ± SDs; n = 3. ETRJ, enzyme treated royal jelly. RJ, royal jelly.

Qualitative analysis of RJ metabolites in plasma

The blood samples were collected up to 12 h from subjects who received 800 mg RJ capsules. The RJ metabolites have been analyzed by LC/MS/MS. A multivariate analysis of the plasma samples did not reveal the two major fatty acids, 10H2DA and 10HDAA, but revealed the detection in positive and/or negative modes of 21 metabolites with significantly different intensities (P value < 0.05 and 2 hold change) before and after RJ capsules intake (Table 3). Nine of the 21 metabolites have been putatively identified on the basis of their exact mass, which was compared to those registered in online databases. Three of the putatively identified metabolites were indicated by LC retention time and MSMS fragmentation pattern of standards; 2-DA, SA, and 3-hydroxy derivative of SA (m/z: 217.1082 [M − H]−).

List of plasma metabolites after a single intake of 800 mg RJ capsules in human volunteersa

Metabolite	Putative formula	Metabolite putative identification	RT (min)	Assignation	Detected mass	Theoretical mass	Mass difference (ppm)	Ratio (vs. pre)						P (contribution)
								30 min	1 h	2 h	4 h	8 h	12 h	30 min	1 h	2 h	4 h	8 h	12 h
1	C5 H16 N8 O3 P2		11.34	[M − H]−	298.08156	298.08206	−1.69	19.85	32.47	29.22	4.22	1.05	0.96	1.00 × 10−15	1.00 × 10−15	1.00 × 10−15	2.37 × 10−6	9.63 × 10−1	1.00
2	C6 H16 Cl N4 O3 P		11.44	[M − H]−	258.06383	258.06485	−3.99	17.51	28.09	14.91	3.04	1.09	1.04	1.75 × 10−9	1.00 × 10−15	1.00 × 10−15	8.71 × 10−2	1.00	1.00
3	C8 H10 N6 O2		11.43	[M − H]−	222.08666	222.08652	0.63	163.46	261.52	140.47	28.03	3.48	1.35	1.00 × 10−15	1.00 × 10−15	1.00 × 10−15	1.00 × 10−15	4.39 × 10−2	9.52 × 10−1
4	C9 H12 O	2,4,6-Nonatrienalc	11.42	[M + H]+	136.08879	136.08881	−0.18	37.39	64.97	42.09	7.21	1.45	1.23	1.00 × 10−15	1.00 × 10−15	1.00 × 10−15	3.23 × 10−7	9.89 × 10−1	1.00
5	C9 H14 O2	2,4-Nonadienoic acidc	11.41	[M + H]+	154.09935	154.09938	−0.19	9.37	14.75	10.45	1.89	0.89	0.64	5.86 × 10−6	7.93 × 10−11	7.63 × 10−10	5.20 × 10−1	1.00	9.94 × 10−1
6	C9 H16 O2	Nonane-4,6-dionec	11.41	[M − H]−	156.11498	156.11503	−0.29	53.12	87.00	71.66	11.88	1.87	1.08	1.00 × 10−15	1.00 × 10−15	1.00 × 10−15	1.00 × 10−15	1.20 × 10−1	1.00
7	C9 H19 O3 P S		11.37	[M − H]−	238.07870	238.07925	−2.30	23.62	34.50	26.19	3.45	0.96	0.96	1.00 × 10−15	1.00 × 10−15	1.00 × 10−15	5.34 × 10−6	1.00	1.00
8	C10 H12 O2	Eugenol;4-allylguaiacolc	11.42	[M + H]+	164.08376	164.08373	0.17	33.65	60.60	41.38	7.29	2.62	1.00	1.00 × 10−15	1.00 × 10−15	1.00 × 10−15	6.85 × 10−7	2.30 × 10−1	1.00
9	C10 H14 O3	2-Oxo-delta-3-4,5,5-trimethylcyclopentenylacetatec	11.41	[M + H]+	182.09440	182.09429	0.58	31.16	51.13	38.11	6.38	1.25	1.15	1.00 × 10−15	1.00 × 10−15	1.00 × 10−15	6.41 × 10−6	1.00	1.00
10	C10 H16 O4	2-Decenedioic acidb	11.40	[M − H]−	200.10483	200.10486	−0.16	58.53	95.50	77.06	14.00	2.69	1.46	1.00 × 10−15	1.00 × 10−15	1.00 × 10−15	1.00 × 10−15	7.78 × 10−3	8.77 × 10−1
11	C10 H17 Cl O4		11.40	[M − H]−	236.08153	236.08154	−0.03	53.45	88.57	77.16	11.49	2.40	0.92	1.00 × 10−15	1.00 × 10−15	1.00 × 10−15	1.23 × 10−9	8.62 × 10−1	9.73 × 10−1
12	C10 H18 O4	Sebacic acidb	11.85	[M − H]−	202.12047	202.12051	−0.17	2.04	2.44	2.06	0.97	0.80	0.67	1.29 × 10−5	2.10 × 10−8	3.75 × 10−6	1.00	5.99 × 10−1	5.58 × 10−2
13	C10 H18 O5	3-Hydroxysebacic acidb	9.14	[M − H]−	218.11532	218.11542	2.18	2.84	5.23	4.03	1.43	0.81	0.99	1.34 × 10−5	1.00 × 10−15	1.91 × 10−10	3.60 × 10−1	9.98 × 10−1	9.99 × 10−1
14	C10 H19 Cl O4		11.83	[M − H]−	238.09719	238.09719	0.01	2.12	2.18	1.98	1.07	0.92	0.81	1.44 × 10−6	5.55 × 10−7	6.60 × 10−6	9.95 × 10−1	9.34 × 10−1	9.33 × 10−1
15	C13 H14 O7 S		11.34	[M − H]−	314.04524	314.04602	−2.49	2.23	7.13	7.04	1.42	0.96	0.89	3.45 × 10−3	3.92 × 10−6	2.75 × 10−5	4.94 × 10−1	1.00	1.00
16	C14 H23 Cl O3 S2		11.35	[M + H]+	338.07800	338.07771	0.85	6.42	19.15	18.87	1.31	1.04	1.02	3.05 × 10−6	3.12 × 10−10	4.10 × 10−9	1.72 × 10−1	1.00	1.00
17	C15 H10 N3 O2 P		11.36	[M + H]+	295.05107	295.05106	0.02	10.59	24.54	28.08	1.09	0.98	0.95	1.37 × 10−8	1.00 × 10−15	1.00 × 10−15	4.57 × 10−2	1.00	1.00
18	C18 H25 N5 O2		9.50	[M + H]+	343.19916	343.20082	−4.86	2.04	8.32	10.47	3.99	1.06	1.06	8.32 × 10−3	1.00 × 10−15	1.00 × 10−15	1.45 × 10−3	1.00	1.00
19	C18 H26 N6 O6		11.45	[M − H]−	422.19179	422.19138	0.97	28.17	67.82	28.74	1.24	1.11	0.98	2.20 × 10−6	6.83 × 10−11	1.14 × 10−10	9.33 × 10−1	1.00	1.00
20	C20 H32 O8		11.43	[M − H]−	400.20975	400.20972	0.08	31.54	95.29	52.04	1.63	1.11	0.98	6.29 × 10−7	1.00 × 10−15	1.00 × 10−15	8.00 × 10−1	1.00	1.00
21	C25 H40 O11	Eriojaposide Bc	11.44	[M − H]−	516.25697	516.25706	−0.18	9.70	23.90	19.59	2.53	1.08	1.04	7.52 × 10−5	1.00 × 10−15	1.21 × 10−5	3.24 × 10−1	1.00	1.00

RT, retention time; [M − H]−, negatively charged molecular ion; [M + H]+, positively charged molecular ion. Mass difference was calculated by the subtraction of detected mass from theoretical mass. P values were comparing pre dose and after RJ ingestion (student's t test).

Identified using standard sample.

Putative identified on the basis of their exact mass (5 ppm of accepted mass difference) which was compared to that registered in databases.

Pharmacokinetics of RJ fatty acid metabolites

The plasma concentration–time profiles of identified fatty acid metabolites in plasma after the intake of RJ and ETRJ capsules are presented in Fig. 2 and Table 4. The Cmax value of 2-DA, SA, and 3-HSA was 815.23 ± 311.13 ng mL−1, 117.14 ± 61.73 ng mL−1, and 94.13 ± 46.87 ng mL−1 1 h after ingestion of 800 mg RJ capsules, respectively. The AUC 0–12 h of 2-DA, SA, and 3-HSA was 2500.05 ± 569.58 ng h mL−1, 322.57 ± 137.36 ng h mL−1, and 242.98 ± 58.36 ng h mL−1, respectively. Meanwhile, the plasma concentration of 2-DA at 30 min and 1 h after ingestion of ETRJ capsules was significantly higher than after the RJ capsules intake (paired t test P < 0.05, P < 0.01). The AUC 0–12 h of 2-DA indicated a significant difference after the ETRJ capsules intake as compared to RJ capsules (paired t test P < 0.05). The plasma concentration of SA and 3-HSA at 30 min and 1 h after ingestion of ETRJ capsules was significantly higher than after the RJ capsules intake (paired t test P < 0.05, P < 0.01). The AUC values of SA and 3-HSA after the ETRJ capsules intake were significantly different compared with those obtained after the RJ capsules intake (paired t test P < 0.01).

Fig. 2

Plasma concentration–time curve and AUC of 2-decenedioic acid, sebacic acid, and 3-hydroxysebacic acid in human subjects (mean ± SDs; n = 12) within 0–12 h after ingestion of 800 mg of RJ or ETRJ capsules. The AUC0–12 h was calculated by the trapezoidal rule. *, ** Significantly different between RJ and ETRJ, *: P < 0.05 and **: P < 0.01 (paired t test).

Pharmacokinetic parameters of plasma fatty acid metabolites of human volunteers after consumption of 800 mg RJ and ETRJ capsulesa

Metabolites	RJ 800 mg				ETRJ 800 mg
	T max (h)	t 1/2 (h)	C max (ng mL−1)	AUC0–12 h (ng h mL−1)	T max (h)	t 1/2 (h)	C max (ng mL−1)	AUC0–12 h (ng h mL−1)
2-Decenedioic acid	1.46 ± 0.56	1.57	815.23 ± 311.13	2500.05 ± 569.58	0.92 ± 0.19	1.84	1964.50 ± 449.29	3082.27 ± 766.64
Sebacic acid	1.33 ± 0.59	1.26	117.14 ± 61.73	322.57 ± 137.36	0.83 ± 0.24	1.39	299.86 ± 89.81	561.08 ± 193.83
3-Hydroxysebacic acid	1.38 ± 0.54	1.04	94.13 ± 46.87	242.98 ± 58.36	0.92 ± 0.19	0.93	265.78 ± 71.26	395.77 ± 78.93

All values are means ± SDs (n = 12). Cmax, maximum plasma concentration; Tmax, time to reach Cmax; AUC, area under the curve (0–12 h); t1/2, elimination half-life.

Dose dependency of plasma concentration and urine excretion of RJ fatty acids

Fig. 3 and 4 show the plasma concentration and urinary excretion of RJ fatty acid metabolites after ingestion of two doses of ETRJ tablets. The Cmax of 2-DA, SA, and 3-HSA after ingestion of 1600 mg ETRJ tablets was 2482.99 ± 1083.75 ng mL−1, 484.80 ± 211.47 ng mL−1, and 258.74 ± 147.06 ng mL−1, respectively. The AUC 0–12 h of these metabolites after ingestion of 1600 mg ETRJ tablets was 5444.44 ± 1614.27 ng h mL−1, 1026.47 ± 409.31 ng h mL−1, and 642.01 ± 218.50 ng h mL−1, respectively. There were no significant difference in Cmax and AUC value of RJ fatty acid metabolites between men and women (Table 5, student's t test P > 0.1). Further, urinary metabolites of five urine fractions collected within 24 h after the intake of 800 mg and 1600 mg tablets have been analyzed and the excreted amount of these compounds was calculated from the total amount of urine. As a result, the 10H2DA and 10HDAA were not detected in any fraction (<5 ng mL−1: data not shown), but 2-DA, SA, and 3-HSA were detected in each urine fraction up to 12 h after ingestion of ETRJ tablets. The total amount of 2-DA, SA, and 3-HSA was 5879.70 ± 2103.78 μg, 814.68 ± 351.40 μg, and 1077.47 ± 512.60 μg after intake of 800 mg ETRJ tablets and 8665.71 ± 3687.71 μg, 2191.41 ± 957.83 μg, and 1647.79 ± 1062.10 μg after intake of 1600 mg ETRJ tablets, respectively (Fig. 4).

Fig. 3

Plasma concentration time curve and AUC of 2-decenedioic acid, sebacic acid, and 3-hydroxysebacic acid in human subjects (mean ± SDs; n = 12) within 0–12 h after ingestion of 800 mg or 1600 mg ETRJ tablets. The AUC0–12 h was calculated by the trapezoidal rule. n.s., not significant (student's t test).

Fig. 4

Total amount of urine excreted 2-decenedioic acid, sebacic acid, and 3-hydroxysebacic acid in human subjects (mean ± SDs; n = 12) 0–24 h after ingestion of 800 mg or 1600 mg ETRJ tablets.

Pharmacokinetic parameters of plasma fatty acid metabolites of female and male volunteers after consumption of 800 mg and 1600 mg ETRJ tabletsa

Metabolites	Sex	ETRJ tablet (800 mg)		ETRJ tablet (1600 mg)
		C max (ng mL−1)	AUC0–12 h (ng h mL−1)	C max (ng mL−1)	AUC0–12 h (ng h mL−1)
2-Decenedioic acid	Female	2096.51 ± 309.35	2934.85 ± 214.24	3286.02 ± 1504.90	5933.09 ± 1837.40
	Male	1652.27 ± 480.15	2949.49 ± 1067.12	2304.68 ± 554.61	4955.79 ± 1165.39
Sebacic acid	Female	378.30 ± 54.54	525.14 ± 134.14	611.27 ± 260.09	1103.75 ± 474.01
	Male	311.82 ± 84.39	590.49 ± 274.57	435.51 ± 79.68	949.18 ± 313.74
3-Hydroxysebacic acid	Female	241.83 ± 69.55	339.00 ± 37.33	338.14 ± 162.42	704.22 ± 201.55
	Male	163.48 ± 70.68	354.22 ± 138.19	255.06 ± 110.94	579.79 ± 217.07

All values are means ± SDs (female = 6, male = 6). Cmax, maximum plasma concentration; AUC, area under the curve (0–12 h).

Discussion

This study revealed that fatty acids in RJ were metabolized to dicarboxylic acids, absorbed into the circulation and then excreted in the urine. We also demonstrated that fatty acids in ETRJ were absorbed to a greater extent than those of RJ.

Metabolome analysis of plasma after RJ capsules consumption revealed dicarboxylic acids but not hydroxy fatty acids ingested from RJ, such as: 10H2DA, 10HDAA, and 3,10-dihydroxydecanoic acid. This result indicates that the terminal hydroxyl group of each fatty acid should be oxidized by phase I metabolism in the liver and converted into dicarboxylic acids. Generally, fatty acids undergo two types of oxidation. The most common pathway is stepwise catabolism via β-oxidation and formation of acetyl-CoA. The second type of oxidation are ω-oxidation where the terminal methyl and methylene position of fatty acids is undergoing conversion to carboxyl. In case of lauric acid, a medium chain fatty acid, it was reported that around 20% of laurate is estimated to undergo ω-oxidation.[23] In contrast, almost all of the absorbed 10H2DA and 10HDAA could have undergone ω-oxidation because there were no significant increases in plasma concentration values of 10H2DA and 10HDAA before and after RJ intake, suggesting that RJ fatty acids could be efficiently ω-oxidized compared with other MCFAs, maybe because of the terminal hydroxyl groups.

In this study, we also demonstrated that the gastrointestinal absorption of RJ fatty acids increases with protease treatment of RJ. In the previous study, medium and long chain fatty acids are reported to bind to albumin.[24] In the same way RJ fatty acids might bind to RJ proteins, leading to a low concentration of free fatty acids in the gut and a low passive absorption rate.

Quantitative analysis of RJ plasma metabolites using ETRJ tablets revealed that the AUC values of 2-DA, SA, and 3-HSA were dose dependent (Fig. 3). The total amounts of urinary 2-DA, SA, and 3-HSA over 24 h after RJ intake were also dose dependent and completely excreted within 12 h (Fig. 4), showing that these metabolites could be useful biomarkers of RJ absorption. The pharmacokinetic parameters of RJ fatty acid metabolites were compared between men and women, and the Cmax values of women were 1.2- to 1.5-fold higher than those in men (Fig. 3 and Table 5). However, considering that men had 1.2-fold higher weights (Table 1), there would be no gender difference in absorption rate. Further study, such as setting the dose per body weight to reduce the individual differences will be needed to conclude the gender difference.

SA is known to have pharmacological activities, estrogenic effect via estrogen receptor β,[25] TRPA1 and TRPV1 activation,[26] increases GLUT-4 expression in L6 myoblast,[27] and anti-inflammatory effect by inhibition of inducing TNF-α.[28] The activity of 2-DA has not been reported so far but might be expected to have similar activities like those described above. In addition, because it has been reported that isotope labeled SA administered intravenously to mice was eliminated about 25% as CO2 in expired air,[29] it is possible that dicarboxylic acids to be further metabolized to other components such as ketone body. Similarly, other metabolites generated from those dicarboxylic acids could be responsible for the mechanisms of RJ pharmacological activities. Although further investigation will be needed to determine which components exert positive pharmacological effects of RJ in clinical trials, RJ fatty acid metabolites may be responsible for the pharmacological functions of RJ.

Conclusions

This study has been established that dicarboxylic acids and their hydroxyl derivatives are absorbed into the circulation and then excreted in the urine. We also found that the fatty acids absorption increased by protease treatment of RJ. Thus, the protease treated RJ will be a promising material not only safe but also effective. Our study clarifies for the first time the absorption, metabolism, and pharmacokinetics of fatty acids derived from RJ in human. This work provides the potential of RJ for therapeutic application from the aspects of pharmacokinetics and metabolites and supports studies aimed at clarifying the identity of bioactive RJ constituents and their biological effect.

Contribution of authors

The authors' responsibilities were as follows – MY: designed the study, conducted most of the experimental work, and contributed to the drafting of the manuscript; HT: contributed to the experimental work and helped revise the manuscript; AY, TT and KH: supervised the study design and the experimental work, and contributed to the drafting of the manuscript and its revision.

Conflicts of interest

There are no conflicts of interest to declare.

Area under the concentration

Maximum plasma concentration

2-Decenedioic acid

Enzyme treated royal jelly

10-Hydroxy-2-decenoic acid

10-Hydroxydecanoic acid

3-Hydroxysebacic acid

Medium chain fatty acids

Royal jelly

Sebacic acid

The elimination half-life

The time to reach Cmax