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(Journal of Nutrition. 2001;131:1938-1941.)
© 2001 The American Society for Nutritional Sciences


Research Communication

Quercetin Glucuronides but Not Glucosides Are Present in Human Plasma after Consumption of Quercetin-3-Glucoside or Quercetin-4'-Glucoside1

Aloys L. A. Sesink*2, Karen A. O’Leary{dagger} and Peter C. H. Hollman*

* State Institute for Quality Control of Agricultural Products (RIKILT), P.O. Box 230, 6700 AE Wageningen, The Netherlands and the {dagger} Institute of Food Research, Norwich Research Park, Colney, Norwich, NR4 7UA, UK

2To whom correspondence should be addressed. E-mail: a.l.a.sesink{at}rikilt.dlo.nl


    ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The nature of quercetin conjugates present in blood after consumption of quercetin glucosides is still unclear. In this study, we analyzed plasma of volunteers that had consumed 325 µmol of either quercetin-3-glucoside or quercetin-4'-glucoside as an oral solution. Quercetin metabolites were extracted with acetonitrile/phosphoric acid and these extracts were analyzed using a high performance liquid chromatography with Coularray detection that distinguishes between the glucuronidated and the glucosylated forms of quercetin. No intact quercetin glucosides and only trace amounts of aglycone were found in human plasma, irrespective of the glucoside ingested. This was confirmed by spiking the plasma with glucoside standards. The major components in plasma had the same retention time as quercetin glucuronide standards. These plasma components disappeared after treatment of the plasma with bovine liver ß-glucuronidase, under reformation of quercetin, and showed the same oxidation pattern as the glucuronides. These results suggest that after consumption of quercetin glucosides, quercetin glucuronides are major metabolites in plasma.


KEY WORDS: • flavonoids • quercetin glucuronides • intestinal absorption • human • bioavailability


    INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Flavonoids are polyphenolic compounds that are intensively studied because of their proposed protective effects to atherosclerosis and certain cancers (1Citation ,2)Citation . Flavonoids are ubiquitously present in plant foods and several beverages, such as tea and wine (3)Citation , mainly as ß-glycosidic conjugates.

Absorption of flavonoid glycosides is thought to occur in the small intestine or in the large intestine after bacterial deconjugation. The sugar moiety of the glycoside seems to be an important determinant for the site of absorption (4Citation 5Citation 6)Citation . The precise mechanism of absorption by the intestinal cells is presently unknown. Sugar-conjugated flavonoids may be hydrolyzed by the intestinal microflora (7Citation ,8)Citation or by hydrolases located at the intestinal brush border membrane (e.g., lactase phlorizin hydrolase) (9)Citation , after which the aglycone may diffuse across the membrane into the cell. Alternatively, flavonoids may enter the cell as intact glycosides via the sodium-dependent glucose transporter (SGLT1)3 (3Citation ,5)Citation and enter the blood stream as such. However, inside the enterocyte cytosolic ß-glycosidases may cleave the glycosides (10Citation ,11)Citation . Glucuronidation, sulfation and methylation of the absorbed polyphenols have been shown to occur in humans (12Citation ,13)Citation and rats (14Citation 15Citation 16Citation 17)Citation .

Several reports on the presence of intact glycosides in human plasma cast doubt on the necessity of hydrolysis of the glycosides before absorption into the bloodstream (18Citation 19Citation 20Citation 21)Citation and suggest a role for SGLT1. There is still debate whether flavonoid-glycosides can be found circulating in the plasma. It seems that glucosylated and glucuronidated flavonoids are not easily separated on reversed phase columns, and detection systems, like ultraviolet spectrophotometry (diode array) or fluorescence, do not distinguish between these compounds. The aim of this study was to determine whether flavonoid glucosides can cross the intestinal barrier as intact molecules. For this, we analyzed plasma of subjects taken 30 min after oral ingestion of either quercetin-3-glucoside or quercetin-4'-glucoside (22)Citation . Quercetin-glucosides were expected to appear in the circulation within the initial 30 min postingestion, because absorption of quercetin took place within this limited period (22)Citation . We adapted a HPLC method to distinguish between glucuronidated and glucosylated quercetin in plasma.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Chemicals and samples.

Quercetin, quercetin-3-O-KSO4 and Isorhamnetin-3-glucoside were obtained from Extrasynthese (Genay, France), quercetin-3-glucoside was obtained from Apin Chemicals (Oxfordshire, England) and quercetin-4'-glucoside was obtained from Carl Roth GmbH (Karlsruhe, Germany). The plasma samples that were used were collected during a study on the bioavailability of quercetin-3-glucoside and quercetin-4'-glucoside [design of the study and data on the bioavailability are reported in (22)Citation ]. In that study, subjects consumed ~325 µmol of either one of the glucosides as an oral solution and blood was collected for up to 24 h. For each glucoside, plasma was pooled by mixing equal volumes of the individual plasma samples, which were collected 30 min after ingestion of the quercetin glucosides (n = 6 for each group). A mix of quercetin glucuronides used in this study was kindly provided by Karen O’Leary (IFR, Norwich, UK). The presence of quercetin glucuronides and the absence of quercetin glucosides in the standard mixture were confirmed by liquid chromatography-mass spectrometry.

Extraction of quercetin and metabolites from plasma.

Samples were mixed with two volumes of acetonitrile and thoroughly vortexed. Then, one volume of 20% o-phosphoric acid, containing ascorbic acid (4 g/L) was added. Samples were centrifuged for 10 min at 10,000 x g (4°C), and the supernatant was analyzed by HPLC. Recovery of standards (quercetin-3-O-glucoside, quercetin-4'-O-glucoside, quercetin-3-O-sulfate and the mixture of quercetin glucuronides) added to the plasma ranged from 83% to 115%. All standards and metabolites extracted from the plasma were stable in this solution during storage overnight in the autosampler.

HPLC separation of quercetin and metabolites.

A Merck Hitachi L-6000A pump (Hitachi, Tokyo, Japan), equipped with a Gilson 234 autosampler (fitted with a 100-µL loop) and a coulometric detector (Coularray detector; ESA, Chelmsford, MA), set at 10,250 and 300 mV, was used (Pd as reference). Separation was performed on a Waters Inertsil ODS2 column (150 mm x 4.6 mm i.d., 5µm; Phase Separations, Flintshire, UK), maintained on 30°C with an ESA column heater. The solvents for the gradient elution were 5% acetonitrile (v/v; solvent A) and 40% acetonitrile (v/v; solvent B) in citrate buffer (25 mmol/L; pH = 3.7). The following gradient, at a flow rate of 1 mL/min, was used: 0–3 min, 0% B; 3–20 min, linear gradient to 100% B; 20–27 min, 100% B and 27–32 min, linear gradient to 0% B.

Enzymatic treatment of plasma.

Plasma (25 µL) was incubated with 25 µL ß-glucuronidase from bovine liver (Fluka Chemie AG, Buchs, Switzerland), in 0.1 M acetate buffer, pH = 5.0 (containing 25 mU ß-glucuronidase) for 1 h at 37°C. Samples were extracted and analyzed as described above.


    RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Separation of standards.

Quercetin glucuronides and quercetin-3-glucoside and quercetin-4'-glucoside were well separated on our HPLC (Fig. 1Citation ). The glucosides had retention times of 16.0 min (3-derivative) and 17.7 min (4'-derivative). Glucuronides of quercetin appeared at 14.7, 15.4, 16.6 and 17.3 min (the separate glucuronides in the chromatogram were not identified in this study). The retention time of quercetin aglycone was 21.1 min (indicated by the arrow, a trace of the aglycone was present in the glucuronide mixture). Isorhamnetin-3-glucoside had a retention time that was very similar to the glucuronide, eluting at 17.3 min. However, these compounds could be distinguished due their different sensitivities to oxidation by the Coularray [isorhamnetin-3-glucoside could only be detected at voltages above 400 mV (data not shown), and, thus, cannot interfere with the analysis of the glucuronides and the glucosides].



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Figure 1. Separation of a mixture of quercetin glucuronides (indicated by an asterisk), quercetin-3-glucoside (Q3G) and quercetin-4'-glucoside (Q4'G) by reversed phase HPLC (only the chromatogram recorded at 250 mV of the Coularray detector is shown), using an linear acetonitrile gradient (5%–40%) in 25 mmol/L citrate buffer (pH = 3.7). The position of the aglycone, present in trace amounts in the glucuronide mixture, is indicated by an arrow.

 
Separation of metabolites from plasma.

Subsequently, we analyzed plasma of subjects who had consumed 325 µmol of pure quercetin-3-glucoside as an oral solution (22)Citation . Four peaks appeared in the chromatogram (indicated by asterisks), which were not present in the plasma before the ingestion of quercetin-3-glucoside (Fig. 2Citation ). Three of these had retention times similar to quercetin glucuronides (15.4, 16.6 and 17.3 min). Only a trace amount of quercetin aglycone was found. There was no indication of the presence of intact quercetin-3-glucoside in the plasma (position of standard is indicated with an arrow). A similar chromatogram was obtained when analyzing the plasma of subjects who had consumed an equal amount of quercetin-4'-glucoside (data not shown). Again, the 4'-glucoside was not present in the plasma. In addition, when we analyzed plasma at higher voltages of the Coularray (450 mV), we did not find the 3'-methoxylated form of quercetin-3-glucoside (isorhamnetin-3-glucoside) in the plasma from subjects who had consumed quercetin-3-glucoside (data not shown). To further identify the circulating conjugates, treatment of the plasma samples with ß-glucuronidase resulted in a loss of the peaks at 15.4, 16.6 and 17.3 min (corresponding to quercetin glucuronides as indicated above) and the formation of quercetin (data not shown). The large peak eluting at 20.6 min was not a glucuronide, because it was refractory to treatment with ß-glucuronidase. It was not further identified, because this fell beyond the scope of this study. We then spiked the plasma (obtained after consumption of quercetin-3-glucoside) with either the quercetin glucosides or quercetin sulfate. Figure 3Citation clearly shows that the glucosides had different retention times compared with the compounds that were present in the plasma originally (the latter indicated by asterisks). Also, quercetin-3-O-sulfate did not coelute with one of the plasma peaks (data not shown). In contrast, when the mixture of the quercetin glucuronides was added to the plasma, three of four quercetin glucuronides coeluted with the plasma compounds (retention times of 15.4, 16.6 and 17.3 min). One extra glucuronide peak appeared in the chromatogram (at 14.7 min), because this compound was not detected in the plasma. For additional identification of the plasma compounds, we quantified the ratio of the peak area obtained at 300 mV to the peak area at 250 mV and compared it with standard quercetin glucuronides. Table 1Citation shows that the ratios of the plasma compounds eluting at 15.4, 16.6 and 17.3 min were comparable with the ratios of the quercetin-glucuronides with identical retention times.



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Figure 2. HPLC of an acetonitrile/phosphoric acid extract of human plasma after consumption of an oral solution of 325 µmol quercetin-3-glucoside (trace a), showing four peaks (designated by the asterisks) that were not present before consumption (trace b). The chromatogram shown here was recorded at 250 mV of the Coularray detector. The sample was a mixture of six individual plasma samples, each taken 30 min after ingestion of the glucoside. The compounds eluting at 15.4, 16.0 and 17.3 min had equal retention times as the standard quercetin glucuronides. The peak at 20.6 min was not further identified. The positions of quercetin-3-glucoside and the aglycone are indicated by the solid and dashed arrow, respectively.

 


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Figure 3. HPLC of an acetonitrile/phosphoric acid extract of human plasma that was collected 30 min after consumption of quercetin-3-glucoside, spiked with purified quercetin-3-glucoside (Q-3-G) and quercetin-4'-glucoside (Q-4'-G). Only the chromatogram recorded at 250 mV of the Coularray detector is shown. The plasma compounds with similar retention times as standard quercetin glucuronides are designated by an asterisk.

 

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Table 1. Comparison of the sensitivities of the quercetin glucuronides and the plasma compounds to oxidation by the Coularray12

 

    DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
This study shows for the first time that shortly after consumption of quercetin glucosides by humans, these compounds are not present as intact molecules in the circulation. Rather, quercetin was present in the plasma conjugated with glucuronic acid. These results may have consequences for studying biological effects of quercetin in vivo, because peripheral tissues will be exposed to glucuronides and, thus, not to the parent glycosidic compounds.

Our results are in contrast with several studies reporting the presence of intact quercetin glucosides in plasma. Paganga et al. (18)Citation suggested the presence of phlorizin, rutin and several quercetin glucosides (which were not the 3 and 4'-derivatives) in the plasma from unsupplemented humans, based on comparison of the retention times and spectral profiles of plasma compounds with purified standards. Aziz et al. (19)Citation reported the presence of intact quercetin-4'-glucoside and its 3-methoxylated metabolite in the plasma after consumption of fried onions, based on cochromatography of added standards. In these studies, no comparison was made with standard quercetin glucuronides and the plasma compounds were not further identified. Only Mauri et al. (20)Citation used mass spectrometry to identify the metabolites in plasma, confirming the presence of intact rutin (a rhamnoglucoside of quercetin) in the plasma after the consumption of tomato puree. In a study by Moon et al. (13)Citation , however, it was reported that no quercetin glucosides were present in plasma from subjects after consuming onions, because the plasma metabolites (which were further identified) had different retention times than the glucosides.

Data from experimental studies concerning transport of flavonol glucosides are limited. Walgren et al. (23Citation ,24)Citation reported that intact quercetin-4'-glucoside was poorly absorbed by the SGLT1 transporter from an apical solution into Caco-2 cells, only when it was present in a very high concentration. However, delivery to the basolateral side did not occur. In a study with isolated rat small intestine, quercetin-3-glucoside was completely deconjugated during transport across the intestinal wall, and only quercetin conjugated with glucuronic acid and sulfate appeared at the serosal side (17)Citation . In rats fed luteolin-7-O-ß-glucoside, only free and glucuronidated luteolin were detected in the plasma (14)Citation . These studies suggest that flavonol glucosides are not transported across the basolateral side of intestinal epithelial cells. This is in accordance with our results, showing that during the trafficking of the quercetin from the intestinal lumen to the peripheral circulation after passage through the liver, the ß-glucosidic link between quercetin and the glucose-moiety is cleaved by hydrolases and the aglycone is then conjugated, for instance with glucuronic acid.

From our data we cannot determine where the hydrolysis of the quercetin glucosides and the subsequent conjugation of the aglycone occurred. Blood samples were taken from the venous circulation, so first-pass metabolism by the liver may have occurred. Both human intestinal and liver tissue have been shown to posses ß-glucosidase activity (11)Citation and there is direct evidence that quercetin is a substrate for human liver UDP-glucuronosyltransferase (25)Citation . Recently, quercetin and other flavonoids were reported to be substrates for human intestinal UDP-glucuronosyltransferases as well (26)Citation .

In conclusion, our results clearly show that intact quercetin-glucosides are not present in plasma after consumption of either quercetin-3-glucoside or quercetin-4'-glucoside and that quercetin glucuronides are major metabolites.


    ACKNOWLEDGMENTS
 
We thank Margreet Olthof of the Wageningen University and Research Center for conducting the human study on bioavailability of quercetin glucosides.


    FOOTNOTES
 
1 Supported by Grant QLK1-1999-00505 from the European Community, Framework V Programme (Polybind). Back

3 Abbreviations used: SGLT1, sodium-dependent glucose transporter. Back

Manuscript received February 14, 2001. Revision accepted April 6, 2001.


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 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

1. Hollman P. C., Katan M. B. Health effects and bioavailability of dietary flavonols. Free Radic. Res. 1999;31(suppl):S75-S80

2. Morton L. W., Abu-Amsha Caccetta R., Puddey I. B., Croft K. D. Chemistry and biological effects of dietary phenolic compounds: relevance to cardiovascular disease. Clin. Exp. Pharmacol. Physiol. 2000;27:152-159[Medline]

3. Scalbert A., Williamson G. Dietary intake and bioavailability of polyphenols. J. Nutr. 2000;130:2073S-2085S[Abstract/Free Full Text]

4. Hollman P. C., de Vries J. H., van Leeuwen S. D., Mengelers M. J., Katan M. B. Absorption of dietary quercetin glycosides and quercetin in healthy ileostomy volunteers. Am. J. Clin. Nutr. 1995;62:1276-1282[Abstract/Free Full Text]

5. Hollman P. C., Bijsman M. N., van Gameren Y., Cnossen E. P., de Vries J. H., Katan M. B. The sugar moiety is a major determinant of the absorption of dietary flavonoid glycosides in man. Free Radic. Res. 1999;31:569-573[Medline]

6. Erlund I., Kosonen T., Alfthan G., Maenpaa J., Perttunen K., Kenraali J., Parantainen J., Aro A. Pharmacokinetics of quercetin from quercetin aglycone and rutin in healthy volunteers. Eur. J. Clin. Pharmacol. 2000;56:545-553[Medline]

7. Bokkenheuser V. D., Shackleton C. H., Winter J. Hydrolysis of dietary flavonoid glycosides by strains of intestinal bacteroides from humans. Biochem. J. 1987;248:953-956[Medline]

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10. Ioku K., Pongpiriyadacha Y., Konishi Y., Takei Y., Nakatani N., Terao J. beta-Glucosidase activity in the rat small intestine toward quercetin monoglucosides. Biosci. Biotechnol. Biochem. 1998;62:1428-1431[Medline]

11. Day A. J., DuPont M. S., Ridley S., Rhodes M., Rhodes M. J., Morgan M. R., Williamson G. Deglycosylation of flavonoid and isoflavonoid glycosides by human small intestine and liver beta-glucosidase activity. FEBS Lett 1998;436:71-75[Medline]

12. Fuhr U., Kummert A. L. The fate of naringin in humans: a key to grapefruit juice-drug interactions?. Clin. Pharmacol. Ther. 1995;58:365-373[Medline]

13. Moon J. H., Nakata R., Oshima S., Inakuma T., Terao J. Accumulation of quercetin conjugates in blood plasma after the short-term ingestion of onion by women. Am. J. Physiol. 2000;279:R461-R467[Abstract/Free Full Text]

14. Shimoi K., Okada H., Furugori M., Goda T., Takase S., Suzuki M., Hara Y., Yamamoto H., Kinae N. Intestinal absorption of luteolin and luteolin-7-O-beta-glucoside in rats and humans. FEBS Lett 1998;438:220-224[Medline]

15. Piskula M. K., Terao J. Quercetin’s solubility affects its accumulation in rat plasma after oral administration. J. Agric. Food Chem. 1998;46:4313-4317

16. Spencer J. P., Chowrimootoo G., Choudhury R., Debnam E. S., Srai S. K., Rice-Evans C. The small intestine can both absorb and glucuronidate luminal flavonoids. FEBS Lett 1999;458:224-230[Medline]

17. Gee J. M., DuPont M. S., Day A. J., Plumb G. W., Williamson G., Johnson I. T. Intestinal transport of quercetin glycosides in rats involves both deglycosylation and interaction with the hexose transport pathway. J. Nutr. 2000;130:2765-2771[Abstract/Free Full Text]

18. Paganga G., Rice-Evans C. A. The identification of flavonoids as glycosides in human plasma. FEBS Lett 1997;401:78-82[Medline]

19. Aziz A. A., Edwards C. A., Lean M. E., Crozier A. Absorption and excretion of conjugated flavonols, including quercetin-4'-O-beta-glucoside and isorhamnetin-4'-O-beta-glucoside by human volunteers after the consumption of onions. Free Radic. Res. 1998;29:257-269[Medline]

20. Mauri P. L., Iemoli L., Gardana C., Riso P., Simonetti P., Porrini M., Pietta P. G. Liquid chromatography/electrospray ionization mass spectrometric characterization of flavonol glycosides in tomato extracts and human plasma. Rapid Commun. Mass Spectrom. 1999;13:924-931[Medline]

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22. Olthof M. R., Hollman P. C., Vree T. B., Katan M. B. Bioavailabilities of quercetin-3-glucoside and quercetin-4'-glucoside do not differ in humans. J. Nutr. 2000;130:1200-1203[Abstract/Free Full Text]

23. Walgren R. A., Lin J. T., Kinne R. K., Walle T. Cellular uptake of dietary flavonoid quercetin 4'-beta-glucoside by sodium-dependent glucose transporter SGLT1. J. Pharmacol. Exp. Ther. 2000;294:837-843[Abstract/Free Full Text]

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