Pharmacokinetics, Tissue Distribution, and Metabolism Study of Icariin in Rat

Icariin is one of the predominant flavonoids contained in Herba Epimedii (Yin-yang-huo in Chinese), a well-known Chinese medicine for the treatment of cancers and immune system diseases. Although Herba Epimedii has been widely used in China and there are so many and various research reports on the herbal drug and its main flavones, very limited data is available on the tissue distribution and biotransformation of icariin. In the present study, a liquid chromatographic method combined with electrospray ionization tandem mass spectrometry was developed to quantify the concentration of icariin in rat plasma and various tissues collected at different time points after oral administration of the total flavonoid extract of Herba Epimedii at a dose of 0.69 g/kg (corresponding to 42 mg/g icariin). Biological samples were processed by simple protein precipitation. Genistein was chosen as internal standard. The method was successfully applied to plasma pharmacokinetic and tissue distribution studies of icariin in rat. As a result, it was worth noting that the tissue distribution characteristics of icariin exhibited a significant gender difference. Moreover, in vivo metabolism of icariin was also investigated. A total of 11 potential metabolites were found in rat feces collected in different time periods after oral and intramuscular administration of icariin. In vivo metabolic pathways were involved in hydrolysis, demethylation, oxidation, and conjugation. The preclinical data would be useful for fully understanding in vivo disposition of this compound and interpreting the mechanism of its biological response.


Introduction
Herba Epimedii, the fresh or dried aerial parts of Epimedium genus, has been used not only as a kind of food but also as a Chinese herbal drug for thousands of years. It is officially listed in all versions of Chinese pharmacopoeia with the name "Yin-yang-huo," which originates from 4 species of Epimedium, that is, E. brevicornum Maxim., E. sagittatum Maxim., E. pubescens Maxim., and E. koreanum Nakai. Herba Epimedii possesses estrogen-like activity and prevention of osteoporosis [1][2][3], improvement of sexual function [4,5], regulation of immune response [6,7], and putative anticancer activity [8]. Icariin is the most abundant bioactive component of this herbal drug. There has been a lot of literature showing that icariin has various biological activities such as anticancer and immune regulation, prevention and treatment of osteoporosis, prolongation of lifespan, and improvement of sexual function [9][10][11][12][13][14]. Therefore, icariin has received more and more attention from medical and pharmaceutical researchers.
Despite icariin displaying a wide variety of bioactivities, it has been reported that this compound has very low oral bioavailability. Chen et al. [15] reported that prenylated flavonoids in Herba Epimedii, such as icariin, epimedin A, epimedin B, and epimedin C, should be hydrolyzed into secondary glycosides in small intestine prior to absorption. Our study [16] also demonstrated that the recovery of icariin in urine was less than 0.425‰, suggesting that most of icariin should be metabolized and excreted as metabolites. Clearly, it is necessary to investigate the in vivo drug disposition of icariin and to identify its metabolites, which is useful for understanding the biological activity of icariin.
The pharmacokinetics of icariin in rat has been previously investigated and reported. Lu et al. [17] developed a UPLC-MS/MS method to quantify icariin in rat plasma after oral administration of a Chinese herbal preparation, and the results indicated that there is no statistic difference in the main pharmacokinetic parameters of icariin between male and female rats. Wang et al. [18] established an HPLC method for the determination of epimedins A, B, and C and icariin in plasma with peak concentrations of 0.45 ± 0.01, 0.53 ± 0.02, 4.11 ± 0.08, and 1.31 ± 0.07 g/mL, respectively, about 0.25 h after oral administration of Herba Epimedii extract (10 g/kg body weight) to rats. Although these articles separately focused on pharmacological, plasma pharmacokinetic, and metabolism studies of icariin, the systemic in vivo disposition, especially tissue distribution and complete metabolic profile of this compound, has not been summarized so far.
In the present study, we established and validated a quantitative LC-MS/MS method of icariin in rat plasma and various tissue homogenate and successfully applied the method to pharmacokinetic and tissue distribution studies of icariin. We also investigated the tissue distribution features of icariin in male and female rats and minutely summarized the similarities and differences of icariin distribution between male and female rats. Moreover, we analyzed the complete metabolic profiles of this compound in rat feces and urine following oral and intramuscular administration. Accordingly, the metabolites of icariin were identified or tentatively characterized and the potential metabolic pathways of icariin were also described in this paper.

Chemicals and Reagents.
Icariin (purity 98%) and genistein (IS, purity 98%) were purchased from the National Institute for the Control of Pharmaceutical and Biological Products (Beijing, China). Icaritin was provided by Shanghai Winherb Medical Technology Co., Ltd. (Shanghai, China). Icariside II, baohuoside II, sagittatoside B, and 2 -O-rhamnosyl-icariside II were purchased from Baoji Herbest Bio-Tech Co., Ltd. (Baoji, China). Their purities were >98% determined by HPLC-UV analysis. The chemical structures of icariin and IS are shown in Figure 1. Herba Epimedii extract originating from E. sagittatum Maxim. was produced and provided by Guangzhou ImVin Pharmaceutical Co., Ltd. (Guangzhou, China). LC grade methanol and acetonitrile were obtained from Fisher Company (Fisher Scientific, Fairlawn, NJ). HPLC-grade formic acid was purchased from Tedia Company, Inc. (Fairfield, OH, USA). Water was purified using a Millipore purification system (Millipore, Milford, MA, USA). All of other chemicals and reagents were of analytical grade and were commercially available.

Chromatographic Conditions.
For plasma pharmacokinetic and tissue distribution studies, the LC-MS/MS system consisted of a Shimadzu LC-20A HPLC system and an Applied Biosystems Sciex API 4000 + (MDS-Sciex, Concord, Canada) equipped with a Turbo Ion Spray. Data acquisition and processing were performed using Analyst 1.6.3 software (Applied Biosystems, Foster City, CA, USA). Chromatographic separation was carried out on an Agilent Eclipse XDB-C 18 (2.1 × 150 mm, 5 m), and the column temperature was maintained at 40 ∘ C. The mobile phase was composed of acetonitrile-water containing 0.1% formic acid (32 : 68, v/v). The flow rate was set at 0.3 mL/min. The autosampler was set at 4 ∘ C and the injection volume was 5 L.

Mass Spectrometer Conditions.
For plasma pharmacokinetic and tissue distribution studies, mass spectrometer was operated in negative mode for the detection of icariin and IS. Quantification was performed with multiple reaction monitoring (MRM) mode, and the fragmentation transition was / 735.7 → 513.5 for icariin ([M+CH 3 COOH-H] − ) and / 269.0 → 133.2 for IS. ESI-MS/MS operation parameters were as follows: ion spray (IS) voltage, −4500 V; source temperature (TME), 350 ∘ C. Gas 1, Gas 2, curtain gas, and collision gas (nitrogen) were separately set at 50, 50, 45, and 12 psi.
To study the metabolism profiles of icariin, optimized operating parameters in negative-ion mode were as follows: sheath gas flow rate, 40 arbitrary units; auxiliary gas flow rate, 5 arbitrary units; electrospray voltage, 3.5 kV; capillary voltage, −32 V; capillary temperature, 270 ∘ C.

Standard and Sample Preparation
2.4.1. Preparation of Stock Solutions, Calibration Standards, and Quality Controls. The stock solution (1 mg/mL) of icariin and IS was prepared with methanol, respectively. The stock solution of icariin was diluted with methanol to make a series of working solutions of 5, 50, 500, and 5000 ng/mL. The stock solution of IS was diluted with methanol to make a working solution of 1 g/mL. All stock and working solutions were kept at −20 ∘ C.
A series of calibration standards containing 100 ng/mL of IS were separately prepared to contain icariin concentrations of 1, 2, 5, 10, 20, 50, 100, 200, and 500 ng/mL by freshly spiking the working solution of icariin and IS into blank biological matrix. Quality control (QC) samples at three concentration levels (low: 2 ng/mL; medium: 20 ng/mL; high: 400 ng/mL) were, respectively, prepared in the same way. All of the calibration standards and QC samples were freshly prepared before use.

Sample Preparation.
For pharmacokinetic and distribution studies, blank plasma was obtained from drug-free rats (Sprague-Dawley rats). Feces and urine were collected 24 hours before and after the time of administration. Blank tissue homogenate was prepared by homogenizing the tissue of drug-free rat and then diluted with three times the volume of saline solution.
Microcentrifuge tubes containing 15 L of IS and 150 L of each calibration standard and the QC samples were dried under a gentle stream of nitrogen. An aliquot of 150 L of drug-free plasma or blank tissue homogenate was added to these tubes and then followed by a single-step protein precipitation, by adding 600 L of methanol, vigorously shaking on a vortex-mixer for 10 min, and then centrifuging the tubes at 14,800 rpm for 10 min. The supernatant consisting of the organic solvent was transferred to a fresh tube and dried under nitrogen. The residue was reconstituted in 150 L of methanol and centrifuged to filter by a microspin filter tube (0.22 m nylon, Alltech) at 14,800 rpm for 1 min. A 5 L aliquot of the filtrate was injected into RRLC-MS/MS for analysis.
In the metabolism study, rat feces samples were pulverized with a mortar and pestle. Methanol (1 : 5 w/v) was added and homogenized with the pulverized feces. Mixture was extracted by ultrasound for 90 min and centrifuged at 14,800 rpm for 10 min. The supernatant fluid was transferred to an autosampler vial for analysis. For urine sample, 2 mL of rat urine flowed through a pretreatment C 18 SPE cartridge with gravity. The solid-phase cartridge was washed with 2 mL water and then eluted with 2 mL methanol. The methanol eluate was evaporated to dryness by water bath at 60 ∘ C. Residue was dissolved into 500 L methanol for analysis. The injection volume of urine sample was 5 L.

Method Validation.
The method was validated in terms of specificity, linearity, sensitivity, precision and accuracy, stability, recovery, and matrix effect.
2.5.1. Specificity. Specificity was assessed by analyzing blank biological samples, blank biological matrix spiked with icariin and IS, and real biological samples from rat after oral administration of the total flavonoid extract of Herba Epimedii.
2.5.2. Linearity and Sensitivity. Calibration curves were obtained by plotting the peak area ratios (y-axis) of icariin to IS against the nominal concentration (x-axis) of icariin and assessed by weighted least-squares linear regression using 1/ 2 as weighting factor. Concentration of QC and biological samples were calculated using the regression equation of the calibration curve.
LLOQ was defined as the lowest concentration on the standard curve at which the standard deviation was within 20% and accuracy was within 100 ± 20%, and it was established using five samples independent from the standard curve.

Precision and Accuracy.
Intraday precision and accuracy were evaluated by analyzing five reduplicate QC samples at three concentrations on the same day. Interday precision and accuracy were established by three analytical batches on three consecutive days. The accuracy was expressed as (observed concentration/nominal concentration)×100%. Intra-and interday precision was obtained by one-way analysis of variance (ANOVA) testing and was expressed as relative standard deviation (RSD). The accuracy was required to be within 85-115%, and the precision should not exceed 15%.

Stability.
The stability of icariin was evaluated with quintuplicate spiked biological samples at three QC levels, which were tested under the following conditions: (1) the freeze-thaw stability of icariin in rat biological samples through three freeze-thaw (−80 ∘ C to room temperature) cycles; (2) the short-term stability of icariin in rat biological samples at room temperature for 6 h; (3) the long-term stability of icariin in rat biological samples stored at −80 ∘ C for 30 days; and (4) the postpreparative stability of icariin during storage in the autosampler at 4 ∘ C for 24 h.

Recovery and Matrix Effects.
Extraction recovery and matrix effect were determined by comparing the peak areas of analyte between three types of samples: (1) biological samples spiked with known amount of analyte before sample preparation; (2) biological samples spiked with known amount of analyte after sample preparation; (3) pure standard solution of analyte. The difference in peak areas between samples 1 and 2 reflects the extraction recovery, while the difference in peak areas between samples 2 and 3 reflects the matrix effect. The accuracy of the method was calculated by comparing theoretically and experimentally measured analyte levels.

Pharmacokinetic, Distribution, and Metabolism Studies of Icariin.
In the present study, the experimentation on rats gained the approval of an independent ethics committee at Guangdong Provincial Hospital of Chinese Medicine. The experiment was performed in an SPF level laboratory, authorized by Guangdong Provincial Government.

Plasma Pharmacokinetics.
Six male Sprague-Dawley (SD) rats (250 ± 20 g) were obtained from Guangdong Province Laboratory Animal Center and kept in an environmentally controlled breeding room for 3 days before the experiment started. The rats were orally given a single dose of 0.69 g/kg of total flavonoid extract from Herba Epimedii (corresponding icariin approximately at 42 mg/g). Blood samples were serially withdrawn from rat's retroorbital plexus into heparin lithium-anticoagulant tubes at 0 (before dose), 0.083, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, and 24 h after administration. The collected samples were then centrifuged at 3000 rpm for 15 min and supernatant plasma was transferred into another tube and stored at −80 ∘ C until analysis.

Tissue Distribution Study.
Thirty-six SD rats (220 ± 20 g, 18 males and 18 females) were orally given a single dose of 0.69 g/kg of total flavonoid extract from Herba Epimedii (approximately containing 42 mg/g of icariin). Animals were euthanized at the time points of 0.25, 0.5, 1, 2, 4, and 6 h after dose ( = 6 at each time point). Blood was collected via cardiac puncture (about 1000 L) and immediately transferred into heparinized tube. The collected sample was centrifuged at 3000 rpm for 15 min and supernatant plasma was transferred into another tube and stored at −80 ∘ C until analysis. Nine kinds of rat tissues, including liver, heart, spleen, lung, kidney, brain, testicle, uterus, and ovary, were immediately removed and rinsed with ice-cold saline to remove extraneous blood and blot-dried and then stored in preweighted and labeled vials at −80 ∘ C until use. On the day of analysis, the tissue samples were thawed and weighed to obtain the tissue weight expressed as the difference between the pre-and postvial weights.

Metabolism Study of Icariin in Rat Urine and Feces.
In this study, six SD rats (220 ± 20 g, male) were individually placed in metabolic cages and halved into two groups at random. The reference standard of icariin (60 mg) was dissolved in 8 mL of sterile water for injection containing 40% 1, 3-propanediol (v/v). The intramuscular group was dosed with icariin (20 mg/kg) by intramuscular injection of this solution. Oral administration of icariin (50 mg/kg) was conducted on the other group. Feces and urine samples were separately collected at 24 h after administration of icariin. All the samples were stored at −80 ∘ C until use.

Data Analysis. Plasma concentration versus time profiles
was obtained from each individual rat, and the calculation of pharmacokinetic parameters was performed via DAS 2.1.1 software (Mathematical Pharmacology Professional Committee of China, Shanghai, China) with noncompartmental pharmacokinetic analysis. All data were expressed as mean ± standard deviation (SD).

Optimization of Sample Preparation.
To obtain better extraction efficiency and less endogenous interference, different extraction procedures, including solid-phase extraction and liquid-liquid extraction with different solvents, were tested. But all the extraction recoveries were not satisfactory. Thus, a simpler and less time-consuming method, protein precipitation with methanol was finally used, which was testified to be rapid, repeatable, and sensitive enough for the determination of biological samples in the present study.

Optimization of Chromatography and Mass-Spectrometric
Conditions. It is very important to pick a suitable IS to get high accuracy and precision when a mass spectrometer is equipped with LC as a detector. In this study, genistein was chosen as the IS because of its similar basic structure, physicochemical property, and mass-spectrometric behavior to those of icariin.
The mass-spectrometric behavior of icariin and IS was investigated using both positive-and negative-ion ESI. It was found that both icariin and IS had good responses in negative-ion detection mode with low background noise level. Multiple reaction monitoring (MRM) scan type was used to improve specificity. Detection was finally operated in negative-ion mode. Quantification was performed by MRM mode and the selected monitor ion was / 735.7 → 513.5 for icariin ([M+CH 3 COOH-H] − ) and / 269.0 → 133.2 for IS. The full scan and MS/MS spectra of icariin and IS were shown in Figure 2.
In order to improve the peak shape and signal response of analytes and to reduce run time, different analytical columns and mobile phase compositions were tried to achieve good resolution and symmetric peak shape for icariin and IS. By comparison with Shiseido capcell pak C 18 (150 × 2.0 mm i.d. 5 m) column, Agilent XDB C 18 (150 × 2.1 mm i.d. 5 m) column could obtain better chromatographic behavior and higher signal response for the two analytes. Thus, this column was finally selected for chromatographic analysis. The modifier of the mobile phase composed of acetonitrilewater binary solvent system was screened among ammonium acetate, acetic acid, and formic acid. As a result, the mobile phase consisting of acetonitrile-water containing 0.1% formic acid could improve the symmetry of peak shape and enhance the signal response. The flow rate of mobile phase was also optimized and finally set at 0.3 mL/min. Under the abovementioned HPLC conditions, the retention time of icariin and IS was within 6 min, and no interfering substance was detected at the retention time of analytes in blank rat plasma and tissue samples (Figure 3).

Method Validation
3.3.1. Specificity. The selectivity of the method was examined by comparing the chromatograms of blank and corresponding spiked biological matrices. The retention time of icariin and IS was about 2.6 and 5.0 min, respectively. No interfering peak of endogenous substances was observed at the measured  mass transitions and retention time of icariin and IS in blank biological matrix samples.

Linearity and Sensitivity.
The assay was found to be linear over the concentration range of 1-500 ng/mL for plasma and tissue homogenate. The mean linear regression equations were listed in Table 1, with correlations coefficient over 0.99, in which corresponds to nominal concentrations and corresponds to peak area ratios. LLOQs with an / ratio of >20 was 1 ng/mL, which was sensitive enough for the pharmacokinetic and tissue distribution studies of icariin.

Precision and Accuracy.
Inter-and intra-assay variability at three different concentrations, HQC (400 ng/mL), MQC (20 ng/mL), LQC (2 ng/mL) was determined in plasma and tissue homogenate with five replicates on each day for  three separate days. The detailed results of the inter-and intraday precision and accuracy of icariin in biological matrix were summarized in Table 2. Table 3, the extraction recovery of icariin was in the range of 82.5-100.6% which suggested that the recovery of this method was consistent and reproducible. And the suppression of ionization in plasma and tissue homogenate was different. The interference of ionization caused by kidney homogenate was significant while that of brain homogenate was much lower.

Stability.
Five replicates of QC at three different concentration levels were used to assess the stability of icariin under various conditions. The results were summarized in Table 4, which indicated that icariin was stable in autosampler (24 h) at 4 ∘ C, bench-top (6 h) at room temperature, three freeze-thaw cycles, and frozen condition at −80 ∘ C for 30 days, as the RE values were within ±15% for the low, medium, and high concentrations.
3.3.6. Plasma Pharmacokinetics. After a single oral administration of the total flavonoid extract of Herba Epimedii, the concentration of icariin in plasma was successfully determined by LC-MS/MS method described above. The mean plasma concentration-time profile of icariin was shown in    of the plasma concentration-time curve. Elimination rate constant ( ) was determined from the least-square fitted terminal log-linear portion of the plasma concentration-time profile. Elimination half-life ( 1/2 ) was calculated by 0.693/K e . Total area under the plasma concentration-time curve of icariin, from time zero to infinity (AUC 0-∞ ), was calculated as the sum of AUC 0-12 , the area up to the last quantifiable time point (12 h), and the area from the 12 h time point to infinity. AUC 0-12 was calculated using the trapezoidal rule, and the extrapolated area was calculated from the last measurable concentration divided by . The major pharmacokinetic parameters of icariin were summarized in Table 5.

Tissue Distribution.
The tissue distribution of icariin in female and male rats was investigated following a single oral dose of total flavonoid extract from Herba Epimedii (corresponding 42 mg/g icariin). The mean concentration-time profile of each tissue was presented in Figure 5, indicating that icariin was poorly absorbed after oral administration because all the tissue concentrations were kept at a very low level. The peak concentration of icariin in most of collected tissues appeared at 1 h after administration, except for liver and female reproductive organs, in which the concentration reached the peak at 0.5 h, demonstrating that icariin underwent a rapid and wide distribution. Moreover, the tissue concentrations in male rat were generally much higher than those in female rat. The tissue area under the curve from time zero to infinity was in the following order: liver > lung > spleen > heart > kidney > brain > testicle for mail rat, and liver > uterus > heart > ovary > lung > kidney > spleen > brain for female rats. As shown in Figure 5, the concentration levels in liver and lung were much higher than those in other tissues, illustrating that liver and lung are the main target organs of icariin in male rat after oral administration of the total flavonoid extract. Furthermore, the concentration level in uterus was much higher than that in any other tissues of female rat, demonstrating that the genderrelated difference of icariin in tissue distribution do exist and the reproductive organs are the main target organs of icariin for female rat. Meanwhile, icariin was found with very low AUC 0-∞ in brain, which indicated that icariin could not efficiently cross the blood-brain barrier. Over time, the main trend of the mean concentration of icariin in all tissues was reduced, and the concentration dropped very quickly at 4 h  after administration, suggesting no accumulation in tissues and a rapid elimination of this compound.

Metabolite Profile of Rat Urine and Feces.
In this study, urine and feces samples were both analyzed by LC-MS/MS. By comparing the total ion chromatograms of drugcontaining urine sample and predose control urine sample, neither parent drug nor metabolites were observed in rat urine following two routes of administration of icariin. However, a total of 11 icariin metabolites were detected in rat feces, including 10 metabolites after oral administration and 9 following intramuscular introduction. The representative chromatograms of the metabolites of 0-24 h rat feces were shown in Figure 6. No additional metabolites were observed in the feces of 24-48 h collection period. Results showed that the major metabolites of icariin were M 8 and M 11 , whose total amount accounted for over 90% of total peak area in the LC-UV chromatogram of 0-24 h feces. And the concentration of metabolites in feces rapidly declined over 24-48 h collection period. The MS 2 and MS 3 spectra of icariin and its metabolites were exhibited in Figure 7, and the observed and calculated masses, formula, retention times, mass errors, and MS data of these analytes were presented in Table 6. Proposed metabolic pathways for icariin in rat feces were shown in Figure 8.     The quasimolecular ion [M-H] − of M 10 is at / 353, 146 Da less than that of M 3 (baohuoside II). The major fragment ion in its MS/MS spectrum is at / 298, matching the loss of isobutenyl radical. The fragment at / 219 is possibly produced by the neutral loss of C 8 H 6 O 2 (134 Da) due to the retro-Diels-Alder (RDA) fragmentation of the flavone's C ring. Moreover, the MS 3 spectrum affords fragment ions at / 279, 269, 253, and 164, resulting from the loss of H 2 O, CO, CO 2 , and C 8 H 6 O 2 (134 Da), respectively. Thus this metabolite is reasonably identified as desmethyl icaritin.
M 11 was observed as another major metabolite in rat feces of both two administration groups (Figure 7). By comparison with the reference standard, it is identified as icaritin. Its MS spectrum yields a quasimolecular ion at / 367 (C 21 H 19 O 6 ). And the major fragment ion at / 352 is characterized as the loss of methyl group. The MS 3 fragment at / 309 results from the loss of methyl group and CO, and ion at / 297 is the outcome of the neutral loss of isopentene (70 Da) from the deprotonated molecule.

Conclusion
The menopausal syndrome improvement and possible cancer preventive activity of Herba Epimedii is receiving more and more attention. Information on the in vivo disposition of Herba Epimedii components is important for better understanding the biological effects of this herbal drug. For this purpose, our investigation was designed to obtain information on the plasma pharmacokinetics and tissue distribution of icariin in rat and the excretion of icariin and its metabolites. In this study, we firstly established and validated a rapid, sensitive, and reliable LC-MS method for the determination of icariin in various biological samples collected at different time points, and then the method was applied to the plasma pharmacokinetics and tissue distribution study of icariin in rats after oral administration of the total flavonoid extract of Herba Epimedii. In addition, the differences of the tissue distribution of icariin in between male and female rats were studied after oral and intramuscular administration of icariin. And the metabolic pattern of icariin was also investigated. The data showed the plasma and tissue concentration of icariin were kept at a very low level at all collection points, which suggests icariin is poorly absorbed after oral administration. The peak concentration in plasma and collected tissue samples appeared at 0.5-1 h and then quickly dropped at 4 h after administration, demonstrating that a small amount of icariin can be rapidly absorbed and eliminated, and there is no accumulation in rat tissues. Moreover, the concentration in liver, lung, and reproductive organs was much higher than that in other tissues, indicating that liver, lung, and reproductive organs are the main target sites of icariin in rats.
The gender-related difference of icariin in tissue distribution has not been reported in the past published literature. Our study demonstrated that the distribution features of icariin are similar in most of tissues between male and female rats. However, there exist a few remarkable gender differences, such that the whole tissue concentration of icariin in male rats was much higher than female rats, except in genital organs (high in female and low in male). In China, Herba Epimedii is a famous tonic and aphrodisiac to invigorate kidney and strengthen Yang; therefore, it is commonly used to treat male sexual functional decline and female menopausal syndrome. As one of the predominant constitutes in Herba Epimedii, icariin plays a very crucial role in exerting effects, so the relatively high icariin concentration in female genital organs actually supports the above-mentioned traditional Chinese medicine theory and clinical practice and makes this compound a good future prospect for treating women's menopausal related diseases.
In the present study, the complete metabolic profile of icariin has also been investigated. The results illustrate that feces should be the major excretion way for both oral and intramuscular administration of icariin. Based on LC-UV and LC-MS analyses, eleven metabolites were detected in fecal samples and were further identified. Among them, 10 metabolites appeared in rat feces of oral administration group and 9 in the feces of intramuscular introduction group. The major metabolic routes of clearance are proposed to be hydrolysis, demethylation, oxidation, and conjugation.