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Anticancer and Anti-Inflammatory Effects of Benzothiazole Derivatives Targeting NF-κB/COX-2/iNOS in a Hepatocellular Carcinoma Cell Line. 靶向NF-κB/COX-2/iNOS的苯并噻唑衍生物在肝癌细胞中的抗肿瘤和抗炎作用
IF 2 Pub Date : 2025-08-01 DOI: 10.4274/tjps.galenos.2025.49840
Muhammed Mehdi Üremiş, Nuray Üremiş, Mustafa Ceylan, Yusuf Türköz

Objectives: Benzothiazole compounds, characterized by their diverse biological and pharmacological properties, have emerged as promising molecules for suppressing cancer cell proliferation and invasion due to their antiproliferative attributes. Prior research from our laboratory revealed that 2-substituted benzothiazole compounds inhibit the proliferation of glioma and cervical cancer cells and induce apoptosis in pancreatic cancer cells. However, there is limited research on the effectiveness of benzothiazoles against hepatocellular carcinoma cells (HCC). This study sought to elucidate the anticancer potential of 2-substituted benzothiazole derivatives through their modulation of oxidative stress and inflammation mediators.

Materials and methods: Antiproliferative effects of two-step synthesized 2-substituted benzothiazole derivatives were evaluated on HepG2 cells via MTT assay. Apoptosis induction was assessed using Annexin V/PI staining; cell cycle arrest effects were determined through cell cycle analysis; cell migration was examined via wound healing assay; and mitochondrial membrane damage was quantified using JC-1 staining. Spectrophotometric measurements of total antioxidant status (TAS), total oxidant status, superoxide dismutase (SOD), total thiol, and native thiol levels were used to assess cellular redox status. Expression of nuclear factor kappa B (NF-κB), an inflammatory marker, was assessed by western blot, while inflammation-related cyclooxygenase-2 (COX-2) and inducible nitric oxide synthase levels were measured using ELISA.

Results: This investigation unveiled benzothiazole derivatives' antiproliferative and cytotoxic properties against HepG2 cells (IC50 values of 56.98 μM and 59.17 μM at 24 h, and 38.54 μM 29.63 at 48 h). The synthesized compounds exhibited the ability to suppress cell migration and induce apoptosis, mediated by mitochondrial membrane potential loss (wound‑closure rates of 84.0 and 90.4% vs. 51.7% control at 48 h, apoptosis rates of 10.70% and 45.22% vs. 1.02% control). Furthermore, these derivatives reduced SOD activity (A and B at 100 μM p<0.001), TAS levels (A and B at 100 μM, p < 0.05, p < 0.001), and dynamic disulfide content. Notably, a decrease in NF-κB protein levels, closely associated with inflammation, was observed, along with a subsequent reduction in downstream effectors COX-2 (A and B at 100 μM, p<0.001) and iNOS (A and B at 100 μM, p < 0.001).

Conclusion: The findings of this study underscore the antiproliferative effects of benzothiazole derivatives in human HCCs, coupled with their anti-inflammatory potential by diminishing NF-κB levels.

目的:苯并噻唑类化合物具有多种生物学和药理学特性,由于其抗增殖特性,已成为抑制癌细胞增殖和侵袭的有前途的分子。本实验室前期研究发现,2-取代苯并噻唑类化合物可抑制胶质瘤和宫颈癌细胞的增殖,并诱导胰腺癌细胞凋亡。然而,苯并噻唑类药物对肝癌细胞(HCC)的有效性研究有限。本研究旨在阐明2-取代苯并噻唑衍生物通过其调节氧化应激和炎症介质的抗癌潜力。材料与方法:采用MTT法观察两步合成的2-取代苯并噻唑衍生物对HepG2细胞的抗增殖作用。Annexin V/PI染色观察细胞凋亡诱导情况;通过细胞周期分析确定细胞周期阻滞效应;通过伤口愈合实验检测细胞迁移;JC-1染色定量测定线粒体膜损伤。用分光光度法测量总抗氧化状态(TAS)、总氧化状态、超氧化物歧化酶(SOD)、总硫醇和天然硫醇水平来评估细胞氧化还原状态。免疫印迹法检测炎症标志物核因子κB (NF-κB)表达,ELISA法检测炎症相关环氧合酶-2 (COX-2)和诱导型一氧化氮合酶水平。结果:本实验揭示了苯并噻唑衍生物对HepG2细胞的抗增殖和细胞毒作用(24 h IC50值分别为56.98 μM和59.17 μM, 48 h IC50值分别为38.54 μM 29.63)。合成的化合物显示出通过线粒体膜电位损失介导的抑制细胞迁移和诱导凋亡的能力(48 h时伤口关闭率分别为84.0和90.4%,对照组为51.7%;凋亡率分别为10.70%和45.22%,对照组为1.02%)。此外,这些衍生物还降低了SOD活性(A和B在100 μM pp < 0.05, p < 0.001)和动态二硫化物含量。值得注意的是,观察到与炎症密切相关的NF-κB蛋白水平的下降,以及随后下游效应物COX-2的减少(100 μM时a和B, pp < 0.001)。结论:本研究结果强调了苯并噻唑衍生物对人类hcc的抗增殖作用,以及它们通过降低NF-κB水平而具有的抗炎潜力。
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引用次数: 0
Ethnopharmacological Survey of Plants Used as Folk Remedy in Gerze (Sinop, Türkiye). 葛泽(Sinop, trkiye)民间偏方植物民族药理学调查。
IF 2 Pub Date : 2025-08-01 DOI: 10.4274/tjps.galenos.2025.25668
Tuğba Günbatan, Onur Kabaş, Ekrem Sezik, İlhan Gürbüz

Objectives: Folk medicines used in the Gerze district of Sinop have not been previously studied in detail. This study aimed to record and compily the folk medicines used in Gerze (Sinop, Türkiye).

Materials and methods: In this ethnobotanical inventory study, scientific trips were organized to 18 villages in the Gerze district between May and August in 2009, and folk medicine information was obtained using open and semi-structured questionnaires. The obtained data were analysed by calculating use value", informant consensus factor, and relative frequency of citation.

Results: As a result, 63 plant species from 41 families were determined to be used as folk medicine. Plants from the Rosaceae and Asteraceae families are preferred in preparing folk medicines. Sempervivum brevipilum Muirhead and Serapias vomeracea (Burm.f.) Briq. were recorded for the first time as folk medicine in this research. In Gerze, folk medicines were mostly used in the respiratory tract (86 citations), and dermatological system diseases (86 citations). However, when informant consensus factor values are considered, dermatological system disorders are ranked first (0.7529) and, followed by musculoskeletal (0.7049), respiratory (0.6941), and cardiovascular system disorders (0.5882). The most cited plants were Olea europaea L. (27 citations) and Sambucus ebulus L. (23 citations). The highest use value was calculated for O. europaea subsp. europaea (0.293), and S. ebulus (0.260). At the same time, S. ebulus took first place with an relative frequency of citation value of 0.239, O. europaea subsp. europaea (0.184) fell in second place.

Conclusion: The use of 63 different plant species in folk medicine in Gerze has been recorded to eliminate a deficiency in the Turkish folk medicine inventory and be a source for future scientific studies. However, as in other regions of Türkiye, it has emerged that the folk medicine knowledge was being lost in Gerze District, and that ethnobotanical inventory studies should be carried out rapidly throughout the country.

目的:锡诺普格泽地区使用的民间药物以前没有详细研究过。本研究旨在记录和整理格泽(Sinop, trkiye)民间用药。材料与方法:本研究于2009年5 - 8月在格尔则地区18个村庄组织了民族植物学调查,采用开放式和半结构化问卷调查方式获取民间医学信息。通过计算使用价值、知情者共识因子和相对被引频次对获得的数据进行分析。结果:共鉴定出41科63种具有民间药用价值的植物。蔷薇科和菊科的植物是制备民间药物的首选。短毛长生草(缅甸)Briq。在本研究中首次作为民间药材被记录。在格尔则,民间药物主要用于呼吸道疾病(86篇)和皮肤系统疾病(86篇)。然而,当考虑供方共识因子值时,皮肤系统疾病排名第一(0.7529),其次是肌肉骨骼(0.7049)、呼吸系统(0.6941)和心血管系统疾病(0.5882)。被引频次最多的植物是油橄榄(Olea europaea L.)(27次)和桑布(sambuus ebulus L.)(23次)。利用价值最高的品种为欧纹草。欧罗巴菌(0.293)和布氏菌(0.260)。同时,S. ebulus以0.239的相对频次值位居首位,O. europaea subsp。欧罗巴(0.184)跌至第二位。结论:格尔则地区已记录了63种不同植物在民间医药中的使用,消除了土耳其民间医药库存的不足,为未来的科学研究提供了资源。然而,与 rkiye其他地区一样,民间医学知识在格泽地区正在丢失,应当在全国迅速开展民族植物学清查研究。
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引用次数: 0
Simultaneous Quantification of Doravirine, Lamivudine, and Tenofovir Disoproxil Fumarate in Human Plasma by UPLC-MS/MS: Method Development and Validation. UPLC-MS/MS同时测定人血浆中多拉韦林、拉米夫定和富马酸替诺福韦二吡酯的含量:方法建立与验证。
IF 2 Pub Date : 2025-08-01 DOI: 10.4274/tjps.galenos.2025.70718
Narasimha Kanjarla, Balaraju Katta

Objectives: A novel, high-throughput liquid chromatography tandem mass spectrometry (UPLC-MS/MS) technique has been developed that uses Etravirine (ETR) as the internal standard (IS) to simultaneously quantify Doravirine (DOR), Lamivudine (LAM), and Tenofovir Disoproxil Fumarate (TDF) in human plasma. The procedure employs a precipitation extraction technique to analyze analytes from human plasma. This study aims to develop and validate a novel and reliable stability-indicating UPLC-MS/MS method for the simultaneous determination of DOR, LAM, and TDF in human plasma, using ETR as the IS.

Materials and methods: ETR, based on its stable-isotopic nature and structural and physicochemical similarity to the analytes of interest, was used as an IS. Precipitation extraction was the technique used to prepare samples. An agilent zorbax XDB C18 analytical column (2.1 × 50 mm, 3.5 μm) was used for chromatographic separation, and its isocratic mobile phase consists of acetonitrile and buffer (5 mM of ammonium formate with 0.1 % formic acid) in the ratio 80:20, v/v, at a flow rate of 0.120 mL/min.

Results: The parent-to-product ion transitions for the drugs were as follows : LAM: m/z 231.08 amu → 112.00 amu, TDF: m/z 288.33 amu → 176.17 amu, DOR: m/z 426.38 amu → 112.02 amu, and IS ETR: m/z 437.36 amu → 164.97 amu. These transitions were observed using a triple quadrupole mass spectrometer in the multiple reaction monitoring (MRM) positive ion mode. The compound's basic group content determined which positive mode to choose. For DOR, LAM and TDF, the method was validated throughout concentration ranges of 2.5-1000 ng/mL with correlation coefficients (r2) values obtained were found to be 0.99. From spiked plasma samples, the mean recovery outcomes were observed and found to be DOR, LAM, and TDF was 83.39%, 87.33%, and 85.56%. With a 3.0-minute total run time, the approach was shown to be reliable and quick.

Conclusion: A triple quadrupole mass spectrometer running in the MRM positive ion mode was used to track these transitions. The compounds' functional group content served as the basis for choosing the positive mode. The mean recovery values were obtained for three APIs from spiked plasma samples. The run times were found to be both reliable and quick. The method was proven to produce precise and specific results for the determination of selected drugs through the current study. The method is stable when exposed to various stress conditions, demonstrating minimal degradation. The current method was validated as per the ICH M10 guidelines and was found to meet the desired acceptance criteria. The developed bioanalytical method, validated in accordance with ICH M10 guidelines, demonstrated high accuracy, precision, and reproducibility for the simultaneous quantification of DOR, LAM, and TDF. Its streamlined design and reliable performance make it a valuab

目的:建立了一种新型的高通量液相色谱-串联质谱(UPLC-MS/MS)技术,该技术以曲曲维碱(ETR)为内标(IS)同时定量人血浆中的多拉韦林(DOR)、拉米夫定(LAM)和富马酸替诺福韦二氧吡酯(TDF)。该方法采用沉淀萃取技术来分析人体血浆中的分析物。本研究旨在建立并验证一种新的、可靠的、稳定性指示的UPLC-MS/MS方法,以ETR为IS同时测定人血浆中DOR、LAM和TDF。材料和方法:基于ETR的稳定同位素性质以及其与目标分析物的结构和物理化学相似性,将其用作IS。采用沉淀萃取法制备样品。色谱分离采用agilent zorbax XDB C18分析柱(2.1 × 50 mm, 3.5 μm),其等容流动相为乙腈与缓冲液(5mm甲酸铵加0.1%甲酸),比为80:20,v/v,流速为0.120 mL/min。结果:三种药物的亲本-产物离子转移顺序为:LAM: m/z 231.08 amu→112.00 amu, TDF: m/z 288.33 amu→176.17 amu, DOR: m/z 426.38 amu→112.02 amu, IS ETR: m/z 437.36 amu→164.97 amu。这些转变是用三重四极杆质谱仪在多反应监测(MRM)正离子模式下观察到的。化合物的碱性基团含量决定了选择哪种正向模式。对于DOR、LAM和TDF,该方法在2.5 ~ 1000 ng/mL的浓度范围内有效,相关系数(r2)值为0.99。从加标血浆样品中观察到,DOR、LAM和TDF的平均回收率分别为83.39%、87.33%和85.56%。总运行时间为3.0分钟,证明了该方法的可靠性和快速性。结论:在MRM正离子模式下运行的三重四极质谱仪可以跟踪这些转变。化合物的官能团含量是选择正极模式的依据。从加标血浆样品中得到三种原料药的平均回收率。我们发现运行时间既可靠又快速。通过本研究,证明该方法对所选药物的测定结果准确、特异。该方法在暴露于各种应力条件下是稳定的,表现出最小的退化。根据ICH M10指南对当前方法进行了验证,并发现该方法符合预期的验收标准。开发的生物分析方法,根据ICH M10指南进行验证,证明了同时定量DOR, LAM和TDF的准确性,精密度和重复性高。其流线型的设计和可靠的性能使其成为常规分析的宝贵工具。
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引用次数: 0
Effect of PGV-1 on Apoptosis via Mitotic Arrest and Senescence in Polyploid Giant Cancer Cells of Hepatocellular Carcinoma JHH4. PGV-1对肝癌多倍体巨癌JHH4细胞有丝分裂阻滞和衰老凋亡的影响
IF 2 Pub Date : 2025-08-01 DOI: 10.4274/tjps.galenos.2025.46837
Nadzifa Nugraheni, Beni Lestari, Edy Meiyanto, Rohmad Yudi Utomo

Objectives: Senescent cells release a senescence-associated secretory phenotype, promoting polyploid giant cancer cells (PGCCs) to emerge, fostering tumor heterogeneity and resistance. Pentagamavunone-1 (PGV-1) emerges as a promising agent inducing senescence and prometaphase arrest, resulting in permanent cytotoxicity. This study was aimed to investigate the effect of PGV-1 in dysregulating mitosis through the modulation of PGCCs and senescence in low MYCN-expressing hepatocellular carcinoma (HCC) cells JHH4.

Materials and methods: To assess the physiological effects of PGV-1, several in vitro tests were done including the MTT assay, cell cycle assay, May-Grünwald-Giemsa staining, senescence associated-β-galactosidase (SA-β-Gal) assay, and apoptosis assay. The protein levels of the apoptosis regulatory protein were evaluated using western blot analysis. The interaction of PGV-1 toward the protein that plays a role in PGCCs formation was simulated by molecular docking and molecular dynamics (MD).

Results: The cytotoxic assay revealed that PGV-1 inhibited the proliferation of JHH4 liver cancer cells permanently. Inhibition of cell proliferation by PGV-1 was associated with the modulation of G2/M phase, particularly mitotic arrest and formation of PGCCs. The SA-β-Gal verified that PGV-1 induced senescence in cells (p<0.01), inducing PGCCs formation. Apoptotic mechanisms were validated via Annexin V staining, which showed the level of cleaved poly (ADP-ribose) polymerase (p<0.001). Molecular docking and MD simulations suggested that PGV-1 could interfere with the conformation of the chromosomal passenger complex (CPC) protein, particularly disrupting essential interactions within the inner centromere protein, Survivin, and Borealin.

Conclusion: PGV-1 induced strong cytotoxicity in HCC cells by disrupting mitosis leading to PGCC formation, senescence, and subsequent apoptotic cell death.

目的:衰老细胞释放一种与衰老相关的分泌表型,促进多倍体巨癌细胞(polyploid giant cancer cells, pgcc)的出现,促进肿瘤的异质性和耐药性。Pentagamavunone-1 (PGV-1)是一种很有前途的诱导衰老和中期停滞的药物,导致永久性的细胞毒性。本研究旨在探讨PGV-1在低mycn表达的肝细胞癌(HCC) JHH4中通过调节pgcc和衰老来调节有丝分裂失调的作用。材料和方法:为了评估PGV-1的生理作用,我们进行了MTT法、细胞周期法、may - grind - giemsa染色法、衰老相关-β-半乳糖苷酶(SA-β-Gal)法和细胞凋亡法等体外实验。western blot检测细胞凋亡调控蛋白的表达水平。通过分子对接和分子动力学(MD)模拟了PGV-1与在pgcc形成中起作用的蛋白的相互作用。结果:细胞毒实验显示PGV-1对JHH4肝癌细胞增殖具有永久性抑制作用。PGV-1对细胞增殖的抑制作用与G2/M期的调控有关,特别是有丝分裂阻滞和pgcc的形成。SA-β-Gal证实PGV-1诱导细胞衰老(pvia Annexin V染色,显示裂解聚(adp -核糖)聚合酶水平)结论:PGV-1通过破坏有丝分裂导致PGCC形成、衰老和随后的凋亡细胞死亡,在HCC细胞中诱导强烈的细胞毒性。
{"title":"Effect of PGV-1 on Apoptosis <i>via</i> Mitotic Arrest and Senescence in Polyploid Giant Cancer Cells of Hepatocellular Carcinoma JHH4.","authors":"Nadzifa Nugraheni, Beni Lestari, Edy Meiyanto, Rohmad Yudi Utomo","doi":"10.4274/tjps.galenos.2025.46837","DOIUrl":"10.4274/tjps.galenos.2025.46837","url":null,"abstract":"<p><strong>Objectives: </strong>Senescent cells release a senescence-associated secretory phenotype, promoting polyploid giant cancer cells (PGCCs) to emerge, fostering tumor heterogeneity and resistance. Pentagamavunone-1 (PGV-1) emerges as a promising agent inducing senescence and prometaphase arrest, resulting in permanent cytotoxicity. This study was aimed to investigate the effect of PGV-1 in dysregulating mitosis through the modulation of PGCCs and senescence in low MYCN-expressing hepatocellular carcinoma (HCC) cells JHH4.</p><p><strong>Materials and methods: </strong>To assess the physiological effects of PGV-1, several <i>in vitro</i> tests were done including the MTT assay, cell cycle assay, May-Grünwald-Giemsa staining, senescence associated-β-galactosidase (SA-β-Gal) assay, and apoptosis assay. The protein levels of the apoptosis regulatory protein were evaluated using western blot analysis. The interaction of PGV-1 toward the protein that plays a role in PGCCs formation was simulated by molecular docking and molecular dynamics (MD).</p><p><strong>Results: </strong>The cytotoxic assay revealed that PGV-1 inhibited the proliferation of JHH4 liver cancer cells permanently. Inhibition of cell proliferation by PGV-1 was associated with the modulation of G2/M phase, particularly mitotic arrest and formation of PGCCs. The SA-β-Gal verified that PGV-1 induced senescence in cells (<i>p</i><0.01), inducing PGCCs formation. Apoptotic mechanisms were validated <i>via</i> Annexin V staining, which showed the level of cleaved poly (ADP-ribose) polymerase (<i>p</i><0.001). Molecular docking and MD simulations suggested that PGV-1 could interfere with the conformation of the chromosomal passenger complex (CPC) protein, particularly disrupting essential interactions within the inner centromere protein, Survivin, and Borealin.</p><p><strong>Conclusion: </strong>PGV-1 induced strong cytotoxicity in HCC cells by disrupting mitosis leading to PGCC formation, senescence, and subsequent apoptotic cell death.</p>","PeriodicalId":101423,"journal":{"name":"Turkish journal of pharmaceutical sciences","volume":"22 3","pages":"170-177"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development and Characterization of Mucoadhesive Films Containing Metronidazole for Vaginal Drug Delivery. 阴道给药用甲硝唑黏附膜的研制与表征。
Pub Date : 2025-05-14 DOI: 10.4274/tjps.galenos.2025.48380
Sinem Saar, Fatmanur Tuğcu Demiröz

Objectives: Bacterial vaginosis (BV) is a common disease in women of reproductive age. Metronidazole (MET) is an antibiotic used to treat BV via the oral or vaginal route. Vaginal films are dosage forms that combine the properties of solid and gel formulations and increase patient compliance. This study aims to develop and characterize vaginal film formulations containing MET for the treatment of BV.

Materials and methods: Film formulations were prepared using the solvent casting method with poly(vinyl alcohol), hydroxypropyl methylcellulose K100M, and mixtures of these polymers. Polyethylene glycol 400 was added to the formulations as a plasticizer. The moisture content, average thickness, and weight of the film formulations were examined. Also, the mechanical properties (tensile strength and elongation at break) and ex vivo mucoadhesion properties of the films were determined with vaginal tissue. The release of MET from the films was investigated using Franz diffusion cells.

Results: The moisture content of the formulations was found to be less than 10%. It was observed that tensile strength and elongation at break values decreased when MET was loaded onto the films. Mucoadhesion values decreased with MET loading and the work of mucoadhesion values was found to be 0.070±0.053, 0.067±0.039, and 0.150±0.061 for F4, F5, and F6, respectively. The release of MET was found to be 92.7%, 65.5%, and 87.6% for F4, F5, and F6, respectively.

Conclusion: Mucoadhesive films can be used as an alternative dosage form for vaginal delivery of MET in the treatment of BV.

目的:细菌性阴道病(BV)是育龄妇女的常见病。甲硝唑(MET)是一种抗生素,用于通过口服或阴道途径治疗细菌性阴道炎。阴道膜是一种结合固体和凝胶制剂特性的剂型,可以提高患者的依从性。本研究旨在开发和表征阴道膜配方含有MET治疗细菌性阴部炎。材料和方法:以聚乙烯醇、羟丙基甲基纤维素K100M及其混合物为原料,采用溶剂铸造法制备薄膜配方。将聚乙二醇400作为增塑剂添加到配方中。考察了薄膜配方的含水率、平均厚度和重量。同时,用阴道组织测定了膜的力学性能(抗拉强度和断裂伸长率)和体外黏附性能。用Franz扩散池研究了膜中MET的释放。结果:各制剂的水分含量均小于10%。观察到,当MET加载到薄膜上时,拉伸强度和断裂伸长率下降。F4、F5、F6的黏附作用值分别为0.070±0.053、0.067±0.039、0.150±0.061。F4、F5和F6的MET释放量分别为92.7%、65.5%和87.6%。结论:黏附膜可作为阴道给药的替代剂型,用于治疗细菌性阴道炎。
{"title":"Development and Characterization of Mucoadhesive Films Containing Metronidazole for Vaginal Drug Delivery.","authors":"Sinem Saar, Fatmanur Tuğcu Demiröz","doi":"10.4274/tjps.galenos.2025.48380","DOIUrl":"10.4274/tjps.galenos.2025.48380","url":null,"abstract":"<p><strong>Objectives: </strong>Bacterial vaginosis (BV) is a common disease in women of reproductive age. Metronidazole (MET) is an antibiotic used to treat BV <i>via</i> the oral or vaginal route. Vaginal films are dosage forms that combine the properties of solid and gel formulations and increase patient compliance. This study aims to develop and characterize vaginal film formulations containing MET for the treatment of BV.</p><p><strong>Materials and methods: </strong>Film formulations were prepared using the solvent casting method with poly(vinyl alcohol), hydroxypropyl methylcellulose K100M, and mixtures of these polymers. Polyethylene glycol 400 was added to the formulations as a plasticizer. The moisture content, average thickness, and weight of the film formulations were examined. Also, the mechanical properties (tensile strength and elongation at break) and <i>ex vivo</i> mucoadhesion properties of the films were determined with vaginal tissue. The release of MET from the films was investigated using Franz diffusion cells.</p><p><strong>Results: </strong>The moisture content of the formulations was found to be less than 10%. It was observed that tensile strength and elongation at break values decreased when MET was loaded onto the films. Mucoadhesion values decreased with MET loading and the work of mucoadhesion values was found to be 0.070±0.053, 0.067±0.039, and 0.150±0.061 for F4, F5, and F6, respectively. The release of MET was found to be 92.7%, 65.5%, and 87.6% for F4, F5, and F6, respectively.</p><p><strong>Conclusion: </strong>Mucoadhesive films can be used as an alternative dosage form for vaginal delivery of MET in the treatment of BV.</p>","PeriodicalId":101423,"journal":{"name":"Turkish journal of pharmaceutical sciences","volume":"22 2","pages":"71-76"},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pre-Formulation Studies of Lipid-Based Formulation Approach for a Poorly Water-Soluble Biopharmaceutics Classification System Class II Model Drug: Bosentan. 一种低水溶性生物制药分类系统II类模型药物:波生坦的脂基配方方法的预配方研究。
Pub Date : 2025-05-14 DOI: 10.4274/tjps.galenos.2025.48840
Duygu Yılmaz Usta, Zeynep Şafak Teksin

Objectives: This study aimed to perform pre-formulation studies, formulation development, and formulation optimization for self-nanoemulsifying drug delivery systems (SNEDDS), a lipid-based formulation approach to improve the low solubility of bosentan monohydrate (BOS).

Materials and methods: Pseudo-ternary phase diagrams were created for pre-formulation studies and formulation design for SNEDDS. The SNEDDS was optimized with BBD. The optimized BOS-loaded SNEDDS formulation was characterized by droplet size (DS), polydispersity index (PDI), dispersibility, an efficiency test of self-nanoemulsification, % transmittance, turbidity, robustness, and the effects of pH, viscosity, and thermodynamic and long-term stability studies. The in vitro dissolution studies were performed in distilled water containing 1% sodium lauryl sulfate, which is a Food and Drug Administration-recommended medium, and in biorelevant media. Ex vivo studies were conducted in biorelevant media.

Results: The optimum BOS-loaded SNEDDS had a DS of 16.76 nm and PDI of 0.200. The characterization studies satisfied SNEDDS requirements (does not deteriorate when diluted at different pHs; resistant to thermodynamic changes; self-emulsifying within 1 minute; Grade A; and transparent) for both blank and BOS-loaded SNEDDS. In long-term stability studies, it was found to be stable for six months. When in vitro dissolution was compared to the performance of the commercial product (Tracleer®), the BOS-loaded SNEDDS showed 2.88, 7.63, 3.83, and 4.23 increases in the percentages of cumulative dissolution in fasted state simulated intestinal fluid (FaSSIF), fed state simulated intestinal fluid (FeSSIF), FaSSIF-V2, and FeSSIF-V2, respectively. The ex vivo permeation study showed 12.2-, 19.1-, 20.3-, and 13.1-fold increases in drug permeation in FaSSIF, FeSSIF, FaSSIF-V2, and FeSSIF-V2 for the SNEDDS formulation, as compared to the commercial product, respectively.

Conclusion: Pre-formulation and formulation studies were carried out successfully, and lipid-based optimum BOS-loaded SNEDDS were obtained. The present study confirms the potential of optimum BOS-loaded SNEDDS, which was found to be stable over the long term, to increase the drug's solubility, in vitro dissolution, and ex vivo permeability. This formulation approach has been promising for further in vivo studies, to improve the oral bioavailability of BOS.

目的:本研究旨在对自纳米乳化给药系统(SNEDDS)进行配方前研究、配方开发和配方优化,这是一种以脂质为基础的配方方法,以改善波生坦一水合物(BOS)的低溶解度。材料与方法:建立伪三元相图,用于SNEDDS的处方前研究和配方设计。采用BBD对sndds进行了优化。通过液滴尺寸(DS)、多分散性指数(PDI)、分散性、自纳米乳化效率测试、透光率、浊度、稳健性、pH、粘度、热力学和长期稳定性研究对优化后的bos负载SNEDDS配方进行了表征。体外溶出研究在含有1%十二烷基硫酸钠的蒸馏水(这是食品和药物管理局推荐的培养基)和生物相关培养基中进行。体外研究在生物相关介质中进行。结果:最佳的bos负载sndds的DS为16.76 nm, PDI为0.200。表征研究满足SNEDDS要求(在不同ph值下稀释不会变质;抵抗热力学变化;1分钟内自乳化;甲级;和透明)空白和bos加载的SNEDDS。在长期稳定性研究中,发现它可以稳定六个月。当体外溶出度与商业产品Tracleer®的性能进行比较时,负载bos的SNEDDS在禁食状态模拟肠液(FaSSIF)、喂养状态模拟肠液(FeSSIF)、FaSSIF- v2和FeSSIF- v2中的累积溶出率分别增加了2.88、7.63、3.83和4.23。体外渗透研究显示,与商业产品相比,SNEDDS制剂在FaSSIF、FeSSIF、FaSSIF- v2和FeSSIF- v2中的药物渗透分别增加了12.2倍、19.1倍、20.3倍和13.1倍。结论:成功地进行了预处方和制剂研究,获得了以脂质为基础的最佳bos负载SNEDDS。本研究证实了最佳负载bos的SNEDDS的潜力,发现其长期稳定,可以增加药物的溶解度,体外溶出度和体外渗透性。这种配方方法有望进一步在体内研究,以提高BOS的口服生物利用度。
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引用次数: 0
The Effect of Sub-Minimal Inhibitory Concentrations of Daptomycin and Linezolid on Biofilm Formation of Methicillin Resistant Staphylococcus aureus Isolated from Clinical Samples. 达托霉素和利奈唑胺亚最低抑菌浓度对耐甲氧西林金黄色葡萄球菌生物膜形成的影响。
Pub Date : 2025-05-14 DOI: 10.4274/tjps.galenos.2025.26723
Halil Bal, Nurten Altanlar, Sulhiye Yıldız

Objectives: The aim of this study was to determine the development of in vitro resistance and changes in biofilm forming abilities in methicillin-resistant Staphylococcus aureus (MRSA) isolates exposed to sub-minimal inhibitory concentrations (sub-MICs) of daptomycin and linezolid; and to investigate the presence of the methicillin resistance gene (mecA) and the biofilm-associated genes (icaA, icaD) by polymerase chain reaction.

Materials and methods: This study was carried out with thirty-two MRSA isolates. The susceptibility of the isolates to daptomycin and linezolid was investigated by the broth microdilution method, and MIC values were determined (1st MIC). After serial passages, the 2nd MIC and the 3rd MIC values were similarly detected. Before and after serial passages, the biofilm-forming abilities of MRSA isolates were examined using the microtiter plate (MTP) method.

Results: When the daptomycin and linezolid 1st MIC and 3rd MIC values of the isolates were compared, there was a 2-8 fold increase in linezolid (p<0.05) and a 4-32 fold increase in daptomycin (p<0.05). According to the MTP method, 20 (62.5%) of the 32 isolates formed biofilm at various levels, while 12 (37.5%) did not form biofilm. After the second series of passages, biofilm formation was observed in 19 (59.4%) isolates with daptomycin (p>0.05) and in 16 (50%) isolates with linezolid (p>0.05). The mecA gene was found in all isolates. Also, icaA and icaD genes were detected in 31 (96.9%) of 32 MRSA isolates.

Conclusion: MRSA isolates exposed to sub-MICs of the antibiotics daptomycin and linezolid were observed to form biofilms at varying levels or to lose their ability to form biofilms. The induction, reduction or eradication of biofilm depended on the type of antibiotic and the MRSA isolate.

目的:本研究旨在确定耐甲氧西林金黄色葡萄球菌(MRSA)暴露于达托霉素和利奈唑胺亚最低抑制浓度(亚mic)下的体外耐药发展和生物膜形成能力的变化;聚合酶链反应检测甲氧西林耐药基因(mecA)和生物膜相关基因(icaA、icaD)的存在。材料与方法:采用32株MRSA分离株进行研究。采用微量肉汤稀释法考察菌株对达托霉素和利奈唑胺的敏感性,并测定MIC值(1 MIC)。连续传代后,第2 MIC和第3 MIC值检测相似。连续传代前后,采用微滴板(MTP)法检测MRSA分离株的生物膜形成能力。结果:比较达托霉素和利奈唑胺的第1 MIC和第3 MIC值,利奈唑胺增加2 ~ 8倍(p < 0.05),利奈唑胺增加16株(50%)(p < 0.05)。在所有分离株中均发现mecA基因。32株MRSA中31株(96.9%)检出icaA和icaD基因。结论:MRSA分离株暴露于抗生素达托霉素和利奈唑胺的亚mic下,可形成不同程度的生物膜或失去形成生物膜的能力。生物膜的诱导、减少或根除取决于抗生素和MRSA分离物的类型。
{"title":"The Effect of Sub-Minimal Inhibitory Concentrations of Daptomycin and Linezolid on Biofilm Formation of Methicillin Resistant <i>Staphylococcus aureus</i> Isolated from Clinical Samples.","authors":"Halil Bal, Nurten Altanlar, Sulhiye Yıldız","doi":"10.4274/tjps.galenos.2025.26723","DOIUrl":"10.4274/tjps.galenos.2025.26723","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to determine the development of <i>in vitro</i> resistance and changes in biofilm forming abilities in methicillin-resistant <i>Staphylococcus aureus</i> (MRSA) isolates exposed to sub-minimal inhibitory concentrations (sub-MICs) of daptomycin and linezolid; and to investigate the presence of the methicillin resistance gene (<i>mecA</i>) and the biofilm-associated genes (<i>icaA, icaD</i>) by polymerase chain reaction.</p><p><strong>Materials and methods: </strong>This study was carried out with thirty-two MRSA isolates. The susceptibility of the isolates to daptomycin and linezolid was investigated by the broth microdilution method, and MIC values were determined (1<sup>st</sup> MIC). After serial passages, the 2<sup>nd</sup> MIC and the 3<sup>rd</sup> MIC values were similarly detected. Before and after serial passages, the biofilm-forming abilities of MRSA isolates were examined using the microtiter plate (MTP) method.</p><p><strong>Results: </strong>When the daptomycin and linezolid 1<sup>st</sup> MIC and 3<sup>rd</sup> MIC values of the isolates were compared, there was a 2-8 fold increase in linezolid (<i>p</i><0.05) and a 4-32 fold increase in daptomycin (<i>p</i><0.05). According to the MTP method, 20 (62.5%) of the 32 isolates formed biofilm at various levels, while 12 (37.5%) did not form biofilm. After the second series of passages, biofilm formation was observed in 19 (59.4%) isolates with daptomycin (p>0.05) and in 16 (50%) isolates with linezolid (p>0.05). The <i>mecA</i> gene was found in all isolates. Also, <i>icaA</i> and <i>icaD</i> genes were detected in 31 (96.9%) of 32 MRSA isolates.</p><p><strong>Conclusion: </strong>MRSA isolates exposed to sub-MICs of the antibiotics daptomycin and linezolid were observed to form biofilms at varying levels or to lose their ability to form biofilms. The induction, reduction or eradication of biofilm depended on the type of antibiotic and the MRSA isolate.</p>","PeriodicalId":101423,"journal":{"name":"Turkish journal of pharmaceutical sciences","volume":"22 2","pages":"131-139"},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Aegle marmelos Extract-Phospholipid Complexes in Dextran Sulfate Sodium-Induced Ulcerative Colitis in Rats. 蜜瓜凝胶提取物-磷脂复合物对硫酸葡聚糖钠诱导大鼠溃疡性结肠炎的影响。
Pub Date : 2025-05-14 DOI: 10.4274/tjps.galenos.2025.02772
Pooja Ganpat Swami, Dilesh Jagdish Singhavi, Rajendra Onkarappa Ganjiwale

Objectives: Ayurvedic texts mention the use of Aegle marmelos fruit in colitis and other gastrointestinal ailments. The polyphenolic contents of the fruit, however, have poor bioavailability, limiting their therapeutic use. The study aimed to develop and optimise the A. marmelos fruit extract-phospholipid (AMEP) complex to improve the oral bioavailability of the A. marmelos extract (AME), and compare the in vivo effect of AME and AMEP in dextran sulfate sodium (DSS)-induced ulcerative colitis in rats.

Materials and methods: The research work is the first of its kind to use a hydroalcoholic extract of A. marmelos fruit in the preparation of phospholipid complexes for ameliorating UC. The complexes were prepared using the solvent evaporation method and optimised by Box-Behnken design. The work compares the in vivo activity of plain AME, its phospholipid complexes, and the standard drug (mesalamine) in the alleviation of chemical-induced colitis in rats. AMEP was optimised using response surface methodology by Box-Behnken design. AMEP was characterised using scanning electron microscopy, Fourier transform infrared spectroscopy, differential scanning calorimetry, zeta analysis, and particle size analysis. A DSS-induced rat model was used in vivo studies to mimic ulcerative colitis. The pathogenesis of the disease was assessed by evaluating the levels of oxidative stress markers [nitric oxide (NO), malondialdehyde (MDA), and superoxide dismutase (SOD) activity], cytokines [tumor necrosis factor-alpha (TNF-α) and interleukin-6 (IL-6)], disease activity index, colon length, and histopathology.

Results: The characterization confirmed the formation of AMEP, having a particle size of 673.6±4.30 nm, polydispersity index of 0.224±0.010, and zeta potential of -42.6 mV±0.51. The NO, MDA, TNF-α, and IL-6 levels were significantly reduced (p<0.0001, p<0.005, p<0.0001, p<0.01), and the SOD level was significantly increased (p<0.05) in AMEP-treated groups compared to the AME-treated groups.

Conclusion: These findings suggessts that AMEP has a powerful potential to reduce the levels of oxidative markers and inflammatory cytokines, making it a promising treatment for ulcerative colitis.

目的:阿育吠陀文献中提到了对结肠炎和其他胃肠道疾病的使用。然而,果实中的多酚含量具有较差的生物利用度,限制了其治疗用途。本研究旨在开发和优化蜜瓜果实提取物-磷脂复合物(AMEP),提高蜜瓜提取物(AME)的口服生物利用度,并比较AME和AMEP对葡聚糖硫酸钠(DSS)诱导的大鼠溃疡性结肠炎的体内作用。材料与方法:本研究首次利用柑桔果实水醇提取物制备改善UC的磷脂复合物。采用溶剂蒸发法制备配合物,并采用Box-Behnken设计优化。这项工作比较了普通AME及其磷脂复合物和标准药物(美沙拉胺)在减轻大鼠化学诱导结肠炎中的体内活性。采用Box-Behnken设计响应面法对AMEP进行优化。利用扫描电镜、傅里叶变换红外光谱、差示扫描量热法、zeta分析和粒度分析对AMEP进行了表征。采用dss诱导的大鼠模型在体内模拟溃疡性结肠炎。通过评估氧化应激标志物[一氧化氮(NO)、丙二醛(MDA)和超氧化物歧化酶(SOD)活性]、细胞因子[肿瘤坏死因子-α (TNF-α)和白细胞介素-6 (IL-6)]水平、疾病活动指数、结肠长度和组织病理学来评估疾病的发病机制。结果:表征证实了AMEP的形成,其粒径为673.6±4.30 nm,多分散性指数为0.224±0.010,zeta电位为-42.6 mV±0.51。NO、MDA、TNF-α和IL-6水平显著降低(ppppp)结论:AMEP具有降低氧化标志物和炎症细胞因子水平的强大潜力,是治疗溃疡性结肠炎的一种有希望的方法。
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引用次数: 0
Comprehensive Investigation of Phytochemical Constituents and Biological Activities of Scabiosa pseudograminifolia Hub.-Mor. 伪谷草卡皮沙植物化学成分及生物活性的综合研究
Pub Date : 2025-05-14 DOI: 10.4274/tjps.galenos.2025.12247
Kübra Öğüt, Gülmira Özek, Nilgün Öztürk, Mehmet Tekin, Temel Özek

Objectives: The aim of this study was to comprehensively investigate the phytochemical composition, including essential oils, fatty acids, and phenolic constituents, and to evaluate the antioxidant and α-amylase inhibitory activities of Scabiosa pseudograminifolia Hub.-Mor. (Caprifoliaceae), an endemic species growing in Sivas province of Türkiye. The plant materials were processed to obtain essential oils, and n-hexane, methanol, and aqueous extracts for chemical and biological evaluations.

Materials and methods: Essential oils were obtained by hydrodistillation. Extracts were prepared using n-hexane, methanol, and water through maceration. The chemical compositions of the essential oil and fatty acids were analyzed using gas chromatography (GC)-mass spectrometry and GC-flame ionization detector (FID). Phenolic compounds were identified by reverse phase high performance liquid chromatography. Total phenolic and flavonoid contents, antioxidant activity [DPPH, Trolox Equivalent Antioxidant Capacity (TEAC), β-carotene bleaching, and Oxygen Radical Absorbance Capacity assays], and α-amylase inhibitory activity were all evaluated using spectrophotometric methods.

Results: Hexadecanoic acid (30.2%) and linalool (15.6%) were the main volatile compounds in the essential oil of S. pseudograminifolia. (Z)-3-Hexenal was the dominant leaf and flower volatile. The primary fatty acids were nonadecanoic and hexadecanoic acids. The aqueous extract exhibited the highest total phenolic (0.52±0.01 mg gallic acid equivalent/gextract) and flavonoid (0.081±0.002 mg quercetin equivalent/gextract) contents. Among the tested samples, the essential oil showed the strongest TEAC value (2.39±0.15 mM), while the aqueous extract demonstrated potent antioxidant activity in DPPH (IC55: 0.16±0.04 mg/mL) and β-carotene bleaching assays (inhibitory concentration55: 0.730±0.001 mg/mL). The α-amylase inhibition levels of the extracts were found to be relatively low. Chlorogenic acid was the predominant phenolic compound.

Conclusion: This study presents the first phytochemical and biological investigation of S. pseudograminifolia Hub.-Mor., an endemic species from Türkiye. Essential oil analysis revealed hexadecanoic acid and linalool as major constituents, while nonadecanoic and hexadecanoic acids were predominant among the fatty acids. The methanol extract showed strong antioxidant activity, and chlorogenic acid was identified as a key phenolic compound. These findings support the potential of this species as a valuable source of natural antioxidants.

目的:全面研究假麦金花的植物化学成分,包括挥发油、脂肪酸和酚类成分,并评价其抗氧化和α-淀粉酶抑制活性。(Caprifoliaceae),生长在斯里兰卡锡瓦斯省的特有种。对植物材料进行加工,得到精油、正己烷、甲醇和水提取物,用于化学和生物学评价。原料和方法:采用加氢蒸馏法提取精油。用正己烷、甲醇和水浸渍制得提取物。采用气相色谱-质谱联用技术和气相色谱-火焰离子化检测器(FID)分析了精油和脂肪酸的化学成分。采用反相高效液相色谱法对酚类化合物进行了鉴定。用分光光度法测定总酚和类黄酮含量、抗氧化活性[DPPH、Trolox等效抗氧化能力(TEAC)、β-胡萝卜素漂白和氧自由基吸收能力测定]和α-淀粉酶抑制活性。结果:六酸(30.2%)和芳樟醇(15.6%)是假麦草挥发油的主要挥发性成分。叶花挥发物以(Z)-3-己烯醛为主。主要脂肪酸为壬烷酸和十六烷酸。水提物中总酚(0.52±0.01 mg没食子酸当量/g)和类黄酮(0.081±0.002 mg槲皮素当量/g)含量最高。其中,精油的TEAC值最高(2.39±0.15 mM),水提液对DPPH (IC55: 0.16±0.04 mg/mL)和β-胡萝卜素漂白(抑制浓度55:0.730±0.001 mg/mL)具有较强的抗氧化活性。提取物对α-淀粉酶的抑制作用较低。绿原酸是主要的酚类化合物。结论:本研究首次对假谷草进行了植物化学和生物学研究。,是斯里兰卡的一种特有种。精油分析显示其主要成分为十六烷酸和芳樟醇,脂肪酸中以壬烷酸和十六烷酸为主。甲醇提取物具有较强的抗氧化活性,其中绿原酸为主要酚类化合物。这些发现支持了该物种作为天然抗氧化剂的宝贵来源的潜力。
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引用次数: 0
Integrating a Pharmacovigilance and Response Unit Team for a Better Adverse Drug Reaction Reporting and Management: Insights from a Prospective Cross-Sectional Study. 整合药物警戒和反应小组以更好地报告和管理药物不良反应:来自前瞻性横断面研究的见解。
Pub Date : 2025-05-14 DOI: 10.4274/tjps.galenos.2025.44902
Vinodkumar Mugada, Satya Sai Srinivas Allada, Chaitanya Rvs Koppala, Srinivasa Rao Yarguntla

Objectives: The multidisciplinary team approach improves adverse drug reaction (ADR) reporting and management. Our study aims to integrate a pharmacovigilance (PV) and Response Team within the general medicine department to improve ADR reporting and management.

Materials and methods: We conducted a prospective cross-sectional study for seven months in four general medicine wards. We proposed a PV and response unit team (PRUT), comprising a nursing student, and a Doctor of Pharmacy (intern). After the team received interventional educational training, we integrated them with the physician and head nurse of each general medicine inpatient ward. We then evaluated the effectiveness of the team in ADR reporting and management using a feedback survey.

Results: In this study, comorbidities (30.69%) and polypharmacy (≥5 drugs) (26.25%) were major predisposing factors. Among drug-related problems in 125 patients, inappropriate drug use (28.80%) and unclear dose timing (21.60%) were predominant. Gastrointestinal disorders were common (44.73%), with dose adjustment being the top management strategy (36.84%). Over 71% supported the PRUT for improving patient safety and reducing medication errors, noting high effectiveness in consultation (85.92%) and in reducing the ADR reporting burden (87.32%). There is a statistically significant association between the level of agreement on the effectiveness of PRUT among healthcare professionals (p<0.01). Most healthcare professionals agreed on PRUT's effectiveness without any reports of low agreement levels.

Conclusion: The PRUT effectively reported and managed ADRs. A multidisciplinary approach improves ADR reporting and management.

目的:多学科团队的方法提高药物不良反应(ADR)的报告和管理。我们的研究旨在整合综合医学部的药物警戒和反应小组,以改善不良反应的报告和管理。材料和方法:我们在4个普通内科病房进行了为期7个月的前瞻性横断面研究。我们提出了一个PV和响应单元小组(PRUT),由一名护理学生和一名药学博士(实习生)组成。在团队接受介入教育培训后,我们将他们与每个普通内科住院病房的医师和护士长进行整合。然后,我们通过反馈调查评估了该团队在ADR报告和管理方面的有效性。结果:本研究中,合并症(30.69%)和多药(≥5种药物)(26.25%)是主要的易感因素。125例患者的药物相关问题以用药不当(28.80%)和给药时机不清(21.60%)为主。胃肠道疾病最为常见(44.73%),调整剂量是最主要的管理策略(36.84%)。超过71%的人支持PRUT改善患者安全和减少用药错误,并注意到咨询(85.92%)和减少ADR报告负担(87.32%)的高效率。医疗保健专业人员对PRUT有效性的认同程度之间存在统计学意义上的显著关联(p结论:PRUT有效地报告和管理了adr。多学科方法可改善不良反应报告和管理。
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Turkish journal of pharmaceutical sciences
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