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Janus nanoparticles: an efficient intelligent modern nanostructure for eradicating cancer. Janus纳米粒子:用于根除癌症的高效智能现代纳米结构。
IF 5.9 2区 医学 Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2021-11-01 Epub Date: 2021-02-09 DOI: 10.1080/03602532.2021.1878530
Farshid Gheisari, Mostafa Shafiee, Milad Abbasi, Ali Jangjou, Peyman Izadpanah, Ahmad Vaez, Ali Mohammad Amani

In the modern age, the struggle to generate appropriate bio-based materials and nano-scaled colloidal particulates for developed application domains, has already resulted in remarkable attempts in the advancement of regulated size and shape, anisotropy, and characteristics of nanostructures. The bottom-up development strategies of components are among the most important science areas throughout nanotechnology, in which the designed building blocks are often utilized to generate novel structures by random self-assembly. In biomedical applications, Janus nanoparticles (JNPs) are necessary. This is due to their effective stimulus-responsive properties, tunable structure, biocompatibility, containing two surfaces with various hydrophobic characteristics and distinct functional groups. Featuring two parts with differing hydrophobicity has been the most critical aspect of the Janus amphiphilic particles. Development of JNPs has been afforded, using imaging agents (e.g. gold (AU) for photoacoustic imaging processing (PAI), silver for surface-enhanced Raman scattering (SERS), and Fe3O4 and MnO2 to magnetic resonance imaging (MRI)). It is also to be mentioned that a number of other properties become salient - properties such as integration imaging factors into JNPs (like quantum dots, fluorescent dyes), multiple imaging methods for screening and diagnosis application can indeed be accomplished. Janus nanostructures have been promising platforms for bioengineering as therapeutic carriers, drug delivery vehicles, and biosensor equipment; they may also be employed for the transport of bioactive hydrophilic and hydrophobic materials. The main production approaches and major advancement of JNPs in the biomedical sector and cancer therapy will be described in this paper.

在现代,为开发应用领域而产生适当的生物基材料和纳米尺度胶体颗粒的努力,已经在纳米结构的调节尺寸和形状、各向异性和特性方面取得了显著的进展。组件的自底向上开发策略是纳米技术中最重要的科学领域之一,其中设计的构建模块经常被用来通过随机自组装产生新的结构。在生物医学应用中,Janus纳米颗粒(JNPs)是必不可少的。这是由于它们有效的刺激响应特性、可调节的结构、生物相容性、含有两种具有不同疏水特性和不同官能团的表面。具有不同疏水性的两个部分一直是双面粒子最关键的方面。利用成像剂(例如金(AU)用于光声成像处理(PAI),银用于表面增强拉曼散射(SERS), Fe3O4和MnO2用于磁共振成像(MRI))开发JNPs。值得一提的是,许多其他特性也变得突出——诸如将成像因子集成到JNPs(如量子点、荧光染料)中的特性,以及用于筛选和诊断应用的多种成像方法确实可以实现。Janus纳米结构在生物工程中作为治疗载体、药物输送载体和生物传感器设备已经成为很有前途的平台;它们也可用于运输具有生物活性的亲水和疏水材料。本文将介绍JNPs在生物医学领域和癌症治疗中的主要生产方法和主要进展。
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引用次数: 10
Insights into oral bioavailability enhancement of therapeutic herbal constituents by cytochrome P450 3A inhibition. 通过抑制细胞色素P450 3A提高治疗性草药成分的口服生物利用度。
IF 5.9 2区 医学 Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2021-11-01 Epub Date: 2021-04-27 DOI: 10.1080/03602532.2021.1917598
Junmei Chen, Jinman Liu, Yueyue Huang, Ruoyu Li, Cuiru Ma, Beiping Zhang, Fanchang Wu, Wenqian Yu, Xue Zuo, Yong Liang, Qi Wang

Herbal plants typically have complex compositions and diverse mechanisms. Among them, bioactive constituents with relatively high exposure in vivo are likely to exhibit therapeutic efficacy. On the other hand, their bioavailability may be influenced by the synergistic effects of different bioactive components. Cytochrome P450 3A (CYP3A) is one of the most abundant CYP enzymes, responsible for the metabolism of 50% of approved drugs. In recent years, many therapeutic herbal constituents have been identified as CYP3A substrates. It is more evident that CYP3A inhibition derived from the herbal formula plays a critical role in improving the oral bioavailability of therapeutic constituents. CYP3A inhibition may be the mechanism of the synergism of herbal formula. In this review, we explored the multiplicity of CYP3A, summarized herbal monomers with CYP3A inhibitory effects, and evaluated herb-mediated CYP3A inhibition, thereby providing new insights into the mechanisms of CYP3A inhibition-mediated oral herb bioavailability.

草本植物通常具有复杂的成分和多样的机制。其中,体内暴露量相对较高的生物活性成分有可能表现出治疗功效。另一方面,它们的生物利用度可能受到不同生物活性成分协同作用的影响。细胞色素P450 3A (CYP3A)是最丰富的cypp酶之一,负责50%的批准药物的代谢。近年来,许多治疗性草药成分已被确定为CYP3A底物。更明显的是,来自草药配方的CYP3A抑制在提高治疗成分的口服生物利用度方面起着至关重要的作用。抑制CYP3A可能是中药方剂协同作用的机制。在本文中,我们探索了CYP3A的多样性,总结了具有CYP3A抑制作用的草药单体,并评估了草药介导的CYP3A抑制作用,从而为CYP3A抑制介导的口服草药生物利用度的机制提供了新的见解。
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引用次数: 4
Toxicity mechanisms of nanoparticles in the male reproductive system. 纳米颗粒在男性生殖系统中的毒性机制。
IF 5.9 2区 医学 Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2021-11-01 Epub Date: 2021-05-14 DOI: 10.1080/03602532.2021.1917597
Khaled Habas, Eşref Demir, Chongye Guo, Martin H Brinkworth, Diana Anderson

The field of nanotechnology has allowed for increasing nanoparticle (NP) exposure to the male reproductive system. Certain NPs have been reported to have adverse consequences on male germ and somatic cells. Germ cells are the bridge between generations and are responsible for the transmission of genetic and epigenetic information to future generations. A number of NPs have negative impacts on male germ and somatic cells which could ultimately affect fertility or the ability to produce healthy offspring. These impacts are related to NP composition, modification, concentration, agglomeration, and route of administration. NPs can induce severe toxic effects on the male reproduction system after passing through the blood-testis barrier and ultimately damaging the spermatozoa. Therefore, understanding the impacts of NPs on reproduction is necessary. This review will provide a comprehensive overview on the current state of knowledge derived from the previous in vivo and in vitro research on effects of NPs on the male reproductive system at the genetic, cellular, and molecular levels.

纳米技术领域已经允许增加纳米颗粒(NP)暴露于男性生殖系统。据报道,某些NPs对男性生殖细胞和体细胞有不良影响。生殖细胞是代际之间的桥梁,负责将遗传和表观遗传信息传递给后代。一些NPs对男性生殖细胞和体细胞有负面影响,最终可能影响生育能力或产生健康后代的能力。这些影响与NP的组成、修饰、浓度、团聚和给药途径有关。NPs可通过血睾丸屏障,最终损害精子,对男性生殖系统产生严重的毒性作用。因此,了解NPs对生殖的影响是必要的。本文将从遗传、细胞和分子水平对NPs对男性生殖系统影响的体内和体外研究现状进行全面综述。
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引用次数: 20
In quest of a new therapeutic approach in COVID-19: the endocannabinoid system. 寻找 COVID-19 的新治疗方法:内源性大麻素系统。
IF 5.9 2区 医学 Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2021-11-01 Epub Date: 2021-03-08 DOI: 10.1080/03602532.2021.1895204
Ondine Lucaciu, Ovidiu Aghiorghiesei, Nausica Bianca Petrescu, Ioana Codruta Mirica, Horea Rareș Ciprian Benea, Dragoș Apostu

The SARS-Cov-2 virus caused a high morbidity and mortality rate disease, that is the COVID-19 pandemic. Despite the unprecedented research interest in this field, the lack of specific treatments leads to severe complications in a high number of cases. Current treatment includes antivirals, corticosteroids, immunoglobulins, antimalarials, interleukin-6 inhibitors, anti-GM-CSF, convalescent plasma, immunotherapy, antibiotics, circulation support, oxygen therapy, and circulation support. Due to the limited results, until specific treatments are available, other therapeutic approaches need to be considered. The endocannabinoid system is found in multiple systems within the human body, including the immune system. Its activation can lead to beneficial results such as decreased viral entry, decreased viral replication, and a decrease in pro-inflammatory cytokines such as IL-2, IL-4, IL-6, IL-12, TNF-α, or IFN-γ. Moreover, endocannabinoid system activation can lead to an increase in anti-inflammatory cytokines, mainly represented by IL-10. Overall, the cannabinoid system can potentially reduce pulmonary inflammation, increase the immunomodulatory effect, decrease PMN infiltration, reduce fibrosis, and decrease viral replication, as well as decrease the 'cytokine storm'. Although the cannabinoid system has many mechanisms to provide certain benefits in the treatment of SARS-CoV-2 infected patients, research in this field is needed for a better understanding of the cannabinoid impact in this situation.

SARS-Cov-2 病毒导致了一种高发病率和高死亡率的疾病,即 COVID-19 大流行病。尽管人们对这一领域的研究兴趣空前高涨,但由于缺乏专门的治疗方法,导致大量病例出现严重并发症。目前的治疗方法包括抗病毒药物、皮质类固醇、免疫球蛋白、抗疟药、白细胞介素-6 抑制剂、抗转基因-CSF、康复血浆、免疫疗法、抗生素、循环支持、氧疗和循环支持。由于疗效有限,在找到特效疗法之前,还需要考虑其他治疗方法。内源性大麻素系统存在于人体的多个系统中,包括免疫系统。激活内源性大麻素系统可带来有益的结果,如减少病毒进入、减少病毒复制、减少促炎细胞因子,如 IL-2、IL-4、IL-6、IL-12、TNF-α 或 IFN-γ。此外,内源性大麻素系统的激活可导致以 IL-10 为主要代表的抗炎细胞因子的增加。总之,大麻素系统有可能减轻肺部炎症,增加免疫调节作用,减少 PMN 浸润,减轻纤维化,减少病毒复制,以及减少 "细胞因子风暴"。虽然大麻素系统在治疗 SARS-CoV-2 感染者方面有许多机制可以提供某些益处,但要更好地了解大麻素在这种情况下的影响,还需要在这一领域开展研究。
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引用次数: 0
Reinforcing our defense or weakening the enemy? A comparative overview of defensive and offensive strategies developed to confront COVID-19. 加强我们的防御还是削弱敌人?针对COVID-19制定的防御和进攻战略的比较概述。
IF 5.9 2区 医学 Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2021-11-01 Epub Date: 2021-06-04 DOI: 10.1080/03602532.2021.1928686
Hamidreza Khodajou-Masouleh, S Shirin Shahangian, Behnam Rasti

Developing effective strategies to confront coronavirus disease 2019 (COVID-19) has become one of the greatest concerns of the scientific community. In addition to the vast number of global mortalities due to COVID-19, since its outbreak, almost every aspect of human lives has changed one way or another. In the present review, various defensive and offensive strategies developed to confront COVID-19 are illustrated. The Administration of immune-boosting micronutrients/agents, as well as the inhibition of the activity of incompetent gatekeepers, including some host cell receptors (e.g. ACE2) and proteases (e.g. TMPRSS2), are some efficient defensive strategies. Antibody/phage therapies and specifically vaccines also play a prominent role in the enhancement of host defense against COVID-19. Nanotechnology, however, can considerably weaken the virulence of SARS-CoV-2, utilizing fake cellular locks (compounds mimicking cell receptors) to block the viral keys (spike proteins). Generally, two strategies are developed to interfere with the binding of spike proteins to the host cell receptors, either utilizing fake cellular locks to block the viral keys or utilizing fake viral keys to block the cellular locks. Due to their evolutionary conserved nature, viral enzymes, including 3CLpro, PLpro, RdRp, and helicase are highly potential targets for drug repurposing strategy. Thus, various steps of viral replication/transcription can effectively be blocked by their inhibition, leading to the elimination of SARS-CoV-2. Moreover, RNA decoy and CRISPR technologies likely offer the best offensive strategies after viral entry into the host cells, inhibiting the viral replication/assembly in the infected cells and substantially reducing the quantity of viral progeny.

制定有效的战略应对2019冠状病毒病(COVID-19)已成为科学界最关注的问题之一。自2019冠状病毒病爆发以来,除了造成全球大量死亡外,人类生活的几乎每个方面都发生了这样或那样的变化。在本综述中,阐述了为应对COVID-19而制定的各种防御和进攻策略。免疫增强微量营养素/药物的管理,以及抑制无能的看门人的活动,包括一些宿主细胞受体(如ACE2)和蛋白酶(如TMPRSS2),是一些有效的防御策略。抗体/噬菌体疗法和特异性疫苗在增强宿主防御COVID-19方面也发挥着重要作用。然而,纳米技术可以大大削弱SARS-CoV-2的毒力,利用假细胞锁(模仿细胞受体的化合物)来阻断病毒钥匙(刺突蛋白)。一般来说,有两种策略可以干扰刺突蛋白与宿主细胞受体的结合,要么利用假细胞锁来阻断病毒钥匙,要么利用假病毒钥匙来阻断细胞锁。病毒酶,包括3CLpro、PLpro、RdRp和解旋酶,由于其进化保守的性质,是药物再利用策略的潜在靶点。因此,它们的抑制作用可以有效地阻断病毒复制/转录的各个步骤,从而消除SARS-CoV-2。此外,RNA诱饵和CRISPR技术可能在病毒进入宿主细胞后提供最佳的攻击策略,抑制病毒在感染细胞中的复制/组装,并大大减少病毒后代的数量。
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引用次数: 0
Extensive metabolism of flavonoids relevant to their potential efficacy on Alzheimer's disease. 黄酮类化合物的广泛代谢与其对阿尔茨海默病的潜在疗效相关。
IF 5.9 2区 医学 Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2021-11-01 Epub Date: 2021-10-01 DOI: 10.1080/03602532.2021.1977316
Hongjun Xia

Alzheimer's disease (AD) is an age-related neurodegenerative disorder, the incidence of which is climbing with ever-growing aged population, but no cure is hitherto available. The epidemiological studies unveiled that chronic intake of flavonoids was negatively associated with AD risk. Flavonoids, a family of natural polyphenols widely distributed in human daily diets, were readily conjugated by phase II drug metabolizing enzymes after absorption in vivo, and glucuronidation could occur in 1 min following intravenous administration. Recently, as many as 191 metabolites were obtained after intragastric administration of a single flavonoid, indicating that other bioactive metabolites, besides conjugates, might be formed and account for the contradiction between efficacy of flavonoids in human or animal models and low systematic exposure of flavonoid glycosides or aglycones. In this review, metabolism of complete 68 flavonoid monomers potential for AD treatment, grouped in flavonoid O-glycosides, flavonoid aglycones, flavonoid C-glycosides, flavonoid dimers, flavonolignans and prenylated flavonoids according to their common structural elements, respectively, has been systematically retrospected, summarized and discussed, including their unequivocally identified metabolites, metabolic interconversions, metabolic locations, metabolic sites (regio- or stereo-selectivity), primarily involved metabolic enzymes or intestinal bacteria, and interspecies correlations or differences in metabolism, and their bioactive metabolites and the underlying mechanism to reverse AD pathology were also reviewed, providing whole perspective about advances on extensive metabolism of diverse potent flavonoids in vivo and in vitro up to date and aiming at elucidation of mechanism of actions of flavonoids on AD or other central nervous system (CNS) disorders.

阿尔茨海默病(AD)是一种与年龄相关的神经退行性疾病,随着老年人口的不断增长,其发病率正在上升,但迄今为止尚无治疗方法。流行病学研究表明,长期摄入类黄酮与AD风险呈负相关。黄酮类化合物是一类广泛存在于人类日常饮食中的天然多酚类物质,在体内吸收后容易被II期药物代谢酶偶联,静脉给药后1分钟即可发生糖醛酸化。最近,一种黄酮类化合物经胃给药后可获得多达191种代谢物,这表明除了偶联物外,还可能形成其他生物活性代谢物,并解释了黄酮类化合物在人体或动物模型中的功效与黄酮类苷或苷元的低系统暴露之间的矛盾。在本文中,系统回顾、总结和讨论了68种具有AD治疗潜力的类黄酮单体,根据其共同结构元素分别分为类黄酮o -糖苷类、类黄酮苷元类、类黄酮c -糖苷类、类黄酮二聚体类、类黄酮木脂素类和烯酰化类黄酮类,包括它们明确鉴定的代谢物、代谢相互转化、代谢位置、综述了代谢位点(区域选择性或立体选择性),主要涉及代谢酶或肠道细菌,以及代谢的种间相关性或差异,及其生物活性代谢物和逆转AD病理的潜在机制。综述了近年来各种强效黄酮类化合物在体内外广泛代谢方面的研究进展,旨在阐明黄酮类化合物在AD等中枢神经系统疾病中的作用机制。
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引用次数: 4
Rodent genetic models of Ah receptor signaling. 鼠类Ah受体信号传导的遗传模型。
IF 5.9 2区 医学 Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2021-08-01 Epub Date: 2021-08-25 DOI: 10.1080/03602532.2021.1955916
Rachel H Wilson, Christopher A Bradfield

The aryl hydrocarbon receptor (AHR) is a ligand activated transcription factor that is a member of the PER-ARNT-SIM superfamily of environmental sensors. This receptor has been a molecule of interest for many years in the field of toxicology, as it was originally discovered to mediate the toxic effects of certain environmental pollutants like benzo(a)pyrene and 2,3,7,8-tetrachlorodibenzo-p-dioxin. While all animals express this protein, there is naturally occurring variability in receptor size and responsiveness to ligand. This naturally occurring variation, particularly in mice, has been an essential tool in the discovery and early characterization of the AHR. Genetic models including congenic mice and induced mutations at the Ahr locus have proven invaluable in further understanding the role of the AHR in adaptive metabolism and TCDD-induced toxicity. The creation and examination of Ahr null mice revealed an important physiological role for the AHR in vascular and hepatic development and mediation of the immune system. In this review, we attempt to provide an overview to many of the AHR models that have aided in the understanding of AHR biology thus far. We describe the naturally occurring polymorphisms, congenic models, induced mutations at the Ahr locus and at the binding partner Ah Receptor Nuclear Translocator and chaperone, Ah receptor associated 9 loci in mice, with a brief description of naturally occurring and induced mutations in rats.

芳烃受体(AHR)是一种配体激活的转录因子,是环境传感器PER-ARNT-SIM超家族的成员。这种受体多年来一直是毒理学领域感兴趣的分子,因为它最初被发现介导某些环境污染物的毒性作用,如苯并(a)芘和2,3,7,8-四氯二苯并-对二恶英。虽然所有的动物都表达这种蛋白,但在受体大小和对配体的反应方面自然存在差异。这种自然发生的变异,特别是在小鼠中,已经成为发现和早期表征AHR的重要工具。包括同源小鼠和Ahr位点诱导突变在内的遗传模型已被证明对进一步了解Ahr在适应性代谢和tcdd诱导毒性中的作用是非常宝贵的。Ahr缺失小鼠的创建和检测揭示了Ahr在血管和肝脏发育以及免疫系统介导中的重要生理作用。在这篇综述中,我们试图对迄今为止有助于理解AHR生物学的许多AHR模型进行概述。我们描述了自然发生的多态性、同源模型、小鼠Ah受体Ahr位点和结合伙伴Ah受体核转运子和伴侣Ah受体相关的9个位点的诱导突变,并简要描述了大鼠Ah受体自然发生和诱导突变。
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引用次数: 7
Drug metabolic stability in early drug discovery to develop potential lead compounds. 药物代谢稳定性在早期药物发现中开发潜在先导化合物。
IF 5.9 2区 医学 Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2021-08-01 Epub Date: 2021-09-11 DOI: 10.1080/03602532.2021.1970178
Siva Nageswara Rao Gajula, Nimisha Nadimpalli, Rajesh Sonti

Knowledge of the metabolic stability of a new drug substance eliminated by biotransformation is essential for envisaging the pharmacokinetic parameters required for deciding drug dosing and frequency. Strategies aimed at modifying lead compounds may improve metabolic stability, thereby reducing the drug dosing frequency. Replacement of selective hydrogens with deuterium can effectively enhance the drug's metabolic stability by increasing the biological half-life. Further, cyclization, change in ring size, and chirality can substantially improve the metabolic stability of drugs. The microsomal t1/2 approach for measuring drug in vitro intrinsic clearance by automated LC-MS/MS offers sensitive high-throughput screens with reliable data. The obtained in vitro intrinsic clearance from metabolic stability data helps predict the drug's in vivo total clearance using different scaling factors and hepatic clearance models. This review summarizes all the recent approaches and technological advancements in metabolic stability studies for narrowing down the potential lead compounds in drug discovery. Further, we summarized the potential pitfalls and assumptions made during the in vivo intrinsic clearance estimation from in vitro intrinsic clearance.

通过生物转化消除的新原料药的代谢稳定性的知识对于设想决定给药剂量和频率所需的药代动力学参数是必不可少的。旨在修饰先导化合物的策略可以改善代谢稳定性,从而减少给药频率。用氘替代选择性氢可以通过增加生物半衰期有效提高药物的代谢稳定性。此外,环化、环大小和手性的改变可以大大提高药物的代谢稳定性。采用自动LC-MS/MS测量药物体外固有清除率的微粒体t1/2方法提供了敏感的高通量筛选和可靠的数据。从代谢稳定性数据中获得的体外内在清除率可以通过不同的比例因子和肝脏清除率模型来预测药物的体内总清除率。本文综述了代谢稳定性研究的最新方法和技术进展,以缩小药物开发中潜在先导化合物的范围。此外,我们总结了体内内清除率估计过程中可能存在的缺陷和假设。
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引用次数: 21
Bioanalytical strategies in drug discovery and development. 药物发现和开发中的生物分析策略。
IF 5.9 2区 医学 Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2021-08-01 Epub Date: 2021-08-23 DOI: 10.1080/03602532.2021.1959606
Aarzoo Thakur, Zhiyuan Tan, Tsubasa Kameyama, Eman El-Khateeb, Shakti Nagpal, Stephanie Malone, Rohitash Jamwal, Chukwunonso K Nwabufo

A reliable, rapid, and effective bioanalytical method is essential for the determination of the pharmacokinetic, pharmacodynamic, and toxicokinetic parameters that inform the safety and efficacy profile of investigational drugs. The overall goal of bioanalytical method development is to elucidate the procedure and operating conditions under which a method can sufficiently extract, qualify, and/or quantify the analyte(s) of interest and/or their metabolites for the intended purpose. Given the difference in the physicochemical properties of small and large molecule drugs, different strategies need to be adopted for the development of an effective and efficient bioanalytical method. Herein, we provide an overview of different sample preparation strategies, analytical platforms, as well as procedures for achieving high throughput for bioanalysis of small and large molecule drugs.

一种可靠、快速、有效的生物分析方法对于确定研究药物的药代动力学、药效学和毒性动力学参数至关重要,这些参数可为研究药物的安全性和有效性提供信息。生物分析方法开发的总体目标是阐明一种方法能够充分提取、鉴定和/或量化目标分析物和/或其代谢物的程序和操作条件。鉴于小分子和大分子药物的理化性质不同,需要采用不同的策略来开发有效和高效的生物分析方法。在这里,我们提供了不同的样品制备策略,分析平台,以及实现小分子和大分子药物生物分析的高通量程序的概述。
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引用次数: 6
Transporter-mediated drug-drug interactions: advancement in models, analytical tools, and regulatory perspective. 转运蛋白介导的药物-药物相互作用:模型、分析工具和监管视角的进展。
IF 5.9 2区 医学 Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2021-08-01 Epub Date: 2021-06-02 DOI: 10.1080/03602532.2021.1928687
Aishwarya Jala, Srikanth Ponneganti, Devi Swetha Vishnubhatla, Gayathri Bhuvanam, Prithvi Raju Mekala, Bincy Varghese, Pullapanthula Radhakrishnanand, Ramu Adela, Upadhyayula Suryanarayana Murty, Roshan M Borkar

Drug-drug interactions mediated by transporters are a serious clinical concern hence a tremendous amount of work has been done on the characterization of the transporter-mediated proteins in humans and animals. The underlying mechanism for the transporter-mediated drug-drug interaction is the induction or inhibition of the transporter which is involved in the cellular uptake and efflux of drugs. Transporter of the brain, liver, kidney, and intestine are major determinants that alter the absorption, distribution, metabolism, excretion profile of drugs, and considerably influence the pharmacokinetic profile of drugs. As a consequence, transporter proteins may affect the therapeutic activity and safety of drugs. However, mounting evidence suggests that many drugs change the activity and/or expression of the transporter protein. Accordingly, evaluation of drug interaction during the drug development process is an integral part of risk assessment and regulatory requirements. Therefore, this review will highlight the clinical significance of the transporter, their role in disease, possible cause underlying the drug-drug interactions using analytical tools, and update on the regulatory requirement. The recent in-silico approaches which emphasize the advancement in the discovery of drug-drug interactions are also highlighted in this review. Besides, we discuss several endogenous biomarkers that have shown to act as substrates for many transporters, which could be potent determinants to find the drug-drug interactions mediated by transporters. Transporter-mediated drug-drug interactions are taken into consideration in the drug approval process therefore we also provided the extrapolated decision trees from in-vitro to in-vivo, which may trigger the follow-up to clinical studies.

转运蛋白介导的药物-药物相互作用是一个严重的临床问题,因此在人类和动物转运蛋白的表征方面已经做了大量的工作。转运蛋白介导的药物-药物相互作用的潜在机制是诱导或抑制转运蛋白,转运蛋白参与药物的细胞摄取和外排。脑、肝、肾和肠的转运蛋白是改变药物的吸收、分布、代谢和排泄特征的主要决定因素,并显著影响药物的药代动力学特征。因此,转运蛋白可能影响药物的治疗活性和安全性。然而,越来越多的证据表明,许多药物改变了转运蛋白的活性和/或表达。因此,药物开发过程中药物相互作用的评估是风险评估和监管要求的一个组成部分。因此,本文将利用分析工具强调转运蛋白的临床意义、它们在疾病中的作用、药物-药物相互作用的可能原因,并对监管要求进行更新。最近的计算机方法,强调在发现药物-药物相互作用的进展也强调在这一审查。此外,我们还讨论了几种内源性生物标志物,它们已被证明可以作为许多转运蛋白的底物,这可能是发现转运蛋白介导的药物-药物相互作用的有力决定因素。在药物审批过程中考虑到转运蛋白介导的药物-药物相互作用,因此我们还提供了从体外到体内的外推决策树,这可能会触发对临床研究的后续研究。
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引用次数: 4
期刊
Drug Metabolism Reviews
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