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An Effective QWBA/UHPLC-MS/Tissue Punch Approach: Solving a Pharmacokinetic Issue via Quantitative Met-ID. 一种有效的QWBA/UHPLC-MS/组织打孔方法:通过定量Met-ID解决药代动力学问题。
Pub Date : 2021-01-01 DOI: 10.2174/1872312814666210813114700
József Pánczél, Manfred Schudok, Matthias Schiell, Jens Riedel, Vilmos Kertesz

Background: Methods to provide absolute quantitation of the administered drug and corresponding metabolites in tissue in a spatially resolved manner is a challenging but much needed capability in pharmaceutical research. Quantitative Whole-Body Autoradiography (QWBA) after a single- dose intravenous (3 mg/kg) and extravascular (30 mg/kg) administrations of an in vitro metabolically stable test compound (structure not reported here) indicated quick tissue distribution and excretion.

Objective: Good bioavailability and short in vivo half-lives were determined formerly for the same test compound. For closing gaps in the understanding of pharmacokinetic data and in vitro results, radioactive hot spots on whole-body tissue sections had been profiled.

Methods: Punches from selected tissue regions containing high radioactivity in the tissue sections previously analyzed by QWBA were extracted by a highly organic solvent and analyzed without any consecutive sample preparation step, applying Ultra High Performance Liquid Chromatography- Mass Spectrometry (UHPLC-MS) and off-line radioanalysis to maximize signal levels for metabolite identification and profiling.

Results: The analysis revealed that the test compound was metabolized intensively by phase I reactions in vivo and the metabolites formed were excreted in bile and urine. The predominant metabolites showed abundant signal intensities both by MS and by radioanalysis but the MS signal intensities generally underestimated the real abundances of metabolites relative to the unchanged drug.

Conclusion: This work illustrates that maximizing the sensitivity of tissue punch radioanalysis and the combination with UHPLC-MS leads to a better insight into pharmacokinetic processes by providing quantitative data with high molecular selectivity.

背景:在组织中以空间分辨的方式提供给药药物和相应代谢物的绝对定量方法是药物研究中一个具有挑战性但又急需的能力。单剂量静脉注射(3mg /kg)和血管外注射(30mg /kg)一种体外代谢稳定的试验化合物(此处未报道结构)后,定量全身放射自显像(QWBA)显示快速组织分布和排泄。目的:测定同一试验化合物具有良好的生物利用度和较短的体内半衰期。为了缩小对药代动力学数据和体外结果的理解差距,对全身组织切片上的放射性热点进行了分析。方法:从先前QWBA分析的组织切片中选择含有高放射性的组织区域,用高有机溶剂提取,在没有任何连续的样品制备步骤的情况下进行分析,应用超高效液相色谱-质谱(UHPLC-MS)和离线放射分析,以最大限度地提高代谢物鉴定和分析的信号水平。结果:实验化合物在体内通过I相反应代谢强烈,代谢产物通过胆汁和尿液排出体外。主要代谢物在质谱和放射分析中均显示出丰富的信号强度,但相对于未改变的药物,质谱信号强度通常低估了代谢物的真实丰度。结论:本研究表明,最大限度地提高组织冲孔放射分析的灵敏度,并与UHPLC-MS结合,通过提供具有高分子选择性的定量数据,可以更好地了解药代动力学过程。
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引用次数: 1
The Catalytic Activity of GSTM1 In vitro is Independent of MAPK8. GSTM1的体外催化活性不依赖于MAPK8。
Pub Date : 2021-01-01 DOI: 10.2174/1872312814666211122164456
Shannon Robin, Khalil Ben Hassine, Simona Jurkovic Mlakar, Vid Mlakar, Marc Ansari, Chakradhara Rao S Uppugunduri

Background: Glutathione S-transferases (GSTs) are phase II metabolic enzymes crucial for the metabolism of electrophilic drugs. Additionally, several GST isoforms are involved in protein- protein interaction with mitogen-activated protein kinases (MAPKs), modulating apoptosis pathways.

Methods: To assess the potential change of enzymatic activity, we performed a GST enzyme assay with human recombinant GSTM1 in the presence and absence of MAPK8. Recently, GSTM1 has been demonstrated to interact with MAPK8 both in silico and in vitro. The binding interface predicted in silico comprised amino acid residues present on the surface of the protein and a few were deep in the active site of the protein.

Results: The experiment demonstrated that the GSTM1 activity was conserved even in the presence of MAPK8 in the assay.

Conclusion: The possible alteration in the activity of MAPK8 in this interaction needs to be evaluated in further experiments.

背景:谷胱甘肽s -转移酶(GSTs)是亲电药物代谢的关键II期代谢酶。此外,几种GST亚型参与与丝裂原活化蛋白激酶(MAPKs)的蛋白-蛋白相互作用,调节细胞凋亡途径。方法:为了评估酶活性的潜在变化,我们用人重组GSTM1在MAPK8存在和不存在的情况下进行了GST酶测定。最近,GSTM1已被证明在硅和体外与MAPK8相互作用。用硅预测的结合界面由存在于蛋白质表面的氨基酸残基组成,少数氨基酸残基位于蛋白质的活性位点深处。结果:实验表明,即使在MAPK8存在的情况下,GSTM1的活性仍保持不变。结论:在这种相互作用中,MAPK8活性的可能改变需要进一步的实验来评估。
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引用次数: 1
The Effect of Pomegranate Juice on the Expression of Some Murine UDP-Glucuronosyltransferases Genes. 石榴汁对小鼠udp -葡萄糖醛酸转移酶基因表达的影响。
Pub Date : 2021-01-01 DOI: 10.2174/1872312814999201211203314
Yacoub M Irshaid, Ruba Alani, Razan Al-Rawashdeh, Tuqa Al-Ghazawi, Hiba Hijazi, Dana Amara, Amena Hammad, Zaineh M Shahrure, Mohammad Al-Shhab

Background: Food-drug interactions may lead to suppression or induction of drug metabolizing enzymes. Pomegranate is a commonly used fruit in folk medicine all over the world. Data concerning the effect of pomegranate on the activity of UDP-glucuronosyltransferases (UGTs) is scarce.

Objective: The purpose of this work was to investigate the effect of pomegranate juice ingestion on the transcription of ugt2b1, ugt2a3, and ugt1a9 in the liver and small intestine of male mice.

Methods: Pomegranate juice was administered to 10 male mice for 14 days in drinking bottles instead of water. Ten control mice received water in the drinking bottles. On the 15th day, the mice were sacrificed and the liver and the small intestine were removed. The small intestine was divided into 3 parts. Total mRNA was extracted from samples of these specimens, and cDNA was synthesized by quantitative real-time polymerase chain reaction (RT-PCR) using specific primers for each ugt gene.

Results: The ugt1a9 mRNA level was reduced by 2.25-fold in the liver and by 6-, 1.5-, and 3-folds in the first, second and third part of the small intestine, respectively. The ugt2b1 mRNA level in the liver and the third part of the small intestine was not affected, while it was reduced by 3.7- and 3-folds in the first and second parts of the small intestine, respectively. The ugt2a3 mRNA level was not affected in the liver and the 3 parts of the small intestine.

Conclusion: Some ugt mRNA levels may be reduced by the ingestion of pomegranate juice, which may reduce the metabolism of their drug substrates. The consequences may be an accumulation of such drugs in the body and enhanced toxicity.

背景:食品-药物相互作用可能导致药物代谢酶的抑制或诱导。石榴是世界各国民间医药中常用的一种水果。关于石榴对udp -葡萄糖醛酸转移酶(UGTs)活性影响的资料很少。目的:探讨摄入石榴汁对雄性小鼠肝脏和小肠ugt1a9、ugt2b1、ugt2a3转录的影响。方法:用石榴汁代替水灌胃10只雄性小鼠,灌胃14 d。10只对照小鼠用饮水瓶喝水。第15天处死小鼠,切除肝脏和小肠。小肠分为3部分。从这些标本中提取总mRNA,利用特异引物对每个ugt基因进行实时定量聚合酶链反应(RT-PCR)合成cDNA。结果:ugt1a9 mRNA水平在肝脏中降低了2.25倍,在小肠第一、第二和第三部分分别降低了6倍、1.5倍和3倍。肝脏和小肠第三段的ugt2b1 mRNA水平未受影响,而小肠第一段和第二段的ugt2b1 mRNA水平分别降低了3.7倍和3倍。肝脏和小肠3个部位的ugt2a3 mRNA水平未受影响。结论:饮用石榴汁可降低部分ugt mRNA水平,从而降低其药物底物的代谢。其结果可能是这些药物在体内的积累和毒性的增强。
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引用次数: 1
A Short Exploration of Selected Sensitive CYP3A4 Substrates (Probe Drug). 筛选CYP3A4敏感底物(探针药物)的简短探索。
Pub Date : 2021-01-01 DOI: 10.2174/1872312814666200811110024
Sarvesh Sabarathinam, Thangavel M Vijayakumar

Background: CYP450 enzymes in the liver have a significant role in the metabolism of xenobiotics. Probe drug strategy is broadly used to evaluate the pharmacodynamic and pharmacokinetic drug/ herb-drug interactions/ food-drug interactions. Probe drugs reveal the exact pathway of drug metabolism in the liver by their targeted tractability property. The CYP3A4 isoenzyme metabolizes the majority of the drugs (65%).

Methods: The characteristics of targeted probe drugs were observed from the admetSAR (version2) online database.

Results: Midazolam is widely used as a probe drug because of its peculiar character. Midazolam affirms the accurate and consistent prediction of pharmacokinetic mediated drug interactions even in nanogram concentrations with or without a potent CYP3A inhibitor. Remarkably, midazolam is used as a CYP3A4 substrate in the majority of in vivo studies.

Conclusion: It is concluded that midazolam shows a good response in all clinical studies because of its lesser half-life and bioavailability when compared with other probe drugs.

背景:肝脏CYP450酶在外源性药物代谢中具有重要作用。探针药物策略广泛用于评估药物/草药-药物相互作用/食物-药物相互作用的药效学和药代动力学。探针药物通过其靶向性揭示了药物在肝脏中代谢的确切途径。CYP3A4同工酶代谢大部分药物(65%)。方法:从admetSAR (version2)在线数据库中观察靶向探针药物的特征。结果:咪达唑仑因其独特的性质被广泛用作探针药物。咪达唑仑证实了药物动力学介导的药物相互作用的准确和一致的预测,即使在纳克浓度下,有或没有有效的CYP3A抑制剂。值得注意的是,咪达唑仑在大多数体内研究中被用作CYP3A4底物。结论:咪达唑仑与其他探针药物相比,具有较短的半衰期和生物利用度,在所有临床研究中均表现出较好的疗效。
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引用次数: 6
Assessment of Prescribability and Switchability by Using Multiple Bioequivalence Assessment Approaches. 多种生物等效性评价方法对处方性和可切换性的评价。
Pub Date : 2021-01-01 DOI: 10.2174/1872312814666210319124659
Francis Micheal, Mohanlal Sayana, Rajendra Prasad, Balamurali M Motial

Background: In the drug development process, an assessment of bioequivalence is an integral part. For the evaluation of generics against the comparator, average bioequivalence approach is the gold standard method. In the recent past, there were many discussions on whether we have the adequate tool to evaluate generics and thereby drug interchangeability (prescribability and switchability) issue is addressed as average bioequivalence approach just considers population mean. Hence, the alternative approaches like population bioequivalence and individual bioequivalence assessment approaches arise as different variances like inter/ intra-subject variance and subject- by-formulation variance along with population mean are considered.

Objective: Methoxsalen, in combination with long-wave UVA radiation, is used in the symptomatic management certain psoriasis. The study was aimed to establish the bioequivalence (BE) of a newly developed methoxsalen capsule (MTX test) with that of a reference methoxsalen capsule (MTX reference) using multiple BE methods (i.e., average [ABE], population [PBE], and individual [IBE]) by utilizing a new LC-MS/MS method.

Methods: This is an open-label, randomized, balanced, two-treatment, three-period, three-sequence, crossover, single-dose (20 mg, 2 × 10 mg capsules), comparative, oral BE study conducted in 52 healthy, adult males under fasting conditions. Along with various pharmacokinetic (PK) parameters ABE, PBE, and IBE were also determined in the single study.

Results: A non-compartmental model best described the concentration-time data of both MTX test and reference. Both the formulations demonstrated nearly similar values of BE parameters (i.e., AUCo-t, AUC0-∞, Cmax, Tmax, and t1/2). For MTX test, the observed Cmax, AUC0-t, and AUC0- ∞ were 125.16±81.53 ng/mL, 313.73±260.86 ng h/mL, and 321.25±271.85 ng h/mL, respectively. For MTX reference, the values were 127.63±71.60 ng/mL, 329.11±252.91 ng h/mL, and 335.48±264.54 ng h/mL, respectively. The bioanalytical method was validated over the concentration range 0.100-100.00ng/mL and the coefficient of determination (r2) was ≥ 0.9991. The sensitivity of the method was 0.100 ng/mL with the accuracy and precision values of 115% and 10.54%, respectively.

Conclusion: A single dose of MTX test met the ABE criteria of 80.00% -125.00% for Cmax, AUCo- t, and AUC0-∞, against MTX reference. The study outcome by PBE and IBE approaches proved that MTX Test was bio-inequivalent to MTX reference. Using multiple BE assessment methods in a single BE study is a novel approach and may overcome shortcomings of conventional bioequivalence assessment methods.

背景:在药物开发过程中,生物等效性评价是一个不可缺少的环节。对于仿制药与比较物的评价,平均生物等效性方法是金标准方法。在最近的过去,有很多关于我们是否有足够的工具来评估仿制药,从而解决药物互换性(处方性和可切换性)问题的讨论,因为平均生物等效性方法只考虑人口平均值。因此,考虑到不同的方差,如受试者间/受试者内部方差和受试者配方方差以及种群均值,出现了诸如群体生物等效性和个体生物等效性评估方法等替代方法。目的:探讨甲氧沙伦联合长波UVA辐射治疗银屑病的临床疗效。本研究采用新的LC-MS/MS方法,采用平均[ABE]、群体[PBE]、个体[IBE]等多种生物等效性方法,建立新研制的甲氧沙林胶囊(MTX试验)与对照甲氧沙林胶囊(MTX参比)的生物等效性(BE)。方法:这是一项开放标签、随机、平衡、两治疗、三期、三顺序、交叉、单剂量(20mg, 2 × 10mg胶囊)、比较、口服BE的研究,在52名健康成年男性禁食条件下进行。在单次研究中测定了ABE、PBE和IBE以及各种药代动力学参数。结果:一种非区室模型最能描述MTX试验和参比的浓度-时间数据。两种公式的BE参数值(即AUCo-t、AUC0-∞、Cmax、Tmax和t1/2)几乎相似。MTX试验Cmax、AUC0-t和AUC0-∞分别为125.16±81.53 ng/mL、313.73±260.86 ng h/mL和321.25±271.85 ng h/mL。MTX参考值分别为127.63±71.60 ng/mL、329.11±252.91 ng h/mL和335.48±264.54 ng h/mL。该方法在0.100 ~ 100.00ng/mL浓度范围内有效,测定系数(r2)≥0.9991。该方法灵敏度为0.100 ng/mL,准确度和精密度分别为115%和10.54%。结论:单剂量MTX试验Cmax、AUCo- t和AUC0-∞符合ABE标准,与MTX对照为80.00% ~ 125.00%。PBE和IBE方法的研究结果证明MTX Test与MTX参比具有生物不等效性。在单一的生物等效性研究中使用多种生物等效性评估方法是一种新颖的方法,可以克服传统生物等效性评估方法的不足。
{"title":"Assessment of Prescribability and Switchability by Using Multiple Bioequivalence Assessment Approaches.","authors":"Francis Micheal,&nbsp;Mohanlal Sayana,&nbsp;Rajendra Prasad,&nbsp;Balamurali M Motial","doi":"10.2174/1872312814666210319124659","DOIUrl":"https://doi.org/10.2174/1872312814666210319124659","url":null,"abstract":"<p><strong>Background: </strong>In the drug development process, an assessment of bioequivalence is an integral part. For the evaluation of generics against the comparator, average bioequivalence approach is the gold standard method. In the recent past, there were many discussions on whether we have the adequate tool to evaluate generics and thereby drug interchangeability (prescribability and switchability) issue is addressed as average bioequivalence approach just considers population mean. Hence, the alternative approaches like population bioequivalence and individual bioequivalence assessment approaches arise as different variances like inter/ intra-subject variance and subject- by-formulation variance along with population mean are considered.</p><p><strong>Objective: </strong>Methoxsalen, in combination with long-wave UVA radiation, is used in the symptomatic management certain psoriasis. The study was aimed to establish the bioequivalence (BE) of a newly developed methoxsalen capsule (MTX test) with that of a reference methoxsalen capsule (MTX reference) using multiple BE methods (i.e., average [ABE], population [PBE], and individual [IBE]) by utilizing a new LC-MS/MS method.</p><p><strong>Methods: </strong>This is an open-label, randomized, balanced, two-treatment, three-period, three-sequence, crossover, single-dose (20 mg, 2 × 10 mg capsules), comparative, oral BE study conducted in 52 healthy, adult males under fasting conditions. Along with various pharmacokinetic (PK) parameters ABE, PBE, and IBE were also determined in the single study.</p><p><strong>Results: </strong>A non-compartmental model best described the concentration-time data of both MTX test and reference. Both the formulations demonstrated nearly similar values of BE parameters (i.e., AUCo-t, AUC0-∞, Cmax, Tmax, and t<sup>1/2</sup>). For MTX test, the observed Cmax, AUC0-t, and AUC0- ∞ were 125.16±81.53 ng/mL, 313.73±260.86 ng h/mL, and 321.25±271.85 ng h/mL, respectively. For MTX reference, the values were 127.63±71.60 ng/mL, 329.11±252.91 ng h/mL, and 335.48±264.54 ng h/mL, respectively. The bioanalytical method was validated over the concentration range 0.100-100.00ng/mL and the coefficient of determination (r2) was ≥ 0.9991. The sensitivity of the method was 0.100 ng/mL with the accuracy and precision values of 115% and 10.54%, respectively.</p><p><strong>Conclusion: </strong>A single dose of MTX test met the ABE criteria of 80.00% -125.00% for Cmax, AUCo- t, and AUC0-∞, against MTX reference. The study outcome by PBE and IBE approaches proved that MTX Test was bio-inequivalent to MTX reference. Using multiple BE assessment methods in a single BE study is a novel approach and may overcome shortcomings of conventional bioequivalence assessment methods.</p>","PeriodicalId":11339,"journal":{"name":"Drug metabolism letters","volume":"14 2","pages":"141-151"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25499776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis between Linagliptin and Azithromycin: In vitro and In vivo Interaction Study. 利格列汀与阿奇霉素的体内外相互作用分析。
Pub Date : 2021-01-01 DOI: 10.2174/1872312814666210910123056
Md Didaruzzaman Sohel, Faisal Asif, Tonmoy Kumar Mondal, Md Helal Uddin Sumon, Md Hassan Kawsar
BACKGROUNDLinagliptin is prescribed as a dipeptidyl peptidase-4 (DPP-4) inhibitor. Azithromycin is specified as an antibiotic that binds with 23s rRNA of the 50s ribosomal subunit obstructing the microbial protein synthesis. Our study focuses on the drug-drug interactions of these drugs.OBJECTIVEThe purpose of the study is to understand the bioavailability and physicochemical approaches of Linagliptin and Azithromycin interaction mediated through the strength and nature of the complexation.METHODSThe assessment drug interaction applying Ultraviolet-visible spectroscopy (UV/VIS), Ultra-Performance Liquid Chromatography (UPLC), Fourier transform infrared spectroscopy (FT-IR), and Differential scanning calorimetry (DSC) for In Vitro assessment. Also, Oral Glucose Tolerance Test (OGTT) in a mice model for In Vivo.RESULTSThe mild variation observed at different pH at a specific temperature on Job's and Ardon's equation. On UPLC, the drug mixture is 2013793 and 54631 on 50 mg/l. The height of the drug mixture 579234 and 11442, respectively. The Azithromycin, the wavelength of 731.02 cm-1, 993.34 cm-1, 1379.10 cm-1, and 1718.58 cm-1 diminish from the mixture. Also, from Linagliptin, the wavelength of 1363.67 cm-1, 1473.62 cm-1, 1718.58 cm-1 declines from the drug mixture. The melting endotherm at 125.55°C of melting normalized energy of -3.0 W/mg and 225.75°C with melting normalized energy of -5.5 W/mg of the drug mixture on DSC. In the OGTT test, the blood glucose level decrease Linagliptin and the drug mixture at (13.58 %) and (57.25%).CONCLUSIONHence, the concomitant administration of Linagliptin and Azithromycin at a time might reduce the therapeutic effect of the formation of complexation.
背景:利格列汀是一种二肽基肽酶-4 (DPP-4)抑制剂。阿奇霉素被指定为一种与第50核糖体亚基的23s rRNA结合,阻碍微生物蛋白合成的抗生素。我们的研究重点是这些药物的药物相互作用。目的:了解利格列汀与阿奇霉素通过络合的强度和性质介导的相互作用的生物利用度和理化途径。方法:采用紫外/可见光谱(UV/VIS)、超高效液相色谱(UPLC)、傅里叶变换红外光谱(FT-IR)和差示扫描量热法(DSC)进行体外相互作用评价,采用口服葡萄糖耐量试验(OGTT)对小鼠模型进行体内相互作用评价。结果:根据Job’s和Ardon’s方程,在特定温度下,不同pH值下的相互作用有轻微变化。在UPLC中,药物混合评价显示利格列汀在50 mg/l时的面积为2013793,阿奇霉素的面积为54631。利格列汀的高度为579234,阿奇霉素的高度为11442。阿奇霉素的波长分别为731.02 cm-1、993.34 cm-1、1379.10 cm-1和1718.58 cm-1。利格列汀的1363.67 cm-1、1473.62 cm-1和1718.58 cm-1的波长也减少。DSC显示,药物混合物的熔化恒温温度为125.55℃,熔化归一化能为-3.0 W/mg,熔化归一化能为-5.5 W/mg的温度为225.75℃。在OGTT试验中,利格列汀的血糖水平分别降低了13.58%和57.25%。结论:利格列汀与阿奇霉素合用可能会降低药物复合物的疗效。
{"title":"Analysis between Linagliptin and Azithromycin: <i>In vitro</i> and <i>In vivo</i> Interaction Study.","authors":"Md Didaruzzaman Sohel,&nbsp;Faisal Asif,&nbsp;Tonmoy Kumar Mondal,&nbsp;Md Helal Uddin Sumon,&nbsp;Md Hassan Kawsar","doi":"10.2174/1872312814666210910123056","DOIUrl":"https://doi.org/10.2174/1872312814666210910123056","url":null,"abstract":"BACKGROUND\u0000Linagliptin is prescribed as a dipeptidyl peptidase-4 (DPP-4) inhibitor. Azithromycin is specified as an antibiotic that binds with 23s rRNA of the 50s ribosomal subunit obstructing the microbial protein synthesis. Our study focuses on the drug-drug interactions of these drugs.\u0000\u0000\u0000OBJECTIVE\u0000The purpose of the study is to understand the bioavailability and physicochemical approaches of Linagliptin and Azithromycin interaction mediated through the strength and nature of the complexation.\u0000\u0000\u0000METHODS\u0000The assessment drug interaction applying Ultraviolet-visible spectroscopy (UV/VIS), Ultra-Performance Liquid Chromatography (UPLC), Fourier transform infrared spectroscopy (FT-IR), and Differential scanning calorimetry (DSC) for In Vitro assessment. Also, Oral Glucose Tolerance Test (OGTT) in a mice model for In Vivo.\u0000\u0000\u0000RESULTS\u0000The mild variation observed at different pH at a specific temperature on Job's and Ardon's equation. On UPLC, the drug mixture is 2013793 and 54631 on 50 mg/l. The height of the drug mixture 579234 and 11442, respectively. The Azithromycin, the wavelength of 731.02 cm-1, 993.34 cm-1, 1379.10 cm-1, and 1718.58 cm-1 diminish from the mixture. Also, from Linagliptin, the wavelength of 1363.67 cm-1, 1473.62 cm-1, 1718.58 cm-1 declines from the drug mixture. The melting endotherm at 125.55°C of melting normalized energy of -3.0 W/mg and 225.75°C with melting normalized energy of -5.5 W/mg of the drug mixture on DSC. In the OGTT test, the blood glucose level decrease Linagliptin and the drug mixture at (13.58 %) and (57.25%).\u0000\u0000\u0000CONCLUSION\u0000Hence, the concomitant administration of Linagliptin and Azithromycin at a time might reduce the therapeutic effect of the formation of complexation.","PeriodicalId":11339,"journal":{"name":"Drug metabolism letters","volume":"14 3","pages":"193-205"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39429771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Micronutrient Deficiency in Pulmonary Tuberculosis - Perspective on Hepatic Drug Metabolism and Pharmacokinetic Variability of First-line Anti- Tuberculosis Drugs: Special Reference to Fat-soluble Vitamins A, D, & E and Nutri-epigenetics. 肺结核患者微量营养素缺乏——从肝脏药物代谢和一线抗结核药物的药动学变异性看:脂溶性维生素A、D、E和营养表观遗传学。
Pub Date : 2021-01-01 DOI: 10.2174/1872312814999211130093625
Shanmugam Murugaiha Jeyakumar

The liver plays a crucial role in endogenous metabolic activity and homeostasis of macro and micronutrients. Further, it acts as a metabolic hub in mammals, where the ingested food-derived nutrients and xenobiotics or drugs are metabolized for utilization and/or excretion through its enzymatic and non-enzymatic machinery. Nutritional deficiency, one of the major public health problems, is associated with global disease burden, including pulmonary tuberculosis (PTB) caused by Mycobacterium tuberculosis (Mtb) infection. Though it is a curable and preventable infectious disease, millions of people succumb to death, and people in numbers larger than this are still suffering. This scenario is further complicated by the addition of new cases, disease recurrence, and the emergence of drug-resistant, all of which contribute to the spread of this epidemic. Though the manifestation of TB disease has multiple aetiologies, poor nutritional status and sub-optimal therapeutic concentrations of first-line anti-TB drugs are considered as potential contributors to its widespread prevalence. Among various factors, the pharmacokinetic variability of anti-TB drugs is one of the main causes for sub-optimal therapeutic drug concentration in TB patients, which is influenced by the host's genetic make-up and nutritional status, besides several others. However, the role of epigenetic changes in hepatic drug metabolic pathways and their transcript levels is largely unexplored. Therefore, in this review, an attempt has been made to understand the role of micronutrient deficiencies with special reference to fat-soluble vitamins, namely vitamin A, D, & E in pulmonary TB, their possible impact on epigenetic changes on the drug-metabolizing pathway genes, thus their expression levels and plausible influence on pharmacokinetic variability of anti-TB drugs, besides discussing the limitations and emerging potential opportunities. Eventually, this would help in developing the host-directed/personalized therapeutic strategies for the elimination of pulmonary tuberculosis (PTB).

肝脏在内源性代谢活动和宏量和微量营养素的体内平衡中起着至关重要的作用。此外,它还作为哺乳动物的代谢中枢,通过其酶和非酶机制,将摄入的食物来源的营养物质和异种生物或药物代谢利用和/或排泄。营养缺乏是主要的公共卫生问题之一,与全球疾病负担有关,包括由结核分枝杆菌感染引起的肺结核(PTB)。虽然这是一种可治愈和可预防的传染病,但仍有数百万人死于疾病,还有更多的人仍在受苦。由于新病例的增加、疾病复发和耐药性的出现,这种情况进一步复杂化,所有这些都有助于这种流行病的蔓延。虽然结核病的表现有多种病因,但营养状况不佳和一线抗结核药物治疗浓度不理想被认为是其广泛流行的潜在原因。在众多因素中,抗结核药物的药代动力学变异性是导致结核病患者治疗药物浓度不理想的主要原因之一,而抗结核药物的药代动力学变异性受宿主基因组成和营养状况等因素的影响。然而,表观遗传变化在肝脏药物代谢途径及其转录水平中的作用在很大程度上尚未被探索。因此,本文试图了解微量营养素缺乏在肺结核中的作用,特别是脂溶性维生素,即维生素A、D和E,它们可能对药物代谢途径基因的表观遗传变化产生的影响,从而影响它们的表达水平和对抗结核药物的药代动力学变异性的可能影响,并讨论其局限性和潜在的机会。最终,这将有助于开发以宿主为导向/个性化的治疗策略来消除肺结核(PTB)。
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引用次数: 2
The effects of special patient population plasma on pharmacokinetic quantifications using LC-MS/MS. 特殊患者血浆对LC-MS/MS定量药代动力学的影响。
Pub Date : 2020-01-15 DOI: 10.2174/1872312813666191015162634
Dongmei Zhou, Lifang Sun, M. Nguyen, L. Yeh, David M. Wilson
BACKGROUNDClinical development of lesinurad, a selective uric acid reabsorption inhibitor, required analysis of lesinurad in plasma from special patient populations. EMA and FDA bioanalytical method validation guidance have recommended studying matrix effects on quantitation if samples from special patient populations are to be analyzed. In addition to lesinurad (plasma protein binding 98.2%), the matrix effects from special population plasma on the quantitation of verapamil (PPB 89.6%), allopurinol and oxypurinol (PPB negligible) were also investigated.RESULTSThe plasma from special population patients had no matrix effects on the three quantification methods with stable isotope labeled internal standard, protein precipitation extraction, and LC-MS/MS detection. The validated lesinurad plasma quantification method was successfully applied for the pharmacokinetic evaluations to support the clinical studies in renal impaired patients.CONCLUSIONSSpecial population plasma did not affect quantitation of drugs with a wide range of plasma protein binding levels in human plasma. With the confirmation that there is no impact on quantification from the matrix, the bioanalytical method can be used to support the pharmacokinetic evaluations for clinical studies in special populations.
lesinurad是一种选择性尿酸重吸收抑制剂,临床开发需要分析特殊患者人群血浆中的lesinurad。EMA和FDA生物分析方法验证指南建议,如果要分析来自特殊患者群体的样品,则应研究基质对定量的影响。除了lesinurad(血浆蛋白结合98.2%)外,还研究了特殊人群血浆基质对维拉帕米(PPB 89.6%)、别嘌呤醇和氧嘌呤醇(PPB可忽略)定量的影响。结果特殊人群血浆在稳定同位素标记内标法、蛋白质沉淀萃取法和LC-MS/MS法3种定量方法上均无基质效应。验证的lesinurad血浆定量方法成功应用于肾损害患者的药代动力学评价,为临床研究提供支持。结论特殊人群血浆不影响药物的定量,人血浆中血浆蛋白结合水平范围广。在确认基质对定量没有影响后,生物分析方法可用于支持特殊人群临床研究的药代动力学评价。
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引用次数: 0
Prominence of oxidative stress in the management of Anti-tuberculosis drugs related hepatotoxicity. 氧化应激在抗结核药物相关肝毒性管理中的突出作用。
Pub Date : 2020-01-15 DOI: 10.2174/1872312813666190716155930
P. John, P. Kale
Advanced medical services and treatments are available for treating Tuberculosis, whose prevalence has increased in recent times. However, the continuous consumption of related drugs is also known for inducing hepatotoxicity which is a critical condition and cannot be overlooked. The present review article has focused on the pathways causing these toxicities and also the role of enzyme CYP2E1 and hepatic glutathione as possible targets which would help inhibit the ongoing adverse effect of hepatotoxicity.
结核病的流行率近年来有所上升,可获得先进的医疗服务和治疗方法。然而,持续服用相关药物也会导致肝毒性,这是一种不容忽视的危急情况。本文综述了引起这些毒性的途径,以及CYP2E1酶和肝谷胱甘肽作为可能靶点的作用,这些靶点有助于抑制肝毒性的持续不良反应。
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引用次数: 3
Meet Our Editorial Board Member 会见我们的编辑委员会成员
Pub Date : 2020-01-15 DOI: 10.2174/187231281302200115143055
Bo Wen
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引用次数: 0
期刊
Drug metabolism letters
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