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Pharmacokinetics, mass balance and metabolism of [14C] ADC189, a novel inhibitor of the polymerase acidic protein, in humans 新型聚合酶酸性蛋白抑制剂[14C] ADC189在人体内的药代动力学、质量平衡和代谢
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-01 Epub Date: 2026-01-13 DOI: 10.1016/j.ejps.2026.107444
Zeming Wang , Jiaxiang Ding , Yuanyuan Xu , Wang Hu , Tonghao Zhang , Huiwen Wang , Lu-Ning Sun , Huan Zhou

Objectives

To explore the metabolic mechanism, pharmacokinetic characteristics, and clearance pathways of ADC189 in vivo.

Methods

In this study, which used a single-center, open, nonrandomized, single-dose trial design.

Results

[14C] ADC189 is rapidly absorbed in humans and undergoes O-dealkylation to form [14C] ADC189-I07 (M485b). The metabolite M485b has been reported to exhibit Tmax was 3.51 h, Cmax was 57.5 ng/mL, and AUC0-∞ was 2647 h·ng/mL. In plasma and blood, the mean Cmax values for radioactivity were 152 and 119 ng eq./mL, respectively, the mean AUC0-∞ values were 7373 and 1011 ng eq./mL·h, respectively, the mean Tmax values were 3373 and 1011 ng eq./mL·h, respectively, the mean Tmax values were 3.03 and 3.15 h, and the mean t1/2 values were 40.4 and 11.6 h, respectively. Based on the results of the metabolite profile, and metabolite structure analyses of the urine and fecal samples, it was hypothesized that the main clearance pathways of ADC189 in the human body after a single dose of the drug are as follows: the prodrug ADC189 is metabolized and excreted via several pathways: it can be O-dealkylated to form M485b (excreted in feces and urine), glucuronidated to form M661 (excreted in urine), oxidized to form M501a/b (excreted in feces and urine), or deoxygenated to form M457 (excreted in feces).

Conclusion

The results of this study collectively indicate that [14C]ADC189 does not significantly bind to blood cells, and its primary excretion route is fecal excretion, while urinary excretion is a secondary route.
目的探讨ADC189的体内代谢机制、药动学特征及清除途径。方法本研究采用单中心、开放、非随机、单剂量试验设计。结果[14C] ADC189在人体内被快速吸收,并发生o脱烷基反应形成[14C] ADC189- i07 (M485b)。据报道,代谢产物M485b的Tmax为3.51 h, Cmax为57.5 ng/mL, AUC0-∞为2647 h·ng/mL。血浆和血液中放射性的Cmax平均值分别为152和119 ng当量/mL, AUC0-∞平均值分别为7373和1011 ng当量/mL·h, Tmax平均值分别为3373和1011 ng当量/mL·h, Tmax平均值分别为3.03和3.15 h, t1/2平均值分别为40.4和11.6 h。根据代谢物谱的结果,以及尿液和粪便样本的代谢物结构分析,我们假设单次给药后ADC189在人体内的主要清除途径如下:前药ADC189通过几种途径被代谢和排泄:它可以o脱烷基形成M485b(通过粪便和尿液排出),葡萄糖醛酸化形成M661(通过尿液排出),氧化形成M501a/b(通过粪便和尿液排出),或脱氧形成M457(通过粪便排出)。结论本研究结果共同提示[14C]ADC189与血细胞结合不明显,其主要排泄途径为粪便排泄,尿液排泄为次要途径。
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引用次数: 0
Novel porphyrin photosensitizer LD4-PDT alleviates asthma airway remodeling by inhibiting EGR1-dependent TGF-β1/Smad signaling 新型卟啉光敏剂LD4-PDT通过抑制egr1依赖性TGF-β1/Smad信号通路缓解哮喘气道重构
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-01 Epub Date: 2026-01-07 DOI: 10.1016/j.ejps.2026.107431
Zhuo Tao , Hongzhi Yu , Bin Xu , Xueming Wang , Junping Wu , Ying Wen , Tianjun Liu
Asthma, a common chronic inflammatory airway disease, affects 300 million people globally. Pathologically, it features Th2/Th17-driven airway inflammation and remodeling, which worsens disease and impairs lung function. Current therapies alleviate symptoms but cannot prevent irreversible airway structural changes, highlighting the need for targeted treatments. The TGF-β1/Smad axis is pivotal for epithelial‒mesenchymal transition (EMT) and airway fibrosis‒key features of asthmatic remodeling. This study aimed to explore the interaction between the TGF-β1/Smad pathway and EGR1 and evaluate the effect of LD4-based photodynamic therapy (LD4-PDT) as a potential anti-inflammatory agent on asthma by evaluating inflammatory cell infiltration, nitrosative and oxidative stress markers, and EMT-related substances in a rat model of asthma. Primarily, we evaluated the efficacy of LD4-PDT in ovalbumin (OVA)-induced asthmatic rats. Assessments included pulmonary function (FVC, MMF), airway histopathology, oxidative stress markers, and EMT-related proteins (TGF-β1, Smad, MMP-9). Transcriptomics identified key targets, molecular docking verified binding, and TGF-β1-stimulated BEAS-2B/16HBE cells validated mechanisms in vitro. LD4-PDT exerted dose-dependent effects: improved lung function (increased FVC/MMF), reduced inflammation (lower IgE/TNF-α), and attenuated remodeling (decreased collagen deposition and PAS+ cells). Mechanistically, it suppressed EMT by inhibiting EGR1-dependent TGF-β1/Smad signaling and modulating arachidonic acid metabolism. Transcriptomics confirmed EGR1 as a critical mediator, and molecular docking showed strong LD4-EGR1 binding—providing a molecular basis for LD4-PDT’s effects. LD4-PDT effectively targets EGR1-driven EMT, inflammation, and metabolic dysregulation, emerging as a novel therapeutic strategy for asthma.
哮喘是一种常见的慢性炎症性气道疾病,影响着全球3亿人。病理上,它以Th2/ th17驱动的气道炎症和重塑为特征,这使疾病恶化并损害肺功能。目前的治疗方法可以缓解症状,但不能防止不可逆的气道结构改变,因此需要有针对性的治疗。TGF-β1/Smad轴对上皮-间质转化(EMT)和气道纤维化至关重要,这是哮喘重塑的关键特征。本研究旨在通过评估哮喘大鼠模型中的炎症细胞浸润、亚硝酸盐和氧化应激标志物以及emt相关物质,探讨TGF-β1/Smad通路与EGR1的相互作用,并评价LD4-PDT作为一种潜在的抗炎药对哮喘的作用。首先,我们评估了LD4-PDT对卵清蛋白(OVA)诱导的哮喘大鼠的疗效。评估包括肺功能(FVC、MMF)、气道组织病理学、氧化应激标志物和emt相关蛋白(TGF-β1、Smad、MMP-9)。转录组学鉴定关键靶点,分子对接验证结合,TGF-β1刺激BEAS-2B/16HBE细胞体外机制验证。LD4-PDT发挥剂量依赖效应:改善肺功能(增加FVC/MMF),减轻炎症(降低IgE/TNF-α),减轻重塑(减少胶原沉积和PAS+细胞)。在机制上,它通过抑制egr1依赖性TGF-β1/Smad信号传导和调节花生四烯酸代谢来抑制EMT。转录组学证实了EGR1是关键的介质,分子对接显示了LD4-EGR1的强结合,为LD4-PDT的作用提供了分子基础。LD4-PDT有效靶向egr1驱动的EMT、炎症和代谢失调,成为治疗哮喘的新策略。
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引用次数: 0
Thermosensitive in situ gels for ocular drug delivery: Advances in polymer-based formulations 用于眼部给药的热敏原位凝胶:聚合物基配方的进展。
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-01 Epub Date: 2026-01-08 DOI: 10.1016/j.ejps.2026.107439
Raghad Alsheikh , Dániel Nemes , Pálma Fehér , Zoltán Ujhelyi , Ádám Haimhoffer , Ádám Papp , Ildikó Bácskay
Ocular drug delivery presents significant challenges due to the unique anatomical and physiological barriers of the human eye, with the rapid precorneal elimination, limiting the bioavailability of conventional eye drops. Thermosensitive in situ gels have emerged as a promising delivery system to overcome these limitations by undergoing a reversible sol-to-gel transition upon contact with ocular surface temperature, which facilitates ease of administration as a liquid and subsequent transformation into a gel, thereby enhancing precorneal residence time, prolonging the drug release, and improving therapeutic efficacy. This review provides a comprehensive overview of thermos-responsive polymer-based ocular delivery systems, with a specific focus on poloxamers, poly(N-isopropylacrylamide), and cellulose derivatives. Particular attention is given to the physicochemical mechanisms of thermogelation, such as poloxamer micellization and micelle packing, as well as the role of auxiliary polymers in enhancing mucoadhesion, mechanical strength, and gel retention. Additionally, the review synthesizes findings from multiple experimental studies to highlight the critical formulation parameters essential for developing effective in situ gels, including sol–gel transition temperature and time, clarity, rheological behavior, gelling capacity, isotonicity, and ocular biocompatibility. By selecting an optimized thermosensitive in situ gel formulation with suitable characteristics, it becomes possible to develop effective delivery systems targeting both the anterior and posterior segments of the eye.
由于人眼独特的解剖和生理屏障,角膜前快速消除限制了传统滴眼液的生物利用度,眼部给药面临重大挑战。热敏原位凝胶作为一种很有前途的递送系统已经出现,通过在接触眼表温度时经历可逆的溶胶到凝胶的转变来克服这些限制,这有利于以液体形式给药和随后转化为凝胶,从而延长角膜前停留时间,延长药物释放,提高治疗效果。这篇综述提供了热响应聚合物为基础的眼部传递系统的全面概述,特别关注poloxamers,聚(n -异丙基丙烯酰胺)和纤维素衍生物。特别关注热凝胶化的物理化学机制,如波洛沙姆胶束化和胶束堆积,以及辅助聚合物在增强黏附、机械强度和凝胶保留方面的作用。此外,本文综合了多项实验研究的结果,强调了开发有效原位凝胶所需的关键配方参数,包括溶胶-凝胶转变温度和时间、透明度、流变行为、胶凝能力、等渗性和眼生物相容性。通过选择具有合适特性的优化热敏原位凝胶配方,可以开发针对眼睛前段和后段的有效递送系统。
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引用次数: 0
Safety, tolerability, pharmacokinetics, pharmacodynamics, and immunogenicity of a novel anti-TSLP bispecific antibody (GR2002) in healthy Chinese adults: A randomized, placebo-controlled phase 1 trial 一种新型抗tslp双特异性抗体(GR2002)在中国健康成人中的安全性、耐受性、药代动力学、药效学和免疫原性:一项随机、安慰剂对照的1期试验
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-01 Epub Date: 2026-01-08 DOI: 10.1016/j.ejps.2026.107432
Rui Ding , Fan Huang , Ziyan Ding , Yanting Li , Qun Gu , Fang Men , Chongyou Lee , Jiaojiao Zhang , Wenyan Zhao , Qian Wang , Yian Liu , Shuang Li , Qingshan Zheng , Haifeng Song , Liming Chen , Wei Wang , Suping Niu , Yi Fang

Background

GR2002 is a novel bispecific antibody targeting dual epitopes on thymic stromal lymphopoietin (TSLP). We aimed to assess the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and immunogenicity of GR2002 in healthy Chinese adults.

Methods

In this randomized, double-blind, placebo-controlled, dose-escalation, phase 1 trial of GR2002, healthy adults were enrolled and assigned to one of five dose cohorts. Within each cohort, participants were randomized (4:1) to receive a single subcutaneous dose of GR2002 (35, 70, 140, 280, or 420 mg) or placebo and were followed for 85 days. The primary endpoints included safety and tolerability. Secondary endpoints comprised PK, PD, and immunogenicity.

Results

Fifty eligible subjects were enrolled and randomized to receive either GR2002 (n = 40) or placebo (n = 10). A total of 92 treatment-emergent adverse events (TEAEs) were reported, with comparable incidence between the GR2002 and placebo groups. TEAEs were generally mild to moderate in severity and did not exhibit dose dependency. The most common treatment-related adverse event was upper respiratory tract infection, occurring in 7/40 (17.5%) participants in the GR2002 group and 2/10 (20%) in the placebo group. GR2002 displayed linear PK across the dose range tested, with a mean half-life ranging from 26.0 to 58.9 days. Dose-dependent reductions in serum TSLP levels from baseline were observed in the 140–420 mg dose groups. Anti-drug antibodies were detected in six subjects (15%) following GR2002 administration.

Conclusions

Single-dose subcutaneous administration of GR2002 demonstrated favorable safety and tolerability, linear PK, and low immunogenicity. These findings warrant the subsequent clinical development of GR2002.
背景:GR2002是一种针对胸腺基质淋巴生成素(TSLP)双表位的新型双特异性抗体。我们旨在评估GR2002在中国健康成人中的安全性、耐受性、药代动力学(PK)、药效学(PD)和免疫原性。方法:在这项随机、双盲、安慰剂对照、剂量递增的GR2002一期试验中,招募了健康成人,并将其分配到五个剂量队列中的一个。在每个队列中,参与者随机(4:1)接受单次皮下剂量GR2002(35、70、140、280或420 mg)或安慰剂,随访85天。主要终点包括安全性和耐受性。次要终点包括PK、PD和免疫原性。结果:50名符合条件的受试者入组并随机接受GR2002 (n=40)或安慰剂(n=10)。总共报告了92例治疗中出现的不良事件(teae), GR2002组和安慰剂组的发生率相当。teae的严重程度一般为轻至中度,不表现出剂量依赖性。最常见的治疗相关不良事件是上呼吸道感染,在GR2002组中有7/40(17.5%)的参与者发生,在安慰剂组中有2/10(20%)的参与者发生。GR2002在测试的剂量范围内显示线性PK,平均半衰期为26.0至58.9天。140-420 mg剂量组血清TSLP水平较基线呈剂量依赖性降低。使用GR2002后,6例(15%)检测到抗药物抗体。结论:GR2002单次皮下给药具有良好的安全性和耐受性,线性PK和低免疫原性。这些发现为后续的STSA-1002临床开发提供了依据。
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引用次数: 0
Design and evaluation of dual-functional aptamer-peptide conjugates as a platform for targeted cancer therapy 双功能适配体-肽偶联物作为靶向癌症治疗平台的设计与评价。
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-01 Epub Date: 2026-01-06 DOI: 10.1016/j.ejps.2026.107428
Simona Marzano , Maria Grazia Ferraro , Nicola Grasso , Rossella Buono , Valentina Arciuolo , Federica Iazzetti , Marialuisa Piccolo , Assunta Passarelli , Federica D’Aria , Francesco Merlino , Paolo Grieco , Antonio Randazzo , Bruno Pagano , Carlo Irace , Jussara Amato
AS1411 is a G-rich DNA aptamer that exhibits intrinsic antitumor activity through selective binding to nucleolin, a protein overexpressed in many cancers. Beyond its cytotoxic effects, AS1411 can also serve as an effective targeting ligand for the delivery of therapeutics with poor cellular uptake, including peptide-based drugs. One such candidate is the pro-apoptotic peptide KLA, which selectively disrupts mitochondrial membranes and induces apoptosis upon internalization. In this study, AS1411-KLA conjugates were designed and synthesized using strain-promoted azide-alkyne cycloaddition chemistry, incorporating protease-cleavable peptide linkers to enable intracellular release of both the aptamer and peptide as independent active units. Circular dichroism analysis showed that, in all constructs, the AS1411 domain preserved the characteristic G-quadruplex structural features, while surface plasmon resonance experiments revealed that all conjugates retained nucleolin binding. The biological activity of the conjugates was evaluated in MCF-7 breast cancer cells and in non-tumorigenic MCF-10A cells, and compared with that of the individual aptamer and peptide. One conjugate displayed an enhanced antiproliferative effect compared to the unconjugated components, underscoring the therapeutic potential of this modular design. Overall, this work demonstrates the potential of aptamer-peptide conjugates as a promising strategy for next-generation targeted cancer therapeutics, combining targeted delivery with synergistic therapeutic effects.
AS1411是一种富含g的DNA适体,通过选择性结合核蛋白(一种在许多癌症中过度表达的蛋白质),显示出内在的抗肿瘤活性。除了其细胞毒性作用外,AS1411还可以作为一种有效的靶向配体,用于递送细胞摄取不良的治疗药物,包括基于肽的药物。其中一个候选是促凋亡肽KLA,它选择性地破坏线粒体膜并在内化后诱导细胞凋亡。本研究采用菌株促进叠氮-炔环加成化学方法设计并合成AS1411-KLA偶联物,结合蛋白酶可切割肽连接物,使适体和肽作为独立的活性单元在细胞内释放。圆二色性分析表明,在所有构建体中,AS1411结构域都保留了典型的g -四重体结构特征,而表面等离子体共振实验显示,所有共轭物都保留了核蛋白结合。结合物在MCF-7乳腺癌细胞和非致瘤性MCF-10A细胞中的生物活性进行了评估,并与单个适配体和肽的生物活性进行了比较。与未偶联的组分相比,一种偶联物显示出增强的抗增殖作用,强调了这种模块化设计的治疗潜力。总的来说,这项工作证明了适体-肽缀合物作为下一代靶向癌症治疗的一种有前途的策略,结合靶向递送和协同治疗效果。
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引用次数: 0
Revealing the Morphology of Small Multilamellar Lipid Nanoparticles (SMLPs) made by In-Vial Homogenization 揭示瓶内均质法制备的小多层脂质纳米颗粒(SMLPs)的形态
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-03-01 Epub Date: 2026-01-26 DOI: 10.1016/j.ejps.2026.107451
Sevda Akcesme , Stefanie Schmager , Yassir Al-Tikriti , Lars Gedda , Magnus Bergström , Katarina Edwards , Heiko Heerklotz , Ulrich Massing
Previous research shows that thermosensitive small multilamellar lipid nanoparticles (tSMLPs) offer promising features for temperature-triggered cytostatic drug delivery, remaining completely stable at body temperature (37°C) and releasing their payload under mild hyperthermia conditions (42°C). A distinguishing characteristic of tSMLPs is their unique particle morphology - multiple tightly packed bilayers with progressively decreasing intermembrane spacing toward the particle core. In this study, we shift the focus from their thermosensitivity to an in-depth exploration of the particle’s morphology. Using in-vial homogenization by dual centrifugation (DC) at very high lipid concentrations (60%), we prepare SMLPs composed of 1,2-dipalmitoyl-sn-glycero-3-phosphocholine (DPPC) and 1,2-dipalmitoyl-sn-glycero-3-phosphodiglycerol (DPPG2). A systematic screening of DPPC/DPPG2 100-x/x (mol/mol) from x = 0 to 100 enabled the formation of SMLPs with sizes below 200 nm, narrow size distribution and well-distinguishable morphologies. These lipid nanoparticles also demonstrated the capacity to entrap hydrophilic compounds, despite their multilamellar structure and thus limited interlamellar aqueous space. We propose that specific headgroup interactions between DPPC and DPPG2 underlie the observed water influx upon dilution of the initially formed vesicular phospholipid gels (VPGs) during in-vial homogenization by DC. With a combination of biophysical techniques (DLS, Time-resolved fluorescence, SAXS and WAXS) and morphological analysis (cryo-EM), we present a hypothesis to explain the evolving SMLP morphology as a function of increasing DPPG2 content in the phospholipid blend.
先前的研究表明,热敏小多层脂质纳米颗粒(tSMLPs)为温度触发的细胞抑制药物递送提供了有希望的特性,在体温(37°C)下保持完全稳定,并在轻度高温条件下(42°C)释放其有效载荷。tsmlp的一个显著特征是其独特的颗粒形态-多层紧密排列的双层,膜间间距逐渐减小。在这项研究中,我们将焦点从它们的热敏性转移到对颗粒形态的深入探索。在非常高的脂质浓度(60%)下,使用双离心(DC)的瓶内均质,我们制备了由1,2-双棕榈酰- n-甘油-3-磷酸胆碱(DPPC)和1,2-双棕榈酰- n-甘油-3-磷酸二甘油酯(DPPG2)组成的smlp。系统筛选DPPC/DPPG2 100-x/x (mol/mol),从x = 0到100,可以形成尺寸小于200 nm,尺寸分布窄,形态易于区分的smlp。这些脂质纳米颗粒也显示出捕获亲水化合物的能力,尽管它们是多层结构,因此限制了层间的水空间。我们提出,DPPC和DPPG2之间的特定头基相互作用是DC在瓶内均质过程中稀释初始形成的囊泡磷脂凝胶(VPGs)时观察到的水内流的基础。结合生物物理技术(DLS,时间分辨荧光,SAXS和WAXS)和形态分析(cro - em),我们提出了一个假设来解释SMLP形态的进化是磷脂混合物中DPPG2含量增加的函数。
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引用次数: 0
Erratum to “Intratracheal instillation of chitosan-coated formononetin-loaded porous microspheres prolongs lung retention and improves the treatment” [European Journal of Pharmaceutical Sciences. 2025 Dec 1;215:107347] “壳聚糖包被刺芒柄花素的多孔微球气管内灌注延长肺潴留和改善治疗”[欧洲药物科学杂志,2025年12月1日;215:107347]。
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-02-01 Epub Date: 2025-12-18 DOI: 10.1016/j.ejps.2025.107412
Conglu Zhao , Liyuan Ji , Xiaoting Wang , Jia Zhang , Xiang Xu , Xiaoting Zhang , Yanjie Ding , Keran Li , Chaoyue Zheng , Kaijun Qiu , Jing Yan , Songtao Gu , Honggang Zhou , Cheng Yang , Hongli Li , Xiaoting Gu , Xiaoyu Ai
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引用次数: 0
Pharmacokinetic profile of dexamethasone in urine and plasma after single and multiple oral administration: Relevance to doping controls 单次和多次口服地塞米松在尿和血浆中的药代动力学特征:与兴奋剂控制的相关性。
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-02-01 Epub Date: 2025-12-08 DOI: 10.1016/j.ejps.2025.107405
Sergi Coll , Claudia Bressan , Núria Monfort , Ana Aldea-Perona , Marcel·lí Carbó , Rosa Ventura
Dexamethasone (DEX) is prohibited in sports competitions when administered by all injectable, oral or rectal routes, and is permitted at all times when administered by all other routes. The present work aimed to assess the urinary excretion profile of DEX after single and multiple oral administrations to verify the suitability of the new minimum reporting level (MRL) of 60 ng/mL established by the World Anti-Doping Agency to distinguish allowed and prohibited administrations. Moreover, the minimum washout period of three days established for out-of-competition treatments with oral glucocorticoids will be evaluated.
DEX was administered to healthy volunteers using two different oral treatments: single administration (4 mg, n = 8 male volunteers) and multiple administrations (2 mg/12 h for 5 days, n = 8 male volunteers). Urine and plasma samples collected before and after administration were analysed using liquid chromatography-tandem mass spectrometry. DEX and 6β‑hydroxy-DEX, were the predominant compounds detected in urine, with peak urinary excretion observed within the first 4 h post-dose. DEX concentrations exceeded the new MRL mainly within 12 h after a single dose, with one volunteer showing levels above this threshold up to 24–36 h. In the multiple-dose study, most of the DEX concentrations remained above 60 ng/mL after the second dose and throughout the dosing period and declined quickly after the final dose. Plasma DEX kinetics was defined by an open bicompartmental model with a first order oral absorption. DEX was detectable up to 48 h post-administration. In the multiple dose study, the steady-state concentrations were reached soon after the first dose, and DEX showed no evidence of accumulation. CORT levels decreased rapidly after both single and multiple administrations due to suppression of the hypothalamic-pituitary-adrenal axis. Recovery times varied among volunteers.
The MRL of 60 ng/mL proved appropriate for distinguishing permitted from prohibited use with a 3-day washout, though further studies on non-systemic routes are recommended to refine sensitivity.
地塞米松(DEX)禁止在体育比赛中通过所有注射、口服或直肠途径给药,而允许在任何时候通过所有其他途径给药。本研究旨在评估单次和多次口服给药后DEX的尿排泄情况,以验证世界反兴奋剂机构(World Anti-Doping Agency)建立的60 ng/mL最低报告水平(MRL)的适用性,以区分允许和禁止给药。此外,将评估口服糖皮质激素的非竞赛治疗的最小洗脱期为三天。对健康志愿者进行两种不同的口服治疗:单次给药(4mg, n= 8名男性志愿者)和多次给药(2mg /12h,连续5天,n= 8名男性志愿者)。用液相色谱-串联质谱法分析给药前后的尿液和血浆样本。DEX和6β-羟基DEX是尿中检测到的主要化合物,在给药后的前4小时内观察到尿排泄高峰。DEX浓度主要在单次给药后12小时内超过新的MRL,有一名志愿者在24-36小时内均高于该阈值。在多次给药研究中,大多数DEX浓度在第二次给药后和整个给药期间保持在60 ng/mL以上,并在最后一次给药后迅速下降。血浆DEX动力学定义为具有一级口服吸收的开放双室模型。给药后48小时仍可检出DEX。在多次给药的研究中,首次给药后很快就达到了稳态浓度,DEX没有出现积累的迹象。由于下丘脑-垂体-肾上腺轴的抑制,单次和多次给药后CORT水平迅速下降。志愿者的恢复时间各不相同。60 ng/mL的MRL被证明适合区分允许和禁止使用3天的洗脱期,尽管建议对非全身途径进行进一步研究以提高灵敏度。
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引用次数: 0
Update on clinical trials of intra-articular disease-modifying osteoarthritis drugs inducing cartilage regeneration 关节内疾病改善性骨关节炎药物诱导软骨再生的临床试验进展。
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-02-01 Epub Date: 2025-12-08 DOI: 10.1016/j.ejps.2025.107403
Luca Morici , Ines Nikolic
Osteoarthritis is the most common degenerative joint disease affecting millions of people in the world and leading to disability. Currently, the only available treatments on the market are symptomatic therapies for pain and inflammation. There are no intra-articular drugs that can restore the cartilage matrix, also known as disease-modifying osteoarthritis drugs (DMOADs). This review focuses on all clinical trials of pro-anabolic DMOADs, which stimulate the regeneration of the cartilage matrix by inducing the differentiation of mesenchymal progenitors into chondrocytes, a process known as chondrogenesis. This review also discussed some pathways of chondrocytes, which boost the transcription of genes involved in the production of extracellular matrix components. Finally, the review also covers some implants in the commercial and clinical phases for cartilage repair.
骨关节炎是最常见的退行性关节疾病,影响着世界上数百万人,并导致残疾。目前,市场上唯一可用的治疗方法是对症治疗疼痛和炎症。目前还没有能够恢复软骨基质的关节内药物,也就是所谓的改善疾病的骨关节炎药物(DMOADs)。本文综述了促合成代谢DMOADs的所有临床试验,DMOADs通过诱导间充质祖细胞向软骨细胞的分化来刺激软骨基质的再生,这一过程被称为软骨形成。本文还讨论了促进细胞外基质成分产生相关基因转录的软骨细胞的一些途径。最后,回顾了一些在商业和临床阶段用于软骨修复的植入物。
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引用次数: 0
Advancing therapeutics with targeted formulations of hydrogen sulphide donors 利用硫化氢供体靶向配方推进治疗
IF 4.7 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-02-01 Epub Date: 2025-12-10 DOI: 10.1016/j.ejps.2025.107408
Mandeep Kaur Marwah , Lissette Sanchez-Aranguren , Hala Shokr , Mohamad Anas Al Tahan , Keqing Wang , Shakil Ahmad
Hydrogen sulphide (H2S), is a well described essential physiological molecule that is finely balanced to maintain cellular functions. Considering its important biological roles, H2S has promising therapeutic potential resulting in the development of many H2S donors. Such donors have proved to have therapeutic benefit in cognitive pathways, inflammation, reproduction, and the regulation of blood pressure. However, controlled delivery and targeted administration of this reactive and hazardous gas are necessary yet challenging due to its rapid diffusivity, and toxicity at high doses. Drug delivery systems are vital for the effective administration of many active pharmaceutical excipients, and H2S donors stands to benefit significantly from the tuneable physical, chemical, and pharmacokinetic properties of various formulation systems. To date, few studies have focused on the formulation and delivery aspects of H2S and its donors. Instead, H2S usually is administered either by inhalation or via site-specific injections of donor solution. Whilst therapeutic benefit has been observed following such administration, these are not patient friendly solutions. This review focuses on highlighting the advances in H2S donor formulations and their ability in sustaining the release of H2S as well as improving drug targeting.
硫化氢(H2S)是一种被很好地描述的基本生理分子,它是维持细胞功能的精细平衡。考虑到其重要的生物学作用,H2S具有良好的治疗潜力,导致许多H2S供体的发展。这些供体已被证明在认知途径、炎症、生殖和血压调节方面具有治疗益处。然而,由于这种反应性有害气体的快速扩散和高剂量毒性,控制输送和靶向给药是必要的,但也具有挑战性。药物输送系统对于许多活性药物赋形剂的有效管理至关重要,H2S供体从各种制剂系统的可调物理、化学和药代动力学特性中获益良多。迄今为止,很少有研究关注H2S及其供体的配方和输送方面。相反,H2S通常通过吸入或通过特定部位的供体溶液注射来给药。虽然在这样的管理下观察到治疗效果,但这些不是患者友好的解决方案。本文重点介绍了H2S供体制剂的进展及其在维持H2S释放和改善药物靶向性方面的能力。
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European Journal of Pharmaceutical Sciences
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