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In Vitro and In Silico Biological Evaluation of the Essential Oil from Syzigium cumini Leaves as a Source of Novel Antifungal and Trichomonacidal Agents 对作为新型抗真菌和杀滴虫药源的茜草叶精油进行体外和硅学生物评估
Pub Date : 2024-05-01 DOI: 10.3390/futurepharmacol4020021
José Thyálisson da Costa Silva, Fabio Caboclo Moreira, José Jailson Lima Bezerra, Naiza Saraiva Farias, Aparecida Vitória Silva Menêses, Andressa Guilhermino dos Santos, Mariana dos Santos Santana, Maria Elenilda Paulino da Silva, V. Fonseca, Adrielle Rodrigues Costa, S. Menezes, R. Cruz, M. Morais-Braga, T. Tasca, C. Oliveira-Tintino, H. Coutinho, J. Almeida-Bezerra
As microbes develop resistance to various drugs, the treatment of infections becomes increasingly challenging, leading to prolonged illness, heightened severity of infections, elevated mortality rates, and increased healthcare costs. Essential oils are lipophilic and volatile mixtures of compounds that have gained attention in research for novel antimicrobial agents. Therefore, the present study evaluated the essential oil of Syzygium cumini leaves (EOSC) in order to prospect its antifungal and trichomonacidal activities. The essential oil from the leaves was extracted by steam distillation and analyzed by GC-MS. Antifungal activity was evaluated using the serial microdilution method. Additionally, the potential of the EOSC as an enhancer of fluconazole (FCZ) action was tested at subinhibitory concentrations. To assess anti-Trichomonas vaginalis activity, concentrations ranging from 15.6 to 500 μg/mL of EOSC were tested. Finally, the SwissADME platform was employed to analyze the physicochemical and pharmacokinetic characteristics of the major component of EOSC. The GC-MS analysis identified 94.24% of the components of EOSC, with α-pinene (51.11%) and nerol (8.25%) as major constituents. EOSC exhibited low antifungal activity against the evaluated Candida strains. However, the combination of EOSC and FCZ reduced the IC50 against Candida krusei from 45.29 to 0.30 μg/mL. EOSC also demonstrated significant activity against T. vaginalis (IC50 = 88.2 μg/mL). In silico prediction with α-pinene showed low toxic action and important physicochemical aspects for drug production. The essential oil of Syzygium cumini emerges as a promising candidate for the discovery of molecules with potential antifungal and anti-Trichomonas vaginalis applications.
随着微生物对各种药物产生抗药性,治疗感染变得越来越具有挑战性,从而导致病程延长、感染严重程度加剧、死亡率升高以及医疗成本增加。精油是一种亲脂性和挥发性混合物,在新型抗菌剂研究中备受关注。因此,本研究评估了茜草叶精油(EOSC),以探究其抗真菌和杀滴虫活性。研究人员通过蒸汽蒸馏法提取了叶子中的精油,并用气相色谱-质谱(GC-MS)对其进行了分析。抗真菌活性采用序列微稀释法进行评估。此外,还在亚抑制浓度下测试了 EOSC 作为氟康唑(FCZ)作用增强剂的潜力。为了评估抗阴道毛滴虫的活性,测试了浓度为 15.6 至 500 μg/mL 的 EOSC。最后,利用 SwissADME 平台分析了 EOSC 主要成分的理化和药代动力学特征。气相色谱-质谱分析鉴定出了 94.24% 的 EOSC 成分,其中α-蒎烯(51.11%)和橙花醇(8.25%)为主要成分。EOSC 对所评估的念珠菌菌株的抗真菌活性较低。不过,EOSC 和 FCZ 的组合降低了对克鲁塞念珠菌的 IC50 值,从 45.29 μg/mL 降至 0.30 μg/mL。EOSC 对阴道念珠菌也具有显著的活性(IC50 = 88.2 μg/mL)。对α-蒎烯进行的硅学预测显示,其毒性作用较低,而且在理化方面对药物生产具有重要意义。在发现具有潜在抗真菌和抗阴道毛滴虫作用的分子方面,茜草精油是一种很有前途的候选物质。
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引用次数: 0
Biologics, Small Molecules and More in Inflammatory Bowel Disease: The Present and the Future 炎症性肠病中的生物制剂、小分子药物及其他药物:现状与未来
Pub Date : 2024-03-14 DOI: 10.3390/futurepharmacol4010017
M. Manrai, A. Jha, S. Dawra, Aditya Vikram Pachisia
Inflammatory bowel disease (IBD) is a group of heterogeneous chronic inflammatory diseases of the gut presenting with intestinal and extraintestinal manifestations. Most cases fit in predominantly two types, namely, ulcerative colitis and Crohn’s disease. The incidence of IBD has been increasing steadily in the past three decades. Focused research has resulted in many therapeutic options. Biologics (derived from humans or animals) and small molecules have emerged as the cornerstone in the management of IBD and have become widely available. Currently, monoclonal antibodies against tumor necrosis factor-alpha (infliximab, adalimumab, certolizumab, and golimumab), integrins (vedolizumab and natalizumab), and interleukin (IL)-12 and IL-23 antagonists (ustekinumab), along with small molecules (tofacitinib), are approved for use. This article summarizes various aspects of these drugs, like clinical pharmacology, indications for use in IBD, safety in pregnancy and lactation, and the adverse effects profile based on the studies leading to their approval. This review also focuses on the recent advances and future perspectives specific to biologics in IBD.
炎症性肠病(IBD)是一组表现为肠道内和肠道外症状的异质性慢性肠道炎症性疾病。大多数病例主要分为两种类型,即溃疡性结肠炎和克罗恩病。在过去的三十年里,IBD 的发病率一直在稳步上升。经过集中研究,产生了许多治疗方案。生物制剂(源自人类或动物)和小分子药物已成为治疗 IBD 的基石,并已广泛应用。目前,针对肿瘤坏死因子-α(英夫利昔单抗、阿达木单抗、certolizumab 和 golimumab)、整合素(vedolizumab 和 natalizumab)、白细胞介素(IL)-12 和 IL-23 拮抗剂(ustekinumab)的单克隆抗体以及小分子药物(托法替尼)已被批准使用。本文概述了这些药物的各个方面,如临床药理学、IBD 适应症、妊娠和哺乳期安全性以及基于研究的不良反应概况,这些研究促成了这些药物的批准。本综述还重点介绍了生物制剂在 IBD 中的最新进展和未来展望。
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引用次数: 0
Comparative Study of the Effects of Curcuminoids and Tetrahydrocurcuminoids on Melanogenesis: Role of the Methoxy Groups 姜黄素和四氢姜黄素对黑色素生成作用的比较研究:甲氧基的作用
Pub Date : 2024-03-08 DOI: 10.3390/futurepharmacol4010016
S. Goenka
Curcuminoids are naturally occurring yellow-colored compounds that, when hydrogenated to remove their conjugated double bond, become colorless and are referred to as tetrahydrocurcuminoids. Curcuminoids consist of pure curcumin (PC) in major amounts and demethoxycurcumin (DC) and bisdemethoxycurcumin (BDC) in minor amounts. Tetrahydrocurcuminoids similarly consist mainly of tetrahydrocurcumin (THC), along with minor amounts of tetrahydrodemethoxycurcumin (THDC) and tetrahydrobisdemethoxycurcumin (THBDC). Previous studies have shown the inhibitory effects of PC, DC, and BDC on melanin production, but there are contradictory findings about THC. In addition, there are currently no reports on the effects of THDC and THBDC on melanogenesis. Our previous report described that, in contrast to PC, which suppressed melanin production, THC stimulated melanin production in B16F10 and MNT-1 cells; this effect was ascribed to the loss of the conjugated heptadiene moiety of PC. However, whether this finding can be generalized to the two curcumin derivatives (DC and BDC), such that THDC and THBDC might also stimulate melanogenesis, has not been addressed. Herein, a comparative study of six curcumin derivatives (PC, DC, BDC, THC, THDC, and THBDC) was undertaken to identify their effects on melanogenesis with the goal of elucidating the structure–activity relationships (SARs) focused on assessing the two regions of the parent curcumins’ structure: (i) the hydrogenation of the two double bonds bridging the phenyl rings to the β-diketone moiety, and (ii) the effect of the ortho-methoxy substituent (-OCH3) on the two phenyl rings. To determine the direct effects of the six compounds, antioxidant activity and tyrosinase activity were assessed in cell-free systems before cellular experiments utilizing the B16F10 mouse melanoma cells, MNT-1 human melanoma cells, and primary cells. Evaluations were made on cytotoxicity, melanin concentration, and cellular tyrosinase activity. The results showed that BDC inhibited melanogenesis in B16F10 and MNT-1 cells. However, it was ineffective in primary human melanocytes, while THBDC continued to exhibit anti-melanogenic capacity in normal human melanocytes. Moreover, these findings provide a novel perspective into the role of the methoxy groups of PC on the biological effects of melanogenesis and also confirm that the removal of the conjugated double bonds abolishes the anti-melanogenic capacity of PC and DC only, but not BDC, as THBDC maintained anti-melanogenic activity that was greater than BDC. However, the outcome is contingent upon the specific kind of cell involved. To the best of our knowledge, this work presents novel findings indicating that the anti-melanogenic capacity of the colored BDC is not only intact but enhanced after its hydrogenation as observed in THBDC. The findings show potential for using colorless THBDC as a pharmacological candidate to diminish the increased pigmentation characteristic of skin hyperpigme
姜黄素是天然存在的黄色化合物,氢化去除共轭双键后会变成无色,被称为四氢姜黄素。姜黄素主要包括纯姜黄素(PC),以及少量的去甲氧基姜黄素(DC)和双去甲氧基姜黄素(BDC)。四氢姜黄素同样主要包括四氢姜黄素(THC),以及少量的四氢去甲氧基姜黄素(THDC)和四氢双去甲氧基姜黄素(THBDC)。以往的研究表明 PC、DC 和 BDC 对黑色素的生成有抑制作用,但关于 THC 的研究结果却相互矛盾。此外,目前还没有关于 THDC 和 THBDC 对黑色素生成的影响的报告。我们之前的报告指出,与抑制黑色素生成的 PC 不同,THC 可刺激 B16F10 和 MNT-1 细胞中黑色素的生成;这一效应可归因于 PC 中共轭庚二烯分子的缺失。然而,这一发现是否可以推广到两种姜黄素衍生物(DC 和 BDC),从而使 THDC 和 THBDC 也能刺激黑色素生成,这一问题尚未解决。在此,我们对六种姜黄素衍生物(PC、DC、BDC、THC、THDC 和 THBDC)进行了比较研究,以确定它们对黑色素生成的影响,目的是阐明结构-活性关系(SARs),重点评估姜黄素母体结构的两个区域:(i)连接苯基环与β-二酮分子的两个双键的氢化,以及(ii)两个苯基环上的原位甲氧基取代基(-OCH3)的影响。为了确定这六种化合物的直接作用,在利用 B16F10 小鼠黑色素瘤细胞、MNT-1 人类黑色素瘤细胞和原代细胞进行细胞实验之前,先在无细胞系统中评估了抗氧化活性和酪氨酸酶活性。对细胞毒性、黑色素浓度和细胞酪氨酸酶活性进行了评估。结果表明,BDC 能抑制 B16F10 和 MNT-1 细胞的黑色素生成。然而,它对原代人类黑色素细胞无效,而 THBDC 在正常人类黑色素细胞中继续表现出抗黑色素生成的能力。此外,这些发现为了解 PC 的甲氧基基团对黑色素生成的生物效应的作用提供了一个新的视角,同时也证实了去除共轭双键后,仅 PC 和 DC 的抗黑色素生成能力会减弱,而 BDC 的抗黑色素生成能力不会减弱,因为 THBDC 的抗黑色素生成活性高于 BDC。然而,结果取决于所涉及的特定细胞种类。据我们所知,这项工作提出了新的发现,表明有色 BDC 的抗黑色素生成能力不仅完好无损,而且在氢化后还会增强,正如在 THBDC 中观察到的那样。研究结果表明,无色的 THBDC 有可能作为一种药理候选物质,用于减少皮肤色素沉着症所特有的色素增加。纯 THBDC 或 THBDC 富集提取物既保持了无色外观,又具有强大的抗黑色素生成活性,未来可将其应用于抗黑色素瘤疗法的化合物中,因为这种疗法需要无毒的新型分子来达到既定的疗效。
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引用次数: 0
Using 5-Nitroimidazole Derivatives against Neglected Tropical Protozoan Diseases: Systematic Review 使用 5-硝基咪唑衍生物防治被忽视的热带原生动物疾病:系统综述
Pub Date : 2024-03-05 DOI: 10.3390/futurepharmacol4010015
M. Vichi-Ramírez, Edgar López-López, C. Soriano-Correa, C. Barrientos-Salcedo
Neglected tropical diseases (NTDs) are a significant global health problem. Additionally, anti-protozoan treatments are toxic, and their therapeutic regimens require prolonged treatment times and high concentrations of the drugs. Additionally, multi-resistant protozoan strains represent an important global emergency that must be addressed. For these reasons, global efforts are being made to identify new drug candidates that are capable of combating these kinds of diseases. This systematic review shows that 5-nitroimidazole derivatives have been successfully used against neglected tropical protozoan diseases (NTPDs), with a specific focus on three diseases: malaria, leishmaniasis, and human trypanosomiasis. Some nitroimidazole derivatives have been repurposed, and an important group of new drugs is available for the treatment of NTPDs. Finally, we address 5-nitroimidazoles using chemoinformatics and medicinal chemistry tools to describe the most recent and promising 5-nitroimidazole derivatives associated with anti-protozoal activity using their published in vitro and in vivo data. We show that 5-nitroimidazoles offer a broader spectrum of activity against a variety of protozoal pathogens. More importantly, these compounds demonstrate a significantly reduced systemic toxicity compared to other nitroimidazoles. This makes them a more favorable option in the treatment of protozoal infections, particularly in scenarios where the patient’s tolerance to drug side effects is a critical concern.
被忽视的热带疾病(NTDs)是一个重大的全球健康问题。此外,抗原生动物治疗具有毒性,其治疗方案需要延长治疗时间和高浓度药物。此外,多重抗药性原生动物菌株也是一个必须解决的重要全球性紧急问题。因此,全球都在努力寻找能够防治这类疾病的候选新药。本系统综述显示,5-硝基咪唑衍生物已被成功用于防治被忽视的热带原生动物疾病(NTPDs),并特别关注三种疾病:疟疾、利什曼病和人类锥虫病。一些硝基咪唑衍生物已被重新利用,目前有一组重要的新药可用于治疗 NTPDs。最后,我们利用化学信息学和药物化学工具来研究 5-硝基咪唑,并利用其已发表的体外和体内数据来描述与抗原虫活性相关的最新和最有前景的 5-硝基咪唑衍生物。我们发现,5-硝基咪唑类化合物对多种原生动物病原体具有更广泛的活性谱。更重要的是,与其他硝基咪唑相比,这些化合物的全身毒性明显降低。这使它们成为治疗原生动物感染的更有利选择,尤其是在病人对药物副作用的耐受性是一个关键问题的情况下。
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引用次数: 0
Target-Based 6-5 Fused Ring Heterocyclic Scaffolds Display Broad Antiparasitic Potency In Vitro 基于靶标的 6-5 融合环杂环支架在体外显示出广泛的抗寄生虫效力
Pub Date : 2024-02-28 DOI: 10.3390/futurepharmacol4010013
Darline Dize, M. Tali, Cyrille Armel Njanpa Ngansop, R. Keumoe, Eugenie Aimée Madiesse Kemgne, Lauve Rachel Tchokouaha Yamthe, Patrick Valere Tsouh Fokou, Boniface Pone Kamdem, Katsura Hata, Fabrice Fekam Boyom
Malaria, leishmaniasis, and African trypanosomiasis are protozoan diseases that constitute major global health problems, especially in developing countries; however, the development of drug resistance coupled with the toxicity of current treatments has hindered their management. The involvement of certain enzymes (dihydrofolate reductase [DHFR]) or proteins (potassium channels) in the pathogenesis of these protozoan diseases is undeniable. In this study, a series of three DHFR inhibitors (6-5 fused heterocyclic derivatives X, Y, and Z) and one K+ channel blocker (E4031) were screened for their inhibitory effects on Leishmania donovani, Plasmodium falciparum, and Trypanosoma brucei. A resazurin assay was used to assess the antitrypanosomal and antileishmanial activities of the test compounds, whereas the antiplasmodial activity was evaluated through the SYBR Green I test. Moreover, the cytotoxicities of the test compounds were evaluated in Vero, Raw 264.7, and HepG-2 cells using a resazurin-based test, while their pharmacokinetic properties were predicted using the online tool, pkCSM. As a result, compound Y exhibited selective (selectivity index range: from 2.69 to >61.4; Vero, Raw 264.7, and HepG-2 cells) and broad-spectrum antiprotozoal activity against L. donovani promastigotes (IC50: 12.4 µM), amastigotes (IC50: 4.28 µM), P. falciparum (IC50: 0.028 µM), and T. brucei brucei (IC50: 0.81 µM). In addition, compound X inhibited the growth of P. falciparum (IC50: 0.0052 µM) and T. brucei brucei (IC50: 6.49 µM). In silico screening of the active antiprotozoal compounds revealed positive drug likeness scores, as none of the criteria for Lipinski’s rule were violated by these compounds. However, in-depth pharmacokinetic and mechanistic studies are warranted to support the discovery of novel antiprotozoal agents against malaria, leishmaniasis, and African trypanosomiasis by repurposing K+ channel blockers and DHFR inhibitors.
疟疾、利什曼病和非洲锥虫病等原生动物疾病是全球主要的健康问题,尤其是在发展中国家。不可否认,某些酶(二氢叶酸还原酶 [DHFR])或蛋白质(钾通道)参与了这些原生动物疾病的发病机制。本研究筛选了一系列三种 DHFR 抑制剂(6-5 嵌合杂环衍生物 X、Y 和 Z)和一种 K+ 通道阻断剂(E4031),以确定它们对利什曼原虫、恶性疟原虫和布氏锥虫的抑制作用。采用雷沙嘌呤检测法评估受试化合物的抗盘虫和抗利什曼活性,而抗疟原虫活性则通过 SYBR Green I 检测法进行评估。此外,还使用基于利马嗪的试验评估了测试化合物在 Vero、Raw 264.7 和 HepG-2 细胞中的细胞毒性,并使用在线工具 pkCSM 预测了它们的药代动力学特性。结果表明,化合物 Y 对唐诺瓦尼氏原虫(IC50:12.4 µM)、非原虫(IC50:4.28 µM)、恶性疟原虫(IC50:0.028 µM)和布鲁西氏疟原虫(IC50:0.81 µM)具有选择性(选择性指数范围:从 2.69 到 >61.4; Vero、Raw 264.7 和 HepG-2 细胞)和广谱抗原虫活性。此外,化合物 X 还能抑制恶性疟原虫(IC50:0.0052 µM)和布氏疟原虫(IC50:6.49 µM)的生长。对活性抗原虫化合物进行的硅学筛选显示,这些化合物的药物相似度得分均为正,因为这些化合物均未违反利宾斯基规则的标准。不过,还需要进行深入的药代动力学和机理研究,以支持通过重新利用 K+ 通道阻断剂和 DHFR 抑制剂来发现抗疟疾、利什曼病和非洲锥虫病的新型抗原虫药物。
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引用次数: 0
Low-Impact Ampakine CX1739 Exerts Pro-Cognitive Effects and Reverses Opiate-Induced Respiratory Depression in Rodents 低冲击安帕金 CX1739 在啮齿动物中发挥促进认知的作用并逆转鸦片制剂引起的呼吸抑制
Pub Date : 2024-02-26 DOI: 10.3390/futurepharmacol4010012
Daniel Pierce Radin, S. Zhong, Rok Cerne, Mohammed Shoaib, Jeffrey M Witkin, A. Lippa
AMPA-glutamate receptors (AMPARs) are expressed throughout the CNS and mediate the majority of fast excitatory synaptic transmission. Ampakines are orally available small molecules that bind allosterically to AMPARs and enhance excitatory currents elicited by the endogenous agonist glutamate. In preclinical studies, ampakines are effective in ameliorating symptoms in a battery of neurodegenerative and neuropsychiatric diseases in which excitatory transmission is compromised. However, the development of ampakines as medicines was slowed by the emergence of neurotoxicity and seizures in rodents due to some ampakines. Here, we describe the preclinical pharmacology of a novel ampakine, N-methyl-N-(tetrahydro-2H-pyran-4-yl)benzo[c][1,2,5] oxadiazole-5-carboxamide (CX1739), that does not induce seizures in animals or humans at efficacious doses. CX1739 dose-dependently enhanced long-term potentiation in vivo in rats, a process thought to be a molecular substrate of learning and memory. Correspondingly, CX1739 dose-dependently enhanced performance in assays that probed multiple aspects of cognition—the novel object recognition test, the win shift radial arm maze, and the five-choice serial reaction time task in rats. CX1739 also abrogated amphetamine-induced locomotor activity, demonstrating that it may be given in conjunction with stimulants for pro-cognitive gains while mitigating the side effects of stimulant-based ADHD medications. CX1739 also rapidly reversed opioid-induced respiratory depression. While efficacy in these tests occurred at doses of 0.03–18 mg/kg, there were no adverse events detected in safety studies in rats up to 2000 mg/kg. These preclinical findings suggest that CX1739 can be translated safely into the clinical setting to potentially treat dementia, neuropsychiatric disorders, and the life-threatening complication of opiate-induced suppression of endogenous inspiratory breathing rhythms.
AMPA 谷氨酸受体(AMPARs)在整个中枢神经系统中都有表达,并介导了大部分快速兴奋性突触传递。安帕金是一种口服小分子药物,能与 AMPARs 异源结合,增强内源性激动剂谷氨酸诱发的兴奋电流。在临床前研究中,安非他酮能有效改善一系列神经退行性疾病和神经精神疾病的症状,在这些疾病中,兴奋传递会受到损害。然而,由于某些安帕金类药物在啮齿类动物中出现神经毒性和癫痫发作,导致安帕金类药物作为药物的发展缓慢。在这里,我们描述了一种新型安帕金--N-甲基-N-(四氢-2H-吡喃-4-基)苯并[c][1,2,5]恶二唑-5-甲酰胺(CX1739)的临床前药理学。CX1739 可剂量依赖性地增强大鼠体内的长期电位,这一过程被认为是学习和记忆的分子基质。相应地,CX1739 还能提高大鼠在新物体识别测试、赢移径向臂迷宫和五选一连续反应时间任务等多种认知测试中的表现。CX1739 还能减弱苯丙胺诱导的运动活动,这表明它可以与兴奋剂一起使用,以提高认知能力,同时减轻基于兴奋剂的多动症药物的副作用。CX1739 还能迅速逆转阿片类药物引起的呼吸抑制。虽然这些测试中的疗效发生在 0.03-18 毫克/千克的剂量下,但在对大鼠进行的安全性研究(最高达 2000 毫克/千克)中未发现任何不良事件。这些临床前研究结果表明,CX1739 可以安全地应用于临床,用于治疗痴呆症、神经精神障碍以及鸦片制剂引起的内源性吸气呼吸节律抑制这一危及生命的并发症。
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引用次数: 0
Human Serum Albumin Grafted by Monomeric and Polymeric β-Cyclodextrin as Drug Delivery System for Levofloxacin with Improved Pharmacological Properties 单体和聚合β-环糊精接枝的人血清白蛋白作为左氧氟沙星的给药系统,药理特性得到改善
Pub Date : 2024-02-13 DOI: 10.3390/futurepharmacol4010010
T. Kopnova, L. R. Yakupova, N. G. Belogurova, E. V. Kudryashova
Human serum albumin (HSA) is a multifunctional protein, known to be a natural carrier for a number of endogenous and exogenous compounds, including drugs. HSA-based drugs formulation is a clinically validated approach to improve pharmacological properties and biodistribution (such as in Abraxane). Based on this, one might like to modify HSA in a way that its distribution is more favorable for certain therapeutic purposes. Levofloxacin (LV), a broad-spectrum antibiotic drug, could benefit from extended systemic exposure, and stronger interactions with plasma proteins could be useful for this purpose. We engrafted monomeric or polymeric cyclodextrins (CDs) on the surface of HSA molecules to strengthen the LV adsorption (the CD−LV dissociation constant is three orders of magnitude lower than that of HSA−LV). We found that (HSA−HPolS)conj+LV exhibited the highest activity against E. coli, whereas (HSA−HPCD)conj+LV was the most effective against B. subtilis, and both HSA conjugates were more potent than LV alone or LV with HSA. Further fine-tuning of HSA could yield an improvement in biodistribution and thus a more favorable risk/benefit ratio.
人血清白蛋白(HSA)是一种多功能蛋白质,是包括药物在内的多种内源性和外源性化合物的天然载体。基于 HSA 的药物制剂是一种经过临床验证的改善药理特性和生物分布的方法(如 Abraxane)。在此基础上,人们可能希望对 HSA 进行改性,使其分布更有利于某些治疗目的。左氧氟沙星(LV)是一种广谱抗生素药物,它可以从扩大的全身暴露中获益,而与血浆蛋白更强的相互作用可能有助于实现这一目的。我们在 HSA 分子表面接枝了单体或聚合环糊精(CD),以加强对 LV 的吸附(CD-LV 的解离常数比 HSA-LV 低三个数量级)。我们发现(HSA-HPolS)conj+LV对大肠杆菌的活性最高,而(HSA-HPCD)conj+LV对枯草杆菌最有效,两种HSA共轭物都比单独的LV或含有HSA的LV更有效。进一步微调 HSA 可改善生物分布,从而获得更有利的风险/效益比。
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引用次数: 0
Human Serum Albumin Grafted by Monomeric and Polymeric β-Cyclodextrin as Drug Delivery System for Levofloxacin with Improved Pharmacological Properties 单体和聚合β-环糊精接枝的人血清白蛋白作为左氧氟沙星的给药系统,药理特性得到改善
Pub Date : 2024-02-13 DOI: 10.3390/futurepharmacol4010010
T. Kopnova, L. R. Yakupova, N. G. Belogurova, E. V. Kudryashova
Human serum albumin (HSA) is a multifunctional protein, known to be a natural carrier for a number of endogenous and exogenous compounds, including drugs. HSA-based drugs formulation is a clinically validated approach to improve pharmacological properties and biodistribution (such as in Abraxane). Based on this, one might like to modify HSA in a way that its distribution is more favorable for certain therapeutic purposes. Levofloxacin (LV), a broad-spectrum antibiotic drug, could benefit from extended systemic exposure, and stronger interactions with plasma proteins could be useful for this purpose. We engrafted monomeric or polymeric cyclodextrins (CDs) on the surface of HSA molecules to strengthen the LV adsorption (the CD−LV dissociation constant is three orders of magnitude lower than that of HSA−LV). We found that (HSA−HPolS)conj+LV exhibited the highest activity against E. coli, whereas (HSA−HPCD)conj+LV was the most effective against B. subtilis, and both HSA conjugates were more potent than LV alone or LV with HSA. Further fine-tuning of HSA could yield an improvement in biodistribution and thus a more favorable risk/benefit ratio.
人血清白蛋白(HSA)是一种多功能蛋白质,是包括药物在内的多种内源性和外源性化合物的天然载体。基于 HSA 的药物制剂是一种经过临床验证的改善药理特性和生物分布的方法(如 Abraxane)。在此基础上,人们可能希望对 HSA 进行改性,使其分布更有利于某些治疗目的。左氧氟沙星(LV)是一种广谱抗生素药物,它可以从扩大的全身暴露中获益,而与血浆蛋白更强的相互作用可能有助于实现这一目的。我们在 HSA 分子表面接枝了单体或聚合环糊精(CD),以加强对 LV 的吸附(CD-LV 的解离常数比 HSA-LV 低三个数量级)。我们发现(HSA-HPolS)conj+LV对大肠杆菌的活性最高,而(HSA-HPCD)conj+LV对枯草杆菌最有效,两种HSA共轭物都比单独的LV或含有HSA的LV更有效。进一步微调 HSA 可改善生物分布,从而获得更有利的风险/效益比。
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引用次数: 0
Breaking the Chains: Advances in Substance Addiction Research through Single-Cell Sequencing, Epigenetics, and Epitranscriptomic 打破枷锁:通过单细胞测序、表观遗传学和表观转录组学推进药物成瘾研究
Pub Date : 2024-01-29 DOI: 10.3390/futurepharmacol4010009
Ana Filošević Vujnović, Ivana Stanković Matić, Lara Saftić Martinović, Sanja Dević Pavlić
Addiction is a complex brain disease influenced by genetic, environmental, and neurological factors. Psychostimulants, cocaine, and methamphetamine influence different cell types in different brain regions, with a focus on the neurons responsible for rewarding effects in the nucleus accumbens (NAc) and ventral tegmental area (VTA). Known markers for psychostimulant-induced neuronal plasticity in combination with droplet-based high-throughput single-cell sequencing divided the heterogeneity of cell populations in NAc and VTA into clusters, where all cells of the same type do not respond equally to exposure to psychostimulants. To explain psychostimulant-induced neuronal plasticity as changes in the amplitude and phase shifts of gene expression, we focused on epigenetic mechanisms of DNA and chromatin modifications, as well as DNA accessibility. We also comment on epitranscriptomics as a novel approach in the study of messenger RNA posttranslational modification, which regulates translation and potentially localized transcription in synapses in order to address the molecular chains that connect addiction from changes in gene expression to synaptic and, finally, neuronal plasticity.
成瘾是一种复杂的脑部疾病,受遗传、环境和神经因素的影响。精神刺激剂、可卡因和甲基苯丙胺会影响不同脑区的不同细胞类型,重点是负责产生奖赏效应的神经元,它们位于伏隔核(NAc)和腹侧被盖区(VTA)。精神刺激剂诱导的神经元可塑性的已知标记物与基于液滴的高通量单细胞测序相结合,将NAc和VTA中细胞群的异质性划分为多个细胞簇,在这些细胞簇中,所有相同类型的细胞对暴露于精神刺激剂的反应并不相同。为了将精神刺激剂诱导的神经元可塑性解释为基因表达的幅度和相移变化,我们重点研究了DNA和染色质修饰的表观遗传机制以及DNA的可及性。我们还评论了表转录组学,将其作为研究信使 RNA 翻译后修饰的一种新方法,这种修饰可调控翻译和突触中潜在的局部转录,从而解决从基因表达变化到突触,最后到神经元可塑性的成瘾分子链问题。
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引用次数: 0
Pharmacokinetics Profile and Genetics of Double Antiviral Therapy with Remdesivir and Nirmatrelvir/Ritonavir for Prolonged COVID-19 in Patients Treated with Rituximab: A Real-Life Study and Literature Review 用雷米替韦和尼马替韦/利托那韦进行双重抗病毒治疗以延长利妥昔单抗患者 COVID-19 的药代动力学特征和遗传学:一项实际研究和文献综述
Pub Date : 2024-01-24 DOI: 10.3390/futurepharmacol4010008
I. De Benedetto, S. Corcione, Carlotta Giambra, Matteo Ferrante, S. Mornese Pinna, E. Zanotto, A. Palermiti, F. Sidoti, Luca Scaglione, Cecilia Grosso, Martina Billi, Tommaso Lupia, Sara Soloperto, J. Cusato, Cristina Costa, A. D’Avolio, F. D. De Rosa
Introduction: Patients with hematologic malignancies are more likely to develop severe and prolonged SARS-CoV-2 infection, often showing viral persistence despite the use of authorized antivirals. Herein, we report the cases of four patients who received rituximab for different conditions and developed persistent COVID-19 treated with an extended course of dual antivirals, Nirmatrelvir/Ritonavir and Remdesivir. Moreover, we describe the pharmacokinetics and pharmacogenetics (PK/PG) characteristics of Nirmatrelvir/Ritonavir and Remdesivir treatment in two of these patients. Methods: Plasma specimens for evaluation of trough concentrations (Ctrough) were collected 10 min before the daily dose administration, in addition to 3 h (Cmax), 4 h (C4h), 6 h (C6h) and 1 h (Cmax) after the administration of Nirmatrelvir/Ritonavir and Remdesivir, respectively. The following gene single-nucleotide polymorphisms (SNPs) were investigated: ABCB1 3435 (rs1045642) C > T, ABCB1 1236 (rs1128503) C > T, PXR 63396 (rs2472667) T > C, CYP2D6 (rs1135840) G > C, and CYP3A4*1B (rs2740574) G > A. Results: Double antiviral treatment was successful in terms of symptoms resolution, whereas three out of four patients achieved microbiological eradication. Based on our results, concentrations of Nirmatrelvir ranging from 50 to 5000 ng/mL were effective, whereas a higher concentration (range 1068–3377 ng/mL), compared to that previously reported in patients with similar weight and BMI, was evidenced for Ritonavir. Considering the genetic variant analysis, ABCB1 3435 CT and 1236 CT genotypes were found in patient 1; and ABCB1 3435 CC and 1236 CC in patient 2. In conclusion, this real-life study supports the usefulness of TDM and genetics in immunocompromised patients with persistent SARS-CoV-2 infection, a challenging setting for clinicians in which personalized medicine may improve outcome.
导言:血液系统恶性肿瘤患者更容易发生严重和长期的SARS-CoV-2感染,尽管使用了授权的抗病毒药物,但仍经常出现病毒持续存在的情况。在此,我们报告了四例因不同疾病接受利妥昔单抗治疗的患者的病例,这些患者在接受延长疗程的双重抗病毒药物(Nirmatrelvir/Ritonavir 和 Remdesivir)治疗后,出现了持续的 COVID-19 感染。此外,我们还描述了其中两名患者接受 Nirmatrelvir/Ritonavir 和 Remdesivir 治疗的药代动力学和药物遗传学(PK/PG)特征。方法在每日给药前 10 分钟采集血浆标本以评估谷浓度(Ctrough),此外还分别在给药后 3 小时(Cmax)、4 小时(C4h)、6 小时(C6h)和 1 小时(Cmax)采集血浆标本以评估 Nirmatrelvir/Ritonavir 和 Remdesivir 的谷浓度(Ctrough)。对以下基因单核苷酸多态性(SNPs)进行了研究:ABCB1 3435 (rs1045642) C > T、ABCB1 1236 (rs1128503) C > T、PXR 63396 (rs2472667) T > C、CYP2D6 (rs1135840) G > C 和 CYP3A4*1B (rs2740574) G > A:双重抗病毒治疗在缓解症状方面取得了成功,而四名患者中有三人实现了微生物根除。根据我们的研究结果,尼马瑞韦的有效浓度为 50 至 5000 纳克/毫升,而利托那韦的有效浓度(范围为 1068-3377 纳克/毫升)与之前报道的体重和体重指数相似的患者的有效浓度相比更高。考虑到基因变异分析,在患者 1 中发现了 ABCB1 3435 CT 和 1236 CT 基因型;在患者 2 中发现了 ABCB1 3435 CC 和 1236 CC 基因型。总之,这项现实生活中的研究证明了 TDM 和遗传学在持续感染 SARS-CoV-2 的免疫功能低下患者中的实用性。
{"title":"Pharmacokinetics Profile and Genetics of Double Antiviral Therapy with Remdesivir and Nirmatrelvir/Ritonavir for Prolonged COVID-19 in Patients Treated with Rituximab: A Real-Life Study and Literature Review","authors":"I. De Benedetto, S. Corcione, Carlotta Giambra, Matteo Ferrante, S. Mornese Pinna, E. Zanotto, A. Palermiti, F. Sidoti, Luca Scaglione, Cecilia Grosso, Martina Billi, Tommaso Lupia, Sara Soloperto, J. Cusato, Cristina Costa, A. D’Avolio, F. D. De Rosa","doi":"10.3390/futurepharmacol4010008","DOIUrl":"https://doi.org/10.3390/futurepharmacol4010008","url":null,"abstract":"Introduction: Patients with hematologic malignancies are more likely to develop severe and prolonged SARS-CoV-2 infection, often showing viral persistence despite the use of authorized antivirals. Herein, we report the cases of four patients who received rituximab for different conditions and developed persistent COVID-19 treated with an extended course of dual antivirals, Nirmatrelvir/Ritonavir and Remdesivir. Moreover, we describe the pharmacokinetics and pharmacogenetics (PK/PG) characteristics of Nirmatrelvir/Ritonavir and Remdesivir treatment in two of these patients. Methods: Plasma specimens for evaluation of trough concentrations (Ctrough) were collected 10 min before the daily dose administration, in addition to 3 h (Cmax), 4 h (C4h), 6 h (C6h) and 1 h (Cmax) after the administration of Nirmatrelvir/Ritonavir and Remdesivir, respectively. The following gene single-nucleotide polymorphisms (SNPs) were investigated: ABCB1 3435 (rs1045642) C > T, ABCB1 1236 (rs1128503) C > T, PXR 63396 (rs2472667) T > C, CYP2D6 (rs1135840) G > C, and CYP3A4*1B (rs2740574) G > A. Results: Double antiviral treatment was successful in terms of symptoms resolution, whereas three out of four patients achieved microbiological eradication. Based on our results, concentrations of Nirmatrelvir ranging from 50 to 5000 ng/mL were effective, whereas a higher concentration (range 1068–3377 ng/mL), compared to that previously reported in patients with similar weight and BMI, was evidenced for Ritonavir. Considering the genetic variant analysis, ABCB1 3435 CT and 1236 CT genotypes were found in patient 1; and ABCB1 3435 CC and 1236 CC in patient 2. In conclusion, this real-life study supports the usefulness of TDM and genetics in immunocompromised patients with persistent SARS-CoV-2 infection, a challenging setting for clinicians in which personalized medicine may improve outcome.","PeriodicalId":12592,"journal":{"name":"Future Pharmacology","volume":"56 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139599384","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}
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Future Pharmacology
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