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Novel and Proven Models of Public, Private, and Public-Private Partnerships in Healthcare: An Update. 医疗保健领域公私合作的新颖和成熟模式:最新进展。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1007/164_2024_724
Heike A Wieland, Jochen Maas

Initiatives to share assets in the life science sector through dedicated partnerships had and still have a multitude of different aspects in the past few decades. The range goes from industry partners, small and big companies, in bilateral agreements with academic institutions up to large privately and publicly funded consortia. In general, the term public-private partnership (PPP) is used when at least one public (non-profit, academic, and/or government) part and one or more private for-profit partners are involved. A Public-Private Partnership is often driven by a public body, i.e. a ministry or a public agency. Their synergism has been described 10 years ago (Dearing, Science 315(19):344-347, 2007; Casty and Wieman, Ther Innov Regul Sci 47(3):375-383, 2013; Stevens et al., Biotechnol Law Rep 34(4):153-165, 2015). So why view this synergism again today? It will be shown that the situation in life science has changed: novel partners acting digital, data expertise being involved on many levels and novel partnering models arising. Success and challenges will be described in this chapter.

在过去的几十年里,通过专门的合作伙伴关系在生命科学领域共享资产的举措曾经并仍然具有许多不同的方面。从与学术机构签订双边协议的行业合作伙伴、小型和大型公司,到私人和公共资助的大型财团,不一而足。一般来说,当至少有一个公共(非营利、学术和/或政府)部分和一个或多个私营营利合作伙伴参与时,就会使用公私合作伙伴关系(PPP)这一术语。公私合作伙伴关系通常由公共机构(如部委或公共机构)推动。它们之间的协同作用早在 10 年前就有描述(Dearing,Science 315(19):344-347,2007;Casty 和 Wieman,Ther Innov Regul Sci 47(3):375-383,2013;Stevens 等人,Biotechnol Law Rep 34(4):153-165,2015)。那么,为什么今天要重新审视这种协同作用呢?这将表明,生命科学领域的情况已经发生了变化:新的合作伙伴采取了数字化行动,数据专业技术在多个层面得到了应用,新的合作模式应运而生。本章将介绍成功与挑战。
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引用次数: 0
Knowledge-Based Design of Multifunctional Polymeric Nanoparticles. 基于知识的多功能聚合物纳米颗粒设计。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1007/164_2023_649
Mira Behnke, Caroline T Holick, Antje Vollrath, Stephanie Schubert, Ulrich S Schubert

Conventional drug delivery systems (DDS) today still face several drawbacks and obstacles. High total doses of active pharmaceutical ingredients (API) are often difficult or impossible to deliver due to poor solubility of the API or undesired clearance from the body caused by strong interactions with plasma proteins. In addition, high doses lead to a high overall body burden, in particular if they cannot be delivered specifically to the target site. Therefore, modern DDS must not only be able to deliver a dose into the body, but should also overcome the hurdles mentioned above as examples. One of these promising devices are polymeric nanoparticles, which can encapsulate a wide range of APIs despite having different physicochemical properties. Most importantly, polymeric nanoparticles are tunable to obtain tailored systems for each application. This can already be achieved via the starting material, the polymer, by incorporating, e.g., functional groups. This enables the particle properties to be influenced not only specifically in terms of their interactions with APIs, but also in terms of their general properties such as size, degradability, and surface properties. In particular, the combination of size, shape, and surface modification allows polymeric nanoparticles to be used not only as a simple drug delivery device, but also to achieve targeting. This chapter discusses to what extent polymers can be designed to form defined nanoparticles and how their properties affect their performance.

如今,传统的给药系统(DDS)仍然面临着一些缺陷和障碍。由于活性药物成分(API)的溶解性较差,或与血浆蛋白的强烈相互作用导致药物无法顺利排出体外,因此通常难以或无法输送总剂量较高的活性药物成分。此外,大剂量还会导致体内总体负担加重,尤其是在无法将其特异性地输送到目标部位的情况下。因此,现代 DDS 不仅要能将剂量输送到体内,还要能克服上述障碍。聚合纳米粒子就是其中一种很有前景的装置,尽管具有不同的物理化学特性,但它可以封装多种原料药。最重要的是,聚合物纳米颗粒可进行调整,以获得适合各种应用的定制系统。这可以通过起始材料--聚合物--来实现,例如加入官能团。这使得颗粒的特性不仅在与原料药的相互作用方面受到影响,而且在尺寸、降解性和表面特性等一般特性方面也受到影响。特别是,尺寸、形状和表面改性的结合使聚合物纳米粒子不仅可用作简单的给药装置,还能实现靶向作用。本章将讨论聚合物在多大程度上可以设计成确定的纳米颗粒,以及它们的特性如何影响其性能。
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引用次数: 0
Clinical Use of Adrenergic Receptor Ligands in Acute Care Settings. 肾上腺素能受体配体在急症护理中的临床应用。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1007/164_2023_705
Erica Langnas, Mervyn Maze

In this chapter, we review how ligands, both agonists and antagonists, for the major classes of adrenoreceptors, are utilized in acute care clinical settings. Adrenergic ligands exert their effects by interacting with the three major classes of adrenoceptors. Adrenoceptor agonists and antagonists have important applications, ranging from treatment of hypotension to asthma, and have proven to be extremely useful in a variety of clinical settings of acute care from the operating room to the critical care environment. Continued research interpreting the mechanisms of adrenoreceptors may help the discovery of new drugs with more desirable clinical profiles.

在本章中,我们将回顾在急诊临床环境中如何使用主要类别肾上腺素受体的配体(包括激动剂和拮抗剂)。肾上腺素能配体通过与三大类肾上腺素受体相互作用来发挥其作用。肾上腺素受体激动剂和拮抗剂具有重要的应用价值,从治疗低血压到哮喘,已被证明在从手术室到重症监护环境的各种急症护理临床环境中非常有用。继续研究肾上腺素受体的作用机制可能有助于发现临床效果更理想的新药。
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引用次数: 0
Project-Based Public-Private Collaborations. 基于项目的公私合作。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1007/164_2024_722
Peter Hein, Martin C Michel

Project-based collaborations between a single academic group and a single pharmaceutical company arguably are the most frequent form of public-private partnership in preclinical research and development of new drugs. This chapter discusses the benefits of such collaborations for both sides and potential challenges that can arise before and during the conduct of a project. This is largely based on a survey of expectations and experience by 134 academic investigators with a history of engagement in a project-based collaboration with a pharmaceutical company as well as unstructured experience directly, and learned through discussions with colleagues, from the authors. Obviously, a key benefit for both sides is achieving goals that neither could easily achieve by itself. Scientific discovery, and publications, may be a shared benefit, while for academics, funding and access to compounds, and for industry, access to assay technology and reputational factors may be important. Major hurdles can be freedom to publish and assignment of intellectual property rights. On pragmatic grounds, reaching a contract can be cumbersome, which is largely attributable to the legal expectations and needs of both parties. However, overall satisfaction with project-based collaborations appears very high for academic investigators.

单个学术团体与单个制药公司之间以项目为基础的合作可以说是临床前研究和新药开发中最常见的公私合作形式。本章将讨论此类合作对双方的益处,以及在项目实施前和实施过程中可能出现的潜在挑战。这主要是基于对 134 位曾与制药公司进行过项目合作的学术研究者的期望和经验进行的调查,以及作者通过与同事讨论直接了解到的非结构化经验。显然,双方的一个主要优势是实现了各自都不容易实现的目标。科学发现和出版物可能是双方共同的利益,而对学术界来说,资金和获得化合物的机会,以及对工业界来说,获得检测技术和声誉因素可能都很重要。主要障碍可能是出版自由和知识产权转让。从实际情况来看,签订合同可能比较麻烦,这在很大程度上归因于双方的法律预期和需求。不过,学术研究人员对基于项目的合作的总体满意度似乎很高。
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引用次数: 0
Pharmacology of Compounds Targeting Cation-Chloride Cotransporter Physiology. 针对阳离子-氯离子共转运体生理学的化合物药理学。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1007/164_2023_692
Eric Delpire, Andrew S Terker, Kenneth B Gagnon

Transporters of the solute carrier family 12 (SLC12) carry inorganic cations such as Na+ and/or K+ alongside Cl across the plasma membrane of cells. These tightly coupled, electroneutral, transporters are expressed in almost all tissues/organs in the body where they fulfil many critical functions. The family includes two key transporters participating in salt reabsorption in the kidney: the Na-K-2Cl cotransporter-2 (NKCC2), expressed in the loop of Henle, and the Na-Cl cotransporter (NCC), expressed in the distal convoluted tubule. NCC and NKCC2 are the targets of thiazides and "loop" diuretics, respectively, drugs that are widely used in clinical medicine to treat hypertension and edema. Bumetanide, in addition to its effect as a loop diuretic, has recently received increasing attention as a possible therapeutic agent for neurodevelopmental disorders. This chapter also describes how over the past two decades, the pharmacology of Na+ independent transporters has expanded significantly to provide novel tools for research. This work has indeed led to the identification of compounds that are 100-fold to 1000-fold more potent than furosemide, the first described inhibitor of K-Cl cotransport, and identified compounds that possibly directly stimulate the function of the K-Cl cotransporter. Finally, the recent cryo-electron microscopy revolution has begun providing answers as to where and how pharmacological agents bind to and affect the function of the transporters.

溶质运载家族 12(SLC12)的转运体可携带 Na+ 和/或 K+ 等无机阳离子以及 Cl 穿过细胞质膜。这些紧密耦合、电中性的转运体在人体几乎所有组织/器官中都有表达,并在这些组织/器官中发挥着许多重要功能。该家族包括两个参与肾脏盐重吸收的关键转运体:在亨勒襻中表达的 Na-K-2Cl 共转运体-2(NKCC2)和在远曲小管中表达的 Na-Cl 共转运体(NCC)。NCC 和 NKCC2 分别是噻嗪类和 "襻 "利尿剂的靶标,这些药物在临床医学中被广泛用于治疗高血压和水肿。布美他尼除了具有襻利尿剂的作用外,最近还作为神经发育障碍的可能治疗药物受到越来越多的关注。本章还介绍了在过去二十年中,Na+独立转运体的药理学研究如何大幅扩展,为研究提供了新的工具。这项工作确实发现了比首次描述的 K-Cl 共转运抑制剂呋塞米强 100 倍到 1000 倍的化合物,并发现了可能直接刺激 K-Cl 共转运体功能的化合物。最后,最近的低温电子显微镜革命已经开始解答药理药剂在哪里以及如何与转运体结合并影响其功能。
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引用次数: 0
Adrenoceptors in the Eye - Physiological and Pathophysiological Relevance. 眼睛中的肾上腺素受体--生理和病理生理学意义。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1007/164_2023_702
Yue Ruan, Francesco Buonfiglio, Adrian Gericke

The autonomic nervous system plays a crucial role in the innervation of the eye. Consequently, it comes as no surprise that catecholamines and their corresponding receptors have been extensively studied and characterized in numerous ocular structures, including the cornea, conjunctiva, lacrimal gland, trabecular meshwork, uvea, and retina. These investigations have unveiled substantial clinical implications, particularly in the context of treating glaucoma, a progressive neurodegenerative disorder responsible for irreversible vision loss on a global scale. The primary therapeutic approaches for glaucoma frequently involve the modulation of α1-, α2-, and β-adrenoceptors, making them pivotal targets. In this chapter, we offer a comprehensive overview of the expression, distribution, and functional roles of adrenoceptors within various components of the eye and its associated structures. Additionally, we delve into the pivotal role of adrenoceptors in the pathophysiology of glaucoma. Furthermore, we provide a concise historical perspective on adrenoceptor research, examine the distinct contributions of individual adrenoceptor subtypes to the treatment of various ocular conditions, and propose potential future avenues of exploration in this field.

自律神经系统在眼睛的神经支配中起着至关重要的作用。因此,对儿茶酚胺及其相应受体进行广泛研究并确定其在角膜、结膜、泪腺、小梁网、葡萄膜和视网膜等众多眼部结构中的特性也就不足为奇了。这些研究揭示了大量的临床意义,特别是在治疗青光眼方面,青光眼是一种渐进性神经退行性疾病,在全球范围内造成不可逆转的视力丧失。青光眼的主要治疗方法通常涉及对α1-、α2-和β肾上腺素受体的调节,因此这些受体成为关键靶点。在本章中,我们将全面概述肾上腺素受体在眼睛及其相关结构的各个组成部分中的表达、分布和功能作用。此外,我们还将深入探讨肾上腺素受体在青光眼病理生理学中的关键作用。此外,我们还提供了肾上腺素受体研究的简明历史视角,研究了各个肾上腺素受体亚型对治疗各种眼部疾病的独特贡献,并提出了该领域未来可能的探索方向。
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引用次数: 0
Locus Coeruleus and Noradrenergic Pharmacology in Neurodegenerative Disease. 神经退行性疾病中的脑室和去甲肾上腺素能药理学。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1007/164_2023_677
Rachel A Matt, Renee S Martin, Andrew K Evans, Joel R Gever, Gabriel A Vargas, Mehrdad Shamloo, Anthony P Ford

Adrenoceptors (ARs) throughout the brain are stimulated by noradrenaline originating mostly from neurons of the locus coeruleus, a brainstem nucleus that is ostensibly the earliest to show detectable pathology in neurodegenerative diseases such as Alzheimer's and Parkinson's diseases. The α1-AR, α2-AR, and β-AR subtypes expressed in target brain regions and on a range of cell populations define the physiological responses to noradrenaline, which includes activation of cognitive function in addition to modulation of neurometabolism, cerebral blood flow, and neuroinflammation. As these heterocellular functions are critical for maintaining brain homeostasis and neuronal health, combating the loss of noradrenergic tone from locus coeruleus degeneration may therefore be an effective treatment for both cognitive symptoms and disease modification in neurodegenerative indications. Two pharmacologic approaches are receiving attention in recent clinical studies: preserving noradrenaline levels (e.g., via reuptake inhibition) and direct activation of target adrenoceptors. Here, we review the expression and role of adrenoceptors in the brain, the preclinical studies which demonstrate that adrenergic stimulation can support cognitive function and cerebral health by reversing the effects of noradrenaline depletion, and the human data provided by pharmacoepidemiologic analyses and clinical trials which together identify adrenoceptors as promising targets for the treatment of neurodegenerative disease.

整个大脑的肾上腺素受体(ARs)会受到去甲肾上腺素的刺激,去甲肾上腺素主要来自脑干神经核的小叶区神经元,而小叶区神经元是神经退行性疾病(如阿尔茨海默氏症和帕金森氏症)中最早出现病理变化的神经核。在目标脑区和一系列细胞群中表达的 α1-AR、α2-AR 和 β-AR 亚型决定了对去甲肾上腺素的生理反应,除了调节神经代谢、脑血流和神经炎症外,还包括激活认知功能。由于这些异细胞功能对维持大脑稳态和神经元健康至关重要,因此对抗因脑室小叶变性导致的去甲肾上腺素能张力丧失可能是治疗神经退行性适应症中认知症状和疾病改变的有效方法。在最近的临床研究中,有两种药物治疗方法受到关注:保留去甲肾上腺素水平(如通过再摄取抑制)和直接激活靶肾上腺素受体。在此,我们回顾了肾上腺素受体在大脑中的表达和作用,临床前研究证明肾上腺素能刺激可以通过逆转去甲肾上腺素耗竭的影响来支持认知功能和大脑健康,以及药物流行病学分析和临床试验提供的人类数据,这些数据共同确定了肾上腺素受体是治疗神经退行性疾病的有希望的靶点。
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引用次数: 0
SLC26 Anion Transporters. SLC26阴离子转运蛋白。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1007/164_2023_698
Eric R Geertsma, Dominik Oliver

Solute carrier family 26 (SLC26) is a family of functionally diverse anion transporters found in all kingdoms of life. Anions transported by SLC26 proteins include chloride, bicarbonate, and sulfate, but also small organic dicarboxylates such as fumarate and oxalate. The human genome encodes ten functional homologs, several of which are causally associated with severe human diseases, highlighting their physiological importance. Here, we review novel insights into the structure and function of SLC26 proteins and summarize the physiological relevance of human members.

溶质载体家族26(SLC26)是一个功能多样的阴离子转运蛋白家族,存在于生命的各个领域。SLC26蛋白质转运的阴离子包括氯化物、碳酸氢盐和硫酸盐,也包括富马酸盐和草酸盐等小型有机二羧酸盐。人类基因组编码十种功能同源物,其中几种与严重的人类疾病有因果关系,突出了它们的生理重要性。在此,我们回顾了对SLC26蛋白结构和功能的新见解,并总结了人类成员的生理相关性。
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引用次数: 0
New Therapeutic Options in Pulmonal Diseases: Sphingolipids and Modulation of Sphingolipid Metabolism. 肺疾病的新治疗选择:鞘磷脂和鞘磷脂代谢的调节。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1007/164_2023_700
Burkhard Kleuser, Fabian Schumacher, Erich Gulbins

Sphingolipids are crucial molecules in the respiratory airways. As in most other tissues and organs, in the lung sphingolipids play an essential role as structural constituents as they regulate barrier function and fluidity of cell membranes. A lung-specific feature is the occurrence of sphingolipids as minor structural components in the surfactant. However, sphingolipids are also key signaling molecules involved in airway cell signaling and their dynamical formation and metabolism are important for normal lung physiology. Dysregulation of sphingolipid metabolism and signaling is involved in altering lung tissue and initiates inflammatory processes promoting the pathogenesis of pulmonal diseases including cystic fibrosis (CF), chronic obstructive pulmonary disease (COPD), and asthma.In the present review, the important role of specific sphingolipid species in pulmonal diseases will be discussed. Only such an understanding opens up the possibility of developing new therapeutic strategies with the aim of correcting the imbalance in sphingolipid metabolism and signaling. Such delivery strategies have already been studied in animal models of these lung diseases, demonstrating that targeting the sphingolipid profile represents new therapeutic opportunities for lung disorders.

鞘磷脂是呼吸道中的重要分子。与大多数其他组织和器官一样,在肺中,鞘脂作为结构成分发挥着重要作用,因为它们调节细胞膜的屏障功能和流动性。肺的一个特异性特征是鞘脂作为表面活性剂中的次要结构成分出现。然而,鞘脂也是参与气道细胞信号传导的关键信号分子,其动态形成和代谢对正常的肺部生理学很重要。鞘脂代谢和信号传导的失调参与改变肺组织,并启动炎症过程,促进肺疾病的发病机制,包括囊性纤维化(CF)、慢性阻塞性肺病(COPD)和哮喘。在本综述中,将讨论特定鞘脂物种在肺疾病中的重要作用。只有这样的理解才有可能开发新的治疗策略,以纠正鞘脂代谢和信号传导的失衡。这种递送策略已经在这些肺部疾病的动物模型中进行了研究,表明靶向鞘脂谱代表了肺部疾病的新治疗机会。
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引用次数: 0
Targeted Molecular Therapeutics for Pulmonary Diseases: Addressing the Need for Precise Drug Delivery. 肺部疾病的靶向分子疗法:满足精确给药的需求。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1007/164_2023_703
Simone Carneiro, Joschka T Müller, Olivia M Merkel

Respiratory diseases are a major concern in public health, impacting a large population worldwide. Despite the availability of therapies that alleviate symptoms, selectively addressing the critical points of pathopathways remains a major challenge. Innovative formulations designed for reaching these targets within the airways, enhanced selectivity, and prolonged therapeutic effects offer promising solutions. To provide insights into the specific medical requirements of chronic respiratory diseases, the initial focus of this chapter is directed on lung physiology, emphasizing the significance of lung barriers. Current treatments involving small molecules and the potential of gene therapy are also discussed. Additionally, we will explore targeting approaches, with a particular emphasis on nanoparticles, comparing targeted and non-targeted formulations for pulmonary administration. Finally, the potential of inhaled sphingolipids in the context of respiratory diseases is briefly discussed, highlighting their promising prospects in the field.

呼吸系统疾病是公共卫生领域的一个主要问题,影响着全球众多人口。尽管目前已有缓解症状的疗法,但选择性地解决病理途径的关键点仍是一大挑战。旨在到达气道内这些靶点、增强选择性和延长疗效的创新配方提供了有希望的解决方案。为深入了解慢性呼吸系统疾病的特殊医疗需求,本章首先关注肺部生理学,强调肺屏障的重要性。本章还将讨论目前涉及小分子的治疗方法和基因治疗的潜力。此外,我们还将探讨靶向方法,特别强调纳米颗粒,比较靶向和非靶向肺部给药配方。最后,我们还将简要讨论吸入性鞘磷脂在治疗呼吸系统疾病方面的潜力,强调其在该领域的广阔前景。
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引用次数: 0
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Handbook of experimental pharmacology
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