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Discovery of Novel Peptidomimetics for Brain-Derived Neurotrophic Factor using Phage Display Technology 利用噬菌体展示技术发现新型脑源性神经营养因子肽代谢抑制剂
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-10-01 DOI: 10.22034/IJPS.2018.37554
Fatemeh Nafian, M. Rasaee, S. Yazdani, Z. Soheili
Brain-Derived Neurotrophic Factor (BDNF) is a neuroprotectant candidate for neurodegenerative diseases. However, there are several clinical concerns about its therapeutic applications. In the current study, we selected BDNF-mimicking small peptides from phage-displayed peptide library as alternative molecules to the clinical challenges. The peptide library was screened against BDNF receptor (Neurotrophic Tyrosine Kinase Receptor Type 2, NTRK2) and evaluated by ELISA. Polyclonal phage ELISA indicated that target populations were enriched round by round and the panning process was truly effective. The results of monoclonal phage-ELISA showed that all clones had principally bound to NTRK2 but fifteen best clones were sequenced, which twelve of them have SGVYKVAYDWQH (peptide 1) sequence, two pairs were GLHTSATNLYLH (peptide 2), and TVLSHPSTATLI (peptide 3) and one sequence was QQRPYVQDLRLI (peptide 4). Alignment of these peptides and BDNF sequence showed that the resulting peptides conformationally mimicked loop 2 (E40-KVPVSKGQLK-Q51) of BDNF. This region of BDNF is responsible for specific receptor binding and biological activity. According to the similarity of these peptides with BDNF, they could be considered as novel peptidomimetics with therapeutic properties. In addition, modeled peptides were submitted to Protein Model Data Base (peptides 1, 2, 3 and 4 as PMDB ID: PM0081104, PM0081105, PM0081106, PM0081107, respectively).
脑源性神经营养因子(BDNF)是一种神经退行性疾病的候选神经保护剂。然而,临床上对其治疗应用存在一些担忧。在目前的研究中,我们从噬菌体展示肽库中选择了模拟bdnf的小肽作为临床挑战的替代分子。筛选BDNF受体(NTRK2, Neurotrophic Tyrosine Kinase receptor Type 2, NTRK2)的肽库,并进行ELISA检测。多克隆噬菌体酶联免疫吸附试验结果表明,筛选过程是有效的。单克隆噬菌体酶联免疫吸附试验结果表明,所有克隆主要与NTRK2结合,筛选出15个最佳克隆,其中SGVYKVAYDWQH(肽1)序列为12个,GLHTSATNLYLH(肽2)和TVLSHPSTATLI(肽3)序列为2对,QQRPYVQDLRLI(肽4)序列为1对,与BDNF的2环(E40-KVPVSKGQLK-Q51)结构相似。BDNF的这个区域负责特定受体的结合和生物活性。根据这些肽与BDNF的相似性,它们可以被认为是具有治疗特性的新型肽模拟物。此外,将模型肽提交到蛋白质模型数据库(肽1、2、3和4分别作为PMDB ID: PM0081104、PM0081105、PM0081106、PM0081107)。
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引用次数: 1
Using Discrete Choice Experiment to Determine Willingness to Pay for Medicine Interferon-Beta by Multiple Sclerosis Patients 应用离散选择实验测定多发性硬化患者对干扰素β药物的支付意愿
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-10-01 DOI: 10.22034/IJPS.2018.37550
Farimah Rahimi, H. Rasekh, F. Peiravian, E. Abbasian
This study explores the effects of Interferon-β characteristics such as country of origin, injection frequency and method, monthly cost, efficacy, and side effects on multiple-sclerosis patients’ willingness to pay. For this purpose, MS patients with a history of using Interferon-β were studied from the three major Isfahan MS centers. Choice sets were designed with a combination of attributes and levels. The variables in this experiment included interferon-β with different levels assigned to each of its attribute. Patient preferences and willingness to pay were calculated through Discreet Choice Experiment. The statistical population consisted of 358 patients deemed eligible for the study. They responded to the questionnaire and took part in interviews. Results showed that the highest willingness-to-pay value of US$ 223 as determined by MS patients belonged to a change of efficacy from moderate to high. Side-effects and ease of use ranked next among patient preferences. Country of origin recorded the lowest value of the willingness-to-pay parameter. Evaluation of MS patients' preferences as reflected in their willingness to pay plays an important role in patient’s adherence to treatment to achieve more effective results. Due to the variety of drugs in this category, it is necessary to identify and prioritize those features that are of interest to patients and that increase their utility relative to IFN-β drugs.
本研究探讨了干扰素-β的来源国、注射频率和方法、每月费用、疗效和副作用等特征对多发性硬化症患者支付意愿的影响。为此,对伊斯法罕三大MS中心有干扰素-β使用史的MS患者进行了研究。选项集的设计结合了属性和级别。这个实验中的变量包括干扰素-β,每个属性都有不同的水平。通过谨慎选择实验计算患者的偏好和支付意愿。统计人群包括358名被认为符合研究条件的患者。他们回答了问卷并参加了访谈。结果显示,MS患者确定的最高支付意愿价值223美元属于疗效从中等到高的变化。副作用和易用性在患者偏好中排名第二。原籍国的支付意愿参数值最低。评估多发性硬化症患者的偏好,反映在他们的支付意愿中,对患者坚持治疗以获得更有效的结果起着重要作用。由于这一类别的药物种类繁多,有必要识别和优先考虑患者感兴趣的特征,以及相对于IFN-β药物增加其效用的特征。
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引用次数: 1
Nanobody as a new generation of functional proteins 纳米体作为新一代功能蛋白
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-07-01 DOI: 10.22034/IJPS.2018.35933
Zahra Ebrahimi, R. Arezumand, A. Ramazani
Nanobody (Nb) or VHH is the smallest binding domain of camelid heavy chain antibody (HcAb). Light chains of HcAb naturally removed and because of some evolutionary changes, Nbs have unique properties rather than conventional antibodies. The size of Nb is about one-tenth (0.1) of whole antibodies and this size improved some problems of four chains antibodies such as high yield of expression in prokaryotic systems and penetration to tissues. Some other characterizes of Nb like close homology to human VH, high stability in the extended range of pH and temperature, the capability to the identification of unusual epitope is very attractive for research and development of new Nb candidates for diagnosis, research, and therapeutic applications. Discovery of Nb almost coincided with advancement in phage display technology that was used along with Hybridoma technology in monoclonal antibody development. Currently, many of research groups focused on high-quality Nbs development against different targets especially in cancers and fortunately there are many of Nbs in clinical trial stages for use in extended ranges of diseases such as cancers, autoimmune and inflammatory diseases and infectious diseases. Recently two of them were approved for clinical use. Big companies like Ablynx and Merck have been invested in this field and in future, further drugs base Nbs were approved in different areas of health science. In this review, we focused on production, features, and clinical application of Nbs and will be noted to Nbs in clinical trials.
纳米体(Nanobody, Nb)是骆驼重链抗体(camelid heavy chain antibody, HcAb)最小的结合域。HcAb的轻链自然去除,并且由于一些进化变化,Nbs具有比传统抗体更独特的性质。Nb的大小约为整个抗体的十分之一(0.1),这种大小改善了四链抗体在原核系统中的高产率和对组织的穿透性等问题。Nb与人类VH具有密切的同源性,在较宽的pH和温度范围内具有很高的稳定性,以及对异常表位的识别能力,这些特性对研究和开发新的Nb候选物具有很大的吸引力,可用于诊断、研究和治疗应用。Nb的发现几乎与噬菌体展示技术的进步相一致,该技术与杂交瘤技术一起用于单克隆抗体的开发。目前,许多研究小组专注于针对不同靶点的高质量Nbs开发,特别是在癌症方面,幸运的是,有许多Nbs处于临床试验阶段,可用于癌症、自身免疫性疾病和炎症性疾病以及传染病等广泛疾病。最近,其中两种药物被批准用于临床。像Ablynx和默克这样的大公司已经在这一领域进行了投资,未来,更多的药物基础Nbs将在健康科学的不同领域获得批准。本文就Nbs的生产、特点、临床应用进行综述,并对Nbs在临床试验中的应用进行综述。
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引用次数: 2
Least-squares support vector machine and its application in the simultaneous quantitative spectrophotometric determination of pharmaceutical ternary mixture 最小二乘支持向量机及其在三联药同时定量光度测定中的应用
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-07-01 DOI: 10.22034/IJPS.2018.35925
Shirin Mofavvaz, M. Sohrabi, Shiva Sahebi Farhad, Alireza Nezamzadeh‐Ejhieh
This paper proposes the least-squares support vector machine (LS-SVM) as an intelligent method applied on absorption spectra for the simultaneous determination of paracetamol (PCT), caffeine (CAF) and ibuprofen (IB) in Novafen. The signal to noise ratio (S/N) increased. Also, In the LS - SVM model, Kernel parameter (σ2) and capacity factor (C) were optimized. Excellent prediction was shown using LS-SVM, with lower root mean square error (RMSE) and relative standard deviation (RSD). In addition, Regression coefficient (R2), correlation coefficient (r) and mean recovery (%) of this method obtained for PCT, CAF and IB. LS- SVM / spectrophotometry method is reliable for simultaneous quantitative analysis of components in commercial samples. The results obtained from analyzing the real sample by the proposed method compared to the high- performance liquid chromatography (HPLC) as a reference method. One-way analysis of variance (ANOVA) test at 95% confidence level used and results showed that there was no significant difference between suggested and reference methods.
本文提出将最小二乘支持向量机(LS-SVM)应用于诺伐芬中扑热息痛(PCT)、咖啡因(CAF)和布洛芬(IB)的吸收光谱同时测定。信噪比(S/N)增大。在LS - SVM模型中,对核参数σ2和容量因子C进行了优化。LS-SVM具有较低的均方根误差(RMSE)和相对标准偏差(RSD),具有较好的预测效果。此外,该方法对PCT、CAF和IB的回归系数(R2)、相关系数(r)和平均回收率(%)可靠,LS- SVM /分光光度法可用于商业样品中组分的同时定量分析。用该方法对实际样品的分析结果与高效液相色谱法(HPLC)进行了比较。采用95%置信水平的单因素方差分析(ANOVA)检验,结果显示建议方法与参考方法之间无显著差异。
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引用次数: 1
Insulinomimetic Effect of Citrullus Colocynthis Roots in STZ Challenged Rat Model 罗布麻根对STZ挑战大鼠模型的胰岛素模拟作用
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-07-01 DOI: 10.22034/IJPS.2018.65235.1324
Sireesha Kalva, N. Fatima, R. Nerella, S. Samreen
Abstract Diabetes mellitus is a metabolic disease characterized by hyperglycemia resulting from either defect in insulin secretion, insulin action, or both. Postprandial hyperglycemia is a prime characteristic of diabetes mellitus and has been a focus in the therapy for diabetes. One of the therapeutic approaches which involve decreasing hyperglycemia aims at lowering blood glucose by decreasing insulin resistance, raising insulin sensitivity at the tissues and inhibiting the carbohydrate absorbance in the intestine. Plants contain different chemical constituents with potential for insulin mimetic action, decrease in insulin resistance and of α-amylase inhibitory activity may be used as therapeutic agents in the treatment of diabetes mellitus. The present study investigates the hypoglycemic activity and insulinomimetic action of aqueous and ethanolic extracts of Citrullus colocynthis by invitro α-amylase enzyme inhibition and by histopathological studies in streptozotocin (STZ) induced diabetic rats. Male Wistar rats weighing about 180- 250g were taken and divided into fifteen groups. Diabetes was induced by giving streptozotocin (STZ) (30-50mg/kg) intraperitoneally. Rats that showed blood glucose levels > 250mg/dl were selected for the study. Metformin (45mg/kg) was given as standard oral hypoglycemic agent. The aqueous and ethanolic extracts of Citrullus colocynthis (AECC and EECC) at 100mg/kg, 200mg/kg and 300mg/kg were administered to the normal and diabetic rats. The invitro α – amylase inhibitory activity was done by spectrophotometric method. Blood glucose levels were measured by glucose oxidase method. Estimation of glycogen in the lever was carried out with anthrone method. Liver and pancreas were isolated and subjected to histopathological studies. Serum insulin was monitored through chemiluminescence assay. Oral administration of both extracts showed significant inhibition of α-amylase enzyme in-vitro and decrease in blood glucose also. Glycogen and Insulin levels too were found to increase in extract treated groups which attributed for its insulinomimetic activity. The findings revealed that Citrullus colocynthis possess a very strong anti-hyperglycemic potential justifying the use of the drug for the treatment of diabetes mellitus.
糖尿病是一种以高血糖为特征的代谢性疾病,由胰岛素分泌缺陷、胰岛素作用缺陷或两者兼有引起。餐后高血糖是糖尿病的主要特征,一直是糖尿病治疗的热点。降低高血糖的治疗方法之一是通过降低胰岛素抵抗、提高组织胰岛素敏感性和抑制肠道碳水化合物吸收来降低血糖。植物中含有多种具有胰岛素模拟作用、降低胰岛素抵抗和α-淀粉酶抑制活性的化学成分,可作为治疗糖尿病的药物。本研究通过对链脲佐菌素(STZ)诱导的糖尿病大鼠α-淀粉酶的体外抑制和组织病理学研究,探讨了枸橼水提液和醇提液对糖尿病大鼠的降糖活性和胰岛素模拟作用。取体重180 ~ 250g的雄性Wistar大鼠,分为15组。腹腔注射链脲佐菌素(STZ) (30 ~ 50mg/kg)诱导糖尿病。选择血糖水平为bb0 ~ 250mg/dl的大鼠进行研究。二甲双胍(45mg/kg)作为标准口服降糖药。分别以100mg/kg、200mg/kg和300mg/kg剂量给药于正常大鼠和糖尿病大鼠。用分光光度法测定其体外α -淀粉酶抑制活性。葡萄糖氧化酶法测定血糖水平。用蒽酮法测定杠杆中的糖原。肝脏和胰腺分离并进行组织病理学研究。用化学发光法监测血清胰岛素。口服两种提取物均能显著抑制α-淀粉酶,降低血糖。糖原和胰岛素水平也被发现在提取物处理组增加,这归因于其胰岛素模拟活性。研究结果表明,西葫芦具有很强的抗高血糖潜能,证明该药物用于治疗糖尿病是合理的。
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引用次数: 2
Protective Effects of Pioglitazone against Dextran Sodium Sulphate-Induced Colitis in Rats. 吡格列酮对右旋糖酐硫酸钠诱导大鼠结肠炎的保护作用。
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-07-01 DOI: 10.22034/IJPS.2018.35923
S. E. Awdan, R. Mostafa
The aim of the present study is to investigate the preventive effect of pioglitazone on colitis induced with dextran sulfate sodium (DSS) in rats. Twenty-four male Sprague-Dawley rats weighing 180-200 g were randomized into four groups. Rats of the 1st group received only saline and served as normal group. Colitis was induced in the remaining 3 groups by 1.5% DSS administered in drinking water for 8 days. Group 2 received only saline p.o. for 30 days and served as DSS control group. Groups 3 and 4 received pioglitazone (PIO; 10 mg/kg/day, p.o.) and sulfasalazine (SUL; 300 mg/kg) respectively for 30 days. All animals were sacrificed 24 h after the last treatment. Serum levels of interleukin-2 (IL-2), interleukin-6 (IL-6) and interleukin-17 (IL-17) were measured. Levels of tumor necrosis factor-α (TNF-α), reduced glutathione (GSH) and malondialdehyde (MDA), were measured in colon tissue. Significant elevation in GSH levels and reduction in MDA and TNF-α levels in colon tissue were observed in pioglitazone and sulfasalazine treated group when compared with the DSS control group. Significant elevation in serum IL-2 and reduction in serum IL-6 and IL-17 were observed when compared with the DSS control group. Pioglitazone reduced DSS-induced colitis possibly via reduction of MDA, TNF-α, IL-6 and IL-17 levels.
本研究旨在探讨吡格列酮对硫酸葡聚糖钠(DSS)所致大鼠结肠炎的预防作用。取24只体重180 ~ 200 g的雄性Sprague-Dawley大鼠,随机分为4组。第一组大鼠只给予生理盐水,作为正常组。其余3组小鼠均以1.5% DSS灌胃饮水,连续8 d诱导结肠炎。第2组仅给予生理盐水灌胃30 d,作为DSS对照组。第3组和第4组给予吡格列酮(PIO;10毫克/公斤/天,p.o.)和柳氮磺胺吡啶(SUL;300 mg/kg),分别饲喂30 d。末次给药后24 h处死。测定血清白细胞介素-2 (IL-2)、白细胞介素-6 (IL-6)和白细胞介素-17 (IL-17)水平。测定结肠组织中肿瘤坏死因子-α (TNF-α)、还原性谷胱甘肽(GSH)和丙二醛(MDA)水平。与DSS对照组相比,吡格列酮和磺胺氮嗪治疗组结肠组织GSH水平显著升高,MDA和TNF-α水平显著降低。与DSS对照组相比,血清IL-2明显升高,IL-6、IL-17明显降低。吡格列酮可能通过降低MDA、TNF-α、IL-6和IL-17水平来减轻dss诱导的结肠炎。
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引用次数: 1
FABRICATION AND EVALUATION OF PHYSICALLY CROSSLINKED STIMULI SENSITIVE POLYMERIC BLEND OF PVA-GELATIN AS DRUG DELIVERY SYSTEM BY FREEZE THAW CYCLES 物理交联刺激敏感聚合物共混物PVA-明胶冻融给药系统的制备与评价
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-07-01 DOI: 10.22034/IJPS.2018.35936
Deepanjan Dutta, Trishna Bal, Sabyasachi Swain, S. Goswami
Vacuum dried Metronidazole hydrochloride (MTZ) loaded Crosslinked polymeric blend of Poly(vinyl)alcohol (PVA) and Gelatin(GE) in different ratios by 30 freeze/thaw cycles (FTC) tested for stimuli sensitivity and crosslinking at various pH, temperature, ionic concentration and oscillatory test along with dye absorption test showed maximum swelling in alkaline pH and decreased swelling with increased ionic concentration. Digital scanning calorimetry(DSC) thermograms of the blank crosslinked sample showed a sharp endothermic peak at 160.57 0C and MTZ loaded samples showed two sharp endothermic peaks at 159.95 0C and 324.74 0C indicating the entrapment of drug in the polymeric network. Scanning electron microscopy(SEM) showed the rough polymeric texture. Fourier Transformation Infrared Spectroscopy(FTIR) confirmed the presence of new peaks in the cross-linked and drug-loaded sample. In-vitro drug release studies showed 98.253%± 0.363 and 92.248%±0.244 release in the first 6 hours. Biodegradability and bactericidal studies of the blank film indicated that the crosslinked sample is biodegradable and does not inhibit any microbial growth.
经30次冻融循环(FTC)对不同pH、温度、离子浓度、振荡试验和染料吸收试验的刺激敏感性和交联性进行了测试,结果表明,在碱性pH条件下溶胀最大,随着离子浓度的增加溶胀减小。空白交联样品的数字扫描量热图显示在160.57℃处有一个尖锐的吸热峰,负载MTZ的样品在159.95℃和324.74℃处有两个尖锐的吸热峰,表明药物在聚合物网络中被包裹。扫描电镜(SEM)显示其聚合物织构粗糙。傅里叶变换红外光谱(FTIR)证实在交联和载药样品中存在新的峰。体外释药试验显示,前6 h释药量分别为98.253%±0.363和92.248%±0.244。空白膜的生物降解性和杀菌性研究表明,交联样品是可生物降解的,不抑制任何微生物的生长。
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引用次数: 1
Evaluation the Toxicopathological Lesions of Berberis Vulgaris Using a Chicken Embryonic Model 用鸡胚模型评价小檗毒性病理损害
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-07-01 DOI: 10.22034/IJPS.2018.35930
A. Derakhshanfar, H. Tavakkoli
Toxicopathological effects of herbs have always been a major concern. There is scant information available about the toxicopathological effects of barberry in the fetus. Since the embryogenesis in chicken is similar to human beings, the objective of this study is to evaluate the lesions of the various dosages of Berberis vulgaris using a chicken embryonic model. Fertile chicken eggs were divided into four equal treatment groups; phosphate buffered saline-injected group and barberry-injected groups whose individuals were injected with Berberis vulgaris fruit-extract at dosages of 10, 50 and 100 mg per Kg egg-weight, respectively. Embryos were re-incubated post-treatment and allowed to develop until day 18, after which they were examined for macroscopic and microscopic lesions. Results showed that embryos were stunted in the barberry-injected groups. Defect in feather growth and general congestion was accompanied by pathological changes in brain, liver, kidney, heart and lung. Histopathological lesions include congestion, hemorrhage, edema and micro-thrombosis in the affected organs. Based on findings, it is concluded that Berberis vulgaris at the above-mentioned concentrations is toxic to the chicken embryo in a dose dependent manner. Further studies are needed to clarify the toxic effects of this herb on the development of human fetus.
草药的毒理作用一直是人们关注的焦点。关于杨梅对胎儿的毒性病理作用的信息很少。由于鸡的胚胎发生与人相似,本研究的目的是利用鸡胚胎模型来评估不同剂量小檗对鸡胚胎的损害。将可育鸡蛋分成4个处理组;磷酸盐缓冲盐水注射组和小檗注射组,每Kg蛋重分别注射小檗果实提取物10、50和100 mg。胚胎在处理后重新孵育,并允许发育到第18天,之后检查肉眼和显微镜下的病变。结果显示,注射巴伯利组胚胎发育不良。羽毛生长缺损、全身充血伴脑、肝、肾、心、肺病理改变。组织病理学病变包括受累器官的充血、出血、水肿和微血栓形成。综上所述,上述浓度的小檗对鸡胚具有一定的毒性,且呈剂量依赖性。需要进一步的研究来阐明这种草药对人类胎儿发育的毒性作用。
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引用次数: 0
Investigating the Antimicrobial Efficacy of Liposomal Vancomycin in Gram-positive and Gram-negative bacteria- A Preliminary Mechanistic Study 万古霉素脂质体对革兰氏阳性和革兰氏阴性菌抑菌效果的初步机制研究
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-07-01 DOI: 10.22034/IJPS.2018.35924
A. Serri, A. Mahboubi, A. Zarghi, H. Moghimi
Outer membrane of Gram-negative bacteria is a permeability barrier to many antibacterial agents, including the glycopeptide antibiotics such as vancomycin hydrochloride and as a result these antibiotics are ineffective against Gram negative bacteria. Different strategies have been described to overcome such limitation, including application of nanoparticles, as was shown in our previous studies for polymeric nanoparticles. On the other hand, some nanoparticles have the ability to reduce the permeation of drugs through biological barriers. Therefore, in this investigation, the effects of fusogenic liposomes, which are expected to interact well with biological barriers, toward antimicrobial effects of vancomycin in different bacteria, are investigated. Vancomycin-loaded liposomes were prepared by lipid film hydration method from a phospholipid mixture composed of either DPPC: DOPE: Chol or DPPC: DOPE: CHEMS, both in 1: 0.5: 1 molar ratios. Obtained liposomes were then assessed in regard to their antibacterial properties using broth microdilution method. Liposomes were prepared by lipid-film hydration followed by extrusion and probe sonication for size reduction. Encapsulation efficiency for large hydrophilic vancomycin in liposomes was found to be in the range 0.1 to 9 % for different formulations. Probes sonicated liposomes showed smaller size and were more stable than those prepared by extrusion. Antimicrobial results showed that encapsulation of vancomycin in liposomes decreased antibacterial efficacy of vancomycin and caused MIC increments, compared to those of free vancomycin. This might indicate negligible release of this large and charged molecule from liposomes into the bacterial preplasmic space (retention of vancomycin inside liposomal cavity or lipid-drug complexation) accompanied by inability of liposomes to permeate the bacterial barrier. Further investigations are needed to explain the interaction of liposomes with bacterial membranes.
革兰氏阴性菌的外膜是许多抗菌剂的渗透性屏障,包括糖肽抗生素如盐酸万古霉素,因此这些抗生素对革兰氏阴性菌无效。不同的策略已经被描述来克服这种限制,包括纳米颗粒的应用,正如我们之前对聚合物纳米颗粒的研究所显示的那样。另一方面,一些纳米颗粒具有降低药物通过生物屏障渗透的能力。因此,在本研究中,研究了与生物屏障相互作用良好的融合性脂质体对万古霉素在不同细菌中的抗菌作用的影响。以DPPC: DOPE: Chol或DPPC: DOPE: CHEMS为原料,摩尔比均为1∶0.5∶1,采用脂膜水合法制备万古霉素负载脂质体。然后用肉汤微量稀释法评估所得脂质体的抗菌性能。采用脂膜水化法制备脂质体,然后进行挤压和探针超声缩小。大亲水性万古霉素在脂质体中的包封率在0.1% ~ 9%之间。超声探针制备的脂质体比挤压法制得的脂质体体积更小,稳定性更高。抗菌结果显示,与游离万古霉素相比,脂质体包封万古霉素降低了万古霉素的抗菌效果,并导致MIC增加。这可能表明脂质体向细菌质前空间释放这种大而带电的分子可以忽略不计(在脂质体腔内保留万古霉素或脂药络合),同时脂质体无法穿透细菌屏障。需要进一步的研究来解释脂质体与细菌膜的相互作用。
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引用次数: 4
Selecting reference countries in external reference based pricing: The case study of Iran 基于外部参考定价的参考国家选择:以伊朗为例
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2018-07-01 DOI: 10.22034/IJPS.2018.35926
Farimah Rahimi, H. Rasekh, E. Abbasian, F. Peiravian
Most countries are using some kinds of pharmaceutical policies, like external reference-based pricing, to control the costs of medicines. This policy could be implemented in different ways and there is no systematic method for selecting reference countries. In this study, we tried to identify and classify the factors affecting the selection of reference countries in Iran. Delphi method was employed to elicit experts’ opinion in pharmaceutical sector on the parameters affecting the choice of reference countries. Members of the panel were experts in the field of policymaking, manufacturing, distribution and importation of medicines, insurance companies, and academics who were more familiar with the purpose of the research. Panels were run in three rounds. The results of this study reveal that the impact of pharmaceutical, economy and health sectors characteristics has been more effective, in selecting reference countries. Health insurance coverage was the most important index among all the different sectors. Other important indexes included pharmaceutical pricing system, mechanism of drug registration, gross national income (GNI) per capita, health expenditure per capita, health expenditure (share of GDP) and the out-of-pocket health expenditure. To have an efficient pharmaceutical external reference-based pricing, it is important to select reference countries with more similar important parameters. Obviously, any change in these parameters has to be considered and adjusted during the time.
大多数国家都在使用某种药品政策,如基于外部参考的定价,来控制药品成本。这项政策可以以不同的方式实施,而且没有系统的方法来选择参考国家。在这项研究中,我们试图识别和分类影响伊朗参考国家选择的因素。采用德尔菲法,就影响参考国选择的参数征求制药行业专家的意见。该小组的成员是政策制定、药品生产、分销和进口领域的专家、保险公司以及更熟悉研究目的的学者。小组分三轮进行。本研究结果表明,医药、经济和卫生部门的影响特征更为有效,在选择参考国家时具有借鉴意义。健康保险覆盖率是所有不同部门中最重要的指标。其他重要指标包括药品定价体系、药品注册机制、人均国民总收入、人均卫生支出、卫生支出(占国内生产总值的份额)和自付卫生支出。为了有一个有效的基于药品外部参考的定价,选择具有更相似重要参数的参考国家是很重要的。显然,这些参数的任何变化都必须在这段时间内加以考虑和调整。
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引用次数: 1
期刊
Iranian Journal of Pharmaceutical Sciences
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