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Detection of contractility changes in the heart from arterial blood pressure data using symmetric Projection Attractor Reconstruction 利用对称投影吸引子重构从动脉血压数据中检测心脏收缩力变化
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-07-26 DOI: 10.1016/j.vascn.2024.107546
Esther Bonet-Luz , Manasi Nandi , Mark I. Christie , Jennifer Doyle , Jennifer B. Pierson , Michael K. Pugsley , Hugo M. Vargas , Philip J. Aston

The potential for unintended drug induced changes in cardiac contractility is a major concern in medicines development. Whilst direct left ventricular pressure (LVP) measurement is the gold standard for measuring cardiac contractility in vivo, it is resource intensive and poses a welfare burden on research animals. In contrast, arterial blood pressure (BP) measurement has fewer challenges. Symmetric Projection Attractor Reconstruction (SPAR) is a signal processing technique which transforms physiological time-series signals into a corresponding visual image (‘attractor’), amplifying morphology changes within physiological waveforms. It was hypothesized that SPAR analysis of BP signals would provide a surrogate measure of cardiac contractility by specifically amplifying the maximum slope of the systolic upstroke. BP (abdominal aorta) signals obtained from beagle dogs, treated with positive and negative inotropes, were retrospectively analysed to identify signal features that correlated with the maximum upslope of the LVP signal from simultaneously acquired LVP recordings. SPAR transformation of BP signals quantified drug induced changes in the maximum slope of the systolic upstroke. We identified key SPAR metrics that provided >0.8 correlation with the LVP maximum upslope, outperforming the BP systolic upstroke alone. This was observed for all 4 different drugs, doses and time points evaluated across studies. Thus, we conclude that the SPAR measures derived from the BP signal could be used as a first pass in vivo screen to flag any risk of drug induced changes in cardiac contractility during the conduct of non-clinical medicines development, potentially reducing or replacing the need to perform direct left ventricular measurements.

在药物开发过程中,药物可能会意外诱发心脏收缩力的变化,这是一个令人担忧的主要问题。虽然直接测量左心室压力(LVP)是测量体内心脏收缩力的黄金标准,但它需要大量资源,并对研究动物的福利造成负担。相比之下,动脉血压(BP)测量面临的挑战较少。对称投影吸引器重建(SPAR)是一种信号处理技术,可将生理时间序列信号转换为相应的视觉图像("吸引器"),放大生理波形的形态变化。据推测,对血压信号进行 SPAR 分析可通过特别放大收缩期上冲的最大斜率来替代测量心脏收缩力。对使用正性和负性肌力药物治疗的小猎犬的血压(腹主动脉)信号进行了回顾性分析,以确定与同时获得的 LVP 记录中 LVP 信号最大上坡相关的信号特征。血压信号的 SPAR 转换量化了药物引起的收缩期上冲最大斜率的变化。我们确定了一些关键的 SPAR 指标,它们与 LVP 最大上行斜率的相关性大于 0.8,优于单纯的血压收缩上行斜率。在所有 4 种不同药物、剂量和时间点的评估研究中都观察到了这种情况。因此,我们得出结论:在非临床药物研发过程中,从血压信号中得出的 SPAR 测量值可作为体内筛选的第一道关口,用于标记药物引起的心脏收缩力变化的任何风险,从而有可能减少或取代进行直接左心室测量的需要。
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引用次数: 0
Development and validation of an LC-MSMS method for the quantitation of pacritinib; application of kinetics in rabbits 开发和验证用于定量检测帕克替尼的 LC-MSMS 方法;在兔子身上应用动力学方法。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-07-26 DOI: 10.1016/j.vascn.2024.107547
Phani Kumar Sunkara, Sreedhara Chaganty, K. Ramakrishna

Background

Accurate and selective LC/ESI-MSMS method development and validation for the quantitation of pacritinib is the primary goal of this study to perform kinetic studies in the healthy rabbit.

Methods

Chromatographic resolution was accomplished with a hypersil/ODS (50 mm × 4.6 mm, 3 μ) analytical C18 column and a mobile phase composition of 0.1% formic acid and ACN in the proportion of 25:75 with a 0.6 ml/min flow of the mobile phasic system from the analytical column. The method was employed by monitoring the established ionic transitions of m/z-473.25/98.09 for Pacritinib and 506.18/57.12 for the internal standard (Amprenavir) in multiple reaction monitoring.

Results

The calibration plot regression line was y = 0.0002× + 0.007, with a correction coefficient (r2) of 0.9989. The CV outcomes for the matrix effect at low-QC and high-QC levels were 4.79% and 4.91%, respectively. The percentage average recoveries for Pacritinib in High-QC (12.70 μg/ml), MQC (8.50 μg/ml), and Low-QC (1.19 μg/ml) were 95.87%, 103.64%, and 94.32%, respectively. The obtained values were found between 2.98 and 5.07% for the QC (1.19, 8.50, and 12.70 μg/ml) samples. The established procedure was subjected to kinetics study of Pacritinib after oral administration in rabbits. Cmax, Tmax, and T1/2, of the Pacritinib tablets were 247.25 ± 3.32 ng/ml, 6.0 ± 0.03 h, and 12.24 ± 0.53 h, respectively. AUC0-∞ infinity for Pacritinib tablets was 1691.74 ± 3.67 ng h/ml.

Conclusion

After oral administration of Pacritinib to healthy rabbits, pharmacokinetic characteristics were presented, and the established technique was effectively verified.

研究背景本研究的主要目标是开发和验证准确且选择性强的 LC/ESI-MSMS 方法,用于在健康兔子体内进行帕克替尼的动力学研究:采用超细硅胶/ODS(50 mm × 4.6 mm, 3 μ)分析C18色谱柱,以0.1%甲酸和乙腈为流动相,流速为0.6 ml/min,比例为25:75,进行色谱解析。该方法采用多反应监测法,监测帕克瑞替尼和内标物(安普瑞那韦)的离子跃迁,帕克瑞替尼的离子跃迁为 m/z-473.25/98.09,内标物(安普瑞那韦)的离子跃迁为 506.18/57.12:校准图回归线为 y = 0.0002× + 0.007,校正系数 (r2) 为 0.9989。在低定标水平和高定标水平下,基质效应的 CV 值分别为 4.79% 和 4.91%。帕克瑞替尼在高 QC(12.70 μg/ml)、MQC(8.50 μg/ml)和低 QC(1.19 μg/ml)下的平均回收率分别为 95.87%、103.64% 和 94.32%。质控样品(1.19、8.50 和 12.70 μg/ml)的检测值介于 2.98 和 5.07% 之间。按照既定程序对兔子口服帕克瑞替尼进行了动力学研究。帕克替尼片的 Cmax、Tmax 和 T1/2 分别为 247.25 ± 3.32 ng/ml、6.0 ± 0.03 h 和 12.24 ± 0.53 h。帕克替尼片的AUC0-∞无穷大为1691.74 ± 3.67 ng h/ml:结论:健康家兔口服帕克替尼后呈现出药代动力学特征,有效验证了所建立的技术。
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引用次数: 0
Assessment of corrected JT-peak (JTpc) and Tpeak-to-Tend (TpTec) as proarrhythmia biomarkers in non-human primates: Outcome from a HESI consortium 在非人灵长类动物中评估作为前心律失常生物标志物的校正JT-峰值(JTpc)和Tpeak-to-Tend(TpTec):HESI 联合会的成果。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-07-15 DOI: 10.1016/j.vascn.2024.107543
Emmanuel Boulay , Simon Authier , Theresa Bartko , Andrea Greiter-Wilke , Derek Leishman , Dingzhou Li , Jill V. Nichols , Jennifer Pierson , Eric I. Rossman , Jean-Pierre Valentin , Jose Vicente , Jacqueline Walisser , Eric Troncy , Todd A. Wisialowski

Introduction

Corrected QT interval (QTc)is an established biomarker for drug-induced Torsade de Pointe (TdP), but with concerns for a false positive signal. Clinically, JTpc and TpTec have emerged as ECG sub-intervals to differentiate predominant hERG vs. mixed ion channel blocking drugs that prolong QTc.

Methods

In a multicentric, prospective, controlled study, different proarrhythmic drug effects on QTc, JTpc and TpTec were characterized with cynomolgus monkeys using telemetry in a Lead II configuration for internal and external telemetry.Drugs and vehicle were administered orally (PO) to group size of 4 to 8 animals, in 4 laboratories.

Results

In monkeys, dofetilide (0.03–0.3 mg/kg) was associated with exposure dependent QTc and JTpc increase, but no significant TpTec effect. Similarly, quinidine (2–50 mg/kg) increased QTc and JTpc but did not change TpTec. Mexiletine (1–15 mg/kg) and verapamil (50 mg/kg) did not induce any significant effect on QTc, JTpc or TpTec.

Discussion

Clinically, predominant hERG blockers (dofetilide and quinidine) prolong QTc, JTpc and TpTec and are associated with increased risk for TdP. Results from this study demonstrate that ECG changes after dofetilide and quinidine administration to telemetered monkeys differ from the clinical response, lacking the expected effects on TpTec. Potential explanations for the lack of translation include physio-pharmacology species differences or ECG recording and analysis methodology variations. Mixed ion channel blockers verapamil and mexiletine administered to monkeys showed no significant QTc, JTpc or TpTec prolongation as expected based on the similar clinical response for these agents.

导言校正 QT 间期(QTc)是药物诱发 Torsade de Pointe(TdP)的既定生物标志物,但存在假阳性信号的问题。在临床上,JTpc 和 TpTec 已成为心电图子区间,用于区分主要的 hERG 药物和延长 QTc 的混合离子通道阻滞药物:在一项多中心、前瞻性、对照研究中,使用导联 II 配置的内部和外部遥测技术,对猴子的 QTc、JTpc 和 TpTec 的不同促心律失常药物效应进行了表征:在猴子体内,多非利特(0.03-0.3 毫克/千克)与暴露依赖性 QTc 和 JTpc 升高有关,但对 TpTec 没有显著影响。同样,奎尼丁(2-50 毫克/千克)会增加 QTc 和 JTpc,但不会改变 TpTec。美西雷定(1-15 毫克/千克)和维拉帕米(50 毫克/千克)对 QTc、JTpc 或 TpTec 均无明显影响:讨论:临床上,主要的 hERG 阻滞剂(多非利特和奎尼丁)会延长 QTc、JTpc 和 TpTec,并增加 TdP 的风险。本研究结果表明,遥测猴服用多非利特和奎尼丁后的心电图变化与临床反应不同,对 TpTec 没有预期的影响。缺乏转化的潜在原因包括生理药理学物种差异或心电图记录和分析方法的差异。对猴子施用混合离子通道阻滞剂维拉帕米和美西律汀没有显示出明显的 QTc、JTpc 或 TpTec 延长,这是基于这两种药物类似的临床反应。
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引用次数: 0
First-order compartment model solutions – Exponential sums and beyond 一阶区间模型解决方案--指数和及其他。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-07-01 DOI: 10.1016/j.vascn.2024.107534
Cyprian Świętaszczyk , Lars Jødal

First-order compartment models are common tools for modelling many biological processes, including pharmacokinetics. Given the compartments and the transfer rates, solutions for the time-dependent quantity (or concentration) curves can normally be described by a sum of exponentials. This paper investigates cases that go beyond simple sums of exponentials. With specific relations between the transfer rate constants, two exponential rate constants can be equal, in which case the normal solution cannot be used. The conditions for this to occur are discussed, and advice is provided on how to circumvent these cases. An example of an analytic solution is given for the rare case where an exact equality is the expected result. Furthermore, for models with at least three compartments, cases exist where the solution to a real-valued model involves complex-valued exponential rate constants. This leads to solutions with an oscillatory element in the solution for the tracer concentration, i.e., there are cases where the solution is not a simple sum of (real-valued) exponentials but also includes sine and cosine functions. Detailed solutions for three-compartment cases are given. As a tentative conclusion of the analysis, oscillatory solutions appear to be tied to cases with a cyclic element in the model itself.

一阶分区模型是模拟许多生物过程(包括药代动力学)的常用工具。给定隔室和转移率后,随时间变化的数量(或浓度)曲线的解通常可以用指数和来描述。本文研究的情况超出了简单的指数之和。在传递速率常数之间存在特定关系的情况下,两个指数速率常数可能相等,在这种情况下就不能使用正常的解法。讨论了出现这种情况的条件,并就如何规避这些情况提供了建议。对于预期结果完全相等的罕见情况,给出了一个解析解的例子。此外,对于至少有三个隔室的模型,存在实值模型解涉及复值指数速率常数的情况。这导致示踪剂浓度的解中含有振荡元素,即解不是简单的(实值)指数和,还包括正弦和余弦函数。本文给出了三室情况的详细解法。作为分析的初步结论,振荡解似乎与模型本身具有循环元素的情况有关。
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引用次数: 0
Ultra-fast UPLC–MS/MS approach for estimating X-376 in human liver microsomes: Evaluation of metabolic stability via in silico software and in vitro analysis 用超快 UPLC-MS/MS 方法估算人肝微粒体中的 X-376:通过硅学软件和体外分析评估代谢稳定性。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-07-01 DOI: 10.1016/j.vascn.2024.107540
Mohamed W. Attwa, Ali S. Abdelhameed, Adnan A. Kadi

X-376 is a novel anaplastic lymphoma kinase (ALK) inhibitor that is capable of penetrating the blood brain barrier. This makes it suitable for use in patients with ALK-positive non-small cell lung cancer (NSCLC) who have metastases in the central nervous system. This study developed a highly sensitive, fast, eco-friendly, and reliable UPLC-MS/MS approach to quantify X-376 in human liver microsomes (HLMs). This approach was used to evaluate X-376's metabolic stability in HLMs in vitro. The UPLC-MS/MS analytical technique validation followed US-FDA bio-analytical method validation guidelines. StarDrop software, containing P450 metabolic and DEREK modules, was utilized to scan X-376's chemical structure for metabolic lability and hazardous warnings. X-376 and Encorafenib (ENF as internal standard) were resoluted on the Eclipse Plus C18 column utilizing an isocratic mobile phase method. The X-376 calibration curve was linear from 1 to 3000 ng/mL. The precision and accuracy of this study's UPLC-MS/MS approach were tested for intra- and inter-day measurements. Inter-day accuracy was −1.32% to 9.36% while intra-day accuracy was −1.5% to 10.00%. The intrinsic clearance (Clint) and in vitro half-life (t1/2) of X-376 were 59.77 mL/min/kg and 13.56 min. The high extraction ratio of X-376 supports the 50 mg twice-daily dose for ALK-positive NSCLC and CNS metastases patients. In silico software suggests that simple structural changes to the piperazine ring or group substitution in drug design may improve metabolic stability and safety compared to X-376.

X-376是一种新型无性淋巴瘤激酶(ALK)抑制剂,能够穿透血脑屏障。这使它适合用于中枢神经系统转移的ALK阳性非小细胞肺癌(NSCLC)患者。本研究开发了一种高灵敏、快速、环保、可靠的UPLC-MS/MS方法,用于定量检测人肝微粒体(HLMs)中的X-376。该方法被用于评估X-376在体外肝微粒体中的代谢稳定性。UPLC-MS/MS分析技术的验证遵循了美国食品药物管理局(US-FDA)的生物分析方法验证指南。StarDrop 软件包含 P450 代谢模块和 DEREK 模块,用于扫描 X-376 的化学结构,以确定其代谢稳定性和危险警告。采用等度流动相方法,在Eclipse Plus C18色谱柱上对X-376和安可非尼(内标物为ENF)进行解析。X-376校准曲线在1至3000纳克/毫升之间呈线性关系。本研究采用 UPLC-MS/MS 方法测试了日内和日间测量的精密度和准确度。日间准确度为-1.32%至9.36%,而日内准确度为-1.5%至10.00%。X-376的体内清除率(Clint)和体外半衰期(t1/2)分别为59.77毫升/分钟/千克和13.56分钟。X-376的高萃取率支持对ALK阳性NSCLC和中枢神经系统转移患者采用50毫克、每天两次的剂量。硅学软件表明,与X-376相比,在药物设计中对哌嗪环进行简单的结构改变或基团置换可提高代谢稳定性和安全性。
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引用次数: 0
Innovative approaches to cardiovascular safety pharmacology assessment 心血管安全药理学评估的创新方法。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-07-01 DOI: 10.1016/j.vascn.2024.107533
Michael K. Pugsley , Brett R. Winters , Yevgeniya E. Koshman , Simon Authier , C. Michael Foley , Eric S. Hayes , Michael J. Curtis

This editorial prefaces the annual themed issue on safety pharmacology (SP) methods which has been published since 2004 in the Journal of Pharmacological and Toxicological Methods (JPTM). Here we highlight content derived from the 2023 Safety Pharmacology Society (SPS) meeting held in Brussels, Belgium. The meeting generated 138 abstracts, reproduced in the current volume of JPTM. As in prior years, the manuscripts reflect various areas of innovation in SP including in silico modeling of stroke volume, cardiac output and systemic vascular resistance, computational approaches that compare drug-induced proarrhythmic sensitivity of human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs), an evaluation of the utility of the corrected J-Tpeak and Tpeak-to-Tend parameters from the ECG as potential proarrhythmia biomarkers, and the applicability of nonclinical concentration-QTc (C-QTc) modeling of data derived from the conduct of the in vivo QTc study as a component of the core battery of safety pharmacology studies.

自 2004 年以来,《药理学和毒理学方法杂志》(JPTM)每年都会出版一期关于安全药理学(SP)方法的主题刊物,本期社论是该刊物的序言。在此,我们重点介绍在比利时布鲁塞尔举行的 2023 年安全药理学会(SPS)会议的内容。本次会议共收到 138 篇摘要,现刊于 JPTM 本卷。与往年一样,这些手稿反映了SPS的各个创新领域,包括搏出量、心输出量和全身血管阻力的硅学建模,比较药物诱导的人诱导多能干细胞衍生心肌细胞(hiPSC-CMs)促心律失常敏感性的计算方法、评估心电图中校正后的 J 峰值和 T 峰值-峰值参数作为潜在的促心律失常生物标志物的实用性,以及非临床浓度-QTc(C-QTc)建模的适用性,该建模是进行体内 QTc 研究得出的数据,是安全性药理学研究核心电池的组成部分。
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引用次数: 0
Cutibacterium acnes induces acne-like lesions in hairless mice models - A comparative study 痤疮杆菌诱导无毛小鼠模型出现痤疮样皮损--一项比较研究。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-07-01 DOI: 10.1016/j.vascn.2024.107539
George Ladopoulos , Christina Barda , Konstantina Tsami , Andrea Vitsos , Nikos Asoutis Didaras , Dimitris Mossialos , Helen Skaltsa , Ioannis Sfiniadakis , G.Th. Papaioannou , Michail Ch. Rallis

Acne vulgaris, a chronic inflammatory skin disease with a high prevalence worldwide, necessitates reliable preclinical models for both understanding its pathogenesis and evaluating potential anti-acne therapies. This study aims to establish a robust mouse model using intracutaneous injection of Cutibacterium acnes bacterial suspension. Three hairless mouse strains (SKH-hr1, SKH-hr2 brown, and SKH-hr2 + ApoE) were systematically compared to ascertain the stains most closely resembling acne in humans. Various assessments, including photo documentation, biophysical evaluation, blood analysis, and histopathology, were conducted. Despite all strains exhibiting acne-like lesions, SKH-hr1 mice emerged as the most suitable model, demonstrating the most satisfactory results across multiple criteria. This research underscores the significance of employing hairless mice strains as models in acne studies to enhance and facilitate the development of effective therapeutic interventions.

寻常痤疮是一种慢性炎症性皮肤病,在全球发病率很高,需要可靠的临床前模型来了解其发病机制和评估潜在的抗痤疮疗法。本研究旨在通过皮内注射痤疮丙酸杆菌悬浮液来建立一个稳健的小鼠模型。对三种无毛小鼠品系(SKH-hr1、SKH-hr2 棕色品系和 SKH-hr2 + ApoE)进行了系统比较,以确定与人类痤疮最相似的染色。研究人员进行了各种评估,包括照片记录、生物物理评估、血液分析和组织病理学。尽管所有品系都表现出痤疮样皮损,但 SKH-hr1 小鼠成为最合适的模型,在多项标准中表现出最令人满意的结果。这项研究强调了在痤疮研究中采用无毛小鼠品系作为模型的重要性,以加强和促进有效治疗干预措施的开发。
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引用次数: 0
Contractility assessment using aligned human iPSC-derived cardiomyocytes 使用对齐的人类 iPSC 衍生心肌细胞进行收缩力评估。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-07-01 DOI: 10.1016/j.vascn.2024.107530
Ayano Satsuka , Alexandre J.S. Ribeiro , Hiroyuki Kawagishi , Shota Yanagida , Naoya Hirata , Takashi Yoshinaga , Junko Kurokawa , Atsushi Sugiyama , David G. Strauss , Yasunari Kanda

Introduction

Cardiac safety assessment, such as lethal arrhythmias and contractility dysfunction, is critical during drug development. Human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) have been shown to be useful in predicting drug-induced proarrhythmic risk through international validation studies. Although cardiac contractility is another key function, fit-for-purpose hiPSC-CMs in evaluating drug-induced contractile dysfunction remain poorly understood. In this study, we investigated whether alignment of hiPSC-CMs on nanopatterned culture plates can assess drug-induced contractile changes more efficiently than non-aligned monolayer culture.

Methods

Aligned hiPSC-CMs were obtained by culturing on 96-well culture plates with a ridge-groove-ridge nanopattern on the bottom surface, while non-aligned hiPSC-CMs were cultured on regular 96-well plates. Next-generation sequencing and qPCR experiments were performed for gene expression analysis. Contractility of the hiPSC-CMs was assessed using an imaging-based motion analysis system.

Results

When cultured on nanopatterned plates, hiPSC-CMs exhibited an aligned morphology and enhanced expression of genes encoding proteins that regulate contractility, including myosin heavy chain, calcium channel, and ryanodine receptor. Compared to cultures on regular plates, the aligned hiPSC-CMs also showed both enhanced contraction and relaxation velocity. In addition, the aligned hiPSC-CMs showed a more physiological response to positive and negative inotropic agents, such as isoproterenol and verapamil.

Discussion

Taken together, the aligned hiPSC-CMs exhibited enhanced structural and functional properties, leading to an improved capacity for contractility assessment compared to the non-aligned cells. These findings suggest that the aligned hiPSC-CMs can be used to evaluate drug-induced cardiac contractile changes.

简介:心脏安全性评估,如致命性心律失常和收缩功能障碍,在药物开发过程中至关重要。国际验证研究表明,人类诱导多能干细胞衍生的心肌细胞(hiPSC-CMs)可用于预测药物诱发致心律失常的风险。虽然心脏收缩力是另一项关键功能,但人们对用于评估药物诱导的收缩功能障碍的合适的hiPSC-CMs仍知之甚少。在这项研究中,我们探讨了在纳米图案培养板上对齐 hiPSC-CMs 是否能比非对齐单层培养更有效地评估药物诱导的收缩变化:对齐的hiPSC-CMs是通过在底面带有脊-槽-脊纳米图案的96孔培养板上培养获得的,而未对齐的hiPSC-CMs是在普通的96孔培养板上培养的。对基因表达进行了新一代测序和 qPCR 实验分析。使用基于成像的运动分析系统评估了 hiPSC-CMs 的收缩能力:结果:在纳米花纹板上培养时,hiPSC-CMs表现出排列整齐的形态,并增强了编码调控收缩力的蛋白的基因的表达,包括肌球蛋白重链、钙通道和雷诺丁受体。与普通平板上的培养物相比,排列整齐的 hiPSC-CMs 还显示出更强的收缩和松弛速度。此外,排列整齐的 hiPSC-CMs 对异丙肾上腺素和维拉帕米等正性和负性肌力药物表现出更多的生理反应:总之,与未配对的细胞相比,配对的 hiPSC-CMs 表现出更强的结构和功能特性,从而提高了收缩能力评估的能力。这些发现表明,配准的 hiPSC-CMs 可用于评估药物诱导的心脏收缩力变化。
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引用次数: 0
Preclinical mitigation of 5-HT2B agonism-related cardiac valvulopathy revisited 再论 5-HT2B 激动剂相关心脏瓣膜病的临床前缓解措施
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-07-01 DOI: 10.1016/j.vascn.2024.107542
Bérengère M. Dumotier , Laszlo Urban

Cardiac valvulopathy (Cardiac Valve Disease; CVD) associated with off-target activation of the 5-hydroxytryptamine (5-HT) 2B receptor has been well recognized, but is still poorly predicted during drug development. The regulatory guidance proposes the use of 5-HT2B binding data (i.e., Ki values) and free maximum therapeutic exposure (Cmax) to calculate safety margins as a threshold of detection (>10) for eliminating the risk of drug-induced cardiac valvulopathy. In this paper, we provide additional recommendations for preclinical prediction of CVD risk based on clinical pharmacodynamic and pharmacokinetic data obtained from drugs with or without 5-HT2B receptor activation. Our investigations showed that 5-HT2B agonist affinity of molecules tested in an in vitro 5-HT2B cell-based functional assay, placed in perspective to their sustained plasma exposure (AUCs) and not to their peak plasma exposure, Cmax (i.e., maximum therapeutic exposure) provide a solid basis for interpreting 5-HT2B data, for calculating safety margins and then, accurately differentiate drugs associated with a clinical risk of CVD from those which are not (despite having some agonist 5-HT2B activity). In addition, we discuss the risk of multi-organ fibrosis linked to 5-HT2B receptor activation, often underestimated, however well reported in FAERS for 5-HT2B agonists. We believe that our recommendations have the potential to mitigate the risk for the clinical development of CVD and fibrosis.

与 5- 羟色胺 (5-HT) 2B 受体的脱靶激活有关的心脏瓣膜病(CVD)已得到广泛认可,但在药物开发过程中对其预测仍然不足。监管指南建议使用 5-HT2B 结合数据(即 Ki 值)和自由最大治疗暴露量(Cmax)来计算安全系数,作为消除药物诱发心脏瓣膜病风险的检测阈值 (>10)。在本文中,我们根据从有或没有 5-HT2B 受体激活的药物中获得的临床药效学和药代动力学数据,为临床前预测心血管疾病风险提供了更多建议。我们的研究表明,在体外 5-HT2B 细胞功能检测中测试的分子的 5-HT2B 激动剂亲和力,与其持续血浆暴露量(AUCs)而非其峰值血浆暴露量、Cmax(即最大治疗暴露量)有关,为解释 5-HT2B 数据、计算安全系数以及准确区分与心血管疾病临床风险有关的药物和与心血管疾病临床风险无关的药物(尽管具有一定的 5-HT2B 激动剂活性)提供了坚实的基础。此外,我们还讨论了与 5-HT2B 受体激活相关的多器官纤维化风险,这种风险往往被低估,但在 FAERS 中却有关于 5-HT2B 激动剂的详细报告。我们相信,我们的建议有可能降低心血管疾病和纤维化的临床发展风险。
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引用次数: 0
Determination of unbound platinum concentrations in human plasma using ultrafiltration and precipitation methods 利用超滤和沉淀方法测定人体血浆中的非结合铂浓度。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-07-01 DOI: 10.1016/j.vascn.2024.107535
Xia Wen , Cathleen Doherty , Lauren E. Thompson , Christine Kim , Brian S. Buckley , Edgar A. Jaimes , Melanie S. Joy , Lauren M. Aleksunes

Quantification of the unbound portion of platinum (Pt) in human plasma is important for assessing the pharmacokinetics of the chemotherapeutic drug cisplatin. In this study, we sought to compare the recovery of unbound Pt using Nanosep® filters to 1) traditional filters (Centrifree®, Centrisart®, Amicon®) or trichloroacetic acid (TCA) protein precipitation, and 2) unbound, bound, and total Pt concentrations in clinical specimens. For the tested filters, the impact of 1) molecular weight cut-offs, 2) centrifugation force, and 3) total Pt concentration on Pt binding in human plasma was evaluated. Pt was quantified using inductively coupled-plasma mass spectrometry. In human plasma spiked with 0.9 μg/mL Pt, the percent of unbound Pt increased at higher centrifugation speeds. By comparison, the percent of unbound Pt was highest (42.1%) following TCA protein precipitation. When total Pt was ≤0.9 μg/mL, unbound Pt (∼20–30%) was consistent across filters. Conversely, when plasma was spiked with Pt exceeding 0.9 μg/mL, the percent of unbound Pt increased from 36.5 to 48% using ultrafiltration, compared to 63.4% to 79% with TCA precipitation. In patients receiving cisplatin-containing chemotherapy, the fraction of unbound Pt at concentrations exceeding 0.9 μg/mL ranged between 35 and 90%. Moreover, the unbound fraction of Pt in plasma correlated with the concentration of unbound (R2 = 0.738) and total Pt (R2 = 0.335). In summary, this study demonstrates that 1) the percent of unbound Pt is influenced by total and unbound Pt levels in vitro and in clinical specimens, and 2) ultrafiltration with Nanosep® filters is a feasible method for quantifying unbound Pt concentrations in human plasma.

人体血浆中铂金(Pt)未结合部分的定量对于评估化疗药物顺铂的药代动力学非常重要。在这项研究中,我们试图比较使用 Nanosep® 过滤器和 1)传统过滤器(Centrifree®, Centrisart®, Amicon®)或三氯乙酸(TCA)蛋白沉淀法回收未结合铂的情况,以及 2)临床样本中未结合、结合和总铂浓度。对于测试的过滤器,评估了 1)分子量截止值、2)离心力和 3)总铂浓度对人体血浆中铂结合的影响。铂采用电感耦合等离子体质谱法进行定量。在添加了 0.9 μg/mL Pt 的人体血浆中,离心速度越快,未结合铂的百分比越高。相比之下,TCA 蛋白沉淀后未结合铂的百分比最高(42.1%)。当总铂量≤0.9 μg/mL时,各过滤器的未结合铂量(约20-30%)是一致的。相反,当血浆中的铂含量超过 0.9 μg/mL 时,使用超滤时,未结合铂的百分比从 36.5% 增加到 48%,而使用 TCA 沉淀时,未结合铂的百分比则从 63.4% 增加到 79%。在接受含顺铂化疗的患者中,浓度超过 0.9 μg/mL 的未结合铂的比例在 35% 到 90% 之间。此外,血浆中铂的非结合部分与非结合铂浓度(R2 = 0.738)和总铂浓度(R2 = 0.335)相关。总之,本研究证明:1)未结合铂的百分比受体外和临床样本中总铂和未结合铂水平的影响;2)使用 Nanosep® 过滤器进行超滤是量化人体血浆中未结合铂浓度的可行方法。
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引用次数: 0
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Journal of pharmacological and toxicological methods
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