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Stress-free blood sampling in minipigs: A novel method for assessing 24-h cortisol profiles and drug effects on diurnal and ultradian rhythms 迷你猪无应激血液采样:评估 24 小时皮质醇分布以及药物对昼夜节律和超昼夜节律影响的新方法
IF 1.9 4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-04-27 DOI: 10.1016/j.vascn.2024.107504
Frederik Rode , Christoffer Bundgaard , Johan Areberg , Lone Bruhn Madsen , Ida Taavoniku , Lene Hansen , Johan Weisser , Line Rørbæk Olsen , Heidi Toft Elgaard , Elin Eneberg , Michael Didriksen

We developed a novel, stress-free blood sampling method for minipigs, allowing continuous cortisol monitoring over 24 h. Baseline cortisol levels exhibited both ultradian and diurnal rhythms. During nighttime, smaller ultradian rhythms overlaid a lower baseline cortisol, which increased in sleeping pigs before lights were turned on. Additionally, we developed an analytical tool based on the R package “pracma” to quantify ultradian peak and circadian components of the cortisol profiles.

To validate our model, we investigated the effects of Verucerfont, a CRH receptor antagonist, and Venlafaxine, a serotonin-norepinephrine reuptake inhibitor. Verucerfont reduced cortisol levels during the first 9 h without affecting diurnal rhythm. Cortisol peak parameters decreased, with a 31% reduction in overall area under the curve (AUC) and a 38% reduction in ultradian average AUC. Ultradian peaks decreased from 7 to 4.5, with 34% lower amplitude. Venlafaxine maintained plasma concentrations within the targeted human effective range.

This method enables us to enhance our understanding of cortisol regulation and provide valuable insights for the impact of investigation drugs on the diurnal and ultradian rhythms of cortisol.

我们为迷你猪开发了一种新型、无应激的血液采样方法,可在 24 小时内连续监测皮质醇水平。在夜间,较小的超昼夜节律覆盖了较低的皮质醇基线,在开灯前,睡眠中的猪皮质醇水平会升高。为了验证我们的模型,我们研究了 CRH 受体拮抗剂 Verucerfont 和血清素-去甲肾上腺素再摄取抑制剂 Venlafaxine 的效果。韦鲁酮能降低皮质醇在最初 9 小时内的水平,但不影响昼夜节律。皮质醇峰值参数降低,总体曲线下面积(AUC)降低了 31%,超昼夜平均 AUC 降低了 38%。超昼夜节律峰值从 7 降至 4.5,振幅降低了 34%。这种方法使我们能够加深对皮质醇调节的理解,并为研究药物对皮质醇昼夜节律和超昼夜节律的影响提供有价值的见解。
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引用次数: 0
Test facility management: Responsibilities and paradigms of a new era 试验设施管理:新时代的责任和范例
IF 1.9 4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-04-16 DOI: 10.1016/j.vascn.2024.107505
M. Breda , M. Pilla , M. Brazzarola , B. Vaccarini

GLP test facility management refers to the proper management and organization of a facility that conducts studies according to GLP regulations. Compliance with GLP regulations is necessary for data generated in such facilities to be accepted by regulatory authorities.

According to GLP Principles, Test facility management (TFM) is responsible for a wide range of tasks and responsibilities to ensure the smooth and efficient operation of the facility. The framework in which the TFM operates within the Test Facility is certainly much more complex than in the early days of the GLP, and moreover it is unlikely that anything will change from a scientific and technological point of view in the years to come. Several aspects have changed from a scientific and technological point of view, and we know that innovation is very rapid. From the above considerations emerges the need for a major change in the performance of the TFM's role.

GLP 试验设施管理是指对按照 GLP 法规开展研究的设施进行适当的管理和组织。根据 GLP 原则,试验设施管理(TFM)负责一系列广泛的任务和职责,以确保试验设施顺利、高效地运行。与 GLP 实施初期相比,试验设施管理机构的运作框架无疑要复杂得多,而且从科学和技术角度来看,未来几年也不可能有任何变化。从科学技术的角度来看,有几个方面已经发生了变化,我们知道创新是非常迅速的。综上所述,有必要对专题工作队的职能进行重大调整。
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引用次数: 0
Development, validation, and clinical application of a UPLC-MS/MS method for omadacycline determination in human serum 用于测定人血清中奥美拉唑霉素含量的 UPLC-MS/MS 方法的开发、验证和临床应用
IF 1.9 4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-04-03 DOI: 10.1016/j.vascn.2024.107503
Guo Suhang, Zheng Ren, Fan Xudong, Zhang Ruoying, Cai Xinjun, Jin Jie

Background

Omadacycline is the first aminomethyl-tetracycline variety to successfully enter clinical applications. To support regular therapeutic drug monitoring (TDM) in clinical practice, an ultra-high-performance liquid chromatography coupled with tandem mass spectrometry (UPLC-MS/MS) method was developed that would allow omadacycline quantification in human serum.

Methods

Proteins were precipitated from serum samples using methanol. Tigecycline was used as the internal standard. Mobile phase A was formic acid in water (0.1% v/v) and mobile phase B was methanol. UPLC-MS/MS was performed for analyte separation using a gradient elution program at a flow rate of 0.3 mL/min and a total run time of 5 min. The chromatography column was a ZORBAX PRHD SB-Aq (3 × 50 mm, 1.8 μm, Agilent, USA). The multiple reaction monitoring transitions at m/z = 557.4/470.3 and 586.5/513.3 were selected for omadacycline and tigecycline in the positive mode, respectively.

Results

The validated curve ranges were 0.5–25.0 μg/mL. This method exhibited acceptable selectivity, matrix effects, and recovery. The inter- and intra-run accuracies ranged from 93.5% to 114.8%, and the inter- and intra-run precisions were between 1.29% and 5.55%.

Conclusions

The LC-MS/MS method provided a simple, specific, and rapid quantification of omadacycline in the serum of patients with pulmonary infection.

背景阿霉素是第一个成功进入临床应用的氨甲基四环素品种。为了支持临床实践中的定期治疗药物监测(TDM),我们开发了一种超高效液相色谱-串联质谱(UPLC-MS/MS)方法,用于定量检测人血清中的奥美拉唑。使用替加环素作为内标。流动相 A 为甲酸水溶液(0.1% v/v),流动相 B 为甲醇。UPLC-MS/MS 采用梯度洗脱程序进行分析物分离,流速为 0.3 mL/min,总运行时间为 5 分钟。色谱柱为 ZORBAX PRHD SB-Aq(3 × 50 mm,1.8 μm,美国安捷伦公司)。在正离子模式下,奥美拉唑和替加环素分别在 m/z = 557.4/470.3 和 586.5/513.3 处发生多反应监测跃迁。该方法的选择性、基质效应和回收率均可接受。结论 LC-MS/MS方法能简单、特异、快速地定量检测肺部感染患者血清中的奥美拉唑。
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引用次数: 0
Novel method for determination of colistin sulfate in human plasma by high-performance liquid chromatography-tandem mass spectrometry and its clinical applications in critically ill patients 高效液相色谱-串联质谱法测定人血浆中硫酸可乐定的新方法及其在危重病人中的临床应用
IF 1.9 4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-03-29 DOI: 10.1016/j.vascn.2024.107502
Xiaoying Wang , Qiang Sun , Xiaojing Li, Genzhu Wang, Baiqian Xing, Zhongdong Li

Colistin is a last-resort antibiotic used for treating infections caused by carbapenem-resistant Gram-negative bacteria, particularly in critically patients, nevertheless its therapeutic window is narrow, and requires monitoring. A determination method suitable for clinical detection is conducive to ensure its efficacy and safety of patients with severe infection. We developed and validated a concise and accurate high-performance liquid chromatography-tandem mass spectrometry method for the determination of colistin A and B in human plasma. We used a Kinetex C18 column (50 mm × 2.1 mm, 2.6 μm) with acetonitrile (containing 0.1% formic acid) as the protein precipitant and water (containing 0.2% formic acid and 5 mmol/L ammonium formate) - acetonitrile (containing 0.2% formic acid) as the gradient elution. The calibration curves were linear over concentration ranges of 0.06–4.00 μg/mL (colistin A) and 0.1–7.0 μg/mL (colistin B). The precision, accuracy, matrix effect, extraction recovery, and stability were all validated. This method was applied to the therapeutic drug monitoring for 50 critically ill patients. The trough, peak, and average steady-state concentrations of these patients were 0.8 ± 0.4, 1.4 ± 0.5, and 1.0 ± 0.4 μg/mL, respectively. And the concentrations of colistin in human plasma were closely related to the patient's renal function.

可乐定是治疗耐碳青霉烯类革兰氏阴性菌感染的最后一种抗生素,尤其适用于重症患者,但其治疗窗口狭窄,需要监测。适合临床检测的测定方法有利于确保严重感染患者的疗效和安全性。我们开发并验证了一种简便、准确的高效液相色谱-串联质谱法,用于测定人体血浆中的可乐定 A 和 B。采用 Kinetex C18 色谱柱(50 mm × 2.1 mm, 2.6 μm),以乙腈(含 0.1%甲酸)为蛋白沉淀剂,水(含 0.2%甲酸和 5 mmol/L 甲酸铵)-乙腈(含 0.2%甲酸)为梯度洗脱。在 0.06-4.00 μg/ml(秋水仙素 A)和 0.1-7.0 μg/ml(秋水仙素 B)的浓度范围内,校准曲线呈线性关系。该方法的精密度、准确度、基质效应、提取回收率和稳定性均得到了验证。该方法被应用于 50 名重症患者的治疗药物监测。这些患者的谷浓度、峰浓度和平均稳态浓度分别为 0.8 ± 0.4、1.4 ± 0.5 和 1.0 ± 0.4 μg/ml。人体血浆中的可乐定浓度与患者的肾功能密切相关。
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引用次数: 0
Improved seizure liability detection by combining rat hippocampal brain slice electrophysiology with in vivo behavior observation following intracerebroventricular drug administration 将大鼠海马脑片电生理学与脑室内给药后的体内行为观察相结合,改进癫痫发作责任检测。
IF 1.9 4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-03-01 DOI: 10.1016/j.vascn.2024.107496
Tadashi Tsubouchi, Keigo Ikeda, Yasuhiro Sasaki, Hitoshi Watanabe, Kazuhiro Chihara, Izuru Miyawaki

An adverse effect of drug candidates, seizure is a serious issue in drug development. Improving evaluation systems for seizure liability is crucial for selecting good candidates. Firstly, in vitro electrophysiological measurement by a multielectrode array system in rat hippocampal brain slices was employed to confirm an increase in electrically evoked population spike (PS) area, the occurrence of multiple population spikes (MPSs), and thereby the seizure liability of five positive control chemicals: picrotoxin, 4-aminopyridine, pentylenetetrazole, penicillin G, and chlorpromazine. Aspirin, a negative control, did not affect PS area or generate MPSs. Furthermore, baclofen, an anticonvulsant drug, decreased PS area and inhibited the increase in PS area or occurrence of MPSs induced by picrotoxin. A comparative study of seizure liability among carbapenem antibiotics revealed that tienam > carbenin > omegacin and finibax. Despite leading to a strong decrease in PS area, physostigmine, cisplatin, and paroxetine still produced MPSs. Therefore, the increase in PS area or the occurrence of the MPS are considered significant evaluation parameters for seizure liability.

In contrast, the in vitro electrophysiological measurement could not detect the seizure liability of diphenhydramine or fluvoxamine. A follow-up study of in vivo mouse behavioral change induced by intracerebroventricular administration of these drugs clearly detected convulsions. The in vitro electrophysiological study using hippocampal brain slices combined with in vivo behavior observation study of drug candidates administered by intracerebroventricular injection can implement to assess the seizure liability of even small amounts, especially in the early stages of drug development.

作为候选药物的一种不良反应,癫痫发作是药物研发中的一个严重问题。改进癫痫发作责任的评估系统对于选择好的候选药物至关重要。首先,通过多电极阵列系统对大鼠海马脑切片进行体外电生理测量,确认了电诱发群体尖峰(PS)面积的增加、多群体尖峰(MPS)的发生,从而确定了五种阳性对照化学物(匹克毒素、4-氨基吡啶、戊烯四唑、青霉素 G 和氯丙嗪)的癫痫发作责任。作为阴性对照的阿司匹林不会影响 PS 面积或产生 MPS。此外,抗惊厥药物巴氯芬(baclofen)可减少 PS 面积,并抑制微毒素诱导的 PS 面积增加或 MPS 的发生。一项关于碳青霉烯类抗生素对癫痫发作影响的比较研究显示,替南>碳青霉烯类>奥美加星和非尼巴克斯。尽管波司的明、顺铂和帕罗西汀会导致 PS 面积大幅减少,但它们仍会产生 MPS。因此,PS 面积的增加或 MPS 的出现被认为是癫痫发作责任的重要评估参数。相比之下,体外电生理测量无法检测苯海拉明或氟伏沙明的癫痫发作责任。对这些药物脑室内给药诱导的小鼠体内行为变化进行的后续研究明确检测到了惊厥。利用海马脑片进行体外电生理学研究,并结合体内行为观察研究,对脑室内注射的候选药物进行评估,尤其是在药物开发的早期阶段,即使药物用量很小,也能对癫痫发作进行评估。
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引用次数: 0
Virtual clinical QT exposure-response studies – A translational computational approach 虚拟临床 QT 暴露-反应研究--一种转化计算方法。
IF 1.9 4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-03-01 DOI: 10.1016/j.vascn.2024.107498
Jazmin Aguado-Sierra , Paula Dominguez-Gomez , Ani Amar , Constantine Butakoff , Michael Leitner , Stefan Schaper , Jan M. Kriegl , Borje Darpo , Mariano Vazquez , Georg Rast

Background and purpose

A recent paradigm shift in proarrhythmic risk assessment suggests that the integration of clinical, non-clinical, and computational evidence can be used to reach a comprehensive understanding of the proarrhythmic potential of drug candidates. While current computational methodologies focus on predicting the incidence of proarrhythmic events after drug administration, the objective of this study is to predict concentration-response relationships of QTc as a clinical endpoint.

Experimental approach

Full heart computational models reproducing human cardiac populations were created to predict the concentration-response relationship of changes in the QT interval as recommended for clinical trials. The concentration-response relationship of the QT-interval prolongation obtained from the computational cardiac population was compared against the relationship from clinical trial data for a set of well-characterized compounds: moxifloxacin, dofetilide, verapamil, and ondansetron.

Key results

Computationally derived concentration–response relationships of QT interval changes for three of the four drugs had slopes within the confidence interval of clinical trials (dofetilide, moxifloxacin and verapamil) when compared to placebo-corrected concentration-ΔQT and concentration-ΔQT regressions. Moxifloxacin showed a higher intercept, outside the confidence interval of the clinical data, demonstrating that in this example, the standard linear regression does not appropriately capture the concentration-response results at very low concentrations. The concentrations corresponding to a mean QTc prolongation of 10 ms were consistently lower in the computational model than in clinical data. The critical concentration varied within an approximate ratio of 0.5 (moxifloxacin and ondansetron) and 1 times (dofetilide, verapamil) the critical concentration observed in human clinical trials. Notably, no other in silico methodology can approximate the human critical concentration values for a QT interval prolongation of 10 ms.

Conclusion and implications

Computational concentration-response modelling of a virtual population of high-resolution, 3-dimensional cardiac models can provide comparable information to clinical data and could be used to complement pre-clinical and clinical safety packages. It provides access to an unlimited exposure range to support trial design and can improve the understanding of pre-clinical-clinical translation.

背景和目的:最近,致心律失常风险评估的范式发生了转变,这表明可以通过整合临床、非临床和计算证据来全面了解候选药物的致心律失常潜能。目前的计算方法侧重于预测用药后原心律失常事件的发生率,而本研究的目标则是预测作为临床终点的 QTc 的浓度-反应关系:实验方法:根据临床试验的建议,创建了再现人类心脏群体的全心脏计算模型,以预测 QT 间期变化的浓度-反应关系。实验方法:创建了再现人类心脏群体的全心脏计算模型,预测临床试验推荐的 QT 间期变化的浓度-反应关系,并将从计算心脏群体中获得的 QT 间期延长的浓度-反应关系与一组特征明确的化合物(莫西沙星、多非利特、维拉帕米和昂丹司琼)的临床试验数据的浓度-反应关系进行比较:与安慰剂校正浓度-ΔQT和浓度-ΔQT回归相比,四种药物中三种药物的QT间期变化的计算得出的浓度-反应关系的斜率在临床试验的置信区间内(多非利特、莫西沙星和维拉帕米)。莫西沙星显示出较高的截距,超出了临床数据的置信区间,这表明在本例中,标准线性回归不能恰当地反映极低浓度时的浓度-反应曲线。在计算模型中,QTc 平均延长 10 毫秒所对应的浓度始终低于临床数据。临界浓度在人体临床试验观察到的临界浓度的 0.5 倍(莫西沙星和昂丹司琼)和 1 倍(多非利特、维拉帕米)的大致范围内变化。值得注意的是,在 QT 间期延长 10 毫秒的情况下,没有任何其他硅学方法可以接近人体临界浓度值:高分辨率三维心脏模型虚拟群体的计算浓度-反应模型可提供与临床数据相当的信息,可用于补充临床前和临床安全性包。它提供了无限的暴露范围以支持试验设计,并能提高对临床前-临床转化的理解。
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引用次数: 0
Evaluation of the translation of multiple cardiovascular regulatory mechanisms in the anesthetized dog 评估麻醉狗体内多种心血管调节机制的转化。
IF 1.9 4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-03-01 DOI: 10.1016/j.vascn.2024.107497
Olivera Antic, Yevgeniya E. Koshman, Brandan M. Bird, Geena Jasiek, Amanda S. Wilsey, Scott W. Mittelstadt, C. Michael Foley

The strategic and targeted use of an anesthetized canine cardiovascular model early in drug discovery enables a comprehensive cardiovascular and electrophysiological assessment of potential safety liabilities and guides compound selection prior to initiation of chronic toxicological studies. An ideal model would enable exposure-response relationships to guide safety margin calculations, have a low threshold to initiate, and have quick delivery of decision quality data. We have aimed to profile compounds with diverse mechanism of actions (MoAs) of “non-QT” cardiovascular drug effects and evaluate the ability of nonclinical in vivo cardiovascular models to detect clinically reported effects. The hemodynamic effects of 11 drugs (atropine, itraconazole, atenolol, ivabradine, milrinone, enalaprilat, fasudil, amlodipine, prazosin, amiloride, and hydrochlorothiazide) were profiled in an anesthetized dog cardiovascular model. Derived parameters included: heart rate, an index of left ventricular contractility, mean arterial pressure, systemic vascular resistance, and cardiac output. Species specific plasma protein data was generated (human, dog) and utilized to calculate free drug concentrations. Using the anesthetized dog cardiovascular model, 10 of the 11 drugs displayed the predicted changes in CV parameters based on their primary MoAs and corresponding clinically described effects. Interestingly but not unexpected, 1 of 11 failed to display their predicted CV pattern which is likely due to a delay in pharmacodynamic effect that is beyond the duration of the experimental model (hydrochlorothiazide). The analysis from the current study supports the strategic use of the anesthetized dog model early in the drug discovery process for a comprehensive cardiovascular evaluation with good translation to human.

在药物发现的早期阶段,战略性地、有针对性地使用麻醉犬心血管模型,可以对潜在的安全性责任进行全面的心血管和电生理学评估,并在启动慢性毒理学研究之前指导化合物的选择。理想的模型应能建立暴露-反应关系以指导安全系数计算,启动门槛低,并能快速提供决策质量数据。我们的目标是剖析具有不同作用机制(MoAs)的 "非 QT "心血管药物效应化合物,并评估非临床体内心血管模型检测临床报告效应的能力。在麻醉狗心血管模型中分析了 11 种药物(阿托品、伊曲康唑、阿替洛尔、伊伐布雷定、米力农、依那普利拉、法舒地尔、氨氯地平、哌唑嗪、阿米洛利和氢氯噻嗪)的血液动力学效应。得出的参数包括:心率、左心室收缩力指数、平均动脉压、全身血管阻力和心输出量。生成的特定物种血浆蛋白数据(人、狗)用于计算游离药物浓度。通过使用麻醉狗心血管模型,11 种药物中有 10 种根据其主要作用剂量和相应的临床描述效应显示出了预测的心血管参数变化。有趣但并非意料之外的是,11 种药物中有 1 种未能显示其预测的 CV 模式,这可能是由于药效学效应的延迟超出了实验模型的持续时间(氢氯噻嗪)。本研究的分析结果支持在药物发现过程的早期战略性地使用麻醉狗模型来进行全面的心血管评估,以便很好地转化到人体。
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引用次数: 0
The visual field-testing maze and vision maze: Feasible techniques to evaluate visual field loss in animals 视野测试迷宫和视觉迷宫:评估动物视野缺损的可行技术。
IF 1.9 4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-02-17 DOI: 10.1016/j.vascn.2024.107495
Shivani Behera , Ashmita Das , Jaya Shree , Pranay Soni , Devi Prasad Pandey , Surendra H. Bodakhe

Visual field loss due to glaucoma is a severe and concerning problem, leading to limited visual range and poor quality vision. The progression of this loss begins with a para-central arcuate scotoma which eventually advances to a ring scotoma and constricted visual fields in later stages. Currently, no animal model is available for screening this pattern of vision loss. However, we have successfully developed two mazes to evaluate visual field loss - the visual field-testing maze (VFTZ) for peripheral vision loss and the vision maze (VM) for central vision loss. Our studies involved inducing glaucoma in Wistar and Sprague Dawley rats using lipopolysaccharide (LPS) and testing them in VFTZ and VM. We used Latanoprost and dorzolamide eye drops as standard drug candidates during the study. We evaluated the animals for intraocular pressure, retinal vasculature imaging, and anxiety using tonometry, ophthalmoscopy, and light and dark model techniques. Furthermore, we quantified the antioxidant parameters of the retina using UV spectroscopy. Our findings showed that animals with peripheral visual field loss in VFTZ took significantly more time to reach the goal and spent more time within the maze compared to normal or drug-treated animals (P < 0.001). Additionally, animals with compromised central visual field in VM spent more time in a particular arm and changed arms less frequently (P < 0.001) compared to normal or drug-treated animals. Moreover, we observed that glaucomatous rats exhibited elevated anxiety levels and impaired performance in the mazes, emphasizing the impact of vision loss on anxiety. Finally, the antioxidant and ATPase alterations in the retinal layers verified the glaucomatous changes in the experimental animals. Based on our remarkable findings, we strongly recommend the use of VFTZ and VM to evaluate visual field loss in animals.

青光眼引起的视野缺损是一个严重而令人担忧的问题,它会导致视力范围受限和视觉质量下降。这种视力损失的发展过程从中央旁弧形视网膜瘤开始,最终发展到后期的环形视网膜瘤和视野缩小。目前,还没有动物模型可用于筛查这种视力丧失模式。不过,我们已经成功开发出了两种评估视野缺损的迷宫--针对周边视觉缺损的视野测试迷宫(VFTZ)和针对中心视力缺损的视野迷宫(VM)。我们的研究包括使用脂多糖(LPS)诱导 Wistar 大鼠和 Sprague Dawley 大鼠患上青光眼,并在 VFTZ 和 VM 中对它们进行测试。在研究过程中,我们使用拉坦前列素和多佐胺滴眼液作为标准候选药物。我们使用眼压计、眼底镜和明暗模型技术对动物的眼压、视网膜血管成像和焦虑进行了评估。此外,我们还使用紫外光谱量化了视网膜的抗氧化参数。我们的研究结果表明,与正常或药物治疗的动物相比,VFTZ 中外周视野缺损的动物到达目标的时间明显更长,在迷宫中花费的时间也更长(P<0.05)。
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引用次数: 0
A personal reflection on 23 years of the Journal of pharmacological and toxicological methods 药理学和毒理学方法杂志》23 年来的个人反思
IF 1.9 4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1016/j.vascn.2024.107491
Michael J. Curtis
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引用次数: 0
A highly efficient liquid chromatography–tandem mass spectrometry (LC–MS/MS) assay for etomidate and etomidate acid in urine, liver and kidney 尿液、肝脏和肾脏中依托咪酯和依托咪酯酸的高效液相色谱-串联质谱(LC-MS/MS)测定法
IF 1.9 4区 医学 Q3 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2023-12-21 DOI: 10.1016/j.vascn.2023.107490
Tian-Fu He, Huan-hui Zhu, Xian-wen Lin, Yuan-yuan Tian, Li-min Sun, Xu Guan, Hai-Yan Zhang, Li Tan, Song-cai Wang

Etomidate (ETO) is a highly-efficient drug that can induce anesthesia with increasing doses, thus subject to strict regulation. However, an accurate and efficient method for ETO intake detection is currently lacking. Therefore, this study developed a straightforward sample preparation method using LC-MS/MS to analyze ETO and its primary metabolite, etomidate acid (ETA), in urine, liver, and kidney samples. Snap frozen pig liver and kidney samples were ground into a fine powder. Then, all the biological samples, including human urine, pig liver and kidney tissues, were deproteinized using acetonitrile and filtered for analysis. The separation was achieved in 9.01 min with gradient elution. The calibration curves ranged from 0.5 to 50 ng/mL for ETO in urine and 0.5 to 50 ng/g in liver and kidney, while the curves ranged from 1 to 100 ng/mL for ETA in urine and 1 to 100 ng/g in liver and kidney. The correlation coefficients (R2) were greater than 0.9957. The Limit of detection (LOD) and limit of quantitation (LOQ) for ETO were 0.2 and 0.5 ng/mL in urine samples and 0.2 and 0.5 ng/g in liver and kidney samples, respectively. For ETA, the LOD and LOQ were 0.5 and 1 ng/mL in urine samples and 0.5 and 1 ng/g in liver and kidney samples. This method was assessed by validation parameters, including selectivity, intra- and inter-day precision and accuracy, recovery, matrix effect, dilution integrity and stability. It was successfully applied to a practical case, revealing ETO and ETA concentrations in urine of 1.01 and 5.58 μg/mL, in liver samples of 12.30 and 1.13 μg/g, and in kidney samples of 6.95 and 4.23 μg/g. This suggests that the method is suitable for routine forensic detection of illicit ETO abuse.

依托咪酯(ETO)是一种高效药物,可通过增加剂量诱导麻醉,因此受到严格管制。然而,目前还缺乏一种准确、高效的方法来检测 ETO 的摄入量。因此,本研究开发了一种简单的样品制备方法,利用 LC-MS/MS 分析尿液、肝脏和肾脏样品中的 ETO 及其主要代谢物依托咪酯酸 (ETA)。将快速冷冻的猪肝和猪肾样品研磨成细粉。然后,用乙腈对所有生物样本(包括人尿、猪肝和猪肾组织)进行脱蛋白处理,过滤后进行分析。采用梯度洗脱,分离时间为 9.01 分钟。尿液中 ETO 的定标曲线范围为 0.5 至 50 ng/mL,肝脏和肾脏的定标曲线范围为 0.5 至 50 ng/g;尿液中 ETA 的定标曲线范围为 1 至 100 ng/mL,肝脏和肾脏的定标曲线范围为 1 至 100 ng/g。相关系数(R2)大于 0.9957。尿液样本中 ETO 的检出限(LOD)和定量限(LOQ)分别为 0.2 和 0.5 纳克/毫升,肝脏和肾脏样本中分别为 0.2 和 0.5 纳克/克。尿样中 ETA 的最低检出限和最低定量限分别为 0.5 和 1 纳克/毫升,肝脏和肾脏样品中的最低检出限和最低定量限分别为 0.5 和 1 纳克/克。该方法的验证参数包括选择性、日内和日间精密度和准确度、回收率、基质效应、稀释完整性和稳定性。结果表明,尿液中的ETO和ETA浓度分别为1.01和5.58 μg/mL,肝脏样品中的ETO和ETA浓度分别为12.30和1.13 μg/g,肾脏样品中的ETO和ETA浓度分别为6.95和4.23 μg/g。这表明该方法适用于非法 ETO 滥用的常规法医检测。
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Journal of pharmacological and toxicological methods
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