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Enhancing cardiac safety evaluation: Assessing drug interactions with the late Nav1.5 current 增强心脏安全性评价:评估药物与晚期Nav1.5电流的相互作用
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 DOI: 10.1016/j.vascn.2025.107806
Eva Vermersch , Véronique Ballet , Agnès Jacquet , Irène Mahfouz , Jean-Marie Chambard , Françoise Chesney , Desirae Martin , Janette Rodriguez , Ky Truong , Najah Abi-Gerges , Ambroise Garry
Late Na + current (INa,L) contributes to cardiac action potential (AP) and helps maintain Na + homeostasis. Contrary to the effect on Nav1.5, hERG and Cav1.2 channels, the effect of novel drugs on INa,L is not routinely studied in safety studies. Yet, INa,L inhibitors can counterbalance hERG blockade and be associated with anti-arrhythmic potential. Hence, evaluating the effects of drugs against Nav1.5, hERG and Cav1.2 channels provides valuable cardiotoxic insights, but does not fully predict changes in the electrophysiological and contractile properties of cardiomyocytes. To address this deficiency, we evaluated the effects of selective and non-selective INa,L inhibitors on cardiomyocyte function. Compounds known to inhibit INa,L (GS-967 specific for INa,L; ranolazine specific for both hERG and INa,L; loperamide which is a hERG, Nav1.5 and Cav1.2 inhibitor) and four preclinical compounds were tested for their effects on cardiac ion channels (peak Nav1.5, hERG, Cav1.2 and INa,L) with automated patch-clamp and multi-electrode array (MEA) in hiPSC-derived cardiomyocytes for electrophysiological properties, and contractility in human primary cardiomyocytes from consented donor hearts with MyoBLAZER™. Each compound was tested separately at multiple concentrations in the presence of ATX-II, a selective enhancer of INa,L. GS-967 and ranolazine reversed ATX-II-induced increases in contractility and field potential duration (FPD) in a concentration-dependent manner providing evidence of a functional INa,L in both hiPSC-derived cardiomyocytes and adult cardiomyocytes. Next, we evaluated the effects of four preclinical compounds. Two out of the four compounds showed similar behavior to GS-967 and ranolazine. For example, compound A inhibited ion channels (hERG, Nav1.5, Cav1.2 and INa,L with IC50 values of 7.9 mM, 12.4 mM, 0.8 mM, respectively) and reversed ATX-II changes on contractility and FPD with IC50 values of 0.99 mM and 2.3 mM, respectively. Here, we developed a protocol for assessing drug interactions with INaL on cardiomyocytes. This assay enhances our ability to predict cardiotoxicity potential and its incorporation into the traditional compound derisking strategy strengthens confidence in advancing molecules into clinical development.
晚期Na + 电流(INa,L)有助于心脏动作电位(AP),并有助于维持Na + 稳态。与对Nav1.5、hERG和Cav1.2通道的影响相反,新药对INa、L的影响在安全性研究中没有常规研究。然而,INa,L抑制剂可以抵消hERG阻断并与抗心律失常电位相关。因此,评估药物对Nav1.5、hERG和Cav1.2通道的影响提供了有价值的心脏毒性见解,但不能完全预测心肌细胞电生理和收缩特性的变化。为了解决这一缺陷,我们评估了选择性和非选择性INa,L抑制剂对心肌细胞功能的影响。已知抑制INa,L的化合物(GS-967对INa,L有特异性,雷诺嗪对hERG和INa,L都有特异性;loperamide(一种hERG、Nav1.5和Cav1.2抑制剂)和四种临床前化合物使用自动膜片钳和多电极阵列(MEA)在hipscs衍生的心肌细胞中测试其对心脏离子通道(峰值Nav1.5、hERG、Cav1.2和INa,L)的影响,并使用MyoBLAZER™测试来自同意供体心脏的人原代心肌细胞的电生理特性和收缩性。每种化合物在不同浓度的ATX-II存在下单独测试,ATX-II是一种选择性的INa,L。GS-967和雷诺嗪以浓度依赖性的方式逆转了atx - ii诱导的收缩力和场电位持续时间(FPD)的增加,这为hipsc来源的心肌细胞和成人心肌细胞中功能性的INa,L提供了证据。接下来,我们评估了四种临床前化合物的效果。四种化合物中有两种表现出与GS-967和雷诺嗪相似的行为。例如,化合物A抑制离子通道(hERG、Nav1.5、Cav1.2和INa、L, IC50值分别为7.9 mM、12.4 mM、0.8 mM),逆转ATX-II在收缩性和FPD上的变化,IC50值分别为0.99 mM和2.3 mM。在这里,我们开发了一种方案来评估药物与心肌细胞上INaL的相互作用。该检测增强了我们预测心脏毒性潜能的能力,并将其纳入传统的化合物风险降低策略,增强了将分子推进临床开发的信心。
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引用次数: 0
Evaluation of the sensitivity/specificity of statistical analysis strategies for detecting moxifloxacin-induced QTc prolongation 莫西沙星致QTc延长统计分析方法的敏感性/特异性评价
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 DOI: 10.1016/j.vascn.2025.107782
Lawrence M. Carey, David Holdsworth, Jared Slain, Jill Dalton
In light of the implementation of the best practice guidelines as outlined in the ICH E14/S7B Q&A's, several strategies for enhancing the sensitivity of statistical analyses to detect drug-induced QT/QTc prolongation have been proposed. This study aimed to assess the sensitivity and selectivity of 3 standard statistical approaches. Moxifloxacin was administered orally at doses of 30, 80 and 175 mg/kg to male cynomolgus monkeys (n = 4) according to a Latin square design. Telemetry endpoints were monitored from 2 h prior to dosing to 24 h postdose. Three analysis strategies were employed to aid in the detection of QTc prolongation. Data were grouped into 3 analysis segments (0–6, 6–18, 18–24 h postdose). Approaches 1 and 2 utilized pairwise comparisons at each hourly interval within these segments or the entire segment based on the significance of the interaction effect, while approach 3 analyzed data pooled within each super-interval. Approach 1 employed a repeated measures analysis of variance (RMANOVA) strategy. Statistical significance was considered to have been attained when the p-value of each comparison was <0.05. Approach 2 utilized an RMANOVA analysis strategy examining the least squares mean differences between each treatment and control. Statistical significance was considered to have been obtained when these differences were greater than or equal to the least significant difference (LSD) for the study and the 95 % confidence intervals (CI) did not cross zero. Approach 3 utilized an analysis of variance approach with statistical significance considered attained when the mean difference between each treatment and control was greater than or equal to the LSD and the 95 % CI did not cross zero. In general, the 3 approaches performed similarly. Approach 3 demonstrated the highest sensitivity (most statistically significant differences identified) while approach 2 displayed the highest selectivity (fewest type I statistical errors). Approach 3 performed better than Approaches 1 and 2 in detecting QTc prolongation. Of note, only approach 3 identified every QTc change greater than 10 msec as significant. All 3 methods of analysis were adequate to detect moderate changes in QT/QTc, though differences in the sensitivity and selectivity were observed between analysis strategies.
根据ICH E14/S7B Q&;A's中概述的最佳实践指南的实施,提出了几种提高统计分析灵敏度的策略,以检测药物诱导的QT/QTc延长。本研究旨在评价3种标准统计方法的敏感性和选择性。根据拉丁方设计,雄性食蟹猴(n = 4)口服莫西沙星30、80和175 mg/kg剂量。从给药前2 h到给药后24 h监测遥测终点。采用三种分析策略来帮助检测QTc延长。数据分为3个分析段(0-6、6-18、18-24 h)。方法1和方法2根据相互作用效应的显著性,在这些段内的每个小时间隔或整个段内进行两两比较,而方法3分析了每个超级区间内汇集的数据。方法1采用重复测量方差分析(RMANOVA)策略。当每次比较的p值为<;0.05时,认为达到统计学意义。方法2使用RMANOVA分析策略检查每个处理和对照之间的最小二乘平均差异。当这些差异大于或等于研究的最小显著性差异(LSD)并且95% %置信区间(CI)不超过零时,认为获得了统计显著性。方法3采用方差分析方法,当每个处理和对照之间的平均差异大于或等于LSD且95% % CI不超过零时,认为达到统计学显著性。一般来说,这三种方法的表现相似。方法3显示出最高的灵敏度(发现的统计显著差异最多),而方法2显示出最高的选择性(I型统计误差最少)。方法3在检测QTc延长方面优于方法1和方法2。值得注意的是,只有方法3确定每个大于10 msec的QTc变化是显著的。所有3种分析方法都足以检测QT/QTc的中度变化,尽管分析策略之间的敏感性和选择性存在差异。
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引用次数: 0
Study to compare effects of a positive inotrope administered concurrently with a beta-blocker in ventricular Tachy-Paced dogs in mild heart failure 研究比较正性肌力与β受体阻滞剂同时使用对轻度心力衰竭室性快节奏犬的影响
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 DOI: 10.1016/j.vascn.2025.107836
Sydney St Clair
Dilated cardiomyopathy(DCM) is common in dogs and is characterized by dilation and impaired systolic function of the ventricles. Pimobendan, a positive inotrope, has been suggested to benefit DCM by reducing preload and afterload, providing positive inotropic support, reducing cardiac size and filling pressures. Beta-blockers are used to treat ventricular arrhythmias associated with DCM, although there is concern that decreased inotropy could be detrimental to ejection fraction (EF). Given need for multimodal treatments, combined use of pimobendan and beta-blockers could help to mediate the negative inotropy of beta-blockers. This pilot study aims to compare the echocardiographic EF of simultaneous administration of pimobendan and sotalol (beta-blocker) at veterinary dosages in a HF dog model. Seven beagle-dogs were induced into mild HF using a ventricular-tachy-pacing(VTP) model. Dogs received four different treatment regimens: control, pimobendan (0.2–0.3 mg/kg PO BID), sotalol (1-3 mg/kg PO BID), and a combination of pimobendan and sotalol for two-weeks each. Multiple methods of calculating EF via echocardiography were evaluated, including ejection fraction (Eft) and fractional shortening (FS) from M-mode and Simpson's method-of-discs (SimpsonsEF) measured from right parasternal long-axis view, and were recorded at baseline, day 3, 7, and 14. By day 14, echocardiographic data indicated administration of pimobendan resulted in a significant increase in EF compared to baseline (↑ Eft 19.3 ± 3 % ΔBL; ↑ FS 24.1 ± 3.9 %ΔBL; ↑ SimpsonsEF 28.9 %ΔBL). In contrast, sotalol showed a significant decrease in EF compared to baseline (↓ Eft 9.5 ± 6.8; ↓ FS 9.9 ± 8.2; ↓ Simpson's EF 19.1 ± 9.5). The combination therapy of pimobendan and sotalol showed a non-significant increase in EF from baseline (↑ Eft 5.1 ± 5.5; ↑ FS 6.5 ± 6.7; ↑ SimpsonsEF 1.53 ± 9.5), but the change was similar to that of the control group (↑ Eft 3.1 ± 4.4; ↑ FS 4.2 ± 5.3; ↑ SimpsonsEF 3.0 ± 7.2), indicating that the change could be due to day-to-day variation. The study demonstrates that concurrent administration of a positive inotrope with a beta-blocker does not decrease cardiac function, as evidenced by no significant decrease in EF. In dogs with DCM that may benefit from beta-blocker therapy, pimobendan may be added to mitigate negative inotropic effects. This combination of therapies may allow clinicians to optimize treatment in complicated cases, warranting further investigation.
扩张型心肌病(DCM)是常见的狗,其特点是扩张和心室收缩功能受损。匹莫苯丹,一种正性肌力药物,被认为通过减少前负荷和后负荷,提供正性肌力支持,减少心脏大小和充盈压力,对DCM有益。 β受体阻滞剂用于治疗与DCM相关的室性心律失常,尽管有人担心肌力下降可能对射血分数(EF)有害。考虑到需要多模式治疗,联合使用匹莫苯丹和β受体阻滞剂可以帮助介导β受体阻滞剂的负性肌力。 这项初步研究旨在比较在HF狗模型中同时给予兽医剂量的匹莫苯丹和索他洛尔(β受体阻滞剂)的超声心动图EF。 采用心室速搏(VTP)模型诱导7只比格犬轻度心衰。狗接受了四种不同的治疗方案:对照组,匹莫苯丹(0.2-0.3 mg/kg PO BID),索他洛尔(1-3 mg/kg PO BID),以及匹莫苯丹和索他洛尔的联合治疗,每种治疗两周。我们评估了通过超声心动图计算EF的多种方法,包括m模式的射血分数(Eft)和缩短分数(FS),以及从右胸骨旁长轴视图测量的辛普森椎间盘法(Simpson’s method of-disc, Simpson’s method of- diskf),并在基线、第3、7和14天进行记录。 到了14天,超声心动图数据显示管理pimobendan导致显著增加与基线相比,EF(↑Eft 19.3 ± 3 % Δ提单;↑24.1 FS ±3.9  %Δ提单; ↑28.9 SimpsonsEF %Δ提单)。相比之下,索他洛尔的EF与基线相比显著降低(↓Eft 9.5 ± 6.8;↓FS 9.9 ± 8.2;↓Simpson’s EF 19.1 ± 9.5)。pimobendan联合治疗和心得怡显示与EF从基线(↑Eft  5.1±5.5 ; ↑6.5 FS ± 6.7; ↑SimpsonsEF 1.53±9.5 ),但是改变是类似于对照组(↑Eft  3.1±4.4 ; ↑4.2 FS ± 5.3; ↑SimpsonsEF 3.0±7.2 ),表明该变化可能是由于日常变化。研究表明,同时服用正性肌力药物和β受体阻滞剂不会降低心功能,EF也没有显著降低。对于可能受益于-受体阻滞剂治疗的DCM犬,可添加匹莫苯丹以减轻负性肌力作用。这种联合治疗可能使临床医生在复杂病例中优化治疗,值得进一步研究。
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引用次数: 0
Comparison of multiple concentration-QTc modeling approaches 多种浓度- qtc建模方法的比较
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 DOI: 10.1016/j.vascn.2025.107775
Jill Dalton , Steve Denham , Matthew St Peter , Kevin Norton
The ICH E14/S7B Q&A guidance for in vivo preclinical studies recommends exposure-response modeling to support the assertion that there were no changes in QTc, to better characterize observed QTc prolongation, and/or when QTc changes are anticipated based on hERG assay results. While the guidance indicates that there are multiple acceptable approaches for concentration-QTc modeling, associated training documents and general industry views indicate that assessments should ideally occur in a separate phase of the study utilizing the same animals as those used for telemetry monitoring to generate a complete exposure profile. However, this “gold standard” approach is not necessarily ideal as it requires additional cost, time, and test material. Alternative options have been proposed including partial toxicokinetic profiles utilizing the same animals as those used for telemetry monitoring or by generating full profiles using data collected from a separate cohort of animals. However, it is unclear as to how concentration-QTc data estimates might differ with alternate approaches. The current study utilized moxifloxacin at 10, 30 and 90 mg/kg, PO in beagle dogs using a 4 × 4 cross-over design monitoring QTc via telemetry over 24 h. Plasma concentrations were determined at 0, 2, 4, 6, 8, 12, and 24 h postdose by using the same animals in a separate phase of the telemetry study or by using a separate cohort of animals. The 10 msec prolongation prediction values were estimated for the partial toxicokinetic profiles using data pairs to estimate plasma levels at each time point using the plasma samples collected during the telemetry phase. The actual exposure values were used for the independent groups. Additionally, simulations of possible toxicokinetic curves for the separate groups were used to estimate representative population values. The 10 msec prolongation prediction values varied minimally, with <300 ng/ml difference among the various estimation methods. Therefore, comparison of these exposure-response modeling methods illustrates the relatively small degree of impact that the different approaches have on QTc prediction values as compared to the gold standard methodology, thus providing multiple viable study design options for researchers to consider in their preclinical testing strategies.
ICH E14/S7B q&&; A体内临床前研究指南建议使用暴露-反应模型来支持QTc没有变化的断言,以更好地表征观察到的QTc延长,和/或当根据hERG检测结果预测QTc变化时。虽然该指南指出有多种可接受的浓度- qtc建模方法,但相关培训文件和一般行业观点表明,理想情况下,评估应在研究的一个单独阶段进行,使用与遥测监测所用动物相同的动物,以生成完整的暴露概况。然而,这种“黄金标准”方法并不一定是理想的,因为它需要额外的成本、时间和测试材料。已提出的替代方案包括利用与遥测监测所用动物相同的动物进行部分毒性动力学分析,或利用从单独的动物队列收集的数据生成完整的毒性动力学分析。然而,尚不清楚浓度- qtc数据估计值与其他方法有何不同。本研究使用莫西沙星10、30和90 mg/kg, PO在比格犬中使用4 × 4交叉设计,通过遥测监测QTc超过24 h。在给药后0,2,4,6,8,12和24 h,通过在遥测研究的单独阶段使用相同的动物或通过使用单独的动物队列来测定血浆浓度。利用遥测阶段收集的血浆样本,利用数据对估计每个时间点的血浆水平,估计部分毒性动力学剖面的10 msec延长预测值。实际暴露值用于独立组。此外,对不同组可能的毒性动力学曲线进行模拟,以估计具有代表性的人群值。10 msec的延长预测值变化最小,各种估计方法之间的差异为<;300 ng/ml。因此,对这些暴露-反应建模方法的比较表明,与金标准方法相比,不同方法对QTc预测值的影响程度相对较小,从而为研究人员在临床前测试策略中提供了多种可行的研究设计选择。
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引用次数: 0
A strategy to predict psychotic risks of drug candidates using auditory steady-state response 利用听觉稳态反应预测药物候选人精神病风险的策略
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 DOI: 10.1016/j.vascn.2025.107839
Daigo Homma, Yoshiaki Furuya, Takashi Yoshinaga
It is difficult to predict the psychiatric adverse effects of drug candidates from preclinical observations especially when the mechanism of actions is novel. Recently, auditory steady-state response (ASSR) in gamma band frequency has been reported as a translational biomarker for psychotic disorders and is thought to reflect the cortical functionality for neuronal oscillations. To investigate its potential for preclinical risk assessment, we evaluated the effects of the psychotogenic drugs, a non-competitive NMDA antagonist MK-801, a dopamine transporter inhibitor methylphenidate and a 5HT2 agonist DOI, on high gamma ASSR from rat auditory cortex using a chirp-modulated tone whose modulation frequency change from 1 to 120 Hz or from 120 to 1 Hz. The effect of MK-801 was very robust that it attenuated the ASSR (83 % reduction in power (p < 0.0001) and 47 % reduction in phase-locking factor (PLF. p < 0.001)) at 1 mg/kg dose. The effect of methylphenidate on ASSR in power was relatively mild while it significantly attenuated PLF by 36 % at 50 mg/kg. The effect of DOI was somewhat different: The administration of 3 mg/kg did not attenuate the ASSR amplitude, but instead increased the chirp-frequency independent high gamma band (power 322 % of control, p < 0.05). These observations resemble the attenuation of phase-locked response and augmentation of non-phase-locked response in schizophrenia patients. In baseline period, the administration of 1 mg/kg of MK-801 or 50 mg/kg of methylphenidate enhanced spontaneous high gamma power (181 % of control for MK-801, p < 0.001, 183 % of control for methylphenidate, p < 0.05), which is also observed in human psychosis. Together with the clinical reports examining the drug effects on ASSR and with pharmacokinetic models from the literatures, our results suggest that ASSR and the related EEG response in high gamma band is a promising translational biomarker for the drug-induced psychosis, and that the use of chirp tone enables the clear discrimination of modulation frequency-dependent and -independent effects.
从临床前观察很难预测候选药物的精神不良反应,特别是当作用机制是新颖的。最近,伽马波段频率的听觉稳态反应(ASSR)被报道为精神疾病的翻译生物标志物,并被认为反映了神经元振荡的皮层功能。为了研究其临床前风险评估的潜力,我们评估了精神源性药物,非竞争性NMDA拮抗剂MK-801,多巴胺转运体抑制剂哌甲酯和5HT2激动剂DOI对大鼠听觉皮层高伽马ASSR的影响,使用啁啾调制音调,其调制频率从1到120 Hz或120到1 Hz变化。MK-801的效果非常稳健,它可以降低ASSR(降低83 %的功率(p <; 0.0001)和47 %的锁相因子(PLF)。P <; 0.001)),剂量为1 mg/kg。在50 mg/kg剂量下,哌醋甲酯对功率ASSR的影响相对较轻,但对PLF的衰减率为36% %。DOI的作用有所不同:给药3 mg/kg没有减弱ASSR振幅,反而增加了与啁啾频率无关的高伽马波段(功率为对照的322 %,p <; 0.05)。这些观察结果类似于精神分裂症患者锁相反应的衰减和非锁相反应的增强。在基线期,给药1 mg/kg的MK-801或50 mg/kg的哌甲酯增强自发高伽马功率(MK-801的对照为181 %,p <; 0.001,哌甲酯的对照为183 %,p <; 0.05),这在人类精神病中也观察到。结合研究药物对ASSR影响的临床报告和文献中的药代动力学模型,我们的研究结果表明,ASSR和相关的高伽马波段脑电图反应是一种很有希望的药物性精神病的翻译生物标志物,并且使用啁啾音调可以明确区分调制频率依赖性和非依赖性效应。
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引用次数: 0
Evaluating a non-invasive telemetry jacket as an alternative to the reference methods for cardio-respiratory safety pharmacological testing in rats 评估无创遥测夹克作为大鼠心肺安全药理学试验参考方法的替代方法
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 DOI: 10.1016/j.vascn.2025.107767
Fatima-Zahra Khamlichi, Heike Schauerte, Werner Mayer, Leonie-Theresa Hezler, Eric Martel, George Rast, Nicolas Pairet
The gold standard methods used to assess cardiorespiratory system in rats, whether telemetry implants or whole-body plethysmography (WBP), have their shortcomings. One method requires surgery, while the other involves the isolation of rats. In a 3Rs approach, alternatives such as the use of non-invasive telemetry jackets, allowing simultaneous cardiorespiratory assessment, without hemodynamic parameters evaluation have been considered. No peer-reviewed publication to date has investigated the concordance between cardiorespiratory parameters recorded simultaneously via the jackets and the reference methods, following the administration of a pharmacological compound. Goal: to test and potentially validate the telemetry jackets by comparing data generated using this device with those obtained using gold standard methods at the same time, in the same animal, in an integrative interpretation approach. We compared cardiac (heart rate (HR)) and respiratory (respiratory rate (RR), minute ventilation (MV), tidal volume (TV)) parameters recorded via the invasive (DSI implant), non-invasive (Jacket DECRO) telemetry systems, and via the WBP (Buxco + Notocord HEM), simultaneously in the same male rats (n = 8rats/ pharmacological compound in a cross-over design). The recording lasted 7 h after the per-os administration of vehicle or pharmacological reference compounds tested (Ivabradine or Theophylline) at 3 doses. A generalized linear model was used to assess the effects of the pharmacological compounds. The Bland-Altman method was used to study the agreement between the jackets and the two reference methods. The jackets and reference methods both captured the expected pharmacological effects. For Ivabradine, a significant dose-dependent decrease in HR was observed, while no changes were noted in respiratory variables. Theophylline induced a dose-dependent increase in heart rate and RR. No significant change on TV and MV was noticed with the WBP, whereas a significant increase was shown with the jackets. Bland-Altman analysis revealed an increasing discrepancy in high TV, RR and MV values between the two devices under the experimental conditions of the studies. Jackets can be used as an alternative to implanted telemetry for recording HR without hemodynamic parameters. Although the two respiratory methods detect pharmacological effects, further investigation is needed to determine what is the current state of the respiratory parameters.
用于评估大鼠心肺系统的金标准方法,无论是遥测植入还是全身体积脉搏描记(WBP),都有其缺点。一种方法需要手术,而另一种方法则需要隔离老鼠。在3Rs方法中,考虑使用非侵入性遥测套等替代方法,允许同时进行心肺功能评估,而无需评估血液动力学参数。到目前为止,还没有同行评审的出版物调查了在给药后通过夹克衫和参考方法同时记录的心肺参数之间的一致性。目的:通过将使用该设备生成的数据与使用金标准方法在同一时间、同一动物中以综合解释方法获得的数据进行比较,测试并潜在地验证遥测夹克。我们比较了通过有创(DSI植入物)、无创(Jacket DECRO)遥测系统和WBP (Buxco + Notocord HEM)同时记录的同一雄性大鼠(n = 8只大鼠/交叉设计的药物化合物)的心率(HR)和呼吸(呼吸率(RR)、分钟通气量(MV)、潮气量(TV))参数。记录持续7 h后,每10次给药的对照物或药理对照物(伊伐布雷定或茶碱)为3个剂量。采用广义线性模型来评估药理学化合物的作用。采用Bland-Altman方法研究了夹克衫与两种参考方法的一致性。夹克衫和参考方法都捕获了预期的药理作用。对于伊伐布雷定,观察到明显的剂量依赖性HR下降,而呼吸变量没有变化。茶碱诱导心率和RR的剂量依赖性增加。WBP在电视和MV上没有明显的变化,而夹克则有明显的增加。Bland-Altman分析显示,在本研究的实验条件下,两种设备之间的高TV、RR和MV值差异越来越大。夹克可以作为一种替代植入式遥测记录HR没有血流动力学参数。虽然两种呼吸方法检测到药理作用,但需要进一步研究以确定呼吸参数的当前状态。
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引用次数: 0
Variability of manual patch clamp data on CaV1.2 and NaV1.5 channels generated using standardized protocols and following ICH S7B Q&A 2.1 best practices – Progress update of a HESI-coordinated multi-laboratory study 使用标准化协议并遵循ICH S7B Q&A 2.1最佳实践生成的CaV1.2和NaV1.5通道手动膜片钳数据的可变性- hesi协调的多实验室研究的进展更新
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 DOI: 10.1016/j.vascn.2025.107808
Huimei Yu , Claudia Alvarez Baron , Jun Zhao , Ming Ren , Shovan Naskar , Donglin Guo , Manni Mashaee , Jose Vicente , Lars Johannesen , Jiansong Sheng , Simon Hebeisen , James Kramer , Andrew Bruening-Wright , Koji Nakano , Jennifer Pierson , David Strauss , Wendy W. Wu
Concomitant block of CaV1.2 and/or NaV1.5 channels may mitigate Torsade de Pointes risk associated with hERG block. However, CaV1.2 channel block may cause bradycardia/hypotension; NaV1.5 channel block may induce conduction slowing and sudden cardiac death in patients with structural heart diseases. Understanding drug effects on multiple cardiac ion channels can be of value for proarrhythmia risk assessment. Literature shows large degrees of lab-to-lab variability for drug potencies on cardiac ion channels. Ion channel data alignment with drug-induced ECG changes can thus be dataset-dependent. Lab-to-lab differences can arise from different experimental protocols and/or data quality. Thus, ICH S7B Q&A 2.1 was released to provide best practice recommendations for conducting cardiac ion channels assays to support proarrhythmia risk assessment. The goal of this HESI-coordinated, multi-laboratory research effort is to generate block potencies for 28 drugs in low, intermediate, and high proarrhythmia risk categories for hERG, CaV1.2, and peak and late NaV1.5 currents with standardized protocols and best practices. This abstract focuses on the CaV1.2 and peak and late NaV1.5 currents; hERG data are presented in a companion abstract (Alvarez-Baron et al.). Five laboratories conducted manual patch clamp experiments at near physiological temperatures on cell lines over-expressing CaV1.2 or NaV1.5 channels. The research is ongoing, hence drug potencies are not presented. Instead, this abstract presents findings on data variability for each current, estimated using meta-analysis to account for drug-specific (i.e., potencies) and laboratory-specific effects. Systematic data variability was not observed from any laboratory for any current. After removing drug- and laboratory-specific effects, residual data variability was pooled across all drugs/laboratories to estimate overall assay variability. Variability measures for CaV1.2 and peak and late NaV1.5 currents will be shared on the poster. This dataset can be compared with existing clinical data to understand nonclinical-clinical translation. Experiments on these three currents are ~75 % complete. Once complete, outcomes of this study will: 1) inform assay variability and support identification of safety margins for CaV1.2 and NaV1.5 channels; and 2) produce a dataset to develop an in-silico myocyte model that can integrate multi-cardiac ion channel data for proarrhythmia risk prediction.
同时阻断CaV1.2和/或NaV1.5通道可减轻与hERG阻滞相关的角扭转风险。然而,CaV1.2通道阻滞可能导致心动过缓/低血压;NaV1.5通道阻滞可导致结构性心脏病患者传导减慢和心源性猝死。了解药物对心脏多个离子通道的影响对心律失常的风险评估有价值。文献显示,药物在心脏离子通道上的效力在实验室与实验室之间存在很大程度的差异。因此,离子通道数据与药物引起的ECG变化的一致性可能依赖于数据集。不同的实验方案和/或数据质量可能导致实验室间的差异。因此,发布ICH S7B Q&;A 2.1,以提供进行心脏离子通道检测以支持心律失常原风险评估的最佳实践建议。这项由hesi协调的多实验室研究工作的目标是通过标准化的方案和最佳实践,为hERG、CaV1.2、峰值和晚期NaV1.5电流的低、中、高心律失常风险类别的28种药物产生阻滞效应。本摘要重点介绍了CaV1.2和峰值和后期的NaV1.5电流;hERG数据在伴随摘要(Alvarez-Baron et al.)中给出。五个实验室在接近生理温度的条件下对过表达CaV1.2或NaV1.5通道的细胞系进行了手动膜片钳实验。这项研究仍在进行中,因此药物效力尚未公布。相反,这篇摘要提出了每个电流的数据变异性的发现,使用荟萃分析来估计药物特异性(即,效力)和实验室特异性效应。没有从任何实验室观察到任何电流的系统数据变异性。在去除药物和实验室特异性影响后,汇总所有药物/实验室的剩余数据变异性,以估计总体分析变异性。CaV1.2和峰值和后期NaV1.5电流的变异性测量将在海报上分享。该数据集可以与现有的临床数据进行比较,以了解非临床到临床的转化。这三种电流的实验完成了~ 75% %。一旦完成,本研究的结果将:1)告知检测变异性并支持CaV1.2和NaV1.5通道的安全边际识别;2)建立数据集,开发可整合多心脏离子通道数据的计算机心肌细胞模型,用于心律失常风险预测。
{"title":"Variability of manual patch clamp data on CaV1.2 and NaV1.5 channels generated using standardized protocols and following ICH S7B Q&A 2.1 best practices – Progress update of a HESI-coordinated multi-laboratory study","authors":"Huimei Yu ,&nbsp;Claudia Alvarez Baron ,&nbsp;Jun Zhao ,&nbsp;Ming Ren ,&nbsp;Shovan Naskar ,&nbsp;Donglin Guo ,&nbsp;Manni Mashaee ,&nbsp;Jose Vicente ,&nbsp;Lars Johannesen ,&nbsp;Jiansong Sheng ,&nbsp;Simon Hebeisen ,&nbsp;James Kramer ,&nbsp;Andrew Bruening-Wright ,&nbsp;Koji Nakano ,&nbsp;Jennifer Pierson ,&nbsp;David Strauss ,&nbsp;Wendy W. Wu","doi":"10.1016/j.vascn.2025.107808","DOIUrl":"10.1016/j.vascn.2025.107808","url":null,"abstract":"<div><div>Concomitant block of Ca<sub>V</sub>1.2 and/or Na<sub>V</sub>1.5 channels may mitigate Torsade de Pointes risk associated with hERG block. However, Ca<sub>V</sub>1.2 channel block may cause bradycardia/hypotension; Na<sub>V</sub>1.5 channel block may induce conduction slowing and sudden cardiac death in patients with structural heart diseases. Understanding drug effects on multiple cardiac ion channels can be of value for proarrhythmia risk assessment. Literature shows large degrees of lab-to-lab variability for drug potencies on cardiac ion channels. Ion channel data alignment with drug-induced ECG changes can thus be dataset-dependent. Lab-to-lab differences can arise from different experimental protocols and/or data quality. Thus, ICH S7B Q&amp;A 2.1 was released to provide best practice recommendations for conducting cardiac ion channels assays to support proarrhythmia risk assessment. The goal of this HESI-coordinated, multi-laboratory research effort is to generate block potencies for 28 drugs in low, intermediate, and high proarrhythmia risk categories for hERG, Ca<sub>V</sub>1.2, and peak and late Na<sub>V</sub>1.5 currents with standardized protocols and best practices. This abstract focuses on the Ca<sub>V</sub>1.2 and peak and late Na<sub>V</sub>1.5 currents; hERG data are presented in a companion abstract (Alvarez-Baron et al.). Five laboratories conducted manual patch clamp experiments at near physiological temperatures on cell lines over-expressing Ca<sub>V</sub>1.2 or Na<sub>V</sub>1.5 channels. The research is ongoing, hence drug potencies are not presented. Instead, this abstract presents findings on data variability for each current, estimated using meta-analysis to account for drug-specific (i.e., potencies) and laboratory-specific effects. Systematic data variability was not observed from any laboratory for any current. After removing drug- and laboratory-specific effects, residual data variability was pooled across all drugs/laboratories to estimate overall assay variability. Variability measures for Ca<sub>V</sub>1.2 and peak and late Na<sub>V</sub>1.5 currents will be shared on the poster. This dataset can be compared with existing clinical data to understand nonclinical-clinical translation. Experiments on these three currents are ~75 % complete. Once complete, outcomes of this study will: 1) inform assay variability and support identification of safety margins for Ca<sub>V</sub>1.2 and Na<sub>V</sub>1.5 channels; and 2) produce a dataset to develop an in-silico myocyte model that can integrate multi-cardiac ion channel data for proarrhythmia risk prediction.</div></div>","PeriodicalId":16767,"journal":{"name":"Journal of pharmacological and toxicological methods","volume":"135 ","pages":"Article 107808"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145094942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhanced cardiotoxicity assessment through propagation pattern analysis using HD-CMOS-MEA in hiPSC-derived cardiomyocytes 利用HD-CMOS-MEA对hipsc源性心肌细胞进行繁殖模式分析,增强心脏毒性评估
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 DOI: 10.1016/j.vascn.2025.107810
Nami Nagafuku, Naoki Matsuda, Ikuro Suzuki
Cardiotoxicity is a common reason for drug discontinuation in new drug development. The in vitro microelectrode array (MEA) method using human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) is expected to be an alternative to animal experiments, but hiPSC-CMs cannot mature sufficiently in two-dimensional culture. In addition, the evaluation method of MEA is mainly based on the field potential duration (FPD) as an index, and the mechanism of action based on conduction velocity and propagation pattern has not been predicted. This research aims to construct an evaluation method focusing on conduction velocity and propagation pattern as indices for MEA. To enable detailed analysis, hiPSC-CMs were measured using a high-density (HD)-CMOS-MEA with 236,880-microelectrodes instead of conventional MEA. Pharmacological tests used compounds and concentrations undetectable by conventional MEA, measuring extracellular potentials for 14 compounds, including negative controls. The HD-CMOS-MEA can record a single cell with dozens of electrodes. Seventeen parameters were established for the propagation pattern, including the number of origins, origin position fluctuation, propagation velocity, and propagation area. A specific increase in origins was detected with isoproterenol, an adrenergic β1 receptor agonist. A decrease in propagation velocity was observed with mexiletine, a Na channel inhibitor. A decrease in propagation area was detected with E4031, a hERG potassium channel inhibitor. Furthermore, differences in conduction velocity and propagation pattern based on the mechanism of action of each compound were revealed, suggesting that cardiotoxicity evaluation using CMOS-MEA may capture differences in channel activity for each concentration of compounds with multiple actions with high sensitivity. Additionally, a decrease in propagation area and propagation velocity was detected 24 h after exposure to 0.1 μM doxorubicin, which exhibits cardiotoxicity when administered chronically. Cardiotoxicity evaluation using CMOS-MEA demonstrated that cardiotoxicity could be detected at lower concentrations and shorter durations of chronic administration compared to conventional cardiotoxicity evaluations. This indicates that cardiotoxicity evaluation using HD-CMOS-MEA may detect cardiotoxicity risks that could not be identified by conventional MEA analysis, based on new parameters. This underscores the potential use of imaging technology in drug discovery and compound toxicity evaluation.
心脏毒性是新药开发中常见的停药原因。利用人诱导的多能干细胞衍生心肌细胞(hiPSC-CMs)的体外微电极阵列(MEA)方法有望成为动物实验的替代方法,但hiPSC-CMs不能在二维培养中充分成熟。此外,MEA的评价方法主要以电场电位持续时间(FPD)为指标,基于传导速度和传播方式的作用机制尚未得到预测。本研究旨在构建以传导速度和传播模式为评价指标的MEA评价方法。为了进行详细分析,使用具有236,880个微电极的高密度(HD)-CMOS-MEA代替传统的MEA来测量hiPSC-CMs。药理学试验使用传统MEA无法检测到的化合物和浓度,测量14种化合物的细胞外电位,包括阴性对照。HD-CMOS-MEA可以用数十个电极记录单个细胞。建立了17个传播模式参数,包括原点数、原点位置波动、传播速度、传播面积。用异丙肾上腺素(一种肾上腺素能β1受体激动剂)检测到特异性的起源增加。用美西汀(一种钠通道抑制剂)观察到繁殖速度的降低。用hERG钾通道抑制剂E4031可使繁殖面积减小。此外,基于不同作用机制的传导速度和传播模式的差异也被揭示出来,这表明利用CMOS-MEA进行心脏毒性评价可以高灵敏度地捕捉到不同浓度的多种作用化合物在通道活性上的差异。此外,暴露于0.1 μM阿霉素24 h后,检测到繁殖面积和繁殖速度下降,长期给药时表现出心脏毒性。使用CMOS-MEA进行心脏毒性评估表明,与传统的心脏毒性评估相比,在较低浓度和较短时间的慢性给药下可以检测到心脏毒性。这表明,基于新的参数,使用HD-CMOS-MEA进行心脏毒性评估可以检测到传统MEA分析无法识别的心脏毒性风险。这强调了成像技术在药物发现和化合物毒性评价中的潜在应用。
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引用次数: 0
Quantitative comparison of ECG limb lead configurations: Evaluating synonymity of interval measurements using alternative leads under appropriately controlled study conditions 心电图肢体导联配置的定量比较:在适当控制的研究条件下,评估使用替代导联的间隔测量的同义性
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 DOI: 10.1016/j.vascn.2025.107829
Courtney Jenkins , Steve Tichenor
In Safety Pharmacology studies, electrocardiogram (ECG) waveform recording in a lead II configuration is the established gold standard for ECG lead placement. This approach, with proper surgical techniques, yields high fidelity data suitable for quantitative and qualitative assessment. External lead configurations, using either external telemetry (ET) or manual restraint methods, are widely accepted practices to integrate CV assessments on to general toxicology studies. While both methods can provide reliable data, improper lead placement or unexpected displacement of electrodes can compromise data quality, hindering accurate assessment of waveform morphology and interval measurements. The aim of this project was to investigate advantages of a multi‑lead ECG design, focusing on the feasibility of interchanging external lead configurations to provide concurrent comparison within a single study. This approach allowed for direct comparison of measurements obtained from different external lead configurations. Six non-human primates were equipped with Jacketed ET (JET-3ETA, manufactured by Data Sciences International). Following proper animal acclimation, a 24-h ECG recording period was conducted with ECG leads positioned in standard lead I (lateral vector, coronal plane), II (inferior vector, sagittal plane), and III (inferior vector, frontal plane) orientations. Comparison of lead II to lead III demonstrated minimal differences in ECG interval measurements for HR (0.1 %), PR (0.4 %) QRS (0.6 %), RR (0.1 %), QT (1.7 %) and rate corrected QTc (1.9 %), while differences in lead II to lead I orientations were slightly greater: HR (1.0 %), PR (3.3 %) QRS (0.3 %), RR (0.3 %), QT (3.6 %) and rate corrected QTc (3.0 %). The results demonstrated minimal difference among the different limb leads that were within a range of variation that was biologically inconsequential. This suggests that utilization of an external multi‑lead ECG design on a large animal study can improve data yield or quality by incorporating analysis from other leads if the primary lead (lead II) has waveforms that are of unsuitable quality. The synonymous correlation in measurements from lead II to lead III was expected given their similar orientation within the same electrical plane. This supports the feasibility of interchanging data among these external lead configurations without compromise to data interpretation.
在安全药理学研究中,在导联II配置中记录心电图(ECG)波形是ECG导联放置的既定金标准。该方法配合适当的手术技术,可获得适合定量和定性评估的高保真数据。外部铅配置,使用外部遥测(ET)或手动约束方法,被广泛接受的做法是将CV评估整合到一般毒理学研究中。虽然这两种方法都可以提供可靠的数据,但引线放置不当或电极意外位移可能会影响数据质量,妨碍准确评估波形形态和间隔测量。该项目的目的是研究多导联心电图设计的优势,重点是在单一研究中交换外部导联配置以提供并发比较的可行性。这种方法可以直接比较从不同外部引线配置获得的测量值。六种非人类灵长类动物配备了夹克ET (JET-3ETA,由数据科学国际公司制造)。在适当的动物驯化后,将心电图导联定位在标准导联I(侧导联,冠状面)、II(下导联,矢状面)和III(下导联,额平面)的24小时心电图记录周期。比较铅二世领导三世证明最小差异心电图间隔测量人力资源(0.1 %),公关(0.4 %)QRS(0.6 %),RR(0.1 %),QT(1.7 %)和速度(1.9 %),纠正高职院校学前教育专业差异导致二世领导我方向略大的:人力资源(1.0 %),公关(3.3 %)QRS(0.3 %),RR(0.3 %),QT(3.6 %)和速度(3.0 %)纠正高职院校学前教育专业。结果表明,在生物学上无关紧要的变化范围内,不同肢体导联之间的差异极小。这表明,在大型动物研究中,如果主导联(II导联)的波形质量不佳,通过结合其他导联的分析,使用外部多导联心电图设计可以提高数据的产量或质量。从铅II到铅III测量的同义相关性是预期的,因为它们在同一电平面内具有相似的取向。这支持在这些外部引线配置之间交换数据的可行性,而不影响数据解释。
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引用次数: 0
Challenges in adapting a conscious dog haemodynamic systems model to an anaesthetised dog protocol 在适应一个有意识的狗血流动力学系统模型的挑战麻醉狗协议
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 DOI: 10.1016/j.vascn.2025.107831
Joanne Mahmud , Chris E. Pollard , Tariq Abdulla , Barira Islam , Yevgeniya E. Koshman , Michael K. Pugsley , Will S. Redfern
Previously1, the cardiovascular-contractility systems model described by Fu et al.2 was evaluated and extended using Simcyp™ Designer, a graphical interface platform and physiologically-based pharmacokinetic tool. Model outputs replicated published dog telemetry data1. In the present study, the model was adapted for use in pentobarbital-anaesthetised beagle dogs, utilizing cardiovascular (CV) and exposure data for atenolol and atropine3. Model adaptations included removal of circadian rhythm, attenuation of baroreflex negative feedback, and development of a pharmacokinetic model in Simcyp™ Designer to accommodate intravenous dose escalation and hysteresis. Model simulations and experimental data for atenolol (0.3, 1, and 3 mg/kg/30 min) showed a decrease in dP/dtmax from 2300 to 1800 mmHg/s and mean arterial pressure (MAP) from 120 to 110 mmHg. The model predicts a decrease in heart rate (HR) from 110 to 85 bpm; however, bradycardia was not observed experimentally. For atropine (0.01, 0.03, 0.1 mg/kg/30 min), model outputs and experimental data displayed an increase in HR (124 to 164 bpm) and dP/dtmax (2650 to 3000 mmHg/s). While experimental MAP data decreased from 130 to 120 mmHg, model outputs predicted an increase from 105 to 130 mmHg. Several challenges were encountered during the development of the anaesthetised systems model. Firstly, the study design for the anaesthetised dog differs markedly from that of conscious dog telemetry. Secondly, the extent to which the baroreceptor reflex is attenuated by the anesthesia is unknown. Furthermore, the Fu et al. model2 employs antagonist Kd values to predict haemodynamic effects, rather than in vivo EC50 values. Finally, the decrease in HR predicted by the model following atenolol administration was not observed in anaesthetised dogs, possibly due to low resting cardiac sympathetic tone under the anesthesia. Despite these limitations, the adapted Fu et al.2 model has the potential to maximise the use of anaesthetised CV dog data. Specifically: to interpolate CV effects at intermediate dose levels, derive threshold plasma concentrations for detectable CV effects, and predict the CV effects at doses which cannot be tolerated.
1. Mahmud et al. (2023) SPS Meeting, Brussels, Belgium
2. Fu et al. (2022) https://doi.org/10.1002/psp4.12774
3. Antic et al. (2024) https://doi.org/10.1016/j.vascn.2024.107497
先前,Fu等人描述的心血管收缩系统模型使用Simcyp™Designer(图形界面平台和基于生理的药代动力学工具)进行了评估和扩展。模型输出复制公布的狗遥测数据1。在本研究中,该模型适用于戊巴比妥麻醉的小猎犬,利用心血管(CV)和阿替洛尔和阿托品的暴露数据3。模型调整包括去除昼夜节律,减弱压力反射负反馈,以及在Simcyp™ Designer中开发药代动力学模型以适应静脉剂量递增和迟滞。阿替洛尔(0.3、1和3 mg/kg/30 min)的模型模拟和实验数据显示,dP/dtmax从2300降低到1800 mmHg/s,平均动脉压(MAP)从120降低到110 mmHg。该模型预测心率(HR)从110降至85 bpm;然而,实验未观察到心动过缓。对于阿托品(0.01,0.03,0.1 mg/kg/30 min),模型输出和实验数据显示HR(124至164 bpm)和dP/dtmax (2650至3000 mmHg/s)增加。 虽然实验MAP数据从130到120 mmHg下降,但模型输出预测从105到130 mmHg增加。在麻醉系统模型的开发过程中遇到了几个挑战。首先,麻醉犬的研究设计与有意识犬遥测的研究设计明显不同。其次,麻醉对压力感受器反射的减弱程度尚不清楚。此外,Fu等人的模型2采用拮抗剂Kd值来预测血流动力学效应,而不是体内EC50值。最后,模型预测的阿替洛尔给药后HR的下降在麻醉犬中没有观察到,可能是由于麻醉下静息心脏交感神经张力较低。尽管存在这些限制,但经过调整的Fu等人2 模型有可能最大限度地利用麻醉后的CV狗数据。具体来说:在中间剂量水平插入CV效应,得出可检测CV效应的阈值血浆浓度,并预测不能耐受剂量下的CV效应。Mahmud等人(2023)SPS会议,布鲁塞尔,比利时2。Fu等(2022)https://doi.org/10.1002/psp4.127743。Antic et al. (2024) https://doi.org/10.1016/j.vascn.2024.107497
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Journal of pharmacological and toxicological methods
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