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The Impact of Vatinoxan on the Concentrations of Medetomidine, Midazolam, and Fentanyl in Central Nervous System After Subcutaneous Co-Administration in Rats 瓦替诺散对大鼠皮下联合给药后中枢神经系统美托咪定、咪达唑仑和芬太尼浓度的影响。
IF 1.7 4区 农林科学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-04-21 DOI: 10.1111/jvp.13514
Juhana Honkavaara, Emily Lindh, Anna Meller, Karoliina Alm, Marja R. Raekallio, Pernilla Syrjä

Our aim was to investigate whether vatinoxan, a peripherally acting alpha2-adrenoceptor antagonist, would affect the concentrations of medetomidine, midazolam, and fentanyl in the central nervous system after subcutaneous co-administration. Twelve healthy male Wistar rats, aged between 13 and 15 weeks, were used in this study. The animals received one of two subcutaneously administered treatments: medetomidine 0.25 mg/kg, midazolam 2 mg/kg, and fentanyl 0.01 mg/kg (MMF) or MMF with 5 mg/kg of vatinoxan (MMF-V). 15 min later, the sedated rats were humanely euthanized with intravenous pentobarbital. Plasma and tissue, including aliquots of the cortex, thalamus, pons, and lumbar spinal cord, were harvested and analyzed for drug concentrations. The treatments were compared with Bonferroni corrected t-tests after one-way analysis of variance. The concentrations of medetomidine (144 ± 19.4 vs. 107 ± 13.1 ng/g [mean ± 95% confidence interval]) (p = 0.04) and fentanyl (2.3 ± 0.2 vs. 1.7 ± 0.3 ng/g) (p = 0.04) in the cortex were significantly higher in the rats administered MMF-V. Similarly, cortex: plasma drug concentration ratios were significantly higher for medetomidine, midazolam, and fentanyl after MMF-V (p < 0.001 for all). The results confirm that vatinoxan increases early cortical exposure to subcutaneously co-administered medetomidine and fentanyl.

我们的目的是研究vatinoxan(一种外周作用的α 2-肾上腺素能受体拮抗剂)是否会在皮下联合给药后影响中枢神经系统中美托咪定、咪达唑仑和芬太尼的浓度。12只健康雄性Wistar大鼠,年龄在13至15周龄之间。这些动物接受两种皮下注射治疗中的一种:美托咪定0.25 mg/kg,咪达唑仑2 mg/kg,芬太尼0.01 mg/kg (MMF)或MMF加5mg /kg瓦替诺珊(MMF- v)。15 min后,给大鼠静脉注射戊巴比妥人道安乐死。收集血浆和组织,包括皮质、丘脑、脑桥和腰椎的等分体,并分析药物浓度。单因素方差分析后,采用Bonferroni校正t检验进行比较。MMF-V组大鼠皮层中美托咪定(144±19.4比107±13.1 ng/g[平均±95%可信区间])和芬太尼(2.3±0.2比1.7±0.3 ng/g)浓度显著升高(p = 0.04)。同样,MMF-V后,美托咪定、咪达唑仑和芬太尼的皮质:血浆药物浓度比显著升高(p
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引用次数: 0
Pharmacokinetic–Pharmacodynamic Cutoff Values for Doxycycline in Pigs to Support the Establishment of Clinical Breakpoints for Antimicrobial Susceptibility Testing 多西环素在猪体内的药代动力学-药效学截止值支持建立抗菌药物敏感性试验的临床断点。
IF 1.5 4区 农林科学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-04-17 DOI: 10.1111/jvp.13511
Pierre-Louis Toutain, Alain Bousquet-Melou, Aude A. Ferran, Béatrice B. Roques, Jérôme R. E. del Castillo, Peter Lees, Siska Croubels, Eric Bousquet, Ludovic Pelligand

This meta-analysis provides a population model of doxycycline (DOXY) disposition in pigs for computation of PK/PD cutoff values corresponding to differing modalities of DOXY administration orally in pigs. This analysis enables establishment of specific clinical breakpoints for the development of antimicrobial susceptibility testing of DOXY in pigs. The meta-analysis of 380 data sets, totaling 3295 plasma concentrations obtained from 300 pigs weighing 8.5–101 kg, was performed using a non-linear mixed effect model. The plasma clearance for a typical 50 kg BW pig was estimated to be 0.259 L/kg/h with a corresponding plasma half-life of 7.33 h. The bioavailability of DOXY administered in feed under field conditions was estimated to be 50%, with a large between-subject variability of 84.8%. The bioavailability of DOXY in solution in drinking water was significantly lower (30.7%) but much less variable, with a between-subject variability of 34.3%. Several dosing schedules (5 to 20 mg/kg per day) for two administration modalities (drinking water vs. food) were simulated to calculate the corresponding PK/PD cutoffs. The highest PK/PD cutoff of 0.50 mg/L was obtained for DOXY administered in feed at 20 mg/kg BW.

本荟萃分析提供了一个猪体内多西环素(DOXY)处置的群体模型,用于计算猪口服多西环素不同方式对应的PK/PD截断值。该分析能够为猪DOXY抗菌药敏试验的发展建立特定的临床断点。采用非线性混合效应模型,对300头体重为8.5-101 kg的猪的380组数据进行meta分析,共计3295个血浆浓度。典型50 kg体重猪的血浆清除率估计为0.259 L/kg/h,相应的血浆半衰期为7.33 h。在野外条件下,DOXY在饲料中的生物利用度估计为50%,受试者之间的差异很大,为84.8%。饮用水溶液中DOXY的生物利用度明显较低(30.7%),但差异较小,受试者间差异为34.3%。模拟了两种给药方式(饮用水和食物)的几种给药方案(每天5至20mg /kg),以计算相应的PK/PD截止值。在饲料中添加20 mg/kg BW的DOXY时,最高的PK/PD临界值为0.50 mg/L。
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引用次数: 0
Distribution of Alprazolam Into the Milk of Lactating Mares and Subsequent Absorption by Nursing Foals 阿普唑仑在哺乳期母马乳汁中的分布及哺乳马驹随后的吸收。
IF 1.5 4区 农林科学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-04-14 DOI: 10.1111/jvp.13509
Camilla Quattrini, Heather K. Knych, K. Gary Magdesian

Alprazolam is used to facilitate mare–foal bonding in aggressive or anxious postpartum mares. In humans, alprazolam crosses the blood–milk barrier, but the amount transferred into milk is minor and compatible with breastfeeding as the relative infant dose is < 10%. Similar data are not available for horses. The aim of this study was to measure alprazolam in serum and milk of mares (milk: serum ratio) administered alprazolam, and to determine alprazolam serum concentrations in nursing foals to estimate the extent of absorption. This was a prospective observational study involving 7 healthy postpartum mares and foals. Mares received alprazolam (0.04 mg/kg PO, q12h) for 6 days. Venous blood and milk samples were collected on days 3,4,5 and 6, just before the next dose, and were used to calculate milk: serum ratios and estimate the extent of absorption of alprazolam by foals. A validated liquid chromatography–tandem mass spectrometry assay was used to measure alprazolam and α-hydroxyalprazolam. There were no significant differences in concentrations of alprazolam or α-hydroxyalprazolam in mare serum, milk, or foal serum over time, consistent with steady state and a lack of accumulation. Milk:serum ratios were similar to slightly higher than those reported in humans (median: 0.64; range: 0.42–3.0). Relative foal dose (RFD) based on 12 h concentrations was < 10% in all foals and in 96% of total samples. Foal serum concentrations of alprazolam were 6.6% ± 4.1% of those in mare serum at the same time points. This study shows that milk:serum ratios of alprazolam in mares are variable. Foal serum concentrations and RFD suggest that alprazolam is safe for use in mares with nursing foals.

阿普唑仑用于促进攻击性或产后焦虑的母马与驹的联系。在人类中,阿普唑仑会穿过血-乳屏障,但进入乳汁的量很少,而且与母乳喂养相适应,因为婴儿的相对剂量是如此
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引用次数: 0
Single-Dose, Intravenous, and Oral Pharmacokinetics of Isavuconazole in Dogs 异唑康唑在犬体内单剂量、静脉注射和口服药代动力学。
IF 1.5 4区 农林科学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-04-08 DOI: 10.1111/jvp.13510
Yishan Kuo, Zhong Li, Lauren E. Forsythe, Jennifer M. Reinhart

Isavuconazole, a triazole antifungal used in humans for invasive fungal infections, may be effective for treating canine fungal infections, although data on its use in dogs is limited. This study aimed to determine the pharmacokinetics and safety of a single dose of isavuconazole in dogs, administered both intravenously and orally. Six healthy dogs received 186 mg isavuconazonium sulfate in a crossover design, with blood samples collected over 28 days and an 8-week washout period. Plasma isavuconazole and isavuconazonium concentrations were measured by liquid chromatography/mass spectrometry, and pharmacokinetic parameters were determined by non-compartmental analysis. Isavuconazole was well tolerated, with key findings including intravenous clearance at 350 ± 112 mL/kg/h, volume of distribution at steady state at 9.8 ± 4.5 L/kg, and a terminal half-life of 90 ± 44 h. For oral administration, the maximum concentration was 0.60 ± 0.27 μg/mL, time to maximum concentration was 6.73 ± 2.45 h, terminal half-life was 125 ± 80 h, and the area under the curve was 7.44 ± 2.39 μg h/mL. Oral bioavailability was 81.4% ± 12.8%. These results suggest isavuconazole has a long half-life in dogs and is well absorbed orally when administered in the fasted state. Further studies are warranted to establish a therapeutic regimen in dogs.

Isavuconazole是一种用于人类治疗侵袭性真菌感染的三唑类抗真菌药物,可能对治疗犬类真菌感染有效,尽管其在犬类中的使用数据有限。本研究旨在确定单剂量异戊康唑在犬体内静脉注射和口服的药代动力学和安全性。在交叉设计中,6只健康狗接受了186毫克硫酸异磺康唑,在28天内收集了血液样本,并进行了8周的洗脱期。采用液相色谱/质谱法测定血浆异戊康唑和异戊康唑浓度,采用非区室分析法测定药动学参数。Isavuconazole耐受性良好,主要发现包括静脉清除率为350±112 mL/kg/h,稳态分布容积为9.8±4.5 L/kg,终末半衰期为90±44 h。口服给药最高浓度为0.60±0.27 μg/mL,至最高浓度时间为6.73±2.45 h,终末半衰期为125±80 h,曲线下面积为7.44±2.39 μg/mL。口服生物利用度为81.4%±12.8%。这些结果表明,isavuconazole在狗体内具有较长的半衰期,并且在禁食状态下口服吸收良好。需要进一步的研究来建立狗的治疗方案。
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引用次数: 0
Pharmacokinetics and Bioavailability of Single-Dose Intramuscular and Intravenous Administration of Thiafentanil in Goats (Capra hircus) 山羊(Capra hircus)单剂量肌肉注射和静脉注射噻芬太尼的药代动力学和生物利用度。
IF 1.5 4区 农林科学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-03-21 DOI: 10.1111/jvp.13507
Judith T. Christie, Mieghan Bruce, Silke Pfitzer, Liesel Laubscher, Jacobus P. Raath, Michael Laurence, Tracy Kellermann, Andrew P. Woodward

Thiafentanil is a popular opioid agonist used for wildlife chemical immobilisation. Its effects are quickly and completely reversed by the antagonist naltrexone. Successful wildlife immobilisations using thiafentanil have been documented in a variety of wildlife species globally. The aim of this study was to describe the single-dose intramuscular (IM) and intravenous (IV) pharmacokinetics of thiafentanil in goats at a dose of 90 μg/kg using a single cross-over study. The IM dose was administered in the left Vastus lateralis. Plasma samples were collected up to 120 min after thiafentanil administration from two female and eight male adult goats. Samples were analysed by liquid chromatography–tandem mass spectrometry (LC–MS/MS). Pharmacokinetic parameters from one and two-compartment models were estimated via a Bayesian approach. The two-compartment model was preferred overall. The estimated bioavailability was 0.677 (90% Crl: 0.542–0.888), absorption rate constant (ka) was 0.058 1/min (90% Crl: 0.045–0.115) and clearance was 29.0 mL/min/kg (90% Crl: 23.7–36.3) from this model. This study provides key pharmacokinetic data on thiafentanil, supporting a two-compartment model and offering insights into its absorption, bioavailability, and clearance when used for wildlife immobilisation.

噻芬太尼是一种常用的阿片类激动剂,用于野生动物的化学固定。它的作用被拮抗剂纳曲酮迅速而完全地逆转。使用噻芬太尼成功固定野生动物已被记录在全球各种野生动物物种中。本研究的目的是通过单次交叉研究,描述90 μg/kg剂量的噻芬太尼在山羊体内的肌肉注射(IM)和静脉注射(IV)药物动力学。IM给药于左股外侧肌。在给药后120分钟内采集2只母山羊和8只公山羊的血浆样本。采用液相色谱-串联质谱(LC-MS/MS)对样品进行分析。通过贝叶斯方法估计单室和双室模型的药代动力学参数。总的来说,双室模型是首选的。该模型估计生物利用度为0.677 (90% Crl: 0.542-0.888),吸收速率常数(ka)为0.058 1/min (90% Crl: 0.045-0.115),清除率为29.0 mL/min/kg (90% Crl: 23.7-36.3)。该研究提供了关于噻芬太尼的关键药代动力学数据,支持双室模型,并提供了其用于野生动物固定时的吸收、生物利用度和清除的见解。
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引用次数: 0
Antiparasitic Collars: Concentration Levels of Imidacloprid and Flumethrin in Dog Fur Suggest Low Toxicity Risks for Adult Humans 抗寄生虫项圈:狗毛中吡虫啉和氟菊酯的浓度水平表明对成年人的毒性风险较低。
IF 1.5 4区 农林科学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-03-19 DOI: 10.1111/jvp.13508
Margaux Buisson, Laurine Dumas, Célia Gouffran, Eloïse C. Déaux, Laurent Rougier, Sylvia Masson

Seresto by Elanco (formerly Bayer Animal Health) is a collar for cats and dogs that provides long-lasting antiparasitic protection through the gradual release of imidacloprid and flumethrin onto the animal's skin. Although the EPA has deemed Seresto safe, their assessment is based on laboratory data, which may not fully reflect real-world exposure. Furthermore, recent reports of over 900 adverse human health events between 2012 and 2022 underscore the need for further safety investigations. We measured these chemicals' concentrations from the fur of eight dogs over 9 months to evaluate how daily interactions with pets could expose humans to toxic levels. Flumethrin was mostly undetectable, and imidacloprid levels were well below the toxicity threshold, suggesting low risks. However, factors like cumulative exposure and individual characteristics warrant consideration. Concentration levels were highest right after collar application, potentially reaching up to 11.6% of an 8 kg child's acceptable daily intake. We recommend limiting prolonged contact with pets, especially for young children, in the first 48 h post-application. We detected residual imidacloprid prior to collar application and 1 month after removal, raising questions as to the potential contamination risks that roaming pets could pose to ecosystems, given the known environmental impacts of these chemicals.

Elanco(原Bayer Animal Health)的Seresto是一款猫狗项圈,通过在动物皮肤上逐渐释放吡虫啉和氟氯菊酯,提供持久的抗寄生虫保护。尽管美国环保署认为Seresto是安全的,但他们的评估是基于实验室数据,可能不能完全反映现实世界的暴露情况。此外,最近关于2012年至2022年期间900多起人类健康不良事件的报告强调,有必要进行进一步的安全调查。我们在9个月内从8只狗的皮毛中测量了这些化学物质的浓度,以评估与宠物的日常互动如何使人类暴露于有毒水平。氟氯菊酯大部分检测不到,吡虫啉水平远低于毒性阈值,表明风险较低。然而,累积暴露和个人特征等因素值得考虑。在使用项圈后,浓度水平最高,可能达到8公斤儿童每日可接受摄入量的11.6%。我们建议在用药后48小时内限制与宠物的长时间接触,尤其是幼儿。我们在使用项圈之前和移除后1个月检测到残留的吡虫啉,提出了关于流浪宠物可能对生态系统造成潜在污染风险的问题,考虑到这些化学品对环境的已知影响。
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引用次数: 0
Pharmacokinetics of Ampicillin-Sulbactam in Azotemic and Non-Azotemic Dogs 氮质血症和非氮质血症犬体内氨苄西林-舒巴坦的药代动力学
IF 1.5 4区 农林科学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-03-12 DOI: 10.1111/jvp.13506
Zhe Wang, Sarah Shropshire, Daniel Gustafson, Samantha Fedotova, Amanda Diaz, Nida Chornarm, Joshua B. Daniels, Jessica Quimby, Kristin M. Zersen

Previous research has shown that azotemic dogs have a lower clearance and higher drug plasma concentrations of ampicillin compared to healthy dogs. The objective of this study was to determine the pharmacokinetics of ampicillin-sulbactam after multiple intravenous doses in hospitalized azotemic and non-azotemic dogs. This prospective study included 29 client-owned dogs; 19 azotemic and 10 non-azotemic. Ampicillin-sulbactam was administered at a combined dose of 22 mg/kg intravenously every 8 h for up to 5 days. Blood samples were obtained at baseline (prior to administration of the first dose of ampicillin-sulbactam), and 1-, 4-, and 8-h post-ampicillin-sulbactam administration each day. Plasma ampicillin was measured using LC-MS and non-compartmental pharmacokinetic modeling and dose interval modeling were performed. Plasma ampicillin exposure (azotemic mean 214.5 ug/mL × h ± 110.8, non-azotemic mean 60.3 ± 35.7; p < 0.0009) and half-life (azotemic mean 3.9 h ± 2.4, non-azotemic mean 1.5 h ± 0.3; p < 0.00001) were statistically greater in azotemic dogs compared to non-azotemic dogs. Single dose interval modeling predicted that 100% of azotemic dogs would have > 50% of the dosing interval with plasma concentrations > MIC (MIC = 2) with q12 h dosing and 79% of azotemic dogs would have > 50% of the dosing interval with plasma concentrations > MIC (MIC = 8) with q12 h dosing. Comparatively, 20% of non-azotemic dogs were predicted to have > 50% of the dosing interval with plasma concentrations > MIC (MIC = 2) with q12 h dosing and 0 non-azotemic dogs would have > 50% of the dosing interval with plasma concentrations > MIC (MIC = 8) with q12 h dosing. This study demonstrated that q12-h dosing of ampicillin-sulbactam in azotemic dogs over multiple days of administration is sufficient to reach the PK-PD target (> 50% of dosing interval > MIC) against susceptible bacteria.

先前的研究表明,与健康犬相比,无氮血症犬的氨苄西林清除率较低,血浆药物浓度较高。本研究的目的是确定氨苄西林-舒巴坦在住院的无氮血症和无氮血症狗多次静脉注射后的药代动力学。这项前瞻性研究包括29只客户拥有的狗;19个是azotic, 10个是非azotic。氨苄西林-舒巴坦以22 mg/kg的联合剂量静脉注射,每8小时一次,持续5天。在基线(在给予第一剂氨苄西林-舒巴坦之前)和每天给予氨苄西林-舒巴坦后1、4和8小时采集血液样本。采用LC-MS测定血浆氨苄西林,并进行非室室药代动力学建模和剂量间隔建模。血浆氨苄西林暴露(氮态平均214.5 ug/mL × h±110.8,非氮态平均60.3±35.7;p 50%的给药间隔,血浆浓度> MIC (MIC = 2)与给药q12 h, 79%的azotic犬将> 50%的给药间隔,血浆浓度> MIC (MIC = 8)与给药q12 h。相比之下,预计20%的非azotic犬在给药q12 h时,血浆浓度为> MIC (MIC = 2)的给药间隔为> 50%,0只非azotic犬在给药q12 h时,血浆浓度为> MIC (MIC = 8)的给药间隔为> 50%。本研究表明,氨苄西林-舒巴坦在氮化犬中连续给药数天,q12-h剂量足以达到对敏感菌的PK-PD目标(> - MIC剂量间隔的50%)。
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引用次数: 0
“Look and you Will Find it—What is Unsought Will go Undetected.” Sophocles “看,你就会发现——不去寻找的,就不会被发现。”索福克勒斯。
IF 1.5 4区 农林科学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-03-11 DOI: 10.1111/jvp.13502
Harriet M. Syme, Jonathan Elliott

This special issue of Journal of Veterinary Pharmacology and Therapeutics was precipitated by the launch of SGLT2-inhibitors onto the veterinary market for the treatment of diabetes mellitus in cats. It is hard to overstate the significance of a novel oral mode of treatment for diabetes given that a practitioner survey found that 1 in 10 owners will euthanise their pet because of not wanting to inject insulin (Niessen et al. 2017). As Drs Cook and Berend comprehensively discuss in this issue of JVPT, cats are well suited to treatment with SGLT-inhibitors because unlike dogs many have some residual β-cell function (Cook and Behrend 2025). These drugs may also be valuable in the management of insulin dysregulation that is a central feature of equine metabolic syndrome and the associated problem, equine laminitis, for which there are currently no licensed treatments (Menzies-Gow and Knowles 2025).

Now that SGLT2-inhibitors have been brought to the veterinary market it seems opportune to consider the potential of their wider use in treatment of renal and cardiovascular disease in veterinary patients (Elliott and Oyama 2025). The interest in their use for these indications stems from the evidence from human medicine that treatment with this class of drugs (and it does seem to be a class effect rather than being associated with any individual drug) reduces the risk of major cardiac adverse events and slows the rate of progression of diabetic kidney disease. Following these discoveries the clinical indications for these drugs have been expanded to include management of various forms of non-diabetic kidney and cardiac diseases, stemming in part from the observation that SGLT2-inhibitors actual benefits were greater in diabetic patients than would be anticipated just from the relatively mild weight loss and decrease in blood pressure.

Given the explosion in potential indications for these drugs, and the excitement surrounding their potential benefit for humans especially considering the current obesity epidemic with all its serious medical sequelae, it is easy to overlook the fact that these positive health effects were not anticipated. In fact, the huge trials that were performed with SGLT2-inhibitors were FDA-mandated studies required following the launch of any new glucose-lowering treatment due to concern that their use might be associated with ADVERSE cardiac outcomes (Udell et al. 2015). Indeed, the finding that SGLT2-inhibitors were not detrimental, but actually improved outcomes, was really quite unexpected (Zinman et al. 2015).

As a veterinary clinical researcher, it is possible to get quite despondent when looking at these clinical trials in humans, with the feeling that nothing on a comparable scale will ever be possible in veterinary patients. For example, a recent meta-analysis of the risk of reaching a composite end-point of End Stage Kidney Di

《兽医药理学与治疗学杂志》的这一期特刊是由用于治疗猫糖尿病的sglt2抑制剂进入兽医市场而促成的。鉴于一项从业者调查发现,十分之一的宠物主人会因为不想注射胰岛素而对宠物实施安乐死,因此很难夸大新型口服糖尿病治疗模式的重要性(Niessen et al. 2017)。正如Cook和Berend博士在本期《JVPT》中全面讨论的那样,猫非常适合使用sglt抑制剂治疗,因为与狗不同,许多猫有一些残留的β细胞功能(Cook和Behrend 2025)。这些药物在治疗胰岛素失调方面也很有价值,胰岛素失调是马代谢综合征和相关问题马板炎的核心特征,目前还没有获得许可的治疗方法(Menzies-Gow和Knowles 2025)。现在,sglt2抑制剂已经被引入兽医市场,似乎是时候考虑它们在兽医患者肾脏和心血管疾病治疗中的更广泛应用的潜力了(Elliott和Oyama 2025)。将其用于这些适应症的兴趣源于人类医学的证据,即用这类药物治疗(它似乎确实是一类效应,而不是与任何一种药物相关)可降低主要心脏不良事件的风险,并减缓糖尿病肾病的进展速度。在这些发现之后,这些药物的临床适应症已经扩展到包括各种形式的非糖尿病肾病和心脏病的治疗,部分原因是观察到sglt2抑制剂对糖尿病患者的实际益处比预期的相对轻微的体重减轻和血压降低更大。考虑到这些药物的潜在适应症的爆炸式增长,以及围绕它们对人类潜在益处的兴奋,特别是考虑到当前肥胖的流行及其所有严重的医学后遗症,很容易忽视这样一个事实,即这些积极的健康影响是没有预料到的。事实上,由于担心sglt2抑制剂的使用可能与不良心脏结果相关,任何新的降糖治疗推出后,都需要fda授权进行sglt2抑制剂的大规模试验(Udell et al. 2015)。事实上,sglt2抑制剂并不有害,实际上改善了结果,这一发现确实非常出乎意料(Zinman et al. 2015)。作为一名兽医临床研究人员,当看到这些人体临床试验时,可能会感到非常沮丧,感觉在兽医患者身上不可能有类似规模的试验。例如,最近的一项荟萃分析分析了达到终末期肾病(ESKD)、肾性死亡或血清肌酐浓度翻倍的复合终点的风险,包括超过15,000名接受sglt2抑制剂治疗的参与者,但仍记录了≤500个事件(Sridhar et al. 2023)。很难想象这种规模的荟萃分析研究可以在兽医病人身上重现,大规模的临床试验是非常昂贵的。然而,我们仍然可以从他们的经历中吸取教训。这些人体研究表明,即使药物在临床广泛使用,如EMA和FDA规定的授权后药物警戒研究,也需要对药物进行详细和严格的研究。据估计,大约90%的药物不良反应没有报告,特别是如果这些副作用是公认的和可预见的,因此实施要求兽医采取额外步骤记录事件的系统不太可能是答案(Davies et al. 2024)。或者,这样的记录系统可能只有在提供了激励的情况下才能工作,或者至少通过允许从患者的临床笔记直接访问以记录发生的事件的系统来促进该过程。对已经收集的信息进行数据挖掘可能在这方面更有成效,现在已经开发了几种用于搜索患者管理数据库的方法。这些系统包括在个别公司实践中使用的系统(例如,Banfield PetWare)或从许多参与实践中编译数据的系统;独立和/或公司(例如,VetCompass, SAVSNET, CAVSNET),以及各种宠物保险数据库,特别是来自这些系统订阅量高且集中在少数供应商(例如,瑞典)的国家。当然,这些数据挖掘系统只能和输入其中的数据一样好,而且必须接受存在局限性。 例如,VetCompass对被诊断患有慢性肾脏疾病(CKD)的猫进行的一项研究发现,在10%的病例中,这种诊断仅仅是根据体检做出的,没有任何支持性的血液检查或尿液分析(Conroy et al. 2019)。这些更具包容性的标准可能既有优点也有缺点;一方面,并非所有患有CKD的猫都将通过进一步的测试得到证实,但另一方面,不太严格的纳入标准可能更能代表一般人群的疾病风险,以及他们在第一意见实践中的治疗方式。最终,一些事件,如死亡或停药,是无可争议的,这些数据将相对容易地从医疗记录中提取出来,如果可以比较足够大的人口是否接受过某种药物治疗或接触过某种特定事件,则可以提供非常丰富的信息。这种方法最近被用来模拟临床试验,利用兽医临床记录来研究尿失禁和十字交叉疾病的发展(Pegram等人,2024a, 2024b)。从对人类sglt2抑制剂的研究中获得的另一个观察结果是,它们如何扰乱了关于疾病及其治疗的典型知识获取顺序。虽然这可能过于简单,但人们倾向于认为,关于一种新型药物的信息流是从基础生理学、药理学和病理学研究开始的,如果结果有希望,就会进入临床试验的不同阶段,可能还会进行一些动物研究。然而,在临床患者中意想不到的高度有益的结果引发了相反的方法。之前的一个例子是,在RALES的一项重要研究中,在常规心力衰竭治疗中加入低剂量螺内酯后,获得了显著的意想不到的生存益处,这引发了人们对矿物皮质激素拮抗剂基本抗纤维化机制的兴趣激增(Pitt et al. 1999)。sglt2抑制剂的临床试验同样显示出这样的前景,这现在同样推动了基础科学的爆发,使用细胞培养系统和体外模型来研究这些药物对内皮功能障碍、细胞凋亡、纤维化、氧化应激和其他常见病理生理机制的影响,这反过来可能支持其他疾病的进一步临床试验,如肺动脉高压和肝硬化(Zhang et al. 2025;Pradhan et al. 2025)。在某种程度上,兽医临床医生需要尝试参与进来,并展示如何在我们的患者中使用这些药物,这些药物的寿命更短,疾病进展速度更快,可以提供有意义的转化数据,从而进一步推进“一种药物”的方法。哈丽特·m·赛姆和乔纳森·艾略特。JE获得勃林格殷格翰和Elanco动物保健公司的研究资助,并担任两家公司的顾问。这是相关的,因为两家公司都有SGLT2抑制剂。
{"title":"“Look and you Will Find it—What is Unsought Will go Undetected.” Sophocles","authors":"Harriet M. Syme,&nbsp;Jonathan Elliott","doi":"10.1111/jvp.13502","DOIUrl":"10.1111/jvp.13502","url":null,"abstract":"<p>This special issue of Journal of Veterinary Pharmacology and Therapeutics was precipitated by the launch of SGLT2-inhibitors onto the veterinary market for the treatment of diabetes mellitus in cats. It is hard to overstate the significance of a novel oral mode of treatment for diabetes given that a practitioner survey found that 1 in 10 owners will euthanise their pet because of not wanting to inject insulin (Niessen et al. <span>2017</span>). As Drs Cook and Berend comprehensively discuss in this issue of JVPT, cats are well suited to treatment with SGLT-inhibitors because unlike dogs many have some residual β-cell function (Cook and Behrend <span>2025</span>). These drugs may also be valuable in the management of insulin dysregulation that is a central feature of equine metabolic syndrome and the associated problem, equine laminitis, for which there are currently no licensed treatments (Menzies-Gow and Knowles <span>2025</span>).</p><p>Now that SGLT2-inhibitors have been brought to the veterinary market it seems opportune to consider the potential of their wider use in treatment of renal and cardiovascular disease in veterinary patients (Elliott and Oyama <span>2025</span>). The interest in their use for these indications stems from the evidence from human medicine that treatment with this class of drugs (and it does seem to be a class effect rather than being associated with any individual drug) reduces the risk of major cardiac adverse events and slows the rate of progression of diabetic kidney disease. Following these discoveries the clinical indications for these drugs have been expanded to include management of various forms of non-diabetic kidney and cardiac diseases, stemming in part from the observation that SGLT2-inhibitors actual benefits were greater in diabetic patients than would be anticipated just from the relatively mild weight loss and decrease in blood pressure.</p><p>Given the explosion in potential indications for these drugs, and the excitement surrounding their potential benefit for humans especially considering the current obesity epidemic with all its serious medical sequelae, it is easy to overlook the fact that these positive health effects were not anticipated. In fact, the huge trials that were performed with SGLT2-inhibitors were FDA-mandated studies required following the launch of any new glucose-lowering treatment due to concern that their use might be associated with ADVERSE cardiac outcomes (Udell et al. <span>2015</span>). Indeed, the finding that SGLT2-inhibitors were not detrimental, but actually improved outcomes, was really quite unexpected (Zinman et al. <span>2015</span>).</p><p>As a veterinary clinical researcher, it is possible to get quite despondent when looking at these clinical trials in humans, with the feeling that nothing on a comparable scale will ever be possible in veterinary patients. For example, a recent meta-analysis of the risk of reaching a composite end-point of End Stage Kidney Di","PeriodicalId":17596,"journal":{"name":"Journal of veterinary pharmacology and therapeutics","volume":"48 2","pages":"65-66"},"PeriodicalIF":1.5,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jvp.13502","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Meta-Analysis and Mechanism-Based Modeling of Synovial and Plasma Pharmacokinetics and Adrenal Suppression Following Intra-Articular Injection of Methylprednisolone Acetate in Horses 马关节内注射醋酸甲基强的松龙后滑膜和血浆药代动力学及肾上腺抑制的meta分析和基于机制的建模。
IF 1.5 4区 农林科学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-03-10 DOI: 10.1111/jvp.13504
Ruihong Yu, William J. Jusko

This study assesses the pharmacokinetics (PK) of published methylprednisolone (MPL) data in horses following intra-articular (IA) administration of MPL acetate (MPA) and the associated adrenal suppression. The concentrations of MPL/MPA in synovial fluid, blood, and urine, as well as hydrocortisone (HC) in plasma, were digitized from multiple sources in the literature. A minimal physiologically based pharmacokinetic model and a linked indirect response model with a circadian rhythm baseline were applied. Concentrations of MPA in joints followed a triexponential decay, converting to MPL. The clearance of MPL was 797 mL/h/kg via hepatic metabolism (93%) and renal excretion (7%). The persistence of MPL in synovium and plasma for over 500 h was primarily ascribed to slow prodrug dissolution. The formation of MPL from available MPA in SF was rapid. A transit step was needed between the synovium and plasma for MPL absorption. The MPA to MPL bioavailability was dose and/or study dependent; 100% for dosages below 100 mg and 58% for 200 mg. The MPL inhibition of HC production was potent, with an IC50 of 0.83 ng/mL, and lasted over 50 h. This meta-analysis utilizing a mechanistic modeling approach provided advanced and comprehensive insights on IA MPL PK in horses and was translatable for the PK appreciation of IA MPA dosing in man.

本研究评估了甲基强的松龙(MPL)在马关节内(IA)给予MPL醋酸酯(MPA)和相关肾上腺抑制后的药代动力学(PK)。滑液、血液和尿液中的MPL/MPA浓度,以及血浆中的氢化可的松(HC)浓度,从文献中多个来源进行数字化。一个最小的基于生理的药代动力学模型和一个与昼夜节律基线相关的间接反应模型被应用。节理中MPA浓度呈三指数衰减,转化为MPL。MPL通过肝代谢(93%)和肾排泄(7%)清除率为797 mL/h/kg。MPL在滑膜和血浆中持续超过500小时的主要原因是药前溶解缓慢。SF中有效MPA快速形成MPL。在滑膜和等离子体之间需要一个过渡步骤来吸收MPL。MPA对MPL的生物利用度是剂量和/或研究依赖的;100毫克以下100%,200毫克58%。MPL对HC的抑制作用显著,IC50为0.83 ng/mL,抑制时间超过50 h。该荟萃分析利用机制建模方法提供了马体内IA MPA PK的先进和全面的见解,并可翻译为人体内IA MPA剂量的PK评估。
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引用次数: 0
Residue Behavior and Risk Assessment of Diazepam and Its Metabolites in Crucian Carp (Carassius auratus) After Oral Administration 地西泮及其代谢物在鲫鱼体内的口服残留行为及风险评价
IF 1.5 4区 农林科学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-03-08 DOI: 10.1111/jvp.13505
Qi Shan, Xiaosheng Huang, Shucai Ye, Hao Zhou, Feng Xu, Jianqiang Li, Jiawei Lin, Lichun Li, Yi Yin

Diazepam (DZP), a benzodiazepine medication, is extensively utilized in both human and veterinary medicine and has been frequently detected in fish populations. The use of DZP-laced bait is identified as a predominant contributor to drug residue contamination in fish. Nonetheless, our understanding of the residue profile of DZP in fish and its potential implications for human health remains constrained. This study investigated the residue behavior and dietary intake risks of DZP and its primary metabolites in crucian carp (Carassius auratus) following oral administration. A rapid and sensitive UHPLC–MS/MS method was developed and validated for the reliable quantification of DZP and its identified metabolites. The findings revealed rapid absorption and extensive distribution of DZP in crucian carp, with peak concentrations in plasma and tissues occurring at 1 h. The distribution pattern of DZP, based on calculated AUC, was kidney > liver > plasma > gill > muscle plus skin. The distribution of DZP in plasma and tested tissues followed the decreasing order of kidney > liver > plasma > gill > muscle plus skin according to the calculated AUC. DZP elimination was notably slow, particularly in muscle plus skin, with an elimination half-life of 619.31 h, necessitating at least 70 days for concentrations to fall below the limit of quantitation, suggesting a high likelihood of residue formation in fish from oral DZP administration. DZP was metabolized into nordiazepam and temazepam in crucian carp; nordiazepam is the main metabolite of DZP, which is gradually higher than the parent drug in the elimination phase. The dietary risk assessment suggested that a possible health risk (HQ ≥ 0.1) was found within 1 day via ingestion of crucian carp after an oral dose of DZP, suggesting that frequent consumption of high-residue crucian carp may cause harm to human health.

地西泮(DZP)是一种苯二氮卓类药物,广泛用于人类和兽药,并经常在鱼类种群中发现。使用含有dzp的诱饵被确定为鱼类药物残留污染的主要原因。尽管如此,我们对DZP在鱼类中的残留特征及其对人类健康的潜在影响的理解仍然有限。本试验研究了DZP及其主要代谢物在鲫(Carassius auratus)体内口服后的残留行为及饲粮摄入风险。建立了一种快速灵敏的UHPLC-MS/MS方法,并验证了该方法对DZP及其鉴定代谢物的定量可靠。结果表明,DZP在鲫鱼体内吸收迅速,分布广泛,血浆和组织浓度在1 h时达到峰值。根据计算的AUC, DZP的分布模式为肾>肝>血浆>鳃>肌肉加皮肤。根据计算的AUC, DZP在血浆和被测组织中的分布顺序为肾>肝>血浆>鳃>肌肉加皮肤。DZP的消除明显缓慢,尤其是在肌肉和皮肤中,消除半衰期为619.31 h,至少需要70天的时间浓度才会低于定量限制,这表明口服DZP很可能在鱼体内形成残留。DZP在鲫鱼体内代谢为去甲地西泮和替马西泮;去甲地西泮是DZP的主要代谢物,在消除期逐渐高于母体药物。饲料风险评估结果显示,口服DZP后1天内摄食鲫鱼可能存在健康风险(HQ≥0.1),提示频繁食用高残留鲫鱼可能对人体健康造成危害。
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引用次数: 0
期刊
Journal of veterinary pharmacology and therapeutics
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