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In-Vitro Antiproliferative Analysis of Metformin Hydrochloride on Androgen-Sensitive, LNCAP and Androgen-Insensitive, PC-3 Human Prostate Cancer Cell Lines 盐酸二甲双胍对雄激素敏感、LNCAP和雄激素不敏感的人前列腺癌细胞PC-3的体外抗增殖分析
Pub Date : 2017-03-14 DOI: 10.4236/PP.2017.83006
Brittney V. Hinton, Dolapo Adedeji, G. Payne
Prostate cancer is one of the diseases worldwide that causes cancer-related deaths in men. Metformin is an antidiabetic drug that has been in use for over two decades for the treatment of Type II Diabetes mellitus (DM2). The purpose of this study was to evaluate the anti-proliferative property of metformin hydrochloride on androgen-sensitive, LNCAP and androgen-insensitive, PC-3 human prostate cancer cell lines at different concentrations (μM and mM) using 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide (MTT) assay. Metformin hydrochloride displayed a stronger cytotoxicity on the androgen-insensitive PC-3 than on the androgen-sensitive human prostate cancer cell lines. For both cell lines, the antiproliferative activity of metformin hydrochloride was best displayed at 0.1 mM concentration with average cell death percentage of 60% after 120-hour exposure.
前列腺癌是世界范围内导致男性癌症相关死亡的疾病之一。二甲双胍是一种抗糖尿病药物,用于治疗II型糖尿病(DM2)已有20多年的历史。本研究采用3-[4,5-二甲基噻唑-2-酰基]-2,5-二苯基溴化四唑(MTT)法,研究盐酸二甲双胍对不同浓度(μM和mM)雄激素敏感、LNCAP和雄激素不敏感、PC-3人前列腺癌细胞的抑制增殖作用。盐酸二甲双胍对雄激素不敏感的前列腺癌细胞PC-3的细胞毒性比雄激素敏感的前列腺癌细胞强。对于两种细胞系,盐酸二甲双胍在0.1 mM浓度下表现出最佳的抗增殖活性,暴露120小时后细胞平均死亡率为60%。
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引用次数: 5
Effect of Peptidase Inhibitors on Dynorphin A (1-17) or (1-13)-Induced Antinociception and Toxicity at Spinal Level 肽酶抑制剂对Dynorphin A(1-17)或(1-13)诱导的抗伤性和脊髓毒性的影响
Pub Date : 2017-02-13 DOI: 10.4236/PP.2017.82003
M. Matsuda, M. Yoshikawa, Takugi Kan, Mariko Watanabe, J. Ajimi, Shigeru Takahashi, M. Miura, Kenji Ito, Hiroyuki Kobayashi, Toshiyasu Suzuki
Our group has earlier demonstrated that three enzymes sensitive to peptidase inhibitors (PIs), amastatin (A)-, captopril (C)-, and phosphoramidon (P), played an important role in inactivation of enkephalins at the spinal level. Dynorphin-converting enzyme (DCE) hydrolyzes dynorphin (Dyn) A (1-17) or Dyn A (1-13) mainly at the Arg6-Arg7 bond. Dynorphin A and its derived peptides interact with opioid and glutamate receptors at their N- and C-terminals, respectively. The purpose of the present study was to evaluate the antinociceptive potency and toxicity of intrathecal administered Dyn A (1-17), Dyn A (1-13), or Dyn A (1-6) under pretreatment with ACP and/or the DCE inhibitor p-hydroxymercuribenzoate (PHMB). The effect of these PIs on Dyn A (1-17)-induced inhibition of electrically-evoked contractions in mouse vas deferens was also investigated. The inhibitory potency of Dyn A (1-17) on electrically-evoked contractions in mouse vas deferens under pretreatment with ACP was higher than that with AC, AP, or CP. Pretreatment with ACP augmented Dyn A (1-17) or (1-13)-induced antinociception by approximately 50- or 30-fold with no sign of allodynia when administered intrathecally at low doses. Pretreatment with ACP and PHMB induced neuropathy. These findings showed that intrathecal administration of low-dose Dyn A (1-17) or DynA (1-13) increased antinociception under pretreatment with ACP, but without signs of allodynia in rat.
我们的研究小组早些时候已经证明,三种对肽酶抑制剂(pi)敏感的酶,阿马伐他汀(A)-,卡托普利(C)-和磷酰胺(P),在脊髓水平的脑啡肽失活中起重要作用。dynorphin -converting enzyme (DCE)主要在Arg6-Arg7键处水解dynorphin (Dyn) A(1-17)或Dyn A(1-13)。Dynorphin A及其衍生肽分别在N端和c端与阿片受体和谷氨酸受体相互作用。本研究的目的是评估在ACP和/或DCE抑制剂对羟基汞苯甲酸酯(PHMB)预处理下鞘内给药Dyn A(1-17)、Dyn A(1-13)或Dyn A(1-6)的抗痛感效力和毒性。我们还研究了这些PIs对Dyn A(1-17)诱导的小鼠输精管电诱发收缩抑制的影响。在ACP预处理下,Dyn A(1-17)对小鼠输精管电诱发收缩的抑制效力高于AC、AP或CP。ACP预处理使Dyn A(1-17)或(1-13)诱导的抗痛感增强了约50或30倍,在低剂量鞘内给药时没有异常痛的迹象。ACP和PHMB预处理诱导的神经病变。这些结果表明,在ACP预处理下,鞘内给药低剂量DynA(1-17)或DynA(1-13)增加了大鼠的抗痛觉性,但没有异常性疼痛的迹象。
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引用次数: 2
Comparison of the Hypoglycemic, Hypolipidemic and Hepatoprotective Effects of Asparagus racemosus Linn. in Combination with Gliclazide and Pioglitazone on Alloxan-Induced Diabetic Rats 总状芦笋降血糖、降血脂和保肝作用的比较。格列齐特、吡格列酮联合治疗四氧嘧啶诱导的糖尿病大鼠
Pub Date : 2017-02-13 DOI: 10.4236/PP.2017.82004
Abdullah Al Mamun, M. Hossain, M. Uddin, Md. Tanjir Islam, Sajjad Hossain, M. Hossain, Md. Farhad Hossain, Ataur Rahman Sujan, M. Rashid, Md. Mahbubur Rahman, A. F. M. Towheedur Rahman
In recent years, the popularity of medicinal plants as a remedy has been increased manifold due to having minimal adverse effects. The current study aimed to compare the hypoglycemic, hypolipidemic and hepatoprotective effects of the ethanolic extract of Asparagus racemosus (EEAR) Linn. alone and combinedly with conventional antidiabetic agents (gliclazide and pioglitazone) in alloxan-induced diabetic rats. Diabetes was induced in male Wister albino rats by the administration of single intra-peritoneal injection of alloxan monohydrate (120 mg/kg b.w.). Effect of oral administration of two different doses of EEAR (200 and 400 mg/kg b.w.), gliclazide (10 mg/kg b.w.) and pioglitazone (10 mg/70kg/b.w.) alone for 2 weeks and a combination of EEAR (200 mg/kg b.w.) with either gliclazide (10 mg/kg b.w.) or pioglitazone (10 mg/70kg/b.w.) for 2 weeks were examined on hypoglycemic activity on 0th, 5th, 10th and 14th day of treatment. After 2 weeks of treatment, hypolipidemic and hepatoprotective effects were estimated by serum biochemical markers such as total cholesterol (TC), triglyceride (TG), low density lipoprotein (LDL), very low density lipoprotein (VLDL), high density lipoprotein (HDL), serum glutamate oxaloacetate transaminases (SGOT), serum glutamate pyruvate trans-aminases (SGPT) and total protein (TP) with the help of commercially available kits. The survival rate, body weight and organ weight were also measured. Alloxan treatment resulted in persistent hyperglycemia, hyperlipidemia and liver dysfunction in rats. Treatment with EEAR at different doses improved hyperglycemia significantly (p < 0.05, p < 0.01, p < 0.001; p < 0.05, p < 0.01; p < 0.05) by reducing the blood glucose levels in rats on 10th and 14th day of treatment in a dose-dependent mood when compared to the disease control rats, gliclazide treated rats and pioglitazone treated rats. The combination therapy significantly (p < 0.001; p < 0.01, p < 0.001; p < 0.05, p < 0.01, p < 0.001) promoted the glucose-lowering activity on 5th, 10th and 14th day of treatment as compared to that of disease control rats, gliclazide treated rats and pioglitazone treated rats. Proposed adjunct therapy also markedly (p < 0.001; p < 0.01, p < 0.001) improved serum TG, HDL and LDL level with insignificant change in VLDL and TC level while comparing with groups receiving gliclazide treated rats and pioglitazone treated rats. Administration of different doses of EEAR markedly (p < 0.05, p < 0.01, p < 0.001; p < 0.05, p < 0.01; p < 0.05) reduced the activity of TC, TG, LDL, VLDL and HDL cholesterol levels in a dose-dependent approach with respect to that of gliclazide treated rats and pioglitazone treated rats. The effect of combination therapy significantly (p < 0.001; p < 0.001; p < 0.01, p < 0.001) decreased the SGOT, SGPT and TP hepatic enzyme levels when compared to disease control rats, gliclazide treated rats and pioglitazone treated rats indicated improvement in liver dysfunctions. Administration o
近年来,药用植物作为一种药物,由于其副作用小,受到越来越多的欢迎。本研究旨在比较总状芦笋(Asparagus racemosus, EEAR)乙醇提取物的降血糖、降血脂和保肝作用。四氧嘧啶诱导的糖尿病大鼠单用及联用常规降糖药(格列齐特、吡格列酮)。雄性白化Wister大鼠腹腔单次注射一水四氧嘧啶(120 mg/kg b.w.)诱导糖尿病。分别口服两种不同剂量的EEAR(200和400 mg/kg体重)、格列齐特(10 mg/kg体重)和吡格列酮(10 mg/70kg体重)2周,以及EEAR (200 mg/kg体重)与格列齐特(10 mg/kg体重)或吡格列酮(10 mg/70kg体重)联合用药2周,对治疗第0、5、10和14天的降糖活性的影响。治疗2周后,在市售试剂盒的帮助下,通过血清生化指标如总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL)、极低密度脂蛋白(VLDL)、高密度脂蛋白(HDL)、血清谷氨酸草酰乙酸转氨酶(SGOT)、血清谷氨酸丙酮酸反氨酶(SGPT)和总蛋白(TP)来评估降血脂和肝保护作用。测定成活率、体质量和脏器质量。四氧嘧啶治疗导致大鼠持续高血糖、高脂血症和肝功能障碍。不同剂量EEAR治疗可显著改善高血糖(p < 0.05, p < 0.01, p < 0.001;P < 0.05, P < 0.01;P < 0.05),与疾病对照组、格列齐特组和吡格列酮组相比,治疗第10天和第14天剂量依赖性情绪大鼠的血糖水平降低。联合治疗显著(p < 0.001;P < 0.01, P < 0.001;P < 0.05, P < 0.01, P < 0.001)与疾病对照组、格列齐特组和吡格列酮组相比,在治疗第5、10、14天均能提高降糖活性。建议的辅助治疗也显著(p < 0.001;p < 0.01, p < 0.001),与格列齐特组和吡格列酮组比较,血清TG、HDL和LDL水平均有改善,VLDL和TC水平变化不显著。不同剂量EEAR给药组差异有统计学意义(p < 0.05, p < 0.01, p < 0.001;P < 0.05, P < 0.01;p < 0.05)与格列齐特组和吡格列酮组相比,降低TC、TG、LDL、VLDL和HDL胆固醇活性呈剂量依赖性。联合治疗效果显著(p < 0.001;P < 0.001;p < 0.01, p < 0.001)与疾病对照大鼠相比,降低了SGOT、SGPT和TP肝酶水平,格列齐特治疗大鼠和吡格列酮治疗大鼠的肝功能改善。不同剂量EEAR给药效果显著(p < 0.05, p < 0.01, p < 0.001);P < 0.05, P < 0.01;p < 0.05, p < 0.01)与疾病对照组、格列齐特组和吡格列酮组相比,显著降低肝酶水平,包括SGOT、SGPT和TP,且呈剂量依赖性。联合用药大鼠存活率最高(100%)。除了给予联合治疗的组肝脏和胰腺重量有所改善外,体重和器官重量与体重之比没有明显变化。我们的研究表明,EEAR增强格列齐特和吡格列酮控制血糖水平的活性,改变血脂,改善四氧嘧啶诱导的糖尿病大鼠的肝功能障碍。
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引用次数: 4
Synthesis and Biological Activity Study of Novel N1-(4-Hydroxy Benzoyl)-3-Methyl-5-Phenyl-4(N-4-Chlorophenylazo)-1,2-Diazole and Its Derivatives 新型N1-(4-羟基苯甲酰)-3-甲基-5-苯基-4(n -4-氯苯偶氮)-1,2-二唑及其衍生物的合成与生物活性研究
Pub Date : 2017-01-17 DOI: 10.4236/PP.2017.81001
S. Bhatt, G. Singh, Sanjeev Kumar, Rachna Paliwal, J. S. Jangwan, C. P. Singh
A series of sulpha/substituted derivatives of phenyl azo-1,2-diazole have been synthesized and tested as an anti-inflammatory and anti-bacterial activity in mature albino rats hind paw by taking Diclofenac sodium as standard. N1-(4-hydroxy benzoyl)-3-methyl-5-phenyl-4(N-4-chlorophenylazo)-1,2-diazole is synthesized by a two-step process. In the first step, synthesis of N1-4-chlorophenyl hydrazono-1-methyl-3-phenyl propane-1,3-dione by the reciprocal action of 1-methyl-5-phenylpropane-1,3-dione and diazonium salt solution of phenyl-chloride interacts with 4-hydroxybenzoic acid hydrazide to form the final compound. These diazoles, the heterocyclic compounds which contained electron withdrawing groups, were screened for analgesic activity by acetic acid induced writing method, and for anti-inflammatory activity carried on carrageenan-induced paw edema. The synthesized substituted Chlorophenylazo-1,2-diazole nucleus exhibited significant anti-bacterial, anti-cancer, anti-inflammatory activity, muscle relaxing and moderate activity in anti-proliferative studies.
合成了一系列苯基偶氮-1,2-二唑的磺胺/取代衍生物,并以双氯芬酸钠为对照品,对成年白化病大鼠后爪进行了抗炎抑菌活性测试。采用两步法合成了N1-(4-羟基苯甲酰)-3-甲基-5-苯基-4(n -4-氯苯偶氮)-1,2-二唑。第一步,通过1-甲基-5-苯基丙烷-1,3-二酮和重氮盐溶液与4-羟基苯甲酸肼相互作用合成n1 -4-氯苯腙-1-甲基-3-苯基丙烷-1,3-二酮。这些含有电子吸出基团的杂环化合物,通过乙酸诱导书写法对其进行了镇痛活性筛选,并对卡拉胶诱导的足跖水肿进行了抗炎活性筛选。所合成的取代氯苯基偶氮-1,2-二唑核在抗增殖研究中表现出明显的抗菌、抗癌、抗炎、肌肉松弛和中等活性。
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引用次数: 0
Development and Application of a Validated UHPLC Method for the Determination of Atropine and Its Major Impurities in Antidote Treatment Nerve Agent Auto-Injectors (ATNAA) Stored in the Strategic National Stockpiles 国家战略储备解毒剂自动注射器(ATNAA)中阿托品及其主要杂质的高效液相色谱测定方法的建立与应用
Pub Date : 2017-01-17 DOI: 10.4236/PP.2017.81002
Cheng‐Hsin Yen, A. Mohammad, M. Schneider, S. Poole, B. Lowry, Brenda W. Mc Curdy, P. Faustino, Saeed R. Khan
The development and implementation of advanced analytical technologies is essential for extending the expiry for complex drug products stored in the Strategic National Stockpiles. Consequently, a novel Ultra High-Performance Liquid Chromatographic (UHPLC) method has been developed for the analysis of atropine and its respective impurities to support the analytical research platform for auto-injectors. This study is part of a larger research effort to improve the efficiency and broaden the applicability of advanced analytical methods for medical counter-measure medications. The current HPLC compendial methodology for atropine sulfate injection requires an analysis time of 40 minutes for atropine. In comparison, the novel gradient UHPLC method required only 8 minutes to evaluate both atropine and its major pharmaceutical impurities. Improved separation was achieved on a Waters Acquity UHPLC BEH C18 1.7 μm, 2.1 × 100 mm column employing gradient elution of mobile phase solvent A (0.1% H3PO4) and solvent B (0.1% H3PO4, 90% ACN, and 10% H2O). The method was validated according to USP Category I requirements for assay. The daily standard calibration curves were linear over a concentration range from 50 μg/mL to 250 μg/mL with a correlation coefficient of >0.999. The detection limit (LOD) and quantitation limit (LOQ) were 3.9 μg/ml and 13.1 μg/ml, respectively. Resolution results indicate that atropine and the following impurities, degradants and a preservative can also be separated and analyzed using this proposed method: noratropine, 4,4’-di-hy-droxydiphenyl ether, 2,4’-dihydroxydiphenyl ether, 4-bromophenol, 4-hydro-xyatropine, tropic acid, apoatropine HCl, atropic acid, hydroquinone, nitroethane, phenol and catechol. The UHPLC method demonstrated enhanced selectivity and significantly reduced the analysis time when compared with the traditional USP compendial HPLC method. The method was successfully applied to the evaluation of atropine in ATNAA auto-injectors lots from the Strategic National Stockpiles.
开发和实施先进的分析技术对于延长储存在国家战略储备中的复杂药品的有效期至关重要。因此,建立了一种新型的超高效液相色谱(UHPLC)方法,用于分析阿托品及其相应的杂质,以支持自动进样器的分析研究平台。这项研究是一项更大的研究工作的一部分,旨在提高医疗对抗药物的先进分析方法的效率和扩大其适用性。目前硫酸阿托品注射液的HPLC药典方法要求分析时间为40分钟。相比之下,新型梯度UHPLC法仅需要8分钟即可评估阿托品及其主要药物杂质。采用Waters Acquity UHPLC BEH C18 1.7 μm, 2.1 × 100 mm柱,流动相溶剂a (0.1% H3PO4)和溶剂B (0.1% H3PO4, 90% ACN, 10% H2O)梯度洗脱,分离效果更好。该方法按照USP第I类检测要求进行验证。在50 ~ 250 μg/mL浓度范围内,日标曲线呈线性关系,相关系数>0.999。检测限(LOD)为3.9 μg/ml,定量限(LOQ)为13.1 μg/ml。分离结果表明,该方法还可以分离和分析阿托品和以下杂质、降解剂和防腐剂:诺托品、4,4′-二羟基二苯基醚、2,4′-二羟基二苯基醚、4-溴苯酚、4-羟基阿托品、热带酸、apoatropine HCl、阿托品酸、对苯二酚、硝基乙烷、苯酚和儿茶酚。与传统的USP药典HPLC法相比,UHPLC法的选择性提高,分析时间明显缩短。该方法已成功应用于国家战略库存ATNAA自动进样器中阿托品的评价。
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引用次数: 2
Up-Regulation of Local TGF-β Contributes to a Decrease in Renal Tubular Na + -K + ATPase and Hyperkalemia in a Mouse Model of Crush Syndrome 局部TGF-β上调导致挤压综合征小鼠肾小管Na + -K + atp酶和高钾血症降低
Pub Date : 2016-12-08 DOI: 10.4236/PP.2016.712054
S. Mizuno, Y. Mizuno-Horikawa
Hyperkalemia is one of the most important risk factors in patients suffering from crush syndrome with rhabdomyolysis. Glycerol-injected animals have been used as an experimental model of rhabdomyolysis-induced acute kidney injury (AKI), but little information is available for the onset and molecular mechanism of hyperkalemia. In our murine model, plasma potassium levels increased after a single injection of 50%-glycerol solution (10 ml/kg, i.m.) during the progression of muscular and renal injuries. Renal tubular Na+-K+-ATPase functions as ion-exchange pomp for potassium clearance from blood into renal tubular epithelial cells. Renal histochemistry revealed an apparent decrease in the tubular Na+-K+-ATPase expression, especially at 24 hours post-glycerol challenge in our AKI model. In contrast to the loss in active Na+-K+-ATPase, there was a significant increase in the renal levels of transforming growth factor-β (TGF-β) that is known to suppress Na+-K+-ATPase production in vitro. When anti-TGF-β antibody was administered in mice after the glycerol challenge, the suppression of renal Na+-K+-ATPase activity was partially restored. As a result, hyperkalemia was improved in the TGF-β-neutralized AKI mice, associated with a significant decrease in plasma potassium concentration. Taken together, we predict that endogenous TGF-β is a key regulator for inhibiting Na+-K+-ATPase production and, in part, enhancing hyperkalemia during progression of rhabdomyolysis-induced AKI. This is, to our knowledge, the first report to determine a critical role of endogenous TGF-β in renal potassium metabolism during crush syndrome.
高钾血症是挤压综合征合并横纹肌溶解患者最重要的危险因素之一。甘油注射动物已被用作横纹肌溶解引起的急性肾损伤(AKI)的实验模型,但关于高钾血症的发病和分子机制的信息很少。在我们的小鼠模型中,在肌肉和肾脏损伤的进展过程中,单次注射50%甘油溶液(10 ml/kg, i.m)后,血浆钾水平升高。肾小管Na+-K+- atp酶作为离子交换泵从血液中清除钾进入肾小管上皮细胞。肾组织化学显示肾小管Na+-K+- atp酶表达明显下降,特别是在我们的AKI模型中甘油刺激后24小时。与活性Na+-K+- atp酶的丧失相反,肾脏中转化生长因子-β (TGF-β)的水平显著增加,TGF-β已知在体外抑制Na+-K+- atp酶的产生。甘油刺激小鼠后给予抗tgf -β抗体,可部分恢复对肾Na+-K+- atp酶活性的抑制。结果,TGF-β-中和的AKI小鼠高钾血症得到改善,血浆钾浓度显著降低。综上所述,我们预测内源性TGF-β是抑制Na+-K+- atp酶产生的关键调节因子,并在一定程度上增强横纹肌溶解诱导AKI进展过程中的高钾血症。据我们所知,这是首次报道确定内源性TGF-β在挤压综合征期间肾钾代谢中的关键作用。
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引用次数: 1
Fluconazole Prophylaxis in Neonates (Non-Systematic) Literature Review 新生儿氟康唑预防(非系统)文献综述
Pub Date : 2016-12-08 DOI: 10.4236/PP.2016.712053
A. Almulhim
Background: Nosocomial infection remains an important contributing factor for morbidity and mortality in neonates. Coagulase-negative staphylococci have emerged as the predominant pathogens of late onset sepsis. This is followed by staphylococcus aurous, gram negative bacilli, and fungi. Old studies noted that mortality due to candidemia was higher in infants weigh less than 2000 g after being exposed to risk factors. The prophylactic use of fluconazole for the prevention of IC in extremely low birth weight was first reported in 2001. Methods: Current guidelines from Europe and North America that refer to the treatment of fungal infections are included. Literature search was performed using Medline, Scopus and Cochrane Central Register of Controlled Trials through March, 2016. Conclusion: Mortality was not different in early studies. However, recent studies concluded that mortality was reduced in the fluconazole arms. Risk-based approach towards fluconazole prophylaxis seems to be safe and effective.
背景:医院感染仍然是新生儿发病率和死亡率的重要因素。凝固酶阴性葡萄球菌已成为晚期脓毒症的主要病原体。其次是金黄色葡萄球菌、革兰氏阴性杆菌和真菌。以前的研究指出,在暴露于危险因素后,体重低于2000克的婴儿因念珠菌引起的死亡率更高。2001年首次报道了在极低出生体重中预防性使用氟康唑预防IC。方法:目前来自欧洲和北美的治疗真菌感染的指南包括在内。文献检索使用Medline、Scopus和Cochrane Central Register of Controlled Trials,截止到2016年3月。结论:早期研究中死亡率无差异。然而,最近的研究得出结论,氟康唑组的死亡率降低了。基于风险的氟康唑预防方法似乎是安全有效的。
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引用次数: 0
In Vivo Interaction of Morphine and Diclofenac 吗啡与双氯芬酸的体内相互作用
Pub Date : 2016-12-08 DOI: 10.4236/PP.2016.712055
Yoshiaki Kimura, Koki Muryoi, Mika Shibata, N. Ozaki, K. Arai
The number of studies on possible pharmacokinetic interactions between opioid analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs), which are commonly used in combination for the treatment of chronic pain, is limited. In rats, the major metabolic pathway of morphine is glucuronidation to morphine-3-glucuronide (M3G) by UDP-glucuronosyltransferase. In this study, we investigated the influence of diclofenac (NSAID) on the formation of M3G in vitro using rat liver tissue homogenates. Competitive inhibition of M3G formation by diclofenac was observed with an average Ki of 19.9 μM. Because these in vitro findings suggested that a pharmacokinetic interaction occurs in vitro , we investigated whether diclofenac inhibits the glucuronidation of morphine in rats. A single dose of diclofenac increased serum concentrations of both morphine and M3G and showed a higher analgesic efficacy in the Von Frey test. Furthermore, diclofenac caused a net decrease in morphine urine concentrations, but the excretion of M3G through biliary and urinary routes was unchanged. These results demonstrated that in contrast to in vitro data a single dose of diclofenac did not alter the glucuronidation of morphine in vitro .
阿片类镇痛药和非甾体抗炎药(NSAIDs)之间可能的药代动力学相互作用的研究数量有限,非甾体抗炎药(NSAIDs)通常用于联合治疗慢性疼痛。在大鼠体内,吗啡的主要代谢途径是通过udp -葡萄糖醛酸转移酶葡萄糖醛酸化成吗啡-3-葡萄糖醛酸盐(M3G)。在这项研究中,我们研究了双氯芬酸(NSAID)对体外大鼠肝组织匀浆形成M3G的影响。双氯芬酸竞争性抑制M3G的形成,平均Ki为19.9 μM。由于这些体外研究结果表明,药代动力学相互作用发生在体外,我们研究了双氯芬酸是否抑制吗啡在大鼠体内的葡萄糖醛酸化。单剂量双氯芬酸增加吗啡和M3G的血清浓度,并在Von Frey试验中显示出更高的镇痛效果。此外,双氯芬酸引起吗啡尿浓度的净下降,但M3G通过胆道和尿路的排泄没有变化。这些结果表明,与体外数据相反,单剂量双氯芬酸不会改变体外吗啡的葡萄糖醛酸化。
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引用次数: 3
Pharmacist Opportunities to Improve Public Self-Medicating Practices in the UAE 药剂师机会,以提高公共自我用药实践在阿联酋
Pub Date : 2016-11-14 DOI: 10.4236/PP.2016.711052
S. Hasan, Ghazaleh Farghadani, Salaa Khalid AlHaideri, Mohamed Fathy
Objective: Self-treatment is an important aspect of self-care and one of the vital issues under debate in health care. Self-medication patterns vary among different populations and are influenced by many factors. The objective was to investigate the nature of self-medication behavior among the general public in the UAE and to explore public attitudes, beliefs, and level of knowledge concerning self-medication. Methods: A purposive sample of individuals involved in self-medication who belong to different age, gender, income, education level and health-seeking behaviors. A qualitative approach through individual face-to-face interviews was utilized to investigate participants’ behaviors and attitudes towards self-medication; factors influencing decision to self medicate, sources of information on medications, types of conditions for which self-medication is sought and types of medications used. Participant recruitment continued until theme saturation using content analysis. Findings: Three themes emerged from the data: Reasons for self-medication such as costs associated with visiting a doctor, convenience in visiting a pharmacy and perception of simplicity of the condition; Sources of information: pharmacists as a main source in addition to medication leaflets, family role and previous use, and medicines and medicines’ use: medicines’ use in chronic disease, use of antibiotics, use of herbals and supplements and medicines’ use in children. Conclusion: Findings from this study indicate that self-medication behaviors are common among the population due to several reasons. Inappropriate self-medication practices are evident and may compromise patient care outcomes. Pharmacists play a vital role in intervening to optimize the use of medications and patient education regarding self-care.
目的:自我治疗是自我保健的一个重要方面,也是卫生保健领域争论的重要问题之一。自我用药模式因人群而异,受多种因素影响。目的是调查阿联酋公众自我药疗行为的性质,并探讨公众对自我药疗的态度、信念和知识水平。方法:对不同年龄、性别、收入、文化程度和就诊行为的自我药疗患者进行目的性抽样调查。采用面对面访谈的定性方法,调查被试的自我药疗行为和态度;影响自我药物治疗决定的因素、药物信息的来源、寻求自我药物治疗的病症类型和使用的药物类型。通过内容分析,参与者招募一直持续到主题饱和。调查结果:从数据中得出了三个主题:自我药疗的原因,如看医生的费用、去药店的便利性和对病情简单性的认识;信息来源:除了药品传单、家庭作用和以前的使用,以及药品和药品的使用之外,药剂师是主要来源:用于慢性疾病的药品、抗生素的使用、草药和补充剂的使用以及儿童的药品使用。结论:本研究结果表明,由于多种原因,自我药疗行为在人群中普遍存在。不适当的自我药疗做法是明显的,可能会损害病人的护理结果。药剂师在干预优化药物使用和患者自我保健教育方面发挥着至关重要的作用。
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引用次数: 6
Combination of Paracetamol and the Glutathione Depleting Agent Buthionine Sulfoximine Show Differential Effect on Liver Cancer Cells and Normal Hepatocytes 对乙酰氨基酚和谷胱甘肽消耗剂丁硫氨酸亚砜对肝癌细胞和正常肝细胞的不同作用
Pub Date : 2016-11-14 DOI: 10.4236/PP.2016.711051
Marwa E. Sayour, R. M. A. Salam, Mohamed F. El-yamany, A. Sayed, R. El-Awady
Background: Paracetamol exerts toxic effects on liver cells through its metabolism into N-acetyl-p-benzoquinone imine (NAPQI), which is detoxified by conjugation with cellular glutathione (GSH). Once GSH is depleted, NAPQI stimulates a range of oxidative reactions that result in cell necrosis. The aim of the present investigation is to find a new strategy that would selectively protect normal hepatic tissues and sensitize liver cancer cells to the toxic effects of paracetamol or its metabolite. This may lead to the development of a targeted therapy for liver cancer. Methods: The anti-proliferative effects of paracetamol and buthionine sulfoximine BSO (a glutathione depleting agent) alone and in combination on the liver cancer cells HepG2 and normal rat hepatocytes were investigated by sulphorhodamine-B assay. Effects on cell cycle regulation and induction of apoptosis were tested by flow cytometry. The level of prostaglandin expression was measured by ELISA. Results: The present study showed that both agents alone or in combination have anti-proliferative effects on both cell types. Surprisingly, BSO showed a cytoprotective effects on normal hepatocytes treated with high concentrations (1.75 and 2 mM) of paracetamol. This was confirmed by cell cycle analysis that recorded decreased fraction of sub-G1 cells indicating reduction of apoptosis in normal hepatocytes. Analysis of prostaglandin E2 revealed differential effects of paracetamol on normal and liver cancer cells. A significant increase in PGE2 level over the control was observed in normal hepatocytes whereas a significant decrease was seen in HepG2 cells after treatment with paracetamol. Conclusion: These results indicate that combination of paracetamol/BSO has differential effects on liver cancer cells and normal hepatocytes, which opens the avenue for a new effective and selective combination for management of liver cancer.
背景:扑热息痛通过代谢为n -乙酰基-对苯醌亚胺(NAPQI)对肝细胞产生毒性作用,NAPQI通过与细胞谷胱甘肽(GSH)结合解毒。一旦谷胱甘肽被耗尽,NAPQI刺激一系列氧化反应,导致细胞坏死。本研究的目的是寻找一种新的策略,可以选择性地保护正常肝组织,并使肝癌细胞对扑热息痛或其代谢物的毒性作用敏感。这可能会导致肝癌靶向治疗的发展。方法:采用硫代丹- b法观察对乙酰氨基酚和丁硫胺亚砜BSO(一种谷胱甘肽消耗剂)单用和联用对肝癌细胞HepG2和正常大鼠肝细胞的抗增殖作用。流式细胞术检测其对细胞周期调节和诱导凋亡的影响。ELISA法检测前列腺素表达水平。结果:本研究表明,这两种药物单独或联合使用对两种细胞类型都有抗增殖作用。令人惊讶的是,BSO对高浓度(1.75 mM和2 mM)扑热息痛处理的正常肝细胞显示出细胞保护作用。细胞周期分析证实了这一点,记录的亚g1细胞比例减少表明正常肝细胞凋亡减少。前列腺素E2分析显示对乙酰氨基酚对正常和肝癌细胞的不同影响。在正常肝细胞中,PGE2水平显著高于对照组,而在使用扑热息痛治疗后,HepG2细胞的PGE2水平显著降低。结论:对乙酰氨基酚/BSO联合用药对肝癌细胞和正常肝细胞有不同的影响,为肝癌治疗开辟了一种新的有效、选择性的联合用药途径。
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引用次数: 2
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Pharmacology & Pharmacy
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