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Acai Oil-Based Organogel Containing Hyaluronic Acid for Topical Cosmetic: In Vitro and Ex Vivo Assessment 含透明质酸的巴西莓油基有机凝胶用于局部美容:体外和体内评估
IF 5.4 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-11 DOI: 10.3390/pharmaceutics16091195
Suellen Christtine da Costa Sanches, Lindalva Maria de Meneses Costa Ferreira, Rayanne Rocha Pereira, Desireé Gyles Lynch, Ingryd Nayara de Farias Ramos, André Salim Khayat, José Otávio Carrera Silva-Júnior, Alessandra Rossi, Roseane Maria Ribeiro-Costa
Organogels are semi-solid pharmaceutical forms whose dispersing phase is an organic liquid, for example, an oil, such as acai oil, immobilized by a three-dimensional network formed by the gelling agent. Organogels are being highlighted as innovative release systems for cosmetic active ingredients such as hyaluronic acid for topical applications. Acai oil was evaluated for its physicochemical parameters, fatty acid composition, lipid quality index, spectroscopic pattern (Attenuated total reflectance Fourier Transform Infrared Spectroscopy), thermal behavior, total phenolic, total flavonoids, and total carotenoids and β-carotene content. The effectiveness of the organogel incorporated with hyaluronic acid (OG + HA) was evaluated through ex vivo permeation and skin retention tests, in vitro tests by Attenuated total reflectance Fourier Transform Infrared Spectroscopy and Differential Scanning Calorimetry. The physicochemical analyses highlighted that the acai oil exhibited quality standards in agreement with the regulatory bodies. Acai oil also showed high antioxidant capacity, which was correlated with the identified bioactive compounds. The cytotoxicity tests demonstrated that the formulation OG + HA does not release toxic substances into the biological environment that could impede cell growth, adhesion, and efficacy. In vitro and ex vivo analyses demonstrated that after 6 h of application, OG + HA presented a high level of hydration, thermal protection and release of HA. Thus, it can be concluded that the OG + HA formulation has the potential for physical–chemical applications, antioxidant quality, and potentially promising efficacy for application in the cosmetic areas.
有机凝胶是一种半固体药物形式,其分散相为有机液体,如油,如巴西莓油,被胶凝剂形成的三维网络固定。有机凝胶作为化妆品活性成分(如用于局部应用的透明质酸)的创新释放系统而备受关注。对巴西莓油的理化参数、脂肪酸组成、脂质指数、光谱模式(衰减全反射傅立叶变换红外光谱)、热行为、总酚、总类黄酮、总类胡萝卜素和β-胡萝卜素含量进行了评估。通过体外渗透和皮肤保留测试、体外tentenuated total reflectance Fourier Transform Infrared Spectroscopy 和差示扫描量热法测试,对添加了透明质酸(OG + HA)的有机凝胶的功效进行了评估。理化分析结果表明,巴西莓油符合监管机构的质量标准。巴西莓油还显示出很高的抗氧化能力,这与已确定的生物活性化合物有关。细胞毒性测试表明,OG + HA 配方不会向生物环境释放有毒物质,从而阻碍细胞的生长、粘附和功效。体外和体内分析表明,涂抹 6 小时后,OG + HA 具有较高的水合作用、热保护作用和 HA 释放作用。因此,可以得出这样的结论:OG + HA 配方具有物理化学应用潜力、抗氧化质量以及在化妆品领域应用的潜在功效。
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引用次数: 0
Powder Self-Emulsifying Drug Delivery System for Mitotane: In Vitro and In Vivo Evaluation 米托坦粉末自乳化给药系统:体外和体内评估
IF 5.4 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-11 DOI: 10.3390/pharmaceutics16091194
Mohamed Skiba, Valentin Lefébure, Frederic Bounoure, Nicolas Milon, Michael Thomas, Herve Lefebvre, Lahiani-Skiba Malika
Drug Delivery Systems (DDSs) of known drugs are prominent candidates for new and more effective treatments of various diseases, as they may increase drug solubility, dissolution velocity, and bioavailability. Mitotane (o,p′-dichlorodimethyl dichloroethane [o,p′-DDD]) is used for the treatment of adrenocortical cancer and, occasionally, Cushing’s syndrome. However, the efficacy of mitotane is limited by its low oral bioavailability, caused by its extremely poor aqueous solubility. This research explores the development of a new powder self-emulsifying drug delivery system (P-SEDDS) for mitotane to improve its oral bioavailability. The study focuses on the new concept of a mitotane-loaded P-SEDDS to overcome the challenges associated with its limited solubility and high logP, thereby improving its therapeutic efficacy, reducing off-target toxicity, and avoiding first-pass metabolism. The P-SEDDS formulations were meticulously designed using only α-cyclodextrin and oil, with the goal of achieving a stable and efficient P-SEDDS. The optimized formulation was characterized for pharmaceutical properties, and its pharmacokinetic behavior was examined in rats. The results demonstrated a significant enhancement in the bioavailability of mitotane when delivered through the P-SEDDS, attributed to the increased dissolution velocity and improved absorption of the poorly water-soluble drug. The results suggest that a mitotane-loaded P-SEDDS has distinctly enhanced in vitro and in vivo performance compared with conventional mitotane formulations (Lysodren®), which leads to the conclusion that the P-SEDDS formulation could be a viable and effective strategy for improving the dissolution rate and bioavailability of poorly aqueous-soluble ingredients.
已知药物的给药系统(DDS)可以提高药物的溶解度、溶解速度和生物利用度,因此是治疗各种疾病的更有效的新方法的主要候选药物。米托坦(o,p′-二氯二甲基二氯乙烷[o,p′-DDD])用于治疗肾上腺皮质癌,偶尔也用于治疗库欣综合征。然而,由于米托坦的水溶性极差,其口服生物利用度较低,从而限制了米托坦的疗效。本研究探索开发一种新的米托坦粉末自乳化给药系统(P-SEDDS),以提高其口服生物利用度。研究的重点是米托坦负载 P-SEDDS 的新概念,以克服其有限的溶解度和高 logP 带来的挑战,从而提高其疗效、减少脱靶毒性并避免首过代谢。P-SEDDS 配方经过精心设计,只使用了 α-环糊精和油,目的是获得稳定高效的 P-SEDDS。对优化后的制剂进行了药学特性表征,并对其在大鼠体内的药代动力学行为进行了研究。结果表明,通过 P-SEDDS 给药时,米托坦的生物利用度明显提高,这归功于溶解速度的提高和水溶性差药物吸收的改善。结果表明,与传统的米托坦制剂(Lysodren®)相比,装载米托坦的 P-SEDDS 在体外和体内的表现都有明显的提高,由此得出结论,P-SEDDS 制剂可能是提高水溶性差的成分的溶解速度和生物利用度的一种可行而有效的策略。
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引用次数: 0
Editorial on Special Issue “Recent Advances in Hydrogels for Biomedical Applications” 特刊 "水凝胶在生物医学应用中的最新进展 "社论
IF 5.4 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-11 DOI: 10.3390/pharmaceutics16091193
Marija M. Babić Radić
The significant progress in design and engineering of advanced hydrogels for biomedical applications is fundamentally driven by the increasing complexity and specificity of challenges in the biomedical field [...]
生物医学应用领域先进水凝胶的设计和工程取得重大进展的根本原因是生物医学领域的挑战日益复杂和特殊 [...] 。
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引用次数: 0
Pharmacokinetics of Piperacillin–Tazobactam in Critically Ill Patients with Open Abdomen and Vacuum-Assisted Wound Closure: Dosing Considerations Using Monte Carlo Simulation 哌拉西林-他唑巴坦在开腹和真空辅助伤口闭合重症患者中的药代动力学:使用蒙特卡罗模拟的剂量考虑因素
IF 5.4 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-09 DOI: 10.3390/pharmaceutics16091191
Cédric Carrié, Jesse Butruille, Sophie Maingault, Alexandre Lannou, Vincent Dubuisson, Laurent Petit, Matthieu Biais, Dominique Breilh
Background: Open abdomen with vacuum-assisted wound closure therapy (OA/VAC) is frequently used in critically ill patients although the impact of OA/VAC on antibiotics pharmacokinetics (PK) remains unknown. We thus aimed to characterize the PK of piperacillin–tazobactam (PTZ) in critically ill patients with OA/VAC and assess the optimal dosing regimens based on pharmacodynamics (PD) target attainment. Methods: Over a 15-month study period, 45 patients with OA/VAC treated with PTZ administered continuously and adapted to 24 h creatinine clearance (CLCR) underwent measurements of free concentrations in their plasma, urine, VAC exudate, and peritoneal fluid. Population PK modeling was performed considering the effect of covariates, and Monte Carlo simulations were employed to determine the probability of target attainment (PTA) for the PK/PD targets (100%fT > 16 mg/L) in the plasma and at the peritoneal site at steady state. Results: Piperacillin concentrations were described using a two-compartment model, with age and total body weight as significant covariates for central volume of distribution (V1) and estimated renal function for clearance (CL). Tazobactam concentrations were described using a two-compartment model with estimated renal function as a significant covariate. The central volume of distributions V1 of piperacillin and tazobactam were 21.2 and 23.2 L, respectively. The VAC-induced peritoneal clearance was negligible compared to renal clearance. Most patients achieved the desirable PK/PD target when using a CLCR-pondered PTZ dosing regimen from 12 g/1.5 g/day to 20 g/2.5 g/day. Conclusions: Despite a wide inter-individual variability, the influence of OA/VAC on piperacillin and tazobactam PK parameters is not straightforward. The use of a CLCR-pondered PTZ dosing regimen from 12 g/1.5 g/day to 20 g/2.5 g/day is needed to reach a PTA > 85%.
背景:开腹真空辅助伤口闭合疗法(OA/VAC)经常用于重症患者,但OA/VAC对抗生素药代动力学(PK)的影响仍不清楚。因此,我们旨在描述哌拉西林-他唑巴坦(PTZ)在使用 OA/VAC 的重症患者中的 PK 特性,并根据药效学(PD)目标的实现情况评估最佳给药方案。研究方法在为期 15 个月的研究期间,45 名 OA/VAC 患者接受了 PTZ 连续给药并适应 24 小时肌酐清除率(CLCR)的治疗,对其血浆、尿液、VAC 渗出液和腹腔液中的游离浓度进行了测量。考虑到协变量的影响,进行了群体 PK 建模,并采用蒙特卡罗模拟确定了稳态时血浆和腹膜部位 PK/PD 目标(100%fT > 16 mg/L)的达标概率 (PTA)。结果:哌拉西林的浓度采用二室模型进行描述,中心分布容积(V1)和估计肾功能清除率(CL)的重要协变量是年龄和总重量。他唑巴坦的浓度采用二室模型进行描述,估计肾功能是重要的协变量。哌拉西林和他唑巴坦的中心分布容积 V1 分别为 21.2 升和 23.2 升。与肾清除率相比,VAC 引起的腹膜清除率可忽略不计。在采用CLCR-pondered PTZ给药方案(12克/1.5克/天至20克/2.5克/天)时,大多数患者都达到了理想的PK/PD目标。结论尽管个体间差异很大,但 OA/VAC 对哌拉西林和他唑巴坦 PK 参数的影响并不直接。要想达到 PTA > 85% 的水平,就需要使用从 12 克/1.5 克/天到 20 克/2.5 克/天的 CLCR-pondered PTZ 给药方案。
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引用次数: 0
Binary and Ternary Inclusion Complexes of Niflumic Acid: Synthesis, Characterization, and Dissolution Profile 硝氟酸的二元和三元包合物:合成、表征和溶解曲线
IF 5.4 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-09 DOI: 10.3390/pharmaceutics16091190
Zohra Bouchekhou, Amel Hadj Ziane-Zafour, Florentina Geanina Lupascu, Bianca-Ștefania Profire, Alina Nicolescu, Denisse-Iulia Bostiog, Florica Doroftei, Ioan-Andrei Dascalu, Cristian-Dragoș Varganici, Mariana Pinteala, Lenuta Profire, Tudor Pinteala, Bachir Bouzid
Although niflumic acid (NA) is one of the most used non-steroidal anti-inflammatory drugs, it suffers from poor solubility, low bioavailability, and significant adverse effects. To address these limitations, the complexation of NA with cyclodextrins (CDs) is a promising strategy. However, complexing CDs with low molecular weight drugs like NA can lead to low CE. This study explores the development of inclusion complexes of NA with 2-hydroxypropyl-β-cyclodextrin (2HP-β-CD), including the effect of converting NA to its sodium salt (NAs) and adding hydroxypropyl methylcellulose (HPMC) on complex formation. Inclusion complexes were prepared using co-evaporation solvent and freeze-drying methods, and their CE and Ks were determined through a phase solubility study. The complexes were characterized using physicochemical analyses, including FT-IR, DSC, SEM, XRD, DLS, UV-Vis, 1H-NMR, and 1H-ROESY. The dissolution profiles of the complexes were also evaluated. The analyses confirmed complex formation for all systems, demonstrating drug–cyclodextrin interactions, amorphous drug states, morphological changes, and improved solubility and dissolution profiles. The NAs-2HP-β-CD-HPMC complex exhibited the highest CE and Ks values, a 1:1 host-guest molar ratio, and the best dissolution profile. The results indicate that the NAs-2HP-β-CD-HPMC complex has potential for delivering NA, which might enhance its therapeutic effectiveness and minimize side effects.
尽管硝氟酸(NA)是最常用的非甾体抗炎药物之一,但它的溶解性差、生物利用度低、不良反应大。为了解决这些局限性,NA 与环糊精(CD)的复配是一种很有前景的策略。然而,将 CD 与 NA 等低分子量药物络合会导致低 CE。本研究探讨了NA与2-羟丙基-β-环糊精(2HP-β-CD)包合复合物的开发,包括将NA转化为其钠盐(NAs)和添加羟丙基甲基纤维素(HPMC)对复合物形成的影响。利用共蒸发溶剂法和冷冻干燥法制备了包合物,并通过相溶解度研究确定了它们的CE和Ks。利用傅立叶变换红外光谱(FT-IR)、扫描电镜(DSC)、电子显微镜(SEM)、X 射线衍射(XRD)、激光光散射(DLS)、紫外可见光谱(UV-Vis)、1H-核磁共振(1H-NMR)和 1H-ROESY 等理化分析对复合物进行了表征。此外,还对复合物的溶解曲线进行了评估。分析结果表明,所有体系都形成了复合物,显示出药物与环糊精之间的相互作用、无定形药物状态、形态变化以及溶解度和溶解曲线的改善。NAs-2HP-β-CD-HPMC 复合物的 CE 值和 Ks 值最高,主客体摩尔比为 1:1,溶解情况最好。结果表明,NAs-2HP-β-CD-HPMC 复合物具有递送 NA 的潜力,可提高 NA 的疗效并减少副作用。
{"title":"Binary and Ternary Inclusion Complexes of Niflumic Acid: Synthesis, Characterization, and Dissolution Profile","authors":"Zohra Bouchekhou, Amel Hadj Ziane-Zafour, Florentina Geanina Lupascu, Bianca-Ștefania Profire, Alina Nicolescu, Denisse-Iulia Bostiog, Florica Doroftei, Ioan-Andrei Dascalu, Cristian-Dragoș Varganici, Mariana Pinteala, Lenuta Profire, Tudor Pinteala, Bachir Bouzid","doi":"10.3390/pharmaceutics16091190","DOIUrl":"https://doi.org/10.3390/pharmaceutics16091190","url":null,"abstract":"Although niflumic acid (NA) is one of the most used non-steroidal anti-inflammatory drugs, it suffers from poor solubility, low bioavailability, and significant adverse effects. To address these limitations, the complexation of NA with cyclodextrins (CDs) is a promising strategy. However, complexing CDs with low molecular weight drugs like NA can lead to low CE. This study explores the development of inclusion complexes of NA with 2-hydroxypropyl-β-cyclodextrin (2HP-β-CD), including the effect of converting NA to its sodium salt (NAs) and adding hydroxypropyl methylcellulose (HPMC) on complex formation. Inclusion complexes were prepared using co-evaporation solvent and freeze-drying methods, and their CE and Ks were determined through a phase solubility study. The complexes were characterized using physicochemical analyses, including FT-IR, DSC, SEM, XRD, DLS, UV-Vis, 1H-NMR, and 1H-ROESY. The dissolution profiles of the complexes were also evaluated. The analyses confirmed complex formation for all systems, demonstrating drug–cyclodextrin interactions, amorphous drug states, morphological changes, and improved solubility and dissolution profiles. The NAs-2HP-β-CD-HPMC complex exhibited the highest CE and Ks values, a 1:1 host-guest molar ratio, and the best dissolution profile. The results indicate that the NAs-2HP-β-CD-HPMC complex has potential for delivering NA, which might enhance its therapeutic effectiveness and minimize side effects.","PeriodicalId":19894,"journal":{"name":"Pharmaceutics","volume":null,"pages":null},"PeriodicalIF":5.4,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142216098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Emerging Trends in Dissolving-Microneedle Technology for Antimicrobial Skin-Infection Therapies 用于皮肤感染抗菌疗法的溶解微针技术的新趋势
IF 5.4 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-08 DOI: 10.3390/pharmaceutics16091188
Rui Luo, Huihui Xu, Qiaoni Lin, Jiaying Chi, Tingzhi Liu, Bingrui Jin, Jiayu Ou, Zejun Xu, Tingting Peng, Guilan Quan, Chao Lu
Skin and soft-tissue infections require significant consideration because of their prolonged treatment duration and propensity to rapidly progress, resulting in severe complications. The primary challenge in their treatment stems from the involvement of drug-resistant microorganisms that can form impermeable biofilms, as well as the possibility of infection extending deep into tissues, thereby complicating drug delivery. Dissolving microneedle patches are an innovative transdermal drug-delivery system that effectively enhances drug penetration through the stratum corneum barrier, thereby increasing drug concentration at the site of infection. They offer highly efficient, safe, and patient-friendly alternatives to conventional topical formulations. This comprehensive review focuses on recent advances and emerging trends in dissolving-microneedle technology for antimicrobial skin-infection therapy. Conventional antibiotic microneedles are compared with those based on emerging antimicrobial agents, such as quorum-sensing inhibitors, antimicrobial peptides, and antimicrobial-matrix materials. The review also highlights the potential of innovative microneedles incorporating chemodynamic, nanoenzyme antimicrobial, photodynamic, and photothermal antibacterial therapies. This review explores the advantages of various antimicrobial therapies and emphasizes the potential of their combined application to improve the efficacy of microneedles. Finally, this review analyzes the druggability of different antimicrobial microneedles and discusses possible future developments.
皮肤和软组织感染需要重点考虑,因为它们的治疗时间较长,而且容易迅速恶化,导致严重的并发症。治疗过程中的主要挑战来自于耐药微生物的参与,它们会形成不透水的生物膜,而且感染可能会深入组织,从而使给药变得复杂。溶解微针贴片是一种创新的透皮给药系统,能有效增强药物通过角质层屏障的渗透力,从而提高感染部位的药物浓度。与传统的外用制剂相比,微针贴剂具有高效、安全和患者友好的特点。本综述将重点介绍用于皮肤感染抗菌治疗的溶解微针技术的最新进展和发展趋势。将传统的抗生素微针与基于新出现的抗菌剂(如法定量感应抑制剂、抗菌肽和抗菌基质材料)的微针进行了比较。综述还强调了结合化学动力、纳米酶抗菌、光动力和光热抗菌疗法的创新微针的潜力。本综述探讨了各种抗菌疗法的优势,并强调了综合应用这些疗法提高微针疗效的潜力。最后,本综述分析了不同抗菌微针的可药用性,并讨论了未来可能的发展。
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引用次数: 0
Synergistic Chemo-Immunotherapy: Recombinant Fusion Protein-Based Surface Modification of NK Cell for Targeted Cancer Treatment 协同化疗-免疫疗法:基于重组融合蛋白的 NK 细胞表面修饰用于癌症靶向治疗
IF 5.4 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-08 DOI: 10.3390/pharmaceutics16091189
Su Yeon Lim, Luna Kim, Hongbin Kim, Jeong-Ann Park, Jina Yun, Kwang Suk Lim
While traditional combination anticancer treatments have shown promising results, there remains significant interest in developing innovative methods to enhance and integrate chemotherapy and immunotherapy. This study introduces a recombinant fusion protein-based cell surface modification system that synergistically combines chemotherapy and immunotherapy into a single-targeted chemo-immunotherapy approach. A cell surface-modified protein composed of an antibody-specific binding domain and a cell-penetrating domain rapidly converts immune cells into chemo-immuno therapeutics by binding to antibodies on the surface of immune cells. Utilizing a non-invasive, non-toxic approach free of chemical modifications and binding, our system homogeneously transforms immune cells by transiently introducing targeted cytotoxic drugs into them. The surface-engineered immune cells loaded with antibody–drug conjugates (ADCs) significantly inhibit the growth of target tumors and enhance the targeted elimination of cancer cells. Therefore, NK cells modified by the cell surface-modified protein to incorporate ADCs could be expected to achieve the combined effects of targeted cancer cell recognition, chemotherapy, and immunotherapy, thereby enhancing their therapeutic efficacy against cancer. This strategy allows for the efficient and rapid preparation of advanced chemo-immuno therapeutics to treat various types of cancer and provides significant potential to improve the efficacy of cancer treatment.
虽然传统的联合抗癌疗法已显示出良好的效果,但人们对开发创新方法来增强和整合化疗和免疫疗法仍有浓厚的兴趣。本研究介绍了一种基于重组融合蛋白的细胞表面修饰系统,它能将化疗和免疫疗法协同结合成单一靶向化疗-免疫疗法方法。由抗体特异性结合域和细胞穿透域组成的细胞表面修饰蛋白通过与免疫细胞表面的抗体结合,迅速将免疫细胞转化为化学免疫疗法。我们的系统利用一种无创、无毒、无化学修饰和结合的方法,通过将靶向细胞毒性药物瞬时导入免疫细胞,从而均匀地转化免疫细胞。经表面改造的免疫细胞负载有抗体-药物共轭物(ADCs),能显著抑制靶肿瘤的生长,增强对癌细胞的靶向清除能力。因此,经细胞表面修饰蛋白修饰的 NK 细胞可望结合 ADCs 实现靶向癌细胞识别、化疗和免疫治疗的综合效果,从而提高对癌症的疗效。这种策略可以高效、快速地制备治疗各种癌症的先进化学免疫疗法,为提高癌症治疗效果提供了巨大潜力。
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引用次数: 0
Efficacy and Safety of Fluocinolone Acetonide Implant in Diabetic Macular Edema: Practical Guidelines from Reference Center 醋酸氟西诺龙植入剂治疗糖尿病黄斑水肿的有效性和安全性:参考资料中心的实用指南
IF 5.4 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-07 DOI: 10.3390/pharmaceutics16091183
Lucas Sejournet, Thibaud Mathis, Victor Vermot-Desroches, Rita Serra, Ines Fenniri, Philippe Denis, Laurent Kodjikian
Diabetic macular edema (DME) is a common complication of diabetic retinopathy. Treatment with intravitreal injections is effective in most cases but is associated with a high therapeutic burden for patients. This implies the need for long-term treatments, such as the fluocinolone acetonide (FAc) implant. A review of basic science, pharmacology, and clinical data was conducted to provide a state-of-the-art view of the FAc implant in 2024. Although generally well tolerated, the FAc implant has been associated with ocular hypertension and cataract, and caution should be advised to the patients in this regard. By synthesizing information across these domains, a comprehensive evaluation can be attained, facilitating informed decision-making regarding the use of the FAc implant in the management of DME. The main objective of this review is to provide clinicians with guidelines on how to introduce and use the FAc implant in a patient with DME.
糖尿病黄斑水肿(DME)是糖尿病视网膜病变的常见并发症。玻璃体内注射治疗对大多数病例有效,但患者的治疗负担较重。这意味着需要长期治疗,如植入氟西诺龙醋酸酯(FAc)。我们对基础科学、药理学和临床数据进行了回顾,以提供 2024 年 FAc 植入物的最新观点。虽然 FAc 植入物的耐受性普遍良好,但它也与眼压过高和白内障有关,因此建议患者谨慎使用。通过综合这些领域的信息,可以获得全面的评估结果,有助于在使用 FAc 植入体治疗 DME 方面做出明智的决策。本综述的主要目的是为临床医生提供指导,帮助他们了解如何在二重性视网膜病变患者中引入和使用FAc植入体。
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引用次数: 0
Extracts from Wheat, Maize, and Sunflower Waste as Natural Raw Materials for Cosmetics: Value-Added Products Reaching Sustainability Goals 从小麦、玉米和向日葵废料中提取精华作为化妆品的天然原料:实现可持续发展目标的增值产品
IF 5.4 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-07 DOI: 10.3390/pharmaceutics16091182
Milica Lukić, Ana Ćirić, Dragana D. Božić, Jelena Antić Stanković, Đorđe Medarević, Zoran Maksimović
Agricultural waste is underutilized, and sometimes burning them has a negative impact on the environment and human health. This research investigates the untapped potential of extracts from maize, wheat and sunflower waste as natural materials for cutaneous, specifically, cosmetic application. The possibility of incorporating lipid and ethanol extracts from wheat, maize, and sunflower into creams was investigated together with their potential contribution to the structural and functional properties of the topical formulations. Results of the physicochemical characterization show that investigated extracts can be successfully incorporated into creams with satisfactory stability. All extracts showed a desirable safety profile and good antimicrobial activity against various microorganisms. Lipid extracts have proven to be promising structural ingredients of the oil phase, contributing to the spreadability, occlusivity, and emollient effect. Ethanol extracts influenced washability and stickiness of the formulation and could be considered as prospective ingredients in self-preserving formulations. The extracts affected the sensory properties of the creams, mainly the smell and color. These results suggest that the extracts from wheat, maize, and sunflower waste could be used as multifunctional natural ingredients for cosmetic formulations which can replace less sustainable raw materials. This also represents a valorization of waste and is in line with broader sustainability goals.
农业废弃物未得到充分利用,有时焚烧这些废弃物会对环境和人类健康造成负面影响。本研究调查了玉米、小麦和向日葵废弃物提取物作为皮肤(特别是化妆品)天然材料的未开发潜力。研究了将小麦、玉米和向日葵的脂质和乙醇提取物加入膏霜中的可能性,以及它们对局部配方的结构和功能特性的潜在贡献。理化表征结果表明,所研究的提取物可以成功地加入膏霜中,并具有令人满意的稳定性。所有提取物都显示出理想的安全性和对各种微生物的良好抗菌活性。脂质萃取物被证明是很有前途的油相结构成分,有助于提高涂抹性、吸附性和润肤效果。乙醇提取物会影响配方的耐洗性和粘性,可被视为自防腐配方中的前景成分。提取物对膏霜的感官特性也有影响,主要是气味和颜色。这些结果表明,从小麦、玉米和向日葵废料中提取的提取物可用作化妆品配方的多功能天然成分,替代可持续性较差的原材料。这也体现了废物的价值化,符合更广泛的可持续发展目标。
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引用次数: 0
Advancements in Inflammatory Bowel Disease Management: From Traditional Treatments to Monoclonal Antibodies and Future Drug Delivery Systems 炎症性肠病治疗的进展:从传统疗法到单克隆抗体和未来的给药系统
IF 5.4 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-07 DOI: 10.3390/pharmaceutics16091185
Annalisa Di Rienzo, Lisa Marinelli, Marilisa Pia Dimmito, Eleonora Chiara Toto, Antonio Di Stefano, Ivana Cacciatore
Inflammatory bowel disease (IBD) is a chronic gastrointestinal inflammatory disorder with two main subtypes: ulcerative colitis (UC) and Crohn’s disease (CD). The pathogenesis involves genetic predisposition, dysbiosis, and immune dysregulation. Complications include perianal lesions, strictures, fistulas, perforations, and an increased risk of colon cancer. Clinical classification ranges from mild to fulminant and recurrent disease, with common symptoms such as abdominal discomfort, rectal bleeding, diarrhea, and weight loss. Extraintestinal manifestations include arthritis, erythema nodosum, pyoderma gangrenosum, and uveitis. Conventional treatments using aminosalicylates, corticosteroids, and immunomodulators have limitations. Biologics, introduced in the 1990s, offer improved efficacy and specificity, targeting factors like TNF-α, integrins, and cytokines. Monoclonal antibodies play a crucial role in IBD management, aiming to reduce relapses, hospitalizations, and surgeries. In conclusion, this review is aimed at summarizing the latest knowledge, advantages, and drawbacks of IBD therapies, such as small molecules, biologics, and monoclonal antibodies, to provide a basis for further research in the IBD field.
炎症性肠病(IBD)是一种慢性胃肠道炎症性疾病,主要有两种亚型:溃疡性结肠炎(UC)和克罗恩病(CD)。发病机制包括遗传易感性、菌群失调和免疫失调。并发症包括肛周病变、狭窄、瘘管、穿孔以及结肠癌风险增加。临床表现从轻微到暴发性和复发性不等,常见症状包括腹部不适、直肠出血、腹泻和体重减轻。肠道外表现包括关节炎、结节性红斑、脓皮病和葡萄膜炎。使用氨基水杨酸盐、皮质类固醇激素和免疫调节剂的传统治疗方法存在局限性。20 世纪 90 年代推出的生物制剂针对 TNF-α、整合素和细胞因子等因子,提高了疗效和特异性。单克隆抗体在 IBD 治疗中发挥着重要作用,旨在减少复发、住院和手术。总之,本综述旨在总结小分子药物、生物制剂和单克隆抗体等 IBD 疗法的最新知识、优点和缺点,为 IBD 领域的进一步研究提供依据。
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Pharmaceutics
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