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From Waste to Treasure: Therapeutic Horizons of Polyhydroxyalkanoates in Modern Medicine. 从废到宝:聚羟基烷酸酯在现代医学中的治疗视野。
IF 5.5 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-08 DOI: 10.3390/pharmaceutics18010082
Farid Hajareh Haghighi, Roya Binaymotlagh, Paula Stefana Pintilei, Laura Chronopoulou, Cleofe Palocci

Polyhydroxyalkanoates (PHAs), a family of biodegradable polyesters produced through microbial fermentation of carbon-rich residues, are emerging as attractive alternatives to petroleum-based plastics. Their appeal lies in their exceptional biocompatibility, inherent biodegradability, and tunable physicochemical properties across diverse applications. These materials are environmentally friendly not just at the end of their life, but throughout their entire production-use-disposal cycle. This mini-review presents an update on the expanding biomedical relevance of PHAs, with emphasis on their utility in tissue engineering and drug delivery platforms. In addition, current clinical evaluations and regulatory frameworks are briefly discussed, underscoring the translational potential of PHAs in meeting unmet medical needs. As the healthcare sector advances toward environmentally responsible and patient-focused innovations, PHAs exemplify the convergence of waste valorization and biomedical progress, transforming discarded resources into functional materials for repair, regeneration, and healing.

聚羟基烷酸酯(PHAs)是一类通过微生物发酵富碳残留物生产的可生物降解聚酯,正在成为石油基塑料的有吸引力的替代品。它们的吸引力在于其卓越的生物相容性、固有的生物降解性和可调的物理化学性质,可用于各种应用。这些材料不仅在其生命周期结束时是环保的,而且在其整个生产-使用-处置周期中都是环保的。这篇小型综述介绍了pha在生物医学上的最新应用,重点介绍了它们在组织工程和给药平台中的应用。此外,简要讨论了目前的临床评估和监管框架,强调了pha在满足未满足的医疗需求方面的转化潜力。随着医疗保健行业朝着对环境负责和以患者为中心的创新方向发展,pha体现了废物增值和生物医学进步的融合,将废弃资源转化为用于修复、再生和治疗的功能材料。
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引用次数: 0
Novel Repurposing of Empagliflozin-Loaded Buccal Composite (Chitosan/Silk Fibroin/Poly(lactic acid)) Nanofibers for Alzheimer's Disease Management via Modulation of Aβ-AGER-p-tau Pathway. 恩格列净负载口腔复合材料(壳聚糖/丝素/聚乳酸)纳米纤维通过调节a - β- ager -p-tau通路治疗阿尔茨海默病的新用途
IF 5.5 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-08 DOI: 10.3390/pharmaceutics18010083
Walaa A El-Dakroury, Samar A Salim, Abdelrahman R Said, Gihan F Asaad, Mohamed F Abdelhameed, Marwa E Shabana, Mohamed M Ibrahim, Sara G Abualmajd, Haidy H Mosaad, Aliaa A Salama, Shrouk E Asran, Mayar L Amer, Ahmed S Doghish, Fatma Sa'eed El-Tokhy

Background/Objectives: Empagliflozin (EMPA) was repurposed for Alzheimer's disease (AD) treatment via buccal delivery, exploiting novel nanofibers (NFs) integrating chitosan (Cs), silk fibroin (Fb), and poly(lactic acid) (PLA). Methods: EMPA-loaded Cs/Fb/PLA NFs were electrospun in different formulations to optimize the formulation parameters. The optimized formulation was then investigated for its enhanced in vivo effect. Results: Optimized nanofiber diameters ranged from 459 ± 173 to 668 ± 148 nm, possessing bead-free morphology confirmed by SEM and satisfactory mechanical properties. EMPA was successfully well-dispersed in the polymer matrix as evidenced by FTIR, XRD, and drug content. The optimized NFs displayed a hydrophilic surface (contact angle < 90°), and biphasic drug release with sustained EMPA liberation (84.98% over 24 h). In vivo, buccal EMPA-Cs/Fb/PLA NFs in an AlCl3-induced AD rat model significantly reduced brain-amyloid-β, phosphorylated tau, IL-1β, and AGER expression by 2.88-, 2.64-, 2.87-, and 2.50-fold, respectively, compared to positive controls, and improved locomotor activity (1.86-fold) and cognitive performance (T-maze) (4.17-fold). Compared to pure EMPA, the nanofiber formulation achieved further reductions in amyloid-β (1.78-fold), p-tau (1.42-fold), IL-1β (1.89-fold), and AGER (1.38-fold), with efficacy comparable to memantine. Histopathological examination revealed preservation of the hippocampal neuronal structure. Conclusions: The findings suggest EMPA-loaded Cs/Fb/PLA NFs as a promising non-invasive, sustained-release buccal delivery platform for AD therapy, offering multimodal neuroprotection through modulation of the Aβ-AGER-p-tau axis.

背景/目的:恩格列净(EMPA)利用整合壳聚糖(Cs)、丝素蛋白(Fb)和聚乳酸(PLA)的新型纳米纤维(NFs),通过口腔给药,重新用于阿尔茨海默病(AD)的治疗。方法:对empa负载的Cs/Fb/PLA NFs进行不同配方的静电纺丝,优化配方参数。并对优化后的配方进行了体内增强效应研究。结果:优化后的纳米纤维直径范围为459±173 ~ 668±148 nm, SEM证实其无珠状结构,力学性能良好。经FTIR、XRD和药物含量分析证实,EMPA在聚合物基体中分散良好。优化后的NFs具有亲水性表面(接触角< 90°),双相释放,24 h内EMPA持续释放率为84.98%。在体内,与阳性对照相比,alcl3诱导的AD大鼠模型中,口腔EMPA-Cs/Fb/PLA NFs显著降低了脑淀粉样蛋白-β、磷酸化tau、IL-1β和AGER的表达,分别降低了2.88倍、2.64倍、2.87倍和2.50倍,并改善了运动活性(1.86倍)和认知能力(t迷宫)(4.17倍)。与纯EMPA相比,纳米纤维配方进一步降低了淀粉样蛋白-β(1.78倍),p-tau(1.42倍),IL-1β(1.89倍)和AGER(1.38倍),其功效与美金刚相当。组织病理学检查显示海马神经元结构保存完好。结论:研究结果表明,empa负载的Cs/Fb/PLA NFs是一种有前景的无创、缓释口腔给药平台,可通过调节a β- ager -p-tau轴提供多模态神经保护。
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引用次数: 0
Antitumor Activity of the Ethanolic Extract from Syzygium aromaticum in Colorectal Cancer Xenograft Mice. 合欢醇提物对结直肠癌移植小鼠的抗肿瘤活性。
IF 5.5 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-07 DOI: 10.3390/pharmaceutics18010079
Thunyatorn Yimsoo, Weerakit Taychaworaditsakul, Hathaichanok Chuntakaruk, Worapapar Treesuppharat, Sumet Kongkiatpaiboon, Apipu Ariyachayut, Sunee Chansakaow, Teera Chewonarin, Parirat Khonsung, Seewaboon Sireeratawong

Background/Objectives: Colorectal cancer (CRC) remains a leading cause of cancer-related mortality worldwide, and the development of effective therapies with improved safety profiles is urgently needed. The hydrodistillation residue extract of Syzygium aromaticum (SA) is rich in phenolic compounds, including ellagic acid and gallic acid, which are known for their antioxidant and anticancer properties. This study aimed to evaluate the anticancer efficacy, safety, and metabolic effects of SA extract in CRC models. Methods: The anticancer activity of SA was investigated using in vitro and in vivo approaches. Human colorectal cancer HCT116-Red-FLuc cells were used to assess cytotoxicity, selectivity, and dose- and time-dependent effects. In vivo efficacy was evaluated in a CRC xenograft mouse model using tumor volume measurement, micro-ultrasound imaging, and bioluminescence analysis. Hematological and blood biochemical parameters were analyzed to assess systemic safety. Untargeted metabolomic profiling was performed to explore metabolic alterations associated with SA treatment. Results: SA inhibited HCT116-Red-FLuc cell proliferation in a dose- and time-dependent manner and demonstrated selective cytotoxicity toward cancer cells, with a selectivity index of 4.41 at 24 h, although selectivity declined with prolonged exposure. In xenograft mice, SA significantly suppressed tumor growth and reduced metastatic incidence. The 500 mg/kg dose (SA500) showed the greatest antitumor efficacy while maintaining normal hematological and biochemical profiles, indicating a favorable safety margin compared with 5-fluorouracil (5FU). The 1000 mg/kg dose (SA1000) induced marked suppression of Ki-67, Bcl-2, and CD31 expression and enhanced apoptosis. Metabolomic analysis identified 44 differential metabolites related to fatty acid, amino acid, and nucleotide metabolism. Conclusions: These findings suggest that SA extract exerts significant antitumor activity against CRC with improved tolerability compared with conventional chemotherapy, supporting its potential as a complementary natural therapeutic candidate.

背景/目的:结直肠癌(CRC)仍然是全球癌症相关死亡的主要原因,迫切需要开发具有更高安全性的有效治疗方法。香薷(SA)的水馏渣提取物含有丰富的酚类化合物,包括鞣花酸和没食子酸,这些化合物具有抗氧化和抗癌作用。本研究旨在评估SA提取物在CRC模型中的抗癌功效、安全性和代谢作用。方法:采用体外和体内两种方法研究SA的抗癌活性。人类结直肠癌HCT116-Red-FLuc细胞用于评估细胞毒性、选择性以及剂量和时间依赖性效应。通过肿瘤体积测量、微超声成像和生物发光分析,在CRC异种移植小鼠模型中评估了体内疗效。分析血液学和血液生化参数以评估全身安全性。进行非靶向代谢组学分析以探索与SA治疗相关的代谢改变。结果:SA以剂量和时间依赖的方式抑制HCT116-Red-FLuc细胞的增殖,并表现出对癌细胞的选择性细胞毒性,24小时的选择性指数为4.41,但随着暴露时间的延长,选择性下降。在异种移植小鼠中,SA显著抑制肿瘤生长并降低转移发生率。与5-氟尿嘧啶(5FU)相比,500 mg/kg剂量(SA500)在维持正常血液学和生化指标的情况下显示出最大的抗肿瘤效果,表明其具有良好的安全边际。1000 mg/kg剂量(SA1000)可显著抑制Ki-67、Bcl-2和CD31的表达,并促进细胞凋亡。代谢组学分析鉴定出44种与脂肪酸、氨基酸和核苷酸代谢相关的差异代谢物。结论:这些研究结果表明,与传统化疗相比,SA提取物对CRC具有显著的抗肿瘤活性,耐受性提高,支持其作为补充天然治疗候选药物的潜力。
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引用次数: 0
New Insights into Drug Development via the Nose-to-Brain Pathway: Exemplification Through Dodecyl Creatine Ester for Neuronal Disorders. 通过鼻到脑途径开发药物的新见解:通过十二烷基肌酸酯治疗神经疾病的例子。
IF 5.5 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-07 DOI: 10.3390/pharmaceutics18010080
Henri Benech, Victoria Flament, Clara Lhotellier, Camille Roucairol, Thomas Joudinaud

Brain disorders remain a major global health challenge, highlighting the urgent need for innovative therapeutic strategies and efficient drug-delivery approaches. Among alternative routes, intranasal administration has garnered significant interest over recent decades, not only for its systemic delivery but also for its unique ability to bypass the bloodstream and the blood-brain barrier via the Nose-to-Brain (NtB) pathway. While numerous reviews have explored the opportunities and challenges of this route, industrial considerations-critical for successful clinical implementation and commercial development-remain insufficiently addressed. This review provides a comprehensive and critical assessment of the NtB pathway from a drug development and chemistry, manufacturing, and controls perspective, addressing key constraints in pre-clinical-clinical extrapolation, formulation design, device selection, dose feasibility, chronic safety, and regulatory requirements. We also discuss recent advances in neuronal targeting mechanisms, also with a focus on the role of trigeminal nerves. Dodecyl creatine ester (DCE), a highly unstable in plasma creatine prodrug developed by Ceres Brain Therapeutics, is presented as an illustrative case study. Delivered as a nasal spray, DCE enables direct neuronal delivery, exemplifying the potential of the NtB pathway for disorders characterized by neuronal energy deficiency, including creatine transporter deficiency and mitochondrial dysfunction. Overall, the NtB pathway-or, more precisely, the "Nose-to-Neurons" pathway-offers distinct advantages for unstable molecules and metabolic supplementation, particularly in neuron-centric diseases. Its successful implementation will depend on rational molecule design, optimized nasal formulations, appropriate devices, and early integration of industrial constraints to ensure feasibility, scalability, and safety for long-term treatment.

脑部疾病仍然是一项重大的全球卫生挑战,突出表明迫切需要创新的治疗战略和有效的给药方法。在替代途径中,鼻内给药近几十年来引起了极大的兴趣,不仅因为其全身给药,而且因为其通过鼻到脑(NtB)途径绕过血流和血脑屏障的独特能力。虽然许多评论已经探讨了这一途径的机遇和挑战,但对于成功的临床实施和商业开发至关重要的工业考虑仍然没有得到充分解决。本综述从药物开发、化学、制造和控制的角度对NtB途径进行了全面而关键的评估,解决了临床前-临床外推、配方设计、设备选择、剂量可行性、慢性安全性和监管要求等方面的关键限制。我们还讨论了神经元靶向机制的最新进展,并重点讨论了三叉神经的作用。十二烷基肌酸酯(DCE)是由Ceres Brain Therapeutics公司开发的一种血浆肌酸前药,具有高度不稳定性。作为鼻腔喷雾剂,DCE能够直接给药神经元,证明了NtB途径在以神经元能量缺乏为特征的疾病(包括肌酸转运蛋白缺乏和线粒体功能障碍)中的潜力。总的来说,NtB途径——或者更准确地说,“鼻到神经元”途径——为不稳定分子和代谢补充提供了明显的优势,特别是在神经元中心疾病中。其成功实施将取决于合理的分子设计、优化的鼻用配方、合适的设备以及早期整合工业限制,以确保长期治疗的可行性、可扩展性和安全性。
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引用次数: 0
Cell-Penetrating Peptide-Mediated siRNA Targeting of LDHC Suppresses Tumor Growth in a Triple-Negative Breast Cancer Zebrafish Xenograft Model. 细胞穿透肽介导的siRNA靶向LDHC抑制三阴性乳腺癌斑马鱼异种移植模型中的肿瘤生长。
IF 5.5 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-07 DOI: 10.3390/pharmaceutics18010078
Hanan Qasem, Adviti Naik, Tricia Gomez, Janarthanan Ponraj, Umar Jafar, Martin Sikhondze, Remy Thomas, Khaled A Mahmoud, Julie Decock

Background: Lactate Dehydrogenase C (LDHC) is a promising therapeutic target due to its highly tumor-specific expression, immunogenicity, and oncogenic functions. We previously showed that LDHC silencing in triple-negative breast cancer (TNBC) cells enhances treatment response to DNA-damage response-related drugs, supporting its therapeutic potential. However, no selective LDHC inhibitors exist, highlighting the need for innovative targeting strategies. Methods: We assessed the physicochemical properties and evaluated the delivery efficiency, anti-tumor activity, and safety of four cell-penetrating peptides (CPPs)-R10, 10R-RGD, cRGD-10R, and iRGD-10R-for siRNA-mediated LDHC silencing in TNBC. Clonogenic assays were used to evaluate effects on olaparib sensitivity, and TNBC zebrafish xenografts were utilized to study in vivo anti-tumor activity. Results: All CPP:siRNA complexes formed uniform nanocomplexes (129-168 nm) with low polydispersity indices (<0.25) and positive zeta potentials (+6.47 to +29.6 mV). Complexes remained stable in human serum for 24 h and showed no significant cytotoxicity in TNBC and non-cancerous cell lines. The 10R-RGD and cRGD-10R:siLDHC complexes achieved 40% LDHC protein knockdown, reduced TNBC clonogenicity by 30-36%, and enhanced olaparib sensitivity. Treatment of TNBC zebrafish xenografts with 10R-RGD or cRGD-10R:siLDHC complexes significantly reduced tumor growth by approximately 50% without major toxicity. Conclusions: These results demonstrate that CPP-mediated siRNA delivery enables selective LDHC silencing with tumor growth inhibition in triple-negative breast cancer models. This approach represents a novel, effective, and safe proof-of-concept therapeutic strategy to target LDHC, with potential translational relevance as a standalone therapy or in combination with common anti-cancer drugs.

背景:乳酸脱氢酶C (LDHC)由于其高度肿瘤特异性表达、免疫原性和致瘤功能而成为一个很有前景的治疗靶点。我们之前的研究表明,LDHC沉默在三阴性乳腺癌(TNBC)细胞中增强了对dna损伤反应相关药物的治疗反应,支持其治疗潜力。然而,目前尚无选择性LDHC抑制剂存在,这突出了创新靶向策略的必要性。方法:我们评估了四种细胞穿透肽(CPPs)-R10, 10R-RGD, cRGD-10R和irgd - 10r的物理化学性质,并评估了sirna介导的TNBC中LDHC沉默的传递效率,抗肿瘤活性和安全性。克隆实验用于评价对奥拉帕尼敏感性的影响,TNBC斑马鱼异种移植用于体内抗肿瘤活性研究。结果:所有CPP:siRNA复合物形成均匀的纳米复合物(129-168 nm),具有低的多分散性指数。结论:这些结果表明,在三阴性乳腺癌模型中,CPP介导的siRNA递送能够选择性地沉默LDHC并抑制肿瘤生长。该方法代表了一种新颖、有效、安全的针对LDHC的概念验证治疗策略,作为单独治疗或与常见抗癌药物联合治疗具有潜在的翻译相关性。
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引用次数: 0
Old Drug, New Science: Metformin and the Future of Pharmaceutics. 旧药物,新科学:二甲双胍和制药的未来。
IF 5.5 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-07 DOI: 10.3390/pharmaceutics18010077
Alfredo Caturano, Davide Nilo, Roberto Nilo, Marta Chiara Sircana, Enes Erul, Katarzyna Zielińska, Vincenzo Russo, Erica Santonastaso, Ferdinando Carlo Sasso

Metformin, a 60-year-old biguanide and cornerstone of type 2 diabetes therapy, continues to challenge and inspire modern pharmaceutical science. Despite its chemical simplicity, metformin displays highly complex pharmacokinetic and pharmacodynamic behavior driven by transporter dependence, luminal activity, and formulation-sensitive exposure. Originally regarded as limited by low permeability and incomplete absorption, metformin has emerged as a paradigm for gut-targeted therapy, controlled- and delayed-release systems, and personalized pharmaceutics. Growing evidence has repositioned the intestine, rather than systemic plasma exposure, as a major site of action, highlighting the central role of organic cation transporters and multidrug efflux systems in determining efficacy, variability, and gastrointestinal tolerability. Beyond metabolic control, insights into transporter regulation, pharmacogenetics, microbiome interactions, and manufacturing quality have expanded metformin's relevance as a model compound for contemporary drug development. Advances in formulation design, quality-by-design manufacturing, and regulatory control have further reinforced its clinical robustness, while repurposing efforts in oncology, immunometabolism, and regenerative medicine underscore its translational potential. This review integrates mechanistic pharmacology, formulation science, and clinical translation to position metformin not merely as an antidiabetic agent, but as a didactic model illustrating the evolution of pharmaceutics from molecule-centered design to system-oriented, precision-driven therapy.

二甲双胍是一种已有60年历史的双胍类药物,是2型糖尿病治疗的基石,它继续挑战和激励着现代制药科学。尽管其化学简单,二甲双胍表现出高度复杂的药代动力学和药效学行为,受转运体依赖性、管腔活性和配方敏感暴露的驱动。二甲双胍最初被认为受低渗透性和不完全吸收的限制,现已成为肠道靶向治疗、控制和延迟释放系统以及个性化药物的典范。越来越多的证据重新定位了肠道,而不是全身血浆暴露,作为主要的作用部位,强调了有机阳离子转运体和多药物外排系统在决定疗效、变异性和胃肠道耐受性方面的核心作用。除了代谢控制,转运体调控、药物遗传学、微生物组相互作用和制造质量方面的见解已经扩大了二甲双胍作为当代药物开发模型化合物的相关性。在配方设计、质量设计制造和监管控制方面的进步进一步增强了其临床稳健性,同时在肿瘤学、免疫代谢和再生医学方面的重新定位也强调了其转化潜力。这篇综述整合了机制药理学、配方科学和临床翻译,将二甲双胍定位为不仅仅是一种降糖药,而且是一种说明药物从以分子为中心的设计到以系统为导向、精确驱动治疗的教学模型。
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引用次数: 0
Charge Effects: Influence of Surface Charge on Protein Corona Adsorption Behavior on Liposomal Formulations. 电荷效应:表面电荷对脂质体配方中蛋白质电晕吸附行为的影响。
IF 5.5 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-07 DOI: 10.3390/pharmaceutics18010076
Qian Chen, Yeqi Huang, Chuanbin Wu, Xin Pan, Changjiang Yu, Jiu Wang, Wenhao Wang, Zhengwei Huang

Background: Liposomes have been successfully used in clinics as an excellent drug delivery system. However, once they enter the body, they adsorb surrounding proteins and form a protein corona, which affects how liposomes behave in vivo. Therefore, controlling the formation of the protein corona is crucial for achieving effective treatment outcomes. Among the many variables affecting liposome protein corona formation, the composition of the liposomes themselves and the surrounding ionic environment are two particularly critical factors. Methods: In this context, this study selected bovine serum albumin as a model protein to investigate the influence and mechanism of physiologically relevant inorganic ions (magnesium chloride) and varying proportions of cationic lipid components (1,2-dioleoyl-3-trimethylammonium-propane (DOTAP)) on protein adsorption behavior of liposomes. We evaluated characterization parameters, including particle size and zeta potential, and employed various spectroscopic techniques to elucidate the changes during the interaction between bovine serum albumin and liposomes. Results: The zeta potential results showed that liposomes without DOTAP exhibited a significantly negative potential (-45.20 ± 0.24 mV), while the zeta potential became increasingly positive with higher DOTAP proportions (+19.64 ± 0.39 mV and +51.03 ± 1.74 mV). Correspondingly, the amount of protein adsorption also increased with the rising DOTAP content. Furthermore, fluorescence spectroscopy indicated that the addition of either DOTAP or magnesium ions led to a decrease in both the Ksv and Ka parameters. Conclusions: Specific hypothetical models were advanced subsequently; per the varying proportion of DOTAP, we proposed an insertion or surface adsorption model, and further examined the influence of magnesium chloride on the interactions between the liposomes and proteins. We believe this study will provide a new research paradigm for the design and application of liposomes, laying a foundation for further in vivo investigations.

背景:脂质体作为一种优良的给药系统已成功地应用于临床。然而,一旦它们进入体内,它们就会吸附周围的蛋白质并形成蛋白质冠,从而影响脂质体在体内的行为。因此,控制蛋白冠的形成对于获得有效的治疗效果至关重要。在影响脂质体蛋白电晕形成的许多变量中,脂质体本身的组成和周围的离子环境是两个特别关键的因素。方法:在此背景下,本研究以牛血清白蛋白为模型蛋白,研究生理相关无机离子(氯化镁)和不同比例的阳离子脂质组分(1,2-二油基-3-三甲基丙烷(DOTAP))对脂质体蛋白质吸附行为的影响及其机制。我们评估了表征参数,包括颗粒大小和zeta电位,并采用各种光谱技术来阐明牛血清白蛋白与脂质体相互作用过程中的变化。结果:未添加DOTAP的脂质体zeta电位呈显著负电位(-45.20±0.24 mV),而随着DOTAP比例的增加,zeta电位呈显著正电位(+19.64±0.39 mV和+51.03±1.74 mV)。相应的,蛋白质的吸附量也随着DOTAP含量的增加而增加。此外,荧光光谱分析表明,DOTAP或镁离子的加入都会导致Ksv和Ka参数的降低。结论:随后提出了具体假设模型;根据不同比例的DOTAP,我们提出了插入或表面吸附模型,并进一步研究了氯化镁对脂质体与蛋白质相互作用的影响。我们相信本研究将为脂质体的设计和应用提供新的研究范式,为进一步的体内研究奠定基础。
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引用次数: 0
Ambivalent Copper: Mechanistically Distinct Immune Effects Driving Innovation in Cancer Nanomedicine. 矛盾价铜:驱动癌症纳米医学创新的机制上不同的免疫效应。
IF 5.5 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-07 DOI: 10.3390/pharmaceutics18010075
Devon Heroux, Xu Xin Sun, Zeynab Nosrati, Marcel B Bally

Copper (Cu) is an essential element required by all living cells, where it supports critical enzymatic and signaling functions. In cancer, this balance is often disrupted, creating vulnerabilities that can be therapeutically exploited. Changes in Cu availability have been shown to influence key immunoregulatory pathways, including those involved in inflammation, cell death, and immune evasion. Notably, Cu can drive expression of programmed death ligand 1 (PD-L1), contributing to immunosuppression, while also promoting immunogenic cell death, which stimulates adaptive immune responses. These dual effects highlight the complexity and therapeutic potential of Cu-based interventions, particularly in the context of immune modulation and toxicity. This review argues that Cu-based nanomedicines can selectively deliver high concentrations of bioactive Cu to tumor cells, inducing cell death and triggering adaptive immune responses. We summarize current knowledge on Cu's roles in cancer and immunity, emphasizing recent insights into how these intersect through Cu-mediated modulation of anticancer immune pathways. Finally, we explore the clinical potential of Cu-based nanomedicines to convert immunologically "cold" tumors into "hot" ones, thereby improving responses to immunotherapy. Realizing this potential will depend on the thoughtful integration of Cu delivery approaches with existing immunotherapeutic strategies.

铜(Cu)是所有活细胞所必需的基本元素,它支持关键的酶和信号功能。在癌症中,这种平衡经常被打破,从而产生可用于治疗的脆弱性。Cu可用性的变化已被证明影响关键的免疫调节途径,包括那些涉及炎症、细胞死亡和免疫逃避的途径。值得注意的是,Cu可以驱动程序性死亡配体1 (PD-L1)的表达,促进免疫抑制,同时也促进免疫原性细胞死亡,从而刺激适应性免疫反应。这些双重作用突出了以铜为基础的干预措施的复杂性和治疗潜力,特别是在免疫调节和毒性方面。本文认为,铜基纳米药物可以选择性地向肿瘤细胞递送高浓度的生物活性铜,诱导细胞死亡并引发适应性免疫反应。我们总结了目前关于Cu在癌症和免疫中的作用的知识,强调了最近关于这些如何通过Cu介导的抗癌免疫途径的调节而交叉的见解。最后,我们探索了铜基纳米药物将免疫“冷”肿瘤转化为“热”肿瘤的临床潜力,从而提高对免疫治疗的反应。实现这一潜力将取决于铜递送方法与现有免疫治疗策略的周到整合。
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引用次数: 0
Recent Developments in Protein-Based Hydrogels for Advanced Drug Delivery Applications. 蛋白质基水凝胶在高级药物递送应用中的最新进展。
IF 5.5 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-06 DOI: 10.3390/pharmaceutics18010074
Giuseppe Scopelliti, Claudia Ferraro, Ortensia Ilaria Parisi, Marco Dattilo

Protein-based hydrogels are increasingly recognized as promising biomaterials for advanced drug delivery, owing to their biocompatibility, biodegradability, and ability to recreate extracellular matrix-like environments. By tailoring the protein source, crosslinking strategy, molecular architecture, and functionalization, these hydrogels can be engineered to mimic the mechanical and biological features of native tissues. Protein-derived hydrogels are currently explored across biomedical and pharmaceutical fields, including drug delivery systems, wound healing, tissue engineering, and, notably, cancer therapy. In recent years, growing attention has been directed toward natural protein hydrogels because of their inherent bioactivity and versatile physicochemical properties. This review provides an updated overview of protein-based hydrogel classification, properties, and fabrication methods. It highlights several widely studied natural proteins, such as gelatin, collagen, silk fibroin, soy protein, casein, and whey protein, that can form hydrogels through physical, chemical, or enzymatic crosslinking. These materials offer tunable mechanical behavior, controllable degradation rates, and abundant functional groups that support efficient drug loading and the development of stimuli-responsive platforms. Furthermore, we examine current advances in their application as drug delivery systems, with particular emphasis on cancer treatment. Protein-based hydrogels have demonstrated the ability to protect therapeutic molecules, provide sustained or targeted release, and enhance therapeutic effectiveness. Although critical challenges, such as batch-to-batch variability, sterilization-induced denaturation, and the requirement for comprehensive long-term immunogenicity assessment, must still be addressed to enable successful translation from preclinical studies to clinical application, ongoing advances in the design and functionalization of natural protein hydrogels highlight their promise as next-generation platforms for precision drug delivery.

基于蛋白质的水凝胶由于其生物相容性、生物可降解性和重建细胞外基质样环境的能力,越来越被认为是有前途的高级药物递送生物材料。通过调整蛋白质来源、交联策略、分子结构和功能化,这些水凝胶可以被设计成模仿天然组织的机械和生物学特征。蛋白质衍生的水凝胶目前在生物医学和制药领域进行了探索,包括药物输送系统、伤口愈合、组织工程,尤其是癌症治疗。近年来,天然蛋白水凝胶因其固有的生物活性和多种物理化学性质而受到越来越多的关注。本文综述了蛋白质基水凝胶的分类、性质和制备方法。它强调了几种被广泛研究的天然蛋白质,如明胶、胶原蛋白、丝素蛋白、大豆蛋白、酪蛋白和乳清蛋白,它们可以通过物理、化学或酶交联形成水凝胶。这些材料具有可调的机械行为、可控制的降解率和丰富的官能团,支持有效的药物装载和刺激响应平台的开发。此外,我们研究了它们作为药物输送系统应用的最新进展,特别强调了癌症治疗。基于蛋白质的水凝胶已经证明能够保护治疗分子,提供持续或靶向释放,并提高治疗效果。尽管一些关键的挑战,如批次间的可变性、灭菌诱导的变性以及对全面的长期免疫原性评估的要求,仍然需要解决,才能成功地从临床前研究转化为临床应用,但天然蛋白水凝胶在设计和功能化方面的持续进展突显了它们作为下一代精准药物输送平台的前景。
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引用次数: 0
Laser-Based QR Code Marking on Double Film-Coated Tablets: Balancing Marking Efficiency and Tablet Integrity-A Step Toward Safer Medicines. 双膜包衣片剂激光二维码标记:平衡标记效率和片剂完整性——迈向更安全药品的一步。
IF 5.5 3区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2026-01-06 DOI: 10.3390/pharmaceutics18010073
Hadi Shammout, Béla Hopp, Tamás Smausz, János Bohus, Orsolya Jójárt-Laczkovich, Martin Cseh, Judit Kopniczky, Balázs Tari, Ranim Saker, Katalin Kristó, Tamás Sovány, Krisztina Ludasi

Background/Objectives: Laser has a prominent place in pharmaceutical industry, especially in the marking of solid dosage forms (SDFs). To combat falsified medicines, this study evaluates QR code marking on the surface of tablets as a supplement to serialization on packaging, using an ultrafast laser to achieve industrially relevant marking speeds while preserving the functional integrity of double film-coated ibuprofen tablets. Methods: Tablets were directly compressed and coated with a double film: the inner layer was a gastro-resistant coating (Acryl-EZE® MP), while the outer one was a coloured, TiO2-containing (TC) or TiO2-free (TF) immediate-release coating (Opadry®). QR codes were ablated on the tablet surface using various laser parameters (e.g., pulse energy and scanning speed), and the effects were physically, chemically, and microscopically examined to evaluate their properties after this processing. Results: No significant differences were observed between TC and TF coatings. In addition, the readability of QR code is strongly influenced by laser settings and coating types. Furthermore, the used laser has achieved the expected fast marking speed and high-precision coding, which may be economically feasible for pharmaceutical companies. According to the profilometry findings, the ablation depth could be compensated for with an appropriate coating thickness to enable the desired release properties. This was confirmed by the results of SEM, Raman analysis, and in vitro dissolution test. Conclusions: Ultrafast Ti:Sa laser-based QR code marking directly onto the dosage form offers increasing benefits in the healthcare field. However, it may undesirably affect the behavior of the dosage form. This requires careful consideration of formulation and laser processing conditions before application, especially in the case of delayed-release (DR) systems.

背景/目的:激光在制药工业中占有重要地位,特别是在固体剂型(sdf)的标记中。为了打击假药,本研究评估了片剂表面的QR码标记,作为包装上序列化的补充,使用超快激光达到工业相关的标记速度,同时保持双膜布洛芬片剂的功能完整性。方法:将片剂直接压缩后包被一层双层膜:内层为耐胃涂层(Acryl-EZE®MP),外层为有色含tio2 (TC)或不含tio2 (TF)速释涂层(Opadry®)。使用不同的激光参数(如脉冲能量和扫描速度)在片剂表面烧蚀QR码,并对处理后的效果进行物理、化学和显微镜检查,以评价其性能。结果:TC涂层与TF涂层无显著性差异。此外,激光设置和涂层类型对QR码的可读性有很大影响。此外,所使用的激光器实现了预期的快速打标速度和高精度打码,对于制药公司来说在经济上是可行的。根据轮廓测量的结果,可以用适当的涂层厚度来补偿烧蚀深度,以实现所需的释放性能。通过扫描电镜、拉曼分析和体外溶出度试验证实了这一点。结论:基于超快速Ti:Sa激光的QR码直接标记在剂型上,在医疗保健领域提供了越来越多的好处。然而,它可能不利地影响剂型的行为。这需要在应用前仔细考虑配方和激光加工条件,特别是在延迟释放(DR)系统的情况下。
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引用次数: 0
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Pharmaceutics
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