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Fabrication and characterization of Coenzyme Q10-loaded nanofibers for potential biomedical applications. 用于潜在生物医学应用的辅酶q10负载纳米纤维的制备和表征。
IF 2.5 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 Epub Date: 2025-10-11 DOI: 10.1080/10837450.2025.2570281
Esra Oğuz, Tuğçe Tayyar, Aysun Özdemir, Onur İnam, Serdar Tort

Coenzyme Q10 (CoQ10) is an essential molecule that plays a role in mitochondrial oxidative phosphorylation and acts as a powerful antioxidant. In this study, CoQ10-loaded nanofibers were developed and characterized via electrospinning method. SEM analyses showed that the fiber diameters ranged between 487 and 2163 nm, and that CoQ10 loading did not disrupt the fiber structure but reduced the diameter. It was determined that bead formation was observed only in the F1 formulation due to the low viscosity (73.09 mPas) and conductivity (1.66 mS/cm) values. The F4 formulation, containing Eudragit RL100 and Kollidon 90F, was selected as the final formulation because it exhibited the highest tensile strength (1.49 MPa) and the smallest fiber diameter (1306 nm). In vitro drug release studies demonstrated that the F4 formulation released only 4% of CoQ10 within 24 h, indicating a controlled release profile. The biocompatibility of this formulation was evaluated through a cytotoxicity assay using the SH-SY5Y neuroblastoma cell line. After seven days of treatment, the CoQ10-loaded nanofiber group showed a cell viability of 101.65%. This result indicates that the nanofibers did not exhibit any cytotoxic effect; on the contrary, they demonstrated potential to support cell proliferation. These findings suggest that CoQ10-loaded nanofibers hold promise for biomedical applications.

辅酶Q10 (CoQ10)是线粒体氧化磷酸化的重要分子,是一种强大的抗氧化剂。在本研究中,利用静电纺丝法制备了辅酶q10负载纳米纤维并对其进行了表征。SEM分析表明,纤维的直径在487 ~ 2163nm之间,CoQ10的加载没有破坏纤维的结构,但减小了纤维的直径。由于F1配方的粘度(73.09 mpa)和电导率(1.66mS/cm)较低,因此只在F1配方中观察到珠状形成。最终选择含有Eudragit RL100和Kollidon 90F的F4配方,因为它具有最高的抗拉强度(1.49MPa)和最小的纤维直径(1306nm)。体外药物释放研究表明,F4制剂在24小时内仅释放4%的辅酶q10,表明其释放情况可控。该制剂的生物相容性通过SH-SY5Y神经母细胞瘤细胞系的细胞毒性试验进行了评估。处理7天后,载辅酶q10纳米纤维组的细胞存活率为101.65%。结果表明,纳米纤维未表现出任何细胞毒性作用;相反,它们显示出支持细胞增殖的潜力。这些发现表明,辅酶q10负载的纳米纤维在生物医学应用方面具有前景。
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引用次数: 0
D-optimal design-based optimization of etoricoxib cubogel for management of arthritis; in vitro and in vivo evaluation. 基于d -最优设计的依托昔布库博凝胶治疗关节炎的优化体外和体内评价。
IF 2.5 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 Epub Date: 2025-09-07 DOI: 10.1080/10837450.2025.2556062
Marwa H Abdo, Marwa A Abd El-Fattah, Heba A Eassa, Manal K Darwish

Etoricoxib (Et) is selective COX-2 inhibitor with several drawbacks after oral administration. Current study focused on formulating targeted Et cubogel for osteoarthritis management. Interaction between formulation factors; (glyceryl-monooleate (GMO) and Poloxamer407 (Px)) concentrations and process parameters (melting/solvent-evaporation preparation methods) was investigated using D-optimal design. Considered levels were 3, 5 and 7% for GMO and 0.5,0.75 and 1% for Px. Effect of selected variables on particle size (PS) and entrapment efficiency (EE) of Et cubosomes was studied using Design Expert software. Optimized formulation was studied for zeta potential, TEM, and Et release. Optimum formula was loaded into gel formulations and subjected to physical characterization and in-vitro Et release. Selected cubogel was evaluated for ex-vivo permeation, and anti-inflammatory activity using carrageenan-induced edema model. Optimum formulation (6.5% GMO,1% Px , melting preparation method) had PS of 58.6 ± 0.51 nm, EE of 96.1 ± 1.5%, zeta potential of -26.6 ± 0.66 mV and cubic structure as indicated by TEM. Formulated cubogels had acceptable physical properties with sustained release depending on gelling agent type and concentration. Ex-vivo permeation confirmed higher permeability for Et cubogel than Etgel. Anti-inflammatory study confirmed enhanced (p < 0.05) anti-inflammatory activity of Et cubogel as compared to Et gel. Hence, the present study presents Et cubgel formulation as anti-inflammatory remedy.

依托妥昔布(Etoricoxib, Et)是一种选择性COX-2抑制剂,口服后存在一些缺陷。目前的研究主要集中在制定靶向Et cubogel治疗骨关节炎。配方因素间的相互作用;采用d -最优设计对单油酸甘油(GMO)和Poloxamer407 (Px)的浓度和工艺参数(熔融/溶剂蒸发制备法)进行了研究。考虑的GMO水平为3%、5%和7%,Px水平为0.5%、0.75和1%。利用设计专家软件研究了选定的变量对Et立方体粒径(PS)和包封效率(EE)的影响。对优化后的配方进行了zeta电位、透射电镜和Et释放的研究。将最佳配方装入凝胶配方中,进行物理表征和体外Et释放。采用角叉菜胶诱导水肿模型,评价所选固凝胶的体外渗透和抗炎活性。最佳配方(6.5% GMO,1% Px,熔融法制备)的PS值为58.6±0.51nm, EE值为96.1±1.5%,zeta电位为-26.6±0.66 mV, TEM表征其立方结构。根据胶凝剂类型和浓度的不同,配制的立方凝胶具有可接受的物理性能和持续的药物释放。体外渗透证实Et立方凝胶比含Et凝胶的渗透性更高。抗炎研究证实,与Et凝胶相比,Et cubogel的抗炎活性增强(P < 0.05)。因此,本研究提出Et cubgel制剂作为一种抗炎药物。
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引用次数: 0
Ex vivo and in vivo evaluation of an in situ nanogel composite loaded with carmustine: implications for efficient nose-to-brain delivery. 卡莫司汀原位纳米凝胶复合材料的体外和体内评价:对有效的鼻到脑输送的影响。
IF 2.5 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 Epub Date: 2025-09-26 DOI: 10.1080/10837450.2025.2564714
Olufemi D Akilo, Pradeep Kumar, Lisa C du Toit, Girish Modi, Yahya E Choonara

In this study, the efficacy of a Nanogel Composite was evaluated and compared to the conventional drug carmustine (BCNU) through ex vivo and in vivo studies using New Zealand White rabbits. The Nanogel Composite is a thermosensitive, electro-responsive, and mucoadhesive gel containing BCNU-loaded paramagnetic nanoparticles known as Nano-co-Plex (NCP). Following intranasal administration, electrical stimulation (ES) was applied to the rabbit's nasal cavity, initiating the release of BCNU-NCP. Subsequently, a magnetic headband placed on the rabbit's head rapidly attracted the released nanoparticles toward the brain. The in vivo results showed high amount of BCNU in cerebrospinal fluid (CSF) and the brain of the rabbit for Nanogel Composite compared to the conventional drug with BCNU concentration values in the CSF, brain and plasma being 0.2571 µg/mL, 0.199 µg/g and 0.0078 µg/mL, respectively, after 30 min of administration with the application of ES and MF; and 0.0087 µg/mL, 0.0076 µg/g and 0.0078 µg/mL without the application. The system enabled a pulsatile 'on-off' release profile, improving drug localization in the brain while minimizing systemic exposure. The applied ES and MF conditions (5 V and 0.4 Tesla) were found to be safe and well-tolerated, indicating the potential of this dual-stimuli-responsive platform for effective, non-invasive, and controlled nose-to-brain drug delivery.

本研究通过新西兰大白兔体外和体内实验,评价了纳米凝胶复合物与常规药物卡莫司定(BCNU)的疗效,并与之进行了比较。纳米凝胶复合材料是一种热敏、电响应和黏附凝胶,含有bccu负载的顺磁性纳米颗粒,称为纳米复合(NCP)。鼻内给药后,对家兔鼻腔进行电刺激,启动bccu - ncp的释放。随后,在兔子头上绑上一个磁性头带,迅速将释放的纳米颗粒吸引到兔子的大脑。体内实验结果显示,与常规给药相比,纳米凝胶复合物在家兔脑脊液和脑组织中BCNU含量较高,经ES和MF给药30 min后脑脊液、脑组织和血浆中BCNU浓度分别为0.2571µg/mL、0.199µg/g和0.0078µg/mL;分别为0.0087µg/mL、0.0076µg/g和0.0078µg/mL。该系统实现了脉冲式的“开-关”释放,改善了药物在大脑中的定位,同时最大限度地减少了全身暴露。研究发现,在5V和0.4特斯拉的条件下,ES和MF是安全且耐受性良好的,这表明这种双刺激反应平台有潜力实现有效、无创、可控的鼻-脑给药。
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引用次数: 0
Innovative nanotechnological approaches to diabetes treatment: the role of metal oxide nanoparticles. 创新纳米技术方法治疗糖尿病:金属氧化物纳米颗粒的作用。
IF 2.5 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 Epub Date: 2025-09-30 DOI: 10.1080/10837450.2025.2566460
Eman E Shaban, Mahmoud E Abd El-Aziz

Diabetes mellitus (DM) is among the most prevalent illnesses in the world. DM and its complications lead to high mortality rates. The negative effects of traditional diabetic therapies, such as insulin and metformin, include weight gain, hypoglycemia, and gastrointestinal problems. In addition to the limited compliance of patients using insulin injections as a treatment for diabetes, these injections cause pain, discomfort, and local infections. This review illustrates the application of nanotechnology (NT) in the treatment of diabetes, especially since it has become an important area of research over the past several decades owing to its application in various sectors, such as biomedicine, cosmetics, and food. This review focuses on the different uses of nanoparticles (NPs), for example zinc oxide (ZnO-NPs), manganese oxide (MnO-NPs), magnesium oxide (MgO-NPs), and selenium (Se-NPs), and their role in controlling diabetes. The application of ZnO-, MnO-, MgO-, and Se-NPs allows the administration of relatively small but more effective doses in the treatment of DM to reduce side effects and increase therapeutic effects by decreasing oxidative stress and increasing antioxidants, insulin sensitivity, and glucose consumption. NT can also be used to improve drug formulations by enhancing drug solubility and altering pharmacokinetics, to prolong drug release and bioavailability.

糖尿病(DM)是世界上最普遍的疾病之一。糖尿病及其并发症导致高死亡率。传统的糖尿病治疗方法,如胰岛素和二甲双胍的负面影响,包括体重增加、低血糖和胃肠道问题。除了患者使用胰岛素注射治疗糖尿病的依从性有限外,这些注射还会引起疼痛、不适和局部感染。本文综述了纳米技术在糖尿病治疗中的应用,特别是由于纳米技术在生物医药、化妆品和食品等各个领域的应用,在过去的几十年里已经成为一个重要的研究领域。本文综述了纳米颗粒(NPs)的不同用途,如氧化锌(ZnO-NPs)、氧化锰(MnO-NPs)、氧化镁(MgO-NPs)和硒(Se-NPs)及其在糖尿病控制中的作用。ZnO-, MnO-, MgO-和Se-NPs的应用允许在DM治疗中施用相对较小但更有效的剂量,通过减少氧化应激和增加抗氧化剂,胰岛素敏感性和葡萄糖消耗来减少副作用和提高治疗效果。NT还可以通过提高药物溶解度和改变药代动力学来改善药物配方,延长药物释放和生物利用度。
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引用次数: 0
An injectable ropivacaine and lornoxicam sustained-release gel regulated by low molecular weight poly(ortho esters). 一种低分子量聚邻苯二甲酸酯调控的注射用罗哌卡因氯诺西康缓释凝胶。
IF 2.5 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 Epub Date: 2025-09-19 DOI: 10.1080/10837450.2025.2559717
Xianzhi Wu, Xiaoan Li, Zhannuan Yin, Huiying Zhong, Haibing He, Guoqing Zhang, Liu Hongfei, Xinggang Yang

Persistent postoperative pain is commonly occurred after surgical procedures, while over half of patients suffer from poorly controlled pain, due to the limited therapeutic period of commercial drugs and suboptimal drug delivery strategy. Herein, an injectable sustained-release gel was developed by a combination of ropivacaine (a local anesthetic) and lornoxicam (a nonsteroidal anti-inflammatory drug), which formulated by poly(ortho esters) (POE) to regulate the sustained-release behavior. POE with low molecular weight was synthesized and employed to prepare the ropivacaine and lornoxicam sustained-release gel (RL-SRG) with the rheological characteristics of temperature-sensitivity. In vitro release studies demonstrated that RL-SRG exhibited sustained release for 72 h. The RL-SRG was stable for 3 months at 40 ± 2 °C and a relative humidity of 75 ± 5%. In vivo pharmacokinetic studies in rats indicated that RL-SRG maintained the plasma concentrations of ropivacaine and lornoxicam for 3 days. Compared to commercial products, RL-SRG prolonged the time of peak concentration (Tmax), mean residence time (MRT), and elimination half life (t1/2), as well as possessed similar the area under the plasma concentration-time curve (AUC0-t). Therefore, RL-SRG has been validated as a novel sustained release system to the application for the long-term treatment of postoperative pain.

术后持续疼痛是外科手术后常见的疼痛,而超过一半的患者疼痛控制不佳,原因是商业药物治疗期有限,给药策略不理想。本研究将局麻药罗哌卡因和非甾体抗炎药氯诺昔康混合制成可注射缓释凝胶,并通过聚邻苯二甲酸酯(POE)调节其缓释行为。合成低分子量POE,制备具有温度敏感性流变特性的罗哌卡因氯诺昔康缓释凝胶(RL-SRG)。体外释放研究表明,RL-SRG具有72 h的缓释作用。RL-SRG在40±2°C、75±5%的相对湿度下稳定3个月。大鼠体内药代动力学研究表明,RL-SRG可使罗哌卡因和氯诺昔康的血浆浓度维持3天。与商业产品相比,RL-SRG延长了峰浓度时间(Tmax)、平均停留时间(MRT)和消除半衰期(t1/2),并具有相似的血浆浓度-时间曲线下面积(AUC0-t)。因此,RL-SRG已被证实为一种新型的缓释系统,可用于术后疼痛的长期治疗。
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引用次数: 0
Preparation, characterization and drug release properties of 5-(p-carboxyphenoxy) valeric anhydride microspheres loaded with nimodipine. 负载尼莫地平的5-(对羧基苯氧基)戊酸酐微球的制备、表征及释药性能
IF 2.5 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 Epub Date: 2025-09-15 DOI: 10.1080/10837450.2025.2559719
Sibo Su, Jingguo Liu, Yongxue Guo

Nimodipine (NMP), a poorly water-soluble small-molecule agent, demonstrates notable therapeutic limitations in addressing cerebral vasospasm secondary to subarachnoid hemorrhage (SAH). Owing to its inherent physicochemical properties characterized by low oral bioavailability, rapid elimination half-life, and extensive first-pass metabolism, conventional formulations necessitate frequent dosing regimens to sustain therapeutic plasma concentrations. These pharmacological challenges collectively result in suboptimal patient adherence, marked plasma concentration fluctuations, and recurrent vascular irritation. To overcome these pharmacological constraints, this investigation engineered a novel drug-loaded microsphere system utilizing poly(5-(p-carboxyphenoxy) valeric anhydride (Poly(CPV)) as a biodegradable matrix material. The sustained-release microspheres were fabricated via microfluidic technology to systematically address the clinical challenges associated with frequent dosing regimens. The optimized microspheres exhibited a drug loading capacity of 5.59%, an encapsulation efficiency of 70.22%, and a uniform particle size distribution (43.98 ± 4.29 μm). In vitro release studies demonstrated sustained drug release over 14 days. Pharmacokinetic evaluation in rats revealed that the NMP-loaded microspheres maintained relative stable plasma drug concentrations for approximately 10 days. Biocompatibility assessments, including histocompatibility tests and in vitro cytotoxicity assays, confirmed the excellent biocompatibility of the Poly(CPV) microsphere. These findings suggest that Poly(CPV)-based microspheres prepared by microfluidics represent a promising drug delivery platform for poorly soluble small-molecule pharmaceuticals, offering controlled release characteristics and improved therapeutic outcomes.

尼莫地平(NMP)是一种水溶性差的小分子药物,在治疗蛛网膜下腔出血(SAH)继发脑血管痉挛方面存在明显的治疗局限性。由于其固有的物理化学特性,其特点是口服生物利用度低,消除半衰期快,首过代谢广泛,传统配方需要频繁给药方案以维持治疗血浆浓度。这些药理挑战共同导致患者依从性欠佳,血浆浓度波动明显,血管刺激复发。为了克服这些药理学限制,本研究设计了一种新的载药微球系统,利用聚(5-(对羧基苯氧基)戊酸酐(聚(CPV))作为可生物降解的基质材料。通过微流控技术制备缓释微球,系统地解决了与频繁给药方案相关的临床挑战。优化后的微球载药量为5.59%,包封率为70.22%,粒径分布均匀(43.98±4.29 μm)。体外释放研究表明药物持续释放超过14天。在大鼠体内的药代动力学评价显示,装载nmp的微球在大约10天内保持相对稳定的血浆药物浓度。生物相容性评估,包括组织相容性试验和体外细胞毒性试验,证实了聚(CPV)微球的良好生物相容性。这些发现表明,微流体制备的聚(CPV)微球具有控释特性和改善治疗效果,是一种很有前景的低溶性小分子药物递送平台。
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引用次数: 0
Formulation and evaluation of buccal films loaded with insulin encapsulated in glucose responsive amphiphilic dendrimer micelles. 糖反应性两亲性树突胶束负载胰岛素口腔膜的制备与评价。
IF 2.5 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 Epub Date: 2025-09-06 DOI: 10.1080/10837450.2025.2556060
Dana R Dweekat, Suhair S Al-Nimry, Ayat A Bouzieh

The objective was to prepare a mucoadhesive buccal film containing amphiphilic dendrimer micelles nanoparticles (APD micelles NPs) loaded with insulin. The APD micelles NPs were synthesized by a series of chemical reactions followed by self-assembly. Insulin loading was done by mixing insulin with APD micelles solution. A mucoadhesive buccal film was prepared using solvent casting method. Stability of the buccal film after 3 months of storage in a refrigerator was investigated in terms of viscosity, drug loading, FTIR, in vitro drug release and morphology. The APD micelles NPs had good encapsulation efficiency and good loading capacity. FTIR results showed no interaction with the drug. In vitro release of insulin was glucose sensitive, increasing with time and with glucose levels and sustained for 8-10 h. The Loaded buccal film showed good physical appearance, excellent folding endurance, good mucoadhesive and tensile strength, neutral surface pH, acceptable thickness and weight. Insulin release from buccal film was not affected by the extra barrier. The stability study indicated that the film did not show any changes. In conclusion, APD micelles NPs were able to control insulin release according to glucose levels. The buccal film is expected to enhance the bioavailability of insulin compared to oral administration.

目的是制备两亲性树突胶束纳米颗粒(APN胶束NPs)负载胰岛素,并将其配制成粘接口腔膜。APD胶束NPs是通过一系列化学反应和自组装合成的。胰岛素负载是通过将胰岛素与APD胶束溶液混合完成的。采用溶剂铸造法制备粘接口腔粘膜膜。从黏度、载药量、FTIR、体外释药量和扫描电镜形貌等方面考察了口腔膜在冷藏3个月后的稳定性。APD胶束NPs具有良好的包封效率和负载能力。FTIR结果显示与药物无相互作用。胰岛素的体外释放对葡萄糖敏感,随时间和葡萄糖水平增加,持续8-10小时。口腔膜具有良好的物理外观,良好的折叠耐久性,良好的粘接和拉伸强度,表面pH值中性,加载后的厚度和重量可接受。口腔粘膜的胰岛素释放不受额外屏障的影响。稳定性研究表明,颊膜未发生任何变化。综上所述,APD胶束NPs能够根据葡萄糖水平控制胰岛素的释放。与口服给药相比,口腔膜有望提高胰岛素的生物利用度。
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引用次数: 0
Design and characterization of quercetin-embedded biocomposite hydrogel for the management of polycystic ovary syndrome: a dual in vitro and in vivo approach. 槲皮素包埋生物复合水凝胶治疗多囊卵巢综合征的设计和表征:体外和体内双重方法
IF 2.5 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 Epub Date: 2025-10-06 DOI: 10.1080/10837450.2025.2566901
Koushik Ghosh, Ahana Hazra, Ishika Dey, Supriya Dey, Pratibha Bhowmick, Mithun Bhowmick

Background: Polycystic ovarian syndrome (PCOS) is the most prevalent endocrine disorder in women of reproductive age, leading to issues such as androgen excess, insulin resistance, obesity, and menstrual irregularities. Quercetin (QCT), a plant polyphenol, is effective in treating PCOS by regulating steroidogenic activity and helping to correct hormonal imbalances.

Methods: In this research, a hydrogel formulation containing QCT-loaded chitosan (CS) and polyvinyl alcohol (PVA) was developed for the treatment of polycystic ovary syndrome (PCOS). The hydrogel was evaluated for various characteristics including pH (ranging from 4.3 to 5.3), spreadability (11.4 to 36.4 g cm/s), swelling index, viscosity, and in vitro drug release, revealing suitable parameters for its application. The release behavior indicated a non-Fickian diffusion mechanism, with a diffusional exponent of 'n ≥ 0.5,' demonstrating effective in vitro QCT delivery. Characterization techniques such as FT-IR, SEM, and DSC were employed to confirm the properties of the hydrogel. Subsequent in vivo studies on PCOS rat models showed significant results, including the recruitment and proliferation of normal ovarian follicles and the normalization of hormone levels, supporting the hydrogel's potential for effective PCOS therapy.

Conclusion: The study indicates that QCT-hydrogel is more effective than commercial preparations and represents a safe, natural topical therapy for PCOS.

背景:多囊卵巢综合征(PCOS)是育龄妇女最常见的内分泌疾病。多囊卵巢综合征是年轻女性常见的内分泌疾病,会导致雄激素过量、胰岛素抵抗、肥胖、心脏代谢问题和月经问题。槲皮素(QCT)是一种常见的植物多酚,通过调节细胞类固醇生成活性和协助纠正激素水平,可有效治疗多种疾病,包括多囊卵巢综合征。方法:制备qct负载壳聚糖(CS)和聚乙烯醇(PVA)水凝胶用于多囊卵巢综合征的治疗。对所研制的制剂进行了pH、涂抹性、溶胀指数、粘度、体外释放度和PCOS作用的测试。通过FT-IR、SEM和DSC对制备的水凝胶进行了表征。铺展性为11.4 ~ 36.4 g·cm/sec, pH值为4.3 ~ 5.3。扩散指数为“n≥0.5”,表明非菲克扩散机制,水凝胶显示出更大的体外QCT释放。此外,药物释放等体外表征参数的阳性结果证实了改性凝胶在进一步体内研究中的适用性。在这方面,用既定的剂量方案治疗PCOS大鼠导致了相当大的变化,包括正常卵泡的募集和增殖以及PCOS中各种激素水平的正常化。结论:目前的研究表明,qct -水凝胶治疗多囊卵巢综合征的活性比商业制剂更高,可以作为一种有效的天然外用多囊卵巢综合征治疗药物安全使用。
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引用次数: 0
Current and emerging therapies for dry and neovascular age-related macular degeneration. 干性和新生血管性年龄相关性黄斑变性的当前和新兴治疗方法。
IF 2.5 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 DOI: 10.1080/10837450.2025.2562196
Ghayth M Abdulrazzaq, Marwan M Merkhan, Nashiru Billa, Raid G Alany, Winfried Mk Amoaku, Naing L Tint, Zeeshan Ahmad, Omar Qutachi

Age-related macular degeneration (AMD), first identified in the 1840s, is now considered the leading cause of visual impairment in elderly people in Western societies. This condition affects the macula, a region rich with photoreceptors essential for detailed visual resolution and colour vision. Advanced AMD can be either atrophic (dry) or exudative (wet), and both forms may coexist. Exudative AMD is characterised by choroidal neovascularisation, where abnormal blood vessels invade the retina and the retinal pigment epithelium (RPE), leading to fluid accumulation in sub- and intra-retinal compartments and photoreceptor dysfunction. In contrast, atrophic AMD involves the gradual degeneration of the RPE and outer retinal layers. Current treatments, such as anti-vascular endothelial growth factor (anti-VEGF) therapies for exudative AMD, can slow or halt disease progression but do not offer a cure. Over the past decade, extensive research programs have focused on various pathogenetic mechanisms of AMD, including oxidative stress, inflammation, and complement pathway dysregulation. This review aims to highlight current theories for developing new treatments, compile recent discoveries and insights into AMD pathogenesis and disease progression, and place special emphasis on therapeutic approaches that have reached clinical trials, evaluating their findings wherever possible.

年龄相关性黄斑变性(AMD)在19世纪40年代首次被发现,现在被认为是西方社会老年人视力损害的主要原因。这种情况会影响黄斑,这是一个具有丰富的光感受器的区域,对详细的视觉分辨率和色彩视觉至关重要。晚期AMD可以是萎缩性(干性)或渗出性(湿性),两种形式可以共存。渗出性AMD的特征是脉络膜新生血管形成,异常血管侵入视网膜和视网膜色素上皮(RPE),导致视网膜下腔和视网膜内腔的液体积聚和光感受器功能障碍。相反,萎缩性AMD涉及RPE和视网膜外层的逐渐变性。目前的治疗方法,如抗血管内皮生长因子(anti-VEGF)治疗渗出性AMD,可以减缓或停止疾病进展,但不能治愈。在过去的十年中,广泛的研究项目集中在AMD的各种发病机制上,包括氧化应激、炎症和补体通路失调。这篇综述旨在突出当前的理论,开发新的治疗方法,汇编最近的发现和见解,对AMD的发病机制和疾病进展,并特别强调已经达到临床试验的治疗方法,尽可能评价他们的发现。
{"title":"Current and emerging therapies for dry and neovascular age-related macular degeneration.","authors":"Ghayth M Abdulrazzaq, Marwan M Merkhan, Nashiru Billa, Raid G Alany, Winfried Mk Amoaku, Naing L Tint, Zeeshan Ahmad, Omar Qutachi","doi":"10.1080/10837450.2025.2562196","DOIUrl":"10.1080/10837450.2025.2562196","url":null,"abstract":"<p><p>Age-related macular degeneration (AMD), first identified in the 1840s, is now considered the leading cause of visual impairment in elderly people in Western societies. This condition affects the macula, a region rich with photoreceptors essential for detailed visual resolution and colour vision. Advanced AMD can be either atrophic (dry) or exudative (wet), and both forms may coexist. Exudative AMD is characterised by choroidal neovascularisation, where abnormal blood vessels invade the retina and the retinal pigment epithelium (RPE), leading to fluid accumulation in sub- and intra-retinal compartments and photoreceptor dysfunction. In contrast, atrophic AMD involves the gradual degeneration of the RPE and outer retinal layers. Current treatments, such as anti-vascular endothelial growth factor (anti-VEGF) therapies for exudative AMD, can slow or halt disease progression but do not offer a cure. Over the past decade, extensive research programs have focused on various pathogenetic mechanisms of AMD, including oxidative stress, inflammation, and complement pathway dysregulation. This review aims to highlight current theories for developing new treatments, compile recent discoveries and insights into AMD pathogenesis and disease progression, and place special emphasis on therapeutic approaches that have reached clinical trials, evaluating their findings wherever possible.</p>","PeriodicalId":20004,"journal":{"name":"Pharmaceutical Development and Technology","volume":" ","pages":"1147-1182"},"PeriodicalIF":2.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strontium alginate hybrid (inorganic/organic) nanoparticles as a novel promising nanosystem for bone regeneration: in-vitro optimization and in-vivo assessment. 海藻酸锶杂化(无机/有机)纳米颗粒作为一种新的有前途的骨再生纳米系统:体外优化和体内评估。
IF 2.5 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-09-05 DOI: 10.1080/10837450.2025.2556058
Nouran M Atia, Hebatallah S Barakat, Heba A Hazzah, Rania G Ali, Ossama Y Abdallah

Strontium (Sr) is a bone-seeking element characterized by its dual function of stimulating bone growth and preventing bone resorption. On the other hand, alginates (Alg) have distinct physicochemical characteristics from other natural polysaccharides because of their ability to encapsulate proteins and drugs. This work aimed to prepare novel hybrid inorganic/organic strontium alginate (Sr-Alg) nanoparticles for use as a targeting ligand in bone regeneration. These hybrid nanoparticles were prepared by a simple precipitation technique and different formulation variables were studied. The optimized formulation showed the most promising particle size (133.80 ± 2.40 nm) and zeta potential (-31.5 ± 1.45 mV). Moreover, the selected formulation was subjected to characterization using FTIR and X-ray diffraction to confirm the formation of the hybrid structure. The selected formulation was subjected to an in vivo study and compared with calcium alginate nanoparticles. Mice treated with Sr-containing formulation showed significant improvement in Ca/P and Ca + Sr/P ratios reached 1.799 ± 0.01 and 1.89 ± 0.01, respectively. An in vivo toxicity study was also assessed based on biochemical assays and histological examination of liver and kidney tissues and confirmed that non-significant nephrotoxic or hepatotoxic effects were demonstrated in the treated groups. Therefore, Sr-Alg could be considered a promising targeted ligand for bone regeneration with enhanced safety and efficacy.

锶(Sr)是一种寻骨元素,其特点是具有刺激骨生长和防止骨吸收的双重功能。另一方面,海藻酸盐具有不同于其他天然多糖的物理化学特性,因为它们具有包裹蛋白质和药物的能力。本研究旨在制备新型无机/有机海藻酸锶(Sr-Alg)杂化纳米颗粒,作为骨再生的靶配体。采用简单沉淀法制备了这些杂化纳米颗粒,并对不同的配方变量进行了研究。优化后的配方粒径为133.80±2.40 nm, zeta电位为-31.5±1.45 mV。此外,采用FTIR和x射线衍射对所选配方进行表征,以确认杂化结构的形成。选定的配方进行了体内研究,并与海藻酸钙纳米颗粒进行了比较。含锶制剂显著改善小鼠体内Ca/P, Ca + Sr/P分别达到1.799±0.01和1.89±0.01。体内毒性研究也基于生化分析和肝脏和肾脏组织的组织学检查进行了评估,并证实在治疗组中表现出非显著的肾毒性或肝毒性作用。因此,Sr-Alg可以被认为是一种有前景的骨再生靶向配体,具有更高的安全性和有效性。
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Pharmaceutical Development and Technology
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