首页 > 最新文献

Pharmacology & Pharmacy最新文献

英文 中文
Physiology, pharmacology and prospects for dipeptidilpeptidase-4 inhibitors use 二肽二肽酶-4抑制剂的生理学、药理学及应用前景
Pub Date : 2023-04-28 DOI: 10.19163/2307-9266-2023-11-1-19-47
D. Kurkin, D. A. Bakulin, E. Morkovin, A. Strygin, Y. Gorbunova, E. Volotova, I. E. Makarenko, V. Saparova, R. Drai, V. Petrov
Modern requirements for the treatment of type 2 diabetes mellitus (DM2) include not only achieving a glycemic control, but also reducing the risk of developing cardiovascular complications. Dipeptidyl peptidase 4 (DPP-4) inhibitors are inferior in the effectiveness to some other actively developing groups of hypoglycemic drugs (SGLT2 inhibitors and GLP-1 receptor agonists); however, they seem relevant at the present time.The aim of the study is to analyze the literature data on the therapeutic potential and results of the of DPP-4 inhibitors research.Materials and methods. When searching for the review article materials, the abstracting databases of PubMed, Google Scholar and e-Library were used. The search was carried out on the publications for the period from 2006 to 2022, using the following keywords: DPP-4 inhibitors; glucagonlike peptide-1 (GLP-1); glucose-dependent insulinotropic peptide (GIP); sitagliptin, and other drugs.Results. DPP-4 belongs to the serine proteases family and is involved in the degradation of various chemokines and peptide hormones, including incretins secreted by intestinal L- and K-cells – GLP-1 and GIP. They regulate a postprandial insulin secretion and a β-cell function, modulate a fasting and postprandial glucagon secretion, regulate the eating behavior and have many pleiotropic (immunomodulatory, anti-inflammatory, antifibrotic, etc.) effects. DPP-4 inhibitors reduce an enzyme activity by 70–90%, increasing plasma incretin levels by 2–4 times and have been used to treat DM2 since 2006. Now there are 13 DPP-4 inhibitors on the market in different countries, differing primarily in pharmacokinetic parameters. They are actively used in the combination therapy for type 2 diabetes, increasing the glycemic control effectiveness without increasing the risk of hypoglycemia. The evidence is emerging about the therapeutic potential of DPP-4 inhibitors in COVID-19.Conclusion. A peroral form, an ability to create effective combinations with other hypoglycemic drugs without increasing the risk of hypoglycemia, the pleiotropic effects of DPP-4 inhibitors, make this group relevant at the present time.
现代对2型糖尿病(DM2)治疗的要求不仅包括控制血糖,还包括降低发生心血管并发症的风险。二肽基肽酶4 (DPP-4)抑制剂的有效性不如其他一些积极发展的降糖药物(SGLT2抑制剂和GLP-1受体激动剂);然而,它们在目前似乎是相关的。本研究的目的是分析DPP-4抑制剂的治疗潜力和研究结果的文献资料。材料和方法。检索综述文章资料时,使用PubMed、Google Scholar和e-Library的摘要数据库。检索2006年至2022年期间的出版物,使用以下关键词:DPP-4抑制剂;胰高血糖素样肽-1;葡萄糖依赖性胰岛素肽;西格列汀和其他药物。DPP-4属于丝氨酸蛋白酶家族,参与多种趋化因子和肽激素的降解,包括肠L-和k -细胞分泌的肠促胰岛素- GLP-1和GIP。它们调节餐后胰岛素分泌和β细胞功能,调节空腹和餐后胰高血糖素分泌,调节饮食行为,具有多种多样的(免疫调节、抗炎、抗纤维化等)作用。DPP-4抑制剂可使酶活性降低70-90%,使血浆肠促胰岛素水平提高2-4倍,自2006年以来一直用于治疗DM2。现在在不同国家的市场上有13种DPP-4抑制剂,主要是药代动力学参数不同。它们积极用于2型糖尿病的联合治疗,在不增加低血糖风险的情况下提高了血糖控制效果。关于DPP-4抑制剂在covid -19中的治疗潜力的证据正在出现。口服形式,与其他降糖药有效联合而不增加低血糖风险的能力,DPP-4抑制剂的多效性,使该组在目前具有相关性。
{"title":"Physiology, pharmacology and prospects for dipeptidilpeptidase-4 inhibitors use","authors":"D. Kurkin, D. A. Bakulin, E. Morkovin, A. Strygin, Y. Gorbunova, E. Volotova, I. E. Makarenko, V. Saparova, R. Drai, V. Petrov","doi":"10.19163/2307-9266-2023-11-1-19-47","DOIUrl":"https://doi.org/10.19163/2307-9266-2023-11-1-19-47","url":null,"abstract":"Modern requirements for the treatment of type 2 diabetes mellitus (DM2) include not only achieving a glycemic control, but also reducing the risk of developing cardiovascular complications. Dipeptidyl peptidase 4 (DPP-4) inhibitors are inferior in the effectiveness to some other actively developing groups of hypoglycemic drugs (SGLT2 inhibitors and GLP-1 receptor agonists); however, they seem relevant at the present time.The aim of the study is to analyze the literature data on the therapeutic potential and results of the of DPP-4 inhibitors research.Materials and methods. When searching for the review article materials, the abstracting databases of PubMed, Google Scholar and e-Library were used. The search was carried out on the publications for the period from 2006 to 2022, using the following keywords: DPP-4 inhibitors; glucagonlike peptide-1 (GLP-1); glucose-dependent insulinotropic peptide (GIP); sitagliptin, and other drugs.Results. DPP-4 belongs to the serine proteases family and is involved in the degradation of various chemokines and peptide hormones, including incretins secreted by intestinal L- and K-cells – GLP-1 and GIP. They regulate a postprandial insulin secretion and a β-cell function, modulate a fasting and postprandial glucagon secretion, regulate the eating behavior and have many pleiotropic (immunomodulatory, anti-inflammatory, antifibrotic, etc.) effects. DPP-4 inhibitors reduce an enzyme activity by 70–90%, increasing plasma incretin levels by 2–4 times and have been used to treat DM2 since 2006. Now there are 13 DPP-4 inhibitors on the market in different countries, differing primarily in pharmacokinetic parameters. They are actively used in the combination therapy for type 2 diabetes, increasing the glycemic control effectiveness without increasing the risk of hypoglycemia. The evidence is emerging about the therapeutic potential of DPP-4 inhibitors in COVID-19.Conclusion. A peroral form, an ability to create effective combinations with other hypoglycemic drugs without increasing the risk of hypoglycemia, the pleiotropic effects of DPP-4 inhibitors, make this group relevant at the present time.","PeriodicalId":20031,"journal":{"name":"Pharmacology & Pharmacy","volume":"200 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85482639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Bioequivalence study of generic nirmatrelvir in healthy volunteers 仿制药尼马特里韦在健康志愿者体内的生物等效性研究
Pub Date : 2023-04-28 DOI: 10.19163/2307-9266-2023-11-1-62-71
R. Oseshnyuk, A. Nikiforova, A. Boroduleva, P. Sobolev, S. A. Lesnichuk, B. B. Garyaev, A. A. Abramova, V. G. Mozgovaya, O. Filon, A. Zinkovskaya, A. Dolgorukova, E. K. Khanonina, V. G. Ignatiev, M. Samsonov
Nirmatrelvir is an antiviral drug that, in combination with ritonavir, is an effective agent for the etiotropic therapy of patients with mild to moderate COVID-19.The aim of the study was to evaluate bioequivalence of the generic drug nirmatrelvir Аrpaxel in combination with ritonavir and the original drug Paxlovid, which is a combination of nirmatrelvir/ritonavir, in a single dose administration to healthy volunteers.Materials and methods. This research was an open-label, randomized, two-period crossover bioequivalence study. It included 2 periods, in each of which the volunteers received either a test drug (nirmatrelvir at the dose of 300 mg) in combination with ritonavir (100 mg), or a reference drug (a combination of nirmatrelvir 300 mg and ritonavir 100 mg), given as a single dose. A wash-out period between each of the administrations was 7 days. The blood sampling to determine the concentration of nirmatrelvir was carried out in the range from 0 to 36 h in each of the study periods. A nirmatrelvir concentration was determined by a validated HPLC-MS/MS method with a lower quantitation limit of 10 ng/mL. Bioequivalence was assessed by comparing 90% confidence intervals (CIs) for the ratio of geometric means of AUC(0–16) and Cmax of the test drug and reference drugs with the established equivalence limits of 80.00–125.00%.Results. In the study were included 68 healthy volunteers, 67 participants of which were included in the bioequivalence population. The pharmacokinetic parameters of the drugs were comparable to each other. The 90% confidence interval for the ratio of the geometric mean of the maximum drug concentration in the blood plasma and the area under the pharmacokinetic curve «concentration-time» from zero to the last blood draw within 36 hours of nirmatrelvir was 87.26–100.83 and 93.27–103.74%, which meets the criteria for assessing bioequivalence. The test drugs were well tolerated by the volunteers. The incidence of adverse events was similar for the test and reference drugs. No serious adverse events were recorded during the entire study.Conclusion. As a result of this study, bioequivalence of the test and reference drugs has been established.
尼马特利韦是一种抗病毒药物,与利托那韦联合使用,可有效治疗轻至中度COVID-19患者。该研究的目的是评估仿制药nirmatrelvir Аrpaxel与利托那韦和原药Paxlovid联合使用的生物等效性,Paxlovid是nirmatrelvir/利托那韦的组合,对健康志愿者进行单剂量给药。材料和方法。本研究是一项开放标签、随机、两期交叉生物等效性研究。它包括两个时期,在每个时期,志愿者要么接受试验药物(尼马特利韦300毫克)与利托那韦(100毫克)的联合治疗,要么接受参考药物(尼马特利韦300毫克和利托那韦100毫克的联合治疗),作为单一剂量给药。每次给药之间的洗脱期为7天。在每个研究期间,在0至36小时的范围内进行血液采样以确定nirmatrelvir的浓度。采用高效液相色谱-质谱联用(HPLC-MS/MS)法测定nirmatrelvir浓度,最低定量限为10 ng/mL。通过比较被试药物与参比药物AUC几何平均值(0-16)与Cmax比值的90%置信区间(CIs),确定等效限为80.00 ~ 125.00%,评价生物等效性。本研究包括68名健康志愿者,其中67人属于生物等效性人群。两种药物的药动学参数具有可比性。nematrelvir在36小时内从零到最后一次抽血,血浆中最大药物浓度与药代动力学曲线“浓度-时间”下面积的几何平均值之比的90%置信区间分别为87.26 ~ 100.83和93.27 ~ 103.74%,符合生物等效性评价标准。志愿者对试验药物的耐受性良好。试验药物和参比药物的不良事件发生率相似。在整个研究过程中未发生严重不良事件。通过本研究,建立了受试药和参比药的生物等效性。
{"title":"Bioequivalence study of generic nirmatrelvir in healthy volunteers","authors":"R. Oseshnyuk, A. Nikiforova, A. Boroduleva, P. Sobolev, S. A. Lesnichuk, B. B. Garyaev, A. A. Abramova, V. G. Mozgovaya, O. Filon, A. Zinkovskaya, A. Dolgorukova, E. K. Khanonina, V. G. Ignatiev, M. Samsonov","doi":"10.19163/2307-9266-2023-11-1-62-71","DOIUrl":"https://doi.org/10.19163/2307-9266-2023-11-1-62-71","url":null,"abstract":"Nirmatrelvir is an antiviral drug that, in combination with ritonavir, is an effective agent for the etiotropic therapy of patients with mild to moderate COVID-19.The aim of the study was to evaluate bioequivalence of the generic drug nirmatrelvir Аrpaxel in combination with ritonavir and the original drug Paxlovid, which is a combination of nirmatrelvir/ritonavir, in a single dose administration to healthy volunteers.Materials and methods. This research was an open-label, randomized, two-period crossover bioequivalence study. It included 2 periods, in each of which the volunteers received either a test drug (nirmatrelvir at the dose of 300 mg) in combination with ritonavir (100 mg), or a reference drug (a combination of nirmatrelvir 300 mg and ritonavir 100 mg), given as a single dose. A wash-out period between each of the administrations was 7 days. The blood sampling to determine the concentration of nirmatrelvir was carried out in the range from 0 to 36 h in each of the study periods. A nirmatrelvir concentration was determined by a validated HPLC-MS/MS method with a lower quantitation limit of 10 ng/mL. Bioequivalence was assessed by comparing 90% confidence intervals (CIs) for the ratio of geometric means of AUC(0–16) and Cmax of the test drug and reference drugs with the established equivalence limits of 80.00–125.00%.Results. In the study were included 68 healthy volunteers, 67 participants of which were included in the bioequivalence population. The pharmacokinetic parameters of the drugs were comparable to each other. The 90% confidence interval for the ratio of the geometric mean of the maximum drug concentration in the blood plasma and the area under the pharmacokinetic curve «concentration-time» from zero to the last blood draw within 36 hours of nirmatrelvir was 87.26–100.83 and 93.27–103.74%, which meets the criteria for assessing bioequivalence. The test drugs were well tolerated by the volunteers. The incidence of adverse events was similar for the test and reference drugs. No serious adverse events were recorded during the entire study.Conclusion. As a result of this study, bioequivalence of the test and reference drugs has been established.","PeriodicalId":20031,"journal":{"name":"Pharmacology & Pharmacy","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80976689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
DF-5 COMPOUND DELAYS DEVELOPMENT OF DIABETIC NEPHROPATHY IN RATS Df-5化合物延缓大鼠糖尿病肾病的发展
Pub Date : 2023-02-13 DOI: 10.19163/2307-9266-2022-10-6-549-561
A. Spasov, O. Zhukovskaya, A. I. Rashchenko, A. A. Brigadirova, R. Litvinov, N. A. Gurova, A. Smirnov, N. G. Pan’shin, H. S. Abbas, A. S. Morkovnik
Advanced glycation end-products play an important role in the development of diabetic complications, so slowing down of glycated proteins’ cross-links formation have been suggested as a potential therapeutic option for the treatment of vascular diabetic complications and preventing their progression.The aim of the work was to assess the influence of novel anticrosslinking agent DF-5 on the renal advanced glycation end-products and collagen contents, body weight, blood glucose and glycated hemoglobin levels and the development of early renal disease in streptozotocin-induced diabetic rats.Materials and methods. 40 male Sprague-Dawley rats were used in the study. Two months after inducing diabetes, the study substance was administered intragastrically once a day for 28 days (12.5 mg/kg). Measurements included the assessment of blood glucose and HbA1c levels, the evaluation of the renal function, and the results of histology and immunohistochemical staining of kidneys.Results. A repeated intragastric administration of DF-5 for 30 days significantly reduced the level of HbA1c in the blood, but did not affect the level of fasting blood glucose. DF-5 compound significantly reduced proteinuria and prevented kidney damage in experimental animals by limiting damage of the glomeruli and tubules. It was found that DF-5 inhibits the progression of an early renal dysfunction in rats with streptozotocin-induced diabetic nephropathy. This was associated with a decreased accumulation of advanced glycation end-products in the kidney, accompanied by the improvement of both renal morphology and function.Conclusion. The results obtained provide investigators with additional therapeutic options for the treatment of diabetic nephropathy and possibly other complications of diabetes.
晚期糖基化终产物在糖尿病并发症的发展中起着重要作用,因此减缓糖基化蛋白交联的形成已被认为是治疗血管性糖尿病并发症并防止其发展的潜在治疗选择。本研究旨在评估新型抗交联剂DF-5对链脲霉素诱导的糖尿病大鼠肾脏晚期糖基化终产物和胶原蛋白含量、体重、血糖和糖化血红蛋白水平以及早期肾脏疾病发展的影响。材料和方法。40只雄性Sprague-Dawley大鼠被用于研究。诱导糖尿病2个月后,研究物质每天1次灌胃,连续28天(12.5 mg/kg)。测量包括血糖和糖化血红蛋白水平的评估,肾功能的评估,以及肾脏的组织学和免疫组织化学染色结果。反复灌胃DF-5 30天可显著降低血液中HbA1c水平,但不影响空腹血糖水平。DF-5化合物通过限制肾小球和小管的损伤,显著减少了实验动物的蛋白尿,防止了肾脏损伤。研究发现,DF-5抑制链脲佐菌素诱导的糖尿病肾病大鼠早期肾功能障碍的进展。这与肾脏中晚期糖基化终产物的积累减少有关,并伴有肾脏形态和功能的改善。获得的结果为研究人员提供了治疗糖尿病肾病和可能的其他糖尿病并发症的额外治疗选择。
{"title":"DF-5 COMPOUND DELAYS DEVELOPMENT OF DIABETIC NEPHROPATHY IN RATS","authors":"A. Spasov, O. Zhukovskaya, A. I. Rashchenko, A. A. Brigadirova, R. Litvinov, N. A. Gurova, A. Smirnov, N. G. Pan’shin, H. S. Abbas, A. S. Morkovnik","doi":"10.19163/2307-9266-2022-10-6-549-561","DOIUrl":"https://doi.org/10.19163/2307-9266-2022-10-6-549-561","url":null,"abstract":"Advanced glycation end-products play an important role in the development of diabetic complications, so slowing down of glycated proteins’ cross-links formation have been suggested as a potential therapeutic option for the treatment of vascular diabetic complications and preventing their progression.The aim of the work was to assess the influence of novel anticrosslinking agent DF-5 on the renal advanced glycation end-products and collagen contents, body weight, blood glucose and glycated hemoglobin levels and the development of early renal disease in streptozotocin-induced diabetic rats.Materials and methods. 40 male Sprague-Dawley rats were used in the study. Two months after inducing diabetes, the study substance was administered intragastrically once a day for 28 days (12.5 mg/kg). Measurements included the assessment of blood glucose and HbA1c levels, the evaluation of the renal function, and the results of histology and immunohistochemical staining of kidneys.Results. A repeated intragastric administration of DF-5 for 30 days significantly reduced the level of HbA1c in the blood, but did not affect the level of fasting blood glucose. DF-5 compound significantly reduced proteinuria and prevented kidney damage in experimental animals by limiting damage of the glomeruli and tubules. It was found that DF-5 inhibits the progression of an early renal dysfunction in rats with streptozotocin-induced diabetic nephropathy. This was associated with a decreased accumulation of advanced glycation end-products in the kidney, accompanied by the improvement of both renal morphology and function.Conclusion. The results obtained provide investigators with additional therapeutic options for the treatment of diabetic nephropathy and possibly other complications of diabetes.","PeriodicalId":20031,"journal":{"name":"Pharmacology & Pharmacy","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75249688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
EFFICACY AND SAFETY OF ORIGINAL DRUG BASED ON HEXAPEPTIDE SUCCINATE IN COMPLEX COVID-19 THERAPY IN ADULTS HOSPITALIZED PATIENTS 基于琥珀酸六肽的原研药物治疗成人住院患者复杂COVID-19的疗效和安全性
Pub Date : 2023-02-13 DOI: 10.19163/2307-9266-2022-10-6-573-588
L. Balykova, O. Radaeva, K. Zaslavskaya, P. A. Bely, V. Pavelkina, N. Pyataev, A. Ivanova, G. Rodoman, N. Kostina, V. B. Filimonov, E. Simakina, D. Bystritsky, A. S. Agafyina, K. N. Koryanova, D. Pushkar
Currently, there are data that that make it possible to speak about a high clinical efficacy of the use of succinic salt of tyrosyl-D-alanyl-glycyl-phenylalanyl-leucyl-arginine (hexapeptide succinate) for the COVID-19 treatment. This article is devoted to the results of clinical trials of the original Russian drug based on it.The aim of the study was to evaluate a clinical efficacy, safety and tolerability of intramuscular and inhalation use of hexapeptide succinate in complex therapy in comparison with standard therapy in patients with moderate COVID-19.Materials and methods. The research was conducted from February 28, 2022 to November 22, 2022 based on 10 research centers in the Russian Federation. The study included hospitalized patients (n=312) over 18 years of age with moderate COVID-19 who had undergone a screening procedure and were randomized into 3 groups: group 1 received standard therapy in accordance with the Interim Guidelines in force at the time of the study, within 10 days; group 2 received hexapeptide succinate (Ambervin® Pulmo) intramuscularly at the dose of 1 mg once a day for 10 days; group 3 received hexapeptide succinate (Ambervin® Pulmo) 10 mg once a day by inhalation for 10 days.Results. According to the results of the study, therapy with the drug hexapeptide succinate, both intramuscular and inhaled, provided an acceleration of recovery up to the complete absence of the disease signs in more than 80% of hospitalized COVID-19 patients. By the end of the therapy course with the drug, more than 60% of patients had met the criteria for discharge from hospital and could continue the treatment on an outpatient basis. About 70% of patients in the inhalation group and 80% in the intramuscular hexapeptide succinate injection group had concomitant diseases (hypertension – 28%, obesity – 14%), which indicates the effectiveness of this drug use in comorbid patients. The use of the drug contributed to the restoration of damaged lung tissues, normalization of oxygenation, the disappearance of shortness of breath and a decrease in the duration of the disease symptoms compared with standard therapy. As a result of a comparative analysis of adverse events in terms of their presence, severity, causal relationship with the therapy and outcome, there were no statistically significant differences between the treatment groups.Conclusion. Thus, the results of the clinical study of the succinate hexapeptide efficacy and safety showed the feasibility of using the drug in pathogenetic therapy COVID-19 regimens.
目前,有数据表明,使用酪氨酸- d -丙烯酰-甘酰基-苯丙烯酰-亮氨酸精氨酸(琥珀酸六肽)琥珀酸盐治疗COVID-19具有很高的临床疗效。这篇文章是专门为临床试验的结果原来的俄罗斯药物为基础的。该研究的目的是评估肌注和吸入琥珀酸六肽复合治疗与标准治疗对中度COVID-19患者的临床疗效、安全性和耐受性。材料和方法。该研究于2022年2月28日至11月22日在俄罗斯联邦的10个研究中心进行。该研究纳入了18岁以上的中度COVID-19住院患者(n=312),他们接受了筛查程序,并随机分为3组:1组在10天内根据研究时有效的临时指南接受标准治疗;2组患者给予琥珀酸六肽(Ambervin®Pulmo)肌注,剂量为1 mg,每天1次,连用10天;3组患者给予琥珀酸六肽(Ambervin®Pulmo) 10 mg,每日1次,吸入,连用10天。根据这项研究的结果,在80%以上的住院COVID-19患者中,肌肉注射和吸入药物琥珀酸六肽治疗可加速恢复,直至完全没有疾病体征。到疗程结束时,超过60%的患者达到出院标准,可以继续门诊治疗。吸入组约70%,肌注琥珀酸六肽组约80%的患者合并有疾病(高血压- 28%,肥胖- 14%),这表明该药物在合并症患者中的应用是有效的。与标准治疗相比,该药物的使用有助于恢复受损的肺组织,使氧合正常化,呼吸短促消失,疾病症状持续时间缩短。通过对不良事件的发生率、严重程度、与治疗的因果关系及结果进行比较分析,两组间不良事件发生率无统计学差异。因此,琥珀酸六肽的疗效和安全性的临床研究结果表明该药物在COVID-19病理治疗方案中使用的可行性。
{"title":"EFFICACY AND SAFETY OF ORIGINAL DRUG BASED ON HEXAPEPTIDE SUCCINATE IN COMPLEX COVID-19 THERAPY IN ADULTS HOSPITALIZED PATIENTS","authors":"L. Balykova, O. Radaeva, K. Zaslavskaya, P. A. Bely, V. Pavelkina, N. Pyataev, A. Ivanova, G. Rodoman, N. Kostina, V. B. Filimonov, E. Simakina, D. Bystritsky, A. S. Agafyina, K. N. Koryanova, D. Pushkar","doi":"10.19163/2307-9266-2022-10-6-573-588","DOIUrl":"https://doi.org/10.19163/2307-9266-2022-10-6-573-588","url":null,"abstract":"Currently, there are data that that make it possible to speak about a high clinical efficacy of the use of succinic salt of tyrosyl-D-alanyl-glycyl-phenylalanyl-leucyl-arginine (hexapeptide succinate) for the COVID-19 treatment. This article is devoted to the results of clinical trials of the original Russian drug based on it.The aim of the study was to evaluate a clinical efficacy, safety and tolerability of intramuscular and inhalation use of hexapeptide succinate in complex therapy in comparison with standard therapy in patients with moderate COVID-19.Materials and methods. The research was conducted from February 28, 2022 to November 22, 2022 based on 10 research centers in the Russian Federation. The study included hospitalized patients (n=312) over 18 years of age with moderate COVID-19 who had undergone a screening procedure and were randomized into 3 groups: group 1 received standard therapy in accordance with the Interim Guidelines in force at the time of the study, within 10 days; group 2 received hexapeptide succinate (Ambervin® Pulmo) intramuscularly at the dose of 1 mg once a day for 10 days; group 3 received hexapeptide succinate (Ambervin® Pulmo) 10 mg once a day by inhalation for 10 days.Results. According to the results of the study, therapy with the drug hexapeptide succinate, both intramuscular and inhaled, provided an acceleration of recovery up to the complete absence of the disease signs in more than 80% of hospitalized COVID-19 patients. By the end of the therapy course with the drug, more than 60% of patients had met the criteria for discharge from hospital and could continue the treatment on an outpatient basis. About 70% of patients in the inhalation group and 80% in the intramuscular hexapeptide succinate injection group had concomitant diseases (hypertension – 28%, obesity – 14%), which indicates the effectiveness of this drug use in comorbid patients. The use of the drug contributed to the restoration of damaged lung tissues, normalization of oxygenation, the disappearance of shortness of breath and a decrease in the duration of the disease symptoms compared with standard therapy. As a result of a comparative analysis of adverse events in terms of their presence, severity, causal relationship with the therapy and outcome, there were no statistically significant differences between the treatment groups.Conclusion. Thus, the results of the clinical study of the succinate hexapeptide efficacy and safety showed the feasibility of using the drug in pathogenetic therapy COVID-19 regimens.","PeriodicalId":20031,"journal":{"name":"Pharmacology & Pharmacy","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78167286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
EXPERIMENTAL PARTICIPATION OF PHARMACOLOGICAL SUBSTANCES IN MECHANISMS OF LEAD ACETATE TOXICITY 药理学物质在醋酸铅毒性机制中的实验参与
Pub Date : 2023-02-13 DOI: 10.19163/2307-9266-2022-10-6-589-600
S. Dzugkoev, F. Dzugkoeva, O. I. Margieva, A. E. Khubulova, I. V. Mozhaeva
The aim of the work is to study pharmacological substances that play a role of eNOS expression regulators in the modification of lead intoxication effects in the experiment.Materials and methods. In the experiment, linear male rats of the same age were used: intact and with lead intoxication (120 heads). The study design was the following: group 1 – control; group 2 – intoxication with a lead acetate solution; group 3 – intact + L-nitroarginine methyl ester; group 4 – lead acetate + L-nitroarginine methyl ester; group 5 – intact + L-arginine; group 6 – lead acetate + L-arginine. The research carried out the study state of the redox reactions, the content of nitric oxide (NOx) stable metabolites, a lipid profile, the level of NO-synthase (eNOS) expression in the vascular endothelium, the main processes of urination and the activity of Na+/K+-ATPase in the renal tissue layers, as well as in the liver. The results were subjected to statistical processing.Results. Saturnism caused the oxidative stress development, a decrease in the NOx content in blood plasma, a violation of the L-arginine for eNOS bioavailability, and an endothelial dysfunction. Indicators of the impaired renal function were a decrease in the glomerular filtration rate (GFR), the tubular reabsorption of water, sodium, and the Na+/K+-ATPase activity. The damage to hepatocytes was evidenced by changes in the activity of organ-specific enzymes in the blood and Na+/K+-ATPase. L-arginine exhibited antioxidant properties, increased the NOx content and the level of eNOS expression. The eNOS L-nitroarginine methyl ester inhibitor showed the effects opposite to L-arginine.Conclusion. Biochemical markers of damage to kidney and liver cells during saturnism are indicators of the oxidative stress, NOx deficiency and hemodynamic disturbances in them. These mechanisms involved the following pharmacological substances: an eNOS inhibitor, L-nitroarginine methyl ester, which caused a decrease in the expression level of the enzyme, and an eNOS inducer, L-arginine, which increased this indicator severity. The lead toxicity mechanisms have been implicated in the impaired cholesterol metabolism, contributing to the L-arginine reduced availability for eNOS and the NOx production. Therefore, the use of L-arginine can be recommended as a regulator of the oxidative stress and an NO-producing endothelial function in other pathologies.
这项工作的目的是研究在实验中发挥eNOS表达调节因子作用的药理学物质对铅中毒的影响。材料和方法。实验选用同龄直线型雄性大鼠:完整且铅中毒(120头)。研究设计如下:第一组-对照组;第2组:醋酸铅中毒;第3组-完整+ l -硝基精氨酸甲酯;第4组-醋酸铅+ l -硝基精氨酸甲酯;5组-完整+ l -精氨酸;第6组-醋酸铅+ l -精氨酸。本研究对肾组织层和肝脏的氧化还原反应、一氧化氮(NOx)稳定代谢产物含量、脂质谱、血管内皮no -合成酶(eNOS)表达水平、排尿主要过程和Na+/K+- atp酶活性进行了研究。结果进行了统计处理。饱和导致氧化应激的发展,血浆中NOx含量的降低,eNOS生物利用度的l -精氨酸的破坏,以及内皮功能障碍。肾功能受损的指标是肾小球滤过率(GFR)、小管水、钠的重吸收和Na+/K+- atp酶活性的降低。肝细胞损伤的证据是血液中器官特异性酶和Na+/K+- atp酶活性的变化。l -精氨酸表现出抗氧化特性,提高了氮氧化物含量和eNOS表达水平。eNOS l -硝基精氨酸甲酯抑制剂表现出与l -精氨酸相反的作用。饱和时肾和肝细胞损伤的生化标志物是氧化应激、氮氧化物缺乏和血流动力学紊乱的指标。这些机制涉及以下药理学物质:eNOS抑制剂l -硝基精氨酸甲酯导致酶表达水平下降,而eNOS诱导剂l -精氨酸则增加了该指标的严重程度。铅毒性机制与胆固醇代谢受损有关,导致l -精氨酸减少eNOS的可用性和NOx的产生。因此,可以推荐使用l -精氨酸作为氧化应激的调节剂,并在其他病理中产生一氧化氮内皮功能。
{"title":"EXPERIMENTAL PARTICIPATION OF PHARMACOLOGICAL SUBSTANCES IN MECHANISMS OF LEAD ACETATE TOXICITY","authors":"S. Dzugkoev, F. Dzugkoeva, O. I. Margieva, A. E. Khubulova, I. V. Mozhaeva","doi":"10.19163/2307-9266-2022-10-6-589-600","DOIUrl":"https://doi.org/10.19163/2307-9266-2022-10-6-589-600","url":null,"abstract":"The aim of the work is to study pharmacological substances that play a role of eNOS expression regulators in the modification of lead intoxication effects in the experiment.Materials and methods. In the experiment, linear male rats of the same age were used: intact and with lead intoxication (120 heads). The study design was the following: group 1 – control; group 2 – intoxication with a lead acetate solution; group 3 – intact + L-nitroarginine methyl ester; group 4 – lead acetate + L-nitroarginine methyl ester; group 5 – intact + L-arginine; group 6 – lead acetate + L-arginine. The research carried out the study state of the redox reactions, the content of nitric oxide (NOx) stable metabolites, a lipid profile, the level of NO-synthase (eNOS) expression in the vascular endothelium, the main processes of urination and the activity of Na+/K+-ATPase in the renal tissue layers, as well as in the liver. The results were subjected to statistical processing.Results. Saturnism caused the oxidative stress development, a decrease in the NOx content in blood plasma, a violation of the L-arginine for eNOS bioavailability, and an endothelial dysfunction. Indicators of the impaired renal function were a decrease in the glomerular filtration rate (GFR), the tubular reabsorption of water, sodium, and the Na+/K+-ATPase activity. The damage to hepatocytes was evidenced by changes in the activity of organ-specific enzymes in the blood and Na+/K+-ATPase. L-arginine exhibited antioxidant properties, increased the NOx content and the level of eNOS expression. The eNOS L-nitroarginine methyl ester inhibitor showed the effects opposite to L-arginine.Conclusion. Biochemical markers of damage to kidney and liver cells during saturnism are indicators of the oxidative stress, NOx deficiency and hemodynamic disturbances in them. These mechanisms involved the following pharmacological substances: an eNOS inhibitor, L-nitroarginine methyl ester, which caused a decrease in the expression level of the enzyme, and an eNOS inducer, L-arginine, which increased this indicator severity. The lead toxicity mechanisms have been implicated in the impaired cholesterol metabolism, contributing to the L-arginine reduced availability for eNOS and the NOx production. Therefore, the use of L-arginine can be recommended as a regulator of the oxidative stress and an NO-producing endothelial function in other pathologies.","PeriodicalId":20031,"journal":{"name":"Pharmacology & Pharmacy","volume":"116 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87749562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
BIOEQUIVALENCE STUDY OF GENERIC MOLNUPIRAVIR IN HEALTHY VOLUNTEERS 仿制药莫那匹拉韦在健康志愿者体内的生物等效性研究
Pub Date : 2023-02-13 DOI: 10.19163/2307-9266-2022-10-6-562-572
V. Vasilyuk, A. Boroduleva, P. Sobolev, A. Nikiforova, V. G. Mozgovaya, O. Filon, A. Zinkovskaya, V. G. Ignatiev, M. Samsonov, I. S. Kozlova, E. K. Khanonina
Molnupiravir is one of the drugs for the etiotropic therapy of a new coronavirus infection COVID-19. It has confirmed its clinical efficacy in the treatment of patients with mild and moderate COVID-19, including those who are at high risk of progressing to severe disease.The aim of the study was to evaluate bioequivalence of the generic drug molnupiravir ALARIO-TL and the original drug Lagevrio with a single oral administration in healthy volunteers.Materials and methods. This bioequivalence study was an open, randomized, two-period crossover study. In each of the two periods, volunteers received a single dose of the test drug, or reference drug molnupiravir, in the form of capsules at the dose of 200 mg. The washout period between the doses was 3 days. To determine pharmacokinetic (PK) parameters and bioequivalence, the concentration the concentration of N-hydrozycytidine (NHC), the main molnupiravir metabolit in the blood plasma of volunteers was evaluated. The blood plasma sampling was carried out in the range from 0 to 16 hours in each of the study periods. Bioequivalence was assessed by comparing 90% confidence intervals (CIs) for the ratio of geometric means of AUC(0–16) and Cmax of the test drug and reference drugs with the established equivalence limits of 80.00 – 125.00%.Results. A total of 28 healthy male volunteers were included in the study. According to the results of the statistical analysis, after the administration of the test and reference drugs, the 90% CIs for the ratio of the geometric means of AUC (0–16) and Cmax were 96.31% – 113.64% and 91.37% – 114.8%, respectively. These intervals fit within the established limits of 80.00–125.00%, which confirms the bioequivalence of the drugs. When comparing the frequency of the individual adverse events registration, no significant differences were found out after the administration of the test and reference drugs.Conclusion. Based on the results of this study, it can be concluded that the test and reference drugs of molnupiravir are bioequivalent. In addition, the data obtained indicate that the drugs have similar safety profiles.
莫努匹拉韦是治疗新型冠状病毒感染COVID-19的致病因药物之一。对轻、中度新冠肺炎患者,包括发展为重症的高危人群的临床疗效得到了证实。本研究的目的是评价仿制药molnupiravir ALARIO-TL与原研药Lagevrio单次口服在健康志愿者中的生物等效性。材料和方法。这项生物等效性研究是一项开放、随机、两期交叉研究。在这两个阶段的每一个阶段,志愿者们都服用了一剂200毫克的胶囊形式的测试药物,或参考药物莫努皮拉韦。两次给药之间的洗脱期为3天。为了确定药代动力学(PK)参数和生物等效性,测定了志愿者血浆中莫诺匹拉韦主要代谢产物n -氢胞苷(NHC)的浓度。在每个研究周期的0 - 16小时范围内进行血浆采样。通过比较受试药与参比药AUC几何平均值(0 ~ 16)与Cmax比值的90%置信区间(ci),确定等效限为80.00 ~ 125.00%,评价生物等效性。共有28名健康男性志愿者参与了这项研究。统计分析结果显示,给药后,AUC(0-16)几何均数与Cmax比值的90% ci分别为96.31% ~ 113.64%和91.37% ~ 114.8%。这些间隔符合80.00-125.00%的既定限度,这证实了药物的生物等效性。在比较个体不良事件登记频率时,试验用药与对照用药后的不良事件登记频率无显著差异。根据本研究的结果,可以得出莫诺匹拉韦的试验药与参比药具有生物等效性。此外,获得的数据表明,这两种药物具有相似的安全性。
{"title":"BIOEQUIVALENCE STUDY OF GENERIC MOLNUPIRAVIR IN HEALTHY VOLUNTEERS","authors":"V. Vasilyuk, A. Boroduleva, P. Sobolev, A. Nikiforova, V. G. Mozgovaya, O. Filon, A. Zinkovskaya, V. G. Ignatiev, M. Samsonov, I. S. Kozlova, E. K. Khanonina","doi":"10.19163/2307-9266-2022-10-6-562-572","DOIUrl":"https://doi.org/10.19163/2307-9266-2022-10-6-562-572","url":null,"abstract":"Molnupiravir is one of the drugs for the etiotropic therapy of a new coronavirus infection COVID-19. It has confirmed its clinical efficacy in the treatment of patients with mild and moderate COVID-19, including those who are at high risk of progressing to severe disease.The aim of the study was to evaluate bioequivalence of the generic drug molnupiravir ALARIO-TL and the original drug Lagevrio with a single oral administration in healthy volunteers.Materials and methods. This bioequivalence study was an open, randomized, two-period crossover study. In each of the two periods, volunteers received a single dose of the test drug, or reference drug molnupiravir, in the form of capsules at the dose of 200 mg. The washout period between the doses was 3 days. To determine pharmacokinetic (PK) parameters and bioequivalence, the concentration the concentration of N-hydrozycytidine (NHC), the main molnupiravir metabolit in the blood plasma of volunteers was evaluated. The blood plasma sampling was carried out in the range from 0 to 16 hours in each of the study periods. Bioequivalence was assessed by comparing 90% confidence intervals (CIs) for the ratio of geometric means of AUC(0–16) and Cmax of the test drug and reference drugs with the established equivalence limits of 80.00 – 125.00%.Results. A total of 28 healthy male volunteers were included in the study. According to the results of the statistical analysis, after the administration of the test and reference drugs, the 90% CIs for the ratio of the geometric means of AUC (0–16) and Cmax were 96.31% – 113.64% and 91.37% – 114.8%, respectively. These intervals fit within the established limits of 80.00–125.00%, which confirms the bioequivalence of the drugs. When comparing the frequency of the individual adverse events registration, no significant differences were found out after the administration of the test and reference drugs.Conclusion. Based on the results of this study, it can be concluded that the test and reference drugs of molnupiravir are bioequivalent. In addition, the data obtained indicate that the drugs have similar safety profiles.","PeriodicalId":20031,"journal":{"name":"Pharmacology & Pharmacy","volume":"70 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87692922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HYPOGLYCEMIC EFFECT OF SITAGLIPTIN AND AMINOGUANIDINE COMBINATION IN EXPERIMENTAL DIABETES MELLITUS 西格列汀联合氨基胍对实验性糖尿病的降糖作用
Pub Date : 2023-02-13 DOI: 10.19163/2307-9266-2022-10-6-536-548
D. Kurkin, D. A. Bakulin, E. Morkovin, Y. Gorbunova, A. Strygin, T. M. Andriashvili, A. Sokolova, N. S. Bolokhov, V. E. Pustynnikov, E. A. Fomichev
The aim of the work was to determine the antidiabetic effect of a sitagliptin and aminoguanidine combination in rats with experimental diabetes mellitus.Materials and methods. The study was carried out on male Wistar rats and C57BL/KsJ-db/db mice. According to the models used, it was divided into 4 series, in which alloxan, steroid-induced (dexamethasone) and streptozotocin-nicotinamide-induced diabetes mellitus (DM) were formed, respectively, in rats, and in the 4 series, obese C57BL/KsJ-db/db mice were used. In the 1 and 2 series, the treatment was started prophylactically – 3 h after the alloxan administration and simultaneously with the dexamethasone administration, in the 3rd and 4th series, the treatment was carried out after the pathology had developed – 7 days after the streptozotocin with nicotinamide administration, and in the obese mice – immediately after their distribution according to the groups. The treatment was carried out with sitagliptin (10 mg/kg), aminoguanidine (25 mg/kg), or a combination thereof. The treatment was continued till the end of the experiment, which was completed with an oral glucose tolerance test (OGTT) after 4 h of fasting. The obtained data were subjected to statistical processing.Results. In the course of the experiments, it was found out that the prophylactic administration of a sitagliptin and aminoguanidine combination, unlike each of the components, prevented the development of alloxan DM. More effectively than the administration of sitagliptin alone, it reduced the severity of steroid-induced DM, which was expressed in a significantly lower level of fasting glycemia (after 4 h of fasting) and postprandial glycemia (during OGTT). Under the conditions of streptozotocin-nicotinamide-induced DM, the studied combination slowed down the progression of the pathology, and in the obese mice, the course therapeutic administration of sitagliptin and its combination reduced the severity of carbohydrate metabolism disorders (fasting glycemia) and increased the rate of glucose utilization.Conclusion. As an iNOS blocker, aminoguanidine enhances the antidiabetic effect of sitagliptin, preventing the development of alloxan diabetes and reducing the severity of steroid-induced DM when administered prophylactically. When administered therapeutically, it reduces the severity of streptozotocin-nicotinamide-induced DM in rats and type 2 DM in mice with a predisposition to obesity. 
目的是确定西格列汀和氨基胍联合用药对实验性糖尿病大鼠的降糖作用。材料和方法。研究对象为雄性Wistar大鼠和C57BL/KsJ-db/db小鼠。根据所采用的模型分为4个系列,分别在大鼠中形成四氧嘧啶、类固醇诱导(地塞米松)和链脲霉素-烟酰胺诱导的糖尿病(DM), 4个系列采用肥胖C57BL/KsJ-db/db小鼠。在第1和第2系列中,治疗是在四氧嘧啶给药后3小时与地塞米松同时给药,在第3和第4系列中,治疗是在病理发生后进行的-在链脲佐菌素与烟酰胺给药后7天,在肥胖小鼠中-在它们按组分布后立即进行。使用西格列汀(10mg /kg)、氨基胍(25mg /kg)或其组合进行治疗。持续治疗至实验结束,禁食4 h后进行口服葡萄糖耐量试验(OGTT)。所得数据进行统计处理。在实验过程中,我们发现预防西格列汀和氨基胍联合用药,不同于每一种成分,可以防止四氧嘧啶型糖尿病的发生,比单独使用西格列汀更有效地降低了激素性糖尿病的严重程度,表现为空腹血糖(禁食4小时后)和餐后血糖(OGTT期间)水平显著降低。在链脲佐菌素-烟酰胺诱导的糖尿病条件下,联合用药可减缓糖尿病病理进展,在肥胖小鼠中,西格列汀联合用药可降低糖代谢紊乱(空腹血糖)的严重程度,提高葡萄糖利用率。氨基胍作为一种iNOS阻滞剂,可增强西格列汀的降糖作用,预防四氧嘧啶型糖尿病的发生,降低激素性糖尿病的严重程度。当用于治疗时,它降低了链脲佐菌素-烟酰胺诱导的大鼠糖尿病和肥胖易感性小鼠2型糖尿病的严重程度。
{"title":"HYPOGLYCEMIC EFFECT OF SITAGLIPTIN AND AMINOGUANIDINE COMBINATION IN EXPERIMENTAL DIABETES MELLITUS","authors":"D. Kurkin, D. A. Bakulin, E. Morkovin, Y. Gorbunova, A. Strygin, T. M. Andriashvili, A. Sokolova, N. S. Bolokhov, V. E. Pustynnikov, E. A. Fomichev","doi":"10.19163/2307-9266-2022-10-6-536-548","DOIUrl":"https://doi.org/10.19163/2307-9266-2022-10-6-536-548","url":null,"abstract":"The aim of the work was to determine the antidiabetic effect of a sitagliptin and aminoguanidine combination in rats with experimental diabetes mellitus.Materials and methods. The study was carried out on male Wistar rats and C57BL/KsJ-db/db mice. According to the models used, it was divided into 4 series, in which alloxan, steroid-induced (dexamethasone) and streptozotocin-nicotinamide-induced diabetes mellitus (DM) were formed, respectively, in rats, and in the 4 series, obese C57BL/KsJ-db/db mice were used. In the 1 and 2 series, the treatment was started prophylactically – 3 h after the alloxan administration and simultaneously with the dexamethasone administration, in the 3rd and 4th series, the treatment was carried out after the pathology had developed – 7 days after the streptozotocin with nicotinamide administration, and in the obese mice – immediately after their distribution according to the groups. The treatment was carried out with sitagliptin (10 mg/kg), aminoguanidine (25 mg/kg), or a combination thereof. The treatment was continued till the end of the experiment, which was completed with an oral glucose tolerance test (OGTT) after 4 h of fasting. The obtained data were subjected to statistical processing.Results. In the course of the experiments, it was found out that the prophylactic administration of a sitagliptin and aminoguanidine combination, unlike each of the components, prevented the development of alloxan DM. More effectively than the administration of sitagliptin alone, it reduced the severity of steroid-induced DM, which was expressed in a significantly lower level of fasting glycemia (after 4 h of fasting) and postprandial glycemia (during OGTT). Under the conditions of streptozotocin-nicotinamide-induced DM, the studied combination slowed down the progression of the pathology, and in the obese mice, the course therapeutic administration of sitagliptin and its combination reduced the severity of carbohydrate metabolism disorders (fasting glycemia) and increased the rate of glucose utilization.Conclusion. As an iNOS blocker, aminoguanidine enhances the antidiabetic effect of sitagliptin, preventing the development of alloxan diabetes and reducing the severity of steroid-induced DM when administered prophylactically. When administered therapeutically, it reduces the severity of streptozotocin-nicotinamide-induced DM in rats and type 2 DM in mice with a predisposition to obesity. ","PeriodicalId":20031,"journal":{"name":"Pharmacology & Pharmacy","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80974643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
FEATURES OF QUALITY CONTROL STRATEGY FOR DRUGS BASED ON VIABLE SKIN CELLS 基于活皮细胞的药物质量控制策略的特点
Pub Date : 2023-02-12 DOI: 10.19163/2307-9266-2022-10-6-515-524
O. Rachinskaya, E. Melnikova, V. Merkulov
The aim of the study was to research the international experience in quality assurance of the products based on skin cells in order to identify the features of the quality control strategy in the development, production, as well as during an expert quality assessment as a part of the state registration procedure in the Russian Federation.Materials and methods. The article provides an analysis of the materials presented in the assessment reports of the USA and Japanese regulatory authorities, as well as on the official websites of manufacturers, in review and scientific papers on the study of the structure and properties of tissue-engineered skin analogs.Results. The manufacture of products containing human skin cells is associated with such risks as the possibility of contamination of the preparation with infective agents transmitted by materials of the animal origin, feeder cells, donor cells, or during the manufacturing process; a small amount of biopsy materials; a complexity of a three-dimensional product structure when combining cells with a scaffold; continuity of the manufacture process and a short product expiry date. The raw materials and reagents control, the creation of cell banks, using animal feeder cells only from qualified cell banks, an in-process control and release testing in accordance with the requirements of the finished product specification, make it possible to obtain a preparation with a reproducible quality. The specification should contain information about the identity, safety and potency of the product. For each preparation, the choice of approaches for assessing the quality is individual and depends on its composition and mode of action.Conclusion. The features of the quality control strategy for the drugs based on human skin cells, consist in the implementation of control measures in order to obtain a proper quality of cellular (viability, sterility, identity, potency, et al) and non-cellular (physico-chemical scaffold properties) components or the whole graft (bioburden, barrier properties). The approaches and methods for determining the potency should be selected individually for each product and reflect the number, viability and identity of cells, a proliferative activity and secretable ability of the cellular component.
该研究的目的是研究基于皮肤细胞的产品质量保证的国际经验,以确定在开发,生产以及作为俄罗斯联邦国家注册程序一部分的专家质量评估期间的质量控制策略的特征。材料和方法。本文分析了美国和日本监管机构的评估报告、制造商的官方网站、综述和科学论文中关于组织工程皮肤类似物的结构和性能研究的材料。含有人类皮肤细胞的产品的制造与以下风险相关:制剂可能受到由动物来源的材料、饲养细胞、供体细胞或在制造过程中传播的感染因子的污染;少量活检材料;将细胞与支架结合时产生的三维产品结构的复杂性;生产过程的连续性和产品有效期短。原料和试剂的控制,细胞库的创建,仅使用来自合格细胞库的动物喂养细胞,根据成品规范要求进行过程控制和放行测试,使获得具有可重复质量的制剂成为可能。说明书应包含有关产品的标识、安全性和效力的信息。对于每种制剂,评估其质量的方法的选择是独立的,并取决于其组成和作用方式。基于人体皮肤细胞的药物质量控制策略的特点在于,为了获得适当质量的细胞(活力、无菌性、同一性、效力等)和非细胞(物理化学支架性能)成分或整个移植物(生物负荷、屏障性能)而实施控制措施。确定效力的途径和方法应针对每种产品单独选择,并反映细胞的数量、活力和特性、细胞成分的增殖活性和分泌能力。
{"title":"FEATURES OF QUALITY CONTROL STRATEGY FOR DRUGS BASED ON VIABLE SKIN CELLS","authors":"O. Rachinskaya, E. Melnikova, V. Merkulov","doi":"10.19163/2307-9266-2022-10-6-515-524","DOIUrl":"https://doi.org/10.19163/2307-9266-2022-10-6-515-524","url":null,"abstract":"The aim of the study was to research the international experience in quality assurance of the products based on skin cells in order to identify the features of the quality control strategy in the development, production, as well as during an expert quality assessment as a part of the state registration procedure in the Russian Federation.Materials and methods. The article provides an analysis of the materials presented in the assessment reports of the USA and Japanese regulatory authorities, as well as on the official websites of manufacturers, in review and scientific papers on the study of the structure and properties of tissue-engineered skin analogs.Results. The manufacture of products containing human skin cells is associated with such risks as the possibility of contamination of the preparation with infective agents transmitted by materials of the animal origin, feeder cells, donor cells, or during the manufacturing process; a small amount of biopsy materials; a complexity of a three-dimensional product structure when combining cells with a scaffold; continuity of the manufacture process and a short product expiry date. The raw materials and reagents control, the creation of cell banks, using animal feeder cells only from qualified cell banks, an in-process control and release testing in accordance with the requirements of the finished product specification, make it possible to obtain a preparation with a reproducible quality. The specification should contain information about the identity, safety and potency of the product. For each preparation, the choice of approaches for assessing the quality is individual and depends on its composition and mode of action.Conclusion. The features of the quality control strategy for the drugs based on human skin cells, consist in the implementation of control measures in order to obtain a proper quality of cellular (viability, sterility, identity, potency, et al) and non-cellular (physico-chemical scaffold properties) components or the whole graft (bioburden, barrier properties). The approaches and methods for determining the potency should be selected individually for each product and reflect the number, viability and identity of cells, a proliferative activity and secretable ability of the cellular component.","PeriodicalId":20031,"journal":{"name":"Pharmacology & Pharmacy","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81284850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MOLECULAR MECHANISMS UNDERLYING THERAPEUTIC ACTION OF VITAMIN B6 维生素b6治疗作用的分子机制
Pub Date : 2023-02-12 DOI: 10.19163/2307-9266-2022-10-6-500-514
O. A. Zagubnaya, Y. Nartsissov
The aim of the study was to analyze the molecular mechanisms that determine the possibility of using vitamin B6 in clinical practice for the correction of various pathological conditions.Materials and methods. Information retrieval (Scopus, PubMed) and library (eLibrary) databases were used as research tools. In some cases, the ResearchGate application was used for a semantic search. The analysis and generalization of the scientific literature on the topic of research, covering the period from 1989 to the present, has been carried out in the work.Results. It has been shown that all chemical forms of vitamin B6 are able to penetrate the membranes of most cells by free diffusion, while forming phosphorylated forms inside. Pyridoxal phosphate is a biologically important metabolite that is directly involved as a cofactor in a variety of intracellular reactions. Requirements for this cofactor depend on the age, sex and condition of the patient. Pregnancy and lactation play a special role in the consumption of vitamin B6. In most cases, a balanced diet will provide an acceptable level of this vitamin. At the same time, its deficiency leads to the development of a number of pathological conditions, including neurodegenerative diseases, inflammations and diabetes. Negative manifestations from the central nervous system are also possible with an excessive consumption of B6.Conclusion. Replenishment of the vitamin B6 level in case of its identified deficiency is a necessary condition for the successful treatment of the central nervous system diseases, diabetes and correction of patients’ immune status. At the same time, it is necessary to observe a balanced intake of this cofactor in order to avoid negative effects on metabolism in case of its excess.
本研究的目的是分析决定在临床实践中使用维生素B6纠正各种病理状况的可能性的分子机制。材料和方法。使用信息检索(Scopus, PubMed)和图书馆(eLibrary)数据库作为研究工具。在某些情况下,ResearchGate应用程序用于语义搜索。本文对1989年至今有关本课题的科学文献进行了分析和归纳。研究表明,所有化学形式的维生素B6都能通过自由扩散穿透大多数细胞膜,同时在细胞膜内形成磷酸化形式。磷酸吡哆醛是一种生物学上重要的代谢物,作为辅助因子直接参与多种细胞内反应。对这种辅助因子的要求取决于患者的年龄、性别和病情。怀孕和哺乳期对维生素B6的摄入起着特殊的作用。在大多数情况下,均衡的饮食将提供可接受的维生素水平。同时,它的缺乏会导致许多病理状况的发展,包括神经退行性疾病、炎症和糖尿病。过量摄入维生素b6也可能引起中枢神经系统的不良反应。在发现缺乏维生素B6的情况下,补充维生素B6水平是成功治疗中枢神经系统疾病、糖尿病和纠正患者免疫状态的必要条件。同时,有必要注意平衡摄入这种辅助因子,以避免过量时对新陈代谢产生负面影响。
{"title":"MOLECULAR MECHANISMS UNDERLYING THERAPEUTIC ACTION OF VITAMIN B6","authors":"O. A. Zagubnaya, Y. Nartsissov","doi":"10.19163/2307-9266-2022-10-6-500-514","DOIUrl":"https://doi.org/10.19163/2307-9266-2022-10-6-500-514","url":null,"abstract":"The aim of the study was to analyze the molecular mechanisms that determine the possibility of using vitamin B6 in clinical practice for the correction of various pathological conditions.Materials and methods. Information retrieval (Scopus, PubMed) and library (eLibrary) databases were used as research tools. In some cases, the ResearchGate application was used for a semantic search. The analysis and generalization of the scientific literature on the topic of research, covering the period from 1989 to the present, has been carried out in the work.Results. It has been shown that all chemical forms of vitamin B6 are able to penetrate the membranes of most cells by free diffusion, while forming phosphorylated forms inside. Pyridoxal phosphate is a biologically important metabolite that is directly involved as a cofactor in a variety of intracellular reactions. Requirements for this cofactor depend on the age, sex and condition of the patient. Pregnancy and lactation play a special role in the consumption of vitamin B6. In most cases, a balanced diet will provide an acceptable level of this vitamin. At the same time, its deficiency leads to the development of a number of pathological conditions, including neurodegenerative diseases, inflammations and diabetes. Negative manifestations from the central nervous system are also possible with an excessive consumption of B6.Conclusion. Replenishment of the vitamin B6 level in case of its identified deficiency is a necessary condition for the successful treatment of the central nervous system diseases, diabetes and correction of patients’ immune status. At the same time, it is necessary to observe a balanced intake of this cofactor in order to avoid negative effects on metabolism in case of its excess.","PeriodicalId":20031,"journal":{"name":"Pharmacology & Pharmacy","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78577439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
DEVELOPMENT OF MURINE STEM CELLS WITH CONDITIONAL KNOCKOUT OF HUMANIZED SNCA GENE 条件敲除人源化snca基因的小鼠干细胞的发育
Pub Date : 2023-02-12 DOI: 10.19163/2307-9266-2022-10-6-525-535
E. A. Patrakhanov, V. M. Pokrovsky, A. Karagodina, A. Krayushkina, N. S. Zhunusov, A. Deykin, M. V. Korokin, M. Pokrovsky, O. Altukhova
α-synuclein is one of the key molecular links in the pathogenesis of Parkinson’s disease. The accumulated data indicate that pathogenic mutations in the Snca gene are associated with the development of neurodegenerative brain damage, indicating the relevance of studying the synuclein neurobiological role.The aim of the study was to create a genetically modified clone of mouse stem cells with a conditional knockout of humanized α-synuclein, which can be used for the reinjection into mouse blastocysts, as well as for basic and applied in vitro research in the field of pathophysiology and neuropharmacology.Materials and methods. To create mouse stem cells with a conditional knockout of the humanized Snca gene, a previously obtained clone with the first Snca exon flanked by LoxP sites, was used. The CRISPR/Cas9-mediated homologous recombination system with donor DNA oligonucleotides of the human sites of the corresponding gene sites was used to humanize the fourth and fifth exons. Cas9 nuclease, single guide RNA, and donor DNA were transfected into mouse cells.Results. An approach to obtaining clones of mouse genetically modified stem cells expressing pathological humanized α-synuclein, has been proposed and implemented. The resulting clones were plated on Petri dishes for propagation and a further genetic analysis. Clone 126-2F4 was found out carrying the necessary genetic modifications. The results obtained are fundamentally important not only for understanding the development of the pathological process in α-synucleinopathies, but which is more important, for the development of new therapeutic approaches that will stop the extension of the human α-synuclein aggregation pathology throughout the nervous system, and the validation of these approaches in preclinical trials.Conclusion. As a result of the study, a strategy for CRISPR/Cas9-assisted homologous recombination in the genome of mouse embryonic stem cells has been developed to create a fully humanized Snca gene encoding α-synuclein, and the clone genome of mouse embryonic stem cells has been edited using a CRISPR technology. The RNA and DNA oligonucleotides necessary for the creation of RNP complexes that carry out a directed homologous recombination in the Snca locus of the mouse genome have been synthesized. The developed cell clone can serve to create a line of genetically modified mice that serve as a test system for pathophysiological and neuropharmacological studies associated with synucleinopathies. Herewith, before the induction of the Cre-dependent recombination, this line is a representative model for studying a biological role of mutant Snca. At the same time, after a Cre-dependent knockout activation, it is possible to imitate the pharmacological inhibition of α-synuclein, which is of particular interest for applied research in neuropharmacology.
α-突触核蛋白是帕金森病发病机制的关键分子环节之一。积累的数据表明,Snca基因的致病性突变与神经退行性脑损伤的发生有关,表明研究突触核蛋白的神经生物学作用具有相关性。本研究的目的是通过条件敲除人源化α-突触核蛋白,建立小鼠干细胞的基因修饰克隆,用于小鼠囊胚再注射,以及病理生理学和神经药理学领域的基础和体外应用研究。材料和方法。为了创建条件敲除人源化Snca基因的小鼠干细胞,使用了先前获得的具有第一个Snca外显子两侧有LoxP位点的克隆。使用CRISPR/ cas9介导的同源重组系统,将相应基因位点的人位DNA寡核苷酸供体用于人源化第4和第5外显子。将Cas9核酸酶、单导RNA和供体DNA转染小鼠细胞。提出并实现了一种获得表达病理人源化α-突触核蛋白的小鼠转基因干细胞克隆的方法。得到的克隆被放置在培养皿上进行繁殖和进一步的遗传分析。克隆126-2F4被发现携带必要的基因修饰。所获得的结果不仅对了解α-突触核蛋白病的病理过程的发展具有重要意义,而且更重要的是,对于开发新的治疗方法来阻止人类α-突触核蛋白聚集病理在整个神经系统的扩展,并在临床前试验中验证这些方法具有重要意义。本研究建立了CRISPR/ cas9辅助小鼠胚胎干细胞基因组同源重组策略,构建了完全人源化的Snca基因编码α-突触核蛋白,并利用CRISPR技术对小鼠胚胎干细胞克隆基因组进行了编辑。已经合成了在小鼠基因组Snca位点进行定向同源重组的RNP复合物所需的RNA和DNA寡核苷酸。开发的细胞克隆可以用于创建一系列转基因小鼠,作为与突触核蛋白病相关的病理生理学和神经药理学研究的测试系统。因此,在诱导cre依赖性重组之前,该系是研究突变体Snca生物学作用的代表性模型。同时,在cre依赖性敲除激活后,有可能模仿α-突触核蛋白的药理抑制作用,这在神经药理学的应用研究中具有特别的意义。
{"title":"DEVELOPMENT OF MURINE STEM CELLS WITH CONDITIONAL KNOCKOUT OF HUMANIZED SNCA GENE","authors":"E. A. Patrakhanov, V. M. Pokrovsky, A. Karagodina, A. Krayushkina, N. S. Zhunusov, A. Deykin, M. V. Korokin, M. Pokrovsky, O. Altukhova","doi":"10.19163/2307-9266-2022-10-6-525-535","DOIUrl":"https://doi.org/10.19163/2307-9266-2022-10-6-525-535","url":null,"abstract":"α-synuclein is one of the key molecular links in the pathogenesis of Parkinson’s disease. The accumulated data indicate that pathogenic mutations in the Snca gene are associated with the development of neurodegenerative brain damage, indicating the relevance of studying the synuclein neurobiological role.The aim of the study was to create a genetically modified clone of mouse stem cells with a conditional knockout of humanized α-synuclein, which can be used for the reinjection into mouse blastocysts, as well as for basic and applied in vitro research in the field of pathophysiology and neuropharmacology.Materials and methods. To create mouse stem cells with a conditional knockout of the humanized Snca gene, a previously obtained clone with the first Snca exon flanked by LoxP sites, was used. The CRISPR/Cas9-mediated homologous recombination system with donor DNA oligonucleotides of the human sites of the corresponding gene sites was used to humanize the fourth and fifth exons. Cas9 nuclease, single guide RNA, and donor DNA were transfected into mouse cells.Results. An approach to obtaining clones of mouse genetically modified stem cells expressing pathological humanized α-synuclein, has been proposed and implemented. The resulting clones were plated on Petri dishes for propagation and a further genetic analysis. Clone 126-2F4 was found out carrying the necessary genetic modifications. The results obtained are fundamentally important not only for understanding the development of the pathological process in α-synucleinopathies, but which is more important, for the development of new therapeutic approaches that will stop the extension of the human α-synuclein aggregation pathology throughout the nervous system, and the validation of these approaches in preclinical trials.Conclusion. As a result of the study, a strategy for CRISPR/Cas9-assisted homologous recombination in the genome of mouse embryonic stem cells has been developed to create a fully humanized Snca gene encoding α-synuclein, and the clone genome of mouse embryonic stem cells has been edited using a CRISPR technology. The RNA and DNA oligonucleotides necessary for the creation of RNP complexes that carry out a directed homologous recombination in the Snca locus of the mouse genome have been synthesized. The developed cell clone can serve to create a line of genetically modified mice that serve as a test system for pathophysiological and neuropharmacological studies associated with synucleinopathies. Herewith, before the induction of the Cre-dependent recombination, this line is a representative model for studying a biological role of mutant Snca. At the same time, after a Cre-dependent knockout activation, it is possible to imitate the pharmacological inhibition of α-synuclein, which is of particular interest for applied research in neuropharmacology.","PeriodicalId":20031,"journal":{"name":"Pharmacology & Pharmacy","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73007753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Pharmacology & Pharmacy
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1