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Insights for Using Jinlida in Diabetes Prevention. 使用金利达预防糖尿病的启示。
IF 22.5 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-01 DOI: 10.1001/jamainternmed.2024.4992
Kun Zhao, Xiqiao Xiang, Zhenliang Sun
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引用次数: 0
Bringing Imaging Biomarkers Into Clinical Reality in Psychiatry. 将成像生物标志物应用于精神病学的临床实践。
IF 3.7 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-01 DOI: 10.1001/jamapsychiatry.2024.2553
Amit Etkin, Daniel H Mathalon

Importance: Advancing precision psychiatry, where treatments are based on an individual's biology rather than solely their clinical presentation, requires attention to several key attributes for any candidate biomarker. These include test-retest reliability, sensitivity to relevant neurophysiology, cost-effectiveness, and scalability. Unfortunately, these issues have not been systematically addressed by biomarker development efforts that use common neuroimaging tools like magnetic resonance imaging (MRI) and electroencephalography (EEG). Here, the critical barriers that neuroimaging methods will need to overcome to achieve clinical relevance in the near to intermediate term are examined.

Observations: Reliability is often overlooked, which together with sensitivity to key aspects of neurophysiology and replicated predictive utility, favors EEG-based methods. The principal barrier for EEG has been the lack of large-scale data collection among multisite psychiatric consortia. By contrast, despite its high reliability, structural MRI has not demonstrated clinical utility in psychiatry, which may be due to its limited sensitivity to psychiatry-relevant neurophysiology. Given the prevalence of structural MRIs, establishment of a compelling clinical use case remains its principal barrier. By contrast, low reliability and difficulty in standardizing collection are the principal barriers for functional MRI, along with the need for demonstration that its superior spatial resolution over EEG and ability to directly image subcortical regions in fact provide unique clinical value. Often missing, moreover, is consideration of how these various scientific issues can be balanced against practical economic realities of psychiatric health care delivery today, for which embedding economic modeling into biomarker development efforts may help direct research efforts.

Conclusions and relevance: EEG seems most ripe for near- to intermediate-term clinical impact, especially considering its scalability and cost-effectiveness. Recent efforts to broaden its collection, as well as development of low-cost turnkey systems, suggest a promising pathway by which neuroimaging can impact clinical care. Continued MRI research focused on its key barriers may hold promise for longer-horizon utility.

重要性:推进精准精神病学,即根据个体的生物学特征而非单纯的临床表现进行治疗,需要关注任何候选生物标记物的几个关键属性。其中包括测试重复可靠性、对相关神经生理学的敏感性、成本效益和可扩展性。遗憾的是,使用磁共振成像(MRI)和脑电图(EEG)等常见神经成像工具的生物标记物开发工作尚未系统地解决这些问题。在此,我们将探讨神经成像方法需要克服的关键障碍,以便在近期到中期内实现临床相关性:可靠性经常被忽视,再加上对神经生理学关键方面的敏感性和可重复的预测效用,基于脑电图的方法更受青睐。脑电图的主要障碍是缺乏多地点精神病学联盟的大规模数据收集。相比之下,尽管结构磁共振成像具有很高的可靠性,但它在精神病学中并未显示出临床实用性,这可能是由于它对精神病学相关神经生理学的敏感性有限。鉴于结构磁共振成像的普遍性,建立一个令人信服的临床用例仍然是其主要障碍。相比之下,可靠性低和难以标准化采集是功能磁共振成像的主要障碍,同时还需要证明其优于脑电图的空间分辨率和直接成像皮层下区域的能力确实具有独特的临床价值。此外,如何平衡这些科学问题与当今精神科医疗保健服务的实际经济现实之间的关系往往是一个缺失,为此,在生物标记物开发工作中嵌入经济建模可能有助于指导研究工作:特别是考虑到脑电图的可扩展性和成本效益,脑电图对近期和中期临床影响的时机似乎最为成熟。最近为扩大其收集范围所做的努力以及低成本交钥匙系统的开发,都表明神经成像技术是影响临床治疗的一条大有可为的途径。针对其关键障碍继续开展核磁共振成像研究可能会带来更长远的应用前景。
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引用次数: 0
A Green Approach: Optimization of the UPLC Method Using DoE Software for Concurrent Quantification of Pioglitazone and Dapagliflozin in a SNEDDS Formulation for the Treatment of Diabetes. 绿色方法:使用DoE软件优化UPLC方法,以同时定量治疗糖尿病的SNEDDS制剂中的吡格列酮和达帕格列净。
IF 3.7 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-01 eCollection Date: 2024-11-12 DOI: 10.1021/acsomega.4c04927
Ehab M Elzayat, Abdelrahman Y Sherif, Mohamed W Attwa, Mohammad A Altamimi

Clinical trials revealed that pioglitazone (PGZ) and dapagliflozin (DGZ) not only maintain normal blood glucose levels but also reduce complications of diabetes mellitus. To meet the demand for simultaneous measurement of these drugs in fixed combinations, an optimized and green UPLC method is required. The present study utilized Design of Experiments (DoE) software to optimize analytical parameters for simultaneous drug analysis. The method was validated for its linearity, accuracy, and precision. Furthermore, the drug content was estimated in different pharmaceutical dosage forms. Finally, Analytical Greenness (AGREE) software was utilized to assess the environmental sustainability of the optimized UPLC method. Drugs were successfully separated using optimized conditions on the C18 Acquity BEH column (2.1 mm × 100 mm, 1.7 μm) at a temperature of 45 °C. The mobile phase consisted of ethanol and 9 mM ammonium formate buffer (43.7:56.3), with elution carried out at a flow rate of 0.246 mL/min. The optimized method showed excellent linearity (R 2 > 0.999), accuracy (92.45-109.25%), and good precision (RSD < 6.27%) for both drugs. In addition, the optimized UPLC method was able to determine the drug content within the marketed pharmaceutical dosage form accurately. The developed UPLC method also prioritized eco-friendliness by using green solvents to minimize the negative impact on the environment. The green UPLC method provides a reliable and accurate approach to estimate PGZ and DGZ in a fixed diabetes treatment combination. It promotes sustainable lab practices and paves the way for analytical methods for new dose combinations.

临床试验显示,吡格列酮 (PGZ) 和达帕格列净 (DGZ) 不仅能维持正常的血糖水平,还能减少糖尿病并发症。为了满足同时测定这两种药物固定组合的需求,需要一种优化的绿色超高效液相色谱法。本研究利用实验设计(DoE)软件优化了同步药物分析的分析参数。对该方法的线性、准确度和精密度进行了验证。此外,还估算了不同药物剂型中的药物含量。最后,利用分析绿色度(AGREE)软件对优化后的 UPLC 方法的环境可持续性进行了评估。在 45 °C 的温度下,使用优化条件在 C18 Acquity BEH 色谱柱(2.1 mm × 100 mm, 1.7 μm)上成功分离了药物。流动相为乙醇和 9 mM 甲酸铵缓冲液(43.7:56.3),洗脱流速为 0.246 mL/min。优化后的方法对两种药物均具有良好的线性关系(R 2 > 0.999)、准确度(92.45-109.25%)和精密度(RSD < 6.27%)。此外,优化后的超高效液相色谱法还能准确测定上市药物剂型中的药物含量。所开发的超高效液相色谱法还优先考虑了生态友好性,使用了绿色溶剂,以尽量减少对环境的负面影响。绿色超高效液相色谱法为估算固定糖尿病治疗组合中的 PGZ 和 DGZ 提供了一种可靠而准确的方法。它促进了可持续实验室实践,并为新剂量组合的分析方法铺平了道路。
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引用次数: 0
Influence of Microwave-Assisted Supercritical Carbon Dioxide Treatment on the Pore Structure of Low-Rank Coal. 微波辅助超临界二氧化碳处理对低阶煤孔隙结构的影响
IF 3.7 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-01 eCollection Date: 2024-11-12 DOI: 10.1021/acsomega.4c05701
Jun He, Bohao Wang, Gang Zhang

CO2 injection into coal seams not only enhances coalbed methane (CBM) extraction but also allows for CO2 sequestration. Microwave irradiation is considered to be an effective technology to enhance CBM extraction. In this paper, the effects of microwave irradiation and supercritical CO2 immersion on the pore structure of low-rank coals were investigated by scanning electron microscopy (SEM), mercury-in-pressure (MIP), low-temperature nitrogen adsorption (LTN2GA), and carbon dioxide isothermal adsorption/desorption (CO2IA/D) of coal samples. The results showed that the macropores and micropores of the coal samples were more developed after microwave irradiation. After carbon dioxide immersion, the coal samples showed huge fissures, and the meso- and micropores were reduced. In contrast, microwave-assisted carbon dioxide not only reduced the specific surface area in the meso- and microporous stages and decreased the adsorption sites of methane but also enhanced the pore connectivity in the macroporous stage instead of the appearance of huge fissures. This study illustrates the potential of microwave-assisted supercritical carbon dioxide for enhanced coalbed methane extraction and carbon dioxide sequestration.

向煤层注入二氧化碳不仅可以提高煤层气(CBM)抽采率,还可以实现二氧化碳封存。微波辐照被认为是提高煤层气抽采率的有效技术。本文通过扫描电子显微镜(SEM)、压汞(MIP)、低温氮吸附(LTN2GA)和煤样二氧化碳等温吸附/解吸(CO2IA/D)研究了微波辐照和超临界二氧化碳浸泡对低阶煤孔隙结构的影响。结果表明,微波辐照后煤样的大孔和微孔更加发达。二氧化碳浸泡后,煤样出现巨大裂缝,中孔和微孔减少。相比之下,微波辅助二氧化碳不仅降低了中孔和微孔阶段的比表面积,减少了甲烷的吸附位点,还增强了大孔阶段的孔隙连通性,而不是出现巨大裂缝。这项研究说明了微波辅助超临界二氧化碳在加强煤层气抽采和二氧化碳封存方面的潜力。
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引用次数: 0
Promising Proteolysis-Targeting Chimera for Mutant p53-R175H. 针对突变 p53-R175H 的前景看好的蛋白水解靶向嵌合体
IF 3.7 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-01 eCollection Date: 2024-11-12 DOI: 10.1021/acsomega.4c06177
Xinzhe Zhuang, Yidan Guo, Xiaozi Sun, Jie Chen, Songbo Xie, Fengtang Yang, Jingrui Li

The tumor suppressor protein p53 is among the most commonly mutated proteins across a variety of cancer types. Notably, the p53 R175H mutation ranks as one of the most prevalent hotspot mutations. Proteolysis-targeting chimeras (PROTACs) represent a class of bifunctional molecules capable of harnessing the cellular ubiquitin-proteasome pathway to facilitate targeted protein degradation. Despite the potential of PROTACs, limited research has been directed toward the degradation of the p53-R175H mutant protein. In this study, we developed a series of peptide-based PROTACs, leveraging known peptide ligands for both the p53-R175H mutation and the E3 ubiquitin ligase VHL. Our findings indicate that one of these peptide-based PROTACs is capable of directing the p53-R175H protein to the proteasome for degradation within a recombinant expression system. Moreover, by synthesizing a fusion peptide PROTAC molecule that incorporates a membrane-penetrating peptide, we have demonstrated its ability to traverse cellular membranes and subsequently reduce the levels of the p53-R175H mutant protein. Importantly, the degradation of p53-R175H was found to mitigate the cellular migration and invasion. In summary, our study introduces a novel class of protein degraders and establishes a foundational framework for the therapeutic management of cancers associated with p53 mutations.

肿瘤抑制蛋白 p53 是各种癌症类型中最常见的突变蛋白之一。值得注意的是,p53 R175H突变是最普遍的热点突变之一。蛋白水解靶向嵌合体(PROTACs)是一类双功能分子,能够利用细胞泛素-蛋白酶体途径促进靶向蛋白降解。尽管 PROTACs 潜力巨大,但针对 p53-R175H 突变体蛋白降解的研究却十分有限。在这项研究中,我们利用已知的 p53-R175H 突变和 E3 泛素连接酶 VHL 的多肽配体,开发了一系列基于多肽的 PROTACs。我们的研究结果表明,其中一种基于多肽的 PROTACs 能够在重组表达系统中将 p53-R175H 蛋白引导至蛋白酶体进行降解。此外,通过合成融合了膜穿透肽的融合肽 PROTAC 分子,我们证明了它穿越细胞膜并随后降低 p53-R175H 突变蛋白水平的能力。重要的是,p53-R175H 的降解可减轻细胞的迁移和侵袭。总之,我们的研究引入了一类新型蛋白质降解剂,为治疗与 p53 突变相关的癌症建立了一个基础框架。
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引用次数: 0
Racial Residential Segregation, Redlining, and Health. 种族住宅隔离、红线和健康。
IF 3.7 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-01 DOI: 10.1001/jamainternmed.2024.5011
Mary T Bassett
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引用次数: 0
Study of Hydrolysis Kinetics and Synthesis of Single Isomer of Phosphoramidate ProTide-Acyclovir. 水解动力学研究和磷酰胺丙肽-阿昔洛韦单一异构体的合成。
IF 3.7 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-01 eCollection Date: 2024-11-12 DOI: 10.1021/acsomega.4c06645
Thitiphong Khamkhenshorngphanuch, Pitchayathida Mee-Udorn, Maleeruk Utsintong, Chutima Thepparit, Nitipol Srimongkolpithak, Sewan Theeramunkong

Acyclovir (ACV) is a vital treatment for herpes simplex (HSV) and varicella-zoster virus (VZV) infections that inhibit viral DNA polymerase. Phosphoramidate ProTides-ACV, a promising technology, circumvents the reliance on thymidine kinase (TK) for activation. Twelve novel single isomers of phosphoramidate ProTide-ACV were synthesized. Successful isomer separation was achieved, emphasizing the importance of single isomers in medical advancements. The enzymatic hydrolysis kinetics of the synthesized compounds were investigated by using carboxypeptidase Y (CPY). The results revealed a faster conversion for the isomer Rp- than for the Sp-diastereomer. Hydrolysis experiments confirmed steric hindrance effects, particularly with the tert-butyl and isopropyl groups. Molecular modeling elucidated the mechanisms of hydrolysis, supporting the results of the experiments. This research sheds light on the potential of phosphoramidate ProTides-ACV, bridging the gap in understanding their biological and metabolic properties, while supporting future investigations into anti-HSV activity. Preliminary screening revealed that three of the four single isomers demonstrated superior antiviral efficacy against wild-type HSV-1 compared to acyclovir, with isomer 24a ultimately reducing the viral yield at 200 μM. These findings emphasize the importance of isolating racemic ACV-ProTides as pure single isomers for future drug development.

阿昔洛韦(ACV)是治疗单纯疱疹(HSV)和水痘-带状疱疹病毒(VZV)感染的重要药物,可抑制病毒 DNA 聚合酶。磷酰胺 ProTides-ACV 是一种前景广阔的技术,可避免依赖胸苷激酶 (TK) 激活。我们合成了 12 种新型磷酰胺 ProTide-ACV 单一异构体。成功实现了异构体分离,强调了单一异构体在医学进步中的重要性。使用羧肽酶 Y (CPY) 研究了合成化合物的酶水解动力学。结果表明,异构体 Rp- 的转化速度快于 Sp-非对映异构体。水解实验证实了立体阻碍效应,尤其是叔丁基和异丙基的立体阻碍效应。分子建模阐明了水解机制,支持了实验结果。这项研究揭示了磷酰胺类 ProTides-ACV 的潜力,弥补了人们在了解其生物和代谢特性方面的空白,同时为今后研究抗 HSV 活性提供了支持。初步筛选显示,与阿昔洛韦相比,四种单一异构体中有三种对野生型HSV-1具有更优越的抗病毒效果,其中异构体24a在200 μM时能最终降低病毒产量。这些发现强调了分离外消旋 ACV-ProTides 纯单异构体对未来药物开发的重要性。
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引用次数: 0
Off-On Photo- and Redox-Triggered Anion Transport Using an Indole-Based Hydrogen Bond Switch. 利用基于吲哚的氢键开关实现光电和氧化还原触发的阴离子离通传输
IF 3.7 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-01 eCollection Date: 2024-11-12 DOI: 10.1021/acsomega.4c07880
Manzoor Ahmad, Andrew Muir, Matthew J Langton

A stimulus-responsive indole-based hydrogen bonding switch is reported, which enables off-on activation of transmembrane ion transport in response to photo- and redox triggers. This is achieved by alkylation of an indole-based anionophore, preorganized through intramolecular hydrogen bonding, with o-nitrobenzyl and azobenzene cages. This renders the anionophore inactive through formation of a six-membered intramolecular hydrogen bonding interaction and locking of the anion binding protons. Decaging with biologically relevant light and redox stimuli leads to efficient activation of anion transport across lipid bilayer membranes by unlocking the hydrogen bond donors, such that they are now available for anion binding and transport.

报告中介绍了一种刺激响应型吲哚基氢键开关,它能在光和氧化还原触发器的作用下,实现跨膜离子转运的开关激活。这是通过邻硝基苄基和偶氮苯笼子对通过分子内氢键预组织的吲哚基阴离子团进行烷基化而实现的。通过形成六元分子内氢键相互作用和锁定阴离子结合质子,使阴离子团失去活性。在与生物相关的光和氧化还原刺激下进行解分级,可通过解除氢键供体的锁定,有效激活阴离子在脂质双分子层膜上的转运,从而使其可用于阴离子的结合和转运。
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引用次数: 0
Cybersecurity Lessons From the Change Healthcare Attack. 从 "医疗保健变革 "攻击中汲取的网络安全教训。
IF 22.5 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-01 DOI: 10.1001/jamainternmed.2024.3162
Hannah T Neprash, Christian Dameff, Jeffrey Tully
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引用次数: 0
Cytisinicline For E-Cigarette Cessation-Reply. 用于戒除电子烟的 Cytisinicline--回复。
IF 22.5 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-01 DOI: 10.1001/jamainternmed.2024.4415
Nancy A Rigotti, Neal L Benowitz, Cindy Jacobs
{"title":"Cytisinicline For E-Cigarette Cessation-Reply.","authors":"Nancy A Rigotti, Neal L Benowitz, Cindy Jacobs","doi":"10.1001/jamainternmed.2024.4415","DOIUrl":"10.1001/jamainternmed.2024.4415","url":null,"abstract":"","PeriodicalId":22,"journal":{"name":"ACS Omega","volume":" ","pages":"1393-1394"},"PeriodicalIF":22.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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