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Modeling of in vitro drug release from polymeric microparticle carriers 高分子微粒载体体外药物释放模拟
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.5937/arhfarm72-40229
Ljiljana Đekić, A. Ćirić
Incorporation of active substances in polymeric microparticles (microencapsulation) is an important technological strategy used in the pharmaceutical industry to improve the functionality, quality, safety and/or therapeutic efficiency of pharmaceutical preparations for different routes of administration. The current focus of research in this field is on the encapsulation of small molecules and macromolecules into microparticles based on biocompatible synthetic polymers and biopolymers, such as polypeptides and polysaccharides, in order to achieve preferable drug release kinetics and many other advantages. Diversity in the structure and size of microparticles, choice of polymers, and manufacturing processes, allows for designing a multitude of microcarriers (e.g., monolithic matrix microspheres, hollow microcapsules, water-or oil-core microcapsules, stimulus-sensitive microcapsules), whereby their impact on biopharmaceutical profile of drugs can be manipulated. The results so far indicate that the in vitro drug release kinetics evaluation is one of the key aspects of the microparticle-type carrier characterization, where the application of the mathematical analysis (modeling) of the drug release profiles is an important tool for elucidating drug release mechanisms, as well as for evaluating the influence and optimization of formulation and process parameters in the microencapsulation procedure. The article reviews representative studies in which mathematical modeling of experimentally obtained release data was performed for microencapsulated model drugs with different physicochemical properties, as well as the relevance and potential limitations of this approach.
将活性物质掺入聚合微颗粒(微胶囊)是制药工业中使用的一种重要技术策略,用于改善不同给药途径的药物制剂的功能、质量、安全性和/或治疗效率。目前该领域的研究重点是基于生物相容性合成聚合物和生物聚合物(如多肽和多糖)将小分子和大分子包裹成微粒,以获得良好的药物释放动力学和其他许多优点。微颗粒的结构和大小的多样性、聚合物的选择和制造工艺,允许设计大量的微载体(例如,单片基质微球、空心微胶囊、水或油芯微胶囊、刺激敏感微胶囊),从而可以操纵它们对药物的生物制药特性的影响。结果表明,体外药物释放动力学评价是微颗粒型载体表征的关键方面之一,其中药物释放谱的数学分析(建模)的应用是阐明药物释放机制的重要工具,也是评价微胶囊化过程中处方和工艺参数的影响和优化的重要工具。本文综述了对不同理化性质的微囊化模型药物实验获得的释放数据进行数学建模的代表性研究,以及该方法的相关性和潜在局限性。
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引用次数: 0
Molecular biomarkers in multiple sclerosis 多发性硬化症的分子生物标志物
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.5937/arhfarm72-36165
D. Michaličková, Öztürk Kübra, Debanjana Das, Bukhari Osama, O. Slanař
Multiple sclerosis (MS) is a highly heterogenous disease regarding radiological, pathological, and clinical characteristics and therapeutic response, including both the efficacy and safety profile of treatments. Accordingly, there is a high demand for biomarkers that sensitively and specifically apprehend the distinctive aspects of the MS heterogeneity, and that can aid in better understanding of the disease diagnosis, prognosis, prediction of the treatment response, and, finally, in the development of new treatments. Currently, clinical characteristics (e.g., relapse rate and disease progression) and magnetic resonance imaging play the most important role in the clinical classification of MS and assessment of its course. Molecular biomarkers (e.g., immunoglobulin G (IgG) oligoclonal bands, IgG index, anti-aquaporin-4 antibodies, neutralizing antibodies against interferon-beta and natalizumab, anti-varicella zoster virus and anti-John Cunningham (JC) virus antibodies) complement these markers excellently. This review provides an overview of exploratory, validated and clinically useful molecular biomarkers in MS which are used for prediction, diagnosis, disease activity and treatment response.
多发性硬化症(MS)是一种高度异质性的疾病,涉及放射学、病理、临床特征和治疗反应,包括治疗的有效性和安全性。因此,对生物标志物有很高的需求,这些生物标志物可以敏感和特异性地理解MS异质性的不同方面,并有助于更好地理解疾病诊断、预后、治疗反应的预测,并最终开发新的治疗方法。目前,临床特征(如复发率、病情进展)和磁共振成像在MS的临床分类和病程评估中起着最重要的作用。分子生物标志物(如免疫球蛋白G (IgG)寡克隆带、IgG指数、抗水通道蛋白-4抗体、抗干扰素- β和那他珠单抗的中和抗体、抗水痘带状疱疹病毒和抗约翰·坎宁安(JC)病毒抗体)很好地补充了这些标志物。本文综述了MS中用于预测、诊断、疾病活动性和治疗反应的探索性、验证性和临床有用的分子生物标志物。
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引用次数: 0
Phytotherapy of acute upper respiratory tract infections in children 儿童急性上呼吸道感染的植物疗法
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.5937/arhfarm72-37803
T. Kundaković, Z. Maksimović
Acute upper respiratory tract infections (URIs) are the most common infections in the population, especially in children. URIs are mostly of viral origin and tend to resolve spontaneously in approximately one week. Bacterial URIs are less common, and come mostly as superinfections of acute viral diseases. The therapy is symptomatic and aimed at alleviating cough, maintaining the patency of airways and preventing disease progression. If there are no reasons to see a doctor, parents should be advised to apply general measures and give herbal medicinal products to their children, in an attempt to relieve cough, sore throat and nasal symptoms. In productive cough, herbal expectorants, such as, for example, Hederae helicis folium extracts, are used to facilitate the elimination of mucus. On the other hand, demulcents (Althaeae radix, Plantaginis lanceolatae folium) alleviate dry cough by reducing local irritation. Honey also significantly reduces the frequency and severity of acute cough episodes. Extracts of Sisymbrii officinalis herba and Pelargonii radix are useful for the alleviation of nasal symptoms and sore throat. If the application of the proposed herbal products does not resolve the symptoms within a week, advice of a medical doctor should be sought.
急性上呼吸道感染(URIs)是人群中最常见的感染,尤其是儿童。uri大多是由病毒引起的,通常在大约一周内自行消退。细菌性尿路感染不太常见,主要是急性病毒性疾病的重复感染。治疗是对症的,旨在缓解咳嗽,保持气道通畅,防止疾病进展。如果没有理由去看医生,应建议家长采取一般措施,给孩子服用草药,试图缓解咳嗽、喉咙痛和鼻腔症状。在生产性咳嗽中,使用草药祛痰剂,例如,黄芪叶提取物,以促进粘液的消除。另一方面,镇痛药(杜鹃花、车前子、杉木叶)通过减轻局部刺激来缓解干咳。蜂蜜还能显著降低急性咳嗽发作的频率和严重程度。西茜草和天竺葵提取物对缓解鼻症状和喉咙痛有帮助。如果使用建议的草药产品在一周内不能解决症状,应寻求医生的建议。
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引用次数: 0
Exposure to mercury and thyroid function: Is there a connection? 接触汞和甲状腺功能:有联系吗?
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.5937/arhfarm72-40122
Đ. Marić, Vera Bonderović, D. Javorac, K. Baralić, Z. Bulat, Danijela Đukić-Ćosić, S. Mandić-Rajčević, M. Žarković, Aleksandra Buha-Đorđević
Mercury (Hg) is one of the most important environmental pollutants with endocrinedisrupting properties. There is little data from epidemiological studies describing the doseresponse relationship between toxic metal levels and hormone levels. The aim of this study was to use the nearest neighbor matching analysis to determine the difference in Hg concentration in healthy/sick subjects with thyroid disease and to use Benchmark modeling to determine the doseresponse relationship between Hg levels in the blood and thyroid-stimulating hormone (TSH) and thyroid hormones in serum. Blood samples were collected and used for Hg measurement using the ICP-MS method, and separated serum was used for hormone analysis. The study showed the existence of a statistically significant difference in Hg levels measured in healthy and sick subjects and the existence of a dose-response relationship between Hg and all measured hormones, with a narrow interval obtained for the Hg-TSH pair. The results of this research support the use of the Benchmark dose approach for the purpose of analyzing data from human studies, and our further research will be focused on examining the impact of low doses on animal models in order to determine more precise effects of low doses on the organism.
汞(Hg)是具有内分泌干扰特性的重要环境污染物之一。很少有流行病学研究的数据描述有毒金属水平和激素水平之间的剂量反应关系。本研究的目的是使用最近邻匹配分析来确定健康/患病甲状腺疾病受试者的汞浓度差异,并使用基准模型来确定血液中汞水平与血清中促甲状腺激素(TSH)和甲状腺激素之间的剂量反应关系。采集血样,采用ICP-MS法测定汞含量,分离血清用于激素分析。研究表明,健康受试者和患病受试者的汞水平测量存在统计学上的显著差异,汞与所有测量的激素之间存在剂量-反应关系,Hg- tsh对的间隔较窄。这项研究的结果支持使用基准剂量法来分析人体研究的数据,我们进一步的研究将集中在检查低剂量对动物模型的影响,以便更精确地确定低剂量对生物体的影响。
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引用次数: 3
Oxidative stress and obesity 氧化应激与肥胖
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.5937/arhfarm72-36123
M. Malenica, N. Meseldžić
Obesity is a disease of excessive accumulation of adipose tissue due to an increased energy intake which is disproportionate to the energy expenditure in the body. The visceral adipose tissue in the obese accumulated in that way increases the risk of developing a number of metabolic and cardiovascular diseases. Disorders such as diabetes, dyslipidemia, inflammation, endothelial dysfunction and mitochondria can contribute to the development of oxidative stress, which is especially pronounced in the abdominal type of obesity. Obesity can induce systemic oxidative stress through a variety of biochemical mechanisms. Although ROS is generated in a large number of cells, mitochondria play a significant role in their intracellular production through the process of oxidative phosphorylation of the respiratory chain, and in fatty acid oxidation reactions. Oxidative stress is a unique link between the various molecular disorders present in the development of insulin resistance that plays a key role in the pathogenesis and progression of chronic metabolic, proinflammatory diseases. The progression of insulin resistance is also affected by inflammation. Both of these can be the cause and the consequence of obesity. The synthesis of the inflammatory mediators is induced by oxidative stress, thus bringing the inflammation and the oxidative stress into a very significant relation. This review aims to highlight recent findings on the role of oxidative stress in the pathogenesis of obesity, with special reference to the mechanisms that explain its occurrence.
肥胖是一种脂肪组织过度积累的疾病,这是由于能量摄入的增加与体内能量消耗不成比例造成的。以这种方式积累的肥胖者内脏脂肪组织增加了患多种代谢和心血管疾病的风险。糖尿病、血脂异常、炎症、内皮功能障碍和线粒体等疾病都可能导致氧化应激的产生,这在腹部型肥胖中尤为明显。肥胖可通过多种生化机制诱导全身氧化应激。虽然ROS在大量细胞中产生,但线粒体通过呼吸链的氧化磷酸化过程和脂肪酸氧化反应在细胞内产生ROS中发挥重要作用。氧化应激是胰岛素抵抗发展过程中存在的各种分子失调之间的独特联系,在慢性代谢性促炎疾病的发病和进展中起着关键作用。胰岛素抵抗的进展也受炎症的影响。这两者都可能是肥胖的原因和后果。氧化应激诱导炎症介质的合成,从而使炎症与氧化应激形成非常显著的关系。本文综述了氧化应激在肥胖发病机制中的作用,并特别介绍了其发生的机制。
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引用次数: 0
Pediatric pharmacokinetic considerations and implications for drug dosing 儿童药代动力学的考虑和药物剂量的影响
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.5937/arhfarm72-37605
Marija Jovanović, K. Vučićević
Optimizing the dosing of medicines for pediatric patients in routine clinical practice and determining the dose for clinical trials is still a challenging task. Children differ from adults in their response to drugs due to inherent differences in pharmacokinetics and/or pharmacodynamics, and responses may also vary among pediatric patients of different ages. However, the greatest disparities compared to adult pharmacokinetic profiles are observed in children below 2 years of age. The maturation of the liver and the kidneys, as well as the variation in body composition, are considered to be the main sources of pharmacokinetic variability. Hence, besides specific pharmacodynamic features, understanding age-related changes in drug absorption, distribution, and elimination is fundamental for optimizing drug efficacy and avoiding toxicity. This paper summarizes the pharmacokinetic changes throughout the childhood, along with the effect of developmental changes on drug dosage calculation. In clinical practice, age and body weight-based dosing regimens are usually used. In spite of dosing recommendations based on age and/or body weight, variabilities in pharmacokinetics and pharmacodynamic response remain, implying a need to monitor patients and optimize the dosing regimen according to physiological characteristics, disease characteristics and therapy.
在常规临床实践中优化儿科患者的用药剂量并确定临床试验的用药剂量仍然是一项具有挑战性的任务。由于药代动力学和/或药效学的内在差异,儿童对药物的反应与成人不同,不同年龄的儿科患者对药物的反应也可能不同。然而,与成人相比,最大的差异是在2岁以下的儿童中观察到的。肝脏和肾脏的成熟,以及身体成分的变化,被认为是药代动力学变异性的主要来源。因此,除了特定的药效学特征外,了解与年龄相关的药物吸收、分布和消除变化是优化药物疗效和避免毒性的基础。本文综述了整个儿童期的药代动力学变化,以及发育变化对药物剂量计算的影响。在临床实践中,通常采用以年龄和体重为基础的给药方案。尽管剂量建议基于年龄和/或体重,但药代动力学和药效学反应的可变性仍然存在,这意味着需要根据生理特征、疾病特征和治疗来监测患者并优化给药方案。
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引用次数: 0
Treatment-resistant hypertension 难治性高血压
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.5937/arhfarm72-34248
Maja Milosevic, P. Otasevic
Treatment-resistant hypertension is one of the most significant causes of poor blood pressure regulation. Patients with resistant hypertension are at a higher risk of developing comorbidities compared to the general hypertensive population. As a result, these patients have an increased incidence of disability and premature death, as well as increased treatment costs. Due to the above-mentioned, in the last decade, there has been an increase in researchers' interest in elucidating the pathogenesis, diagnosis, and treatment of resistant hypertension. However, recent data indicate that 20% of female and 24% of male patients with arterial hypertension still have uncontrolled blood pressure, despite maximum doses of three antihypertensive drugs (including a diuretic) and appropriate lifestyle measures. New treatment modalities (i.e. devicebased interventions - catheter-based renal denervation and baroreceptor stimulation) offer hope for achieving adequate blood pressure regulation in these patients. In this paper, we have summarized previous knowledge about the mechanisms underlying the pathogenesis of resistant hypertension, as well as optimal diagnostic methods to differentiate true from pseudo-resistant hypertension. We have also given an overview of the current therapeutic approach, including optimal medical therapy and new treatment modalities (i.e. device-based interventions) and their role in the treatment of resistant hypertension.
难治性高血压是导致血压调节不良的最重要原因之一。与一般高血压人群相比,顽固性高血压患者发生合并症的风险更高。因此,这些患者残疾和过早死亡的发生率增加,治疗费用也增加。由于上述原因,在过去的十年中,研究人员对阐明顽固性高血压的发病机制、诊断和治疗越来越感兴趣。然而,最近的数据表明,尽管服用了三种降压药(包括利尿剂)的最大剂量和适当的生活方式措施,20%的女性和24%的男性动脉高血压患者的血压仍未得到控制。新的治疗方式(即基于器械的干预-基于导管的肾去神经支配和压力感受器刺激)为这些患者实现适当的血压调节提供了希望。本文就顽固性高血压的发病机制以及鉴别真假顽固性高血压的最佳诊断方法作一综述。我们还概述了目前的治疗方法,包括最佳药物治疗和新的治疗方式(即基于设备的干预)及其在治疗顽固性高血压中的作用。
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引用次数: 0
Clinical pharmacology of thyroid and antithyroid drugs 甲状腺及抗甲状腺药物的临床药理学
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.5937/arhfarm72-40086
R. Stepanović-Petrović, M. Tomić
Autoimmune diseases accompanied by the development of hypothyroidism (Hashimoto's thyroiditis) and hyperthyroidism (Graves' disease) are one of the most common disorders of the thyroid gland. Hypothyroidism is a clinical syndrome that occurs as a result of thyroid hormone deficiency. Hyperthyroidism is excessive activity of the thyroid gland accompanied by hypersecretion of thyroid hormones. In simple terms, to achieve a euthyroid state in both clinical syndromes, two drugs are (most commonly) used - levothyroxine (hypothyroidism) and thioamide (hyperthyroidism). While it may seem simple, during the treatment, which is life-long in the case of hypothyroidism, patients should actually be carefully monitored, with the adjustment of the drug dose and the inclusion of other drugs for the treatment of comorbidities.
自身免疫性疾病伴发甲状腺功能减退(桥本甲状腺炎)和甲状腺功能亢进(格雷夫斯病)是甲状腺最常见的疾病之一。甲状腺功能减退症是由于甲状腺激素缺乏引起的一种临床综合征。甲状腺机能亢进是指甲状腺活动过度并伴有甲状腺激素分泌过多。简单来说,为了在两种临床综合征中达到甲状腺功能正常状态,(最常用的)使用两种药物——左甲状腺素(甲状腺功能减退)和硫胺(甲状腺功能亢进)。虽然这看起来很简单,但在治疗过程中,对于甲状腺功能减退症来说,治疗是终身的,实际上应该仔细监测患者,调整药物剂量,并纳入其他药物治疗合并症。
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引用次数: 0
Data mining techniques applied in the analysis of historical data 数据挖掘技术在历史数据分析中的应用
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.5937/arhfarm72-41368
J. Kovacevic, Aleksandar Kovačević, Tijana Miletić, Jelena Đuriš, S. Ibrić
Understanding the effect of the characteristics of formulation and process parameters on the physicochemical properties of a pharmaceutical product is very significant for the development of solid dosage forms, as the knowledge gained on small scale batches in the early phase of development is used in the later phases of product lifecycle or in the development of other products. One of the approaches for gaining a better understanding of the effects of the formulation and production process on the quality of the finished product is to apply a systematical approach which concerns performing experiments according to a predefined factorial or fractional factorial experimental plan. However, often it is the case that there are available data gathered in a non-systematic way, because experiments were not performed according to a predetermined experimental plan. In such a case, data mining techniques could be used to extract useful data from the historical data set. In this research, the possibility of using several data mining techniques to build models that describe the effect of formulation characteristics on acid resistance and dissolution profile of a model drug from gastro-resistant pellets. The model drug used in the research is duloxetine hydrochloride from the group of antidepressants. It belongs to the BCS 2 class of active pharmaceutical ingredients, and it is therefore necessary for the release profile of duloxetine to be characterized by a higher number of tested time points. The developed models can be used for planning future laboratory trials, or in the development of other products.
了解制剂特性和工艺参数对药品物理化学性质的影响对于固体剂型的开发非常重要,因为在开发早期小批量获得的知识将用于产品生命周期的后期阶段或其他产品的开发。为了更好地了解配方和生产过程对成品质量的影响,方法之一是应用系统方法,该方法涉及根据预先确定的阶乘或分数阶乘实验计划进行实验。然而,由于实验不是按照预先确定的实验计划进行的,因此经常出现以非系统的方式收集可用数据的情况。在这种情况下,可以使用数据挖掘技术从历史数据集中提取有用的数据。在这项研究中,使用几种数据挖掘技术来建立模型的可能性,这些模型描述了配方特征对胃耐药颗粒模型药物的耐酸性和溶解谱的影响。研究中使用的模型药物是抗抑郁药组中的盐酸度洛西汀。它属于BCS 2类活性药物成分,因此有必要用更多的测试时间点来表征度洛西汀的释放谱。开发的模型可用于规划未来的实验室试验,或用于开发其他产品。
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引用次数: 1
How to choose an appropriate drug dosage form for the treatment of respiratory infections in children: Facts and tips 如何选择合适的药物剂型治疗儿童呼吸道感染:事实和提示
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.5937/arhfarm72-37643
S. Cvijić, D. Mirković, D. Krajišnik
The treatment of respiratory infections in children requires special attention, since the paediatric population has rather specific characteristics and consists of heterogenous subgroups. In this context, the choice of a suitable drug dosage form is of particular importance, depending on the active substance properties, along with the age and general condition of a paediatric patient. The most commonly used pharmaceutical products for respiratory infections in children include oral, parenteral and inhalation dosage forms, although a large number of drugs are not available in a suitable dosage form and/or strength for paediatric age, leading to the frequent use of unauthorized drugs (i.e., unlicensed use). Other important issues that should be considered when choosing the appropriate paediatric dosage form and/or compounding procedure are related to the careful considerations of the pharmaceutical product composition (safety of excipients) and the choice of administration/dosing device in relation to a child's age. This paper provides an overview of paediatric dosage forms used in the treatment of respiratory infections in children, their benefits and limitations. The review includes examples of various pharmaceutical products, along with the considerations regarding administration/dosing devices. Specific characteristics of paediatric populations affecting the decision on the choice of age-appropriate paediatric formulation are also addressed.
儿童呼吸道感染的治疗需要特别注意,因为儿科人口具有相当特殊的特点,并且由异质性亚群组成。在这种情况下,选择合适的药物剂型是特别重要的,这取决于活性物质的性质,以及儿童患者的年龄和一般情况。治疗儿童呼吸道感染最常用的药品包括口服、肠外和吸入剂型,尽管大量药物没有适合儿科年龄的剂型和/或剂量,导致经常使用未经授权的药物(即未经许可的使用)。在选择合适的儿科剂型和/或配制程序时应考虑的其他重要问题与药品成分(辅料的安全性)的仔细考虑以及与儿童年龄相关的给药/给药装置的选择有关。本文概述了用于治疗儿童呼吸道感染的儿科剂型,其益处和局限性。审查包括各种药品的示例,以及有关给药/给药装置的考虑。还讨论了影响选择适合年龄的儿科配方决定的儿科人口的具体特征。
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引用次数: 0
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Arhiv za Farmaciju
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