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Is measuring oxidative stress, inflammation and tissue damage induced by intravenous iron in a non-clinical model relevant to clinical practice? 在非临床模型中测量由静脉注射铁引起的氧化应激、炎症和组织损伤是否与临床实践相关?
Pub Date : 2012-09-01 Epub Date: 2012-07-19 DOI: 10.1055/s-0032-1321829
F Locatelli
Correspondence F. Locatelli Department of Nephrology, Dialysis and Renal Transplant Alessandro Manzoni Hospital Via dell’Eremo 9/11 23900 Lecco Italy Tel.: + 39/0341/489 850 Fax: + 39/0341/489 860 f.locatelli@ospedale.lecco.it
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引用次数: 0
Systemic bioavailability of estriol following single and repeated vaginal administration of 0.03 mg estriol containing pessaries. 雌三醇的全身生物利用度单次和多次阴道给药0.03毫克雌三醇含子宫托。
Pub Date : 2012-08-01 Epub Date: 2012-06-12 DOI: 10.1055/s-0032-1314822
K J Buhling, U Eydeler, S Borregaard, R Schlegelmilch, M Suesskind

Unlabelled: A prospective monocentric open-label and single-arm trial was performed in 19 postmenopausal women with diagnosed vaginal atrophy. The aim was to determine the extent of a systemic exposure to estriol (CAS 50-27-1). Administration of estriol containing pessaries was daily for 21 days. In order to establish a pharmacokinetic profile after single as well as multiple vaginal doses of 0.03 mg estriol blood samples were taken after the first vaginal administration as well as at day 21 after the last administration. Moreover, in order to control for accumulation additional blood samples were taken predose at days 6, 11 and 16.

Results: The initial administration increased the population mean estriol plasma concentration to a maximum of 42.1 pg/ml 1 h after dosing. However, already 12 h after administration the estriol concentration had again dropped below 5 pg/ml (lower limit of quantification) in all patients. Repeated administration did not result in an accumulation of estriol, since 2 h after application of the 21st pessary, the population mean estriol concentration reached a maximum of only 11.9 pg/ml. Moreover, no severe or serious adverse events occurred, and no clinically relevant findings were reported.

Conclusion: Single vaginal application of pessaries containing 0.03 mg estriol resulted in a very low systemic bioavailability, which decreased even more after multiple dosing confirming a favourable safety profile of low dose pessaries administered daily over 21 days.

未标记:在19名诊断为阴道萎缩的绝经后妇女中进行了一项前瞻性单中心开放标签单臂试验。目的是确定全身暴露于雌三醇的程度(CAS 50-27-1)。雌三醇含子宫托每日给药21 d。为了建立单次和多次阴道给药0.03 mg雌三醇后的药代动力学特征,在第一次阴道给药后和最后一次给药后第21天采集血液样本。此外,为了控制积聚,在给药前第6、11和16天额外采集血样。结果:初给药后1 h,小鼠平均雌三醇血药浓度最高达42.1 pg/ml。然而,在给药12小时后,所有患者的雌三醇浓度再次降至5pg /ml(定量下限)以下。重复给药不会导致雌三醇的积累,因为在第21次给药2小时后,人群平均雌三醇浓度达到最大值,仅为11.9 pg/ml。无严重不良事件发生,无临床相关发现报道。结论:单次阴道应用含有0.03 mg雌三醇的子宫托导致非常低的全身生物利用度,多次给药后进一步降低,证实了每天给药低剂量子宫托的良好安全性超过21天。
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引用次数: 20
Synthesis and cytotoxic activity of novel 3-methyl-1-[(4-substitutedpiperazin-1-yl)methyl]-1H-indole derivatives. 新型3-甲基-1-[(4-取代哌嗪-1-酰基)甲基]- 1h -吲哚衍生物的合成及其细胞毒活性。
Pub Date : 2012-08-01 Epub Date: 2012-06-29 DOI: 10.1055/s-0032-1314868
M Koksal, M Yarim, I Durmaz, R Cetin-Atalay

A series of novel 3-methyl-1-[(4-substitutedpiperazin-1-yl)methyl]-1H-indoles (3a-l) were synthesized and their cytotoxicities were analyzed against 3 different human cell lines, including liver (HUH7), breast (MCF7) and colon (HCT116). The Mannich reaction of 3-methylindole (1) with 4-substitutedpiperazines (2) and formaldehyde resulted to the 3-methyl-1-[(4-substitutedpiperazin-1-yl)methyl]-1H-indoles (3a-l) in 38-69% yields. The investigation of anticancer screening revealed that the tested compounds showed comparable activity to the reference drug 5-fluorouracil and compounds 3g, 3h, 3i and 3k, had lower 50% inhibition (IC50) concentration than reference drug. Moreover, the cytotoxic effect of the most potent compound 3h on HUH7 and MCF7 cells through apoptosis was visualized by Hoechst staining and compared with paclitaxel, which is a mitotic inhibitor acting on microtubules. The morphological features of apoptosis were observed as condensed and fragmented nuclei that are similar to paclitaxel.

合成了一系列新的3-甲基-1-[(4-取代哌嗪-1-酰基)甲基]- 1h -吲哚(3a-l),并对3种不同的人类细胞系,包括肝(HUH7)、乳腺(MCF7)和结肠(HCT116)进行了细胞毒性分析。3-甲基吲哚(1)与4-取代哌嗪(2)和甲醛进行Mannich反应,得到3-甲基-1-[(4-取代哌嗪-1-酰基)甲基]- 1h -吲哚(3 - a- 1),产率为38 ~ 69%。抗癌筛选研究表明,化合物的活性与对照药物5-氟尿嘧啶相当,化合物3g、3h、3i和3k的IC50浓度比对照药物低50%。此外,通过Hoechst染色观察最有效的化合物3h通过凋亡对HUH7和MCF7细胞的细胞毒作用,并与作用于微管的有丝分裂抑制剂紫杉醇进行比较。细胞凋亡的形态学特征为细胞核浓缩和碎片化,与紫杉醇相似。
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引用次数: 1
Synthesis and studies on the anticonvulsant activity of 5-alkoxy-[1,2,4]triazolo[4,3-a]pyridine derivatives. 5-烷氧基-[1,2,4]三唑[4,3-a]吡啶衍生物的合成及抗惊厥活性研究。
Pub Date : 2012-08-01 Epub Date: 2012-07-10 DOI: 10.1055/s-0032-1314821
L-P Guan, R-P Zhang, Y Sun, Y Chang, X Sui

In this study, a series of new 5-alkoxy-[1,2,4]triazolo[4,3-a]pyridine derivatives was synthesized and their anticonvulsant activity and neurotoxicity was evaluated with the maximal electroshock and rotarod tests, respectively. The most promising compounds, 3p (5-(4-chlorophenoxy)-[1,2,4]triazolo[4,3-a]pyridine) and 3r (5-(4-bromophenoxy)-[1,2,4]triazolo[4,3-a]pyridine), showed a median effective dose of 13.2 and 15.8 mg/kg and had a protective index value of 4.8 and 6.9, respectively. For exploring the putative mechanism of action, compounds 3n, 3p and 3r were tested in chemically induced models.

本研究合成了一系列新的5-烷氧基-[1,2,4]三唑[4,3-a]吡啶衍生物,并分别用最大电击试验和轮棒试验评价了它们的抗惊厥活性和神经毒性。最有希望的化合物3p(5-(4-氯苯氧基)-[1,2,4]三唑[4,3-a]吡啶)和3r(5-(4-溴苯氧基)-[1,2,4]三唑[4,3-a]吡啶)的中位有效剂量分别为13.2和15.8 mg/kg,保护指数分别为4.8和6.9。为了探索可能的作用机制,化合物3n, 3p和3r在化学诱导模型中进行了测试。
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引用次数: 16
Pain amelioration in patients with neuropathic pain: an emerging role of lacosamide besides its role as an anti epileptic agent. 神经性疼痛患者的疼痛改善:拉科沙胺在抗癫痫药物作用之外的新作用。
Pub Date : 2012-08-01 Epub Date: 2012-07-06 DOI: 10.1055/s-0032-1316375
S Kapoor
I read with great interest the recent article by Shah et al. [ 1 ] Interestingly, the past few years have seen the emergence of lacosamide as a novel new agent in the management of neuropathy associated pain besides its role in managing seizures. For instance, lacosamide is eff ective in ameliorating pain secondary to neuropathies induced by chemotherapeutic agents such as vincristine [ 2 ]. Lacosamide at a daily dose of 400 milligrams is also eff ective in decreasing pain associated with diabetic neuropathy [ 3 ]. Lacosamide is also eff ective in the treatment of pain associated with trigeminal neuralgias [ 4 ]. Lacosamide induces these antinociceptive eff ects by accentuating the slow inactivation of voltage gated sodium channels in neurons [ 5 ]. In fact, recent studies show that lacosamide appears to be more eff ective in ameliorating neuropathic pain in comparison to agents such as pregabalin. Besides this, lacosamide has also been shown to attenuate hyperalgesia in patients with pain syndromes such as Dejerine-Roussy syndrome [ 6 ]. Lacosamide also attenuates osteoarthritis associated pain [ 7 ]. Interestingly, lacosamide seems to be more eff ective in ameliorating pain in female animal models in comparison to male animal models [ 3 ]. Intravenous lacosamide is a faster alternative for pain relief in comparison to oral lacosamide [ 6 ]. Side eff ects associated with locasamide are relatively few. In fact, Wymer et al. in a recent study reported that only 8 % of patients administered locasamide for neuropathic pain abandoned the study due to side aff ects of the drug [ 8 ]. Clearly, further studies are needed to confi rm these analgesic eff ects of lacosamide. The coming few years may very well see the emergence of lacosamide as a potent agent for control of neuropathic pain besides its role in controlling seizures.
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引用次数: 1
Paracetamol (acetaminophen) - a popular and widely used nonopioid analgesic. 扑热息痛(对乙酰氨基酚)-一种广泛使用的非阿片类镇痛药。
Pub Date : 2012-08-01 DOI: 10.1055/s-0032-1321785
U Klotz

For several decades paracetamol has proven its clinical efficacy and safety in the treatment of various acute and chronic pain states. Whereas its pharmacokinetic properties (high oral bioavailability, good penetration into the brain, relative rapid hepatic elimination) are well known, its exact central mode of action remains to be elucidated. According to many international guidelines/recommendations paracetamol is a drug of first choice for relieving mild to moderate pain. It has been successfully combined with opioids for severe pain. Due to its cardiovascular, renal and gastrointestinal safety paracetamol offers several advantages vs. NSAIDs. It should be realized that the maximum daily dose is restricted to 4 g to avoid unnecessary hepatic complications. Keeping this limitation in mind paracetamol still represents a valuable first-line agent in the pharmacological management of pain.

几十年来,扑热息痛在治疗各种急慢性疼痛状态方面的临床疗效和安全性得到了证明。尽管其药代动力学特性(高口服生物利用度,良好的脑渗透性,相对快速的肝脏消除)是众所周知的,但其确切的主要作用方式仍有待阐明。根据许多国际指南/建议,扑热息痛是缓解轻度至中度疼痛的首选药物。它已经成功地与阿片类药物联合用于治疗严重疼痛。由于对心血管、肾脏和胃肠道安全,扑热息痛与非甾体抗炎药相比有几个优势。应该认识到,最大每日剂量限制在4克,以避免不必要的肝脏并发症。考虑到这一局限性,扑热息痛仍然是疼痛药理学治疗中有价值的一线药物。
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引用次数: 39
Synthesis and anti-proliferative activity of substituted-anilinoquinazolines and its relation to EGFR inhibition. 取代苯胺类喹唑啉的合成、抗增殖活性及其与EGFR抑制的关系。
Pub Date : 2012-08-01 Epub Date: 2012-06-21 DOI: 10.1055/s-0032-1312601
D A A El Ella, K A Saleh, M Hassan, N Hamdy, M E El-Araby, K A M Abouzid

4-Anilinoquinazoline is a privileged scaffold in developing small molecule inhibitors of tyrosine kinases (TK) especially epidermal growth factor receptor (EGFR). 2 series belonging to 3'-substituted-4-anilinoquinazoline scaffold were synthesized and screened in vitro on isolated and a breast cancer cell line. The research aims at exploring the activity of compounds having diverse substituents at 3' position of the aniline moiety. Generally, the meta-substituted-anilinoquinazolines exhibited significant inhibitory activity against isolated enzyme as well as MCF-7 cancer cell line. For instance, compound 10b inhibited >99% of EGFR activities at 10 µM concentration. 6 of the tested compounds exhibited range of anti-proliferative activity below 10 µM potency. In particular, compounds 6e and 10b displayed the highest activity among the tested compounds with IC50 values equal to 8.6 and 4.84 µM, respectively. Structure-based tools were utilized to rationalize EGFR-TK binding of compound 10b since it is the most active compound in the enzyme inhibition test.

4-苯胺喹啉是开发酪氨酸激酶(TK)尤其是表皮生长因子受体(EGFR)小分子抑制剂的理想支架。合成了2个系列的3′-取代-4-苯胺喹啉支架,并在分离的乳腺癌细胞系和体外筛选。本研究旨在探讨苯胺部分3′位置具有不同取代基的化合物的活性。一般来说,间位取代苯胺喹唑啉对分离酶和MCF-7癌细胞具有显著的抑制活性。例如,化合物10b在10µM浓度下抑制了>99%的EGFR活性。6个化合物的抗增殖活性范围小于10µM效价。其中化合物6e和10b活性最高,IC50值分别为8.6和4.84µM。由于化合物10b是酶抑制试验中活性最高的化合物,我们利用基于结构的工具来合理化化合物10b与EGFR-TK的结合。
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引用次数: 1
Effect of piperine on antihyperglycemic activity and pharmacokinetic profile of nateglinide. 胡椒碱对那格列奈抗高血糖活性及药代动力学的影响。
Pub Date : 2012-08-01 Epub Date: 2012-06-29 DOI: 10.1055/s-0032-1314849
V Sama, M Nadipelli, P Yenumula, M R Bommineni, R Mullangi

Piperine (CAS no: 94-62-2), an alkaloid obtained from Piper nigrum and P. longum is a known inhibitor of various enzymes (CYP isozymes) responsible for biotransformation of drugs. By inhibiting the metabolism of drugs, piperine improves the bioavailability of drugs. In the present study piperine (10 mg/kg) significantly increased the dose-dependent anti-hyperglycemic activity of nateglinide (CAS no: 105816-04-4) as evaluated by glucose challenged and alloxan-induced diabetic models, when it was administered with nateglinide. Nateglinide plasma concentrations were also increased, when administered with piperine. The synergistic anti-hyperglycemic activity of nateglinide when administered with piperine can be attributed to increased plasma concentration of nateglinide. The results of this study demonstrate that piperine could be used as a potential bioenhancer along with nateglinide.

胡椒碱(CAS no: 94-62-2)是一种从胡椒和长叶胡椒中提取的生物碱,是一种已知的多种酶(CYP同工酶)的抑制剂,负责药物的生物转化。胡椒碱通过抑制药物的代谢,提高药物的生物利用度。在本研究中,当胡椒碱(10 mg/kg)与那格列奈一起使用时,通过葡萄糖激发和四氧嘧啶诱导的糖尿病模型评估,胡椒碱(105816-04-4)显著增加那格列奈(CAS no: 105816-04-4)的剂量依赖性降糖活性。当与胡椒碱一起使用时,那格列奈的血浆浓度也增加。当与胡椒碱一起给药时,那格列奈的协同抗高血糖活性可归因于那格列奈血浆浓度的增加。本研究结果表明,胡椒碱可与那格列奈一起作为潜在的生物增强剂使用。
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引用次数: 21
Bioequivalence of acenocoumarol in chilean volunteers: an open, randomized, double-blind, single-dose, 2-period, and 2-sequence crossover study for 2 oral formulations. 阿塞诺香豆素在智利志愿者中的生物等效性:一项开放、随机、双盲、单剂量、2期、2序列的2种口服制剂交叉研究。
Pub Date : 2012-08-01 Epub Date: 2012-07-06 DOI: 10.1055/s-0032-1316290
J Sasso, P Carmona, L Quiñones, M Ortiz, E Tamayo, N Varela, D Cáceres, I Saavedra

The aim of this study was to compare the bioavailability of an oral formulation of the coumarin derivative-vitamine K antagonist acenocoumarol (Acebron™ 4 mg, Test) with the reference formulation (Neo-Sintrom™ 4 mg). We performed a single-dose, double-blind, fasting, 2-period, 2-sequence, crossover study design. Plasma concentrations of acenocoumarol were determined using a validated UPLC-MS/MS method. 24 healthy Chilean volunteers (11 male, 13 female) were enrolled and all of them completed the study. Adverse events were monitored throughout the study. The values of the pharmacokinetic parameters were (mean ± SD): AUC0-24 =1 364.38±499.26 ngxh/mL for the test and 1 328.39±429.20 ngxh/mL for the reference; AUC0-∞ =1 786.00±732.85 ngxh/mL for the test and 1 706.71±599.66 ngxh/mL for the reference; Cmax =180.69±35.11 ng/mL with a Tmax of 1.83±0.95 h for the test and 186.97±38.21 ng/mL with a Tmax of 2.19±0.83 h for the reference. Regarding half life measurements, the mean ± SD of t1/2 were 11.84±4.54 h for the test and 11.08±3.28 h for the reference. The 90% confidence intervals for the test/reference ratio using logarithmic transformed data were 97.89-100.87%, 98.62-101.99% and 98.64-102.38% for Cmax, AUC0-t(24) and AUC0-∞. There were no significant differences in pharmacokinetic parameters between groups.The results obtained in this study lead us to conclude, based on FDA criteria, that the test acenocoumarol formulation (Acebron™, 4 mg tablets) is bioequivalent to the reference product (Neo-Sintrom™, 4 mg tablets).

本研究的目的是比较香豆素衍生物维生素K拮抗剂阿塞诺香豆醇(Acebron™4mg, Test)与参比制剂(Neo-Sintrom™4mg)口服制剂的生物利用度。我们采用单剂量、双盲、禁食、2期、2序列、交叉研究设计。采用经验证的UPLC-MS/MS法测定阿塞诺古豆醇的血药浓度。24名健康的智利志愿者(11名男性,13名女性)被招募,他们都完成了研究。在整个研究过程中监测不良事件。药代动力学参数值为(mean±SD): AUC0-24 =1 364.38±499.26 ngxh/mL,对照为1 328.39±429.20 ngxh/mL;AUC0-∞=1 786.00±732.85 ngxh/mL为被试,1 706.71±599.66 ngxh/mL为参比;Cmax =180.69±35.11 ng/mL,试验组Tmax为1.83±0.95 h;参比组Cmax为186.97±38.21 ng/mL, Tmax为2.19±0.83 h。对于半衰期测量,t1/2的平均值±SD为11.84±4.54 h,试验组为11.08±3.28 h,参考组为11.08±3.28 h。对数变换数据的检验/参考比的90%置信区间分别为97.89-100.87%、98.62-101.99%和98.64-102.38%,Cmax、AUC0-t(24)和AUC0-∞。各组药代动力学参数差异无统计学意义。本研究的结果使我们得出结论,根据FDA的标准,试验阿塞诺古玛罗制剂(Acebron™,4mg片)与参比产品(Neo-Sintrom™,4mg片)具有生物等效性。
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引用次数: 4
Comparative fasting bioavailability and pharmacokinetic properties of 2 formulations of glucosamine hydrochloride in healthy Chinese adult male volunteers. 两种盐酸氨基葡萄糖制剂在中国健康成年男性志愿者体内的空腹生物利用度和药代动力学特性比较。
Pub Date : 2012-08-01 Epub Date: 2012-07-12 DOI: 10.1055/s-0032-1312650
H Wu, M Liu, S Wang, H Zhao, W Yao, W Feng, M Yan, Y Tang, M Wei

Glucosamine (CAS 66-84-2) hydrochloride is an amino monosaccharide indicated for the treatment of arthrosis, especially osteoarthritis of the knee joint. This study was conducted to assess and compare the pharmacokinetic (PK) properties, bioavailability of a newly developed dispersible tablet formulation (test) of glucosamine hydrochloride with those of an established branded capsule formulation (reference) in healthy Chinese adult male volunteers.This single-dose, randomized, open-label, 2-period crossover study was conducted in 18 healthy Chinese adult male volunteers under fasting condition. Plasma samples were collected at pre-specified times over a 12-h period following administration in each period and analyzed the plasma glucosamine concentrations by Liquid Chromatography coupled with Tandem Mass Spectrometry (LC/MS/MS) method. The mean (SD) PK parameters of Cmax, Tmax, AUC0-12, and AUC0-∞ after administration of the test and reference formulations were, respectively, as follows: Cmax, 907.01 (444.22) vs. 944.40 (429.89) ng/mL, Tmax, 3.03 (0.95) vs. 3.30 (0.99) hours, AUC0-12, 2891.41 (1352.30) vs. 2889.69 (925.48) ng/mL/h, and AUC0-∞, 3029.90 (1321.36) vs. 3091.87 (870.36) ng/mL/h. The mean (SD) t1/2 was 1.10 (0.52) hours for the test formulation and 1.50 (1.17) hours for the reference formulation. On ANOVA, neither period nor sequence effects were observed for any PK properties. The relative bioavailability of the test formulation was 98.3% assessed by AUC0-12. The 90% CIs of glucosamine for the log-transformed ratios of Cmax, AUC0-12, and AUC0-∞ were 78.4-113.9%, 80.8-108.5% and 80.8-105.8%, respectively, meeting the predetermined criteria for bioequivalence of SFDA.

氨基葡萄糖(CAS 66-84-2)盐酸盐是一种氨基单糖,用于治疗关节病,特别是膝关节骨关节炎。本研究旨在评估并比较新开发的盐酸氨基葡萄糖分散片制剂(试验)与已有品牌胶囊制剂(对照)在中国健康成年男性志愿者体内的药代动力学(PK)特性和生物利用度。这项单剂量、随机、开放标签、2期交叉研究在禁食条件下对18名健康的中国成年男性志愿者进行。在给药后的12小时内,在预先规定的时间内收集血浆样品,并通过液相色谱-串联质谱(LC/MS/MS)方法分析血浆葡萄糖胺浓度。给药后Cmax、Tmax、AUC0-12和AUC0-∞的平均(SD) PK参数分别为:Cmax 907.01 (444.22) vs. 944.40 (429.89) ng/mL, Tmax 3.03 (0.95) vs. 3.30 (0.99) h, AUC0-12 2891.41 (1352.30) vs. 2889.69 (925.48) ng/mL/h, AUC0-∞3029.90 (1321.36)vs. 3091.87 (870.36) ng/mL/h。试验制剂的平均(SD) t1/2为1.10(0.52)小时,参比制剂的平均(SD) t1/2为1.50(1.17)小时。在方差分析中,没有观察到周期和序列对任何PK特性的影响。AUC0-12评价试验制剂的相对生物利用度为98.3%。葡萄糖胺对Cmax、AUC0-12和AUC0-∞对数转化比的90% CIs分别为78.4-113.9%、80.8-108.5%和80.8-105.8%,满足SFDA生物等效性的预定标准。
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引用次数: 2
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