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Investigation of Minipigs as the Optimal Non-rodent Pre-clinical Species: Exploring Plasma Protein Binding of Marketed Cardiovascular Drugs Across Species 小型猪作为最佳非啮齿动物临床前物种的研究:探索已上市心血管药物的跨物种血浆蛋白结合
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-05 DOI: 10.1208/s12249-024-03005-3
Subodh Mondal, Ritika Uppal, Satish CS

Pre-clinical studies in animals are an essential part of drug development for new chemical entities. Before clinical trials in humans, submission of safety data from one rodent and one non-rodent species is compulsory as per regulatory guidelines. Even though minipigs and monkeys are physiologically closer to humans, dogs are usually employed as the non-rodent pre-clinical species. In this study, the in vitro plasma protein binding of eleven marketed cardiovascular drugs was studied in dog, minipig, monkey and human to determine the preferred species. To conduct plasma protein binding studies, the most reliable equilibrium dialysis method was adopted. Ten out of eleven tested cardiovascular drugs showed statistically similar plasma protein binding in minipig and human plasma which was different from dog and monkey plasma. The results from the studies showed greater similarity between minipigs and humans suggesting that the minipig species maybe a better pre-clinical non-rodent model during drug development of cardiovascular drugs instead of the conventional dog species. Additionally, use of the more accessible minipig species may help in saving time, and resources during pre-clinical studies and may also be more predictive during the safety studies in humans during later stage clinical trials.

Graphical Abstract

动物临床前研究是新化学实体药物开发的重要组成部分。在人体临床试验之前,根据监管指南,必须提交一种啮齿动物和一种非啮齿动物的安全数据。尽管迷你猪和猴子在生理上更接近人类,但狗通常被用作非啮齿动物的临床前物种。在本研究中,研究了11种已上市心血管药物在狗、迷你猪、猴和人体内的体外血浆蛋白结合情况,以确定首选品种。为了进行血浆蛋白结合研究,采用了最可靠的平衡透析方法。11种心血管药物中有10种在迷你猪和人血浆中显示出具有统计学意义的相似的血浆蛋白结合,而与狗和猴血浆不同。研究结果表明,迷你猪与人类有更大的相似性,这表明迷你猪物种可能是心血管药物开发过程中更好的临床前非啮齿动物模型,而不是传统的狗物种。此外,在临床前研究中,使用更容易获得的小型猪品种可能有助于节省时间和资源,并且在后期临床试验的人类安全性研究中也可能更具预测性。图形抽象
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引用次数: 0
Cyclodextrin Drugs in Liposomes: Preparation and Application of Anticancer Drug Carriers 脂质体中的环糊精类药物:抗癌药物载体的制备与应用
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-05 DOI: 10.1208/s12249-024-02999-0
Lanni Feng, Ruting Wei, Jiali Wu, Xinmei Chen, Yan Wen, Jianming Chen

Cyclodextrin complexes have been widely used in pharmaceutical applications, but disadvantages such as the rapid clearance of cyclodextrins from the blood stream after in vivo administration or their replacement by other molecules in the biological medium with higher luminal affinity for cyclodextrins limit the application of cyclodextrins as drug carriers. Liposome-encapsulated hydrophobic drugs have low and unstable drug loading rates. Drug-in-CD-in-liposome (DCL), which encapsulate cyclodextrin inclusion complexes into liposomes, combine the advantages of both delivery systems, can effectively avoid the leakage and rapid release of lipophilic drugs in the lipid bilayer, and help to maintain the integrity of liposomes. This paper focuses on the preparation method, characterization and application of DCL, with a view to providing methods and references for the research and application of DCL technology.

Graphical Abstract

环糊精配合物已广泛应用于制药领域,但环糊精体内给药后迅速从血液中清除或在生物介质中被对环糊精具有更高腔内亲和力的其他分子所取代等缺点限制了环糊精作为药物载体的应用。脂质体包封的疏水药物载药率低且不稳定。药物- cd -in-脂质体(Drug-in-CD-in-liposome, DCL)将环糊精包合物包裹在脂质体中,结合了两种递送系统的优点,可有效避免亲脂药物在脂质双分子层中的泄漏和快速释放,有助于维持脂质体的完整性。本文重点介绍了DCL的制备方法、表征及应用,以期为DCL技术的研究和应用提供方法和参考。图形抽象
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引用次数: 0
A Novel Self-Assembled Paclitaxel Nanodispersion Facilitates Rapid In-Vitro/In-Vivo Dissociation and Protein Binding 一种新的自组装紫杉醇纳米分散体促进体外/体内快速解离和蛋白质结合
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-05 DOI: 10.1208/s12249-024-02996-3
Ajay J. Khopade, Malay D. Shah, Bhushan Borole

The study aims to prepare and characterize a novel paclitaxel (PtX) preconcentrate formulation using polymer and lipid excipients that forms nanodispersion upon dilution. The goal was to understand the mechanism of nanodispersion formation and its properties. The water-insoluble PtX was dissolved in organic solvents containing ethanol, polyethylene glycol (PEG400), povidone (PVP), caprylic acid (CA), and sodium cholesterol sulfate (CS). This formulation was diluted in 5% w/v dextrose medium to form PtX nanodispersion, which was assessed for particle size, stability, in-vitro/in-vivo dissociation and protein binding. Transmission electron microscopy (TEM), Small Angle Neutron Scattering (SANS), and Molecular Dynamics (MD) simulations were used to analyse the structure of the nanoparticles. The formulation was a clear, slightly yellow solution. The PtX nanodispersion displays particle size of ~ 100 nm with a zeta potential of -25, and the pH of 4.0. It displayed nearly spherical coacervate nanoparticles with a sponge-like structure, lacking internal structure order as revealed by TEM and SANS. MD simulations confirmed self-assembly of PtX and excipients forming nanoparticles. In vitro dissociation studies in simulated plasma demonstrated rapid dissociation of nanodispersion, releasing free PtX that immediately binds to plasma proteins. In vivo studies in rabbits corroborated these findings, showing rapid dissolution. The results present a novel formulation design that forms sponge-like coacervate nanoparticle due to complimentary interactions of the excipients that otherwise are unable to self-assemble under similar conditions of dilution. This alternative formulation solves the limitations of currently marketed PtX products and can provide its effective delivery in clinical settings.

Graphical Abstract

本研究旨在制备和表征一种新型紫杉醇(PtX)预浓缩制剂,该制剂使用聚合物和脂质辅料,在稀释后形成纳米分散体。目的是了解纳米分散的形成机制及其性质。将不溶于水的PtX溶解在含有乙醇、聚乙二醇(PEG400)、聚维酮(PVP)、辛酸(CA)和胆固醇硫酸钠(CS)的有机溶剂中。将该制剂在5% w/v葡萄糖培养基中稀释形成PtX纳米分散体,对其粒径、稳定性、体外/体内解离和蛋白质结合进行评估。利用透射电子显微镜(TEM)、小角中子散射(SANS)和分子动力学(MD)模拟分析了纳米颗粒的结构。该配方是一种透明的微黄色溶液。PtX纳米分散体的粒径为~ 100 nm, zeta电位为-25,pH为4.0。TEM和SANS分析显示,纳米颗粒呈近球形凝聚状,呈海绵状结构,缺乏内部结构秩序。MD模拟证实了PtX和赋形剂形成纳米颗粒的自组装。在模拟血浆中的体外解离研究表明,纳米分散体快速解离,释放出立即与血浆蛋白结合的游离PtX。在兔子体内的研究证实了这些发现,显示快速溶解。研究结果提出了一种新的配方设计,由于赋形剂的互补相互作用,形成海绵状凝聚纳米颗粒,否则在类似的稀释条件下无法自组装。这种替代配方解决了目前上市的PtX产品的局限性,并可以在临床环境中提供有效的递送。图形抽象
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引用次数: 0
Bifunctional Oxaliplatin (IV) Prodrug Based pH-Sensitive PEGylated Liposomes for Synergistic Anticancer Action Against Triple Negative Breast cancer 双功能奥沙利铂(IV)基于前药的ph敏感聚乙二醇脂质体协同抗癌三阴性乳腺癌
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-04 DOI: 10.1208/s12249-024-02988-3
Lavkesh Bhute, Sayali Dighe, Oly Katari, Vivek Yadav, Sanyog Jain

Triple negative breast cancer (TNBC) exhibits higher susceptibility towards oxaliplatin (OXA) due to a faulty DNA damage repair system. However, the unfavorable physicochemical properties and risk of toxicities limit the clinical utility of OXA. Therefore, to impart kinetic inertness, site-specific delivery, and multidrug action, an octahedral Pt(IV) prodrug was developed by using chlorambucil (CBL) as a choice of ligand. The combination of OXA and CBL exhibited synergistic anti-cancer action in TNBC cell lines. Further, to maximize tumor-specific delivery, intracellular accumulation, and in-vivo performance, the developed prodrug (OXA-CBL) was encapsulated in pH-sensitive PEGylated liposomes into (OXA-CBL/PEG-Liposomes). The fabricated liposomes had smaller particle size < 200 nm and higher drug loading (~ 4.26 ± 0.18%). In-vitro release displayed pH-dependent sustained release for up to 48 h. Cellular internalization revealed maximal uptake via clathrin-mediated endocytosis. The cytotoxicity assay showed reduced IC50 in the 4T1 (~ 1.559-fold) and MDA-MB-231 (~ 1.539-fold) cell lines than free OXA-CBL. In-vivo efficacy in 4T1-induced TNBC model revealed a marked increase in % tumor inhibition rate, while diminished % tumor burden in OXA-CBL/BSA-NPs treated animals. Toxicity assessment displayed no signs of systemic and hemolytic toxicity. Overall, delivery of Pt (IV) prodrug as a pH-sensitive PEGylated liposomes offers a safer and efficient system to manage TNBC.

Graphical Abstract

三阴性乳腺癌(TNBC)由于DNA损伤修复系统的缺陷,对奥沙利铂(OXA)表现出更高的易感性。然而,其不利的理化性质和毒性风险限制了其临床应用。因此,为了赋予动力学惰性、位点特异性传递和多药作用,以氯苯(CBL)作为配体选择,开发了一种八面体Pt(IV)前药。OXA与CBL联合在TNBC细胞系中表现出协同抗癌作用。此外,为了最大限度地提高肿瘤特异性递送、细胞内积累和体内性能,开发的前药(OXA-CBL)被包裹在ph敏感的聚乙二醇化脂质体中,形成(OXA-CBL/ peg -脂质体)。制备的脂质体粒径更小(约200 nm),载药量更高(约4.26±0.18%)。体外释放显示ph依赖的持续释放长达48小时。细胞内化显示通过网格蛋白介导的内吞作用最大摄取。细胞毒性试验显示,与游离OXA-CBL相比,4T1和MDA-MB-231细胞系的IC50降低了~ 1.559倍。在4t1诱导的TNBC模型中,体内疗效显示OXA-CBL/BSA-NPs处理动物的%肿瘤抑制率显著增加,同时降低了%肿瘤负荷。毒性评估未显示系统性和溶血毒性的迹象。总的来说,Pt (IV)前药作为ph敏感的聚乙二醇化脂质体的递送提供了一种更安全有效的TNBC管理系统。图形抽象
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引用次数: 0
Physiologically Based Biopharmaceutics Modeling Coupled with Biopredictive Dissolution in Development of Bioequivalent Formulation for Mesalamine Enteric Coated Tablet: A Tough Nut to Crack 基于生理学的生物药剂学建模结合生物预测溶出度在美沙拉胺肠溶片生物等效制剂开发中的应用:一个难以破解的难题
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-02 DOI: 10.1208/s12249-024-02990-9
Sivacharan Kollipara, Pankaj Kumar Prabhat, Paramita Saha, Saurabh Gupta, Venkat Ramana Naidu, Tausif Ahmed

Mesalamine is a locally acting anti-inflammatory drug used to treat mild to moderate ulcerative colitis. Because of complex formulation principle and high in vivo variability, development of bioequivalent formulation for mesalamine is challenging. Further, fed state possess significant challenges for bioequivalence (BE) due to interplay of multiple factors. In the work, we have developed a novel biopredictive media for mesalamine enteric coated tablets and integrated into physiologically based biopharmaceutics model (PBBM) to predict in vivo fed behavior. USP III based gradient media was developed to mimic in vivo fed condition. The developed PBBM was initially validated with literature data and subsequently re-optimized with pilot BE study data. Further, virtual bioequivalence (VBE) was performed to evaluate model predictability for pilot BE data. Later, the model was applied for prospective BE predictions with increased subjects and parametric sensitivity analysis was performed to identify physiological factors that can impact in vivo performance. Further, the model was used to predict luminal and enterocyte concentrations in colon to demonstrate equivalent efficacy. Additionally, a novel dissolution/permeation tool (Dissoflux) was employed to compare permeability behavior of formulations. Overall, this work enabled BE prediction for complex mesalamine enteric coated tablets and helped to understand parameters that can impact in vivo performance.

Graphical Abstract

美沙拉明是一种局部作用的消炎药,用于治疗轻度至中度溃疡性结肠炎。由于美沙拉胺复杂的配方原理和高体内变异性,生物等效制剂的开发具有挑战性。此外,由于多种因素的相互作用,饲料状态的生物等效性(BE)面临重大挑战。在这项工作中,我们开发了一种新的美沙拉胺肠溶片生物预测介质,并将其整合到基于生理的生物制药模型(PBBM)中来预测体内摄食行为。开发了基于USP III的梯度培养基来模拟体内饲养条件。开发的PBBM最初用文献数据进行验证,随后用试验性BE研究数据重新优化。此外,采用虚拟生物等效性(VBE)来评估模型对试点生物等效性数据的可预测性。随后,该模型被用于增加受试者的前瞻性BE预测,并进行参数敏感性分析,以确定可能影响体内性能的生理因素。此外,该模型还被用于预测结肠内的管腔和肠细胞浓度,以证明其具有相同的功效。此外,还采用了一种新的溶解/渗透工具(Dissoflux)来比较配方的渗透行为。总的来说,这项工作能够预测复杂美沙拉胺肠溶片的BE,并有助于了解影响体内性能的参数。图形抽象
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引用次数: 0
Advancements in Exosome Proteins for Breast Cancer Diagnosis and Detection: With a Focus on Nanotechnology 用于乳腺癌诊断和检测的外泌体蛋白研究进展:聚焦纳米技术
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-11-27 DOI: 10.1208/s12249-024-02983-8
Mohamed J. Saadh, Afrah Majeed Ahmed Al-Rihaymee, Mandeep Kaur, Abhishek Kumar, Ahmed Faisal Mutee, Ghufran Lutfi Ismaeel, Shirin Shomurotova, Mahmood Hasen Shuhata Alubiady, Hamza Fadhel Hamzah, Zainab Abbas Abd Alhassan, Tuqa S. Alazzawi, Khursheed Muzammil, Merwa Alhadrawi

Breast cancer, a leading cause of mortality among women, has been recognized as requiring improved diagnostic methods. Exosome proteins, found in small extracellular vesicles, have emerged as a promising solution, reflecting the state of their cell of origin and playing key roles in cancer progression. This review examines their potential in breast cancer diagnosis, discussing advanced isolation and characterization techniques such as ultracentrifugation and microfluidic-based approaches. Various detection methods—including electrochemical, nano-based, optical, and machine learning platforms—were evaluated for their high sensitivity, specificity, and non-invasive capabilities. Electrochemical methods were used to identify unique protein signatures for rapid, cost-effective diagnosis, while machine learning enhanced the classification of exosome proteins. Nano-based techniques leveraged nanomaterials to detect low-abundance proteins, and optical methods offered real-time, label-free monitoring. Despite their promise, challenges in standardizing protocols and integrating these diagnostics into clinical practice remain. Future directions include technological advancements, personalized medicine, and exploring the therapeutic potential of exosome proteins.

Graphical Abstract

乳腺癌是妇女死亡的主要原因之一,已被认为需要改进诊断方法。外泌体蛋白存在于细小的细胞外囊泡中,是一种很有前景的解决方案,它能反映其起源细胞的状态,并在癌症进展中发挥关键作用。本综述探讨了它们在乳腺癌诊断中的潜力,讨论了先进的分离和表征技术,如超离心法和基于微流控的方法。对各种检测方法(包括电化学、纳米、光学和机器学习平台)的高灵敏度、特异性和无创能力进行了评估。电化学方法用于识别独特的蛋白质特征,以进行快速、经济有效的诊断,而机器学习则增强了外泌体蛋白质的分类能力。纳米技术利用纳米材料检测低丰度蛋白质,光学方法提供实时、无标记监测。尽管这些方法前景广阔,但在标准化方案和将这些诊断方法融入临床实践方面仍存在挑战。未来的发展方向包括技术进步、个性化医疗以及探索外泌体蛋白的治疗潜力。
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引用次数: 0
Unveiling Swelling and Erosion Dynamics: Early Development Screening of Mirabegron Extended Release Tablets 揭示膨胀和侵蚀动力学:米拉贝琼缓释片的早期开发筛选
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-11-27 DOI: 10.1208/s12249-024-02994-5
Ana S. Sousa, J. Serra, C. Estevens, R. Costa, António J. Ribeiro

Although the development of extended release (ER) matrices has been extensively investigated, understanding the most appropriate mechanism of drug release to achieve the desired release remains a cost- and time-consuming challenge in the early stages of formulation development. This study aimed to investigate the early stage of developing ER hydrophilic matrix tablets containing mirabegron as a model drug, focusing on the effects of polymer type, diluent type, and polymer amount on critical quality attributes (CQAs), namely, tablet swelling and erosion behavior. A full factorial design was employed to explore the interactions of control factors through multivariate regression analysis, emphasizing the application of quality by design (QbD) principles. The swelling and erosion performances of 72 formulations were evaluated. The swelling data were fitted to the Vergnaud model. Finally, in vitro drug release profiles were investigated for four of the formulations studied. The polymer type, diluent type, and polymer amount had distinct effects on the swelling and erosion behavior of the ER matrix tablets. Compared with those with isomalt (G720) or dextrate (DXT), formulations with polyethylene glycol 8000 (P8000) consistently exhibited greater swelling. Additionally, higher molecular weight was correlated with increased swelling within the same polymer type. Hydroxypropylmethylcellulose (HPMC) and polyethylene oxide (PEO)-based formulations showed higher swelling rates, while polyvinyl alcohol (PVA-80) displayed the highest erosion percentage. The findings highlight the significance of incorporating early-stage screening designs to maximize efficiency and optimize time and resource. This approach enables the development of a comprehensive understanding of drug release mechanisms from ER matrix tablets.

Graphical abstract

尽管对缓释(ER)基质的开发进行了广泛的研究,但在制剂开发的早期阶段,了解最合适的药物释放机制以实现理想的释放效果仍然是一项耗费成本和时间的挑战。本研究旨在调查以米拉贝琼为模型药物的ER亲水基质片剂开发的早期阶段,重点研究聚合物类型、稀释剂类型和聚合物用量对关键质量属性(CQA),即片剂溶胀和侵蚀行为的影响。研究采用了全因子设计,通过多元回归分析探讨了控制因素之间的相互作用,强调了质量源于设计(QbD)原则的应用。对 72 种制剂的溶胀和侵蚀性能进行了评估。膨胀数据与 Vergnaud 模型进行了拟合。最后,对四种配方的体外药物释放曲线进行了研究。聚合物类型、稀释剂类型和聚合物量对 ER 基质片剂的溶胀和侵蚀行为有明显的影响。与含有异麦芽酮(G720)或糊精(DXT)的制剂相比,含有聚乙二醇 8000(P8000)的制剂始终表现出更大的膨胀性。此外,在同一聚合物类型中,分子量越高,膨胀性越大。基于羟丙基甲基纤维素(HPMC)和聚环氧乙烷(PEO)的配方显示出更高的膨胀率,而聚乙烯醇(PVA-80)则显示出最高的侵蚀率。研究结果凸显了采用早期筛选设计以最大限度地提高效率并优化时间和资源的重要性。这种方法有助于全面了解 ER 基质片剂的药物释放机制。
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引用次数: 0
The Comparison between Pilot-Grade Spray Dryer and Laboratory-Grade Spray Dryer: Structure, Powder Properties and Application for Direct Compaction 中试级喷雾干燥机与实验室级喷雾干燥机的比较:结构、粉末特性和直接压制应用
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-11-27 DOI: 10.1208/s12249-024-02991-8
Zhe Li, Wanghai Peng, Fucai Chen, Lin Zhu, Abid Naeem, Weifeng Zhu, Yongmei Guan, Yi Feng, Yanni Wu, Xiao Lin, Liangshan Ming

This study investigates the improvements in direct compaction powder properties achieved through particle design using laboratory and pilot-scale spray dryers. Hydroxypropyl methylcellulose and polyvinylpyrrolidone were used as modifying agent, which have low hygroscopicity and surface tension, good flowability, and excellent compactibility. Ammonium bicarbonate and sodium bicarbonate were used as pore-forming agents, and the composite particles were prepared using laboratory and pilot-scale spray dryers. The results showed that the structure of the composite particles and porous particles can effectively improve the flowability, tabletability, and disintegration behaviour; the composite particles prepared by laboratory-scale spray drying have better tabletability; the composite particles prepared by spray drying at pilot-scale had better flowability. In summary, there are significant differences in the properties of products prepared by different scales of spray drying. It will be beneficial to choose the appropriate equipment and the appropriate experimental design. Consequently, this study may contribute to the development of natural plant tablets.

Graphical Abstract

本研究通过使用实验室和中试规模的喷雾干燥机对颗粒进行设计,研究如何改善直接压制粉末的性能。羟丙基甲基纤维素和聚乙烯吡咯烷酮被用作改性剂,它们具有低吸湿性和表面张力、良好的流动性和优异的压实性。以碳酸氢铵和碳酸氢钠作为成孔剂,使用实验室和中试规模的喷雾干燥机制备了复合颗粒。结果表明,复合微粒和多孔微粒的结构能有效改善流动性、片剂性和崩解行为;实验室规模喷雾干燥制备的复合微粒具有更好的片剂性;中试规模喷雾干燥制备的复合微粒具有更好的流动性。总之,不同规模喷雾干燥制备的产品在性能上存在显著差异。选择合适的设备和适当的实验设计将大有裨益。因此,本研究可能有助于天然植物片剂的开发。
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引用次数: 0
User-Friendliness Evaluation of Handling pMDI with Various Add-on Devices in Asthmatic Patients 对哮喘患者使用 pMDI 和各种附加设备的便利性进行评估。
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-11-27 DOI: 10.1208/s12249-024-02998-1
Ahmed M. Abdelfattah, Rania M. Sarhan, Yasmin M. Madney, Ahmed F. Mady, Mohamed E. A. Abdelrahim, Hadeer S. Harb

The objective of this study was to assess the use of pMDI alone and pMDI with different spacers in asthmatic patients and to identify any associations between errors in handling the device for the first time and the sessions needed to reach the correct handling method, considering patient demographics and clinical characteristics. A total of 150 Asthmatic patients were crossed over to handle pMDI alone and with add-on inhalable devices (Aerochamber plus, Tips Haler, Able, Dispozable and Aer-8) randomly, without receiving verbal or demonstrative instruction (baseline assessment). The assessment of the inhaler technique was performed using checklists that had been set beforehand. Subsequently, the proper utilization of the inhaler was exhibited, and the patient's inhaler usage was reassessed. The demonstration was repeated until an optimal technique was attained. The number of counselling attempts required to achieve successful management, together with patient demographics and clinical factors, were documented. The mean percentage of total errors at baseline shows that pMDI alone is significantly higher than pMDI attached to add-on devices (53.90 ± 9.71, 32.54 ± 13.93, 24.53 ± 14.93, 21.6 ± 14.48, 25.14 ± 10.99, 27.47 ± 10.28) for pMDI alone, Aerochamber plus, Tips Haler, Able, Dispozable and Aer-8 respectively at p < 0.01. Able and Tips Haler spacers are significantly lower than other spacers with pMDI and pMDI alone in terms of total sessions needed to attain the complete optimal handling technique at p < 0.01. Weak and very weak correlations were observed between the percentage of total errors at baseline and the total sessions with education years, Montreal Cognitive Assessment, and age as well as some demographics and clinical variables. Handling pMDI can be challenging however the introduction of spacers simplifies this procedure. Different spacers cannot be treated as a homogeneous group due to variations in handling techniques and ease of use. the Able spacer requires the fewest handling steps of any spacer and has the highest percentage of patients who can use it without assistance.

Graphical Abstract

这项研究的目的是评估哮喘患者单独使用 pMDI 和使用带有不同间隔器的 pMDI 的情况,并在考虑患者人口统计学和临床特征的情况下,确定首次操作设备时出现的错误与达到正确操作方法所需的疗程之间是否存在关联。共对 150 名哮喘患者进行了交叉测试,在不接受口头或示范指导(基线评估)的情况下,让他们随机操作单独的 pMDI 和附加吸入器(Aerochamber plus、Tips Haler、Able、Dispozable 和 Aer-8)。对吸入器使用技巧的评估是通过事先设定的检查表进行的。随后,演示如何正确使用吸入器,并重新评估患者的吸入器使用情况。反复演示,直到达到最佳技术为止。成功管理所需的咨询次数以及患者的人口统计学和临床因素都被记录在案。基线总错误的平均百分比显示,单独使用 pMDI、Aerochamber plus、Tips Haler、Able、Dispozable 和 Aer-8 的错误率分别为(53.90 ± 9.71、32.54 ± 13.93、24.53 ± 14.93、21.6 ± 14.48、25.14 ± 10.99、27.47 ± 10.28)和(p),单独使用 pMDI 明显高于附加装置的错误率(53.90 ± 9.71、32.54 ± 13.93、24.53 ± 14.93、21.6 ± 14.48、25.14 ± 10.99、27.47 ± 10.28)。
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引用次数: 0
Long-Circulating and Targeted Liposomes Co-loading Cisplatin and Mifamurtide: Formulation and Delivery in Osteosarcoma Cells 长循环和靶向脂质体共载顺铂和米伐肽:骨肉瘤细胞中的配制和递送
IF 3.4 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-11-26 DOI: 10.1208/s12249-024-02992-7
Bo Li, Qianhui Zhao, Hanyu Yang, Xueyuying Wang, Zhijun Zhang, Yanling Gong, Xu Wan

Osteosarcoma (OS) is one of the most common primary bone sarcoma with high malignant degree and poor prognosis, for which there is an urgent need to develop novel therapeutic approaches. Recent research has revealed that mifamurtide significantly improved the outcome of OS patients when combined with adjuvant chemotherapy drugs including cisplatin (DDP). The present study aimed to construct a drug delivery system co-loading DDP and mifamurtide. Long-circulating targeted liposomes co-loading DDP and mifamurtide were constructed with Soy lecithin (SPC), cholesterol (Chol) and 1,2-distearoylglycero-3-phosphoethanolamine-n-[poly(ethyleneglycol)] (DSPE-PEG), modified with MMP14 targeting peptide BCY-B in the surface of liposomes. In addition to characterization, the cellular uptake, endocytosis pathway and inhibition on cell viability, migration, invasion and cell apoptosis of MG-63 cells were explored. The constructed liposomal delivery possessed the basic characteristics of liposomes and showed high affinity to MG-63 cells, resulting in high uptake efficiency in MG-63 cells. The endocytosis might be involved in multiple pathways including caveolae-mediated endocytosis, clathrin-mediated endocytosis and macropinocytosis, dependently on energy. The constructed long-circulating targeted liposomes co-loading DDP and mifamurtide significantly inhibited the cell viability, migration, invasion and cell apoptosis of MG-63 cells, improving the antitumor effect of DDP and mifamurtide in vitro. The constructed liposomal delivery system is suitable for co-loading DDP and mifamurtide to achieve active tumor targeting, supplying a new strategy for the treatment of OS.

Graphical Abstract

骨肉瘤(Osteosarcoma,OS)是最常见的原发性骨肉瘤之一,恶性程度高、预后差,迫切需要开发新型治疗方法。最近的研究发现,米伐木肽与顺铂(DDP)等辅助化疗药物联合使用,能明显改善骨肉瘤患者的预后。本研究旨在构建一种共同负载 DDP 和米伐肽的给药系统。研究人员用大豆卵磷脂(SPC)、胆固醇(Chol)和1,2-二硬脂酰甘油-3-磷脂酰乙醇胺-n-[聚乙二醇](DSPE-PEG)构建了长循环靶向脂质体,并在脂质体表面用MMP14靶向肽BCY-B修饰。除表征外,还探讨了细胞摄取、内吞途径以及对 MG-63 细胞活力、迁移、侵袭和细胞凋亡的抑制作用。所构建的脂质体递送具有脂质体的基本特征,对 MG-63 细胞具有高亲和力,因此在 MG-63 细胞中的摄取效率很高。内吞可能涉及多种途径,包括洞穴介导的内吞、凝胶酶介导的内吞和大蛋白细胞内吞,这与能量有关。构建的长循环靶向脂质体共载DDP和米伐肽,能显著抑制MG-63细胞的细胞活力、迁移、侵袭和细胞凋亡,提高了DDP和米伐肽的体外抗肿瘤效果。所构建的脂质体递送系统适用于联合负载DDP和米伐肽,实现肿瘤的主动靶向,为OS的治疗提供了一种新策略。
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AAPS PharmSciTech
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