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Rise and fall of fomivirsen, the first approved gene silencing medicine : A historical review 首个被批准的基因沉默药物福米韦森的兴衰:历史回顾
Pub Date : 2022-04-18 DOI: 10.33892/aph.2022.92.38-44
M. Bege, A. Borbás
Fomivirsent was approved by the FDA in 1998 and by the EMA in 1999 as the very first antisense drug used to treat CMV retinitis in patients with AIDS. To date, it has been the only first generation antisense oligonucleotide used in therapy. Fomivirsen has been a pioneer in this field and has demonstrated the usefulness of the antisense tehcnology for medicinal science. However, after three years of use, fomivirsen has been withdrawn from the market (in the US in 2001 and in the EU in 2002), and nowadays, gene silencing drugs with a more advanced chemical structure and more complex mechanism of action are used in medicine. On the occasion of the 20th anniversary of its European withdrawal, we briefly overview the history of fomivirsen.
Fomivirsent于1998年获得FDA批准,并于1999年获得EMA批准,成为首个用于治疗艾滋病患者巨细胞病毒视网膜炎的反义药物。迄今为止,它是唯一用于治疗的第一代反义寡核苷酸。Fomivirsen是这一领域的先驱,并证明了反义技术对医学科学的有用性。然而,在使用三年后,fomivirsen已经退出市场(2001年在美国,2002年在欧盟),如今,化学结构更先进,作用机制更复杂的基因沉默药物在医学上使用。在其退出欧洲20周年之际,我们简要概述了fomivirsen的历史。
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引用次数: 3
Recent insight into strategies for the design of antimicrobial peptides (AMPs) 抗菌肽(AMPs)设计策略的最新见解
Pub Date : 2022-04-18 DOI: 10.33892/aph.2022.92.20-37
Reihaneh Manteghi, K. Kristó, G. Szakonyi, I. Csóka
With the increasing development of antibiotic resistance among key bacterial pathogens, there is an urgent need to discover novel classes of antibiotics. Although antimicrobial peptides (AMP) with their specific mode of action are considered major candidates for next-generation antibiotics, several challenges limit the use of these peptides for therapeutic applications. In a large body of research, the focus is given to different approaches to the chemical modification of AMPs and how these modifications may improve the stability, antibiotic activity, proteolytic activity and prevent the cytotoxicity and side effects of AMPs. On the other hand, another group of research investigates the delivery of AMPs via nanocarrier systems as strategies used to enhance stability, control the release of peptides and reduce adverse peptide-related side effects, as well as improve their anti-microbial activities. In the present article, we surveyed most recently published researches that provide us with good knowledge on structural features, mechanism of action, therapeutic aim, advantages and limitations, chemical modification approaches and carrying strategies of AMPs. Finally, according to Quality by Design, the most important potential effective factor and potential risk were mentioned in the development of AMP delivery systems.
随着关键病原菌对抗生素耐药性的日益发展,迫切需要发现新型抗生素。虽然抗菌肽(AMP)以其特定的作用方式被认为是下一代抗生素的主要候选者,但一些挑战限制了这些肽在治疗应用中的使用。在大量的研究中,重点是对抗菌肽进行化学修饰的不同方法,以及这些修饰如何提高抗菌肽的稳定性、抗生素活性、蛋白水解活性和防止其细胞毒性和副作用。另一方面,另一组研究调查了通过纳米载体系统递送amp的策略,用于增强稳定性,控制肽的释放,减少不良肽相关的副作用,以及提高其抗微生物活性。本文综述了近年来在抗菌肽的结构特点、作用机制、治疗目的、优势和局限性、化学修饰方法和携带策略等方面的研究进展。最后,根据设计质量原则,提出了AMP输送系统开发中最重要的潜在影响因素和潜在风险。
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引用次数: 0
Relative bioavailability study of a generic effervescent tablet formulation of dexketoprofen and thiocolchicoside versus the originator 25 mg film coated tablet (dexketoprofen) and 8 mg capsule (thiocolchicoside) dexketoprofen和硫代秋糖苷泡腾片与原厂25mg地衣片剂(dexketoprofen)和8mg胶囊(硫代秋糖苷)的相对生物利用度研究
Pub Date : 2022-04-18 DOI: 10.33892/aph.2022.92.45-51
Atilla A. Hincal, Cemre Özseven, M. J. van der Meer, A. Erenmemişoğlu, Mahmut Bilgiç, W. Martin
Aims: The aim of this study was to evaluate the pharmacokinetic profiles and the relative bioavailability of dexketoprofen and thiocolchicoside of the test preparation (dexketoprofen / thiocolchicoside 25 mg / 8 mg effervescent tablet) in comparison with the reference preparations (Keral 25 mg film coated tablet, containing dexketoprofen trometamol equivalent to 25 mg dexketoprofen (Menarini International Operations Luxembourg S.A.) (R1) and Muscoril 8 mg capsule, containing 8 mg thiocolchicoside (Sanofi Aventis İlaçları Ltd. Şti.) (R2) under fasting conditions. Methods: 25 healthy male subjects were enrolled in the study. Volunteers were hospitalised from the evening before drug administration (Day 0) until after the 24-hour blood sampling time on Day 2. Results: 24 subjects completed the study. Relative bioavailability (AUCT/AUCR1) of dexketoprofen from the test preparation was 100.99 %; (AUCT/AUCR2) of 3-O-glucuronide of thiocolchicoside (aglycone) from the test preparation was 100.47 %; (Cmax,T/Cmax,R1) of dexketoprofen from the test preparation was 122.59 %; (Cmax,T/Cmax,R2) of 3-O-glucuronide of thiocolchicoside (aglycone) from the test preparation was 111.43 %. Conclusions: The relative bioavailability AUCT /AUCR of the test preparation compared with both reference preparations is comparable, as shown by the geometric mean ratios of 100.59 % (dexketoprofen) and of 98.20 % (3-O-glucuronide of thiocolchicoside (aglycone).
目的:通过与参比制剂(Keral 25 mg薄膜包衣片,含dexketoprofen trometamol相当于25 mg dexketoprofen (Menarini International Operations Luxembourg S.A.) (R1)和Muscoril 8 mg胶囊)的对比,评价dexketoprofen和硫代红豆糖苷的药动学特征和相对生物利用度。在禁食条件下含有8mg硫代秋糖苷(赛诺菲安万特İlaçları Ltd. Şti.) (R2)。方法:选取25名健康男性受试者。志愿者从给药前晚上(第0天)开始住院,直到第2天24小时采血时间结束。结果:24名受试者完成了研究。dexketoprofen的相对生物利用度(AUCT/AUCR1)为100.99%;(AUCT/AUCR2): 3- o -硫代秋葡萄糖苷(糖苷元)的含量为100.47%;(Cmax,T/Cmax,R1)为122.59%;(Cmax,T/Cmax,R2)为111.43%。结论:两种参比制剂的相对生物利用度AUCT /AUCR具有可比性,其几何平均比值分别为100.59% (dexketoprofen)和98.20% (3-O-glucuronide of thiocolicoside (glycone))。
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引用次数: 0
Insulin for topical use in wound healing: opportunities and limitations 胰岛素外用在伤口愈合:机会和限制
Pub Date : 2022-04-18 DOI: 10.33892/aph.2022.92.3-19
Beáta-Mária Benkő, I. Sebe, Z. Szabó
Aims: The role of insulin in the regulation of energy metabolism, protein synthesis, proliferation, migration, secretion by keratinocytes, endothelial cells, and fibroblasts suggests that its presence is essential for wound healing (WH). The present study aims to explore the opportunities and limitations of topical insulin (TI) formulations. Methods: To obtain a complete picture of the challenges of the local insulin formulation a chronological review of previous publications in electronic databases was performed, applying data collection and selection criteria. Results: The opportunity of topically applied insulin has shown active interest over time. According to studies, regular insulin and isophane are suitable for local use, but currently there is no consensus on the appropriate concentration. Insulin can be incorporated into cutaneous liquid, semisolid, and solid dosage forms, either by itself, or by prior nano-or microencapsulation methods. The most important limiting factors to be evaluated are the stability of the peptide and the sterility of the obtained products. Conclusion: Examination of the balance of opportunities and limitations of TI formulations, it can be concluded that the range of  applicable technological methods is wide. A high-quality, safe, and efficacious form of TI would have great value from a socio-economic point of view.
目的:胰岛素在调节角质形成细胞、内皮细胞和成纤维细胞的能量代谢、蛋白质合成、增殖、迁移、分泌等方面的作用表明,它的存在对伤口愈合(WH)至关重要。本研究旨在探讨外用胰岛素(TI)制剂的机遇和局限性。方法:为了全面了解当地胰岛素配方面临的挑战,采用数据收集和选择标准,按时间顺序对电子数据库中的先前出版物进行了回顾。结果:随着时间的推移,局部应用胰岛素的机会显示出积极的兴趣。根据研究,常规胰岛素和异硫醚适合局部使用,但目前对合适的浓度没有共识。胰岛素可以单独或通过先前的纳米或微胶囊方法掺入到皮肤液体、半固体和固体剂型中。要评价的最重要的限制因素是肽的稳定性和所得产品的无菌性。结论:检查TI配方的机会和局限性的平衡,可以得出结论,适用的技术方法范围很广。从社会经济的角度来看,一种高质量、安全和有效的钛将具有巨大的价值。
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引用次数: 1
EpiPharma – From Cutting Edge Synthesis Technologies to Complete Preclinical Characterization EpiPharma -从尖端合成技术到完整的临床前表征
Pub Date : 2021-11-15 DOI: 10.33892/aph.2021.91.234-235
I. Mándity, J. Maléth, Beáta Mándityné Huszka, P. Pallagi, G. Heltovics
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引用次数: 0
Effect Of Graphene Oxide Nanoparticles on the Performance of Aerobic Granular Sludge Treatment System 氧化石墨烯纳米颗粒对好氧颗粒污泥处理系统性能的影响
Pub Date : 2021-11-15 DOI: 10.33892/aph.2021.91.249-250
A. Kedves, Andrea Rónavári, Z. Kónya
contrast, at 25 mg/L GO NPs, NH 4 -N concentration in the effluent increased marginally after 5.5 day and was 2.39 mg/L after 7 days. In the case of 75 and 95 mg/L GO NPs, the effluent ammonia concentration continuously increased to 13.41 and 21.75 mg/L. The addition of GO NPs showed similar effects on COD removal efficiency than in case of NH 4 -N removal. In contrast, GO NPs influenced negatively the phosphorus removal, even at low concentration. When the SWW contained 15 and 95 mg/L GO NPs, the PO 4 - P concentration was 3.42 and 6.38 mg/L. Similar observations were also reported, wherein ZnO and CuO NPs negatively influenced the phosphorus removal in case of AGS [6,7]. At 15, 25, and 35 mg/L GO NPs, the secretion of polysaccharide (PS) slightly decreased, whereas the concentration of protein (PN) increased considerably ( Figure 1 )
相比之下,在25 mg/L GO NPs下,出水nh4 -N浓度在5.5 d后略有增加,7 d后为2.39 mg/L。当GO NPs为75和95 mg/L时,出水氨浓度持续升高,分别达到13.41和21.75 mg/L。添加氧化石墨烯NPs对COD去除率的影响与添加nh4 -N的效果相似。相比之下,即使在低浓度下,氧化石墨烯NPs也会对除磷产生负面影响。当SWW中GO NPs含量为15和95 mg/L时,po4 - P浓度分别为3.42和6.38 mg/L。类似的观察结果也有报道,其中ZnO和CuO NPs对AGS情况下的除磷产生负面影响[6,7]。在15、25和35 mg/L GO NPs下,多糖(PS)的分泌略有下降,而蛋白质(PN)的浓度显著增加(图1)。
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引用次数: 0
Rheological Studies of Hydrogels and Liposomal Dispersions: Factors Influencing the Viscoelastic Properties 水凝胶和脂质体分散体的流变学研究:影响粘弹性的因素
Pub Date : 2021-11-15 DOI: 10.33892/aph.2021.91.320-321
Petra Szalkai, Z. Pápay, L. Budai, Ágnes Sárádi-Kesztyűs, I. Antal
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引用次数: 0
The Relations Between Q3 Measurements, In vitro Release and TCS Q3含量、体外释放度与TCS的关系
Pub Date : 2021-11-15 DOI: 10.33892/aph.2021.91.142-143
F. Rădulescu, D. Miron, V. Shah
The Topical drug Classification System (TCS) is a framework specifically design for the comparative assessment of semisolid dosage forms. Compared to the Biopharmaceutics Classification System, TCS relies on the assessment of the qualitative and quantitative compositions as well as on the sensitivity of the in vitro release tests (IVRT) to signal potential differences in the microstructure. The arrangement of the components of the semisolid matrix is the complex results of the nature and intensity of interactions between the excipients, the impact of the manufacturing process and the changes which occurring during the shelf life of the product. When applied in vivo, a topical dosage form is subjected to shearing forces for spreading at the site of administration. The complexity of structural changes is difficult to simulate in vitro and a wide variety of methods have been proposed to evaluate the internal interactions for a cream, gel or ointment. For the comparative assessment of topical semisolids, the available guidance documents have strict requirements in terms of similarity of the qualitative and quantitative composition (Q1 and Q2). Differences in the amounts of the same excipients are usually limited to +/-5%, considering their potential role in the permeation and penetration across the skin barrier. Larger limits, i.e. +/10% are mentioned ingredients with specific functionality by the current version of the European Medicine Agency draft guidance on quality and equivalence of topical products. For mitigation of the risks associated with the manufacturing process, several rheological parameters are to be evaluated, i.e. yield stress, storage and loss modulus, zero-shear viscosities or areas and model parameters associated with the thixotropy loops. Considering the product-specific draft guidance issued by US-Food and Drug Administration (US-FDA), the assessment of Q3 (microstructural) similarity depends upon the complexity of the dosage forms and may include, in addition to rheology, specific parameters, such as particle or droplet size determination, crystal behavior, polymorphism, fraction of drug dissolved etc. IVRT was initially mentioned in the SUPAC-SS guidance of US-FDA (1997) for the evaluation of well defined, level 2 changes of composition or manufacturing process, based on the ability to reflect in aggregate the influence of several critical variables. Gradually, its role and applicability have been extended to comparison of topical semisolid across manufacturers. In the 1998 draft guidance Topical dermatological drug product NDA’s and ANDA’s In vivo bioavailability, bioequivalence, in vitro release, and associated studies, IVRT was proposed for the evaluation of the lower strength, once the bioequivalence for the higher strength of a generic product has been demonstrated in relation with the reference. Moreover, as part of “sponsor-specific comparability protocol”, IVRT was to be used for approval of more extensive variations,
局部药物分类系统(TCS)是一个专门为半固体剂型的比较评估设计的框架。与生物制药分类系统相比,TCS依赖于对定性和定量成分的评估以及体外释放试验(IVRT)的敏感性来指示微观结构的潜在差异。半固体基质组分的排列是赋形剂之间相互作用的性质和强度、制造过程的影响以及产品保质期内发生的变化的复杂结果。当在体内施用时,局部剂型受到剪切力以在施用部位扩散。结构变化的复杂性很难在体外模拟,并且已经提出了各种各样的方法来评估乳霜,凝胶或软膏的内部相互作用。对于局部半固体的比较评价,现有的指导文件在定性和定量成分的相似性(Q1和Q2)方面有严格的要求。考虑到它们在渗透和穿透皮肤屏障方面的潜在作用,相同赋形剂的量的差异通常限制在+/-5%。较大的限制,即+/10%是在当前版本的欧洲药品管理局外用产品质量和等效性指南草案中提到的具有特定功能的成分。为了减轻与制造过程相关的风险,需要评估几个流变参数,即屈服应力、储存和损失模量、零剪切粘度或面积以及与触变性回路相关的模型参数。考虑到美国食品和药物管理局(US-FDA)发布的产品特异性指南草案,Q3(微观结构)相似性的评估取决于剂型的复杂性,除了流变性外,还可能包括特定参数,如颗粒或液滴大小测定、晶体行为、多态性、溶解药物的比例等。IVRT最初在美国食品药品监督管理局(fda)的SUPAC-SS指南(1997)中被提及,用于评估明确的成分或制造工艺的2级变化,基于综合反映几个关键变量影响的能力。逐渐地,它的作用和适用性已经扩展到局部半固体在不同制造商之间的比较。在1998年外用皮肤科药物NDA和ANDA的体内生物利用度、生物等效性、体外释放和相关研究指南草案中,一旦证明仿制药的高强度生物等效性与参考文献相关,就提出了IVRT用于评估低强度。此外,作为“受试者特异性可比性方案”的一部分,IVRT将用于批准更广泛的变异,超过SUPAC-SS 2级。尽管这部分从未受到质疑,但它在2002年与皮肤药代动力学方法一起被撤回。目前,EMA指南草案(2018)赋予了IVRT核心作用,因为它“需要支持”扩展药物等效性的新概念。考虑到给药方法和手段的影响(Q4),还提到了额外的相似性。该装置可以在应用前改变半固体的微观结构,因此模拟体内使用的测试条件对于充分的比较是必不可少的。配方的历史包括发生在制造过程之外的转变。乳膏、凝胶和软膏受时间、剪切和温度影响,物质的排列会发生变化,这可能会改变它们的质量和性能。PL-21 Q3测定、体外释放与TCS的关系
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引用次数: 0
Global Biosimilar Drug Development: Any Chance for Consolidation after 15 Years of Positive Regulatory Experience? 全球生物仿制药开发:15年积极监管经验后有整合机会吗?
Pub Date : 2021-11-15 DOI: 10.33892/aph.2021.91.138-139
Z. Holló
Biological drugs are highly innovative pharmaceuticals derived from living cells or organisms for the treatment of high-burden diseases such as cancer, autoimmune/chronic inflammatory, cardiovascular, metabolic and central nervous system diseases. Biosimilar medicines have been developed after the patent expiry of originator biological drugs in order to facilitate access to these effective drugs, at a reduced cost.
生物药物是从活细胞或生物体中提取的高度创新的药物,用于治疗高负担疾病,如癌症、自身免疫/慢性炎症、心血管、代谢和中枢神经系统疾病。生物仿制药是在原生物药物专利到期后开发的,以便以较低的成本促进获得这些有效药物。
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引用次数: 0
Possible Metabolic Transformation of Pinenes to Ionones 蒎烯向离子酮可能的代谢转化
Pub Date : 2021-11-15 DOI: 10.33892/aph.2021.91.167-168
L. Aloum, T. Al‐Tel, Hamadah M. Tarzi, D. Lorke, G. Petroianu
The unintended consequence of the ingestion of certain foods to alter the scent or color of urine is well known [1]. Less awareness exists regarding the practice of ingestion of natural products or drugs with the intended purpose of conferring urine the scent of violets [2]. The resin of the terebinth tree and the derived turpentine were widely used in Antiquity in wine-making, both as taste enhancer and conserving agent, so the effect on urine was possibly noticed due to the presence in wines [3]. The scent altering effect requires metabolic conversion of pinene, the main turpentine component to ionone, the molecule mainly responsible for the scent of violets [2,4]. The metabolic pathway (in humans or otherwise) was (to our knowledge) not yet described [4]. Thus, we here propose a possible metabolic pathway for the conversion of pinene to ionone, explaining the scent altering effect of turpentine.
摄入某些食物会改变尿液的气味或颜色,这是众所周知的意外后果。对于摄入天然产品或药物以使尿液具有紫罗兰气味的做法,人们的认识较少。在古代,松节油及其衍生物松节油被广泛用于酿酒,既可以作为增味剂,也可以作为保鲜剂。因此,人们可能会注意到松节油对尿液的影响,因为它存在于葡萄酒中。这种气味改变作用需要松节油的主要成分蒎烯代谢转化为紫罗兰气味的主要分子离子酮[2,4]。代谢途径(在人类或其他)(据我们所知)尚未描述b[4]。因此,我们在此提出了一种可能的蒎烯转化为离子酮的代谢途径,解释了松节油改变气味的作用。
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引用次数: 0
期刊
Acta pharmaceutica Hungarica
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