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The Application of 3D Printing in the Formulation of Personalized Drug Delivery Systems 3D打印技术在个性化给药系统中的应用
Pub Date : 2021-11-15 DOI: 10.33892/aph.2021.91.179-180
Bálint Basa, G. Jakab, E. Balogh, Bence Borbás, I. Antal
the interest toward additive manufacturing is growing considering the formulation of personalized medicines [1]. 3D printing is commonly an additive process, which results in various layer-bylayer built objects. A vast number of methods are available beyond 3D Printing but there are only few of them which can be employed for tailored pharmaceutical manufacturing (e.g. Photopolymerization, Selective Laser Sintering (SLS) and Fused Deposition Modelling (FDM)) [2]. During these methods the number of unit operations is minimalized, and the opportunity to fabricate every single printlet shaped according to the individuals’ profile with only minimal human intervention can be the cause of the increased research activity in this field [3]. The additional benefit of this type of manufacturing is the capability of producing customized ways of medication for pediatrics, geriatrics and patients suffering from organ dsyfunctions, avoiding the slightest chance of reaching toxic doses in their body. Several types of dosage forms were previously microfabricated including floating systems, pulsatile drug release tablets and zero-order release forms [4]. The first 3D printed orodispersible tablet was approved by the FDA in 2015.[5] The objective of our study was to design and print biodegradable drug delivery systems. Commercially available filament materials were screened as well as the print settings were optimized. In addition, the influence of design parameters including wall thickness, morphology, number and size of pores on the drug delivery in case of model drugs was investigated. Moreover, the applicability of matrix polymers and gelling agents in the process of 3D printing was studied. There were some formulations aiming the study of dose proportionality, in order to expand the opportunities of personalized medication. 2. Materials and methods
考虑到个性化药物的配方,对增材制造的兴趣正在增长[1]。3D打印通常是一个附加过程,导致各种层逐层构建对象。除了3D打印之外,还有大量的方法可供使用,但其中只有少数方法可用于定制药物制造(例如光聚合、选择性激光烧结(SLS)和熔融沉积建模(FDM))[2]。在这些方法中,单元操作的数量被最小化,并且有机会根据个人的轮廓制造每个单独的打印件,而只需最少的人为干预,这可能是该领域研究活动增加的原因[3]。这种生产方式的额外好处是能够为儿科、老年医学和患有器官功能障碍的患者生产定制的药物,避免在他们体内达到有毒剂量的最小机会。以前有几种类型的剂型被微制,包括浮动系统、脉冲释放片剂和零级释放剂型[4]。2015年,第一个3D打印或分散片剂获得了FDA的批准。[5]我们研究的目的是设计和打印可生物降解的药物传递系统。筛选了市售长丝材料,并对打印设置进行了优化。此外,在模型药物的情况下,研究了壁厚、孔形态、孔数和孔大小等设计参数对药物传递的影响。此外,还研究了基质聚合物和胶凝剂在3D打印过程中的适用性。有一些配方旨在研究剂量比例,以扩大个性化用药的机会。2. 材料与方法
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引用次数: 0
Lipopeptide Nanoparticulate Vaccine Candidates for the Induction of Protective Immune Responses 诱导保护性免疫反应的脂肽纳米颗粒疫苗候选物
Pub Date : 2021-11-15 DOI: 10.33892/aph.2021.91.124-125
I. Toth, M. Skwarczynski
The development of an effective vaccine for group A streptococci (GAS) has been challenged by the induced autoimmunity of epitopes derived from the C-repeat regions. Additionally, there are B-cell epitopes that have been shown to react with human heart tissue. Shorter safe B-cell epitopes, show little or no immunogenicity unless bound to a delivery platform including the conjugation to an inbuilt adjuvant. Self-adjuvanting lipid core peptide (LCP) systems where the antigen(s), carrier and adjuvant were within the same molecular entity has been developed. The LCP amphiphilic construct was incorporated into liposomes to produce particles with the desired size. The construct alone elicited high-levels of antibody titers comparable to that of the positive control (J8 + Complete Freund’s adjuvant). The developed strategy to produce nanoparticles, consisting of a peripheral antigenic epitope layer conjugated to a dendrimer core, which is both self-adjuvanting and produces a strong immune response to the GAS M-protein, offers an attractive alternative to conventional vaccine approaches. The greatest advantage of this system being the generation of protective immune response after oral administration. Our dendrimer-nanoparticles vaccine approach should be readily acquiescent to other pathogenic organisms in addition to GAS, and may prove particularly useful for the design of vaccines against infection deceases know to stimulate autoimmune response in a host.
A群链球菌(GAS)有效疫苗的开发一直受到来自C-repeat区域的表位诱导自身免疫的挑战。此外,有b细胞表位已被证明与人类心脏组织发生反应。较短的安全b细胞表位,显示很少或没有免疫原性,除非结合到递送平台,包括与内建佐剂的结合。抗原、载体和佐剂位于同一分子实体内的自佐剂脂质核心肽(LCP)系统已经被开发出来。LCP两亲性结构被纳入脂质体以产生所需大小的颗粒。该构建体单独引发了与阳性对照(J8 +完全弗氏佐剂)相当的高水平抗体滴度。开发出的生产纳米颗粒的策略提供了一种有吸引力的替代方法,这种纳米颗粒由外周抗原表位层偶联到树突核心组成,既具有自我佐剂作用,又能对GAS m蛋白产生强烈的免疫反应。该系统最大的优点是口服后产生保护性免疫反应。我们的树突-纳米颗粒疫苗方法应该可以很容易地对除GAS之外的其他病原生物默认,并且可能被证明对设计已知可刺激宿主自身免疫反应的感染死亡疫苗特别有用。
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引用次数: 0
Image Analysis: A Novel Method in the Assessment of Pharmaceutical Foams 图像分析:一种评价药物泡沫的新方法
Pub Date : 2021-11-15 DOI: 10.33892/aph.2021.91.204-205
D. Farkas, Nikolett Kállai-Szabó, I. Antal
For almost half a century foams have been present in the pharmaceutical markets worldwide. Generally, they can be defined as thin liquid or solid film separated gas bubble agglomerations, but the pharmacopoeial monograph of medicated foams recognizes only the aforementioned 1,2. Pharmaceutical foams offer an outstanding alternative to conventional dosage forms in topical treatment. Apart from the satisfactory drug delivery ability, the ease and convenience of application contributes to the high acceptance and excellent patient compliance of this dosage form. Despite the growing interest for foams, the current pharmacopoeial examinations are not sufficient for the description of their unique nature and virtue. Although image analysis can not provide an exhaustive overview on foams, it offers a great complementary method for their assessment 3,4. This research aims to demonstrate the extensive applicability of image analysis in the evaluation process of pharmaceutical foams. It also aims to make assumptions on important foam characteristics based on the composition and the microand macroscopic properties of foams.
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引用次数: 0
Study on Drug Release from Oleogel Carriers 油凝胶载体药物释放的研究
Pub Date : 2021-11-15 DOI: 10.33892/aph.2021.91.328-329
Zsófia Vilimi, M. Hajdú, Nikolett Kállai-Szabó, I. Antal
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引用次数: 0
Regulatory Science Challenges : Encouraging Innovation Through an Adaptive Regulatory System 监管科学挑战:通过适应性监管体系鼓励创新
Pub Date : 2021-11-15 DOI: 10.33892/aph.2021.91.106-107
K. Fodor
ATMPs - a new era A boy from Hungary, Zente, was one and a half years old when the crowd-funding campaign to finance his life-saving medicine Zolgensma concluded with a happy end. He was the third European patient that received the new gene therapy, which replaces the function of the missing or nonworking survival motor neuron 1 (SMN1) gene with a new, working copy of a human SMN gene that helps motor neuron cells work properly and survive. From a European perspective, it has been almost 15 years by now since regulatory framework for advanced therapy medicinal products (ATMPs) had been established to ensure the free movement of these medicines within the European Union, to facilitate their access to the EU market, and to foster the competitiveness of European pharmaceutical companies in the field. Zolgensma has been approved in the EU in May 2020. The FDA expects it will be reviewing and approving up to 20 cell and gene therapies each year until 2025. Rapid development of technology and better understanding of the manufacturing challenges are not the only prerequisites of the growth. Assessment of products like Zolgensma requires very specific knowledge and often an adaptive approach from regulators. They have to gain enough experience and need to be able to summarize knowledge in guidelines that would help developers of products that are substantially different from traditional medicines. FDA issued seven new guidelines in January 2020, in which, for example, they highlight the importance of long-term follow-up for gene therapies that offer one-time fix for inherited diseases and where pre-market studies may have limited value. 2. Regulatory tools These examples may already show that rapid change in technology leads to new kinds of medicines that require a properly adapted regulatory system. Patients would expect state-of-the-art medicines within the shortest possible time frame, however, authorities are traditionally more cautious. Still, there are several various initiatives from the EMA and the FDA to foster early access to medicines. Some of these have been available for a longer time. EMA's accelerated assessment reduces the timeframe for review of innovative applications of medicines with major public health interest. Conditional marketing authorisation grants authorization before a complete dataset is available, and compassionate use allows the use of an unauthorized medicine for patients with an unmet medical need. A more recent regulatory tool of EMA is the priority medicines scheme (PRIME) that aims to enhance support for the development of medicines that are expected to make a real difference to patients. Early dialogue between EMA and the developers is a crucial part of the tool, together with accelerated assessment and continuous scientific advice and protocol assistance. Up to now, 282 applications for PRIME eligibility have been assessed by the CHMP of which 95 have received a green light. Most of the applicants are small and medi
当为他的救命药物Zolgensma筹集资金的众筹活动圆满结束时,匈牙利男孩Zente才一岁半。他是第三位接受这种新基因疗法的欧洲患者,这种疗法用一种新的、有效的人类SMN基因拷贝取代了缺失的或不起作用的存活运动神经元1 (SMN1)基因的功能,这种基因有助于运动神经元细胞正常工作和存活。从欧洲的角度来看,先进治疗药物(atmp)的监管框架已经建立了近15年,以确保这些药物在欧盟内部的自由流动,促进它们进入欧盟市场,并促进欧洲制药公司在该领域的竞争力。Zolgensma已于2020年5月在欧盟获得批准。FDA预计,到2025年,每年将审查和批准多达20种细胞和基因疗法。技术的快速发展和对制造挑战的更好理解并不是增长的唯一先决条件。对像Zolgensma这样的产品进行评估需要非常具体的知识,而且监管机构通常需要采用适应性方法。他们必须获得足够的经验,并且需要能够在指导方针中总结知识,以帮助开发与传统药物有很大不同的产品。FDA于2020年1月发布了七项新指南,例如,它们强调了对基因疗法进行长期随访的重要性,这些疗法为遗传性疾病提供了一次性修复,而上市前研究的价值可能有限。2. 这些例子可能已经表明,技术的快速变化导致了需要适当调整的监管系统的新型药物。患者希望在尽可能短的时间内获得最先进的药物,然而,当局传统上更为谨慎。尽管如此,EMA和FDA仍有一些不同的举措来促进药物的早期获取。其中一些已经存在很长时间了。EMA的加速评估缩短了对具有重大公共卫生利益的药物创新应用的审查时间框架。有条件上市许可在完整的数据集可用之前授予许可,而同情使用允许将未经授权的药物用于未满足医疗需求的患者。EMA最近的一个监管工具是优先药物计划(PRIME),旨在加强对有望对患者产生真正影响的药物开发的支持。EMA和开发人员之间的早期对话是该工具的关键部分,同时还有加速评估和持续的科学建议和协议协助。到目前为止,CHMP已经评估了282份PRIME资格申请,其中95份获得了绿灯。大多数申请者是中小型企业,主要治疗领域是肿瘤学。FDA也有类似的项目,如快速通道、突破性治疗和优先审查指定,并且也旨在促进和加速关键药物的开发和上市授权。到2018年,FDA加快了约70%的新药审批,而2010年这一比例约为50%。其结果是,越来越多的药物在上市前证据较少的情况下获得批准,这是一种权衡,大多数致命或使人衰弱的疾病患者可能会接受。然而,有条件的批准需要监管机构在上市后给予强烈关注,而缺乏足够的证据有时会导致难以做出决定。2019年4月,快速追踪的癌症药物Lartruvo被撤回,因为一项大型研究无法证明有利的收益-风险概况,这是之前在较小的患者群体中建立的。预计监管机构的做法不会改变,但此类案例的经验将逐渐融入决策过程。除了这个真实世界的证据(RWE)和病人记录的结果也可能有助于决策。3.快速发展的生物技术并不是唯一需要适应性监管方法的领域。随着智能手机和传感器开辟了生成数据的新途径,数字医学是一个新领域。例如,在随机试验不可行的情况下,收集和分析RWE似乎是单组研究的一个很好的解决方案。FDA已经批准了易于使用的设备,这些设备能够跟踪我们身体的几个生理系统,这反过来又可以促进这一领域的发展。除了这些简单的设备,人工智能(AI)和认知机器学习方面的数字革命是我们的监管系统应该应对的另一个挑战。
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引用次数: 0
High-Throughput Screening for Bioactive Natural Compounds from Plant Extracts by HPTLC Hyphenations 高效薄层色谱法筛选植物提取物中生物活性天然化合物
Pub Date : 2021-11-15 DOI: 10.33892/aph.2021.91.276-277
Á. Móricz, D. Krüzselyi, Maryam Jamshidi-Aidji, P. Ott, G. Morlock
In the last decade, effect-directed analysis (EDA) gave new impetus for the discovery of new potential drug compounds from natural sources. Highperformance thin-layer chromatography (HPTLC) was established as a high-throughput and reliable separation technique that is frequently utilized for screening of highly complex samples, such as crude plant extracts. HPTLC combined with biological and biochemical assays and high-resolution mass spectrometry (HRMS) followed by bioassay-guided isolation and NMR was demonstrated as a straightforward strategy for bioanalysis of natural products [1,2]. Diabetes and Alzheimer’s disease (AD) represent two of the global health issues. Type 2 diabetic patients, the majority of the people with diabetes, suffer from the hyperglycemia. The salivary and pancreatic α-amylases and αand β-glucosidases are involved in the degradation and digestion of polyand oligosaccharides to glucose, hence, glucosidase and amylase inhibitors are of therapeutic interest in type 2 diabetes as well as overweight and obesity [3,4]. AD is associated with the loss of cholinergic neurons in the brain and decrease in the neurotransmitter acetylcholine. Acetylcholinesterase (AChE) and butyrylcholinesterase (BChE) are crucially involved in the hydrolysis of the acetylcholine into choline. Hence, AChE-selective and dual AChE/BChE inhibitors represented the first generation of medicines for the decrease of the AD progression rate [5]. The fight against infectious diseases, a major global public hazard, is also a challenge due to the increase in the emergence of the (multi)drug-resistant microorganisms [6]. In this study (HP)TLC combined with direct αand β-glucosidase, α-amylase and antimicrobial assays will be demonstrated for the comparison of the bio-profiles (the enzyme inhibitory and antibacterial potentials) of invasive goldenrod species.
在过去的十年中,效应导向分析(EDA)为从天然来源发现新的潜在药物化合物提供了新的动力。高效薄层色谱(HPTLC)是一种高通量、可靠的分离技术,经常用于筛选高度复杂的样品,如植物粗提取物。HPTLC结合生物和生化分析和高分辨率质谱(HRMS),然后是生物测定引导分离和核磁共振被证明是天然产物生物分析的直接策略[1,2]。糖尿病和阿尔茨海默病(AD)是两个全球性的健康问题。2型糖尿病患者,占糖尿病患者的大多数,患有高血糖症。唾液和胰腺的α-淀粉酶以及α和β-葡萄糖苷酶参与多聚糖和低聚糖的降解和消化,因此,葡萄糖苷酶和淀粉酶抑制剂对2型糖尿病以及超重和肥胖具有治疗意义[3,4]。阿尔茨海默病与大脑胆碱能神经元的丧失和神经递质乙酰胆碱的减少有关。乙酰胆碱酯酶(AChE)和丁基胆碱酯酶(BChE)在乙酰胆碱水解成胆碱的过程中起关键作用。因此,AChE选择性和双重AChE/BChE抑制剂代表了第一代降低AD进展率的药物[5]。传染病是一项重大的全球公害,由于(多重)耐药微生物的出现增加,抗击传染病也是一项挑战[6]。在本研究中,(HP)TLC联合α和β-葡萄糖苷酶、α-淀粉酶和抗菌检测将用于比较入侵性黄花属植物的生物特征(酶抑制和抗菌潜力)。
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引用次数: 0
Revolutionary Application of 3D-Two-Photon Microscopes for Human Therapy and Drug Research 3d双光子显微镜在人类治疗和药物研究中的革命性应用
Pub Date : 2021-11-15 DOI: 10.33892/aph.2021.91.278-279
Z. Mucsi, Gergely Szalay, G. Katona, B. Rózsa
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引用次数: 0
Evaluation of Different Pre-Processed Directly Compressible Paracetamol 不同预处理直接可压缩扑热息痛的评价
Pub Date : 2021-11-15 DOI: 10.33892/aph.2021.91.290-292
Musaab Saada, Y. Özalp, Nailla Jiwa, J. T. Chunu, Emre Kara, D. Taşkent, Zeynep Atabay Taşkent
density values. True density was measured using helium pycnometer
密度值。用氦浓度计测定真密度
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引用次数: 0
Advanced Drug Delivery Systems: From Nano- and Microparticles to Smart Pills 先进的药物输送系统:从纳米和微粒到智能药丸
Pub Date : 2021-11-15 DOI: 10.33892/aph.2021.91.128-129
I. Antal
microcapsules are compo-nents of multiparticulate drug carriers structural patient-centered Depending on the mode of be into solid (capsules, tablets, semi-solid (gels, creams, pastes) or liquid (solutions, suspen-sions, or parenteral) dosage forms
微胶囊是多颗粒药物载体的组成部分,其结构以患者为中心,取决于其进入固体(胶囊、片剂、半固体(凝胶、膏状、糊状)或液体(溶液、悬浮液或非肠道)剂型的方式
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引用次数: 0
Same Product Different Regulatory Approach Around the World: Glatiramer Acetate 同一产品在世界各地不同的监管方法:醋酸格拉替雷
Pub Date : 2021-11-15 DOI: 10.33892/aph.2021.91.112-113
P. Rocco, P. Minghetti
Complex drugs may be either biological, if the active ingredients are derived from a biological source, or non-biological, if obtained by chemical synthesis. In both cases, their quality depends considerably on the manufacturing process. For Non Biological Complex Drugs (NBCDs), in particular, complexity may arise either from the active substance, as in the case of glatiramer acetate (GA), or from other sources, such as the formulation, as in the case of liposomes (Figure 1) (1). GA is approved, in the US and the EU, as a diseasemodifying treatment for patients with relapsing forms of Multiple Sclerosis. It is a heterogeneous mixture of not fully characterized synthetic polypeptides, containing L-alanine, L-lysine, L-glutamic acid, L-tyrosine in the constant molar ratio 0.43:0.34:0.14:0.09, with and average molecular weight from 5 to 9 kDa and distribution range from 2.5 to 20 kDa (2). The amino acid sequences are not completely random, being the result of both the physicochemical properties of the starting materials and the fundamental reaction scheme. However, they are not completely conserved from batch to batch, even when the process is tightly controlled. Indeed along with conserved characteristics such as amino acid molar ratio other characteristics such as the specific amino acid sequences will show batch-to-batch variability (1). To address this complexity, for the marketing of GA copies, US and EU regulatory agencies have chosen a generic approach integrated with additional data. However, the implementation is different in the two jurisdictions (Figure 1).
复合药物可以是生物的,如果其活性成分来源于生物来源,也可以是非生物的,如果通过化学合成获得。在这两种情况下,它们的质量在很大程度上取决于制造过程。特别是对于非生物复合药物(nbcd),复杂性可能来自活性物质,如醋酸格拉替默(GA),也可能来自其他来源,如制剂,如脂质体(图1)(1)。GA在美国和欧盟被批准用于多发性硬化症复发型患者的疾病改善治疗。它是一种不完全表征的合成多肽的异质混合物,含有l -丙氨酸、l -赖氨酸、l -谷氨酸、l -酪氨酸,摩尔比为0.43:0.34:0.14:0.09,平均分子量为5 ~ 9 kDa,分布范围为2.5 ~ 20 kDa(2)。氨基酸序列不是完全随机的,这是由原料的理化性质和基本反应方案共同决定的。然而,即使在严格控制过程的情况下,它们也不能在批次之间完全守恒。事实上,除了氨基酸摩尔比等保守特征外,其他特征(如特定的氨基酸序列)也会显示出批次间的可变性(1)。为了解决这种复杂性,对于GA拷贝的营销,美国和欧盟监管机构选择了一种整合了额外数据的通用方法。然而,这两个司法管辖区的实现不同(图1)。
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引用次数: 0
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Acta pharmaceutica Hungarica
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