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Y-Co metal-organic framework for sensitive electrochemical determination of doxorubicin hydrochloride. Y-Co金属-有机框架电化学灵敏测定盐酸阿霉素。
IF 4.3 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-12-18 eCollection Date: 2025-01-01 DOI: 10.5599/admet.3141
Somayeh Mir, Niloufar Akbarzadeh Torbati, Vahid Amani, Somayeh Tajik, Hadi Beitollahi

Background and purpose: Cancer represents a major challenge to public health; therefore, identifying doxorubicin hydrochloride (DOX·HCl) as an important chemotherapy drug holds considerable significance.

Experimental approach: An electrochemical sensing strategy was designed for DOX·HCl determination by using Y-Co bimetallic metal-organic framework (Y-Co MOF) modified carbon paste electrode (CPE). The Y-Co-MOF was successfully prepared via the solvothermal method.

Key results: Characterizations using field emission scanning electron microscopy, transmission electron microscopy, X-ray diffraction, Fourier transform infrared spectroscopy and energy-dispersive X-ray spectroscopy with elemental mapping images were used to evaluate the morphological features, crystalline structure, functional groups, and elemental composition of the Y-Co-MOF. From cyclic voltammetric studies, well-defined redox peaks of DOX·HCl with improved response peak currents at lower overpotentials were observed on the surface of Y-Co MOF/CPE compared to the unmodified CPE. This indicated that the as-prepared modified CPE has a strong and efficient redox capability toward DOX·HCl. Under the optimized parameters and conditions, the linear response range from differential pulse voltammetry measurements for DOX·HCl were 0.0025 to 100.0 μM, with a low limit of detection of 0.001 μM. Finally, the ability of the designed sensing platform to determine the amounts of DOX·HCl in the injection sample was studied and it has been observed a high and efficient ability with satisfactory values of recovery and relative standard deviation.

Conclusion: This analytical approach offers a useful means for the analysis of pharmaceutical formulations, providing potential advantages in cancer therapy.

背景和目的:癌症是对公共卫生的重大挑战;因此,确定盐酸阿霉素(DOX·HCl)作为一种重要的化疗药物具有重要意义。实验方法:设计了Y-Co双金属金属有机骨架(Y-Co MOF)修饰碳糊电极(CPE)测定DOX·HCl的电化学传感策略。通过溶剂热法制备了Y-Co-MOF。关键结果:利用场发射扫描电镜、透射电镜、x射线衍射、傅里叶变换红外光谱和能量色散x射线光谱与元素映射图像进行表征,评估Y-Co-MOF的形态特征、晶体结构、官能团和元素组成。从循环伏安研究中,与未改性的CPE相比,在Y-Co MOF/CPE表面观察到明确的DOX·HCl氧化还原峰,其响应峰电流在较低过电位下得到改善。这表明制备的改性CPE对DOX·HCl具有较强的高效氧化还原能力。在优化的参数和条件下,差分脉冲伏安法测定DOX·HCl的线性响应范围为0.0025 ~ 100.0 μM,检测下限为0.001 μM。最后,对所设计的传感平台测定注射样品中DOX·HCl含量的能力进行了研究,结果表明该传感平台具有较高的效率,回收率和相对标准偏差值均令人满意。结论:该分析方法为药物制剂的分析提供了一种有效的方法,在癌症治疗中具有潜在的优势。
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引用次数: 0
Electrochemical detection of chloramphenicol using gadolinium tungstate with sulphur-doped carbon nitride nanocomposite. 钨酸钆掺杂硫氮化碳纳米复合材料电化学检测氯霉素。
IF 4.3 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-12-08 eCollection Date: 2025-01-01 DOI: 10.5599/admet.3015
Trishul Alanahally Mallu, Gagankumar Sakleshpur Kumar, Santhosh Arehalli Shivamurthy, Nalini Seetharamaiah, Manoj Kumar Basavarajappa, Sandeep Shadakshari

Background and purpose: Chloramphenicol (CAP) is a broad-spectrum antibiotic whose unregulated presence in pharmaceuticals and food products raises significant health concerns, underscoring the need for rapid, reliable detection methods. This study aimed to develop a sensitive and economical electrochemical sensing platform based on a novel gadolinium tungstate (Gd2(WO4)3) and sulphur-doped graphitic carbon nitride (S-g-C3N4) nanocomposite for the efficient determination of CAP.

Experimental approach: The Gd2(WO4)3/S-g-C3N4 nanocomposite was synthesized via a simple co-precipitation method and characterized using XRD, XPS, EDS, and TEM to confirm structural and morphological integration. A glassy carbon electrode modified with the composite was evaluated by cyclic and linear sweep voltammetry, along with analyses of interference, repeatability, stability, and real samples in eye-drop formulations and milk.

Key results: The modified electrode exhibited significantly enhanced electrocatalytic oxidation of CAP compared with bare and individually modified electrodes, demonstrating high sensitivity, good selectivity against common interferents, and strong operational stability and reproducibility. A low detection limit was achieved, and the electrode effectively quantified CAP in real matrices with satisfactory recovery.

Conclusion: The findings establish the Gd2(WO4)3/S-g-C3N4 nanocomposite as an efficient sensing material, offering a reliable, stable, and cost-effective platform for routine monitoring of antibiotic residues. While minor optimization may further expand its applicability, the study advances electrochemical sensing by introducing a robust nanocomposite with improved analytical performance for CAP detection.

背景和目的:氯霉素(CAP)是一种广谱抗生素,其在药品和食品中的无管制存在引起了严重的健康问题,强调需要快速、可靠的检测方法。本研究旨在开发一种基于新型钨酸钆(Gd2(WO4)3)和硫掺杂石墨氮化碳(S-g-C3N4)纳米复合材料的灵敏、经济的电化学传感平台,用于高效测定cap。实验方法:采用简单共沉淀法合成了Gd2(WO4)3/S-g-C3N4纳米复合材料,并利用XRD、XPS、EDS和TEM对其进行了表征,以证实其结构和形态的整合。用循环扫描伏安法和线性扫描伏安法对该复合材料修饰的玻碳电极进行了评价,并对眼药水配方和牛奶中的干扰、可重复性、稳定性和真实样品进行了分析。关键结果:与裸电极和单独修饰电极相比,修饰电极对CAP的电催化氧化能力显著增强,具有高灵敏度,对常见干扰具有良好的选择性,操作稳定性和重复性强。该电极具有较低的检出限,有效地定量了实际基质中的CAP,回收率令人满意。结论:Gd2(WO4)3/S-g-C3N4纳米复合材料是一种高效的传感材料,为抗生素残留的常规监测提供了可靠、稳定、经济的平台。虽然微小的优化可能会进一步扩大其适用性,但该研究通过引入具有改进分析性能的强大纳米复合材料来推进电化学传感。
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引用次数: 0
TiO2-embedded molecularly imprinted polymer as electrochemical sensor for ultrasensitive determination of glycopyrronium bromide. 二氧化钛包埋分子印迹聚合物电化学传感器超灵敏测定溴化甘氯铵。
IF 4.3 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-12-08 eCollection Date: 2025-01-01 DOI: 10.5599/admet.3102
Zehra Dogan, Ensar Piskin, Ahmet Cetinkaya, Esen Bellur Atici, Sibel A Ozkan

Background and purpose: The precise quantification and quality evaluation of glycopyrronium bromide (GLB), a long-acting muscarinic antagonist widely used in the treatment of chronic obstructive pulmonary disease, requires the development of advanced analytical methodologies capable of achieving high sensitivity, accuracy, and selectivity to ensure therapeutic efficacy and formulation integrity. This study aims to overcome the limitations of conventional methods by developing a rapid, cost-effective method for determining GLB.

Experimental approach: To achieve this, titanium dioxide nanoparticles (TiO2 NPs) were initially applied onto a glassy carbon electrode surface to provide an enhanced surface area and increased conductivity. Subsequently, a TiO2 nanoparticle-supported molecularly imprinted polymer (MIP) film was synthesized via photopolymerization using GLB as the template molecule, 4-amminobenzoic acid (4-ABA) as the functional monomer, ethylene glycol dimethacrylate as the crosslinking agent, and 2-hydroxyethyl methacrylate (HEMA) as the basic monomer.

Key results: The optimized GLB/4-ABA@TiO2 NPs/MIP- sensor demonstrated outstanding analytical performance, achieving ultra-low picomolar detection limits. The system exhibited superior selectivity (confirmed by high imprinting factor), excellent repeatability and reproducibility, and satisfactory stability. It was successfully applied to the accurate measurement of GLB in both commercial serum and pharmaceutical formulations.

Conclusion: The designed nanomaterial-embedded MIP-based electrochemical system presented here offers a highly successful, sensitive, and selective method for GLB determination. The work significantly advances knowledge in the field of analytical medicine and drug monitoring by providing a fast, robust alternative for routine clinical and quality-control tracking of GLB.

背景与目的:广泛用于慢性阻塞性肺疾病治疗的长效毒蕈碱类拮抗剂甘溴化铵(GLB)的精确定量和质量评价,需要发展能够实现高灵敏度、准确性和选择性的先进分析方法,以确保治疗效果和配方的完整性。本研究旨在通过开发一种快速、经济有效的测定GLB的方法来克服传统方法的局限性。实验方法:为了实现这一目标,二氧化钛纳米颗粒(TiO2 NPs)最初被应用于玻碳电极表面,以提供更大的表面积和更高的导电性。随后,以GLB为模板分子,4-氨基苯甲酸(4-ABA)为功能单体,乙二醇二甲基丙烯酸酯为交联剂,甲基丙烯酸2-羟乙酯(HEMA)为碱性单体,通过光聚合法制备了TiO2纳米颗粒负载的分子印迹聚合物(MIP)薄膜。关键结果:优化后的GLB/4-ABA@TiO2 NPs/MIP-传感器具有出色的分析性能,实现了超低皮摩尔检测限。该体系具有优良的选择性(印迹因子高)、良好的重复性和再现性以及良好的稳定性。它成功地应用于商业血清和药物制剂中GLB的精确测量。结论:所设计的纳米材料包埋mip电化学体系为GLB的测定提供了一种成功、灵敏、选择性高的方法。这项工作通过为GLB的常规临床和质量控制跟踪提供一种快速、可靠的替代方法,显著提高了分析医学和药物监测领域的知识。
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引用次数: 0
Elucidating CYP2D6-driven metabolism and hepatotoxic bioactivation of metoprolol in plateable human and animal hepatocytes. 阐明cyp2d6驱动的代谢和美托洛尔在可平板的人和动物肝细胞中的肝毒性生物活性。
IF 4.3 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-10-30 eCollection Date: 2025-01-01 DOI: 10.5599/admet.2961
Jiang Pu, Mei Yang, Min Zhang, Ruiqi Gao, Yue Xiao, Lingyu Liu, Chuanjing Zhang, Wennuo Xu, Kaifang Li, Wanyong Feng

Background and purpose: As a classic β-blocker with low systemic clearance, metoprolol has been linked to rare but clinically significant hepatotoxicity, yet its hepatic metabolic fate remains poorly characterized.

Experimental approach: Metoprolol was incubated individually in plateable human and animal hepatocytes, and recombinant cytochrome (CYP) P450 enzymes, followed by sample processing for cytotoxicity assessment, stability analysis, phenotyping and metabolite identification studies.

Key results: In vitro cytotoxicity assessment revealed distinct species-specific responses to metoprolol exposure. Metoprolol showed no observable cytotoxicity across the tested concentration range (0 to 500 μM) in human hepatocytes, whereas it was cytotoxic only at a concentration of 500 μM in rat hepatocytes. Metabolic characterization showed low intrinsic clearance in human hepatocytes (0.56±0.12 μL min-1 per million cells) over a 72-hour incubation. Comprehensive mass spectrometer analysis identified 22 metabolites across four species (rat, dog, monkey, and human) and fifteen metabolites were identified as the new ones, with CYP2D6-mediated biotransformation pathways (including mono-oxygenation, O-demethylation, and oxidation) accounting for the generation of four major metabolites (M1, M10, M13, M17). Notably, species-specific metabolism was observed for s-hydroxy-metoprolol (M10). It served as the predominant metabolite in rat hepatocytes and underwent subsequent bioactivation to a reactive glutathione (GSH) conjugate. Inhibition studies with 1-aminobenzotriazole (a non-specific CYP inhibitor) confirmed the CYP-dependent nature of this hepatotoxic metabolic pathway.

Conclusion: The sustained metabolic activity of plateable hepatocytes facilitated a comprehensive metabolic profiling of metoprolol, including direct observation of GSH-mediated bioactivation. Integrating with cytotoxicity data, these findings offered crucial insights into its hepatic adverse effects.

背景与目的:美托洛尔作为一种典型的β受体阻滞剂,具有较低的全身清除率,与罕见但临床上显著的肝毒性有关,但其肝代谢命运仍不清楚。实验方法:美托洛尔分别在可平板的人和动物肝细胞和重组细胞色素(CYP) P450酶中孵育,然后进行样品处理,进行细胞毒性评估、稳定性分析、表型和代谢物鉴定研究。关键结果:体外细胞毒性评估揭示了美托洛尔暴露的不同物种特异性反应。美托洛尔在浓度范围(0 ~ 500 μM)内对人肝细胞无明显的细胞毒性,而对大鼠肝细胞仅在浓度为500 μM时有细胞毒性。代谢特性显示,在72小时的孵育过程中,人肝细胞的内在清除率较低(每百万细胞0.56±0.12 μL min-1)。综合质谱分析鉴定了4个物种(大鼠、狗、猴和人)的22种代谢物,其中15种代谢物为新发现的代谢物,其中cyp2d6介导的生物转化途径(包括单氧合、o-去甲基化和氧化)占4种主要代谢物(M1、M10、M13、M17)的产生。值得注意的是,观察到s-羟基美托洛尔(M10)的物种特异性代谢。它是大鼠肝细胞中的主要代谢物,随后被活性谷胱甘肽(GSH)偶联物生物活化。1-氨基苯并三唑(一种非特异性CYP抑制剂)的抑制研究证实了这种肝毒性代谢途径的CYP依赖性。结论:可平板肝细胞的持续代谢活性促进了美托洛尔的全面代谢谱分析,包括直接观察gsh介导的生物活性。结合细胞毒性数据,这些发现为其肝脏不良反应提供了重要的见解。
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引用次数: 0
Nano-biomaterials in cancer therapy: Advances in targeting and overcoming cancer stem cell resistance. 纳米生物材料在癌症治疗中的应用:靶向和克服癌症干细胞耐药性的研究进展。
IF 4.3 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-10-24 eCollection Date: 2025-01-01 DOI: 10.5599/admet.3007
Marzieh Dehghani, Behnam Hajipour-Verdom, Fatemeh Rahimzadeh, Parviz Abdolmaleki

Background and purpose: Cancer remains a leading cause of death globally, with long-term treatment success hindered by metastasis, recurrence, and therapy resistance. A central driver of these limitations is cancer stem cells (CSCs) - a rare subpopulation of tumour cells endowed with self-renewal and differentiation potential. CSCs contribute critically to tumour progression, metastatic spread, and resistance to conventional therapies, yet no clinically validated strategies currently exist to accurately detect or selectively eliminate them.

Review approach: The paper systematically examined the literature on CSC origin, phenotypic characterization, isolation techniques, and mechanisms underlying resistance, including dormancy, enhanced DNA repair, apoptosis evasion, and microenvironmental protection. Particular attention was given to recent advances in nanomaterial-based strategies - metallic, carbon, and organic nanocarriers, designed to improve CSC-specific drug delivery, reactive oxygen species generation, pathway inhibition, and modulation of the CSC niche.

Key results: Current CSC markers and in vivo models remain ambiguous and poorly standardized, limiting translational progress. Nanotechnology provides promising solutions by enabling targeted delivery and multi-functional therapy integration, yet most systems are still at the preclinical stage, constrained by issues of biocompatibility, targeting precision, and manufacturing scalability.

Conclusion: Multifunctional nanoplatforms hold substantial potential to overcome CSC-driven resistance, improve therapeutic selectivity, and reduce recurrence. However, rigorous optimization and clinical validation are essential before these technologies can be integrated into routine oncology. This review advances understanding by outlining the intersection of CSC biology and nanomedicine, emphasizing translational pathways for CSC-targeted cancer therapy.

背景和目的:癌症仍然是全球死亡的主要原因,长期治疗成功受到转移、复发和治疗抵抗的阻碍。这些限制的主要驱动因素是癌症干细胞(CSCs)——一种罕见的肿瘤细胞亚群,具有自我更新和分化潜力。CSCs对肿瘤进展、转移扩散和对常规治疗的耐药性起着至关重要的作用,但目前还没有临床验证的策略来准确检测或选择性地消除它们。综述方法:系统回顾了CSC的起源、表型特征、分离技术和抗性机制,包括休眠、DNA修复增强、细胞凋亡逃避和微环境保护等方面的文献。特别关注了基于纳米材料的策略的最新进展-金属,碳和有机纳米载体,旨在改善CSC特异性药物递送,活性氧生成,途径抑制和CSC生态位调节。关键结果:目前的CSC标记物和体内模型仍然不明确,标准化程度低,限制了翻译进展。纳米技术通过靶向递送和多功能治疗整合提供了有希望的解决方案,但大多数系统仍处于临床前阶段,受到生物相容性、靶向精度和制造可扩展性等问题的限制。结论:多功能纳米平台具有克服csc驱动耐药、提高治疗选择性和减少复发的巨大潜力。然而,在将这些技术整合到常规肿瘤学之前,严格的优化和临床验证是必不可少的。这篇综述通过概述CSC生物学和纳米医学的交叉来促进理解,强调CSC靶向癌症治疗的转化途径。
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引用次数: 0
ZnO-modified carbon paste electrode for electrochemical sensing of dopamine in the presence of tyrosine. 酪氨酸存在下zno修饰碳糊电极对多巴胺的电化学传感。
IF 4.3 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-10-21 eCollection Date: 2025-01-01 DOI: 10.5599/admet.3010
Ali Obaid Imarah, Nada Hasan, Mustafa G Alabbasi

Background and purpose: Dopamine, 3,4-dihydroxyphenylalanine, functions as a catecholamine neurotransmitter in the brain, sending messages to other neurons to regulate information transmission to other areas of the brain, govern movement, and alter brain activity. Tyrosine undergoes an enzymatic process in the pharmaceutical industry to produce dopamine. Thus, it is crucial to measure both tyrosine and dopamine in bodily fluids simultaneously.

Experimental approach: In this work, we demonstrate the production of ZnO nanoparticles using a straightforward solvothermal technique. A straightforward, quick, and sensitive electrochemical sensing platform for dopamine detection was then created using the produced ZnO nanoparticles.

Key results: Cyclic voltammetry comparison revealed that the ZnO/carbon paste electrode considerably enhanced the dopamine oxidation process compared to the unmodified carbon paste electrode (CPE). With a low detection limit of 0.003 μM, the ZnO/CPE sensor's linear response for voltammetric dopamine determination was found to be between 0.01 and 480.0 μM.

Conclusion: The modified CPE effectively demonstrates its great accuracy in tyrosine-induced dopamine detection.

背景和目的:多巴胺,3,4-二羟基苯基丙氨酸,在大脑中作为儿茶酚胺神经递质,向其他神经元发送信息,调节信息传递到大脑其他区域,控制运动,改变大脑活动。在制药工业中,酪氨酸经过酶促过程产生多巴胺。因此,同时测量体液中的酪氨酸和多巴胺是至关重要的。实验方法:在这项工作中,我们展示了使用直接的溶剂热技术生产氧化锌纳米颗粒。利用制备的氧化锌纳米颗粒,建立了一个简单、快速、灵敏的多巴胺检测电化学传感平台。主要结果:循环伏安法比较表明,与未修饰的碳糊电极(CPE)相比,ZnO/碳糊电极显著增强了多巴胺氧化过程。ZnO/CPE传感器检测多巴胺的线性响应范围在0.01 ~ 480.0 μM之间,检测限为0.003 μM。结论:改进的CPE在酪氨酸诱导的多巴胺检测中具有较高的准确性。
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引用次数: 0
Advancing through the blood-brain barrier: mechanisms, challenges and drug delivery strategies. 通过血脑屏障推进:机制、挑战和给药策略。
IF 4.3 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-10-19 eCollection Date: 2025-01-01 DOI: 10.5599/admet.2988
Ronny Vargas, Noelia Martinez-Martinez, Catalina Lizano-Barrantes, Jorge Andrés Pacheco-Molina, Encarna García-Montoya, Pilar Pérez-Lozano, Josep Mª Suñé-Negre, Carlos Suñé, Marc Suñé-Pou

Background and purpose: The delivery of therapeutics to the central nervous system (CNS) remains a major challenge due to the restrictive nature of the blood-brain barrier (BBB), a key evolutionary feature that preserves brain homeostasis. This review seeks to synthesize current knowledge on BBB composition, physiology, and transport mechanisms, and critically analyses drug delivery strategies aimed at overcoming this barrier and enabling effective CNS therapies.

Approach: We conducted a comprehensive narrative review integrating evidence on BBB anatomy, transport and permeability mechanisms, drug delivery optimization strategies, with a particular focus on nanotechnology-based systems, and preclinical evaluation models.

Key results: We highlight how a deeper understanding of BBB architecture and dynamic regulation can inform rational design of targeted strategies. Drug delivery approaches are summarized and compared, with emphasis on the potential of nanotechnology-based platforms to enhance CNS drug delivery. Translational considerations, including scalability, reproducibility, and regulatory requirements, are critically addressed. Major challenges identified include receptor saturation, competition with endogenous ligands, disease-specific variability in BBB permeability, and the limited predictive value of current preclinical models. Emerging tools, such as organ-on-chip (for evaluation) and microfluidic mixing (for manufacturing nanomaterials), offer promising means to improve physiological relevance and accelerate translation.

Conclusion: Progress in BBB research has laid the groundwork for innovative therapies, but significant hurdles remain. Advancing CNS drug delivery will require collaborative work refining transport-targeting mechanisms, developing standardized preclinical models, and integrating fundamental research, applied nanomedicine, and regulatory science to open new opportunities for treating neurological and psychiatric disorders and brain tumours.

背景和目的:由于血脑屏障(BBB)的限制性,将治疗药物输送到中枢神经系统(CNS)仍然是一个重大挑战,血脑屏障(BBB)是保持大脑稳态的关键进化特征。本文旨在综合目前关于血脑屏障组成、生理和转运机制的知识,并批判性地分析旨在克服这一障碍并实现有效中枢神经系统治疗的药物递送策略。方法:我们对血脑屏障解剖、转运和通透机制、药物给药优化策略进行了全面的综述,特别关注基于纳米技术的系统和临床前评估模型。主要结果:我们强调了如何更深入地了解BBB架构和动态调节可以为合理设计有针对性的策略提供信息。总结和比较了药物传递方法,重点介绍了基于纳米技术的平台增强中枢神经系统药物传递的潜力。翻译方面的考虑,包括可伸缩性、可再现性和法规要求,都是关键的。确定的主要挑战包括受体饱和、与内源性配体的竞争、血脑屏障通透性的疾病特异性变异性以及当前临床前模型的有限预测价值。新兴的工具,如器官芯片(用于评估)和微流体混合(用于制造纳米材料),为改善生理相关性和加速转化提供了有希望的手段。结论:血脑屏障研究的进展为创新疗法奠定了基础,但仍存在重大障碍。推进中枢神经系统药物递送将需要合作工作,完善转运靶向机制,开发标准化的临床前模型,并整合基础研究、应用纳米医学和监管科学,为治疗神经和精神疾病以及脑肿瘤开辟新的机会。
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引用次数: 0
Pembrolizumab in PD-L1-positive advanced non-small cell lung carcinoma: A meta-analysis of survival benefits and immune-related toxicity events patterns. 派姆单抗治疗pd - l1阳性晚期非小细胞肺癌:生存获益和免疫相关毒性事件模式的荟萃分析
IF 4.3 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-10-14 eCollection Date: 2025-01-01 DOI: 10.5599/admet.2956
Alendra Chakramurty, Adetya Rahma Dinni, Ihda Silvia, Aprilyan Laras Cantika, Citrawati Dyah Kencono Wungu

Background and objective: Pembrolizumab has shown significant therapeutic benefit in advanced non-small cell lung cancer (NSCLC), but it remains uncertain which patients will benefit the most, and recent data suggest that programmed death-ligand 1 (PD-L1) expression as a single predictive biomarker is insufficient. This systematic review and meta-analysis looked at the safety and efficacy of pembrolizumab in PD-L1-positive advanced NSCLC patients, with a particular focus on disparities in treatment response to PD-L1 level of expression and demographic characteristics.

Method: According to the PRISMA 2020 guidelines, six large databases were searched up to March 2025 for randomized controlled trials comparing pembrolizumab with chemotherapy in patients with such conditions. Overall survival (OS) and progression-free survival (PFS) were chosen as primary outcomes, and overall response rate (ORR) and safety profiles as secondary endpoints. A meta-analysis was conducted using a random-effects model, and the Cochrane risk of bias (ROB2) tool was employed to evaluate study quality. Seven randomized controlled trials involving 4,900 patients were included in the analysis.

Key results: Pembrolizumab had a substantially better performance compared to chemotherapy for all the measures of efficacy: OS (hazard ratio (HR) 0.65, 95 % confidence interval (CI): 0.57 to 0.73, P < 0.00001), PFS (HR 0.55, 95 % CI: 0.42 to 0.72, P < 0.0001) and ORR (relative risk 2.10, 95 % CI: 1.51 to 2.93, P < 0.0001). Subgroup analysis showed greater survival benefit in patients younger than 65 years (OS HR 0.55) compared to patients aged 65 and older (OS HR 0.72), and in females (OS HR 0.44) compared to males (OS HR 0.67). Of most significant importance, those with PD-L1 expression <1 % also saw considerable benefit in survival (OS HR 0.60), casting doubts over the existing biomarker-based selection criteria.

Conclusion: In conclusion, pembrolizumab achieves clinically meaningful survival benefits and an acceptable toxicity in PD-L1-positive advanced NSCLC. The high efficacy observed even in low PD-L1 expressers, and demographic differences in drug response, suggest that existing patient selection criteria could potentially be extended. These findings justify the application of a more advanced approach involving multiple biomarkers for more precise treatment allocation.

背景和目的:Pembrolizumab在晚期非小细胞肺癌(NSCLC)中显示出显着的治疗益处,但仍不确定哪些患者将受益最多,最近的数据表明程序性死亡配体1 (PD-L1)表达作为单一预测生物标志物是不够的。本系统综述和荟萃分析着眼于派姆单抗在PD-L1阳性晚期NSCLC患者中的安全性和有效性,特别关注PD-L1表达水平和人口统计学特征的治疗反应差异。方法:根据PRISMA 2020指南,检索截至2025年3月的6个大型数据库,比较派姆单抗与化疗在此类患者中的随机对照试验。总生存期(OS)和无进展生存期(PFS)作为主要终点,总缓解率(ORR)和安全性概况作为次要终点。采用随机效应模型进行meta分析,采用Cochrane偏倚风险(ROB2)工具评价研究质量。7个随机对照试验涉及4900名患者纳入分析。关键结果:与化疗相比,派姆单抗在所有疗效指标上都有明显更好的表现:OS(风险比(HR) 0.65, 95%可信区间(CI): 0.57至0.73,P < 0.00001), PFS (HR 0.55, 95% CI: 0.42至0.72,P < 0.0001)和ORR(相对风险2.10,95% CI: 1.51至2.93,P < 0.0001)。亚组分析显示,65岁以下患者(OS HR 0.55)比65岁及以上患者(OS HR 0.72)生存获益更大,女性(OS HR 0.44)比男性(OS HR 0.67)生存获益更大。结论:总之,派姆单抗在PD-L1阳性晚期NSCLC中获得了临床意义上的生存益处和可接受的毒性。即使在低PD-L1表达者中也观察到高效率,并且药物反应的人口统计学差异表明,现有的患者选择标准可能会延长。这些发现证明了应用一种更先进的方法,包括多种生物标志物,以更精确地分配治疗。
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引用次数: 0
Efficient electrochemical determination of dopamine in the presence of uric acid in real samples using tungsten disulfide nanostructure modified electrode. 二硫化钨纳米结构修饰电极高效电化学测定实际样品中存在尿酸时的多巴胺。
IF 4.3 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-10-09 eCollection Date: 2025-01-01 DOI: 10.5599/admet.2968
Ibrahim Ayad Jihad, Thekrayat Joodi Jassim, Zainab Naeif Mageed

Background and purpose: Research on the detection of uric acid (URA) and dopamine (DPA) is ongoing because of the difficulties posed by their closely overlapping oxidation potentials. Tungsten disulfide nanostructures have become attractive electrode materials to address this problem due to their low toxicity, low cost, easy production, and strong catalytic activity.

Experimental approach: For voltammetric detection of compounds, we present the creation of an electrochemical sensor based on a glassy carbon electrode modified with tungsten disulfide nanostructures.

Key results: According to electrochemical analyses, the manufactured sensor performed exceptionally well, having a broad LDR of 0.03 to 600.0 μM and a low LOD of 10 nM for DPA.

Conclusion: The effective detection of compounds in real samples, such as injections and urine, with acceptable recovery rates further confirmed the suggested sensor's practical usefulness. In addition to offering a viable method for creating tungsten disulfide-based modified electrodes, this study holds promise for future applications in bioanalytical sensing and clinical diagnostics.

背景与目的:尿酸(URA)和多巴胺(DPA)的检测研究正在进行中,因为它们的氧化电位紧密重叠带来了困难。二硫化钨纳米结构以其低毒性、低成本、易于生产、催化活性强等优点成为解决这一问题的极具吸引力的材料。实验方法:对于化合物的伏安检测,我们提出了一种基于二硫化钨纳米结构修饰的玻碳电极的电化学传感器的创建。主要结果:根据电化学分析,所制造的传感器表现非常好,具有0.03至600.0 μM的宽LDR和10 nM的低LOD。结论:该传感器对实际样品(如注射剂和尿液)中化合物的有效检测,回收率可接受,进一步证实了该传感器的实用性。除了提供一种可行的方法来制造基于二硫化钨的修饰电极外,这项研究还为未来在生物分析传感和临床诊断方面的应用提供了希望。
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引用次数: 0
Development of a carbon paper-based electrochemical immunosensor for trimethoprim detection in fishery species: monitoring antibiotic contaminants. 碳纸电化学免疫传感器在渔业中检测甲氧苄啶的研制:监测抗生素污染物。
IF 4.3 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-10-06 eCollection Date: 2025-01-01 DOI: 10.5599/admet.2962
Maria Freitas, Vitória Dibo, Rita Ribeiro, Cristina Delerue-Matos, Simone Morais, Álvaro Torrinha

Background and purpose: Monitoring antibiotic drugs in the environment is particularly relevant given their role in fostering microbial resistance, impacting aquatic species and human health. Therefore, this work addresses the lack of a sustainable and cost-effective analytical approach and reports the development of a competitive electrochemical immunosensor for the rapid analysis of trimethoprim (TMP), an aquatic contaminant of emerging concern, overcoming the limitations of conventional methods that are often costly and time-consuming.

Experimental approach: A miniaturized 3-electrode system was developed to support the analyses of a low-volume sample (200 μL), using a low-cost carbon-paper working electrode, pencil graphite lead auxiliary electrode and a stainless-steel needle reference electrode. Scanning electron microscopy was used to characterize the transducer, revealing a network of randomly arranged carbon fibres, significant for efficient antibody immobilization. For the immunoassay construction, an anti-TMP antibody was physically adsorbed to a small-sized transducer (d = 4 mm) for the specific recognition of TMP, followed by incubation with the enzyme-conjugate (horseradish peroxidase) and the enzyme-substrate (tetramethylbenzidine).

Key results: The analytical signal was recorded by chronoamperometry (1-minute reaction) and yielded a limit of detection of 34 ng L-1. The 45-minute assay demonstrates accuracy (92.0 to 103.2 % in fishery species including codfish, mackerel, crab, and hake), reproducibility (6.1 and 9.3 % for repeatability and inter-day variation coefficient) and high selectivity (bias less than 5 %) analysis. The sensor's performance was validated against a conventional Enzyme-Linked Immunosorbent Assay.

Conclusion: This study introduces a sustainable electrochemical immunosensor, offering a portable and eco-friendly alternative for the rapid detection of TMP in fishery species, addressing the limitations of traditional methods.

背景和目的:鉴于抗生素药物在促进微生物耐药性、影响水生物种和人类健康方面的作用,监测环境中的抗生素药物具有特别重要的意义。因此,这项工作解决了缺乏可持续和具有成本效益的分析方法的问题,并报道了一种具有竞争力的电化学免疫传感器的开发,用于快速分析甲氧苄啶(TMP),这是一种新兴的水生污染物,克服了传统方法通常昂贵和耗时的局限性。实验方法:采用低成本的碳纸工作电极、铅笔石墨铅辅助电极和不锈钢针参比电极,开发了一种小型化的3电极系统,支持对200 μL小体积样品的分析。扫描电子显微镜用于表征换能器,揭示了随机排列的碳纤维网络,对有效的抗体固定具有重要意义。为了构建免疫分析,首先将抗TMP抗体物理吸附在一个小尺寸的传感器上(d = 4 mm),以特异性识别TMP,然后与酶偶联物(辣根过氧化物酶)和酶底物(四甲基联苯胺)孵生。关键结果:通过计时电流法(1分钟反应)记录分析信号,检测限为34 ng L-1。45分钟的分析证明了准确性(包括鳕鱼、鲭鱼、螃蟹和鳕鱼在内的渔业物种为92.0至103.2%)、再现性(重复性和日间变异系数为6.1%和9.3%)和高选择性(偏差小于5%)分析。通过常规酶联免疫吸附试验验证了传感器的性能。结论:本研究介绍了一种可持续的电化学免疫传感器,为渔业物种中TMP的快速检测提供了一种便携、环保的替代方法,解决了传统方法的局限性。
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引用次数: 0
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ADMET and DMPK
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