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Analysis of Azithromycin adverse events in COVID-19 Patients reported to Iraqi Pharmacovigilance center in 2020 2020年伊拉克药物警戒中心报告新冠肺炎患者阿奇霉素不良事件分析
Pub Date : 2022-10-24 DOI: 10.32947/ajps.v22i3.887
Yasir A. Noori, Inam S. Arif, Manal M. Younus, Mohammed M. Mohammed
Azithromycin is an antibiotic that belongs to the macrolide family used in a wide variety of bacterial diseases. However, it has been proposed as a potential therapy for the treatment of SARS-CoV-2 pneumonia (off-label use) given for its antiviral and   immunomodulatory activity. Never-theless, its role in the treatment of COVID-19 remains unclear. Azithromycin has a well-characterized safety profile. However, its use outside the approved indication needs further follow up to ensure that the benefit-risk balance remains positive. One method to look for new/ changed safety information is through using the information component (IC025) value. IC025 is the lower limit of a 95% credibility interval for the IC. The credibility interval provides information about the stability of a particular IC value: the narrower the interval, the higher the stability. Objective: Study the submitted adverse events reports of Azithromycin to the Iraqi Pharmacovigilance center and compare the occurrence of these reported adverse events in Iraq to the internationally reported cases during 2020COVID-19 pandemic using IC025.   Methodology: The reported adverse events of Azithromycin to the national Pharmacovigilance database were studied qualitatively (age, gender and seriousness) and quantitatively (using IC025) as a measure of presence of a new/changed safety information related to Azithromycin.   Results: The total number of reports for Azithromycin were 419, female represent (43%) and male represent (55.8%), and the predominant age groups was from 45-64 years representing (41.1%). The most widely reported adverse events were gastrointestinal disorders (68%), cardiac disorders (14.1%), general disorders and administration site effect (6.9%), and investigations (Interfere with Lab tests) (5.7%). There were 96 drug-adverse reaction combinations. The IC025 value for the most widely reported adverse events showed a comparable value for ECG-QT prolonged (3.6/3.7), Arrhythmia (0.6/0.7). There was a decreased value for palpitation (0.5/0.9) and dyspnea (0.3/0.6). Tachycardia and increased liver enzymes showed an increased value of (2.0/0.1) and (0.5/0.1) respectively.   Conclusion: Using the IC025 was helpful in finding the increased reporting rate of adverse events compared to the background rate.
阿奇霉素是一种抗生素,属于大环内酯家族,广泛用于各种细菌性疾病。然而,由于其抗病毒和免疫调节活性,已被提出作为治疗SARS-CoV-2肺炎的潜在疗法(标签外使用)。然而,它在治疗COVID-19中的作用仍不清楚。阿奇霉素具有良好的安全性。然而,在批准适应症之外的使用需要进一步跟进,以确保收益-风险平衡保持积极。查找新的/更改的安全信息的一种方法是使用信息组件(IC025)值。IC025是IC 95%可信区间的下限。可信区间提供了关于特定IC值稳定性的信息:区间越窄,稳定性越高。目的:利用IC025对伊拉克向伊拉克药物警戒中心提交的阿奇霉素不良事件报告进行研究,并将伊拉克报告的这些不良事件发生情况与国际上报告的2020年covid -19大流行病例进行比较。方法:对国家药物警戒数据库中报告的阿奇霉素不良事件进行定性研究(年龄、性别和严重程度)和定量研究(使用IC025),作为阿奇霉素相关新/变化安全信息存在的衡量标准。结果:阿奇霉素报告总数为419例,女性占43%,男性占55.8%,以45 ~ 64岁年龄组为主,占41.1%。最广泛报道的不良事件是胃肠道疾病(68%),心脏疾病(14.1%),一般疾病和给药部位效应(6.9%),以及调查(干扰实验室检查)(5.7%)。药物不良反应合并96例。最广泛报道的不良事件的IC025值与ECG-QT延长(3.6/3.7)和心律失常(0.6/0.7)的IC025值相当。心悸(0.5/0.9)和呼吸困难(0.3/0.6)降低。心动过速和肝酶升高分别升高(2.0/0.1)和(0.5/0.1)。结论:使用IC025有助于发现与背景发生率相比不良事件报告率的增加。
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引用次数: 1
Molecular Docking study, and In vitro Evaluation of Antitumor Activity of Some New Isoxazoline and Pyrazoline Derivatives of Nabumetone against breast cancer cell line (MCF-7) 纳布美酮新型异恶唑啉和吡唑啉衍生物对乳腺癌细胞株MCF-7抗肿瘤活性的分子对接研究及体外评价
Pub Date : 2022-10-24 DOI: 10.32947/ajps.v22i3.886
Kanar Muthanna Alawad, M. Mahdi, Ayad M. R. Raauf
A variety of new pyrazolines, isoxazolines, and amide derivatives were designed, synthesized, and tested in vitro for their cytotoxic potential against the breast cancer cell line MCF-7. Nabumetone is a prodrug that is used as non-steroidal anti-inflammatory drug   (NSAID). Before synthesis, the Molecular docking program (GOLD suite v. 5.7.1) was used to evaluate the selectivity for ER-α receptor, which demonstrated good agreement with the in vitro findings. Specifically, compounds 1e and 2e that target the ER- α receptor had the greatest PLP fitness values of (75.61 and 73.36), respectively, when compared to the tamoxifen reference medication, which had a PLP fitness of (92.78). The IC50 values for the synthesized compounds revealed that compound (1e) has a high IC50 value of 19 µM against MCF-7, compared to tamoxifen, which has an IC50 value of (18.02) µM.  
设计、合成了多种新型吡唑啉、异恶唑啉和酰胺衍生物,并在体外测试了它们对乳腺癌细胞系MCF-7的细胞毒性。那布美酮是一种用作非甾体抗炎药(NSAID)的前药。在合成前,使用分子对接程序(GOLD suite v. 5.7.1)评估ER-α受体的选择性,结果与体外实验结果一致。具体来说,靶向ER- α受体的化合物1e和2e的PLP适应度值最高,分别为75.61和73.36,而他莫昔芬参考药物的PLP适应度为92.78。合成化合物的IC50值表明,化合物(1e)对MCF-7的IC50值为19µM,而他莫昔芬的IC50值为(18.02)µM。
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引用次数: 6
Antioxidative effect of metformin on valproic acid induced hepatoxicity in male rats 二甲双胍对丙戊酸所致雄性大鼠肝毒性的抗氧化作用
Pub Date : 2022-10-24 DOI: 10.32947/ajps.v22i3.885
Intesar Tarik Numan, Nadia Hameed Mohamed, Zainab Khalid Ali
Metformin is 1,1-dimethylbiguanide hydrochloride, is the first-line therapy for type 2 diabetes. Additionally, several studies focused on the role of metformin in antioxidant activities for the treatment of hepatic disorders. The experimentally    -based result on valproic acid's liver injury, a front-line medicine for the treatment of epilepsy, attracted a lot of interest. As a result, the effect of metformin on valproic acid-induced redox disturbances in rat hepatic tissue was studied. metformin at 250 mg/kg dose was administered via oral gavage for 30 days, and valproic acid at a dose of 400 mg/kg was administered by intraperitoneal route starting from the twenty-second day of the experiment, for eight days to induce hepatotoxicity. Treatment with metformin reduced valproic acid-enhancing alanine aminotransferase, aspartate aminotransferase activities. Tissue levels of malondialdehyde in the liver tissue of valproic acid-treated rats significantly increased (P-value < 0.05) whereas glutathione decreased. The coadministration of metformin with valproic acid significantly decreased the malondialdehyde levels and increased glutathione levels (P-value < 0.05). Finally, metformin protected rats from valproic acid-induced hepatotoxicity, improved antioxidant status, and reduced hepatic oxidative stress.
二甲双胍是1,1-二甲基双胍盐酸盐,是2型糖尿病的一线治疗药物。此外,一些研究集中在二甲双胍在抗氧化活性中的作用,用于治疗肝脏疾病。丙戊酸是治疗癫痫的一线药物,其肝损伤的实验结果引起了很多人的兴趣。因此,我们研究了二甲双胍对丙戊酸诱导的大鼠肝组织氧化还原紊乱的影响。二甲双胍250 mg/kg剂量灌胃30 d,丙戊酸400 mg/kg剂量从实验第22天开始腹腔注射,连续8 d诱导肝毒性。二甲双胍治疗降低丙戊酸增强丙氨酸转氨酶、天冬氨酸转氨酶活性。丙戊酸处理大鼠肝组织丙二醛水平显著升高(p值< 0.05),而谷胱甘肽水平显著降低。二甲双胍与丙戊酸联合用药显著降低丙二醛水平,显著升高谷胱甘肽水平(p值< 0.05)。最后,二甲双胍保护大鼠免受丙戊酸诱导的肝毒性,改善抗氧化状态,减少肝脏氧化应激。
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引用次数: 0
Synthesizing, Studying Molecular Docking, Characterizing, and Preliminary Evaluating Anti-Bacterial Effects of Derivatives of Serotonin Contain Imidazolidine Ring 含咪唑烷环5 -羟色胺衍生物的合成、分子对接、表征及抗菌效果初步评价
Pub Date : 2022-10-24 DOI: 10.32947/ajps.v22i3.884
Marwa Abdullah Saleh, Karima Fadhil Ali, Basma M. Abd Razik
This study included synthesis of new serotonin derivatives in which imidazolidine rings are present in their structures. The final imidazolidine derivatives compounds were synthesized by reaction of synthesized   Schiff bases derivatives of serotonin with the glycine (NH2-CH2COOH) in presence of tetrahydrofuran (THF) as a solvent. The imidazolidine derivatives were identified by physical characteristics, FT-IR spectroscopy and 1H- NMR spectroscopy. Biological activities against two Gram negative (Klebsiella and E. coli) and two Gram positive (Streptococcus pyogenes and Staphylococcus aureus) bacteria were also distinguished. All the synthesized compounds III(a-d) exhibit moderate activities on four types of bacteria comparing with the activity of standard drug (Trimethoprim) but the highest activities of these compounds occur on Streptococcus pyogenes and their least activities occur on E. coli. The synthesized compounds were studied for the molecular docking to know the interaction and affinity of binding between them and bacteria  
这项研究包括合成新的5 -羟色胺衍生物,其中咪唑烷环存在于它们的结构中。以四氢呋喃(THF)为溶剂,将合成的5 -羟色胺席夫碱衍生物与甘氨酸(NH2-CH2COOH)反应合成最终的咪唑烷衍生物。通过物性、红外光谱和核磁共振氢谱对所合成的咪唑烷衍生物进行了鉴定。对两种革兰氏阴性菌(克雷伯氏菌和大肠杆菌)和两种革兰氏阳性菌(化脓性链球菌和金黄色葡萄球菌)的生物活性也有所区分。与标准药物(甲氧苄啶)的活性相比,合成的化合物III(a-d)对四种细菌的活性均中等,但对化脓性链球菌的活性最高,对大肠杆菌的活性最低。对合成的化合物进行分子对接研究,了解它们与细菌之间的相互作用和结合亲和力
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引用次数: 3
Synthesis and Biological Activities of Some 1,2,4-Triazole Derivatives: A Review 1,2,4-三唑类化合物的合成及其生物活性研究进展
Pub Date : 2022-10-24 DOI: 10.32947/ajps.v22i3.890
Dina Saleem M. Ameen, Mohammed Dheyaa Hamdi, A. K. Khan
This review is about 1,2,4-triazoles include their synthesis; their physio-chemical properties, SAR, reactions, derivatives. Finally, their biological activities with a demonstrated showing   different requirements to achieve different activity
本文综述了1,2,4-三唑类化合物的合成;它们的理化性质,SAR,反应,衍生物。最后对它们的生物活性进行了论证,显示出不同的要求来实现不同的活性
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引用次数: 0
Evaluating the Reliability of MM-PB/GB-SA Method for the Protein-Ligand Binding Free Energies Using Penicillopepsin-Inhibitor ligands 评价MM-PB/GB-SA法测定青霉素蛋白酶抑制剂配体蛋白-配体结合自由能的可靠性
Pub Date : 2022-10-24 DOI: 10.32947/ajps.v22i3.889
Twana Salih
An accurate prediction of the ligand-receptor binding free energies (ΔG) is a critical step in the early stages of rational drug design. The Molecular Mechanics-Generalized Born Surface Area (MM-GBSA) method is a popular   approach to estimate ΔG. However, correlations between the predicted and the experimental ΔG are variable. The goal of this study is to investigate various approaches to optimize accuracy of the MM-GBSA method. A molecular dynamic (MD) simulations protocol was applied using penicillopepsin receptor against its inhibitor ligands, repeated 50 times for each complex system. After that, ΔG of the five inhibitors were predicted using MM-GBSA method. Moreover, a diverse ΔG values were calculated from the replicate MD simulations of each system. The results were showed correlations not only between the predicted and the experimental binding affinities of the systems but also between the predicted values and root-mean-square deviation. In addition, statistical analysis was evaluated the sample size.
准确预测配体-受体结合自由能(ΔG)是合理药物设计早期的关键一步。分子力学-广义出生表面积(MM-GBSA)方法是估计ΔG的常用方法。然而,预测和实验之间的相关性ΔG是可变的。本研究的目的是探讨优化MM-GBSA方法精度的各种方法。应用分子动力学(MD)模拟方案,利用青霉素蛋白酶受体对抗其抑制剂配体,对每个复杂体系重复50次。然后用MM-GBSA法预测5种抑制剂的ΔG。此外,从每个系统的重复MD模拟中计算出不同的ΔG值。结果表明,系统的预测值与实验结合亲和度呈正相关,预测值与均方根偏差也呈正相关。此外,对样本量进行了统计分析评价。
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引用次数: 0
Messenger RNA Based Vaccines and Their immunological effect on diseases 基于信使RNA的疫苗及其对疾病的免疫作用
Pub Date : 2022-07-05 DOI: 10.32947/ajps.v22i2.836
Osama Mohammed Hasan
Because of its capabilities for fast development, potency, secure delivery, and promise for   cost effective manufacture, mRNA vaccines are a promising vaccination technique. Many recent research has suggested that mRNA vaccines could be effective intreating a wide range of tumor and viral disorders where standard vaccine techniques have failed to stimulate protective immune responses. The inefficient and unstable in vivo distribution of mRNA has limited their application. Direct electroporation of mRNA vaccines into dendritic cells induced the generation of protective antibodies capable of destroying infected or transformed cells and inducing polyclonal CD8+ and CD4+ that mediated Ag specific T cell responses. in this review mRNA vaccines in detail were examined, as well as future objectives and challenges in the prevention of infectious diseases
由于mRNA疫苗具有快速开发、效力强、安全交付和具有成本效益的生产能力,是一种很有前途的疫苗接种技术。最近的许多研究表明,mRNA疫苗可有效治疗多种肿瘤和病毒性疾病,而标准疫苗技术未能刺激保护性免疫反应。mRNA在体内的低效率和不稳定分布限制了它们的应用。将mRNA疫苗直接电穿孔到树突状细胞中,诱导产生能够破坏感染或转化细胞的保护性抗体,并诱导介导Ag特异性T细胞反应的多克隆CD8+和CD4+。在这篇综述中,详细研究了mRNA疫苗,以及未来在预防传染病方面的目标和挑战
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引用次数: 0
Cytotoxicity of Cryptochlorogenic acid against Breast cancer cell line (MCF7) isolated from Moringa oleifera Leaves Cultivated in Iraq 隐绿原酸对伊拉克辣木叶乳腺癌细胞株MCF7的细胞毒性研究
Pub Date : 2022-07-05 DOI: 10.32947/ajps.v22i2.837
Banan Kareem Bedewi, Ghaith Ali Jasim, Ibrahim Saleh Abbas, BasmaTalib Al-Sudani
oleifera L., a Moringaceae family is fast-growing tree. M. oleifera's dried leaves are Characterized with high in phenolic compounds. phenolic compounds have anti-cancer, anti-microbial, anti-inflammatory, anti-allergic and antioxidant activities. Therefore, The current study involved isolation Cryptochlorogenic acid by preparative TLC from M.oleifera leaves grown in Iraq,  and study its cytotoxicity effect against a breast cancer cell line (MCF7) using the MTT cell viability assay, and comparing it to a standard anticancer drug (Tamoxifen). The isolated Cryptochlorogenic acid was cytotoxic to the MCF7 cell line, with an IC50 of 20.8M.
辣木科油辣木是一种快速生长的乔木。油橄榄干叶具有高酚类化合物的特点。酚类化合物具有抗癌、抗菌、抗炎、抗过敏和抗氧化活性。因此,本研究采用制备薄层色谱法从伊拉克油橄榄叶中分离隐绿原酸,并采用MTT细胞活力测定法研究其对乳腺癌细胞系(MCF7)的细胞毒性作用,并与标准抗癌药物(他莫昔芬)进行比较。分离得到的隐绿原酸对MCF7细胞株具有细胞毒性,IC50为20.8M。
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引用次数: 3
The Effective Role of Targeted Therapy in Advanced Colorectal Cancer 靶向治疗在晚期结直肠癌中的有效作用
Pub Date : 2022-07-05 DOI: 10.32947/ajps.v22i2.835
Sarah K. Obay, Ali N. Wannas, Rana A. Ghaleb
Though chemotherapy is the major strategy to manage patients with advanced-stage colorectal cancer (CRC), the main challenge is the progression of CRC despite using combination of different chemotherapeutic agents. So, to overcome this challenge, a new class Of therapy was developed naming “Targeted-therapy”. This class of drugs aim to target specific overexpressed or aberrant enzyme, receptor, or gene that have critical role in the growth and survival of colorectal cancerous cells. So that, by using combination of traditional strategy (chemotherapy) and targeted-drug, this will lead to improve survival and prevent the progression of advanced CRC
虽然化疗是治疗晚期结直肠癌(CRC)患者的主要策略,但主要的挑战是尽管使用不同化疗药物的联合治疗,CRC的进展。因此,为了克服这一挑战,一种新的治疗方法被开发出来,命名为“靶向治疗”。这类药物的目标是靶向在结直肠癌细胞生长和存活中起关键作用的特异性过表达或异常的酶、受体或基因。因此,通过传统策略(化疗)与靶向药物的结合,可以提高晚期结直肠癌的生存率,防止其进展
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引用次数: 0
Role of miRNA in drug-induced hepatic injury miRNA在药物性肝损伤中的作用
Pub Date : 2022-07-05 DOI: 10.32947/ajps.v22i2.833
Inam Sameh Arif, Israa Burhan Raoof, Hayder Hussein Luaibi, Shams Khaleel Ibraheem
Acute liver disease is characterized by loss of liver function within days or weeks however, in the patient who is not previously diagnosed, its less common compared with chronic liver failure, which developed slowly and irreversible process. It’s caused by   drug-induced liver damage (DILI) therefore identifying liver injury is challenging for clinical treatment and diagnosis. The major causes of liver failure involve toxic metabolites of some medications that consumed Adenosine Tri Phosphate (ATP) compared with normal conditions and increased oxidative stress due to overexpression of MicroRNAs, it is necessary to do complete diagnosis of patients. Biomarker parameters can be utilized to validate liver damage like microRNAs (miRNAs) analysis, it is a more receptive marker because increased earlier than the transaminases enzymes allowing for a more accurate diagnosis.  we summarized recent signs of progress disease concerning the role of miRNA as a novel DILI biomarker, the miRNA levels can be measured in plasma, saliva, urine, fetal fluid (amniotic), as well as other materials either in human or animals like mice, rats which significantly elevate during illness, therefore, provide e specific biomarker of hepatoinjury.
急性肝病的特点是肝功能在几天或几周内丧失,但在以前未诊断的患者中,与慢性肝功能衰竭相比,急性肝病较少见,慢性肝功能衰竭发展缓慢且不可逆。它是由药物性肝损伤(DILI)引起的,因此肝损伤的识别对临床治疗和诊断具有挑战性。肝功能衰竭的主要原因包括与正常情况相比,某些药物的毒性代谢物消耗了三磷酸腺苷(ATP),以及microrna过度表达导致氧化应激增加,因此有必要对患者进行完整的诊断。生物标志物参数可以用来验证肝损伤,如microRNAs (miRNAs)分析,它是一个更容易接受的标志物,因为它比转氨酶更早增加,从而可以更准确地诊断。我们总结了miRNA作为一种新型DILI生物标志物的最新进展迹象,miRNA水平可以在人类或动物(如小鼠、大鼠)的血浆、唾液、尿液、胎液(羊水)以及其他材料中检测到,因此,miRNA水平在疾病期间显著升高,从而提供了肝损伤的特异性生物标志物。
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引用次数: 0
期刊
Al Mustansiriyah Journal of Pharmaceutical Sciences
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