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AN INTERNATIONAL SYMPOSIUM ON PSYCHOPHARMACOLOGY AND ETHNICITY 关于精神药理学和种族的国际研讨会
Pub Date : 2000-01-01 DOI: 10.1515/DMDI.2000.16.1.13
M. Jann, L. Jaime
A symposium was held from April 26-28, 1998 in Trinidad and Tobago that brought together a variety of scientists from Europe and North America to discuss the latest findings regarding psychopharmacology and ethnicity. Many of the meeting's attendees were physicians and scientists from the Caribbean region. Although this meeting was held almost two years ago, many of its findings remain relevant in the evaluation of drug response in different ethnic populations. There were eleven different presentations and discussion groups. These presentations focused on three basic and clinical areas: pharmacogenetics and drug metabolism, the effects of antipsychotics and the effects of antidepressants. There were two presentations that emphasized a genetic basis in the metabolism of psychotropic drugs with two specific cytochrome P-450 (CYP) isozymes, 2D6 and 2C19. Other topics presented were the treatment of refractory bipolar disorders, substance abuse and methodological issues in the studies of ethnicity and psychotropic drugs.
1998年4月26日至28日在特立尼达和多巴哥举行了一次专题讨论会,汇集了来自欧洲和北美的各种科学家,讨论关于精神药理学和种族的最新发现。许多与会者是来自加勒比地区的医生和科学家。虽然这次会议是近两年前举行的,但其许多发现仍然与评估不同种族人群的药物反应有关。有11个不同的演讲和讨论小组。这些演讲集中在三个基础和临床领域:药物遗传学和药物代谢,抗精神病药物的作用和抗抑郁药物的作用。有两个报告强调了两种特异性细胞色素P-450 (CYP)同工酶2D6和2C19在精神药物代谢中的遗传基础。提出的其他主题包括难治性双相情感障碍的治疗、药物滥用以及种族和精神药物研究中的方法问题。
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引用次数: 0
Determination of Nicotine N-1-Glucuronide, a Quaternary N-Glucuronide Conjugate, in Human Biological Samples 人体生物样品中n -1-氨基葡萄糖醛酸尼古丁的含量测定
Pub Date : 2000-01-01 DOI: 10.1515/DMDI.2000.16.4.281
G. Byrd, W. Caldwell, B. Bhatti, A. Ravard, P. Crooks
[Methyl-d3]-N-1-beta-D-glucopyranosyl-(+/-)-nicotinium inner salt ((+/-)-[methyl-d3]nicotine N-1-glucuronide) was synthesized from (+/-)-[methyl-d3]nicotine via reaction with methyl-2,3,4-tri-O-acetyl-1-bromodeoxy-alpha-D-glucopyranouronate, followed by deprotection with 1 M aqueous NaOH and purification by preparative TLC. Nicotine N-glucuronide was identified and determined directly in smokers' urine. A solid phase extraction method was used to partially isolate the material from urine. Subsequent determination was by thermospray-LC/MS using the synthetic d3-labeled nicotine N-glucuronide as internal standard. The identified urinary component had the same retention time as a synthetic standard and gave the same mass spectrum. The thermospray mass spectrum was characterized from the protonated molecular ion (m/z 339) and the protonated aglycone ion (m/z 163). Quantitative results from this direct method were compared with those from an indirect method, which calculated the nicotine glucuronide in the biological sample from the amount of nicotine released following treatment of the sample with the deconjugating enzyme, beta-glucuronidase. On average, the concentration of nicotine N-glucuronide determined by the direct method was 34% greater than that determined by the indirect method. Concentrations of nicotine N-glucuronide in urine ranged from 2.2 to 7.6 nmol/ml with a limit of detection of 1.3 nmol/ml.
以(+/-)-[甲基-d3]烟碱为原料,与甲基-2,3,4-三- o -乙酰-1-溴脱氧- -d -葡萄糖醛酸盐反应,合成[甲基-d3]- n -1- β -d -葡萄糖醛酸盐((+/-)-[甲基-d3]烟碱n -1-葡萄糖醛酸盐),用1 M NaOH水溶液去保护,制备层析纯化。在吸烟者尿液中直接鉴定并测定尼古丁n -葡糖苷。采用固相萃取法从尿液中部分分离出该物质。采用热喷雾-液相色谱/质谱法测定,以合成的d3标记尼古丁n -葡糖苷为内标。所鉴定的尿液成分与合成标准品具有相同的保留时间,并具有相同的质谱。热喷雾质谱由质子化分子离子(m/z 339)和质子化苷元离子(m/z 163)表征。将直接法的定量结果与间接法的定量结果进行了比较,间接法是通过解结酶-葡糖苷酶处理后的尼古丁释放量来计算生物样品中的尼古丁葡萄糖醛酸盐。直接法测定的烟碱n -葡糖苷浓度平均比间接法测定的高34%。尿中尼古丁n -葡萄糖醛酸盐浓度为2.2 ~ 7.6 nmol/ml,检出限为1.3 nmol/ml。
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引用次数: 12
Effect of Organosulfur Compounds from Garlic and Cruciferous Vegetables on Drug Metabolism Enzymes 大蒜和十字花科蔬菜中有机硫化合物对药物代谢酶的影响
Pub Date : 2000-01-01 DOI: 10.1515/DMDI.2000.17.1-4.23
T.J. Smith, Cs Yang
The frequent consumption of cruciferous vegetables and garlic is associated with several health benefits. These foods contain organosulfur compounds that are known to affect the biotransformation of xenobiotics, and therefore can influence the toxicity and carcinogenicity of environmental chemicals. In this article, we review the effects of isothiocyanates and diallyl sulfide on xenobiotic metabolism and the enzymes involved in the process. Isothiocyanates and diallyl sulfide can modulate the levels of phase I and phase II drug-metabolizing enzymes by affecting the transcriptional rates of their genes, the turnover rates of specific mRNAs or enzymes, or the enzyme activity. These compounds are not general enzyme inhibitors or inducers. They elicit selectivity in their mode of action. Elucidating the mechanisms involved in the alteration of drug-metabolizing enzymes by isothiocyanates and diallyl sulfide will increase our understanding of their possible effects on the biotransformation of drugs as well as the potential beneficial or detrimental effects of these organosulfur compounds.
经常食用十字花科蔬菜和大蒜对健康有益。这些食品含有已知会影响异种生物转化的有机硫化合物,因此可以影响环境化学品的毒性和致癌性。本文综述了异硫氰酸酯和二烯丙基硫醚对外生生物代谢的影响及其相关酶的研究进展。异硫氰酸酯和二烯丙基硫醚可以通过影响其基因的转录率、特定mrna或酶的周转率或酶的活性来调节I期和II期药物代谢酶的水平。这些化合物不是一般的酶抑制剂或诱导剂。它们在作用方式上引起选择性。阐明异硫氰酸酯和二烯丙基硫化物改变药物代谢酶的机制将增加我们对它们对药物生物转化的可能影响以及这些有机硫化合物潜在的有益或有害影响的理解。
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引用次数: 29
Chemoprotection by Organosulfur Inducers of Phase 2 Enzymes: Dithiolethiones and Dithiins 第二相酶的有机硫诱导剂的化学保护作用:二硫代硫酮和二硫肽
Pub Date : 2000-01-01 DOI: 10.1515/DMDI.2000.17.1-4.3
T. Kensler, T. Curphey, Y. Maxiutenko,, B. Roebuck
One of the major mechanisms of protection against carcinogenesis, mutagenesis, and other forms of toxicity mediated by carcinogens is the induction of enzymes involved in their metabolism, particularly phase 2 enzymes such as glutathione S-transferases, UDP-glucuronosyl transferases, and quinone reductases. Animal studies indicate that induction of phase 2 enzymes is a sufficient condition for obtaining chemoprevention and can be achieved by administering any of a diverse array of naturally-occurring and synthetic chemopreventive agents. Alliaceous and cruciferous plants are rich in organosulfur compounds with inducer activity. Indeed, monitoring of enzyme induction has led to the recognition or isolation of novel, potent chemopreventive agents such as 1,2-dithiole-3-thiones, dithiins and the isothiocyanate sulforaphane. For example, oltipraz, a substituted 1,2-dithiole-3-thione originally developed as an antischistosomal agent, possesses chemopreventive activity against different classes of carcinogens targeting multiple organs. Mechanistic studies in rodent models for chemoprevention of aflatoxin B1 (AFB1)-induced hepatocarcinogenesis by oltipraz indicates that increased expression of phase 2 genes is of central importance, although inhibition of phase 1 activation of aflatoxin B1 can also contribute to protection. Exposure of rodents to 1,2-dithiole-3-thiones triggers nuclear accumulation of the transcription factor Nrf2 and its enhanced binding to the Antioxidant Response Element, leading to transcriptional activation of a score of genes involved in carcinogen detoxification and attenuation of oxidative stress. Nrf2-deficient mice fail to induce many of these genes in response to oltipraz and the impact of this genotype on the chemopreventive efficacy of dithiolethiones is currently under investigation. To test the hypothesis that enzyme induction is a useful strategy for chemoprevention in humans, three key elements are necessary: a candidate agent, an at-risk population and modulatable intermediate endpoints. Towards this end, a placebo-controlled, double blind clinical trial of oltipraz was conducted in residents of Qidong, P.R. China who are exposed to dietary aflatoxins and who are at high risk for the development of liver cancer. Oltipraz significantly enhanced excretion of a phase 2 product, aflatoxin-mercapturic acid, a derivative of the aflatoxin-glutathione conjugate, in the urine of study participants administered 125 mg oltipraz by mouth daily. Administration of 500 mg oltipraz once a week led to a significant reduction in the excretion of the primary oxidative metabolite of AFB1, aflatoxin M1, when measured shortly after drug administration. While this study highlighted the general feasibility of inducing phase 2 enzymes in humans, a longer term intervention is addressing whether protective alterations in aflatoxin metabolism can be sustained for extended periods of time in this high-risk population. Food-based approaches to chem
防止致癌、诱变和其他形式的致癌物毒性的主要机制之一是诱导参与其代谢的酶,特别是谷胱甘肽s -转移酶、udp -葡萄糖醛酸转移酶和醌还原酶等2期酶。动物研究表明,诱导第2阶段酶是获得化学预防的充分条件,并且可以通过施用多种天然和合成的化学预防剂来实现。蒜科和十字花科植物富含具有诱导剂活性的有机硫化合物。事实上,对酶诱导的监测已经导致识别或分离出新的、有效的化学预防剂,如1,2-二硫基-3-硫酮、二硫素和异硫氰酸酯萝卜硫素。例如,oltipraz,一种取代的1,2-二硫-3-硫酮,最初是作为抗血吸虫剂开发的,对针对多个器官的不同类别的致癌物具有化学预防活性。在啮齿类动物模型中,oltipraz化学预防黄曲霉毒素B1 (AFB1)诱导的肝癌发生的机制研究表明,尽管抑制黄曲霉毒素B1的1期激活也有助于保护,但2期基因的表达增加是至关重要的。啮齿类动物暴露于1,2-二硫-3-硫酮中会触发转录因子Nrf2的核积累,并增强其与抗氧化反应元件的结合,从而导致一系列参与致癌物解毒和氧化应激衰减的基因的转录激活。nrf2缺陷小鼠在oltipraz的作用下无法诱导许多这些基因,目前正在研究这种基因型对二硫代硫肽化学预防效果的影响。为了验证酶诱导是人类化学预防的有效策略这一假设,需要三个关键要素:候选药物、高危人群和可调节的中间终点。为此,我们在中国启东市暴露于黄曲霉毒素饮食中的肝癌高危人群中开展了一项安慰剂对照双盲临床试验。Oltipraz显著提高了2期产品黄曲霉毒素-巯基酸(黄曲霉毒素-谷胱甘肽缀合物的衍生物)在受试者尿液中的排泄,受试者每天口服125 mg Oltipraz。在给药后不久测量,每周给药一次500mg oltipraz导致AFB1主要氧化代谢物黄曲霉毒素M1的排泄显著减少。虽然这项研究强调了在人类中诱导2期酶的总体可行性,但一项更长期的干预正在研究黄曲霉毒素代谢的保护性改变是否可以在这一高危人群中持续较长时间。与使用药物相比,以食物为基础的化学保护方法既针对普通人群,也针对高危人群,具有许多实际优势。因此,鉴定和利用天然存在的有机硫化学保护剂包括二硫甙应该是一个高度优先考虑的问题。
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引用次数: 131
Carotenoids and Chronic Diseases 类胡萝卜素和慢性疾病
Pub Date : 2000-01-01 DOI: 10.1515/DMDI.2000.17.1-4.189
S. Agarwal, A. Rao
Chronic diseases such as cancer and cardiovascular diseases are the major causes of deaths in North America. Dietary intake of fruits and vegetables has been suggested to have protective effects against such chronic diseases. Carotenoids are important plant pigments which are thought to contribute towards the beneficial effects of fruit and vegetable consumption. This review focuses on the role of carotenoids and particularly lycopene in chronic diseases.
癌症和心血管疾病等慢性病是北美死亡的主要原因。饮食中摄入水果和蔬菜被认为对预防这些慢性疾病有保护作用。类胡萝卜素是重要的植物色素,被认为对水果和蔬菜的食用有益。本文综述了类胡萝卜素特别是番茄红素在慢性疾病中的作用。
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引用次数: 151
Modelling Human Cytochromes P450 for Evaluating Drug Metabolism: An Update 模拟人类细胞色素P450用于评估药物代谢:最新进展
Pub Date : 2000-01-01 DOI: 10.1515/DMDI.2000.16.4.307
D. Lewis
Cytochrome P450 (CYP) enzymes represent the major catalysts for the Phase 1 metabolism of drugs and other xenobiotics in Mammalia, including Homo sapiens. There is considerable current interest in evaluating and, consequently, predicting the metabolic fate of new chemical entities (NCEs) via modelling molecular interactions with P450 constructs, such that sites of metabolism, particular CYP involvement and binding affinities, can be estimated. This paper focuses on the principles for homology modelling of typical enzyme-substrate interactions within the putative active sites of major P450s associated with drug metabolism in man. It also represents an update on previously published work in this journal /1/.
细胞色素P450 (CYP)酶是哺乳动物(包括智人)药物和其他异种生物i期代谢的主要催化剂。目前有相当大的兴趣通过模拟与P450结构的分子相互作用来评估和预测新化学实体(NCEs)的代谢命运,从而可以估计代谢位点,特别是CYP参与和结合亲和力。本文重点介绍了与人类药物代谢相关的主要p450活性位点内典型酶-底物相互作用的同源性建模原理。它也代表了以前在该杂志上发表的工作的更新。
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引用次数: 18
Organosulfur Compounds from Allium and the Chemoprevention of Cancer 葱属植物的有机硫化合物与癌症的化学预防
Pub Date : 2000-01-01 DOI: 10.1515/DMDI.2000.17.1-4.51
A. le Bon, M. Siess
Allium vegetables and their associated organosulfur constituents are extensively studied for their chemopreventive potential against cancer. This article overviews their anticarcinogenic and antigenotoxic properties. Epidemiological studies (mostly case-control studies) provide strong evidence that Allium vegetable consumption reduces the incidence of gastric and colon cancer while the association between Allium vegetable consumption and other cancers is less convincing. Furthermore, many experimental studies have demonstrated that organosulfur compounds and Allium extracts have inhibitory effects on carcinogenesis in animals. These inhibitory effects are supported by many diverse mechanisms, including inhibition of carcinogen formation, modulation of carcinogen metabolism, inhibition of mutagenesis and genotoxicity, inhibition of cell proliferation and increase of apoptosis, inhibition of angiogenesis, and immune system enhancement. Before such constituents or extracts can be used in chemopreventive trials, it is important to verify their lack of toxicity and to investigate further their precise mechanisms of action throughout the whole process of carcinogenesis.
葱属蔬菜及其相关的有机硫成分因其化学预防癌症的潜力而被广泛研究。本文综述了它们的抗癌和抗基因毒性。流行病学研究(主要是病例对照研究)提供了强有力的证据,表明食用葱属蔬菜可降低胃癌和结肠癌的发病率,而食用葱属蔬菜与其他癌症之间的联系则不那么令人信服。此外,许多实验研究表明,有机硫化合物和葱提取物具有抑制动物癌变的作用。这些抑制作用受到多种机制的支持,包括抑制致癌物形成、调节致癌物代谢、抑制诱变和遗传毒性、抑制细胞增殖和增加凋亡、抑制血管生成和增强免疫系统。在这些成分或提取物用于化学预防试验之前,重要的是要验证它们的无毒性,并进一步研究它们在整个致癌过程中的确切作用机制。
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引用次数: 64
Effect of the Grapefruit Flavonoid Naringin on Pharmacokinetics of Quinine in Rats 柚皮苷类黄酮对奎宁在大鼠体内药动学的影响
Pub Date : 2000-01-01 DOI: 10.1515/DMDI.2000.17.1-4.351
Hu Zhang, C. W. Wong, P. Coville, S. Wanwimolruk
The effect of the grapefruit flavonoid naringin, an inhibitor of CYP3A4, on the pharmacokinetics of quinine in rats after oral or intravenous (i.v.) dosing of quinine was investigated. Female Wistar rats (wt 190-220 g) were used in two separate studies, i.e. oral and i.v. administration of quinine. The animals were divided into two groups, one served as control and the other group was pretreated with 25 mg/kg naringin once a day for 7 consecutive days before the pharmacokinetic study. On the study day, quinine (25 mg/kg) was administered to the rats by either the oral or i.v. route. Blood samples were collected at different times, up to 6 h after quinine administration. Plasma quinine concentration was assayed by HPLC. Pretreatment with naringin did not cause any significant change in the pharmacokinetics of quinine after the i.v. dose. However pretreatment with naringin led to a 208% increase in peak plasma concentration (Cmax), a 93% increase in time to reach Cmax (tmax), and a 152% increase in the area under the plasma concentration-time curve (AUC) of quinine after oral administration. Consequently, the oral bioavailability of quinine was significantly increased (p < 0.05) from 17% (control) to 42% after pretreatment with naringin. There was no significant difference in the elimination half-life (t(1/2)beta) of quinine between the two groups. These results suggest that pretreatment with the grapefruit flavonoid naringin is associated with increased oral bioavailability of quinine in rats.
研究了CYP3A4抑制剂西柚黄酮柚皮苷对大鼠口服或静脉给药后奎宁药动学的影响。雌性Wistar大鼠(体重190-220 g)被用于两项独立的研究,即口服和静脉注射奎宁。将动物分为两组,一组为对照组,另一组在进行药代动力学研究前,给予柚皮苷25 mg/kg / d预处理,每天1次,连续7 d。研究当天,大鼠口服或静脉注射奎宁(25 mg/kg)。在不同时间采集血样,在给药后6小时。HPLC法测定血浆奎宁浓度。柚皮苷预处理未引起奎宁静脉给药后药代动力学的显著变化。而柚皮苷预处理可使口服奎宁的血药浓度峰值(Cmax)增加208%,到达Cmax的时间(tmax)增加93%,血药浓度-时间曲线下面积(AUC)增加152%。结果表明,经柚皮苷预处理后,奎宁的口服生物利用度由17%(对照)显著提高至42% (p < 0.05)。两组间奎宁的消除半衰期(t(1/2) β)无显著差异。这些结果表明,柚皮苷类黄酮预处理可提高大鼠对奎宁的口服生物利用度。
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引用次数: 48
The bioactivity of saponins: triterpenoid and steroidal glycosides. 皂苷的生物活性:三萜苷和甾体苷。
Pub Date : 2000-01-01 DOI: 10.1515/DMDI.2000.17.1-4.211
Rao Av, Gurfinkel Dm
Triterpenoid and steroidal glycosides, referred to collectively as saponins, are bioactive compounds present naturally in many plants. They have considerable potential as pharmaceutical and/or nutraceutical agents in natural or synthetic form. Saponins, from a variety of sources, have been shown to have hypocholesterolemic, anti-coagulant, anticarcinogenic, hepatoprotective, hypoglycemic, immunomodulatory, neuroprotective, anti-inflammatory and anti-oxidant activity. This paper reviews saponin research of the last decade, focussing on developments in understanding their mechanism of action and structure-activity relationships. Virtually all of this work has used animal and in vitro models. To date there are very few human data.
三萜苷和甾体苷,统称为皂苷,是天然存在于许多植物中的生物活性化合物。它们作为天然或合成形式的药物和/或营养制剂具有相当大的潜力。各种来源的皂苷已被证明具有降胆固醇、抗凝血、抗癌、保肝、降血糖、免疫调节、神经保护、抗炎和抗氧化活性。本文综述了近十年来皂苷的研究进展,重点介绍了其作用机制和构效关系的研究进展。实际上,所有这些工作都使用了动物和体外模型。迄今为止,人类的数据很少。
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引用次数: 159
The Role of Cyclooxygenase and Lipoxygenase in Cancer Chemoprevention 环加氧酶和脂加氧酶在癌症化学预防中的作用
Pub Date : 2000-01-01 DOI: 10.1515/DMDI.2000.17.1-4.109
M. Cuendet, J. Pezzuto
The involvement of prostaglandins (PGs) and other eicosanoids in the development of human cancer has been known for over two decades. Importantly, an increase in PG synthesis may influence tumor growth in human beings and experimental animals, and numerous studies have illustrated the effect of PG synthesis on carcinogen metabolism, tumor cell proliferation and metastatic potential. PGs produced by cyclooxygenases (COXs) are represented by a large series of compounds that mainly enhance cancer development and progression, acting as carcinogens or tumor promoters, with profound effects on carcinogenesis. Further investigations suggest that arachidonic acid (AA) metabolites derived from lipoxygenase (LOX) pathways play an important role in growth-related signal transduction, implying that intervention through these pathways should be useful for arresting cancer progression. We discuss here the implications of COX and LOX in colon, pancreatic, breast, prostate, lung, skin, urinary bladder and liver cancers. Select inhibitors of COX and LOX are described, including nonsteroidal antiinflammatory drugs (NSAIDs), selective COX-2 inhibitors, curcumin, tea, silymarin and resveratrol, as well as a method useful for evaluating inhibitors of COX. Although a substantial amount of additional work is required to yield a better understanding of the role of COX and LOX in cancer chemoprevention, it is clear that beneficial therapeutic effects can be realized through drug-mediated modulation of these metabolic pathways.
前列腺素(pg)和其他类二十烷类化合物参与人类癌症的发展已经有二十多年的历史了。重要的是,PG合成的增加可能会影响人类和实验动物的肿瘤生长,大量研究表明PG合成对致癌物代谢、肿瘤细胞增殖和转移潜力的影响。环氧合酶(cycloxygenases, cox)产生的PGs以一系列主要促进癌症发生和进展的化合物为代表,具有致癌物或肿瘤促进剂的作用,对癌变具有深远的影响。进一步的研究表明,脂氧合酶(LOX)途径衍生的花生四烯酸(AA)代谢物在生长相关的信号转导中发挥重要作用,这意味着通过这些途径进行干预可能有助于阻止癌症进展。我们在此讨论COX和LOX在结肠癌、胰腺癌、乳腺癌、前列腺癌、肺癌、皮肤癌、膀胱癌和肝癌中的意义。介绍了COX和LOX的选择性抑制剂,包括非甾体抗炎药(NSAIDs)、选择性COX-2抑制剂、姜黄素、茶、水飞蓟素和白藜芦醇,以及评估COX抑制剂的有用方法。虽然需要大量的额外工作来更好地了解COX和LOX在癌症化学预防中的作用,但很明显,通过药物介导的这些代谢途径的调节可以实现有益的治疗效果。
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引用次数: 169
期刊
Reviews on drug metabolism and drug interactions
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