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Hydrogel Dressings for Chronic Wound Healing in Diabetes: Beyond Hydration. 水凝胶敷料用于糖尿病慢性伤口愈合:超越水合作用。
Pub Date : 2021-01-21 DOI: 10.37532/2325-9604.2021.10(1).197
Paul R. Hartmeier, N. Pham, K. Velankar, F. Issa, N. Giannoukakis, W. Meng
Chronic wounds caused by diabetes are a significant medical challenge. Complications from non-healing can result in dire consequences for patients and cost the healthcare system billions of dollars annually. Non-healing in wounds for diabetic patient's results from a combination of factors which impair clearing of injured tissue, proliferation of healthy cell populations and increase risk of infection. Wound dressings continue to form the basis for the treatment of chronic wounds. Traditionally, these focused solely on hydration of the wound site and mitigating infection risk. Hydrogel systems are ready made to meet these basic requirements due to their intrinsic hydration properties and ability to deliver active ingredients. Flexibility in materials and methods of release allowed these systems to remain targets of research into the 21st century. Improved understanding of the wound environment and healing cascades has led to the development of more advanced systems which incorporate endogenous growth factors and living cells. Despite their promise, clinical efficacy of these systems has remained a challenge. Further, the regulatory pathways for approval add a layer of complexity to translate pre-clinical work into marketed products. In this review, we discuss systems currently in clinical use, pre-clinical directions and regulatory challenges for hydrogels in the treatment of diabetic chronic wounds.
糖尿病引起的慢性伤口是一个重大的医学挑战。不愈合的并发症会给患者带来可怕的后果,每年花费数十亿美元的医疗保健系统。糖尿病患者伤口不愈合是多种因素共同作用的结果,这些因素影响了损伤组织的清除、健康细胞群的增殖和感染风险的增加。伤口敷料一直是治疗慢性伤口的基础。传统上,这些只关注伤口部位的水合作用和减轻感染风险。由于其固有的水合特性和提供活性成分的能力,水凝胶系统已经准备好满足这些基本要求。材料和释放方法的灵活性使这些系统仍然是21世纪研究的目标。对伤口环境和愈合级联的更好理解导致了更先进的系统的发展,其中包括内源性生长因子和活细胞。尽管前景看好,但这些系统的临床疗效仍然是一个挑战。此外,审批的监管途径为将临床前工作转化为上市产品增加了一层复杂性。在这篇综述中,我们讨论了目前水凝胶在糖尿病慢性伤口治疗中的临床应用、临床前方向和监管挑战。
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引用次数: 2
Fabrication of Paclitaxel and 17AAG-loaded Poly-ε-Caprolactone Nanoparticles for Breast Cancer Treatment. 紫杉醇和负载17aag聚ε-己内酯纳米颗粒的制备及其治疗乳腺癌的研究。
Pub Date : 2021-01-01 Epub Date: 2021-01-11
Y A Berko, A F Funmilola, E O Akala

Objective: The aim of this study is to design, fabricate and determine the cytotoxic effects of dual loaded paclitaxel and 17-AAG in stealth polymeric nanoparticles. The nanoparticles were fabricated by dispersion polymerization.

Methods: Two breast cancer cell lines (MCF-7 and SKBR-3) were cultured and treated with media only, blank nanoparticles, paclitaxel (as a free drug), 17-AAG (free drug), paclitaxel + 17-AAG combination (as free drugs), and paclitaxel + 17-AAG combination loaded in poly-ε-caprolactone stealth nanoparticles. Each drug in the combination was half the concentration of the single free drug.

Results: The cytotoxic effects of the paclitaxel treatment and that of the combination (free drug) were found to be similar in both SKBR3 and MCF7 cell lines. Similar cytotoxic effects were observed for the drug combination both in the drug loaded nanoparticles formulation and in free drug form for both cell lines.

Conclusion: Both paclitaxel and 17-AAG were effectively loaded and released from the polymeric nanoparticles. Paclitaxel (free drug), paclitaxel-17AAG combination (free drug), and dual drug-loaded nanoparticles had similar cytotoxic effects on both cell lines. Paclitaxel and 17-AAG combination resulted in synergistic effect: paclitaxel in the combination with 17-AAG was half its original concentration and yielded similar cytotoxic effect. The dose of paclitaxel was reduced without lowering its therapeutic efficacy.

目的:设计、制备和测定双负载紫杉醇和17-AAG隐形聚合物纳米颗粒的细胞毒作用。采用分散聚合法制备了纳米颗粒。方法:分别用空白纳米颗粒、紫杉醇(游离药物)、17-AAG(游离药物)、紫杉醇+ 17-AAG组合(游离药物)和聚ε-己内酯隐形纳米颗粒负载的紫杉醇+ 17-AAG组合培养2株乳腺癌细胞株MCF-7和SKBR-3。每一种药物的浓度都是单一游离药物浓度的一半。结果:在SKBR3和MCF7细胞系中,紫杉醇治疗和联合用药(游离药物)的细胞毒作用相似。在两种细胞系中,在载药纳米颗粒制剂和游离药物形式中观察到相似的细胞毒性作用。结论:紫杉醇和17-AAG均被有效地负载并释放。紫杉醇(游离药物)、紫杉醇- 17aag联合(游离药物)和双重载药纳米颗粒对两种细胞系具有相似的细胞毒性作用。紫杉醇与17-AAG联用产生协同效应:紫杉醇与17-AAG联用时浓度为原浓度的一半,细胞毒作用相似。减少紫杉醇的剂量,但不降低其治疗效果。
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引用次数: 0
Hydrogel Dressings for Chronic Wound Healing in Diabetes: Beyond Hydration. 用于糖尿病慢性伤口愈合的水凝胶敷料:超越水合作用。
Pub Date : 2021-01-01 Epub Date: 2020-12-21
Paul R Hartmeier, Ngoc B Pham, Ketki Y Velankar, Fadi Issa, Nick Giannoukakis, Wilson S Meng

Chronic wounds caused by diabetes are a significant medical challenge. Complications from non-healing can result in dire consequences for patients and cost the healthcare system billions of dollars annually. Non-healing in wounds for diabetic patient's results from a combination of factors which impair clearing of injured tissue, proliferation of healthy cell populations and increase risk of infection. Wound dressings continue to form the basis for the treatment of chronic wounds. Traditionally, these focused solely on hydration of the wound site and mitigating infection risk. Hydrogel systems are ready made to meet these basic requirements due to their intrinsic hydration properties and ability to deliver active ingredients. Flexibility in materials and methods of release allowed these systems to remain targets of research into the 21st century. Improved understanding of the wound environment and healing cascades has led to the development of more advanced systems which incorporate endogenous growth factors and living cells. Despite their promise, clinical efficacy of these systems has remained a challenge. Further, the regulatory pathways for approval add a layer of complexity to translate pre-clinical work into marketed products. In this review, we discuss systems currently in clinical use, pre-clinical directions and regulatory challenges for hydrogels in the treatment of diabetic chronic wounds.

糖尿病引起的慢性伤口是一项重大的医疗挑战。伤口不愈合造成的并发症会给患者带来严重后果,并使医疗系统每年花费数十亿美元。糖尿病患者伤口不愈合是多种因素共同作用的结果,这些因素会影响损伤组织的清除、健康细胞群的增殖,并增加感染风险。伤口敷料仍然是治疗慢性伤口的基础。传统的伤口敷料只注重伤口部位的水合作用和降低感染风险。水凝胶系统因其固有的水合特性和输送活性成分的能力,可随时满足这些基本要求。材料和释放方法的灵活性使这些系统成为 21 世纪的研究目标。随着对伤口环境和愈合级联的进一步了解,人们开发出了结合内源性生长因子和活细胞的更先进系统。尽管这些系统前景广阔,但其临床疗效仍是一个挑战。此外,要将临床前研究成果转化为上市产品,审批监管途径也增加了复杂性。在本综述中,我们将讨论目前临床使用的系统、临床前研究方向以及水凝胶在治疗糖尿病慢性伤口方面所面临的监管挑战。
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引用次数: 0
Fludarabine- (C2-methylhydroxyphosphoramide)- [anti-IGF-1R]: Synthesis and Selectively "Targeted"Anti-Neoplastic Cytotoxicity against Pulmonary Adenocarcinoma (A549). 氟达拉滨- (c2 -甲基羟磷酰胺)-[抗igf - 1r]:合成和选择性“靶向”抗肺腺癌的肿瘤细胞毒性(A549)。
Pub Date : 2015-01-01 DOI: 10.4172/2325-9604.1000129
Coyne Cp, L. Narayanan
INTRODUCTION Many if not most conventional small molecular weight chemotherapeutics are highly potent against many forms of neoplastic disease. Unfortunately, majority of an administered dose unintentionally diffuses passively into normal tissues and healthy organ systems following intravenous administration. One strategy for both increasing potency and reducing dose-limited sequela is the selective "targeted" delivery of conventional chemotherapeutic agents. MATERIALS AND METHODS The fludarabine-(C2- methylhydroxyphosphoramide)-[anti-IGF-1R] was synthesized by initially reacting fludarabine with a carbodiimide to form a fludarabine carbodiimide phosphate ester intermediate that was subsequently reacted with imidazole to create an amine-reactive fludarabine- (C2-phosphorylimidazolide) intermediate. Monoclonal anti-IGF-1R immunoglobulin was combined with the amine-reactive fludarabine- (C2-phosphorylimidazolide) intermediate resulting in the synthesis of covalent fludarabine-(C2-methylhydroxyphosphoramide)- [anti-IGF-1R] immunochemotherapeutic. Residual fludarabine and un-reacted reagents were removed by serial microfiltration (MWCO 10,000) and monitored by analytical-scale HP-TLC. Retained IGF-1R binding-avidity of fludarabine-(C2- methylhydroxyphosphoramide)-[anti-IGF-1R] was established by cell-ELISA using pulmonary adenocarcinoma cell (A549) which over-expresses IGF-1R and EGFR. Anti-neoplastic cytotoxic potency of fludarabine-(C2-methylhydroxyphosphoramide)-[anti- IGF-1R] was determined against pulmonary adenocarcinoma (A549) using an MTT-based vitality stain methodology. RESULTS The fludarabine molar-incorporation-index for fludarabine- (C2-methylhydroxyphosphoramide)-[anti-IGF-R1] was 3.67:1 while non-covalently bound fludarabine was not detected by analytical scale HP-TLC following serial micro-filtration. Size-separation fludarabine-(C2-methylhydroxyphosphoramide)-[anti- IGF-1R] by SDS-PAGE with chemo luminescent autoradiography detected only a single 150-kDa band. Cell-ELISA of fludarabine- (C2-methylhydroxyphosphoramide)-[anti-IGF-1R] measuring total immunoglobulin bound to exterior surface membranes of pulmonary adenocarcinoma (A549) increased with elevations in immunoglobulin-equivalent concentrations of the covalent fludarabine immunochemotherapeutic. Between the fludarabine-equivalent concentrations of 10-10 M and 10-5 M both fludarabine-(C2- methylhydroxyphosphoramide)-[anti-IGF-1R] and fludarabine had ex-vivo anti-neoplastic cytotoxic potency levels that increased rapidly between the fludarabine-equivalent concentrations of 10-6 M and 10-5 M where cancer cell death percentages increased from 24.4% to a maximum of 94.7% respectively. CONCLUSION The molecular design and organic chemistry reaction schemes were developed for synthesizing fludarabine-(C2- methylhydroxyphosphoramide)-[anti-IGF-1R] which possessed both properties of selective "targeted" delivery and anti-neoplastic cytotoxic potency equivalent to fludarabine chemot
许多(如果不是大多数的话)传统的小分子化疗药物对许多形式的肿瘤疾病都是非常有效的。不幸的是,大多数给药剂量在静脉给药后无意识地被动扩散到正常组织和健康器官系统。提高效力和减少剂量限制后遗症的一种策略是选择性地“靶向”给药常规化疗药物。材料与方法氟达拉滨-(C2-甲基羟磷酰胺)-[抗igf - 1r]由氟达拉滨与碳二亚胺反应生成氟达拉滨碳二亚胺磷酸酯中间体,随后与咪唑反应生成胺反应性氟达拉滨-(C2-磷酰基咪唑内酯)中间体。单克隆抗igf - 1r免疫球蛋白与胺反应性氟达拉滨-(c2 -磷酰咪唑烷)中间体结合,合成共价氟达拉滨-(c2 -甲基羟磷酰胺)-[抗igf - 1r]免疫化疗药物。采用连续微滤(MWCO 10000)去除残留的氟达拉滨和未反应试剂,并采用分析级HP-TLC进行监测。利用过表达IGF-1R和EGFR的肺腺癌细胞(A549),采用细胞elisa法建立了氟达拉滨-(C2-甲基羟磷酰胺)-[抗IGF-1R]的保留IGF-1R结合亲和力。使用基于mtt的活力染色方法测定氟达拉滨-(c2 -甲基羟磷酰胺)-[抗IGF-1R]对肺腺癌(A549)的抗肿瘤细胞毒效力。结果氟达拉滨- (c2 -甲基羟磷酰胺)-[抗igf - r1]的摩尔掺入指数为3.67:1,而经连续微滤后的分析尺度HP-TLC未检出非共价结合的氟达拉滨。通过SDS-PAGE与化学发光放射自显影技术分离的氟达拉滨-(c2 -甲基羟磷酰胺)-[抗IGF-1R]仅检测到单个150-kDa波段。细胞-氟达拉滨- (c2 -甲基羟磷酰胺)-[抗igf - 1r] elisa测定肺腺癌(A549)外表面膜结合的总免疫球蛋白随着共价氟达拉滨免疫化疗药物免疫球蛋白当量浓度的升高而升高。在氟达拉滨等效浓度为10-10 M和10-5 M之间,氟达拉滨-(C2-甲基羟磷酰胺)-[抗igf - 1r]和氟达拉滨具有体外抗肿瘤细胞毒效力水平,在氟达拉滨等效浓度为10-6 M和10-5 M之间迅速增加,癌细胞死亡率分别从24.4%增加到最高的94.7%。结论通过分子设计和有机化学反应方案,合成了具有选择性“靶向”递送和与氟达拉滨化疗药物相当的抗肿瘤细胞毒性的氟达拉滨-(C2-甲基羟磷酰胺)-[抗igf - 1r]。
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引用次数: 23
期刊
Journal of pharmaceutics & drug delivery research
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