4-氨基水杨酸钠结肠定位包衣片的制备及释放度测定

目的:以多层包衣法制备4-氨基水杨酸钠口服结肠定位系统,并考察其释放度,评价包衣工艺的稳定性。方法:用渗透型和肠溶型丙烯酸树脂依次包衣,制备pH、时间双重依赖的4-氨基水杨酸钠口服结肠定位包衣片;采用紫外分光光度法测定包衣片在不同pH条件下的释放度及3批包衣片在pH=7.4介质中的累积释放度,计算并比较释放参数T50、Td、T80、m。结果:包衣片在pH=6.5介质中12h释药量小于5%,有明显时滞;在pH=7.0、pH=7.4介质中12h内释药量均大于80%,无时滞效应;3批包衣片溶出度参数之间比较均无显著性差异(P>0.05)。结论:以渗透型和肠溶型丙烯酸树脂依次包衣制备的4-氨基水杨酸钠口服结肠定位包衣片具备理想的定位与缓释功能,包衣工艺稳定,重现性好。     

pH敏感时滞型Combretastatin A4磷酸酯二钠结肠定位片的制备

目的制备pH敏感时滞型CA4P结肠靶向片(CA4P-CT)。方法以一定比例的EC和PEG6000为时滞型材料,采用压制包衣法制备时滞层,以肠溶丙烯酸树脂Ⅱ、Ⅲ为pH敏感层材料,采用喷雾包衣法制备pH敏感层。结果当EC-PEG6000(8∶1)、压制包衣后片子硬度为14.340 kg.cm-1时,时滞层可控制药物在人工肠液中4 h后释药;pH敏感层增重5%,可保证靶向片的时滞不受胃排空的影响。结论通过调整时滞层材料比例、压制包衣片硬度及肠溶层包衣厚度,包衣片可基本达到结肠定位释药的预期效果。     

5-氟尿嘧啶结肠定位释药微丸的研制及释药特性

采用流化床喷雾包衣法,研制了2种5-氟尿嘧啶结肠定位释药微丸.以羟丙甲纤维素为溶胀层,乙基纤维素水分散体为控制层,制备时间依赖型包衣微丸;另以肠溶型丙烯酸树脂Eudragit S100为包衣材料,制备pH依赖型微丸.测定了2种微丸在模拟胃肠道各区段pH环境下的释放度.结果表明,时间依赖型包衣微丸体外持续、缓慢释放;pH依赖型包衣微丸在模拟胃和小肠中上部pH的介质中基本不释药,在模拟回盲部区段pH介质中脉冲释药,即后者在体外显示出较好的结肠定位释药特性.     

4-氨基水杨酸钠结肠定位片的研究

目的制备一种新型口服结肠定位制剂，并考察其体外释药行为与犬体内的结肠定位特性。方法本试验选择4-氨基水杨酸钠作为模型药物，应用丙烯酸树脂Eudragit RL30D，RS30D和Eudragit FS30D分别作为缓释和肠溶层包衣材料，制得包衣片剂，使系统可依赖pH和时间双重机制释药。在体外释放试验中，系统在0.1 mol·L^-1盐酸溶液中运转2 h后，分别在pH为6.5，7.0或7.4的磷酸盐缓冲液中继续运转12 h。体内验证以放射性同位素锝（^99mTc）做标记，用γ-射线显影法来确定系统在胃肠道内的释药时间和位置。结果体外实验中，系统在0.1 mol·L^-1盐酸溶液中运转2 h后无药物释放，在pH高于6.5的介质中缓慢释药，介质的pH越高，药物释放越快。体内实验中， 包衣片在胃肠道上半部无药物释放， 到达结肠后开始释药； 而非包衣片在犬胃部即迅速崩解。结论本文采用的包衣材料使包衣片到达升结肠时开始释放药物，药物释放时间可达10 h以上。     

5-氨基水杨酸时控结肠定位控释微丸及其制剂的研制

目的制备5-氨基水杨酸微丸及其时控结肠定位控释释药系统的研究。方法首先采用挤出滚圆机制备了含药微丸,然后使用流化床包衣设备将微丸包衣,以羟丙甲纤维素和微粉硅胶的混合物包衣作为溶胀控释层,以乙基纤维素水分散体Surelease包衣作为时滞包衣层,并将包衣微丸装入肠溶胶囊。用释放度测定法研究微丸的释放行为。结果药物通过时滞层破裂开始释放,该层厚度增加可显著延长释药时滞。调节羟丙甲纤维素的型号、包衣增重及羟丙甲纤维素与微粉硅胶两者比例,可以控制药物释放速度。在模拟胃肠道pH情况下延迟5 h释药,之后的10 h内释药完全。结论可通过调整溶胀控释层包衣混合物的比例、型号、包衣厚度及时滞层的包衣厚度,制备5-氨基水杨酸时控结肠定位控释释药系统。     

盐酸普萘洛尔脉冲释放片的制备及其体外释药研究

目的 制备盐酸普萘洛尔双层包衣脉冲释放片,并研究其体外释药行为。方法 采用粉末直接压片法制备盐酸普萘洛尔片芯,滚转包衣锅法分别包羟丙甲纤维素溶胀层和丙烯酸树脂控释层。采用体外溶出试验考察处方及溶出条件对本品释药行为的影响。结果 本品经过一定时滞后以脉冲形式释药,渗透活性物质氯化钠、溶胀层及控释层厚度、丙烯酸树脂RS/RL的配比均影响本品时滞。溶出方法及不同pH溶出介质对本产品的时滞无影响。结论 盐酸普萘洛尔脉冲释放片具有脉冲释放特性,体外时滞约为4 h。     

pH依赖—缓释型美沙拉秦结肠靶向小丸的制备与体外评价

以肠溶型和渗透型丙烯酸树脂为包衣材料制备ｐＨ依赖－缓释型美沙拉秦结肠靶向小丸,评价其体外释放特性。结果表明,包衣小丸在０．１ｍｏｌ／ＬＨＣｌ中２ｈ几乎不释放药物,在ｐＨ７．５缓冲液中具有较好的缓释作用。在模拟胃肠道各区段最高的和最低的ｐ变化的释放度试验中,均在对应小肠区段时开始缓慢释药。分别有４０％和７０％的药物进入结肠后释放。优于单独的肠溶或缓释制剂。     

盐酸地尔硫Zhuo结肠释药片的研制

以丙烯酸树脂Ⅱ和乙基纤维素为包衣材料，采用锅包衣法制得盐酸地尔硫Zhuo口服结肠释药片。通过正交设计和体外释放度实验，考察处方和工艺对结肠定位释药的影响。结果表明影响片子释药时滞的主要因素是包衣液处方中丙烯酸树脂Ⅱ与乙基纤维素的比例，比例越小，时滞效应越强。通过调整处方和工艺，可制得在酸性条件下不释药，在模拟胃肠液pH条件下经5—6h时滞后形成爆破释药的结肠释药片。     

磷酸川芎嗪丙烯酸树脂水分散体包衣小丸的体外释放研究

目的：研究磷酸川芎嗪丙烯酸树脂水分散体包衣缓释小丸的体外释药。方法：采用丙烯酸树脂RS30D和丙烯酸树脂RL30D混合液包衣制备磷酸川芎嗪缓释小丸，并考察包衣混合液中两种丙烯酸树脂水分散体比例、包衣增重、溶出介质pH对磷酸川芎嗪包衣制剂体外释药的影响。结果：随着包衣液中丙烯酸树脂RL30D/丙烯酸树脂RS30D比例增大、包衣增重降低、溶出介质pH增大，释药速率加快。结论：包衣液中丙烯酸树脂RL30D/丙烯酸树脂RS30D比例、包衣增重、溶出介质pH均显著影响制剂药物释放。     

不同包衣条件下银杏缓释微丸体外释放考察

目的考察不同包衣条件下银杏缓释微丸的体外释放。方法采用单因素考察及正交设计法。结果以丙烯酸树脂EudragitRL30D和EudragitRS30D为包衣材料,质量比为4∶1,包衣增重10 % (w) ,增塑剂的用量为2 0 % (w ) ,无需熟化,可满足2 4h缓释的要求。结论包衣量、衣膜中两种丙烯酸树脂的配比和包衣温度是影响药物释放的关键因素     

Pharmacological treatment of COVID-19: an opinion paper

The precocity and efficacy of the vaccines developed so far against COVID-19 has been the most significant and saving advance against the pandemic. The development of vaccines has not prevented, during the whole period of the pandemic, the constant search for therapeutic medicines, both among existing drugs with different indications and in the development of new drugs. The Scientific Committee of the COVID-19 of the Illustrious College of Physicians of Madrid wanted to offer an early, simplified and critical approach to these new drugs, to new developments in immunotherapy and to what has been learned from the immune response modulators already known and which have proven effective against the virus, in order to help understand the current situation.     

Synthesis,Cytotoxicity and Antileishmanial Activity of Some N-(2-(indol-3-yl)ethyl)-7-chloroquinolin-4-amines

We report herein the condensation of 4,7-dichloroquinoline (1) with tryptamine (2) and D-tryptophan methyl ester (3) . Hydrolysis of the methyl ester adduct (5) yielded the free acid (6) . The compounds were evaluated in vitro for activity against four different species of Leishmania promastigote forms and for cytotoxic activity against Kb and Vero cells. Compound (5) showed good activity against the Leishmania species tested, while all three compounds displayed moderate activity in both Kb and Vero cells.     

Efficacy of gut lavage,hemodialysis, and hemoperfusion in the therapy of paraquat or diquat intoxication

Clinical and in vitro investigations were carried out to test the efficacy of gut lavage, hemodialysis, and hemoperfusion in the treatment of poisoning with paraquat or diquat. In a patient suffering from diquat intoxication 130 times more diquat was removed by gut lavage 30 h after ingestion than was removed by complete aspiration of the gastric contents.Determination of in vitro clearances for paraquat and diquat by hemodialysis showed that, at serum concentrations of 1–2 ppm, such as are frequently encountered in poisoning in man, toxicologically relevant quantities of herbicide cannot be removed from the body. At a concentration of 20 ppm, on the other hand, hemodialysis proved to be effective, the clearance being 70 ml/min at a blood flow rate of 100 ml/min. The efficacy of hemoperfusion with coated activated charcoal was on the whole better. Especially at concentrations around 1–2 ppm, the clearance values for hemoperfusion were some 5–7 times higher than those for hemodialysis.In a patient suffering from paraquat poisoning, both hemodialysis as well as hemoperfusion were carried out. The in vitro results could be confirmed: At serum concentrations of paraquat less than 1 ppm no clearance could be obtained by hemodialysis while by hemoperfusion with activated charcoal quite high clearance values were measured and the serum level dropped down to zero.

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Zusammenfassung Klinische Untersuchungen und Laboratoriumsversuche wurden durchgeführt, um die Wirksamkeit von Darmspülung, Hämodialyse und Hämoperfusion bei Paraquat- und Deiquat-Vergiftungen zu prüfen.Bei einem Patienten wurde 30 Std nach Deiquat-Aufnahme durch Darmspülung 130mal mehr Deiquat entfernt als durch vollständige Aspiration des Mageninhaltes. In vitro-Versuche ergaben, daß bei Blutserumkonzentrationen von 1–2 ppm, die bei Vergiftungen oft gemessen werden, durch Hämodialyse keine toxikologisch relevanten Paraquat- oder Deiquat-Mengen entfernt werden können. Dagegen erwies sich die Hämodialyse bei 20 ppm und einer Blutumlaufgeschwindigkeit von 100 ml/min mit einer Clearance von 70 ml/min als wirksam. Die Hämoperfusion mit beschicheter Aktivkohle war in diesen Versuchen aber eindeutig überlegen, denn insbesondere bei Konzentrationen um 1–2 ppm waren die Clearance-Werte 5–7mal höher als bei der Hämodialyse.Die in vitro-Ergebnisse wurden bei einem Patienten mit einer Paraquat-Vergiftung bestätigt: Bei Konzentrationen unter 1 ppm war die Hämodialyse wirkungslos, während durch Hämoperfusion relativ hohe Clearance-Werte erreicht wurden, so daß der Serumspiegel rasch unter die Nachweisgrenze abfiel.

     

Lung disease and PKCs

The lung offers a rich opportunity for development of therapeutic strategies focused on isozymes of protein kinase C (PKCs). PKCs are important in many cellular responses in the lung, and existing therapies for pulmonary disorders are inadequate. The lung poses unique challenges as it interfaces with air and blood, contains a pulmonary and systemic circulation, and consists of many cell types. Key structures are bronchial and pulmonary vessels, branching airways, and distal air sacs defined by alveolar walls containing capillaries and interstitial space. The cellular composition of each vessel, airway, and alveolar wall is heterogeneous. Injurious environmental stimuli signal through PKCs and cause a variety of disorders. Edema formation and pulmonary hypertension (PHTN) result from derangements in endothelial, smooth muscle (SM), and/or adventitial fibroblast cell phenotype. Asthma, chronic obstructive pulmonary disease (COPD), and lung cancer are characterized by distinctive pathological changes in airway epithelial, SM, and mucous-generating cells. Acute and chronic pneumonitis and fibrosis occur in the alveolar space and interstitium with type 2 pneumocytes and interstitial fibroblasts/myofibroblasts playing a prominent role. At each site, inflammatory, immune, and vascular progenitor cells contribute to the injury and repair process. Many strategies have been used to investigate PKCs in lung injury. Isolated organ preparations and whole animal studies are powerful approaches especially when genetically engineered mice are used. More analysis of PKC isozymes in normal and diseased human lung tissue and cells is needed to complement this work. Since opposing or counter-regulatory effects of selected PKCs in the same cell or tissue have been found, it may be desirable to target more than one PKC isozyme and potentially in different directions. Because multiple signaling pathways contribute to the key cellular responses important in lung biology, therapeutic strategies targeting PKCs may be more effective if combined with inhibitors of other pathways for additive or synergistic effect. Mechanisms that regulate PKC activity, including phosphorylation and interaction with isozyme-specific binding proteins, are also potential therapeutic targets. Key isotypes of PKC involved in lung pathophysiology are summarized and current and evolving therapeutic approaches to target them are identified.     

In vitro studies on sterically stabilized liposomes (SL) as enzyme carriers in organophosphorus (OP) antagonism

This study describes a new approach for organophosphorous (OP) antidotal treatment by encapsulating an OP hydrolyzing enzyme, OPA anhydrolase (OPAA), within sterically stabilized liposomes. The recombinant OPAA enzyme was derived from Alteromonas strain JD6. It has broad substrate specificity to a wide range of OP compounds: DFP and the nerve agents, soman and sarin. Liposomes encapsulating OPAA (SL)* were made by mechanical dispersion method. Hydrolysis of DFP by (SL)* was measured by following an increase of fluoride ion concentration using a fluoride ion selective electrode. OPAA entrapped in the carrier liposomes rapidly hydrolyze DFP, with the rate of DFP hydrolysis directly proportional to the amount of (SL)* added to the solution. Liposomal carriers containing no enzyme did not hydrolyze DFP. The reaction was linear and the rate of hydrolysis was first order in the substrate. This enzyme carrier system serves as a biodegradable protective environment for the recombinant OP-metabolizing enzyme, OPAA, resulting in prolongation of enzymatic concentration in the body. These studies suggest that the protection of OP intoxication can be strikingly enhanced by adding OPAA encapsulated within (SL)* to pralidoxime and atropine.