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1.
J Control Release ; 369: 63-74, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38513729

RESUMEN

Recent studies in colorectal cancer patients (CRC) have shown that increased resistance to thymidylate synthase (TS) inhibitors such as 5-fluorouracil (5-FU), reduce the efficacy of standard of care (SoC) treatment regimens. The nucleotide pool cleanser dUTPase is highly expressed in CRC and is an attractive target for potentiating anticancer activity of chemotherapy. The purpose of the current work was to investigate the activity of P1, P4-di(2',5'-dideoxy-5'-selenouridinyl)-tetraphosphate (P4-SedU2), a selenium-modified symmetrically capped dinucleoside with prodrug capabilities that is specifically activated by dUTPase. Using mechanochemistry, P4-SedU2 and the corresponding selenothymidine analogue P4-SeT2 were prepared with a yield of 19% and 30% respectively. The phosphate functionality facilitated complexation with the amphipathic cell-penetrating peptide RALA to produce nanoparticles (NPs). These NPs were designed to deliver P4-SedU2 intracellularly and thereby maximise in vivo activity. The NPs demonstrated effective anti-cancer activity and selectivity in the HCT116 CRC cell line, a cell line that overexpresses dUTPase; compared to HT29 CRC cells and NCTC-929 fibroblast cells which have reduced levels of dUTPase expression. In vivo studies in BALB/c SCID mice revealed no significant toxicity with respect to weight or organ histology. Pharmacokinetic analysis of blood serum showed that RALA facilitates effective delivery and rapid internalisation into surrounding tissues with NPs eliciting lower plasma Cmax than the equivalent injection of free P4-SedU2, translating the in vitro findings. Tumour growth delay studies have demonstrated significant inhibition of growth dynamics with the tumour doubling time extended by >2weeks. These studies demonstrate the functionality and action of a new pro-drug nucleotide for CRC.


Asunto(s)
Antineoplásicos , Neoplasias Colorrectales , Nanopartículas , Profármacos , Animales , Neoplasias Colorrectales/tratamiento farmacológico , Neoplasias Colorrectales/patología , Profármacos/administración & dosificación , Profármacos/farmacocinética , Profármacos/uso terapéutico , Profármacos/química , Profármacos/farmacología , Humanos , Nanopartículas/química , Antineoplásicos/administración & dosificación , Antineoplásicos/farmacocinética , Antineoplásicos/farmacología , Antineoplásicos/uso terapéutico , Antineoplásicos/química , Pirofosfatasas/antagonistas & inhibidores , Femenino , Línea Celular Tumoral , Péptidos/química , Péptidos/administración & dosificación , Péptidos/farmacocinética , Péptidos/farmacología , Ratones Endogámicos BALB C , Ratones , Nucleótidos/administración & dosificación , Nucleótidos/química , Nucleótidos/farmacocinética , Células HCT116
2.
Artículo en Inglés | MEDLINE | ID: mdl-29866875

RESUMEN

Delivery of pharmacologically active nucleoside triphosphate analogs to sites of viral infection is challenging. In prior work we identified a 2'-C-methyl-1'-cyano-7-deaza-adenosine C-nucleotide analog with desirable selectivity and potency for the treatment of hepatitis C virus (HCV) infection. However, the prodrug selected for clinical development, GS-6620, required a high dose for meaningful efficacy and had unacceptable variability due to poor oral absorption as a result of suboptimal solubility, intestinal metabolism, and efflux transport. While obtaining clinical proof of concept for the nucleotide analog, a more effective prodrug strategy would be necessary for clinical utility. Here, we report an alternative prodrug of the same nucleoside analog identified to address liabilities of GS-6620. A phosphoramidate prodrug containing the nonproteinogenic amino acid methylalanine, an isopropyl ester and phenol in the (S) conformation at phosphorous, GS2, was found to have improved solubility, intestinal stability, and hepatic activation. GS2 is a more selective substrate for hepatically expressed carboxyl esterase 1 (CES1) and is resistant to hydrolysis by more widely expressed hydrolases, including cathepsin A (CatA) and CES2. Unlike GS-6620, GS2 was not cleaved by intestinally expressed CES2 and, as a result, was stable in intestinal extracts. Levels of liver triphosphate following oral administration of GS2 in animals were higher than those of GS-6620, even when administered under optimal conditions for GS-6620 absorption. Combined, these properties suggest that GS2 will have better oral absorption in the clinic when administered in a solid dosage form and the potential to extend the clinical proof of concept obtained with GS-6620.


Asunto(s)
Antivirales/uso terapéutico , Hepacivirus/patogenicidad , Nucleótidos/uso terapéutico , Profármacos/uso terapéutico , Triazinas/uso terapéutico , Adenosina/análogos & derivados , Administración Oral , Alanina , Animales , Antivirales/administración & dosificación , Antivirales/farmacocinética , Células CACO-2 , Células Cultivadas , Perros , Hepacivirus/efectos de los fármacos , Hepatitis C/virología , Humanos , Masculino , Nucleótidos/administración & dosificación , Nucleótidos/farmacocinética , Profármacos/administración & dosificación , Profármacos/farmacocinética , Ratas , Triazinas/administración & dosificación , Triazinas/farmacocinética , Replicación Viral/efectos de los fármacos
3.
Saudi J Gastroenterol ; 24(1): 30-36, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29451182

RESUMEN

Background/Aims: The optimal duration of nucleos(t)ide analogs (NAs) therapy in chronic hepatitis B (CHB) patients remains unsatisfactory. Previous studies have confirmed the important role of host genetic factors in determining the outcome of HBV infection. This study tries to determine the role of host genetic factors in predicting response status in CHB patients discontinuing NAs according to stringent cessation criteria. Patients and Methods: Participating patients came from a prospective NAs- discontinuation cohort since June 1999. Six single-nucleotide polymorphisms (SNPs) were selected according to previous report. SNaPshot assay was used for DNA SNPs analyses. Results: Seventy-six CHB patients were enrolled in our study, of which 61 patients were HBeAg-positive and 15 patients were HBeAg-negative. rs1883832 in the Kozak sequence of CD40 displayed an AUROC of 0.778 in predicting response status in CHB patients with HBeAg seroconversion and a genotype of CT was associated with sustained response in this subpopulation. The diagnostic performance of combinative index (rs1883832, age, and HBsAg at discontinuation) seemed to be better than that of rs1883832, but no statistical difference was observed. rs1883832 was also evaluated as an independent factor for response status by multivariate logistic regression. For HBeAg-negative CHB patients, rs9277535 at HLA-DP presents a Spearman correlation coefficient of 0.582 (P = 0.023) with virological relapse after discontinuation of NAs. Conclusions: rs1883832 serves as a valuable predictive factor for CHB patients with HBeAg seroconversion. rs9277535 at HLA-DP might also be a valuable predictive factor for CHB patients with HBeAg-negative, however, further verifications are recommended due to study limitations.


Asunto(s)
Antivirales/uso terapéutico , Antígenos CD40/genética , Hepatitis B Crónica/genética , Polimorfismo de Nucleótido Simple , Adolescente , Adulto , Antivirales/farmacocinética , Femenino , Antígenos e de la Hepatitis B/metabolismo , Virus de la Hepatitis B/inmunología , Hepatitis B Crónica/tratamiento farmacológico , Humanos , Masculino , Persona de Mediana Edad , Nucleósidos/farmacocinética , Nucleósidos/uso terapéutico , Nucleótidos/farmacocinética , Nucleótidos/uso terapéutico , Variantes Farmacogenómicas , Estudios Prospectivos , Resultado del Tratamiento , Adulto Joven
4.
J Med Chem ; 60(14): 6077-6088, 2017 07 27.
Artículo en Inglés | MEDLINE | ID: mdl-28650160

RESUMEN

Resistant HCV variants carrying NS5B S282T mutation confer reduced sensitivity to sofosbuvir, the sole marketed NS5B polymerase inhibitor. On the basis of the finding that 2'-α-F-2'-ß-C-methylcytidine 5'-triphosphate (8) was more potent than sofosbuvir's active metabolite on inhibition of both wild-type and S282T mutant polymerase, a dual-prodrug approach has been established. Twenty-nine phosphoramidates with N4-modified cytosine were designed, synthesized, and evaluated for anti-HCV activity. The results showed that compounds 4c-4e and 4m (EC50 = 0.19-0.25 µM) exhibited comparable potency to that of sofosbuvir (EC50 = 0.15 µM) on inhibition of wild-type replicons. Notably, 4c (EC50 = 0.366 µM) was 1.5-fold more potent than sofosbuvir (EC50 = 0.589 µM) on inhibition of S282T mutant replicons. In vitro metabolic studies disclosed the possible metabolic pathways of 4c. The toxicity study results indicated a good safety profile of 4c. Together, 4c-4e and 4m hold promise for drug development for the treatment of HCV infection, especially the resistant variants with NS5B S282T mutation.


Asunto(s)
Alanina/análogos & derivados , Antivirales/química , Citidina Monofosfato/análogos & derivados , Hepacivirus/efectos de los fármacos , Nucleótidos/síntesis química , Profármacos/síntesis química , Alanina/síntesis química , Alanina/farmacocinética , Alanina/farmacología , Animales , Antivirales/síntesis química , Antivirales/farmacología , Línea Celular Tumoral , Citidina Monofosfato/síntesis química , Citidina Monofosfato/farmacocinética , Citidina Monofosfato/farmacología , Perros , Femenino , Hepacivirus/genética , Humanos , Hígado/metabolismo , Masculino , Mutación , Nucleótidos/farmacocinética , Nucleótidos/farmacología , Profármacos/farmacocinética , Profármacos/farmacología , ARN Polimerasa Dependiente del ARN/genética , Replicón , Estereoisomerismo , Relación Estructura-Actividad , Proteínas no Estructurales Virales/genética
5.
J Biomed Mater Res B Appl Biomater ; 105(5): 1191-1199, 2017 07.
Artículo en Inglés | MEDLINE | ID: mdl-27059517

RESUMEN

Synthesis of functional gold nanoparticles (AuNPs) justifying selectivity in biochemical interaction along with biocompatibility suited for in vivo biomedical applications has been a challenging issue. We report herein the role of polyethylenimine (PEI) in controlled synthesis of AuNPs under ambient conditions which has potentiality for sensing glutathione and selective interaction with DNA binding proteins facilitating endosomal escape for the nucleotide delivery. The choice of organic reducing agents like formaldehyde/acetaldehyde/acetyl acetone/tetrahydrofuran hydroperoxide and other similar compounds allow rapid conversion of PEI capped gold cations into AuNPs at room temperature thus controlling the functional ability of nanoparticles as a function of organic reducing agents. Both small and higher molecular weight PEI facilitates fast synthesis of AuNPs controlling cytotoxicity during in vivo biomedical applications. The AuNPs have been characterized by UV-Vis and transmission electron microscopy revealing excellent polycrystallinity and controlled nanogeometry. The cationic polymer coating enhances the electrocatalytic performances of nanoparticles. The typical biomedical application on glutathione (GSH) sensing based on peroxidase mimetic ability of as made AuNPs is studied. The as synthesized AuNPs are extreme salt and pH resistant and have potentiality for both homogeneous and heterogeneous biocatalysis. © 2016 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 105B: 1191-1199, 2017.


Asunto(s)
Materiales Biocompatibles Revestidos , Glutatión/química , Oro/química , Nanopartículas del Metal/química , Nucleótidos , Polietileneimina/química , Materiales Biocompatibles Revestidos/síntesis química , Materiales Biocompatibles Revestidos/química , Preparaciones de Acción Retardada/síntesis química , Preparaciones de Acción Retardada/química , Preparaciones de Acción Retardada/farmacocinética , Nucleótidos/química , Nucleótidos/farmacocinética
6.
Future Med Chem ; 7(13): 1751-69, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26399560

RESUMEN

Although activity has been reported in vivo, free nucleic acid-based drugs are rapidly degraded and cleared following systemic administration. To address these challenges and improve the potency and bioavailability of genetic drugs, significant efforts have been made to develop effective delivery systems of which lipid nanoparticles (LNP) represent the most advanced technology currently available. In this review, we will describe and discuss the improvements to the pharmacokinetic and pharmacodynamic properties of nucleic acid-based drugs mediated by LNP delivery. It is envisioned that the significant improvements in potency and safety, largely driven by the development of LNP encapsulated siRNA drugs, will be translatable to other types of genetic drugs and enable the rapid development of potent molecular tools and drugs.


Asunto(s)
Portadores de Fármacos/química , Lípidos/química , Nanopartículas/química , Nucleótidos/administración & dosificación , Nucleótidos/farmacocinética , Animales , ADN Catalítico/administración & dosificación , ADN Catalítico/farmacocinética , ADN Catalítico/farmacología , Composición de Medicamentos/métodos , Sistemas de Liberación de Medicamentos , Humanos , MicroARNs/administración & dosificación , MicroARNs/farmacocinética , MicroARNs/farmacología , Nucleótidos/farmacología , ARN Catalítico/administración & dosificación , ARN Catalítico/farmacocinética , ARN Catalítico/farmacología , ARN Interferente Pequeño/administración & dosificación , ARN Interferente Pequeño/farmacocinética , ARN Interferente Pequeño/farmacología
7.
Biomaterials ; 48: 26-36, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25701029

RESUMEN

Tumor necrosis factor-alpha (TNF-α) plays a central role in the pathogenesis of inflammatory bowel disease (IBD). Anti-TNF-α therapies have shown protective effects against colitis, but an efficient tool for target suppression of its secretion - ideally via oral administration - remains in urgent demand. In the colon tissue, TNF-α is mainly secreted by the colonic macrophages. Here, we report an orally-administrated microspheric vehicle that can target the colonic macrophages and suppress the local expression of TNF-α for IBD treatment. This vehicle is formed by cationic konjac glucomannan (cKGM), phytagel and an antisense oligonucleotide against TNF-α. It was given to dextran sodium sulfate (DSS) colitic mice via gastric perfusion. The unique swelling properties of cKGM enabled the spontaneous release of cKGM& antisense nucleotide (ASO) nano-complex from the phytagel scaffold into the colon lumen, where the ASO was transferred into colonic macrophages via receptor-mediated phagocytosis. The treatment significantly decreased the local level of TNF-α and alleviated the symptoms of colitis in the mice. In summary, our study demonstrates a convenient, orally-administrated drug delivery system that effectively targets colonic macrophages for suppression of TNF-α expression. It may represent a promising therapeutic approach in the treatment of IBD.


Asunto(s)
Colon/efectos de los fármacos , Enfermedades Inflamatorias del Intestino/tratamiento farmacológico , Macrófagos/efectos de los fármacos , Nucleótidos/administración & dosificación , Administración Oral , Animales , Línea Celular , Colon/metabolismo , Colon/patología , Técnicas In Vitro , Ratones , Microscopía Electrónica de Transmisión , Microesferas , Nucleótidos/farmacocinética , Espectroscopía Infrarroja por Transformada de Fourier , Distribución Tisular , Factor de Necrosis Tumoral alfa/biosíntesis
8.
Chemistry ; 20(47): 15292-7, 2014 Nov 17.
Artículo en Inglés | MEDLINE | ID: mdl-25318977

RESUMEN

Naturally occurring muraymycin nucleoside antibiotics represent a promising class of novel antibacterial agents. The structural complexity suggests the investigation of simplified analogues as potential lead structures, which can then be further optimized towards highly potent antimicrobials. Herein we report studies on muraymycin-derived potential lead structures lacking an aminoribose motif found in most naturally occurring muraymycins. We have identified a 5'-defunctionalized motif to be ideal in terms of stability and chemical accessibility and have synthesized a full-length muraymycin analogue based on this structure using a novel fully stereocontrolled route. The obtained 5'-deoxy analogue of the natural product muraymycin C4 showed good inhibitory properties towards the bacterial target protein MraY, sufficient pharmacokinetic stability and no cytotoxicity against human cells, thus making it a promising lead for antibacterial drug development.


Asunto(s)
Antibacterianos/química , Nucleótidos/química , Antibacterianos/farmacocinética , Antibacterianos/farmacología , Línea Celular , Supervivencia Celular/efectos de los fármacos , Escherichia coli/efectos de los fármacos , Semivida , Humanos , Pruebas de Sensibilidad Microbiana , Nucleótidos/farmacocinética , Nucleótidos/farmacología , Staphylococcus aureus/efectos de los fármacos
9.
J Inorg Biochem ; 130: 28-31, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24148759

RESUMEN

The results of the present study suggest that DmTpc1 is actively implicated in the specific uptake of free cytoplasmic Pt bonded nucleotides, and therefore could be linked to the mechanism of action of some platinum-based antitumor drugs. Although DmTpc1 has a low affinity for model [Pt(dien)(N7-5'-dGTP)] and cis-[Pt(NH3)2(py)(N7-5'-dGTP)] compared to dATP it's well known that DNA platination level of few metal atoms per double-stranded molecule may account for the pharmacological activity of platinum based antitumor drugs. This is the first investigation where it has been demonstrated that a mitochondrial carrier is directly involved in the transport of metalated purines related with the cisplatin mechanism of action. Moreover it is shown as a lower hindrance of nucleotide bonded platinum complexes could strongly enhance mitochondrial uptake. Furthermore, a new application of ICP-AES addressed to measure the transport of metalated nucleobases, by using a recombinant protein reconstituted into liposomes, has been here, for the first time, developed and compared with a standard technique such as the liquid scintillation counting.


Asunto(s)
Proteínas de Drosophila/metabolismo , Compuestos Organoplatinos/química , Compuestos Organoplatinos/farmacocinética , Platino (Metal)/química , Tiamina Pirofosfato/metabolismo , Transporte Biológico , Proteínas de Drosophila/genética , Cinética , Liposomas/metabolismo , Proteínas de Transporte de Membrana/genética , Proteínas de Transporte de Membrana/metabolismo , Nucleótidos/química , Nucleótidos/farmacocinética , Platino (Metal)/farmacocinética , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo
10.
Antimicrob Agents Chemother ; 57(3): 1201-8, 2013 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-23262999

RESUMEN

To investigate the pharmacokinetics, safety, and tolerability of GS-9851 (formerly PSI-7851), a new nucleotide analog inhibitor of hepatitis C virus (HCV), we conducted a double-blind, parallel, placebo-controlled, randomized, single-ascending-dose study. Healthy subjects received oral doses of 25 to 800 mg GS-9851. Peak concentrations of GS-9851 in plasma were achieved more rapidly than those of the metabolites GS-566500 (formerly PSI-352707) and GS-331007 (formerly PSI-6206), with time to maximum concentration of drug in plasma (t(max)) values of 1.0 to 1.8 h, 1.5 to 3.0 h, and 3.0 to 6.0 h, respectively. The majority of systemic drug exposure was from the nucleoside GS-331007, with maximum concentration of drug in plasma (C(max)) and area under the concentration-time curve to the last measurable concentration (AUC(0-t)) values at least 7- and 41-fold higher, respectively, than those obtained for GS-9851 after adjusting for differences in molecular weight. The terminal elimination half-life (t(1/2)) of GS-331007 increased with the dose, achieving a t(1/2) of 25.7 h at 800 mg GS-9851. Dose proportionality was not observed for GS-331007. The majority of drug recovered in urine was in the form of GS-331007, with the percentage of this metabolite in urine samples ranging from 57% to 27% with increasing dose. GS-9851 was generally well tolerated, with no maximum tolerated dose identified. In conclusion, GS-9851 and its metabolites demonstrated a favorable pharmacokinetic profile consistent with once-daily dosing, and therefore, further clinical studies evaluating GS-9851 in HCV-infected patients are warranted.


Asunto(s)
Antivirales/farmacocinética , Hepacivirus/efectos de los fármacos , Hepatitis C Crónica/tratamiento farmacológico , Nucleótidos/farmacocinética , ARN Viral/antagonistas & inhibidores , Administración Oral , Adolescente , Adulto , Anciano , Antivirales/sangre , Antivirales/farmacología , Área Bajo la Curva , Relación Dosis-Respuesta a Droga , Método Doble Ciego , Esquema de Medicación , Femenino , Semivida , Hepacivirus/crecimiento & desarrollo , Hepatitis C Crónica/virología , Humanos , Masculino , Persona de Mediana Edad , Nucleótidos/sangre , Nucleótidos/farmacología , Placebos , ARN Viral/biosíntesis , Carga Viral/efectos de los fármacos
11.
Antimicrob Agents Chemother ; 57(3): 1209-17, 2013 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-23263000

RESUMEN

We conducted this double-blind, parallel-group, placebo-controlled, randomized, multiple-ascending-dose study to assess the safety, tolerability, pharmacokinetics, and pharmacodynamics of GS-9851 (formerly PSI-7851) in treatment-naïve patients infected with hepatitis C virus (HCV) genotype 1. Thirty-two patients received active doses up to 400 mg of GS-9851 once daily for 3 days. GS-9851 and the metabolite GS-566500 (formerly PSI-352707) were rapidly cleared from the plasma, with half-life (t(1/2)) values of approximately 1 h for GS-9851 and 3 h for GS-566500. Accumulation (21%) was observed only for GS-331007 (formerly PSI-6206) after multiple dosing. GS-331007 was the primary drug-related moiety in the plasma and urine. Increases in the GS-9851, GS-566500, and GS-331007 maximum concentrations in plasma (C(max)) and area under the concentration-time curve (AUC) were less than dose proportional, particularly at the highest doses. The decline in plasma HCV RNA levels was dose dependent, and a mean maximal change from the baseline of -1.95 log(10) IU/ml was obtained for 400 mg GS-9851, compared with -0.090 log(10) IU/ml for the placebo. Most patients had a decrease in HCV RNA of ≥1.0 log(10) IU/ml after 3 days' dosing with 400 mg GS-9851. No virologic resistance was observed. GS-9851 was generally well tolerated, with no notable differences in adverse event frequency across doses. The pharmacokinetic profile observed in this study was similar to that seen in a single-ascending-dose study in healthy subjects.


Asunto(s)
Antivirales/farmacocinética , Hepacivirus/efectos de los fármacos , Hepatitis C Crónica/tratamiento farmacológico , Nucleótidos/farmacocinética , ARN Viral/antagonistas & inhibidores , Administración Oral , Adolescente , Adulto , Anciano , Antivirales/sangre , Antivirales/farmacología , Área Bajo la Curva , Relación Dosis-Respuesta a Droga , Método Doble Ciego , Esquema de Medicación , Femenino , Semivida , Hepacivirus/crecimiento & desarrollo , Hepatitis C Crónica/virología , Humanos , Masculino , Persona de Mediana Edad , Nucleótidos/sangre , Nucleótidos/farmacología , Placebos , ARN Viral/biosíntesis , Carga Viral/efectos de los fármacos
12.
Chemistry ; 17(5): 1649-59, 2011 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-21268168

RESUMEN

A diastereoselective synthesis of cycloSal-phosphotriesters (cycloSal=cycloSaligenyl) based on chiral auxiliaries has been developed that allows the synthesis of single diastereomers of the cycloSal-pronucleotides. In previously described synthesis routes, the cycloSal-compounds were always obtained as 1:1 diastereomeric mixtures that could be separated in only rare cases. However, it was shown that the diastereomers have different antiviral activity, toxicity, and hydrolysis stabilities. Here, first a chiral thiazoline derivative was used to prepare nonsubstituted and 5-methyl-cycloSal-phosphotriesters in 48 and ≥95% de (de=diastereomeric excess). However, this approach failed to give the important group of 3-substituted cycloSal-nucleotides. Therefore, two other chiral groups were discovered that allowed the synthesis of (R(P))- and (S(P))-3-methyl-cycloSal-phosphotriesters as well. The antiviral activity was found to be five- to 20-fold different between the two individual diastereomers, which proved the importance of this approach.


Asunto(s)
Fármacos Anti-VIH/síntesis química , Didesoxinucleótidos/síntesis química , Nucleótidos/síntesis química , Organofosfatos/síntesis química , Estavudina/síntesis química , Zidovudina/análogos & derivados , Fármacos Anti-VIH/farmacocinética , Didesoxinucleótidos/química , Didesoxinucleótidos/farmacocinética , Humanos , Concentración de Iones de Hidrógeno , Espectroscopía de Resonancia Magnética , Nucleótidos/química , Nucleótidos/farmacocinética , Organofosfatos/química , Organofosfatos/farmacocinética , Estavudina/química , Estavudina/farmacocinética , Estereoisomerismo , Relación Estructura-Actividad , Zidovudina/síntesis química , Zidovudina/química , Zidovudina/farmacocinética
13.
J Control Release ; 141(1): 2-12, 2010 Jan 04.
Artículo en Inglés | MEDLINE | ID: mdl-19758573

RESUMEN

Hyaluronic acid (HA) is a biodegradable, biocompatible, non-toxic, non-immunogenic and non-inflammatory linear polysaccharide, which has been used for various medical applications such as arthritis treatment, ocular surgery, tissue augmentation, and so on. In this review, the effect of chemical modification of HA on its distribution throughout the body was reported for target specific and long-acting delivery applications of protein, peptide, and nucleotide therapeutics. According to the real-time bio-imaging of HA derivatives using quantum dots (QDot), HA-QDot conjugates with 35mol% HA modification maintaining enough binding sites for HA receptors were mainly accumulated in the liver, while those with 68mol% HA modification losing much of HA characteristics were evenly distributed to the tissues in the body. The results are well matched with the fact that HA receptors are abundantly present in the liver with a high specificity to HA molecules. Accordingly, slightly modified HA derivatives were used for target specific intracellular delivery of nucleotide therapeutics and highly modified HA derivatives were used for long-acting conjugation of peptide and protein therapeutics. HA has been also used as a novel depot system in the forms of physically and chemically crosslinked hydrogels for various protein drug delivery. This review will give you a peer overview on novel HA derivatives and the latest advances in HA-based drug delivery systems of various biopharmaceuticals for further clinical development.


Asunto(s)
Materiales Biocompatibles/química , Biofarmacia/métodos , Portadores de Fármacos/química , Ácido Hialurónico/química , Preparaciones Farmacéuticas/administración & dosificación , Animales , Sitios de Unión , Humanos , Receptores de Hialuranos/metabolismo , Estructura Molecular , Nucleótidos/administración & dosificación , Nucleótidos/farmacocinética , Péptidos/administración & dosificación , Péptidos/farmacocinética , Preparaciones Farmacéuticas/metabolismo , Proteínas/administración & dosificación , Proteínas/farmacocinética , Puntos Cuánticos , Factores de Tiempo , Distribución Tisular
14.
Expert Opin Drug Deliv ; 6(4): 405-20, 2009 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-19382883

RESUMEN

Nucleotide analogues have been well accepted as therapeutic agents active against a number of viruses. However, their use as antiviral agents is limited by the need for phosphorylation by endogenous enzymes, and if the analogue is orally administered, by low bioavailability due to the presence of an ionizable diacid group. To circumvent these limitations, a number of prodrug approaches have been proposed. The ideal prodrug achieves delivery of a parent drug by attachment of a non-toxic moiety that is stable during transport and delivery, but is readily cleaved to release the parent drug once at the target. Here, a brief overview of several promising prodrug strategies currently under development is given.


Asunto(s)
Antivirales/farmacocinética , Nucleótidos/farmacocinética , Profármacos/farmacocinética , Administración Oral , Animales , Antivirales/administración & dosificación , Disponibilidad Biológica , Sistemas de Liberación de Medicamentos , Diseño de Fármacos , Humanos , Nucleótidos/administración & dosificación , Fosforilación , Profármacos/administración & dosificación , Virosis/tratamiento farmacológico
15.
Antimicrob Agents Chemother ; 53(5): 1779-85, 2009 May.
Artículo en Inglés | MEDLINE | ID: mdl-19223649

RESUMEN

LB80380, a dipivoxil ester prodrug of LB80331 (metabolite, LB80317), is a novel antiviral agent for chronic hepatitis B (CHB). The pharmacokinetics of LB80331/LB80317 were evaluated in two clinical studies and a study with mice. The clinical studies were dose-escalating pharmacokinetic studies with six healthy subjects per single-dose group and six CHB patients per repeated-dose group. The mouse study was designed to measure the amounts of the phosphorylated portions of LB80331 and LB80317 in the liver. In healthy subjects receiving a single dose of LB80380, the plasma level of LB80331 increased as the dose increased. Although a high-fat diet delayed the time to the maximum concentration in plasma (T(max)) of LB80331, the area under the concentration-time curve from time zero to infinity was similar between the subjects in the fasted group and those in the group who consumed a high-fat diet. In CHB patients, the mean T(max) of LB80331 was 1.0 to 2.0 h postdosing at steady state. The steady-state plasma concentration of LB80331 declined in a monoexponential manner, and the apparent elimination half-life was 2.5 to 3.3 h. The steady-state plasma concentration of LB80317 was maximum at 3 to 8 h postdoing and declined in a monoexponential manner; the apparent elimination half-life was 45 to 62 h at the 30- to 240-mg doses, while LB80317 was measurable in plasma only at higher doses of 120 and 240 mg after the administration of the first dose of LB80380. Forty percent of the amount of LB80331/LB80317 in the mouse liver was detected as the phosphorylated form. In conclusion, LB80380 is rapidly absorbed and converted to LB80331. LB80317 has a long half-life at steady-state, supporting the use of a once-daily dosing regimen. The ingestion of a high-fat diet delays the rate of absorption of LB80380 without affecting the extent of absorption.


Asunto(s)
Hepacivirus/efectos de los fármacos , Hepatitis B Crónica/tratamiento farmacológico , Nucleótidos/farmacocinética , Profármacos/farmacocinética , Administración Oral , Adolescente , Adulto , Animales , Ensayos Clínicos Fase I como Asunto , Ensayos Clínicos Fase II como Asunto , Relación Dosis-Respuesta a Droga , Método Doble Ciego , Femenino , Hepatitis B Crónica/virología , Humanos , Hígado/metabolismo , Masculino , Ratones , Persona de Mediana Edad , Nucleótidos/administración & dosificación , Nucleótidos/efectos adversos , Nucleótidos/química , Profármacos/administración & dosificación , Profármacos/efectos adversos , Profármacos/metabolismo , Ensayos Clínicos Controlados Aleatorios como Asunto , Resultado del Tratamiento , Adulto Joven
16.
Cardiovasc Hematol Agents Med Chem ; 7(1): 19-28, 2009 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-19149541

RESUMEN

Aptamer molecules represent an attractive approach in pharmacological therapy. Thrombin is a plasma serine protease that plays a key role in coagulation and haemostasis, also playing a relevant role in endothelial and smooth muscle cell functions. Thus, the development and use of direct thrombin inhibitors represents a potent tool in cardiovascular therapeutics. This review describes the status of direct thrombin inhibitors, focusing on aptamer-based drug candidates, that are at present in pre-clinical and in clinical trials. In addition, more recent research strategies in the design of novel aptamer thrombin inhibitors are presented and discussed. In particular, their structural, conformational, pharmacokinetic and pharmacodynamic properties are discussed in relation with the specificity of their binding to relevant thrombin exosites, which regulate the enzyme interaction with natural substrates and cellular receptors. Despite the addition of new effective anticoagulants to the therapeutic armoury, there remains a need for safer and effective anticoagulants. The aptamer-based thrombin inhibitors may represent an attractive approach for future developments of more potent and safer anticoagulants.


Asunto(s)
Nucleótidos/uso terapéutico , Trombina/antagonistas & inhibidores , Anticoagulantes , Aptámeros de Nucleótidos/química , Aptámeros de Nucleótidos/farmacocinética , Aptámeros de Nucleótidos/uso terapéutico , Diseño de Fármacos , Humanos , Nucleótidos/química , Nucleótidos/farmacocinética
17.
Curr Drug Deliv ; 5(1): 27-31, 2008 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-18220548

RESUMEN

Oral RNA has been used in the past as a nutritional supplement as well as a therapeutic agent for several disorders. It is difficult to validate any of the therapeutic claims in the absence of scientific studies and in view of the instability of orally administered RNA. Absorption from the gastrointestinal tract remains questionable. Most of the current efforts in relation to oral RNA are devoted to oral administration of siRNA for therapeutic purposes. A hypothesis is presented of the usefulness of RNA as a nutraceutical. After review of the available literature, role of mRNA in the body, and various routes of administration, suggestions are made for possible methods to improve delivery of RNA and to study its pharmacokinetics. There is commercial potential for such a product if absorption by oral route can be verified as it is easy to administer and can be produced at lower cost than intravenous preparations.


Asunto(s)
Sistemas de Liberación de Medicamentos , Tracto Gastrointestinal/metabolismo , Factores Inmunológicos , ARN , Administración Oral , Disponibilidad Biológica , Suplementos Dietéticos , Vías de Administración de Medicamentos , Composición de Medicamentos , Estabilidad de Medicamentos , Humanos , Factores Inmunológicos/administración & dosificación , Factores Inmunológicos/farmacocinética , Factores Inmunológicos/uso terapéutico , Nanotecnología , Nucleótidos/administración & dosificación , Nucleótidos/farmacocinética , Nucleótidos/uso terapéutico , ARN/administración & dosificación , ARN/farmacocinética , ARN/uso terapéutico , ARN Mensajero/fisiología
18.
Int J Pharm ; 354(1-2): 16-22, 2008 Apr 16.
Artículo en Inglés | MEDLINE | ID: mdl-17890027

RESUMEN

The intracellular delivery of proteins and other bioactive molecules by employing membrane-permeable carrier peptide vectors, e.g. HIV-1 Tat, Antp-HD, and related arginine-rich peptides are well known for a number of years. Because of some real and potential problems associated with these peptide carriers, such as instability due to various endogenous peptidases, uncertain in vivo delivery efficiency, potential neurotoxicity and immunogenicity, an urgent need exists for the development of efficient, non-peptide molecular carriers. This review briefly summarizes the structural characteristics and the delivery properties of the newly developed non-peptide carriers, in particular the ones developed in the author's laboratory, together with their potential as delivery vectors for poorly bioavailable drugs including small molecules, proteins, and nucleotides.


Asunto(s)
Portadores de Fármacos/química , Péptidos/farmacocinética , Proteínas/farmacocinética , Animales , Disponibilidad Biológica , Permeabilidad de la Membrana Celular , Sistemas de Liberación de Medicamentos , Humanos , Nucleótidos/farmacocinética
19.
Clin Drug Investig ; 27(8): 509-31, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-17638393

RESUMEN

By the end of 2006, approximately 2.3 million children worldwide were living with HIV infection, representing about 15% of all HIV-infected individuals but only 5-7% of the total population of treated patients worldwide. Despite a general increase in the use of antiretroviral therapy (ART) in resource-limited settings, appropriate care and ART remain inaccessible for most of the world's HIV-infected children. ART of children is challenging because of a general lack of paediatric formulations (including tablets in paediatric strengths), limited options of drugs available for children (some have been approved only for use in adults), different viral and immunological responses, dependency on caregivers for administration of the therapy, and specific issues of toxicity in long-term therapy related to maturation and development. As in adults, nucleoside reverse transcriptase inhibitors (NRTIs) are a key component of any ART schedule in children, being the recommended 'backbone' treatment in US, European and WHO guidelines, and, indeed, NRTIs have been extensively studied in children. NRTIs are the class of antiretroviral drugs that have more drugs licensed for paediatric use and more paediatric formulations.Generally, the dual NRTI backbone treatment of combination with a non-NRTI (NNRTI) or protease inhibitor (PI) should comprise a cytidine analogue (lamivudine, emtricitabine) and a thymidine analogue (stavudine, zidovudine), guanosine analogue (i.e. abacavir), or nucleotide RTI (NtRTI; i.e. tenofovir). European and US guidelines recommend the use of triple NRTI therapy (abacavir/lamivudine/zidovudine) in children with anticipated poor adherence to other treatment regimens because of tablet burden. In conclusion, while use of ART in children needs to be dramatically increased, selecting and administering the best drug combination for children is still limited by a lack of paediatric formulations and knowledge of drug metabolism, safety and efficacy in children. NRTIs are already a key component of paediatric ART, but fixed-dose combinations and specific research in children are needed to optimise their use. In this article we review the available information to facilitate selection of the best NRTI for backbone treatment in combination ART for HIV-infected children.


Asunto(s)
Fármacos Anti-VIH/uso terapéutico , Infecciones por VIH/tratamiento farmacológico , Nucleósidos/uso terapéutico , Nucleótidos/uso terapéutico , Inhibidores de la Transcriptasa Inversa/uso terapéutico , Adolescente , Fármacos Anti-VIH/farmacocinética , Niño , Preescolar , Quimioterapia Combinada , Humanos , Lactante , Recién Nacido , Nucleósidos/farmacocinética , Nucleótidos/farmacocinética , Inhibidores de la Transcriptasa Inversa/farmacocinética
20.
Br J Nutr ; 98(2): 285-91, 2007 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-17403274

RESUMEN

Human milk is a rich source of RNA, free nucleotides (NT) and nucleosides (NS). To determine the uptake of different NS sources by the intestinal epithelium, jejunal explants from suckling piglets were cultured in a medium supplemented with a mixture of NS (adenosine, cytidine, guanosine, inosine, uridine; 10 mg/l each), a mixture of five NT (AMP, CMP, GMP, IMP, UMP; 7 mg/l each) or RNA (60 mg/l), respectively. Aliquots from the media were taken at different times (0.5, 2, 5, 15, 30, 60, 180 min). NS and NT concentrations were analysed in the different supernatants at those periods using solid-phase extraction followed by HPLC. When explants were cultured in the presence of NS the concentration of these compounds, excepting cytidine, rapidly decreased, suggesting that they are efficiently taken up. When explants were incubated in the presence of NT, the total concentration of these compounds decreased while the total concentration of NS increased, suggesting that enterocytes efficiently hydrolyse NT into NS. Likewise, when explants were incubated in the presence of RNA, the total concentration of both NT and NS increased, indicating that intestinal explants are able to hydrolyse RNA to NT and then to NS in the absence of luminal enzymes. In conclusion, the jejunum of piglets at weaning is able to hydrolyse RNA and free NT to NS, and NS, excepting cytidine, are efficiently taken up by the small intestine. These results suggest that the current concentration of NT used to supplement infant formulas should be reconsidered.


Asunto(s)
Yeyuno/metabolismo , Nucleósidos/metabolismo , Nucleótidos/metabolismo , Nucleótidos/farmacocinética , ARN/metabolismo , Absorción , Adenosina/metabolismo , Animales , Animales Lactantes , Medios de Cultivo , Citidina/metabolismo , Guanosina/metabolismo , Hidrólisis , Inosina/metabolismo , Nucleósidos/administración & dosificación , Nucleótidos/administración & dosificación , Porcinos , Uridina/metabolismo
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