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1.
Food Funct ; 10(8): 4620-4635, 2019 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-31290504

RESUMO

Phyllanthus emblica L. fruits have long been used in Ayurvedic medicine for their many health benefits. In this study, we present P. emblica fruit crude extract and fractions' effects on the female reproductive system by assessing its estrogenic and gonadotropic activities. Results revealed that the non-polar petroleum ether and chloroform fractions exhibited the strongest estrogenic and follicle-stimulating hormone-like [FSH] activity, while the n-butanol fraction exhibited a significant luteinizing hormone-like [LH] activity. The ethyl acetate fraction showed neither estrogenic nor gonadotropic activities and in contrast it may impair female fertility suggesting that different metabolite classes contribute to the plant's overall effect on female fertility. To pinpoint active agents in these fractions, UPLC/ESI-qTOF-MS- was employed for secondary metabolite profiling with 100 metabolites annotated including ellagitannins, gallic acid derivatives, terpeneoids, sterols, phthalates and fatty acids. Correlation between extracts/fraction bioassays and UPLC/MS data was attempted using orthogonal partial least squares-discriminant analysis (OPLS-DA) revealing that guaiane-type sesquiterpenes, phthalates, diterpenes and oxygenated fatty acids showed positive correlation with estrogenic and gonadotropic activities. In contrast, mucic acid gallates, gallic acid derivatives and ellagitannins correlated negatively. GC/MS analysis of the non-polar bioactive fractions viz. petroleum ether and chloroform was also attempted which revealed its enrichment in fatty acids/fatty acyl esters (34%) and phenolic compounds (19.6%). This study provides the first report on the estrogenic and gonadotropic activities of P. emblica fruits in relation to their metabolite fingerprint.


Assuntos
Fármacos para a Fertilidade Feminina/química , Infertilidade Feminina/tratamento farmacológico , Phyllanthus emblica/química , Extratos Vegetais/química , Animais , Cromatografia Líquida de Alta Pressão , Feminino , Fármacos para a Fertilidade Feminina/administração & dosagem , Frutas/química , Cromatografia Gasosa-Espectrometria de Massas , Humanos , Extratos Vegetais/administração & dosagem , Ratos , Espectrometria de Massas em Tandem
2.
Mol Hum Reprod ; 23(10): 685-697, 2017 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-29044421

RESUMO

STUDY QUESTION: Are four urinary hCG/menotropin (hMG) and one recombinant preparation characterized by different molecular features and do they mediate specific intracellular signaling and steroidogenesis? SUMMARY ANSWER: hCG and hMG preparations have heterogeneous compositions and mediate preparation-specific cell signaling and early steroidogenesis, although similar progesterone plateau levels are achieved in 24 h-treated human primary granulosa cells in vitro. WHAT IS KNOWN ALREADY: hCG is the pregnancy hormone marketed as a drug for ARTs to induce final oocyte maturation and ovulation, and to support FSH action. Several hCG formulations are commercially available, differing in source, purification methods and biochemical composition. STUDY DESIGN, SIZE, DURATION: Commercial hCG preparations for ART or research purposes were compared in vitro. PARTICIPANTS/MATERIALS, SETTING, METHODS: The different preparations were quantified by immunoassay with calibration against the hCG standard (Fifth IS; NIBSC 07/364). Immunoreactivity patterns, isoelectric points and oligosaccharide contents of hCGs were evaluated using reducing and non-reducing Western blotting, capillary isoelectric-focusing immunoassay and lectin-ELISA, respectively. Functional studies were performed in order to evaluate intracellular and total cAMP, progesterone production and ß-arrestin 2 recruitment by ELISA and BRET, in both human primary granulosa lutein cells (hGLC) and luteinizing hormone (LH)/hCG receptor (LHCGR)-transfected HEK293 cells, stimulated by increasing hormone concentrations. Statistical analysis was performed using two-way ANOVA and Bonferroni post-test or Mann-Whitney's U-test as appropriate. MAIN RESULTS AND THE ROLE OF CHANCE: Heterogeneous profiles were found among preparations, revealing specific molecular weight patterns (20-75 KDa range), isoelectric points (4.0-9.0 pI range) and lectin binding (P < 0.05; n = 7-10). These drug-specific compositions were linked to different potencies on cAMP production (EC50 1.0-400.0 ng/ml range) and ß-arrestin 2 recruitment (EC50 0.03-2.0 µg/ml) in hGLC and transfected HEK293 cells (P < 0.05; n = 3-5). In hGLC, these differences were reflected by preparation-specific 8-h progesterone production although similar plateau levels of progesterone were acheived by 24-h treatment (P ≥ 0.05; n = 3). LARGE SCALE DATA: N/A. LIMITATIONS, REASONS FOR CAUTION: The biological activity of commercial hCG/hMG preparations is provided in International Units (IU) by in-vivo bioassay and calibration against an International Standard, although it is an unsuitable unit of measure for in-vitro studies. The re-calibration against recombinant hCG,quantified in grams, is based on the assumption that all of the isoforms and glycosylation variants have similar immunoreactivity. WIDER IMPLICATIONS OF THE FINDINGS: hCG/hMG preparation-specific cell responses in vitro may be proposed to ART patients affected by peculiar ovarian response, such as that caused by polycystic ovary syndrome. Otherwise, all the preparations available for ART may provide a similar clinical outcome in healthy women. STUDY FUNDING AND COMPETING INTEREST(S): This study was supported by a grant of the Italian Ministry of Education, University and Research (PRIN 2015XCR88M). The authors have no conflict of interest.


Assuntos
Gonadotropina Coriônica/química , Fármacos para a Fertilidade Feminina/química , Células da Granulosa/efeitos dos fármacos , Menotropinas/química , Progesterona/biossíntese , Transdução de Sinais/efeitos dos fármacos , Adulto , Gonadotropina Coriônica/farmacologia , AMP Cíclico/biossíntese , Feminino , Fármacos para a Fertilidade Feminina/farmacologia , Hormônio Foliculoestimulante/genética , Hormônio Foliculoestimulante/metabolismo , Regulação da Expressão Gênica , Células da Granulosa/citologia , Células da Granulosa/metabolismo , Células HEK293 , Humanos , Ponto Isoelétrico , Fase Luteal/fisiologia , Menotropinas/farmacologia , Peso Molecular , Indução da Ovulação/métodos , Gravidez , Cultura Primária de Células , Receptores do LH/genética , Receptores do LH/metabolismo , Transfecção , beta-Arrestina 2/genética , beta-Arrestina 2/metabolismo
3.
Int J Pharm ; 532(1): 345-351, 2017 Oct 30.
Artigo em Inglês | MEDLINE | ID: mdl-28844902

RESUMO

A liquid crystalline (LC) system, composed of phosphatidylcholine, sorbitan monoleate, and tocopherol acetate, was investigated to understand the in vivo transformation after subcutaneous injection, coupled with the physicochemical and pharmacokinetic properties of the formulation. The rat model was utilized to monitor a pseudo-time course transformation from a precursor LC formulation to the LC matrix, coupled with the blood concentration profiles of the formulations containing leuprolide acetate. Three formulations that result in the HII phase, demonstrating dissimilar in vitro release profiles, were used. The formulation showing the highest AUC, Cmax and Tmax, also displayed the greatest release rate in vitro, the lowest viscosity (LC matrix), and an earlier transformation (LC precursor to matrix) in vivo. A potential link between viscosity, phase transformation, and drug release properties of a liquid crystalline system is described.


Assuntos
Sistemas de Liberação de Medicamentos , Cristais Líquidos , Animais , Antineoplásicos Hormonais/administração & dosagem , Antineoplásicos Hormonais/sangue , Antineoplásicos Hormonais/química , Antineoplásicos Hormonais/farmacocinética , Liberação Controlada de Fármacos , Fármacos para a Fertilidade Feminina/administração & dosagem , Fármacos para a Fertilidade Feminina/sangue , Fármacos para a Fertilidade Feminina/química , Fármacos para a Fertilidade Feminina/farmacocinética , Hexoses/administração & dosagem , Hexoses/química , Hexoses/farmacocinética , Injeções Subcutâneas , Leuprolida/administração & dosagem , Leuprolida/sangue , Leuprolida/química , Leuprolida/farmacocinética , Cristais Líquidos/química , Fosfatidilcolinas/administração & dosagem , Fosfatidilcolinas/química , Fosfatidilcolinas/farmacocinética , Ratos , Reologia , alfa-Tocoferol/administração & dosagem , alfa-Tocoferol/química , alfa-Tocoferol/farmacocinética
4.
Reprod Toxicol ; 58: 131-9, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26476360

RESUMO

In vitro oocyte maturation (IVM) protocols can be improved by adding chemical supplements to the culture media. Tretinoin is considered an important retinoid in embryonic development and its association with lipid-core nanocapsules (TTN-LNC) represents an innovative way of improving its solubility, and chemical stability, and reducing its toxicity. The effects of supplementing IVM medium with TTN-LNC was evaluated by analyzing production of reactive oxygen species (ROS), S36-phosphorilated-p66Shc levels and caspase activity in early embryonic development, and expression of apoptosis and pluripotency genes in blastocysts. The lowest concentration tested (0.25µM) of TTN-LNC generated higher blastocyst rate, lower ROS production and S36-p66Shc amount. Additionally, expression of BAX and SHC1 were lower in both non-encapsulated tretinoin (TTN) and TTN-LNC-treated groups. Nanoencapsulation allowed the use of smaller concentrations of tretinoin to supplement IVM medium thus reducing toxic effects related with its use, decreasing ROS levels and apoptose frequency, and improving the blastocyst rates.


Assuntos
Antioxidantes/farmacologia , Blastocisto/efeitos dos fármacos , Portadores de Fármacos , Técnicas de Cultura Embrionária/veterinária , Fármacos para a Fertilidade Feminina/farmacologia , Técnicas de Maturação in Vitro de Oócitos/veterinária , Nanocápsulas , Espécies Reativas de Oxigênio/metabolismo , Tretinoína/farmacologia , Animais , Antioxidantes/química , Apoptose/efeitos dos fármacos , Blastocisto/metabolismo , Blastocisto/patologia , Caspase 3/metabolismo , Caspase 7/metabolismo , Bovinos , Química Farmacêutica , Relação Dose-Resposta a Droga , Desenvolvimento Embrionário/efeitos dos fármacos , Feminino , Fármacos para a Fertilidade Feminina/química , Regulação da Expressão Gênica no Desenvolvimento , Nanomedicina , Fosforilação , Gravidez , Proteínas Adaptadoras da Sinalização Shc/metabolismo , Transdução de Sinais/efeitos dos fármacos , Tretinoína/química , Proteína X Associada a bcl-2/metabolismo
5.
Hum Reprod ; 30(10): 2387-95, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26209535

RESUMO

STUDY QUESTION: Can the luteal phase support be improved in terms of efficacy, hormonal profiles and convenience as compared with today's standard care? SUMMARY ANSWER: Daily low-dose rhCG supplementation in GnRHa triggered IVF cycles can replace the traditional used luteal phase support with exogenous progesterone. WHAT IS KNOWN ALREADY: A bolus of hCG for final maturation of follicles in connection with COS may induce the risk of OHSS and the luteal phase progesterone levels rise very abruptly in the early luteal phase. STUDY DESIGN, SIZE, DURATION: This is a proof-of-concept study conducted as a three arm RCT with a total of 93 patients. First patient enrolled in January 2012 and the study finished in January 2014. PARTICIPANTS/MATERIALS, SETTING, METHODS: Normal responder women undergoing IVF/ICSI treatment in a university hospital. One arm served as control, where women followed a standard antagonist protocol. Two study arms were included both having 125 IU hCG daily for luteal phase support without exogenous progesterone after using a GnRHa trigger for ovulation induction. In both study arms exogenous FSH was stopped on stimulation day 6 and replaced by exogenous hCG that was initiated on either stimulation day 2 or day 6. Blood samples were obtained on the day of ovulation induction, on the day of oocyte pickup (OPU) and day OPU + 7. MAIN RESULTS AND THE ROLE OF CHANCE: The mean serum levels of hCG did not exceeded the normal physiological range of LH activity in any samples. Mid-luteal progesterone levels were significantly higher in the two study groups receiving daily low-dose hCG for luteal phase support as compared with the control group (control group: 177 ± 27 nmol/l; study group 1: 334 ± 42 nmol/l; study group 2: 277 ± 27 nmol/l; (mean ± SEM). No differences in reproductive outcome were seen between groups. LIMITATIONS, REASONS FOR CAUTION: The number of patients included is limited and conclusions need to be verified in a larger RCT. WIDER IMPLICATIONS OF THE FINDINGS: Endogenous production of progesterone may become more attractive as the luteal phase support with levels of LH-like activity only in the physiological range and may, from the patients' point of view, replace inconvenient exogenous progesterone preparation. Further hCG may reduce the cost of stimulation and may collectively be used for stimulation of the follicular phase, ovulation induction and for luteal phase support. STUDY FUNDING/COMPETING INTERESTS: An unrestricted grant from ARTS Biologics made this study possible. None of the authors has any competing interests to declare. TRIAL REGISTRATION NUMBER: ClinicalTrial.gov number: NCT01504139. TRIAL REGISTRATION DATE: 28 December 2011.


Assuntos
Gonadotropina Coriônica/administração & dosagem , Fertilização in vitro/métodos , Hormônio Liberador de Gonadotropina/análogos & derivados , Hormônio Liberador de Gonadotropina/antagonistas & inibidores , Fase Luteal/efeitos dos fármacos , Progesterona/química , Adulto , Feminino , Fármacos para a Fertilidade Feminina/química , Fármacos para a Fertilidade Feminina/uso terapêutico , Hormônio Foliculoestimulante/metabolismo , Fase Folicular/efeitos dos fármacos , Hormônio Liberador de Gonadotropina/administração & dosagem , Humanos , Infertilidade/sangue , Infertilidade/terapia , Oócitos/citologia , Síndrome de Hiperestimulação Ovariana/etiologia , Indução da Ovulação , Gravidez , Resultado da Gravidez , Taxa de Gravidez , Progesterona/sangue , Progesterona/metabolismo , Fatores de Tempo , Resultado do Tratamento
6.
Reprod Biol Endocrinol ; 12: 95, 2014 Oct 03.
Artigo em Inglês | MEDLINE | ID: mdl-25280580

RESUMO

Gonadotropins extracted from the urine of post-menopausal women have traditionally been used to stimulate folliculogenesis in the treatment of infertility and in assisted reproductive technology (ART). Products, such as human menopausal gonadotropin (hMG), consist not only of a mixture of the hormones, follicle-stimulating hormone (FSH), luteinising hormone (LH) and human chorionic gonadotropin (hCG), but also other biologically active contaminants, such as growth factors, binding proteins and prion proteins. The actual amount of molecular LH in hMG preparations varies considerably due to the purification process, thus hCG, mimicking LH action, is added to standardise the product. However, unlike LH, hCG plays a different role during the natural human menstrual cycle. It is secreted by the embryo and placenta, and its main role is to support implantation and pregnancy. More recently, recombinant gonadotropins (r-hFSH and r-hLH) have become available for ART therapies. Recombinant LH contains only LH molecules. In the field of reproduction there has been controversy in recent years over whether r-hLH or hCG should be used for ART. This review examines the existing evidence for molecular and functional differences between LH and hCG and assesses the clinical implications of hCG-supplemented urinary therapy compared with recombinant therapies used for ART.


Assuntos
Gonadotropina Coriônica/farmacologia , Medicina Baseada em Evidências , Fármacos para a Fertilidade Feminina/farmacologia , Infertilidade Feminina/terapia , Hormônio Luteinizante/farmacologia , Técnicas de Reprodução Assistida , Animais , Gonadotropina Coriônica/efeitos adversos , Gonadotropina Coriônica/química , Gonadotropina Coriônica/genética , Contaminação de Medicamentos/prevenção & controle , Indústria Farmacêutica/tendências , Feminino , Fármacos para a Fertilidade Feminina/efeitos adversos , Fármacos para a Fertilidade Feminina/química , Humanos , Hormônio Luteinizante/efeitos adversos , Hormônio Luteinizante/química , Hormônio Luteinizante/genética , Proteínas Recombinantes/efeitos adversos , Proteínas Recombinantes/química , Proteínas Recombinantes/farmacologia
7.
Int J Pharm ; 472(1-2): 20-6, 2014 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-24879935

RESUMO

The objective of this study was to develop a self-microemulsifying drug delivery system (SMEDDS) for the model peptide drug leuprorelin to prove a protective effect against luminal enzymatic metabolism. In order to incorporate leuprorelin into microemulsion droplets (o/w), the commercially available hydrophilic leuprolide acetate was modified by hydrophobic ion paring with sodium oleate. The obtained hydrophobic leuprolide oleate was dissolved in the SMEDDS formulation (30% (m/m) Cremophor EL, 30% (m/m) Capmul MCM, 10% (m/m) propylene glycol and 30% (m/m) Captex 355) in a concentration of 4 mg/g showing a mean droplet size of 50.1 nm when dispersed in a concentration of 1% (m/v) in phosphate buffer pH 6.8. The microemulsion was able to shield leuprolide oleate from enzymatic degradation by trypsin and α-chymotrypsin, so that after 120 min 52.9% and 58.4%, respectively, of leuprolide oleate were still intact. Leuprolide acetate dissolved in an aqueous control solution was completely metabolized by trypsin within 60 min and by α-chymotrypsin within 5 min. Moreover, an in vivo study in rats showed a 17.2-fold improved oral bioavailability of leuprolide oleate SMEDDS compared to a leuprolide acetate control solution. This is the first time, to our knowledge, that hydrophobic ion pairing is utilized in order to incorporate a peptide drug in SMEDDS and evidence of a protective effect of oil-in-water (o/w) microemulsion droplets against enzymatic degradation of a peptide drug was provided. According to these results, the system could be likely a novel platform technology to improve the oral bioavailability of peptide drugs.


Assuntos
Antineoplásicos Hormonais/administração & dosagem , Sistemas de Liberação de Medicamentos , Fármacos para a Fertilidade Feminina/administração & dosagem , Leuprolida/administração & dosagem , Administração Oral , Animais , Antineoplásicos Hormonais/sangue , Antineoplásicos Hormonais/química , Antineoplásicos Hormonais/farmacocinética , Caprilatos/química , Emulsões , Fármacos para a Fertilidade Feminina/sangue , Fármacos para a Fertilidade Feminina/química , Fármacos para a Fertilidade Feminina/farmacocinética , Glicerídeos/química , Glicerol/análogos & derivados , Glicerol/química , Leuprolida/sangue , Leuprolida/química , Leuprolida/farmacocinética , Masculino , Ácido Oleico/química , Propilenoglicol/química , Ratos Sprague-Dawley , Triglicerídeos/química , Tripsina/química
8.
Reprod Fertil Dev ; 26(8): 1198-205, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24176391

RESUMO

The objective of this study was to determine the effects of vehicle and route of administration of letrozole on ovarian function in sexually mature beef heifers. On Day 3 (Day 0=ovulation), heifers were assigned randomly to four treatment groups and given 1mgkg(-1) letrozole intravenously (iv, n=10) or intramuscularly (im, n=10) or given a placebo iv (control iv, n=5) or im (control im, n=5). The interwave interval was longer in heifers treated with letrozole im than in im and iv controls (11.7±0.30 vs 9.5±0.50 and 10±0.43, respectively; P<0.05). Corpus luteum diameter profiles and plasma progesterone concentrations were greater (P<0.03 and P<0.05, respectively) in heifers treated with letrozole im compared with control im. Plasma oestradiol concentrations were lower in both letrozole-treated groups compared with controls (P≤0.03). Plasma LH concentrations tended to be elevated at the time of wave emergence in heifers treated with letrozole im compared with other groups (group-by-day interaction, P=0.06) and plasma FSH concentrations tended to be greater (P<0.09) in heifers treated with letrozole by either route compared with a single control group. We conclude that intramuscular administration of letrozole in oil is a feasible route and vehicle for the development of a letrozole-based treatment protocol for herd synchronisation in cattle.


Assuntos
Sincronização do Estro/efeitos dos fármacos , Fármacos para a Fertilidade Feminina/administração & dosagem , Nitrilas/administração & dosagem , Ovário/efeitos dos fármacos , Triazóis/administração & dosagem , Animais , Álcool Benzílico/química , Biomarcadores/sangue , Bovinos , Química Farmacêutica , Corpo Lúteo/efeitos dos fármacos , Corpo Lúteo/metabolismo , Estradiol/sangue , Estudos de Viabilidade , Feminino , Fármacos para a Fertilidade Feminina/química , Injeções Intramusculares , Injeções Intravenosas , Letrozol , Hormônio Luteinizante/sangue , Modelos Animais , Nitrilas/química , Folículo Ovariano/diagnóstico por imagem , Folículo Ovariano/efeitos dos fármacos , Folículo Ovariano/metabolismo , Ovário/diagnóstico por imagem , Ovário/metabolismo , Veículos Farmacêuticos/química , Progesterona/sangue , Óleo de Gergelim/química , Fatores de Tempo , Triazóis/química , Ultrassonografia
9.
Reprod Domest Anim ; 48(6): 1049-55, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23834584

RESUMO

Only a few studies have described hormonal treatments for induction of synchronicity and gamete collection in Nile tilapia (Oreochromis niloticus), both important for assortative matings in breeding programmes and essential for polyploidy technologies. In this study, we compared the effectiveness of carp pituitary extract (CPE), Nile tilapia pituitary extract (TPE), human chorionic gonadotropin (hCG) and gonadotropin-releasing hormone (GnRH) protocols on the induction of spawning and egg production in Nile tilapia. Among the hormonal treatments analysed, only hCG was effective for producing viable gametes for in vitro fertilization. To verify the viability of this hormonal treatment, hCG was tested using different doses (1000, 2000, 3000, 4000 and 5000 IU/kg) in a large number of females (208 animals) from two Nile tilapia lines. The results indicated that hCG doses between 1000 and 5000 IU/kg could be used to induce final oocyte maturation in Nile tilapia with collection of stripped oocytes. This is the first study to report differential reproductive responses to hormonal treatment between tilapia lines: line 1 was more efficient at producing eggs and post-hatching larvae after hCG induction than line 2. In conclusion, we demonstrated that the hCG protocol may be applied on a large scale to induce final oocyte maturation in Nile tilapia. The development of a protocol for in vitro fertilization in Nile tilapia may aid in breeding programmes and biotechnological assays for the development of genetically modified lines of Nile tilapia.


Assuntos
Ciclídeos/fisiologia , Fármacos para a Fertilidade Feminina/farmacologia , Fertilização in vitro/veterinária , Animais , Feminino , Fármacos para a Fertilidade Feminina/administração & dosagem , Fármacos para a Fertilidade Feminina/química , Humanos
10.
Gynecol Endocrinol ; 29(2): 93-7, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23116325

RESUMO

BACKGROUND: A randomized controlled trial (RCT) comparing highly purified human Choriogonadotrophin (HP-hCG) and recombinant hCG (r-hCG) both administered subcutaneously for triggering ovulation in controlled ovarian stimulation (COS) for Assisted Reproductive Technology (ART). METHODS: Multi-centre (n = 4), prospective, controlled, randomized, non-inferiority, parallel group, investigator blind design, including 147 patients. The trial was registered with www.clinicaltrials.gov, using the identifier: NCT00335569. The primary endpoint is the number of oocytes retrieved, while the secondary endpoints include embryo implantation, pregnancy and delivery rates as well as safety parameters. RESULTS: The number of retrieved oocytes was not inferior when HP-hCG was used as compared to r-hCG: the mean number was 13.3 (6.8) in HP-hCG and 12.5 (5.8) in the r-hCG group (p = 0.49) with a 95% CI (-1.34, 2.77). Regarding the secondary outcomes, there were also no differences in fertilization rate at 57.3% (467/815) vs. 61.3% (482/787) (p = 0.11), the number of embryos available for transfer and cryopreservation (2PN stage) and implantation, pregnancy and delivery rates. Furthermore, there were no differences in the number and type of adverse events reported. HP-hCG was therefore not inferior to r-hCG. CONCLUSIONS: HP-hCG and r-hCG are equally efficient and safe for triggering ovulation in ART and, both being administered subcutaneously, equally practical and well tolerated by patients.


Assuntos
Gonadotropina Coriônica/farmacologia , Fármacos para a Fertilidade Feminina/farmacologia , Fertilização in vitro , Infertilidade Feminina/terapia , Ovário/efeitos dos fármacos , Indução da Ovulação/métodos , Injeções de Esperma Intracitoplásmicas , Adulto , Coeficiente de Natalidade , Gonadotropina Coriônica/efeitos adversos , Gonadotropina Coriônica/química , Gonadotropina Coriônica/genética , Implantação do Embrião , Características da Família , Feminino , Fármacos para a Fertilidade Feminina/administração & dosagem , Fármacos para a Fertilidade Feminina/efeitos adversos , Fármacos para a Fertilidade Feminina/química , Humanos , Infertilidade Feminina/etiologia , Infertilidade Masculina/fisiopatologia , Injeções Subcutâneas , Masculino , Recuperação de Oócitos , Gravidez , Taxa de Gravidez , Proteínas Recombinantes/administração & dosagem , Proteínas Recombinantes/efeitos adversos , Proteínas Recombinantes/farmacologia , Método Simples-Cego , Suíça/epidemiologia
11.
Int J Pharm ; 413(1-2): 87-92, 2011 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-21536118

RESUMO

Gastrointestinal patches represent a novel multiparticulate drug delivery system able to increase the intestinal absorption of drugs with poor bioavailability. The number of patches to administer is a critical issue since it is related to the surface and drug concentration at the absorption site. The objective of this article is to evaluate the effect of the number of administered patches on the final absorption of leuprolide, a peptide chosen as model drug, assuming complete adhesion of all the devices to the intestinal membrane. The same dose of leuprolide was encapsulated into 2, 4 and 6 patches; the resulting intestinal absorption profiles were measured with the Ussing chamber ex vivo experimental setup and compared between them. The results showed that varying the number of patches, the final absorption does not present statistically significant changes, indicating that changes in concentration are balanced by change in absorption surface. These experimental findings can also be explained considering the equation that links the drug flow to surface and concentration at the absorption site, showing that the drug flow is related only to the geometry of each individual patch.


Assuntos
Sistemas de Liberação de Medicamentos , Fármacos para a Fertilidade Feminina/química , Trato Gastrointestinal/metabolismo , Leuprolida/química , Peptídeos/química , Adesivos/química , Administração Oral , Animais , Preparações de Ação Retardada , Composição de Medicamentos , Estabilidade de Medicamentos , Fármacos para a Fertilidade Feminina/administração & dosagem , Fármacos para a Fertilidade Feminina/farmacocinética , Glutamina/química , Absorção Intestinal , Mucosa Intestinal/metabolismo , Leuprolida/administração & dosagem , Leuprolida/farmacocinética , Masculino , Peptídeos/administração & dosagem , Peptídeos/análise , Peptídeos/farmacocinética , Polímeros/química , Ratos , Ratos Wistar , Ácido Trifluoracético/química
12.
Int J Pharm ; 382(1-2): 98-103, 2009 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-19699285

RESUMO

Latex, a polyisoprene (PI) hydrophobic elastomer, was evaluated in vitro and in vivo as a matrix for intravaginal steroid hormone delivery. Matrices containing hormone were prepared by swelling latex in chloroform that contained soluble progesterone (P4). In vitro studies demonstrate that P4 release from PI follows a zero order model during at least 100 h and depends on initial load up to 10 mg cm(-2). The release of P4 from a PI matrix was found to be two times faster than from a polydimethylsiloxane (PDMS) matrix. FT-IR and X-ray powder diffraction analysis of P4 polymorphs show that when nucleated in PDMS, the hormone crystallizes only in alpha-form while in latex, crystallizes as a mixture of alpha- and beta-form. In vivo studies show that devices with a PI matrix containing 0.5 g of P4 are effective to reach plasma levels above 1 ng ml(-1) that are needed to synchronize estrous in cattle. Altogether, the results show that PI, a vulcanized polymer with a carbon-carbon backbone, can be used as a new matrix for the intravaginal administration of progesterone with improved release profile than silicone and that the matrix can influence the crystalline state of the hormone.


Assuntos
Portadores de Fármacos , Fármacos para a Fertilidade Feminina/administração & dosagem , Látex/química , Progesterona/administração & dosagem , Administração Intravaginal , Animais , Bovinos , Química Farmacêutica , Cristalização , Cristalografia por Raios X , Dimetilpolisiloxanos/química , Composição de Medicamentos , Sincronização do Estro/efeitos dos fármacos , Feminino , Fármacos para a Fertilidade Feminina/sangue , Fármacos para a Fertilidade Feminina/química , Fármacos para a Fertilidade Feminina/farmacocinética , Ovariectomia , Difração de Pó , Progesterona/sangue , Progesterona/química , Progesterona/farmacocinética , Solubilidade , Espectroscopia de Infravermelho com Transformada de Fourier , Tecnologia Farmacêutica/métodos
13.
Int J Pharm ; 325(1-2): 155-62, 2006 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-16884870

RESUMO

Polysaccharide-coated liposomes have been studied for their potential use for peptide drug delivery by the oral route because they are able to minimize the disruptive influences on peptide drugs of gastrointestinal fluids. The aim of this work was to synthesize and characterize a modified polysaccharide, O-palmitoylscleroglucan (PSCG), and to coat unilamellar liposomes for oral delivery of peptide drugs. To better evaluate the coating efficiency of PSCG, also scleroglucan (SCG)-coated liposomes were prepared. We studied the surface modification of liposomes and the SCG- and PSCG-coated liposomes were characterized in terms of size, shape, zeta potential, influence of polymer coating on bilayer fluidity, stability in serum, in simulated gastric and intestinal fluids and against sodium cholate and pancreatin. Leuprolide, a synthetic superpotent agonist of luteinizing hormone releasing hormone (LHRH) receptor, was chosen as a model peptide drug. After polymer coating the vesicle dimensions increased and the zeta potential shifted to less negative values. These results indicate that both SCG- and PSCG-coated liposomes surface and DSC results showed that PSCG was anchored on the liposomal surface. The stability of coated-liposomes in SGF, sodium cholate solution and pancreatin solution was increased. From this preliminary in vitro studies, it seems that PSCG-coated liposomes could be considered as a potential carrier for oral administration.


Assuntos
Glucanos/química , Leuprolida/química , Lipossomos/química , Animais , Bovinos , Química Farmacêutica , Sistemas de Liberação de Medicamentos/métodos , Estabilidade de Medicamentos , Fármacos para a Fertilidade Feminina/administração & dosagem , Fármacos para a Fertilidade Feminina/química , Fármacos para a Fertilidade Feminina/farmacocinética , Suco Gástrico/química , Suco Gástrico/metabolismo , Glucanos/sangue , Glucanos/síntese química , Secreções Intestinais/química , Secreções Intestinais/metabolismo , Leuprolida/administração & dosagem , Leuprolida/farmacocinética , Bicamadas Lipídicas/química , Lipossomos/sangue , Lipossomos/síntese química , Espectroscopia de Ressonância Magnética/métodos , Nanotecnologia/métodos , Pancreatina/química , Pancreatina/metabolismo , Tamanho da Partícula , Colato de Sódio/química , Colato de Sódio/metabolismo , Espectrofotometria Infravermelho/métodos , Eletricidade Estática
14.
Reprod Biomed Online ; 9(2): 231-6, 2004 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15333258

RESUMO

The clinical efficacy of commercial gonadotrophin preparations has been the subject of an intense debate during recent years. Arguments have primarily focused on the origin of FSH activity (urine versus recombinant derived) and whether the preparation included LH-like activity. FSH isoform composition has received little or no attention, and is usually considered to have negligible effect on clinical effectiveness. By presenting the available data on the FSH isoform composition of commercial gonadotrophin preparations, the present paper challenges this assumption. To evaluate whether the FSH isoform composition affected the efficacy of a product, a meta-analysis was performed that compared a preparation expressing an acidic isoform profile (urinary-derived Metrodin-HP) with a preparation rich in less acidic isoforms (recombinant derived Gonal F). A total of five randomized clinical trials that specifically compared these two preparations was identified and included in the analysis. All parameters relating to the direct effect of FSH on the follicle differed significantly in favour of the product rich in less acidic isoforms, while data on pregnancy outcome did not reach significance. The importance of the FSH isoform profile and whether the FSH is derived from urine or by recombinant technique is discussed in relation to clinical efficacy. It is suggested that the FSH isoform profile of commercial gonadotrophin preparations is of clinical importance and should be taken into account when evaluating efficacy.


Assuntos
Fertilização in vitro/métodos , Hormônio Foliculoestimulante/química , Carboidratos/química , Ensaios Clínicos como Assunto , Feminino , Fármacos para a Fertilidade Feminina/química , Hormônio Foliculoestimulante Humano/química , Gonadotropinas/química , Humanos , Masculino , Menotropinas/química , Peptídeos/química , Gravidez , Resultado da Gravidez , Isoformas de Proteínas , Controle de Qualidade , Proteínas Recombinantes/química
15.
Eur J Pharm Sci ; 21(2-3): 371-7, 2004 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-14757511

RESUMO

Poor absorption and stability of peptides are the major obstacles concerning the development of therapeutically relevant iontophoretic devices for the transdermal delivery of peptides. The present study examined the impact of constant and pulsed (direct/alternating) current profiles on the transport and stability of two decapeptides LHRH and Nafarelin. The stability of these peptides was studied in a physiological buffer solution, with electrical current, and when the peptide solution was exposed to the stratum corneum or to the epidermal/dermal side of human skin. Pulsed direct current profile was shown to be the most efficient in transporting both LHRH and Nafarelin across the human epidermis. Furthermore, the percentage of intact LHRH in the receiver phase was slightly higher when a pulsed current profile was used. Both the peptides were stable in a physiological buffer and under the influence of current, but LHRH was degraded especially in contact with the dermal side of the skin. Altogether five hydrolytic degradation products of LHRH were observed, and they were identified by LC-ESI/MS and LC-ESI/MS/MS. No degradation products of Nafarelin were observed. It is concluded that the pulsed direct current profile may provide at least a partial solution for the transdermal delivery of peptides in terms of improved transport efficacy and peptide stability.


Assuntos
Fármacos para a Fertilidade Feminina/farmacocinética , Hormônio Liberador de Gonadotropina/farmacocinética , Iontoforese/métodos , Nafarelina/farmacocinética , Absorção Cutânea/efeitos dos fármacos , Administração Cutânea , Transporte Biológico , Cromatografia Líquida de Alta Pressão , Cromatografia Líquida , Estabilidade de Medicamentos , Epiderme/metabolismo , Fármacos para a Fertilidade Feminina/administração & dosagem , Fármacos para a Fertilidade Feminina/química , Hormônio Liberador de Gonadotropina/administração & dosagem , Hormônio Liberador de Gonadotropina/química , Humanos , Técnicas In Vitro , Espectrometria de Massas , Nafarelina/administração & dosagem , Nafarelina/química , Permeabilidade , Fatores de Tempo
18.
AAPS PharmSciTech ; 1(1): E1, 2000 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-14727850

RESUMO

The primary objective of this study was to evaluate the effect of drug loading on the release of leuprolide acetate from an injectable polymeric implant, formed in situ, and efficacy of the released drug in suppressing serum testosterone levels in dogs for at least 90 days. An additional objective was to compare the optimum implant formulation with a commercial microsphere product. Evaluated implant formulations contained 45% w/w 75/25 poly (DL-lactide-co-glycolide) polymer having an intrinsic viscosity of 0.20 dL/g, dissolved in N-methyl-2-pyrrolidone. Irradiated polymer solution was mixed with leuprolide at different drug loads (3%, 4.5%, and 6% w/w) prior to subcutaneous administration to dogs. Dog serum was analyzed for testosterone (RIA) and leuprolide (LC/MS/MS) levels and comparisons within the three implant formulation groups were made. Varying the drug load did not significantly affect the release of leuprolide or efficacy of the implant formulation. Thus, the 6% w/w formulation with the smaller injection volume was selected for comparison with the commercial LUPRON Depot product, which was administered intramuscularly at a similar dosage. These comparisons of serum testosterone and leuprolide levels showed no significant difference in the pharmacologic efficacy even though drug levels were different at a number of points. This was mainly due to associated high standard deviations. Based on these studies, the 6% w/w leuprolide implant formulation was considered to be a suitable candidate for further development. Additional benefits of this system include its simple manufacturing and lower costs.


Assuntos
Leuprolida/metabolismo , Leuprolida/farmacologia , Polímeros/química , Próteses e Implantes , Animais , Preparações de Ação Retardada/química , Preparações de Ação Retardada/metabolismo , Preparações de Ação Retardada/farmacologia , Cães , Implantes de Medicamento/química , Fármacos para a Fertilidade Feminina/química , Fármacos para a Fertilidade Feminina/metabolismo , Fármacos para a Fertilidade Feminina/farmacologia , Leuprolida/sangue , Leuprolida/química , Masculino , Peso Molecular , Testosterona/sangue
19.
Anal Chem ; 70(21): 4602-9, 1998 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-9823719

RESUMO

High-performance affinity chromatography and zonal elution studies were used to examine the binding that takes place between the drug clomiphene and the protein human serum albumin (HSA). Equations were derived to describe the behavior of zonal elution experiments in which a solubilizing agent is present in the mobile phase to aid in the dissolution of a competing agent or injected analyte. These equations were then used to determine the association equilibrium constants for the clomiphene/HSA system, with beta-cyclodextrin being used as a complexation agent to improve the water solubility of cis- and trans-clomiphene without affecting the nature of their binding to HSA. It was found in these studies that both cis- and trans-clomiphene have 1:1 interactions at a common binding region on HSA (association constants at pH 7.4 and 37 degrees C: cis, 7.5 x 10(6) M-1; trans, 1.3 x 10(6) M-1). Further competition experiments between cis- or trans-clomiphene and various site-selective probes indicated that the clomiphene-binding region is the same as the proposed tamoxifen site of HSA. The approach and equations used within this report are general ones that can be applied to zonal elution studies of other solute-ligand systems in which one or more of the test components have limited solubility in the desired mobile phase.


Assuntos
Clomifeno/química , Ciclodextrinas/química , Enclomifeno , Fármacos para a Fertilidade Feminina/química , Albumina Sérica/química , beta-Ciclodextrinas , Cromatografia de Afinidade/métodos , Humanos , Concentração de Íons de Hidrogênio , Espectroscopia de Ressonância Magnética , Modelos Biológicos , Ligação Proteica , Solubilidade , Estereoisomerismo
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