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1.
Cancer Res ; 80(23): 5355-5366, 2020 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-33077554

RESUMO

Drug-induced resistance, or tolerance, is an emerging yet poorly understood failure of anticancer therapy. The interplay between drug-tolerant cancer cells and innate immunity within the tumor, the consequence on tumor growth, and therapeutic strategies to address these challenges remain undescribed. Here, we elucidate the role of taxane-induced resistance on natural killer (NK) cell tumor immunity in triple-negative breast cancer (TNBC) and the design of spatiotemporally controlled nanomedicines, which boost therapeutic efficacy and invigorate "disabled" NK cells. Drug tolerance limited NK cell immune surveillance via drug-induced depletion of the NK-activating ligand receptor axis, NK group 2 member D, and MHC class I polypeptide-related sequence A, B. Systems biology supported by empirical evidence revealed the heat shock protein 90 (Hsp90) simultaneously controls immune surveillance and persistence of drug-treated tumor cells. On the basis of this evidence, we engineered a "chimeric" nanotherapeutic tool comprising taxanes and a cholesterol-tethered Hsp90 inhibitor, radicicol, which targets the tumor, reduces tolerance, and optimally reprimes NK cells via prolonged induction of NK-activating ligand receptors via temporal control of drug release in vitro and in vivo. A human ex vivo TNBC model confirmed the importance of NK cells in drug-induced death under pressure of clinically approved agents. These findings highlight a convergence between drug-induced resistance, the tumor immune contexture, and engineered approaches that consider the tumor and microenvironment to improve the success of combinatorial therapy. SIGNIFICANCE: This study uncovers a molecular mechanism linking drug-induced resistance and tumor immunity and provides novel engineered solutions that target these mechanisms in the tumor and improve immunity, thus mitigating off-target effects.


Assuntos
Antineoplásicos Imunológicos/farmacologia , Neoplasias da Mama/tratamento farmacológico , Proteínas de Choque Térmico HSP90/antagonistas & inibidores , Células Matadoras Naturais/efeitos dos fármacos , Animais , Antineoplásicos Imunológicos/química , Neoplasias da Mama/imunologia , Neoplasias da Mama/patologia , Linhagem Celular Tumoral , Colesterol/química , Docetaxel/administração & dosagem , Docetaxel/farmacocinética , Sistemas de Liberação de Medicamentos , Liberação Controlada de Fármacos , Resistencia a Medicamentos Antineoplásicos , Feminino , Proteínas de Choque Térmico HSP90/metabolismo , Humanos , Células Matadoras Naturais/imunologia , Macrolídeos/química , Macrolídeos/farmacocinética , Macrolídeos/farmacologia , Camundongos Endogâmicos BALB C , Terapia de Alvo Molecular/métodos , Nanopartículas/química , Neoplasias de Mama Triplo Negativas/tratamento farmacológico , Neoplasias de Mama Triplo Negativas/imunologia , Neoplasias de Mama Triplo Negativas/cirurgia , Microambiente Tumoral/efeitos dos fármacos , Microambiente Tumoral/imunologia
2.
J Med Chem ; 63(4): 1684-1698, 2020 02 27.
Artigo em Inglês | MEDLINE | ID: mdl-31990540

RESUMO

Vacuolar type ATPase (V-ATPase) has recently emerged as a promising novel anticancer target based on extensive in vitro and in vivo studies with archazolids, complex polyketide macrolides, which present the most potent V-ATPase inhibitors known to date. Herein, we report a biomimetic, one-step preparation of archazolid F, the most potent and least abundant archazolid, the design and synthesis of five novel, carefully selected archazolid analogues, and the biological evaluation of these antiproliferative agents, leading to the discovery of a very potent but profoundly simplified archazolid analogue. Furthermore, the first general biological profiling of the archazolids against a broad range of more than 100 therapeutically relevant targets is reported, leading to the discovery of novel and important targets. Finally, first pharmacokinetic data of these natural products are disclosed. All of these data are relevant in the further preclinical development of the archazolids as well as the evaluation of V-ATPases as a novel and powerful class of anticancer targets.


Assuntos
Antineoplásicos/farmacologia , Inibidores Enzimáticos/farmacologia , Macrolídeos/farmacologia , Tiazóis/farmacologia , Animais , Antineoplásicos/síntese química , Antineoplásicos/farmacocinética , Linhagem Celular Tumoral , Desenho de Fármacos , Ensaios de Seleção de Medicamentos Antitumorais , Inibidores Enzimáticos/síntese química , Inibidores Enzimáticos/farmacocinética , Humanos , Macrolídeos/síntese química , Macrolídeos/farmacocinética , Camundongos , Ratos , Tiazóis/síntese química , Tiazóis/farmacocinética , ATPases Vacuolares Próton-Translocadoras/antagonistas & inibidores
3.
Nat Chem Biol ; 16(2): 206-213, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31932720

RESUMO

Genetic screens in cultured human cells represent a powerful unbiased strategy to identify cellular pathways that determine drug efficacy, providing critical information for clinical development. We used insertional mutagenesis-based screens in haploid cells to identify genes required for the sensitivity to lasonolide A (LasA), a macrolide derived from a marine sponge that kills certain types of cancer cells at low nanomolar concentrations. Our screens converged on a single gene, LDAH, encoding a member of the metabolite serine hydrolase family that is localized on the surface of lipid droplets. Mechanistic studies revealed that LasA accumulates in lipid droplets, where it is cleaved into a toxic metabolite by LDAH. We suggest that selective partitioning of hydrophobic drugs into the oil phase of lipid droplets can influence their activation and eventual toxicity to cells.


Assuntos
Avaliação Pré-Clínica de Medicamentos/métodos , Gotículas Lipídicas/metabolismo , Macrolídeos/farmacocinética , Macrolídeos/toxicidade , Proteínas/metabolismo , Linhagem Celular Tumoral , Membrana Celular/efeitos dos fármacos , Membrana Celular/metabolismo , Haploidia , Humanos , Inativação Metabólica , Gotículas Lipídicas/efeitos dos fármacos , Macrolídeos/metabolismo , Proteínas/genética
5.
J Nat Prod ; 82(4): 886-894, 2019 04 26.
Artigo em Inglês | MEDLINE | ID: mdl-30865445

RESUMO

A Rhizopus sp. culture containing an endosymbiont partner ( Burkholderia sp.) was obtained through a citizen-science-based soil-collection program. An extract prepared from the pair of organisms exhibited strong inhibition of Ewing sarcoma cells and was selected for bioassay-guided fractionation. This led to the purification of rhizoxin (1), a potent antimitotic agent that inhibited microtubule polymerization, along with several new (2-5) and known (6) analogues of 1. The structures of 2-6 were established using a combination of NMR data analysis, while the configurations of the new stereocenters were determined using ROESY spectroscopy and comparison of GIAO-derived and experimental data for NMR chemical shift and 3 JHH coupling values. Whereas compound 1 showed modest selectivity for Ewing sarcoma cell lines carrying the EWSR1/ FLI1 fusion gene, the other compounds were determined to be inactive. Chemically, compound 2 stands out from other rhizoxin analogues because it is the first member of this class that is reported to contain a one-carbon-smaller 15-membered macrolactone system. Through a combination of experimental and computational tests, we determined that 2 is likely formed via an acid-catalyzed Meinwald rearrangement from 1 because of the mild acidic culture environment created by the Rhizopus sp. isolate and its symbiont.


Assuntos
Compostos Macrocíclicos/química , Compostos Macrocíclicos/farmacocinética , Macrolídeos/química , Macrolídeos/farmacocinética , Estresse Fisiológico , Burkholderia/química , Linhagem Celular Tumoral , Ensaios de Seleção de Medicamentos Antitumorais , Humanos , Estrutura Molecular , Rhizopus/química , Sarcoma de Ewing/patologia , Relação Estrutura-Atividade , Simbiose
6.
J Vet Pharmacol Ther ; 40(1): 35-43, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-27604405

RESUMO

The pharmacokinetics of afoxolaner and milbemycin oxime (A3 and A4 forms) in dogs were evaluated following the oral administration of NexGard Spectra® (Merial), a fixed combination chewable formulation of these two active pharmaceutical ingredients. Absorption of actives was rapid at levels that provide the minimum effective doses of 2.5 mg/kg and 0.5 mg/kg of afoxolaner and milbemycin oxime, respectively. The time to maximum afoxolaner plasma concentrations (tmax ) was 2-4 h. The milbemycin tmax was 1-2 h. The terminal plasma half-life (t1/2 ) and the oral bioavailability were 14 ± 3 days and 88.3% for afoxolaner, 1.6 ± 0.4 days and 80.5% for milbemycin oxime A3 and 3.3 ± 1.4 days and 65.1% for milbemycin oxime A4. The volume of distribution (Vd ) and systemic clearance (Cls) were determined following an IV dose of afoxolaner or milbemycin oxime. The Vd was 2.6 ± 0.6, 2.7 ± 0.4 and 2.6 ± 0.6 L/kg for afoxolaner, milbemycin oxime A3 and milbemycin oxime A4, respectively. The Cls was 5.0 ± 1.2, 75 ± 22 and 41 ± 12 mL/h/kg for afoxolaner, milbemycin oxime A3 and milbemycin oxime A4, respectively. The pharmacokinetic profile for the combination of afoxolaner and milbemycin oxime supports the rapid onset and a sustained efficacy for afoxolaner against ectoparasites and the known endoparasitic activity of milbemycin oxime.


Assuntos
Acaricidas/farmacocinética , Doenças do Cão/tratamento farmacológico , Infestações por Pulgas/veterinária , Inseticidas/farmacocinética , Isoxazóis/farmacocinética , Macrolídeos/farmacocinética , Naftalenos/farmacocinética , Infestações por Carrapato/veterinária , Acaricidas/administração & dosagem , Acaricidas/sangue , Acaricidas/uso terapêutico , Administração Intravenosa/veterinária , Administração Oral , Animais , Disponibilidade Biológica , Doenças do Cão/parasitologia , Cães , Combinação de Medicamentos , Feminino , Infestações por Pulgas/tratamento farmacológico , Inseticidas/administração & dosagem , Inseticidas/sangue , Inseticidas/uso terapêutico , Isoxazóis/administração & dosagem , Isoxazóis/sangue , Isoxazóis/uso terapêutico , Macrolídeos/administração & dosagem , Macrolídeos/sangue , Macrolídeos/uso terapêutico , Masculino , Naftalenos/administração & dosagem , Naftalenos/sangue , Naftalenos/uso terapêutico , Infestações por Carrapato/tratamento farmacológico
8.
Parasit Vectors ; 8: 107, 2015 Feb 18.
Artigo em Inglês | MEDLINE | ID: mdl-25880531

RESUMO

BACKGROUND: Infection of cats with Dirofilaria immitis causes seroconversion on antibody tests and pulmonary pathology, often without subsequent development of adult heartworms. Consistent administration of topical 10% imidacloprid-1% moxidectin has been shown to result in sustained plasma levels of moxidectin in cats after three to five treatments, a pharmacokinetic behavior known as "steady state". METHODS: To evaluate the ability of moxidectin at "steady state" to protect cats from subsequent infection with D. immitis, cats (n = 10) were treated with the labeled dose of topical 10% imidacloprid-1% moxidectin for four monthly treatments. Each cat was inoculated with 25 third-stage larvae of D. immitis 7, 14, 21, and 28 days after the last treatment; non-treated cats (n = 9) were inoculated on the same days, serving as infection controls. Blood samples were collected from each cat from 1 month prior to treatment until 7 months after the final inoculation and tested for antibody to, and antigen and microfilaria of, D. immitis. RESULTS: Measurement of serum levels of moxidectin confirmed steady state in treated cats. Cats treated with topical 10% imidacloprid-1% moxidectin prior to trickle inoculation of D. immitis L3 larvae throughout the 28 day post-treatment period remained negative on antibody and antigen tests throughout the study and did not develop gross or histologic lesions characteristic of heartworm infection. A majority of non-treated cats tested antibody positive by 3-4 months post infection (6/9) and, after heat treatment, tested antigen positive by 6-7 months post-infection (5/9). Histologic lesions characteristic of D. immitis infection, including intimal and medial thickening of the pulmonary artery, were present in every cat with D. immitis antibodies (6/6), although adult D. immitis were confirmed in only 5/6 antibody-positive cats at necropsy. Microfilariae were not detected at any time. CONCLUSIONS: Taken together, these data indicate that prior treatment with 10% imidacloprid-1% moxidectin protected cats from subsequent infection with D. immitis for 28 days, preventing both formation of a detectable antibody response and development of pulmonary lesions by either immature stages of D. immitis or young adult heartworms.


Assuntos
Anti-Helmínticos/administração & dosagem , Doenças do Gato/prevenção & controle , Quimioprevenção/métodos , Dirofilaria immitis/isolamento & purificação , Dirofilariose/prevenção & controle , Macrolídeos/administração & dosagem , Administração Tópica , Animais , Anti-Helmínticos/farmacocinética , Anticorpos Anti-Helmínticos/sangue , Antígenos de Helmintos/sangue , Doenças do Gato/parasitologia , Gatos , Dirofilariose/parasitologia , Macrolídeos/farmacocinética , Plasma/química , Resultado do Tratamento
9.
Parasit Vectors ; 7: 481, 2014 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-25315498

RESUMO

BACKGROUND: Fluralaner (Bravecto™; Merck/MSD Animal Health) is a novel systemic ectoparasiticide for dogs providing long-acting flea and tick control after a single oral dose. Milbemycin oxime and praziquantel are routinely used to control Dirofilaria immitis and intestinal worm infections in dogs. The safety of concurrent use of fluralaner and a commercially available milbemycin oxime plus praziquantel combination tablet, in particular with regard to gastrointestinal symptoms, was investigated using oral doses at or above the maximum recommended rates. FINDINGS: Some minor and transient clinical findings were observed during the study period; however, none of these was considered to be related to concurrent treatment with fluralaner and milbemycin oxime plus praziquantel, or to the use of either product alone. CONCLUSIONS: Concurrent treatment with fluralaner, milbemycin oxime and praziquantel is well tolerated in dogs.


Assuntos
Doenças do Cão/induzido quimicamente , Isoxazóis/efeitos adversos , Isoxazóis/farmacocinética , Macrolídeos/efeitos adversos , Macrolídeos/farmacocinética , Praziquantel/efeitos adversos , Praziquantel/farmacocinética , Animais , Anti-Helmínticos/administração & dosagem , Anti-Helmínticos/efeitos adversos , Anti-Helmínticos/farmacocinética , Cães , Relação Dose-Resposta a Droga , Interações Medicamentosas , Quimioterapia Combinada , Feminino , Inseticidas/administração & dosagem , Inseticidas/efeitos adversos , Inseticidas/farmacocinética , Isoxazóis/administração & dosagem , Macrolídeos/administração & dosagem , Masculino , Praziquantel/administração & dosagem
10.
J Sep Sci ; 37(20): 2833-6, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25103477

RESUMO

We developed a method for the simultaneous quantification of 7-O-succinyl macrolactin A and its active metabolite, macrolactin A, in dog plasma. After protein precipitation with acetonitrile including flufenamic acid as an internal standard, 7-O-succinyl macrolactin A, macrolactin A, and flufenamic acid were chromatographed on a reverse-phase C18 analytical column. The mobile phase, consisting of 20 mM acetate buffer and acetonitrile, was eluted using a gradient program at 1 mL/min, and the UV absorbance was measured at 230 nm. The retention times of 7-O-succinyl macrolactin A, flufenamic acid, and macrolactin A were 3.4, 4.8, and 6.9 min, respectively. The coefficient of variation in the assay precision for both substances was less than 6%, and the accuracy ranged from 96 to 105%. This method was used to measure the concentrations of 7-O-succinyl macrolactin A and macrolactin A in dog plasma following an intravenous administration of a single dose (25 mg/kg) of 7-O-succinyl macrolactin A salt.


Assuntos
Cromatografia Líquida de Alta Pressão/métodos , Macrolídeos/sangue , Espectrofotometria Ultravioleta/métodos , Animais , Calibragem , Cães , Macrolídeos/farmacocinética
11.
Pharmacol Ther ; 143(2): 225-45, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24631273

RESUMO

Azithromycin is a macrolide antibiotic which inhibits bacterial protein synthesis, quorum-sensing and reduces the formation of biofilm. Accumulating effectively in cells, particularly phagocytes, it is delivered in high concentrations to sites of infection, as reflected in rapid plasma clearance and extensive tissue distribution. Azithromycin is indicated for respiratory, urogenital, dermal and other bacterial infections, and exerts immunomodulatory effects in chronic inflammatory disorders, including diffuse panbronchiolitis, post-transplant bronchiolitis and rosacea. Modulation of host responses facilitates its long-term therapeutic benefit in cystic fibrosis, non-cystic fibrosis bronchiectasis, exacerbations of chronic obstructive pulmonary disease (COPD) and non-eosinophilic asthma. Initial, stimulatory effects of azithromycin on immune and epithelial cells, involving interactions with phospholipids and Erk1/2, are followed by later modulation of transcription factors AP-1, NFκB, inflammatory cytokine and mucin release. Delayed inhibitory effects on cell function and high lysosomal accumulation accompany disruption of protein and intracellular lipid transport, regulation of surface receptor expression, of macrophage phenotype and autophagy. These later changes underlie many immunomodulatory effects of azithromycin, contributing to resolution of acute infections and reduction of exacerbations in chronic airway diseases. A sub-group of post-transplant bronchiolitis patients appears to be sensitive to azithromycin, as may be patients with severe sepsis. Other promising indications include chronic prostatitis and periodontitis, but weak activity in malaria is unlikely to prove crucial. Long-term administration of azithromycin must be balanced against the potential for increased bacterial resistance. Azithromycin has a very good record of safety, but recent reports indicate rare cases of cardiac torsades des pointes in patients at risk.


Assuntos
Antibacterianos/farmacologia , Azitromicina/farmacologia , Infecções Bacterianas/tratamento farmacológico , Infecções Bacterianas/fisiopatologia , Macrolídeos/farmacologia , Antibacterianos/farmacocinética , Azitromicina/farmacocinética , Citocinas/metabolismo , Farmacorresistência Bacteriana/genética , Farmacorresistência Bacteriana/fisiologia , Células Epiteliais/metabolismo , Humanos , Imunomodulação/fisiologia , Peptídeos e Proteínas de Sinalização Intracelular/metabolismo , Lisossomos/metabolismo , Macrolídeos/farmacocinética , Fagócitos/metabolismo , Fosfolipídeos/metabolismo , Fatores de Transcrição/metabolismo
12.
Xenobiotica ; 44(6): 547-54, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24274354

RESUMO

1. As promising anti-macular degeneration and/or anti-tumour agents, a better understanding of the pharmacokinetics of macrolactin A (MA) and 7-O-succinyl macrolactin A (SMA) is essential. Thus, we evaluated the pharmacokinetics of MA and SMA after intravenous, oral, or intraperitoneal administration of each drug to mice. 2. Both hepatic and extra-hepatic extractions of MA were expected based on the rapid total body clearance (CL) of MA. MA also showed a large steady-state volume of distribution (Vss) in mice. A relatively slower CL (by 54.1%) and smaller Vss (by 85.8%) were observed for SMA than for MA. In accordance with the larger Vss values of MA than of SMA, the mouse tissues studied had good affinity to MA but less affinity to SMA. 3. Both MA and SMA had an extremely low oral extent of absolute bioavailability (F). This could have been a result of the instability of MA and SMA in the gastrointestinal tract, supported by their unstable property in acidic buffer. Gastrointestinal and/or hepatic first-pass extraction of MA and SMA may be other reasons. 4. The pharmacokinetic profiles of both MA and SMA were much improved (greater AUC and F values) following intraperitoneal administration than following oral administration due to avoidance of acidic degradation and/or gastrointestinal first-pass extraction.


Assuntos
Macrolídeos/farmacocinética , Administração Intravenosa , Administração Oral , Animais , Humanos , Injeções Intraperitoneais , Macrolídeos/sangue , Macrolídeos/química , Masculino , Camundongos Endogâmicos ICR , Ratos , Fatores de Tempo , Distribuição Tecidual
13.
Invest New Drugs ; 32(3): 436-44, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24258465

RESUMO

The aim of this study was to determine the maximum tolerated dose, dose-limiting toxicities, and pharmacokinetic profile of E7107 in patients with advanced solid tumors. Patients in this phase I, open-label, single-arm, dose-escalation study had metastatic or locally advanced solid tumors and received E7107 as a 30-minute intravenous infusion at doses of 0.6, 1.2, 1.8, 2.4, 3.2, 4.3, and 5.7 mg/m(2). Twenty-six patients were enrolled in the study. At 5.7 mg/m(2), two patients experienced dose-limiting toxicities including diarrhea, vomiting, dehydration, and myocardial infarction on Days 1-3 following E7107 administration. Three additional patients were recruited at the lower dose and all six patients tolerated E7107 4.3 mg/m(2) with no dose-limiting toxicities. The maximum tolerated dose of E7107 was therefore 4.3 mg/m(2). The most common drug-related adverse events were nausea, vomiting, and diarrhea. Vision loss was experienced by two patients at Cycles 2 and 7, each patient receiving 3.2 mg/m(2) and 4.3 mg/m(2), respectively. This resulted in the study being put on clinical hold. Pharmacokinetic analysis showed that E7107 was rapidly distributed with a moderate elimination half-life (6-13 h) and high clearance. Exposure to E7107 was dose-related. The best tumor response was stable disease in eight patients. E7107 is a unique first-in-class molecule. The incidence of two cases of vision loss probably related to E7107 led to study discontinuation.


Assuntos
Antineoplásicos/administração & dosagem , Compostos de Epóxi/administração & dosagem , Macrolídeos/administração & dosagem , Neoplasias/tratamento farmacológico , Idoso , Antineoplásicos/efeitos adversos , Antineoplásicos/farmacocinética , Diarreia/induzido quimicamente , Compostos de Epóxi/efeitos adversos , Compostos de Epóxi/farmacocinética , Feminino , Humanos , Infusões Intravenosas , Leucócitos Mononucleares/efeitos dos fármacos , Leucócitos Mononucleares/metabolismo , Macrolídeos/efeitos adversos , Macrolídeos/farmacocinética , Masculino , Dose Máxima Tolerável , Pessoa de Meia-Idade , Náusea/induzido quimicamente , Neoplasias/metabolismo , Splicing de RNA/efeitos dos fármacos , RNA Mensageiro/metabolismo , Spliceossomos , Transtornos da Visão/induzido quimicamente , Vômito/induzido quimicamente
14.
Curr Top Med Chem ; 13(24): 3131-64, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24200358

RESUMO

Enormous efforts were focused on the 3-descladinosyl erythromycin derivatives which led to 3-keto (ketolides), 3-O-acyl (acylides), 3-O-carbamate (carbamolides), and 3-O-alkyl (alkylides) and cladinosyl-containing erythromycin derivatives such as 4"-O-acyl, 4"-O-carbamate, and 4"-O-alkyl derivatives as recently exemplified by macrolones (macrolide-quinolone hybrids). Ketolides acquire activity against MLSB-resistant pathogens via a featured arylalkyl extension suspended on the macrolide core, which interacts with a base pair formed by A752Ec and U2609Ec located in the nascent peptide release tunnel of the bacterial rRNA. A base pair formed by C2610Ec and G2505Ec probably is another novel binding site for 3-descladinosyl non-ketolides. It is believed that 4"-derived compounds perhaps interfere with the formation of polypeptide because the extension oriented into peptidyl transferase center (PTC) region. Although macrolones are hybrids of macrolides and quinolones, they do not have dual modes of action, and serve only as protein synthesis inhibitors.


Assuntos
Antibacterianos/química , Antibacterianos/farmacologia , Farmacorresistência Bacteriana , Eritromicina/química , Macrolídeos/química , Macrolídeos/farmacocinética , Relação Estrutura-Atividade , Eritromicina/análogos & derivados , Cetolídeos/química , Cetolídeos/farmacologia
15.
Vet J ; 198(2): 429-36, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23981352

RESUMO

ATP-binding cassette transporter G2/breast cancer resistance protein (ABCG2/BCRP) mediates drug-drug interactions that affect the secretion of drugs into milk. The aims of this study were: (1) to determine whether the major plasma metabolites of the flukicide triclabendazole (TCBZ), triclabendazole sulfoxide (TCBZSO) and triclabendazole sulfone (TCBZSO2), inhibit ovine and bovine ABCG2 and its Y581S variant in vitro, and (2) to examine whether coadministration of TCBZ with the ABCG2 substrates danofloxacin (a fluoroquinolone) and moxidectin (a milbemycin) affects the secretion of these drugs into the milk of sheep. TCBZSO and TCBZSO2 inhibited ruminant ABCG2 in vitro by reversing the reduced mitoxantrone accumulation and reducing basal to apical transport of nitrofurantoin in cells transduced with bovine variants (S581 and Y581) and the ovine variant of ABCG2. Coadministration of TCBZ with moxidectin or danofloxacin to sheep resulted in significantly reduced levels of moxidectin, but not danofloxacin, in the milk of TCBZ-treated sheep compared to sheep administered moxidectin or danofloxacin alone. The milk area under concentration time curve (AUC 0-48 h) was 2.99±1.41 µg h/mL in the group treated with TCBZ and moxidectin, and 7.75±3.58 µg h/mL in the group treated with moxidectin alone. The AUC (0-48 h) milk/plasma ratio was 37% lower in the group treated with TCBZ and moxidectin (7.34±1.51) than in the group treated with moxidectin alone (11.68±3.61). TCBZ metabolites appear to inhibit ruminant ABCG2 and affect the secretion of ABCG2 substrates into milk of sheep.


Assuntos
Transportadores de Cassetes de Ligação de ATP/genética , Antiplatelmínticos/farmacocinética , Leite/química , Carneiro Doméstico/genética , Carneiro Doméstico/metabolismo , Transportadores de Cassetes de Ligação de ATP/metabolismo , Animais , Antiplatelmínticos/sangue , Benzimidazóis/sangue , Benzimidazóis/farmacocinética , Bovinos , Cromatografia Líquida de Alta Pressão/veterinária , Cães , Combinação de Medicamentos , Feminino , Fluoroquinolonas/sangue , Fluoroquinolonas/farmacocinética , Lactação , Macrolídeos/sangue , Macrolídeos/farmacocinética , Células Madin Darby de Rim Canino , Sulfóxidos/sangue , Sulfóxidos/farmacocinética , Triclabendazol
16.
Clin Cancer Res ; 19(22): 6296-304, 2013 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-23983259

RESUMO

PURPOSE: To assess the safety, tolerability, pharmacokinetics, pharmacodynamics, and clinical activity of E7107 administered as 5-minute bolus infusions on days 1, 8, and 15 in a 28-day schedule. EXPERIMENTAL DESIGN: Patients with solid tumors refractory to standard therapies or with no standard treatment available were enrolled. Dose levels of 0.6 to 4.5 mg/m(2) were explored. RESULTS: Forty patients [24M/16F, median age 61 years (45-79)] were enrolled. At 4.5 mg/m(2), dose-limiting toxicity (DLT) consisted of grade 3 diarrhea, nausea, and vomiting and grade 4 diarrhea, respectively, in two patients. At 4.0 mg/m(2), DLT (grade 3 nausea, vomiting, and abdominal cramps) was observed in one patient. Frequently occurring side effects were mainly gastrointestinal. After drug discontinuation at 4.0 mg/m(2), one patient experienced reversible grade 4 blurred vision. The maximum tolerated dose (MTD) is 4.0 mg/m(2). No complete or partial responses during treatment were observed; one patient at 4.0 mg/m(2) had a confirmed partial response after drug discontinuation. Pharmacokinetic analysis revealed a large volume of distribution, high systemic clearance, and a plasma elimination half-life of 5.3 to 15.1 hours. Overall drug exposure increased in a dose-dependent manner. At the MTD, mRNA levels of selected target genes monitored in peripheral blood mononuclear cells showed a reversible 15- to 25-fold decrease, whereas unspliced pre-mRNA levels of DNAJB1 and EIF4A1 showed a reversible 10- to 25-fold increase. CONCLUSION: The MTD for E7107 using this schedule is 4.0 mg/m(2). Pharmacokinetics is dose-dependent and reproducible within patients. Pharmacodynamic analysis revealed dose-dependent reversible inhibition of pre-mRNA processing of target genes, confirming proof-of-principle activity of E7107.


Assuntos
Antibióticos Antineoplásicos/uso terapêutico , Compostos de Epóxi/uso terapêutico , Macrolídeos/uso terapêutico , Neoplasias/tratamento farmacológico , Spliceossomos/efeitos dos fármacos , Idoso , Antibióticos Antineoplásicos/efeitos adversos , Antibióticos Antineoplásicos/farmacocinética , Apoptose/efeitos dos fármacos , Esquema de Medicação , Compostos de Epóxi/efeitos adversos , Compostos de Epóxi/farmacocinética , Feminino , Humanos , Leucócitos Mononucleares/efeitos dos fármacos , Pontos de Checagem da Fase M do Ciclo Celular/efeitos dos fármacos , Macrolídeos/efeitos adversos , Macrolídeos/farmacocinética , Masculino , Dose Máxima Tolerável , Pessoa de Meia-Idade , RNA Mensageiro/biossíntese , Spliceossomos/metabolismo , Resultado do Tratamento
17.
J. appl. oral sci ; 20(3): 295-309, May-June 2012.
Artigo em Inglês | LILACS | ID: lil-643725

RESUMO

Antibiotics are important adjuncts in the treatment of infectious diseases, including periodontitis. The most severe criticisms to the indiscriminate use of these drugs are their side effects and, especially, the development of bacterial resistance. The knowledge of the biological mechanisms involved with the antibiotic usage would help the medical and dental communities to overcome these two problems. Therefore, the aim of this manuscript was to review the mechanisms of action of the antibiotics most commonly used in the periodontal treatment (i.e. penicillin, tetracycline, macrolide and metronidazole) and the main mechanisms of bacterial resistance to these drugs. Antimicrobial resistance can be classified into three groups: intrinsic, mutational and acquired. Penicillin, tetracycline and erythromycin are broad-spectrum drugs, effective against gram-positive and gram-negative microorganisms. Bacterial resistance to penicillin may occur due to diminished permeability of the bacterial cell to the antibiotic; alteration of the penicillin-binding proteins, or production of β-lactamases. However, a very small proportion of the subgingival microbiota is resistant to penicillins. Bacteria become resistant to tetracyclines or macrolides by limiting their access to the cell, by altering the ribosome in order to prevent effective binding of the drug, or by producing tetracycline/macrolide-inactivating enzymes. Periodontal pathogens may become resistant to these drugs. Finally, metronidazole can be considered a prodrug in the sense that it requires metabolic activation by strict anaerobe microorganisms. Acquired resistance to this drug has rarely been reported. Due to these low rates of resistance and to its high activity against the gram-negative anaerobic bacterial species, metronidazole is a promising drug for treating periodontal infections.


Assuntos
Humanos , Antibacterianos/farmacologia , Farmacorresistência Bacteriana/fisiologia , Doenças Periodontais/tratamento farmacológico , Antibacterianos/farmacocinética , Bactérias/efeitos dos fármacos , Permeabilidade da Membrana Celular , Macrolídeos/farmacocinética , Macrolídeos/farmacologia , Metronidazol/farmacocinética , Metronidazol/farmacologia , Resistência às Penicilinas/fisiologia , Doenças Periodontais/metabolismo , Resistência a Tetraciclina/fisiologia
18.
J Med Chem ; 55(3): 1389-401, 2012 Feb 09.
Artigo em Inglês | MEDLINE | ID: mdl-22148880

RESUMO

Novel classes of antimalarial drugs are needed due to emerging drug resistance. Azithromycin, the first macrolide investigated for malaria treatment and prophylaxis, failed as a single agent and thus novel analogues were envisaged as the next generation with improved activity. We synthesized 42 new 9a-N substituted 15-membered azalides with amide and amine functionalities via simple and inexpensive chemical procedures using easily available building blocks. These compounds exhibited marked advances over azithromycin in vitro in terms of potency against Plasmodium falciparum (over 100-fold) and high selectivity for the parasite and were characterized by moderate oral bioavailability in vivo. Two amines and one amide derivative showed improved in vivo potency in comparison to azithromycin when tested in a mouse efficacy model. Results obtained for compound 6u, including improved in vitro potency, good pharmacokinetic parameters, and in vivo efficacy higher than azithromycin and comparable to chloroquine, warrant its further development for malaria treatment and prophylaxis.


Assuntos
Aminoquinolinas/síntese química , Antimaláricos/síntese química , Eritromicina/análogos & derivados , Macrolídeos/síntese química , Amidas/síntese química , Amidas/farmacocinética , Amidas/farmacologia , Aminas/síntese química , Aminas/farmacocinética , Aminas/farmacologia , Aminoquinolinas/farmacocinética , Aminoquinolinas/farmacologia , Animais , Antimaláricos/farmacocinética , Antimaláricos/farmacologia , Azitromicina/farmacologia , Linhagem Celular Tumoral , Resistência a Medicamentos , Eritromicina/síntese química , Eritromicina/farmacocinética , Eritromicina/farmacologia , Humanos , Macrolídeos/farmacocinética , Macrolídeos/farmacologia , Malária/tratamento farmacológico , Masculino , Camundongos , Microssomos Hepáticos/metabolismo , Testes de Sensibilidade Parasitária , Plasmodium berghei , Plasmodium falciparum/efeitos dos fármacos , Ratos , Relação Estrutura-Atividade
19.
Pharmacol Res ; 64(3): 298-307, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21473915

RESUMO

Some macrolide antibiotics were reported to inhibit interleukin-6 (IL6) and prostaglandin-E2 (PGE(2)) production by bacterial lipopolysaccharide (LPS) stimulated J774A.1 cells. Macrolides are also known to accumulate in cells and some were proven inducers of phospholipidosis. In the present study, with a set of 18 mainly 14- and 15-membered macrolides, we have investigated whether these macrolide induced phenomena in J774A.1 cells are connected. In LPS-stimulated J774A.1 cells, the extent of inhibition of proinflammatory markers (IL6 and PGE(2)) by macrolides significantly correlated with their extent of accumulation in cells, as well as with the induction of phospholipidosis, and cytotoxic effects in prolonged culture (with correlation coefficients (R) ranging from 0.78 to 0.93). The effects observed were related to macrolide binding to phospholipids (CHI IAM), number of positively charged centres, and were inversely proportional to the number of hydrogen bond donors. Similar interdependence of effects was obtained with chloroquine and amiodarone, whereas for dexamethasone and indomethacin these effects were not linked. The observed macrolide induced phenomena in J774A.1 cells were reversible and elimination of the macrolides from the culture media prevented phospholipidosis and the development of cytotoxicity in long-term cultures. Based on comparison with known clinical data, we conclude that LPS-stimulated J774A.1 cells in presented experimental setup are not a representative cellular model for the evaluation of macrolide anti-inflammatory potential in clinical trials. Nevertheless, our study shows that, at least in in vitro models, binding to biological membranes may be the crucial factor of macrolide mechanism of action.


Assuntos
Antibacterianos/imunologia , Anti-Inflamatórios/imunologia , Macrolídeos/imunologia , Fosfolipídeos/metabolismo , Animais , Antibacterianos/farmacocinética , Antibacterianos/farmacologia , Anti-Inflamatórios/farmacocinética , Anti-Inflamatórios/farmacologia , Sítios de Ligação , Linhagem Celular , Permeabilidade da Membrana Celular , Sobrevivência Celular/efeitos dos fármacos , Dinoprostona/imunologia , Interleucina-6/imunologia , Lipopolissacarídeos/imunologia , Macrolídeos/farmacocinética , Macrolídeos/farmacologia , Macrófagos/efeitos dos fármacos , Macrófagos/imunologia , Macrófagos/metabolismo , Camundongos
20.
Bioorg Med Chem Lett ; 21(8): 2456-9, 2011 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-21396813

RESUMO

Sch-642305 is the major compound produced by the endophytic fungi Phomopsis sp. CMU-LMA. Incubation of Sch-642305 with Aspergillus ochraceus ATCC 1009 resting cells leads to three new derivatives through an oxido-reduction of the six-membered ring of the molecule. Reduction of the double bound leads to compound (1), which subsequently undergoes carbonyl reduction to (2) and ring hydroxylation to (3). According to the previously solved crystal structure of Sch-642305 coupled with (1)H NMR NOE correlation and the crystal structure of compound 1, the absolute configurations of the new derivatives were established. In contrast to the parent compound Sch-642305, compound (1) exhibits antimicrobial activity against gram-negative bacteria. Furthermore, while all derivatives exhibit cytotoxic activity against various cancer cell lines, compound (2) achieved an IC(50) of 4 nM against human myelogenous leukemia K 562, compared to 20 nM for the parent Sch-642305.


Assuntos
Aspergillus ochraceus/metabolismo , Macrolídeos/química , Macrolídeos/metabolismo , Antibacterianos/química , Antibacterianos/farmacocinética , Antibacterianos/toxicidade , Biotransformação , Linhagem Celular Tumoral , Cristalografia por Raios X , Humanos , Cinética , Macrolídeos/farmacocinética , Macrolídeos/toxicidade , Testes de Sensibilidade Microbiana , Conformação Molecular , Oxirredução
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