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1.
J Addict Med ; 17(6): 695-701, 2023.
Article in English | MEDLINE | ID: mdl-37934534

ABSTRACT

OBJECTIVES: Little contemporary research has explored phencyclidine (PCP) use in people with alcohol use disorder. Therefore, we sought to determine the prevalence of PCP positivity on urine toxicology screening among patients admitted for alcohol withdrawal, identify correlates of PCP positivity, and investigate PCP positivity's relationship to length of stay (LOS) and risk of facility readmission. METHODS: This was a retrospective study of patients admitted to a dual-diagnosis medically assisted withdrawal unit for alcohol withdrawal from 2014 to 2019. Univariate tests and logistic regression were used to investigate potential correlates of PCP positivity on admission toxicology screening (primary outcome). Multivariable linear regression models and survival analyses analyzing LOS and risk of readmission (secondary outcomes) were also developed. RESULTS: Ninety of 3731 patients (2.4%) screened positive for PCP. There were significant associations on univariate testing between PCP positivity and age, race, homeless status, and urine toxicology positivity for amphetamines, benzodiazepines, barbiturates, cocaine, tetrahydrocannabinol, and oxycodone. On multivariate logistic regression, only tetrahydrocannabinol, barbiturates, and cocaine positivity were associated with PCP positivity. Multivariate logistic regression and survival analysis found no statistically significant associations between PCP positivity and LOS or risk of readmission. CONCLUSIONS: This study provides rare analysis of contemporary data on PCP use among patients undergoing medically assisted alcohol withdrawal. Phencyclidine positivity was uncommon, but use appears considerably higher among this patient population than the general population. There was no significant association between PCP positivity and LOS or readmission risk.


Subject(s)
Alcoholism , Cocaine , Substance Withdrawal Syndrome , Substance-Related Disorders , Humans , Phencyclidine , Dronabinol , Drug Evaluation, Preclinical , Retrospective Studies , Barbiturates
2.
Int Urol Nephrol ; 53(2): 283-290, 2021 Feb.
Article in English | MEDLINE | ID: mdl-32770437

ABSTRACT

PURPOSE: To investigate current treatment practices for anemia in patients with chronic kidney disease (CKD), issues surrounding current treatment practices, and the hypoxia-inducible factor prolyl hydroxylase inhibitors (HIF-PHI) that are currently in clinical trials. Treatment of anemia in patients with CKD has traditionally included iron supplementation and erythropoiesis-stimulating agents (ESAs). However, due to adverse cardiovascular (CV) events and hypo-responsiveness to ESA therapy, new agents are currently in clinical trials to treat anemia in patients with CKD. The HIF-PHIs stimulate erythropoiesis and regulate iron metabolism and are attractive alternatives to iron supplementation and ESAs.


Subject(s)
Anemia/drug therapy , Anemia/etiology , Hypoxia-Inducible Factor-Proline Dioxygenases/antagonists & inhibitors , Renal Insufficiency, Chronic/complications , Barbiturates/therapeutic use , Forecasting , Glycine/analogs & derivatives , Glycine/therapeutic use , Humans , Isoquinolines/therapeutic use , Practice Patterns, Physicians'
3.
Molecules ; 25(12)2020 Jun 20.
Article in English | MEDLINE | ID: mdl-32575795

ABSTRACT

Hepatocellular carcinoma (HCC) is a common cause of cancer death worldwide. Sorafenib, a multikinase inhibitor, is the first-line drug approved by the Food and Drug Administration (FDA) for the treatment of patients with advanced HCC. However, most patients who continuously receive sorafenib may acquire resistance to this drug. Therefore, it is important to develop a new compound to treat liver cancer and sorafenib-resistant liver cancer. Barbituric acid derivatives have been used as antiasthmatic drugs in the clinic. We previously reported that a novel barbituric acid derivative inhibited carbon tetrachloride-induced liver fibrosis in mice, but its effects on liver cancer remain unknown. Thus, the purpose of this study was to investigate the antitumor effect of barbituric acid derivatives on HCC cells and sorafenib-resistant HCC cells (HCC-SRs). Our findings reveal that one of the barbituric acid derivatives, BA-5, significantly inhibited HCC and HCC-SR cell viability in a dose- and time-dependent manner. Therefore, compound BA-5 was selected for further experiments. Western blot data revealed that BA-5 treatment decreased the phosphorylation of AKT/p70s6k without affecting the MAPK pathway and increased cleaved PARP and cleaved caspase-7 in both HCC and HCC-SR cells. Since epithelial-mesenchymal transition plays a significant role in regulating cancer invasion and migration, we used the wound healing assay to evaluate the antimigratory effect of compound BA-5. The results showed that BA-5 treatment inhibited HCC and HCC-SR cell migration and reduced Vimentin protein expression. These results were confirmed by microarray analysis showing that BA-5 treatment influenced cancer cell motility and growth-related pathways. In the xenograft mouse model experiment, BA-5 administration significantly inhibited HCC cancer cell growth in mice. Furthermore, the combination of BA-5 with a low dose of regorafenib synergistically inhibited HCC-SR cell proliferation. In conclusion, our study showed that the barbituric acid derivative BA-5 is a new candidate for HCC and sorafenib-resistant HCC therapy.


Subject(s)
Antineoplastic Agents/pharmacology , Barbiturates/pharmacology , Carcinoma, Hepatocellular/drug therapy , Cell Proliferation/drug effects , Liver Neoplasms/drug therapy , Sorafenib/pharmacology , Animals , Antineoplastic Combined Chemotherapy Protocols , Apoptosis/drug effects , Barbiturates/administration & dosage , Barbiturates/chemistry , Carcinoma, Hepatocellular/pathology , Caspase 7/metabolism , Cell Line, Tumor , Cell Movement/drug effects , Cell Survival/drug effects , Drug Resistance, Neoplasm , Gene Expression Profiling , Humans , Liver Neoplasms/pathology , MAP Kinase Signaling System/drug effects , Mice , Phenylurea Compounds/administration & dosage , Poly (ADP-Ribose) Polymerase-1/metabolism , Pyridines/administration & dosage , Vimentin/metabolism , Wound Healing/drug effects , Xenograft Model Antitumor Assays
4.
Toxicol Pathol ; 48(2): 362-378, 2020 02.
Article in English | MEDLINE | ID: mdl-31640478

ABSTRACT

Daprodustat (GSK1278863) is a hypoxia-inducible factor (HIF)-prolyl hydroxylase (PHD) inhibitor in development for treatment of anemia of chronic kidney disease. Daprodustat's biological activity simulates components of the natural response to hypoxia; inhibition of PHDs results in HIF stabilization and modulation of HIF-controlled gene products, including erythropoietin. The carcinogenic potential of daprodustat was evaluated in 2-year carcinogenicity studies in Sprague-Dawley rats and CD-1 mice, where once-daily doses were administered. The mouse study also included evaluation of daprodustat's 3 major circulating human metabolites. There were no neoplastic findings that were considered treatment related in either study. Exaggerated pharmacology resulted in significantly increased red cell mass and subsequent multiorgan congestion and secondary non-neoplastic effects in both species, similar to those observed in chronic toxicity studies. In rats, these included aortic thrombosis and an exacerbation of spontaneous rodent cardiomyopathy, which contributed to a statistically significant decrease in survival in high-dose males (group terminated in week 94). Survival was not impacted in mice at any dose. Systemic exposures (area under the plasma concentration-time curve) to daprodustat at the high doses in rats and mice exceed predicted maximal human clinical exposure by ≥143-fold. These results suggest that daprodustat and metabolites do not pose a carcinogenic risk at clinical doses.


Subject(s)
Barbiturates/toxicity , Carcinogenesis/chemically induced , Carcinogenicity Tests , Drug Evaluation, Preclinical , Glycine/analogs & derivatives , Animals , Glycine/toxicity , Hypoxia-Inducible Factor-Proline Dioxygenases/antagonists & inhibitors , Mice , Rats , Rats, Sprague-Dawley
5.
J Antimicrob Chemother ; 74(12): 3521-3529, 2019 12 01.
Article in English | MEDLINE | ID: mdl-31730160

ABSTRACT

OBJECTIVES: Resistance in Neisseria gonorrhoeae to all gonorrhoea therapeutic antimicrobials has emerged. Novel therapeutic antimicrobials are imperative and the first-in-class spiropyrimidinetrione zoliflodacin appears promising. Zoliflodacin could be introduced in dual antimicrobial therapies to prevent the emergence and/or spread of resistance. We investigated the in vitro activity of and selection of resistance to zoliflodacin alone and in combination with six gonorrhoea therapeutic antimicrobials against N. gonorrhoeae. METHODS: The international gonococcal reference strains WHO F (WT) and WHO O, WHO V and WHO X (strains with different AMR profiles) were examined. Zoliflodacin was evaluated alone or combined with ceftriaxone, cefixime, spectinomycin, gentamicin, tetracycline, cethromycin or sitafloxacin in chequerboard assays, time-kill curve analysis and selection-of-resistance studies. RESULTS: Zoliflodacin alone or in combination with all six antimicrobials showed rapid growth inhibition against all examined strains. The time-kill curve analysis indicated that tetracycline or cethromycin combined with zoliflodacin can significantly decrease the zoliflodacin kill rate in vitro. The frequency of selected zoliflodacin-resistance mutations was low when evaluated as a single agent and further reduced for all antimicrobial combinations. All resistant mutants contained the GyrB mutations D429N, K450T or K450N, resulting in zoliflodacin MICs of 0.5-4 mg/L. CONCLUSIONS: Zoliflodacin, alone or in combination with sexually transmitted infection therapeutic antimicrobials, rapidly kills gonococci with infrequent resistance emergence. Zoliflodacin remains promising for gonorrhoea oral monotherapy and as part of dual antimicrobial therapy with low resistance emergence potential. A Phase III trial evaluating efficacy and safety of zoliflodacin for uncomplicated gonorrhoea treatment is planned in 2019.


Subject(s)
Anti-Bacterial Agents/pharmacology , Barbiturates/pharmacology , Neisseria gonorrhoeae/drug effects , Spiro Compounds/pharmacology , Anti-Bacterial Agents/classification , Drug Resistance, Bacterial , Drug Synergism , Isoxazoles , Microbial Sensitivity Tests , Models, Theoretical , Morpholines , Mutation , Oxazolidinones
6.
Bioorg Chem ; 85: 168-178, 2019 04.
Article in English | MEDLINE | ID: mdl-30616098

ABSTRACT

Despite the increasing need of new antituberculosis drugs, the number of agents approved for the market has fallen to an all-time low. In response to the emerging drug resistance followed, structurally unique chemical entities will be highlighted. decaprenylphosphoryl-ß-d-ribose oxidase (DprE1) participating in the biosynthesis of mycobacterium cell wall is a highly vulnerable and validated antituberculosis target. On the basis of it, a systematic strategy was applied to identify a high-quality lead compound (compound 50) that inhibits the essential enzyme DprE1, thus blocking the synthesis of the mycobacterial cell wall to kill M. tuberculosis in vitro and in vivo. Correspondingly, the rational design and synthetic strategy for compound 50 was reported. Notably, the compound 50 has been confirmed to be no toxicity. Altogether, our data suggest the compound 50 targeting DprE1 is a promising candidate for the tuberculosis (TB) therapy.


Subject(s)
Alcohol Oxidoreductases/antagonists & inhibitors , Antitubercular Agents/therapeutic use , Bacterial Proteins/antagonists & inhibitors , Barbiturates/therapeutic use , Tuberculosis/drug therapy , Animals , Antitubercular Agents/chemical synthesis , Antitubercular Agents/toxicity , Barbiturates/chemical synthesis , Barbiturates/toxicity , Chlorocebus aethiops , Databases, Chemical , Drug Evaluation, Preclinical , Female , Ligands , Male , Mice, Inbred C57BL , Microbial Sensitivity Tests , Molecular Docking Simulation , Mycobacterium smegmatis/drug effects , Mycobacterium tuberculosis/drug effects , Small Molecule Libraries/chemical synthesis , Small Molecule Libraries/therapeutic use , Small Molecule Libraries/toxicity , Tuberculosis/pathology , Vero Cells
7.
N Engl J Med ; 379(19): 1835-1845, 2018 11 08.
Article in English | MEDLINE | ID: mdl-30403954

ABSTRACT

BACKGROUND: Antibiotic-resistant Neisseria gonorrhoeae has prompted the development of new therapies. Zoliflodacin is a new antibiotic that inhibits DNA biosynthesis. In this multicenter, phase 2 trial, zoliflodacin was evaluated for the treatment of uncomplicated gonorrhea. METHODS: We randomly assigned eligible men and women who had signs or symptoms of uncomplicated urogenital gonorrhea or untreated urogenital gonorrhea or who had had sexual contact in the preceding 14 days with a person who had gonorrhea to receive a single oral dose of zoliflodacin (2 g or 3 g) or a single 500-mg intramuscular dose of ceftriaxone in a ratio of approximately 70:70:40. A test of cure occurred within 6±2 days after treatment, followed by a safety visit 31±2 days after treatment. The primary efficacy outcome measure was the proportion of urogenital microbiologic cure in the microbiologic intention-to-treat (micro-ITT) population. RESULTS: From November 2014 through December 2015, a total of 179 participants (167 men and 12 women) were enrolled. Among the 141 participants in the micro-ITT population who could be evaluated, microbiologic cure at urogenital sites was documented in 55 of 57 (96%) who received 2 g of zoliflodacin, 54 of 56 (96%) who received 3 g of zoliflodacin, and 28 of 28 (100%) who received ceftriaxone. All rectal infections were cured in all 5 participants who received 2 g of zoliflodacin and all 7 who received 3 g, and in all 3 participants in the group that received ceftriaxone. Pharyngeal infections were cured in 4 of 8 participants (50%), 9 of 11 participants (82%), and 4 of 4 participants (100%) in the groups that received 2 g of zoliflodacin, 3 g of zoliflodacin, and ceftriaxone, respectively. A total of 84 adverse events were reported: 24 in the group that received 2 g of zoliflodacin, 37 in the group that received 3 g of zoliflodacin, and 23 in the group that received ceftriaxone. According to investigators, a total of 21 adverse events were thought to be related to zoliflodacin, and most such events were gastrointestinal. CONCLUSIONS: The majority of uncomplicated urogenital and rectal gonococcal infections were successfully treated with oral zoliflodacin, but this agent was less efficacious in the treatment of pharyngeal infections. (Funded by the National Institutes of Health and Entasis Therapeutics; ClinicalTrials.gov number, NCT02257918 .).


Subject(s)
Anti-Bacterial Agents/administration & dosage , Barbiturates/administration & dosage , Female Urogenital Diseases/drug therapy , Gonorrhea/drug therapy , Male Urogenital Diseases/drug therapy , Neisseria gonorrhoeae/isolation & purification , Rectal Diseases/drug therapy , Spiro Compounds/administration & dosage , Administration, Oral , Adolescent , Adult , Anti-Bacterial Agents/adverse effects , Anti-Bacterial Agents/therapeutic use , Barbiturates/adverse effects , Barbiturates/therapeutic use , Ceftriaxone/therapeutic use , Female , Humans , Injections, Intramuscular , Intention to Treat Analysis , Isoxazoles , Male , Microbial Sensitivity Tests , Middle Aged , Morpholines , Neisseria gonorrhoeae/drug effects , Oxazolidinones , Pharyngeal Diseases/drug therapy , Sexual Partners , Spiro Compounds/adverse effects , Spiro Compounds/therapeutic use , Treatment Outcome , Young Adult
8.
Bioorg Med Chem ; 26(18): 5018-5028, 2018 10 01.
Article in English | MEDLINE | ID: mdl-30177493

ABSTRACT

A library of biologically important heterocycles, viz. pyrazolyl pyrimidine-triones, bis(heterocyclyl)methanes were successfully synthesised by the condensation of barbituric acid, pyrazolone with an aldehyde and dimedone/4-hydoxy coumarin with various substituted aldehydes in aqueous medium at room temperature catalysed by nickel nanoparticles which proved to be an efficient magnetically recyclable catalyst. The method is simple, eco-friendly and gave excellent yields of the products without taking recourse to column chromatographic separation procedures. Computational method was employed to elucidate the selective formation of uncyclised product in reaction course. The biological activity of the synthesized compounds were investigated and the results demonstrated profound antibacterial activity.


Subject(s)
Anti-Bacterial Agents/chemical synthesis , Anti-Bacterial Agents/pharmacology , Heterocyclic Compounds/chemical synthesis , Heterocyclic Compounds/pharmacology , Magnetics , Metal Nanoparticles/chemistry , Nickel/chemistry , Aldehydes/chemistry , Barbiturates/chemistry , Catalysis , Drug Evaluation, Preclinical , Gram-Negative Bacteria/drug effects , Gram-Positive Bacteria/drug effects , Indicators and Reagents/chemistry , Microbial Sensitivity Tests , Microscopy, Electron, Transmission , Powder Diffraction , Spectroscopy, Fourier Transform Infrared , Water
9.
Am J Nephrol ; 45(3): 187-199, 2017.
Article in English | MEDLINE | ID: mdl-28118622

ABSTRACT

BACKGROUND: Anemia, a common complication of chronic kidney disease (CKD), has previously been attributed primarily to decreased production of erythropoietin. More recently, it has become apparent that the etiology of anemia involves several other factors, most notably dysfunctional iron metabolism, mediated via increased hepcidin activity and reduced clearance. Current management of anemia in patients with advanced CKD is based on erythropoiesis-stimulating agents and iron supplementation, along with red blood cell transfusions when necessary; however, safety considerations associated with these therapies highlight the need to pursue alternative treatment options targeting other mechanisms such as hypoxia-inducible factors (HIFs) that act as central regulators of erythropoiesis by coordinating a series of graded hypoxic responses. SUMMARY: This review discusses the discovery of the HIF pathway and its regulation via HIF prolyl hydroxylase enzymes in the context of erythropoiesis and iron metabolism. The rationale for targeting this pathway and the clinical development of HIF prolyl hydroxylase inhibitors are reviewed, with a commentary on the potential implications of this class of agents in CKD anemia management. Key Messages: Pharmacologic activation of the HIF pathway results in a transient pseudo-hypoxic state that stimulates erythropoiesis in CKD patients with anemia. Results from clinical studies of a number of HIF prolyl hydroxylase inhibitors are increasingly available and provide support for the continued evaluation of the risk-benefit ratio of this novel therapeutic approach to the treatment of anemia in CKD.


Subject(s)
Anemia/complications , Anemia/drug therapy , Hypoxia-Inducible Factor 1/metabolism , Kidney Failure, Chronic/complications , Kidney Failure, Chronic/drug therapy , Animals , Barbiturates/therapeutic use , Blood Pressure , Disease Models, Animal , Drug Design , Drug Interactions , Glycine/analogs & derivatives , Glycine/therapeutic use , Hepcidins/chemistry , Humans , Inflammation , Isoquinolines/therapeutic use , Picolinic Acids/therapeutic use , Protein Domains , Pyrazoles/therapeutic use , Triazoles/therapeutic use
10.
J Microbiol Biotechnol ; 27(2): 395-404, 2017 Feb 28.
Article in English | MEDLINE | ID: mdl-28100900

ABSTRACT

Fungal cell walls and cell membranes are the main targets of antifungals. In this study, we report on the antifungal activity of an ethanol extract from Paeonia lactiflora against Candida albicans, showing that the antifungal activity is associated with the synergistic actions of preventing cell wall synthesis, enabling membrane depolarization, and compromising permeability. First, it was shown that the ethanol extract from P. lactiflora was involved in damaging the integrity of cell walls in C. albicans. In isotonic media, cell bursts of C. albicans by the P. lactiflora ethanol extract could be restored, and the minimum inhibitory concentration (MIC) of the P. lactiflora ethanol extract against C. albicans cells increased 4-fold. In addition, synthesis of (1,3)-ß-D-glucan polymer was inhibited by 87% and 83% following treatment of C. albicans microsomes with the P. lactiflora ethanol extract at their 1× MIC and 2× MIC, respectively. Second, the ethanol extract from P. lactiflora influenced the function of C. albicans cell membranes. C. albicans cells treated with the P. lactiflora ethanol extract formed red aggregates by staining with a membrane-impermeable dye, propidium iodide. Membrane depolarization manifested as increased fluorescence intensity by staining P. lactiflora-treated C. albicans cells with a membrane-potential marker, DiBAC4(3) ((bis-1,3-dibutylbarbituric acid) trimethine oxonol). Membrane permeability was assessed by crystal violet assay, and C. albicans cells treated with the P. lactiflora ethanol extract exhibited significant uptake of crystal violet in a concentration-dependent manner. The findings suggest that P. lactiflora ethanol extract is a viable and effective candidate for the development of new antifungal agents to treat Candida-associated diseases.


Subject(s)
Candida albicans/drug effects , Cell Membrane Permeability/drug effects , Cell Membrane/drug effects , Cell Wall/drug effects , Paeonia/chemistry , Plant Extracts/pharmacology , Antifungal Agents/pharmacology , Barbiturates , Candida albicans/growth & development , Candida albicans/metabolism , Candida albicans/ultrastructure , Cell Membrane/pathology , Ethanol , Gentian Violet/pharmacology , Isoxazoles , Membrane Potentials/drug effects , Microbial Sensitivity Tests , Microsomes/drug effects , Plant Extracts/chemistry , Plant Extracts/isolation & purification , Propidium/pharmacology , Proteoglycans , beta-Glucans/metabolism
11.
Anesthesiology ; 125(6): 1144-1158, 2016 12.
Article in English | MEDLINE | ID: mdl-27753644

ABSTRACT

BACKGROUND: γ-Aminobutyric acid type A (GABAA) receptors mediate important effects of intravenous general anesthetics. Photolabel derivatives of etomidate, propofol, barbiturates, and a neurosteroid get incorporated in GABAA receptor transmembrane helices M1 and M3 adjacent to intersubunit pockets. However, photolabels have not been consistently targeted at heteromeric αßγ receptors and do not form adducts with all contact residues. Complementary approaches may further define anesthetic sites in typical GABAA receptors. METHODS: Two mutation-based strategies, substituted tryptophan sensitivity and substituted cysteine modification-protection, combined with voltage-clamp electrophysiology in Xenopus oocytes, were used to evaluate interactions between four intravenous anesthetics and six amino acids in M1 helices of α1, ß3, and γ2L GABAA receptor subunits: two photolabeled residues, α1M236 and ß3M227, and their homologs. RESULTS: Tryptophan substitutions at α1M236 and positional homologs ß3L231 and γ2L246 all caused spontaneous channel gating and reduced γ-aminobutyric acid EC50. Substituted cysteine modification experiments indicated etomidate protection at α1L232C and α1M236C, R-5-allyl-1-methyl-5-(m-trifluoromethyl-diazirinylphenyl) barbituric acid protection at ß3M227C and ß3L231C, and propofol protection at α1M236C and ß3M227C. No alphaxalone protection was evident at the residues the authors explored, and none of the tested anesthetics protected γ2I242C or γ2L246C. CONCLUSIONS: All five intersubunit transmembrane pockets of GABAA receptors display similar allosteric linkage to ion channel gating. Substituted cysteine modification and protection results were fully concordant with anesthetic photolabeling at α1M236 and ß3M227 and revealed overlapping noncongruent sites for etomidate and propofol in ß-α interfaces and R-5-allyl-1-methyl-5-(m-trifluoromethyl-diazirinylphenyl) barbituric acid and propofol in α-ß and γ-ß interfaces. The authors' results identify the α-γ transmembrane interface as a potentially unique orphan modulator site.


Subject(s)
Anesthetics, Intravenous/pharmacology , Cysteine/genetics , Mutation , Receptors, GABA-A/metabolism , Tryptophan/genetics , Amino Acid Substitution , Animals , Barbiturates/pharmacology , Binding Sites/drug effects , Etomidate/pharmacology , Female , Ion Channel Gating/drug effects , Pregnanediones/pharmacology , Propofol/pharmacology , Receptors, GABA-A/drug effects , Xenopus
12.
J Anal Toxicol ; 40(9): 726-731, 2016 Nov.
Article in English | MEDLINE | ID: mdl-27550994

ABSTRACT

Urine drug testing (UDT) has become an essential component in the management of patients prescribed opioid analgesics for the treatment of chronic non-malignant pain. Several laboratory methods are available to monitor adherence with the pharmacological regimen and abstinence from illicit or unauthorized medications. Immunochemical screening methods are rapid and economical, but they have limitations, including lack of specificity, and confirmatory methods are often necessary to verify presumptive positive results. We analyzed the results of confirmatory assays in an outpatient setting to determine the predictive value of presumptive positive urine drug screen results using an automated immunoassay for eight common drugs or drug classes. Positive predictive values (PPVs), in descending order, were as follows: cannabinoids (100%), cocaine (100%), opiates (86.8%), benzodiazepines (74.6%), oxycodone (67.6%), methadone (44.1%) and amphetamines (9.3%). The number of positive barbiturate results was too small to be included in the statistical analysis.


Subject(s)
Analgesics, Opioid/analysis , Analgesics, Opioid/urine , Drug Evaluation, Preclinical/methods , Prospective Studies , Amphetamines/analysis , Amphetamines/urine , Analgesics, Opioid/economics , Barbiturates/analysis , Barbiturates/urine , Benzodiazepines/analysis , Benzodiazepines/urine , Cannabinoids/analysis , Cannabinoids/urine , Chronic Pain/drug therapy , Cocaine/analysis , Cocaine/urine , Gas Chromatography-Mass Spectrometry , Humans , Immunoassay , Methadone/analysis , Methadone/urine , Opiate Alkaloids/analysis , Opiate Alkaloids/urine , Oxycodone/analysis , Oxycodone/urine , Tandem Mass Spectrometry
13.
Sci Rep ; 5: 11827, 2015 Jul 14.
Article in English | MEDLINE | ID: mdl-26168713

ABSTRACT

With the diminishing effectiveness of current antibacterial therapies, it is critically important to discover agents that operate by a mechanism that circumvents existing resistance. ETX0914, the first of a new class of antibacterial agent targeted for the treatment of gonorrhea, operates by a novel mode-of-inhibition against bacterial type II topoisomerases. Incorporating an oxazolidinone on the scaffold mitigated toxicological issues often seen with topoisomerase inhibitors. Organisms resistant to other topoisomerase inhibitors were not cross-resistant with ETX0914 nor were spontaneous resistant mutants to ETX0914 cross-resistant with other topoisomerase inhibitor classes, including the widely used fluoroquinolone class. Preclinical evaluation of ETX0914 pharmacokinetics and pharmacodynamics showed distribution into vascular tissues and efficacy in a murine Staphylococcus aureus infection model that served as a surrogate for predicting efficacious exposures for the treatment of Neisseria gonorrhoeae infections. A wide safety margin to the efficacious exposure in toxicological evaluations supported progression to Phase 1. Dosing ETX0914 in human volunteers showed sufficient exposure and minimal adverse effects to expect a highly efficacious anti-gonorrhea therapy.


Subject(s)
Anti-Bacterial Agents/pharmacology , Anti-Bacterial Agents/therapeutic use , Barbiturates/pharmacology , Barbiturates/therapeutic use , Gonorrhea/drug therapy , Spiro Compounds/pharmacology , Spiro Compounds/therapeutic use , Topoisomerase II Inhibitors/pharmacology , Topoisomerase II Inhibitors/therapeutic use , Adult , Animals , Anti-Bacterial Agents/chemistry , Barbiturates/chemistry , DNA Topoisomerases, Type II/chemistry , Disease Models, Animal , Dogs , Dose-Response Relationship, Drug , Drug Resistance, Bacterial , Female , Fluoroquinolones/pharmacology , Gonorrhea/microbiology , Haplorhini , Humans , Isoxazoles , Male , Mice , Microbial Sensitivity Tests , Middle Aged , Models, Molecular , Molecular Conformation , Morpholines , Mutation , Neisseria gonorrhoeae/drug effects , Neisseria gonorrhoeae/genetics , Oxazolidinones , Rats , Spiro Compounds/chemistry , Staphylococcal Infections/drug therapy , Staphylococcal Infections/microbiology , Staphylococcus aureus/drug effects , Topoisomerase II Inhibitors/chemistry , Young Adult
14.
Georgian Med News ; (249): 67-73, 2015 Dec.
Article in English | MEDLINE | ID: mdl-26719553

ABSTRACT

The work was aimed for the ascertainment of following question - whether Orexin-containing neurons of dorsal and lateral hypothalamus and brain Orexinergic system in general are those cellular targets which can accelerate recovery of disturbed sleep homeostasis and restoration of sleep-wakefulness cycle behavioral states from barbiturate anesthesia-induced artificial sleep. Investigation was carried out on 18 wild type white rats (weight 200-250gr). Different doses of Nembutal Sodium were used for the initiation of deep anesthesia. 30 min after barbiturate anesthesia induced artificial sleep serial electrical stimulations of dorsal or lateral hypothalamus were started. Stimulation period lasted for 1 hour with the 5 min intervals between subsequent stimulations applied by turn to the left and right side hypothalamic parts. EEG registration of cortical and hippocampal electrical activity was started 10 min after intra-peritoneal administration of Nembutal Sodium and continued continuously during 72 hour. According to obtained new evidences, serial electrical stimulations of dorsal and lateral hypothalamic Orexin-containing neurons significantly accelerate recovery of wakefulness, sleep homeostasis, disturbed because of barbiturate anesthesia induced artificial sleep and different behavioral states of sleep-wakefulness cycle. Hypothalamic Orexin-containing neurons can be considered as the cellular targets for regulating of sleep homeostasis through the acceleration of recovery of wakefulness, and SWC in general, from barbiturate anesthesia-induced deep sleep.


Subject(s)
Anesthetics, Intravenous , Hypothalamus/physiology , Neurons/physiology , Orexins/physiology , Sleep/physiology , Wakefulness/physiology , Animals , Barbiturates , Cerebral Cortex/cytology , Cerebral Cortex/physiology , Electric Stimulation , Electrodes, Implanted , Electroencephalography , Homeostasis/physiology , Hypothalamus/cytology , Neurons/cytology , Pentobarbital , Rats , Stereotaxic Techniques
15.
Rev. bras. enferm ; 67(6): 965-971, Nov-Dec/2014.
Article in Portuguese | LILACS, BDENF - Nursing | ID: lil-732819

ABSTRACT

Trata-se de pesquisa qualitativa exploratória, que buscou analisar as representações sociais de mães adolescentes sobre as práticas alimentares do filho no primeiro ano de vida. Teve como sujeitos 10 mães adolescentes, cujos filhos encontravam-se na faixa etária de sete a doze meses de vida. Os dados foram coletados por meio de entrevista semi-estruturada, além da utilização de material visual. A análise seguiu a técnica de análise de conteúdo, apoiando-se no referencial da Teoria das Representações Sociais. Dessa análise, emergiram quatro temas: conflito do amamentar versus consagração do mingau; estabelecendo a alimentação complementar do filho; discurso cristalizado: "danoninho vale mais que um bifinho"; a (in)definição dos hábitos alimentares maternos: implicações para a alimentação infantil. As representações que conduzem as práticas maternas na escolha, preparo e oferta dos alimentos seguem uma lógica particular, onde as adolescentes reinterpretam os discursos técnicos nos termos da sua cultura.


This is qualitative research that investigates the social representations of adolescent mothers on child eating habits in the first year of life. Its subjects were 10 adolescent mothers, whose children were aged seven to twelve months. Data were collected through semi-structured interview, besides the use of visual material. The analysis followed the technique of content analysis, relying on the framework of Social Representations Theory. That analysis revealed four themes: the conflict of breastfeeding versus consecration of porridge; establishing complementary feeding of the child; crystallized speech: "yogurt is better than a little steak"; the (un)definition of maternal eating habits: implications for infant feeding. The representations that drive maternal practices in selecting, preparing and offering food follow a particular logic, where adolescents reinterpret technical speeches in terms of their culture.


Esta es una investigación cualitativa que investiga las representaciones sociales de madres adolescentes en las prácticas de alimentación infantil en el primer año de vida. El estudio incluyó a 10 madres adolescentes cuyos hijos tenían entre siete a doce meses. Los datos fueron obtenidos mediante entrevista semiestructurada, además de la utilización de material visual. El análisis se realizó por la técnica de análisis de contenido, basándose en el marco de la teoría de las representaciones sociales. Ese análisis revelo cuatro temas: el conflicto de la lactancia materna frente a la consagración de la papilla; el establecimiento de alimentación complementaria del niño; discurso cristalizado "el yogur es mejor que un filete"; la dieta materna sin definición: implicaciones para la alimentación infantil. Las representaciones que impulsan prácticas maternas en la selección, preparación y oferta de alimentos siguen una lógica particular, donde las adolescentes reinterpretan intervenciones técnicas en términos de su cultura.


Subject(s)
Animals , Guinea Pigs , Hypoxia, Brain/physiopathology , Olfactory Bulb/physiopathology , Ubiquinone/analogs & derivatives , Ubiquinone/pharmacology , Action Potentials/drug effects , Adenosine Triphosphate/metabolism , Barbiturates/pharmacology , Coenzymes , In Vitro Techniques , Olfactory Bulb/drug effects
16.
Antimicrob Agents Chemother ; 58(9): 5585-8, 2014 Sep.
Article in English | MEDLINE | ID: mdl-24982070

ABSTRACT

We evaluated the activity of the novel spiropyrimidinetrione AZD0914 (DNA gyrase inhibitor) against clinical gonococcal isolates and international reference strains (n=250), including strains with diverse multidrug resistance and extensive drug resistance. The AZD0914 MICs were substantially lower than those of most other currently or previously recommended antimicrobials. AZD0914 should be further evaluated, including in vitro selection, in vivo emergence and mechanisms of resistance, pharmacokinetics/pharmacodynamics in humans, optimal dosing, and performance, in appropriate randomized and controlled clinical trials.


Subject(s)
Barbiturates/pharmacology , DNA Gyrase/drug effects , Gonorrhea/drug therapy , Neisseria gonorrhoeae/drug effects , Spiro Compounds/pharmacology , Topoisomerase II Inhibitors/pharmacology , Anti-Bacterial Agents/therapeutic use , Drug Resistance, Multiple, Bacterial , Isoxazoles , Microbial Sensitivity Tests , Morpholines , Neisseria gonorrhoeae/isolation & purification , Oxazolidinones
17.
Spectrochim Acta A Mol Biomol Spectrosc ; 117: 669-78, 2014 Jan 03.
Article in English | MEDLINE | ID: mdl-24128920

ABSTRACT

Infrared, Raman and electronic absorption spectra, electronic and vibrational (hyper)polarizabilities, of barbituric, 2-thiobarbituric and 2-selenobarbituric acids were studied in gas using ab initio and density functional theory levels. The vibrational spectra were computed using harmonic and anharmonic methods. Anharmonic contributions improve the agreement between calculated and available experimental wavenumbers, especially in the highest-energy spectral region (wavenumbers >1700 cm(-1)). Vibrational and electronic transitions potentially useful to identify the investigated compounds were explored. The electronic and vibrational hyperpolarizabilities for the IDRI nonlinear optical (NLO) process at the λ value of 790 nm were computed. Supported by spectroscopic results, electronic and vibrational polarizabilities and second-order hyperpolarizabilities increase progressively in the order barbituric acid<2-thiobarbituric acid<2-selenobarbituric acid. The seleno-derivative is predicted to be ca. three/four times more hyperpolarizable than the barbituric acid. The Se→O or Se→S substitutions can be practical strategies to enhances the NLO properties of barbituric and thiobarbituric acid-based materials.


Subject(s)
Barbiturates/chemistry , Electrons , Quantum Theory , Selenium/chemistry , Spectroscopy, Fourier Transform Infrared , Spectrum Analysis, Raman , Thiobarbiturates/chemistry , Vibration , Models, Molecular
18.
Chem Biol Drug Des ; 81(4): 474-83, 2013 Apr.
Article in English | MEDLINE | ID: mdl-23289972

ABSTRACT

A small series of thiazolidine-2,4-dione and barbituric acid derivatives 1-4 was prepared using a short synthetic route, and all compounds were characterized by elemental analysis, mass spectrometry, and NMR ((1)H, (13)C) spectroscopy. Their in vitro relative expression of peroxisome proliferator-activated receptor α and peroxisome proliferator-activated receptor γ was evaluated. Compound 1 showed an increase in the mRNA expression of both peroxisome proliferator-activated receptor isoforms, as well as the GLUT-4 levels. The antidiabetic activity of compound 1 was determined at 50 mg/kg single dose using a non-insulin-dependent diabetes mellitus rat model. The results indicated a significant decrease in plasma glucose levels. Additionally, we performed a molecular docking of compound 1 into the ligand binding pocket of peroxisome proliferator-activated receptor α and peroxisome proliferator-activated receptor γ. In these binding models, compound 1 may bind into the active site of both isoforms showing important short contacts with the peroxisome proliferator-activated receptor γ residues: Tyr 473, His 449, Ser 289, His 323; and peroxisome proliferator-activated receptor α residues: Tyr 464, His 440, Ser 280 and Tyr 314.


Subject(s)
Barbiturates/chemistry , Hypoglycemic Agents/chemistry , Nitriles/chemistry , PPAR alpha/metabolism , PPAR gamma/metabolism , Thiazolidinediones/chemistry , Thiazolidines/chemistry , 3T3-L1 Cells , Animals , Barbiturates/pharmacology , Binding Sites , Blood Glucose/analysis , Catalytic Domain , Diabetes Mellitus, Experimental/drug therapy , Drug Evaluation, Preclinical , Glucose Transporter Type 4/genetics , Glucose Transporter Type 4/metabolism , Humans , Hydrogen Bonding , Hypoglycemic Agents/pharmacology , Hypoglycemic Agents/therapeutic use , Male , Mice , Molecular Docking Simulation , Nitriles/pharmacology , Nitriles/therapeutic use , PPAR alpha/agonists , PPAR alpha/genetics , PPAR gamma/agonists , PPAR gamma/genetics , RNA, Messenger/metabolism , Rats , Rats, Wistar , Thiazolidinediones/pharmacology , Thiazolidinediones/therapeutic use , Thiazolidines/pharmacology , Thiazolidines/therapeutic use , Transcription, Genetic/drug effects
19.
Behav Brain Res ; 237: 86-95, 2013 Jan 15.
Article in English | MEDLINE | ID: mdl-23000351

ABSTRACT

Previous behavioral and receptor binding studies on N-phenylpiperazine derivatives by our group indicated that LASSBio-579, LASSBio-580 and LASSBio-581 could be potential antipsychotic lead compounds. The present study identified LASSBio-579 as the most promising among the three compounds, since it was the only one that inhibited apomorphine-induced climbing (5 mg/kg p.o.) and apomorphine-induced hypothermia (15 mg/kg p.o.). Furthermore, LASSBio-579 (0.5 mg/kg p.o.) was effective in the ketamine-induced hyperlocomotion test and prevented the prepulse inhibition deficits induced by apomorphine, DOI and ketamine with different potencies (1 mg/kg, 0.5 mg/kg and 5 mg/kg p.o., respectively). LASSBio-579 also induced a motor impairment, catalepsy and a mild sedative effect but only at doses 3-120 times higher than those with antipsychotic-like effects. In addition, LASSBio-579 (0.5 and 1 mg/kg p.o.) reversed the catalepsy induced by WAY 100,635, corroborating its action on both dopaminergic and serotonergic neurotransmission and pointing to the contribution of 5-HT(1A) receptor activation to its pharmacological profile. Moreover, co-administration of sub-effective doses of LASSBio-579 with sub-effective doses of clozapine or haloperidol prevented the apomorphine-induced climbing without induction of catalepsy. In summary, our results characterize LASSBio-579 as a multi-target ligand active in pharmacological animal models of schizophrenia, confirming that this compound could be included in development programs aiming at a new drug for treating schizophrenia.


Subject(s)
Antipsychotic Agents/therapeutic use , Piperazines/therapeutic use , Schizophrenia/drug therapy , Schizophrenia/etiology , Acoustic Stimulation/adverse effects , Analysis of Variance , Animals , Antipsychotic Agents/pharmacology , Apomorphine/toxicity , Barbiturates/pharmacology , Catalepsy/chemically induced , Catalepsy/drug therapy , Disease Models, Animal , Dopamine Agonists/toxicity , Dose-Response Relationship, Drug , Drug Interactions , Hypothermia/chemically induced , Ketamine/toxicity , Male , Mice , Motor Activity/drug effects , Piperazines/pharmacology , Psychoacoustics , Reflex, Startle/drug effects , Schizophrenia/physiopathology , Sleep/drug effects
20.
Nat Commun ; 3: 1146, 2012.
Article in English | MEDLINE | ID: mdl-23093183

ABSTRACT

L-type calcium channels expressed in the brain are heterogeneous. The predominant class of L-type calcium channels has a Ca(V)1.2 pore-forming subunit. L-type calcium channels with a Ca(V)1.3 pore-forming subunit are much less abundant, but have been implicated in the generation of mitochondrial oxidant stress underlying pathogenesis in Parkinson's disease. Thus, selectively antagonizing Ca(V)1.3 L-type calcium channels could provide a means of diminishing cell loss in Parkinson's disease without producing side effects accompanying general antagonism of L-type calcium channels. However, there are no known selective antagonists of Ca(V)1.3 L-type calcium channel. Here we report high-throughput screening of commercial and 'in-house' chemical libraries and modification of promising hits. Pyrimidine-2,4,6-triones were identified as a potential scaffold; structure-activity relationship-based modification of this scaffold led to 1-(3-chlorophenethyl)-3-cyclopentylpyrimidine-2,4,6-(1H,3H,5H)-trione (8), a potent and highly selective Ca(V)1.3 L-type calcium channel antagonist. The biological relevance was confirmed by whole-cell patch-clamp electrophysiology. These studies describe the first highly selective Ca(V)1.3 L-type calcium channel antagonist and point to a novel therapeutic strategy for Parkinson's disease.


Subject(s)
Barbiturates/pharmacology , Calcium Channel Blockers/pharmacology , Calcium Channels, L-Type/drug effects , Parkinson Disease/drug therapy , Animals , Barbiturates/therapeutic use , Calcium Channel Blockers/chemistry , Calcium Channel Blockers/therapeutic use , Crystallography , Drug Evaluation, Preclinical/methods , HEK293 Cells/drug effects , High-Throughput Screening Assays/methods , Humans , Patch-Clamp Techniques , Rabbits , Rats , Small Molecule Libraries , Structure-Activity Relationship
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