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Métodos Terapêuticos e Terapias MTCI
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1.
Theranostics ; 14(3): 1029-1048, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38250044

RESUMO

Bacterial infections remain a formidable threat to human health, a situation exacerbated by the escalating problem of antibiotic resistance. While alternative antibacterial strategies such as oxidants, heat treatments, and metal nanoparticles (NPs) have shown potential, they come with significant drawbacks, ranging from non-specificity to potential environmental concerns. In the face of these challenges, the rapid evolution of micro/nanomotors (MNMs) stands out as a revolutionary development in the antimicrobial arena. MNMs harness various forms of energy and convert it into a substantial driving force, offering bright prospects for combating microbial threats. MNMs' mobility allows for swift and targeted interaction with bacteria, which not only improves the carrying potential of therapeutic agents but also narrows the required activation range for non-drug antimicrobial interventions like photothermal and photodynamic therapies, substantially improving their bacterial clearance rates. In this review, we summarized the diverse propulsion mechanisms of MNMs employed in antimicrobial applications and articulated their multiple functions, which include direct bactericidal action, capture and removal of microorganisms, detoxification processes, and the innovative detection of bacteria and associated toxins. Despite MNMs' potential to revolutionize antibacterial research, the translation from laboratory to clinical use remains challenging. Based on the current research status, we summarized the potential challenges and possible solutions and also prospected several key directions for future studies of MNMs for antimicrobial purposes. Collectively, by highlighting the important knowns and unknowns of antimicrobial MNMs, our present review would help to light the way forward for the field of antimicrobial MNMs and prevent unnecessary blindness and detours.


Assuntos
Hipertermia Induzida , Nanopartículas Metálicas , Humanos , Antibacterianos/farmacologia , Antibacterianos/uso terapêutico , Cegueira , Taxa de Depuração Metabólica
2.
Pharm Res ; 41(1): 63-75, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38049651

RESUMO

OBJECTIVE: This study aims to develop physiologically based pharmacokinetic and pharmacodynamic (PBPK/PD) predictive models for nifedipine in pregnant women, enhancing precision medicine and reducing adverse reactions for both mothers and infants. METHODS: A PBPK/PD model was constructed using PK-Sim, MoBi, and MATLAB software, integrating literature and pregnancy-specific physiological information. The process involved: (1) establishing and validating a PBPK model for serum clearance after intravenous administration in non-pregnant individuals, (2) establishing and validating a PBPK model for serum clearance after oral administration in non-pregnant individuals, (3) constructing and validating a PBPK model for enzyme clearance after oral administration in non-pregnant individuals, and (4) adjusting the PBPK model structure and enzyme parameters according to pregnant women and validating it in oral administration. (5) PK/PD model was explored through MATLAB, and the PBPK and PK/PD models were integrated to form the PBPK/PD model. RESULTS: The Nifedipine PBPK model's predictive accuracy was confirmed by non-pregnant and pregnant validation studies. The developed PBPK/PD model accurately predicted maximum antihypertensive effects for clinical doses of 5, 10, and 20 mg. The model suggested peak effect at 0.86 h post-administration, achieving blood pressure reductions of 5.4 mmHg, 14.3 mmHg, and 21.3 mmHg, respectively. This model provides guidance for tailored dosing in pregnancy-induced hypertension based on targeted blood pressure reduction. CONCLUSION: Based on available literature data, the PBPK/PD model of Nifedipine in pregnancy demonstrated good predictive performance. It will help optimize individualized dosing of Nifedipine, improve treatment outcomes, and minimize the risk of adverse reactions in mothers and infants.


Assuntos
Nifedipino , Gestantes , Lactente , Humanos , Feminino , Gravidez , Medicina de Precisão , Modelos Biológicos , Tomada de Decisão Clínica
3.
Environ Sci Pollut Res Int ; 30(10): 27560-27569, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36385336

RESUMO

Se(IV) removal using nanoscale zero-valent iron (nZVI) has been extensively studied. Still, the synergistic removal of Se(IV) by reduced graphene oxide-supported nanoscale zero-valent iron (nZVI/rGO) has not been reported. In this study, nZVI/rGO was successfully synthesized for Se(IV) removal from wastewater. The effects of different environmental conditions (load ratio, dosage, initial pH) on Se(IV) removal by nZVI/rGO were investigated. When the load ratio is 10%, the dosage is 0.3 g/L, the initial pH is 3, and the removal rate is 99%. The adsorption isotherm and kinetics accorded with the Langmuir isotherm and first-order kinetics models (R2 > 0.99). The fitted maximum adsorption capacity reached up to 173.53 mg/g. NZVI/rGo and Se(IV) is a spontaneous endothermic reaction (△G < 0, △H > 0) and is characterized by EDS, XRD, and XPS before and after the reaction, to further clarify the reaction mechanism. The XPS narrow spectrum analysis suggested that Se(IV) was reduced to elemental selenium (Se(0)), while the intermediate Fe(II) was oxidized to form hydroxide precipitation. Therefore, nZVI/rGO was favored for Se-contaminated wastewater remediation.


Assuntos
Grafite , Selênio , Poluentes Químicos da Água , Ferro/química , Selênio/química , Águas Residuárias , Adsorção , Poluentes Químicos da Água/análise
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