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1.
Pharm Res ; 16(8): 1309-15, 1999 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-10468036

RESUMEN

PURPOSE: This study examined the pharmacokinetics and tissue distribution of an antisense oligonucleotide ISIS 2503, formulated in stealth (pegylated) liposomes (encapsulated) or in phosphate-buffered saline (unencapsulated). METHODS: Encapsulated or unencapsulated ISIS 2503 was administered to rhesus monkeys by intravenous infusion. The concentrations of ISIS 2503 and metabolites in blood, plasma, and tissue samples were determined by capillary gel electrophoresis. RESULTS: Plasma concentrations of encapsulated ISIS 2503 decreased mono-exponentially after infusion with a mean half-life of 57.8 hours. In contrast, the concentration of unencapsulated ISIS 2503 in plasma decreased rapidly with a mean half-life of 1.07 hours. Both encapsulated and unencapsulated ISIS 2503 distributed widely into tissues. Encapsulated ISIS 2503 distributed primarily to the reticulo-endothelial system and there were few metabolites observed. In contrast, unencapsulated ISIS 2503 distributed rapidly to tissue with highest concentration seen in kidney and liver. Nuclease-mediated metabolism was extensive for unencapsulated oligonucleotide in plasma and tissues. CONCLUSIONS: The data suggest that stealth liposomes protect ISIS 2503 from nucleases in blood and tissues, slow tissue uptake, and slow the rate of clearance from the systemic circulation. These attributes may make these formulations attractive for delivering oligonucleotides to sites with increased vasculature permeability such as tumors or sites of inflammation.


Asunto(s)
Oligonucleótidos Antisentido/farmacocinética , Proteínas ras/antagonistas & inhibidores , Animales , Proteínas Sanguíneas/metabolismo , Cápsulas/farmacocinética , Sistemas de Liberación de Medicamentos , Femenino , Regulación de la Expresión Génica/efectos de los fármacos , Semivida , Cinética , Liposomas , Macaca mulatta , Masculino , Tasa de Depuración Metabólica , Oligonucleótidos Antisentido/administración & dosificación , Oligonucleótidos Antisentido/síntesis química , Oligonucleótidos Antisentido/farmacología , Oligonucleótidos Fosforotioatos , Distribución Tisular , Proteínas ras/genética
2.
Chemotherapy ; 45 Suppl 1: 15-26, 1999 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-10394017

RESUMEN

Amphotericin B Colloidal Dispersion (ABCD, AmphocilTM), a noncovalent complex of amphotericin B and cholesteryl sulfate, is active in vitro and in vivo against a wide variety of fungal species; its activity is broadly comparable to the range of activity of conventionally formulated amphotericin B (CAB). The pharmacokinetics of ABCD and CAB differ. ABCD is more rapidly removed from circulation than CAB, with more than 99% clearance one hour after administration, but has a much more prolonged terminal elimination phase. Preclinical safety studies have shown that ABCD is significantly better tolerated and less nephrotoxic than CAB. ABCD does cause renal tubular damage after high doses, but only at doses five- to eight-fold higher than those of CAB. Preclinical studies suggest that the efficacy, but not the toxicity of ABCD and CAB will be identical. ABCD may thus provide a safer therapeutic alternative to CAB.


Asunto(s)
Anfotericina B/administración & dosificación , Anfotericina B/farmacocinética , Antifúngicos/administración & dosificación , Antifúngicos/farmacocinética , Animales , Evaluación Preclínica de Medicamentos , Humanos
3.
Chemotherapy ; 45 Suppl 1: 48-53, 1999 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-10394021

RESUMEN

The purpose of this study was to identify the pharmacokinetics of Amphotericin B Colloidal Dispersion in patients undergoing bone marrow transplantations with systemic fungal infections and to assess the influence of ABCD on renal function. Seventy-five patients (42 females, 33 males) with a median age of 34.5 years and median weight of 70.0 kg were enrolled in the study. The plasma concentration data was available in 51/75 patients and was best described by a two-compartment model; both plasma clearance and volume of distribution increased with escalating doses; the overall average terminal elimination half-life was 29 h. Serum creatinine values over the duration of therapy were available in 59/75 patients. Overall, there was no net change in renal function over the duration of therapy.


Asunto(s)
Anfotericina B/farmacocinética , Antifúngicos/farmacocinética , Trasplante de Médula Ósea , Fungemia/tratamiento farmacológico , Riñón/efectos de los fármacos , Micosis/tratamiento farmacológico , Adolescente , Adulto , Anfotericina B/administración & dosificación , Anfotericina B/uso terapéutico , Antifúngicos/administración & dosificación , Antifúngicos/uso terapéutico , Niño , Preescolar , Creatinina/sangre , Ácido Desoxicólico/uso terapéutico , Relación Dosis-Respuesta a Droga , Combinación de Medicamentos , Femenino , Humanos , Pruebas de Función Renal , Masculino , Persona de Mediana Edad , Resultado del Tratamiento
4.
J Pharmacol Exp Ther ; 289(2): 1128-33, 1999 May.
Artículo en Inglés | MEDLINE | ID: mdl-10215696

RESUMEN

The relative cardiotoxicity of pegylated (STEALTH) liposomal doxorubicin (PL-DOX; Doxil) was compared to nonliposomal doxorubicin (Adriamycin) in rabbits and dogs treated i.v. for up to 22 weeks. No histological evidence of cardiotoxicity was seen in dogs treated with placebo liposomes or PL-DOX every 3 weeks for a total of 10 doses (cumulative doxorubicin dose = 10 mg/kg) either 1 or 5 weeks post-treatment. All dogs treated with the same cumulative dose of free doxorubicin showed marked cardiotoxicity (vacuolization and myofibrillar loss in the myocardium) at both time points. In rabbits, progressive cardiomyopathy was seen in both treatment groups, but was more frequent and severe with free doxorubicin (67% of doxorubicin-treated rabbits, cumulative dose = 12 to 14 mg/kg versus 16% of PL-DOX-treated animals, cumulative dose = 14 to 21 mg/kg). Five doxorubicin-treated rabbits died of congestive heart failure or with histologic evidence of cardiotoxicity (median severity score = 6). No PL-DOX-treated rabbits died of congestive heart failure, although two animals that died early showed microscopic evidence of mild cardiotoxicity (median severity score = 2.5). Cardiotoxicity increased during the post-treatment period in both treatment groups. Rabbits received up to 50% more PL-DOX with no increase in cardiotoxicity. Thus, results in two species demonstrate that the cardiotoxicity of doxorubicin is significantly decreased when administered as PL-DOX. Significantly more PL-DOX can be given without incurring an increased risk of cardiomyopathy. Recent clinical studies have confirmed that PL-DOX is also less cardiotoxic than the same dose of unencapsulated doxorubicin in humans.


Asunto(s)
Antibióticos Antineoplásicos/administración & dosificación , Antibióticos Antineoplásicos/toxicidad , Doxorrubicina/administración & dosificación , Doxorrubicina/toxicidad , Cardiopatías/inducido químicamente , Animales , Perros , Portadores de Fármacos , Composición de Medicamentos , Excipientes , Femenino , Cardiopatías/patología , Liposomas , Masculino , Miocardio/patología , Conejos
5.
Hum Exp Toxicol ; 18(1): 17-26, 1999 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-10025364

RESUMEN

The multiple dose pharmacokinetics of pegylated liposomal doxorubicin (PL-DOX), known as DOXIL (US) and CAELYX (EU), was characterized in dogs and a pharmacokinetic/pharmacodynamic model to identify a relationship between drug exposure and the probability of observing treatment-related palmar-plantar erythrodysesthesia (PPE) was developed. Twenty dogs were assigned to PL-DOX groups (2/sex/ group) that received intravenous PL-DOX doses of 0.5 mg/kg ql, 2, or 4 weeks; 1.0 mg/kg q2weeks; or 1.5 mg/kg q4weeks for 12 weeks. Blood was collected for HPLC analysis of doxorubicin concentration pre-dose and periodically up to 120 h after dosing three times during treatment. Plasma drug concentration was modeled using iterative 2-stage analysis. Dermal lesions (PPE) were scored twice weekly for six regions of each dog using a 0-6 severity scale; maximum severity was 36. PPE score data were modeled using an approach in which the % probability of PPE was related to a hypothetical effect site by a series of Hill-type functions. Pharmacokinetics were best modeled as a one-compartment open model. Vss (ml/kg), CLt (ml/hr/kg) and half-life (h) were 44.1, 1.39 and 23.1, respectively. Cmax increased linearly with dose. CLt decreased with repeated doses. 5 A two-compartment pharmacodynamic model, which correctly predicted 97% of the observed lesion severity, was developed to establish the relationship of lesion severity to dose intensity (a measure of drug exposure incorporating the effect of both dose level and dosing frequency, which can be expressed in units of mg/kg/week). The model demonstrated that maximal PPE was positively correlated with dose intensity, the major factor that affects the incidence and severity of dermal lesions. 6 The model can be used to predict acceptable dose intensities in humans utilizing body surface area conversion factors and comparative AUCs for dogs and humans. It predicts that a dose intensity of 10-12.5 mg/m2 of PL-DOX will be well tolerated in patients. The results of recent clinical studies are consistent with this prediction.


Asunto(s)
Doxorrubicina/farmacología , Eritema/inducido químicamente , Liposomas/química , Úlcera Cutánea/inducido químicamente , Animales , Perros , Relación Dosis-Respuesta a Droga , Doxorrubicina/sangre , Doxorrubicina/toxicidad , Femenino , Masculino
6.
Cancer Chemother Pharmacol ; 43(1): 1-7, 1999.
Artículo en Inglés | MEDLINE | ID: mdl-9923534

RESUMEN

PURPOSE: The pharmacokinetics (PK), biodistribution and therapeutic efficacy of cisplatin encapsulated in long-circulating pegylated (Stealth) liposomes (SPI-077) were compared with those of nonliposomal cisplatin in two murine (C26 colon carcinoma and Lewis lung) tumor models. METHODS: In therapeutic effectiveness studies, mice bearing murine C26 or Lewis lung tumors received multiple intravenous doses of SPI-077 or cisplatin in a variety of treatment schedules and cumulative doses. In the PK and biodistribution study, mice received a single intravenous bolus injection of 3 mg/kg of either SPI-077 or cisplatin 14 days after inoculation with 10(6) C26 tumor cells. Plasma and tissues were analyzed for total platinum (Pt) content by graphite furnace (flameless) atomic absorption spectrophotometery (GF-AAS). RESULTS: Efficacy studies showed that SPI-077 had superior antitumor activity compared to the same cumulative dose of cisplatin. When lower doses of SPI-077 were compared to cisplatin at its maximally tolerated dose in Lewis lung tumors, equivalent SPI-077 antitumor activity was seen at only half the cisplatin dose. Higher cumulative doses of SPI-077 were well tolerated and had increased antitumor effect. SPI-077 PK were characterized by a one-compartment model with nonlinear (saturable) elimination, whereas cisplatin PK were described by a two-compartment model with linear elimination. SPI-077 had a 55-fold lower [corrected] volume of distribution, 3-fold higher peak plasma levels, and a 60-fold larger plasma AUC compared with cisplatin. In addition, SPI-077-treated animals displayed a 4-fold reduction in Pt delivered to the kidneys (primary target organ of toxicity) relative to cisplatin, but a 28-fold higher tumor AUC than cisplatin. CONCLUSIONS: Based on the results of our studies, encapsulation of cisplatin in long-circulating pegylated liposomes has overcome limitations experienced with other liposomal cisplatin formulations. SPI-077 has a prolonged circulation time and increased tumor Pt disposition, and its antitumor effect is significantly improved compared to cisplatin in murine colon and lung cancer models.


Asunto(s)
Antineoplásicos/farmacología , Antineoplásicos/farmacocinética , Cisplatino/farmacología , Cisplatino/farmacocinética , Algoritmos , Animales , Antineoplásicos/administración & dosificación , Carcinoma Pulmonar de Lewis/tratamiento farmacológico , Carcinoma Pulmonar de Lewis/metabolismo , Cisplatino/administración & dosificación , Neoplasias del Colon/tratamiento farmacológico , Neoplasias del Colon/metabolismo , Portadores de Fármacos , Inyecciones Intravenosas , Liposomas , Ratones , Ratones Endogámicos BALB C , Trasplante de Neoplasias , Ratas , Espectrofotometría Atómica , Distribución Tisular
7.
J Inorg Biochem ; 77(1-2): 117-20, 1999 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-10626363

RESUMEN

Single agent antitumor activity of Herceptin, a humanized monoclonal antibody directed against HER2, has been demonstrated in numerous preclinical and clinical studies. Additionally, combination therapy with Herceptin and chemotherapy (CRx) has demonstrated additive antitumor activity in both preclinical models and early clinical trials. STEALTH (pegylated) liposomal (PL) cisplatin, also known as SPI-077, is currently in clinical trials for a variety of solid tumors. The three studies reported here discuss the antitumor activity of the combination of Herceptin and nonliposomal cisplatin or PL-cisplatin in two xenograft tumor models, initiated from the cell lines, BT474 and MDA453, that overexpress the oncogene, HER2. Herceptin alone had significant antitumor activity in all three experiments (p < 0.0001). Nonliposomal cisplatin and PL-cisplatin were both effective antitumor agents but, at tolerable dose levels, PL-cisplatin was superior to nonliposomal cisplatin (p < 0.0003). The effect of combining Herceptin with the chemotherapeutic cisplatin or PL-cisplatin, was most significant at moderate doses of H (0.5 mg/kg, p < 0.0001), but tended to be greater than either agent alone in all experiments. The combination of PL-cisplatin with Herceptin had statistically similar antitumor activity to that of nonliposomal cisplatin with Herceptin in all experiments. We conclude that combination therapy with PL-cisplatin and Herceptin results in significant antitumor activity with the potential for reducing toxicity in metastatic breast cancer patients.


Asunto(s)
Anticuerpos Monoclonales/farmacología , Protocolos de Quimioterapia Combinada Antineoplásica/farmacología , Neoplasias de la Mama/tratamiento farmacológico , Neoplasias de la Mama/metabolismo , Cisplatino/farmacología , Receptor ErbB-2/metabolismo , Animales , Anticuerpos Monoclonales Humanizados , Modelos Animales de Enfermedad , Femenino , Humanos , Liposomas/administración & dosificación , Ratones , Ratones Desnudos , Receptor ErbB-2/efectos de los fármacos , Trastuzumab
8.
Curr Opin Mol Ther ; 1(2): 177-85, 1999 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-11715941

RESUMEN

The introduction of colloidally stable liposomes with low drug leakage rates resulted in a renaissance in liposome applications in cancer therapy. Furthermore, a platform of sterically stabilized liposomes also allows the construction of new generations of drug delivery vehicles. These include targeted liposomes and targeted nucleic acid delivery vehicles, based either on cationic sterically stabilized liposomes or pre-condensed DNA encapsulated in neutral or negatively charged liposomes.


Asunto(s)
Terapia Genética , Liposomas , Neoplasias/terapia , Animales , Antineoplásicos/farmacocinética , Antineoplásicos/farmacología , Antineoplásicos/uso terapéutico , Cisplatino/farmacocinética , Cisplatino/farmacología , Cisplatino/uso terapéutico , Doxorrubicina/farmacocinética , Doxorrubicina/farmacología , Doxorrubicina/uso terapéutico , Humanos , Neoplasias/tratamiento farmacológico
9.
Clin Cancer Res ; 4(12): 3077-82, 1998 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-9865923

RESUMEN

The topoisomerase I inhibitor GL147211C [7-[(4-methylpiperazino)methyl]-10,11-(ethylenedioxy)-(20S)-campto thecin trifluoroacetate], a camptothecin analogue, has significant activity in tumor cell cytotoxicity assays in vitro and antitumor activity in both animal tumor models and human patients. Its toxicity is significant, however, effectively limiting the amount of drug that can be administered and its clinical utility. To determine whether the therapeutic index of GL147211C could be improved, the drug was encapsulated in long-circulating, pegylated (STEALTH) liposomes (SPI-355). The pharmacokinetics and antitumor activity of SPI-355 were compared to those of nonliposomal GL147211C. The plasma pharmacokinetics of SPI-355 in rats were typical of those of other pegylated liposomal formulations, with significantly increased blood circulation time; the dose-corrected area under the curve and Cmax of SPI-355 (10 mg/kg) were 1250- and 35-fold higher, respectively, than those of nonliposomal GL14711C (8.72 mg/kg). The comparative antitumor activity of SPI-355 and nonliposomal GL1472211C was evaluated in nude mice implanted with HT29 colon carcinoma xenografts. SPI-355 was 20-fold more effective than GL147211C in inhibiting tumor growth (1 mg/kg SPI-355 and 20 mg/kg GL147211C) and produced durable complete remissions of tumors at well-tolerated dose levels that were >5-fold lower than the maximally tolerated dose of GL147211C, which induced no durable complete responses. Signs of toxicity were similar between the two drugs, but liposome encapsulation increased the toxicity of drug approximately 4-fold, with increased weight loss and several deaths with SPI-355 (5 mg/kg SPI-355 versus 20 mg/kg GL147211C). Despite the increased toxicity seen with SPI-355, the therapeutic index of the liposomal formulation was increased approximately 5-fold over that of nonliposomal GL147211C, suggesting that such a pegylated liposomal formulation could demonstrate increased therapeutic index in human patients.


Asunto(s)
Antineoplásicos/uso terapéutico , Camptotecina/análogos & derivados , Neoplasias del Colon/tratamiento farmacológico , Inhibidores Enzimáticos/farmacología , Inhibidores de Topoisomerasa I , Animales , Antineoplásicos/farmacocinética , Camptotecina/farmacocinética , Camptotecina/uso terapéutico , Neoplasias del Colon/metabolismo , Portadores de Fármacos , Ensayos de Selección de Medicamentos Antitumorales , Células HT29 , Humanos , Liposomas , Masculino , Ratones , Ratones Desnudos , Trasplante de Neoplasias , Ratas , Ratas Sprague-Dawley , Trasplante Heterólogo , Resultado del Tratamiento
10.
Clin Cancer Res ; 4(1): 111-5, 1998 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-9516959

RESUMEN

The introduction of long-circulating liposomes sterically stabilized by surface coating with polyethylene glycol has expanded the potential for drug targeting to tumors. In recent clinical studies, evidence of significant antitumor activity has been obtained with the industrially prepared formulation of long-circulating polyethylene glycol-coated liposomes containing doxorubicin, referred to as DOXIL. Previous studies performed in rats showed that doxorubicin-containing liposomes can exert major toxic effects on the liver macrophage population for a considerable period of time; a strong impairment of phagocytic function and even a substantial depletion of the liver macrophage populations were observed. In the present study, the phagocytic function of the mononuclear phagocyte system (MPS) after administration of DOXIL at a clinically relevant dosage schedule was evaluated in rats. Phagocytic function of the MPS was assessed by determining bacterial blood clearance capacity. The observations reported herein show that DOXIL is fairly well tolerated regarding bacterial blood clearance capacity of the MPS when administered in a regimen that resembles the clinical setting closely. This outcome has important implications with regard to the clinical utility of the liposomal drug, especially in the restricted context of immunocompromised cancer patients who easily develop systemic infections and should not be confronted with a therapy-induced reduction of the bacterial blood clearance capacity of the MPS.


Asunto(s)
Antibióticos Antineoplásicos/administración & dosificación , Bacteriemia/inmunología , Doxorrubicina/administración & dosificación , Fagocitos/efectos de los fármacos , Animales , Doxorrubicina/toxicidad , Portadores de Fármacos , Femenino , Liposomas , Fagocitos/inmunología , Ratas
11.
Toxicol Sci ; 46(1): 155-65, 1998 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-9928679

RESUMEN

The toxicity of cisplatin encapsulated in pegylated, long-circulating liposomes (SPI-077) was compared with nonliposomal cisplatin in male and female cynomolgus monkeys (n = 2-4 per sex per group) treated with intravenous infusions of 2.5 or 25 mg/kg SPI-077, 2.5 mg/kg cisplatin, placebo liposomes, or saline once every 3 weeks for total of five treatments. All animals survived until scheduled necropsy at 3 days after the final treatment or after a treatment-free 4-week recovery period. Emesis occurred after each treatment in all cisplatin-treated monkeys, but only once in one monkey treated with high-dose SPI-077. Dose-related mild decreases in red blood cell (RBC) count, hemoglobin, and hematocrit to or slightly below low normal range occurred in the high-dose SPI-077 and placebo liposome treatment groups after each treatment, with partial to complete recovery between treatments and no signs of correlating bone marrow toxicity. Decreases were similar in cisplatin-treated monkeys, but resolved only slightly between treatments and after the end of treatment (continuing to decrease in females) and were accompanied by bone marrow hypocellularity. Indirect, but not direct, bilirubin levels were cyclically elevated in the high-dose SPI-077 and placebo-treated animals, but not in the other treatment groups. Levels had either fully resolved or were near baseline and/or saline group values prior to the next treatment. Serum cholesterol levels were cyclically increased in SPI-077- and placebo liposome-treated animals, and minimally increased numbers of foam cells were seen in the liver, spleen, kidney, and other organs; both were considered related to the lipid dose administered. Cisplatin-treated monkeys exhibited sensory polyneuropathy and moderate irreversible toxic tubular nephrosis, but no neuropathy or nephrotoxicity was seen in either SPI-077 treatment group. Microscopically, treatment-related cell death was seen in dorsal root ganglia (DRG), affecting 15% of the cells in cisplatin-treated animals, compared to 8 and 12% in the low- and high-dose SPI-077 treatment groups. Neither drug was ototoxic. In summary, repeated administration of SPI-077 produced minimal, reversible effects related to the lipid dose administered, mostly limited to the 25 mg/kg dose group. The most notable effects in this group were cyclical decreases in hematology parameters thought to be related to increased recycling of a small fraction of RBCs and limited cell death in the DRG in the absence of any neurophysiological changes. Animals treated with a 10-fold lower dose of cisplatin (2.5 mg/kg), in contrast, exhibited myelo-, nephro-, and neurotoxicity, including sensory neuropathy, and were emetic after every dose. The SPI-077 liposomal formulation of cisplatin may provide a less toxic alternative to standard cisplatin solution.


Asunto(s)
Antineoplásicos/toxicidad , Cisplatino/toxicidad , Animales , Antineoplásicos/administración & dosificación , Bilirrubina/metabolismo , Recuento de Células Sanguíneas , Nitrógeno de la Urea Sanguínea , Cisplatino/administración & dosificación , Creatinina/sangre , Portadores de Fármacos , Composición de Medicamentos , Potenciales Evocados Auditivos del Tronco Encefálico/efectos de los fármacos , Femenino , Audición/efectos de los fármacos , Inyecciones Intravenosas , Liposomas , Macaca fascicularis , Masculino , Enfermedades del Sistema Nervioso Periférico/inducido químicamente , Enfermedades del Sistema Nervioso Periférico/patología , Factores Sexuales
13.
Reprod Toxicol ; 10(1): 29-36, 1996.
Artículo en Inglés | MEDLINE | ID: mdl-8998382

RESUMEN

Pregnant rhesus monkeys received daily i.v. infusions of chemically synthesized human relaxin (hRlx-2) (0.1 mg/kg/day N = 6, 2.0 mg/kg/day N = 6, vehicle control N = 7) from the onset of cervical softening to delivery (0 to 14 infusions) to simulate potential therapeutic use of this agent for cervical ripening. Reproductive fitness of dams was evaluated during the next breeding season, and infants were studied through 12 months of age. Birth weight and size, neonatal heart rate and body temperature and neurobehavioral status were not influenced by intrauterine relaxin exposure. Neonatal muscle tone was greater and responsiveness was lower in the hRlx-2 treated infants than in controls. No group differences were seen in infant postnatal growth, maturation or incidence of health problems. Maternal endpoints including uterine involution, resumption of menses, conception rate, and pregnancy outcome were similar across groups. Systemic exposure of rhesus monkeys to relatively high levels of hRlx-2 in late pregnancy did not have apparent long term effects for the measures evaluated under conditions of the experiment. Conclusions concerning adverse effects are limited by the small sample size.


Asunto(s)
Preñez , Efectos Tardíos de la Exposición Prenatal , Relaxina/toxicidad , Análisis de Varianza , Animales , Anticuerpos/análisis , Peso al Nacer/efectos de los fármacos , Estatura/efectos de los fármacos , Temperatura Corporal/efectos de los fármacos , Femenino , Fertilización/efectos de los fármacos , Estudios de Seguimiento , Infusiones Intravenosas , Estudios Longitudinales , Macaca mulatta , Tono Muscular/efectos de los fármacos , Embarazo , Resultado del Embarazo , Distribución Aleatoria , Relaxina/administración & dosificación , Relaxina/inmunología
14.
Antimicrob Agents Chemother ; 39(9): 2042-7, 1995 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-8540713

RESUMEN

The purpose of this study was to evaluate the pharmacokinetics of amphotericin B colloidal dispersion and its effect on creatinine clearance in bone marrow transplant patients with systemic fungal infections. Seventy-five patients (42 females and 33 males) with a median age of 34.5 years and a median weight of 70.0 kg were enrolled in the study. Patients received 1 of 15 dose levels (range, 0.5 to 8.0 mg/kg of body weight) daily for a mean duration of 28 days and a mean cumulative dose amount of 8 g. Plasma samples for amphotericin B determination (median number, 4; range, 2 to 30) and daily serum creatinine values were obtained for each patient. Iterative two-stage analysis, one of several approaches to population pharmacokinetic and pharmacodynamic modelling, was employed for the pharmacokinetic analysis. The plasma data were available for 51 of 75 patients and were best described by a two-compartment model. Both plasma clearance and volume of distribution increased with escalating doses; the overall average terminal elimination half-life was 29 h. Of the covariates studied, only body weight and dose size were significant. Serum creatinine values over the duration of therapy were available for 59 of 75 patients. Overall, there was no net change in renal function over the duration of therapy; 12 patients had > 30% increases in creatinine clearance, whereas 13 had > 30% decreases. No measure of amphotericin B colloidal dispersion exposure, demographic values, or concomitant treatment with other medications was related to changes in the creatinine clearance.


Asunto(s)
Anfotericina B/efectos adversos , Anfotericina B/farmacocinética , Antifúngicos/efectos adversos , Antifúngicos/farmacocinética , Trasplante de Médula Ósea/fisiología , Enfermedades Renales/inducido químicamente , Adolescente , Adulto , Anfotericina B/uso terapéutico , Antifúngicos/uso terapéutico , Niño , Creatina/metabolismo , Femenino , Semivida , Humanos , Enfermedades Renales/fisiopatología , Pruebas de Función Renal , Masculino , Persona de Mediana Edad , Micosis/tratamiento farmacológico , Micosis/metabolismo , Población
15.
Obstet Gynecol ; 83(1): 85-8, 1994 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-8272314

RESUMEN

OBJECTIVE: To test a recombinant human relaxin preparation, developed for potential therapeutic application, for possible hypotensive actions in near-term pregnant rhesus monkeys. METHODS: Groups of four females received 1-hour intravenous infusions of 0, 0.1, or 2.0 mg recombinant human relaxin/kg on gestation day 147 (term = 165 days). Maternal heart rate, electrocardiogram, and diastolic, systolic, and mean arterial pressure; and fetal heart rate were monitored before, during, and after the infusion. After spontaneous delivery, physical, neurobehavioral, and physiologic examinations were conducted on the newborn. RESULTS: No effects of recombinant human relaxin were detected by statistical analysis or examination of data records. CONCLUSION: Intravenous infusion of up to 2.0 mg recombinant human relaxin/kg in conscious pregnant rhesus monkeys had no effect on maternal cardiovascular indices or fetal heart rate.


Asunto(s)
Presión Sanguínea/efectos de los fármacos , Preñez/efectos de los fármacos , Relaxina/farmacología , Animales , Evaluación Preclínica de Medicamentos , Femenino , Humanos , Infusiones Intravenosas , Macaca mulatta , Embarazo , Preñez/fisiología , Proteínas Recombinantes/farmacología , Factores de Tiempo
16.
Int Rev Exp Pathol ; 34 Pt B: 43-67, 1993.
Artículo en Inglés | MEDLINE | ID: mdl-8458717

RESUMEN

The systemic administration of high doses of rHuTGF-beta 1 to rats produced a spectrum of lesions in multiple target tissues, including liver, bone, kidney, heart, thymus, pancreas, stomach, cecum, at the injection vein, and in skeletal muscle at the site of anesthetic injection. The majority of these lesions can be attributed to known biological activities of TGF-beta 1. High-dose dermal application resulted in local effects at the wound sites without systemic toxicity.


Asunto(s)
Factor de Crecimiento Transformador beta/toxicidad , Animales , Células CHO , Línea Celular , Cricetinae , Femenino , Humanos , Inyecciones Intradérmicas , Inyecciones Intravenosas , Masculino , Tamaño de los Órganos/efectos de los fármacos , Conejos , Ratas , Proteínas Recombinantes/administración & dosificación , Proteínas Recombinantes/toxicidad , Piel/efectos de los fármacos , Factor de Crecimiento Transformador beta/administración & dosificación , Vísceras/efectos de los fármacos , Vísceras/patología , Pérdida de Peso/efectos de los fármacos , Cicatrización de Heridas/efectos de los fármacos
17.
Environ Mol Mutagen ; 20(3): 148-55, 1992.
Artículo en Inglés | MEDLINE | ID: mdl-1396605

RESUMEN

Acrylamide (AA) has been reported to induce dominant lethal mutations in male rat germ cells and tumors in a variety of organs, including the scrotum, thyroid and mammary glands, but not the liver of rats. The structurally similar vinyl monomer acrylonitrile (ACN) does not induce dominant lethal mutations but does induce tumors of the brain, Zymbal gland, forestomach and mammary gland, but not the liver of rats. Several in vitro and/or in vivo unscheduled DNA synthesis (UDS) assays were employed to examine the potential tissue-specific genotoxic activity of these compounds. Neither AA nor ACN induced DNA repair in either the in vitro or in vivo hepatocyte DNA repair assays. Glycidamide (GA), a mutagenic metabolite of AA, induced DNA repair in the in vitro hepatocyte DNA repair assay. Cyanoethylene oxide (CEO), a mutagenic metabolite of ACN, did not yield a DNA repair response in the in vitro hepatocyte DNA repair assay, but was highly toxic and could not be tested at doses equivalent to GA. AA, but not ACN, produced a DNA repair response in the in vivo spermatocyte DNA repair assay. AA produced a slight response in the in vitro human mammary epithelial cell (HMEC) DNA repair assay in normal cells derived from discarded surgical samples from five different women. GA produced a strong UDS response in all cases in the same assay. CEO, but not its parent compound ACN, produced a response in the HMEC DNA repair assay. These results show a highly tissue-specific pattern of genotoxic activity for AA and ACN that correlates, to the extent that it has been examined, with the tissue-specific pattern of carcinogenic and dominant lethal activity. The induction of DNA repair by GA and CEO confirms the genotoxic potential of these metabolites. While the observation of genotoxic activity of AA in the HMEC DNA repair assay suggests that mammary cells might be a target for carcinogenic activity of this compound in humans, other factors such as pharmacokinetics and epidemiology must be evaluated to establish that effect.


Asunto(s)
Acrilamidas/toxicidad , Acrilonitrilo/toxicidad , Reparación del ADN , Hígado/efectos de los fármacos , Mutágenos/toxicidad , Espermatocitos/efectos de los fármacos , Acrilamida , Acrilamidas/farmacología , Acrilonitrilo/farmacología , Animales , Mama , Células Cultivadas , Epitelio/efectos de los fármacos , Femenino , Humanos , Hígado/fisiología , Masculino , Pruebas de Mutagenicidad , Mutágenos/farmacología , Especificidad de Órganos , Ratas , Ratas Endogámicas F344 , Espermatocitos/fisiología
18.
N Engl J Med ; 323(1): 12-6, 1990 Jul 05.
Artículo en Inglés | MEDLINE | ID: mdl-2355953

RESUMEN

BACKGROUND AND METHODS: In warm climates throughout the world, there is a deficit of births during the spring season. To determine whether this deficit might reflect a deleterious effect of heat on the male reproductive capacity during the previous summer, we obtained semen specimens in summer and winter from normal men who worked outdoors in the vicinity of San Antonio, Texas, and we performed automated semen analyses with an image-analysis system. RESULTS: Pairwise comparisons among 131 men without azoospermia who contributed specimens in both summer and winter revealed significant reductions during the summer in sperm concentration, total sperm count per ejaculate, and concentration of motile sperm. The mean decreases in these values after adjustment for potential confounding characteristics were 32 percent (95 percent confidence limits, 28 and 44 percent), 24 percent (95 percent confidence limits, 18 and 43 percent), and 28 percent (95 percent confidence limits, 24 and 44 percent), respectively (P less than 0.0001). The lower a subject's average sperm concentration and motile-sperm concentration, the greater the reduction. We found no correlation, however, between the number of hours per day spent working during summer in settings without air conditioning and either the summer sperm concentration or the difference in concentration between summer and winter. Among the children of the men in the study whose wives were living near San Antonio during the year before they gave birth, a disproportionately low number were born during the spring. CONCLUSIONS: Semen quality deteriorates during the summer. This phenomenon may account at least in part for the reduction in the birth rate during the spring in regions with warm climates.


Asunto(s)
Estaciones del Año , Recuento de Espermatozoides , Motilidad Espermática , Adulto , Tasa de Natalidad , Clima , Humanos , Masculino , Persona de Mediana Edad , Texas
20.
Toxicol In Vitro ; 4(2): 115-21, 1990.
Artículo en Inglés | MEDLINE | ID: mdl-20702271

RESUMEN

Administration of chemical mutagens to the female rodent can induce dominant lethal mutations in oocytes and affect embryo development after fertilization. Traditional in vivo dominant lethal assays cannot separate specific genotoxic effects on the embryo from generalized cytotoxic effects. We have used embryo culture, after in vivo exposure of oocytes, to separate the genotoxic effects of a chemical on oocytes from effects due to maternal toxicity. Pre- and post-implantation development in culture was monitored in embryos recovered at the two-cell stage from females dosed ip, 30-32 hr before ovulation, with 125 or 250 mg/kg ethyl methanesulphonate (EMS)/kg body weight. In vitro zygote development progressed from two-cell to trophectoderm outgrowth and inner cell mass formation. All stages of development were affected by the EMS treatment. The morula stage showed a dose-related decrease in development; blastula formation and inner-cell mass formation were also significantly decreased. This study indicates that an in vitro dominant lethal test can be useful in evaluating damage to metaphase-1 oocytes. The in vitro test can be used to study the effects of chemicals on all stages of zygote development thereby separating induced genotoxic effects from the possible effects of maternal toxicity on zygote development.

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