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1.
Medicina (Kaunas) ; 60(9)2024 Sep 20.
Artículo en Inglés | MEDLINE | ID: mdl-39336584

RESUMEN

Clazosentan prevents vasospasms after aneurysmal subarachnoid hemorrhage (SAH). However, clinical data on patients with SAH with ruptured vertebral artery dissecting aneurysms (VADAs) are limited. We report the case of a 49-year-old male patient with mild-grade (WFNS grade 1) thick and diffuse (modified Fisher grade 3) SAH who underwent endovascular trapping of a ruptured VADA, resulting in a poor functional outcome with a modified Rankin Scale score of 4 due to severe symptomatic vasospasm refractory to clazosentan, requiring repeated rescue endovascular therapies and chronic communicating hydrocephalus. A retrospective analysis of the clot density in the basal and Sylvian cisterns, assessed by the Hounsfield unit (HU) values of serial CT scans, in this patient showed persistent higher values, distinct from another VADA case that showed a decline in HU values with a good clinical course. These results imply the limited effectiveness of clazosentan in cases of thick and diffuse SAH after a ruptured VADA, even in good-clinical-grade patients treated with less invasive modalities. The HU values may become a simple quantitative marker for predicting symptomatic vasospasms and chronic hydrocephalus.


Asunto(s)
Dioxanos , Piridinas , Pirimidinas , Hemorragia Subaracnoidea , Sulfonamidas , Tetrazoles , Vasoespasmo Intracraneal , Humanos , Masculino , Hemorragia Subaracnoidea/complicaciones , Hemorragia Subaracnoidea/tratamiento farmacológico , Persona de Mediana Edad , Dioxanos/uso terapéutico , Sulfonamidas/uso terapéutico , Vasoespasmo Intracraneal/tratamiento farmacológico , Vasoespasmo Intracraneal/complicaciones , Vasoespasmo Intracraneal/etiología , Vasoespasmo Intracraneal/diagnóstico por imagen , Pirimidinas/uso terapéutico , Piridinas/uso terapéutico , Tetrazoles/uso terapéutico , Disección de la Arteria Vertebral/complicaciones , Disección de la Arteria Vertebral/tratamiento farmacológico , Aneurisma Roto/complicaciones , Estudios Retrospectivos , Procedimientos Endovasculares/métodos
2.
ACS Appl Mater Interfaces ; 16(37): 49135-49147, 2024 Sep 18.
Artículo en Inglés | MEDLINE | ID: mdl-39226455

RESUMEN

The treatment of irregular-shaped and critical-sized bone defects poses a clinical challenge. Deployable, self-fitting tissue scaffolds that can be implanted by minimally invasive procedures are a promising solution. Toward this, we fabricated NIR-responsive and programmable polylactide-co-trimethylene carbonate (PLMC) scaffolds nanoengineered with polydopamine nanoparticles (PDA) by extrusion-based three-dimensional (3D) printing. The 3D-printed scaffolds demonstrated excellent (>99%), fast (under 30 s), and tunable shape recovery under NIR irradiation. PLMC-PDA composites demonstrated significantly higher osteogenic potential in vitro as revealed by the significantly enhanced alkaline phosphatase (ALP) secretion and mineral deposition in contrast to neat PLMC. Intraoperative deployability and in vivo bone regeneration ability of PLMC-PDA composites were demonstrated, using self-fitting scaffolds in critical-sized cranial bone defects in rabbits. The 3D-printed scaffolds were deformed into compact shapes that could self-fit into the defect shape intraoperatively under low power intensity (0.76 W cm-2) NIR. At 6 and 12 weeks postsurgical implantation, near-complete bone regeneration was observed in PLMC-PDA composites, unlike neat PLMC through microcomputed tomography (micro-CT) analysis. The potential clinical utility of the 3D-printed composites to secure complex defects was confirmed through self-fitting of the scaffolds into irregular defects in ex vivo models of rabbit tibia, mandible, and tooth models. Taken together, the composite scaffolds fabricated here offer an innovative strategy for minimally invasive deployment to fit irregular and complex tissue defects for bone tissue regeneration.


Asunto(s)
Regeneración Ósea , Indoles , Osteogénesis , Polímeros , Impresión Tridimensional , Andamios del Tejido , Animales , Andamios del Tejido/química , Conejos , Regeneración Ósea/efectos de los fármacos , Polímeros/química , Indoles/química , Osteogénesis/efectos de los fármacos , Poliésteres/química , Nanopartículas/química , Ingeniería de Tejidos , Dioxanos/química , Rayos Infrarrojos , Huesos/diagnóstico por imagen , Huesos/patología
3.
J Inorg Biochem ; 261: 112719, 2024 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-39236445

RESUMEN

Herein, a series of new Ag(I)-NHC complexes containing 1,3-dioxane group were synthesized by the direct reaction of Ag2O and benzimidazolium salts in light-free conditions. All Ag(I)-NHC complexes were spectrally characterized using 1H, 13C NMR, FT-IR, LC-MS, and elemental analysis. Additionally, the structures of compounds 1a and 1e were elucidated by the single X-ray diffraction techniques. Further, the synthesized Ag(I)-NHC complexes were evaluated for cytotoxicity study on the L-929 cells and the anticancer activity against the HCT 116 and MCF-7 cancer cell lines. Notably, 1a showed significant anticancer activity against HCT 116 with an IC50 of 6.37 ± 0.92 µg/mL compared to cisplatin (IC50 = 36.75 ± 1.76 µg/mL). 1c (IC50 = 3.21 ± 1.96 µg/mL) and 1e (IC50 = 3.72 ± 1.12 µg/mL) exhibited significant anticancer activity against MCF-7 cells and was similar to cisplatin (IC50 = 32.17 ± 2.85 µg/mL). Meanwhile, 1a and 1e displayed the highest selectivity index. Most importantly, the cell viability test showed that 1e induced neglectable cytotoxicity (IC50 = 36.38 ± 2.27 µg/mL) toward L-929 and was similar to cisplatin (IC50 = 36.11 ± 2.09 µg/mL). The anticancer activities of Ag(I)-NHC complexes vary depending on the substituent group of the silver complex and the cell line type. Moreover, the inhibitory mechanism of 1e was not dependent on caspase-associated apoptosis initiated by the lysosomal-mitochondrial pathway. Taken together, we conclude that this work provides a simple and rapid protocol for the synthesis of Ag(I)-NHC complexes and the featured Ag(I)-NHC complexes have an anticancer drug potential for biomedical applications.


Asunto(s)
Antineoplásicos , Complejos de Coordinación , Dioxanos , Plata , Humanos , Antineoplásicos/farmacología , Antineoplásicos/síntesis química , Antineoplásicos/química , Plata/química , Plata/farmacología , Dioxanos/química , Dioxanos/farmacología , Complejos de Coordinación/farmacología , Complejos de Coordinación/síntesis química , Complejos de Coordinación/química , Células MCF-7 , Ligandos , Apoptosis/efectos de los fármacos , Células HCT116 , Línea Celular Tumoral , Ratones , Animales , Diseño de Fármacos
4.
Water Sci Technol ; 90(4): 1132-1148, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39215728

RESUMEN

Efficient degradation of industrial organic wastewater has become a significant environmental concern. Electrochemical oxidation technology is promising due to its high catalytic degradation ability. In this study, Co-Bi/GAC particle electrodes were prepared and characterized for degradation of 1,4-dioxane. The electrochemical process parameters were optimized by response surface methodology (RSM), and the influence of water quality factors on the removal rate of 1,4-dioxane was investigated. The results showed that the main influencing factors were the Co/Bi mass ratio and calcination temperature. The carrier metals, Co and Bi, existed mainly on the GAC surface as Co3O4 and Bi2O3. The removal of 1,4-dioxane was predominantly achieved through the synergistic reaction of electrode adsorption, anodic oxidation, and particle electrode oxidation, with ·OH playing a significant role as the main active free radical. Furthermore, the particle electrode was demonstrated in different acid-base conditions (pH = 3, 5, 7, 9, and 11). However, high concentrations of Cl- and NO3- hindered the degradation process, potentially participating in competitive reactions. Despite this, the particle electrode exhibited good stability after five cycles. The results provide a new perspective for constructing efficient and stable three-dimensional (3D) electrocatalytic particle electrodes to remove complex industrial wastewater.


Asunto(s)
Cobalto , Dioxanos , Electrodos , Contaminantes Químicos del Agua , Dioxanos/química , Cobalto/química , Contaminantes Químicos del Agua/química , Catálisis , Bismuto/química , Técnicas Electroquímicas/métodos , Eliminación de Residuos Líquidos/métodos , Oxidación-Reducción , Purificación del Agua/métodos , Carbón Orgánico/química
5.
Biomacromolecules ; 25(9): 6050-6059, 2024 Sep 09.
Artículo en Inglés | MEDLINE | ID: mdl-39146037

RESUMEN

The design of biocompatible and biodegradable nanostructures with controlled morphological features remains a predominant challenge in medical research. Stimuli-responsive vesicles offer significant advantages in drug delivery, biomedical applications, and diagnostic techniques. The combination of poly(2-oxazoline)s with biodegradable polymers could provide exceptional biocompatibility properties and be proposed as a versatile platform for the development of new medicines. Therefore, poly(2-ethyl-2-oxazoline) (PEtOx) and poly(2-isopropyl-2-oxazoline) (PiPrOx) possessing a hydroxy terminal group that acts as an initiator for the ring-opening polymerization of d,l-lactide (DLLA) have been utilized in this study. The resulting amphiphilic block polymers were used to create polymersomes, which undergo solvent-dependent reorganization into bowl-shaped vesicles or stomatocytes. By blending PEtOx-b-PDLLA and PiPrOx-b-PDLLA copolymers, a thermoresponsive stomatocyte was generated, where the opening narrowed and irreversibly closed with a slight increase in the temperature. Detailed transmission electron microscopy analysis reveals the formation of both closed and fused stomatocytes upon heating the sample above the critical solution temperature of PiPrOx.


Asunto(s)
Oxazoles , Oxazoles/química , Materiales Biocompatibles/química , Polímeros/química , Humanos , Poliaminas/química , Polimerizacion , Temperatura , Microscopía Electrónica de Transmisión , Dioxanos
6.
Arch Toxicol ; 98(10): 3241-3257, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39192018

RESUMEN

1,4-Dioxane (DX), an emerging water contaminant, is classified as a Group 2B liver carcinogen based on animal studies. Understanding of the mechanisms of action of DX liver carcinogenicity is important for the risk assessment and control of this environmental pollution. Previous studies demonstrate that high-dose DX exposure in mice through drinking water for up to 3 months caused liver mild cytotoxicity and oxidative DNA damage, a process correlating with hepatic CYP2E1 induction and elevated oxidative stress. To access the role of CYP2E1 in DX metabolism and liver toxicity, in the current study, male and female Cyp2e1-null mice were exposed to DX in drinking water (5000 ppm) for 1 week or 3 months. DX metabolism, redox and molecular investigations were subsequently performed on male Cyp2e1-null mice for cross-study comparisons to similarly treated male wildtype (WT) and glutathione (GSH)-deficient Gclm-null mice. Our results show that Cyp2e1-null mice of both genders were resistant to DX-induced hepatocellular cytotoxicity. In male Cyp2e1-null mice exposed to DX for 3 months, firstly, DX metabolism to ß-hydroxyethoxyacetic acid was reduced to ~ 36% of WT levels; secondly, DX-induced hepatic redox dysregulation (lipid peroxidation, GSH oxidation, and activation of NRF2 antioxidant response) was substantially attenuated; thirdly, liver oxidative DNA damage was at a comparable level to DX-exposed WT mice, accompanied by suppression of DNA damage repair response; lastly, no aberrant proliferative or preneoplastic lesions were noted in DX-exposed livers. Overall, this study reveals, for the first time, that CYP2E1 is the main enzyme for DX metabolism at high dose and a primary contributor to DX-induced liver oxidative stress and associated cytotoxicity. High dose DX-induced genotoxicity may occur via CYP2E1-independent pathway(s), potentially involving impaired DNA damage repair.


Asunto(s)
Citocromo P-450 CYP2E1 , Dioxanos , Hígado , Ratones Noqueados , Estrés Oxidativo , Animales , Citocromo P-450 CYP2E1/metabolismo , Citocromo P-450 CYP2E1/genética , Masculino , Femenino , Hígado/efectos de los fármacos , Hígado/metabolismo , Hígado/patología , Dioxanos/toxicidad , Estrés Oxidativo/efectos de los fármacos , Daño del ADN , Ratones , Ratones Endogámicos C57BL , Glutatión/metabolismo , Carcinógenos/toxicidad , Carcinógenos/metabolismo , Enfermedad Hepática Inducida por Sustancias y Drogas/etiología , Enfermedad Hepática Inducida por Sustancias y Drogas/metabolismo , Enfermedad Hepática Inducida por Sustancias y Drogas/genética , Enfermedad Hepática Inducida por Sustancias y Drogas/patología
7.
Neurosurg Rev ; 47(1): 430, 2024 Aug 14.
Artículo en Inglés | MEDLINE | ID: mdl-39141183

RESUMEN

This letter commends the article by Luzzi et al. on alternative neuroprotection strategies for aneurysmal subarachnoid hemorrhage (SAH). It highlights the pharmacological advantages of nicardipine, cilostazol, and clazosentan over nimodipine in managing cerebral vasospasm and delayed cerebral ischemia. Emphasizing the need for personalized medicine, it advocates for integrating genetic screening and advanced monitoring techniques to tailor treatments to individual patient profiles. This approach could significantly improve clinical outcomes by optimizing drug efficacy and minimizing adverse effects.


Asunto(s)
Isquemia Encefálica , Fármacos Neuroprotectores , Nimodipina , Hemorragia Subaracnoidea , Vasoespasmo Intracraneal , Humanos , Hemorragia Subaracnoidea/complicaciones , Hemorragia Subaracnoidea/tratamiento farmacológico , Vasoespasmo Intracraneal/tratamiento farmacológico , Vasoespasmo Intracraneal/prevención & control , Vasoespasmo Intracraneal/etiología , Nimodipina/uso terapéutico , Isquemia Encefálica/tratamiento farmacológico , Isquemia Encefálica/prevención & control , Fármacos Neuroprotectores/uso terapéutico , Nicardipino/uso terapéutico , Neuroprotección/efectos de los fármacos , Cilostazol/uso terapéutico , Dioxanos/uso terapéutico , Vasodilatadores/uso terapéutico , Piridinas/uso terapéutico , Pirimidinas , Sulfonamidas , Tetrazoles
8.
Water Environ Res ; 96(8): e11108, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39147604

RESUMEN

1,4-Dioxane is a probable human carcinogen and a persistent aquatic contaminant. Cometabolic biodegradation of 1,4-dioxane is a promising low-cost and effective treatment technology; however, further demonstration is needed for treating landfill leachate. This technology was tested in two full-scale moving bed biofilm reactors (MBBRs) treating raw landfill leachate with tetrahydrofuran selected as the cometabolite. The raw leachate contained on average 82 µg/L of 1,4-dioxane and before testing the MBBRs removed an average of 38% and 42% of 1,4-dioxane, respectively. First, tetrahydrofuran was added to MBBR 1, and 1,4-dioxane removal was improved to an average of 73%, with the control MBBR removing an average of 37% of 1,4-dioxane. During this period, an optimal dose of 2 mg/L of tetrahydrofuran was identified. Tetrahydrofuran was then fed to both MBBRs, where the 1,4-dioxane removal was on average 73% and 80%. Cometabolic treatment at the landfill significantly reduced the concentration of 1,4-dioxane received from the landfill at a downstream wastewater treatment and indirect potable reuse facility, reducing the load of 1,4-dioxane from 44% to 24% after the study. PRACTITIONER POINTS: Cometabolic degradation of leachate 1,4-dioxane with THF in MBBRs is a feasible treatment technology and a low-cost technique when retrofitting existing biological treatment facilities. The MBBRs can be operated at a range of temperatures, require no operational changes beyond THF addition, and operate best at a mass ratio of THF to 1,4-dioxane of 24. Source control of 1,4-dioxane significantly reduces the concentration of 1,4-dioxane in downstream wastewater treatment plants and potable reuse facilities.


Asunto(s)
Dioxanos , Furanos , Contaminantes Químicos del Agua , Dioxanos/metabolismo , Dioxanos/química , Contaminantes Químicos del Agua/metabolismo , Contaminantes Químicos del Agua/química , Furanos/metabolismo , Biodegradación Ambiental , Reactores Biológicos , Eliminación de Residuos Líquidos/métodos , Biopelículas
9.
Arch Environ Contam Toxicol ; 87(2): 95-104, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39085588

RESUMEN

In recent years, 1,4-dioxane has emerged as a pollutant of increasing concern following widespread detection in the aquatic environment of several countries. This persistent contaminant with specific physical and chemical properties can be rapidly dispersed and transported to river banks, groundwater and drinking water. Given the limited data on its occurrence in France, it was considered necessary to assess the potential exposure of the French population to this compound in drinking water. An analytical method based on solid-phase extraction (SPE) combined with gas chromatography tandem mass spectrometry (GC-MS/MS) was developed and validated during this study with a limit of quantification (LOQ) of 0.15 µg/L. Recoveries in natural water matrices ranged from 113 to 117% with a relative bias not exceeding 17%. This method was used for a nationwide campaign at almost 300 sites, evenly distributed over 101 French départements (administrative units), including some that were overseas. Of the 587 samples analysed, only 8% had a concentration that was greater than or equal to the LOQ. 1,4-Dioxane was detected mainly (63%) in raw and treated water from sites associated with historical industrial practices related to the use of chlorinated solvents. Concentrations of 1,4-dioxane ranging from 0.19 to 2.85 µg/L were observed in the raw water and from 0.18 to 2.46 µg/L in the treated water. Drinking water treatment plants using ozonation, granular activated carbon and chlorination have limited effectiveness in the removal of 1,4-dioxane. The results of this study are the first step towards bridging the knowledge gap in the occurrence of 1,4-dioxane in France.


Asunto(s)
Dioxanos , Agua Potable , Monitoreo del Ambiente , Contaminantes Químicos del Agua , Francia , Contaminantes Químicos del Agua/análisis , Dioxanos/análisis , Agua Potable/química , Agua Potable/análisis , Monitoreo del Ambiente/métodos , Humanos , Purificación del Agua/métodos , Cromatografía de Gases y Espectrometría de Masas , Extracción en Fase Sólida , Agua Subterránea/química , Espectrometría de Masas en Tándem
10.
Arch Pharm (Weinheim) ; 357(10): e2400337, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39054609

RESUMEN

A new series of muscarinic acetylcholine receptor (mAChR) ligands obtained by inserting different substituents in position 2 of the potent 6,6-diphenyl-1,4-dioxane antagonists 4 and 5 was designed and synthesized to investigate the influence of steric bulk on the mAChR affinity. Specifically, the insertion of a 2-methyl group, affording compounds 6 and 9, resulted as the most favorable modification in terms of affinity for all muscarinic subtypes. As supported by computational studies performed on the hM1 receptor, this substituent may contribute to stabilize the ligand within the binding site by favoring the formation of stable interactions between the cationic head of the ligand and the residue D105. The increase of steric bulk, obtained by replacing the methyl group with an ethyl (7 and 10) and especially a phenyl substituent (8 and 11), caused a marked decrease of mAChR affinity, demonstrating the crucial role played by the steric bulk of the 2-substituent in the mAChR interaction. The most intriguing result was obtained with the tertiary amine 9, which, surprisingly, showed two different pKi values for all mAChRs, with preferential subpicomolar affinities for the M1, M3, and M4 subtypes. Interestingly, biphasic curves were also observed with both the eutomer (S)-(-)-9 and the distomer (R)-( + )-9.


Asunto(s)
Dioxanos , Receptores Muscarínicos , Ligandos , Dioxanos/química , Dioxanos/farmacología , Dioxanos/síntesis química , Receptores Muscarínicos/metabolismo , Receptores Muscarínicos/química , Relación Estructura-Actividad , Animales , Estructura Molecular , Antagonistas Muscarínicos/farmacología , Antagonistas Muscarínicos/química , Antagonistas Muscarínicos/síntesis química , Humanos , Sitios de Unión , Células CHO , Cricetulus , Relación Dosis-Respuesta a Droga
11.
J Hazard Mater ; 476: 135098, 2024 Sep 05.
Artículo en Inglés | MEDLINE | ID: mdl-38970977

RESUMEN

Next-generation sequencing (NGS) has revolutionized taxa identification within contaminant-degrading communities. However, uncovering a core degrading microbiome in diverse polluted environments and understanding its associated microbial interactions remains challenging. In this study, we isolated two distinct microbial consortia, namely MA-S and Cl-G, from separate environmental samples using 1,4-dioxane as a target pollutant. Both consortia exhibited a persistent prevalence of the phylum Proteobacteria, especially within the order Rhizobiales. Extensive analysis confirmed that Rhizobiales as the dominant microbial population (> 90 %) across successive degradation cycles, constituting the core degrading microbiome. Co-occurrence network analysis highlighted synergistic interactions within Rhizobiales, especially within the Shinella and Xanthobacter genera, facilitating efficient 1,4-dioxane degradation. The enrichment of Rhizobiales correlated with an increased abundance of essential genes such as PobA, HpaB, ADH, and ALDH. Shinella yambaruensis emerged as a key degrader in both consortia, identified through whole-genome sequencing and RNA-seq analysis, revealing genes implicated in 1,4-dioxane degradation pathways, such as PobA and HpaB. Direct and indirect co-cultivation experiments confirmed synergistic interaction between Shinella sp. and Xanthobacter sp., enhancing the degradation of 1,4-dioxane within the core microbiome Rhizobiales. Our findings advocate for integrating the core microbiome concept into engineered consortia to optimize 1,4-dioxane bioremediation strategies.


Asunto(s)
Biodegradación Ambiental , Dioxanos , Microbiota , Dioxanos/metabolismo , Consorcios Microbianos/genética , Proteobacteria/genética , Proteobacteria/metabolismo
12.
Biomacromolecules ; 25(8): 5149-5159, 2024 Aug 12.
Artículo en Inglés | MEDLINE | ID: mdl-39045816

RESUMEN

As one of the gaseous signals in living cells, carbon monoxide (CO) not only participates in many biological activities but also serves as a therapeutic agent for the treatment of diseases. However, the limited applicability of CO in gas therapy emerges from the inconvenience of direct administration of CO. Here we reported the construction of guanidinylated CO-releasing micelles, which are composed of poly(trimethylene carbonate) (PTMC)-based CO donors. The in vitro studies demonstrated that micelles in the presence of light irradiation can induce cancer death, whereas no obvious toxicity to normal cells was observed. Moreover, the functionalization of guanidine groups imparts improved cellular uptake efficiency to micelles owing to the specific interactions with the surface of cells, which synergistically increase the anticancer capacity of the system. The guanidine-functionalized CO-releasing micelles provide a new strategy for the construction of CO-releasing nanocarriers, which are expected to find applications in gas therapeutics.


Asunto(s)
Monóxido de Carbono , Micelas , Cemento de Policarboxilato , Monóxido de Carbono/química , Humanos , Cemento de Policarboxilato/química , Guanidina/química , Portadores de Fármacos/química , Portadores de Fármacos/síntesis química , Polímeros/química , Dioxanos/química
13.
Neurosurg Rev ; 47(1): 305, 2024 Jul 05.
Artículo en Inglés | MEDLINE | ID: mdl-38967704

RESUMEN

The clinical management of aneurysmal subarachnoid hemorrhage (SAH)-associated vasospasm remains a challenge in neurosurgical practice, with its prevention and treatment having a major impact on neurological outcome. While considered a mainstay, nimodipine is burdened by some non-negligible limitations that make it still a suboptimal candidate of pharmacotherapy for SAH. This narrative review aims to provide an update on the pharmacodynamics, pharmacokinetics, overall evidence, and strength of recommendation of nimodipine alternative drugs for aneurysmal SAH-associated vasospasm and delayed cerebral ischemia. A PRISMA literature search was performed in the PubMed/Medline, Web of Science, ClinicalTrials.gov, and PubChem databases using a combination of the MeSH terms "medical therapy," "management," "cerebral vasospasm," "subarachnoid hemorrhage," and "delayed cerebral ischemia." Collected articles were reviewed for typology and relevance prior to final inclusion. A total of 346 articles were initially collected. The identification, screening, eligibility, and inclusion process resulted in the selection of 59 studies. Nicardipine and cilostazol, which have longer half-lives than nimodipine, had robust evidence of efficacy and safety. Eicosapentaenoic acid, dapsone and clazosentan showed a good balance between effectiveness and favorable pharmacokinetics. Combinations between different drug classes have been studied to a very limited extent. Nicardipine, cilostazol, Rho-kinase inhibitors, and clazosentan proved their better pharmacokinetic profiles compared with nimodipine without prejudice with effective and safe neuroprotective role. However, the number of trials conducted is significantly lower than for nimodipine. Aneurysmal SAH-associated vasospasm remains an area of ongoing preclinical and clinical research where the search for new drugs or associations is critical.


Asunto(s)
Isquemia Encefálica , Fármacos Neuroprotectores , Nimodipina , Hemorragia Subaracnoidea , Vasoespasmo Intracraneal , Humanos , Hemorragia Subaracnoidea/complicaciones , Hemorragia Subaracnoidea/tratamiento farmacológico , Vasoespasmo Intracraneal/tratamiento farmacológico , Vasoespasmo Intracraneal/etiología , Nimodipina/uso terapéutico , Isquemia Encefálica/tratamiento farmacológico , Fármacos Neuroprotectores/uso terapéutico , Neuroprotección/efectos de los fármacos , Cilostazol/uso terapéutico , Nicardipino/uso terapéutico , Dioxanos/uso terapéutico , Vasodilatadores/uso terapéutico , Pirimidinas/uso terapéutico , Piridinas , Sulfonamidas , Tetrazoles
14.
Expert Rev Pharmacoecon Outcomes Res ; 24(8): 953-966, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-38850520

RESUMEN

BACKGROUND: Baloxavir marboxil is an oral, single-dose, cap-dependent endonuclease inhibitor that reduces the duration of influenza symptoms and rapidly stops viral shedding. We developed a susceptible, exposed, infected, recovered (SEIR) model to inform a cost-effectiveness model (CEM) of baloxavir versus oseltamivir or no antiviral treatment in the UK. RESEARCH DESIGN AND METHODS: The SEIR model estimated the attack rates among otherwise healthy and high-risk individuals in seasonal and pandemic settings. The CEM assumed that a proportion of infected patients would receive antiviral treatment. Results were reported at the population level (per 10,000 at risk of infection). RESULTS: The SEIR model estimated greater reductions in infections with baloxavir. In a seasonal setting, baloxavir provided incremental cost-effectiveness ratios (ICERs) of £1884 per quality-adjusted life-year (QALY) gained versus oseltamivir and a dominant cost-effectiveness position versus no antiviral treatment in the total population; ICERs of £2574/QALY versus oseltamivir and £128/QALY versus no antiviral treatment were seen in the high-risk population. Baloxavir was also cost-effective versus oseltamivir or no antiviral treatment and reduced population-level health system occupancy concerns during a pandemic. CONCLUSION: Baloxavir treatment resulted in the fewest influenza cases and was cost-effective versus oseltamivir or no antiviral treatment from a UK National Health Service perspective.


Baloxavir marboxil ('baloxavir') is a prescription medicine for people who become ill with influenza (or 'the flu') that can reduce how long flu symptoms last and the likelihood of complications from the flu that may require going to the hospital. Baloxavir can also reduce the amount and duration of virus shed by infected individuals thus potentially slow or stop the flu from spreading to healthy people. We studied differences in reducing predicted flu infections between baloxavir and another flu treatment, known as oseltamivir, or no flu treatment at all. Treatment with baloxavir resulted in fewer flu infections in the UK population than oseltamivir or no treatment. We then studied how these differences might affect costs between baloxavir and oseltamivir or no treatment at a population level in the UK. Overall, in the majority of scenarios explored in the model, baloxavir was cost-effective as an antiviral treatment for people with the flu in the UK.


Asunto(s)
Antivirales , Análisis Costo-Beneficio , Dibenzotiepinas , Gripe Humana , Morfolinas , Oseltamivir , Pandemias , Piridonas , Años de Vida Ajustados por Calidad de Vida , Estaciones del Año , Triazinas , Humanos , Dibenzotiepinas/economía , Gripe Humana/tratamiento farmacológico , Gripe Humana/economía , Oseltamivir/economía , Oseltamivir/administración & dosificación , Antivirales/economía , Antivirales/administración & dosificación , Triazinas/economía , Triazinas/uso terapéutico , Triazinas/administración & dosificación , Reino Unido , Piridonas/economía , Morfolinas/economía , Morfolinas/administración & dosificación , Pandemias/economía , Dioxanos/economía , Modelos Económicos , Piridinas/economía , Piridinas/uso terapéutico , Piridinas/administración & dosificación , Esparcimiento de Virus/efectos de los fármacos , Análisis de Costo-Efectividad
15.
J AOAC Int ; 107(5): 795-800, 2024 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-38941500

RESUMEN

BACKGROUND: 1,4-Dioxane (1,4-D) is a byproduct of the synthesis of surfactants, typically found in some cosmetics products such as shampoo, toothpaste, and soap. The presence of 1,4-D in cosmetics products is limited to a certain amount since 1,4-D is classified as a probable human carcinogen. OBJECTIVE: This present study was intended to validate static headspace gas chromatography-mass spectrometry (HS GC-MS) for the determination of 1,4-D in cosmetics products. METHODS: The condition of HS and GC-MS was optimized to get the best condition for analysis of 1,4-D using 1,4-dioxane-d8 (1,4-D-d8) as internal standard (IS). The developed method was validated by evaluating the key performance characteristics, including specificity, linearity, limit of detection (LoD), limit of quantification (LoQ), accuracy, and precision. RESULTS: The results showed that HS GC-MS was specific since the peaks of the selected ion monitoring (SIM) mode could be separated and confirmed at m/z 88 and m/z 96 for 1,4-D and 1,4-D-d8, respectively. The method was linear over the concentration range of 0.1287-1.2875 µg/mL, with R2 > 0.999 and RSD residuals <2.0. A collaborative study was conducted on this method, with 10 participating laboratories from four countries. The outcome of this study was found to be accurate and precise, as evidenced by the excellent recoveries ranging from 94.6% to 102.1%, and with good reproducibility with RSD values ranging from 0.2 to 1.1%. The collaborative studies exhibited that all data reported by 10 participating laboratories in four countries were inliers without any extreme values observed either in mean or RSD values. CONCLUSIONS: HS GC-MS is found to be fit and suitable for the determination of trace level of 1,4-D in cosmetics products. HIGHLIGHTS: The HS GC-MS method could be proposed as a standard method for quantitative analysis of 1,4-D in cosmetics products since the collaborative studies indicated that the developed method meet the requirement in "Guidelines for Collaborative Study Procedures to Validate Characteristics of a Method of Analysis."


Asunto(s)
Cosméticos , Dioxanos , Cromatografía de Gases y Espectrometría de Masas , Límite de Detección , Cromatografía de Gases y Espectrometría de Masas/métodos , Cosméticos/análisis , Cosméticos/química , Dioxanos/análisis , Reproducibilidad de los Resultados
16.
J Clin Neurosci ; 126: 173-181, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-38924824

RESUMEN

BACKGROUND: Aneurysmal subarachnoid hemorrhage (aSAH) is a severe event often complicated by cerebral vasospasm (CV). This study aimed to assess the efficacy and safety of clazosentan, an endothelin receptor antagonist, in reducing CV, delayed cerebral ischemia (DCI), and the need for rescue therapy in aSAH patients, while evaluating its impact on functional outcomes and mortality. METHODS: We conducted a literature search across multiple databases to identify relevant studies evaluating the effects of clazosentan in aSAH patients. Both cohort studies and randomized controlled trials (RCTs) were included. The primary outcomes were vasospasm incidence, moderate to severe vasospasm, DCI, and the need for rescue therapy. Secondary outcomes included functional outcomes, mortality, and adverse events. The data were pooled as Risk ratios (R/R) with 95 % confidence intervals (CI) using RevMan 5.4 software. RESULTS: A total of 11 studies, including 10 published and one unpublished, comprising 8,469 patients were included in the meta-analysis. Clazosentan significantly reduced the incidence of vasospasm (R/R = 0.49: 0.34-0.70), moderate to severe vasospasm (R/R = 0.53: 0.46-0.61), DCI (R/R = 0.70: 0.59-0.82), and the need for rescue therapy (R/R = 0.65: 0.52-0.83) compared to placebo. However, no significant improvement in functional outcomes or mortality rates was observed. Clazosentan was associated with increased rates of pulmonary adverse events (R/R = 1.89: 1.64-2.18), hypotension (R/R = 2.47: 1.79-3.42), and anemia (R/R = 1.49: 1.23-1.79) but no increased risk of hepatobiliary adverse events or cerebral hemorrhage. CONCLUSIONS: Clazosentan demonstrates efficacy in reducing vasospasm, moderate to severe vasospasm, DCI, and the need for rescue therapy in aSAH patients, but does not significantly improve functional outcomes or mortality rates. While associated with specific adverse events, clazosentan may be a valuable adjunctive therapy in the management of aSAH, particularly in a high-risk population for vasospasm.


Asunto(s)
Dioxanos , Piridinas , Pirimidinas , Hemorragia Subaracnoidea , Sulfonamidas , Tetrazoles , Vasoespasmo Intracraneal , Humanos , Hemorragia Subaracnoidea/tratamiento farmacológico , Hemorragia Subaracnoidea/complicaciones , Dioxanos/uso terapéutico , Piridinas/uso terapéutico , Piridinas/efectos adversos , Pirimidinas/uso terapéutico , Pirimidinas/efectos adversos , Vasoespasmo Intracraneal/tratamiento farmacológico , Vasoespasmo Intracraneal/etiología , Tetrazoles/uso terapéutico , Tetrazoles/efectos adversos , Sulfonamidas/uso terapéutico , Resultado del Tratamiento
17.
Biosensors (Basel) ; 14(6)2024 Jun 04.
Artículo en Inglés | MEDLINE | ID: mdl-38920595

RESUMEN

This work reports the development of novel curcuminoid-based electrochemical sensors for the detection of environmental pollutants from water. In this study, the first set of electrochemical experiments was carried out using curcumin-conjugated multi-walled carbon nanotubes (MWCNT-CM) for 1,4-dioxane detection. The MWCNT-CM/GCE showed good sensitivity (103.25 nA nM-1 cm-2 in the linear range 1 nM to 1 µM), with LOD of 35.71 pM and LOQ of 108.21 pM. The second set of electrochemical experiments was carried out with bisdemethoxy curcumin analog quantum dots (BDMCAQD) for hydrazine detection. The BDMCAQD/GCE exhibited good sensitivity (74.96 nA nM-1 cm-2 in the linear range 100 nM to 1 µM), with LOD of 10 nM and LOQ of 44.93 nM. Thus, this work will serve as a reference for the fabrication of metal-free electrochemical sensors using curcuminoids as the redox mediator for the enhanced detection of environmental pollutants.


Asunto(s)
Curcumina , Técnicas Electroquímicas , Hidrazinas , Nanotubos de Carbono , Hidrazinas/análisis , Curcumina/análisis , Nanotubos de Carbono/química , Dioxanos , Técnicas Biosensibles , Contaminantes Ambientales/análisis , Puntos Cuánticos , Límite de Detección , Contaminantes Químicos del Agua/análisis
18.
Biomacromolecules ; 25(7): 4523-4534, 2024 Jul 08.
Artículo en Inglés | MEDLINE | ID: mdl-38916862

RESUMEN

A backbone-substituted N-heterocyclic carbene (NHC) zinc complex, in combination with alcohol initiators, has been shown to be an effective catalyst for the ring-opening polymerization (ROP) of trimethylene carbonate (TMC) to poly(trimethylene carbonate) (PTMC) devoid of oxetane linkages. The ROP of TMC proceeded in solution to give PTMC, possessing controlled molecular mass (2500 < Mn < 10000) and low dispersity (D ∼ 1.2). Changing the alcohol initiators, PTMCs with different end-groups were obtained, included a telechelic polymer. The results of MALDI-ToF and NMR analysis confirmed the controlled/living nature of the present ROP catalytic system, where side reactions, such as inter- and intramolecular transesterifications, were minimized during the polymerization. Solution studies in different solvents demonstrated the polymerization reaction to proceed via a mechanism first order in monomer and in catalyst. The zinc complex was also able to convert substituted cyclic carbonates, which were purposely synthesized from renewable feedstocks such as CO2 and 1,3-diols. For the asymmetric 2-Me TMC monomer, good regioselectivity was observed (Xreg up to 0.92). The excellent control of the polymerization process was finally brought to light through the preparation of polycarbonate/polyether triblock copolymers by using polyethylene glycol (PEG) as a macroinitiator and of well-defined di- and triblock polycarbonate/polylactide copolymers by sequential ROP of TMC and L-LA.


Asunto(s)
Cemento de Policarboxilato , Polimerizacion , Zinc , Cemento de Policarboxilato/química , Zinc/química , Catálisis , Dióxido de Carbono/química , Metano/química , Metano/análogos & derivados , Polímeros/química , Carbonatos/química , Complejos de Coordinación/química , Compuestos Heterocíclicos/química , Dioxanos/química , Poliésteres/química , Poliésteres/síntesis química
19.
Acta Chim Slov ; 71(2): 226-235, 2024 Apr 17.
Artículo en Inglés | MEDLINE | ID: mdl-38919103

RESUMEN

A Quantitative structure-retention relationship (QSRR) analysis has been carried out on the chromatography parameters of lipophilicity of selected spirohydantoins. Multiple linear regression (MLR) was applied for construct the QSRR models. The chromatographic parameters of lipophilicity were determined by reversed-phase thin-layer chromatography. Chromatographic analyses were performed on C-18 modified silica gel with a two-component mobile phase consisting of water and protic organic solvent (ethanol, n-propanol, i-propanol, or t-butanol) in different ratios. QSRR models were built and for additional four aqueous mobile phases: acetone-water, acetonitrile-water, tetrahydrofuran-water, and 1,4-dioxane-water (results published before). In total, chromatographic lipophilicity parameters obtained for two types of organic solvents was subject of the QSRR. The predictive ability of each model was defined by an internal validation coefficient. The best QSRR model for predicting the chromatographic parameter of lipophilicity was obtained for tetrahydrofuran as an organic solvent.


Asunto(s)
Hidantoínas , Cromatografía en Capa Delgada , Hidantoínas/química , Relación Estructura-Actividad Cuantitativa , Compuestos de Espiro/química , Solventes/química , Modelos Lineales , Dioxanos
20.
J Pept Sci ; 30(11): e3626, 2024 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-38810988

RESUMEN

Polylactide (PLA), a biocompatible and biodegradable polymer, is widely used in diverse biomedical applications. However, the industry standard for converting lactide into PLA involves toxic tin (Sn)-based catalysts. To mitigate the use of these harmful catalysts, other environmentally benign metal-containing agents for efficient lactide polymerization have been studied, but these alternatives are hindered by complex synthesis processes, reactivity issues, and selectivity limitations. To overcome these shortcomings, we explored the catalytic activity of Cu-(Phe)2 and Zn-(Phe)2 metal-amino acid co-assemblies as potential catalysts of the ring-opening polymerization (ROP) of lactide into PLA. Catalytic activity of the assemblies was monitored at different temperatures and solvents using 1H-NMR spectroscopy to determine the catalytic parameters. Notably, Zn-(Phe)2 achieved >99% conversion of lactide to PLA within 12 h in toluene under reflux conditions and was found to have first-order kinetics, whereas Cu-(Phe)2 exhibited significantly lower catalytic activity. Following Zn-(Phe)2-mediated catalysis, the resulting PLA had an average molecular weight of 128 kDa and a dispersity index of 1.25 as determined by gel permeation chromatography. Taken together, our minimalistic approach expands the realm of metal-amino acid-based supramolecular catalytic nanomaterials useful in the ROP of lactide. This advancement shows promise for the future design of simplified biocatalysts in both industrial and biomedical applications.


Asunto(s)
Poliésteres , Polimerizacion , Catálisis , Poliésteres/química , Poliésteres/síntesis química , Zinc/química , Cobre/química , Aminoácidos/química , Dioxanos/química
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