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1.
Allergy ; 64(1): 166-71, 2009 Jan.
Article in English | MEDLINE | ID: mdl-19076546

ABSTRACT

BACKGROUND: The optimal dose of five-grass pollen sublingual tablet immunotherapy (SLIT) was established recently by the primary criteria Rhinoconjunctivitis Total Symptom Score (RTSS) from the first treatment season. Secondary and exploratory criteria, such as RTSS at peak pollen season, exploratory combined symptom and rescue medication use score, quality of life and immunological markers are calculated and described in this analysis. METHODS: Six hundred and twenty-eight patients with grass pollen rhinoconjunctivitis (> or =2 years duration) were randomized in a double-blind, placebo-controlled trial conducted in Europe. Patients received once-daily SLIT (Stallergenes, Antony, France) of 100IR, 300IR, 500IR or placebo, starting 4 months before grass pollen season and throughout the 2005 season. Patients were instructed to take rescue medication only if symptoms were severe and record symptom severity on using the RTSS. RESULTS: Both 300IR and 500IR doses significantly reduced mean RTSS at pollen peak (P = 0.0005 and P = 0.0014, respectively) and the exploratory combined score (P = 0.0001 and P = 0.0026, respectively) compared with placebo. Compared with patients in the placebo group, those who were taking the 300IR and 500IR doses reported significantly improved quality of life using the mean Rhinoconjunctivitis Quality of Life Questionnaire scores during the peak of the pollen season (P < 0.0001) and at the end of the pollen season (P = 0.0031 and P < or = 0.0001, respectively). Specific immunoglobulin G4 increased significantly depending on the SLIT dose (P < 0.0001). CONCLUSIONS: All secondary efficacy criteria, including efficacy at pollen peak, combined score, quality of life and immunological changes, indicate that 300IR tablets represent the optimal dose and suggest it is appropriate for use in clinical practice.


Subject(s)
Conjunctivitis, Allergic/therapy , Immunotherapy/methods , Poaceae , Pollen/immunology , Rhinitis, Allergic, Seasonal/therapy , Administration, Sublingual , Biomarkers/analysis , Dose-Response Relationship, Drug , Double-Blind Method , Europe , Humans , Quality of Life , Treatment Outcome , Vaccines/administration & dosage
2.
J Natl Cancer Inst ; 86(2): 110-7, 1994 Jan 19.
Article in English | MEDLINE | ID: mdl-7903701

ABSTRACT

BACKGROUND: A 190k (190-kilodalton) membrane protein has been identified in several multidrug-resistant (MDR) cell lines that show decreased drug accumulation without expression of P-glycoprotein. It is not clear whether this 190k protein is involved directly in drug efflux. Recently, a gene for a putative transporter protein, MRP (multidrug resistance-associated protein) has been sequenced and localized to chromosome 16. The protein encoded by this gene contains a 7-amino-acid sequence present in the synthetic peptide used to generate the antiserum recognizing the 190k protein. PURPOSE: The study was undertaken to clarify the relationship of the 190k protein to MRP gene expression in non-P-glycoprotein-containing MDR cells of the large-cell and adenocarcinoma lung cancer lines, COR-L23 and MOR. METHODS: Expression of the 190k protein was determined by Western blot analysis and that of the MRP gene by polymerase chain reaction amplification of complementary DNA reverse transcribed from RNA. Abnormalities of chromosome 16 were investigated in chromosome spreads by fluorescence in situ hybridization. RESULTS: The amount of detectable 190k protein is closely associated with degree of drug resistance. Cell lines surviving in higher drug concentrations have greater amounts of protein, and revertant lines grown without drug for up to 28 weeks show reduced expression of the protein together with enhanced drug sensitivity. The 190k protein appears to be one of the major proteins differentially expressed in membranes of drug-resistant cells. The amount of MRP messenger RNA correlates closely with that of the 190k protein. The MDR cells contain amplified chromosome 16 material with many double minutes in the large-cell lung tumor lines and an enlarged chromosome 16 in the adenocarcinoma lines. CONCLUSION: The 190k protein detected immunologically is likely to be the protein, encoded by the MRP gene, which becomes overexpressed in these cells as a consequence of chromosomal amplification and fragmentation. IMPLICATION: Though associated with drug resistance, enhanced drug efflux, and decreased drug accumulation in cell lines, the role of this protein in clinical resistance has yet to be determined.


Subject(s)
Adenocarcinoma/genetics , Carcinoma, Large Cell/genetics , Carcinoma, Small Cell/genetics , Drug Resistance/genetics , Lung Neoplasms/genetics , Membrane Proteins/genetics , ATP Binding Cassette Transporter, Subfamily B, Member 1 , Adenocarcinoma/metabolism , Amino Acid Sequence , Animals , Base Sequence , Blotting, Western , Carcinoma, Large Cell/metabolism , Carcinoma, Small Cell/metabolism , Carrier Proteins , Chromosome Aberrations , Chromosome Disorders , Chromosomes, Human, Pair 16 , Drug Resistance/physiology , Gene Expression , Humans , In Situ Hybridization, Fluorescence , Lung Neoplasms/metabolism , Membrane Glycoproteins , Membrane Proteins/biosynthesis , Membrane Proteins/isolation & purification , Molecular Sequence Data , Polymerase Chain Reaction , Rabbits , Tumor Cells, Cultured
3.
Biochim Biophys Acta ; 1325(1): 99-107, 1997 Apr 03.
Article in English | MEDLINE | ID: mdl-9106487

ABSTRACT

Iodide efflux, an index of anion permeability, has been monitored in cultured rat brain endothelial cells. Following hypotonicity-induced swelling, large, rapid increases in permeability occur, the extent of these increases depending on the degree of hypotonicity. Such large responses are not observed with rat aortic endothelial cells. Results of anion substitution experiments suggest that iodide efflux is via a chloride channel rather than an exchanger. The efflux increase is blocked by NPPB (100 microM) but not by DIDS or DPC at 100 microM. It is dependent on intracellular ATP but unaffected by removal of external calcium. Increasing internal calcium using A23187 does not produce a change in efflux, but depletion of calcium reduces or eliminates the response to hypotonicity. The response is reduced by pimozide (2-50 microM) that inhibits the actions of calmodulin and by pBPB (10 microM) that affects phospholipase A2 activity. It is eliminated by 5-lipoxygenase inhibitors (L-656,224 and ETH615, 10 microM) but is unaffected by cyclo-oxygenase inhibitors (indomethacin and piroxicam, 1-100 microM). It is blocked by some modulators of P-glycoprotein activity, e.g., verapamil (100 microM), tamoxifen (50 microM), and progesterone (100 microM) but not by others, e,g., forskolin (40 microM), dideoxyforskolin (40 microM), quinidine (100 microM) and cyclosporin A (10 microM).


Subject(s)
ATP Binding Cassette Transporter, Subfamily B, Member 1/metabolism , Brain/blood supply , Cell Membrane Permeability/physiology , Endothelium, Vascular/metabolism , ATP Binding Cassette Transporter, Subfamily B, Member 1/antagonists & inhibitors , Animals , Anions/metabolism , Aorta/cytology , Biological Transport , Blood-Brain Barrier/physiology , Capillary Permeability/physiology , Cells, Cultured , Cyclooxygenase Inhibitors/pharmacology , Endothelium, Vascular/drug effects , Enzyme Inhibitors/pharmacology , Hypotonic Solutions/pharmacology , Iodides/metabolism , Lipoxygenase Inhibitors/pharmacology , Phospholipases A/antagonists & inhibitors , Phospholipases A2 , Rats
4.
FEBS Lett ; 374(2): 179-83, 1995 Oct 30.
Article in English | MEDLINE | ID: mdl-7589529

ABSTRACT

In vivo expression of P-glycoprotein in isolated rat brain microvessels is compared with that in vitro in primary cultures of brain endothelial cells. More P-glycoprotein is detected by Western immunoblotting in microvessels than in cultured endothelium. RT-PCR with isoform-specific primers and immunoblotting with a mdr1b-specific antibody reveals only mdr1a in vivo but both mdr1a and mdr1b in vitro. Thus mdr1a decreases whereas mdr1b increases during culture. P-Glycoprotein activity is evident in vitro, with resistance modulators, e.g. verapamil, producing increases in intracellular [3H]vincristine accumulation. Endothelial cells cultured from epididymal fat pad microvasculature and aorta contain little or no P-glycoprotein. Here, resistance modulators are less effective.


Subject(s)
ATP Binding Cassette Transporter, Subfamily B, Member 1/biosynthesis , Endothelium, Vascular/metabolism , ATP Binding Cassette Transporter, Subfamily B, Member 1/drug effects , Adipocytes/cytology , Animals , Aorta/cytology , Base Sequence , Brain/blood supply , Brain/cytology , Capillaries/metabolism , Cells, Cultured , Cytotoxins/pharmacology , DNA Primers , Doxorubicin/pharmacology , Endothelium, Vascular/drug effects , Epididymis/cytology , Male , Molecular Sequence Data , Rats , Rats, Wistar , Verapamil/pharmacology , Vincristine/pharmacology
5.
FEBS Lett ; 417(3): 395-9, 1997 Nov 17.
Article in English | MEDLINE | ID: mdl-9409759

ABSTRACT

Hypotonicity-induced anion permeability changes were investigated but not detected in immortalised (RBE4) rat brain endothelial cells using iodide efflux measurements. Large, rapid increases were however observed in primary cultured cells. Both cell types were reinvestigated following culture in a common growth factor-depleted medium. Responses were still undetectable in the immortalised RBE4 cells. Reduced responses were observed in the primary cultured cells that also showed altered morphology and decreased activity of another transporter, P-glycoprotein. Thus both immortalisation and different culture conditions may alter functional expression in these cells of transporters involved in hypotonicity-induced anion permeability changes.


Subject(s)
ATP Binding Cassette Transporter, Subfamily B, Member 1/metabolism , Cell Membrane Permeability/physiology , Cerebral Cortex/blood supply , Endothelium, Vascular/physiology , Iodides/metabolism , ATP Binding Cassette Transporter, Subfamily B, Member 1/drug effects , Animals , Anions/metabolism , Cell Line, Transformed , Cyclosporine/pharmacology , Endothelium, Vascular/cytology , Hypotonic Solutions , Kinetics , Microcirculation , Rats , Verapamil/pharmacology , Vincristine/pharmacokinetics
6.
Eur J Cancer ; 29A(3): 408-15, 1993.
Article in English | MEDLINE | ID: mdl-8398342

ABSTRACT

The doxorubicin-selected multidrug resistant (MDR) human large cell lung cancer line COR-L23/R, lacks P-glycoprotein but shows a drug accumulation deficit. It does however overexpress a 190k membrane protein which shares an epitope with, but is otherwise distinct from, P-glycoprotein. The resistant cells show only a small sensitisation to vincristine and daunorubicin on treatment with cyclosporin A and its more potent analogue, PSC-833 despite an increase in drug accumulation. Verapamil, another effective resistance modifier in P-glycoprotein MDR cells, is slightly more effective. Fluorescent daunorubicin distributes in the cytoplasm and nucleus of sensitive parent COR-L23 cells but is confined to cytoplasmic perinuclear vesicles in resistant cells. Addition of cyclosporin A or PSC-833 slightly increases cytoplasmic fluorescence whereas verapamil also increases nuclear fluorescence. Resistance in this non-P-glycoprotein MDR line, COR-L23/R where these resistance modifiers have little effect may be associated with expression of the 190k protein.


Subject(s)
Carcinoma, Non-Small-Cell Lung/drug therapy , Cyclosporine/pharmacology , Cyclosporins/pharmacology , Lung Neoplasms/drug therapy , Neoplasm Proteins/metabolism , Carcinoma, Non-Small-Cell Lung/metabolism , Daunorubicin/metabolism , Humans , Lung Neoplasms/metabolism , Membrane Proteins/metabolism , Molecular Weight , Neoplasm Proteins/chemistry , Tumor Cells, Cultured/drug effects , Verapamil/pharmacology , Vincristine/metabolism
7.
Eur J Cancer ; 30A(11): 1705-9, 1994.
Article in English | MEDLINE | ID: mdl-7833148

ABSTRACT

In a number of cell lines with a multidrug resistant phenotype, there is no overexpression of the putative efflux pump, P-glycoprotein. Some such lines do, however, overexpress the MRP gene which encodes a protein bearing considerable amino acid homology to P-glycoprotein. We have used in situ hybridisation to study expression of the MRP gene in human cell lines, lung tumours (representing all the major histologies) and normal lung tissue. Considerable heterogeneity of expression was seen in parental cell line COR-L23/P whereas relatively uniform high-level expression was seen in the resistant line COR-L23/R. Normal bronchial epithelium was strongly positive, but the major epithelial component of all eight lung tumours studied showed only a negative to weak signal. However, the leading edge of the tumours consistently produced a more intense signal similar to that in normal epithelium. Areas of lymphocytic infiltrate were more strongly positive than the tumour epithelium. These results suggest that expression of the MRP gene may be a significant factor determining response of lung tumours to chemotherapy, but that considerable caution is needed in the interpretation of expression studies carried out on homogenised tissue biopsies.


Subject(s)
ATP Binding Cassette Transporter, Subfamily B, Member 1/genetics , Drug Resistance, Multiple/genetics , Lung Neoplasms/genetics , Base Sequence , Blotting, Northern , Gene Expression , Humans , In Situ Hybridization , Molecular Sequence Data , Oligonucleotide Probes , RNA, Messenger/genetics , RNA, Neoplasm/genetics , Tumor Cells, Cultured
8.
Br J Pharmacol ; 102(2): 408-14, 1991 Feb.
Article in English | MEDLINE | ID: mdl-2015422

ABSTRACT

1. 59Fe absorption from the novel iron compound, ferric maltol, was studied in rats pretreated twice daily for two weeks with non-radioactive ferric maltol in oral doses containing 7 mg elemental iron. Tissue accumulation of 59Fe 2 h after administration of radioactive ferric maltol into the stomach was significantly lower in iron pretreated animals than in saline-treated controls. 2. 59Fe uptake from ferric maltol into isolated fragments of ileum and of duodenum was of similar magnitude in control animals but in iron-treated animals, duodenal uptake was significantly lower than that of the ileum. 3. Absorption of 59Fe was also investigated in anaesthetized rats after intestinal perfusion with saline (controls) or with 5 mM chenodeoxycholate to render the intestines more permeable. 4. Changes in permeability of the small intestine were monitored by estimating the amount of [14C]-mannitol absorbed and fluid secreted with reference to the non-absorbable [3H]-inulin in the perfusate effluents. 5. Despite the increased permeability of the intestines after bile salt treatment, there was little difference from control in the tissue accumulation of 59Fe from ferric maltol 2 h after intraduodenal administration. However 59Fe absorption from ferrous sulphate was significantly increased after bile salt treatment. 6. Gel filtration profiles of plasma made 5 and 60 min after intraduodenal administration of [59Fe]-ferric [3H]-maltol demonstrated that metal and ligand do not enter the circulation as the complex even when intestinal permeability is increased. 7. Uptake of 59Fe was investigated in isolated fragments of rat small intestine after saline or bile salt perfusion. Although 59Fe uptake from ferric maltol was somewhat greater in the bile salt-treated intestinal fragments, saturable kinetics were still observed. By contrast, "Fe uptake from ferrous sulphate: ascorbate was greatly enhanced by bile salt pretreatment and a very large diffusional component of uptake was evident. 8. It is concluded that iron uptake from ferric maltol may well be under endogenous regulatory control even in damaged intestines, so it is unlikely that this novel iron compound can bring about iron overload when administered orally.


Subject(s)
Ferric Compounds/pharmacokinetics , Intestine, Small/metabolism , Iron/pharmacokinetics , Pyrones/pharmacokinetics , Animals , Biological Transport, Active , Ferrous Compounds/pharmacokinetics , In Vitro Techniques , Intestinal Absorption , Intestine, Small/ultrastructure , Male , Microscopy, Electron , Perfusion , Rats , Rats, Inbred Strains
9.
Br J Pharmacol ; 102(3): 723-9, 1991 Mar.
Article in English | MEDLINE | ID: mdl-1364845

ABSTRACT

1. The fate and disposition of [59Fe]-ferric [3H]-maltol after intravenous administration were investigated in anaesthetized rats. Immediate dissociation of ferric iron from maltol took place in the circulation even with high doses of ferric maltol (containing 1 mg elemental iron). In plasma samples withdrawn within 1 min of injection and subjected to gel filtration, 59Fe eluted with the high molecular weight proteins whilst the tritium was associated with low molecular weight material. 2. The rates of elimination of 59Fe and of tritium from the plasma and their ultimate fate were very different. The half life for 59Fe in the plasma was around 70 min and 59Fe appeared mainly in the bone marrow and liver. There was an initial rapid exit of tritium from the plasma with a half life of around 12 min. This was followed either by a plateau or by a rise in tritium levels, involving entry of maltol metabolites into the circulation. These metabolites could be recovered in the urine. 3. Entry of 59Fe and of tritium into the blood plasma after intraduodenal administration of [59Fe]-ferric [3H]-maltol was also very different. At low doses of ferric maltol (containing 100 micrograms elemental iron), the tritium appeared in the plasma in highest amounts within seconds and then decreased whilst there was a slow rise in 59Fe levels. At higher doses of ferric maltol (containing 7 mg elemental iron), levels of 59Fe in the plasma were highest at 5 min and then fell whereas tritium levels rose steadily. Mucosal processing of 59Fe prevented further entry of iron at high dose into the circulation. 4. Initial rates of uptake of [3H]-maltol into isolatcd intestinal fragments were measured over a range of concentrations and revealed that maltol alone could diffuse freely into the tissues whereas maltol complexed to iron showed saturable uptake kinetics similar to those seen with the iron itself. 5. After intestinal uptake, 59Fe and tritium were associated with different subcellular fractions, maltol itself being metabolized to the glucuronide conjugate within the intestinal mucosa. 6. It is concluded that dissociation of metal and ligand takes place before entry into the intestinal mucosa. Iron is then taken up on the endogenous carrier and processed in the normal way whilst maltol enters by diffusion, its rate of entry being limited by the degree of dissociation. It is subsequently metabolized by conjugation and eliminated rapidly from the body in the urine.


Subject(s)
Ferric Compounds/pharmacokinetics , Intestinal Absorption , Pyrones/pharmacokinetics , Animals , Injections, Intravenous , Iron/pharmacokinetics , Male , Rats , Rats, Wistar , Tritium
10.
Biochem Pharmacol ; 62(2): 199-206, 2001 Jul 15.
Article in English | MEDLINE | ID: mdl-11389878

ABSTRACT

The ATP-dependent transport of natural product drugs, e.g. vincristine, by multidrug resistance-associated protein (MRP1) requires reduced glutathione (GSH), whilst that of anionic substrates does not. The present results suggest, however, that GSH can modulate transport of anionic species. Efflux of fluorescent anionic substrates was measured from adherent MRP1-expressing human multidrug-resistant lung tumour cells, COR-L23/R, and drug-sensitive parental cells. As expected, much greater efflux of calcein, methylfluorescein-glutathione (GS-MF), and 2',7'-bis-(2-carboxyethyl)-5-(and-6)-carboxyfluorescein (BCECF) was observed from the resistant cells. Unexpectedly, lowering GSH levels in COR-L23/R cells by inhibiting GSH synthesis with buthionine sulfoximine decreased efflux of calcein and of GS-MF (3-fold and 1.6-fold) but not efflux of BCECF. Transport of the anionic conjugate dinitrophenyl-glutathione ([(3)H]DNP-SG) was investigated by following its uptake into inside-out plasma membrane vesicles prepared from the MRP1-expressing cells. At least 90% of the ATP-dependent uptake was blockable by the anti-MRP1 antibody QCRL-3 and 100 microM vincristine inhibited uptake but only in the presence of 1--3 mM GSH, suggesting MRP1 to be the protein primarily responsible for this transport. Agents shown to reduce efflux of calcein from resistant cells, i.e. indomethacin, MK-571, and probenecid, also inhibited [(3)H]DNP-SG uptakes, consistent with MRP1 being responsible for export of calcein. At concentrations achievable within cells, GSSG (70 microM) inhibited uptake whereas GSH (1 and 3 mM) enhanced uptake. We suggest that variations in both GSH and GSSG levels within cells may affect MRP1-mediated anion transport.


Subject(s)
ATP-Binding Cassette Transporters/metabolism , Anions/metabolism , Glutathione/pharmacology , Biological Transport , Glutathione/metabolism , Glutathione Disulfide/pharmacology , Humans , Multidrug Resistance-Associated Proteins , Tumor Cells, Cultured
11.
Biochem Pharmacol ; 37(10): 2051-7, 1988 May 15.
Article in English | MEDLINE | ID: mdl-3377810

ABSTRACT

Accumulation of radioactive iron (59Fe) into isolated fragments of rat small intestine in the presence of two hydroxypyrones, maltol and ethyl maltol, was compared with that in the presence of another chelator of iron(III), nitrilotriacetic acid (NTA). The characteristics of uptake were similar with all three ligands. Between 10(-6) and 10(-4) M, iron uptake showed saturable kinetics. The uptake was partially inhibited by metabolic inhibitors. Above 10(-4) M a non-saturable uptake, unaffected by metabolic inhibitors became evident in the presence of the pyrones. The distribution of 59Fe after uptake was determined by gel filtration. At low iron concentrations (10(-6) M), 35-40% of absorbed iron was associated with proteins of molecular weights similar to those of ferritin and transferrin. At high concentrations (10(-3) M), the majority of 59Fe was found in a low molecular weight fraction. At each concentration, a small amount of 59Fe was bound to a membrane fraction. 5% Polyethylene glycol, which reduces glycocalyx viscosity enhanced uptake at low iron concentrations (10(-6) M) but did not affect the non-saturable diffusion seen at higher concentrations (10(-3) M). The iron(II) chelator, bathophenanthroline sulphonate (10(-3) M), decreased uptake at low iron concentrations but did not affect the non-saturable uptake. It is suggested that conversion of iron(III) to iron(II) may take place at the mucosal cell surface before uptake via the saturable system. Apparent Km values for iron uptake via the saturable system were higher in the presence of maltol and ethyl maltol than in the presence of NTA, presumably since the iron binds more avidly to the hydroxypyrones and so is less readily donated. Excess ligand, either pyrone or NTA, reduced the rate at which 59Fe was donated to the uptake system. The Vmax value for uptake from the pyrones was greater than from NTA. It is concluded that maltol, ethyl maltol and NTA can hold iron(III) in solution and donate it to an endogenous uptake system. But, the hydroxypyrones may be more suitable ligands for the oral administration of iron since, when complexed with iron, they lack the toxic effects associated with iron(III)-NTA and with iron(II) preparations.


Subject(s)
Intestine, Small/metabolism , Iron/pharmacokinetics , Pyrans/pharmacology , Pyrones/pharmacology , Animals , Chelating Agents/pharmacology , In Vitro Techniques , Intestinal Mucosa/metabolism , Male , Nitrilotriacetic Acid/pharmacology , Polyethylene Glycols/pharmacology , Rats , Rats, Inbred Strains
12.
Biochem Pharmacol ; 50(10): 1725-9, 1995 Nov 09.
Article in English | MEDLINE | ID: mdl-7503777

ABSTRACT

The drug transport protein, P-glycoprotein, confers multidrug resistance (MDR) by expelling drugs across the cell surface. The structurally similar multidrug resistance-associated protein, or MRP, is also involved with drug efflux. In MDR variants of the human lung tumour cell line COR-L23 that overexpress MRP, there are also changes in intracellular drug distribution. To ascertain whether MRP could be involved in either process, experiments were performed to identify where MRP was located in these cells. Following separation of membranes by sucrose gradient centrifugation, MRP was found predominantly in the lighter membrane fractions containing plasma membrane enzyme activity. Immunofluorescent staining with a monoclonal antibody raised against MRP confirmed that MRP is present at the cell surface of these MDR lung tumour cells.


Subject(s)
ATP-Binding Cassette Transporters/analysis , Carcinoma, Non-Small-Cell Lung/chemistry , Drug Resistance, Multiple , Drug Resistance, Neoplasm , Lung Neoplasms/chemistry , Amino Acid Sequence , Antibodies, Monoclonal , Cell Membrane/chemistry , Humans , Immunohistochemistry , Intracellular Membranes/chemistry , Molecular Sequence Data , Multidrug Resistance-Associated Proteins , Subcellular Fractions/chemistry , Tumor Cells, Cultured
13.
Pediatr Infect Dis J ; 19(6): 516-21, 2000 Jun.
Article in English | MEDLINE | ID: mdl-10877165

ABSTRACT

OBJECTIVE: To compare the immunogenicity and safety of a trivalent tetanus-diphtheria (low toxoid content)-inactivated poliomyelitis vaccine, Td-IPV (Revaxis; Pasteur MeriĆØux), with a tetanus-diphtheria (low toxoid content) vaccine, Td (Td-Impfstoff MĆ©rieux; Pasteur MeriĆØux), when administered as a booster to children age 6 to 9 years. METHODS: A group of 301 children were randomized and vaccinated with Td-IPV (n = 150) or Td (n = 151) in this open, controlled, multicenter trial. Serum specimens were obtained before and 28 days after vaccination. Safety was assessed for up to 28 days postvaccination by parental diary cards. Solicited local and systemic reactions were recorded for 7 days after vaccination. RESULTS: Seroprotection (enzyme-linked immunosorbent assay titer, > or =0.10 IU/ml) against tetanus and diphtheria was induced by either Td-IPV or Td in all subjects. Tetanus and diphtheria geometric mean titer were higher after Td (34.0 and 5.74 IU/ml) than after Td-IPV (15.9 and 4.38 IU/ml). All subjects boosted with Td-IPV were seroprotected against each type of poliovirus (neutralizing antibody titer, > or =5/dilution). The most frequently reported solicited local and systemic symptoms were pain triggered by movement of the arm (54% vs. 39.1%) and headache (17.3% vs. 7.3%), after Td-IPV and Td, respectively. All other events were similar between the two groups. Reactions were generally mild and all were temporary. CONCLUSIONS: A booster dose of Td-IPV induced in all children seroprotection against tetanus, diphtheria and poliomyelitis. The overall safety profile of the two vaccines was acceptable.


Subject(s)
Diphtheria Toxoid/immunology , Poliovirus Vaccine, Inactivated/immunology , Tetanus Toxoid/immunology , Vaccines, Combined/immunology , Child , Diphtheria Toxoid/adverse effects , Female , Humans , Immunization, Secondary , Male , Poliovirus Vaccine, Inactivated/adverse effects , Tetanus Toxoid/adverse effects , Vaccines, Combined/adverse effects , Vaccines, Inactivated/adverse effects , Vaccines, Inactivated/immunology
14.
Neuroreport ; 12(7): 1329-34, 2001 May 25.
Article in English | MEDLINE | ID: mdl-11388405

ABSTRACT

The suitability of various commercially available endothelial cell lines in studies of astrocytic/endothelial cell interactions was assessed. The endothelial-like cell line ECV304 was compared with T24/83, Eahy929, and b.End5 and rat cerebral endothelial cells in their ability, when co-cultured with rat (C6) glioma cells, to form a transendothelial electrical resistance (TEER), an indicator of tight junction formation which is an important property of the blood-brain barrier. As reported previously, the basal TEER of ECV304 cell monolayers was significantly enhanced upon co-culture, an effect reproduced by human 1321N1 astrocytes and primary rat astrocytes. T24/83 cells formed a patchy, gapped monolayer, which produced a poor basal TEER with little in the way of an increase upon co-culture. Similarly, all the other cell monolayers analysed demonstrated poor TEERs that were only moderately increased upon co-culture. These data confirm that while no endothelial cell line with ideal features is available, ECV304 cells remain an appropriate choice especially for studies of astrocyte/endothelial cell interactions.


Subject(s)
Astrocytes/cytology , Blood-Brain Barrier/physiology , Cell Communication/physiology , Cell Line, Transformed/cytology , Cell Membrane Permeability/physiology , Endothelium, Vascular/cytology , Animals , Astrocytes/metabolism , Cell Line, Transformed/metabolism , Coculture Techniques , Culture Media/pharmacology , Electric Impedance , Electric Stimulation , Endothelium, Vascular/metabolism , Fetus , Humans , Membrane Potentials/physiology , Mice , Models, Biological , Rats , Tight Junctions/metabolism
15.
J Neural Transm Suppl ; 23: 37-54, 1987.
Article in English | MEDLINE | ID: mdl-3295116

ABSTRACT

The semicarbazide-sensitive amine oxidases (SSAOs) comprise a substantial but diffuse group of enzymes separable from classical monoamine oxidase in several respects. Differences in cofactor requirement, molecular weight and subcellular distribution are crucial for such a separation. Differential sensitivity to enzyme inhibitors, characterized by resistance to inhibition by acetylenic MAO inhibitors coupled with sensitivity to semicarbazide and some related compounds are characteristic of these enzymes. SSAO enzymes have been found in the plasma of man, ox, pig and horse, for example as well as in the solid tissues of many species. Extensive studies have so far failed to produce any conclusive evidence to indicate what the precise functions of many of these enzymes may be. Indeed in most cases there is no clear idea as to the nature of the preferred physiological substrate, although many amines with pharmacological activity have been shown to be substrates. The actions of these amines may be potentiated following inhibition of SSAO, but as yet little is known whether or not these actions can be important in vivo. An attempt is made in this review to bring together some of the evidence to see if there are indications for future endeavours.


Subject(s)
Amine Oxidase (Copper-Containing) , Oxidoreductases Acting on CH-NH Group Donors/analysis , Semicarbazides/pharmacology , Humans , Molecular Weight , Oxidoreductases Acting on CH-NH Group Donors/antagonists & inhibitors , Substrate Specificity
16.
Int J Clin Pharmacol Ther ; 38(3): 122-9, 2000 Mar.
Article in English | MEDLINE | ID: mdl-10739115

ABSTRACT

BACKGROUND: The ATP-dependent drug transporter proteins, P-glycoprotein (Pgp) and the multidrug resistance-associated protein (MRP) are known to be involved in drug efflux that reduces drug accumulation and so renders tumor cells resistant to the cytotoxic effects of a number of anticancer agents. The ways in which these transporters bring about drug expulsion are not fully explained and may involve intracellular factors as well. Thus detailed evidence may be difficult to obtain from studies on intact cells. MATERIAL AND METHODS: Inside-out plasma membrane vesicles prepared from multidrug-resistant cells expressing high amounts of Pgp or of MRP provide a simpler system for investigating the interactions of putative substrates and resistance modifiers with the transport process. We consider here some aspects of the accumulation of radiolabelled vincristine and of dinitrophenol glutathione conjugate by these vesicles and demonstrate the usefulness of this approach for determining whether potential inhibitors have their effects on transport at the cell membrane or by more indirect means. CONCLUSIONS: We show that information gained from analysis of the ATP-dependence, time course and osmotic sensitivity of accumulation is helpful in distinguishing between transport and changes in binding. We have also used the technique to demonstrate the effects of the resistance modifier, XR-9051 on Pgp-mediated transport and to explore interactions of MK571, indomethacin and ethacrynic acid with MRP.


Subject(s)
ATP Binding Cassette Transporter, Subfamily B, Member 1/physiology , Antigens, CD/physiology , Antineoplastic Agents, Phytogenic/metabolism , Cell Membrane/metabolism , Membrane Glycoproteins , Synaptic Vesicles/metabolism , Tumor Cells, Cultured/metabolism , Vincristine/metabolism , Adenosine Triphosphate/metabolism , Drug Interactions , Glutathione/analogs & derivatives , Glutathione/metabolism , Humans , Leukotriene Antagonists/metabolism , Propionates/metabolism , Quinolines/metabolism , Tetraspanin 29
17.
J Pharm Pharmacol ; 42(4): 276-9, 1990 Apr.
Article in English | MEDLINE | ID: mdl-1974297

ABSTRACT

Lipid peroxidation effects of ferric maltol have been compared with those of ferrous sulphate both in lecithin liposomes and in brush border and mitochondrial membranes prepared from rat small intestine. Ferrous sulphate, but not ferric maltol, initiated peroxidation in liposomes as measured by conjugated diene production, but, with 500 microM ascorbic acid present, both caused intense peroxidation which was inhibitable by N2, tocopherol, maltol and ferrous chelators, but not by OH or H2O2 scavengers. The rate of peroxidation increased with ferrous sulphate concentration up to 100 microM but was independent of ferric maltol concentration between 5-500 microM. Material eluted from rat small intestine contained a reducing factor, similar in size to ascorbic acid, capable of generating ferrous ions from ferric maltol and initiating peroxidation. Peroxidation in mitochondrial membranes appeared unaffected by addition of iron whilst that in brush border membranes was detectable only in the presence of iron. At iron concentrations of 100 microM and above ferric maltol produced less liposomal peroxidation than ferrous sulphate. Maltol itself may delay recycling of Fe3+ to Fe2+. Thus ferric maltol could provide a less toxic alternative to ferrous salts in the oral treatment of iron-deficiency.


Subject(s)
Ferric Compounds/pharmacology , Ferrous Compounds/pharmacology , Lipid Peroxidation/drug effects , Pyrans/pharmacology , Pyrones/pharmacology , Animals , Ascorbic Acid/pharmacology , Chromatography, Gel , In Vitro Techniques , Liposomes/analysis , Male , Microvilli/metabolism , Mitochondria/metabolism , NAD/pharmacology , Rats , Spectrophotometry, Ultraviolet
18.
J Pharm Pharmacol ; 36(10): 652-8, 1984 Oct.
Article in English | MEDLINE | ID: mdl-6150080

ABSTRACT

Amine oxidase activity, previously described in homogenates of brown adipose tissue of the rat, has now been investigated in preparations of isolated fat cells. It was found that the specific activities of both monoamine oxidase A (MAO) and of the semicarbazide-sensitive clorgyline-resistant amine oxidase (SSAO) were higher in isolated fat cells than in the original whole tissue. Brown adipocytes therefore represent a major source of both these enzymes. In plasma membranes prepared from these isolated brown fat cells by borate extraction there was a similar enrichment of activity of SSAO and of the plasma membrane marker enzyme, phosphodiesterase I. However in preparations of cell membranes made by binding the cells to polycation-coated beads, enrichment of phosphodiesterase I activity was much greater than that of SSAO. It is suggested that the disposition of the enzyme within the cell membrane may account for the discrepancy in these results, i.e. the sidedness of the membrane may be important. Histochemical visualization of enzyme activity in whole tissue at the ultrastructural level was undertaken. Positive staining of mitochondria was achieved in the presence of the MAO substrate, tryptamine. Staining around the edges of the brown fat cells was observed with the SSAO substrates, tyramine and benzylamine. Staining was largely absent when substrate was omitted or after pretreatment with the irreversible SSAO inhibitor, hydralazine and the slowly reversible inhibitor, semicarbazide. It is not definitely proven that this staining represents sites of enzyme activity but the results are consistent with evidence from other studies indicating that SSAO in brown adipose tissue of the rat may be found predominantly at the fat cell surface.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Adipose Tissue, Brown/enzymology , Clorgyline/pharmacology , Monoamine Oxidase/metabolism , Propylamines/pharmacology , Semicarbazides/pharmacology , Adipose Tissue, Brown/ultrastructure , Animals , Cell Membrane/enzymology , Female , Histocytochemistry , Male , Microspheres , Mitochondria/enzymology , Phosphodiesterase I , Phosphoric Diester Hydrolases/metabolism , Rats , Rats, Inbred Strains , Tryptamines/pharmacology
19.
J Pharm Pharmacol ; 41(1): 37-41, 1989 Jan.
Article in English | MEDLINE | ID: mdl-2565962

ABSTRACT

One hour after MDL 72145 ((E)-2-(3',4'-dimethoxyphenyl)-3-fluoroallylamine) (2.5 mg kg-1) was given by intraperitoneal injection, the semicarbazide-sensitive amine oxidase (SSAO) activity of rat aorta and brown adipose tissue measured in-vitro was reduced by more than 95% of its control value, whereas the monoamine oxidase (MAO-A) activity remained virtually unaffected. The action of this drug on amine oxidases in the liver at this dose was less selective. The in-vitro effect of MDL 72145 on the soluble enzyme diamine oxidase from rat intestine was 100 fold less potent than that of semicarbazide but about equipotent with semicarbazide on sheep plasma amine oxidase. Overall MDL 72145 was selectively more active against membrane bound SSAO enzymes that deaminate primary monoamines. Although MDL 72145 does inhibit MAO-B activity these results suggest that this compound may be used to study the effect of selective inhibition of SSAO activity on the pharmacological responses of appropriate preparations in-vitro.


Subject(s)
Adipose Tissue, Brown/enzymology , Allylamine/pharmacology , Amines/pharmacology , Blood Vessels/enzymology , Monoamine Oxidase Inhibitors/pharmacology , Monoamine Oxidase/metabolism , Semicarbazides/pharmacology , Adipose Tissue, Brown/drug effects , Allylamine/analogs & derivatives , Animals , Aorta, Thoracic/enzymology , Blood Vessels/drug effects , In Vitro Techniques , Liver/enzymology , Male , Rats , Sheep , Time Factors
20.
J Pharm Pharmacol ; 39(3): 203-11, 1987 Mar.
Article in English | MEDLINE | ID: mdl-2883285

ABSTRACT

The pyrones, 3-hydroxy-2-methyl-4-pyrone (maltol) and 3-hydroxy-2-ethyl-4-pyrone (ethyl maltol) chelate iron with a high affinity and selectivity. The resulting 1:3 (metal-ligand) complexes, being neutral, are able to partition readily across cell membranes and thus may facilitate iron transport across the intestinal wall. Absorption of radioactive iron (59Fe) in the presence of these pyrones was investigated in male rats 1, 2, 4 and 6 h after intraduodenal administration of a 7 micrograms dose and compared with that of 59Fe given as the sulphate, gluconate, fumarate or complexed to EDTA. Total body absorption and distribution were calculated from the 59Fe content of various tissue samples. With all the iron preparations used, blood levels of 59Fe were highest 1 h after injection whilst the 59Fe content at the major site of deposition, i.e. the bone marrow, increased up to 6 h. No 59Fe was found in the urine. Total body absorption of 59Fe was significantly higher from the pyrones than from the other four preparations. Over the dose range 0.7-700 micrograms, the proportion of 59Fe absorbed from both iron maltol and iron sulphate decreased with increasing dose. Enhanced 59Fe uptake from maltol was evident at 0.7-70 micrograms but not at 700 micrograms suggesting that use of these pyrones will not result in iron overload. Absorption of 59Fe given into the stomach was slower in onset but was sustained longer presumably via a steady delivery of iron to the duodenum from the gastric reservoir.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Intestinal Absorption/drug effects , Intestine, Small/metabolism , Iron/metabolism , Pyrans/pharmacology , Pyrones/pharmacology , Animals , Duodenum , Intestine, Small/drug effects , Male , Models, Molecular , Rats , Rats, Inbred Strains , Tissue Distribution
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