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1.
BMC Pregnancy Childbirth ; 20(1): 184, 2020 Mar 29.
Artículo en Inglés | MEDLINE | ID: mdl-32223759

RESUMEN

BACKGROUND: Postpartum haemorrhage (PPH) is the leading cause of maternal mortality in low- and middle-income countries (LMICs). Oxytocin and misoprostol are used for the prevention and treatment of PPH. However, both medicines are chemically unstable and sensitive to environmental conditions. Previous studies reported a high prevalence of substandard oxytocin and misoprostol preparations in LMICs. METHODS: In randomly selected health facilities of four districts of Malawi, the availability of oxytocin and misoprostol was determined, and the knowledge of health workers on storage requirements and use of oxytocics was assessed. Temperature loggers were used to record the storage temperature of oxytocics. Samples of oxytocin injections and misoprostol tablets were collected from the health facilities and from wholesalers. Oxytocin samples were analysed for identity, assay (= quantity of oxytocin) and for pH value according to United States Pharmacopeia 40. Misoprostol samples were analysed for identity, assay, dissolution and related substances according to the International Pharmacopeia 2017. RESULTS: All visited hospitals and health centers had oxytocin available. At non-refrigerated storage sites, the recorded mean kinetic temperature exceeded the oxytocic's storage temperature stated on the labels in 42% of the sites. At refrigerated storage sites, the required temperature of 2-8 °C was exceeded in 33% of the sites. Out of 65 oxytocin samples, 7 (11%) showed moderate deviations from specification, containing 82.2-86.8% of the declared amount of oxytocin. Out of 30 misoprostol samples, 5 (17%) showed extreme deviations, containing only 12.7-30.2% of the declared amount. The extremely substandard misoprostol was reported to the national authorities and to WHO, leading to an immediate recall of the respective brand in Malawi. The UK-based distributor of this brand closed its business shortly thereafter. CONCLUSION: Availability of oxytocin was excellent in Malawi, and its quality was better than reported in previous studies in other LMICs. However, storage conditions at the health facilities often did not meet the requirements. Extremely substandard misoprostol tablets were found, representing a serious risk to maternal health. This shows the need for continued efforts for quality assurance in medicine procurement and registration, as well as for post-marketing surveillance.


Asunto(s)
Almacenaje de Medicamentos/normas , Misoprostol/normas , Oxitócicos/normas , Oxitocina/normas , Instituciones de Salud , Conocimientos, Actitudes y Práctica en Salud , Personal de Salud , Humanos , Malaui , Misoprostol/análisis , Misoprostol/provisión & distribución , Oxitócicos/análisis , Oxitócicos/provisión & distribución , Oxitocina/análisis , Oxitocina/provisión & distribución , Garantía de la Calidad de Atención de Salud , Control de Calidad
2.
Malar J ; 15: 215, 2016 Apr 14.
Artículo en Inglés | MEDLINE | ID: mdl-27075749

RESUMEN

BACKGROUND: Substandard and falsified anti-malarial medicines pose a serious threat to public health, especially in low-income countries. Appropriate technologies for drug quality analysis in resource-limited settings are important for the surveillance of the formal and informal drug market. The feasibility of thin-layer chromatography (TLC) with different solvent systems was tested using the GPHF Minilab in a study of the quality of sulfadoxine/pyrimethamine tablets in Malawi. METHODS: Twenty eight samples of sulfadoxine/pyrimethamine tablets were collected from randomly selected health facilities of four districts of southern Malawi. A mystery shopper approach was used when collecting samples from illegal street vendors, and an overt approach for the other facilities. Samples were subjected to visual inspection, disintegration testing and TLC analysis. 10 samples were further investigated according to the methods of the US Pharmacopeia using high performance liquid chromatography (HPLC). RESULTS: One sample was found to be falsified, containing a mixture of paracetamol tablets and co-trimoxazole tablets. These had been repackaged into paper strip packs labelled as a brand of sulfadoxine/pyrimethamine. TLC with different solvent systems readily proved that these tablets did not comply with their declaration, and provided strong evidence for the active pharmaceutical ingredients which were actually contained. Full pharmacopeial analysis by HPLC confirmed the results suggested by TLC for this sample, and showed two further samples to be of substandard quality. CONCLUSIONS: Due to the absence of the declared anti-malarial ingredients and due to the presence of other pharmaceutical ingredients, the identified falsified medicine represents a serious health risk for the population. Thin-layer chromatography (TLC) using different solvent systems proved to be a powerful method for the identification of this type of counterfeiting, presenting a simple and affordable technology for use in resource-limited settings.


Asunto(s)
Antimaláricos/análisis , Cromatografía en Capa Delgada , Medicamentos Falsificados/análisis , Pirimetamina/análisis , Sulfadoxina/análisis , Tecnología Farmacéutica/métodos , Acetaminofén/análisis , Cromatografía en Capa Delgada/instrumentación , Combinación de Medicamentos , Estudios de Factibilidad , Malaui , Control de Calidad , Comprimidos/análisis , Combinación Trimetoprim y Sulfametoxazol/análisis
3.
J Biol Chem ; 288(3): 1991-2003, 2013 Jan 18.
Artículo en Inglés | MEDLINE | ID: mdl-23192349

RESUMEN

The biosynthesis of nonribosomally formed peptides (NRPs), which include important antibiotics such as vancomycin, requires the activation of amino acids through adenylate formation. The biosynthetic gene clusters of NRPs frequently contain genes for small, so-called MbtH-like proteins. Recently, it was discovered that these MbtH-like proteins are required for some of the adenylation reactions in NRP biosynthesis, but the mechanism of their interaction with the adenylating enzymes has remained unknown. In this study, we determined the structure of SlgN1, a 3-methylaspartate-adenylating enzyme involved in the biosynthesis of the hybrid polyketide/NRP antibiotic streptolydigin. SlgN1 contains an MbtH-like domain at its N terminus, and our analysis defines the parameters required for an interaction between MbtH-like domains and an adenylating enzyme. Highly conserved tryptophan residues of the MbtH-like domain critically contribute to this interaction. Trp-25 and Trp-35 form a cleft on the surface of the MbtH-like domain, which accommodates the alanine side chain of Ala-433 of the adenylating domain. Mutation of Ala-433 to glutamate abolished the activity of SlgN1. Mutation of Ser-23 of the MbtH-like domain to tyrosine resulted in strongly reduced activity. However, the activity of this S23Y mutant could be completely restored by addition of the intact MbtH-like protein CloY from another organism. This suggests that the interface found in the structure of SlgN1 is the genuine interface between MbtH-like proteins and adenylating enzymes.


Asunto(s)
Adenosina Monofosfato/metabolismo , Aminoglicósidos/biosíntesis , Antibacterianos/biosíntesis , Proteínas Bacterianas/química , Escherichia coli/enzimología , Biosíntesis de Péptidos Independientes de Ácidos Nucleicos/genética , Péptido Sintasas/química , Adenosina Monofosfato/química , Alanina/química , Alanina/metabolismo , Secuencia de Aminoácidos , Aminoglicósidos/química , Antibacterianos/química , Ácido Aspártico/análogos & derivados , Ácido Aspártico/metabolismo , Proteínas Bacterianas/genética , Proteínas Bacterianas/metabolismo , Cristalografía por Rayos X , Escherichia coli/genética , Modelos Moleculares , Datos de Secuencia Molecular , Familia de Multigenes , Mutación , Péptido Sintasas/genética , Péptido Sintasas/metabolismo , Estructura Secundaria de Proteína , Estructura Terciaria de Proteína , Proteínas Recombinantes/química , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo , Triptófano/química , Triptófano/metabolismo
4.
Chembiochem ; 15(16): 2385-92, 2014 Nov 03.
Artículo en Inglés | MEDLINE | ID: mdl-25224759

RESUMEN

Streptomyces sp. CNQ-509 produces the rare O-prenylated phenazines marinophenazines A and B. To identify the enzyme catalyzing the O-prenyl transfer in marinophenazine biosynthesis, we sequenced the genome of S. sp. CNQ-509. This led to the identification of two genomic loci harboring putative phenazine biosynthesis genes. The first locus contains orthologues for all seven genes involved in phenazine-1-carboxylic acid biosynthesis in pseudomonads. The second locus contains two known phenazine biosynthesis genes and a putative prenyltransferase gene termed cnqPT1. cnqPT1 codes for a membrane protein with sequence similarity to the prenyltransferase UbiA of ubiquinone biosynthesis. The enzyme CnqPT1 was identified as a 1,6-dihydroxyphenazine geranyltransferase, which catalyzes the C-O bond formation between C-1 of the geranyl moiety and O-6 of the phenazine scaffold. CnqPT1 is the first example of a prenyltransferase catalyzing O-prenyl transfer to a phenazine.


Asunto(s)
Proteínas Bacterianas/metabolismo , Dimetilaliltranstransferasa/metabolismo , Fenazinas/metabolismo , Streptomyces/enzimología , Biocatálisis , Cinética , Familia de Multigenes , Fenazinas/química , Prenilación , Streptomyces/genética , Especificidad por Sustrato
5.
Chembiochem ; 15(4): 612-21, 2014 Mar 03.
Artículo en Inglés | MEDLINE | ID: mdl-24554531

RESUMEN

Genome mining led to the discovery of a novel aminocoumarin gene cluster in the rare actinomycete Catenulispora acidiphila DSM 44928. Sequence analysis revealed the presence of genes putatively involved in export/resistance, regulation, and biosynthesis of the aminocoumarin moiety and its halogenation, as well as several genes with so far unknown function. Two new aminocoumarins, cacibiocin A and B, were identified in the culture broth of C. acidiphila. Heterologous expression of the putative gene cluster in Streptomyces coelicolor M1152 confirmed that this cluster is responsible for cacibiocin biosynthesis. Furthermore, total production levels of cacibiocins could be increased by heterologous expression and screening of different culture media from an initial yield of 4.9 mg L(-1) in C. acidiphila to 60 mg L(-1) in S. coelicolor M1152. By HR-MS and NMR analysis, cacibiocin A was found to contain a 3-amino-4,7-dihydroxycoumarin moiety linked by an amide bond to a pyrrole-2,5-dicarboxylic acid. The latter structural motif has not been identified previously in any natural compound. Additionally, cacibiocin B contains two chlorine atoms at positions 6' and 8' of the aminocoumarin moiety.


Asunto(s)
Actinomycetales/química , Aminocumarinas/química , Antibacterianos/química , Pirroles/química , Actinomycetales/genética , Actinomycetales/metabolismo , Aminocumarinas/metabolismo , Aminocumarinas/farmacología , Antibacterianos/biosíntesis , Antibacterianos/farmacología , Proteínas Bacterianas/genética , Proteínas Bacterianas/metabolismo , Productos Biológicos/química , Productos Biológicos/metabolismo , Productos Biológicos/farmacología , Genoma Bacteriano , Bacterias Gramnegativas/efectos de los fármacos , Bacterias Grampositivas/efectos de los fármacos , Conformación Molecular , Familia de Multigenes , Pirroles/metabolismo , Pirroles/farmacología , Proteínas Recombinantes/biosíntesis , Proteínas Recombinantes/genética , Streptomyces/metabolismo
6.
Int J Med Microbiol ; 304(1): 31-6, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24079980

RESUMEN

The aminocoumarins novobiocin, clorobiocin and coumermycin A1 are structurally related antibiotics produced by different Streptomyces strains. They are potent inhibitors of bacterial gyrase. Their binding sites and their mode of action differ from those of fluoroquinolones such as ciprofloxacin. Novobiocin has been introduced into clinical use against Staphylococcus aureus infections, and S. aureus gyrase is particularly sensitive to inhibition by aminocoumarins, while topoisomerase IV is much less sensitive. Modern genetic techniques have allowed the engineering of the producer strains, resulting in a diverse range of new aminocoumarins, including compounds which are more active than the natural antibiotics as well as a compound which is actively imported across the cell envelope of Gram-negative bacteria. A further group of aminocoumarins are the simocyclinones which bind simultaneously to two different sites of gyrase and show a completely new mode of inhibition. Both the simocyclinones and the "classical" aminocoumarins strongly inhibit the fluoroquinolone-induced activation of RecA and thereby the SOS response in S. aureus. Therefore, a combination of aminocoumarins and fluoroquinolones strongly reduced the risk of resistance development and may offer new prospects in anti-infective therapy.


Asunto(s)
Aminocumarinas/farmacología , Antibacterianos/farmacología , Inhibidores de Topoisomerasa II/farmacología , Aminocumarinas/aislamiento & purificación , Antibacterianos/aislamiento & purificación , Bacterias Gramnegativas/efectos de los fármacos , Humanos , Ingeniería Metabólica , Staphylococcus aureus/efectos de los fármacos , Streptomyces/genética , Streptomyces/metabolismo , Inhibidores de Topoisomerasa II/aislamiento & purificación
7.
Am J Trop Med Hyg ; 111(1): 179-195, 2024 Jul 03.
Artículo en Inglés | MEDLINE | ID: mdl-38740019

RESUMEN

This study investigated the quality of 13 essential medicines in the states of Enugu and Anambra, Nigeria. A total of 260 samples were purchased from licensed pharmaceutical manufacturers and wholesalers and from vendors in pharmaceutical markets with unclear licensing status. Samples were analyzed for identity, content, and dissolution according to the United States Pharmacopeia (USP) 42 monographs. Forty-five samples of this study could be examined for authenticity with the Mobile Authentication Service scheme of the Nigerian National Agency for Food and Drug Administration and Control. Out of all samples, 25.4% did not comply with the USP 42 specifications. Strikingly, 21 out of 22 dexamethasone tablet samples (95%) were out of specification (OOS). Nine out of 19 glibenclamide samples (47%) failed dissolution testing, and 7 out of 17 cotrimoxazole samples (41%) failed assay testing. Medicines against noncommunicable diseases showed a slightly higher percentage of OOS samples than anti-infectives (21.2% versus 17.6%). The rates of OOS samples were similar in medicines stated to be produced in Nigeria, India, and China but were very different between individual manufacturers from each of these countries of origin. Therefore, prequalification of products, manufacturers, and suppliers are very important for quality assurance in medicine procurement. Unexpectedly, the total proportions of OOS samples were similar from licensed vendors (25.2%) and from markets (25.5%). Four samples (1.5%), all collected in markets, were clearly falsified and did not contain the declared active pharmaceutical ingredients. The proportion of falsified medicines was found to be lower than frequently reported in the media for Nigeria.


Asunto(s)
Medicamentos Esenciales , Control de Calidad , Nigeria , Medicamentos Esenciales/normas , Humanos
8.
Chembiochem ; 14(1): 43-4, 2013 Jan 02.
Artículo en Inglés | MEDLINE | ID: mdl-23225745

RESUMEN

Master of your domain: A domain of the bifunctional enzyme RubC1 catalyzes the adenylation of tyrosine. This domain can be activated not only by MbtH-like proteins but also by another domain of RubC1 that has no similarity to MbtH-like proteins.


Asunto(s)
Proteínas Bacterianas/química , Proteínas Bacterianas/metabolismo , Procesamiento Proteico-Postraduccional , Tirosina/metabolismo , Naftoquinonas/metabolismo , Estructura Terciaria de Proteína
9.
J Ind Microbiol Biotechnol ; 40(8): 915-25, 2013 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-23652970

RESUMEN

Coumermycin A1 is an aminocoumarin antibiotic produced by Streptomyces rishiriensis. It exhibits potent antibacterial and anticancer activity. The coumermycin A1 molecule contains two terminal 5-methyl-pyrrole-2-carboxylic acid moieties and one central 3-methylpyrrole-2,4-dicarboxylic acid moiety (CPM). While the biosynthesis of the terminal moieties has been elucidated in detail, the pathway leading to the CPM remains poorly understood. In this work, the minimal set of genes required for the generation of the CPM scaffold was identified. It comprises the five genes couR1, couR2a, couR2b, couR3, and couR4 which are grouped together in a contiguous 4.7 kb region within the coumermycin A1 biosynthetic gene cluster. The DNA fragment containing these genes was cloned into an expression plasmid and heterologously expressed in Streptomyces coelicolor M1146. Thereupon, the formation of CPM could be shown by HPLC and by HPLC-MS/MS, in comparison to an authentic CPM standard. This proves that the genes couR1-couR4 are sufficient to direct the biosynthesis of CPM, and that the adjacent genes couR5 and couR6 are not required for this pathway. The enzyme CouR3 was expressed in Escherichia coli and purified to near homogeneity. The protein exhibited an ATPase activity similar to that reported for its close ortholog, the threonine kinase PduX. However, we could not show a threonine kinase activity of CouR3, and; therefore, the substrate of CouR3 in CPM biosynthesis is still unknown and may be different from threonine.


Asunto(s)
Aminocumarinas/metabolismo , Antibacterianos/metabolismo , Ácidos Dicarboxílicos/metabolismo , Pirroles/metabolismo , Streptomyces/genética , Adenosina Trifosfatasas/metabolismo , Aminocumarinas/química , Antibacterianos/química , Ácidos Dicarboxílicos/química , Eliminación de Gen , Plásmidos/genética , Proteínas Serina-Treonina Quinasas/metabolismo , Pirroles/química , Streptomyces/enzimología
10.
J Biol Chem ; 286(42): 36281-90, 2011 Oct 21.
Artículo en Inglés | MEDLINE | ID: mdl-21890635

RESUMEN

MbtH-like proteins consist of ∼70 amino acids and are encoded in the biosynthetic gene clusters of non-ribosomally formed peptides and other secondary metabolites derived from amino acids. Recently, several MbtH-like proteins have been shown to be required for the adenylation of amino acid in non-ribosomal peptide synthesis. We now investigated the role of MbtH-like proteins in the biosynthesis of the aminocoumarin antibiotics novobiocin, clorobiocin, and simocyclinone D8 and of the glycopeptide antibiotic vancomycin. The tyrosine-adenylating enzymes CloH, SimH, and Pcza361.18, involved in the biosynthesis of clorobiocin, simocyclinone D8, and vancomycin, respectively, required the presence of MbtH-like proteins in a 1:1 molar ratio, forming heterotetrameric complexes. In contrast, NovH, involved in novobiocin biosynthesis, showed activity in the absence of MbtH-like proteins. Comparison of the active centers of CloH and NovH showed only one amino acid to be different, i.e. Leu-383 versus Met-383. Mutation of this amino acid in CloH (L383M) indeed led to MbtH-independent adenylating activity. All investigated tyrosine-adenylating enzymes exhibited remarkable promiscuity for MbtH-like proteins from different pathways and organisms. YbdZ, the MbtH-like protein from the expression host Escherichia coli, was found to bind to adenylating enzymes during expression and to influence their biochemical properties markedly. Therefore, the use of ybdZ-deficient expression hosts is important in biochemical studies of adenylating enzymes.


Asunto(s)
Aminocumarinas/metabolismo , Proteínas Bacterianas/metabolismo , Nucleotidiltransferasas/metabolismo , Streptomyces coelicolor/enzimología , Tirosina/metabolismo , Vancomicina/biosíntesis , Sustitución de Aminoácidos , Proteínas Bacterianas/genética , Complejos Multienzimáticos/genética , Complejos Multienzimáticos/metabolismo , Mutación Missense , Nucleotidiltransferasas/genética , Streptomyces coelicolor/genética , Tirosina/genética
11.
Proc Natl Acad Sci U S A ; 106(34): 14309-14, 2009 Aug 25.
Artículo en Inglés | MEDLINE | ID: mdl-19706516

RESUMEN

Ergot alkaloids are toxins and important pharmaceuticals that are produced biotechnologically on an industrial scale. The first committed step of ergot alkaloid biosynthesis is catalyzed by dimethylallyl tryptophan synthase (DMATS; EC 2.5.1.34). Orthologs of DMATS are found in many fungal genomes. We report here the x-ray structure of DMATS, determined at a resolution of 1.76 A. A complex of DMATS from Aspergillus fumigatus with its aromatic substrate L-tryptophan and with an analogue of its isoprenoid substrate dimethylallyl diphosphate reveals the structural basis of this enzyme-catalyzed Friedel-Crafts reaction, which shows strict regiospecificity for position 4 of the indole nucleus of tryptophan as well as unusual independence of the presence of Mg(2+) ions. The 3D structure of DMATS belongs to a rare beta/alpha barrel fold, called prenyltransferase barrel, that was recently discovered in a small group of bacterial enzymes with no sequence similarity to DMATS. These bacterial enzymes catalyze the prenylation of aromatic substrates in the biosynthesis of secondary metabolites (i.e., a reaction similar to that of DMATS).


Asunto(s)
Transferasas Alquil y Aril/metabolismo , Aspergillus fumigatus/enzimología , Dimetilaliltranstransferasa/metabolismo , Proteínas Fúngicas/metabolismo , Transferasas Alquil y Aril/química , Transferasas Alquil y Aril/genética , Secuencia de Aminoácidos , Aspergillus fumigatus/genética , Bacterias/enzimología , Catálisis , Dominio Catalítico , Cristalografía por Rayos X , Dimetilaliltranstransferasa/química , Dimetilaliltranstransferasa/genética , Proteínas Fúngicas/química , Proteínas Fúngicas/genética , Hongos/enzimología , Hemiterpenos/química , Hemiterpenos/metabolismo , Magnesio/química , Modelos Químicos , Modelos Moleculares , Datos de Secuencia Molecular , Estructura Molecular , Compuestos Organofosforados/química , Compuestos Organofosforados/metabolismo , Estructura Terciaria de Proteína , Homología de Secuencia de Aminoácido , Especificidad por Sustrato , Terpenos/química , Terpenos/metabolismo , Triptófano/química , Triptófano/metabolismo
12.
Beilstein J Org Chem ; 8: 501-13, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22509222

RESUMEN

The biosynthetic gene cluster for endophenazines, i.e., prenylated phenazines from Streptomyces anulatus 9663, was heterologously expressed in several engineered host strains derived from Streptomyces coelicolor M145. The highest production levels were obtained in strain M512. Mutations in the rpoB and rpsL genes of the host, which result in increased production of other secondary metabolites, had no beneficial effect on the production of phenazines. The heterologous expression strains produced, besides the known phenazine compounds, a new prenylated phenazine, termed endophenazine E. The structure of endophenazine E was determined by high-resolution mass spectrometry and by one- and two-dimensional NMR spectroscopy. It represented a conjugate of endophenazine A (9-dimethylallylphenazine-1-carboxylic acid) and L-glutamine (L-Gln), with the carboxyl group of endophenazine A forming an amide bond to the α-amino group of L-Gln. Gene inactivation experiments in the gene cluster proved that ppzM codes for a phenazine N-methyltransferase. The gene ppzV apparently represents a new type of TetR-family regulator, specifically controlling the prenylation in endophenazine biosynthesis. The gene ppzY codes for a LysR-type regulator and most likely controls the biosynthesis of the phenazine core. A further putative transcriptional regulator is located in the vicinity of the cluster, but was found not to be required for phenazine or endophenazine formation. This is the first investigation of the regulatory genes of phenazine biosynthesis in Streptomyces.

13.
Sci Rep ; 12(1): 13095, 2022 07 30.
Artículo en Inglés | MEDLINE | ID: mdl-35908047

RESUMEN

This study evaluates the use of the Global Pharma Health Fund (GPHF) Minilab for medicine quality screening by 16 faith-based drug supply organizations located in 13 low- and middle-income countries. The study period included the year before the COVID-19 pandemic (2019) and the first year of the pandemic (2020). In total 1,919 medicine samples were screened using the GPHF Minilab, and samples showing serious quality deficiencies were subjected to compendial analysis in fully equipped laboratories. Thirty-four (1.8%) of the samples were found not to contain the declared active pharmaceutical ingredient (API), or less than 50% of the declared API, or undeclared APIs, and probably represented falsified products. Fifty-four (2.8%) of the samples were reported as substandard, although the true number of substandard medicines may have been higher due to the limited sensitivity of the GPHF Minilab. The number of probably falsified products increased during the COVID-19 pandemic, especially due to falsified preparations of chloroquine; chloroquine had been incorrectly advocated as treatment for COVID-19. The reports from this project resulted in four international WHO Medical Product Alerts and several national alerts. Within this project, the costs for GPHF Minilab analysis resulted as 25.85 € per sample. Medicine quality screening with the GPHF Minilab is a cost-effective way to contribute to the global surveillance for substandard and falsified medical products.


Asunto(s)
Tratamiento Farmacológico de COVID-19 , COVID-19 , Medicamentos Falsificados , Organizaciones Religiosas , Administración Financiera , COVID-19/epidemiología , Cloroquina , Medicamentos Falsificados/análisis , Países en Desarrollo , Humanos , Pandemias
14.
Res Social Adm Pharm ; 18(9): 3694-3698, 2022 09.
Artículo en Inglés | MEDLINE | ID: mdl-35317978

RESUMEN

In this paper, we argue that understanding and addressing the problem of poor-quality medical products requires a more interdisciplinary approach than has been evident to date. While prospective studies based on rigorous standardized methodologies are the gold standard for measuring the prevalence of poor-quality medical products and understanding their distribution nationally and internationally, they should be complemented by social science research to unpack the complex set of social, economic, and governance factors that underlie these patterns. In the following sections, we discuss specific examples of prospective quality surveys and of social science studies, highlighting the value of cross-sector partnerships in driving high-quality, policy-relevant research in this area.


Asunto(s)
Grupo de Atención al Paciente , Humanos , Estudios Prospectivos
15.
Sci Rep ; 12(1): 13433, 2022 08 04.
Artículo en Inglés | MEDLINE | ID: mdl-35927306

RESUMEN

Substandard and falsified medicines present a serious threat to public health. Simple, low-cost screening tools are important in the identification of such products in low- and middle-income countries. In the present study, a smartphone-based imaging software was developed for the quantification of thin-layer chromatographic (TLC) analyses. A performance evaluation of this tool in the TLC analysis of 14 active pharmaceutical ingredients according to the procedures of the Global Pharma Health Fund (GPHF) Minilab was carried out, following international guidelines and assessing accuracy, repeatability, intermediate precision, specificity, linearity, range and robustness of the method. Relative standard deviations of 2.79% and 4.46% between individual measurements were observed in the assessments of repeatability and intermediate precision, respectively. Small deliberate variations of the conditions hardly affected the results. A locally producible wooden box was designed which ensures TLC photography under standardized conditions and shielding from ambient light. Photography and image analysis were carried out with a low-cost Android-based smartphone. The app allows to share TLC photos and quantification results using messaging apps, e-mail, cable or Bluetooth connections, or to upload them to a cloud. The app is available free of charge as General Public License (GPL) open-source software, and interested individuals or organizations are welcome to use and/or to further improve this software.


Asunto(s)
Medicamentos Falsificados , Aplicaciones Móviles , Cromatografía en Capa Delgada/métodos , Medicamentos Falsificados/análisis , Humanos , Control de Calidad , Teléfono Inteligente
16.
J Biol Chem ; 285(22): 16487-94, 2010 May 28.
Artículo en Inglés | MEDLINE | ID: mdl-20351110

RESUMEN

Five fungal genomes from the Ascomycota (sac fungi) were found to contain a gene with sequence similarity to a recently discovered small group of bacterial prenyltransferases that catalyze the C-prenylation of aromatic substrates in secondary metabolism. The genes from Aspergillus terreus NIH2624, Botryotinia fuckeliana B05.10 and Sclerotinia sclerotiorum 1980 were expressed in Escherichia coli, and the resulting His(8)-tagged proteins were purified and investigated biochemically. Their substrate specificity was found to be different from that of any other prenyltransferase investigated previously. Using 2,7-dihydroxynaphthalene (2,7-DHN) and dimethylallyl diphosphate as substrates, they catalyzed a regiospecific Friedel-Crafts alkylation of 2,7-DHN at position 3. Using the enzyme of A. terreus, the K(m) values for 2,7-DHN and dimethylallyl diphosphate were determined as 324 +/- 25 microM and 325 +/- 35 microM, respectively, and k(cat) as 0.026 +/- 0.001 s(-1). A significantly lower level of prenylation activity was found using dihydrophenazine-1-carboxylic acid as aromatic substrate, and only traces of products were detected with aspulvinone E, flaviolin, or 4-hydroxybenzoic acid. No product was formed with l-tryptophan, l-tyrosine, or 4-hydroxyphenylpyruvate. The genes for these fungal prenyltransferases are not located within recognizable secondary metabolic gene clusters. Their physiological function is yet unknown.


Asunto(s)
Dimetilaliltranstransferasa/química , Hemiterpenos/química , Naftoles/química , Compuestos Organofosforados/química , Secuencia de Aminoácidos , Ascomicetos/enzimología , Aspergillus/enzimología , Bioquímica/métodos , Dimetilaliltranstransferasa/genética , Hongos/enzimología , Cinética , Espectroscopía de Resonancia Magnética , Modelos Químicos , Datos de Secuencia Molecular , Familia de Multigenes , Homología de Secuencia de Aminoácido , Especificidad por Sustrato
17.
Chembiochem ; 12(7): 1105-14, 2011 May 02.
Artículo en Inglés | MEDLINE | ID: mdl-21448870

RESUMEN

The biosynthesis of aminocoumarin antibiotics requires two acyladenylate-forming enzymes: one for the activation of L-tyrosine as a precursor of the aminocoumarin moiety and another for the linkage of an acyl moiety to the aminocoumarin moiety. Unexpectedly, the biosynthetic gene cluster of the aminocoumarin antibiotic rubradirin was found to contain three genes for putative acyladenylate-forming enzymes of aminocoumarin biosynthesis and conjugation. We expressed, purified, and investigated these three proteins. Orf4 (55 kDa) was shown to be an active aminocoumarin acyl ligase. RubF6 (56 kDa) was inactive, but could be converted into an active enzyme by site-directed mutagenesis. RubC1 (138 kDa) was shown to be a unique bifunctional enzyme, comprising an aminocoumarin acyl ligase, and tyrosine-adenylation and peptidyl-carrier domains. This natural hybrid enzyme is unique among known proteins. A hypothesis is proposed as to how such an enzyme could offer a particularly effective machinery for aminocoumarin antibiotic biosynthesis.


Asunto(s)
Aminocumarinas/metabolismo , Ligasas/química , Ligasas/metabolismo , Streptomyces/enzimología , Tirosina/metabolismo , Secuencia de Aminoácidos , Biocatálisis , Activación Enzimática , Ligasas/genética , Datos de Secuencia Molecular , Naftoquinonas/metabolismo , Sistemas de Lectura Abierta
18.
Chembiochem ; 12(17): 2677-85, 2011 Nov 25.
Artículo en Inglés | MEDLINE | ID: mdl-21953874

RESUMEN

Coumermycin A(1) is an aminocoumarin antibiotic produced by Streptomyces rishiriensis. It contains three pyrrole rings, that is, two terminal 5-methyl-pyrrole-2-carboxyl moieties and a central 3-methylpyrrole-2,4-dicarboxylic acid moiety. The biosynthesis of the terminal pyrrole moieties has been elucidated previously. However, the biosynthetic precursors of the central pyrrole moiety have remained unknown, and none of the genes or enzymes involved in its formation has been identified. We now show that five genes, contained in a contiguous 4.7 kb region within the coumermycin biosynthetic gene cluster, are required for the biosynthesis of this central pyrrole moiety. Each of these genes was deleted individually, resulting in a strong reduction or an abolishment of coumermycin production. External feeding of the central pyrrole moiety restored coumermycin production. One of these genes shows similarity to L-threonine kinase genes. Feeding of [U-(13)C,(15) N]L-threonine and (13)C NMR analysis of the resulting compound unequivocally proved that threonine was incorporated intact into the central pyrrole (19 % enrichment) to provide the heterocyclic nitrogen as well as four of the seven carbons of this moiety. Therefore, this pyrrole is formed via a new, hitherto unknown biosynthetic pathway. A hypothesis for the reaction sequence leading to the central pyrrole moiety of coumermycin A(1) is presented.


Asunto(s)
Aminocumarinas/metabolismo , Antibacterianos/biosíntesis , Pirroles/metabolismo , Treonina/metabolismo , Aminocumarinas/química , Antibacterianos/química , Isótopos de Carbono/química , Espectroscopía de Resonancia Magnética , Familia de Multigenes , Pirroles/química , Streptomyces/genética , Streptomyces/metabolismo
19.
J Antimicrob Chemother ; 66(9): 2061-9, 2011 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-21693461

RESUMEN

OBJECTIVES: Aminocoumarin antibiotics are potent inhibitors of bacterial DNA gyrase. We investigated the inhibitory and antibacterial activity of naturally occurring aminocoumarin antibiotics and six structural analogues (novclobiocins) against DNA gyrase and DNA topoisomerase IV from Escherichia coli and Staphylococcus aureus as well as the effect of potassium and sodium glutamate on the activity of these enzymes. METHODS: The inhibitory concentrations of the aminocoumarins were determined in gyrase supercoiling assays and topoisomerase IV decatenation assays. Both subunits of S. aureus topoisomerase IV were purified as His-Tag proteins in E. coli. The MIC was tested in vivo for the control organisms E. coli ATCC 25922 and S. aureus ATCC 29213. RESULTS: DNA gyrase is the primary target in vitro of all investigated aminocoumarins. With the exception of simocyclinone D8, all other aminocoumarins inhibited S. aureus gyrase on average 6-fold more effectively than E. coli gyrase. Potassium glutamate is essential for the activity of S. aureus gyrase and increases the sensitivity of E. coli gyrase to aminocoumarins ≥ 10-fold. The antibacterial activity of the tested compounds mirrored their relative activities against topoisomerases. CONCLUSIONS: The study provides insights about the substituents that are important for the inhibitory activity of aminocoumarins against the target enzymes, which will facilitate the rational design of improved antibiotics.


Asunto(s)
Aminocumarinas/farmacología , Antibacterianos/farmacología , Topoisomerasa de ADN IV/antagonistas & inhibidores , Escherichia coli/efectos de los fármacos , Escherichia coli/enzimología , Staphylococcus aureus/efectos de los fármacos , Staphylococcus aureus/enzimología , Inhibidores de Topoisomerasa II , Inhibidores de Topoisomerasa/farmacología , Aminocumarinas/química , Antibacterianos/química , Proteínas Bacterianas/biosíntesis , Proteínas Bacterianas/aislamiento & purificación , Clonación Molecular , Girasa de ADN/genética , Topoisomerasa de ADN IV/genética , ADN Superhelicoidal/química , Escherichia coli/genética , Glutamatos/farmacología , Pruebas de Sensibilidad Microbiana , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Glutamato de Sodio/farmacología , Staphylococcus aureus/genética , Relación Estructura-Actividad
20.
Rapid Commun Mass Spectrom ; 25(4): 495-502, 2011 Feb 28.
Artículo en Inglés | MEDLINE | ID: mdl-21259358

RESUMEN

The development of reliable analytic methods, capable of separating mixtures of secondary metabolites as well as providing structural information, is essential for the investigation of secondary metabolites, e.g. from Streptomyces. Here we report a liquid chromatography/electrospray ionization tandem mass spectrometry (LC/ESI-MS/MS) method using a triple quadrupole mass analyzer for the structural elucidation of caprazamycins and liposidomycins from culture extracts of the wild-type producer strains. Comparison of the fragmentation patterns in positive as well as in negative ionization mode revealed several characteristic product ions used for identification of six new caprazamycins. Furthermore, a chromatographic method for the purification of nucleosides from cell cultures using a boronic acid gel was adapted for the partial purification of the culture extracts.


Asunto(s)
Azepinas/química , Cromatografía Líquida de Alta Presión/métodos , Espectrometría de Masas en Tándem/métodos , Uridina/análogos & derivados , Aminoglicósidos/química , Azepinas/clasificación , Medios de Cultivo , Fermentación , Streptomyces/metabolismo , Uridina/química , Uridina/clasificación
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