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1.
Molecules ; 26(6)2021 Mar 19.
Artículo en Inglés | MEDLINE | ID: mdl-33808586

RESUMEN

Here, a novel strategy of formulating efficient polymeric carriers based on the already described INU-IMI-DETA for gene material whose structural, functional, and biological properties can be modulated and improved was successfully investigated. In particular, two novel derivatives of INU-IMI-DETA graft copolymer were synthesized by chemical functionalisation with epidermal growth factor (EGF) or polyethylenglycol (PEG), named INU-IMI-DETA-EGF and INU-IMI-DETA-PEG, respectively, in order to improve the performance of already described "inulin complex nanoaggregates" (ICONs). The latter were thus prepared by appropriately mixing the two copolymers, by varying each component from 0 to 100 wt% on the total mixture, named EP-ICONs. It was seen that the ability of the INU-IMI-DETA-EGF/INU-IMI-DETA-PEG polymeric mixture to complex siGL3 increases with the increase in the EGF-based component in the EP-ICONs and, for each sample, with the increase in the copolymer:siRNA weight ratio (R). On the other hand, the susceptibility of loaded siRNA towards RNase decreases with the increase in the pegylated component in the polymeric mixture. At all R values, the average size and the zeta potential values are suitable for escaping from the RES system and suitable for prolonged intravenous circulation. By means of biological characterisation, it was shown that MCF-7 cells are able to internalize mainly the siRNA-loaded into EGF-decorated complexes, with a significant difference from ICONs, confirming its targeting function. The targeting effect of EGF on EP-ICONs was further demonstrated by a competitive cell uptake study, i.e., after cell pre-treatment with EGF. Finally, it was shown that the complexes containing both EGF and PEG are capable of promoting the internalisation and therefore the transfection of siSUR, a siRNA acting against surviving mRNA, and to increase the sensitivity to an anticancer agent, such as doxorubicin.


Asunto(s)
Portadores de Fármacos , Inulina , Nanoestructuras , Neoplasias/dietoterapia , ARN Interferente Pequeño , Portadores de Fármacos/química , Portadores de Fármacos/farmacocinética , Portadores de Fármacos/farmacología , Humanos , Inulina/química , Inulina/farmacocinética , Inulina/farmacología , Células MCF-7 , Nanoestructuras/química , Nanoestructuras/uso terapéutico , Neoplasias/metabolismo , Neoplasias/patología , ARN Interferente Pequeño/química , ARN Interferente Pequeño/farmacocinética , ARN Interferente Pequeño/farmacología
2.
Biochim Biophys Acta ; 1860(4): 765-74, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26721332

RESUMEN

BACKGROUND: Disruption of epithelial tight junctions (TJ), gut barrier dysfunction and endotoxemia play crucial role in the pathogenesis of alcoholic tissue injury. Occludin, a transmembrane protein of TJ, is depleted in colon by alcohol. However, it is unknown whether occludin depletion influences alcoholic gut and liver injury. METHODS: Wild type (WT) and occludin deficient (Ocln(-/-)) mice were fed 1-6% ethanol in Lieber-DeCarli diet. Gut permeability was measured by vascular-to-luminal flux of FITC-inulin. Junctional integrity was analyzed by confocal microscopy. Liver injury was assessed by plasma transaminase, histopathology and triglyceride analyses. The effect of occludin depletion on acetaldehyde-induced TJ disruption was confirmed in Caco-2 cell monolayers. RESULTS: Ethanol feeding significantly reduced body weight gain in Ocln(-/-) mice. Ethanol increased inulin permeability in colon of both WT and Ocln(-/-) mice, but the effect was 4-fold higher in Ocln(-/-) mice. The gross morphology of colonic mucosa was unaltered, but ethanol disrupted the actin cytoskeleton, induced redistribution of occludin, ZO-1, E-cadherin and ß-catenin from the junctions and elevated TLR4, which was more severe in Ocln(-/-) mice. Occludin knockdown significantly enhanced acetaldehyde-induced TJ disruption and barrier dysfunction in Caco-2 cell monolayers. Ethanol significantly increased liver weight and plasma transaminase activity in Ocln(-/-) mice, but not in WT mice. Histological analysis indicated more severe lesions and fat deposition in the liver of ethanol-fed Ocln(-/-) mice. Ethanol-induced elevation of liver triglyceride was also higher in Ocln(-/-) mice. CONCLUSION: This study indicates that occludin deficiency increases susceptibility to ethanol-induced colonic mucosal barrier dysfunction and liver damage in mice.


Asunto(s)
Colon/metabolismo , Etanol/efectos adversos , Mucosa Intestinal/metabolismo , Hepatopatías/metabolismo , Ocludina/deficiencia , Uniones Estrechas/metabolismo , Animales , Células CACO-2 , Colon/patología , Etanol/farmacología , Humanos , Mucosa Intestinal/patología , Inulina/farmacocinética , Inulina/farmacología , Hígado/metabolismo , Hígado/patología , Hepatopatías/genética , Hepatopatías/patología , Ratones , Ratones Noqueados , Ocludina/metabolismo , Permeabilidad/efectos de los fármacos , Uniones Estrechas/genética , Triglicéridos/genética , Triglicéridos/metabolismo
3.
Kidney Blood Press Res ; 42(6): 974-982, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-29179203

RESUMEN

BACKGROUND/AIMS: Maternal hypercholesterolemia is a risk factor to renal injury in rat pups at adulthood, especially if they feed a cholesterol-enriched diet after weaning. However, the renal function of male pups of dams with hypercholesterolemia (PH) that were fed a regular chow from weaning to adulthood needs investigation, particularly those exposed to an adverse risk such as nicotine. METHODS: We evaluated the renal function of PH animals and we compared the data with those found in male pups of control dams (PC) at 3- and 6-month-old by inulin clearance. Moreover, we investigated the effect of nicotine treatment for 8 days in both PH and PC animals at 6 months old via metabolic function studies and by renal histological analysis. RESULTS: Inulin clearance and other renal function parameters were similar in PH and PC animals at 3 and 6 months old. Nevertheless, the PH group showed significant differences with regard to histological analysis despite a similar number of glomeruli. The glomerular area of PH animals was significantly smaller than that measured in PC animals, and the fractional interstitial area was significantly larger in PH animals than that measured in PC animals at 3 months old. With regard to nicotine treatment, we observed a trend for a reduction in creatinine clearance in both PC and PH groups, but only PH animals showed hypomagnesemia and the highest fractional interstitial area. CONCLUSIONS: The offspring exposed to a high cholesterol milieu during intrauterine and neonatal life may show a silent kidney injury at adulthood that may be aggravated by nicotine exposure if hypomagnesemia occurs.


Asunto(s)
Hipercolesterolemia/complicaciones , Riñón/lesiones , Nicotina/farmacología , Efectos Tardíos de la Exposición Prenatal/patología , Factores de Edad , Animales , Femenino , Inulina/farmacocinética , Riñón/patología , Óxido de Magnesio/sangre , Masculino , Embarazo , Ratas
4.
Nanomedicine ; 13(3): 1245-1254, 2017 04.
Artículo en Inglés | MEDLINE | ID: mdl-28115254

RESUMEN

Here, long-circulating behaviors of Inulin-based nanomicelles are demonstrated for the first time in vivo. We show the synthesis and evaluation of biotin (BIO)-decorated polymeric INVITE micelles constituted of substances of natural origin, Inulin (INU) and Vitamin E (VITE), as long-circulating carriers for receptor-mediated targeted drug delivery. The resulting INVITE or INVITE-BIO micelles, nanometrically sized, did not reveal any cytotoxicity after 24h of incubation with Caco-2 cells. Moreover, in vitro studies on Caco-2 cells monolayers indicated that the transport of INVITE-BIO micelles was faster than surface unmodified INVITE micelles. In vivo optical imaging studies evidenced that, upon intravenous administration, INVITE-BIO micelles were quantitatively present in the body up to 48h. Instead, after oral administration, the micelles were not found in the systemic circulation but eliminated with the normal intestinal content. In conclusion, INVITE-BIO micelles may enhance drug accumulation in tumor-cells over-expressing the receptor for biotin through receptor mediated endocytosis.


Asunto(s)
Biotina/farmacocinética , Portadores de Fármacos/farmacocinética , Inulina/farmacocinética , Micelas , Vitamina E/farmacocinética , Animales , Biotina/química , Células CACO-2 , Portadores de Fármacos/química , Sistemas de Liberación de Medicamentos , Femenino , Humanos , Inulina/química , Ratones Endogámicos BALB C , Imagen Óptica , Vitamina E/química
5.
Diabetes Obes Metab ; 17(12): 1166-72, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26260082

RESUMEN

AIMS: To find an explanation for the lower potency of insulin detemir observed in humans compared with unmodified human insulin by investigating insulin detemir and human insulin concentrations directly at the level of peripheral insulin-sensitive tissues in humans in vivo. METHODS: Euglycaemic-hyperinsulinaemic clamp experiments were performed in healthy volunteers. Human insulin was administered i.v. at 6 pmol/kg/min and insulin detemir at 60 pmol/kg/min, achieving a comparable steady-state pharmacodynamic action. In addition, insulin detemir was doubled to 120 pmol/kg/min. Minimally invasive open-flow microperfusion (OFM) sampling methodology was combined with inulin calibration to quantify human insulin and insulin detemir in the interstitial fluid (ISF) of subcutaneous adipose and skeletal muscle tissue. RESULTS: The human insulin concentration in the ISF was ∼115 pmol/l or ∼30% of the serum concentration, whereas the insulin detemir concentration in the ISF was ∼680 pmol/l or ∼2% of the serum concentration. The molar insulin detemir interstitial concentration was five to six times higher than the human insulin interstitial concentration and metabolic clearance of insulin detemir from serum was substantially reduced compared with human insulin. CONCLUSIONS: OFM proved useful for target tissue measurements of human insulin and the analogue insulin detemir. Our tissue data confirm a highly effective retention of insulin detemir in the vascular compartment. The higher insulin detemir relative to human insulin tissue concentrations at comparable pharmacodynamics, however, indicate that the lower potency of insulin detemir in humans is attributable to a reduced effect in peripheral insulin-sensitive tissues and is consistent with the reduced in vitro receptor affinity.


Asunto(s)
Líquido Extracelular/metabolismo , Hipoglucemiantes/farmacocinética , Insulina Detemir/farmacocinética , Insulina Regular Humana/farmacocinética , Adulto , Disponibilidad Biológica , Calibración , Estudios Cruzados , Relación Dosis-Respuesta a Droga , Técnica de Clampeo de la Glucosa , Humanos , Hipoglucemiantes/administración & dosificación , Hipoglucemiantes/sangre , Hipoglucemiantes/metabolismo , Infusiones Intravenosas , Insulina Detemir/administración & dosificación , Insulina Detemir/sangre , Insulina Detemir/metabolismo , Insulina Regular Humana/administración & dosificación , Insulina Regular Humana/sangre , Insulina Regular Humana/metabolismo , Inulina/administración & dosificación , Inulina/sangre , Inulina/metabolismo , Inulina/farmacocinética , Lipoilación , Masculino , Tasa de Depuración Metabólica , Músculo Esquelético/metabolismo , Grasa Subcutánea/metabolismo , Distribución Tisular , Adulto Joven
6.
Int J Toxicol ; 33(4): 288-296, 2014 07.
Artículo en Inglés | MEDLINE | ID: mdl-24808049

RESUMEN

Using rats fed 22 g/d of a control diet containing 0.005% zinc (Zn) or 2 Zn-excess diets containing 0.05% or 0.2% Zn for 4 weeks, we examined the mechanisms involved in the deterioration of renal function induced by Zn-excess intake. An increase in Zn intake elevated mean blood pressure (BP) and reduced renal blood flow (RBF) and inulin clearance in a dose-dependent manner. This decline in inulin clearance may be derived from a fall in RBF. Administration of the nitric oxide (NO) synthase inhibitor, Nω-nitro-l-arginine methyl ester, markedly increased mean BP and significantly decreased RBF in the 3 groups of rats. Administration of the exogenous superoxide radical (OO-) scavenger, tempol, significantly decreased mean BP and substantially increased RBF in all groups of rats. These observations suggest that both an elevation in systemic BP and a reduction in RBF seen in the 2 Zn-excess diet groups result from a decrease in the action of the vasodilator, NO, through the formation of peroxynitrite based on the nonenzymatic reaction of NO and increased OO- Indeed, the activity of the endogenous OO- scavenger, copper/Zn-superoxide dismutase, was significantly reduced in the vessel wall of rats fed 2 Zn-excess diets versus a control diet. 8-Hydroxy-2'-deoxyguanosine formation caused by OO- generation was notably elevated in the kidneys of rats fed 2 Zn-excess diets relatively to rats fed a control diet. Thus, Zn-excess intake leads to the aggravation of renal function concomitantly with an increase in systemic BP predominantly through the oxidative stress caused by OO.


Asunto(s)
Suplementos Dietéticos/envenenamiento , Intoxicación por Metales Pesados/fisiopatología , Hipertensión Renovascular/etiología , Riñón/fisiopatología , Estrés Oxidativo , Insuficiencia Renal/etiología , Zinc/envenenamiento , 8-Hidroxi-2'-Desoxicoguanosina , Animales , Aorta Torácica , Biomarcadores/sangre , Biomarcadores/metabolismo , Biomarcadores/orina , Desoxiguanosina/análogos & derivados , Desoxiguanosina/metabolismo , Endotelio Vascular/efectos de los fármacos , Endotelio Vascular/metabolismo , Endotelio Vascular/fisiopatología , Inhibidores Enzimáticos/efectos adversos , Depuradores de Radicales Libres/uso terapéutico , Intoxicación por Metales Pesados/tratamiento farmacológico , Intoxicación por Metales Pesados/metabolismo , Intoxicación por Metales Pesados/patología , Hipertensión Renovascular/fisiopatología , Hipertensión Renovascular/prevención & control , Inulina/sangre , Inulina/farmacocinética , Inulina/orina , Riñón/irrigación sanguínea , Riñón/efectos de los fármacos , Riñón/patología , Masculino , Tasa de Depuración Metabólica/efectos de los fármacos , Óxido Nítrico Sintasa/antagonistas & inhibidores , Óxido Nítrico Sintasa/metabolismo , Estrés Oxidativo/efectos de los fármacos , Distribución Aleatoria , Ratas Sprague-Dawley , Insuficiencia Renal/fisiopatología , Insuficiencia Renal/prevención & control , Superóxido Dismutasa-1/antagonistas & inhibidores , Superóxido Dismutasa-1/metabolismo
7.
Am J Nephrol ; 38(4): 300-6, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24080596

RESUMEN

BACKGROUND: The combined serum creatinine (SCreat) and cystatin C (CysC) CKD-EPI formula constitutes a new advance for glomerular filtration rate (GFR) estimation in adults. Using inulin clearances (iGFRs), the revised SCreat and the combined Schwartz formulas, this study aims to evaluate the applicability of the combined CKD-EPI formula in children. METHOD: 201 iGFRs for 201 children were analyzed and divided by chronic kidney disease (CKD) stages (iGFRs ≥90 ml/min/1.73 m(2), 90 > iGFRs > 60, and iGFRs ≤59), and by age groups (<10, 10-15, and >15 years). Medians with 95% confidence intervals of bias, precision, and accuracies within 30% of the iGFRs, for all three formulas, were compared using the Wilcoxon signed-rank test. RESULTS: For the entire cohort and for all CKD and age groups, medians of bias for the CKD-EPI formula were significantly higher (p < 0.001) and precision was significantly lower than the solely SCreat and the combined SCreat and CysC Schwartz formulas. We also found that using the CKD-EPI formula, bias decreased and accuracy increased while the child age group increased, with a better formula performance above 15 years of age. However, the CKD-EPI formula accuracy is 58% compared to 93 and 92% for the SCreat and combined Schwartz formulas in this adolescent group. CONCLUSIONS: The performance of the combined CKD-EPI formula improves in adolescence compared with younger ages. Nevertheless, the CKD-EPI formula performs more poorly than the SCreat and the combined Schwartz formula in pediatric population.


Asunto(s)
Creatinina/sangre , Cistatina C/sangre , Fallo Renal Crónico/tratamiento farmacológico , Pruebas de Función Renal/normas , Riñón/efectos de los fármacos , Riñón/fisiología , Adolescente , Algoritmos , Calibración , Niño , Preescolar , Estudios de Cohortes , Femenino , Tasa de Filtración Glomerular , Humanos , Inulina/farmacocinética , Fallo Renal Crónico/fisiopatología , Masculino , Reproducibilidad de los Resultados
8.
Am J Nephrol ; 38(4): 292-9, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24080549

RESUMEN

BACKGROUND: The natriuretic/diuretic response to atrial natriuretic peptide (ANP), an important regulator of water and Na(+) balance, is markedly attenuated in nephrotic syndrome (NS). It has been suggested that the diminished renal responsiveness to ANP may contribute to the pathogenesis of salt retention and edema formation in NS. However, the mechanisms underlying the renal hyporesponsiveness to ANP remain largely unknown. METHODS: The acute effects of exogenous infusion of ANP (5 µg/kg + 10 µg/kg/h) were studied by clearance methodology in control rats, hypoalbuminemic rats with Adriamycin (ADR)-induced NS and in ADR-treated rats infused with hyperoncotic albumin sufficient to restore plasma albumin to normal levels. RESULTS: Administration of ANP to control rats resulted in a significant increase in urinary flow rate, absolute rate of sodium excretion (+456%) and glomerular filtration rate (GFR). Mean arterial blood pressure decreased following infusion of the peptide. In the nephrotic rats, baseline GFR and Na(+) excretion were significantly lower than in the control animals, and the renal effects of ANP were markedly blunt compared to the control animals. In contrast, the hypotensive effect of ANP in the ADR-treated rats was largely preserved. Infusion of hyperoncotic albumin prior to ANP administration reversed the decrease in baseline GFR and Na(+) excretion and completely restored the renal effects of ANP in the nephrotic rats. CONCLUSION: These findings indicate that renal hyporesponsiveness to ANP in rats with ADR-induced NS is a reversible phenomenon that appears to be of functional origin rather than reflecting permanent cellular damage.


Asunto(s)
Albúminas/farmacología , Factor Natriurético Atrial/metabolismo , Riñón/efectos de los fármacos , Síndrome Nefrótico/tratamiento farmacológico , Animales , Presión Sanguínea , Modelos Animales de Enfermedad , Doxorrubicina/farmacología , Edema/inducido químicamente , Tasa de Filtración Glomerular , Humanos , Hipotensión/metabolismo , Inulina/farmacocinética , Masculino , Natriuresis/efectos de los fármacos , Nefrosis/patología , Ratas , Ratas Sprague-Dawley , Circulación Renal/efectos de los fármacos , Renina/sangre , Sales (Química) , Sodio/metabolismo
9.
Oncology ; 83(1): 38-44, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22722580

RESUMEN

OBJECTIVE: This pharmacokinetic study of S-1 was conducted in patients in whom glomerular filtration rate (GFR) was directly measured to explore the possibility of adjusting the S-1 dose on the basis of GFR in patients with normal or nearly normal renal function. METHODS: S-1 was given to 12 patients twice daily for 28 consecutive days followed by 14 days of rest, repeated every 6 weeks. GFR was measured on the basis of inulin clearance (CLin) before the first day of treatment. RESULTS: The area under the time-concentration curve (AUC) of 5-fluorouracil (5-FU) correlated with that of 5-chloro-2,4-dihydroxypyridine (CDHP, r = 0.750, p = 0.005). The AUC of CDHP correlated with the measured 24-hour creatinine clearance (CLcr) per subject (r = -0.620, p = 0.032), but not with the CLin (r = -0.356, p = 0.257). The AUC of 5-FU did not correlate with either the 24-hour CLcr per subject (r = -0.401, p = 0.187) or with the CLin (r = -0.300, p = 0.351). CONCLUSION: Dosage adjustment based on the GFR does not reduce individual variations in 5-FU concentrations among patients with normal or nearly normal renal function who receive S-1.


Asunto(s)
Antimetabolitos Antineoplásicos/farmacocinética , Inulina/farmacocinética , Ácido Oxónico/farmacocinética , Tegafur/farmacocinética , Anciano , Antimetabolitos Antineoplásicos/administración & dosificación , Área Bajo la Curva , Creatinina/farmacocinética , Relación Dosis-Respuesta a Droga , Esquema de Medicación , Combinación de Medicamentos , Femenino , Fluorouracilo/farmacocinética , Tasa de Filtración Glomerular , Humanos , Pruebas de Función Renal , Masculino , Persona de Mediana Edad , Ácido Oxónico/administración & dosificación , Piridinas/farmacocinética , Valores de Referencia , Tegafur/administración & dosificación
10.
Biotechnol Genet Eng Rev ; 28: 33-45, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22616480

RESUMEN

Inulin is a polysaccharide with an extensive range of therapeutic uses such as a vehicle in drug delivery vehicle, as a diagnostic/analytical tool or as a dietary fibre with additional health benefits. In the main, much research has focussed on inulin as a drug delivery carrier for colon-targeted drug delivery. The justification for this is its potential to survive the stomach's acidic environment. This unique stability and strength is utilized in many ways to deliver drugs safely to colon, where they can be easily absorbed through the gut epithelium into the blood. Inulin based hydrodynamic research will be useful to discover the potential of inulin.


Asunto(s)
Sistemas de Liberación de Medicamentos , Inulina/administración & dosificación , Inulina/química , Colon/metabolismo , Fibras de la Dieta/administración & dosificación , Fibras de la Dieta/metabolismo , Vías de Administración de Medicamentos , Humanos , Inulina/farmacocinética
11.
Am J Kidney Dis ; 57(1): 55-61, 2011 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-20870329

RESUMEN

BACKGROUND: Very few studies have been published that compare plasma clearance of iohexol (Cio) with renal clearance of inulin (Cin). STUDY DESIGN: Diagnostic test study. SETTING & PARTICIPANTS: 60 children aged 11.6 ± 4.5 years with different kidney disorders were investigated. INDEX TEST: Plasma Cio calculated from the slope and a single point. REFERENCE TEST: Renal Cin with continuous infusion during water diuresis. Results were compared with the correlation coefficients, bias and precision, accuracy percentage, root mean square error, and intraclass correlation. OTHER MEASUREMENTS: Measured creatinine clearance and estimated glomerular filtration rate based on serum creatinine level and height. RESULTS: Mean Cin was 70.7 ± 41.3 (SD) mL/min/1.73 m². Mean differences between Cio and Cin were 2.65 and 2.00 mL/min/1.73 m² for the slope and single-point methods, respectively. Precision was ±16 mL/min/1.73 m² and intraclass correlation was 0.92 in both methods. Proportions of Cio within 30% of Cin were 83.3% and 86.7% for the slope and single-point methods, respectively. LIMITATIONS: A limited number of patients; no adults were studied. CONCLUSIONS: Plasma Cio shows good agreement with renal Cin.


Asunto(s)
Medios de Contraste/farmacocinética , Tasa de Filtración Glomerular , Inulina/farmacocinética , Yohexol/farmacocinética , Riñón/metabolismo , Niño , Creatinina/sangre , Creatinina/orina , Humanos , Inulina/orina , Enfermedades Renales/fisiopatología
12.
J Clin Pharmacol ; 61(2): 159-171, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-32885464

RESUMEN

Glomerular filtration rate (GFR) is an important measure of renal function. Various models for its maturation have recently been compared; however, these have used markers, which are subject to different renal elimination processes. Inulin clearance data (a purer probe of GFR) collected from the literature were used to determine age-related changes in GFR aspects of renal drug excretion in pediatrics. An ontogeny model was derived using a best-fit model with various combinations of covariates such as postnatal age, gestational age at birth, and body weight. The model was applied to the prediction of systemic clearance of amikacin, gentamicin, vancomycin, and gadobutrol. During neonatal life, GFR increased as a function of both gestational age at birth and postnatal age, hence implying an impact of birth and a discrepancy in GFR for neonates with the same postmenstrual age depending on gestational age at birth (ie, neonates who were outside the womb longer had higher GFR, on average). The difference in GFR between pre-term and full-term neonates with the same postmenstrual age was negligible from beyond 1.25 years. Considering both postnatal age and gestational age at birth in GFR ontogeny models is important because postmenstrual age alone ignores the impact of birth. Most GFR models use covariates of body size in addition to age. Therefore, prediction from these models will also depend on the change in anthropometric characteristics with age. The latter may not be similar in various ethnic groups, and this makes the head-to-head comparison of models very challenging.


Asunto(s)
Antibacterianos/farmacocinética , Medios de Contraste/farmacocinética , Creatinina/sangre , Tasa de Filtración Glomerular/fisiología , Compuestos Organometálicos/farmacocinética , Nacimiento Prematuro/fisiopatología , Factores de Edad , Peso Corporal , Niño , Preescolar , Edad Gestacional , Humanos , Lactante , Recién Nacido , Inulina/farmacocinética , Pruebas de Función Renal , Modelos Biológicos
13.
Genes (Basel) ; 12(5)2021 04 25.
Artículo en Inglés | MEDLINE | ID: mdl-33922969

RESUMEN

Genomic imprinting, an epigenetic phenomenon that causes the expression of a small set of genes in a parent-of-origin-specific manner, is thought to have co-evolved with placentation. Many imprinted genes are expressed in the placenta, where they play diverse roles related to development and nutrient supply function. However, only a small number of imprinted genes have been functionally tested for a role in nutrient transfer capacity in relation to the structural characteristics of the exchange labyrinthine zone. Here, we examine the transfer capacity in a mouse model deficient for the maternally expressed Phlda2 gene, which results in placental overgrowth and a transient reduction in fetal growth. Using stereology, we show that the morphology of the labyrinthine zone in Phlda2-/+ mutants is normal at E16 and E19. In vivo placental transfer of radiolabeled solutes 14C-methyl-D-glucose and 14C-MeAIB remains unaffected at both gestational time points. However, placental passive permeability, as measured using two inert hydrophilic solutes (14C-mannitol; 14C-inulin), is significantly higher in mutants. Importantly, this increase in passive permeability is associated with fetal catch-up growth. Our findings uncover a key role played by the imprinted Phlda2 gene in modifying placental passive permeability that may be important for determining fetal growth.


Asunto(s)
Intercambio Materno-Fetal , Proteínas Nucleares/genética , Placenta/metabolismo , 3-O-Metilglucosa/farmacocinética , Animales , Femenino , Eliminación de Gen , Impresión Genómica , Inulina/farmacocinética , Manitol/farmacocinética , Ratones , Ratones Endogámicos C57BL , Proteínas Nucleares/metabolismo , Embarazo , beta-Alanina/análogos & derivados , beta-Alanina/farmacocinética
14.
J Nutr ; 140(12): 2158-61, 2010 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-20980641

RESUMEN

Previously, we showed that supplementation of diets with short-chain inulin (P95), long-chain inulin (HP), and a 50:50 mixture of both (Synergy 1) improved body iron status and altered expression of the genes involved in iron homeostasis and inflammation in young pigs. However, the effects of these 3 types of inulin on intestinal bacteria remain unknown. Applying terminal restriction fragment length polymorphism analysis, we determined the abundances of luminal and adherent bacterial populations from 6 segments of the small and large intestines of pigs (n = 4 for each group) fed an iron-deficient basal diet (BD) or the BD supplemented with 4% of P95, Synergy 1, or HP for 5 wk. Compared with BD, all 3 types of inulin enhanced (P < 0.05) the abundance of beneficial bifidobacteria and lactobacilli in the microbiota adherent to intestinal mucus of various gut segments of pigs. These changes were seen as proximal as in the jejunum with P95 but did not appear until the distal ileum or cecum with HP. Similar effects of inulin on bacterial populations in the lumen contents were found. Meanwhile, all 3 types of inulin suppressed the less desirable bacteria Clostridium spp. and members of the Enterobacteriaceae in the lumen and mucosa of various gut segments. Our findings suggest that the ability of dietary inulin to alter intestinal bacterial populations may partially account for its iron bioavailability-promoting effect and possibly other health benefits.


Asunto(s)
Bacterias/aislamiento & purificación , Intestinos/microbiología , Inulina/administración & dosificación , Animales , Inulina/química , Inulina/farmacocinética , Polimorfismo de Longitud del Fragmento de Restricción , Porcinos/crecimiento & desarrollo
15.
Nephrol Dial Transplant ; 25(11): 3569-75, 2010 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-20466685

RESUMEN

BACKGROUND: Accurate evaluation of the glomerular filtration rate (GFR) in patients awaiting liver transplantation is important because they have a greater risk of impaired renal function. A major percentage of these patients have alcoholic cirrhosis, and the accuracy of bedside used GFR estimates have not been specifically evaluated in this group. The aim of this study was to evaluate the validity of the simplified Modification of Diet in Renal Diseases (MDRD) and Cockcroft and Gault (CG) formulas in patients with decompensated alcoholic cirrhosis in comparison to inulin clearance as the reference method. METHODS: GFR estimated by the simplified MDRD and CG formulas were retrospectively compared to the true GFR measured by inulin clearance in a single-centre cohort of 148 patients with decompensated alcoholic cirrhosis. RESULTS: Mean ± standard deviation of age, body mass index, inulin clearance and MDRD and CG estimates were 54.4 ± 6.9 years, 26.5 ± 4.7 kg/m(2), 76.9 ± 28.0 mL/min per 1.73 m(2), 99.4 ± 34.0 mL/min per 1.73 m(2) and 98.7 ± 32.0 mL/min per 1.73 m(2), respectively; 70% of the patients had a GFR, measured by inulin clearance, below 90 mL/min per 1.73 m(2). The difference between estimated GFR and true GFR were 23 ± 23 mL/min per 1.73 m(2) for MDRD and 22 ± 20 mL/min per 1.73 m(2) for Cockcroft and Gault. CONCLUSIONS: The simplified MDRD and CG formulas largely overestimated GFR in patients with decompensated alcoholic cirrhosis. Results of such bedside formulas should be interpreted with caution in these patients.


Asunto(s)
Tasa de Filtración Glomerular , Inulina/farmacocinética , Cirrosis Hepática Alcohólica/fisiopatología , Adulto , Anciano , Enfermedad Crónica , Creatinina/sangre , Femenino , Humanos , Enfermedades Renales/fisiopatología , Pruebas de Función Renal/métodos , Masculino , Tasa de Depuración Metabólica , Persona de Mediana Edad
16.
Nephron Physiol ; 115(3): p21-30, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-20460939

RESUMEN

BACKGROUND/AIMS: Patients treated with peroxisome proliferator-activated receptor analogs (PPAR) alpha or alpha/gamma may develop a transient and reversible increase in serum creatinine, the mechanism of which remains obscure. This study evaluates whether treatment with either PPAR-alpha or -alpha/gamma analogs, fenofibrate or tesaglitazar, may cause deterioration in renal hemodynamics or exert direct tubular or glomerular nephrotoxic effects in rats. METHODS: Male Sprague-Dawley rats (300-320 g) were treated per os with fenofibrate (300 mg/kg/day), tesaglitazar (1.2 mg/kg/day) or vehicle, for 14 days. Glomerular filtration rate (GFR) and renal blood flow (RBF) were measured by inulin clearance and ultrasonic flowmetry, and cumulative excretion of sodium and creatinine were assessed. Biomarkers of glomerular and tubular injury were measured, including urinary albumin excretion and renal mRNA levels of kidney injury molecule 1 (Kim-1), lipocalin 2 (Lcn2), and osteopontin (Spp1). RESULTS: Fenofibrate and tesaglitazar improved the lipid profile, but caused no detectable decrease in GFR or RBF compared with vehicle-treated rats. Furthermore, the cumulative excretions of sodium and creatinine were not altered by the drugs. Finally, there was no significant difference between drug- and vehicle-treated groups in urinary albumin excretion or in the expression of renal injury biomarkers. CONCLUSIONS: In the rat, no direct nephrotoxic effect or deterioration in renal hemodynamics and function were observed following treatment with fenofibrate or tesaglitazar.


Asunto(s)
Alcanosulfonatos/farmacología , Fenofibrato/farmacología , Túbulos Renales/efectos de los fármacos , PPAR alfa/agonistas , PPAR gamma/agonistas , Fenilpropionatos/farmacología , Alcanosulfonatos/toxicidad , Animales , Moléculas de Adhesión Celular/genética , Creatinina/orina , Fenofibrato/toxicidad , Tasa de Filtración Glomerular/efectos de los fármacos , Tasa de Filtración Glomerular/fisiología , Hipolipemiantes/farmacología , Hipolipemiantes/toxicidad , Inulina/farmacocinética , Túbulos Renales/fisiología , Lipocalina 2 , Lipocalinas/genética , Masculino , Osteopontina/genética , PPAR alfa/metabolismo , PPAR gamma/metabolismo , Fenilpropionatos/toxicidad , ARN Mensajero/metabolismo , Ratas , Ratas Sprague-Dawley , Circulación Renal/efectos de los fármacos , Circulación Renal/fisiología , Sodio/orina
17.
Nefrologia ; 30(3): 324-30, 2010.
Artículo en Español | MEDLINE | ID: mdl-20414326

RESUMEN

BACKGROUND: A proper measurement of renal function is important for diagnosis and stratification of kidney disease. Several methods have been used to predict glomerular filtration rate, however the results have been variable depending on the population studied. We aimed to compare the performances of 4 glomerular filtration rate tests with inulin clearance in patients with chronic renal insufficiency and in healthy subjects. METHODS: Inulin clearances performed in 51 individuals with stable renal function were selected. For each of them, we computed 4 estimates: the 24-hour creatinine clearance, technetium (99mTc-DTPA) clearance, Cockcroft-Gault and Levey formulas. Their respective performance was assessed by correlation (Pearson's correlation coefficient) and agreement (Bland and Altman method). RESULTS: Each glomerular filtration rate test closely correlated with inulin clearance. Nevertheless, all GFR tests displayed considerable lack of agreement with lower limits ranging from 15 to 42 ml / min, for comparison with inulin-technetium and inulin with Levey formula, respectively and upper limits of agreement that could range from 20 to 56 ml / min, for comparison with inulin-technetium and Inulin with Levey formula,respectively. CONCLUSION: The measurement of glomerular filtration rate determined via different methods shows a wide range of variation when compared with inulin clearance, which should be considered in daily clinical practice during the evaluation of renal function.


Asunto(s)
Tasa de Filtración Glomerular , Inulina , Fallo Renal Crónico/fisiopatología , Pruebas de Función Renal/métodos , Radiofármacos , Pentetato de Tecnecio Tc 99m , Adolescente , Adulto , Anciano , Algoritmos , Creatinina/sangre , Diuresis , Femenino , Humanos , Inulina/sangre , Inulina/farmacocinética , Inulina/orina , Fallo Renal Crónico/metabolismo , Masculino , Tasa de Depuración Metabólica , Persona de Mediana Edad , Radiofármacos/farmacocinética , Radiofármacos/orina , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Pentetato de Tecnecio Tc 99m/farmacocinética , Pentetato de Tecnecio Tc 99m/orina , Adulto Joven
18.
Int J Biol Macromol ; 154: 654-660, 2020 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-32169456

RESUMEN

Inulin (IN), as a classic diagnostic for determination of glomerular filtration rate, reached high concentration in kidney. Introducing drug into IN derivatives may be a new method to target kidney for drug delivery. To test the hypothesis, ferulic acid (FeA) was conjugated into IN by ester bond and amide bond (ethylenediamine as spacer), respectively, and the two FeA-IN conjugations, inulin ferulate (IN-FeA) and inulin ethylenediamine ferulate (IN-EDA-FeA) were obtained. NMR spectrum was involved to characterize the conjugations. The FeA in vitro release profiles were tested in mice plasma and renal homogenate. Finally, the biodistribution test was performed to evaluate their renal-targeting ability. Both IN-FeA and IN-EDA-FeA showed a higher release rate of FeA in renal homogenate than in mouse plasma suggesting the conjugates are relatively stable in plasma and more likely FeA release in kidney. The renal area under the curve (AUC) for IN-FeA and IN-EDA-FeA were 539.6 ± 107.9 and 558.5 ± 131.6 µg h/mL, respectively, which were 4.47 and 4.62 times of 120.8 ± 18.1 µg h/mL for free FeA. Meanwhile, significant smaller FeA accumulation in other organs was observed. These data indicated that IN-FeA and IN-EDA-FeA effectively targeted kidney for FeA delivery.


Asunto(s)
Ácidos Cumáricos , Portadores de Fármacos/farmacocinética , Inulina , Riñón/metabolismo , Animales , Ácidos Cumáricos/sangre , Ácidos Cumáricos/farmacocinética , Inulina/análogos & derivados , Inulina/sangre , Inulina/farmacocinética , Masculino , Ratones , Distribución Tisular
19.
Int J Biol Macromol ; 161: 763-770, 2020 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-32553978

RESUMEN

The main objective of this work was to prepare inulin (INL)/polyvinyl alcohol (PVA) biomaterials imprinted with arbutin (AR) as the target drug. INL from Jerusalem artichoke flour was extracted with hot water extraction method. INL/PVA biomaterials were synthesized with a casting method and a UV curing. The optimal UV curing time and sodium benzoate content were about 10 min and 0.1 wt%, respectively. The biomaterials were characterized by SEM and FT-IR analysis. Mechanical properties of prepared AR imprinted biomaterials were also investigated. AR release was examined with changes of pH at 36.5 °C. The AR release ratio was also investigated using artificial skin. It was found that AR was released constantly for 40 min. Results of drug release mechanism indicated that AR release followed the Fickian diffusion behavior, whereas drug release using artificial skin followed the non-Fickian diffusion behavior. Tyrosinase inhibitory (%) for AR imprinted biomaterials with/without the addition of GL were 58.8% and 79.2%, respectively.


Asunto(s)
Arbutina , Sistemas de Liberación de Medicamentos , Helianthus/química , Inulina , Alcohol Polivinílico , Arbutina/química , Arbutina/farmacocinética , Inulina/química , Inulina/farmacocinética , Alcohol Polivinílico/química , Alcohol Polivinílico/farmacocinética , Solubilidad
20.
Food Chem ; 310: 125976, 2020 Apr 25.
Artículo en Inglés | MEDLINE | ID: mdl-31835230

RESUMEN

Olive leaves extract (OLE) was spray-dried with maltodextrin (MD) or inulin (IN) to study the evolution of oleuropein (OE) during in vitro gastrointestinal digestion, its bioaccessibility and potential bioavailability. In the case of OLE-MD, OE was partially degraded in gastric and intestinal conditions; whereas in OLE-IN, OE was released under gastric conditions and partially degraded under intestinal conditions. In both cases, the encapsulation of OLE led to higher OE contents at the end of digestion, compared with non-encapsulated OLE, suggesting a protective role of the polysaccharides by the formation of non-covalent polysaccharides-OE complexes. OE bioaccessibility was ten times higher (p ≤ 0.05) in OLE-MD and OLE-IN than in non-encapsulated OLE. However, OE potential bioavailability, evaluated by tangential filtration, was not detected. Encapsulation technology and the encapsulant agent used may determine the release of the encapsulated compounds at a specific-site and their effect on health.


Asunto(s)
Productos Biológicos/química , Inulina/química , Iridoides/farmacocinética , Polisacáridos/química , Disponibilidad Biológica , Digestión , Inulina/metabolismo , Inulina/farmacocinética , Glucósidos Iridoides , Iridoides/química , Hojas de la Planta/química , Polisacáridos/farmacocinética
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