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1.
Ecotoxicol Environ Saf ; 270: 115875, 2024 Jan 15.
Article in English | MEDLINE | ID: mdl-38142593

ABSTRACT

The objective of this study was to investigate the potential of native and invasive plant species for the uptake and accumulation of lithium (Li) and strontium (Sr) along the Sava River, focusing on their bioindication and phytoremediation capabilities. Sampling was carried out in riparian zones exposed to different pollution sources in Slovenia, Croatia, and Serbia. Plant samples of native (Salix alba, Populus alba, Populus nigra, Ulmus glabra, Juglans regia) and invasive (Amorpha fruticosa, Reynoutria japonica, Solidago canadensis, Impatiens glandulifera) species were collected. The content of Li and Sr was analyzed in the soils, roots, and leaves of the selected plants, as well as physical and chemical soil properties. Both Li and Sr content in the soils increased from the source to the mouth of the Sava River. The native species showed significant potential for Li and Sr accumulation based on the metal accumulation index. The highest Sr accumulation was measured in the leaves of Salix alba and the roots of Juglans regia, while the highest Li accumulation was measured in Ulmus glabra. Native species, especially Salix alba, proved to be better bioindicators of Li and Sr. Invasive species, especially Amorpha fruticosa and Impatiens glandulifera, showed a remarkable ability to translocate Sr and Li, respectively, to leaves. These results provide valuable insight into the suitability of plants for biomonitoring soil contamination and potential applications in phytoremediation strategies. In summary, the study shows the importance of native species in the context of the accumulation and bioindication of soil pollution.


Subject(s)
Populus , Salix , Soil Pollutants , Strontium , Biodegradation, Environmental , Lithium , Rivers , Plants , Soil/chemistry , Populus/chemistry , Soil Pollutants/analysis
2.
Mol Pharmacol ; 105(1): 1-13, 2023 Dec 15.
Article in English | MEDLINE | ID: mdl-37907353

ABSTRACT

Alzheimer's disease (AD) is a neurodegenerative disorder characterized by amyloid-ß (Aß) protein accumulation in the brain. Passive immunotherapies using monoclonal antibodies for targeting Aß have shown promise for AD treatment. Indeed, recent US Food and Drug Administration approval of aducanumab and lecanemab, alongside positive donanemab Phase III results demonstrated clinical efficacy after decades of failed clinical trials for AD. However, the pharmacological basis distinguishing clinically effective from ineffective therapies remains unclear, impeding development of potent therapeutics. This study aimed to provide a quantitative perspective for effectively targeting Aß with antibodies. We first reviewed the contradicting results associated with the amyloid hypothesis and the pharmacological basis of Aß immunotherapy. Subsequently, we developed a quantitative systems pharmacology (QSP) model that describes the non-linear progression of Aß pathology and the pharmacologic actions of the Aß-targeting antibodies. Using the QSP model, we analyzed various scenarios for effective passive immunotherapy for AD. The model revealed that binding exclusively to the Aß monomer has minimal effect on Aß aggregation and plaque reduction, making the antibody affinity toward Aß monomer unwanted, as it could become a distractive mechanism for plaque reduction. Neither early intervention, high brain penetration, nor increased dose could yield significant improvement of clinical efficacy for antibodies targeting solely monomers. Antibodies that bind all Aß species but lack effector function exhibited moderate effects in plaque reduction. Our model highlights the importance of binding aggregate Aß species and incorporating effector functions for efficient and early plaque reduction, guiding the development of more effective therapies for this devastating disease. SIGNIFICANCE STATEMENT: Despite previous unsuccessful attempts spanning several decades, passive immunotherapies utilizing monoclonal antibodies for targeting amyloid-beta (Aß) have demonstrated promise with two recent FDA approvals. However, the pharmacological basis that differentiates clinically effective therapies from ineffective ones remains elusive. Our study offers a quantitative systems pharmacology perspective, emphasizing the significance of selectively targeting specific Aß species and importance of antibody effector functions. This perspective sheds light on the development of more effective therapies for this devastating disease.


Subject(s)
Alzheimer Disease , Humans , Alzheimer Disease/drug therapy , Network Pharmacology , Amyloid beta-Peptides/chemistry , Amyloid beta-Peptides/metabolism , Antibodies, Monoclonal/pharmacology , Antibodies, Monoclonal/therapeutic use , Immunization, Passive , Immunotherapy/methods
3.
Nature ; 542(7639): 96-100, 2017 02 02.
Article in English | MEDLINE | ID: mdl-28117439

ABSTRACT

When faced with threat, the survival of an organism is contingent upon the selection of appropriate active or passive behavioural responses. Freezing is an evolutionarily conserved passive fear response that has been used extensively to study the neuronal mechanisms of fear and fear conditioning in rodents. However, rodents also exhibit active responses such as flight under natural conditions. The central amygdala (CEA) is a forebrain structure vital for the acquisition and expression of conditioned fear responses, and the role of specific neuronal sub-populations of the CEA in freezing behaviour is well-established. Whether the CEA is also involved in flight behaviour, and how neuronal circuits for active and passive fear behaviour interact within the CEA, are not yet understood. Here, using in vivo optogenetics and extracellular recordings of identified cell types in a behavioural model in which mice switch between conditioned freezing and flight, we show that active and passive fear responses are mediated by distinct and mutually inhibitory CEA neurons. Cells expressing corticotropin-releasing factor (CRF+) mediate conditioned flight, and activation of somatostatin-positive (SOM+) neurons initiates passive freezing behaviour. Moreover, we find that the balance between conditioned flight and freezing behaviour is regulated by means of local inhibitory connections between CRF+ and SOM+ neurons, indicating that the selection of appropriate behavioural responses to threat is based on competitive interactions between two defined populations of inhibitory neurons, a circuit motif allowing for rapid and flexible action selection.


Subject(s)
Escape Reaction/physiology , Fear/physiology , Fear/psychology , Freezing Reaction, Cataleptic/physiology , Neural Inhibition , Neurons/physiology , Animals , Central Amygdaloid Nucleus/cytology , Central Amygdaloid Nucleus/physiology , Corticotropin-Releasing Hormone/metabolism , Locomotion/physiology , Male , Mice , Mice, Inbred C57BL , Models, Neurological , Neural Pathways , Optogenetics , Somatostatin/metabolism
4.
Nature ; 534(7606): 206-12, 2016 06 09.
Article in English | MEDLINE | ID: mdl-27279213

ABSTRACT

Survival in threatening situations depends on the selection and rapid execution of an appropriate active or passive defensive response, yet the underlying brain circuitry is not understood. Here we use circuit-based optogenetic, in vivo and in vitro electrophysiological, and neuroanatomical tracing methods to define midbrain periaqueductal grey circuits for specific defensive behaviours. We identify an inhibitory pathway from the central nucleus of the amygdala to the ventrolateral periaqueductal grey that produces freezing by disinhibition of ventrolateral periaqueductal grey excitatory outputs to pre-motor targets in the magnocellular nucleus of the medulla. In addition, we provide evidence for anatomical and functional interaction of this freezing pathway with long-range and local circuits mediating flight. Our data define the neuronal circuitry underlying the execution of freezing, an evolutionarily conserved defensive behaviour, which is expressed by many species including fish, rodents and primates. In humans, dysregulation of this 'survival circuit' has been implicated in anxiety-related disorders.


Subject(s)
Escape Reaction/physiology , Freezing Reaction, Cataleptic/physiology , Neural Pathways/cytology , Neural Pathways/physiology , Periaqueductal Gray/cytology , Periaqueductal Gray/physiology , Amygdala/cytology , Amygdala/physiology , Animals , GABAergic Neurons/physiology , Glutamic Acid/metabolism , Male , Medulla Oblongata/cytology , Medulla Oblongata/physiology , Mice , Mice, Inbred C57BL , Neural Inhibition/physiology , Neuroanatomical Tract-Tracing Techniques , Optogenetics
5.
Int J Mol Sci ; 23(5)2022 Feb 28.
Article in English | MEDLINE | ID: mdl-35269813

ABSTRACT

Therapeutics with activity specifically at the inflamed sites throughout the gastrointestinal tract (GIT) would be a major advance in our therapeutic approach to inflammatory bowel disease (IBD). We aimed to develop the prodrug approach that can allow such site-specific drug delivery. Currently, using cyclosporine as a drug of choice in IBD is limited to the most severe cases due to substantial systemic toxicities and narrow therapeutic index of this drug. Previously, we synthesized a series of a phospholipid-linker-cyclosporine (PLC) prodrugs designed to exploit the overexpression of phospholipase A2 (PLA2) in the inflamed intestinal tissues, as the prodrug-activating enzyme. Nevertheless, the extent and rate of prodrug activation differed significantly. In this study we applied in-vitro and modern in-silico tools based on molecular dynamics (MD) simulation, to gain insight into the dynamics and mechanisms of the PLC prodrug activation. We aimed to elucidate the reason for the significant activation change between different linker lengths in our prodrug design. Our work reveals that the PLC conjugate with the 12-carbon linker length yields the optimal prodrug activation by PLA2 in comparison to shorter linker length (6-carbons). This optimized length efficiently allows cyclosporine to be released from the prodrug to the active pocket of PLA2. This newly developed mechanistic approach, presented in this study, can be applied for future prodrug optimization to accomplish optimal prodrug activation and drug targeting in various conditions that include overexpression of PLA2.


Subject(s)
Inflammatory Bowel Diseases , Prodrugs , Cyclosporine/pharmacology , Cyclosporine/therapeutic use , Humans , Inflammatory Bowel Diseases/drug therapy , Phospholipases A2 , Phospholipids/therapeutic use , Prodrugs/pharmacology , Prodrugs/therapeutic use
6.
Molecules ; 27(19)2022 Sep 26.
Article in English | MEDLINE | ID: mdl-36234859

ABSTRACT

New Ni (II) and Cu (II) complexes with pyridoxal-semicarbazone were synthesized and their structures were solved by X-ray crystallography. This analysis showed the bis-ligand octahedral structure of [Ni(PLSC-H)2]·H2O and the dimer octahedral structure of [Cu(PLSC)(SO4)(H2O)]2·2H2O. Hirshfeld surface analysis was employed to determine the most important intermolecular interactions in the crystallographic structures. The structures of both complexes were further examined using density functional theory and natural bond orbital analysis. The photocatalytic decomposition of methylene blue in the presence of both compounds was investigated. Both compounds were active toward E. coli and S. aureus, with a minimum inhibition concentration similar to that of chloramphenicol. The obtained complexes led to the formation of free radical species, as was demonstrated in an experiment with dichlorofluorescein-diacetate. It is postulated that this is the mechanistic pathway of the antibacterial and photocatalytic activities. Cyclic voltammograms of the compounds showed the peaks of the reduction of metal ions. A molecular docking study showed that the Ni(II) complex exhibited promising activity towards Janus kinase (JAK), as a potential therapy for inflammatory diseases, cancers, and immunologic disorders.


Subject(s)
Coordination Complexes , Semicarbazones , Anti-Bacterial Agents/pharmacology , Chloramphenicol , Coordination Complexes/chemistry , Crystallography, X-Ray , Escherichia coli/metabolism , Janus Kinases/metabolism , Ligands , Methylene Blue , Molecular Docking Simulation , Molecular Structure , Pyridoxal , Staphylococcus aureus/metabolism , Nickel , Copper
7.
Retrovirology ; 18(1): 13, 2021 06 05.
Article in English | MEDLINE | ID: mdl-34090462

ABSTRACT

Humanized mice model human disease and as such are used commonly for research studies of infectious, degenerative and cancer disorders. Recent models also reflect hematopoiesis, natural immunity, neurobiology, and molecular pathways that influence disease pathobiology. A spectrum of immunodeficient mouse strains permit long-lived human progenitor cell engraftments. The presence of both innate and adaptive immunity enables high levels of human hematolymphoid reconstitution with cell susceptibility to a broad range of microbial infections. These mice also facilitate investigations of human pathobiology, natural disease processes and therapeutic efficacy in a broad spectrum of human disorders. However, a bridge between humans and mice requires a complete understanding of pathogen dose, co-morbidities, disease progression, environment, and genetics which can be mirrored in these mice. These must be considered for understanding of microbial susceptibility, prevention, and disease progression. With known common limitations for access to human tissues, evaluation of metabolic and physiological changes and limitations in large animal numbers, studies in mice prove important in planning human clinical trials. To these ends, this review serves to outline how humanized mice can be used in viral and pharmacologic research emphasizing both current and future studies of viral and neurodegenerative diseases. In all, humanized mouse provides cost-effective, high throughput studies of infection or degeneration in natural pathogen host cells, and the ability to test transmission and eradication of disease.


Subject(s)
Disease Models, Animal , Immunity, Innate , Mice, SCID , Neurodegenerative Diseases/immunology , Animals , HIV-1/immunology , Mice
8.
Int J Mol Sci ; 21(10)2020 May 20.
Article in English | MEDLINE | ID: mdl-32443905

ABSTRACT

Prodrugs are designed to improve pharmaceutical/biopharmaceutical characteristics, pharmacokinetic/pharmacodynamic properties, site-specificity, and more. A crucial step in successful prodrug is its activation, which releases the active parent drug, exerting a therapeutic effect. Prodrug activation can be based on oxidation/reduction processes, or through enzyme-mediated hydrolysis, from oxidoreductases (i.e., Cytochrome P450) to hydrolytic enzymes (i.e., carboxylesterase). This study provides an overview of the novel in silico methods for the optimization of enzyme-mediated prodrug activation. Computational methods simulating enzyme-substrate binding can be simpler like molecular docking, or more complex, such as quantum mechanics (QM), molecular mechanics (MM), and free energy perturbation (FEP) methods such as molecular dynamics (MD). Examples for MD simulations used for elucidating the mechanism of prodrug (losartan, paclitaxel derivatives) metabolism via CYP450 enzyme are presented, as well as an MD simulation for optimizing linker length in phospholipid-based prodrugs. Molecular docking investigating quinazolinone prodrugs as substrates for alkaline phosphatase is also presented, as well as QM and MD simulations used for optimal fit of different prodrugs within the human carboxylesterase 1 catalytical site. Overall, high quality computational simulations may show good agreement with experimental results, and should be used early in the prodrug development process.


Subject(s)
Cytochrome P-450 Enzyme Inhibitors/chemistry , Cytochrome P-450 Enzyme System/chemistry , Molecular Docking Simulation/methods , Molecular Dynamics Simulation , Prodrugs/chemistry , Cytochrome P-450 Enzyme Inhibitors/pharmacokinetics , Cytochrome P-450 Enzyme System/metabolism , Prodrugs/pharmacology , Protein Binding
9.
Int J Mol Sci ; 21(9)2020 May 04.
Article in English | MEDLINE | ID: mdl-32375338

ABSTRACT

The aim of this work is to analyze relevant endogenous lipid processing pathways, in the context of the impact that lipids have on drug absorption, their therapeutic use, and utilization in drug delivery. Lipids may serve as biomarkers of some diseases, but they can also provide endogenous therapeutic effects for certain pathological conditions. Current uses and possible clinical benefits of various lipids (fatty acids, steroids, triglycerides, and phospholipids) in cancer, infectious, inflammatory, and neurodegenerative diseases are presented. Lipids can also be conjugated to a drug molecule, accomplishing numerous potential benefits, one being the improved treatment effect, due to joined influence of the lipid carrier and the drug moiety. In addition, such conjugates have increased lipophilicity relative to the parent drug. This leads to improved drug pharmacokinetics and bioavailability, the ability to join endogenous lipid pathways and achieve drug targeting to the lymphatics, inflamed tissues in certain autoimmune diseases, or enable overcoming different barriers in the body. Altogether, novel mechanisms of the lipid role in diseases are constantly discovered, and new ways to exploit these mechanisms for the optimal drug design that would advance different drug delivery/therapy aspects are continuously emerging.


Subject(s)
Drug Carriers , Drug Delivery Systems , Lipid Metabolism , Lipids , Metabolic Networks and Pathways , Animals , Drug Liberation , Humans , Lipids/chemistry , Solubility , Structure-Activity Relationship
10.
Environ Monit Assess ; 192(2): 131, 2020 Jan 22.
Article in English | MEDLINE | ID: mdl-31965342

ABSTRACT

A large number of human activities result in the release of potentially toxic elements (PTEs) into the environment, which could lead to the degradation of riparian areas. This study aimed to evaluate the potential of Salix alba, Juglans regia and Populus nigra for the biomonitoring of PTEs in the riparian soils of the Sava River. Levels of seven PTEs (As, Cd, Cr, Cu, Ni, Pb and Zn) were measured in the soils, roots and leaves of plants at selected sampling sites and evaluated according to bioaccumulation and translocation factors. The obtained results showed that in riparian soils, As, Cr, Cu, Ni and Zn were at levels considered to be critical for plants. The levels of As, Cd, Cr, Ni and Zn measured in roots of Salix alba and As, Cr, Ni and Zn in its leaves were toxic for plant tissue. Toxic levels of Cr were also measured in the roots of Juglans regia and As in its leaves, as well as As and Cr in the roots of Populus nigra, and Zn in its leaves. Bioconcentration and translocation factors showed that S. alba and P. nigra have potential for the phytoextraction of Zn and Cd, while J. regia has potential for the phytoextraction of As. In terms of phytostabilization potential, S. alba proved to be good for the phytostabilization of Cd and Cu, and J. regia for the phytostabilization of Cr, As, Ni and Pb, while P. nigra showed potential for the phytostabilization of Cr, Ni, Pb and Cu.


Subject(s)
Juglans , Metals, Heavy , Populus , Salix , Soil Pollutants , Environmental Monitoring , Humans , Juglans/chemistry , Populus/chemistry , Rivers , Salix/chemistry , Soil , Soil Pollutants/analysis
11.
Med Res Rev ; 39(2): 579-607, 2019 03.
Article in English | MEDLINE | ID: mdl-30320896

ABSTRACT

In the past, a prodrug design was used as a last option to improve bioavailability through controlling transport, distribution, metabolism, or other mechanisms. Prodrugs are currently used even in early stages of drug development, and a significant percentage of all drugs in the market are prodrugs. The focus of this article is lipidic prodrugs, a strategy whereby a lipid carrier is covalently bound to the drug moiety. The increased lipophilicity of the lipid-drug conjugate can improve the pharmacokinetic profile and provide meaningful advantages: increased absorption across biological barriers, prolonged circulation half-life, selective distribution profile (eg brain penetration), reduced hepatic first-pass metabolism, and overall enhanced bioavailability of the parent drug. Moreover, lipidic prodrugs may join the endogenous lipid trafficking pathways, thereby facilitate drug targeting, either by selective absorption pathway (eg lymphatic transport) or drug release at specific target site(s). The different lipid-drug conjugates (triglyceride-, fatty acids, phospholipid-, and steroid-based prodrugs), the physiological barriers that challenge the absorption of these conjugates, followed by their current utilization and potential clinical benefits are described and analyzed, and future opportunities this approach could provide are discussed. Altogether, lipidic prodrugs represent an exciting approach for improving different aspects of oral drug delivery/therapy and may provide solutions for various unmet needs; the use of this strategy is expected to grow.


Subject(s)
Administration, Oral , Drug Delivery Systems , Lipids/chemistry , Prodrugs/chemistry , Animals , Biological Availability , Chemistry, Pharmaceutical , Cholesterol/metabolism , Colitis, Ulcerative/drug therapy , Crohn Disease/drug therapy , Enterocytes/drug effects , Gastrointestinal Tract/drug effects , Humans , Lymphatic System/drug effects , Mice , Phospholipids/chemistry , Solubility , Steroids/chemistry
12.
Int J Mol Sci ; 20(9)2019 May 05.
Article in English | MEDLINE | ID: mdl-31060339

ABSTRACT

The lipidic prodrug approach is an emerging field for improving a number of biopharmaceutical and drug delivery aspects. Owing to their structure and nature, phospholipid (PL)-based prodrugs may join endogenous lipid processing pathways, and hence significantly improve the pharmacokinetics and/or bioavailability of the drug. Additional advantages of this approach include drug targeting by enzyme-triggered drug release, blood-brain barrier permeability, lymphatic targeting, overcoming drug resistance, or enabling appropriate formulation. The PL-prodrug design includes various structural modalities-different conjugation strategies and/or the use of linkers between the PL and the drug moiety, which considerably influence the prodrug characteristics and the consequent effects. In this article, we describe how molecular modeling can guide the structural design of PL-based prodrugs. Computational simulations can predict the extent of phospholipase A2 (PLA2)-mediated activation, and facilitate prodrug development. Several computational methods have been used to facilitate the design of the pro-drugs, which will be reviewed here, including molecular docking, the free energy perturbation method, molecular dynamics simulations, and free density functional theory. Altogether, the studies described in this article indicate that computational simulation-guided PL-based prodrug molecular design correlates well with the experimental results, allowing for more mechanistic and less empirical development. In the future, the use of molecular modeling techniques to predict the activity of PL-prodrugs should be used earlier in the development process.


Subject(s)
Drug Design , Molecular Docking Simulation , Molecular Dynamics Simulation , Phospholipids/chemistry , Prodrugs/chemistry , Animals , Antigens, Human Platelet/chemistry , Humans , Molecular Structure , Substrate Specificity
13.
Forensic Sci Med Pathol ; 15(2): 169-177, 2019 Jun.
Article in English | MEDLINE | ID: mdl-30806911

ABSTRACT

Mitochondrial DNA (mtDNA), especially the gene for cytochrome b (MT-CYB), has been found to be highly informative for species identification. In this study, we present the results of the analysis of a 127 bp long fragment of MT-CYB, amplified using universal primers, variable enough to be used for species identification and discrimination, even in highly degraded animal samples. The total number of analyzed species in this study was 30, including 17 mammalian and 13 bird species. Using a newly created primer pair, we successfully amplified and sequenced the target sequence in almost all tested species. The amplification was incomplete in just two species, and as a result, partial, but still variable sequences, were obtained. Using the target fragment we successfully identified all tested samples. Initial results suggested that the intraspecies genetic diversity of the target region, in all tested species, was low - from 0 to 4.72%. The interspecies genetic diversity of the target region, crucial for successful discrimination, showed relatively high diversity, ranging from 8.36% to 42.52%. Given its short length, the target region should be used for species determination, particularly in samples that are degraded or are low in DNA quantity.


Subject(s)
Birds/genetics , Cytochromes b/genetics , Mammals/genetics , Species Specificity , Animals , DNA Primers , DNA, Mitochondrial/genetics , Genetic Variation , Polymerase Chain Reaction , Sequence Analysis, DNA
14.
Clin Immunol ; 195: 18-27, 2018 10.
Article in English | MEDLINE | ID: mdl-30036638

ABSTRACT

Immunogenicity of 13-valent pneumococcal polysaccharide (PnPS) conjugate vaccine (PCV13) was evaluated in 38 rheumatoid arthritis patients under immunosuppressive treatment and 20 healthy controls (HC). Antibodies to all PnPS and diphtheria-toxin analogue conjugate protein were measured pre- (T0), 1 (T1), 6 (T2), 12 (T3) months post-immunization. Patients and HC had similar response to individual PnPS. Mean antibody levels to all PnPS but one doubled at T1 compared with T0, with T3 persistence for only 8-7/13 PnPS. Baseline antibody levels was inversely associated with the rate of responders at T1 (T1/T0≥2) to 11/13 PnPS. Few subjects reached protective IgG levels against some serotypes frequently isolated in Italian patients with invasive pneumococcal disease. Antibody response was not influenced by therapy, except the one to PS7F, which was reduced by tumor necrosis factor-α-inhibitors. Vaccination increased also anti-diphtheria IgG. Despite this study substantially confirmed the PCV13 immunogenicity in immunocompromised patients, it also revealed some limitations.


Subject(s)
Arthritis, Rheumatoid/immunology , Corynebacterium diphtheriae/physiology , Diphtheria/immunology , Pneumococcal Infections/immunology , Pneumococcal Vaccines/immunology , Aged , Antibodies, Bacterial/blood , Arthritis, Rheumatoid/drug therapy , Arthritis, Rheumatoid/epidemiology , Female , Humans , Immunity, Humoral , Immunocompromised Host , Immunoglobulin G/blood , Immunosuppressive Agents/therapeutic use , Italy/epidemiology , Male , Middle Aged , Pneumococcal Infections/epidemiology , Polysaccharides, Bacterial/immunology , Vaccination
15.
Int J Legal Med ; 132(6): 1575-1580, 2018 Nov.
Article in English | MEDLINE | ID: mdl-29536195

ABSTRACT

Casings represent common evidence in a forensic laboratory, due to high frequency of firearms usage during perpetration of criminal offenses. Possible DNA evidence from casings is compromised by degradation, inhibition, and initial low-quantity deposition of biological material. For that reason, in the last 15 years, scientists have been trying to optimize procedures for recovery and amplification of DNA possibly present on its surface. In this study, we share our 12-year experience done on a total of 698 casework casings, comparing two DNA recovery methods commonly used-soaking and swabbing, as well as efficacy of two commercially available DNA amplification kits (AmpFLSTR® Identifiler® and AmpFLSTR® Identifiler® Plus kits). Of all analyzed casings, 30 were excluded as 28 (4%) matched the victims' DNA profiles and 2 (0.3%) samples were proved to be contaminated by technicians. Overall success in obtaining interpretable DNA profiles was 15.6% (104/668) (13.8% (55/399) for AmpFLSTR® Identifiler® Plus combined with soaking, 22% (33/150) for AmpFLSTR® Identifiler® Plus combined with swabbing, and 13.4% (16/119) using AmpFLSTR® Identifiler® kit and swabbing recovery method). Our data suggest the importance of both DNA recovery methods and amplification kits used, and point out swabbing of casings combined with AmpFLSTR® Identifiler® Plus kit as methods of choice. Nonetheless, our results are based on real casework and are prone to uncontrolled variables.


Subject(s)
DNA Fingerprinting , DNA/isolation & purification , Firearms , Microsatellite Repeats , Specimen Handling/methods , Humans , Polymerase Chain Reaction , Retrospective Studies
16.
Clin Exp Rheumatol ; 36(6): 984-989, 2018.
Article in English | MEDLINE | ID: mdl-29998842

ABSTRACT

OBJECTIVES: The ability of ultrasound (US) to identify subclinical joint inflammation in rheumatoid arthritis (RA) patients in remission has been already reported. Nonetheless, current studies present a lack of homogeneity in patient's characteristics and number of joints assessed by US. The aim of this study was to identify a reduced set of target joints to be scanned in RA patients in clinical remission in order to detect subclinical synovitis. METHODS: Forty RA patients in clinical remission (DAS28 ≤2.6) for at least 3 months underwent an US examination of 18 joints: wrist, II-III-IV-V metacarpophalangeal (MCP) and II-III-IV-V metatarsophalangeal joints bilaterally. The presence of synovial hypertrophy (SH) and power-Doppler (PD) signal was registered following the OMERACT definitions and was graded according to a 4-point scale (0-3). Then, by applying a process of data reduction based on the frequency of joint involvement, a reduced assessment was obtained. RESULTS: Twenty (50%) subjects had at least one joint affected by active synovitis; 17.5% presented grade 1 PD and 32.5% grade 2 PD. The joints most frequently affected by active synovitis were the wrists (75%) and the II MCP joints (55%). After data reduction, the evaluation of 3 joints (both wrists and the II MCP of the dominant hand) obtained a sensitivity of 90% for the detection of subclinical synovitis. CONCLUSIONS: The US scan of 3 target joints showed a high sensitivity in detecting subclinical active synovitis in RA patients in clinical remission and can be feasible in the routine assessment of these patients.


Subject(s)
Antirheumatic Agents/therapeutic use , Arthritis, Rheumatoid/diagnostic imaging , Arthritis, Rheumatoid/drug therapy , Synovial Membrane/drug effects , Synovial Membrane/diagnostic imaging , Synovitis/diagnostic imaging , Synovitis/drug therapy , Ultrasonography, Doppler , Adult , Aged , Aged, 80 and over , Asymptomatic Diseases , Cross-Sectional Studies , Feasibility Studies , Female , Humans , Hypertrophy , Male , Metacarpophalangeal Joint/diagnostic imaging , Metacarpophalangeal Joint/drug effects , Metatarsophalangeal Joint/diagnostic imaging , Metatarsophalangeal Joint/drug effects , Middle Aged , Predictive Value of Tests , Remission Induction , Reproducibility of Results , Time Factors , Treatment Outcome , Wrist Joint/diagnostic imaging , Wrist Joint/drug effects , Young Adult
17.
J Transl Med ; 15(1): 38, 2017 02 21.
Article in English | MEDLINE | ID: mdl-28222785

ABSTRACT

BACKGROUND: Lymphocyte expansion and true lymphocytosis are commonly observed in the everyday clinical practice. The meaning of such phenomenon is often poorly understood so that discrimination between benign and malignant lymphocytosis remains difficult to establish. This is mainly true when lymphocytosis rises in patients affected by immune-mediated chronic inflammatory diseases under immunosuppressive treatment, conditions potentially associated with lymphomagenesis. In this brief report the development of mild T CD4pos lymphocytosis in a group of patients with chronic arthritis under anti-TNF-α treatment is described. METHODS: Two hundred eight rheumatoid arthritis (RA) and psoriatic arthritis (PsA) patients have been evaluated longitudinally for at least 1-year before and 2-years after anti-TNF-α therapy introduction for the possible appearance of a lymphocyte expansion. In patients who developed lymphocyte expansion, T, B and NK cells were analysed. RESULTS: Twenty-five out of 208 (12%) subjects developed a mild T CD4pos lymphocytosis, during anti-TNF-α therapy, which reverted after its interruption. Higher lymphocyte count, more frequent use of steroids and shorter disease duration, before biological therapy start, have emerged as risk factors for lymphocytosis development. CONCLUSIONS: This is the first longitudinal cohort study evaluating the onset of lymphocytosis in RA and PsA patients under anti-TNF-α treatment and its possible clinical relevance. A mild T CD4pos lymphocytosis has been observed in 12% of RA and PsA patients probably related to anti-TNF-α treatment as previously reported by anecdotal cases. Patients with higher baseline lymphocyte count, use of steroids and shorter disease duration before the introduction of biologic therapy, seem to be prone to develop this laboratory reversible abnormality.


Subject(s)
Antirheumatic Agents/therapeutic use , Arthritis, Psoriatic/complications , Arthritis, Psoriatic/drug therapy , Arthritis, Rheumatoid/complications , Arthritis, Rheumatoid/drug therapy , CD4 Antigens/metabolism , Lymphocytosis/complications , Tumor Necrosis Factor-alpha/antagonists & inhibitors , Antirheumatic Agents/pharmacology , Arthritis, Psoriatic/immunology , Arthritis, Rheumatoid/immunology , Demography , Female , Humans , Lymphocyte Count , Lymphocytosis/immunology , Male , Middle Aged , T-Lymphocytes/immunology , Tumor Necrosis Factor-alpha/metabolism
18.
Pharm Res ; 35(1): 2, 2017 12 29.
Article in English | MEDLINE | ID: mdl-29288412

ABSTRACT

PURPOSE: The effective rat intestinal permeability (P eff ) was deconvolved using a biophysical model based on parameterized paracellular, aqueous boundary layer, transcellular permeabilities, and the villus-fold surface area expansion factor. METHODS: Four types of rat intestinal perfusion data were considered: single-pass intestinal perfusion (SPIP) in the jejunum (n = 40), and colon (n = 15), closed-loop (Doluisio type) in the small intestine (n = 78), and colon (n = 74). Moreover, in vitro Caco-2 permeability values were used to predict rat in vivo values in the rat data studied. RESULTS: Comparable number of molecules permeate via paracellular water channels as by the lipoidal transcellular route in the SPIP method, although in the closed-loop method, the paracellular route appears dominant in the colon. The aqueous boundary layer thickness in the small intestine is comparable to that found in unstirred in vitro monolayer assays; it is thinner in the colon. The mucosal surface area in anaesthetized rats is 0.96-1.4 times the smooth cylinder calculated value in the colon, and it is 3.1-3.6 times in the small intestine. The paracellular permeability of the intestine appeared to be greater in rat than human, with the colon showing more leakiness (higher P para ) than the small intestine. CONCLUSION: Based on log intrinsic permeability values, the correlations between the in vitro and in vivo models ranged from r2 0.82 to 0.92. The SPIP-Doluisio method comparison indicated identical log permeability selectivity trend with negligible bias.


Subject(s)
Colon/metabolism , Intestine, Small/metabolism , Jejunum/metabolism , Models, Biological , Organic Chemicals/metabolism , Pharmaceutical Preparations/metabolism , Animals , Caco-2 Cells , Databases, Pharmaceutical , Humans , Intestinal Absorption , Intestinal Mucosa/metabolism , Male , Perfusion , Permeability , Pharmacokinetics , Rats, Wistar
19.
J Comput Aided Mol Des ; 31(11): 1021-1028, 2017 Nov.
Article in English | MEDLINE | ID: mdl-29101519

ABSTRACT

Targeting drugs to the inflamed intestinal tissue(s) represents a major advancement in the treatment of inflammatory bowel disease (IBD). In this work we present a powerful in-silico modeling approach to guide the molecular design of novel prodrugs targeting the enzyme PLA2, which is overexpressed in the inflamed tissues of IBD patients. The prodrug consists of the drug moiety bound to the sn-2 position of phospholipid (PL) through a carbonic linker, aiming to allow PLA2 to release the free drug. The linker length dictates the affinity of the PL-drug conjugate to PLA2, and the optimal linker will enable maximal PLA2-mediated activation. Thermodynamic integration and Weighted Histogram Analysis Method (WHAM)/Umbrella Sampling method were used to compute the changes in PLA2 transition state binding free energy of the prodrug molecule (∆∆Gtr) associated with decreasing/increasing linker length. The simulations revealed that 6-carbons linker is the optimal one, whereas shorter or longer linkers resulted in decreased PLA2-mediated activation. These in-silico results were shown to be in excellent correlation with experimental in-vitro data. Overall, this modern computational approach enables optimization of the molecular design of novel prodrugs, which may allow targeting the free drug specifically to the diseased intestinal tissue of IBD patients.


Subject(s)
Anti-Inflammatory Agents, Non-Steroidal/chemistry , Diclofenac/chemistry , Molecular Dynamics Simulation , Phospholipids/chemistry , Prodrugs/chemistry , Antigens, Human Platelet/chemistry , Binding Sites , Computer Simulation , Drug Delivery Systems , Drug Liberation , Humans , Inflammatory Bowel Diseases/drug therapy , Protein Binding , Protein Conformation , Thermodynamics
20.
Clin Chem Lab Med ; 54(5): 773-80, 2016 May.
Article in English | MEDLINE | ID: mdl-26479344

ABSTRACT

BACKGROUND: Charcot-Marie-Tooth type 1A (CMT1A) is the most common type of hereditary motor and sensory neuropathies (HMSN), caused by the duplication of the 17p11.2 region that includes the PMP22 gene. Reciprocal deletion of the same region is the main cause of hereditary neuropathy with liability to pressure palsies (HNPP). CMT1A accounts for approximately 50% of HMSN patients. Diagnostics of CMT1A and HNPP are based on quantitative analysis of the affected region or RFLP detection of breakage points. The aim of this study was to improve the sensitivity and efficiency of CMT1A and HNPP genetic diagnostics by introducing analysis of six STR markers (D17S261-D17S122-D17S839-D17S1358-D17S955-D17S921) spanning the duplicated region. METHODS: Forty-six CMT1A and seven HNPP patients, all genetically diagnosed by RFLP analysis, were tested for duplication or deletion using six STR markers. RESULTS: In all CMT1A and HNPP patients, microsatellite analysis comprising six STR markers confirmed the existence of a duplication or deletion. In 89% (41/46) CMT1A patients the confirmation was based on detecting three alleles on at least one locus. In the remaining 11% (5) CMT1A patients, duplication was also confirmed based on two peaks with clear dosage difference for at least two different markers. All HNPP patients (7/7) displayed only one allele for each analyzed locus. CONCLUSIONS: Microsatellite analysis using six selected STR loci showed a high level of sensitivity and specificity for genetic diagnostics of CMT1A and HNPP. The results here strongly suggest STR marker analysis as a method of choice in PMP22 duplication/deletion testing.


Subject(s)
Arthrogryposis/genetics , Charcot-Marie-Tooth Disease/genetics , Gene Deletion , Gene Duplication/genetics , Hereditary Sensory and Motor Neuropathy/genetics , Myelin Proteins/genetics , Tandem Repeat Sequences/genetics , Arthrogryposis/diagnosis , Charcot-Marie-Tooth Disease/diagnosis , Hereditary Sensory and Motor Neuropathy/diagnosis , Humans
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