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1.
Vaccine ; 41(38): 5525-5534, 2023 08 31.
Artículo en Inglés | MEDLINE | ID: mdl-37586958

RESUMEN

BACKGROUND: DS-5670a is a vaccine candidate for coronavirus disease 2019 (COVID-19) harnessing a novel modality composed of messenger ribonucleic acid (mRNA) encoding the receptor-binding domain (RBD) from the spike protein of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) encapsulated in lipid nanoparticles. Here, we report the safety, immunogenicity, and pharmacokinetic profile of DS-5670a from a phase 2 clinical trial in healthy adults who were immunologically naïve to SARS-CoV-2. METHODS: The study consisted of an open-label, uncontrolled, dose-escalation part and a double-blind, randomized, uncontrolled, 2-arm, parallel-group part. A total of 80 Japanese participants were assigned to receive intramuscular DS-5670a, containing either 30 or 60 µg of mRNA, as two injections administered 4 weeks apart. Safety was assessed by characterization of treatment-emergent adverse events (TEAEs). Immunogenicity was assessed by neutralization titers against SARS-CoV-2, anti-RBD immunoglobulin (Ig)G levels, and SARS-CoV-2 spike-specific T cell responses. Plasma pharmacokinetic parameters of DS-5670a were also evaluated. RESULTS: Most solicited TEAEs were mild or moderate with both the 30 and 60 µg mRNA doses. Four participants (10 %) in the 60 µg mRNA group developed severe redness at the injection site, but all cases resolved without treatment. There were no serious TEAEs and no TEAEs leading to discontinuation. Humoral immune responses in both dose groups were greater than those observed in human convalescent serum; the 60 µg mRNA dose produced better responses. Neutralization titers were found to be correlated with anti-RBD IgG levels (specifically IgG1). DS-5670a elicited antigen-specific T helper 1-polarized cellular immune responses. CONCLUSIONS: The novel mRNA-based vaccine candidate DS-5670a provided favorable immune responses against SARS-CoV-2 with a clinically acceptable safety profile. Confirmatory trials are currently ongoing to evaluate the safety and immunogenicity of DS-5670a as the primary vaccine and to assess the immunogenicity when administered as a heterologous or homologous booster. TRIAL REGISTRY: https://jrct.niph.go.jp/latest-detail/jRCT2071210086.


Asunto(s)
COVID-19 , SARS-CoV-2 , Adulto , Humanos , COVID-19/prevención & control , Sueroterapia para COVID-19 , Inmunoglobulina G
2.
Int J Hematol ; 117(3): 409-420, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-36399286

RESUMEN

Axicabtagene ciloleucel (axi-cel) is an autologous, CD19-targeting chimeric antigen receptor T­cell therapy. We recently reported the 3-month follow-up results of a phase 2, multicenter, open­label, single-arm study of axi-cel in Japanese patients with relapsed or refractory (R/R) large B-cell lymphoma (LBCL) (JapicCTI-183914). Here, we present 1-year efficacy and safety data and biomarker analysis data regarding mechanisms of resistance to axi-cel. Primary and secondary endpoints included investigator-assessed objective response rate (ORR), serious adverse events, and treatment-emergent adverse events. Axi-cel pharmacokinetics were also examined. Biomarker analysis was performed by cytokine measurement, immunohistochemistry, RNA sequencing, and whole-exome sequencing. At a median follow-up of 13.4 months, ORR was 86.7% (13/15 patients), and the complete response (CR) rate improved to 53.3% (8/15 patients) due to response conversion. Seven patients experienced disease progression, and one achieved CR after re-treatment with axi-cel. No new safety concerns were detected. Plausible resistance mechanisms to axi-cel varied among patients but included CD19 downregulation, programmed death-ligand 1 upregulation, and increased macrophage and angiogenesis signatures. The 1-year efficacy and safety of axi-cel were confirmed in Japanese patients with R/R LBCL. Resistance to treatment may involve multiple factors, including target antigen loss and an unfavorable tumor environment.Clinical trial registration: Japan Clinical Trials Information; JapicCTI-183914.


Asunto(s)
Inmunoterapia Adoptiva , Linfoma de Células B Grandes Difuso , Humanos , Estudios de Seguimiento , Japón , Inmunoterapia Adoptiva/efectos adversos , Inmunoterapia Adoptiva/métodos , Linfoma de Células B Grandes Difuso/terapia , Linfoma de Células B Grandes Difuso/patología , Antígenos CD19/uso terapéutico
3.
J Clin Pharmacol ; 63(1): 77-90, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36053771

RESUMEN

Patritumab deruxtecan is an antibody-drug conjugate consisting of a fully human monoclonal antibody against human epidermal growth factor receptor 3 (HER3) attached to a topoisomerase I inhibitor payload via a tetrapeptide-based cleavable linker. As part of the pharmacometric analysis informing dose selection for later-stage development, population pharmacokinetics (PK) analysis of patritumab deruxtecan was conducted with pooled serum PK data from patients with HER3-expressing solid tumors (from 3 phase 1/2 studies in breast, lung, and colorectal cancer; N = 425) treated over the dose range of 1.6 to 8.0 mg/kg intravenously every 3 weeks. Population PK modeling for deruxtecan (DXd)-conjugated antibody (representing patritumab deruxtecan) and unconjugated MAAA-1181a (DXd, payload) was carried out sequentially. DXd-conjugated antibody PK was described using a 2-compartment model with parallel linear and nonlinear clearance. Unconjugated DXd PK was described using a 1-compartment model with linear clearance and release of DXd as a first-order, time-dependent function of the level of DXd-conjugated antibody in the central compartment. Preliminary covariate evaluation was conducted for prespecified covariates of pharmacological plausibility and clinical interest. The final model retained weight (on linear clearance and central volume) and albumin level, sex, and tumor type (on linear clearance) for DXd-conjugated antibody, and weight (on release rate constant) and hepatic function (on clearance) for unconjugated DXd. Effects of these covariates on the exposure metrics were generally mild and did not require dose adjustment for subpopulations in subsequent development. Further PK characterization for patritumab deruxtecan will evolve with emerging data.


Asunto(s)
Inmunoconjugados , Neoplasias , Humanos , Anticuerpos Monoclonales Humanizados/farmacocinética , Camptotecina , Inmunoconjugados/farmacocinética , Neoplasias/tratamiento farmacológico , Trastuzumab/farmacocinética , Receptor ErbB-2/metabolismo
4.
Int J Clin Oncol ; 27(1): 213-223, 2022 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-34599413

RESUMEN

BACKGROUND: Axicabtagene ciloleucel (axi-cel) is an autologous chimeric antigen receptor T-cell based anti-CD19 therapy. The ZUMA-1 study, multicenter, single-arm, registrational Phase 1/2 study of axi-cel demonstrated high objective response rate in patients with relapsed/refractory large B-cell lymphoma. Here, we present the results of the bridging study to evaluate the efficacy and safety of axi-cel in Japanese patients (JapicCTI-183914). METHODS: This study was the phase 2, multicenter, open-label, single-arm trial. Following leukapheresis, axi-cel manufacturing and lymphodepleting chemotherapy, patients received a single infusion of axi-cel (2.0 × 106 cells/kg). Bridging therapy between leukapheresis and conditioning chemotherapy was not allowed. The primary endpoint was objective response rate. RESULTS: Among 17 enrolled patients, 16 received axi-cel infusion. In the 15 efficacy evaluable patients, objective response rate was 86.7% (95% confidence interval: 59.5-98.3%); complete response/partial response were observed in 4 (26.7%)/9 (60.0%) patients, respectively. No dose-limiting toxicities were observed. Grade ≥ 3 treatment-emergent adverse events occurred in 16 (100%) patients-most commonly neutropenia (81.3%), lymphopenia (81.3%) and thrombocytopenia (62.5%). Cytokine release syndrome occurred in 13 (81.3%) patients (12 cases of grade 1 or 2 and 1 case of grade 4). No neurologic events occurred. Two patients died due to disease progression, but no treatment-related death was observed by the data-cutoff date (October 23, 2019). CONCLUSION: The efficacy and safety of axi-cel was confirmed in Japanese patients with relapsed/refractory large B-cell lymphoma who have otherwise limited treatment options. TRIAL REGISTRATION: JapicCTI-183914.


Asunto(s)
Productos Biológicos , Linfoma de Células B Grandes Difuso , Antígenos CD19 , Humanos , Japón , Linfoma de Células B Grandes Difuso/tratamiento farmacológico
5.
Drug Metab Dispos ; 45(2): 152-159, 2017 02.
Artículo en Inglés | MEDLINE | ID: mdl-27836941

RESUMEN

To understand the drivers in the biological system response to dopamine D2 receptor antagonists, a mechanistic semiphysiologically based (PB) pharmacokinetic-pharmacodymanic (PKPD) model was developed to describe prolactin responses to risperidone (RIS) and its active metabolite paliperidone (PAL). We performed a microdialysis study in rats to obtain detailed plasma, brain extracellular fluid (ECF), and cerebrospinal fluid (CSF) concentrations of PAL and RIS. To assess the impact of P-glycoprotein (P-gp) functioning on brain distribution, we performed experiments in the absence or presence of the P-gp inhibitor tariquidar (TQD). PK and PKPD modeling was performed by nonlinear mixed-effect modeling. Plasma, brain ECF, and CSF PK values of RIS and PAL were well described by a 12-compartmental semi-PBPK model, including metabolic conversion of RIS to PAL. P-gp efflux functionality was identified on brain ECF for RIS and PAL and on CSF only for PAL. In the PKPD analysis, the plasma drug concentrations were more relevant than brain ECF or CSF concentrations to explain the prolactin response; the estimated EC50 was in accordance with reports in the literature for both RIS and PAL. We conclude that for RIS and PAL, the plasma concentrations better explain the prolactin response than do brain ECF or CSF concentrations. This research shows that PKPD modeling is of high value to delineate the target site of drugs.


Asunto(s)
Encéfalo/metabolismo , Modelos Biológicos , Palmitato de Paliperidona/farmacocinética , Prolactina/sangre , Risperidona/farmacocinética , Miembro 1 de la Subfamilia B de Casetes de Unión a ATP/antagonistas & inhibidores , Animales , Líquido Cefalorraquídeo/química , Líquido Extracelular/química , Masculino , Microdiálisis , Palmitato de Paliperidona/sangre , Palmitato de Paliperidona/líquido cefalorraquídeo , Ratas Wistar , Risperidona/sangre , Risperidona/líquido cefalorraquídeo , Distribución Tisular
6.
DNA Repair (Amst) ; 43: 69-77, 2016 07.
Artículo en Inglés | MEDLINE | ID: mdl-27268481

RESUMEN

The protein XRCC1 has no inherent enzymatic activity, and is believed to function in base excision repair as a dedicated scaffold component that coordinates other DNA repair factors. Repair foci clearly represent the recruitment and accumulation of DNA repair factors at sites of damage; however, uncertainties remain regarding their organization in the context of nuclear architecture and their biological significance. Here we identified the chromatin remodeling factor SNF2H/SMARCA5 as a novel binding partner of XRCC1, with their interaction dependent on the casein kinase 2-mediated constitutive phosphorylation of XRCC1. The proficiency of repairing H2O2-induced damage was strongly impaired by SNF2H knock-down, and similar impairment was observed with knock-down of both XRCC1 and SNF2H simultaneously, suggesting their role in a common repair pathway. Most SNF2H exists in the nuclear matrix fraction, forming salt extraction-resistant foci-like structures in unchallenged nuclei. Remarkably, damage-induced formation of both PAR and XRCC1 foci depended on SNF2H, and the PAR and XRCC1 foci co-localized with the SNF2H foci. We propose a model in which a base excision repair complex containing damaged chromatin is recruited to specific locations in the nuclear matrix for repair, with this recruitment mediated by XRCC1-SNF2H interaction.


Asunto(s)
Adenosina Trifosfatasas/genética , Quinasa de la Caseína II/genética , Proteínas Cromosómicas no Histona/genética , Reparación del ADN , Proteínas de Unión al ADN/genética , ADN/genética , Peróxido de Hidrógeno/farmacología , Adenosina Trifosfatasas/antagonistas & inhibidores , Adenosina Trifosfatasas/metabolismo , Quinasa de la Caseína II/metabolismo , Núcleo Celular/efectos de los fármacos , Núcleo Celular/metabolismo , Cromatina/química , Cromatina/efectos de los fármacos , Cromatina/metabolismo , Proteínas Cromosómicas no Histona/antagonistas & inhibidores , Proteínas Cromosómicas no Histona/metabolismo , ADN/metabolismo , Daño del ADN , Proteínas de Unión al ADN/antagonistas & inhibidores , Proteínas de Unión al ADN/metabolismo , Expresión Génica , Biblioteca de Genes , Células HeLa , Humanos , Fosforilación , Unión Proteica , ARN Interferente Pequeño/genética , ARN Interferente Pequeño/metabolismo , Técnicas del Sistema de Dos Híbridos , Proteína 1 de Reparación por Escisión del Grupo de Complementación Cruzada de las Lesiones por Rayos X
7.
AAPS J ; 16(5): 1029-37, 2014 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-24917180

RESUMEN

Nearly all bodily processes exhibit circadian rhythmicity. As a consequence, the pharmacokinetic and pharmacodynamic properties of a drug may also vary with time of day. The objective of this study was to investigate diurnal variation in processes that regulate drug concentrations in the brain, focusing on P-glycoprotein (P-gp). This efflux transporter limits the distribution of many drugs in the brain. To this end, the exposure to the P-gp substrate quinidine was determined in the plasma and brain tissue after intravenous administration in rats at six different time points over the 24-h period. Our results indicate that time of administration significantly affects the exposure to quinidine in the brain. Upon inhibition of P-gp, exposure to quinidine in brain tissue is constant over the 24-h period. To gain more insight into processes regulating brain concentrations, we used intracerebral microdialysis to determine the concentration of quinidine in brain extracellular fluid (ECF) and cerebrospinal fluid (CSF) after intravenous administration at two different time points. The data were analyzed by physiologically based pharmacokinetic modeling using NONMEM. The model shows that the variation is due to higher activity of P-gp-mediated transport from the deep brain compartment to the plasma compartment during the active period. Furthermore, the analysis reveals that CSF flux is higher in the resting period compared to the active period. In conclusion, we show that the exposure to a P-gp substrate in the brain depends on time of administration, thereby providing a new strategy for drug targeting to the brain.


Asunto(s)
Miembro 1 de la Subfamilia B de Casetes de Unión a ATP/metabolismo , Encéfalo/metabolismo , Ritmo Circadiano , Quinidina/líquido cefalorraquídeo , Animales , Transporte Biológico , Esquema de Medicación , Inyecciones Intravenosas , Masculino , Modelos Biológicos , Quinidina/administración & dosificación , Quinidina/sangre , Ratas Wistar , Factores de Tiempo
8.
Arch Toxicol ; 85(4): 347-53, 2011 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-20871981

RESUMEN

We investigated hepatotoxicity induced by ticlopidine (TIC) in glutathione (GSH)-depleted rats by pre-treatment of a well-known GSH synthesis inhibitor, L-buthionine-S,R-sulfoxinine (BSO). Although sole administration of either TIC or BSO showed no signs of hepatotoxicity, combined administration of TIC with BSO induced hepatotoxicity, which was characterized by centrilobular necrosis of the hepatocytes and an elevation of plasma alanine aminotransferase activity. Administration of radio-labeled TIC in combination with BSO resulted in significantly higher covalent binding to rat liver proteins than that observed after sole dosing of radio-labeled TIC. Pre-treatment of 1-aminobenzotriazole, a non-specific inhibitor of P450s, completely suppressed both hepatotoxicity and the increased hepatic covalent binding caused by TIC co-treatment with BSO. The results obtained in this animal model suggest that GSH depletion and covalent binding may be involved in hepatotoxicity induced by TIC. These observations may help to understand the risk factors and the mechanism of hepatotoxicity of TIC in humans.


Asunto(s)
Enfermedad Hepática Inducida por Sustancias y Drogas/etiología , Glutatión/deficiencia , Inhibidores de Agregación Plaquetaria/toxicidad , Ticlopidina/toxicidad , Animales , Butionina Sulfoximina/farmacología , Enfermedad Hepática Inducida por Sustancias y Drogas/metabolismo , Modelos Animales de Enfermedad , Sinergismo Farmacológico , Quimioterapia Combinada , Inhibidores Enzimáticos/farmacología , Glutatión/antagonistas & inhibidores , Inhibidores de Agregación Plaquetaria/farmacocinética , Unión Proteica , Ratas , Ticlopidina/farmacocinética , Triazoles/farmacología
9.
Nihon Arukoru Yakubutsu Igakkai Zasshi ; 44(5): 569-78, 2009 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-19938652

RESUMEN

INTRODUCTION: International studies have shown a significant association between alcohol availability and traffic crashes that involve alcohol-impaired drivers. A key limitation to previous alcohol availability and motor vehicle crash (MVC) evaluation research is the assumption of population homogeneity in responding to the policies. The present analysis focuses on the evaluation of the impact of alcohol availability on different segments of the Japanese population by comparing MVC fatality rates from before and after implementation of the alcohol deregulation policy in 1994. SUBJECTS AND METHOD: Poisson regression with robust standard error was used to model the before-to-after change in incidence rate ratios (IRR) in adult males, adult females, teenage males and teenage females. To control potential confounders, unemployment rate, vehicle miles of travel (VMT), vehicle registration, and number of drivers licensed in Japan were added to the model. The exponents of the fitted coefficients are equivalent to incidence rate ratios. RESULTS: Implementation of the policy deregulating alcohol sales and production did not appear to increase traffic fatalities among adult or teenage males or females in Japan. We found that male adult fatalities demonstrated a statistically significant decline following enactment of the deregulation policy in 1994. DISCUSSION: Contrary to previous research, the findings of this study demonstrated lower rates of fatalities and higher compliance with alcohol-related driving legislation in Japanese society following implementation of the deregulation policy in 1994. Further well designed, nonaligned studies on alcohol availability and traffic fatalities in other countries are urgently needed.


Asunto(s)
Accidentes de Tránsito/estadística & datos numéricos , Bebidas Alcohólicas/estadística & datos numéricos , Regulación Gubernamental , Adolescente , Adulto , Femenino , Humanos , Japón , Masculino
10.
Drug Metab Dispos ; 37(9): 1904-15, 2009 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-19541827

RESUMEN

We have identified several novel metabolites of ticlopidine, a well known antiplatelet agent and have revealed its metabolic route in rats. The main biliary metabolite of ticlopidine was characterized as a glutathione (GSH) conjugate of ticlopidine S-oxide, in which conjugation had occurred at carbon 7a in the thienopyridine moiety. Quantitative analysis revealed that 29% of the dose was subjected to the formation of reactive intermediates followed by conjugation with GSH after oral administration of ticlopidine (22 mg/kg) to rats. In vitro incubation of ticlopidine with rat liver 9000 g supernatant fraction (S9) fractions led to the formation of multiple metabolites, including 2-oxo-ticlopidine, the precursor for the pharmacologically active ticlopidine metabolite, [1-(2-chlorobenzyl)-4-mercaptopiperidin-(3Z)-ylidene] acetic acid. A novel thiophene ring-opened metabolite with a thioketone group and a carboxylic acid moiety has also been detected after incubation of 2-oxo-ticlopidine with rat liver microsomes or upon incubation of ticlopidine with rat liver S9 fractions.


Asunto(s)
Bilis/metabolismo , Fibrinolíticos/farmacocinética , Glutatión/metabolismo , Ticlopidina/farmacocinética , Animales , Biotransformación , Cromatografía Líquida de Alta Presión , Fibrinolíticos/orina , Hígado/metabolismo , Espectroscopía de Resonancia Magnética , Masculino , Espectrometría de Masas , Microsomas Hepáticos/metabolismo , Óxidos/metabolismo , Ratas , Ratas Sprague-Dawley , Espectrofotometría Ultravioleta , Fracciones Subcelulares/metabolismo , Ticlopidina/orina
11.
Arch Toxicol ; 83(7): 701-7, 2009 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-19479240

RESUMEN

We investigated the hepatotoxicity induced by AQ using a glutathione (GSH)-depleted mice model. Although sole administration of either AQ or L-buthionine-S,R-sulfoxinine (BSO), a well-known GSH synthesis inhibitor, produced no significant hepatotoxicity, combined administration of AQ with BSO induced hepatotoxicity characterized by centrilobular necrosis of the hepatocytes and an elevation of plasma alanine aminotransferase activity. Pretreatment of aminobenzotriazole, a nonspecific inhibitor for P450s, completely suppressed the above hepatotoxicity caused by AQ co-treatment with BSO. Administration of radiolabeled AQ in combination with BSO exhibited significantly higher covalent binding to mice liver proteins than that observed after sole dosing of radiolabeled AQ. The results obtained in this GSH-depleted animal model suggest that the reactive metabolite of AQ formed by hepatic P450 binds to liver proteins, and then finally leads to hepatotoxicity. These observations may help to understand the risk factors and the mechanism for idiosyncratic hepatotoxicity of AQ in humans.


Asunto(s)
Amodiaquina/farmacología , Antimaláricos/farmacología , Enfermedad Hepática Inducida por Sustancias y Drogas , Enfermedad Hepática Inducida por Sustancias y Drogas/metabolismo , Glutatión/deficiencia , Alanina Transaminasa/sangre , Animales , Butionina Sulfoximina/farmacología , Enfermedad Hepática Inducida por Sustancias y Drogas/etiología , Modelos Animales de Enfermedad , Interacciones Farmacológicas , Inhibidores Enzimáticos/farmacología , Glutatión/antagonistas & inhibidores , Dosificación Letal Mediana , Hepatopatías/patología , Masculino , Ratones , Ratones Endogámicos BALB C , Modelos Biológicos
12.
Curr Eye Res ; 31(2): 171-80, 2006 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-16500768

RESUMEN

The effects of diced small interfering RNAs (siRNAs) designed for vascular endothelial growth factor (VEGF) on the expression of VEGF in human retinal pigment epithelial cell line ARPE-19 cells in vitro and on corneal angiogenesis in vivo were examined. The exposure to diced siRNAs significantly reduced the VEGF mRNA expression in ARPE-19 cells with minimal toxicity. In suture-induced corneal angiogenesis models, diced siRNAs minimized the severity of angiogenesis. Histological analysis displayed no particular tissue damage in the conjunctiva where siRNA was injected. The approach using diced siRNAs can be a new tool for various neovascular ocular diseases.


Asunto(s)
Neovascularización de la Córnea/prevención & control , ARN Mensajero/metabolismo , ARN Interferente Pequeño/farmacología , Factor A de Crecimiento Endotelial Vascular/genética , Animales , Línea Celular , Neovascularización de la Córnea/patología , Modelos Animales de Enfermedad , Regulación hacia Abajo , Ensayo de Inmunoadsorción Enzimática , Silenciador del Gen/efectos de los fármacos , Humanos , Microscopía Fluorescente , Epitelio Pigmentado Ocular/metabolismo , Interferencia de ARN , ARN Bicatenario , Ratas , Ratas Wistar , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Transfección , Factor A de Crecimiento Endotelial Vascular/metabolismo
13.
Graefes Arch Clin Exp Ophthalmol ; 244(2): 205-9, 2006 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-16044325

RESUMEN

BACKGROUND: Corneal neovascularization (NV) plays an important role in the pathogenesis of corneal disorders. Recently, triamcinolone acetonide (TA) has been reported as a potential treatment for ocular angiogenesis. However, there are no reports on the inhibitory effect of TA on the corneal NV. METHODS: Triamcinolone acetonide (2 mg) was administered to four rabbits' eyes by a subconjunctival injection immediately after a basic fibroblast growth factor (bFGF)-pellet was placed into the cornea. As a control, four eyes received an injection of distilled water. Four weeks later, the inhibition of corneal NV was evaluated as the percentage ratio of the vessel invasion area to the area that was sandwiched between the pellet and the limbus cornea. To identify the characteristic appearance of new corneal vessels, the control cornea was examined by using the antibody of vascular endothelial growth factor (VEGF). To confirm TA concentration in TA-treated corneas, the TA level was measured using high-performance liquid chromatography. RESULTS: Neovascularization from the limbus to the pellet was detected in control eyes 4 weeks after the bFGF pellet implantation. TA-treated eyes demonstrated the inhibition of the neovascular response to the pellet. The severity of NV as compared between control and TA-treated eyes was statistically significant (P<0.05). Morphologically, new vessel growth was shown in the control cornea, and endothelial cells of new vessels were positively stained with the antibody of VEGF. TA concentration in TA-treated corneas at 2 weeks showed 63.5+/-42.8 microg/g (n=4, mean +/- SD), while TA was not detected in control and TA-treated corneas at 4 weeks. The level of TA was effectively maintained for at least 2 weeks after the subconjunctival injection. CONCLUSION: We have demonstrated that subconjunctival TA administration inhibited rabbit corneal NV. This agent may prove useful in the treatment of corneal angiogenic disorders.


Asunto(s)
Neovascularización de la Córnea/prevención & control , Glucocorticoides/administración & dosificación , Limbo de la Córnea/irrigación sanguínea , Triamcinolona Acetonida/administración & dosificación , Animales , Conjuntiva , Neovascularización de la Córnea/inducido químicamente , Neovascularización de la Córnea/patología , Implantes de Medicamentos , Factor 2 de Crecimiento de Fibroblastos , Inyecciones , Limbo de la Córnea/patología , Conejos
14.
Nihon Arukoru Yakubutsu Igakkai Zasshi ; 41(6): 513-27, 2006 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-17313057

RESUMEN

In June of 2002, a revision to part of the Road Traffic Act drastically increased the penalties for drinking and driving offences. Most notably, the legal BAC limit for driving lowered from 0.05 mg/ml to 0.03 mg/ml. The rationale for the new lower BAC limit in Japan was predicated on the assumption that drinking drivers will comply with the new lower limit by reducing the amount of alcohol they consume prior to driving, thereby lowering their risk of crash involvement. This, in turn, would lead to fewer alcohol-related crashes, deaths and injuries. The chief objective of this research is to quantify the extent to which lowering the legal limit of BAC has reduced teenager involved motor vehicle injuries and fatalities in Japan since 2002. Most notably, the introduction of reduced BAC limit legislation resulted in a statistically significant decrease in the number of alcohol impaired young drivers on the road in Japan, indicating responsiveness to the legal change among this group. Since the introduction of the 0.03 BAC law, statistically significant decreases were observed in alcohol-related crashes, alcohol related injuries and single vehicle night time crashes among 16-19 year old drivers, as we hypothesized. In comparison, the rates of total crashes, injuries and pedestrian fatalities showed no statistically significant decline or increase in the period following the introduction of the BAC law.


Asunto(s)
Accidentes de Tránsito/legislación & jurisprudencia , Accidentes de Tránsito/estadística & datos numéricos , Consumo de Bebidas Alcohólicas/legislación & jurisprudencia , Intoxicación Alcohólica/prevención & control , Conducción de Automóvil/legislación & jurisprudencia , Etanol/sangre , Psicología del Adolescente , Seguridad/legislación & jurisprudencia , Accidentes de Tránsito/prevención & control , Adolescente , Adulto , Consumo de Bebidas Alcohólicas/prevención & control , Intoxicación Alcohólica/epidemiología , Humanos , Japón/epidemiología , Factores de Tiempo
15.
Nihon Arukoru Yakubutsu Igakkai Zasshi ; 40(5): 441-54, 2005 Oct.
Artículo en Japonés | MEDLINE | ID: mdl-16316072

RESUMEN

PURPOSE: The national representative sample was analyzed to examine the relationship between respondents' drinking practice and the social network which was constructed of three different types of network: support network, drinking network, and intervening network. METHOD: Non-parametric statistical analysis was conducted with chi square method and ANOVA analysis, due to the risk of small samples in some basic tabulation cells. RESULTS: The main results are as follows: (1) In the support network of workplace associates, moderate drinkers enjoyed much more sociable support care than both nondrinkers and hard drinkers, which might suggest a similar effect as the French paradox. Meanwhile in the familial and kinship network, the more intervening care support was provided, the harder respondents' drinking practice. (2) The drinking network among Japanese people for both sexes is likely to be convergent upon certain types of network categories and not decentralized in various categories. This might reflect of the drinking culture of Japan, which permits people to drink everyday as a practice, especially male drinkers. Subsequently, solitary drinking is not optional for female drinkers. (3) Intervening network analysis showed that the harder the respondents' drinking practices, the more frequently their drinking behaviors were checked in almost all the categories of network. A rather complicated gender double-standard was found in the network of hard drinkers with their friends, particularly for female drinkers. Medical professionals played a similar intervening role for men as family and kinship networks but to a less degree than friends for females. CONCLUSION: The social network is considerably associated with respondents' drinking, providing both sociability for moderate drinkers and intervention for hard drinkers, depending on network categories. To minimize the risk of hard drinking and advance self-healthy drinking there should be more research development on drinking practice and the social network.


Asunto(s)
Consumo de Bebidas Alcohólicas/psicología , Apoyo Social , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores Sexuales
17.
Nihon Arukoru Yakubutsu Igakkai Zasshi ; 40(2): 95-104, 2005 Apr.
Artículo en Japonés | MEDLINE | ID: mdl-15912741

RESUMEN

The purpose of this paper is to analyze the domestic violence in the families of alcoholics. We examined the actual state of domestic violence in alcoholics' families and compared this whith a national representative sample. The results are as follows: (1) Domestic violence in families of alcoholics is serious. (2) In such families, 63.5% of wives had been injured as a result of physical violence by the husband. (3) In 86.6% of such incidents, the husband or the woman herself had been drinking. (4) Physical, social and economical violence leads to the breakdown of marital relationships. (5) After alcoholics give up drinking, their levels of domestic violence are reduced.


Asunto(s)
Alcoholismo , Violencia Doméstica , Recolección de Datos , Humanos , Japón , Masculino , Persona de Mediana Edad , Templanza
18.
Retina ; 25(1): 75-80, 2005 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-15655445

RESUMEN

BACKGROUND: Recently, indocyanine green (ICG) has been utilized to visualize inner limiting membrane in vitreous surgery. However, the safety of ICG injected into the vitreous has not been well established. The possible toxicity of ICG on Muller cells was investigated using cultured rat retinal glial cells (RGCs). METHODS: Rat RGCs were cultured in Dulbecco modified Eagle medium supplemented with 20% fetal calf serum. The cytotoxicity of ICG was assayed with viable cell number and resazurin metabolic assay. The expression of the apoptosis-related gene bcl-2 was examined with real-time polymerase chain reaction analysis. RESULTS: The effects of ICG on the viability of rat RGCs were tested at two different concentrations (0.05% and 0.5%). ICG significantly decreased the viable cell number of RGCs at 0.5%, while there was no significant effect at 0.05%. Similarly, the metabolic activity to resazurin was significantly decreased by exposure to 0.5% ICG. However, ICG showed little effects on resazurin metabolism at 0.05%. The expression levels of bcl-2 mRNA were higher in cells treated with 0.5% ICG than in those treated with 0.05% ICG and untreated control cells. CONCLUSION: The data suggest that ICG initiates the death of RGCs at high concentrations, in part, through apoptosis-related signal pathways.


Asunto(s)
Colorantes/toxicidad , Verde de Indocianina/toxicidad , Neuroglía/efectos de los fármacos , Retina/efectos de los fármacos , Animales , Recuento de Células , Supervivencia Celular/efectos de los fármacos , Células Cultivadas , Genes bcl-2/genética , Neuroglía/metabolismo , Neuroglía/patología , Oxazinas/metabolismo , ARN Mensajero/metabolismo , Ratas , Ratas Wistar , Retina/metabolismo , Retina/patología , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Xantenos/metabolismo
19.
Acta Crystallogr D Biol Crystallogr ; 60(Pt 11): 2081-3, 2004 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-15502334

RESUMEN

Chitosanase from Bacillus sp. strain K17 (ChoK) belongs to glycoside hydrolase family 8 and exhibits subclass II specificity. The purified protein is structurally stable over a wide pH range (3-10), but is active in a much narrower pH range (4.5-7.5), with optimal activity around pH 6.0. The protein has been successfully crystallized at two different pH values corresponding to the active and inactive states. The crystals diffract to 1.5 and 2.0 A resolution, respectively.


Asunto(s)
Bacillus/enzimología , Glicósido Hidrolasas/química , Glicósido Hidrolasas/metabolismo , Bacillus/clasificación , Cristalización , Cristalografía por Rayos X , Activación Enzimática , Estabilidad de Enzimas , Concentración de Iones de Hidrógeno
20.
J Mol Biol ; 343(3): 785-95, 2004 Oct 22.
Artículo en Inglés | MEDLINE | ID: mdl-15465062

RESUMEN

Crystal structures of chitosanase from Bacillus sp. K17 (ChoK) have been determined at 1.5 A resolution in the active form and at 2.0 A resolution in the inactive form. This enzyme belongs to the family GH-8, out of 93 glycoside hydrolase families, and exhibits the substrate specificity of subclass II chitosanase. The catalytic site is constructed on the scaffold of a double-alpha(6)/alpha(6)-barrel, which is formed by six repeating helix-loop-helix motifs. This structure is quite different from those of the GH-46 chitosanases and of GH-5. Structural comparison with CelA (a cellulase belonging to the same family GH-8) suggests that the proton donor Glu122 is conserved, but the proton acceptor is the inserted Glu309 residue, and that the corresponding Asp278 residue in CelA is inactivated in ChoK. The four acidic residues, Asp179, Glu309, Asp183 and Glu107, can be involved in substrate recognition through interactions with the amino groups of the glucosamine residues bound in the -3, -2, -1 and +1 sites, respectively. The hydrophobic Trp235, Trp166, Phe413 and Tyr318 residues are highly conserved for binding of the hexose rings at the -3, -2, +1 and +2 sites, respectively. These structural features indicate that enzymes in GH-8 can be further divided into three subfamilies. Different types of chitosanases are discussed in terms of convergent evolution from different structural ancestors.


Asunto(s)
Bacillus/enzimología , Proteínas Bacterianas/química , Glicósido Hidrolasas/química , Estructura Terciaria de Proteína , Secuencia de Aminoácidos , Proteínas Bacterianas/clasificación , Proteínas Bacterianas/genética , Proteínas Bacterianas/metabolismo , Dominio Catalítico , Cristalografía por Rayos X , Evolución Molecular , Glicósido Hidrolasas/clasificación , Glicósido Hidrolasas/genética , Glicósido Hidrolasas/metabolismo , Modelos Moleculares , Datos de Secuencia Molecular , Estructura Molecular , Estructura Secundaria de Proteína , Alineación de Secuencia , Especificidad por Sustrato
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