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1.
Biomed Rep ; 14(4): 35, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33732454

RESUMO

Nanoparticle albumin-bound (nab)-paclitaxel is a 130-nm formulation containing human serum albumin (HSA). The clinical efficacy of this formulation is considered to depend on its affinity for HSA. The high pressure employed during the manufacture of nab-paclitaxel HSA (nab HSA) may influence its conformation and/or oligomerization, and ultimately its affinity for HSA. Therefore, studies are required to evaluate whether the affinity of paclitaxel for nab HSA is similar to that of generic HSA (control HSA). In the present study, nab HSA was isolated from nab-paclitaxel by gel filtration, and the binding affinities (KDs) were determined by surface plasmon resonance. Furthermore, the affinity of docetaxel for nab HSA and control HSA was measured, as their binding sites are similar. Paclitaxel showed KDs of 8.93±8.60 and 7.39±5.81 µM for nab HSA and control HSA, respectively, whereas the corresponding KDs for docetaxel were 44.3±9.50 and 55.9±2.28 µM, respectively. This suggests that the paclitaxel binding site was not modified during the nab-paclitaxel manufacturing process. Additionally, nab HSA likely does not affect paclitaxel and blood HSA binding, as evidenced by the similar affinities of paclitaxel and docetaxel for nab HSA and control HSA. In conclusion, the binding affinities of paclitaxel and docetaxel for nab HSA and control HSA were found to be comparable. Additionally, the manufacturing process did not influence the paclitaxel binding affinity for nab HSA. These results also suggest that nab HSA may not affect the clinical effectiveness of nab-paclitaxel.

2.
J Med Chem ; 62(3): 1468-1483, 2019 02 14.
Artigo em Inglês | MEDLINE | ID: mdl-30629441

RESUMO

Osteoarthritis (OA) is a degenerative disease characterized by joint destruction and loss of cartilage. There are many unmet needs in the treatment of OA and there are few promising candidates for disease-modifying OA drugs, particularly, anabolic agents. Here, we describe the identification of novel quinazolin-4(3 H)-one derivatives, which stimulate chondrocyte cartilage matrix production via TRPV4 and mitigate damaged articular cartilage. We successfully identified the water-soluble, highly potent quinazolin-4(3 H)-one derivative 36 and studied its intra-articular physicochemical profile to use in in vivo surgical OA model studies. Compound 36·HCl provided relief from OA damage in a rat medial meniscal tear (MT) model. Specifically, 36·HCl dose-dependently suppressed cartilage degradation and enhanced the messenger RNA expression of aggrecan and SOX9 in cartilage isolated from MT-operated rat knees compared with knees treated with vehicle. These results suggest that 36 induces anabolic changes in articular cartilage and consequently reduces OA progression.


Assuntos
Diferenciação Celular/efeitos dos fármacos , Condrócitos/metabolismo , Osteoartrite/tratamento farmacológico , Quinazolinonas/uso terapêutico , Canais de Cátion TRPV/agonistas , Agrecanas/genética , Animais , Cartilagem Articular/patologia , Células HEK293 , Humanos , Masculino , Meniscos Tibiais/patologia , Camundongos , Estrutura Molecular , Osteoartrite/patologia , Quinazolinonas/síntese química , Quinazolinonas/química , RNA Mensageiro/metabolismo , Ratos Sprague-Dawley , Fatores de Transcrição SOX9/genética , Relação Estrutura-Atividade
3.
Intern Med ; 56(23): 3205-3209, 2017 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-29021435

RESUMO

Herein, we report on an 82-year-old woman who presented with anorexia. The patient had hyponatremia with preserved urinary osmotic pressure. T1-weighted magnetic resonance imaging (MRI) showed a lack of high signal intensity (SI) in the posterior pituitary lobe. Based on the patient's high levels of N-terminal prohormone of brain natriuretic peptide (NT-proBNP), heart failure was suspected. The heart failure may have caused arginine vasopressin (AVP) secretion. The depletion of AVP secretory granules may therefore cause the posterior pituitary gland to disappear on T1-weighted MRI.


Assuntos
Insuficiência Cardíaca/etiologia , Hiponatremia/complicações , Hiponatremia/fisiopatologia , Natriuréticos/sangue , Neuro-Hipófise/diagnóstico por imagem , Neuro-Hipófise/fisiopatologia , Idoso de 80 Anos ou mais , Feminino , Insuficiência Cardíaca/fisiopatologia , Humanos , Imageamento por Ressonância Magnética , Resultado do Tratamento
4.
Intern Med ; 56(22): 3073-3076, 2017 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-28943546

RESUMO

We herein report a case of hemichorea-hemiballism in an 85-year-old man diagnosed with diabetes at 76 years of age. After a one-year interruption in treatment, he was treated with a low-calorie diet, linagliptin, and nateglinide. Over 51 days, his HbA1c level decreased from 15.8% to 7.7%. After a prompt improvement in his hyperglycemia, he began experiencing involuntary movements in the right upper and lower extremities. T1-weighted magnetic resonance imaging showed a high signal intensity in the left lens nucleus. The patient was diagnosed with diabetic hemichorea-hemiballism and received haloperidol (1 mg/day) as treatment.


Assuntos
Complicações do Diabetes/fisiopatologia , Discinesias/fisiopatologia , Hiperglicemia/fisiopatologia , Coreia/fisiopatologia , Cicloexanos/uso terapêutico , Hemoglobinas Glicadas , Humanos , Hiperglicemia/tratamento farmacológico , Hipoglicemiantes/uso terapêutico , Linagliptina/uso terapêutico , Extremidade Inferior/patologia , Imageamento por Ressonância Magnética/métodos , Masculino , Pessoa de Meia-Idade , Nateglinida , Fenilalanina/análogos & derivados , Fenilalanina/uso terapêutico
5.
Sci Rep ; 6: 22807, 2016 Mar 10.
Artigo em Inglês | MEDLINE | ID: mdl-26960429

RESUMO

Acidification of the glycoprotein, miraculin (MCL), induces sweet taste in humans, but not in mice. The sweet taste induced by MCL is more intense when acidification occurs with weak acids as opposed to strong acids. MCL interacts with the human sweet receptor subunit hTAS1R2, but the mechanisms by which the acidification of MCL activates the sweet taste receptor remain largely unexplored. The work reported here speaks directly to this activation by utilizing a sweet receptor TAS1R2 + TAS1R3 assay. In accordance with previous data, MCL-applied cells displayed a pH dependence with citric acid (weak acid) being right shifted to that with hydrochloric acid (strong acid). When histidine residues in both the intracellular and extracellular region of hTAS1R2 were exchanged for alanine, taste-modifying effect of MCL was reduced or abolished. Stronger intracellular acidification of HEK293 cells was induced by citric acid than by HCl and taste-modifying effect of MCL was proportional to intracellular pH regardless of types of acids. These results suggest that intracellular acidity is required for full activation of the sweet taste receptor by MCL.


Assuntos
Glicoproteínas/farmacologia , Receptores Acoplados a Proteínas G/metabolismo , Proteínas Recombinantes de Fusão/metabolismo , Paladar , Animais , Ácido Cítrico , Células HEK293 , Humanos , Ácido Clorídrico , Concentração de Íons de Hidrogênio , Camundongos , Receptores Acoplados a Proteínas G/genética , Proteínas Recombinantes de Fusão/genética , Edulcorantes
6.
Anim Sci J ; 87(7): 885-95, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26663641

RESUMO

This study was conducted to determine the effects of dietary soybean curd residue (SCR) and soy sauce cake (SSC) on the growth performance, carcass traits and physiochemical and intramuscular fatty acid (FA) characteristics in Japanese Black steers. Ten steers (29.7 ± 0.3 months old, 856.6 ± 24.4 kg body weight) were assigned to either treatment C, fed a conventional concentrate or T, fed the test diet including dried SCR and SSC for 3 months. In growth performance, dry matter (DM) intake and average daily gain, and carcass traits did not differ significantly between the treatments. Color of beef was affected by the dietary treatments and meat samples from T showed higher a(*) value and chroma than those in C. On FA composition, there was no significant difference between the treatments in neutral lipids, whereas in polar lipids, meat samples from T had higher C16:1 (P < 0.05) and tended to have higher C16:0 (P = 0.05) and C18:1 (P = 0.08), but lower C17:0 (P = 0.098), C18:2 (P = 0.06) and C20:4 (P = 0.07) than those from C. The study suggested that SCR and SSC could be used as a substitute for conventional concentrate and would influence meat color and intramuscular FA composition of polar lipids.


Assuntos
Bovinos/crescimento & desenvolvimento , Bovinos/metabolismo , Dieta/veterinária , Ácidos Graxos/análise , Carne , Músculo Esquelético/metabolismo , Alimentos de Soja , Ração Animal , Animais , Fenômenos Químicos , Cor , Ingestão de Alimentos/fisiologia , Ácidos Graxos/metabolismo , Metabolismo dos Lipídeos , Masculino , Carne/análise , Aumento de Peso/fisiologia
7.
Anim Sci J ; 86(2): 174-80, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25354430

RESUMO

Four wethers were used in a 4 × 4 Latin square design experiment to evaluate in vivo digestibility of total mixed ration (TMR) silage with food by-products for dairy cows, and the ruminal condition and nitrogen (N) balance were examined. Five by-products (i.e. potato waste, noodle waste, soybean curd residue, soy sauce cake and green tea waste) were obtained. Four types of TMR silage were used: control (C) containing roughage and commercial concentrate, T1:20% and T1:40% containing the five by-products replacing 20% and 40% of the commercial concentrate on a dry matter (DM) basis, respectively, and T2:40% containing three by-products (potato waste, noodle waste and soybean curd residue) replacing 40% of the commercial concentrate on a DM basis. The ingredients were mixed and preserved in oil drum silos for 4 months. The TMR silages showed 4.02-4.44% and 1.75-2.19% for pH and lactic acid contents, respectively. The digestibility of DM and neutral detergent fiber, and total digestible nutrient content were higher (P < 0.05) for T2:40% feeding than for C feeding. Urinary nitrogen excretion tended to be lower (P = 0.07) for T2:40% than for C. The results suggested 40% replacing of commercial concentrate by using the three food by-products can be most suitable for TMR silage.


Assuntos
Digestão/fisiologia , Ingestão de Alimentos/fisiologia , Fermentação , Indústria de Processamento de Alimentos , Nitrogênio/metabolismo , Rúmen/metabolismo , Rúmen/fisiologia , Ovinos/metabolismo , Ovinos/fisiologia , Silagem , Resíduos Sólidos , Animais , Concentração de Íons de Hidrogênio , Masculino , Silagem/análise
9.
Anim Sci J ; 84(9): 650-5, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23607929

RESUMO

Three types of bamboo pellets as a ruminant feed: P1 (ground bamboo (GB) cultured with the fungus Ceriporiopsis subvermispora (CGB) : soybean curd residue (T) : soy sauce cake (S) in a 5:4:1 ratio on a dry matter (DM) basis); P2 (GB : T : S = 5:4:1 on a DM basis); and P3 (CGB : T : S = 5.5:0.8:3.7 on a DM basis) were prepared. Four wethers were assigned in a 4 × 4 Latin square design experiment to evaluate the applicability of the bamboo pellets. The experimental treatments were C (control): fed alfalfa hay cubes (AC) only, and T1, T2 and T3: fed P1, P2, and P3 with AC by 1:1 on a DM basis, respectively. The digestibility of the DM, organic matter and acid detergent fiber of P1 were significantly higher than those of P2 and P3 (P < 0.05). The total digestible nutrient (TDN) contents of AC, P1, P2 and P3 were 56.5%, 60.2%, 53.2% and 47.0%, respectively. No significant differences in nitrogen retention or ruminal pH and NH3 were observed among the treatment groups. The results indicate that bamboo pellets cultured with C. subvermispora and mainly mixed with soybean curd residue improved nutritional quality of ground bamboo because of its high digestibility and TDN content.


Assuntos
Ração Animal , Digestão/fisiologia , Ingestão de Alimentos/fisiologia , Nitrogênio/metabolismo , Ovinos/fisiologia , Animais , Coriolaceae , Masculino , Sasa , Ovinos/sangue , Alimentos de Soja
10.
Anim Sci J ; 83(11): 735-42, 2012 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23126326

RESUMO

Four wethers were used in a 4 × 4 Latin square design experiment to evaluate the applicability of two types of total mixed ration (TMR) silage with food by-products. Four food by-products (i.e., potato waste, soy sauce cake, soybean curd residue and noodle waste) were obtained and mixed with commercial concentrate (CC) as TMR silage. The two types of TMR silage, T1 and T2, each contained CC, in addition to all by-products for T1 (TRE1), and soy sauce cake and noodle waste for T2 (TRE2) on a dry matter (DM) basis. The silage was well-fermented with low pH values and high lactic acid concentration. As the experimental treatments, T1, T2 and CC (CTL) were fed with a basal diet. The result showed that the digestibility of DM and organic matter (OM) were higher for T1 than for CC (P < 0.05), while crude protein digestibility was not significantly different among T1, T2 and CC. The retained nitrogen was not affected by inclusion of food by-products. Ruminal pH in TRE1 and TRE2 immediately decreased compared to that in CTL. The study suggested that the two types of TMR silage, including food by-products, might be used as a substitute for commercial concentrate.


Assuntos
Digestão , Ingestão de Alimentos/fisiologia , Fermentação/fisiologia , Alimentos , Nitrogênio/metabolismo , Rúmen/fisiologia , Ovinos/fisiologia , Silagem , Resíduos Sólidos , Animais , Masculino , Valor Nutritivo , Silagem/análise
11.
Anim Sci J ; 82(3): 456-60, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21615840

RESUMO

Data of 20 balance measurements from Holstein dairy cows and urine samples from 24 Japanese Black beef cows were collected to evaluate the relationships between urine pH and electrolyte status in cows fed forages. The ratio of forages in the diet was 70-100% in dairy cows and beef cows were fed Italian ryegrass silage and wheat bran. Mean urine pH in dairy cows was 8.10, ranging from 7.27 to 8.71, and that in beef cows was 7.73, ranging from 7.42 to 8.12. There were positive correlations between urine pH and urinary K contents (P = 0.0012) or K intake (P = 0.019) in dairy cows, although plasma Na, Cl and K had no effect on urine pH. There was a weak negative correlation (P = 0.039) between urine pH and urinary Na content in dairy cows. However, there were no significant correlations between urine pH and urinary Na, Cl and K contents in beef cows. These results indicate that the concentrated urinary K due to the increased K intake may directly enhance urine pH in dairy cows fed mainly forages.


Assuntos
Ração Animal , Bovinos/metabolismo , Eletrólitos/urina , Animais , Bovinos/urina , Feminino , Concentração de Íons de Hidrogênio
12.
Anim Sci J ; 80(4): 475-85, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20163610

RESUMO

The objective of this study was to quantify nitrogen (N), phosphorus (P) and potassium (K) utilization and their cycling in a beef-forage production system. A survey was conducted at the Kyoto University experimental farm in Kyoto Prefecture, Japan, and included 9.5 ha of meadow and about 160 head of beef cattle. Forages cultivated on the meadow were ensiled and offered to breeding cows. The whole farm was regarded as a beef-forage production system. The system consisted of three components: animals, manure and soil/crop. Nutrient inputs, flows through the soil-plant-animal pathway and outputs were quantified for 2 periods for the whole farm. Nutrient utilization was evaluated by nutrient balances, utilization efficiencies (ratio of nutrient export to nutrient input) and cycling index. The average nutrient balances of N, P and K for the whole farm (kg/year/ha) were 435.7, 136.3, and 262.8, and the average nutrient utilization efficiencies were 0.08, 0.06, and 0.01, respectively. The characteristics of nutrient balances and utilization efficiencies for each component differed among the nutrients. The average cycling indices for N, P and K were 0.19, 0.17 and 0.49, respectively. This study illustrates the importance of internal nutrient cycling for improving nutrient utilization in beef production systems.


Assuntos
Bovinos/metabolismo , Nitrogênio/metabolismo , Fósforo/metabolismo , Potássio/metabolismo , Animais , Feminino , Masculino
13.
J Biol Chem ; 283(14): 8961-8, 2008 Apr 04.
Artigo em Inglês | MEDLINE | ID: mdl-18230607

RESUMO

Overexpression of an anti-apoptotic protein cIAP1 caused by its genetic amplification was reported in certain cancers, such as hepatocellular carcinoma, esophageal squamous cell carcinoma, cervical cancer, and lung cancer, which confers resistance to chemotherapy and radiotherapy. Here we report cIAP1 to be selectively down-regulated by a class of small molecules ((-)-N-[(2S,3R)-3-amino-2-hydroxy-4-phenyl-butyryl]-l-leucine methyl ester (ME-BS)), resulting in a sensitization of cancer cells to apoptosis. ME-BS directly interacts with the BIR3 domain of cIAP1, promotes auto-ubiquitylation dependent on its RING domain, and facilitates proteasomal degradation of cIAP1. Other IAPs such as XIAP and cIAP2 were not affected by ME-BS. These results suggest targeted destabilization of cIAP1 by small molecules as a novel method to treat cancers expressing cIAP1, which interferes with treatment. Manipulation of the intrinsic ubiquitin-ligase activity could be a novel strategy to develop small molecules for therapeutic purposes.


Assuntos
Antineoplásicos/farmacologia , Apoptose/efeitos dos fármacos , Proteínas Inibidoras de Apoptose/metabolismo , Leucina/análogos & derivados , Leucina/farmacologia , Neoplasias/tratamento farmacológico , Ubiquitinação/efeitos dos fármacos , Resistencia a Medicamentos Antineoplásicos/efeitos dos fármacos , Regulação Neoplásica da Expressão Gênica/efeitos dos fármacos , Células HeLa , Humanos , Proteínas Inibidoras de Apoptose/antagonistas & inibidores , Neoplasias/metabolismo , Complexo de Endopeptidases do Proteassoma/metabolismo , Estrutura Terciária de Proteína , Ubiquitina/metabolismo
14.
Cancer Res ; 66(20): 10048-56, 2006 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-17047068

RESUMO

7-Ethyl-10-hydroxy-camptothecin (SN-38), a biological active metabolite of irinotecan hydrochloride (CPT-11), has potent antitumor activity but has not been used clinically because it is a water-insoluble drug. For delivery by i.v. injection, we have successfully developed NK012, a SN-38-releasing nanodevice. The purpose of this study is to investigate the pharmacologic character of NK012 as an anticancer agent, especially in a vascular endothelial growth factor (VEGF)-secreting tumor model. The particle size of NK012 was approximately 20 nm with a narrow size distribution. NK012 exhibited a much higher cytotoxic effect against lung and colon cancer cell lines as compared with CPT-11. NK012 showed significantly potent antitumor activity against a human colorectal cancer HT-29 xenograft as compared with CPT-11. Enhanced and prolonged distribution of free SN-38 in the tumor was observed after the injection of NK012. NK012 also had significant antitumor activity against bulky SBC-3/Neo (1,533.1 +/- 1,204.7 mm(3)) and SBC-3/VEGF tumors (1,620.7 +/- 834.0 mm(3)) compared with CPT-11. Furthermore, NK012 eradicated bulky SBC-3/VEGF tumors in all mice but did not eradicate SBC-3/Neo tumors. In the drug distribution analysis, an increased accumulation of SN-38 in SBC-3/VEGF tumors was observed as compared with that in SBC-3/Neo tumors. NK012 markedly enhanced the antitumor activity of SN-38, especially in highly VEGF-secreting tumors, and could be a promising SN-38-based formulation.


Assuntos
Camptotecina/análogos & derivados , Neoplasias do Colo/tratamento farmacológico , Neoplasias Pulmonares/tratamento farmacológico , Micelas , Fator A de Crescimento do Endotélio Vascular/metabolismo , Animais , Camptotecina/administração & dosagem , Camptotecina/química , Camptotecina/farmacocinética , Camptotecina/farmacologia , Carcinoma Pulmonar de Células não Pequenas/sangue , Carcinoma Pulmonar de Células não Pequenas/tratamento farmacológico , Carcinoma Pulmonar de Células não Pequenas/metabolismo , Neoplasias do Colo/sangue , Neoplasias do Colo/metabolismo , Feminino , Irinotecano , Neoplasias Pulmonares/sangue , Neoplasias Pulmonares/metabolismo , Camundongos , Camundongos Endogâmicos BALB C , Nanopartículas/administração & dosagem , Nanopartículas/química , Polietilenoglicóis/administração & dosagem , Polietilenoglicóis/química , Polietilenoglicóis/farmacocinética , Ácido Poliglutâmico/administração & dosagem , Ácido Poliglutâmico/química , Ácido Poliglutâmico/farmacocinética , Distribuição Aleatória , Distribuição Tecidual , Ensaios Antitumorais Modelo de Xenoenxerto
15.
J Reprod Dev ; 51(1): 23-35, 2005 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-15750294

RESUMO

Vitamin A is one of the micronutrients which have been implicated in cattle reproduction. In cattle, ingested vitamin A, mainly as beta-carotene (BC) from forages and retinol ester from formula feed, is metabolized and transported to the oocytes and cumulus-granulosa cells in ovarian follicles through binding to various interacting molecules. The active form of vitamin A, retinoic acid (RA), functions as a regulator of gene expression in these targets. Early research showed the positive effects of vitamin A supplementation on bovine fertility in artificial insemination, and several studies on effects of vitamin A metabolites used in other artificial reproductive techniques (ART), including superovulation, ovum pick up, and in vitro maturation culture have provided evidence for the specific roles of vitamin A in oocyte cytoplasmic maturation (acquisition of developmental competence of oocytes during their meiotic maturation period for the embryonic development after fertilization). BC may enhance cytoplasmic maturation by its antioxidant properties which cannot be replaced by RA. Furthermore, RA may promote cytoplasmic maturation of bovine oocytes via its modulatory effects on the gene expression of gonadotrophin receptors, midkine, cyclooxygenase-2, and nitric oxide synthase in cumulus-granulosa cells.


Assuntos
Citoplasma/metabolismo , Inseminação Artificial/métodos , Oócitos/metabolismo , Vitamina A/fisiologia , Animais , Antioxidantes/metabolismo , Bovinos , Técnicas de Cultura , Desenvolvimento Embrionário , Feminino , Fertilização in vitro/métodos , Células da Granulosa/citologia , Modelos Químicos , Oogênese , Folículo Ovariano/metabolismo , Ovário/metabolismo , Óvulo/metabolismo , Prostaglandina-Endoperóxido Sintases/metabolismo , Tretinoína/metabolismo , Vitamina A/química , Vitamina A/metabolismo , beta Caroteno/metabolismo
16.
Curr Med Res Opin ; 19(8): 675-82, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-14687436

RESUMO

This study evaluated the efficacy of adding pioglitazone 30 mg to the therapy of patients with type 2 diabetes mellitus whose glycaemic control was poor on an alpha-glucosidase inhibitor (alpha-GI) alone or in combination with a sulphonylurea (SU). The patients (n = 20) had a HbA(1c) level between 7.0 and 12.0% and the fasting plasma glucose was 7.8 mmol/l or higher. They were treated with 30 mg pioglitazone once daily for 16 weeks. The decrease in HbA(1c) at week 16 of treatment was 0.8% (7.8% at baseline dropping to 7.1% at week 16; p < or = 0.01). An increase in leptin was observed 4 weeks after starting the post-study period (p < or = 0.05). Tumour necrosis factor-alpha (TNF-alpha) and body fat percentage did not show any significant alterations. Correlations between the decrease in HbA1c at week 16 and characteristic variables of patients were examined. A correlation with leptin (p = -0.5632, p < or = 0.05) levels was found. Five patients experienced adverse drug reactions, such as oedema, hypoglycaemia and increased creatine phosphokinase (CK), all of which were mild in severity. The addition of pioglitazone in diabetics whose glycaemic control was poor on a alpha-GI alone or with a alpha-GI and SU combination resulted in a significant decrease in HbA1c, and the treatment was well-tolerated. Our findings also suggest that leptin levels could be useful for assessing responders to pioglitazone.


Assuntos
Diabetes Mellitus Tipo 2/tratamento farmacológico , Inibidores Enzimáticos/uso terapêutico , Inibidores de Glicosídeo Hidrolases , Hipoglicemiantes/uso terapêutico , Tiazolidinedionas/uso terapêutico , Glicemia , Índice de Massa Corporal , Diabetes Mellitus Tipo 2/sangue , Quimioterapia Combinada , Inibidores Enzimáticos/administração & dosagem , Feminino , Hemoglobinas Glicadas/análise , Humanos , Hipoglicemiantes/administração & dosagem , Hipoglicemiantes/efeitos adversos , Leptina/sangue , Leptina/metabolismo , Masculino , Pessoa de Meia-Idade , Pioglitazona , Compostos de Sulfonilureia/administração & dosagem , Compostos de Sulfonilureia/uso terapêutico , Tiazolidinedionas/administração & dosagem , Resultado do Tratamento , Fator de Necrose Tumoral alfa/biossíntese
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