Multifunctional annulus fibrosus matrix prevents disc-related pain via inhibiting neuroinflammation and sensitization.

Chronic low back pain mainly attributed to intervertebral disc (IVD) degeneration. Endogenous damage-associated molecular patterns (DAMPs) in the injured IVD, particularly mitochondria-derived nucleic acid molecules (CpG DNA), play a primary role in the inflammatory responses in macrophages. M1-type macrophages form a chronic inflammatory microenvironment by releasing pro-inflammatory factors and nerve growth factor (NGF) that induce nerve growth into the inner annulus fibrosus, resulting in persistent hyperalgesia. We fabricated an amphiphilic polycarbonate that naturally forms cationic nanoparticles (cNP) in aqueous solutions, with the hydrophobic core loaded with TrkA-IN-1, an antagonist against the NGF receptor (TrkA). The drug delivery nanoparticles were denoted as TI-cNP. TrkA-IN-1 and TI-cNP were added to the decellularized annulus fibrosus matrix (DAF) hydrogel to form hybrid hydrogels, denoted as TI-DAF and TI-cNP-DAF, respectively. As a result, TrkA-IN-1 showed a delayed release profile both in TI-DAF and TI-cNP-DAF. Each mole of cNP could bind approximately 3 mol of CpG DNA to inhibit inflammation. cNP-DAF and TI-cNP-DAF significantly inhibited the M1 phenotype induced by CpG DNA. TI-DAF and TI-cNP-DAF reduced neurite branching and axon length, and inhibited the expression of neurogenic mediators (CGRP and substance P) in the presence of NGF. Besides, TI-cNP-DAF relieved mechanical hyperalgesia, reduced CGRP and substance P expression in the dorsal root ganglion, and downregulated GFAP and c-FOS signaling in the spinal cord in the rat disc herniation model. Summarily, TI-cNP-DAF, a novel composite IVD hydrogel, efficiently mediated the inflammatory environment, inhibited nerve ingrowth and sensitization, and could be clinically applied for treating discogenic pain. STATEMENT OF SIGNIFICANCE: Discogenic lower back pain, related to intervertebral disc degeneration (IDD), imposes a tremendous health and economic burden globally. M1-type macrophages release pro-inflammatory factors and nerve growth factor (NGF) that induce nerve growth into the inner annulus fibrosus, resulting in persistent hyperalgesia and discogenic pain. Reconstructing matrix integrity and modulating the inflammatory microenvironment are promising strategies for preventing the ingrowth and activation of neurites. The TI-cNP-DAF hydrogel recovers tissue integrity, alleviates inflammation, and delivers the TrkA antagonist to inhibit the activity of NGF, thus restraining hyperinnervation and nociceptive input. Due to its simple production process, injectability, and acellular strategy, the hydrogel is operable and holds great potential for treating discogenic lower back pain.

Drug compatibility with various closed intravenous infusion containers.

Objective: The aim was to systematically compare the drug compatibility with various closed intravenous (i.v.) infusion containers, to provide a reference for selecting a relatively superior infusion container and improve the medication safety for patients in clinical practice. Methods: The compatibility of four commonly used clinical injections (ceftazidime, pantoprazole sodium, ambroxol hydrochloride, edaravone) with three representative closed i. v. infusion containers (non-PVC infusion bags, upright polypropylene infusion bags, inner sealed polypropylene infusion bags) prefilled with infusion fluids (0.9% sodium chloride or 5% dextrose) in the Chinese market were investigated in this study. The particle counts of both infusion fluids and diluted chemical injections by infusion fluids in various infusion containers were determined by the light obscuration method. At 0, 2 and 6 h after four injections following dilution with infusion fluids in each container, the pH of the solutions was detected, and the physical properties were examined by visual inspection. Meanwhile, the drug concentrations were assessed by high performance liquid chromatography (HPLC). Results: As for either infusion fluids or diluted injections by infusion fluids, the particle counts in non-PVC infusion bags were significantly greater than those in the other two bags under some circumstances. The particle counts in diluted injections by infusion fluids increased dramatically compared with those in infusion fluids in all infusion containers, especially for the small-size particles. But pH, physical properties and drug concentrations of diluted infusion solutions in all infusion containers remained nearly unchanged over the test period. Conclusion: Closed i. v. infusion containers included in this study are all well-compatible with four injections. Moreover, the closed infusion containers produced by Chinese manufacturers have met the international quality standard. Particularly, the intravenous admixture preparation process needs to be optimized to reduce the overall particulate contaminants.

[Preparation and chromatographic evaluation of a polymer-based stationary phase for weak anion-exchange/hydrophilic interaction].

a weak cationic exchange/hydrophilic interaction mixed-mode stationary phase (Sil-PolyCOOH) for high performance liquid chromatography was prepared by bonding polyethylene maleic anhydride to the surface of amino silica gel via a nucleophilic substitution reaction, followed by hydrolysis of the residual maleic anhydride. The new stationary phase material was characterized by solid-state13C nuclear magnetic resonance analysis and ζ-potential measurements. The chromatographic performance and retention mechanism of this stationary phase were evaluated using nucleosides and nucleic bases as probes. The effects of mobile phase composition, ion strength, and pH on the retention factor were investigated. The results show that the retention mechanism of the stationary phase involves both hydrophilic distribution interaction and multiple forces between the host and guests. The stationary phase also showed good separation performance for saccharides, diquat, and paraquat. These results show that the stationary phase has a good application prospect in the separation of polar compounds.

Controlled Fabrication of Silica@Covalent Triazine Polymer Core-Shell Spheres as a Reversed-Phase/Hydrophilic Interaction Mixed-Mode Chromatographic Stationary Phase.

The unique properties of covalent triazine-based organic framework/polymers, including large surface area, hydrophilic-lipophilic-balanced adsorption, and economical preparation, make it a promising candidate as a stationary phase for high-performance liquid chromatography. However, irregular shapes and wide size distributions of such particles hinder column packing, resulting in a low column efficiency or a high back pressure. Herein, we describe the fabrication of SiO2@ covalent triazine-based organic polymer (CTP) core-shell microspheres with a distinct sphere-coating-sphere appearance using aminosilica as the supporting substrate to grow the CTP shell. By adjusting the amount of reactants, the thickness of the CTP shell, which consists of triazine and 1,3,5-triphenylbenzene monomers, was easily controlled. The developed core-shell microspheres were characterized via scanning electron microscopy, energy dispersive X-ray spectroscopy, transmission electron microscopy, solid-state 13C nuclear magnetic resonance analysis, and N2 adsorption experiments. The synergism of the triazine and aromatic moieties on CTP provides the new stationary phase with multiple retention mechanisms, including hydrophobic, π-π, electron donor-acceptor, hydrogen-bonding interactions, and so forth. On the basis of these interactions, successful separation and higher shape selectivity were achieved among several analytes that vary in polarity under both reversed-phase and hydrophilic interaction liquid chromatography conditions. Therefore, SiO2@CTP microspheres combine the advantages of good column packing properties of the uniform monodisperse silica microspheres and the recognition performance of CTP, generating flexible selectivity and application prospect for both hydrophilic and hydrophobic analytes.

Porous covalent triazine-terphenyl polymer as hydrophilic-lipophilic balanced sorbent for solid phase extraction of tetracyclines in animal derived foods.

A novel hydrophilic-lipophilic balanced (HLB) solid phase extraction sorbent, microporous covalent triazine-terphenyl polymer (CTPCC-TP) was successfully synthesized and applied for the cleanup and extraction of tetracycline drugs in animal derived food samples. The specific ratio of two monomers, hydrophilic triazine and lipophilic aromatic rings, endowed the new material with hydrophilic-lipophilic balanced character, which made it capable of extracting both polar and nonpolar analytes. Prior to solid-phase extraction, food samples were extracted by McIlvaine buffer and passed through the CTPCC-TP cartridge. The experimental parameters affecting extraction efficiency, including loading, washing and elution were investigated and optimized. With the use of high-performance liquid chromatography-UV detection, a method detection limit in the range of 8.0-16.8 µg kg-1 and good linearity (22.6-1500 µg kg-1) for the determination of the tetracyclines in animal derived food samples can be achieved. The relative standard deviations (RSDs) for five replicate extractions of the tetracyclines ranged from 4.8 to 8.2%. The method recoveries for spiked tetracyclines (100 and 1000 µg kg-1) in bovine milk, egg, chicken liver samples were in the range of 81.3-98.7% with RSDs ranging from 3.9 to 7.7%, respectively, depending on both the analytes and samples. The method was suitable for the determination of tetracyclines in animal derived food samples.