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1.
Rev Clin Esp (Barc) ; 2024 Apr 04.
Artigo em Inglês | MEDLINE | ID: mdl-38582349
2.
Rev. clín. esp. (Ed. impr.) ; 224(4): 233-236, Abr. 2024.
Artigo em Espanhol | IBECS | ID: ibc-232258

RESUMO

El Premio Nobel es uno de los premios más deseados en ciencia y más conocidos en la sociedad. Sin embargo, su reputación no está exenta de complejidades, incluidas las limitaciones para los galardonados y los prejuicios en las nominaciones. Navegar por el delicado equilibrio entre el reconocimiento y los impactos concretos de las contribuciones premiadas debería ofrecer una idea de la importancia del premio más allá del mero prestigio y su valor monetario. Si bien otros premios pueden presumir de mayores recompensas financieras, a menudo carecen del mismo nivel de prestigio. La inclusión de figuras públicas como galardonadas y la amplia cobertura mediática en torno al Premio Nobel elevan aún más su importancia percibida, aunque esto podría ocultar una realidad más matizada. Asimismo, las asociaciones positivas vinculadas al nombre «Nobel» que se asemejan al adjetivo «noble» pueden realzar el prestigio del premio. Esta sutil conexión con la «nobleza» añade una capa de honor y distinción al premio, contribuyendo a su importancia y prestigio percibidos. Además, la sobrerrepresentación de premios Nobel de países específicos provoca un escrutinio sobre el cumplimiento del testamento del Nobel, que prioriza las contribuciones al bienestar global. Esta discrepancia plantea dudas sobre la inclusión y el impacto global del premio.(AU)


The Nobel Prize is one of the most sought-after awards in science and society. However, its reputation is not without complexities, including constraints on laureates and biases in nominations. Navigating the delicate balance between recognition and the tangible impacts of awarded contributions should offer insight into the Prize's significance beyond mere prestige and monetary value. While other awards may boast higher financial rewards, they often lack the same level of prestige. The inclusion of public figures as laureates and the extensive media coverage surrounding the Nobel Prize may further elevate its perceived importance, though this may hide a more nuanced reality. Additionally, the positive associations linked to the name “Nobel” resembling the adjective “noble” can enhance the award's prestige. This subtle connection to “nobility” adds a layer of honor and distinction to the Prize, contributing to its perceived significance and prestige. Moreover, the overrepresentation of Nobel laureates from specific countries prompts scrutiny over the fulfillment of Nobel's testament, which prioritizes contributions to global well-being. This discrepancy raises questions about the inclusivity and global impact of the Prize.(AU)


Assuntos
Humanos , Masculino , Feminino , Prêmio Nobel , Distinções e Prêmios , Logro , Desenvolvimento Tecnológico
3.
Spectrochim Acta A Mol Biomol Spectrosc ; 308: 123744, 2024 Mar 05.
Artigo em Inglês | MEDLINE | ID: mdl-38157690

RESUMO

This study introduces the first and unique Molecular-mass-Related Fluorescence Sensor as the first fluorimetric strategy for determining amlodipine. An environmentally friendly, single-step, and direct spectrofluorimetric approach was utilized to evaluate the analyte. In an acidic setting, combining the amlodipine medication and the fluorescent dye Cilefa Pink B generated an instantaneous ultra-fluorescent product. An increase in dye response after adding amlodipine was proportional to the molecular weight of the generated complex, as measured at 329 nm. was the idea ofthe applied fluorimetric analysis. The complexing process increased the molecular mass from 879.86 to 1288.739 g mol-1. The medication's range of 0.050-1.00 µg mL-1 is directly correlated with this molecular massenlargement. The ideal settings for the changeable parameters of the system were established through an analysis of the response of the amlodipine-Cilefa Pink B system. Furthermore, the developed sensor complied with ICH (International Council for Harmonization) standards. The sensitivity limits were 0.0139 µg mL-1 (for the detection limit, LOD) and 0.042 µg mL-1 (for the quantification limit, LOQ). Additionally, this method effectively recovered the drug in its original and therapeutic dosage forms. Finally, the proposed process's environmental impact was also assessed through different modern greenness evaluation tools.


Assuntos
Anlodipino , Anlodipino/análise , Peso Molecular , Espectrometria de Fluorescência/métodos , Comprimidos/química , Fluorometria
4.
Malays Orthop J ; 17(3): 97-98, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-38107364
5.
Molecules ; 28(18)2023 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-37764439

RESUMO

Herein, we report the preparation of lipase immobilised on single-walled carbon nanotubes (SWCNTs) as an enantioselector for capillary monolithic columns and their application in the chiral separation of racemic pharmaceuticals. The columns were prepared through the encapsulation of functionalised SWCNTs (c-SWCNTs) within an organic monolithic polymer, followed by the immobilisation of lipase over the obtained monolith, over a three-day (L1) and five-day (L2) period. The prepared columns were tested for the enantioselective nano-HPLC separation of 50 racemic drugs. A suitable resolution was achieved for 25 drugs using nano-RP-HPLC conditions for both the L1 and L2 capillaries, while no specific resolution was detected under normal-phase HPLC conditions. The developed c-SWCNT-lipase-based polymeric monolithic capillaries are a promising expansion for separating pharmaceutical enantiomers' using nano-HPLC.


Assuntos
Capilares , Nanotubos de Carbono , Cromatografia Líquida de Alta Pressão , Ácidos Carboxílicos , Lipase , Polímeros , Preparações Farmacêuticas
6.
F1000Res ; 12: 341, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37593362

RESUMO

Background: Tigecycline (TGC) is a recently developed antibiotic to battle resistant bacteria. The procedures outlined in the literature for analyzing TGC involve chemical solvents that could be hazardous. Therefore, this study aimed to create a sustainable and stable HPLC technique for quantifying Tigecycline in lyophilized powder. The powerful chemometric tool, experimental design (ED), will be applied to analyze the variables' interaction and impact on the selected analytical target profiles. Response surface methodology provides a tutorial on using the central composite design with three levels of variables and quadratic programming to optimize the design space of the developed method. Methods: The New HPLC method consisted of an aqueous buffer and ethanol as a green mobile phase run on a reversed-phase symmetry C18 column. A full resolution between the Tigecycline and its degradation product peaks was achieved in a short analytical runtime. Results: Further, the specificity, accuracy, precision, robustness and stability indicating power of the proposed approach were verified through stress degrading testing. Conclusions: Finally, the analytical eco-scale and the green Analytical Procedure Index (GAPI) were utilized to determine how environmentally friendly the recommended method was compared to other published approaches.


Assuntos
Antibacterianos , Etanol , Tigeciclina , Cromatografia Líquida de Alta Pressão/métodos , Água
7.
Molecules ; 28(4)2023 Feb 17.
Artigo em Inglês | MEDLINE | ID: mdl-36838913

RESUMO

New antioxidant agents are urgently required to combat oxidative stress, which is linked to the emergence of serious diseases. In an effort to discover potent antioxidant agents, a novel series of 2-thiouracil-5-sulfonamides (4-9) were designed and synthesized. In line with this approach, our target new compounds were prepared from methyl ketone derivative 3, which was used as a blocking unit for further synthesis of a novel series of chalcone derivatives 4a-d, thiosemicarbazone derivatives 5a-d, pyridine derivatives 6a-d and 7a-d, bromo acetyl derivative 8, and thiazole derivatives 9a-d. All compounds were evaluated as antioxidants against 2,2-diphenyl-1-picrylhydrazyl (DPPH), hydrogen peroxide (H2O2), lipid peroxidation, and 15-lipoxygenase (15-LOX) inhibition activity. Compounds 5c, 6d, 7d, 9b, 9c, and 9d demonstrated significant RSA in all three techniques in comparison with ascorbic acid and 15-LOX inhibitory effectiveness using quercetin as a standard. Molecular docking of compound 9b endorsed its proper binding at the active site pocket of the human 15-LOX which explains its potent antioxidant activity in comparison with standard ascorbic acid.


Assuntos
Antioxidantes , Araquidonato 15-Lipoxigenase , Humanos , Antioxidantes/química , Simulação de Acoplamento Molecular , Relação Estrutura-Atividade , Araquidonato 15-Lipoxigenase/metabolismo , Peróxido de Hidrogênio , Sulfonamidas , Ácido Ascórbico , Estrutura Molecular
8.
Artigo em Inglês | WPRIM (Pacífico Ocidental) | ID: wpr-1006359
9.
World J Surg ; 45(10): 3019-3026, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34312694

RESUMO

BACKGROUND: The Syrian conflict has produced one of the largest refugee crises in modern times. Lebanon has taken in more Syrian refugees per capita than any other nation. We aimed to study the burden of surgical disease and access to surgical care among Syrian refugees in Lebanon. METHODS: This study was designed as a convenient cross-sectional cluster-based population survey of all refugee camps throughout the Bekaa region of Lebanon. We used a modified version of the Surgeons OverSeas Assessment of Surgical Need to identify surgical conditions and barriers to care access. The head of household of each informal tented settlement provided demographic information after which two household members were randomly chosen and administered the survey. RESULTS: A total of 1,500 individuals from 750 households representing 21 camps were surveyed. Respondents had a mean age of 36.6 (15.0) years, 54.6% were female, and 59% were illiterate. Nearly 25% of respondents reported at least one surgical condition within the past year, most commonly involving the face, head, and neck region (32%) and extremities (22%). Less than 20% of patients with a surgical condition reported seeing any healthcare provider, > 75% due to financial hardship. CONCLUSIONS: The prevalence of surgical disease among Syrian refugees is very high with a fourth of refugees suffering from one or more surgical conditions over the past year. The surgical needs of this vulnerable population are largely unmet as financial reasons prevent patients from seeking care. Local and humanitarian efforts need to include increased access to surgical care.


Assuntos
Refugiados , Adulto , Estudos Transversais , Feminino , Acesso aos Serviços de Saúde , Humanos , Líbano/epidemiologia , Masculino , Pessoa de Meia-Idade , Síria , Populações Vulneráveis
10.
Molecules ; 26(7)2021 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-33805918

RESUMO

Scaffolds hybridization is a well-known drug design strategy for antitumor agents. Herein, series of novel indolyl-pyrimidine hybrids were synthesized and evaluated in vitro and in vivo for their antitumor activity. The in vitro antiproliferative activity of all compounds was obtained against MCF-7, HepG2, and HCT-116 cancer cell lines, as well as against WI38 normal cells using the resazurin assay. Compounds 1-4 showed broad spectrum cytotoxic activity against all these cancer cell lines compared to normal cells. Compound 4g showed potent antiproliferative activity against these cell lines (IC50 = 5.1, 5.02, and 6.6 µM, respectively) comparable to the standard treatment (5-FU and erlotinib). In addition, the most promising group of compounds was further evaluated for their in vivo antitumor efficacy against EAC tumor bearing mice. Notably, compound 4g showed the most potent in vivo antitumor activity. The most active compounds were evaluated for their EGFR inhibitory (range 53-79%) activity. Compound 4g was found to be the most active compound against EGFR (IC50 = 0.25 µM) showing equipotency as the reference treatment (erlotinib). Molecular modeling study was performed on compound 4g revealed a proper binding of this compound inside the EGFR active site comparable to erlotinib. The data suggest that compound 4g could be used as a potential anticancer agent.


Assuntos
Antineoplásicos , Modelos Moleculares , Proteínas de Neoplasias , Neoplasias/tratamento farmacológico , Pirimidinas , Animais , Antineoplásicos/síntese química , Antineoplásicos/química , Antineoplásicos/farmacologia , Receptores ErbB/antagonistas & inibidores , Receptores ErbB/metabolismo , Células HCT116 , Células Hep G2 , Humanos , Células MCF-7 , Camundongos , Proteínas de Neoplasias/antagonistas & inibidores , Proteínas de Neoplasias/metabolismo , Neoplasias/metabolismo , Neoplasias/patologia , Pirimidinas/síntese química , Pirimidinas/química , Pirimidinas/farmacologia , Ensaios Antitumorais Modelo de Xenoenxerto
11.
Pharmaceuticals (Basel) ; 13(2)2020 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-32093384

RESUMO

А grаdiеnt HPLC mеthоd was dеvеlоpеd аnd vаlidаtеd fоr rаpid simultаnеоus sеpаrаtiоn аnd dеtеrminаtiоn оf the following eight drugs оf sаrtаn аnd stаtin clаssеs in thеir purе аnd dоsаgе fоrms within 15 minutes: irbеsаrtаn (IRB), lоsаrtаn (LОS), vаlsаrtаn (VАL), оlmеsаrtаn (ОLM), rоsuvаstаtin (RОS), аtоrvаstаtin (АTR), lоvаstаtin (LОV), аnd simvаstаtin (SIM). Sеpаrаtiоn wаs cаrriеd оut оn а Kinеtеx C18 100А cоlumn (2.60 m, 4.60 mm × 100 mm) using а grаdiаnt binаrу mоbilе phаsе оf 0.05M pоtаssium dihуdrоgеn phоsphаtе buffеr (pH 3.50 аdjustеd bу оrthо-phоsphоric аcid) аnd аcеtоnitrilе аt rооm tеmpеrаturе. Thе flоw rаtе wаs 1.00 mL/min аnd mаximum аbsоrptiоn wаs mеаsurеd using a DАD dеtеctоr аt 280 nm. Thе rеtеntiоn timеs оf IRB, LОS, RОS, VАL, АTR, LОV, ОLM, аnd SIM wеrе rеcоrdеd tо bе 4.72, 5.32, 6.06, 7.19, 7.96, 9.30, 11.91, аnd 14.66 minutеs, rеspеctivеlу. Limits оf dеtеctiоn wеrе rеpоrtеd tо bе 2.01, 1.32, 1.10, 0.76, 0.21, 1.50, 0.38, аnd 0.55 mM fоr thе sаmе sеquеncе оf drugs, rеspеctivеlу, shоwing а high dеgrее оf mеthоd sеnsitivitу. Thе mеthоd wаs thеn vаlidаtеd аccоrding tо the intеrnаtiоnаl cоnfеrеncе оf hаrmоnizаtiоn (ICH) guidеlinеs fоr thе dеtеrminаtiоn оf thе drugs in thеir dоsаgе fоrms with highlу prеcisе rеcоvеriеs. Аlsо, a stаtisticаl cоmpаrisоn with rеfеrеncе mеthоds wаs pеrfоrmеd shоwing nо significаnt diffеrеncеs bеtwееn thе prоpоsеd mеthоd аnd rеpоrtеd оnеs in tеrms оf prеcisiоn аnd аccurаcу.

12.
J Pharm Biomed Anal ; 174: 226-234, 2019 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-31181484

RESUMO

The synergistic vascular protective effect of statins and angiotensin receptor blockers (ARBs) is well known, however, the pharmacokinetic interaction among these classes is yet to be understood and the necessity of developing analytical methods for their determination in vivo is gradually increased. Herein, first chromatographic separation coupled tandem mass spectrometric was developed and fully validated for simultaneous measurement of rosuvastatin (ROS) and irbesartan (IRB) in rat plasma after oral administration. The two analytes were extracted from plasma sample using acetonitrile-induced protein precipitation then separated on an Agilent Eclipse Plus ODS (4.6 × 100 mm, 3.5 µm) column by gradient elution using 6 mM ammonium formate/0.1% formic acid and ACN at a flow rate 0.4 mL min-1. Multiple reaction monitoring in positive ion mode was used for quantification of precursor to production at m/z 492.1 → 206.9 for IRB, 482.1 → 258.1 for ROS, and 409.2 → 238.2 for the internal standard, amlodipine (AML). Linearity was obeyed in the range of 1-10000 ng mL-1 and 1-5000 ng mL-1 with detection limits (S/N of 3) of 0.05 and 0.07 ng mL-1 for IRB and ROS, respectively. The current method was validated in terms of selectivity, recovery, accuracy, precision, matrix effects, and stability as per US-FDA bioanalytical guidelines. The application of our method reported her is the first to study pharmacokinetic interaction of IRB and ROS in rat plasma after a single oral dose. The area under the concentration-time curve (AUC), peak plasma concentrations (Cmax), half-life time (t1/2), and volume of distribution (Vd) of ROS and IRB were affected when the two drugs were co-administering. The current study provided a valuable tool for studying drug-drug interaction and might be useful for therapeutic drug monitoring and bioequivalence studies.


Assuntos
Cromatografia Líquida/métodos , Irbesartana/sangue , Irbesartana/farmacocinética , Rosuvastatina Cálcica/sangue , Rosuvastatina Cálcica/farmacocinética , Espectrometria de Massas em Tandem/métodos , Administração Oral , Animais , Área Sob a Curva , Calibragem , Interações Medicamentosas , Monitoramento de Medicamentos , Limite de Detecção , Masculino , Ratos , Ratos Wistar , Reprodutibilidade dos Testes
13.
Drug Dev Res ; 80(3): 343-352, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30565722

RESUMO

In light of the pharmacophoric structural requirements for achieving anticonvulsant activity, a series of N-(1-methyl-4-oxo-2-un/substituted-1,2-dihydroquinazolin-3[4H]-yl)benzamide (4a-g) and N-(1-methyl-4-oxo-2-un/substituted-1,2-dihydroquinazolin-3[4H]-yl)-2-phenylacetamide (4h-n) derivatives were synthesized in two steps starting from the reaction of N-methyl isatoic anhydride with the appropriate hydrazide and followed by condensation with the appropriate aldehyde. The anticonvulsant activities of the synthesized compounds were evaluated according to the anticonvulsant drug development (ADD) programme protocol. Among the synthesized compounds, 4n showed promising activity in both the maximal electroshock (MES) and pentylenetetrazole (PTZ) tests with median effective dose (ED50 ) values of 40.7 and 6 mg/kg, respectively. The six most promising derivatives, 4b, 4a, 4c, 4f, 4j, and 4i, showed very low ED50 values in the PTZ test (3.1, 4.96, 8.68, 9.89, 12, and 13.53 mg/kg, respectively). All the tested compounds showed no to low neurotoxicity in the rotarod test with a wide therapeutic index. Docking studies of compound 4n suggested that GABAA binding could be the mechanism of action of these derivatives. The in silico drug likeliness parameters indicated that none of the designed compounds violate Lipinski's rule of five and that they are able to cross the blood-brain barrier. Hit, Lead & Candidate Discovery.


Assuntos
Anticonvulsivantes/uso terapêutico , Quinazolinonas/uso terapêutico , Convulsões/tratamento farmacológico , Animais , Anticonvulsivantes/química , Anticonvulsivantes/farmacologia , Eletrochoque , Masculino , Camundongos , Simulação de Acoplamento Molecular , Pentilenotetrazol , Quinazolinonas/química , Quinazolinonas/farmacologia , Receptores de GABA-A/metabolismo , Teste de Desempenho do Rota-Rod , Convulsões/induzido quimicamente , Convulsões/metabolismo , Relação Estrutura-Atividade
14.
Telemed J E Health ; 20(10): 977-9, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25188281

RESUMO

BACKGROUND: Given the scarcity of mental health resources available for refugees in areas of conflict, it is imperative to investigate interventions that would be accepted by the refugees. MATERIALS AND METHODS: In this study we surveyed 354 Syrian refugees using the HADStress screening tool and asked about their openness to referral to psychiatry and telepsychiatry. RESULTS: Of the surveyed sample, 41.8% had scores on HADStress that correlate to posttraumatic stress disorder. However, only 34% of the whole sample reported a perceived need to see a psychiatrist, and of those only 45% were open to telepsychiatry. CONCLUSIONS: Women, those who were bilingual, and those with positive HADStress status were less likely to accept telepsychiatry; however, this finding did not reach statistical significance. This study reports a partial acceptance of Syrian refugees for telepsychiatric services despite the high prevalence of psychological stress.


Assuntos
Aceitação pelo Paciente de Cuidados de Saúde , Refugiados/psicologia , Estresse Psicológico/diagnóstico , Estresse Psicológico/terapia , Telemedicina , Adulto , Connecticut , Feminino , Acesso aos Serviços de Saúde , Necessidades e Demandas de Serviços de Saúde , Humanos , Masculino , Projetos Piloto , Encaminhamento e Consulta , Inquéritos e Questionários , Síria/etnologia
15.
Climacteric ; 17(4): 425-32, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24625187

RESUMO

OBJECTIVE: To examine the relationships between temperature, season (summer versus winter), lifestyle, health, mood, beliefs, and experience of hot flushes and night sweats (HFNS), amongst mid-aged women living in the United Arab Emirates (UAE). METHODS: The UAE climate is hyper-arid, being a hot desert climate, with warm winters and hot summers. A total of 372 peri- and postmenopausal women, aged from 45 to 55 years, from urban UAE regions were included. Data were collected during both summer and winter months. Participants completed questionnaires eliciting information about sociodemographics, HFNS (prevalence, frequency and problem-rating), health and lifestyle (body mass index (BMI), diet, exercise), mood (Women's Health Questionnaire) and menopause attributions and beliefs (Menopause Representations Questionnaire). RESULTS: HFNS were currently being experienced by 46.5% of women, with an average weekly frequency of five and problem-rating of 5.7/10. Seasonal variation in temperature was not associated with prevalence, frequency or problem-rating. Hot flush prevalence was associated with poor health, life satisfaction, mood, employment, lower BMI and diet. Higher frequency was associated with higher BMI and more years since the last period. HFNS were more problematic mainly for women who reported lower life satisfaction and held more negative beliefs about the menopause. CONCLUSIONS: In this UAE study, temperature and seasonal temperature variation did not appear to influence HFNS-reporting, but health, life satisfaction, BMI, beliefs and lifestyle factors partially explained women's experiences of menopausal symptoms. A qualitative study might provide further information about the meanings of HFNS and menopause amongst UAE women.


Assuntos
Emoções/fisiologia , Fogachos , Menopausa , Estações do Ano , Sudorese/fisiologia , Sistema Vasomotor/fisiopatologia , Altitude , Índice de Massa Corporal , Clima , Cultura , Feminino , Disparidades nos Níveis de Saúde , Fogachos/epidemiologia , Fogachos/etiologia , Fogachos/fisiopatologia , Fogachos/psicologia , Humanos , Estilo de Vida , Menopausa/fisiologia , Menopausa/psicologia , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Estatística como Assunto , Inquéritos e Questionários , Temperatura , Emirados Árabes Unidos/epidemiologia
16.
Reprod Biol Endocrinol ; 11: 115, 2013 Dec 17.
Artigo em Inglês | MEDLINE | ID: mdl-24341292

RESUMO

BACKGROUND: Women with polycystic ovarian syndrome (PCOS) are known to have elevated circulating Anti-Müllerian hormone (AMH), which has been found to desensitize ovarian follicles to follicle stimulating hormone (FSH). The purpose of this study was to investigate the impact of high circulating AMH on ovarian responsiveness to ovulation induction with gonadotrophins in PCOS women. METHODS: This prospective observational pilot study was conducted in two collaborating Fertility Centres in the UK and Egypt. The study included 20 consecutive anovulatory women with PCOS who underwent 34 cycles of human menopausal gonadotrophin (hMG) ovarian stimulation using chronic low-dose step up protocol. Blood samples were collected for the measurement of serum AMH concentrations in the early follicular (day 2-3) phase in all cycles of hMG treatment. The serum levels of AMH were compared between cycles with good vs. poor response. The good response rates and the total dose and duration of hMG treatment were compared between cycles with high vs. low serum AMH concentrations. RESULTS: Cycles with poor response (no or delayed ovulation requiring >20 days of hMG treatment) had significantly (p = .007) higher median{range} serum AMH concentration (6.5{3.2-13.4}ng/ml) compared to that (4.0{2.2-10.2}ng/ml) of cycles with good response (ovulation within 20 days of hMG treatment). ROC curve showed AMH to be a useful predictor of poor response to hMG stimulation (AUC, 0.772; P = 0.007). Using a cut-off level of 4.7 ng/ml, AMH had a sensitivity of 100% and specificity of 58% in predicting poor response. The good response rate was significantly (p < .001) greater in cycles with lower AMH (<4.7 ng/ml) compared to that in those with AMH > = 4.7 ng/ml (100% vs. 35%, respectively). All cycles with markedly raised serum AMH levels (> 10.2 ng/ml) were associated with poor response. Cycles with high AMH (> = 4.7 ng/ml) required significantly (p < .001) greater amounts (median {range}, 1087{450-1650}IU) and longer duration (20 {12-30}days) of hMG stimulation than cycles with lower AMH (525 {225-900}IU and 8{6-14}days). CONCLUSIONS: PCOS women with markedly raised circulating AMH seem to be resistant to hMG ovulation induction and may require a higher starting dose.


Assuntos
Hormônio Antimülleriano/sangue , Infertilidade Feminina/terapia , Menotropinas/farmacologia , Indução da Ovulação/métodos , Síndrome do Ovário Policístico/sangue , Biomarcadores/sangue , Feminino , Humanos , Infertilidade Feminina/complicações , Menotropinas/administração & dosagem , Projetos Piloto , Síndrome do Ovário Policístico/complicações , Síndrome do Ovário Policístico/fisiopatologia , Resultado do Tratamento
17.
J Clin Endocrinol Metab ; 98(10): 4170-5, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23979947

RESUMO

CONTEXT: Elevated serum anti-Müllerian hormone (AMH) concentration in women with polycystic ovarian syndrome (PCOS) is known to lower sensitivity of ovarian follicles to circulating FSH. This effect may compromise the outcome of clomiphene citrate (CC) ovulation induction. OBJECTIVE: The objective of the study was to investigate the impact of high circulating AMH on the outcome of CC ovulation induction in women with PCOS. DESIGN: This was a prospective cohort observational study. SETTING: The study was conducted at the Fertility Unit, Derby, United Kingdom. PATIENTS: Sixty anovulatory women with PCOS participated in the study. INTERVENTIONS: Serum AMH concentrations were measured on cycle day 2 during 187 CC cycles. These concentrations were compared between responders and nonresponders. The receiver-operating characteristic curve was used to evaluate the prognostic value of circulating AMH. The success rates of CC were compared between patients with high vs low AMH levels. The dose of CC required to achieve ovulation was correlated with serum AMH concentrations. MAIN OUTCOME MEASURES: Ovulation and pregnancy rates were measured. RESULTS: Serum AMH concentrations were significantly (P < .001) lower in responders (achieving ovulation) vs nonresponders (mean ± SEM, 2.5 ± 0.1 vs 5.8 ± 0.7 ng/mL, respectively). Similarly, serum AMH concentrations were significantly (P = .046) lower in pregnant (3.0 ± 0.4 ng/mL) vs nonpregnant patients (4.4 ± 0.5 ng/mL). There was a significant (P = .02) gradient increase of serum AMH levels with the increasing dose of CC required to achieve ovulation. The receiver-operating characteristic curve showed AMH to be a useful predictor of no ovulation (area under the curve, 0.809; P < .001) with a useful cutoff level of 3.4 ng/mL. Ovulation and pregnancy rates were significantly higher (97%, P < .001, and 46%, P = .034) in patients with low AMH (<3.4 ng/mL) vs women with AMH 3.4 ng/mL or greater (48% and 19%). CONCLUSION: PCOS women with high circulating AMH (≥ 3.4 ng/mL) seem to be resistant to CC and may require a higher starting dose.


Assuntos
Anovulação/sangue , Hormônio Antimülleriano/sangue , Clomifeno/uso terapêutico , Fármacos para a Fertilidade Feminina/uso terapêutico , Síndrome do Ovário Policístico/sangue , Adulto , Anovulação/tratamento farmacológico , Feminino , Humanos , Indução da Ovulação , Síndrome do Ovário Policístico/tratamento farmacológico , Valor Preditivo dos Testes , Gravidez , Taxa de Gravidez , Prognóstico , Estudos Prospectivos , Resultado do Tratamento
18.
J Immunoassay Immunochem ; 30(4): 400-17, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19739014

RESUMO

Thyroid stimulating hormone (TSH), which is known as thyrotropin, is an anterior pituitary hormone and a glycoprotein with a molecular weight of about 28,000 Daltons. This hormone increases the secretion of thyroxine and triiodothyronine from the thyroid gland. In the present study, the immunoradiometric (IRMA) technique was used for the estimation of TSH, and also the various thermo-kinetic parameters of the assay were determined including temperature, antibody volume, tracer volume, and incubation time. Many thermo-kinetic parameters were calculated, such as the free energy change of (DeltaG degrees ), the enthalpy change (DeltaH degrees ), and the entropy change (DeltaS degrees ) of the reaction. The results obtained were used to determine the order of the reaction and the optimum conditions to perform the assay. The optimum conditions that were obtained from the present studies were used to perform the assay for patient's samples and the results obtained were compared with that of a commercially used kit; the results indicated the high correlation between the traditional (commercial) method and the studied one.


Assuntos
Ensaio Imunorradiométrico , Tireotropina/análise , Humanos , Cinética , Termodinâmica , Glândula Tireoide/metabolismo , Tiroxina/metabolismo , Tri-Iodotironina/metabolismo
19.
Toxicol Appl Pharmacol ; 240(2): 132-42, 2009 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-19664648

RESUMO

Organophosphorus ester-induced delayed neurotoxicity (OPIDN) is a neurodegenerative disorder characterized by ataxia progressing to paralysis with a concomitant central and peripheral distal axonapathy. Diisopropylphosphorofluoridate (DFP) produces OPIDN in the chicken, which results in mild ataxia in 7-14 days and severe paralysis as the disease progresses with a single dose. White leghorn layer hens were treated with DFP (1.7 mg/kg, sc) after prophylactic treatment with atropine (1 mg/kg, sc) in normal saline and eserine (1 mg/kg, sc) in dimethyl sulfoxide. Control groups were treated with vehicle propylene glycol (0.1 mL/kg, sc), atropine in normal saline and eserine in dimethyl sulfoxide. The hens were sacrificed at different time points such as 2, 4, and 8 h, as well as 1, 2, 5, 10 and 20 days, and the tissues from cerebrum, midbrain, cerebellum brainstem and spinal cord were quickly dissected and frozen for protein (western) and mRNA (northern) studies. Subcellular fractionation, SDS-PAGE and immunoblotting of the nuclear and supernatant fractions using standard protocols from spinal cord and cerebrum showed differential expression of protein levels of PKA, CREB and phosphorylated CREB (p-CREB). There was an increase in PKA level in spinal cord nuclear fraction after 4 h (130+/-5%) and 8 h (133+/-6 %), while cerebrum nuclear fraction showed decrease (77+/-5%) at 4 h and remained at the same level at 8 h. No change was seen in either spinal cord or cerebrum soluble fraction at any time points. There was an increase in CREB level in the spinal cord supernatant (133+/-3%) after 5 days, while nuclear and supernatant fraction of the cerebrum did not show any alterations at any time point. p-CREB was induced in the spinal cord nuclear fraction at 1 day (150+/-3%) and 5 days (173+/-7%) of treatment, in contrast to the decreased levels p-CREB (72+/-4%) at 10 days in cerebrum nuclear fraction. Supernatant fraction of spinal cord and cerebrum did not show any changes in pCREB at time points studied. Similarly another set of animals were treated with DFP and perfused using standard protocols and immunohistochemistry for p-CREB in the brain and spinal cord confirmed the overall protein expression pattern identified by western analysis. Expression of beta-tubulin subtypes (1, 2, 3, and 4), studied by Northern blotting showed complex and differential pattern, while immunohistochemistry of the anti-beta-tubulin for the entire period of OPIDN developmental stages showed early induction and persistence even in the disintegrating axonal and non-neuronal structures of the CNS. These data thus strongly suggest that early cytoskeletal damage at molecular level mediated by PKA/p-CREB pathways leads to the culmination of gross (microscopically observable) level cytoskeletal changes in various components of central nervous system (CNS), consistent with our earlier findings. Thus, the differential protein expression of PKA, CREB, p-CREB and beta-tubulin subtypes appear to contribute to the initiation, progression and development of OPIDN, probably by recruiting other molecular pathways specific to various components of nervous system.


Assuntos
Sistema Nervoso Central/efeitos dos fármacos , Inibidores da Colinesterase/toxicidade , Proteína de Ligação ao Elemento de Resposta ao AMP Cíclico/metabolismo , Proteínas Quinases Dependentes de AMP Cíclico/metabolismo , Isoflurofato/toxicidade , Doenças Neurodegenerativas/induzido quimicamente , Síndromes Neurotóxicas/etiologia , Tubulina (Proteína)/metabolismo , Animais , Antídotos/farmacologia , Atropina/farmacologia , Northern Blotting , Western Blotting , Sistema Nervoso Central/enzimologia , Sistema Nervoso Central/patologia , Cérebro/efeitos dos fármacos , Cérebro/enzimologia , Galinhas , Progressão da Doença , Feminino , Imuno-Histoquímica , Doenças Neurodegenerativas/enzimologia , Doenças Neurodegenerativas/patologia , Doenças Neurodegenerativas/prevenção & controle , Síndromes Neurotóxicas/enzimologia , Síndromes Neurotóxicas/patologia , Síndromes Neurotóxicas/prevenção & controle , Fosforilação , RNA Mensageiro/metabolismo , Transdução de Sinais/efeitos dos fármacos , Medula Espinal/efeitos dos fármacos , Medula Espinal/enzimologia , Fatores de Tempo , Tubulina (Proteína)/genética
20.
Pharm Res ; 26(2): 286-95, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-18841447

RESUMO

PURPOSE: To study the effect of sequentially changing the chain length, oxidation level, and charge distribution in N4,N9-diacyl and N4,N9-dialkyl spermines on siRNA formulation, and then to compare their lipoplex transfection efficiency in cell lines. METHODS: Eight N4,N9-diacyl polyamines: N4,N9-[didecanoyl, dilauroyl, dimyristoyl, dimyristoleoyl, dipalmitoyl, distearoyl, dioleoyl and diretinoyl]-1,12-diamino-4,9-diazadodecane were synthesized. Their abilities to bind to siRNA and form nanoparticles were studied using a RiboGreen intercalation assay and particle sizing. Two diamides were also reduced to afford tetraamines N4,N9-distearyl- and N4,N9-dioleyl-1,12-diamino-4,9-diazadodecane. Delivery of fluorescein-labelled Label IT RNAi Delivery Control was studied in FEK4 primary skin cells and in an immortalized cancer cell line (HtTA), and compared with TransIT-TKO. RESULTS: The design, synthesis, and structure-activity relationship studies of a series of N4,N9-disubstituted spermines as efficient vectors for non-viral siRNA delivery to primary skin and cancer cell lines is reported. These non-liposomal cationic lipids are promising siRNA carriers based on the naturally occurring polyamine spermine showing that C-18 is a better chain length as shorter chains are more toxic. CONCLUSIONS: N4,N9-Distearoyl spermine and N4,N9-dioleoyl spermine are efficient siRNA formulation and delivery vectors, even in the presence of serum, comparable to TransIT-TKO. However, four positive charges distributed as in spermine was significantly more toxic.


Assuntos
Lipídeos , Interferência de RNA , RNA Interferente Pequeno/metabolismo , Espermina/metabolismo , Transfecção , Sobrevivência Celular/efeitos dos fármacos , Relação Dose-Resposta a Droga , Feminino , Fibroblastos/efeitos dos fármacos , Fibroblastos/metabolismo , Corantes Fluorescentes , Células HeLa , Humanos , Lipídeos/síntese química , Lipídeos/toxicidade , Microscopia de Fluorescência , Estrutura Molecular , Tamanho da Partícula , RNA Interferente Pequeno/química , Pele/citologia , Pele/efeitos dos fármacos , Pele/metabolismo , Espermina/análogos & derivados , Espermina/síntese química , Espermina/toxicidade , Relação Estrutura-Atividade , Neoplasias do Colo do Útero/genética , Neoplasias do Colo do Útero/metabolismo
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