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Aticaprant (Clinically Developed Kappa-Opioid Receptor Antagonist) Combined With Naltrexone Prevents Alcohol "Relapse" Drinking. 阿替卡普兰(临床开发的卡帕-阿片受体拮抗剂)联合纳曲酮预防酒精“复发”饮酒。
Pub Date : 2022-05-01 Epub Date: 2022-05-16 DOI: 10.13188/2327-204x.1000032
Y Zhou, D C Zhou, M J Kreek

Alcohol relapse is the treatment target for medications development for alcohol dependence. Aticaprant, a selective and short-acting kappa-opioid receptor (KOR) antagonist, has recently been under development for new clinical implications (depression or anhedonia). Recent studies have also found that aticaprant reduces alcohol intake and prevents stress- triggered alcohol seeking in rodents via a KOR-mediated mechanism. Here, we further investigated whether aticaprant alone or in combination with naltrexone (mu-opioid receptor [MOR] antagonist) altered alcohol relapse-like drinking using a mouse alcohol deprivation effect (ADE) paradigm to mimic the relapse episodes in human alcoholics. A long-acting and selective KOR antagonist nor-BNI was used as a reference compound for the effects of the KOR antagonism on the ADE. After 3-week intermittent-access alcohol drinking (two-bottle choice, 24-h access every other day), male and female mice displayed excessive alcohol intake and then pronounced ADE after 1-week abstinence. Aticaprant alone decreased alcohol ADE in a dose- dependent manner (1-3 mg/kg) in both males and females. Aticaprant at a lower dose (0.3 mg/kg) than the effective one (3 mg/kg) combined with a low dose of naltrexone (1 mg/kg) reduced the ADE in both sexes, and the combination was effective after a multi-dosing regimen (5 daily injections during the abstinence) without development of tolerance, suggesting synergistic effects of the combination. In contrast, nor-BNI alone or with naltrexone had no effect on the ADE in either sex. Our present study suggests that a combination of clinically developed, short-acting KOR antagonist aticaprant with low-dose naltrexone has therapeutic potential in alcohol "relapse" treatment.

酒精复发是酒精依赖药物开发的治疗目标。Aticaprant是一种选择性和短效的kappa-阿片受体(KOR)拮抗剂,最近正在开发新的临床意义(抑郁症或快感缺乏)。最近的研究还发现,aticaprant通过kor介导的机制减少了啮齿动物的酒精摄入量,并防止应激引发的酒精寻求。在这里,我们使用小鼠酒精剥夺效应(ADE)模式来模拟人类酗酒者的复发发作,进一步研究了aticaprant单独使用或与纳曲酮(μ -阿片受体[MOR]拮抗剂)联合使用是否会改变酒精复发样饮酒。一种长效和选择性的非bni的KOR拮抗剂被用作KOR拮抗剂对ADE的影响的参考化合物。在3周的间歇饮酒(两瓶选择,每隔一天24小时饮酒)后,雄性和雌性小鼠表现出过量饮酒,然后在1周的戒酒后出现ADE。在男性和女性中,Aticaprant单独降低酒精ADE呈剂量依赖性(1-3 mg/kg)。比有效剂量(3mg /kg)低剂量的阿替卡坦(0.3 mg/kg)与低剂量的纳曲酮(1mg /kg)联合使用可降低两性ADE,并且在多次给药(戒断期间每天注射5次)后仍有效,未产生耐受性,提示联合使用具有协同作用。相比之下,非bni单独或纳曲酮对男女的ADE均无影响。我们目前的研究表明,临床开发的短效KOR拮抗剂aticaprant与低剂量纳曲酮的组合在酒精“复发”治疗中具有治疗潜力。
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引用次数: 2
Potential for the Use of Adamantanes for the Prevention and Treatment of the Neurological Complications of COVID-19 金刚烷在预防和治疗COVID-19神经系统并发症中的应用潜力
Pub Date : 2020-12-30 DOI: 10.13188/2327-204x.1000037
R. Butterworth
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引用次数: 0
Repurposing of Adamantanes for the Treatment of COVID-19: Rationale and Perspectives 金刚烷类药物在COVID-19治疗中的应用:原理和观点
Pub Date : 2020-12-30 DOI: 10.13188/2327-204x.1000035
R. Butterworth
Intensive efforts are underway in the search for novel antiviral agents and in the repurposing of existing antivirals with the potential to mitigate the effects of COVID-19. Amantadines represent a large family of tricyclic agents some of which are known to manifest efficacy against a range of viruses including influenza A and several human and animal coronaviruses including SARS-CoV and HCoV-OC43 with neuroinvasive characteristics. The adamantane derivative memantine improves clinical scores and motor disabilities while reducing HCoVOC43 viral replication in a dose-dependent manner. Anti-viral actions of memantine against HCoV are independent of the agent’s action as a non-competitive NMDA receptor antagonist. Amantadine and the novel spiroadamantane amine possess significant activity against coronavirus 229E. Mechanisms proposed to date to account for the antiSARS CoV-2 actions of adamantanes include blocking of the viroporin channel of the virus E protein preventing release of viral nucleus into the host-cell cytoplasm and down-regulation of the host protease CTSL and lysosomal disruption leading to decreased viral replication. Further investigations are now required including the assessment of other adamantanes as antivirals in the experimental setting and controlled clinical trials to assess their safety and efficacy for the prevention and treatment of COVID-19.
目前正在加紧努力,寻找新的抗病毒药物,并重新利用现有抗病毒药物,以减轻COVID-19的影响。金刚烷胺是一大类三环类药物,其中一些已知对一系列病毒有效,包括甲型流感病毒和几种人类和动物冠状病毒,包括SARS-CoV和HCoV-OC43,具有神经侵入性特征。金刚烷衍生物美金刚以剂量依赖的方式改善临床评分和运动障碍,同时减少HCoVOC43病毒复制。美金刚对HCoV的抗病毒作用独立于其作为非竞争性NMDA受体拮抗剂的作用。金刚烷胺和新型蜘蛛烷胺对冠状病毒229E具有显著的抗活性。迄今为止提出的金刚烷抗sars CoV-2作用的机制包括阻断病毒E蛋白的病毒孔蛋白通道,阻止病毒核释放到宿主细胞质中,下调宿主蛋白酶CTSL和溶酶体破坏,导致病毒复制减少。目前需要进一步调查,包括在实验环境和对照临床试验中评估其他金刚烷类抗病毒药物,以评估其预防和治疗COVID-19的安全性和有效性。
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引用次数: 1
Adamantanes for the Prevention of COVID-19: A Review of Case Reports 金刚烷预防COVID-19:病例报告综述
Pub Date : 2020-12-30 DOI: 10.13188/2327-204x.1000034
Cortes A Borra
Clinical evidence is reviewed for the possible use of the adamantanes amantadine and memantine, for the prevention and/or treatment of COVID-19. Literature searches revealed three series of case reports authored by independent teams of international investigators. Subjects were comprised principally of patients receiving amantadine or memantine for several weeks as part of their treatment regimen for Parkinson’s disease, Multiple Sclerosis or Cognitive impairment prior to their infection by SARS-CoV-2. All patients tested positive for SARSCoV-2 confirmed by RT-PCR of nasopharyngeal swabs. Interestingly, the majority of cases manifested age-related vulnerabilities to COVID-19 as well as the presence of co-morbidities resulting from either severe neurological disorders or type-2 diabetes. Amantadine appeared to prevent the appearance of typical COVID-19related clinical manifestations of infectious disease in 23/24 cases. In addition, one patient with type-2 diabetes treated with amantadine for 14 days showed clear improvements in clinical status and in oxygen saturation levels; by day 6 he could breathe without the need for oxygen supplementation and was discharged from hospital on day 14. It is necessary to now confirm these findings by randomized controlled trials in order to objectively evaluate the use of these agents for the prevention and/or treatment of COVID-19.
对金刚烷烷和美金刚胺可能用于预防和/或治疗COVID-19的临床证据进行了审查。文献检索揭示了由独立的国际调查小组撰写的三个系列的病例报告。受试者主要由在感染SARS-CoV-2之前接受金刚烷胺或美金刚治疗数周的患者组成,作为帕金森病、多发性硬化症或认知障碍治疗方案的一部分。所有患者均经鼻咽拭子RT-PCR检测为SARSCoV-2阳性。有趣的是,大多数病例表现出与年龄相关的COVID-19脆弱性,以及由严重神经系统疾病或2型糖尿病引起的合并症。在23/24的病例中,金刚烷胺似乎阻止了典型的covid -19相关传染病临床表现的出现。另外,1例2型糖尿病患者经金刚烷胺治疗14天后,临床状态和血氧饱和度均有明显改善;到第6天,他可以呼吸而无需补充氧气,并于第14天出院。现在有必要通过随机对照试验证实这些发现,以便客观评估这些药物在预防和/或治疗COVID-19方面的使用情况。
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引用次数: 2
Innovative Approaches to Enhance Dissolution Rate of a Hydrophobic Drug Glimepiride 提高疏水药物格列美脲溶出率的创新方法
Pub Date : 2020-12-30 DOI: 10.13188/2327-204x.1000036
A. Usman
Method: In the proposed study, USP analytical method was validated for the determination of glimepiride in its formulations. The calibration curve was linear over the concentration range of 2.5-12.5 μg/ml with a regression analysis (r2 = 0.9999). For getting an idea about the release of drug from its dosage form, innovator brands were picked and estimated for pharmaceutical parameters. On the basis of this information, 10 experimental batches of tablets were prepared. The optimized batch was prepared by using 2:1 ratios of tween 80 and PVP K30 by slurry technique. Pre-compression and post-compression parameters were evaluated to confirm the validity of the design and development of processes. The optimized batch was subjected to stability studies for 03 months at 40±2 °C & % RH: 75±5%.
方法:采用USP法测定格列美脲制剂中的含量。在2.5 ~ 12.5 μg/ml范围内,经回归分析,校准曲线呈线性关系(r2 = 0.9999)。为了从剂型中获得药物释放的概念,选择了创新品牌并估计了药物参数。在此基础上,制备了10个实验批次的片剂。采用料浆法,以2:1的比例添加80和PVP K30,制备出优化的批料。对预压缩和后压缩参数进行了评估,以确认工艺设计和开发的有效性。在40±2°C和% RH: 75±5%的条件下进行了03个月的稳定性研究。
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引用次数: 2
Amantadine for the Treatment of SARS-Cov-2: Case Report 金刚烷胺治疗SARS-Cov-2病例报告
Pub Date : 2020-12-30 DOI: 10.13188/2327-204x.1000033
GE Aranda-Abreu
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引用次数: 1
Preparation and Evaluation of Glaucocalyxin A SustainedRelease Pellets Based on Phospholipid Complex System with Enhanced Bioavailability 提高生物利用度的磷脂复合体系青萼新A缓释微丸的制备与评价
Pub Date : 2020-12-30 DOI: 10.13188/2327-204x.1000030
Objective: Glaucocalyxin A (GLA) suffers from low oral bioavailability and rapid in vivo metabolism. Therefore, the purpose of this study was to develop a new formulation to enhance the oral bioavailability simultaneously sustained release of GLA. Material and methods: GLA-phospholipid complex was firstly formulated by solvent-evaporation method to improve the solubility of GLA. Differential scanning calorimetry, powder X-ray diffraction, scanning electron microscopy, and solubility study were used to characterize the GLA-phospholipid complex. And then, the optimized GLA-phospholipid complex was selected to prepare GLA-phospholipid complex sustained release pellets by extrusion-spheronization and fluidized bed coating technology. The prepared pellets were studied by in vitro drug release study and administered to beagle dogs to evaluate the oral bioavailability of GLA-phospholipid complex and GLA-phospholipid complex sustained release pellets. Results: The results illustrated that GLA in GLA-phospholipid complex was either molecularly dispersed or in an amorphous form with 13.8fold water solubility than the free GLA. The pharmacokinetic studies in beagle dogs demonstrated that GLA-phospholipid complex and GLAphospholipid complex sustained-release pellets showed 2.19-fold and 2.07-fold improvement than the free GLA by oral dosage, respectively. Further, steady plasma concentration, and prolonger Tmax were simultaneously obtained from GLA-phospholipid complex sustained release pellet. Conclusion: These outcomes suggested that the combination of phospholipid complex and sustained release pellets could enhance the oral bioavailability and prolong the action time in vivo which provided a promising delivery system for GLA.
目的:青萼新A (GLA)具有口服生物利用度低、体内代谢快的特点。因此,本研究的目的是开发一种新的制剂,以提高GLA的口服生物利用度同时缓释。材料与方法:为了提高GLA的溶解度,首次采用溶剂蒸发法制备了GLA-磷脂复合物。用差示扫描量热法、粉末x射线衍射、扫描电镜和溶解度研究对gla -磷脂复合物进行了表征。然后,选择优化后的葡聚糖-磷脂复合物,采用挤压滚圆和流化床包衣技术制备葡聚糖-磷脂复合物缓释微球。对制备的微丸进行体外释药研究,并给药beagle犬,评价gla -磷脂复合物和gla -磷脂复合物缓释片的口服生物利用度。结果:GLA-磷脂复合物中的GLA以分子分散或无定形形式存在,其水溶性是游离GLA的13.8倍。beagle犬体内药代动力学研究表明,GLA-磷脂复合物和GLA-磷脂复合物缓释微丸分别比口服游离GLA改善2.19倍和2.07倍。此外,gla -磷脂复合物缓释微丸可同时获得稳定的血药浓度和较长的Tmax。结论:磷脂复合物与缓释微丸联合使用可提高GLA的口服生物利用度,延长其体内作用时间,是一种很有前景的给药系统。
{"title":"Preparation and Evaluation of Glaucocalyxin A SustainedRelease Pellets Based on Phospholipid Complex System with Enhanced Bioavailability","authors":"","doi":"10.13188/2327-204x.1000030","DOIUrl":"https://doi.org/10.13188/2327-204x.1000030","url":null,"abstract":"Objective: Glaucocalyxin A (GLA) suffers from low oral bioavailability and rapid in vivo metabolism. Therefore, the purpose of this study was to develop a new formulation to enhance the oral bioavailability simultaneously sustained release of GLA. Material and methods: GLA-phospholipid complex was firstly formulated by solvent-evaporation method to improve the solubility of GLA. Differential scanning calorimetry, powder X-ray diffraction, scanning electron microscopy, and solubility study were used to characterize the GLA-phospholipid complex. And then, the optimized GLA-phospholipid complex was selected to prepare GLA-phospholipid complex sustained release pellets by extrusion-spheronization and fluidized bed coating technology. The prepared pellets were studied by in vitro drug release study and administered to beagle dogs to evaluate the oral bioavailability of GLA-phospholipid complex and GLA-phospholipid complex sustained release pellets. Results: The results illustrated that GLA in GLA-phospholipid complex was either molecularly dispersed or in an amorphous form with 13.8fold water solubility than the free GLA. The pharmacokinetic studies in beagle dogs demonstrated that GLA-phospholipid complex and GLAphospholipid complex sustained-release pellets showed 2.19-fold and 2.07-fold improvement than the free GLA by oral dosage, respectively. Further, steady plasma concentration, and prolonger Tmax were simultaneously obtained from GLA-phospholipid complex sustained release pellet. Conclusion: These outcomes suggested that the combination of phospholipid complex and sustained release pellets could enhance the oral bioavailability and prolong the action time in vivo which provided a promising delivery system for GLA.","PeriodicalId":89990,"journal":{"name":"Journal of pharmaceutics & pharmacology","volume":"718 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85417963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The Sars-Cov-2 Viroporin E and its Interaction with Amantadine an Analysis Sars-Cov-2病毒孔蛋白E及其与金刚烷胺的相互作用分析
Pub Date : 2020-01-01 DOI: 10.13188/2327-204X.S200003
Aranda Abreu Ge
This article discusses the function of the SARS-Cov-2 virus E-channel and its interaction with amantadine.In this analysis it is proposed that amantadine is able to enter the E-channel of the coronavirus, inhibiting the viral content to enter the cell avoiding viral replication. Therefore, amantadine is a drug that can help decrease the symptoms of coronavirus. It is also mentioned how amantadine may be acting with the Spike protein, through a molecular docking study. Introduction At the end of 2019, a new virus called COVID-19 was spreading in an alarming way in Wuhan City in China. This virus belongs to the family Coronoviridae and it is structurally formed by 4 proteins, E and M are part of the viral envelope, N is the one that binds to the viral genome and S (spike) is the one that binds to the human receptor ACE2 [1,2]. Aspects of channel E Viroporin E structurally consists of 5 protein chains, formed by 75 amino acids, where 33.33% form an alpha-helix structure (hydrophobic region), 53.33% random-coil, and 13.33% extended chain [3,4]. The E protein is well conserved among the 3 corona virus groups and shows limited homology across the different groups [5,6]. It has been shown that by deleting the E gene, viral replication decreases by 100 to 1000 times that of recombinant wild strains and that this decrease is accompanied by less inflammation in hamster lungs infected with the virus that possesses the E gene deletion [7]. The E protein was mainly located in the Endoplasmic ReticulumGolgi Intermediate Compartment (ERGIC) of the cells, where it participates in assembly, budding and intracellular trafficking, in addition to possessing ion channel activity [8,9]. Studies have shown that E is involved in critical aspects of the corona virus life cycle, which could make it a good candidate for the development of vaccines or drugs such as amantadine [1,4]. Amantadine molecular function Amantadine has been used as an antiviral therapy against the influenza virus, the proposed mechanism being that it blocks the early stage of replication. When the viral particle enters the cell, an endosomal structure is formed which has a pH of 5, this protein channel is formed by the M2 protein, which carries protons into the virion. Amantadine by its lipophilic nature is able to cross the endosome membrane and interrupt the release of the virion into the cell. Similarly, amantadine can enter the E-channel of the corona virus by preventing the release of the viral nucleus into the cell [10]. Molecular docking studies have shown that amantadine may interact with the amino acids ALA22 and PHE26 by blocking the protein channel [4] (Figure 1). A mechanism has also been proposed where the entry of SARS-Cov-2 into a cell depends on the binding of the viral spike protein (S) to the cell receptor and the cleavage of the spike protein by host cell proteases such as Cathepsin L (CTSL) and Cathepsin B (CATSB). CTSL/B is a crucial element of the lysosome pathway and both enzy
J Pharmaceu Pharmacol 8(1): 2 (2020) Page 02 ISSN: 2327-204X阳性患者给予推荐剂量金刚烷胺或美金刚胺治疗,结果显示未出现新冠肺炎临床表现[12,13]。这可能是因为金刚烷胺甚至可以与Spike蛋白相互作用,而不允许其与ACE2受体结合(图2和3)。化学式为C10H17N的亲脂性金刚烷是金刚烷的衍生物,其结构由3个环己烷环组成。1976年,它被FDA批准用于成人流感的治疗,并在2002年作为SARS流行的潜在治疗方法进行了体外研究[14]。金刚烷胺口服吸收良好,消化系统耐受良好,有中等利尿作用,主要通过肾小球滤过和小管分泌随尿排出。其半衰期为10 ~ 14h,一般可与其他药物合用,如抗高血压药、抗糖尿病药等[10]。这次大流行已经在全球造成至少50万人死亡,有效的疫苗至少还需要几个月的时间才能问世,这在感染和死亡方面留下了巨大的差距。这就是为什么有必要寻找有助于减少COVID-19造成的影响的药物。金刚烷胺由于其特性,正在成为一种可以减轻SARS-Cov-2引起的影响的药物。
{"title":"The Sars-Cov-2 Viroporin E and its Interaction with Amantadine an Analysis","authors":"Aranda Abreu Ge","doi":"10.13188/2327-204X.S200003","DOIUrl":"https://doi.org/10.13188/2327-204X.S200003","url":null,"abstract":"This article discusses the function of the SARS-Cov-2 virus E-channel and its interaction with amantadine.In this analysis it is proposed that amantadine is able to enter the E-channel of the coronavirus, inhibiting the viral content to enter the cell avoiding viral replication. Therefore, amantadine is a drug that can help decrease the symptoms of coronavirus. It is also mentioned how amantadine may be acting with the Spike protein, through a molecular docking study. Introduction At the end of 2019, a new virus called COVID-19 was spreading in an alarming way in Wuhan City in China. This virus belongs to the family Coronoviridae and it is structurally formed by 4 proteins, E and M are part of the viral envelope, N is the one that binds to the viral genome and S (spike) is the one that binds to the human receptor ACE2 [1,2]. Aspects of channel E Viroporin E structurally consists of 5 protein chains, formed by 75 amino acids, where 33.33% form an alpha-helix structure (hydrophobic region), 53.33% random-coil, and 13.33% extended chain [3,4]. The E protein is well conserved among the 3 corona virus groups and shows limited homology across the different groups [5,6]. It has been shown that by deleting the E gene, viral replication decreases by 100 to 1000 times that of recombinant wild strains and that this decrease is accompanied by less inflammation in hamster lungs infected with the virus that possesses the E gene deletion [7]. The E protein was mainly located in the Endoplasmic ReticulumGolgi Intermediate Compartment (ERGIC) of the cells, where it participates in assembly, budding and intracellular trafficking, in addition to possessing ion channel activity [8,9]. Studies have shown that E is involved in critical aspects of the corona virus life cycle, which could make it a good candidate for the development of vaccines or drugs such as amantadine [1,4]. Amantadine molecular function Amantadine has been used as an antiviral therapy against the influenza virus, the proposed mechanism being that it blocks the early stage of replication. When the viral particle enters the cell, an endosomal structure is formed which has a pH of 5, this protein channel is formed by the M2 protein, which carries protons into the virion. Amantadine by its lipophilic nature is able to cross the endosome membrane and interrupt the release of the virion into the cell. Similarly, amantadine can enter the E-channel of the corona virus by preventing the release of the viral nucleus into the cell [10]. Molecular docking studies have shown that amantadine may interact with the amino acids ALA22 and PHE26 by blocking the protein channel [4] (Figure 1). A mechanism has also been proposed where the entry of SARS-Cov-2 into a cell depends on the binding of the viral spike protein (S) to the cell receptor and the cleavage of the spike protein by host cell proteases such as Cathepsin L (CTSL) and Cathepsin B (CATSB). CTSL/B is a crucial element of the lysosome pathway and both enzy","PeriodicalId":89990,"journal":{"name":"Journal of pharmaceutics & pharmacology","volume":"7 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72388346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lysosomotropic Action of Amantadine: Basis for Treatment of COVID-19 金刚烷胺的促溶体作用:治疗COVID-19的基础
Pub Date : 2020-01-01 DOI: 10.13188/2327-204x.1000031
SP Smieszek
SARS-coronavirus 2 is the causal agent of the COVID-19 outbreak. SARSCov-2 entry into a cell is dependent upon binding of the viral Spike (S) protein to cellular receptor and on cleavage of the spike protein by the host cell proteases such as Cathepsin L and Cathepsin B (CTSL/B). They are crucial elements of lysosomal pathway and both enzymes are almost exclusively located in the lysosomes. CTSL disruption offers potential for CoVID-19 therapies. The mechanisms of disruption include: decreasing expression of CTSL, direct inhibition of CTSL activity and modification of the CTSL environment (increase pH in the lysosome). We have conducted a high throughput drug screen gene expression analysis to identify compounds with the capacity to downregulate the expression of CTSL/CTSB. One of the most significant results shown to downregulate the expression of the CTSL gene is Amantadine(10uM). We confirmed Amantadine’s lysosmal trapping capacity in an invitro Lysosomal Trapping Assay. In addition, to downregulating CTSL, Amantadine disrupts the lysosomal pathways, hence, interferes with the capacity of the virus to replicate. It acts as a lysosomotropic agent altering the CTSL functional environment. We propose that Amantadine could decrease the viral load in SARS-CoV-2 positive patients and as such it may serve as a potent therapeutic decreasing the replication and infectivity of the virus likely leading to better clinical outcomes. Clinical studies are currently needed to examine the therapeutic efficacy of Amantadine in COVID-19 infection.
sars -冠状病毒2是导致COVID-19爆发的病原体。SARSCov-2进入细胞依赖于病毒刺突(S)蛋白与细胞受体的结合,以及宿主细胞蛋白酶如组织蛋白酶L和组织蛋白酶B (CTSL/B)对刺突蛋白的切割。它们是溶酶体途径的关键元素,这两种酶几乎完全位于溶酶体中。破坏CTSL为CoVID-19治疗提供了潜力。其破坏机制包括:降低CTSL的表达、直接抑制CTSL活性和改变CTSL环境(溶酶体pH值升高)。我们进行了高通量药物筛选基因表达分析,以鉴定具有下调CTSL/CTSB表达能力的化合物。其中一个最显著的结果显示下调CTSL基因的表达是金刚烷胺(10uM)。我们在体外溶酶体捕获试验中证实了金刚烷胺的溶酶小体捕获能力。此外,为了下调CTSL,金刚烷胺破坏了溶酶体途径,从而干扰了病毒复制的能力。它作为一种促溶体剂改变CTSL的功能环境。我们提出金刚烷胺可以降低SARS-CoV-2阳性患者的病毒载量,因此它可能作为一种有效的治疗方法,降低病毒的复制和传染性,可能导致更好的临床结果。金刚烷胺对COVID-19感染的治疗效果尚需进一步临床研究。
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引用次数: 0
Preparation and Evaluation of Controlled-Release Solid Dispersion Granules Containing a Poorly Water-Soluble Drug, Hydrated Silicon Dioxide, and Polyvinylpyrrolidone 含有难水溶性药物、水合二氧化硅和聚乙烯吡咯烷酮的控释固体分散颗粒的制备和评价
Pub Date : 2019-12-30 DOI: 10.13188/2327-204x.1000029
The study aim was to develop controlled-release, solid dispersion granules containing a poorly water-soluble drug, Hydrated Silicon Dioxide (HSD), and Polyvinylpyrrolidone (PVP), and to elucidate the mechanism underlyingsustained release from the soliddispersion granules. To achieve this purpose, we used the wet granulation method to prepare the first-release granules containing a poorly water-soluble drug and HSD. Then, the effect of PVP on the dissolution of the poorly water-soluble drug was estimated. Initially, the selection of a binder and contentsof drug and binder were investigated to determine the optimum formulation fora rapidly dissolving granule with HSD. Firstrelease granules containing Nifedipine (NIF) as a poorly water-soluble drug, erythritol as a binder, and HSD were developed. Differential scanning calorimetry confirmed reduced NIF crystallinity in the granules. To investigate the first-release granules’ applicabilityto other drugs, six poorly water-soluble drugs (griseofulvin, indomethacin, ibuprofen, carbamazepine, progesterone, and phenytoin) were prepared. Rapid dissolutionof all tested drugs from the granule with the same NIF formulation was observed. These findings suggest that HSD is useful for improving dissolution ratesof poorly water-soluble drugs insoliddispersion granules. Next, we investigated PVP’s effect on the dissolution of drug from the first-release granules. The effects of PVP on sustained release from the granules containing the seven drugs weredivided into three types: Type 1 was no effect (rapid dissolution), type 2 was a middle effect, and type 3 was a strong effect (sustained release). To elucidate the mechanism underlying sustained release from the solid dispersion granules, the intermolecular interactions between the drugs and HSD or PVP were investigated by Fourier transform infrared spectroscopy. The results suggested that the balance between the interaction of a drug and HSD and the interaction of a drug and PVP is important for sustained release of the drug.
本研究的目的是制备含难水溶性药物水合二氧化硅(HSD)和聚乙烯吡咯烷酮(PVP)的控释固体分散颗粒,并阐明固体分散颗粒的缓释机制。为了达到这一目的,我们采用湿造粒法制备了含有难水溶性药物和HSD的初释颗粒。然后,评价PVP对低水溶性药物溶出度的影响。首先考察了黏合剂的选择、药物和黏合剂的含量,确定了HSD速溶颗粒的最佳配方。首先研制了以硝苯地平(NIF)为难溶性药物,赤藓糖醇为粘结剂,HSD为主要成分的颗粒。差示扫描量热法证实颗粒中NIF结晶度降低。为考察该缓释颗粒对其他药物的适用性,制备了灰黄霉素、吲哚美辛、布洛芬、卡马西平、黄体酮和苯妥英6种水溶性较差的药物。观察到所有被试药物从具有相同NIF配方的颗粒中快速溶解。这些结果表明,HSD有助于提高水溶性差的药物在固体分散颗粒中的溶出率。接下来,我们考察了PVP对初释颗粒药物溶出度的影响。PVP对7种药物颗粒剂的缓释作用分为3种类型:1型无作用(快速溶出),2型有中效,3型有强效(缓释)。为了阐明固体分散颗粒的缓释机制,利用傅里叶变换红外光谱研究了药物与HSD或PVP的分子间相互作用。结果表明,药物与HSD的相互作用以及药物与PVP的相互作用之间的平衡对药物的缓释至关重要。
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引用次数: 1
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Journal of pharmaceutics & pharmacology
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