Fasttrack Pharmaceutics

Total Page:16

File Type:pdf, Size:1020Kb

Fasttrack Pharmaceutics Pharmaceutics – Dosage Form and Design Pharmaceutics – Dosage Form and Design David Jones Chair of Biomaterial Science, School of Pharmacy, Queen’s University of Belfast, UK Pharmaceutical Press London ● Chicago Dedicated to my mother May, my late father Fred, my wife Linda and our children Dary and Holly. Published by the Pharmaceutical Press An imprint of RPS Publishing 1 Lambeth High Street, London SE1 7JN, UK 100 South Atkinson Road, Suite 206, Grayslake, IL 60030-7820, USA © Pharmaceutical Press 2008 is a trade mark of RPS Publishing RPS Publishing is the wholly owned publishing organisation of the Royal Pharmaceutical Society of Great Britain First published 2008 Typeset by J&L Composition Ltd, Filey, North Yorkshire Printed in Great Britain by TJ International, Padstow, Cornwall ISBN 978 0 85369 764 0 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, without the prior written permission of the copyright holder. The publisher makes no representation, express or implied, with regard to the accuracy of the information contained in this book and cannot accept any legal responsibility or liability for any errors or omissions that may be made. The right of David Jones to be identified as the author of this work has been asserted by him in accordance with the Copyright, Designs and Patents Act, 1988. A catalogue record for this book is available from the British Library. Contents Introduction to the FASTtrack series vii 4. Pharmaceutical disperse systems 3: Preface viii ointments, pastes, lotions, gels and related formulations. 75 About the author x Introduction 75 Advantages and disadvantages of 1. Pharmaceutical solutions for oral pharmaceutical ointments, pastes, administration . 1 lotions, liniments, collodions and gels 76 General description 1 Pharmaceutical ointments and pastes 77 Advantages and disadvantages of Pharmaceutical lotions, liniments, pharmaceutical solutions for oral collodions and paints 86 administration 2 Pharmaceutical gels 88 Drug solubility 2 Multiple choice questions 99 Excipients used in pharmaceutical solutions for oral administration 6 5. Parenteral formulations . 103 Types of pharmaceutical solutions 15 General description 103 Multiple choice questions 21 Routes of parenteral administration 103 Advantages and disadvantages of 2. Pharmaceutical disperse systems 1: parenteral formulations 106 suspensions – general principles and Formulation considerations for the formulation of suspensions for oral parenteral formulations 108 administration . 25 Surface-active agents 115 General description 25 Multiple choice questions 131 Advantages and disadvantages of pharmaceutical suspensions 26 6. Ocular, nasal and otic dosage forms. 135 The physical stability of pharmaceutical suspensions 27 Introduction 135 Formulation considerations for orally Advantages and disadvantages of administered suspension formulations 33 ocular dosage forms 136 Excipients used in the formulation of Administration of therapeutic agents suspensions for oral administration 35 to the eye 137 Multiple choice questions 42 Nasal formulations 150 Otic formulations 152 3. Pharmaceutical disperse systems 2: Multiple choice questions 154 emulsions and creams . 45 General description 45 7. Vaginal and rectal dosage forms . 157 Advantages and disadvantages of Introduction 157 pharmaceutical emulsions 46 Rectal dosage forms 157 Emulsion instability and theories of Vaginal dosage forms 174 emulsification 47 Multiple choice questions 177 Formulation of pharmaceutical emulsions 55 Excipients used in pharmaceutical 8. Respiratory dosage forms . 181 emulsions 65 Introduction 181 Manufacture of emulsions 70 Advantages and disadvantages of Multiple choice questions 70 respiratory drug delivery 181 v vi Contents Physiology of the respiratory tract 182 Coating of tablets 244 Factors affecting the deposition of Multiple choice questions 251 particles/droplets within the respiratory tract 184 Mechanisms of particle deposition 10. Solid-dosage forms 2: capsules . 255 within the respiratory tract 185 Introduction 255 Formulation of respiratory dosage forms 187 Advantages and disadvantages of Multiple choice questions 199 capsule formulations 256 Materials and manufacture of capsules 256 9. Solid-dosage forms 1: tablets . 203 Formulation considerations for hard Introduction 203 gelatin capsules 260 Advantages and disadvantages of Soft gelatin capsules 266 tablets as dosage forms 209 Multiple choice questions 270 Manufacture of tablets 210 Tablet defects 243 Postprocessing effects on tablet Multiple choice answers 273 properties 243 Index 276 Introduction to the series FASTtrack is a new series of study guides created for undergraduate pharmacy students. The books are intended to be used in conjunction with textbooks and reference books as an aid to revision to help guide students through their exams. They provide essential information required in each particular subject area. The books will also be useful for pre-registration trainees preparing for the Royal Pharmaceutical Society of Great Britain’s (RPSGB’s) registration examination, and to practising pharmacists as a quick reference text. The content of each title focuses on what pharmacy students really need to know in order to pass exams. Features include*: ■ concise bulleted information ■ key points ■ tips for the student ■ multiple choice questions (MCQs) and worked examples ■ case studies ■ simple diagrams. The titles in the FASTtrack series reflect the full spectrum of modules for the undergraduate pharmacy degree. Current and future titles include: Applied Pharmaceutical Practice Complementary and Alternative Medicines Pharmaceutical Compounding and Dispensing Pharmaceutics – Dosage Form and Design Pharmaceutics – Drug Delivery and Targeting Pharmacology Physical Pharmacy (based on Florence & Attwood’s Physicochemical Principles of Pharmacy) Managing Symptoms in the Pharmacy Therapeutics There is also an accompanying website which includes extra MCQs, further title information and sample content: www.fasttrackpharmacy.com. If you have any feedback regarding this series, please contact us at [email protected]. *Note: not all features are in every title in the series. vii Preface Pharmaceutical formulation involves the rational design and manufacture of dosage forms to ensure that the required biological and physical performances of the therapeutic agent are attained. The formulation scientist is therefore expected to have knowledge of several scientific disciplines, including physical pharmaceutics, pharmaceutical chemistry and biopharmaceutics. Pharmaceutical formulation may therefore be correctly viewed as an essential and unique component of the pharmaceutical sciences and, accordingly, the Pharmacy undergraduate degree. Due to the interdisciplinary nature, pharmaceutical formulation is often considered difficult by many students and challenging to all students. This textbook aims to ease the perceived difficulties of this subject and, hopefully, illustrate the significance of pharmaceutical formulation and the unique role of the pharmacist in the development of medicines. The contents of this text have been designed to cover the vast majority of dosage forms that graduate pharmacists will encounter when they enter professional practice. In particular, the text aims to deliver the essential information concerning the formulation of these dosage forms in a format that will hopefully aid the understanding and hence remove the complexities of the various topics. The reader will observe that, in addition to the required theoretical aspects, each chapter contains information regarding the types (and physicochemical properties) of excipients that are used in the formulation of dosage forms. It is the author’s opinion that this information is essential to ensure that the reader is able to traverse the information gap between the theory and practice of dosage form design. In understanding the physicochemical properties of excipients (and indeed therapeutic agents), the student will be able to optimise the prepared dosage form and, in addition, will be able to answer examination questions with the appropriate depth required to attain a high grade. Each chapter describes a category of dosage form and, whilst the exact details change, it may be observed that the format of the chapters is similar. This will assist students in understanding and recalling the required information. The formulations of liquids and suspensions for oral administration, including the required theoretical aspects, are presented in Chapters 1 and 2. In Chapters 3 and 4 the theoretical aspects and formulations of products that contain disperse phases are described. Whilst these products are mostly administered topically, the formulation of emulsions for oral administration is also described. Chapter 5 describes parenteral formulations and, in particular, illustrates strategies for the successful formulation of parenteral solutions, suspensions and emulsions (including the considerations of osmolality and sterility and methods to attain sterility). viii Preface ix The formulation of ocular (and related) dosage forms is described in Chapter 6. In addition to the description of ocular formulations, this chapter concisely describes the biological demands of these formulations and, in so doing, highlights the effects of formulation type on the biological performance of the preparation. Chapter 7 examines the formulation of suppositories
Recommended publications
  • Routes of Drug Administration
    Routes of Drug Administration Edited by A. T. Florence PhD, DSc, FRSC, FRSE, FRPharmS The School of Pharmacy, University of London, London, UK and E. G. Salole BSc, PhD, MRPharmS Department of Pharmacy, University of Strathclyde, Glasgow, UK WRIGHT London Boston Singapore Sydney Toronto Wellington Wright is an imprint of Butterworth Scientific @l PART OF REED INTERNATIONAL RL.C. All rights reserved. No part of this publication may be reproduced in any material form (including photocopying or storing it in any medium by electronic means and whether or not transiently or incidentally to some other use of this publication) without the written permission of the copyright owner except in accordance with the provisions of the Copyright, Designs and Patents Act 1988 or under the terms of a licence issued by the Copyright Licensing Agency Ltd, 33-34 Alfred Place, London, England WCIE 7DP. Applications for the copyright owner's written permission to reproduce any part of this publication should be addressed to the Publishers. Warning: The doing of an unauthorised act in relation to a copyrigbht work may result in both a civil claim for damages and criminal prosecution. This book is sold subject to the Standard Conditions of Sale of Net Books and may not be re-sold in the UK below the net price given by the Publishers in their current price list. First published 1990 © Butterworth & Co. (Publishers) Ltd, 1990 British Library Cataloguing in Publication Data Routes of drug administration. 1. Medicine. Drug therapy I. Florence, A. T. (Alexander Taylor) II. Salole, E.G. (Eugene G) III.
    [Show full text]
  • Orally Inhaled & Nasal Drug Products
    ORALLY INHALED & NASAL DRUG PRODUCTS: INNOVATIONS FROM MAJOR DELIVERY SYSTEM DEVELOPERS www.ondrugdelivery.com 00349_GF_OnDrugDelivery349_GF_OnDrugDelivery PulmonaryPulmonary NasalNasal NovemberNovember 2010.indd2010.indd 1 330/11/100/11/10 111:32:331:32:33 “Orally Inhaled & Nasal Drug Products: Innovations from Major Delivery CONTENTS System Developers” This edition is one in the ONdrugDelivery series of pub- Innovation in Drug Delivery by Inhalation lications from Frederick Furness Publishing. Each issue focuses on a specific topic within the field of drug deliv- Andrea Leone-Bay, Vice-President, Pharmaceutical ery, and is supported by industry leaders in that field. Development, Dr Robert Baughman, Vice-President, Clinical Pharmacology & Bioanalytics, Mr Chad EDITORIAL CALENDAR 2011: Smutney, Senior Director, Device Technology, February: Prefilled Syringes Mr Joseph Kocinsky, Senior Vice-President, March: Oral Drug Delivery & Advanced Excipients Pharmaceutical Technology Development April: Pulmonary & Nasal Drug Delivery (OINDP) MannKind Corporation 4-7 May: Injectable Drug Delivery (Devices Focus) June: Injectable Drug Delivery (Formulations Focus) Current Innovations in Dry Powder Inhalers September: Prefilled Syringes Richard Sitz, Technical Manager, DPI Technology October: Oral Drug Delivery Platform Leader November: Pulmonary & Nasal Drug Delivery (OINDP) 3M Drug Delivery Systems 10-12 December: Delivering Biologics (Proteins, Peptides & Nucleotides) Pulmonary Delivery & Dry-Powder Inhalers: SUBSCRIPTIONS: Advances in Hard-Capsule
    [Show full text]
  • Chapter 1 Controlling Drug Delivery
    chapter 1 Controlling drug delivery Overview In this chapter we will: & differentiate drug delivery systems according to their physical state & differentiate drug delivery systems according to their route of administration & differentiate drug delivery systems according to their type of drug release & discuss drug transport across epithelial barriers. Introduction KeyPoints & Continued developments in Pharmacotherapy can be defined as the treatment chemistry, molecular biology and prevention of illness and disease by means of and genomics support the drugs of chemical or biological origin. It ranks discovery and developments among the most important methods of medical of new drugs and new drug treatment, together with surgery, physical targets. & treatment, radiation and psychotherapy. There The drug delivery system are many success stories concerning the use of employed can control the pharmacological action of a drugs and vaccines in the treatment, prevention drug, influencing its and in some cases even eradication of diseases pharmacokinetic and (e.g. smallpox, which is currently the only subsequent therapeutic human infectious disease completely profile. eradicated). Although it is almost impossible to estimate the exact extent of the impact of pharmacotherapy on human health, there can be no doubt that pharmacotherapy, together with improved sanitation, better diet and better housing, has improved people’s health, life expectancy and quality of life. Tip Unprecedented developments in genomics Combinatorial chemistry is a way to and molecular biology today offer a plethora of build a variety of structurally related new drug targets. The use of modern chemical drug compounds rapidly and synthetic methods (such as combinatorial systematically. These are assembled chemistry) enables the syntheses of a large from a range of molecular entities number of new drug candidates in shorter times which are put together in different ‘ ’ than ever before.
    [Show full text]
  • Domoso® Solution
    NADA 32-168, Approved by FDA DMSO instilled into the urinary bladder of intact, anesthetized dogs through which an these parameters. DMSO fails to show analgesic or anti-inflammatory activity in certain of In a study designed to evaluate the effects of DOMOSO (dimethyl sulfoxide) Solution at a total enhancement of absorption was demonstrated25. Utilizing a similar technique the transport of these situations, particularly when used by the systemic route or when administered topically daily dose of 100-300 mL administered for a total period of 90 days, no essential or clinically physiologically active insulin across the intact bladder mucosa was demonstrated. Results preceded by an irritant substance. In clinical studies in the horse, it was noted that when meaningful ophthalmological effects were seen in the horse. were judged on a decrease in blood sugar levels over that of controls26. iodine, liniments or other strong irritants were present on the skin from previous therapy and There were no significant variations in glucose, sodium, potassium, SGOT or SGPT DMSO applied, a temporary but marked local reaction would occur. This was due to the In vivo and in vitro methods demonstrated that DMSO enhanced human percutaneous measurements. There were a few fluctuations in hematologic values but no changes appear ability of DMSO to carry these substances into the underlying skin tissues where their irritant ® absorption of various compounds including steroids, vasoconstrictors, antiperspirants and to be drug-related or of significance. DOMOSO SOLUTION actions could be displayed. When DMSO was used clinically, it was applied topically to the dyes, as well as an anthelmintic (thiabendazole) and a skin antiseptic (hexachlorophene)27,28,29,60,61,62.
    [Show full text]
  • Review Article DUOCAP: the CAPSULE in CAPSULE TECHNOLOGY Kanabar Vishvesh B*, Doshi Sumit M, Patel Vipul P Department of Pharmaceutics, School of Pharmacy, R.K
    Kanabar Vishvesh B et al. Int. Res. J. Pharm. 2015, 6 (2) INTERNATIONAL RESEARCH JOURNAL OF PHARMACY www.irjponline.com ISSN 2230 – 8407 Review Article DUOCAP: THE CAPSULE IN CAPSULE TECHNOLOGY Kanabar Vishvesh B*, Doshi Sumit M, Patel Vipul P Department of Pharmaceutics, School of Pharmacy, R.K. University, Kasturbadham, Rajkot-Bhavnagar Highway, Rajkot, Gujarat, India *Corresponding Author Email: [email protected] Article Received on: 11/12/14 Revised on: 13/01/15 Approved for publication: 18/02/15 DOI: 10.7897/2230-8407.06220 ABSTRACT In this article, the study of never technology of capsule in solid dosage form among all in pharmaceutical dosage forms. This review includes newer trends related to capsule shell, capsule fill material, capsule sealing technique and different capsule systems to achieve modified drug release, encapsulation of various kind of materials and for modified application like mapping of the drug for clinical evaluation Either this done by capsule shell or by dosage filling in capsule dosage forms. This article mostly focuses on advancement of capsule in capsule technology. In this the study is about to reduce the frequency of dosing or to increase effectiveness of the drug by localization at the site of action, reducing the dose required, or providing uniform drug delivery. Keywords: Capsules, Chew caps, Duo caps, Hard Gelatin Capsule, Soft Gelatin Capsule, Vegetarian capsules. INTRODUCTION Since the introduction of Soft Capsule Making Machine in the 1970s, formulations have continually become more popular with The word ‘Capsule’ derived from the Latin word “capsula”, which rapid developments in recent years. This could be illustrated by means a small box or container.
    [Show full text]
  • Efficacy of Systemic Administration of Riboflavin on a Rabbit Model
    www.nature.com/scientificreports OPEN Efcacy of systemic administration of ribofavin on a rabbit model of corneal alkali burn Maksym Żuk1*, Ekaterina Lobashova2, Olga Żuk3 & Sławomir Wierzba3 Changes in the barrier mechanisms in the eye should determine the rational route for the administration and dosage of each drug in the treatment of traumatic injuries and other pathologies. The aim of this study was to examine the efcacy of intra-arterial delivery of 14C-ribofavin (as an “indicator”) and compare it with intravenous and intramuscular administration in an animal model of chemical eye burn. 14C-ribofavin (14C-I) was administered by intra-arterial (carotid artery), intravenous (femoral vein) and intramuscular (femoral muscle) routes. The total radioactivity was determined over 2 h in the plasma and structures of the rabbit’s eyes using a scintillation counter. The results of the study show that intravascular administration of 14C-I gives signifcantly higher concentrations of total radioactivity in the blood and is accompanied by a signifcant increase in the permeability of the blood- barrier and barrier in eyes sufering from burns. The highest concentration in the plasma and aqueous humour of the anterior chamber of the eye was observed during the frst hour with the intra-arterial route of administration of 14C-I in either burnt and unburnt eyes. The distribution of total radioactivity in the structures of the eye over the 2 h of the experiment showed a higher level of the drug under intra-arterial administered in the uveal regions, namely: the iris, ciliary body, choroid, retina and also the sclera and cornea.
    [Show full text]
  • Pulmonary Delivery of Biological Drugs
    pharmaceutics Review Pulmonary Delivery of Biological Drugs Wanling Liang 1,*, Harry W. Pan 1 , Driton Vllasaliu 2 and Jenny K. W. Lam 1 1 Department of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 21 Sassoon Road, Pokfulam, Hong Kong, China; [email protected] (H.W.P.); [email protected] (J.K.W.L.) 2 School of Cancer and Pharmaceutical Sciences, King’s College London, 150 Stamford Street, London SE1 9NH, UK; [email protected] * Correspondence: [email protected]; Tel.: +852-3917-9024 Received: 15 September 2020; Accepted: 20 October 2020; Published: 26 October 2020 Abstract: In the last decade, biological drugs have rapidly proliferated and have now become an important therapeutic modality. This is because of their high potency, high specificity and desirable safety profile. The majority of biological drugs are peptide- and protein-based therapeutics with poor oral bioavailability. They are normally administered by parenteral injection (with a very few exceptions). Pulmonary delivery is an attractive non-invasive alternative route of administration for local and systemic delivery of biologics with immense potential to treat various diseases, including diabetes, cystic fibrosis, respiratory viral infection and asthma, etc. The massive surface area and extensive vascularisation in the lungs enable rapid absorption and fast onset of action. Despite the benefits of pulmonary delivery, development of inhalable biological drug is a challenging task. There are various anatomical, physiological and immunological barriers that affect the therapeutic efficacy of inhaled formulations. This review assesses the characteristics of biological drugs and the barriers to pulmonary drug delivery.
    [Show full text]
  • Pharmaceutical Dosage Forms
    Pharmaceutical Dosage Forms Dr.Leila.Moezi full Professor Department of Pharmacology Medical School Shiraz University of Medical Sciences Email: [email protected] Reference:Ansel's Pharmaceutical Dosage Forms and Drug Delivery Systems, 10th edition, 2013 Learning objectives: Following the lesson presentation students will be able to: 1. Describe the science of Pharmaceutics 2. Describe the reasons we need dosage forms 3. Describe how dosage forms are classified 4. Describe dosage forms according totheir physical forms 5. Describe dosage forms according to their route of administration 1 Pharmaceutical Dosage Forms Pharmaceutics is Science of dosage form design. Pharmaceutical Dosage Forms are consisted of Active Drug Substance (active pharmaceutical ingredient) and Excipients. Active Drug Substances (active pharmaceutical ingredients, API) are chemical compounds with pharmacological intended for use in diagnosis, treatment or prophylaxis of diseases. Excipients or additives are Inactive pharmaceutical ingredients including diluents/fillers, binders, lubricants, coatings, preservatives, colorants, flavouring agents anddisintegrants. Direct clinical use of the active drug substances “as they are” is rare due to the number of good reasons: - API handling can be difficult or impossible (e.g., low mg and µg doses) - Accurate drug dosing can be difficult or impossible - API administration can be impractical, unfeasible or not according to the therapeutically aims - Some API can benefit from reducing the exposure to the environmental factors (light, moisture…), or they need to be chemically stabilised due to the inherent chemical instability - API can be degraded at the site of administration (e.g., low pH in stomach) - API may cause local irritations or injury when they are present at high concentrations at the site of administration - API can have unpleasant organoleptic qualities (taste, smell) Dosage forms are classified according tophysical form or route of administration.
    [Show full text]
  • 36Th Donald F Egan Scientific Memorial Lecture
    36th Donald F Egan Scientific Memorial Lecture Air and Soul: The Science and Application of Aerosol Therapy Bruce K Rubin MEngr MD MBA FAARC Introduction Aerosol History Physiology and Physics of Aerosol Generation Medication Delivery Systems Jet or Pneumatic Nebulizers Dry Powder Inhalers Pressurized Metered-Dose Inhalers Other Medications for Aerosol Delivery Mucolytics Antibiotics Proteins and Peptides for Systemic Delivery Therapy for Pulmonary Hypertension Immunizations Airway Inflammation Other Medications Effective Use of Aerosol Therapy Lung Deposition Adherence to Therapy This paper reviews the history of aerosol therapy; discusses patient, drug, and device factors that can influence the success of aerosol therapy; and identifies trends that will drive the science of aerosol therapy in the future. Aerosol medication is generally less expensive, works more rapidly, and produces fewer side effects than the same drug given systemically. Aerosol therapy has been used for thousands of years by steaming and burning plant material. In the 50 years since the invention of the pressurized metered-dose inhaler, advances in drugs and devices have made aerosols the most commonly used way to deliver therapy for asthma and COPD. The requirements for aerosol therapy depend on the target site of action and the underlying disease. Medication to treat airways disease should deposit on the conducting airways. Effective deposition of airway particles generally requires particle size between 0.5 and 5 ␮m mass median aerodynamic diameter; however, a smaller particle size neither equates to greater side effects nor greater effectiveness. However, medications like peptides intended for systemic absorption, need to deposit on the alveolar capillary bed. Thus ultrafine particles, a slow inhalation, and relatively normal airways that do not hinder aerosol penetration will optimize systemic delivery.
    [Show full text]
  • Intradermal Therapy (Mesotherapy) in Derma- Tology
    Canzona F, Mammucari M, Tuzi A, Maggiori E, Grosso MG, Antonaci L, Santini S, Catizzone AR, Troili F, Gallo A, Paolucci T, Rocchi P, Guglielmo C, Russo D, Giorgio C, Dorato D, Marzo RD, Viglione G, Fiorentini AG, Giardini M, Natoli S. Intradermal Therapy (mesotherapy) in Derma- tology. J Dermatol & Skin Sci. 2020;2(1):22-25 Mini-Review Article Open Access Intradermal Therapy (mesotherapy) in Dermatology Flora Canzona1, Mammucari Massimo2*, Arianna Tuzi3, Enrica Maggiori2, Maria Gabriella Grosso4, Luciano Antonaci2, Stefania Santini3, Anna Rosa Catizzone3, Fiammetta Troili3, Alessandra Gallo3, Teresa Paolucci3, Piergiovanni Rocchi3, Costanza Guglielmo3, Domenico Russo5, Chiara Giorgio6, Dario Dorato3, Raffaele Di Marzo3, Giovanna Viglione3, Anna G Fiorentini3, Manuela Giardini3, Silvia Natoli7. 1Istituto Dermopatico dell’Immacolata, IRCCS Foundation, Rome, Italy 2Primary Care Unit ASL RM 1, Rome, Italy 3Member of the Italian Society of Mesotherapy, Rome, Italy 4Ospedale Israelitico, Rome Italy 5San Marco Hospice and Palliative Care, Latina, Italy 6Rehabilitation Unit, F Pirinei Hospital, Altamura (BA), Italy 7Department of Clinical Science and Translational Medicine, Tor Vergata University, Rome, Italy Article Info Abstract Article Notes Mesotherapy consists of a series of micro injections in the superficial layer Received: January 28, 2020 of the skin of active ingredients that slowly diffuse into the underlying tissues. Accepted: March 17, 2020 This technique is applied in different clinical conditions and also in dermatology *Correspondence: it could play a useful role in the treatment path of many patients. However, *Dr.Mammucari Massimo, Primary Care Unit ASL RM 1, Rome, further clinical studies are needed to standardize its application in various Italy; Email: [email protected].
    [Show full text]
  • Follistatin-288-Fc Fusion Protein Promotes Localized Growth of Skeletal Muscle S
    Supplemental material to this article can be found at: http://jpet.aspetjournals.org/content/suppl/2018/12/18/jpet.118.252304.DC1 1521-0103/368/3/435–445$35.00 https://doi.org/10.1124/jpet.118.252304 THE JOURNAL OF PHARMACOLOGY AND EXPERIMENTAL THERAPEUTICS J Pharmacol Exp Ther 368:435–445, March 2019 Copyright ª 2019 The Author(s). This is an open access article distributed under the CC BY Attribution 4.0 International license. Follistatin-288-Fc Fusion Protein Promotes Localized Growth of Skeletal Muscle s Roselyne Castonguay, Jennifer Lachey,1 Samantha Wallner,2 Jamie Strand,3 Katia Liharska, Abigail E. Watanabe,4 Marishka Cannell, Monique V. Davies,5 Dianne Sako, Megan E. Troy, Lavanya Krishnan, Aaron W. Mulivor,6 Huiming Li, Sarah Keates, Mark J. Alexander, R. Scott Pearsall, and Ravi Kumar Acceleron Pharma, Cambridge, Massachusetts Received July 30, 2018; accepted December 6, 2018 Downloaded from ABSTRACT Follistatin is an endogenous glycoprotein that promotes growth systemic effects of a locally administered fusion protein incor- and repair of skeletal muscle by sequestering inhibitory ligands porating activin receptor type IIB (ActRIIB-Fc). Furthermore, of the transforming growth factor-b superfamily and may systemic administration of FST288-Fc in mice did not alter therefore have therapeutic potential for neuromuscular dis- muscle mass or body composition as determined by NMR, eases. Here, we sought to determine the suitability of a newly which again contrasts with the pronounced systemic activity jpet.aspetjournals.org engineered follistatin fusion protein (FST288-Fc) to promote of ActRIIB-Fc when administered by the same route. Sub- localized, rather than systemic, growth of skeletal muscle by sequent analysis revealed that FST288-Fc in the circulation capitalizing on the intrinsic heparin-binding ability of the undergoes rapid proteolysis, thereby restricting its activity to follistatin-288 isoform.
    [Show full text]
  • Routes of Administration R UE of OUTES
    C HAPTER32 Routes of Administration R OUTES OF Shinya Shimizu A DMINISTRATION National Institute of Animal Health,Tsukuba, Japan increases successful treatment. Personnel using experi- General mental animals should be well trained in handling and restraint, should obtain authentication for responsible Mice are the most widely used animals for a range of use of experimental animals and attain a scientifically experiments including medical, chemical, pharmaco- high standard (ETS 123, 1986; Nebendahl, 2000). 527 logical, toxicological, biological, and genetic. The Further experience will lead to repeatable and reliable administration of test substances, such as chemical ele- results (see Chapter 31 on Handling and Restraint). P ments, compounds, drugs, antibodies, cells or other During administration mice should be protected ROCEDURES agents, to mice is one of the major methods for evalu- from pain, suffering, distress or lasting harm or at least ating their biological activity. pain and distress shall be kept to a minimum (ETS The route of administration is largely dependent on 123, 1986). Some injections (such as footpad injec- the property of the test substance and the objective of tion) are strongly discouraged and if required must be the experiment. All administration should be performed justified on a case by case basis (CCAC, 2002). with knowledge of the chemical and physical characteris- tics of the substance. All routes have both demerit and merit, such as the absorption, bioavailability and metab- olism of the substance. Consideration should be paid to Principles of the pH, viscosity, concentration, sterility, pyrogenicity, toxicity as well as the existence of hazardous substances. administration A knowledge of available methods and techniques of administration as well as knowledge of the deposition Handling and restraint and fate of the administered substance will help the scien- tist/investigator to select the most appropriate route for Good handling and restraint is the most important her/his purpose.
    [Show full text]