Targeted Nanoparticles Harboring Jasmine-Oil-Entrapped Paclitaxel for Elimination of Lung Cancer Cells
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Clotrimazole Loaded Ufosomes for Topical Delivery: Formulation Development and In-Vitro Studies
molecules Article Clotrimazole Loaded Ufosomes for Topical Delivery: Formulation Development and In-Vitro Studies Pradeep Kumar Bolla 1 , Carlos A. Meraz 1, Victor A. Rodriguez 1, Isaac Deaguero 1, Mahima Singh 2 , Venkata Kashyap Yellepeddi 3,4 and Jwala Renukuntla 5,* 1 Department of Biomedical Engineering, College of Engineering, The University of Texas at El Paso, 500 W University Ave, El Paso, TX 79968, USA 2 Department of Pharmaceutical Sciences, University of the Sciences in Philadelphia, Philadelphia, PA 19104, USA 3 Division of Clinical Pharmacology, Department of Pediatrics, University of Utah, Salt Lake City, UT 84112, USA 4 Department of Pharmaceutics and Pharmaceutical Chemistry, College of Pharmacy, University of Utah, Salt Lake City, UT 84112, USA 5 Department of Basic Pharmaceutical Sciences, Fred Wilson School of Pharmacy, High Point University, High Point, NC 27240, USA * Correspondence: [email protected] Received: 9 August 2019; Accepted: 28 August 2019; Published: 29 August 2019 Abstract: Global incidence of superficial fungal infections caused by dermatophytes is high and affects around 40 million people. It is the fourth most common cause of infection. Clotrimazole, a broad spectrum imidazole antifungal agent is widely used to treat fungal infections. Conventional topical formulations of clotrimazole are intended to treat infections by effective penetration of drugs into the stratum corneum. However, drawbacks such as poor dermal bioavailability, poor penetration, and variable drug levels limit the efficiency. The present study aims to load clotrimazole into ufosomes and evaluate its topical bioavailability. Clotrimazole loaded ufosomes were prepared using cholesterol and sodium oleate by thin film hydration technique and evaluated for size, polydispersity index, and entrapment efficiency to obtain optimized formulation. -
TRP Mediation
molecules Review Remedia Sternutatoria over the Centuries: TRP Mediation Lujain Aloum 1 , Eman Alefishat 1,2,3 , Janah Shaya 4 and Georg A. Petroianu 1,* 1 Department of Pharmacology, College of Medicine and Health Sciences, Khalifa University of Science and Technology, Abu Dhabi 127788, United Arab Emirates; [email protected] (L.A.); Eman.alefi[email protected] (E.A.) 2 Center for Biotechnology, Khalifa University of Science and Technology, Abu Dhabi 127788, United Arab Emirates 3 Department of Biopharmaceutics and Clinical Pharmacy, Faculty of Pharmacy, The University of Jordan, Amman 11941, Jordan 4 Pre-Medicine Bridge Program, College of Medicine and Health Sciences, Khalifa University of Science and Technology, Abu Dhabi 127788, United Arab Emirates; [email protected] * Correspondence: [email protected]; Tel.: +971-50-413-4525 Abstract: Sneezing (sternutatio) is a poorly understood polysynaptic physiologic reflex phenomenon. Sneezing has exerted a strange fascination on humans throughout history, and induced sneezing was widely used by physicians for therapeutic purposes, on the assumption that sneezing eliminates noxious factors from the body, mainly from the head. The present contribution examines the various mixtures used for inducing sneezes (remedia sternutatoria) over the centuries. The majority of the constituents of the sneeze-inducing remedies are modulators of transient receptor potential (TRP) channels. The TRP channel superfamily consists of large heterogeneous groups of channels that play numerous physiological roles such as thermosensation, chemosensation, osmosensation and mechanosensation. Sneezing is associated with the activation of the wasabi receptor, (TRPA1), typical ligand is allyl isothiocyanate and the hot chili pepper receptor, (TRPV1), typical agonist is capsaicin, in the vagal sensory nerve terminals, activated by noxious stimulants. -
Clotrimazole (Topical) | Memorial Sloan Kettering Cancer Center
PATIENT & CAREGIVER EDUCATION Clotrimazole (Topical) This information from Lexicomp® explains what you need to know about this medication, including what it’s used for, how to take it, its side effects, and when to call your healthcare provider. Brand Names: US 3 Day Vaginal [OTC]; Alevazol [OTC]; Antifungal (Clotrimazole) [OTC]; Antifungal Clotrimazole [OTC]; Clotrimazole 3 Day [OTC]; Clotrimazole Anti-Fungal [OTC]; Clotrimazole GRx [OTC] [DSC]; Desenex [OTC]; Gyne-Lotrimin 3 [OTC]; Gyne- Lotrimin [OTC]; Lotrimin AF For Her [OTC] [DSC]; Pro-Ex Antifungal [OTC]; Shopko Athletes Foot [OTC] [DSC] What is this drug used for? It is used to treat fungal infections of the skin. This drug is used to treat vaginal yeast infections. It may be given to you for other reasons. Talk with the doctor. What do I need to tell my doctor BEFORE I take this drug? All products: If you are allergic to this drug; any part of this drug; or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had. All skin products: If you have nail or scalp infections. This drug will not work to treat nail or scalp infections. Clotrimazole (Topical) 1/6 This is not a list of all drugs or health problems that interact with this drug. Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this drug with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor. -
Re-Visiting Hypersensitivity Reactions to Taxanes: a Comprehensive Review
Clinic Rev Allerg Immunol DOI 10.1007/s12016-014-8416-0 Re-visiting Hypersensitivity Reactions to Taxanes: A Comprehensive Review Matthieu Picard & Mariana C. Castells # Springer Science+Business Media New York 2014 Abstract Taxanes (a class of chemotherapeutic agents) Keywords Taxane . Paclitaxel . Taxol . Docetaxel . are an important cause of hypersensitivity reactions Taxotere . Nab-paclitaxel . Abraxane . Cabazitaxel . (HSRs) in cancer patients. During the last decade, the Chemotherapy . Hypersensitivity . Allergy . Skin test . development of rapid drug desensitization has been key Desensitization . Challenge . Diagnosis . Review . IgE . to allow patients with HSRs to taxanes to be safely re- Complement . Mechanism treated although the mechanisms of these HSRs are not fully understood. Earlier studies suggested that solvents, such as Cremophor EL used to solubilize paclitaxel, Introduction were responsible for HSRs through complement activa- tion, but recent findings have raised the possibility that Hypersensitivity reactions (HSRs) to chemotherapy are in- some of these HSRs are IgE-mediated. Taxane skin creasingly common and represent an important impediment testing, which identifies patients with an IgE-mediated to the care of cancer patients as they may entail serious sensitivity, appears as a promising diagnostic and risk consequences and prevent patients from being treated with stratification tool in the management of patients with the most efficacious agent against their cancer [1]. During the HSRs to taxanes. The management of patients following last decade, different groups have developed rapid drug de- a HSR involves risk stratification and re-exposure could sensitization (RDD) protocols that allow the safe re- be performed either through rapid drug desensitization introduction of a chemotherapeutic agent to which a patient or graded challenge based on the severity of the initial is allergic, and their use have recently been endorsed by the HSR and the skin test result. -
Antiproliferative Effects of Free and Encapsulated Hypericum Perforatum L
ISSN 2093-6966 [Print], ISSN 2234-6856 [Online] Journal of Pharmacopuncture 2019;22[2]:102-108 DOI: https://doi.org/10.3831/KPI.2019.22.013 Original article Antiproliferative Effects of Free and Encapsulated Hypericum Perforatum L. Extract and Its Potential Interaction with Doxorubicin for Esophageal Squamous Cell Carcinoma Issa Amjadi1, Mohammad Mohajeri2, Andrei Borisov3 , Motahare-Sadat Hosseini4* 1 Department of Biomedical Engineering, Wayne State University, Detroit, United States 2 Department of Medical Biotechnology, Mashhad University of Medical Sciences, Mashhad, Iran 3 Department of Biomedical Engineering, Wayne State University, Detroit, United States 4 Biomaterials Group, Department of Biomedical Engineering, Amirkabir University of Technology, Tehran, Iran Key Words Results: Free drugs and nanoparticles significantly inhibited KYSE30 cells by 55-73% and slightly affected doxorubicin, hypericum perforatum extract, nano- normal cells up to 29%. The IC50 of Dox NPs and HP particles, esophageal squamous cell carcinoma, drug NPs was ~ 0.04-0.06 mg/mL and ~ 0.6-0.7 mg/mL, re- resistance spectively. Significant decrease occurred in cyclin D1 expression by Dox NPs and HP NPs (P < 0.05). Expo- Abstract sure of KYSE-30 cells to combined treatments includ- ing both Dox and HP extract significantly increased the Objectives: Esophageal squamous cell carcinoma level of cyclin D1 expression as compared to those with (ESCC) is considered as a deadly medical condition that individual treatments (P < 0.05). affects a growing number of people worldwide. Target- ed therapy of ESCC has been suggested recently and Conclusion: Dox NPs and HP NPs can successfully and required extensive research. With cyclin D1 as a thera- specifically target ESCC cells through downregulation peutic target, the present study aimed at evaluating the of cyclin D1. -
Chemotherapy Protocol
Chemotherapy Protocol BREAST CANCER CYCLOPHOSPHAMIDE-EPIRUBICIN-PACLITAXEL (7 day) Regimen • Breast Cancer – Cyclophosphamide-Epirubicin-Paclitaxel (7 day) Indication • Neoadjuvant / adjuvant therapy of early breast cancer • WHO Performance status 0, 1 Toxicity Drug Adverse Effect Cyclophosphamide Dysuria, haemorrhagic cystitis, taste disturbances Epirubicin Cardio-toxicity, urinary discolouration (red) Hypersensitivity, hypotension, bradycardia, peripheral Paclitaxel neuropathy, myalgia and back pain on administration The adverse effects listed are not exhaustive. Please refer to the relevant Summary of Product Characteristics for full details. Monitoring Regimen • FBC, U&Es and LFTs prior to each cycle. • Ensure adequate cardiac function before starting treatment with epirubicin. Baseline LVEF should be measured, particularly in patients with a history of cardiac problems or in the elderly. Dose Modifications The dose modifications listed are for haematological, liver and renal function only. Dose adjustments may be necessary for other toxicities as well. In principle all dose reductions due to adverse drug reactions should not be re- escalated in subsequent cycles without consultant approval. It is also a general rule for chemotherapy that if a third dose reduction is necessary treatment should be stopped. Please discuss all dose reductions / delays with the relevant consultant before prescribing if appropriate. The approach may be different depending on the clinical circumstances. The following is a general guide only. Version 1.2 (November 2020) Page 1 of 7 Breast – Cyclophosphamide-Epirubicin-Paclitaxel (7 day) Haematological Prior to prescribing the following treatment criteria must be met on day one of treatment. Criteria Eligible Level Neutrophils equal to or more than 1x10 9/L Platelets equal to or more than 100x10 9/L Consider blood transfusion if patient symptomatic of anaemia or has a haemoglobin of less than 8g/dL If counts on day one are below these criteria for neutrophils and platelets then delay treatment for seven days. -
Us Anti-Doping Agency
2019U.S. ANTI-DOPING AGENCY WALLET CARDEXAMPLES OF PROHIBITED AND PERMITTED SUBSTANCES AND METHODS Effective Jan. 1 – Dec. 31, 2019 CATEGORIES OF SUBSTANCES PROHIBITED AT ALL TIMES (IN AND OUT-OF-COMPETITION) • Non-Approved Substances: investigational drugs and pharmaceuticals with no approval by a governmental regulatory health authority for human therapeutic use. • Anabolic Agents: androstenediol, androstenedione, bolasterone, boldenone, clenbuterol, danazol, desoxymethyltestosterone (madol), dehydrochlormethyltestosterone (DHCMT), Prasterone (dehydroepiandrosterone, DHEA , Intrarosa) and its prohormones, drostanolone, epitestosterone, methasterone, methyl-1-testosterone, methyltestosterone (Covaryx, EEMT, Est Estrogens-methyltest DS, Methitest), nandrolone, oxandrolone, prostanozol, Selective Androgen Receptor Modulators (enobosarm, (ostarine, MK-2866), andarine, LGD-4033, RAD-140). stanozolol, testosterone and its metabolites or isomers (Androgel), THG, tibolone, trenbolone, zeranol, zilpaterol, and similar substances. • Beta-2 Agonists: All selective and non-selective beta-2 agonists, including all optical isomers, are prohibited. Most inhaled beta-2 agonists are prohibited, including arformoterol (Brovana), fenoterol, higenamine (norcoclaurine, Tinospora crispa), indacaterol (Arcapta), levalbuterol (Xopenex), metaproternol (Alupent), orciprenaline, olodaterol (Striverdi), pirbuterol (Maxair), terbutaline (Brethaire), vilanterol (Breo). The only exceptions are albuterol, formoterol, and salmeterol by a metered-dose inhaler when used -
Self-Nano-Emulsifying Drug-Delivery Systems: from the Development to the Current Applications and Challenges in Oral Drug Delivery
pharmaceutics Review Self-Nano-Emulsifying Drug-Delivery Systems: From the Development to the Current Applications and Challenges in Oral Drug Delivery Aristote B. Buya 1,2 , Ana Beloqui 1, Patrick B. Memvanga 2 and Véronique Préat 1,* 1 Advanced Drug Delivery and Biomaterials, Louvain Drug Research Institute, Université Catholique de Louvain, Avenue Mounier 73, B1.73.12, 1200 Brussels, Belgium; [email protected] (A.B.B.); [email protected] (A.B.) 2 Pharmaceutics and Phytopharmaceutical Drug Development Research Group, Faculty of Pharmaceutical Sciences, University of Kinshasa, Kinshasa XI BP 212, Democratic Republic of the Congo; [email protected] * Correspondence: [email protected]; Tel.: +32-27647309 Received: 3 November 2020; Accepted: 5 December 2020; Published: 9 December 2020 Abstract: Approximately one third of newly discovered drug molecules show insufficient water solubility and therefore low oral bio-availability. Self-nano-emulsifying drug-delivery systems (SNEDDSs) are one of the emerging strategies developed to tackle the issues associated with their oral delivery. SNEDDSs are composed of an oil phase, surfactant, and cosurfactant or cosolvent. SNEDDSs characteristics, their ability to dissolve a drug, and in vivo considerations are determinant factors in the choice of SNEDDSs excipients. A SNEDDS formulation can be optimized through phase diagram approach or statistical design of experiments. The characterization of SNEDDSs includes multiple orthogonal methods required to fully control SNEDDS manufacture, stability, and biological fate. Encapsulating a drug in SNEDDSs can lead to increased solubilization, stability in the gastro-intestinal tract, and absorption, resulting in enhanced bio-availability. The transformation of liquid SNEDDSs into solid dosage forms has been shown to increase the stability and patient compliance. -
Inhibition of Tumour Cell Growth by Hyperforin, a Novel Anticancer Drug from St
Oncogene (2002) 21, 1242 ± 1250 ã 2002 Nature Publishing Group All rights reserved 0950 ± 9232/02 $25.00 www.nature.com/onc Inhibition of tumour cell growth by hyperforin, a novel anticancer drug from St. John's wort that acts by induction of apoptosis Christoph M Schempp*,1, Vladimir Kirkin2, Birgit Simon-Haarhaus1, Astrid Kersten3, Judit Kiss1, Christian C Termeer1, Bernhard Gilb4, Thomas Kaufmann5, Christoph Borner5, Jonathan P Sleeman2 and Jan C Simon1 1Department of Dermatology, University of Freiburg, Hauptstrasse 7, D-79104 Freiburg, Germany; 2Institute of Genetics, Forschungszentrum Karlsruhe, PO Box 3640, D-76021 Karlsruhe, Germany; 3Institute of Pathology, University of Freiburg, Albertstrasse 19, D-79104 Freiburg, Germany; 4HWI Analytik, Hauptstrasse 28, 78106 Rheinzabern, Germany; 5Institute of Molecular Medicine, University of Freiburg, Breisacherstr. 66, D-79106 Freiburg, Germany Hyperforin is a plant derived antibiotic from St. John's Introduction wort. Here we describe a novel activity of hyperforin, namely its ability to inhibit the growth of tumour cells by An exciting aspect of apoptosis is that it can be utilized induction of apoptosis. Hyperforin inhibited the growth of in the treatment of cancer (Revillard et al., 1998; various human and rat tumour cell lines in vivo, with IC50 Nicholson, 2000). Anticancer agents with dierent values between 3 ± 15 mM. Treatment of tumour cells with modes of action have been reported to trigger hyperforin resulted in a dose-dependent generation of apoptosis in chemosensitive cells (Hickman, 1992; apoptotic oligonucleosomes, typical DNA-laddering and Debatin, 1999). The process of apoptosis consists of apoptosis-speci®c morphological changes. In MT-450 dierent phases, including initiation, execution and mammary carcinoma cells hyperforin increased the activity degradation (Kroemer, 1997), and is activated by two of caspase-9 and caspase-3, and hyperforin-mediated major pathways. -
Snapshot: Mammalian TRP Channels David E
SnapShot: Mammalian TRP Channels David E. Clapham HHMI, Children’s Hospital, Department of Neurobiology, Harvard Medical School, Boston, MA 02115, USA TRP Activators Inhibitors Putative Interacting Proteins Proposed Functions Activation potentiated by PLC pathways Gd, La TRPC4, TRPC5, calmodulin, TRPC3, Homodimer is a purported stretch-sensitive ion channel; form C1 TRPP1, IP3Rs, caveolin-1, PMCA heteromeric ion channels with TRPC4 or TRPC5 in neurons -/- Pheromone receptor mechanism? Calmodulin, IP3R3, Enkurin, TRPC6 TRPC2 mice respond abnormally to urine-based olfactory C2 cues; pheromone sensing 2+ Diacylglycerol, [Ca ]I, activation potentiated BTP2, flufenamate, Gd, La TRPC1, calmodulin, PLCβ, PLCγ, IP3R, Potential role in vasoregulation and airway regulation C3 by PLC pathways RyR, SERCA, caveolin-1, αSNAP, NCX1 La (100 µM), calmidazolium, activation [Ca2+] , 2-APB, niflumic acid, TRPC1, TRPC5, calmodulin, PLCβ, TRPC4-/- mice have abnormalities in endothelial-based vessel C4 i potentiated by PLC pathways DIDS, La (mM) NHERF1, IP3R permeability La (100 µM), activation potentiated by PLC 2-APB, flufenamate, La (mM) TRPC1, TRPC4, calmodulin, PLCβ, No phenotype yet reported in TRPC5-/- mice; potentially C5 pathways, nitric oxide NHERF1/2, ZO-1, IP3R regulates growth cones and neurite extension 2+ Diacylglycerol, [Ca ]I, 20-HETE, activation 2-APB, amiloride, Cd, La, Gd Calmodulin, TRPC3, TRPC7, FKBP12 Missense mutation in human focal segmental glomerulo- C6 potentiated by PLC pathways sclerosis (FSGS); abnormal vasoregulation in TRPC6-/- -
Drugs Interfering with the Metabolism of Tacrolimus (FK506)
BLOOD SCIENCES DEPARTMENT OF CLINICAL BIOCHEMISTRY Title of Document: Drugs Interfering with the metabolism of tacrolimus (FK506) Q Pulse Reference No: BS/CB/DCB/TOX/4 Version NO: 6 Authoriser: P Beresford Page 1 of 3 Drugs Interfering with the Metabolism of Tacrolimus (FK506) Introduction Tacrolimus (FK506) is an immunosuppressant drug. The purpose of this protocol is to highlight drug interactions in the metabolism of tacrolimus (FK506) Systemically available tacrolimus is metabolised by hepatic CYP3A4. There is also evidence of gastrointestinal metabolism by CYP3A4 in the intestinal wall. Concomitant use of medicinal products or herbal remedies known to inhibit or induce CYP3A4 may affect the metabolism of tacrolimus and thereby increase or decrease tacrolimus blood levels. It is therefore recommended to monitor tacrolimus blood levels whenever substances which have the potential to alter CYP3A metabolism are used concomitantly and to adjust the tacrolimus dose as appropriate in order to maintain similar tacrolimus exposure Inhibitors of metabolism Clinically the following substances have been shown to increase tacrolimus blood levels: Strong interactions have been observed with antifungal agents such as ketoconazole, fluconazole, itraconazole and voriconazole, the macrolide antibiotic erythromycin or HIV protease inhibitors (e.g. ritonavir). Concomitant use of these substances may require decreased tacrolimus doses in nearly all patients. Weaker interactions have been observed with clotrimazole, clarithromycin, josamycin, nifedipine, nicardipine, diltiazem, verapamil, danazol, ethinylestradiol, omeprazole and nefazodone. In vitro the following substances have been shown to be potential inhibitors of tacrolimus metabolism: bromocriptine, cortisone, dapsone, ergotamine, gestodene, lidocaine, mephenytoin, miconazole, midazolam, nilvadipine, norethisterone, quinidine, tamoxifen, troleandomycin. Grapefruit juice has been reported to increase the blood level of tacrolimus and should therefore be avoided. -
Ketoconazole and Posaconazole Selectively Target HK2-Expressing Glioblastoma Cells
Published OnlineFirst October 15, 2018; DOI: 10.1158/1078-0432.CCR-18-1854 Translational Cancer Mechanisms and Therapy Clinical Cancer Research Ketoconazole and Posaconazole Selectively Target HK2-expressing Glioblastoma Cells Sameer Agnihotri1, Sheila Mansouri2, Kelly Burrell2, Mira Li2, Mamatjan Yasin, MD2, Jeff Liu2,3, Romina Nejad2, Sushil Kumar2, Shahrzad Jalali2, Sanjay K. Singh2, Alenoush Vartanian2,4, Eric Xueyu Chen5, Shirin Karimi2, Olivia Singh2, Severa Bunda2, Alireza Mansouri7, Kenneth D. Aldape2,6, and Gelareh Zadeh2,7 Abstract Purpose: Hexokinase II (HK2) protein expression is eleva- in vivo. Treatment of mice bearing GBM with ketoconazole ted in glioblastoma (GBM), and we have shown that HK2 and posaconazole increased their survival, reduced tumor could serve as an effective therapeutic target for GBM. Here, we cell proliferation, and decreased tumor metabolism. In interrogated compounds that target HK2 effectively and addition, treatment with azoles resulted in increased pro- restrict tumor growth in cell lines, patient-derived glioma stem portion of apoptotic cells. cells (GSCs), and mouse models of GBM. Conclusions: Overall, we provide evidence that azoles exert Experimental Design: We performed a screen using a set of their effect by targeting genes and pathways regulated by HK2. 15 drugs that were predicted to inhibit the HK2-associated These findings shed light on the action of azoles in GBM. gene signature. We next determined the EC50 of the com- Combined with existing literature and preclinical results, these pounds by treating glioma cell lines and GSCs. Selected data support the value of repurposing azoles in GBM clinical compounds showing significant impact in vitro were used to trials.