Biliary Bile Acids of Bears, Pandas, and Related Carnivores
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Bile Acid Recognition by NAPE-PLD
Articles pubs.acs.org/acschemicalbiology Bile Acid Recognition by NAPE-PLD † ‡ ‡ # † ‡ Eleonora Margheritis, Beatrice Castellani, Paola Magotti, , Sara Peruzzi, Elisa Romeo, § ∥ ∥ ‡ ⊥ † ‡ Francesca Natali, Serena Mostarda, Antimo Gioiello, Daniele Piomelli, , and Gianpiero Garau*, , † Center for Nanotechnology Innovation@NEST, Istituto Italiano di Tecnologia, Piazza San Silvestro 12, 56127 Pisa, Italy ‡ Department of Drug Discovery-Validation, Istituto Italiano di Tecnologia, Via Morego 30, 16163 Genoa, Italy § Institute Laue-Langevin (ILL) and CNR-IOM, 71 avenue des Martyrs, 38042 Grenoble, France ∥ Department of Pharmaceutical Sciences, University of Perugia, Via del Liceo 1, 06125 Perugia, Italy ⊥ Department of Anatomy & Neurobiology, University of California - Irvine, Gillespie NRF 3101, Irvine, California 92697, United States ABSTRACT: The membrane-associated enzyme NAPE-PLD (N- acyl phosphatidylethanolamine specific-phospholipase D) gener- ates the endogenous cannabinoid arachidonylethanolamide and other lipid signaling amides, including oleoylethanolamide and palmitoylethanolamide. These bioactive molecules play important roles in several physiological pathways including stress and pain response, appetite, and lifespan. Recently, we reported the crystal structure of human NAPE-PLD and discovered specific binding sites for the bile acid deoxycholic acid. In this study, we demonstrate that in the presence of this secondary bile acid, the stiffness of the protein measured by elastic neutron scattering increases, and NAPE-PLD is ∼7 times faster to catalyze the hydrolysis of the more unsaturated substrate N-arachidonyl-phosphatidylethanolamine, compared with N-palmitoyl- phosphatidylethanolamine. Chenodeoxycholic acid and glyco- or tauro-dihydroxy conjugates can also bind to NAPE-PLD and drive its activation. The only natural monohydroxy bile acid, lithocholic acid, shows an affinity of ∼20 μM and acts instead as a ≈ μ fi reversible inhibitor (IC50 68 M). -
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Alexander, S. P. H., Cidlowski, J. A., Kelly, E., Marrion, N. V., Peters, J. A., Faccenda, E., Harding, S. D., Pawson, A. J., Sharman, J. L., Southan, C., Davies, J. A., & CGTP Collaborators (2017). THE CONCISE GUIDE TO PHARMACOLOGY 2017/18: Nuclear hormone receptors. British Journal of Pharmacology, 174, S208-S224. https://doi.org/10.1111/bph.13880 Publisher's PDF, also known as Version of record License (if available): CC BY Link to published version (if available): 10.1111/bph.13880 Link to publication record in Explore Bristol Research PDF-document This is the final published version of the article (version of record). It first appeared online via Wiley at https://doi.org/10.1111/bph.13880 . Please refer to any applicable terms of use of the publisher. University of Bristol - Explore Bristol Research General rights This document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/red/research-policy/pure/user-guides/ebr-terms/ S.P.H. Alexander et al. The Concise Guide to PHARMACOLOGY 2017/18: Nuclear hormone receptors. British Journal of Pharmacology (2017) 174, S208–S224 THE CONCISE GUIDE TO PHARMACOLOGY 2017/18: Nuclear hormone receptors Stephen PH Alexander1, John A Cidlowski2, Eamonn Kelly3, Neil V Marrion3, John A Peters4, Elena Faccenda5, Simon D Harding5,AdamJPawson5, Joanna L Sharman5, Christopher Southan5, Jamie A Davies5 and CGTP Collaborators 1School of Life Sciences, University of Nottingham Medical -
|||||||||||||III US005202354A United States Patent (19) (11) Patent Number: 5,202,354 Matsuoka Et Al
|||||||||||||III US005202354A United States Patent (19) (11) Patent Number: 5,202,354 Matsuoka et al. 45) Date of Patent: Apr. 13, 1993 (54) COMPOSITION AND METHOD FOR 4,528,295 7/1985 Tabakoff .......... ... 514/562 X REDUCING ACETALDEHYDE TOXCTY 4,593,020 6/1986 Guinot ................................ 514/811 (75) Inventors: Masayoshi Matsuoka, Habikino; Go OTHER PUBLICATIONS Kito, Yao, both of Japan Sprince et al., Agents and Actions, vol. 5/2 (1975), pp. 73) Assignee: Takeda Chemical Industries, Ltd., 164-173. Osaka, Japan Primary Examiner-Arthur C. Prescott (21) Appl. No.: 839,265 Attorney, Agent, or Firn-Wenderoth, Lind & Ponack 22) Filed: Feb. 21, 1992 (57) ABSTRACT A novel composition and method are disclosed for re Related U.S. Application Data ducing acetaldehyde toxicity, especially for preventing (63) Continuation of Ser. No. 13,443, Feb. 10, 1987, aban and relieving hangover symptoms in humans. The com doned. position comprises (a) a compound of the formula: (30) Foreign Application Priority Data Feb. 18, 1986 JP Japan .................................. 61-34494 51) Int: C.5 ..................... A01N 37/00; A01N 43/08 52 U.S. C. ................................. ... 514/562; 514/474; 514/81 wherein R is hydrogen or an acyl group; R' is thiol or 58) Field of Search ................ 514/557, 562, 474,811 sulfonic group; and n is an integer of 1 or 2, (b) ascorbic (56) References Cited acid or a salt thereof and (c) a disulfide type thiamine derivative or a salt thereof. The composition is orally U.S. PATENT DOCUMENTS administered, preferably in the form of tablets. 2,283,817 5/1942 Martin et al. -
Merit of an Ursodeoxycholic Acid Clinical Trial in COVID-19 Patients
Viewpoint Merit of an Ursodeoxycholic Acid Clinical Trial in COVID-19 Patients Subbaya Subramanian 1 , Tinen Iles 1, Sayeed Ikramuddin 1 and Clifford J. Steer 2,* 1 Department of Surgery, University of Minnesota, Minneapolis, MN 55455, USA; [email protected] (S.S.); [email protected] (T.I.); [email protected] (S.I.) 2 Departments of Medicine and Genetics, Cell Biology and Development, University of Minnesota, Minneapolis, MN 55455, USA * Correspondence: [email protected]; Tel.: +1-612-624-6648 Received: 28 May 2020; Accepted: 17 June 2020; Published: 19 June 2020 Abstract: Corona Virus Disease 2019 (COVID-19) has affected over 8 million people worldwide. We underscore the potential benefits of conducting a randomized open-label unblinded clinical trial to evaluate the role of ursodeoxycholic acid (UDCA) in the treatment of COVID-19. Some COVID-19 patients are characterized with cytokine storm syndrome that can cause severe and irreversible damage to organs leading to multi-organ failure and death. Therefore, it is critical to control both programmed cell death (apoptosis) and the hyper-immune inflammatory response in COVID-19 patients to reduce the rising morbidity and mortality. UDCA is an existing drug with proven safety profiles that can reduce inflammation and prevent cell death. National Geographic reported that, “China Promotes Bear Bile as Coronavirus Treatment”. Bear bile is rich in UDCA, comprising up to 40–50% of the total bile acid. UDCA is a logical and attainable replacement for bear bile that is available in pill form and merits clinical trial consideration. Keywords: Coronavirus; COVID-19; cytokine storm; ursodeoxycholic acid; clinical trial Coronavirus SARS-CoV-2 as the cause of COVID-19 (Corona Virus Disease 2019) has affected over 8 million people worldwide. -
Elimination Processes of Guest Molecules from the Inclusion Compounds of Deoxycholic Acid῍
J. Mass Spectrom. Soc. Jpn. Vol. 51, No. 1, 2003 REGULAR PAPER Elimination Processes of Guest Molecules from the Inclusion Compounds of Deoxycholic Acid῍ Takayoshi K>BJG6,῏a) Yuichi K6H6>,a) Tomohide THJ?>BDID,a) Emi K6L6BJG6,a) Tadashi K6B>N6B6,a) and Hatsumi A@>b) (Received November 11, 2002; Accepted December 10, 2002) Thermal behaviors of the inclusion compounds of deoxycholic acid with methanol, ethanol, propane-1-ol, propane-2-ol, and butane-1-ol have been studied by TG-DTA-MS and DSC. Liberation processes of guest molecules from their inclusion compounds of methanol, ethanol were carried out in a single step. Those of propanols and butane-1-ol from the corresponding inclusion compounds proceed in complicated steps. The elimination temperatures, enthalpies and the activation enthalpies of eliminations have been determined by TG, DSC, and MS. 1. Introduction 2. Experimental Bile acids are synthesized from free cholesterol in the Deoxycholic acid (Sigma Chemical Co., Ltd.) was pur- liver and secreted into the small intestine via bile, ified by recrystallization using the purified acetone. All where they aggregate to form micelles in conjunction organic solvents (Kishida Chemical) used as guests with phospholipid or fatty acid. These mixed micelles were fractionally distilled over freshly activated molec- enable the solubilization of lipids and the absorption of ular sieves 4A.6) GLC results of purified solvents fat from the gastrointestinal tract. Also the bile acids showed no trace-impurity peak. Coulometric Karl- form various types of inclusion compounds with many Fischer’s method on a Moisturemeter (Mitsubishi Che- kinds of organic compounds.1) So those inclusion com- mical Ind., CA-02) gave the water content of each pounds might be performed ideal formulation. -
OCALIVA™ (Obeticholic Acid) Oral
PHARMACY COVERAGE GUIDELINES ORIGINAL EFFECTIVE DATE: 9/15/2016 SECTION: DRUGS LAST REVIEW DATE: 8/19/2021 LAST CRITERIA REVISION DATE: 8/19/2021 ARCHIVE DATE: OCALIVA™ (obeticholic acid) oral Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit plan. This Pharmacy Coverage Guideline must be read in its entirety to determine coverage eligibility, if any. This Pharmacy Coverage Guideline provides information related to coverage determinations only and does not imply that a service or treatment is clinically appropriate or inappropriate. The provider and the member are responsible for all decisions regarding the appropriateness of care. Providers should provide BCBSAZ complete medical rationale when requesting any exceptions to these guidelines. The section identified as “Description” defines or describes a service, procedure, medical device or drug and is in no way intended as a statement of medical necessity and/or coverage. The section identified as “Criteria” defines criteria to determine whether a service, procedure, medical device or drug is considered medically necessary or experimental or investigational. State or federal mandates, e.g., FEP program, may dictate that any drug, device or biological product approved by the U.S. Food and Drug Administration (FDA) may not be considered experimental or investigational and thus the drug, device or biological product may be assessed only on the basis of medical necessity. Pharmacy Coverage Guidelines are subject to change as new information becomes available. For purposes of this Pharmacy Coverage Guideline, the terms "experimental" and "investigational" are considered to be interchangeable. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. -
Ocaliva (Obeticholic Acid)
HIGHLIGHTS OF PRESCRIBING INFORMATION Staging/ Classification Non-Cirrhotic or Child-Pugh Class B These highlights do not include all the information needed to use Compensated Child- or C or Patients OCALIVA® safely and effectively. See full prescribing information for Pugh Class A with a Prior OCALIVA. Decompensation a Event ® OCALIVA (obeticholic acid) tablets, for oral use Starting OCALIVA 5 mg once daily 5 mg once weekly Initial U.S. Approval: 2016 Dosage for first 3 months WARNING: HEPATIC DECOMPENSATION AND FAILURE IN OCALIVA Dosage 10 mg once daily 5 mg twice weekly INCORRECTLY DOSED PBC PATIENTS WITH CHILD-PUGH Titration after first (at least 3 days apart) CLASS B OR C OR DECOMPENSATED CIRRHOSIS 3 months, for patients See full prescribing information for complete boxed warning who have not achieved Titrate to 10 mg an adequate reduction twice weekly (at least • In postmarketing reports, hepatic decompensation and failure, in in ALP and/or total 3 days apart) based bilirubin and who are on response and some cases fatal, have been reported in patients with primary biliary b tolerating OCALIVA tolerability cholangitis (PBC) with decompensated cirrhosis or Child-Pugh Class B or C hepatic impairment when OCALIVA was dosed more Maximum OCALIVA 10 mg once daily 10 mg twice weekly frequently than recommended. (5.1) Dosage (at least 3 days apart) a • The recommended starting dosage of OCALIVA is 5 mg once weekly Gastroesophageal variceal bleeding, new or worsening jaundice, for patients with Child-Pugh Class B or C hepatic impairment or a spontaneous bacterial peritonitis, etc. b prior decompensation event. -
An Update on the Management of Cholestatic Liver Diseases
Clinical Medicine 2020 Vol 20, No 5: 513–6 CME: HEPATOLOGY An update on the management of cholestatic liver diseases Authors: Gautham AppannaA and Yiannis KallisB Cholestatic liver diseases are a challenging spectrum of autoantibodies though may be performed in cases of diagnostic conditions arising from damage to bile ducts, leading to doubt, suspected overlap syndrome or co-existent liver pathology build-up of bile acids and inflammatory processes that cause such as fatty liver. injury to cholangiocytes and hepatocytes. Primary biliary cholangitis (PBC) and primary sclerosing cholangitis (PSC) are ABSTRACT the two most common cholestatic disorders. In this review we Key points detail the latest guidelines for the diagnosis and management of patients with these two conditions. Ursodeoxycholic acid can favourably alter the natural history of primary biliary cholangitis in a majority of patients, given at the appropriate dose of 13–15 mg/kg/day. Primary biliary cholangitis Primary biliary cholangitis (PBC) is a chronic autoimmune liver Risk stratification is of paramount importance in the disorder characterised by immune-mediated destruction of management of primary biliary cholangitis to identify epithelial cells lining the intrahepatic bile ducts, resulting in patients with suboptimal response to ursodeoxycholic acid persistent cholestasis and, in some patients, a progression to and poorer long-term prognosis. Alkaline phosphatase cirrhosis if left untreated. The exact mechanisms remain unclear >1.67 times the upper limit of normal and a bilirubin above but are most likely a result of exposure to environmental factors in the normal range indicate high-risk disease and suboptimal a genetically susceptible individual.1 The majority of patients are treatment response. -
Biliary Bile Acid Composition of the Human Fetus in Early Gestation
0031-3998/87/2102-0197$02.00/0 PEDIATRIC RESEARCH Vol. 21, No.2, 1987 Copyright© 1987 International Pediatric Research Foundation, Inc. Printed in U.S.A. Biliary Bile Acid Composition of the Human Fetus in Early Gestation C. COLOMBO, G. ZULIANI, M. RONCHI, J. BREIDENSTEIN, AND K. D. R. SETCHELL Department q/Pediatrics and Obstetrics, University q/ Milan, Milan, Italy [C. C., G.Z., M.R.j and Department q/ Pediatric Gastroel1/erology and Nwrition, Children's Hospital Medical Center, Cincinnati, Ohio 45229 [J.B., K.D.R.S.j ABSTRACf. Using analytical techniques, which included the key processes of the enterohepatic circulation of bile acids capillary column gas-liquid chromatography and mass ( 16-19). As a result of physiologic cholestasis, the newborn infant spectrometry, detailed bile acid profiles were obtained for has a tendency to develop a true neonatal cholestasis when 24 fetal bile samples collected after legal abortions were subjected to such stresses as sepsis, hypoxia, and total parenteral performed between the 14th and 20th wk of gestation. nutrition ( 15). Qualitatively, the bile acid profiles of all fetal bile samples Abnormalities in bile acid metabolism have been suggested to were similar. The predominant bile acids identified were be a factor in the development of certain forms of cholestasis in chenodeoxycholic and cholic acid. The presence of small the newborn (20) and in animal models the hepatotoxic nature but variable amounts of deoxycholic acid and traces of of bile acids has been well established (21-24). A greater under lithocholic acid suggested placental transfer of these bile standing of the etiology of these conditions requires a better acids from the maternal circulation. -
Cholic Acid for Treating Inborn Errors of Primary Bile Acid Synthesis NHS England Unique Reference Number URN1623 / NICE ID004
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Clinical evidence review of cholic acid for treating inborn errors of primary bile acid synthesis NHS England unique reference number URN1623 / NICE ID004 Prepared by: NICE on behalf of NHS England Specialised Commissioning About this clinical evidence review Clinical evidence reviews are a summary of the best available evidence for a single technology within a licensed indication, for commissioning by NHS England. The clinical evidence review supports NHS England in producing clinical policies but is not NICE guidance or advice. Summary This evidence review considers cholic acid (Laboratoires CTRS [Orphacol] and Retrophin Europe Ltd [Kolbam]) for treating inborn errors of primary bile acid NICE clinical evidence review of cholic acid for treating inborn errors of primary bile acid synthesis Page 1 of 72 NHS URN1623 NICE ID004 synthesis caused by the following enzyme deficiencies in people aged 1 month and over: 3-beta-hydroxy-delta5-C27-steroid oxidoreductase (3beta-HSD) delta4-3-oxosteroid-5-beta reductase (5beta-reductase) 2- (or alpha-) methylacyl-CoA racemase (AMACR) sterol 27-hydroxylase (presenting as cerebrotendinous xanthomatosis [CTX]) cholesterol 7alpha-hydroxylase (CYP7A1). Inborn errors of primary bile acid synthesis are rare genetic conditions in which enzyme deficiencies prevent the liver from converting cholesterol in the body to bile acids (such as cholic acid and chenodeoxycholic acid). This results in the liver producing high concentrations of atypical (or ‘unusual’) bile acids and intermediary metabolites (some of which are toxic to the liver) in an attempt to establish a normal bile acid pool. Accumulation of potentially toxic atypical bile acids and metabolites, and reduced flow of bile acids may cause liver injury. -
G Protein-Coupled Receptors
S.P.H. Alexander et al. The Concise Guide to PHARMACOLOGY 2015/16: G protein-coupled receptors. British Journal of Pharmacology (2015) 172, 5744–5869 THE CONCISE GUIDE TO PHARMACOLOGY 2015/16: G protein-coupled receptors Stephen PH Alexander1, Anthony P Davenport2, Eamonn Kelly3, Neil Marrion3, John A Peters4, Helen E Benson5, Elena Faccenda5, Adam J Pawson5, Joanna L Sharman5, Christopher Southan5, Jamie A Davies5 and CGTP Collaborators 1School of Biomedical Sciences, University of Nottingham Medical School, Nottingham, NG7 2UH, UK, 2Clinical Pharmacology Unit, University of Cambridge, Cambridge, CB2 0QQ, UK, 3School of Physiology and Pharmacology, University of Bristol, Bristol, BS8 1TD, UK, 4Neuroscience Division, Medical Education Institute, Ninewells Hospital and Medical School, University of Dundee, Dundee, DD1 9SY, UK, 5Centre for Integrative Physiology, University of Edinburgh, Edinburgh, EH8 9XD, UK Abstract The Concise Guide to PHARMACOLOGY 2015/16 provides concise overviews of the key properties of over 1750 human drug targets with their pharmacology, plus links to an open access knowledgebase of drug targets and their ligands (www.guidetopharmacology.org), which provides more detailed views of target and ligand properties. The full contents can be found at http://onlinelibrary.wiley.com/doi/ 10.1111/bph.13348/full. G protein-coupled receptors are one of the eight major pharmacological targets into which the Guide is divided, with the others being: ligand-gated ion channels, voltage-gated ion channels, other ion channels, nuclear hormone receptors, catalytic receptors, enzymes and transporters. These are presented with nomenclature guidance and summary information on the best available pharmacological tools, alongside key references and suggestions for further reading. -
Ehealth DSI [Ehdsi V2.2.2-OR] Ehealth DSI – Master Value Set
MTC eHealth DSI [eHDSI v2.2.2-OR] eHealth DSI – Master Value Set Catalogue Responsible : eHDSI Solution Provider PublishDate : Wed Nov 08 16:16:10 CET 2017 © eHealth DSI eHDSI Solution Provider v2.2.2-OR Wed Nov 08 16:16:10 CET 2017 Page 1 of 490 MTC Table of Contents epSOSActiveIngredient 4 epSOSAdministrativeGender 148 epSOSAdverseEventType 149 epSOSAllergenNoDrugs 150 epSOSBloodGroup 155 epSOSBloodPressure 156 epSOSCodeNoMedication 157 epSOSCodeProb 158 epSOSConfidentiality 159 epSOSCountry 160 epSOSDisplayLabel 167 epSOSDocumentCode 170 epSOSDoseForm 171 epSOSHealthcareProfessionalRoles 184 epSOSIllnessesandDisorders 186 epSOSLanguage 448 epSOSMedicalDevices 458 epSOSNullFavor 461 epSOSPackage 462 © eHealth DSI eHDSI Solution Provider v2.2.2-OR Wed Nov 08 16:16:10 CET 2017 Page 2 of 490 MTC epSOSPersonalRelationship 464 epSOSPregnancyInformation 466 epSOSProcedures 467 epSOSReactionAllergy 470 epSOSResolutionOutcome 472 epSOSRoleClass 473 epSOSRouteofAdministration 474 epSOSSections 477 epSOSSeverity 478 epSOSSocialHistory 479 epSOSStatusCode 480 epSOSSubstitutionCode 481 epSOSTelecomAddress 482 epSOSTimingEvent 483 epSOSUnits 484 epSOSUnknownInformation 487 epSOSVaccine 488 © eHealth DSI eHDSI Solution Provider v2.2.2-OR Wed Nov 08 16:16:10 CET 2017 Page 3 of 490 MTC epSOSActiveIngredient epSOSActiveIngredient Value Set ID 1.3.6.1.4.1.12559.11.10.1.3.1.42.24 TRANSLATIONS Code System ID Code System Version Concept Code Description (FSN) 2.16.840.1.113883.6.73 2017-01 A ALIMENTARY TRACT AND METABOLISM 2.16.840.1.113883.6.73 2017-01