Synthesis of Ribavirin, Tecadenoson, and Cladribine by Enzymatic Transglycosylation
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The Application of a Characterized Pre-Clinical
THE APPLICATION OF A CHARACTERIZED PRE-CLINICAL GLIOBLASTOMA ONCOSPHERE MODEL TO IN VITRO AND IN VIVO THERAPEUTIC TESTING by Kelli M. Wilson A dissertation submitted to Johns Hopkins University in conformity with the requirements for the degree of Doctor of Philosophy Baltimore, Maryland March, 2014 ABSTRACT Glioblastoma multiforme (GBM) is a lethal brain cancer with a median survival time (MST) of approximately 15 months following treatment. A serious challenge facing the development of new drugs for the treatment of GBM is that preclinical models fail to replicate the human GBM phenotype. Here we report the Johns Hopkins Oncosphere Panel (JHOP), a panel of GBM oncosphere cell lines. These cell lines were validated by their ability to form tumors intracranially with histological features of human GBM and GBM variant tumors. We then completed whole exome sequencing on JHOP and found that they contain genetic alterations in GBM driver genes such as PTEN, TP53 and CDKN2A. Two JHOP cell lines were utilized in a high throughput drug screen of 466 compounds that were selected to represent late stage clinical development and a wide range of mechanisms. Drugs that were inhibitory in both cell lines were EGFR inhibitors, NF-kB inhibitors and apoptosis activators. We also examined drugs that were inhibitory in a single cell line. Effective drugs in the PTEN null and NF1 wild type cell line showed a limited number of drug targets with EGFR inhibitors being the largest group of cytotoxic compounds. However, in the PTEN mutant, NF1 null cell line, VEGFR/PDGFR inhibitors and dual PIK3/mTOR inhibitors were the most common effective compounds. -
LEUSTATIN (Cladribine) Injection Should Be Administered Under the Supervision of a Qualified Physician Experienced in the Use of Antineoplastic Therapy
LEUSTATIN (cladribine) Injection For Intravenous Infusion Only WARNING LEUSTATIN (cladribine) Injection should be administered under the supervision of a qualified physician experienced in the use of antineoplastic therapy. Suppression of bone marrow function should be anticipated. This is usually reversible and appears to be dose dependent. Serious neurological toxicity (including irreversible paraparesis and quadraparesis) has been reported in patients who received LEUSTATIN Injection by continuous infusion at high doses (4 to 9 times the recommended dose for Hairy Cell Leukemia). Neurologic toxicity appears to demonstrate a dose relationship; however, severe neurological toxicity has been reported rarely following treatment with standard cladribine dosing regimens. Acute nephrotoxicity has been observed with high doses of LEUSTATIN (4 to 9 times the recommended dose for Hairy Cell Leukemia), especially when given concomitantly with other nephrotoxic agents/therapies. DESCRIPTION LEUSTATIN (cladribine) Injection (also commonly known as 2-chloro-2΄-deoxy- β -D-adenosine) is a synthetic antineoplastic agent for continuous intravenous infusion. It is a clear, colorless, sterile, preservative-free, isotonic solution. LEUSTATIN Injection is available in single-use vials containing 10 mg (1 mg/mL) of cladribine, a chlorinated purine nucleoside analog. Each milliliter of LEUSTATIN Injection contains 1 mg of the active ingredient and 9 mg (0.15 mEq) of sodium chloride as an inactive ingredient. The solution has a pH range of 5.5 to 8.0. Phosphoric -
Novel Therapeutics for Epstein–Barr Virus
molecules Review Novel Therapeutics for Epstein–Barr Virus Graciela Andrei *, Erika Trompet and Robert Snoeck Laboratory of Virology and Chemotherapy, Department of Microbiology and Immunology, Rega Institute for Medical Research, KU Leuven, 3000 Leuven, Belgium; [email protected] (E.T.); [email protected] (R.S.) * Correspondence: [email protected]; Tel.: +32-16-321-915 Academic Editor: Stefano Aquaro Received: 15 February 2019; Accepted: 4 March 2019; Published: 12 March 2019 Abstract: Epstein–Barr virus (EBV) is a human γ-herpesvirus that infects up to 95% of the adult population. Primary EBV infection usually occurs during childhood and is generally asymptomatic, though the virus can cause infectious mononucleosis in 35–50% of the cases when infection occurs later in life. EBV infects mainly B-cells and epithelial cells, establishing latency in resting memory B-cells and possibly also in epithelial cells. EBV is recognized as an oncogenic virus but in immunocompetent hosts, EBV reactivation is controlled by the immune response preventing transformation in vivo. Under immunosuppression, regardless of the cause, the immune system can lose control of EBV replication, which may result in the appearance of neoplasms. The primary malignancies related to EBV are B-cell lymphomas and nasopharyngeal carcinoma, which reflects the primary cell targets of viral infection in vivo. Although a number of antivirals were proven to inhibit EBV replication in vitro, they had limited success in the clinic and to date no antiviral drug has been approved for the treatment of EBV infections. We review here the antiviral drugs that have been evaluated in the clinic to treat EBV infections and discuss novel molecules with anti-EBV activity under investigation as well as new strategies to treat EBV-related diseases. -
COMPARISON of the WHO ATC CLASSIFICATION & Ephmra/Intellus Worldwide ANATOMICAL CLASSIFICATION
COMPARISON OF THE WHO ATC CLASSIFICATION & EphMRA/Intellus Worldwide ANATOMICAL CLASSIFICATION: VERSION June 2019 2 Comparison of the WHO ATC Classification and EphMRA / Intellus Worldwide Anatomical Classification The following booklet is designed to improve the understanding of the two classification systems. The development of the two systems had previously taken place separately. EphMRA and WHO are now working together to ensure that there is a convergence of the 2 systems rather than a divergence. In order to better understand the two classification systems, we should pay attention to the way in which substances/products are classified. WHO mainly classifies substances according to the therapeutic or pharmaceutical aspects and in one class only (particular formulations or strengths can be given separate codes, e.g. clonidine in C02A as antihypertensive agent, N02C as anti-migraine product and S01E as ophthalmic product). EphMRA classifies products, mainly according to their indications and use. Therefore, it is possible to find the same compound in several classes, depending on the product, e.g., NAPROXEN tablets can be classified in M1A (antirheumatic), N2B (analgesic) and G2C if indicated for gynaecological conditions only. The purposes of classification are also different: The main purpose of the WHO classification is for international drug utilisation research and for adverse drug reaction monitoring. This classification is recommended by the WHO for use in international drug utilisation research. The EphMRA/Intellus Worldwide classification has a primary objective to satisfy the marketing needs of the pharmaceutical companies. Therefore, a direct comparison is sometimes difficult due to the different nature and purpose of the two systems. -
Revealing 29 Sets of Independently Modulated Genes in Staphylococcus Aureus, Their Regulators, and Role in Key Physiological Response
Revealing 29 sets of independently modulated genes in Staphylococcus aureus, their regulators, and role in key physiological response Saugat Poudela, Hannah Tsunemotob, Yara Seifa, Anand V. Sastrya, Richard Szubina, Sibei Xua, Henrique Machadoa, Connor A. Olsona, Amitesh Ananda, Joe Poglianob, Victor Nizetc,d, and Bernhard O. Palssona,c,1 aDepartment of Bioengineering, University of California San Diego, La Jolla, CA 92093; bDepartment of Biology, University of California San Diego, La Jolla, CA 92093; cCollaborative to Halt Antibiotic-Resistant Microbes, Department of Pediatrics, University of California San Diego, La Jolla, CA 92093; and dSkaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, CA 92093 Edited by Jeff F. Miller, University of California, Los Angeles, CA, and approved June 1, 2020 (received for review May 6, 2020) The ability of Staphylococcus aureus to infect many different tis- modulated sets of genes (called i-modulons) and calculates the sue sites is enabled, in part, by its transcriptional regulatory net- activity level of each i-modulon in the input expression profile. work (TRN) that coordinates its gene expression to respond to ICA analysis of expression profiles in E. coli have been used to different environments. We elucidated the organization and activ- describe undefined regulons, link strain-specific mutations with ity of this TRN by applying independent component analysis to a changes in gene expression, and understand rewiring of TRN compendium of 108 RNA-sequencing expression profiles from two during adaptive laboratory evolution (ALE) (7, 9). Given the S. aureus clinical strains (TCH1516 and LAC). ICA decomposed the deeper insights it provided into the TRN of E. -
Reports on Individual Drugs
WHO Drug Information Vol. 10, No.1, 1996 Reports on Individual Drugs Lamivudine: impressive benefits in emergence of highly resistant mutant virus (18). In vitro selection experiments have shown that a 500- combination with zidovudine fold increase in resistance to lamivudine is conferred by a mutation at a single site (codon 184) The value of zidovudine and other first generation of the HIV-1 reverse transcriptase gene (19-21 ). antiretroviral nucleoside analogues has been seriously compromised by rapid emergence of The clinical value of lamivudine in combination resistant variants of HIV (1-5). In some cases, therapy arises because, not only do virions clinically-evident drug resistance has developed resistant to lamivudine remain sensitive to within a matter of weeks. Several clinical studies zidovudine in vitro (21, 22), but introduction of this have suggested that the clinical response might be mutation resensitizes virions previously resistant to prolonged by using these analogues in com zidovudine (21 ), and mutations conferring bination. Gains obtained with combinations of resistance to zidovudine appear more slowly in zidovudine and didanosine (6-8) were initially patients who are also receiving lamivudine (23). reported to be modest. However, a preliminary Moreover, both drugs act synergistically against report of results obtained in a European/Australian primary clinical isolates in vitro (24); they may multicentre study indicates that, after some two target different populations of infected cells (25); years of use, zidovudine administered in and lamivudine is well tolerated in comparison with combination with either didanosine or zalcitabine, other nucleoside analogues (26). confers "substantial and significant advantage in survival and disease-free survival" over zidovudine The recently reported clinical study (1 0), which was monotherapy (9). -
ATC/DDD Classification
WHO Drug Information Vol. 32, No. 4, 2018 ATC/DDD classification The Anatomical Therapeutic Chemical (ATC) classification system and the Defined Daily Dose (DDD) as a measuring unit are tools for exchanging and comparing data on drug use at international, national or local levels. The ATC/ DDD system has become the gold standard for international drug utilization research. It is maintained by the WHO Collaborating Centre for Drug Statistics Methodology in Oslo, Norway. Visit www.whocc.no/ for more information. ATC/DDD classification (temporary) The following ATC codes and DDDs were agreed at the meeting of the WHO International Working Group for Drug Statistics Methodology in October 2018. Comments or objections to the decisions from the meeting should be forwarded to the WHO Collaborating Centre for Drug Statistics Methodology before 1 February 2019. If no objections are received before this date, the new ATC codes and DDDs will be considered final and included in the January 2020 version of the ATC/DDD Index. New ATC 5th level codes ATC level name/INN ATC code acalabrutinib L01XE51 amenamevir J05AX26 amlodipine and celecoxib C08CA51 arginine and lysine V03AF11 atorvastatin and omega-3 fatty acids C10BA08 baloxavir marboxil J05AX25 betrixaban B01AF04 brolucizumab S01LA06 cemiplimab L01XC33 crizanlizumab B06AX01 daclatasvir, asunaprevir and beclabuvir J05AP58 darolutamide L02BB06 elagolix H01CC03 elbasvir J05AP10 entinostat L01XX64 Continued 5 51 ATC/DDD classification WHO Drug Information Vol. 32, No. 4, 2018 New ATC 5th level codes (continued) -
University of Groningen Ccpa Ensures Optimal Metabolic Fitness
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by University of Groningen University of Groningen CcpA Ensures Optimal Metabolic Fitness of Streptococcus pneumoniae Carvalho, Sandra M.; Kloosterman, Tomas G.; Kuipers, Oscar P.; Neves, Ana Rute Published in: PLoS ONE DOI: 10.1371/journal.pone.0026707 IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below. Document Version Publisher's PDF, also known as Version of record Publication date: 2011 Link to publication in University of Groningen/UMCG research database Citation for published version (APA): Carvalho, S. M., Kloosterman, T. G., Kuipers, O. P., & Neves, A. R. (2011). CcpA Ensures Optimal Metabolic Fitness of Streptococcus pneumoniae. PLoS ONE, 6(10), [26707]. https://doi.org/10.1371/journal.pone.0026707 Copyright Other than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons). Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Download date: 12-11-2019 CcpA Ensures Optimal Metabolic Fitness of Streptococcus pneumoniae Sandra M. -
Adenosine A1 Receptor Activation Attenuates Lung Ischemia–Reperfusion Injury
View metadata, citation and similar papers at core.ac.uk brought to you by CORE CARDIOTHORACIC TRANSPLANTATION provided by Elsevier - Publisher Connector Adenosine A1 receptor activation attenuates lung ischemia–reperfusion injury Lucas G. Fernandez, MD, DSc, Ashish K. Sharma, PhD, MBBS, Damien J. LaPar, MD, MSc, Irving L. Kron, MD, and Victor E. Laubach, PhD Objectives: Ischemia–reperfusion injury contributes significantly to morbidity and mortality in lung transplant patients. Currently, no therapeutic agents are clinically available to prevent ischemia–reperfusion injury, and treatment strategies are limited to maintaining oxygenation and lung function. Adenosine can modulate inflam- matory activity and injury by binding to various adenosine receptors; however, the role of the adenosine A1 re- ceptor in ischemia–reperfusion injury and inflammation is not well understood. The present study tested the hypothesis that selective, exogenous activation of the A1 receptor would be anti-inflammatory and attenuate lung ischemia–reperfusion injury. Methods: Wild-type and A1 receptor knockout mice underwent 1 hour of left lung ischemia and 2 hours of re- perfusion using an in vivo hilar clamp model. An A1 receptor agonist, 2-chloro-N6-cyclopentyladenosine, was administered 5 minutes before ischemia. After reperfusion, lung function was evaluated by measuring airway resistance, pulmonary compliance, and pulmonary artery pressure. The wet/dry weight ratio was used to assess edema. The myeloperoxidase and cytokine levels in bronchoalveolar lavage fluid were measured to determine the presence of neutrophil infiltration and inflammation. Results: In the wild-type mice, 2-chloro-N6-cyclopentyladenosine significantly improved lung function and at- tenuated edema, cytokine expression, and myeloperoxidase levels compared with the vehicle-treated mice after ischemia–reperfusion. -
Cladribine Injection
PRODUCT MONOGRAPH PrCLADRIBINE INJECTION Solution for Intravenous Injection 1 mg/mL USP Antineoplastic / Chemotherapeutic Agent Fresenius Kabi Canada Ltd. Date of Revision: 165 Galaxy Blvd, Suite 100 June 9, 2015 Toronto, ON M9W 0C8 Control No.: 181078 Table of Contents PART I: HEALTH PROFESSIONAL INFORMATION ......................................................... 3 SUMMARY PRODUCT INFORMATION ............................................................................... 3 INDICATIONS AND CLINICAL USE ..................................................................................... 3 CONTRAINDICATIONS .......................................................................................................... 3 WARNINGS AND PRECAUTIONS ......................................................................................... 4 ADVERSE REACTIONS ........................................................................................................... 7 DRUG INTERACTIONS ......................................................................................................... 10 DOSAGE AND ADMINISTRATION ..................................................................................... 11 OVERDOSAGE ....................................................................................................................... 13 ACTION AND CLINICAL PHARMACOLOGY ................................................................... 14 STORAGE AND STABILITY ................................................................................................ -
A Cell-Based Reporter Assay for Screening Inhibitors of MERS Coronavirus RNA-Dependent RNA Polymerase Activity
Journal of Clinical Medicine Article A Cell-Based Reporter Assay for Screening Inhibitors of MERS Coronavirus RNA-Dependent RNA Polymerase Activity Jung Sun Min 1,2, Geon-Woo Kim 1,2, Sunoh Kwon 1,2,* and Young-Hee Jin 2,3,* 1 Herbal Medicine Research Division, Korea Institute of Oriental Medicine, Daejeon 34054, Korea; [email protected] (J.S.M.); [email protected] (G.-W.K.) 2 Center for Convergent Research of Emerging Virus Infection, Korea Research Institute of Chemical Technology, Daejeon 34114, Korea 3 KM Application Center, Korea Institute of Oriental Medicine, Daegu 41062, Korea * Correspondence: [email protected] (S.K.); [email protected] (Y.-H.J.); Tel.: +82-42-868-9675 (S.K.); +82-42-610-8850 (Y.-H.J.) Received: 25 June 2020; Accepted: 20 July 2020; Published: 27 July 2020 Abstract: Severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS), and coronavirus disease 2019 (COVID-19) are emerging zoonotic diseases caused by coronavirus (CoV) infections. The viral RNA-dependent RNA polymerase (RdRp) has been suggested as a valuable target for antiviral therapeutics because the sequence homology of CoV RdRp is highly conserved. We established a cell-based reporter assay for MERS-CoV RdRp activity to test viral polymerase inhibitors. The cell-based reporter system was composed of the bicistronic reporter construct and the MERS-CoV nsp12 plasmid construct. Among the tested nine viral polymerase inhibitors, ribavirin, sofosbuvir, favipiravir, lamivudine, zidovudine, valacyclovir, vidarabine, dasabuvir, and remdesivir, only remdesivir exhibited a dose-dependent inhibition. Meanwhile, the Z-factor and Z0-factor of this assay for screening inhibitors of MERS-CoV RdRp activity were 0.778 and 0.782, respectively. -
Vidarabine Phosphate (BANM, USAN, Rinnm) Stability
912 Antivirals Pharmacopoeias. In US. ◊ Reviews. Pharmacopoeias. In US. USP 31 (Valganciclovir Hydrochloride). A white to off-white 1. Freeman RB. Valganciclovir: oral prevention and treatment of USP 31 (Vidarabine). A white to off-white powder. Very slightly powder. Freely soluble in alcohol; practically insoluble in ace- cytomegalovirus in the immunocompromised host. Expert Opin soluble in water; slightly soluble in dimethylformamide. Store in tone or in ethyl acetate; slightly soluble in hexane; very soluble Pharmacother 2004; 5: 2007–16. airtight containers. in isopropyl alcohol. Store in airtight containers at a temperature 2. Cvetković RS, Wellington K. Valganciclovir: a review of its use in the management of CMV infection and disease in immuno- of 25°, excursions permitted between 15° and 30°. compromised patients. Drugs 2005; 65: 859–78. Vidarabine Phosphate (BANM, USAN, rINNM) Stability. References. Administration in renal impairment. Doses of oral valgan- Ara-AMP; Arabinosyladenine Monophosphate; CI-808; Fosfato 1. Anaizi NH, et al. Stability of valganciclovir in an extemporane- ciclovir should be reduced in renal impairment according to cre- de vidarabina; Vidarabine 5′-Monophosphate; Vidarabine, Phos- ously compounded oral liquid. Am J Health-Syst Pharm 2002; atinine clearance (CC). Licensed product information recom- phate de; Vidarabini Phosphas. 9-β-D-Arabinofuranosyladenine 59: 1267–70. mends the following doses: 5′-(dihydrogen phosphate). 2. Henkin CC, et al. Stability of valganciclovir in extemporaneous- • CC 40 to 59 mL/minute: 450 mg twice daily for induction and Видарабина Фосфат ly compounded liquid formulations. Am J Health-Syst Pharm 2003; 60: 687–90. 450 mg daily for maintenance or prevention C10H14N5O7P = 347.2.