A rapid and simple electrochemical detection of the free drug concentration in human serum using boron-doped diamond electrodes

Monitoring drug concentration in blood and reflecting this in the dosage are crucial for safe and effective drug treatment. Most drug assays are based on total concentrations of bound and unbound proteins in the serum, although only the unbound concentration causes beneficial and adverse events. Monitoring the unbound concentration alone is expected to provide a means for further optimisation of drug treatment. However, unbound concentration monitoring has not been routinely used for drug treatment due to the long analysis time and the high cost of conventional methods. Here, we have developed a rapid electrochemical method to determine the unbound concentration in ultrafiltered human serum using boron-doped diamond (BDD) electrodes. When the anticancer drug doxorubicin was used as the test drug, the catalytic doxorubicin-mediated reduction of dissolved oxygen provided a sensitive electrochemical signal, with a detection limit of 0.14 nM. In contrast, the sensitivity of glassy carbon (GC) was inferior under the same conditions due to interference from the dissolved oxygen reduction current. The signal background ratio (S/B) of BDD and GC was 11.5 (10 nM doxorubicin) and 1.1 (50 nM), respectively. The results show that a fast measurement time within ten seconds is possible in the clinical concentration range. Additionally, in the ultrafiltered human serum, the obtained values of unbound doxorubicin concentration showed good agreement with those quantified by conventional liquid chromatography-mass spectrometry. This approach has the potential for application in clinical settings where rapid and simple analysis methods would be beneficial.Reproduced from Analyst., 2022, 147, 4442-4449 with permission from the Royal Society of Chemistry.https://doi.org/10.1039/d2an01037

Continuous behavioral observation reveals the function of drifting seaweeds for Seriola spp. juveniles

ABSTRACT: A large number of fish species are associated with drifting seaweeds; however, the ecological significance of such seaweeds for fishes remains unclear. Here, we developed a raft equipped with a seaweed clump, interval still/video cameras, and a GPS satellite buoy. This novel monitoring system was used to monitor the schooling and associative behavior of Seriola spp. juveniles with seaweed for up to 1 wk in the East China Sea. We observed diel behavioral patterns of the fish, which swam around the seaweeds during the day and remained ‘attached’ to the seaweed or to conspecifics at night. This nighttime behavioral pattern suggests that the fish may use drifting seaweed to maintain schools at night when vision is less effective. Solitary individuals and those in smaller schools tended to remain close to the seaweed, whereas fish in larger schools were observed swimming actively around the seaweed. Additionally, some of the solitary fish and small schools escaped into the seaweed when potential predators appeared. As the school size of the fish increased over time, solitary individuals and small schools may have used drifting seaweeds as a shelter from predators until the fish could gather to form larger schools. We suggest that drifting seaweeds have multiple ecological functions for Seriola spp. and other seaweed-associated fishes, and the knowledge of these functions will be useful in designing conservation and management measures for the associated fishes

Outcomes in Newly Diagnosed Atrial Fibrillation and History of Acute Coronary Syndromes: Insights from GARFIELD-AF

BACKGROUND: Many patients with atrial fibrillation have concomitant coronary artery disease with or without acute coronary syndromes and are in need of additional antithrombotic therapy. There are few data on the long-term clinical outcome of atrial fibrillation patients with a history of acute coronary syndrome. This is a 2-year study of atrial fibrillation patients with or without a history of acute coronary syndromes

Analysis of Outcomes in Ischemic vs Nonischemic Cardiomyopathy in Patients With Atrial Fibrillation A Report From the GARFIELD-AF Registry

IMPORTANCE Congestive heart failure (CHF) is commonly associated with nonvalvular atrial fibrillation (AF), and their combination may affect treatment strategies and outcomes