Unraveling the Effects of Acute Inflammation on Pharmacokinetics: A Model-Based Analysis Focusing on Renal Glomerular Filtration Rate and Cytochrome P450 3A4-Mediated Metabolism

Background and Objectives Acute inflammation caused by infections or sepsis can impact pharmacokinetics. We used a model-based analysis to evaluate the effect of acute inflammation as represented by interleukin-6 (IL-6) levels on drug clearance, focusing on renal glomerular filtration rate (GFR) and cytochrome P450 3A4 (CYP3A4)-mediated metabolism. Methods A physiologically based model incorporating renal and hepatic drug clearance was implemented. Functions correlating IL-6 levels with GFR and in vitro CYP3A4 activity were derived and incorporated into the modeling framework. We then simulated treatment scenarios for hypothetical drugs by varying the IL-6 levels, the contribution of renal and hepatic drug clearance, and protein binding. The relative change in observed area under the concentration-time curve (AUC) was computed for these scenarios. Results Inflammation showed opposite effects on drug exposure for drugs eliminated via the liver and kidney, with the effect of inflammation being inversely proportional to the extraction ratio (ER). For renally cleared drugs, the relative decrease in AUC was close to 30% during severe inflammation. For CYP3A4 substrates, the relative increase in AUC could exceed 50% for low-ER drugs. Finally, the impact of inflammation-induced changes in drug clearance is smaller for drugs with a larger unbound fraction. Conclusion This analysis demonstrates differences in the impact of inflammation on drug clearance for different drug types. The effects of inflammation status on pharmacokinetics may explain the inter-individual variability in pharmacokinetics in critically ill patients. The proposed model-based analysis may be used to further evaluate the effect of inflammation, i.e., by incorporating the effect of inflammation on other drug-metabolizing enzymes or physiological processes

Spatial layering of cells in a novel poly(lactic acid-co-caprolactone)-collagen hybrid construct

INTRODUCTION: Advantages of synthetic polymers as a scaffolding material include the ability to produce them on a large scale and the ability to tailor their physical and mechanical properties to exact specification. A continuing difficulty is the uncertainty of cell seeding, largely due to a non-ideal surface chemistry. Natural biopolymers on the other hand, provide a substrate for cell-adhesion, are highly organized, and have the ability to induce tissue growth. A main disadvantage, however, is that they are less readily available and their mechanical and physical properties are difficult to control. The concept of combining these two biomaterials and their advantages is attractive. In this study we have fabricated a hybrid construct consisting of a synthetic polymer mesh coated with hyperhydrated collagen gels, which were plastic compressed

Surface properties of distinct nanofibrillated celluloses assessed by inverse gas chromatography

The adhesion and surface properties of nanocelluloses are an important issue to consider when using this material for composites production, in food packaging or coatings, as well as for determining the influence of added functional groups. In the present work, the surface properties of two nanofibrillated celluloses obtained by mild 2,2,6,6-tetramethylpiperidine-1- oxyl radical (TEMPO)-mediated oxidation with distinct mechanical treatment intensity in a homogenizer (5 and 15 passes), and one nanofibrillated cellulose obtained by enzymatic process, were thoroughly assessed by inverse chromatography, at infinite dilution conditions. The dispersion component of the surface energy ( s d) was 42-46 mJ m-2 at 40 ºC for the TEMPO nanofibres and 52 mJ m-2 for the enzymatic nanocellulose. It was confirmed, based on the determination of the specific components of the works of adhesion and enthalpies of adsorption with polar probes, that the surfaces of the materials have a more Lewis acidic than Lewis basic character. Regarding TEMPO nanofibres, a slight increase of Lewis acidity/basicity ratio seemed to occur for the more nanofibrillated material (15-passes). Higher specific interactions with polar probes were found for enzymatic nanocellulose. The higher values of s d and specific interactions observed for the enzymatic nanocellulose could partly be due to the higher crystallinity of this sample. On the other hand, the increase of the acidity/basicity ratio (as well as of the s d value) for the 15-passes vs. 5-passes TEMPO nanofibres was attributed to a higher exposition of the hydroxyl groups of cellulose at the surface of the former material

Distinct evolution of colistin resistance associated with experimental resistance evolution models in Klebsiella pneumoniae

Pharmacolog

Surface hydrophobization of bacterial and vegetable cellulose fibers using ionic liquids as solvent media and catalysts

The surface hydrophobization through heterogeneous chemical modification of bacterial (and vegetable) cellulose fibers with several anhydrides (acetic, butyric, hexanoic and alkenyl succinic anhydrides) and hexanoyl chloride suspended in an ionic liquid, tetradecyltrihexylphosphonium bis(trifluoromethylsulfonyl) imide, [TDTHP][NTf(2)], was studied. Furthermore, in the reaction with hexanoyl chloride, another ionic liquid, N-hexyl-4-(dimethylamino)pyridinium bis(trifluoromethylsulfonyl) imide, [C(6)N(CH(3))(2)py][NTf(2)], was used instead of common organic bases as catalyst and to trap the released HCl. The analysis of the ensuing modified fibers by FTIR, XRD and SEM clearly showed that the esterification reactions occurred essentially at the fibers' outmost layers, not affecting their ultrastructure. The degree of substitution (DS) of the ensuing esterified fibers ranged from less than 0.002 to 0.41; and in all instances, the fibers' surface acquired a high hydrophobicity. This novel approach constitutes an important strategy in the preparation of modified fibers under greener conditions relaying in the use of non-volatile solvents.FCT - SFRH/BD/72830/2010SFRH/BPD/41781/2007PTDC/QUI/68472/2006PTDC/QUI/72903/200

Measurement of the adhesion between single melamine-formaldehyde resin microparticles and a flat fabric surface using AFM

An understanding of the adhesion of microparticles, particularly microcapsules, containing a functional component to a fabric surface is crucial to an effective application of this component to the fibre. Fabric surface is very rough; hence, direct measurement of the adhesion of single microparticles to surfaces with a roughness greater than the particle diameter is difficult. In the study reported here, cotton films were generated by dissolving cotton powder in an organic solvent and their properties including surface roughness, thickness, contact angle and purity were characterised. The adhesive forces between single melamineformaldehyde (MF) resin microparticles and a cotton film under ambient conditions with a relative humidity of above 40% were measured using atomic force microscopy; they are considered to be dominated by capillary forces. It was found that there was little adhesion between a MF microparticle and a cotton film in an aqueous solution of sodium dodecylbenzene sulphonate as surfactant. Repulsion between them was observed, but it reduced with increase in the surfactant concentration and decrease in the pH of the solution. The repulsion contributions are thought to originate mainly from electrostatic repulsion. It is believed that the studies on the adhesion between single MF microparticles and a cotton film under ambient conditions or dispersed in surfactant solutions, are beneficial to the attempts to enhance the adhesion of microcapsules to fabric surfaces via a modification of their surface composition and morphology

Biomarkers and heart failure events in patients with atrial fibrillation in the ARISTOTLE trial evaluated by a multistate model

Background: Atrial fibrillation (AF) and heart failure (HF) often coexist. We investigated the prognostic impact of biomarkers on the development of HF and death in patients with AF and different left ventricular systolic function considering the influence of competing events. Methods: The study included 11,818 patients with AF from the ARISTOTLE trial who at entry had information on history of HF, an estimate of left ventricular function and plasma samples for determination of biomarkers representing cardiorenal dysfunction (NT-proBNP, troponin T, cystatin C) and inflammation (GDF-15, IL-6, CRP). Patients were categorized into: (I) HF with reduced ejection fraction (HFrEF, n=2,048), (II) HF with preserved ejection fraction (HFpEF, n=2,520), and (III) No HF (n=7,250). Biomarker associations with HF hospitalization and death were analyzed using a multi-state model accounting also for repeated events. Results: Baseline levels of NT-proBNP, troponin T, cystatin C, GDF-15, IL-6, and CRP were highest in HFrEF and lowest in No HF. During median 1.9 years follow-up, 546 patients were hospitalized at least once for HF and 819 died. Higher levels of all investigated biomarkers were associated with both outcomes (all p<0.0001), with highest event rates in HFrEF and lowest in No HF. The associations remained after adjustments and were more pronounced for first than for recurrent events. Conclusions: In anticoagulated patients with AF, biomarkers indicating cardiorenal dysfunction and inflammation improve the identification of patients at risk of developing HF or worsening of already existing HF. These biomarkers might be useful for targeting novel HF therapies in patients with AF

Rheological and biological properties of a hydrogel support for cells intended for intervertebral disc repair

<p>Abstract</p> <p>Background</p> <p>Cell-based approaches towards restoration of prolapsed or degenerated intervertebral discs are hampered by a lack of measures for safe administration and placement of cell suspensions within a treated disc. In order to overcome these risks, a serum albumin-based hydrogel has been developed that polymerizes after injection and anchors the administered cell suspension within the tissue.</p> <p>Methods</p> <p>A hydrogel composed of chemically activated albumin crosslinked by polyethylene glycol spacers was produced. The visco-elastic gel properties were determined by rheological measurement. Human intervertebral disc cells were cultured <it>in vitro </it>and <it>in vivo </it>in the hydrogel and their phenotype was tested by reverse-transcriptase polymerase chain reaction. Matrix production and deposition was monitored by immuno-histology and by biochemical analysis of collagen and glycosaminoglycan deposition. Species specific <it>in situ </it>hybridization was performed to discriminate between cells of human and murine origin in xenotransplants.</p> <p>Results</p> <p>The reproducibility of the gel formation process could be demonstrated. The visco-elastic properties were not influenced by storage of gel components. <it>In vitro </it>and <it>in vivo </it>(subcutaneous implants in mice) evidence is presented for cellular differentiation and matrix deposition within the hydrogel for human intervertebral disc cells even for donor cells that have been expanded in primary monolayer culture, stored in liquid nitrogen and re-activated in secondary monolayer culture. Upon injection into the animals, gels formed spheres that lasted for the duration of the experiments (14 days). The expression of cartilage- and disc-specific mRNAs was maintained in hydrogels <it>in vitro </it>and <it>in vivo</it>, demonstrating the maintenance of a stable specific cellular phenotype, compared to monolayer cells. Significantly higher levels of hyaluronan synthase isozymes-2 and -3 mRNA suggest cell functionalities towards those needed for the support of the regeneration of the intervertebral disc. Moreover, mouse implanted hydrogels accumulated 5 times more glycosaminoglycans and 50 times more collagen than the <it>in vitro </it>cultured gels, the latter instead releasing equivalent quantities of glycosaminoglycans and collagen into the culture medium. Matrix deposition could be specified by immunohistology for collagen types I and II, and aggrecan and was found only in areas where predominantly cells of human origin were detected by species specific <it>in situ </it>hybridization.</p> <p>Conclusions</p> <p>The data demonstrate that the hydrogels form stable implants capable to contain a specifically functional cell population within a physiological environment.</p