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Plasma Versus Whole Blood Tacrolimus Concentrations and Health-Related Quality of Life in Kidney Transplant Recipients. 肾移植受者血浆与全血他克莫司浓度与健康相关生活质量的关系
IF 4.9 3区 医学
Pharmaceutics Pub Date : 2025-04-30 DOI: 10.3390/pharmaceutics17050590
Svea Nolte, J Casper Swarte, Tim J Knobbe, Ilja M Nolte, Tanja R Zijp, Harmen R Moes, Marco van Londen, Niels L Riemersma, Johannes R Björk, Rinse K Weersma, Gea Drost, Stefan P Berger, Daan J Touw, Stephan J L Bakker
{"title":"Plasma Versus Whole Blood Tacrolimus Concentrations and Health-Related Quality of Life in Kidney Transplant Recipients.","authors":"Svea Nolte, J Casper Swarte, Tim J Knobbe, Ilja M Nolte, Tanja R Zijp, Harmen R Moes, Marco van Londen, Niels L Riemersma, Johannes R Björk, Rinse K Weersma, Gea Drost, Stefan P Berger, Daan J Touw, Stephan J L Bakker","doi":"10.3390/pharmaceutics17050590","DOIUrl":"10.3390/pharmaceutics17050590","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Tacrolimus dosing traditionally relies on therapeutic drug monitoring in whole blood, while assessment in plasma may better reflect its effect and reveal overdosing impacting health-related quality of life (HRQoL). <b>Methods</b>: In this cross-sectional study, 898 kidney transplant recipients (KTRs) who were at least 12 months post-transplantation were included. Plasma and whole blood tacrolimus concentrations were compared using Passing-Bablok regression analyses and Bland-Altman plots. Furthermore, the relationship with daily tacrolimus dose and with HRQoL (mental component summary (MCS), physical component summary (PCS)) was explored using linear regression by comparing standardized coefficients. Lastly, mediation analyses explored the effect of various tacrolimus-related side effects on the association between tacrolimus concentrations and HRQoL. <b>Results</b>: Comparison of the methods revealed a constant bias and a slight proportional bias between whole blood and plasma tacrolimus concentrations. The Bland-Altman plots indicated poor agreement with a statistically significant ratio difference (<i>p</i> < 0.001). Both whole blood and plasma concentrations were significantly associated with daily tacrolimus dose (both <i>p</i> < 0.001). Compared to whole blood tacrolimus concentrations, plasma tacrolimus concentration showed a strong negative association with worse HRQoL (PCS: st. β = -0.12, <i>p</i> = 0.01; MCS: st. β = -0.14, <i>p</i> < 0.001). The associations between plasma tacrolimus concentrations and HRQoL were mediated by fatigue severity (proportion mediated on PCS: 67.8%, MCS: 59.5%) and reduced kidney function (proportion mediated on PCS: 16.7%, MCS: 12.9%). <b>Conclusions</b>: In conclusion, compared with whole blood tacrolimus concentrations, plasma tacrolimus concentrations exhibited a negative association with HRQoL in KTRs. Consequently, therapeutic drug monitoring using plasma tacrolimus concentrations may reduce the occurrence of tacrolimus-related toxicity.</p>","PeriodicalId":19894,"journal":{"name":"Pharmaceutics","volume":"17 5","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Production of Myco-Nanomaterial Products from Pleurotus ostreatus (Agaricomycetes) Mushroom via Pyrolysis. 以平菇(菌类)为原料热解制备纳米真菌产品。
IF 4.9 3区 医学
Pharmaceutics Pub Date : 2025-04-30 DOI: 10.3390/pharmaceutics17050591
Gréta Törős, Áron Béni, Andrea Kovács Balláné, Dávid Semsey, Aya Ferroudj, József Prokisch
{"title":"Production of Myco-Nanomaterial Products from <i>Pleurotus ostreatus</i> (Agaricomycetes) Mushroom via Pyrolysis.","authors":"Gréta Törős, Áron Béni, Andrea Kovács Balláné, Dávid Semsey, Aya Ferroudj, József Prokisch","doi":"10.3390/pharmaceutics17050591","DOIUrl":"10.3390/pharmaceutics17050591","url":null,"abstract":"<p><p><b>Background:</b> The study aimed to develop a sustainable method for producing myco-nanomaterials, particularly fluorescent carbon nanodots (CNDs), from freeze-dried <i>Pleurotus ostreatus</i> (Agaricomycetes) mushroom powder via pyrolysis. The goal was to investigate how pyrolysis conditions affect CND characteristics and their potential antimicrobial properties. Mushroom powder was pyrolyzed at temperatures ranging from 150 to 240 °C. The resulting products were analyzed for yield, molecular weight, fluorescence intensity, and estimated CND concentration in relation to the carbon-to-nitrogen (C/N) ratio. Antibacterial activity was tested against <i>Escherichia coli</i> and <i>Staphylococcus epidermidis</i>. Product yield decreased from 13.20% at 150 °C to 0.80% at 240 °C. Molecular weight peaked at 200 °C (623.20 kDa), while maximum fluorescence intensity (739.40 A.U.) was observed at 210 °C. A strong positive correlation (R<sup>2</sup> = 0.72) was found between the C/N ratio and estimated CND concentration. Antimicrobial testing revealed notable inhibition of <i>E. coli,</i> associated with higher fluorescence intensity and CND content. Pyrolyzed <i>P. ostreatus</i> mushroom powder offers a promising, eco-friendly platform for producing luminescent, carbonaceous nanomaterials with antibacterial potential. These non-purified, myco-derived nanomaterials may contribute to green nanotechnology development and antimicrobial strategies.</p>","PeriodicalId":19894,"journal":{"name":"Pharmaceutics","volume":"17 5","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Research Advances for Protein-Based Pickering Emulsions as Drug Delivery Systems. 蛋白质基Pickering乳剂作为药物递送系统的研究进展。
IF 4.9 3区 医学
Pharmaceutics Pub Date : 2025-04-30 DOI: 10.3390/pharmaceutics17050587
Long Deng, Junqiu Liao, Weiqi Liu, Xiaoxiao Liang, Rujin Zhou, Yanbin Jiang
{"title":"Research Advances for Protein-Based Pickering Emulsions as Drug Delivery Systems.","authors":"Long Deng, Junqiu Liao, Weiqi Liu, Xiaoxiao Liang, Rujin Zhou, Yanbin Jiang","doi":"10.3390/pharmaceutics17050587","DOIUrl":"10.3390/pharmaceutics17050587","url":null,"abstract":"<p><p>Nanotechnologically engineered protein-based carriers have attracted considerable attention in the pharmaceutical field due to the advantages of superior biocompatibility, tunability and good emulsifying properties. Recently, protein-based Pickering emulsions (PPEs) systems with multi-level structures have been introduced as innovative colloidal delivery systems for advanced drug encapsulation, protection, delivery and controlled release. Natural source protein nanoparticles are promising candidates to provide a wide range of functional performances and interfacial properties in the preparation and stabilization of Pickering emulsions. Herein, this review summarizes the development of PPEs in drug delivery systems, focusing on the research progress concerning the aspects of protein particle preparation methods, formation mechanisms and rational design principles, emphasizing the relationship between protein particle structure and functional properties. To further understand the interfacial behavior in protein nanoparticle stabilized emulsion, the mesoscopic dissipative particle dynamics (DPD) simulations were discussed, which bridges the gaps between macroscopic time and length scales, as well as molecular-scale simulations on particles and oil/water interface systems. The structure-effect relationship between the tunable physicochemical properties of protein-based interface design, which leads to the effective loading, stimuli-responsiveness for the controlled release and multiple delivery, was then summarized. Finally, the opportunities and challenges for the future development of PPEs for drug delivery are discussed. This review aims to provide a reference for the further application of PPEs as advanced drug delivery systems.</p>","PeriodicalId":19894,"journal":{"name":"Pharmaceutics","volume":"17 5","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction: Rasool et al. Non-Invasive Delivery of Nano-Emulsified Sesame Oil-Extract of Turmeric Attenuates Lung Inflammation. Pharmaceutics 2020, 12, 1206. 更正:Rasool等人。姜黄纳米乳化芝麻油提取物的无创递送减轻肺部炎症。医药科学,2020,12,1206。
IF 4.9 3区 医学
Pharmaceutics Pub Date : 2025-04-29 DOI: 10.3390/pharmaceutics17050582
Sahibzada Tasleem Rasool, Rajasekhar Reddy Alavala, Umasankar Kulandaivelu, Nagaraja Sreeharsha
{"title":"Correction: Rasool et al. Non-Invasive Delivery of Nano-Emulsified Sesame Oil-Extract of Turmeric Attenuates Lung Inflammation. <i>Pharmaceutics</i> 2020, <i>12</i>, 1206.","authors":"Sahibzada Tasleem Rasool, Rajasekhar Reddy Alavala, Umasankar Kulandaivelu, Nagaraja Sreeharsha","doi":"10.3390/pharmaceutics17050582","DOIUrl":"10.3390/pharmaceutics17050582","url":null,"abstract":"<p><p>In the original publication, there was a mistake in Figure 8 as published [...].</p>","PeriodicalId":19894,"journal":{"name":"Pharmaceutics","volume":"17 5","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12115008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144160881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ethosome-Based Transdermal Drug Delivery: Its Structural Components, Preparation Techniques, and Therapeutic Applications Across Metabolic, Chronic, and Oncological Conditions. 以乙氧体为基础的经皮给药:其结构成分、制备技术和代谢、慢性和肿瘤疾病的治疗应用。
IF 4.9 3区 医学
Pharmaceutics Pub Date : 2025-04-29 DOI: 10.3390/pharmaceutics17050583
Rashed M Almuqbil, Bandar Aldhubiab
{"title":"Ethosome-Based Transdermal Drug Delivery: Its Structural Components, Preparation Techniques, and Therapeutic Applications Across Metabolic, Chronic, and Oncological Conditions.","authors":"Rashed M Almuqbil, Bandar Aldhubiab","doi":"10.3390/pharmaceutics17050583","DOIUrl":"10.3390/pharmaceutics17050583","url":null,"abstract":"<p><p>Transdermal drug delivery systems (TDDSs) provide a non-invasive alternative to oral and parenteral routes, delivering drugs into the bloodstream while avoiding gastrointestinal degradation and first-pass metabolism. Despite benefits like enhanced bioavailability and patient compliance, the stratum corneum limits drug permeation. Ethosomes overcome the stratum corneum barrier with superior flexibility and permeability compared to liposomes. Ethanol disrupts the skin's lipid bilayer, enabling deep penetration and efficient drug delivery. Ethosomes offer high entrapment efficiency and stability, delivering both hydrophilic and lipophilic drugs. However, challenges like stability optimization and clinical translation persist. This review examines the structural components, preparation methods, and therapeutic applications of ethosomes in metabolic and chronic diseases, including diabetes, cardiovascular diseases, neurodegenerative disorders, arthritis, and cancers. Moreover, it highlights the potential of ethosomes to revolutionize TDDSs for managing chronic and metabolic diseases, providing a foundation for further research and clinical development.</p>","PeriodicalId":19894,"journal":{"name":"Pharmaceutics","volume":"17 5","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144160890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of Theoretical Solubility Calculations and Thermal and Spectroscopic Measurements to Guide the Processing of Triamcinolone Acetonide by Hot-Melt Extrusion. 理论溶解度计算和热光谱测量在指导曲安奈德热熔挤压工艺中的应用。
IF 4.9 3区 医学
Pharmaceutics Pub Date : 2025-04-29 DOI: 10.3390/pharmaceutics17050586
Pedro A Granados, Idejan P Gross, Patrícia Medeiros-Souza, Livia L Sá-Barreto, Guilherme M Gelfuso, Tais Gratieri, Marcilio Cunha-Filho
{"title":"Application of Theoretical Solubility Calculations and Thermal and Spectroscopic Measurements to Guide the Processing of Triamcinolone Acetonide by Hot-Melt Extrusion.","authors":"Pedro A Granados, Idejan P Gross, Patrícia Medeiros-Souza, Livia L Sá-Barreto, Guilherme M Gelfuso, Tais Gratieri, Marcilio Cunha-Filho","doi":"10.3390/pharmaceutics17050586","DOIUrl":"10.3390/pharmaceutics17050586","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Triamcinolone acetonide (TA), a poorly water-soluble corticosteroid, presents formulation challenges due to limited membrane permeability. This study aimed to identify suitable drug-polymer-plasticizer systems for TA using combined theoretical and experimental methods. <b>Methods</b>: Using Hansen solubility parameters, seven hot-melt extrusion (HME)-grade polymers and four plasticizers were initially screened for miscibility with TA. Based on Δδt values, four polymers-Eudragit<sup>®</sup> L100 (EUD), Parteck<sup>®</sup> MXP (PVA), Plasdone<sup>®</sup> S-630 (PVPVA), and Aquasolve™ AS-MG (HPMCAS)-along with triethyl citrate (TEC), were selected for experimental evaluation. Differential scanning calorimetry, thermogravimetric analysis, and Fourier transform infrared spectroscopy assessed thermal behavior, miscibility, and chemical compatibility. <b>Results</b>: Amorphous TA content was highest with EUD (81.1%), followed by PVA (67.5%), PVPVA (45.6%), and HPMCAS (8.5%). Thermal incompatibility and TEC evaporation were observed in PVA, PVPVA, and HPMCAS systems. FTIR suggested TEC should be avoided in melt-based formulations with PVA and PVPVA due to PVA degradation and partial TA oxidation. No significant interactions were detected in HPMCAS samples heated to 220 °C, aligning with theoretical predictions. In contrast, the EUD-TEC system showed limited chemical reactivity and maintained TA's structural integrity. Infrared bands at 1758 and 1802 cm<sup>-1</sup> indicated minor anhydride formation above 160 °C with partial TEC evaporation. <b>Conclusions</b>: EUD/TEC were identified as a promising combination for the HME processing of TA. This work supports the rational formulation of stable amorphous systems for thermolabile drugs with poor solubility.</p>","PeriodicalId":19894,"journal":{"name":"Pharmaceutics","volume":"17 5","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144160707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Future of Alopecia Treatment: Plant Extracts, Nanocarriers, and 3D Bioprinting in Focus. 脱发治疗的未来:植物提取物,纳米载体和3D生物打印的焦点。
IF 4.9 3区 医学
Pharmaceutics Pub Date : 2025-04-29 DOI: 10.3390/pharmaceutics17050584
Rana E Elnady, Manar S Abdon, Hagar R Shaheen, Reem M Eladawy, Yasmena O Azar, Seham M Al Raish
{"title":"The Future of Alopecia Treatment: Plant Extracts, Nanocarriers, and 3D Bioprinting in Focus.","authors":"Rana E Elnady, Manar S Abdon, Hagar R Shaheen, Reem M Eladawy, Yasmena O Azar, Seham M Al Raish","doi":"10.3390/pharmaceutics17050584","DOIUrl":"10.3390/pharmaceutics17050584","url":null,"abstract":"<p><p>Alopecia is a concerning dermatological issue and is also known as alopecia. This disease can affect men and women, influencing their confidence and appearance. It targets the scalp or any area of the entire body. Alopecia has become widespread worldwide over the years and has many types and different causes: hereditary, hormonal, immunological, therapeutic, or psychological. This review will present a comprehensive study of the physiological structure of hair and the different growth and shedding phases. It discusses using nano-drug delivery systems that contain natural substances of plant origin, which are effective, less harmful compared to current treatments, and help avoid adverse effects. This review also covers the latest trends in treating alopecia, including drug delivery systems, the materials and methods used to prepare these systems, three-dimensional (3D) bioprinting strategies, and plant extracts that may be utilized for treatment in the coming years.</p>","PeriodicalId":19894,"journal":{"name":"Pharmaceutics","volume":"17 5","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12115063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144160879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Pharmacogenetics on High-Dose Methotrexate Toxicity in Pediatric Oncology. 药物遗传学对小儿肿瘤大剂量甲氨蝶呤毒性的影响。
IF 4.9 3区 医学
Pharmaceutics Pub Date : 2025-04-29 DOI: 10.3390/pharmaceutics17050585
Luciana Maria Marangoni-Iglecias, Almudena Sánchez-Martin, Laura Elena Pineda-Lancheros, Yasmín Cura, Noelia Marquez-Pete, José María Gálvez-Navas, Nerea Báez-Gutiérrez, Adrián Manuel de La Jara-Vera, Emilia Urrutia-Maldonado, Cristina Pérez-Ramírez, Alberto Jiménez-Morales
{"title":"Impact of Pharmacogenetics on High-Dose Methotrexate Toxicity in Pediatric Oncology.","authors":"Luciana Maria Marangoni-Iglecias, Almudena Sánchez-Martin, Laura Elena Pineda-Lancheros, Yasmín Cura, Noelia Marquez-Pete, José María Gálvez-Navas, Nerea Báez-Gutiérrez, Adrián Manuel de La Jara-Vera, Emilia Urrutia-Maldonado, Cristina Pérez-Ramírez, Alberto Jiménez-Morales","doi":"10.3390/pharmaceutics17050585","DOIUrl":"10.3390/pharmaceutics17050585","url":null,"abstract":"<p><p><b>Background</b>: Childhood cancers represent a heterogeneous group of malignancies and remain one of the leading causes of mortality among children under 14 years of age, ranking second only to accidental injuries, and fourth among individuals aged 15 to 19 years. Despite notable improvements in cure rates, a substantial proportion of patients experience acute or long-term toxicities associated with treatment. Methotrexate (MTX), a chemotherapeutic agent, has been employed effectively for over six decades in the management of pediatric malignancies. High-dose methotrexate constitutes a cornerstone of pediatric cancer therapy; however, its clinical utility is frequently constrained by dose-limiting toxicities. <b>Objectives:</b> This study investigates the impact of genetic polymorphisms in genes involved in nucleotide metabolism, as well as methotrexate and folate metabolic pathways, on treatment-related toxicity in childhood cancer. <b>Methods:</b> Using real-time polymerase chain reaction, 14 polymorphisms across 12 genes were analyzed in a cohort of 107 patients. Toxicity was assessed according to the Common Terminology Criteria for Adverse Events v. 5.0. <b>Results:</b> Multivariate logistic regression analysis revealed that the male sex (<i>p</i> = 0.3) and the AA genotype of <i>MTHFD1</i> rs2236225 were associated with grade III-IV gastrointestinal toxicity (<i>p</i> = 0.03), while the A allele of <i>MTHFR</i> rs1801133 and the AA genotype of <i>GSTP1</i> rs1695 were associated with grade I-IV hematologic toxicity (<i>p</i> < 0.01 and <i>p</i> = 0.02, respectively). <b>Conclusions:</b> High-dose methotrexate (HDMTX) is a critical agent in the treatment of childhood cancers. Our findings suggest that genetic polymorphisms within methotrexate and folate metabolic pathways may serve as potential predictive biomarkers of treatment-related toxicity.</p>","PeriodicalId":19894,"journal":{"name":"Pharmaceutics","volume":"17 5","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12115323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unraveling the Mechanisms, Clinical Impact, Comparisons, and Safety Profiles of Slow-Release Therapies in Glaucoma. 青光眼缓释治疗的机制、临床影响、比较和安全性分析。
IF 4.9 3区 医学
Pharmaceutics Pub Date : 2025-04-28 DOI: 10.3390/pharmaceutics17050580
Marco Zeppieri, Caterina Gagliano, Daniele Tognetto, Mutali Musa, Federico Bernardo Rossi, Angelo Greggio, Giuliano Gualandi, Alessandro Galan, Silvia Babighian
{"title":"Unraveling the Mechanisms, Clinical Impact, Comparisons, and Safety Profiles of Slow-Release Therapies in Glaucoma.","authors":"Marco Zeppieri, Caterina Gagliano, Daniele Tognetto, Mutali Musa, Federico Bernardo Rossi, Angelo Greggio, Giuliano Gualandi, Alessandro Galan, Silvia Babighian","doi":"10.3390/pharmaceutics17050580","DOIUrl":"10.3390/pharmaceutics17050580","url":null,"abstract":"<p><p>Glaucoma, a primary cause of irreversible blindness, is most effectively managed by reducing intraocular pressure (IOP). Topical eye drops, which are conventional treatments, frequently encounter constraints regarding patient compliance, inconsistent dosage, and tolerability. Slow-release drug delivery systems have emerged as a promising innovation in response to these challenges. The objective of these systems is to enhance the efficacy of treatment and patient compliance by ensuring the consistent and sustained delivery of therapeutic agents over extended periods. Implantable devices, injectable formulations, and external applications are all categorized as slow-release therapies. By delivering medication directly to the target tissues in a controlled manner, these technologies have the potential to circumvent common issues associated with traditional regimens, such as forgotten doses or improper administration. These systems have been shown to obtain clinically meaningful reductions in IOP in studies, with some demonstrating efficacy that is comparable to that of established daily topical treatments. Despite their potential, slow-release therapies encounter obstacles that necessitate resolution. Potential complications during implantation or removal, long-term biocompatibility, and the cost of treatment are all areas of concern. Furthermore, further investigation is required to comprehensively assess their relative economic feasibility, patient acceptability, and long-term safety profiles in comparison to conventional treatments. This review summarizes the most recent findings in the scientific literature, underlining the role and possible limits of slow-release therapies in glaucoma with the aim of offering a comprehensive understanding of their potential clinical applications and challenges. This emphasizes the potential for these innovations to revolutionize care by addressing current knowledge gaps, while also emphasizing the areas in which further development and research are required.</p>","PeriodicalId":19894,"journal":{"name":"Pharmaceutics","volume":"17 5","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12115007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Toward Natural Wound Healing Therapy: Honey and Calendula officinalis Loaded κ-Carrageenan Films with Promising Hemostatic Potential. 伤口自然愈合疗法:蜂蜜和金盏花负载κ-卡拉胶膜具有良好的止血潜力。
IF 4.9 3区 医学
Pharmaceutics Pub Date : 2025-04-28 DOI: 10.3390/pharmaceutics17050578
Jovana S Vuković, Srđan Perišić, Anja Nikolić, Ivan Milošević, Milorad Mirilović, Bogomir Bolka Prokić, Tijana Lužajić Božinovski
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