{"title":"[Development and Evaluation of At-211 Labeled Peptides].","authors":"Kazuma Ogawa","doi":"10.1248/yakushi.25-00146-1","DOIUrl":"10.1248/yakushi.25-00146-1","url":null,"abstract":"<p><p>Astatine-211 (<sup>211</sup>At) has recently attracted significant attention as one of promising alpha-emitting radionuclides for targeted alpha therapy (TAT), owing to its favorable physical and chemical properties. As a halogen element located below iodine in the periodic table, <sup>211</sup>At enables the adaptation of existing radioiodination techniques. It means potential for applications in radiotheranostics by combining <sup>211</sup>At-labeled agents with iodine-123/124 (<sup>123/124</sup>I)-labeled agents. Additionally, <sup>211</sup>At has a relatively short half-life of approximately 7.2 h, making it well-suited for use with tumor-targeting small molecules or peptides that rapidly accumulate in tumors. Here, the development of a <sup>211</sup>At-labeled peptide using arginylglycylaspartic acid (RGD) peptide as a model targeting ligand is reviewed.</p>","PeriodicalId":23810,"journal":{"name":"Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan","volume":"146 3","pages":"191-196"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The Symposium Organized by Division of Pharmaceutical Health Sciences and Environmental Toxicology: The Impact of Environmental Factors on Maternal and Child Health, and Future Prospects].","authors":"Kazuma Higashisaka, Tomoki Kimura","doi":"10.1248/yakushi.25-00161-F","DOIUrl":"https://doi.org/10.1248/yakushi.25-00161-F","url":null,"abstract":"","PeriodicalId":23810,"journal":{"name":"Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan","volume":"146 4","pages":"275-276"},"PeriodicalIF":0.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Japan's Drug Discovery Capabilities: Current and Future Challenges].","authors":"Koji Tawara","doi":"10.1248/yakushi.25-00167-1","DOIUrl":"10.1248/yakushi.25-00167-1","url":null,"abstract":"<p><p>I would like to discusses trends concerning the enhancement of Japan's drug discovery research capabilities based on objective, reliable data, and introduce two government initiatives. From the perspective of strengthening drug discovery capabilities, interdisciplinary efforts across various fields, including medicine, science, and agriculture, are crucial and indispensable. However, through discussions with relevant experts this year, it has become clear that pharmaceutical education, pharmaceutical research, and the role of pharmacists are of great significance. At this symposium, specific presentations on the efforts of various universities and companies are scheduled. I will also learn from these presentations and aim to apply the insights gained to future policy development.</p>","PeriodicalId":23810,"journal":{"name":"Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan","volume":"146 6","pages":"559-568"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148138818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Pulmonary Arterial Hypertension Impairs Duodenal Barrier Integrity in Rats].","authors":"Shouei Ishimaru, Satoshi Mizuno, Tomoya Tanada, Daisuke Saito, Keiichi Hirono, Keijiro Ibuki, Masato Taguchi","doi":"10.1248/yakushi.25-00165","DOIUrl":"10.1248/yakushi.25-00165","url":null,"abstract":"<p><p>Pulmonary arterial hypertension (PAH) is a progressive pulmonary vascular disease that leads to right heart failure and systemic venous congestion. Such congestion can impair multiple organs, including the gastrointestinal tract. Recent clinical studies have reported elevated circulating endotoxin levels in patients with PAH, suggesting a potential disruption of intestinal barrier function. However, whether PAH affects duodenal permeability remains unclear. This study aimed to elucidate the impact of PAH on duodenal barrier integrity. PAH was induced in rats through two subcutaneous injections of monocrotaline (20 mg/kg). Histological analysis was performed, and the mRNA expression levels of duodenal tight junction proteins were quantified using real-time PCR. Duodenal permeability was assessed by performing in situ and ex vivo experiments with paracellular probes. PAH rats exhibited characteristic signs of right heart failure, including reduced weight gain, elevated brain natriuretic peptide levels, and thickening of the right ventricular wall. Histological examination revealed duodenal villous atrophy and thickened muscularis mucosa. Claudin-1 mRNA expression in the duodenum of PAH rats was 70% lower than that in control rats. In situ permeability assays revealed 2.0- and 1.5-fold increases in the portal vein concentrations of polyethylene glycol 400 and 600, respectively. In addition, ex vivo experiments showed a 1.9-fold increase in the cumulative lactulose permeation from the luminal to the vascular side over 120 min. To the best of our knowledge, this is the first report to describe decreased duodenal barrier integrity caused by monocrotaline-induced PAH in rats.</p>","PeriodicalId":23810,"journal":{"name":"Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan","volume":"146 6","pages":"603-610"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148138864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Pharmacokinetics and Metabolic Activations of Drugs in Pharmacology and Toxicology].","authors":"Hiroshi Yamazaki","doi":"10.1248/yakushi.26-00112","DOIUrl":"https://doi.org/10.1248/yakushi.26-00112","url":null,"abstract":"<p><p>The parameters for the absorption, distribution, and metabolic clearance of a wide array of chemicals can be calculated and integrated into a physiologically based pharmacokinetic (PBPK) model that simulates plasma drug concentration over time. Typically, pharmacological and toxicological assessments of chemicals involve estimating human clearance through allometric extrapolation from in vivo rat profiles using empirical compartmental and PBPK models. For patients with genetically impaired cytochrome P450 (P450 or CYP) enzymes who are prescribed only certain drugs, moderate plasma exposure should be noted as a precaution on drug labels, as genetic variants can cause changes in blood concentrations similar to those caused by drug-drug interactions. Many drug oxidations are facilitated by species-specific and polymorphic P450 enzymes and flavin-containing monooxygenases (FMOs). Although interaction study alerts are triggered by a 1.25-fold increase in the clearance of the object drug or the metabolite/parent concentration ratio, such increases may fall within the range of intrinsic baseline variation in vivo of cytochrome CYP3A-dependent phenotypes. The metabolic capacity of polymorphic FMO3 was assessed through urine testing for the levels of food-derived trimethylamine N-oxide. Human PBPK model input parameters for various compounds have been effectively estimated using in silico-generated chemical descriptors and machine learning tools to assess internal exposure in humans without relying on experimental data. This pharmacokinetic modeling approach, which incorporates polymorphic drug-metabolizing enzyme information, can be applied in clinical settings and during computational data-driven evaluations of the potential risks associated with a broad spectrum of chemicals.</p>","PeriodicalId":23810,"journal":{"name":"Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan","volume":"146 10","pages":"843-864"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[A Case of Suspected Serotonin Syndrome Caused by the Combined Use of Tramadol-acetaminophen Tablets and Fentanyl Patches].","authors":"Maiko Kobayashi, Naoto Hosoi, Naoki Maita, Chisato Ando","doi":"10.1248/yakushi.26-00001","DOIUrl":"https://doi.org/10.1248/yakushi.26-00001","url":null,"abstract":"<p><p>A woman in her 80s was diagnosed with colon cancer, and she underwent chemotherapy after surgery. Oxycodone extended-release tablets were initiated for abdominal pain, but oral administration was difficult, leading to a change to fentanyl patches. Owing to severe numbness from the buttocks to the toes, tramadol/acetaminophen (T/A) tablets were initiated at a dose of 2 tablets per day. The fentanyl patch dose was increased to 2 mg/d, and pain was relieved on combination with 2 T/A tablets. The patient subsequently reported behavioral disturbances, including agitation, anxiety, and sudden diarrhea. She had been taking 1 T/A tablet 2 to 3 times per day at her discretion when the pain worsened. Suspecting an additive effect from the combination of the fentanyl patch and T/A tablets, the T/A tablets were immediately discontinued, and the symptoms resolved. Loxoprofen tablets were initiated at 180 mg/d, and the fentanyl patch dose was increased to 4 mg/d, without side effects such as agitation, anxiety, or behavioral disorders. The combined use of tramadol and fentanyl likely induced excessive serotonergic activity; careful observation is required in adult patients and those receiving multiple medications.</p>","PeriodicalId":23810,"journal":{"name":"Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan","volume":"146 10","pages":"891-894"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Current Status and Issues of Drug-induced Liver Injury].","authors":"Atsushi Kawase","doi":"10.1248/yakushi.25-00145-F","DOIUrl":"https://doi.org/10.1248/yakushi.25-00145-F","url":null,"abstract":"","PeriodicalId":23810,"journal":{"name":"Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan","volume":"146 2","pages":"105-106"},"PeriodicalIF":0.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Increasing Orphan Drug Loss in Japan: Trends and R&D Strategy for Rare Diseases].","authors":"Kazuaki Enya","doi":"10.1248/yakushi.25-00140-1","DOIUrl":"https://doi.org/10.1248/yakushi.25-00140-1","url":null,"abstract":"<p><p>Approximately 7000 rare diseases have been identified globally; however, effective treatments are available for only 5% of them, highlighting substantial unmet medical needs worldwide. In Japan, drug loss-the lack of domestic approval or development of drugs already approved overseas-has become a pressing public health issue. We analyzed orphan drugs (ODs) approved in the United States (U.S.) between 2005 and 2021 to examine trends in OD development in the U.S., drug loss and associated research and development (R&D) models, with the aim of identifying factors that could facilitate more seamless OD development in Japan. Despite a marked increase in OD approvals in the U.S. since 2018, the number of ODs not approved in Japan have increased rapidly, reaching 120 drugs (49%), of which approximately 70% had not entered development, indicating greater OD loss in Japan. U.S./Europe-based startups have become key players in rare disease drug R&D, significantly contributing to this drug loss trend. They successfully develop drugs in the U.S. by combining in-licensing with in-house drug discovery. Out-licensing to Japanese companies or large pharma is critical for expansion into Japan, with successes attributed to drug innovation, target indications, and transactional capabilities. Underlying this trend were Japan's perceived low market potential, its complex clinical trial environment and regulatory requirements, and the financial limitations of startups. These findings highlight the need to foster partnerships with startups and cultivate an ecosystem in Japan that nurtures local startups, to address drug loss and ensure access to promising drugs.</p>","PeriodicalId":23810,"journal":{"name":"Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan","volume":"146 1","pages":"15-24"},"PeriodicalIF":0.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[How Can We Overcome the Gap in Social Implementation of Medical Technology (Drug & Digital Device Loss) between Japan and Overseas?]","authors":"Kota Kodama","doi":"10.1248/yakushi.25-00140-F","DOIUrl":"https://doi.org/10.1248/yakushi.25-00140-F","url":null,"abstract":"","PeriodicalId":23810,"journal":{"name":"Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan","volume":"146 1","pages":"13"},"PeriodicalIF":0.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Incidence and Management of Tirabrutinib-associated Cutaneous Adverse Events: A Case Series.","authors":"Satoru Matsunuma, Harutaka Seshimo, Shigeki Sunaga, Kunitoshi Otsuka, Toru Koshiishi, Koichi Yoshimoto, Hiroyuki Jimbo","doi":"10.1248/yakushi.25-00085","DOIUrl":"10.1248/yakushi.25-00085","url":null,"abstract":"<p><p>Cutaneous adverse events associated with tirabrutinib have been reported in clinical trials; however, their overall incidence and severity vary, and real-world data remain limited. This study aimed to assess the incidence and management of tirabrutinib-associated cutaneous adverse events in patients with primary central nervous system lymphoma (PCNSL). This single-center case series included patients with PCNSL who received tirabrutinib treatment between March 1, 2020, and February 29, 2024. Cutaneous adverse events were evaluated using the Common Terminology Criteria for Adverse Events, version 5.0. Patient characteristics, tirabrutinib dosage, concomitant medications, disease severity, time to onset, treatment, and outcomes were analyzed. Seven patients (mean age: 71.1 years, range, 52-88 years) were included herein. Skin disorders were observed in 5 patients (71.4%), including maculopapular rash (grade 2) in 3 patients, erythema multiforme (grade 3) in 1 patient, and eczema-like lesions (grade 2) in 1 patient. The median onset was 22.4 d (range: 1-56 d), with 4 cases occurring within 1 month. Treatments included oral antihistamines (4 cases) and topical corticosteroids (4 cases). One patient discontinued tirabrutinib treatment because of severe cutaneous adverse events. Tirabrutinib-associated cutaneous adverse events were common but manageable, except in 1 case. As most cutaneous adverse events develop within a month, early monitoring is crucial. Large-scale studies are needed to assess the risk factors and preventive strategies for tirabrutinib-associated cutaneous adverse events.</p>","PeriodicalId":23810,"journal":{"name":"Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan","volume":"146 2","pages":"141-147"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}