ABSTRACT
Polymyxin B, which is a last-line antibiotic for extensively drug-resistant Gram-negative bacterial infections, became available in China in Dec. 2017. As dose adjustments are based solely on clinical experience of risk toxicity, treatment failure, and emergence of resistance, there is an urgent clinical need to perform therapeutic drug monitoring (TDM) to optimize the use of polymyxin B. It is thus necessary to standardize operating procedures to ensure the accuracy of TDM and provide evidence for their rational use. We report a consensus on TDM guidelines for polymyxin B, as endorsed by the Infection and Chemotherapy Committee of the Shanghai Medical Association and the Therapeutic Drug Monitoring Committee of the Chinese Pharmacological Society. The consensus panel was composed of clinicians, pharmacists, and microbiologists from different provinces in China and Australia who made recommendations regarding target concentrations, sample collection, reporting, and explanation of TDM results. The guidelines provide the first-ever consensus on conducting TDM of polymyxin B, and are intended to guide optimal clinical use.
Subject(s)
Humans , Anti-Bacterial Agents/therapeutic use , China , Drug Monitoring/methods , Polymyxin B , Practice Guidelines as TopicABSTRACT
Aim To provide references for clinical trials dose and rational drug use by evaluating mitochondrial toxicity of bentysrepinine on HepG2 cells.Methods Mitochondrial toxicity of bentysrepinine on HepG2 cells was cmomprehensively evaluated by measuring proliferation inhibition rate, lactic acid content in culture supernatant, reactive oxygen species(ROS) content, mitochondrial membrane potential (MMP) variation and the activity of mitochondrial respiratory chain complex enzymes Ⅰ to Ⅳ.Results The half inhibitory concentration of bentysrepinine of HepG2 cells was 359 μmol·L-1.Compared with the control group, bentysrepinine could reduce the MMP, raise the level of lactic acid, increase the content of ROS and lower the activity of mitochondrial respiratory chain complex enzymes Ⅰ to Ⅲ with the concentration of 400 μmol·L-1(196 mg·L-1), showing an obvious mitochondrial toxicity.Compared with lamivudine and adefovir dipivoxil, bentysrepinine exerted no influence on indexes above with the same concentration 100 μmol·L-1.Conclusions Bentysrepinine shows an obvious mitochondrial toxicity on HepG2 cells with the concentration of 400 μmol·L-1.This mitochondrial toxicity is not presented with the concentration of 200 μmol·L-1.It shows that the safety range of bentysrepinine about mitochondrial toxicity is relatively wide.The test plays a guiding role in clinical trial dose design as well as clinical treatment.
ABSTRACT
Through analyzing the characteristics of the experimental animal industry , supply and demand status and application prospect of mobile internet industry , as themobile Internet +experimental animalscombination to study the function and effect and operation mode of the experimental animals mall platform .The platform will be provide open e-commerce services for experimental animal industry , forming an innovative pattern of resource sharing , mutual benefit and win-win, promote the balanced allocation of the experimental animal industry chain resources , build “effectiveness , efficiency , effect” good operation management environment .
ABSTRACT
Objective To establish an animal model of metabolic syndrome which is prone to atherosclerosis. Methods Eight rabbits were randomly selected from in total of 16 rabbits as control group who were fed with normal rabbit feed. And the rest were used as model group, who were fed with high fat diet. Animals were weigh every week, and triacylg-lycerol (TG), total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), and glucose (GLU) content were tested in the 8th, 10th , 13th, 16th and 18th week. Femoral arterial blood pressure and insu-lin (INS) content were assessed at the end of experimental period which is the 18th week;Also, aortic sclerosis rating, arterial stiffness index, abdominal fat coefficient, liver coefficient and cardiac coefficient were calculated and heart, aorta, liver and lower extremity artery pathology were examed. Results Compared with the control group, weight in the model group in-creased significantly;Serum levels of TC, HDL-C, blood pressure abdominal fat coefficient, liver coefficient were significant-ly increased in model group;the whole blood viscosity, plasma viscosity and blood pressure fat coefficient, liver coefficient, aortic sclerosis rating, arterial stiffness index, and GLU all increased significantly in model group;while HDL-C/TCHO, in-sulin sensitivity index decreased significantly in model group(P < 0.05 or P<0.01). Conclusion Food induced method can form metabolic syndrome and atherosclerosis in rabbit model.