Pharmaceutical strategies to extend pulmonary exposure of inhaled medicines

Pulmonary administration route has been extensively exploited for the treatment of local lung diseases such as asthma, chronic obstructive pulmonary diseases and respiratory infections, and systemic diseases such as diabetes. Most inhaled medicines could be cleared rapidly from the lungs and their therapeutic effects are transit. The inhaled medicines with extended pulmonary exposure may not only improve the patient compliance by reducing the frequency of drug administration, but also enhance the clinical benefits to the patients with improved therapeutic outcomes. This article systematically reviews the physical and chemical strategies to extend the pulmonary exposure of the inhaled medicines. It starts with an introduction of various physiological and pathophysiological barriers for designing inhaled medicines with extended lung exposure, which is followed by recent advances in various strategies to overcome these barriers. Finally, the applications of the inhaled medicines with extended lung exposure for the treatment of various diseases and the safety concerns associated to various strategies to extend the pulmonary exposure of the inhaled medicines are summarized.

Community ecology of metazoan parasites of the later juvenile common snook Centropomus undecimalis (Osteichthyes: Centropomidae) from the coastal zone of the state of Rio de Janeiro, Brazil

Between April and December 2000, seventy-nine specimens of Centropomus undecimalis from Angra dos Reis, coastal zone of the State of Rio de Janeiro (23º01'S, 44º19'W), Brazil, were necropsied to study their infracommunities of metazoan parasites. Nine species of metazoan parasites were collected: 1 digenean, 1 monogenean, 1 acantocephalan, 1 nematode, 4 copepods, and 1 isopod, and 96.2% of the fishes were parasitized by one or more metazoan, with mean of 85.3 ± 122.9 parasite/fish. The digenean Acanthocollaritrema umbilicatum Travassos, Freitas & Bührnheim represented the majority of the parasites specimens collected, totaling, 94.7%. This species was the most abundant, prevalent, and dominant, showing positive correlation with the host's total body length and parasite abundance. The copepod species Acantholochus unisagittatus Tavares & Luque presented differences in abundance in relation to sex of host. The mean diversity in the infracommunities of C. undecimalis was H = 0.095 ± 0.116, with no correlation with the host's total body length but correlated with the host's sex. No pair of parasite species showed positive or negative association or covariation. The dominance of digenean A. umbilicatum in the later juvenile common snook parasite community could be related with the predatory food habits of common snook and an apparent feeding transition period which might occasion great exposure to infective forms.

Entre abril e dezembro de 2000, 79 espécimes de C. undecimalis, provenientes de Angra dos Reis, litoral do Estado do Rio de Janeiro (23º01'S, 44º19'W), Brasil, foram necropsiados para o estudo de suas infracomunidades de metazoários parasitos. Foram coletadas nove espécies de metazoários parasitos: 1 digenético, 1 monogenético, 1 acantocéfalo, 1 nematóide, 4 copépodes e 1 isópode; e 96,2% dos peixes estavam parasitados por um ou mais metazoários parasitos, com média de 85,3 ± 122,9 parasitos/peixe. O digenético Acanthocollaritrema umbilicatum Travassos, Freitas & Bührnheim foi o táxon maioritário, representando 94,7% do total de parasitos coletados. Esta espécie foi a mais abundante, prevalente e dominante, apresentando correlação positiva entre o comprimento total dos hospedeiros e a abundância parasitária. O copépode Acantholochus unisagittatus Tavares & Luque apresentou diferenças em sua abundância em relação ao sexo dos hospedeiros. A diversidade média das infracomunidades de C. undecimalis foi de H = 0,095 ± 0,116 sem correlação com o comprimento total dos hospedeiros e com diferenças em relação ao sexo dos hospedeiros. Nenhum par de espécies demonstrou associação e covariação positiva ou negativa. A dominância do digenético A. umbilicatum na comunidade parasitária dos robalos jovens pode estar relacionada ao hábito predador e ao aparente período de transição alimentar, que pode levar a uma grande exposição às formas infectantes.