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1.
Dis Aquat Organ ; 157: 113-127, 2024 Mar 14.
Article in English | MEDLINE | ID: mdl-38546195

ABSTRACT

Ostreid herpesvirus 1 (OsHV-1) and its microvariants (µVars) cause economically devastating mass mortalities of oysters and pose a threat to the shellfish aquaculture industry globally. OsHV-1 outbreaks can cause up to 100% mortality in the Pacific oyster Crassostrea gigas. However, OsHV-1 and its variants have a broad host range and can infect at least 7 bivalve species, including bay scallops Argopecten irradians and eastern oysters C. virginica. Determining the susceptibility of economically and ecologically important bivalve species to OsHV-1 is critical for improving biosecurity and disease management to protect the aquaculture industry. Surveys of eastern oysters were conducted in June to August 2021 in the Maryland portion of the Chesapeake Bay to determine the prevalence and viral load of OsHV-1 at 5 aquaculture farms. Using quantitative PCR, OsHV-1 was not detected at any sites. Experiments examined the susceptibility of single stocks of eastern oysters and hard clams Mercenaria mercenaria to the virus and their ability to horizontally transmit it using OsHV-1 µVar SD (San Diego, California) and OsHV-1 µVar FRA (Marennes-Olreon, France). Results showed that OsHV-1 µVars did not cause mortality or symptomatic infection in the single stocks of eastern oysters and hard clams used in these experiments using natural infection pathways. However, the eastern oyster stock, when injected with OsHV-1, did transmit the virus to naïve Pacific oysters. Further experimentation using additional stocks and lines and establishment of surveillance programs along the east and Gulf coasts of the USA are necessary to prepare for the potential spread and impact of OsHV-1 related disease.


Subject(s)
Crassostrea , DNA Viruses , Herpesviridae , Animals , Maryland , Shellfish , Aquaculture
2.
J Environ Qual ; 41(1): 21-30, 2012.
Article in English | MEDLINE | ID: mdl-22218170

ABSTRACT

Canada's National Agri-Environmental Standards Initiative sought to develop an environmental benchmark for low-level waterborne pathogen occurrence in agricultural watersheds. A field study collected 902 water samples from 27 sites in four intensive agricultural watersheds across Canada from 2005 to 2007. Four of the sites were selected as reference sites away from livestock and human fecal pollution sources in each watershed. Water samples were analyzed for Campylobacter spp., Salmonella spp., Escherichia coli O157:H7, Cryptosporidium spp., Giardia spp., and the water quality indicator E. coli. The annual mean number of pathogen species was higher at agricultural sites (1.54 ± 0.07 species per water sample) than at reference sites (0.75 ± 0.14 species per water sample). The annual mean concentration of E. coli was also higher at agricultural sites (491 ± 96 colony-forming units [cfu] 100 mL(-1)) than at reference sites (53 ± 18 cfu 100 mL(-1)). The feasibility of adopting existing E. coli water quality guideline values as an environmental benchmark was assessed, but waterborne pathogens were detected at agricultural sites in 80% of water samples with low E. coli concentrations (<100 cfu 100 mL(-1)). Instead, an approach was developed based on using the natural background occurrence of pathogens at reference sites in agricultural watersheds to derive provisional environmental benchmarks for pathogens at agricultural sites. The environmental benchmarks that were derived were found to represent E. coli values lower than geometric mean values typically found in recreational water quality guidelines. Additional research is needed to investigate environmental benchmarks for waterborne pathogens within the context of the "One World, One Health" perspective for protecting human, domestic animal, and wildlife health.


Subject(s)
Agriculture , Benchmarking , Escherichia coli/isolation & purification , Water Microbiology/standards , Water Movements , Water Pollutants/standards , Canada , Ecosystem , Water/parasitology
3.
J Biomed Mater Res A ; 84(1): 178-90, 2008 Jan.
Article in English | MEDLINE | ID: mdl-17607750

ABSTRACT

A stereomicroscope system is adapted to make accurate, quantitative displacement, and strain field measurements with microscale spatial resolution and nanoscale displacement resolution on mouse carotid arteries. To perform accurate and reliable calibration for these systems, a two-step calibration process is proposed and demonstrated using a modification to recently published procedures. Experimental results demonstrate that the microscope system with three-dimensional digital image correlation (3D-DIC) successfully measures the full 3D displacement and surface strain fields at the microscale during pressure cycling of 0.40-mm-diameter mouse arteries, confirming that the technique can be used to quantify changes in local biomechanical response which may result from variations in extracellular matrix composition, with the goal of quantifying properties of the vessel.


Subject(s)
Carotid Arteries/cytology , Imaging, Three-Dimensional/instrumentation , Imaging, Three-Dimensional/methods , Animals , Calibration , Mice , Mice, Inbred C57BL , Surface Properties
4.
J Mass Spectrom ; 40(7): 882-9, 2005 Jul.
Article in English | MEDLINE | ID: mdl-15892178

ABSTRACT

The novel and rapid assay presented here combines high-performance liquid chromatography and electrospray ionisation tandem mass spectrometry (HPLC-ESI-MS/MS) to directly measure and quantify the CoA esters of 3alpha,7alpha,12alpha-trihydroxy- and 3alpha,7alpha-dihydroxy-5beta-cholestan-26-oic acid (THCA and DHCA). The latter are converted inside peroxisomes to the primary bile acids, cholic and chenodeoxycholic acids, respectively. Prior to MS/MS, esters were separated by reversed-phase HPLC on a C(18) column using an isocratic mobile phase (acetonitrile/water/2-propanol) and subsequently detected by multiple reaction monitoring. For quantification, the CoA ester of deuterium-labelled 3alpha,7alpha,12alpha-trihydroxy-5beta-cholan-24-oic acid (d(4)-CA) was used as internal standard. To complete an assay took less than 8 min. To verify the validity of the assay, the effect of peroxisomal proteins on the efficacy of extraction of the CoA esters was tested. To this end, variable amounts of the CoA esters were spiked with a fixed amount of either intact peroxisomes or peroxisomal matrix proteins and then extracted using a solid-phase extraction system. The CoA esters could be reproducibly recovered in the range of 0.1-4 micromol l(-1) (linear correlation coefficient R(2) > 0.99), with a detection limit of 0.1 micromol l(-1). In summary, electrospray ionization tandem mass spectrometry combined with HPLC as described here proved to be a rapid and versatile technique for the determination of bile acid CoA esters in a mixture with peroxisomal proteins. This suggests this technique to become a valuable tool in studies dealing with the multi-step biosynthesis of bile acids and its disturbances in disorders like the Zellweger syndrome.


Subject(s)
Bile Acids and Salts/analysis , Coenzyme A/analysis , Esters/analysis , Acyl Coenzyme A/analysis , Acyl Coenzyme A/chemistry , Bile Acids and Salts/chemistry , Bile Acids and Salts/isolation & purification , Calibration , Cholestanols/analysis , Cholestanols/chemistry , Chromatography, High Pressure Liquid , Coenzyme A/chemistry , Coenzyme A/isolation & purification , Esters/chemistry , Esters/isolation & purification , Molecular Structure , Spectrometry, Mass, Electrospray Ionization
5.
Appl Environ Microbiol ; 67(10): 4458-63, 2001 Oct.
Article in English | MEDLINE | ID: mdl-11571143

ABSTRACT

The conversion of beta-glutamate to beta-glutamine by archaeal and bacterial glutamine synthetase (GS) enzymes has been examined. The GS from Methanohalophilus portucalensis (which was partially purified) is capable of catalyzing the amidation of this substrate with a rate sevenfold less than the rate obtained with alpha-glutamate. Recombinant GS from the archaea Methanococcus jannaschii and Archaeoglobus fulgidus were considerably more selective for alpha-glutamate than beta-glutamate as a substrate. All the archaeal enzymes were much less selective than the two bacterial GS (from Escherichia coli and Bacillus subtilis), whose specific activities towards beta-glutamate were much smaller than rates with the alpha-isomer. These results are discussed in light of the observation that beta-glutamate is accumulated as an osmolyte in many archaea while beta-glutamine (produced by glutamine synthetase) is used as an osmolyte only in M. portucalensis.


Subject(s)
Archaea/enzymology , Bacillus subtilis/enzymology , Escherichia coli/enzymology , Glutamate-Ammonia Ligase/metabolism , Glutamates/metabolism , Animals , Glutamate-Ammonia Ligase/isolation & purification , Rats , Substrate Specificity
6.
Gene Ther ; 8(12): 961-5, 2001 Jun.
Article in English | MEDLINE | ID: mdl-11426337

ABSTRACT

The development of gene targeting strategies for specific modification of genomic DNA in human somatic cells has provided a potential gene therapy for the treatment of inherited diseases. One approach, small fragment homologous replacement (SFHR), directly targets and modifies specific genomic sequences with small fragments of exogenous DNA (400-800 bp) that are homologous to genomic sequences except for the desired modification. This approach has been effective for the in vitro modification of exon 10 in the cystic fibrosis transmembrane conductance regulator (CFTR) gene in human airway epithelial cells. As another step in the development of SFHR for gene therapy, studies were carried out to target and modify specific genomic sequences in exon 10 of the mouse CFTR (mCFTR) in vivo. Small DNA fragments (783 bp), homologous to mCFTR except for a 3-bp deletion (DeltaF508) and a silent mutation which introduces a unique restriction site (KpnI), were instilled into the lungs of normal mice using four different DNA vehicles (AVE, LipofectAMINE, DDAB, SuperFect). Successful modification was determined by PCR amplification of DNA or mRNA-derived cDNA followed by KpnI digestion. The results of these studies showed that SFHR can be used as a gene therapy to introduce specific modifications into the cells of clinically affected organs and that the cells will express the new sequence.


Subject(s)
Cystic Fibrosis Transmembrane Conductance Regulator/genetics , Cystic Fibrosis/therapy , Gene Deletion , Genetic Therapy/methods , Lung/metabolism , Animals , Cation Exchange Resins , Gene Expression , Genetic Vectors , Lipids , Liposomes , Mice , Mice, Transgenic , Quaternary Ammonium Compounds , RNA, Messenger/analysis , Transfection/methods , Virosomes
8.
J Biosci Bioeng ; 92(2): 108-13, 2001.
Article in English | MEDLINE | ID: mdl-16233068

ABSTRACT

The phosphoenolpyruvate synthase (EC 2.7.9.2) from the hyperthermophilic archaeon Pyrococcus furiosus catalyzes the Pi-dependent formation of pyruvate, ATP and water from phosphoenolpyruvate and AMP [Sakuraba, H., Arch. Biochem. Biophys., 364, 125-128 (1999)]. In this study, the P. furiosus phosphoenolpyruvate synthase was purified to homogeneity and the N-terminal amino acid sequence was determined to be AYRFIKWFEELS. The sequence coincided completely with the N-terminal amino acid sequence of the translation product of the mlrA gene that was found to be upregulated at the transcriptional level by the alpha-linked glucose disaccharide maltose [Robinson, K.A. and Schreier, H.J., Gene, 151, 173-176 (1994)]. The mlrA gene was cloned and expressed in Escherichia coli. The recombinant cells produced a hyperthermostable phosphoenolpyruvate synthase. This indicates that the mlrA gene encodes the enzyme. When P. furiosus was grown on the medium supplemented with maltose, the specific activity of the enzyme markedly increased (about 10-fold) compared with that produced by the cells grown on the medium without maltose. Northern blot analysis revealed enhanced transcription of the mlrA gene in the presence of maltose. These results indicate that transcriptional regulation of phosphoenolpyruvate synthase by maltose is present in P. furiosus.

9.
Dermatology ; 201(3): 235-41, 2000.
Article in English | MEDLINE | ID: mdl-11096195

ABSTRACT

BACKGROUND: In topical wound treatment, the combination of anti-infectious therapy and a healing-promoting moisturization has not been accomplished yet. OBJECTIVE: Evaluation of a new topical drug consisting of a povidone-iodine (PVP-I) liposome hydrogel allowing for both antiseptic and moist treatment. METHODS: Pharmaceutical formulation of a complex of PVP-I (3%) and phosphatidylcholine in a hydrogel. In vitro, interaction of the complex with relevant micro-organisms was analysed by electron microscopy. Antimicrobial activity was investigated using Staphylococcus aureus in a suspension test. Tissue toxicity was examined by an explantation test in a rodent model. A randomized clinical study on efficacy and tolerability in wound healing was carried out on 35 patients with mesh grafts in parallel groups (PVP-I liposome hydrogel vs. Bactigras) for proof of concept in humans. RESULTS: A direct interaction of the PVP-I liposomes with micro-organisms by attachment to the cell surface was documented. A significantly better microbicidal activity and tissue tolerability of the PVP-I liposome hydrogel compared to conventional PVP-I formulations was shown. The results of the clinical study, especially measurements of neo-epithelization per time and transplant loss, demonstrate significant differences in favour of the PVP-I liposome hydrogel. CONCLUSION: The novel PVP-I liposome hydrogel combines microbicidal and wound healing activities resulting in enhanced epithelization.


Subject(s)
Anti-Infective Agents, Local/pharmacology , Povidone-Iodine/pharmacology , Skin Diseases, Infectious/prevention & control , Wound Healing/drug effects , Candida albicans/drug effects , Candida albicans/ultrastructure , Chemistry, Pharmaceutical , Escherichia coli/drug effects , Escherichia coli/ultrastructure , Female , Humans , Hydrogels , Liposomes , Male , Microbial Sensitivity Tests , Microscopy, Electron , Skin/drug effects , Skin/pathology , Skin Diseases, Infectious/microbiology , Skin Transplantation , Staphylococcus aureus/drug effects
10.
Curr Microbiol ; 41(6): 425-9, 2000 Dec.
Article in English | MEDLINE | ID: mdl-11080393

ABSTRACT

GlnR plays a major role in regulation in Bacillus subtilis by directly controlling expression of glutamine synthetase (GS) as well as several genes involved in nitrogen metabolism. A GlnR homolog from Staphylococcus aureus was found to complement a B. subtilis glnR mutant, regulating GS levels and glnRA expression in a nitrogen-dependent manner. In a GS null mutant, S. aureus GlnR was not able to influence glnRA transcription, indicating that the S. aureus protein is able to respond to the same signals as its B. subtilis counterpart. This is the first demonstration of a relationship between GS and GlnR from a heterologous system and suggests the presence of a regulatory network in S. aureus that responds to changes in environmental nitrogen similar to that described for B. subtilis.


Subject(s)
Bacillus subtilis/genetics , Bacterial Proteins/genetics , DNA-Binding Proteins , Glutamate-Ammonia Ligase/genetics , Staphylococcus aureus/genetics , Trans-Activators/genetics , Bacillus subtilis/enzymology , Bacterial Proteins/metabolism , Environment , Gene Expression Regulation, Bacterial , Gene Expression Regulation, Enzymologic , Genetic Complementation Test , Glutamate-Ammonia Ligase/biosynthesis , Nitrogen/metabolism , Species Specificity , Trans-Activators/metabolism
12.
Int J Pharm ; 196(2): 251-2, 2000 Mar 10.
Article in English | MEDLINE | ID: mdl-10699729

ABSTRACT

Oligonucleotides are a very useful tool to control gene activity. Oligos work by complementary base-pairing with target sequences either in the nucleus or in the cytosol (Zelphati, O., Szoka, F.C., Jr., 1996. Liposomes as a carrier for intracellular delivery of antisense oligonucleotides: a real or magic bullet? J. Contr. Rel. 41, 99-119). In a new approach using chimeric oligonucleotides (Yoon, K., Cole Strauss, A., Kmiec, E.B., 1996. Targeted gene correction of episomal DNA in mammalian cells mediated by a chimeric RNA-DNA oligonucleotide. Proc. Natl. Acad. Sci. USA 93, 2071-2076) conversion of single base mutations with help of intranuclear repair mechanisms maybe an advantageous method to cure genetic diseases which are based on single point mutations. These chimeric oligonucleotides are constructed in a way that they form an intramolecular double strand of DNA and modified RNA-bases. We used a fluorescent labelled pure 68-mer DNA-analogue of a chimeric oligonucleotides to follow the intracellular fate of these kind of genetic material. The oligos were complexed with protamine sulfate and coated with three different liposomal formulations. The AVE-3 formulation shows enhanced properties compared to a classical neutral and negatively charged formulation. Nuclear localisation of oligos could only be observed with the AVE-3 formulation. Furthermore only the negatively charged liposome formulations interact with the protamine-complexed oligonucleotides.


Subject(s)
Cell Nucleus/metabolism , Liposomes/pharmacokinetics , Biological Transport , Cell Nucleus/genetics , Drug Compounding , Fluoresceins , Gene Targeting , Humans , Liposomes/chemistry , Liposomes/genetics , Oligonucleotides/chemistry , Oligonucleotides/genetics , Oligonucleotides/pharmacokinetics , Protamines/chemistry , Protamines/genetics , Protamines/pharmacokinetics , Transfection , Tumor Cells, Cultured
13.
Pharm Res ; 17(10): 1206-11, 2000 Oct.
Article in English | MEDLINE | ID: mdl-11145225

ABSTRACT

PURPOSE: The aim of this study was to characterize the intracellular fate and nuclear uptake kinetics of oligonucleotides (ON) that were complexed with protamine sulfate (PS) and negatively charged liposomes at different ratios of ON to PS. METHODS: Double-fluorescence labelling of ON and liposomal lipid was applied to simultaneously monitor the interaction as well as the individual fate of active agent and carrier upon intracellular delivery using confocal laser scanning microscopy (CLSM). A DNA-analogue of a 68-mer intramolecular double-stranded RNA:DNA-hybridoligonucleotide (chimeraplasts) with unmodified phosphate backbone was employed. This construct was condensed with PS and coated with a liposomal formulation (AVE-3 = artificial viral envelope). RESULTS: PS-ON complexes and AVE -3-coated complexes with a defined composition were very effective in nuclear transport of ON for a ON:PS charge ratio of 1:3. Nucleus:cytosol fluorescence ratios peaked at about 10 hrs and started to decrease again at 21 hrs. CONCLUSIONS: AVE associates with PS-condensed ON, and this complex is able to be taken up by cells and to deliver ON to the nucleus. PS-ON complexes are released from the liposomal formulation, mainly as an extranuclear enzymatic degradation of the liposomal phospholipids. The results of the kinetic analysis can be used to optimize transfection protocols with ON in HepG2 cells.


Subject(s)
Cell Nucleus/metabolism , Oligonucleotides/administration & dosage , Oligonucleotides/pharmacokinetics , Protamines/administration & dosage , Protamines/pharmacokinetics , Anions , Biological Transport , DNA/administration & dosage , DNA/chemistry , DNA/pharmacokinetics , Humans , Liposomes , Microscopy, Confocal , Oligonucleotides/chemistry , Protamines/chemistry , Tumor Cells, Cultured
14.
Trends Microbiol ; 7(5): 212-9, 1999 May.
Article in English | MEDLINE | ID: mdl-10354597

ABSTRACT

The recent focus on exobiology and the potential for life in extreme environments has generated a great deal of interest in the Archaea because of their adaptation to extremes of temperature, salinity and anaerobicity. Recent advances in the development of genetic transfer systems for the Archaea provide the first glimpse of their genetic mechanisms and have the potential to serve as powerful tools for studying their unique adaptive strategies.


Subject(s)
Archaea/genetics , Gene Transfer Techniques , Adaptation, Physiological/genetics , Archaea/classification , Archaea/growth & development , Biomarkers , Culture Media , Genetic Vectors/genetics , Phenotype , Temperature , Transduction, Genetic , Transformation, Genetic
16.
Extremophiles ; 3(1): 11-9, 1999 Jan.
Article in English | MEDLINE | ID: mdl-10086840

ABSTRACT

Multicopy plasmids containing the promoter regions for gdh and mlrA genes from Pyrococcus furiosus were propagated in Haloferax volcanii. High-level expression was detected from gdh promoter sequences, with transcription initiating at the same start-site as that found in P. furiosus. For mlrA, several transcripts were detected, with one initiating at the P. furiosus start-site; removal or disruption of the likely P. furiosus boxA element resulted in the disappearance of this transcript, indicating that these sequences were utilized by the H. volcanii RNA polymerase for initiation. This is the first demonstration of the utilization of promoters from a hyperthermophilic archaeon in a mesophilic haloarchaeon and provides further evidence for the unity of transcription processes in the domain Archaea.


Subject(s)
Archaeal Proteins/genetics , Haloferax volcanii/genetics , Hydro-Lyases/genetics , Promoter Regions, Genetic , Pyrococcus/genetics , Transcription, Genetic , Base Sequence , DNA, Archaeal , Molecular Sequence Data , Plasmids , Sequence Homology, Nucleic Acid
17.
J Child Neurol ; 13(8): 377-82, 1998 Aug.
Article in English | MEDLINE | ID: mdl-9721892

ABSTRACT

This report describes the discovery of a possible association between auditory hallucinations, migraine, and affective/anxiety disorders in nonpsychotic children. The cases were culled by a review of all consultations in an outpatient practice in an 8-month period. Thirteen cases of nonpsychotic children who experienced hallucinations (auditory in 12) were found. All but one suffered from a variety of major affective or anxiety/panic disorders and migraine headaches. The family histories were strongly positive for affective/anxiety disorders and migraine, and four of the parents also had a history of hearing voices. The age of onset of the auditory hallucinations, where known (8 cases), was between 4 and 8 years. In only two cases did the voices accompany the migraine attacks, and these two children also heard voices at other times. Although a strong association between migraine and anxiety, panic, and affective syndromes in adults has been repeatedly found in epidemiologic study, no such association has been studied in children, and this is the first known report of a possible association between migraine, affective/anxiety disorders, and auditory hallucinations in nonpsychotic children. It suggests the need for epidemiologic study.


Subject(s)
Anxiety Disorders/physiopathology , Hallucinations/physiopathology , Migraine Disorders/physiopathology , Mood Disorders/physiopathology , Syndrome , Adolescent , Anxiety Disorders/genetics , Child , Child, Preschool , Family Health , Female , Hallucinations/genetics , Humans , Male , Migraine Disorders/genetics , Mood Disorders/genetics
18.
EMBO J ; 17(14): 3816-26, 1998 Jul 15.
Article in English | MEDLINE | ID: mdl-9669999

ABSTRACT

Native Plasmodium circumsporozoite (CS) protein, translocated by sporozoites into the cytosol of host cells, as well as recombinant CS constructs introduced into the cytoplasm by liposome fusion or transient transfection, all lead to inhibition of protein synthesis in mammalian cells. The following findings suggest that this inhibition of translation is caused by a binding of the CS protein to ribosomes. (i) The distribution of native CS protein translocated by sporozoites into the cytoplasm as well as microinjected recombinant CS protein suggests association with ribosomes. (ii) Recombinant CS protein binds to RNase-sensitive sites on rough microsomes. (iii) Synthetic peptides representing the conserved regions I and II-plus of the P.falciparum CS protein displace recombinant CS protein from rough microsomes with dissociation constants in the nanomolar range. (iv) Synthetic peptides representing region I from the P.falciparum CS protein and region II-plus from the P.falciparum, P.berghei or P.vivax CS protein inhibit in vitro translation. We propose that Plasmodium manipulates hepatocyte protein synthesis to meet the requirements of a rapidly developing schizont. Since macrophages appear to be particularly sensitive to the presence of CS protein in the cytosol, inhibition of translation may represent a novel immune evasion mechanism of Plasmodium.


Subject(s)
Plasmodium berghei/metabolism , Plasmodium falciparum/metabolism , Protein Biosynthesis , Protozoan Proteins/metabolism , Ribosomes/metabolism , Amino Acid Sequence , Animals , CHO Cells , Carcinoma, Hepatocellular , Cells, Cultured , Conserved Sequence/genetics , Cricetinae , Cytoplasm/metabolism , Humans , Liposomes , Macrophages, Peritoneal , Membrane Fusion , Microsomes, Liver/metabolism , Molecular Sequence Data , Protein Biosynthesis/physiology , Protozoan Proteins/genetics , Rats , Rats, Inbred BN , Transfection , Tumor Cells, Cultured
19.
Article in English | MEDLINE | ID: mdl-9639079

ABSTRACT

Open clinical treatment with risperidone was administered to a clinically heterogeneous group of 11 children and adolescents (age range 5.5-16 years, mean 9.8 years) with concurrent presentation of affective symptoms (mostly suggestive of bipolar disorder), aggressive and violent behavior, and marked management problems. These patients had responded inadequately to several mood-stabilizing medications. In this outpatient sample, 8 of 11 children (73%) appeared to have therapeutic responses to risperidone. Risperidone doses were low (0.75-2.5 mg daily) and clinical responses were observed at times within days of receiving the medication. Improvement was clinically judged to be moderate to marked in 7 of 8 children. In addition, the treatment of 2 children was stopped because of drowsiness; one also experienced a weight gain of 6 kg (13 lbs). An additional child with autism and aggressive behavior who lacked affective symptoms did not respond to risperidone. None of the children showed behavioral deterioration. Seven of the 8 responders were taking concurrent medications; including 4 on mood-stabilizing medications (either lithium, carbamazepine, or valproic acid) in subtherapeutic doses. Even in combination with other medications, side effects at these doses were minimal and limited to mild sedation and, at times, troubling weight gain. Pending controlled studies, these preliminary findings suggest that risperidone--alone or in combination with mood stabilizers--may be of value in treating children and adolescents with mood disorders (especially subthreshold bipolar disorder) and aggressive behavior.


Subject(s)
Aggression/drug effects , Antipsychotic Agents/therapeutic use , Mood Disorders/drug therapy , Risperidone/therapeutic use , Adolescent , Aggression/psychology , Antipsychotic Agents/administration & dosage , Antipsychotic Agents/adverse effects , Attention Deficit Disorder with Hyperactivity/complications , Attention Deficit Disorder with Hyperactivity/drug therapy , Attention Deficit Disorder with Hyperactivity/psychology , Child , Child, Preschool , Drug Interactions , Female , Follow-Up Studies , Humans , Male , Mood Disorders/complications , Mood Disorders/psychology , Risperidone/administration & dosage , Risperidone/adverse effects , Weight Gain/drug effects
20.
Pharm Res ; 15(3): 461-5, 1998 Mar.
Article in English | MEDLINE | ID: mdl-9563078

ABSTRACT

PURPOSE: To demonstrate the importance of dose and drug release rate for pulmonary targeting of inhaled glucocorticoids using an animal model of intrapulmonary drug deposition. METHODS: Liposomes composed of 1,2-distearoyl phosphatidylcholine (DSPC), 1,2-distearoyl phosphatidylglycerol (DSPG) and triamcinolone acetonide phosphate (TAP) or liposomes containing triamcinolone acetonide (TA) were prepared by a mechanical dispersion method followed by extrusion through polycarbonate membranes. Encapsulation efficiency was assessed after size exclusion gel chromatography by reverse phase HPLC. The effect of liposome size (200 nm and 800 nm) on the release kinetics of water-soluble encapsulated material was determined in vitro at 37 degrees C using 6-carboxyfluorescein as a marker and Triton X-100 (0.03%) as a leakage inducer. To investigate the relationship between drug release and pulmonary targeting, 100 micrograms/kg of TAP in 800 nm liposomes was delivered to male rats by intratracheal instillation (IT) and the results compared to data for 100 micrograms/kg TA liposomes (recently shown to exhibit a rapid drug release under sink conditions) and to previous studies reported for an equal dose of TAP in solution and TAP in 200 nm (1). Pulmonary targeting was assessed by simultaneously monitoring glucocorticoid receptor occupancy over time in lung and liver using an ex vivo receptor binding assay as a pharmacodynamic measure of glucocorticoid action. To assess the effect of dose on pulmonary targeting experiments were performed using 2.5, 7.5, 25, 100, and 450 micrograms/kg of TAP in 800 nm liposomes. RESULTS: The in vitro efflux of 6-carboxyfluorescein from (DSPC:DSPG) liposomes after exposure to Triton-X was biexponential. The terminal half-lives of 3.7 h and 9.0 h for the 200 nm and 800 nm liposomes, respectively, demonstrated that larger liposomes promote slower release of encapsulated water-soluble solute while previous results already indicated that encapsulation of lipophilic TA does not result in sustained release. Pulmonary targeting, defined as the difference between cumulative lin and liver receptor occupancies was most pronounced for the 800 nm liposomes (370%xh), followed by the 200 nm preparation (150%xh). No targeting was observed for TAP in solution (30%xh) or the rapid releasing TA liposome preparation. Correspondingly, the mean pulmonary effect time (MET) increased from 2.4-3.0 hr for TA liposomes or TAO in solution to 5.7 h and > 6.2 h for TAP in 200 nm and in 800 nm liposomes, respectively. Escalating doses of TAP encapsulated in 800 nm liposomes revealed a distinct bell shaped relationship between the TAP dose and pulmonary targeting with a maximum occurring at 100 micrograms/kg (370%xh). CONCLUSIONS: The in vivo data presented here confirm that pulmonary residence time and dose affect the extent of lung targeting of glucocorticoids delivered via the lung.


Subject(s)
Glucocorticoids/pharmacokinetics , Lung/metabolism , Receptors, Glucocorticoid/metabolism , Triamcinolone Acetonide/pharmacokinetics , Animals , Dose-Response Relationship, Drug , Drug Carriers , Glucocorticoids/administration & dosage , Injections, Spinal , Liposomes , Liver/metabolism , Male , Rats , Rats, Inbred F344 , Trachea , Triamcinolone Acetonide/administration & dosage , Triamcinolone Acetonide/analogs & derivatives
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