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1.
Proc Natl Acad Sci U S A ; 115(15): 3936-3941, 2018 04 10.
Article in English | MEDLINE | ID: mdl-29581279

ABSTRACT

Bietti's crystalline dystrophy (BCD) is an intractable and progressive chorioretinal degenerative disease caused by mutations in the CYP4V2 gene, resulting in blindness in most patients. Although we and others have shown that retinal pigment epithelium (RPE) cells are primarily impaired in patients with BCD, the underlying mechanisms of RPE cell damage are still unclear because we lack access to appropriate disease models and to lesion-affected cells from patients with BCD. Here, we generated human RPE cells from induced pluripotent stem cells (iPSCs) derived from patients with BCD carrying a CYP4V2 mutation and successfully established an in vitro model of BCD, i.e., BCD patient-specific iPSC-RPE cells. In this model, RPE cells showed degenerative changes of vacuolated cytoplasm similar to those in postmortem specimens from patients with BCD. BCD iPSC-RPE cells exhibited lysosomal dysfunction and impairment of autophagy flux, followed by cell death. Lipidomic analyses revealed the accumulation of glucosylceramide and free cholesterol in BCD-affected cells. Notably, we found that reducing free cholesterol by cyclodextrins or δ-tocopherol in RPE cells rescued BCD phenotypes, whereas glucosylceramide reduction did not affect the BCD phenotype. Our data provide evidence that reducing intracellular free cholesterol may have therapeutic efficacy in patients with BCD.


Subject(s)
Cholesterol/metabolism , Corneal Dystrophies, Hereditary/metabolism , Retinal Diseases/metabolism , Animals , Cholesterol/analysis , Corneal Dystrophies, Hereditary/diet therapy , Corneal Dystrophies, Hereditary/enzymology , Corneal Dystrophies, Hereditary/genetics , Cytochrome P450 Family 4/genetics , Cytochrome P450 Family 4/metabolism , Humans , Mice , Mutation , Phenotype , Retinal Diseases/diet therapy , Retinal Diseases/enzymology , Retinal Diseases/genetics , Retinal Pigment Epithelium/enzymology , Retinal Pigment Epithelium/metabolism
2.
J Clin Lipidol ; 11(4): 1032-1042, 2017.
Article in English | MEDLINE | ID: mdl-28826566

ABSTRACT

BACKGROUND: Growth hormone (GH) replacement therapy improves hypercholesterolemia in patients with GH deficiency, suggesting that GH modulates cholesterol metabolism. OBJECTIVES: We examined GH effects on lipid profiles and cholesterol-related markers reflecting hepatic and cerebral cholesterol metabolism in small-for-gestational age (SGA) children without catch-up growth. METHODS: This study examined SGA children without catch-up growth (n = 22) and healthy children (controls, n = 11). Based on parents' choice, 11 SGA children received GH at 0.23 to 0.25 mg/kg/d for 6 months, and at 0.34 to 0.36 mg/kg/d for the subsequent 6 months (GH (+) group). The other SGA children received no GH (GH (-) group, n = 11). We ascertained baseline and posttreatment lipid profiles and cholesterol-related markers reflecting hepatic and cerebral cholesterol metabolism. RESULTS: Baseline lipid profiles of SGA children and controls were similar. Serum 24S-hydroxycholesterol (marker for cerebral cholesterol metabolism) concentration was 19% lower in SGA children than in controls (P < .05). Compared with baseline, the GH (+) group low-density lipoprotein-cholesterol concentration had decreased by 6.6% during 6 months and 8.8% during 12 months (P < .01), whereas the high-density lipoprotein-cholesterol concentration had increased by 1.7% (P = .07) and 3.3% (P < .01). Serum 7α-hydroxycholesterol (marker for hepatic cholesterol elimination) concentration had increased by 34% at 6 months and 35% at 12 months (P < .01). In addition, 24S-hydroxycholesterol increased by 25% and 26% (P < .001). No marker for cholesterol synthesis or absorption changed. The GH (-) group lipid profiles and oxysterols remained unchanged during the observation period. CONCLUSION: GH activates hepatic and cerebral cholesterol metabolism in SGA children without catch-up growth.


Subject(s)
Brain/drug effects , Cholesterol/metabolism , Human Growth Hormone/pharmacology , Infant, Small for Gestational Age/growth & development , Infant, Small for Gestational Age/metabolism , Liver/drug effects , Absorption, Physicochemical/drug effects , Apolipoproteins/metabolism , Body Height/drug effects , Body Weight/drug effects , Brain/metabolism , Child , Child, Preschool , Cholesterol/biosynthesis , Female , Glucose/metabolism , Humans , Liver/metabolism , Male
3.
Chudoku Kenkyu ; 28(3): 243-6, 2015 Sep.
Article in Japanese | MEDLINE | ID: mdl-26665304

ABSTRACT

A 53-year-old woman ingested about 300 mL of 95% methanol. After immediate ethanol antagonist therapy and hemodialysis, she recovered completely. Few days later, the plasma concentration of methanol and formate was measured. A gas chromatography was used for the plasma methanol concentration measurement, and a colorimetric method was used for plasma formate concentration measurement (Formate Colorimetric Assay Kit; BioVision, California, USA). Patient's plasma methanol concentration before hemodialysis was 676.9 mg/dL and plasma formate concentration was 16.9 mg/dL. By removing blood methanol and formate using hemodialysis before formate accumulations in the body, the patient was discharged without any sequelae. We were able to obtain correlation between a gas chromatography and colorimetric method without gas chromatography-mass spectrometry, with good correlation coefficients. The sensitivity was sufficient for analyzing blood sample. Monitoring formate concentration is useful in determining the treatment and evaluating the prognosis of methanol poisoning. We suggest that this colorimetric method is useful in a facility with no access to a gas chromatography in order to measure a plasma formate concentration.


Subject(s)
Alcoholism/diagnosis , Formates/blood , Methanol/poisoning , Acute Disease , Chromatography, Gas , Female , Humans , Methanol/blood , Middle Aged , Renal Dialysis
4.
Biochem Biophys Res Commun ; 463(4): 650-5, 2015 Aug 07.
Article in English | MEDLINE | ID: mdl-26047704

ABSTRACT

γδT cell receptor (TCR)-positive T cells, which control the innate immune system, display anti-tumor immunity as well as other non-immune-mediated anti-cancer effects. γδT cells expanded ex vivo by nitrogen-containing bisphosphonate (N-BP) treatment can kill tumor cells. N-BP inhibits farnesyl pyrophosphate synthase in the mevalonate pathway, resulting in the accumulation of isopentenyl pyrophosphate (IPP), which is a stimulatory antigen for γδT cells. We have previously observed that as they get closer, migrating γδT cells increase in speed toward target multiple myeloma (MM) cells. In the present study, we investigated the γδT cell chemotactic factors involving using a micro total analysis system-based microfluidic cellular analysis device. The addition of supernatant from RPMI8226 MM cells treated with the N-BP zoledronic acid (ZOL) or the addition of IPP to the device induced chemotaxis of γδT cells and increased the speed of migration compared to controls. Analysis of the ZOL-treated RPMI8226 cell supernatant revealed that it contained IPP secreted in a ZOL-dose-dependent manner. These observations indicate that IPP activates the chemotaxis of γδT cells toward target MM cells treated with ZOL.


Subject(s)
Chemotaxis, Leukocyte/drug effects , Diphosphonates/pharmacology , Hemiterpenes/pharmacology , Imidazoles/pharmacology , Multiple Myeloma/metabolism , Organophosphorus Compounds/pharmacology , Receptors, Antigen, T-Cell, gamma-delta/immunology , T-Lymphocytes/drug effects , Cell Line, Tumor , Culture Media, Conditioned , Hemiterpenes/metabolism , Humans , Multiple Myeloma/pathology , T-Lymphocytes/immunology , Zoledronic Acid
5.
Ann Clin Biochem ; 51(Pt 2): 298-300, 2014 Mar.
Article in English | MEDLINE | ID: mdl-24048716

ABSTRACT

BACKGROUND: The proportion of poor metabolizers (PMs) of cytochrome P450 (CYP) 2C19 is much higher in the Japanese population than in European populations. Cycling probe technology (CPT) is a simple signal amplification technique for targeting specific DNA sequences. CPT utilizes a chimeric DNA-RNA-DNA probe that is cleaved by the enzyme ribonuclease (RNase H). In this study, using CPT, we aimed to detect the CYP2C19 gene polymorphism from noninvasive samples to determine extensive metabolizers (EMs) and PMs of CYP2C19. METHODS: DNA samples were extracted from hair, buccal mucosa, and blood cells. Primers and cycling probes were designed specifically for region G636A for exon 4 and G681A for exon 5, reported to be gene polymorphisms of CYP2C19. RESULTS: DNA extracted from hair follicle cells and buccal epithelial cells was the same as that collected from invasive blood sampling. The genotype of CYP2C19 was successfully identified as either EM or PM in 71 samples, producing identical results to those for the TaqMan method, except in three samples. CONCLUSIONS: We successfully detected the two gene polymorphisms of CYP2C19 from noninvasive samples using a simple DNA extraction method and CPT.


Subject(s)
Aryl Hydrocarbon Hydroxylases/genetics , DNA Probes/genetics , Polymerase Chain Reaction/methods , Polymorphism, Single Nucleotide , Adult , Aged , Aged, 80 and over , Base Sequence , Cytochrome P-450 CYP2C19 , Female , Humans , Male , Young Adult
6.
Biol Pharm Bull ; 36(12): 1902-6, 2013.
Article in English | MEDLINE | ID: mdl-24292050

ABSTRACT

When carbohydrate metabolism is impaired, fatty acid metabolism is activated. Excess acetyl-coenzyme A (CoA) is generated from fatty acids by ß-oxidation and is used for the formation of 3-hydroxy-3-methylglutaryl-CoA (HMG-CoA) and subsequently for acetoacetate. High levels of secreted ketone bodies (acetoacetate and 3ß-hydroxybutyrate) lower the pH of blood and urine, resulting in ketoacidosis. HMG-CoA lyase in hepatic cells is a rate-limiting enzyme catalyzing the cleavage of HMG-CoA to acetoacetate, and thus inhibition of this enzyme results in reduced acetoacetate production, in other words, impaired ketoacidosis. Inhibition of HMG-CoA lyase activity possibly prevents ketoacidosis and should be the therapeutic target. Polyphenols are common and abundant dietary constituents with beneficial effects on human health. We examined the inhibitory effects of dietary polyphenols on HMG-CoA lyase activity in cellular extracts of human hepatoma HepG2 cells. Of the nine representative dietary polyphenols tested, (-)-epigallocatechin (EGC), (-)-epigallocatechin gallate (EGCG), and gallic acid (GA) effectively inhibited HMG-CoA lyase activity. Lineweaver-Burk analysis revealed that EGC and EGCG are likely to be mixed-type noncompetitive inhibitors. Pyrogallol with the gallyl structure also inhibited HMG-CoA lyase activity, suggesting that the gallyl moiety of polyphenols is important for the inhibition of HMG-CoA lyase activity.


Subject(s)
Oxo-Acid-Lyases/metabolism , Polyphenols/pharmacology , Carcinoma, Hepatocellular , Cell Extracts , Hep G2 Cells , Humans , Liver Neoplasms , Oxo-Acid-Lyases/antagonists & inhibitors
7.
Atherosclerosis ; 230(1): 48-51, 2013 Sep.
Article in English | MEDLINE | ID: mdl-23958251

ABSTRACT

OBJECTIVE: Cholesterol and diet-derived oxidized cholesterol are absorbed in the small intestine and eliminated by bile acids. We determined whether ezetimibe, a selective cholesterol absorption inhibitor, changes serum oxidized cholesterol levels. METHODS: We measured levels of plant sterols, cholesterol precursors, and oxysterols by gas chromatography-mass spectrometry in 47 hypercholesterolemics and 32 controls. Twenty-four hypercholesterolemics received 10 mg ezetimibe/day for 4 weeks. RESULTS: Plant sterols were 30-42% higher in hypercholesterolemics than in controls and positively correlated with low-density lipoprotein-cholesterol (LDL-C). Ezetimibe decreased plant sterols by 21-53%, but did not change bile acid synthesis markers. 7ß-hydroxycholesterol, a marker for non-enzymatic oxidation of cholesterol, was 66% higher in hypercholesterolemics than controls. Ezetimibe decreased 7ß-hydroxycholesterol levels by 15% regardless of LDL-C reduction. CONCLUSIONS: Ezetimibe decreases serum oxidized cholesterol generated by non-enzymatic reactions without impairing bile acid synthesis. Ezetimibe may maintain cholesterol excretion into bile and alleviate the diet-derived oxidative burden.


Subject(s)
Azetidines/therapeutic use , Bile Acids and Salts/metabolism , Cholesterol/blood , Hypercholesterolemia/blood , Hypercholesterolemia/drug therapy , Absorption , Aged , Anthropometry , Anticholesteremic Agents/therapeutic use , Body Mass Index , Case-Control Studies , Cholesterol/metabolism , Diet , Ezetimibe , Female , Gas Chromatography-Mass Spectrometry , Humans , Hydroxycholesterols/metabolism , Intestine, Small/metabolism , Japan , Life Style , Male , Middle Aged , Oxygen/metabolism , Phytosterols/metabolism , Sterols/metabolism , Triglycerides/metabolism
8.
Life Sci ; 92(12): 687-93, 2013 Apr 09.
Article in English | MEDLINE | ID: mdl-23376775

ABSTRACT

AIMS: We investigated the pharmacological effects of saponins isolated from ginseng root and their metabolites, which occur by hydrolysis of the sugar moieties connecting the aglycone of saponins in the digestive tract, on the production of corticosteroids in bovine adrenal fasciculata cells in vitro. MAIN METHODS: The levels of corticosteroids produced from adrenal corticotropic hormone (ACTH)-stimulated bovine adrenal fasciculata cells were determined under the presence or absence of ginseng saponins (ginsenosides) and their metabolites using fluorometry, gas-chromatography-mass spectrometry, and sweeping-micellar electrokinetic capillary chromatography. KEY FINDINGS: An end metabolite of the protopanaxatriol saponins in ginseng, 20(s)-protopanaxatriol (M4), strongly reduced ACTH-stimulated cortisol production. M4 significantly inhibited the production of cortisol induced by different stimuli, alamethicin, dibutyryl cyclic AMP, forskolin, and 22(R)-hydroxycholesterol, a membrane-permeable cholesterol. However, it did not affect the production of cortisol by either pregnenolone, a precursor of cortisol synthesis, or cyclic AMP. Furthermore, M4 significantly inhibited the production of pregnenolone, progesterone, deoxycorticosterone, cortisol, and corticosterone in a dose-dependent manner. SIGNIFICANCE: Results strongly suggest that protopanaxatriol saponins in ginseng are prodrugs metabolized in the digestive tract so that the end metabolite, M4, produces inhibitory activity of corticosteroid production in the adrenal fasciculata cells in vivo. The results also suggest that M4 inhibits the conversion from cholesterol to pregnenolone because the production of pregnenolone was reduced.


Subject(s)
Adrenal Cortex Hormones/metabolism , Adrenocorticotropic Hormone/metabolism , Panax/chemistry , Sapogenins/metabolism , Sapogenins/pharmacology , Zona Fasciculata/drug effects , Animals , Cattle , Cells, Cultured , Cholesterol/metabolism , Cyclic AMP/metabolism , Gastrointestinal Tract/metabolism , Hydrocortisone/metabolism , Panax/metabolism , Pregnenolone/metabolism , Sapogenins/chemistry , Zona Fasciculata/cytology , Zona Fasciculata/metabolism
9.
Biol Pharm Bull ; 36(2): 228-37, 2013.
Article in English | MEDLINE | ID: mdl-23370353

ABSTRACT

Modulating steroid hormone levels is a curative and preventive measure for Cushing's syndrome, aldosteronism, and various stress-triggered symptoms. Polyphenols have been reported to inhibit steroidogenic enzymes such as 3ß-hydroxysteroid dehydrogenase (3ß-HSD) and aromatase. However, evidence for their inhibitory effects is fragmentary because it has been determined in studies with small groups of steroid hormones. To investigate the effects of steroids on complete steroidogenic pathways, comprehensive analysis of steroid hormones is necessary. Here we cultured forskolin-stimulated NCI-H295R, a human adrenocortical carcinoma cell line, in the presence of a polyphenol and employed GC-MS to simultaneously determine the levels of nine steroid hormones (pregnenolone, progesterone, deoxycorticosterone, aldosterone, 17α-hydroxyprogesterone, dehydroepiandrosterone, androstenedione, testosterone, and estradiol) in cell culture supernatant. We found that daidzein, genistein, apigenin, hesperetin, naringenin, and eriodictyol significantly reduced deoxycorticosterone and androstenedione levels (p<0.05), suggesting inhibition of 3ß-HSD by these polyphenols. Apigenin was more potent than other polyphenols in increasing the levels of pregnenolone and 17α-hydroxyprogesterone, suggesting that it inhibits cytochrome P450 (CYP) 17 and CYP21, as well as 3ß-HSD. Real-time reverse transcription polymerase chain reaction showed that apigenin significantly downregulated the expression levels of 3ß-HSD, CYP17, and CYP21 mRNA (p<0.05). This is the first study to demonstrate the inhibitory effects of apigenin on CYP17 and CYP21.


Subject(s)
Polyphenols/pharmacology , Steroids/metabolism , 17-Hydroxysteroid Dehydrogenases/genetics , Cell Line, Tumor , Colforsin , Humans , RNA, Messenger/metabolism , Steroid 17-alpha-Hydroxylase/genetics , Steroid 21-Hydroxylase/genetics
10.
Biomed Chromatogr ; 27(5): 551-5, 2013 May.
Article in English | MEDLINE | ID: mdl-23055440

ABSTRACT

Micafungin is an echinocandin antifungal agent that is important for treating candidiasis in emergency and intensive care medicine; however, current methods for measuring micafungin plasma levels are lengthy and complicated. We report a simple quantitative method using column-switching high-performance liquid chromatography (HPLC) for determining micafungin in human plasma samples. Human plasma was directly injected into a column-switching HPLC system with a MAYI-ODS pre-column to remove the plasma matrix. The calibration curve for micafungin showed good linearity in the range 0.1-10 µg/mL in human plasma. The mean relative standard deviation value of the intra-day and inter-day precision was less than 7.3%. More than 450 successive, accurate measurements were made before the system had to be washed with ammonium acetate solution. The therapeutic micafungin level in patients' plasma was successfully measured using this method. Because the pretreatment is simple and reproducible, our method can be used for routine therapeutic monitoring.


Subject(s)
Antifungal Agents/blood , Chromatography, High Pressure Liquid/instrumentation , Chromatography, High Pressure Liquid/methods , Echinocandins/blood , Lipopeptides/blood , Humans , Limit of Detection , Linear Models , Micafungin , Reproducibility of Results
11.
Clin Chim Acta ; 416: 54-9, 2013 Feb 01.
Article in English | MEDLINE | ID: mdl-23168022

ABSTRACT

BACKGROUND: Phenylketonuria (PKU) possibly leads to hypocholesterolemia and lowered vitamin D (VD) status. Metabolism of oxysterols linking with those of cholesterol and VD has never been examined in PKU. METHODS: Blood oxysterols along with blood phenylalanine, lipids and VD were examined for 33 PKU adults aged 21-38 years and 20 age-matched healthy controls. RESULTS: Total- and low-density cholesterols, and 25-hydroxy VD(3) were decreased significantly in the PKU group (cholesterols, 10% decrease; 25-hydroxy VD(3) 35% decrease vs. the control group). 24S-hydroxycholesterol (24S-OHC) eliminating brain cholesterol, and 27-OHC and 7α-hydroxycholesterol (7α-OHC) representing peripheral and hepatic cholesterol elimination, respectively, were significantly decreased in PKU group: 24S-OHC, 25% decrease, p<.01; 27-OHC and 7α-OHC, 35-40% decrease, p<.001. 7ß-Hydroxycholesterol (7ß-OHC) reflecting oxidative stress was increased significantly in PKU group (p<.05). 7α-OHC and 27-OHC levels in PKU group always showed similar values, regardless of other parameters while the 24S-OHC and 7ß-OHC levels decreased and increased, respectively, showing significant correlations with phenylalanine level (p<.005). 27-OHC level showed a significant positive correlation with the 25-hydroxy VD(3) level in this group (p<.001). CONCLUSION: Blood oxysterol changes predominate over blood cholesterol changes and influence on VD status in adult PKU patients.


Subject(s)
Cholesterol/blood , Ketocholesterols/blood , Phenylketonurias/blood , Vitamin D/blood , Adult , Female , Humans , Male , Mass Screening , Phenylketonurias/diagnosis
12.
Biol Pharm Bull ; 33(11): 1861-6, 2010.
Article in English | MEDLINE | ID: mdl-21048312

ABSTRACT

Some studies indicated that preventive therapy with Itraconazole oral solution (ITCZ-OS) significantly decreased the incidence of invasive fungal infection, whereas others emphasized that there was no significant decrease. On the other hand, a study involving patients with neutropenia showed a 15-fold increase in the blood concentration of Itraconazole (ITCZ). Therefore, when administering ITCZ-OS, which is more rapidly absorbed in the digestive tract compared to its conventional dosage forms, to patients with blood disease, the blood concentration of ITCZ should be measured to maintain its efficacy and safety. To promote the appropriate use of ITCZ-OS, we conducted blood drug concentration monitoring, and investigated its clinical significance. The subjects were 26 patients with blood diseases. The blood level of ITCZ was measured using HPLC. The mean blood level of ITCZ was 2396.5±1742.7 ng/ml (mean±S.D.). The mean blood level of hydroxy-ITCZ was 5384.4±3348.2 ng/ml. The dose was not correlated with the blood levels of ITCZ/hydroxy-ITCZ per body weight (R(2)=0.134, 0.154, p=0.094, 0.071). Furthermore, the blood levels of ITCZ and hydroxy-ITCZ per body weight were significantly higher in females (p=0.025, 0.010). In males, there was a correlation between the creatinine clearance and blood level of ITCZ per body weight (R(2)=0.319, p=0.044). The blood levels of ITCZ varied among the patients. In addition, when ITCZ-OS was administered at a daily dose of 200 mg (ITCZ), the blood levels of ITCZ exceeded a trough level at which this agent may be effective in patients with febrile neutropenia in whom fungal infection is suspected.


Subject(s)
Antifungal Agents/administration & dosage , Antifungal Agents/blood , Itraconazole/administration & dosage , Itraconazole/blood , Aged , Chromatography, High Pressure Liquid , Creatinine/blood , Female , Hematologic Diseases/drug therapy , Hematology/methods , Humans , Male , Middle Aged , Mycoses , Neutropenia/drug therapy , Sex Factors , Solutions
13.
J Chromatogr B Analyt Technol Biomed Life Sci ; 878(32): 3358-62, 2010 Dec 15.
Article in English | MEDLINE | ID: mdl-21081289

ABSTRACT

A method for the simultaneous determination of pregnenolone and 17α-hydroxypregnenolone by high-performance liquid chromatography with an immobilized cholesterol oxidation enzyme reactor was developed. Pregnenolone and 17α-hydroxypregnenolone were converted to progesterone and 17α-hydroxyprogesterone, respectively, by the immobilized enzyme packed into the reactor column, and could thus be monitored by UV absorption at 240 nm. The calibration curves for pregnenolone and 17α-hydroxypregnenolone were linear in the range of 0.4-10 and 0.3-10 µg/ml with a correlation coefficient of 0.9993 and 0.9998, respectively. The detection limit at a signal-to-noise ratio of 3 was 0.12 and 0.08 µg/ml for pregnenolone and 17α-hydroxypregnenolone, respectively. The conversion rate of pregnenolone to progesterone and 17α-hydroxypregnenolone to 17α-hydroxyprogesterone was 90.6% and 99.3%, respectively. Intra-day and inter-day precision (in terms of percentage coefficient of variation) were less than 9.3%, with accuracy greater than 94.8%. This method was successfully applied to the simultaneous determination of pregnenolone and 17α-hydroxypregnenolone secreted into the culture medium of bovine adrenal fasciculata cells and of both analytes produced within the cells.


Subject(s)
17-alpha-Hydroxypregnenolone/analysis , Cholesterol Oxidase/chemistry , Enzymes, Immobilized/chemistry , Pregnenolone/analysis , Zona Fasciculata/chemistry , 17-alpha-Hydroxypregnenolone/chemistry , 17-alpha-Hydroxypregnenolone/metabolism , 17-alpha-Hydroxyprogesterone/analysis , 17-alpha-Hydroxyprogesterone/chemistry , 17-alpha-Hydroxyprogesterone/metabolism , Animals , Cattle , Cells, Cultured , Cholesterol Oxidase/metabolism , Enzymes, Immobilized/metabolism , Linear Models , Pregnenolone/chemistry , Pregnenolone/metabolism , Progesterone/analysis , Progesterone/chemistry , Progesterone/metabolism , Sensitivity and Specificity , Zona Fasciculata/cytology , Zona Fasciculata/metabolism
14.
Anal Biochem ; 384(1): 145-50, 2009 Jan 01.
Article in English | MEDLINE | ID: mdl-18835235

ABSTRACT

We developed and validated a sensitive and convenient high-performance liquid chromatography (HPLC) method for the specific determination of ketone bodies (acetoacetate and D-3-hydroxybutyrate) in human plasma. p-Nitrobenzene diazonium fluoroborate (diazo reagent) was used as a precolumn derivatization agent, and 3-(2-hydroxyphenyl) propionic acid was used as an internal standard. After the reaction, excess diazo reagent and plasma proteins were removed by passing through a solid-phase cartridge (C(18)). The derivatives retained on the cartridge were eluted with methanol, introduced into the HPLC system, and then detected with UV at 380 nm. A calibration curve for acetoacetate standard solution with a 20-microl injection volume showed good linearity in the range of 1 to 400 microM with a 0.9997 correlation coefficient. For the determination of D-3-hydroxybutyrate, it was converted to acetoacetate before reaction with the diazo reagent by an enzymatic coupling method using D-3-hydroxybutyrate dehydrogenase and lactate dehydrogenase. A calibration curve for D-3-hydroxybutyrate standard solution also showed good linearity in the range of 1.5 to 2000 microM with a 0.9988 correlation coefficient. Analytical recoveries of acetoacetate and D-3-hydroxybutyrate in human plasma were satisfactory. The method was successfully applied to samples from diabetic patients, and results were consistent with those obtained using the thio-NAD enzymatic cycling method used in clinical laboratories.


Subject(s)
Chromatography, High Pressure Liquid/methods , Diazonium Compounds/chemistry , Ketone Bodies/blood , Calibration , Humans , Phenylpropionates/chemistry
15.
Chem Pharm Bull (Tokyo) ; 56(3): 328-31, 2008 Mar.
Article in English | MEDLINE | ID: mdl-18310944

ABSTRACT

A simple column-switching high performance liquid chromatographic (HPLC) method that does not require any complicated pretreatment has been developed to determine voriconazole in human plasma samples. An internal standard (IS) and borate buffer (pH 9.0) were added to plasma samples, which were then injected directly into the column-switching HPLC system using MAYI-ODS as a pre-column. The calibration curve for voriconazole showed good linearity in the range of 0.2-10 mug/ml in human plasma. The mean RSD (%) value of intra-day (n=6) and inter-day (n=5) precision were less than 5.4% and 8.2%, respectively. This system could make more than three hundred successive, accurate measurements when a washing step with ammonium acetate solution was added. This method was successfully applied to measure the therapeutic voriconazole level in patients' plasma, and was used in a study of voriconazole pharmacokinetics after oral administration.


Subject(s)
Antifungal Agents/blood , Antifungal Agents/pharmacokinetics , Pyrimidines/blood , Pyrimidines/pharmacokinetics , Triazoles/blood , Triazoles/pharmacokinetics , Area Under Curve , Calibration , Chromatography, High Pressure Liquid , Half-Life , Humans , Reference Standards , Reproducibility of Results , Spectrophotometry, Ultraviolet , Voriconazole
16.
Biol Pharm Bull ; 29(9): 1886-91, 2006 Sep.
Article in English | MEDLINE | ID: mdl-16946503

ABSTRACT

We previously reported that a 150 mg or higher daily dose is necessary for treatment of pulmonary aspergillosis with micafungin (MCFG) alone in patients with blood diseases. Since a delay in the treatment of pulmonary aspergillosis has a major influence on patient survival, clarification of the effective blood concentration of MCFG enables rapid treatment. Establishment of an appropriate dose is also useful for reducing the risk of adverse effects, such as MCFG-induced impairment of liver function. Aiming for the rapid and safe treatment of pulmonary aspergillosis, we established new clinical diagnostic criteria of mycosis and MCFG therapeutic effect judgment criteria, and investigated the effective blood concentration of MCFG for mycosis. The blood trough level of MCFG in patients with blood diseases at each clinical improvement rating of pulmonary aspergillosis was 5.23+/-2.44 microg/ml in markedly improved cases, 4.08+/-2.63 microg/ml in improved cases, and 3.45+/-1.63 microg/ml in successfully prevented cases, showing no significant difference among the 3 groups. Based on this finding, it is advisable to target a 5 microg/ml or higher blood trough level of MCFG in establishing the dose for aspergillosis in patients with blood diseases.


Subject(s)
Antifungal Agents/therapeutic use , Aspergillosis/drug therapy , Lipoproteins/therapeutic use , Lung Diseases, Fungal/drug therapy , Peptides, Cyclic/therapeutic use , Adult , Aged , Aspergillosis/diagnosis , Echinocandins , Female , Humans , Lipopeptides , Lipoproteins/administration & dosage , Lipoproteins/blood , Lung Diseases, Fungal/diagnosis , Male , Micafungin , Middle Aged , Peptides, Cyclic/administration & dosage , Peptides, Cyclic/blood
17.
Biol Pharm Bull ; 28(3): 477-80, 2005 Mar.
Article in English | MEDLINE | ID: mdl-15744072

ABSTRACT

In 29 patients (40 samples) with hematological diseases who had been treated with a candin antifungal agent, micafungin (MCFG), we measured the blood level of MCFG by high-performance liquid chromatography (HPLC). There was a correlation between the dose and the blood level of MCFG (r = 0.729, p < 0.001). In addition, there was a correlation between the total bilirubin level and the C/D value (r = 0.458, p < 0.01), which was calculated by dividing the blood level of MCFG by the dose, although there was no correlation between creatinine clearance and the C/D value. These findings suggest that the dose of MCFG must be regulated in patients with biliary stasis-type liver hypofunction. In addition, there was no significant difference in the blood level of MCFG between the group in which tacrolimus (FK506) was combined with MCFG and the group in which MCFG alone was administered. These results suggest that there are no changes in the blood level of MCFG even when MCFG is combined with FK506.


Subject(s)
Hematologic Diseases/blood , Lipoproteins/administration & dosage , Lipoproteins/blood , Peptides, Cyclic/administration & dosage , Peptides, Cyclic/blood , Tacrolimus/administration & dosage , Adult , Aged , Dose-Response Relationship, Drug , Drug Therapy, Combination , Echinocandins , Female , Hematologic Diseases/drug therapy , Humans , Lipopeptides , Male , Micafungin , Middle Aged
18.
J Pharm Biomed Anal ; 37(3): 517-28, 2005 Mar 09.
Article in English | MEDLINE | ID: mdl-15740912

ABSTRACT

Cyclodextrin-modified microemulsion electrokinetic chromatography (CD-MEEKC) was used to simultaneously determine 14 active ingredients (thiamine nitrate, anhydrous caffeine, acetaminophen, riboflavin, guaifenesin, pseudoephedrine hydrochloride, ascorbic acid, ethenzamide, DL-methylephedrine hydrochloride, dihydrocodeine phosphate, ibuprofen, noscapine, carbinoxamine maleate, and bromhexine hydrochloride) in a cold medicine. Separation of the ingredients was optimized by changing the SDS concentration and oil type and the addition of 2-propanol and cyclodextrin (CD) to the separation solution. The separation selectivity was improved dramatically by changing CD type. All of the active ingredients and formulation excipients were successfully separated with the use of a separation solution consisting of 0.81% (w/w) pentane, 6.61% (w/w) 1-butanol, 2% (w/w) 2-propanol, 4.47% (w/w) SDS, and 86.11% (w/w) 10 mM sodium tetraborate solution with 3 mM 2,6-di-O-methyl-beta-CD. The established method was then validated and demonstrated to be applicable to the determination of the active ingredients in a model cold medicine. No interference from the formulation excipients was observed. Good linearities were obtained with correlation coefficients above 0.999. Recovery and precision ranged from 99.1 to 100.7% and from 0.5 to 2.8% R.S.D., respectively. The detection limit for ingredients ranged from 0.6 to 4.2 microg ml(-1). Good agreement was obtained between the established method and the traditional HPLC method. These results suggest that CD-MEEKC can be used for the determination of multiple ingredients in cold medicine.


Subject(s)
Chromatography, Micellar Electrokinetic Capillary/methods , Common Cold/drug therapy , Cyclodextrins/analysis , Nonprescription Drugs/analysis , Chromatography, High Pressure Liquid/methods , Electrochemistry , Emulsions , Nonprescription Drugs/chemistry , Nonprescription Drugs/therapeutic use , Reproducibility of Results
19.
J Chromatogr A ; 1035(1): 137-44, 2004 Apr 30.
Article in English | MEDLINE | ID: mdl-15117083

ABSTRACT

A novel analytical method for determination of total amount of chondroitin sulfate (CS) based on its conversion to desulfated chondro-disaccharide via an enzyme-catalyzed reaction, was developed. Using the in-capillary enzyme reaction, the method was also applied to the successful construction of an on-line analytical system. Within this system, electrophoretic migration was used to mix zones containing the enzyme mixture (chondroitinase ABC, chondro-4-sulfatase, chondro-6-sulfatase and 2-o-sulfatase) and the substrate (CS). The reaction was then allowed to proceed in the presence of a weak electric field and, finally, the product (desulfated chondro-disaccharide) of enzyme reaction migrated to the detector under the influence of an applied electric field. A polyvinyl alcohol-coated capillary was used to reduce protein adsorption. Desulfated chondro-disaccharide was successfully migrated toward the anode in 10 mM Tris-acetate buffer (pH 7.0) under reversed polarity and detected at 232 nm. The established method was validated and demonstrated to be applicable in the determination of total amount of CS in a commercial ophthalmic solution. No interference from the formulation excipients was observed. Good linearity was obtained, with correlation coefficients above 0.999. Recoveries and precisions ranged from 100.0 to 100.5%, and from 0.2 to 0.6% of the relative standard deviation, respectively. Good agreement was obtained between the established method and traditional photometric method based on carbazole reaction. In this study, application of the method to disaccharide compositional analysis was also performed.


Subject(s)
Chondroitin Sulfates/analysis , Enzymes/metabolism
20.
Biol Pharm Bull ; 27(2): 210-5, 2004 Feb.
Article in English | MEDLINE | ID: mdl-14758035

ABSTRACT

Sweet potato acid phosphatase was covalently coupled with glutaraldehyde to aminopropyl controlled-pore glass, and used as a pre-column enzyme reactor. The immobilized enzyme reactor (IMER) was continuously operated using an automated chromatographic detection system we developed. Functional evaluation of the IMER was carried out by injecting ten samples on the same day at an injection amount of 1.25 nmol (62.5 nmol per ml) using riboflavin sodium phosphate (FMNs) as a substrate, and by prolonged use for ten months. The IMER exhibited decreased activity after repeated use for a total of 3000 samples, but about 75% of its original activity remained. The conversion rate of FMNs to riboflavin by IMER was increased from 89 to 97% by adding citrate, ethylenediaminetetraacetic acid disodium salt, etc., but especially by adding citrate. The increased conversion of FMNs to riboflavin due to the addition of citrate was probably not due to the chelation of heavy metal ions by citrate. We also investigated complex formation of acid phosphatase with the substrate FMNs using surface plasmon resonance to determine the effect of citrate on the processes of association and/or dissociation between the enzyme and substrate. Enzyme fatigue was also observed during the course of prolonged and repeated use.


Subject(s)
Acid Phosphatase/chemistry , Enzymes, Immobilized/chemistry , Glutaral/chemistry , Ipomoea batatas/chemistry , Enzymes, Immobilized/analysis , Flavin Mononucleotide/chemistry , Glass , Porosity , Surface Plasmon Resonance , Technology, Pharmaceutical , Time Factors
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