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1.
Sci Adv ; 8(10): eabm2434, 2022 Mar 11.
Artigo em Inglês | MEDLINE | ID: mdl-35263140

RESUMO

The ~31-km-wide Hiawatha structure, located beneath Hiawatha Glacier in northwestern Greenland, has been proposed as an impact structure that may have formed after the Pleistocene inception of the Greenland Ice Sheet. To date the structure, we conducted 40Ar/39Ar analyses on glaciofluvial sand and U-Pb analyses on zircon separated from glaciofluvial pebbles of impact melt rock, all sampled immediately downstream of Hiawatha Glacier. Unshocked zircon in the impact melt rocks dates to ~1915 million years (Ma), consistent with felsic intrusions found in local bedrock. The 40Ar/39Ar data indicate Late Paleocene resetting and shocked zircon dates to 57.99 ± 0.54 Ma, which we interpret as the impact age. Consequently, the Hiawatha impact structure far predates Pleistocene glaciation and is unrelated to either the Paleocene-Eocene Thermal Maximum or flood basalt volcanism in east Greenland. However, it was contemporaneous with the Paleocene Carbon Isotope Maximum, although the impact's exact paleoenvironmental and climatic significance awaits further investigation.

2.
Sci Rep ; 11(1): 7438, 2021 04 02.
Artigo em Inglês | MEDLINE | ID: mdl-33811229

RESUMO

Impact ejecta formation and emplacement is of great importance when it comes to understanding the process of impact cratering and consequences of impact events in general. Here we present a multidisciplinary investigation of a distal impact ejecta layer, the Blockhorizont, that occurs near Bernhardzell in eastern Switzerland. We provide unambiguous evidence that this layer is impact-related by confirming the presence of shocked quartz grains exhibiting multiple sets of planar deformation features. Average shock pressures recorded by the quartz grains are ~ 19 GPa for the investigated sample. U-Pb dating of zircon grains from bentonites in close stratigraphic context allows us to constrain the depositional age of the Blockhorizont to ~ 14.8 Ma. This age, in combination with geochemical and paleontological analysis of ejecta particles, is consistent with deposition of this material as distal impact ejecta from the Ries impact structure, located ~ 180 km away, in Germany. Our observations are important for constraining models of impact ejecta emplacement as ballistically and non-ballistically transported fragments, derived from vastly different depths in the pre-impact target, occur together within the ejecta layer. These observations make the Ries ejecta one of the most completely preserved ejecta deposit on Earth for an impact structure of that size.

3.
Sci Rep ; 11(1): 1560, 2021 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-33452373

RESUMO

Hypervelocity impacts can produce features in zircon that are not normally produced by endogenic processes. However, lightning can also induce extreme pressure-temperature excursions, and its effect on zircon has not been studied. With the aim to recognise features that form in response to extreme pressure-temperature excursions but are not unique to hypervelocity impacts, we imaged and undertook microstructural characterization of zircon in a fulgurite (a tubular body of glass and fused clasts that formed in response to a lightning strike). We document zircon with granular ZrO2 and rims of vermicular ZrO2, features which vary in abundance with increasing distance from the fulgurite's central void. This indicates that these features formed in response to the lightning strike. Zircon dissociation to ZrO2 and SiO2 is a high-temperature, relatively low-pressure phenomenon, consistent with previous suggestions that lightning strikes involve extreme temperatures as well as pressures greater than those usually generated in Earth's crust but rarely > 10 GPa. The rims of monoclinic ZrO2 record crystallographic evidence for precursor cubic ZrO2, demonstrating that cubic ZrO2 is not unique to hypervelocity impacts. Given the likelihood that this fulgurite experienced pressures of, at most, a few GPa, evidence for cubic ZrO2 indicates peak temperatures > 2000 °C.

5.
J Fluor Chem ; 184: 58-64, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27110036

RESUMO

19F-magnetic resonance imaging (MRI) is a promising technique that may allow us to measure the concentration of exogenous fluorinated imaging probes quantitatively in vivo. Here, we describe the synthesis and characterisation of a novel geminal bisphosphonate (19F-BP) that contains chemically-equivalent fluorine atoms that show a single and narrow 19F resonance and a bisphosphonate group that may be used for labelling inorganic materials based in calcium phosphates and metal oxides. The potential of 19F-BP to provide contrast was analysed in vitro and in vivo using 19F-MRI. In vitro studies demonstrated the potential of 19F-BP as an MRI contrast agent in the millimolar concentration range with signal-to-noise ratios (SNR) comparable to previously reported fluorinated probes. The preliminary in vivo MRI study reported here allowed us to visualise the biodistribution of 19F-BP, showing uptake in the liver and in the bladder/urinary system areas. However, bone uptake was not observed. In addition, 19F-BP showed undesirable toxicity effects in mice that prevent further studies with this compound at the required concentrations for MRI contrast. This study highlights the importance of developing 19F MRI probes with the highest signal intensity achievable.

6.
J Nucl Med ; 55(3): 488-94, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24421288

RESUMO

UNLABELLED: Myocardial hypoxia is an attractive target for diagnostic and prognostic imaging, but current approaches are insufficiently sensitive for clinical use. The PET tracer copper(II)-diacetyl-bis(N4-methylthiosemicarbazone) ((64)Cu-ATSM) has promise, but its selectivity and sensitivity could be improved by structural modification. We have therefore evaluated a range of (64)Cu-ATSM analogs for imaging hypoxic myocardium. METHODS: Isolated rat hearts (n = 5/group) were perfused with normoxic buffer for 30 min and then hypoxic buffer for 45 min within a custom-built triple-γ-detector system to quantify radiotracer infusion, hypoxia-dependent cardiac uptake, and washout. A 1-MBq bolus of each candidate tracer (and (18)F-fluoromisonidazole for comparative purposes) was injected into the arterial line during normoxia, and during early and late hypoxia, and their hypoxia selectivity and pharmacokinetics were evaluated. The in vivo pharmacokinetics of promising candidates in healthy rats were then assessed by PET imaging and biodistribution. RESULTS: All tested analogs exhibited hypoxia sensitivity within 5 min. Complexes less lipophilic than (64)Cu-ATSM provided significant gains in hypoxic-to-normoxic contrast (14:1 for (64)Cu-2,3-butanedione bis(thiosemicarbazone) (ATS), 17:1 for (64)Cu-2,3-pentanedione bis(thiosemicarbazone) (CTS), 8:1 for (64)Cu-ATSM, P < 0.05). Hypoxic first-pass uptake was 78.2% ± 7.2% for (64)Cu-ATS and 70.7% ± 14.5% for (64)Cu-CTS, compared with 63.9% ± 11.7% for (64)Cu-ATSM. Cardiac retention of (18)F-fluoromisonidazole increased from 0.44% ± 0.17% during normoxia to 2.24% ± 0.08% during hypoxia. In vivo, normoxic cardiac retention of (64)Cu-CTS was significantly lower than that of (64)Cu-ATSM and (64)Cu-ATS (0.13% ± 0.02% vs. 0.25% ± 0.04% and 0.24% ± 0.03% injected dose, P < 0.05), with retention of all 3 tracers falling to less than 0.7% injected dose within 6 min. (64)Cu-CTS also exhibited lower uptake in liver and lung. CONCLUSION: (64)Cu-ATS and (64)Cu-CTS exhibit better cardiac hypoxia selectivity and imaging characteristics than the current lead hypoxia tracers, (64)Cu-ATSM and (18)F-fluoromisonidazole.


Assuntos
Miocárdio/citologia , Compostos Organometálicos/química , Tomografia por Emissão de Pósitrons , Tiossemicarbazonas/química , Animais , Hipóxia Celular , Complexos de Coordenação , Masculino , Compostos Organometálicos/farmacocinética , Ratos , Ratos Wistar , Tiossemicarbazonas/farmacocinética
7.
J Control Release ; 174: 177-87, 2014 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-24269968

RESUMO

Non-viral vector formulations comprise typically complexes of nucleic acids with cationic polymers or lipids. However, for in vivo applications cationic formulations suffer from problems of poor tissue penetration, non-specific binding to cells, interaction with serum proteins and cell adhesion molecules and can lead to inflammatory responses. Anionic formulations may provide a solution to these problems but they have not been developed to the same extent as cationic formulations due to difficulties of nucleic acid packaging and poor transfection efficiency. We have developed novel PEGylated, anionic nanocomplexes containing cationic targeting peptides that act as a bridge between PEGylated anionic liposomes and plasmid DNA. At optimized ratios, the components self-assemble into anionic nanocomplexes with a high packaging efficiency of plasmid DNA. Anionic PEGylated nanocomplexes were resistant to aggregation in serum and transfected cells with a far higher degree of receptor-targeted specificity than their homologous non-PEGylated anionic and cationic counterparts. Gadolinium-labeled, anionic nanoparticles, administered directly to the brain by convection-enhanced delivery displayed improved tissue penetration and dispersal as well as more widespread cellular transfection than cationic formulations. Anionic PEGylated nanocomplexes have widespread potential for in vivo gene therapy due to their targeted transfection efficiency and ability to penetrate tissues.


Assuntos
DNA/administração & dosagem , Nanopartículas/administração & dosagem , Peptídeos/metabolismo , Polietilenoglicóis/química , Transfecção/métodos , Animais , Encéfalo/metabolismo , Linhagem Celular , Linhagem Celular Tumoral , Meios de Contraste/química , DNA/química , Corantes Fluorescentes/química , Gadolínio/química , Humanos , Lipídeos/química , Lipossomos , Masculino , Camundongos , Nanopartículas/química , Ratos , Ratos Wistar , Rodaminas/química
8.
Biomaterials ; 34(36): 9190-200, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23948162

RESUMO

Convection enhanced delivery (CED) is a method of direct injection to the brain that can achieve widespread dispersal of therapeutics, including gene therapies, from a single dose. Non-viral, nanocomplexes are of interest as vectors for gene therapy in the brain, but it is essential that administration should achieve maximal dispersal to minimise the number of injections required. We hypothesised that anionic nanocomplexes administered by CED should disperse more widely in rat brains than cationics of similar size, which bind electrostatically to cell-surface anionic moieties such as proteoglycans, limiting their spread. Anionic, receptor-targeted nanocomplexes (RTN) containing a neurotensin-targeting peptide were prepared with plasmid DNA and compared with cationic RTNs for dispersal and transfection efficiency. Both RTNs were labelled with gadolinium for localisation in the brain by MRI and in brain sections by LA-ICP-MS, as well as with rhodamine fluorophore for detection by fluorescence microscopy. MRI distribution studies confirmed that the anionic RTNs dispersed more widely than cationic RTNs, particularly in the corpus callosum. Gene expression levels from anionic formulations were similar to those of cationic RTNs. Thus, anionic RTN formulations can achieve both widespread dispersal and effective gene expression in brains after administration of a single dose by CED.


Assuntos
Encéfalo/metabolismo , Técnicas de Transferência de Genes , Nanopartículas/química , Ácidos Nucleicos/uso terapêutico , Receptores de Superfície Celular/metabolismo , Animais , Encéfalo/efeitos dos fármacos , Linhagem Celular Tumoral , Regulação da Expressão Gênica/efeitos dos fármacos , Genes Reporter , Lipossomos/química , Imageamento por Ressonância Magnética , Masculino , Camundongos , Nanosferas , Ácidos Nucleicos/farmacologia , Peptídeos/metabolismo , Plasmídeos/metabolismo , Ratos , Ratos Wistar , Espectrofotometria Atômica , Distribuição Tecidual/efeitos dos fármacos , Transfecção
10.
Biomaterials ; 33(29): 7241-50, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22809644

RESUMO

The efficient targeted delivery of nucleic acids in vivo provides some of the greatest challenges to the development of genetic therapies. We aim to develop nanocomplex formulations that achieve targeted transfection of neuroblastoma tumours that can be monitored simultaneously by MRI. Here, we have compared nanocomplexes comprising self-assembling mixtures of liposomes, plasmid DNA and one of three different peptide ligands derived from ApoE, neurotensin and tetanus toxin for targeted transfection in vitro and in vivo. Neurotensin-targeted nanocomplexes produced the highest levels of transfection and showed a 4.7-fold increase in transfected luciferase expression over non-targeted nanocomplexes in Neuro-2A cells. Transfection of subcutaneous Neuro-2A tumours in vivo with neurotensin-targeted nanocomplexes produced a 9.3-fold increase in gene expression over non-targeted controls. Confocal microscopy analysis elucidated the time course of DNA delivery with fluorescently labelled nanocomplex formulations in cells. It was confirmed that addition of a gadolinium lipid conjugate contrast agent allowed real time in vivo monitoring of nanocomplex localisation in tumours by MRI, which was maintained for at least 24 h. The peptide-targeted nanocomplexes developed here allow for the specific enhancement of targeted gene therapy both in vitro and in vivo, whilst allowing real time monitoring of delivery with MRI.


Assuntos
Técnicas de Transferência de Genes , Imageamento por Ressonância Magnética/métodos , Nanopartículas/química , Neoplasias/terapia , Animais , Linhagem Celular Tumoral , Meios de Contraste/farmacologia , Feminino , Gadolínio/química , Terapia Genética/métodos , Cinética , Ligantes , Lipossomos/química , Luciferases/metabolismo , Camundongos , Modelos Químicos , Nanotecnologia/métodos , Transplante de Neoplasias , Neoplasias/patologia , Neurotensina/química , Peptídeos/química , Toxina Tetânica/química , Transfecção
11.
J Control Release ; 162(2): 340-8, 2012 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-22800579

RESUMO

Gadolinium-labelled nanocomplexes offer prospects for the development of real-time, non-invasive imaging strategies to visualise the location of gene delivery by MRI. In this study, targeted nanoparticle formulations were prepared comprising a cationic liposome (L) containing a Gd-chelated lipid at 10, 15 and 20% by weight of total lipid, a receptor-targeted, DNA-binding peptide (P) and plasmid DNA (D), which electrostatically self-assembled into LPD nanocomplexes. The LPD formulation containing the liposome with 15% Gd-chelated lipid displayed optimal peptide-targeted, transfection efficiency. MRI conspicuity peaked at 4h after incubation of the nanocomplexes with cells, suggesting enhancement by cellular uptake and trafficking. This was supported by time course confocal microscopy analysis of transfections with fluorescently-labelled LPD nanocomplexes. Gd-LPD nanocomplexes delivered to rat brains by convection-enhanced delivery were visible by MRI at 6 h, 24 h and 48 h after administration. Histological brain sections analysed by laser ablation-inductively coupled plasma-mass spectrometry (LA-ICP-MS) confirmed that the MRI signal was associated with the distribution of Gd(3+) moieties and differentiated MRI signals due to haemorrhage. The transfected brain cells near the injection site appeared to be mostly microglial. This study shows the potential of Gd-LPD nanocomplexes for simultaneous delivery of contrast agents and genes for real-time monitoring of gene therapy in the brain.


Assuntos
Meios de Contraste/administração & dosagem , DNA/administração & dosagem , Gadolínio/administração & dosagem , Glicosiltransferases/administração & dosagem , Nanopartículas/administração & dosagem , Animais , Encéfalo/metabolismo , Linhagem Celular Tumoral , Meios de Contraste/química , Meios de Contraste/farmacocinética , DNA/química , Ácidos Graxos Monoinsaturados/química , Gadolínio/química , Gadolínio/farmacocinética , Glicosiltransferases/química , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Nanopartículas/química , Peptídeos , Fosfatidiletanolaminas/química , Compostos de Amônio Quaternário/química , Ratos , Ratos Wistar , Transfecção/métodos
13.
Magn Reson Med ; 65(5): 1393-9, 2011 May.
Artigo em Inglês | MEDLINE | ID: mdl-21500266

RESUMO

To enable clinical use of parallel transmission technology, it is necessary to rapidly produce transmit sensitivity (σ) maps. Actual flip angle imaging is an efficient mapping technique, which is accurate when used with 3D encoding and nonselective RF pulses. Mapping single slices is quicker, but 2D encoding leads to systematic errors due to slice profile effects. By simulating steady-state slice profiles, we computed the relationship between σ and the signals received from the actual flip angle imaging sequence for arbitrarily chosen slice selective RF pulses. Pulse specific lookup tables were then used for reconstruction. The resulting σ-maps are sensitive to T(1) in a manner that depends strongly on the specific pulse, for example a precision of ±3% can be achieved by using a 3-lobe sinc pulse. The method is applicable to any RF pulse; simulations must be performed once and thereafter fast reconstruction of σ-maps is possible.


Assuntos
Mapeamento Encefálico/métodos , Aumento da Imagem/métodos , Processamento de Imagem Assistida por Computador/métodos , Imageamento Tridimensional , Imageamento por Ressonância Magnética/métodos , Calibragem , Humanos , Imagens de Fantasmas , Ondas de Rádio
14.
Chemistry ; 17(1): 223-30, 2011 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-21207619

RESUMO

This study shows that the relaxivity and optical properties of functionalised lanthanide-DTPA-bis-amide complexes (lanthanide=Gd(3+) and Eu(3+) , DTPA=diethylene triamine pentaacetic acid) can be successfully modulated by addition of specific anions, without direct Ln(3+) /anion coordination. Zinc(II)-dipicolylamine moieties, which are known to bind strongly to phosphates, were introduced in the amide "arms" of these ligands, and the interaction of the resulting Gd-Zn(2) complexes with a range of anions was screened by using indicator displacement assays (IDAs). Considerable selectivity for polyphosphorylated species (such as pyrophosphate and adenosine-5'-triphosphate (ATP)) over a range of other anions (including monophosphorylated anions) was apparent. In addition, we show that pyrophosphate modulates the relaxivity of the gadolinium(III) complex, this modulation being sufficiently large to be observed in imaging experiments. To establish the binding mode of the pyrophosphate and gain insight into the origin of the relaxometric modulation, a series of studies including UV/Vis and emission spectroscopy, luminescence lifetime measurements in H(2) O and D(2) O, (17) O and (31) P NMR spectroscopy and nuclear magnetic resonance dispersion (NMRD) studies were carried out.


Assuntos
Meios de Contraste/síntese química , Difosfatos/química , Difosfatos/síntese química , Gadolínio/química , Compostos Organometálicos/síntese química , Ânions , Meios de Contraste/química , Európio/química , Medições Luminescentes , Imageamento por Ressonância Magnética/métodos , Espectroscopia de Ressonância Magnética , Estrutura Molecular , Compostos Organometálicos/química , Ácido Pentético/química , Zinco/química
15.
J Control Release ; 149(2): 111-6, 2011 Jan 20.
Artigo em Inglês | MEDLINE | ID: mdl-20888381

RESUMO

RNA interference (RNAi) is being widely explored as a means of tumour therapy due to the specific and potent silencing of targeted genes. However, in vivo delivery of RNAi effectors, such as small interfering RNA (siRNA) and detection of delivery is fraught with problems. Here, we describe novel theranostic PEGylated siRNA nanoparticles termed liposome-entrapped siRNA (LEsiRNA) nanoparticles. Our LEsiRNA nanoparticles are MR sensitive, contain labels for fluorescence microscopy/histology and promote functional siRNA delivery to tumours in mice leading to a significant reduction in both Survivin expression and tumour growth. LEsiRNA nanoparticles, administered by intravenous injection, were shown to accumulate in xenograft tumours by MR contrast image enhancements 24h post-administration. Fluorescence microscopy was used to corroborate the MR results and simultaneously demonstrate co-localisation of nanoparticles and siRNA within the tumours. The LEsiRNA nanoparticle-mediated delivery of the anti-cancer Survivin siRNA causes significant reduction in tumour growth when compared to controls. Our results suggest that LEsiRNA nanoparticles can be valuable as an in vivo delivery agent for siRNA therapy to tumours.


Assuntos
Proteínas Inibidoras de Apoptose/genética , Nanopartículas/química , Neoplasias/terapia , Interferência de RNA , RNA Interferente Pequeno/administração & dosagem , Proteínas Repressoras/genética , Animais , Western Blotting , Química Farmacêutica , Meios de Contraste/administração & dosagem , Estabilidade de Medicamentos , Feminino , Corantes Fluorescentes/administração & dosagem , Lipossomos , Imageamento por Ressonância Magnética , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Nus , Microscopia de Fluorescência , Neoplasias/diagnóstico , Neoplasias/genética , Neoplasias/patologia , Survivina
18.
Org Biomol Chem ; 8(1): 201-11, 2010 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-20024151

RESUMO

We have synthesized a bimodal lipidic molecule bearing both fluorophore and contrast agent signatures on the same structure in order to create a robust bimodal liposome for both magnetic resonance imaging (MRI) and fluorescence microscopy utility. The dual-modality concept considered in the synthesis of this new paramagnetic and fluorescent lipid is valuable in that anatomical information (MRI) as well as very sensitive localization (ex vivo fluorescence microscopy) of signal, and therefore liposome biodistribution, is obtainable. Bimodal cationic and neutral PEGylated liposomes were formulated using this novel lipid probe and used to label cells in vitro and image human ovarian xenografts in vivo. Tumour signal enhancement was increased by over 6-fold post-administration of the neutral PEGylated liposomes, and was maintained at this level up to the 24 h end-point. Our results showed this lipid to be more effective and sensitive than the single signature paramagnetic lipid Gd.DOTA.DSA at cellular labelling and tumour MRI.


Assuntos
Meios de Contraste/síntese química , Corantes Fluorescentes/síntese química , Lipídeos/química , Lipossomos , Imageamento por Ressonância Magnética/métodos , Neoplasias Ovarianas/diagnóstico , Adenocarcinoma/diagnóstico , Linhagem Celular Tumoral , Meios de Contraste/química , Feminino , Corantes Fluorescentes/química , Humanos , Lipídeos/síntese química , Lipossomos/análise , Microscopia de Fluorescência/métodos , Estrutura Molecular
19.
Reg Anesth Pain Med ; 34(3): 247-50, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19587624

RESUMO

BACKGROUND AND OBJECTIVES: The aim of this study was to compare the accuracy of local anesthetic placement in the rectus sheath block when performed by trainee anesthetists using loss of resistance (LOR) or ultrasound guidance. METHODS: Eighty-one patients undergoing laparoscopic surgery were randomly assigned to undergo rectus sheath block by either LOR or ultrasound guidance. Trainee anesthesiologists were also randomly assigned to provide the rectus sheath block by LOR or by using ultrasound. The placement of local anesthetic was recorded using ultrasound. RESULTS: The placement of local anesthetic by LOR was accurate in 45% of attempts but was superficial and deep to the rectus sheath in 34% and 21% of punctures, respectively. Accurate placement of local anesthetic within the rectus sheath decreased significantly as body mass index increased. Ultrasound guidance significantly improved the accuracy of needle placement, with 89% of abdominal punctures being correctly placed at the time of first injection of local anesthetic. An additional fascial plane lying at variable distance above the anterior layer of the rectus sheath was commonly observed. CONCLUSIONS: Ultrasound guidance improves the accuracy of local anesthetic placement when undertaking the rectus sheath block. An additional fascial plane above the anterior layer of the rectus sheath may be wrongly perceived as the anterior layer of the rectus sheath when the block is undertaken without the aid of ultrasound.


Assuntos
Anestesiologia/educação , Anestésicos Locais/administração & dosagem , Competência Clínica , Educação de Pós-Graduação em Medicina , Bloqueio Nervoso , Reto do Abdome/diagnóstico por imagem , Ultrassonografia Doppler em Cores , Ultrassonografia de Intervenção , Adulto , Índice de Massa Corporal , Fáscia/diagnóstico por imagem , Feminino , Humanos , Injeções , Laparoscopia , Masculino , Pessoa de Meia-Idade , Destreza Motora , Reto do Abdome/inervação
20.
Clin Pharmacokinet ; 47(2): 119-27, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18193918

RESUMO

BACKGROUND AND OBJECTIVE: Attempts to describe the variability of propofol pharmacokinetics in adults and to derive population covariates have been sparse and limited mainly to experiments based on bolus doses or infusions in healthy volunteers. This study aimed to identify age and gender covariates for propofol when given as an infusion in anaesthetized patients. STUDY DESIGN AND SETTING: One hundred and thirteen patients (American Society of Anesthesiologists class I or II and aged 14-92 years) were anaesthetized for elective surgical procedures with propofol using a target controlled infusion (TCI) system and with alfentanil as a baseline analgesic infusion. Frequent venous blood samples were obtained for measurement of propofol plasma concentrations. PHARMACOKINETIC AND STATISTICAL ANALYSIS: Pharmacokinetic accuracy was determined by the percentage prediction error, bias and precision, as were wobble and divergence. The clearance of propofol from the central compartment was determined for each patient using the computerized record of the infusion profile delivered to each patient, together with relevant blood propofol concentration estimations. For each patient, the nonlinear mixed-effects modelling (NONMEM) objective function was employed to determine the goodness of fit. RESULTS: The population distribution of propofol clearance was subsequently found to have a Gaussian distribution only in the log domain (mean value equivalent to 26.1 mL/kg/min). The distribution in the normal domain was consequently asymmetric, with a slight predominance of patients with high values of clearance (5% and 95% confidence limits 17.7 and 42.1 mL/kg/min, respectively). Using regression analysis, gender and age covariates were derived that optimized the performance of the target controlled infusion system. The clearance (CL) of propofol in male patients changed little with age (CL [mL/kg/min]=26.88-0.029xAge; r2=0.006) whereas that in female patients had a higher initial value but decreased progressively with age (CL [mL/kg/min]=37.87-0.198xAge; r2=0.246). CONCLUSION: We achieved a relatively simple and practical covariate model in which the variability of pharmacokinetics within the study population could be ascribed principally to variability in clearance from the central compartment. Pharmacokinetic simulation predicted an improved performance of the TCI system when employing the derived covariates model, especially in elderly female patients.


Assuntos
Anestésicos Intravenosos/farmacocinética , Propofol/farmacocinética , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Algoritmos , Análise de Variância , Anestésicos Intravenosos/administração & dosagem , Anestésicos Intravenosos/sangue , Estudos de Coortes , Relação Dose-Resposta a Droga , Feminino , Humanos , Infusões Intravenosas/métodos , Pacientes Internados , Cinética , Masculino , Taxa de Depuração Metabólica , Pessoa de Meia-Idade , Modelos Biológicos , Propofol/administração & dosagem , Propofol/sangue , Fatores Sexuais , Fatores de Tempo
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