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1.
Life Sci ; 346: 122616, 2024 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-38599316

RESUMO

Liposomes, as a colloidal drug delivery system dating back to the 1960s, remain a focal point of extensive research and stand as a highly efficient drug delivery method. The amalgamation of technological and biological advancements has propelled their evolution, elevating them to their current status. The key attributes of biodegradability and biocompatibility have been instrumental in driving substantial progress in liposome development. Demonstrating a remarkable ability to surmount barriers in drug absorption, enhance stability, and achieve targeted distribution within the body, liposomes have become pivotal in pharmaceutical research. In this comprehensive review, we delve into the intricate details of liposomal drug delivery systems, focusing specifically on their pharmacokinetics and cell membrane interactions via fusion, lipid exchange, endocytosis etc. Emphasizing the nuanced impact of various liposomal characteristics, we explore factors such as lipid composition, particle size, surface modifications, charge, dosage, and administration routes. By dissecting the multifaceted interactions between liposomes and biological barriers, including the reticuloendothelial system (RES), opsonization, enhanced permeability and retention (EPR) effect, ATP-binding cassette (ABC) phenomenon, and Complement Activation-Related Pseudoallergy (CARPA) effect, we provide a deeper understanding of liposomal behaviour in vivo. Furthermore, this review addresses the intricate challenges associated with translating liposomal technology into practical applications, offering insights into overcoming these hurdles. Additionally, we provide a comprehensive analysis of the clinical adoption and patent landscape of liposomes across diverse biomedical domains, shedding light on their potential implications for future research and therapeutic developments.


Assuntos
Membrana Celular , Sistemas de Liberação de Medicamentos , Lipossomos , Animais , Humanos , Membrana Celular/metabolismo , Distribuição Tecidual
3.
Int J Biol Macromol ; 253(Pt 5): 127172, 2023 Dec 31.
Artigo em Inglês | MEDLINE | ID: mdl-37793514

RESUMO

In recent years, microneedles (MNs) have emerged as a promising alternative to traditional drug delivery systems in transdermal drug delivery. The use of MNs has demonstrated significant potential in improving patient acceptance and convenience while avoiding the invasiveness of traditional injections. Dissolving, solid, hollow, coated, and hydrogel microneedles are among the various types studied for drug delivery. Dissolving microneedles (DMNs), in particular, have gained attention for their safety, painlessness, patient convenience, and high delivery efficiency. This comprehensive review primarily focuses on different types of microneedles, fabrication methods, and materials used in fabrication of DMNs such as hyaluronic acid, chitosan, alginate, gelatin, collagen, silk fibroin, albumin, cellulose and starch, to list a few. The review also provides an exhaustive discussion on the applications of DMNs, including the delivery of vaccines, cosmetic agents, contraceptives, hormone and genes, and other therapeutic applications like for treating cancer, skin diseases, and diabetes, among others, are covered in this review. Additionally, this review highlights some of the DMN systems that are presently undergoing clinical trials. Finally, the review discusses current advances and trends in DMNs, as well as future prospective directions for this ground-breaking technology in drug delivery.


Assuntos
Medicina de Precisão , Pele , Humanos , Pele/metabolismo , Sistemas de Liberação de Medicamentos/métodos , Administração Cutânea , Ácido Hialurônico/metabolismo
4.
J Control Release ; 355: 709-729, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36805872

RESUMO

Novel therapies and drug delivery systems (DDS) emphasis on localized, personalized, triggered, and regulated drug administration have heavily implicated electrically responsive DDS. An ideal DDS must deliver drugs to the target region at therapeutically effective concentrations to elicit a pharmacological response, resulting in better prophylaxis of the disease and the treatment. Biodegradable polymers are frequently employed for in-vivo long-term release; however, dose dumping can be anticipated. As a result, current DDSs can be tagged as dubbed "Smart Biomaterials" since they only focus on an on-demand cargo release in response to a trigger or stimulation. These organic materials have been recognized for their metal-like conductivity, as well as their mechanical stability and ease of production. These biomaterials can be programmed to respond to both internal and external stimuli. External pulsed triggers are required for extrinsic stimuli-responsive materials, whereas intrinsic stimuli-responsive materials rely on localized changes in the tissue environment. Furthermore, these materials have the ability to deliver active pharmaceutical agents at a varied concentration levels and across a broad spectrum of action. Drug delivery, biomedical implant technology, biosensor technology, and tissue engineering can be listed as a few prominent applications that have sparked immense interest for conductive polymers-based research and advancements in academia as well as in industry. This review comprehensively covers a cutting-edge collection of electrically conductive polymers and composites, and provide detailed insights of recent trends and advancements allied to conductive polymers for their potential applicability in an array of diverse meadows primarily focusing on drug delivery, biosensing and therapeutics. Furthermore, progressions in their synthesis, structural and functional properties have been presented in conjunction with futuristic directions for the smooth clinical translations.


Assuntos
Polímeros , Polímeros Responsivos a Estímulos , Polímeros/química , Sistemas de Liberação de Medicamentos , Materiais Biocompatíveis/química , Engenharia Tecidual/métodos
5.
J Pharm Bioallied Sci ; 13(Suppl 2): S1079-S1083, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35017933

RESUMO

AIM: The aim of this study was to conduct a cross-sectional questionnaire-based survey concerning the practice of occlusal splint for treating temporomandibular disorders (TMDs) by the dental practitioners of Jabalpur. MATERIALS AND METHODS: A questionnaire containing questions on diagnosis, treatment, and management of TMD was given to a total of 157 general dental practitioners in Jabalpur. The responses were collected; data analysis was done by Chi-square test. RESULTS: Of the General Dental Practitioner's, nearly 78% of participants did not attend any continuing dental education on TMD per year. More than 10 years of experience (82%) was associated with increase in positive response for treatment of TMD patient. Both the diagnosis and treatment of TMD patient were done using combination methods. The duration of splint use was considered patient dependent (42.27%) irrespective of the years of practice. Soft splint was most commonly employed for treatment, and fabrication of splint was done on hinge and mean value articulator. CONCLUSION: The knowledge of occlusal splint by general practitioners was found to be insufficient for treating TMDs.

6.
Virusdisease ; 31(2): 194-199, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32363219

RESUMO

Recent outbreak of COVID-19 caused by SARS-CoV-2 in December 2019 raised global health concerns. Re-purposing the available protease inhibitor drugs for immediate use in treatment in SARS-CoV-2 infections could improve the currently available clinical management. The current study, aims to predict theoretical structure for protease of COVID-19 and to explore further whether this protein can serve as a target for protease inhibitor drugs such as remdesivir, nelfinavir, lopinavir, ritonavir and α-ketoamide. While the 3D structure of protease was predicted using SWISS MODEL server, molecular interaction studies between protein and ligands were performed using AutoDock software. The predicted protease model was reasonably good based on reports generated by different validation servers. The study further revealed that all the protease inhibitor drugs got docked with negative dock energy onto the target protein. Molecular interaction studies showed that protease structure had multiple active site residues for remdesivir, while for remaining ligands the structure had only one active site residue each. From the output of multiple sequence alignment, it is evident that ligand binding sites were conserved. The current in silico study thus, provides structural insights about the protease of COVID-19 and also its molecular interactions with some of the known protease inhibitors.

7.
Int J Pharm ; 576: 118952, 2020 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-31843549

RESUMO

Nanoemulsions are very interesting systems as they offer capacity to encapsulate both hydrophilic and lipophilic molecules in a single particle, as well as the controlled release of chemical moieties initially entrapped in the internal droplets. In this study, we propose a new two-step modified ultrasound-assisted phase inversion approaches-phase inversion temperature (PIT) and self-emulsification, to prepare stable o/w nanoemulsions from a fully water-dilutable microemulsion template for the transdermal delivery of loratadine (a hydrophobe and as Ostwald ripening inhibitor). Firstly, the primary water-in-oil microemulsion concentrate (w/o) was formed using loratadine in the oil phase (oleic acid or coconut oil) and Tween 80 in the aqueous phase and by adjusting the PIT around 85 °C followed by stepwise dilution with water at 25 °C to initiate the formation the nanoemulsions (o/w). To assure the long-term stability, a brief application of low frequency ultrasound was employed. Combining the two low energy methods resulted in nanoemulsions prepared by mixing constant surfactant/oil ratios above the PIT with varying water volume fraction (self-emulsification) during the PIT by stepwise dilution. The kinetic stability was evaluated by measuring the droplet size with time by dynamic light scattering (DLS). The droplet size ranged 15-43 nm and did not exceed 100 nm over the period of 6 months indicating the system had high kinetic stability. Cryo-TEM showed that the nanoemulsions droplets were monodispersed and approaching micellar structure and scale. All nanoemulsions had loratadine crystals formed within 20 days after preparation, which tended to sediment during storage. Nanoemulsions improved the in vitro permeation of loratadine through porcine skin up to 20 times compared to the saturated solution.


Assuntos
Emulsões/química , Nanopartículas/química , Óleos/química , Tensoativos/química , Sistemas de Liberação de Medicamentos/métodos , Difusão Dinâmica da Luz/métodos , Loratadina/química , Tamanho da Partícula , Polissorbatos/química , Temperatura , Água/química
8.
J Genet ; 98(2)2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31204704

RESUMO

Despite the ubiquitous occurrence of heat-shock protein 60 (Hsp60) and their role in maintenance of cell activity and integrity, this protein remains poorly characterized in many of the symbiotic soil mycorrhizal fungi such as Rhizophagus irregularis. Thus, in the current study, an attempt has been made to elucidate the evolutionary history, time of divergence followed by estimation of population genetic parameters of hsp60 using R. irregularis as a model organism. Sequence alignment reported here identified several close homologues for hsp60 (gene) and Hsp60 (protein) from diverse taxa, while the output from protein-based phylogenetic tree indicates that mitochondrial Hsp60 of R. irregularis shares close evolutionary relationship with classical α-proteobacteria. This is perhaps the first line of evidence elucidating the likelihood of hsp60 from fungal taxa sharing a close evolutionary relationship with classical α-proteobacteria as a common ancestor. Comprehensive analysis of mitochondrial hsp60 from selected fungal taxa from the evolutionary point of view explains the possibility of gene duplication and or horizontal gene transfer of this gene across various fungal species. Synteny relationships and population genetics credibly explain high genetic variability associated with fungal hsp60 presumably brought by random genetic recombination events. The results presented here also confirm a high level of genetic differentiation of hsp60 among all the three fungal populations analysed. In this context, the outcome of the current study, basedon computational approach, stands as a testimony for explaining the possibility of increased genetic differentiation experienced by hsp60 of R. irregularis.


Assuntos
Chaperonina 60/genética , Evolução Molecular , Variação Genética , Glomeromycota/genética , Chaperonina 60/metabolismo , Códon , Bases de Dados Genéticas , Dislexia/genética , Genética Populacional , Glomeromycota/classificação , Glomeromycota/metabolismo , Humanos , Metanálise como Assunto , Mitocôndrias/genética , Mitocôndrias/metabolismo , Razão de Chances , Filogenia , Polimorfismo Genético , Sintenia
9.
Chem Cent J ; 11: 9, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28123451

RESUMO

Oilseeds are crucial for the nutritional security of the global population. The conventional technology used for oil extraction from oilseeds is by solvent extraction. In solvent extraction, n-hexane is used as a solvent for its attributes such as simple recovery, non-polar nature, low latent heat of vaporization (330 kJ/kg) and high selectivity to solvents. However, usage of hexane as a solvent has lead to several repercussions such as air pollution, toxicity and harmfulness that prompted to look for alternative options. To circumvent the problem, green solvents could be a promising approach to replace solvent extraction. In this review, green solvents and technology like aqueous assisted enzyme extraction are better solution for oil extraction from oilseeds. Enzyme mediated extraction is eco-friendly, can obtain higher yields, cost-effective and aids in obtaining co-products without any damage. Enzyme technology has great potential for oil extraction in oilseed industry. Similarly, green solvents such as terpenes and ionic liquids have tremendous solvent properties that enable to extract the oil in eco-friendly manner. These green solvents and technologies are considered green owing to the attributes of energy reduction, eco-friendliness, non-toxicity and non-harmfulness. Hence, the review is mainly focussed on the prospects and challenges of green solvents and technology as the best option to replace the conventional methods without compromising the quality of the extracted products.

10.
Artigo em Inglês | MEDLINE | ID: mdl-25768500

RESUMO

The dynamics of adhesion of a spherical microparticle to a ligand-coated wall, in shear flow, is studied using a Langevin equation that accounts for thermal fluctuations, hydrodynamic interactions, and adhesive interactions. Contrary to the conventional assumption that thermal fluctuations play a negligible role at high Péclet numbers, we find that for particles with low surface densities of receptors, rotational diffusion caused by fluctuations about the flow and gradient directions aids in bond formation, leading to significantly greater adhesion on average, compared to simulations where thermal fluctuations are completely ignored. The role of wall hydrodynamic interactions on the steady-state motion of a particle, when the particle is close to the wall, has also been explored. At high Péclet numbers, the shear induced force that arises due to the stresslet part of the Stokes dipole plays a dominant role, reducing the particle velocity significantly and affecting the states of motion of the particle. The coupling between the translational and rotational degrees of freedom of the particle, brought about by the presence of hydrodynamic interactions, is found to have no influence on the binding dynamics. On the other hand, the drag coefficient, which depends on the distance of the particle from the wall, plays a crucial role at low rates of bond formation. A significant difference in the effect of both the shear force and the position-dependent drag force on the states of motion of the particle is observed when the Péclet number is small.


Assuntos
Hidrodinâmica , Termodinâmica , Algoritmos , Simulação por Computador , Difusão , Movimento (Física)
11.
J Biomol Struct Dyn ; 33(4): 770-88, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-24708442

RESUMO

Melanocortin system is composed of four peptide hormones namely α-, ß-, -γ, and adrenocorticotropic hormone (ACTH), derived from post-translational cleavage of a polypeptide precursor 'proopiomelanocortin (POMC).' Among these hormones, ACTH, a 38 amino acid residue peptide fragment is an important hormone as it is involved in steroid secretion. In addition to this, to cite a few, this hormone is also known to induce variety of other effects, such as alterations in motor/sexual behavior, improvement in memory, and anti-inflammatory effects. To date, five melanocortin receptors (MC1R-MC5R) have been characterized with tissue-specific expression patterns and different binding affinities for each of the melanocortin hormones to regulate various biological functions. In the present work, three-dimensional (3D) models of MC2R and ACTH from human have been predicted, followed by docking and molecular dynamics simulation. While the 3D model of MC2R receptor has been predicted through threading approach, structure of ACTH was built based on ab initio technique. The MC2R model was later successfully docked onto the ACTH structure. Molecular dynamics (MD) simulation for 20 ns was used to compute the binding free energy of MC2R with ACTH model under implicit solvent conditions.


Assuntos
Hormônio Adrenocorticotrópico/química , Receptor Tipo 2 de Melanocortina/química , Sequência de Aminoácidos , Sítios de Ligação , Humanos , Ligação de Hidrogênio , Simulação de Acoplamento Molecular , Simulação de Dinâmica Molecular , Dados de Sequência Molecular , Ligação Proteica , Estrutura Secundária de Proteína , Estrutura Terciária de Proteína , Termodinâmica
12.
Perspect Clin Res ; 5(2): 71-4, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24741483

RESUMO

OBJECTIVE: To evaluate the effects of botropase on various clotting factors in human volunteers. MATERIALS AND METHODS: It was a prospective open label study conducted on human healthy volunteers. After the baseline screening, subjects fulfilling inclusion criteria were enrolled. On the study day, 1 ml of botropase was administered intravenously and after an hour same dose of botropase (1 ml) was given by intramuscular (IM) route. The efficacy and safety parameters were monitored up to 72 h from the time of intravenous (IV) administration. RESULTS: A total of 15 volunteers, belonging to 24-35 years of age were included in the study. Botropase significantly reduced the plasma level of fibrinogen and fibrin degradation products after 5 min of IV administration (P < 0.05). In addition, factor X was observed to reduce constantly by botropase administration suggesting enhanced turnover between 5 and 20 min of IV administration. Although botropase reduced clotting and bleeding time in all the volunteers, the data remains to be statistically insignificant. CONCLUSION: Present study demonstrated the safety and efficacy of botropase in human healthy volunteers. The study has shown that it is a factor X activator and reduces effectively clotting and bleeding time.

13.
Indian J Exp Biol ; 52(3): 237-51, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24669667

RESUMO

Rice cultivation under aerobic condition not only saves water but also opens up a splendid scope for effective application of beneficial root symbionts in rice crop unlike conventional puddled rice cultivation where water logged condition acts as constraint for easy proliferation of various beneficial soil microorganisms like arbuscular mycorrhizal (AM) fungi. Keeping these in view, an in silico investigation were carried out to explore the interaction of hydrogen phosphate with phosphate transporter protein (PTP) from P. indica. This was followed by greenhouse investigation to study the response of aerobic rice to Glomusfasciculatum, a conventional P biofertilizer and P. indica, an alternative to AM fungi. Computational studies using ClustalW tool revealed several conserved motifs between the phosphate transporters from Piriformospora indica and 8 other Glomus species. The 3D model of PTP from P. indica resembling "Mayan temple" was successfully docked onto hydrogen phosphate, indicating the affinity of this protein for inorganic phosphorus. Greenhouse studies revealed inoculation of aerobic rice either with P. indica, G. fasciculatum or both significantly enhanced the plant growth, biomass and yield with higher NPK, chlorophyll and sugar compared to uninoculated ones, P. indica inoculated plants being superior. A significantly enhanced activity of acid phosphatase and alkaline phosphatase were noticed in the rhizosphere soil of rice plants inoculated either with P. indica, G. fasciculatum or both, contributing to higher P uptake. Further, inoculation of aerobic rice plants with P. indica proved to be a better choice as a potential biofertilizer over mycorrhiza.


Assuntos
Micorrizas/genética , Oryza/genética , Proteínas de Transporte de Fosfato/genética , Microbiologia do Solo , Aerobiose , Simulação por Computador , Oryza/parasitologia , Fosfatos/metabolismo , Raízes de Plantas/genética , Raízes de Plantas/microbiologia , Brotos de Planta , Rizosfera , Água
14.
Sci Rep ; 4: 4071, 2014 Feb 12.
Artigo em Inglês | MEDLINE | ID: mdl-24518919

RESUMO

Projections of climate change are emerging to play major roles in many applications. However, assessing reliability of climate change projections, especially at regional scales, remains a major challenge. An important question is the degree of progress made since the earlier IPCC simulations (CMIP3) to the latest, recently completed CMIP5. We consider the continental Indian monsoon as an example and apply a hierarchical approach for assessing reliability, using the accuracy in simulating the historical trend as the primary criterion. While the scope has increased in CMIP5, there is essentially no improvement in skill in projections since CMIP3 in terms of reliability (confidence). Thus, it may be necessary to consider acceptable models for specific assessment rather than simple ensemble. Analysis of climate indices shows that in both CMIP5 and CMIP3 certain common processes at large and regional scales as well as slow timescales are associated with successful simulation of trend and mean.

15.
Indian J Biochem Biophys ; 48(3): 164-9, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21793307

RESUMO

The 3D structure of enoyl reductase (ER) domain generated by the SWISS MODEL server contains the 2-nitropropane dioxygenase (2NPD) structure displaying the TIM barrel fold. Though TIM barrel fold is made up of both main and inserted domains, in our study, we could only predict the structure of the main domain, which had central barrel of eight beta-strands surrounded by eight alpha-helices. Superimposition of the 2NPD region of ER domain of Mycobacterium tuberculosis H37Rv on to the corresponding region of 2UVA_G revealed a good structural alignment between the two, suggesting this template to be a good structural homologue. Among various herbal ligands that were screened as inhibitors, daucosterol was found to bind in closest proximity to the flavin mono nucleotide (FMN) binding site with the lowest docking energy.


Assuntos
Dioxigenases/química , Enoil-(Proteína de Transporte de Acila) Redutase (NADH)/química , Ácido Graxo Sintases/química , Modelos Moleculares , Mycobacterium tuberculosis/enzimologia , Sequência de Aminoácidos , Proteínas de Bactérias/química , Sítios de Ligação , Ligantes , Dados de Sequência Molecular , Conformação Proteica , Estrutura Secundária de Proteína , Alinhamento de Sequência/métodos , Homologia de Sequência de Aminoácidos
16.
Anesth Essays Res ; 5(2): 240-2, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-25885400
17.
J Biomol Struct Dyn ; 25(5): 481-93, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18282003

RESUMO

The present paper reports a bio-computational study carried out with the aim of understanding the binding mode of anti-TB herbal ligands onto the homology modeled structure of fatty acid synthase of Mycobacterium tuberculosis (M.tb) H37Rv. Sequence alignment of beta-ketoacyl ACP synthase (KAS) domain of the protein with other related KAS sequences of PDB database revealed high degree of sequence variation. However, the catalytic triad comprising of CHH (cys150-his279-his320) was found to be conserved in the KAS sequence of M.tb H37Rv. The tertiary structure of this protein predicted using genetic algorithm operator in the MODELLER package appeared to give a satisfactory structure for the purpose of studying ligand and substrate binding pockets on the protein. PDB templates complexed with ligands (citric acid and lauric acid) were used for model building. Docking studies carried out with different herbal ligands suggest that, aloe-emodin and nimbin are the best herbal candidates to replace the synthetic drugs 'thiolactomycin/cerulenin'.


Assuntos
3-Oxoacil-(Proteína de Transporte de Acila) Sintase/química , Antituberculosos/química , Proteínas de Bactérias/química , Modelos Moleculares , Mycobacterium tuberculosis/enzimologia , Preparações de Plantas/química , Estrutura Terciária de Proteína , 3-Oxoacil-(Proteína de Transporte de Acila) Sintase/antagonistas & inibidores , 3-Oxoacil-(Proteína de Transporte de Acila) Sintase/genética , 3-Oxoacil-(Proteína de Transporte de Acila) Sintase/metabolismo , Algoritmos , Sequência de Aminoácidos , Antituberculosos/metabolismo , Proteínas de Bactérias/genética , Proteínas de Bactérias/metabolismo , Sítios de Ligação , Humanos , Dados de Sequência Molecular , Fases de Leitura Aberta , Preparações de Plantas/metabolismo , Ligação Proteica , Alinhamento de Sequência , Software
19.
J Biomol Struct Dyn ; 24(4): 393-412, 2007 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-17206854

RESUMO

Different domains of fatty acid synthase (FAS) protein of Mycobacterium tuberculosis H37Rv, involved in mycolic acid synthesis were analyzed using various bioinformatics tools. Based on different database searches (CDD and Pfam), FAS protein of Mycobacterium tuberculosis was grouped into eight domains, five of which showed close similarity with pdb templates (1MLA, 1IQ6A, 2BMOA, and 1J3NA). Based on the PSI blast analysis, 3D structures of only five domains were predicted using MODELLER software, and loop modeling was done for only those regions that were predicted as loops by predict protein server. Compared to the original structure, the loop modeled structure showed a lower DOPE score value for FAS protein. The X-ray determined templates that were used for predicting the 3D structure suggest that, FAS protein has "Malonyl-coenzyme A-Hydratase-Nitrobenzene dioxygenase-3-oxoacyl-(acp) synthase" activity. Accuracy of the prediction of 3D structure of different domains of FAS protein was further validated by Ramachandran plot and PROCHECK (G-value).


Assuntos
Ácido Graxo Sintases/química , Mycobacterium tuberculosis/enzimologia , Sequência de Aminoácidos , Proteínas de Bactérias/química , Sítios de Ligação , Biologia Computacional , Sequência Conservada , Bases de Dados de Proteínas , Modelos Moleculares , Dados de Sequência Molecular , Conformação Proteica , Alinhamento de Sequência , Homologia de Sequência de Aminoácidos
20.
Int J Oral Maxillofac Surg ; 35(8): 765-6, 2006 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-16777382

RESUMO

Povidone-iodine (PVP-I) is an antiseptic agent commonly used on intact skin in preparation for surgery and on open wounds. In oral surgery it is used for irrigating alveolar sockets following extraction. The present authors found by chance that irrigation of extraction sockets with povidone-iodine led to cessation of bleeding in patients without recurrence. Fifty patients were selected and divided equally into treatment and control groups. Povidone-iodine (1%, w/v) was used for irrigation of extraction sockets in the treatment group and saline was used in the control group. In the treatment group, 19 patients showed cessation of bleeding compared to only 5 in the control group. Povidone-iodine significantly (P<0.01) controlled bleeding as compared to saline. Iodine is corrosive due to its oxidizing potential while povidone is a thickening and granulating agent; together they may have a chemocauterizing effect that could be the reason for the cessation of bleeding. These results suggest that povidone-iodine may act as a hemostyptic as well as an antiseptic.


Assuntos
Hemostáticos/uso terapêutico , Hemorragia Bucal/tratamento farmacológico , Hemorragia Pós-Operatória/tratamento farmacológico , Povidona-Iodo/uso terapêutico , Alvéolo Dental/efeitos dos fármacos , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Método Simples-Cego , Extração Dentária/efeitos adversos
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