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1.
J Pharm Biomed Anal ; 247: 116257, 2024 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-38815520

RESUMO

Zhi-Ke-Bao pills (ZKB), a traditional Chinese medicine preparation composed of 13 herbs, is generally used to treat cough caused by external wind cold, phlegm, etc in clinical applications, and it plays a core role in relieving cough caused by COVID-19 and influenza in China. Till now, the understanding of its chemical constituents was dramatically limited due to its chemical complexity, restricting its clinical application or development. In this work, a developed ultra-high performance liquid chromatography coupled to quadrupole time-of-flight mass spectrometry (UPLC-Q/TOF MS) method, a targeted and non-targeted strategy and network pharmacology were used to comprehensively characterize the chemical compositions in ZKB and predict its mechanism against cough. A total of 164 compounds (148 targeted compounds and 16 non-targeted ones) were identified or tentatively characterized in ZKB, including 65 flavonoids, 25 alkaloids, 19 organic acids, 41 saponins, 9 coumarins, 2 phenylpropanoids, 2 anthraquinones, and 1 other types. Among them, 37 compounds were unambiguously identified by comparison to reference standards. Meanwhile, the fragmentation behaviors of five main chemical structure types were also summarized. 309 targets and two core signaling pathways of ZKB against cough were predicted by network pharmacology, including MAPK and PI3K-Akt signaling pathways. It was the first time to characterize the chemical compounds of ZKB and reveal its potential mechanism against cough, providing the material basis for further quality control or pharmacodynamic evaluation of ZKB.


Assuntos
Tosse , Medicamentos de Ervas Chinesas , Farmacologia em Rede , Medicamentos de Ervas Chinesas/química , Medicamentos de Ervas Chinesas/farmacologia , Medicamentos de Ervas Chinesas/análise , Cromatografia Líquida de Alta Pressão/métodos , Tosse/tratamento farmacológico , Humanos , Espectrometria de Massas/métodos , Medicina Tradicional Chinesa/métodos , Antitussígenos/farmacologia , Antitussígenos/química , Antitussígenos/análise , Tratamento Farmacológico da COVID-19 , Alcaloides/análise , Alcaloides/química , Alcaloides/farmacologia
2.
Anal Methods ; 16(20): 3278-3286, 2024 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-38738557

RESUMO

Dextromethorphan (DXM) is a widely utilized central antitussive agent, which is frequently abused by individuals seeking its recreational effect. But DXM overdose can cause some adverse effects, including brain damage, loss of consciousness, and cardiac arrhythmias, and hence its detection is significant. Herein, an electrochemical sensor based on a Cu-coordinated molecularly imprinted polymer (Cu-MIP) was fabricated for its detection. For constructing the sensor, nitrogen-doped carbon nanosheets (CCNs) were prepared through calcining chitin under an argon atmosphere, and molybdenum disulfide (MoS2) was allowed to grow on their surface. Subsequently, the obtained MoS2/CCNs composite was employed to modify a glassy carbon electrode (GCE), and the Cu-MIP was electrodeposited on the electrode in a Cu-1,10-phenanthroline (Cu-Phen) solution containing DXM, where Cu2+ played a role in facilitating electron transfer and binding DXM. Due to the large specific surface area, good electrocatalytic properties and recognition of the resulting composite, the resulting Cu-MIP/MoS2/CCNs/GCE showed high selectivity and sensitivity. Under optimized experimental conditions, the peak current of DXM and its concentration exhibited a good linear relationship over the concentration range of 0.1-100 µM, and the limit of detection (S/N = 3) was 0.02 µM. Furthermore, the electrochemical sensor presented good stability, and it was successfully used for the determination of DXM in pharmaceutical, human serum and urine samples.


Assuntos
Carbono , Cobre , Dextrometorfano , Dissulfetos , Técnicas Eletroquímicas , Polímeros Molecularmente Impressos , Molibdênio , Molibdênio/química , Dissulfetos/química , Dextrometorfano/análise , Dextrometorfano/química , Dextrometorfano/urina , Cobre/química , Técnicas Eletroquímicas/métodos , Carbono/química , Polímeros Molecularmente Impressos/química , Quitina/química , Humanos , Limite de Detecção , Eletrodos , Antitussígenos/química , Antitussígenos/análise , Antitussígenos/urina
3.
Org Lett ; 26(21): 4463-4468, 2024 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-38747552

RESUMO

(S)-1-(4-Methoxybenzyl)-1,2,3,4,5,6,7,8-octahydroisoquinoline ((S)-1-(4-methoxybenzyl)-OHIQ) is the key intermediate of the nonopioid antitussive dextromethorphan. In this study, (S)-IR61-V69Y/P123A/W179G/F182I/L212V (M4) was identified with a 766-fold improvement in catalytic efficiency compared with wide-type IR61 through enzyme engineering. M4 could completely convert 200 mM of 1-(4-methoxybenzyl)-3,4,5,6,7,8-hexahydroisoquinoline into (S)-1-(4-methoxybenzyl)-OHIQ in 77% isolated yield, with >99% enantiomeric excess and a high space-time yield of 542 g L-1 day-1, demonstrating a great potential for the synthesis of dextromethorphan intermediate in industrial applications.


Assuntos
Dextrometorfano , Dextrometorfano/química , Dextrometorfano/síntese química , Estrutura Molecular , Oxirredutases/metabolismo , Oxirredutases/química , Iminas/química , Estereoisomerismo , Antitussígenos/química , Antitussígenos/síntese química , Engenharia de Proteínas
4.
Artigo em Inglês | MEDLINE | ID: mdl-35245842

RESUMO

A new method involving gut microbiota biotransformation, spectrum-effect relationship analysis and metabolomics analysis was developed to study the antitussive and expectorant microbial metabolites of platycosides fraction (MPFs) of Platycodonis Radix. Furthermore, their possible metabolic mechanisms were studied for the first time. The findings showed that the antitussive and expectorant effects of the platycosides fraction (PF) were significantly enhanced by the gut microbiota biotransformation. 11 active antitussive microbial metabolites and 12 active expectorant microbial metabolites, which shared 8 components, were successfully screened out via spectrum-effect relationship analysis. The prototypes of the active microbial metabolites could be reversely traced according to the gut microbiota biotransformation pathways. It was found out that one platycoside could produce several active microbial metabolites and several different platycosides could produce the same active microbial metabolite. In addition, the metabolomics analysis showed that both the PF and its active microbial metabolites could regulate the same metabolomic pathways of Linoleic acid metabolism, Arachidonic acid metabolism and Glycerophospholipid metabolism to exert antitussive activity, and regulate the same metabolomic pathway of Arachidonic acid metabolism to exert expectorant activity. These findings suggested the microbial metabolites may be the active forms of the platycosides. Overall, the proposed approach was useful in screening the active microbial metabolites; this work explained the in vivo antitussive and expectorant metabolic mechanisms of multi-constituents, multi-targets and synergistic effects of PF of Platycodonis Radix.


Assuntos
Antitussígenos , Expectorantes , Metaboloma/efeitos dos fármacos , Extratos Vegetais , Platycodon , Animais , Antitussígenos/química , Antitussígenos/farmacologia , Cromatografia Líquida , Expectorantes/química , Expectorantes/farmacologia , Microbioma Gastrointestinal , Metabolômica , Camundongos , Ácido Oleanólico/análogos & derivados , Extratos Vegetais/química , Extratos Vegetais/farmacologia , Platycodon/química , Saponinas
5.
Molecules ; 27(3)2022 Jan 24.
Artigo em Inglês | MEDLINE | ID: mdl-35164006

RESUMO

Naringenin (NRG) is a natural flavonoid compound abundantly present in citrus fruits and has the potential to treat respiratory disorders. However, the clinical therapeutic effect of NRG is limited by its low bioavailability due to poor solubility. To enhance the solubility, naringenin nanosuspensions (NRG-NSps) were prepared by applying tocopherol polyethylene glycol succinate (TPGS) as the nanocarrier via the media-milling method. The particle size, morphology, and drug-loading content of NRG-NSps were examined, and the stability was evaluated by detecting particle size changes in different physiological media. NRG-NSps exhibited a flaky appearance with a mean diameter of 216.9 nm, and the drug-loading content was 66.7%. NRG-NSps exhibited good storage stability and media stability. NRG-NSps presented a sustainable release profile, and the cumulative drug-release rate approached approximately 95% within 7 d. NRG-NSps improved the antitussive effect significantly compared with the original NRG, the cough frequency was decreased from 22 to 15 times, and the cough incubation period was prolonged from 85.3 to 121.6 s. Besides, NRG-NSps also enhanced expectorant effects significantly, and phenol red secretion was increased from 1.02 to 1.45 µg/mL. These results indicate that NRG-NSps could enhance the bioavailability of NRG significantly and possess a potential clinical application.


Assuntos
Antitussígenos , Expectorantes , Flavanonas/farmacologia , Animais , Antitussígenos/síntese química , Antitussígenos/química , Antitussígenos/farmacologia , Antitussígenos/uso terapêutico , Disponibilidade Biológica , Tosse/tratamento farmacológico , Tosse/patologia , Modelos Animais de Doenças , Sistemas de Liberação de Medicamentos , Avaliação Pré-Clínica de Medicamentos , Liberação Controlada de Fármacos , Expectorantes/síntese química , Expectorantes/química , Expectorantes/farmacologia , Expectorantes/uso terapêutico , Flavanonas/síntese química , Flavanonas/química , Flavanonas/uso terapêutico , Camundongos , Nanopartículas , Tamanho da Partícula , Solubilidade , Suspensões
6.
J Ethnopharmacol ; 283: 114670, 2022 Jan 30.
Artigo em Inglês | MEDLINE | ID: mdl-34653522

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: Fritillariae thunbergii Miq (FTM)exhibit versatile biological activities including the significant antitussive and expectorant activities. As a herbal medicine, the therapeutic effects of FTM may be expressed by multi-components which have complicated integration effects on multi-targets. With the time going, the different processing methods of FTM has been changed a lot. Thus,the study described the effect of processing methods to FTM and its quality. MATERIAL AND METHOD: Studies were undertaken by using UHPLC-LTQ Orbitrap MS and pharmacodynamic models. All reagents were involved of analytical grade. While a HPLC-ELSD's method has been developed and validated, a certified Quality System is conformed to ICH requirements. The experimental animals followed the animal welfare guidelines. AIM OF THE STUDY: We aimed to found the differences after the different processing methods of FTM, and to demonstrate the changes could be selected as quality control indicators, and established a method for simultaneous determination of these for quality control. RESULTS: we have previously found two new steroidal alkaloids: zhebeininoside and imperialine-3-ß-D-glucoside from the different processing methods of FTM, which is the difference between the different processing methods of FTM, mainly on the steroidal alkaloids. The activity analysis of zhebeininoside, imperialine-3-ß-D-glucoside, verticine and verticinone showed that the mouse model of cough expectorant has antitussive effect. The positive drug selected was dextromethorphan syrup. The positive group showed biological activity, but the blank group showed nothing. The model group showed illness which means that the model was effective. There are two ways of the mechanism of action of the expectorant action which can make sputum thin, reduce its viscosity, and be easy to cough up, or can accelerate the movement of mucous cilia in the respiratory tract and promote the discharge of sputum. In our study, the content of phenol red was significantly reduced in the administration group. CONCLUSIONS: To sum up, our results suggest that zhebeininoside and other three components cloud be selected as quality control indicators, and a method for simultaneous determination of zhebeininoside and other three components was established for quality control.


Assuntos
Antitussígenos , Cevanas , Tosse , Medicamentos de Ervas Chinesas , Fritillaria , Animais , Camundongos , Amônia/toxicidade , Antitussígenos/química , Antitussígenos/normas , Antitussígenos/uso terapêutico , Cevanas/química , Tosse/induzido quimicamente , Tosse/tratamento farmacológico , Dextrometorfano/uso terapêutico , Medicamentos de Ervas Chinesas/química , Medicamentos de Ervas Chinesas/normas , Medicamentos de Ervas Chinesas/uso terapêutico , Fritillaria/química , Fitoterapia , Caules de Planta/química , Controle de Qualidade , Distribuição Aleatória
7.
J Ethnopharmacol ; 284: 114754, 2022 Feb 10.
Artigo em Inglês | MEDLINE | ID: mdl-34662663

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: Erigeron canadensis has been used in traditional medicine to treat a variety of respiratory diseases, including acute upper and lower respiratory tract infections and cough-related asthma. There is as yet no relevant experimental or clinical study in the scientific literature evaluating the efficacy of plants in these disorders. AIM OF THE STUDY: To investigate the active ingredients in Erigeron canadensis, a complex isolated from flowering parts of a plant was tested for airway defense reflexes, in particular for cough reflexes and airway reactivity. Both were experimentally induced by a chemical irritant that simulated the inflammatory conditions of their formation. MATERIAL AND METHODS: The polyphenolic polysaccharide-protein (PPP) complex was isolated from the flowering parts of Erigeron canadensis by hot alkaline extraction and a multi-stage purification process. The antitussive activity was confirmed as a decrease in the number of citric acid-induced coughs and the bronchodilator effect was verified as a decrease in specific airway resistance (sRaw) in conscious guinea pigs. RESULTS: The dark brown Erigeron complex with a molecular weight of 38,000 g/mol contained phenolics (13.2% wt%), proteins (16.3% wt%), and uronic acids (6.3% wt%). The neutral carbohydrate part of Erigeron consisted mainly of xylose (12.1 wt%), glucose (13.3 wt%), arabinose (24.1 wt%), and galactose (41.0 wt%) residues. Arabinogalactan and 4-OMe-glucuronoxylan have been found to be the major polysaccharides in the Erigeron complex. Using a method of chemically-induced cough reflex and guinea pigs test system the Erigeron complex exhibited statistically significant, the dose-dependent antitussive activity, which was similar to that of the centrally-acting opioid agonist codeine. CONCLUSION: Pharmacological tests have revealed a new pharmacodynamic effect of the Erigeron complex, namely an antitussive effect. Its activity was most pronounced in comparison with all previously tested compounds from other medicinal plants and approached the effect of codeine, the most potent antitussive used in clinical practice. The results provide the scientific basis for the application of this herb in traditional medicine.


Assuntos
Erigeron/química , Polifenóis/farmacologia , Polissacarídeos/farmacologia , Proteínas/farmacologia , Animais , Antitussígenos/química , Antitussígenos/isolamento & purificação , Antitussígenos/farmacologia , Codeína/farmacologia , Tosse/tratamento farmacológico , Relação Dose-Resposta a Droga , Cobaias , Masculino , Polifenóis/química , Polifenóis/isolamento & purificação , Polissacarídeos/administração & dosagem , Polissacarídeos/química , Polissacarídeos/isolamento & purificação , Proteínas/química , Proteínas/isolamento & purificação
8.
Pak J Pharm Sci ; 34(5): 1707-1713, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34803006

RESUMO

Among respiratory complications, cough is an important defensive pulmonary reflex that removes fluids, irritants or foreign substances from the respiratory tract. Rosa damascene Mill, petal extract is a traditional medicine and reported to use in the management of cough. In the present study rose petals extract samples were used to prepare natural antitussive cough syrups containing ivy leaf extract to observe synergistic effect of rose water in managing coughing in rats. Four cough formulations (A1, A2, A3 and A4) were prepared. The antitussive activity was observed at three dosage levels; 5ml, 10ml and 15ml. Cough was induced by the standard procedure using sulfur dioxide gas and ammonia. The antitussive activity was recorded by observing the coughing bouts. The result indicated that all formulations had a good effect on cough reduction at 90min but comparing the effect of formulations in all doses formulations, A2 followed by A3 and A4 at 30 minute time interval which is good in comparison with standard Diphenhydramine HCL and Dextromethorphan HBr 10ml in sulfur dioxide gas and ammonia induced cough. Hence, the results of the present study indicated the synergistic effect of rose water in the management of cough ailments.


Assuntos
Antitussígenos/química , Tosse/induzido quimicamente , Composição de Medicamentos , Extratos Vegetais/química , Extratos Vegetais/farmacologia , Rosa/química , Animais , Tosse/tratamento farmacológico , Formas de Dosagem , Relação Dose-Resposta a Droga , Flores/química , Humanos , Ratos , Ratos Wistar , Dióxido de Enxofre/toxicidade
9.
Biofactors ; 47(6): 975-991, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34534373

RESUMO

Noscapine has been mentioned as one of the effective drugs with potential therapeutic applications. With few side effects and amazing capabilities, noscapine can be considered different from other opioids-like structure compounds. Since 1930, extensive studies have been conducted in the field of pharmacological treatments from against malaria to control cough and cancer treatment. Furthermore, recent studies have shown that noscapine and some analogues, like 9-bromonoscapine, amino noscapine, and 9-nitronoscapine, can be used to treat polycystic ovaries syndrome, stroke, and other diseases. Given the numerous results presented in this field and the role of different receptors in the therapeutic effects of noscapine, we aimed to review the properties, therapeutic effects, and the role of receptors in the treatment of noscapine.


Assuntos
Anti-Inflamatórios/farmacologia , Antimaláricos/farmacologia , Antineoplásicos/farmacologia , Antitussígenos/farmacologia , Noscapina/química , Noscapina/farmacologia , Animais , Anti-Inflamatórios/química , Antimaláricos/química , Antineoplásicos/química , Antitussígenos/química , Apoptose/efeitos dos fármacos , Feminino , Humanos , Camundongos , Noscapina/análogos & derivados
10.
J Sep Sci ; 44(17): 3219-3228, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34212514

RESUMO

The identification of bioactive compounds in complex matrices remains a major challenge due to the lack of highly efficient and specific methods. This work developed an approach based on high-performance affinity chromatography to identify the potential antitussive compounds from Zhisou oral liquid . The main methods include the synthesis of immobilized beta2-adrenoceptor by a one-step method, the screening and identification of the potential bioactive compounds by the receptor column coupled with mass spectrometry, and the binding mechanism analysis of the compounds to the receptor by the in vivo experiment, injection amount dependent method and molecular simulation. We identified the potential bioactive compounds of Zhisou oral liquid as glycyrrhizic acid, platycodin D, tuberostemonine, and hesperidin. In vivo experiment showed that the combinational utilization of the four compounds was possible to present an equivalent antitussive effect to the formula. The docking results demonstrated that hydrogen bonds and Van der Waals forces were the main forces to drive the binding of the four compounds to beta2-adrenoceptor. We concluded that the four compounds are the effective components in Zhisou oral liquid. The proposed strategy is possible to provide an alternative for the development of highly efficient methods to pursue the bioactive compounds of complex matrices.


Assuntos
Antitussígenos/isolamento & purificação , Medicamentos de Ervas Chinesas/isolamento & purificação , Extratos Vegetais/isolamento & purificação , Receptores Adrenérgicos beta 2/química , Administração Oral , Antitussígenos/administração & dosagem , Antitussígenos/química , Cromatografia de Afinidade , Medicamentos de Ervas Chinesas/administração & dosagem , Medicamentos de Ervas Chinesas/química , Humanos , Medicina Tradicional Chinesa , Simulação de Acoplamento Molecular , Estrutura Molecular , Extratos Vegetais/administração & dosagem , Extratos Vegetais/química
11.
Sci Rep ; 11(1): 10145, 2021 05 12.
Artigo em Inglês | MEDLINE | ID: mdl-33980886

RESUMO

Glioblastoma (GBM) is an aggressive brain tumor with a strong tendency of relapse and resistance to chemotherapy, but we currently lack non-toxic agents that effectively treat GBM. In this study, high-throughput screening of FDA-approved drugs was performed to identify safe and effective molecules and test their effect on GBM cell lines, LN229, U87 and T98G. Cough suppressants, oxelaidin and butamirate inhibited GBM growth. A Ras family GTPase, Ras-related associated with diabetes (RRAD), contributes to activation of STAT3, which is essential for survival and growth of many cancer types. Interestingly, oxelaidin and butamirate did not affect proliferation in RRAD negative GBM cells. Docking simulation analyses revealed selective interactions between oxelaidin and RRAD. The mechanism by which butamirate and oxelaidin inhibits GBM cell growth involves the suppression of STAT3 transcriptional activity, leading to down-regulation of cyclin D1 and survivin. In addition, components of RRAD-associated signaling cascades, including p-EGFR, p-Akt, and p-STAT3, were inhibited upon oxelaidin treatment. Intraperitoneal administration of oxelaidin or butamirate markedly suppressed tumor growth in a glioblastoma xenograft mouse model without significant adverse effects. Our collective findings indicate that oxelaidin and butamirate exert anti-tumor effects in glioblastoma, supporting its utility as a novel therapeutic candidate for glioblastoma.


Assuntos
Antineoplásicos/farmacologia , Antitussígenos/farmacologia , Fenilbutiratos/farmacologia , Animais , Antineoplásicos/química , Antitussígenos/química , Apoptose/efeitos dos fármacos , Sítios de Ligação , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Reposicionamento de Medicamentos , Ensaios de Seleção de Medicamentos Antitumorais , Receptores ErbB/metabolismo , Regulação Neoplásica da Expressão Gênica/efeitos dos fármacos , Glioma/tratamento farmacológico , Glioma/patologia , Humanos , Camundongos , Modelos Moleculares , Fenilbutiratos/química , Ligação Proteica , Fator de Transcrição STAT3/metabolismo , Transdução de Sinais/efeitos dos fármacos , Relação Estrutura-Atividade , Ensaios Antitumorais Modelo de Xenoenxerto
12.
Sci Rep ; 10(1): 19664, 2020 11 12.
Artigo em Inglês | MEDLINE | ID: mdl-33184510

RESUMO

Bamboo juice is a traditional Chinese drink and herbal medicine, and bamboo juice oral liquids are widely sold for the treatment of cough and phlegm in China. In this study, 26 main compounds of bamboo juice (Phyllostachys edulis) were separated, precisely identified, and qualitative analysis using NMR (nuclear magnetic resonance) and quantitative analysis using UPLC-Q-TOF-MS (ultra-performance liquid chromatography with high-resolution quadrupole time-of-flight mass spectrometer), respectively. Potentially harmful levels of added excessive preservatives, including benzoic acid, ethylparaben, and sorbic acid, were found in bamboo juice oral liquid. Carbohydrates were determined to be the major components of bamboo juice, with contents as high as 191.13 g L-1, far higher than those of other compounds. The result indicated that the cough relief activity of bamboo juice oral liquid may be related to their high levels of added preservatives.


Assuntos
Medicamentos de Ervas Chinesas/química , Poaceae/química , Antitussígenos/química , Carboidratos/análise , Cromatografia Líquida , Conservantes de Alimentos/análise , Sucos de Frutas e Vegetais/análise , Espectroscopia de Ressonância Magnética , Espectrometria de Massas , Plantas Medicinais/química
13.
P R Health Sci J ; 39(2): 189-194, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32663916

RESUMO

OBJECTIVE: Compounded oral solutions for respiratory illnesses such as the common cold and cough are commonly prepared and dispensed by licensed pharmacists in the United States and Puerto Rico (PR). Standard protocols for their preparation and quality assessment and for patient counseling are available for most of the prescribed compounded solutions. However, in PR there is a common prescription approach colloquially referred to as "mezclitas": mixtures of antitussives, expectorants, decongestants, and other active ingredients available in commercial solutions for which there are no science-driven compounding guidelines for local pharmacists. METHODS: This study evaluated the physicochemical stability of a commonly dispensed compounded preparation (containing guaifenesin, dextromethorphan, and dexamethasone) that is used for the treatment of respiratory illnesses in PR. The stability indicators tested included clarity, odor, pH, and viscosity. Changes in stability indicators were evaluated for different storage conditions (ambient temperature and refrigerated) over a period of 6 months. RESULTS: The samples exhibited small changes in color, odor, and viscosity. Although the observed changes were small, they may be indicative of chemical and/or physical transformations that occurred over time. A survey of local pharmacists also evidenced the absence of standardized protocols for the preparation and dispensation of the mezclitas in PR. CONCLUSION: In spite of the absence of protocols for compounding oral solutions for respiratory illnesses, our study suggests that the stability of such solutions is not heavily compromised. However further chemical and physical testing is needed and the findings of such testing used to develop standardized protocols for the compounding of oral solutions for respiratory illnesses.


Assuntos
Dexametasona/administração & dosagem , Dextrometorfano/administração & dosagem , Composição de Medicamentos/normas , Guaifenesina/administração & dosagem , Administração Oral , Antitussígenos/administração & dosagem , Antitussígenos/química , Cor , Dexametasona/química , Dextrometorfano/química , Estabilidade de Medicamentos , Armazenamento de Medicamentos , Expectorantes/administração & dosagem , Expectorantes/química , Glucocorticoides/administração & dosagem , Glucocorticoides/química , Guaifenesina/química , Humanos , Concentração de Íons de Hidrogênio , Odorantes , Farmacêuticos/estatística & dados numéricos , Porto Rico , Inquéritos e Questionários , Fatores de Tempo , Estados Unidos , Viscosidade
14.
Drug Metab Rev ; 52(2): 258-282, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32393072

RESUMO

Dextromethorphan (DXM) is a safe and effective antitussive agent present in several over the counter cough and cold medications. At higher doses, it causes psychoactive effects, making it appealing for abuse. In this work, the pharmacokinetics and pharmacodynamics of DXM with clinical and forensic relevance were extensively reviewed. DXM and related known metabolizing enzymes and metabolites were searched in books and in PubMed (U.S. National Library of Medicine) without a limiting period. Major metabolic pathways include sequential O-demethylation and N-demethylation of DXM, yielding dextrorphan (DXO), the major active metabolite, and 3-hydroxymorphinan, the bi-demethylated product, respectively. The demethylation order described may reverse being the resultant mid product 3-methoxymorphinan. UDP-glucuronosyltranferase produces glucuronide conjugates. Genotypic variations in enzymes and interactions with other drugs can result in large inter-individual variability in the pharmacological and toxicological effects produced. Knowing the metabolism of DXM may help to better understand the inter-individual variability in the pharmacokinetics and pharmacodynamics and to avoid adverse effects.


Assuntos
Dextrometorfano/farmacologia , Animais , Antitussígenos/química , Antitussígenos/farmacocinética , Antitussígenos/farmacologia , Dextrometorfano/efeitos adversos , Dextrometorfano/química , Dextrometorfano/farmacocinética , Uso Indevido de Medicamentos , Humanos
15.
Biomed Chromatogr ; 34(7): e4828, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32166820

RESUMO

Kalimeris indica (L) Sch-Bip is a medicinal plant used by the Miao ethnic group in the Guizhou province of China. It is widely used as a fresh vegetable to treat colds, diarrhea and gastric ulcers. However, few studies have been conducted on the mechanism of its effect on colds, and its quality control. The anticomplement and antitussive activities of different polar extracts of K. indica were evaluated. Fifty-nine compounds, mainly including phenols and flavonoids, were identified in K. indica extract by ultra-high-performance liquid chromatography quadrupole time-of-flight tandem mass spectrometry. A method was established through ultra-high-performance liquid chromatography with a photodiode array to simultaneously determine the anticomplement and antitussive activity of five compounds in K. indica combining chemical identification with chemometrics for discrimination and quality assessment. Also, 3,5-dicaffeoylquinic acid and 4,5-dicaffeoylquinic acid exhibited significantly higher anticomplementary activity than the other three compounds. The quantitative data were further analyzed by principal component analysis and orthogonal partial least-squares discriminant analysis. Heatmap visualization was conducted to clarify the distribution of the major compounds in different geographical origins. Screening pharmacological activities by a combination of chemometrics and chemical identification might be an effective method for the quality control of K. indica.


Assuntos
Asteraceae/química , Extratos Vegetais/análise , Extratos Vegetais/química , Animais , Anti-Inflamatórios/análise , Anti-Inflamatórios/química , Anti-Inflamatórios/farmacologia , Antitussígenos/análise , Antitussígenos/química , Antitussígenos/farmacologia , China , Cromatografia Líquida de Alta Pressão , Tosse/fisiopatologia , Medicamentos de Ervas Chinesas , Eritrócitos/metabolismo , Flavonoides/análise , Flavonoides/química , Flavonoides/farmacologia , Masculino , Camundongos , Camundongos Endogâmicos ICR , Fenóis/análise , Fenóis/química , Fenóis/farmacologia , Extratos Vegetais/farmacologia , Espectrometria de Massas em Tandem
16.
J Pharm Biomed Anal ; 180: 113053, 2020 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-31901736

RESUMO

Suhuang antitussive capsule (SH), one of traditional Chinese patent medicines, has been widely used for treating cough variant asthma and postinfectious cough in clinic. The objective of this work is to identify the characteristic and active ingredients as the quality control markers for SH based on high performance liquid chromatography with photodiode array detector (HPLC-PDA) fingerprint and screening of anti-inflammatory components. Similarity analysis (SA), hierarchical clustering analysis (HCA) and principal component analysis (PCA) were used to evaluate 16 different batches of SH. 13 compounds accounting for 36% of the total components in the fingerprint were identified and semi-quantitatively analyzed, which anti-inflammatory activity was tested with the in vitro assay. The results showed that the established chemical fingerprint could clearly distinguish different batches of SH by SA, HCA, and PCA analysis. Furthermore, four known compounds (chlorogenic acid, schisandrin, angeloylgomisin H and praeruptorin A) were screened out to be the most discriminant variables, which could be applied to quality control of SH by quantitative analysis. The semi-quantitative results showed that six compounds were major components, i.e. arctiin (10.28 ±â€¯3.18 mg/g), ephedrine (9.26 ±â€¯1.58 mg/g), schisandrin (3.09 ±â€¯0.83 mg/g), pseudoephedrine (2.34 ±â€¯1.04 mg/g), schisandrin B (1.48 ±â€¯0.16 mg/g), and 1-caffeoylquinic acid (1.36 ±â€¯0.42 mg/g). The anti-inflammatory results showed that SH extract, praeruptorin A, schisandrin, arctigenin and pseudoephedrine could significantly inhibit inflammatory mediator NO production in LPS-stimulated RAW264.7 macrophages. These findings indicated that praeruptorin A, schisandrin, arctiin and pseudoephedrine could be proposed as the quality control markers for SH.


Assuntos
Anti-Inflamatórios/análise , Anti-Inflamatórios/normas , Antitussígenos/análise , Antitussígenos/normas , Medicamentos de Ervas Chinesas/análise , Medicamentos de Ervas Chinesas/normas , Animais , Anti-Inflamatórios/química , Anti-Inflamatórios/farmacologia , Antitussígenos/química , Antitussígenos/farmacologia , Cápsulas , Cromatografia Líquida de Alta Pressão , Análise por Conglomerados , Estabilidade de Medicamentos , Medicamentos de Ervas Chinesas/química , Medicamentos de Ervas Chinesas/farmacologia , Medicina Tradicional Chinesa , Camundongos , Óxido Nítrico/análise , Análise de Componente Principal , Controle de Qualidade , Células RAW 264.7
17.
Acta Chim Slov ; 67(2): 530-536, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33855552

RESUMO

Identification and determination of diethylene glycol (DEG) in glycerin-based products was successfully achieved using FT-IR spectroscopy. Studied samples included 0.5% to 20% by mass DEGspiked into cough syrup, two paracetamol syrup formulations, and two food supplements. The characteristic DEGwavenumbers at 881 cm-1 and 1083 cm-1 were used for its quantitative determination in the studied samples. A very good accuracy in determining the DEG fraction was achieved with a mean error% of ±2.02% to ±7.69% upon using the corrected absorbance at 881 cm-1. The corrected absorbance at 1083 cm-1 band was used in the case of paracetamol formulations and resulted in a mean error% ranging from ±2.50% to ±10.28%. The values of limit of detection of the current method ranged from 0.051% to 0.068% DEG for all studied samples.


Assuntos
Antitussígenos/análise , Suplementos Nutricionais/análise , Etilenoglicóis/análise , Acetaminofen/química , Antitussígenos/química , Contaminação de Medicamentos/prevenção & controle , Glicerol/química , Melissa/química , Espectroscopia de Infravermelho com Transformada de Fourier , Stevia/química
18.
J Epidemiol ; 30(3): 116-120, 2020 Mar 05.
Artigo em Inglês | MEDLINE | ID: mdl-30828036

RESUMO

BACKGROUND: Guidelines recommend against all codeine use in children for its common indications of analgesia and cough suppression because of uncertain benefits and potential risk of death. However, because of its rarity, the occurrence of severe respiratory depression associated with codeine-containing antitussives has been poorly investigated. The objective of this study was to investigate the association between codeine-containing antitussives and severe respiratory depression in children. METHODS: We retrospectively identified Japanese children who were prescribed antitussives for respiratory diseases from a large Japanese administrative claims database (JMDC, Tokyo, Japan). We collected data on baseline characteristics including age, sex, and comorbidity. Each case was matched with four controls with the same sex and age in the same year from the same type of medical institution. We then examined the association between codeine-containing antitussives and subsequent severe respiratory depression using multivariable conditional logistic regression analysis. RESULTS: Of 164,047 children, 18,210 (11.1%) were prescribed codeine-containing antitussives. Of the children who took codeine-containing drugs, seven experienced severe respiratory depression. After adjusting for confounding factors, there was no significant difference in the proportion of severe respiratory depression between children with and without codeine-containing antitussives (odds ratio 1.15; 95% confidence interval, 0.48-2.78). CONCLUSION: Occurrence of respiratory depression was very rare, and the association of codeine with respiratory depression was insignificant, even in a large sample of children in Japan.


Assuntos
Antitussígenos/efeitos adversos , Antitussígenos/química , Codeína/efeitos adversos , Insuficiência Respiratória/epidemiologia , Adolescente , Estudos de Casos e Controles , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Japão/epidemiologia , Masculino , Estudos Retrospectivos , Índice de Gravidade de Doença
19.
Biomed Chromatogr ; 34(2): e4736, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31696526

RESUMO

Chimonanthus nitens Oliv. leaf (CNOL), as a traditional Chinese medicine, has been widely used for the treatment of influenza and colds over a long history. However, the mechanism of colds related to the effects of CNOL have been little studied. In this study, the anticomplement and antitussive activities of different polarity extracts of CNOL were evaluated. Ethyl acetate extract (EAE) among different extracts not only significantly decreased cough times by 21-58% (P < 0.01), but also had anticomplement effects demonstrated by the CH50 values of 0.100 mg/ml. A total of 28 constituents (10 coumarins, 13 flavonoids and five phenolics) were identified in EAE based on the ultra-high-performance liquid chromatography quadrupole time-of-flight tandem mass spectrometry technique. Eight compounds in EAE were evaluated by an ammonia-induced cough model to reveal the antitussive mechanisms and classical anticomplement pathway. The results indicated that the antitussive effects of scopoletin, kaempferol-3-O-rutinoside and kaempferol may depend on central mechanisms and that flavonoids such as compounds of kaempferol-3-O-rutinoside and kaempferol have better anticomplementary activity than coumarins like compounds of scopolin, scopoletin and isofraxidin. Taken together, kaempferol-3-O-rutinoside and kaempferol could be important chemical markers in the present study that might be used to evaluate the quality and biological activity of CNOL.


Assuntos
Antitussígenos , Calycanthaceae/química , Proteínas Inativadoras do Complemento , Extratos Vegetais , Animais , Antitussígenos/química , Antitussígenos/farmacologia , Cromatografia Líquida de Alta Pressão/métodos , Proteínas Inativadoras do Complemento/química , Proteínas Inativadoras do Complemento/farmacologia , Tosse/induzido quimicamente , Tosse/fisiopatologia , Modelos Animais de Doenças , Cobaias , Quempferóis , Masculino , Camundongos , Camundongos Endogâmicos ICR , Extratos Vegetais/química , Extratos Vegetais/farmacologia , Folhas de Planta/química , Espectrometria de Massas em Tandem/métodos
20.
Anal Chem ; 91(24): 15453-15460, 2019 12 17.
Artigo em Inglês | MEDLINE | ID: mdl-31724391

RESUMO

The present work investigates the challenges accompanied by the electrochemical cocaine detection in physiological conditions (pH 7) in the presence of chlorpromazine, promethazine, procaine, and dextromethorphan, frequently used cutting agents in cocaine street samples. The problem translates into the absence of the cocaine oxidation signal (signal suppression) when in a mixture with one of these compounds, leading to false negative results. Although a solution to this problem was provided through earlier experiments of our group, the mechanisms behind the suppression are now fundamentally investigated via electrochemical and liquid chromatography quadrupole-time-of-flight mass spectrometry (LC-QTOF-MS) strategies. The latter was used to confirm the passivation of the electrodes due to their interaction with promethazine and chlorpromazine. Electron transfer mechanisms were further identified via linear sweep voltammetry. Next, adsorption experiments were performed on the graphite screen printed electrodes both with and without potential assistance in order to confirm if the suppression of the cocaine signals is due to passivation induced by the cutting agents or their oxidized products. The proposed strategies allowed us to identify the mechanisms of cocaine suppression for each cutting agent mentioned. Suppression due to procaine and dextromethorphan is caused by fouling of the electrode surface by their oxidized forms, while for chlorpromazine and promethazine the suppression of the cocaine signal is related to the strong adsorption of these (nonoxidized) cutting agents onto the graphite electrode surface. These findings provide fundamental insights in possible suppression and other interfering mechanisms using electrochemistry in general not only in the drug detection sector.


Assuntos
Clorpromazina/química , Cocaína/química , Dextrometorfano/química , Técnicas Eletroquímicas/métodos , Procaína/química , Prometazina/química , Anestésicos Locais/química , Antieméticos/química , Antipruriginosos/química , Antitussígenos/química , Estrutura Molecular , Sensibilidade e Especificidade
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