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Table of Content

    03 September 2022, Volume 31 Issue 8
    Reviews
    Canagliflozin, an inhibitor of sodium-glucose co-transporter 2, advances in the treatment of type 2 diabetes
    Ying Fu, Simo Liu, Yan Ma, Nannan Wu
    2022, 31(8):  569-588.  DOI: 10.5246/jcps.2022.08.049
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    Canagliflozin (CANA) is a sodium-glucose co-transporter 2 inhibitor. One of the important mechanisms of CANA is the inhibitory effect on the glucose uptake in the proximal tubule of the nephron, and the other mechanism can be the reduction of inflammatory cytokine expression monocytes and macrophages. It is proved by FDA for the management of type 2 diabetes. In the present work, we summarized the publication and clinical evidence of the CANA on healthy individuals and those with related metabolic diseases, such as type 1 and 2 diabetes, obesity, or cardiovascular and kidney diseases. This drug has been reported to offer potential advantages in regulating body weight and reducing heart failure, hypoglycemia, and stroke risk in patients with type 2 diabetes. Some in vitro and animal experiments also show that this drug has good effects on cancer treatment. However, some case reports and experiments also show the side effect of CANA, such as amputation, fracture, and pancreatitis, while the mechanism is still unknown. Overall, CANA has a good effect on the management of type 2 diabetes by reducing the risk of kidney failure, cardiovascular diseases, and stroke. However, as a new drug, more clinical trials and experiments of CANA should be carried out in the future.

    Cancer chemotherapy with novel bioactive natural products
    Neha Dangi, Shikha Sharma
    2022, 31(8):  589-607.  DOI: 10.5246/jcps.2022.08.050
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    Cancer is the primary cause of death on a global scale. Every year, 8.8 million people die because lung, prostate gland, colorectal, and hepatic cancers are more common in men. In contrast, mammary glands, large intestine, bronchi, cervix, and abdomen cancers are more common in women. The Food and Drug Administration of the United States of America has approved plant-based medications for cancer treatment. Examples include taxanes, such as paclitaxel, and vinca alkaloids, such as vincristine and vinblastine. Although, developing new anti-cancer medicine to treat this disease will necessitate a diverse range of bioactive sources. More than 30 natural compounds derived from plants have been identified, with clinical trials currently underway. According to a literature review of numerous publications and manuals, novel medicinal compounds derived from bioactive sources have been confirmed scientifically efficacious against many kinds of cancer cells. The current study focused on new therapeutic compounds extracted from the plants indicated to have antineoplastic effects in clinical trials. The most significant discoveries of these active new medicinal substances were also summarized and discussed.

    Original articles
    Hepatic CYP3A4, SULT2A1, and UGT1A1 synergistically mediate metabolic detoxification of genipin
    Fan Zhang, Xiaohui Wang, Abdulaziz Ahmed A. Saad, Lili Xi, Xiaohua Ma, Axi Shi, Yuhui Wei
    2022, 31(8):  608-621.  DOI: 10.5246/jcps.2022.08.051
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    In the present study, we aimed to ascertain the metabolic detoxification routes of genipin via CYP3A4, SULT2A1, and UGT1A1 in HepaRG cells. It was found that the hepatic CYP3A4, SULT2A1, and UGT1A1 synergistically mediated the metabolic detoxification of genipin, and the CYP3A4 was the limited enzyme. In detail, the pivotal detoxification pathway was CYP3A4-SULT2A1/UGT1A1, indicating that SULT2A1 and UGT1A1 further catalyzed the phase II detoxification metabolism followed by the genipin metabolization by CYP3A4 to the phase I metabolites with alleviated toxicity. Our findings provided valuable cues for future studies on the detoxification of genipin, even the compatibility detoxification of Zhi-zi. Moreover, these data facilitated the development and rational administration of genipin and Zhi-zi.

    Effects of Polygonum hydropiper on the expressions of inflammatory cytokines and cytochrome P450 enzymes in mice with E. coli-induced diarrhea
    Jiahuan Huang, Ling Yue, Mingru Zhang, Quan Yang, Xuanxuan Cheng
    2022, 31(8):  622-633.  DOI: 10.5246/jcps.2022.08.052
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    In the present study, we aimed to investigate the effects of Polygonum hydropiper aqueous extract (PHE) on the expression levels of inflammatory cytokines and cytochrome P450 (CYPs) in mice with E. coli-induced diarrhea. BALB/c mice were randomly divided into the control group, model group, enrofloxacin-treated group, and two PHE-treated groups with different doses. The diarrhea model was established by intraperitoneal injection of enteropathogenic E. coli (EPEC) in mice. The enrofloxacin-treated group was given enrofloxacin at 5 mg/kg by intragastric gavage (i.g.) for 11 d. PHE-treated groups were given PHE at 5 g/kg and 10 g/kg by i.g. for 11 d. The histopathological characteristics of the duodenum and liver were observed by HE staining. The levels of inflammatory cytokines and CYPs in the duodenum and liver of mice were determined by ELISA. The mRNA and protein expressions of CYPs were determined by qRT-PCR and Western blotting analysis, respectively. The results showed that PHE could significantly alleviate the injury of the duodenum and liver induced by EPEC infection, reduce the contents and mRNA expressions of inflammatory cytokines, and regulate the mRNA and protein expressions of the major subtypes of CYPs. These findings indicated that PHE had an apparent therapeutic effect on EPEC-induced diarrhea, and its mechanism might be related to inhibition of inflammatory cytokines and regulation of CYPs.

    Polymorphs and permeability of 3',4'-dimethoxy flavonol-3-O-β-D-glucopyranoside monohydrate
    Feng Zhou, Danling Sun, Yiru Wang, Ying Zhang, Yueyi Deng
    2022, 31(8):  634-645.  DOI: 10.5246/jcps.2022.08.053
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    3',4'-Dimethoxy-flavonol-3-O-β-D-glucopyranoside monohydrate (GDH), which can significantly reduce blood lipids, atherosclerotic aortic lesions, and liver injury, has poor oral bioavailability. In the present study, we aimed to prepare and characterize five new polymorphs of GDH (II, III, IV, V, and VI) and the amorphous form of GDH (GDH-AM). The GDH polymorphs and GDH-AM were characterized by scanning electron microscopy (SEM), differential scanning calorimetry (DSC), thermogravimetric analysis (TGA), X-ray powder diffraction (XRPD), and Fourier transform infrared spectroscopy (FTIR). Dissolution tests, physical stability, polymorphic transformation, and permeability studies were subsequently investigated. Dissolution of GDH-II and GDH-IV reached higher concentrations compared with GDH-I. GDH-AM exhibited a significantly high dissolution rate and prolonged supersaturation during dissolution. No phase transition was found for GDH-I and GDH-AM after 3 months of storage, while GDH-II, GDH-III, GDH-IV, GDH-V, and GDH-VI were readily converted to GDH-I. In situ single-pass intestinal perfusion experiments showed that the high concentration of GDH exhibited low permeability. Sodium dodecyl sulfate and bovine bile salts were used as absorption enhancers to improve the permeability of GDH. The results showed that sodium dodecyl sulfate and taurocholate were good absorption enhancers for further formulation development of GDH.

    The introduction of therapeutic equivalence evaluation codes and its influence on the selection of the reference listed drugs in China
    Dongsheng Yang, Ningyi Wei, Jianzhao Niu, Mingdi Xu
    2022, 31(8):  646-651.  DOI: 10.5246/jcps.2022.08.054
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    The Approved Drug Products with Therapeutic Equivalence Evaluations (commonly known as the Orange Book) includes the products approved by Food and Drug Administration (FDA) to be marketed in the USA, and it is an essential source for the selection of suitable reference listed drugs (RLD) for a chemical generic medicinal product. The Orange Book assigns a therapeutic equivalence (TE) evaluation code for approved multisource prescription drug products to serve as public information in the area of medicinal product selection. In the present study, we introduced the TE coding system and its influence on the selection of the RLD in China by taking the Topiramate Extended-release Capsules as an example. As a result, it was suggested to determine its TE evaluation code in the Orange Book previously when we choose an RLD and select suitable RLD the first letter of whose TE evaluation code is A to carry out the research and development of a generic medicinal product, which can improve the probability of success of clinical bioequivalence (BE) test and reduce the risk of generic medicinal product development.

    News
    Prof. Pengfei Tu and Prof. Kewu Zeng revealed the new target of regulating neuroimmune inflammation by traditional Chinese medicine
    State Key Laboratory of Natural and Biomimetic Drugs, School of Pharmaceutical Sciences, Peking University Health Science Center
    2022, 31(8):  652-653. 
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    Prof. Pengfei Tu and Prof. Kewu Zeng revealed the new target of regulating neuroimmune inflammation by traditional Chinese medicine.
    The group of Prof. Zhengren Xu has completed the biomimetic total synthesis of the Spiroindimicin family of natural products
    State Key Laboratory of Natural and Biomimetic Drugs, School of Pharmaceutical Sciences, Peking University Health Science Center
    2022, 31(8):  654-656. 
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    The group of Prof. Zhengren Xu has completed the biomimetic total synthesis of the Spiroindimicin family of natural products.