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Table of Content

    30 September 2022, Volume 31 Issue 9
    Original articles
    Fused deposition modeling 3D printed oral famotidine pulsatile release tablets
    Rui Li, Xiangyu Xu, Di Chen, Yue Zhang, Haonan Qian, Genao Zang, Guangrong Yan, Tianyuan Fan
    2022, 31(9):  657-664.  DOI: 10.5246/jcps.2022.09.055
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    The aim of this study was to prepare pulsatile release tablets which provide different drug delayed-release time and realize personalized administration according to the needs of patients. Fused deposition modeling (FDM) 3D printing technology was introduced into the field of pharmaceutics in this study, and the feasibility to prepare core-shell pulsatile release tablets was explored by combing 3D printing technology with the traditional manufacturing technology. The core of the pulsatile tablets was a commercial tablet obtained from the traditional technology, and the drug-free shell was prepared by the FDM 3D printing technology. Three kinds of tablet shells were designed using different parameters. Furthermore, the morphology, size, weight, hardness, and in vitro drug release of the 3D printed famotidine pusatile tablets were characterized and evaluated. The results showed that the 3D printed tablets appeared intact without any defects. Different parameters of outer shell affected the size, weight, hardness, and in vitro drug release of the tablets. The tablets achieved a personalized delayed release time varying from 5 to 7 h in vitro. In this way, a new method for preparing pulsatile release tablets and a new way for the personalized administration of pulsatile tablets were explored in this study.

    The pharmacological mechanism underlying the apoptosis of human hepatic stellate cells LX-2 induced by NF-κB inhibitor PDTC
    Jin Huang, Kaixiang Deng, Meizhen Huang, Gaomin Lin, Mei Lin, Shuimei Lian, Meiquan Zhang
    2022, 31(9):  665-676.  DOI: 10.5246/jcps.2022.09.056
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    In the present study, we aimed to confirm whether NF-κB inhibitor pyrrolidine dithiocarbamate (PDTC) could induce apoptosis of human hepatic stellate cells (HSCs) LX-2 and explore the potential pharmacological mechanism underlying these effects. In this study, LX-2 cells were cultured in vitro, and the experiment was divided into two groups, including the control and PDTC groups. The viability of LX-2 cells was measured by CCK8 assay after the cells were exposed to PDTC. The anti-apoptotic effect of PDTC was detected by AO/EB double assay staining kit. Additionally, the activities of NF-κB, Fas/FasL, apoptosis-related proteins, as well as the cellular localization of AIF, were determined by Western blotting analysis and immunofluorescence staining respectively. After PDTC treatment for 12 and 24 h, AO/EB dual staining showed typical apoptotic changes, such as cell volume reduction, cell shrinkage, nuclear fragmentation, and so on. PDTC at 60 μmol/L significantly increased the proliferation inhibition rate and decreased the secretion of collagen I, collagen III, and α-SMA in LX-2 cells. The Western blotting analysis and RT-PCR showed no significant difference in the expression of AIF between the control group and PDTC group, and the expressions of Fas and FasL were not observed in all groups (P > 0.05). Further results showed that PDTC could promote the displacement of AIF from mitochondria to the nucleus, activate the apoptotic signaling in the cell nucleus, and possibly participate in the apoptosis process of LX-2 cells. In conclusion, the pharmacological mechanism of PDTC against hepatic fibrosis might be to promote the displacement of AIF from mitochondria to the nucleus, then activate the apoptotic signaling in the cell nucleus, and finally induce the apoptosis of LX-2 cells. Meanwhile, these results also revealed that the Fas/FasL-mediated apoptosis pathway was not involved in the PDTC-induced apoptosis process of LX-2 cells.

    Recognition of specific types of drug-induced liver injury using random forest algorithm: the importance of individual serum bile acid level
    Yongwen Jin, Lili Xi, Yuhui Wei, Xinan Wu
    2022, 31(9):  677-688.  DOI: 10.5246/jcps.2022.09.057
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    Drug-induced liver injury (DILI) is associated with an imbalance in the homeostasis of bile salts (BAs). However, a clear connection between BAs and different types of DILI remains to be established. In the present study, random forest (RF) machine learning prediction systems were deployed with 17 individual BAs for categorizing DILI. BAs were analyzed via LC-MS/MS in the serum using the model of seven known hepatotoxins (isoniazid, acetaminophen, bendazac, 17α-ethinylestradiol, 1-naphthylisothiocyanate, tetracycline, and ticlopidine), which caused cholestasis, steatosis, and necrosis in rats. The RF model was validated via leave-one-out cross-validation. The importance of each individual BA with respect to prediction ability was determined. The RF model achieved the best prediction performance, producing accuracy values of 0.98, 0.97, and 1.00 for leave-one-out cross-validation, the training set, and the external test set, respectively. The order of descriptor’s importance was obtained, which was TUDCA > GUDCA > TCA > THDCA. The specificity values for necrosis, cholestasis, and steatosis were 0.94, 1.00, and 1.00, respectively. The results indicated the potential value of individual BA level in serum for categorizing DILI. The RF model in the present work was an inexpensive and readily available tool for categorizing DILI.

    Dexamethasone up-regulates TNFAIP3 to attenuate inflammatory response with smoke inhalation-induced acute lung injury based on the GEO database
    Yahui Zhao, Yahui Zhao, Juan Zhao, Jiye Lu, Wei Tian, Jinpeng Hu, Bin Su, Lihua Fu, Ran Guo
    2022, 31(9):  689-697.  DOI: 10.5246/jcps.2022.09.058
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    To explore the protective effect of dexamethasone (Dex) on early inflammation in mice with smoke inhalation-induced acute lung injury (SI-ALI), we screened and analyzed bioinformatics gene chip data, followed by laboratory verification. The GEO database was used to search the ALI gene datasets, which were processed by the GEO2R online tool. The differential genes of each dataset were analyzed by Venn diagram to select the differential genes. A protein-protein interaction network was built on the String platform, and key protein modules were screened with Cytoscape software. The online databases DAVID and KOBAS were used for GO and KEGG enrichment analyses. A total of 45 C57BL/6 mice were randomly divided into three groups as follows: control group, smoke inhalation group (smoke group), and smoke inhalation + Dex group (smoke + Dex group), with 15 in each group. Inhalation of smoke for 10 min caused SI-ALI in the smoke group and smoke + Dex group, and the air was given in the control group. Dex (0.4 mg/100 g) was injected in the smoke + Dex group. Animals were sacrificed 24 h later, the bronchoalveolar lavage fluid (BALF) of the left lung was collected, and the levels of IL-1β and IL-6 were detected by ELISA. The expressions of mitogen-activated protein kinase kinase kinase 8 (MAP3K8) and tumor necrosis factor-alpha-induced protein 3 (TNFAIP3) in the right middle lobe were measured by real-time fluorescent quantitative PCR. GSE1871, GSE2411, and GSE17355 gene datasets were included, and 60 differential genes were selected. The key modules mainly included IL-6, IL-1β, MAP3K8, and TNFAIP3. The biological process of GO was mainly concentrated in inflammation, immune response, and so on. Cell components were mainly concentrated in extracellular and molecular functions. KEGG was mainly concentrated in TNF, Toll-like receptors, and NOD-like receptor signaling pathways. Compared with the control group, the levels of IL-1β and IL-6 in BALF in the smoke group and smoke + Dex group were significantly increased (all P < 0.05), and the levels of IL-1β and IL-6 in the smoke + Dex group were lower compared with the smoke group (all P < 0.05). Compared with the control group, the expressions of TNFAIP3 and MAP3K8 in the smoke group and smoke + Dex group were increased significantly (all P < 0.05), and the expression of TNFAIP3 in the smoke + Dex group was increased compared with the smoke group (t = 5.701, P < 0.01). Moreover, the expression of MAP3K8 was decreased (t = 13.49, P < 0.01). It could be concluded that inflammation signal pathways in lung tissues of SI-ALI mice were activated, the secretion of IL-1β and IL-6 was increased, and the expressions of MAP3K8 and TNFAIP3 were increased. Application of Dex could up-regulate TNFAIP3, down-regulate MAP3K8, and decrease the secretion of IL-1β and IL-6. Dex might inhibit MAP3K8 by up-regulating TNFAIP3, thereby negatively regulating the TNF/MAPK signaling pathway to reduce the inflammatory response of SI-ALI.

    Salvianolic acid B alleviates oxidative stress in non-alcoholic fatty liver disease by mediating the SIRT3/FOXO1 signaling pathway
    Xiaoqing Chen, Bo Peng, Hongmei Jiang, Changxu Zhang, Haiyan Li, Ziyin Li
    2022, 31(9):  698-710.  DOI: 10.5246/jcps.2022.09.059
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    Salvianolic acid B (Sal B) is a polyphenolic antioxidant that has been shown to have anti-lipid accumulation, anti-inflammatory, and free oxygen radical scavenging activities in various diseases. Here, we aimed to examine whether Sal B could alleviate non-alcoholic fatty liver disease (NAFLD) and explore the possible mechanisms. Signaling pathways involved in oxidative stress, including SIRT3, SOD2, and FOXO1 pathways, were investigated by Western blotting analysis, RT-qPCR, and immunoprecipitation (IP). In the present study, oleic acid (OA) successfully induced lipid and peroxide accumulation, decreased SIRT3 expression, and increased FOXO1 acetylation. However, Sal B significantly reversed these trends. SIRT3 plasmid transfection further reduced the expression of acetylated FOXO1 and considerably enhanced the regulation of SIRT3 and acetylated FOXO1 induced by Sal B. Following SIRT3 siRNA transfection, Sal B-induced down-regulation of acetylated FOXO1 was blocked, suggesting that Sal B-mediated protection occurred through SIRT3-mediated FOXO1 deacetylation. The SIRT3/FOXO1 pathway was a critical therapeutic target for controlling oxidative stress in NAFLD, and Sal B conferred protection against OA-induced hepatic steatosis and oxidative stress through SIRT3-mediated FOXO1 deacetylation.

    Pharmacodynamics of Yuebi Jiazhu Decoction on renal protection of adriamycin nephropathy rats
    Feng Zhao, Rui Wang, Hongxiong Zhang, Taixiang Gao, Nan Wang
    2022, 31(9):  711-717.  DOI: 10.5246/jcps.2022.09.060
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    In the present study, we aimed to investigate the protective effect of Yuebi Jiazhu Decoction (YBJZD) on the kidney of adriamycin nephropathy (AN) rats. Rats were injected with adriamycin for modeling, except for the control group. After the successful establishment of the animal model, rats were randomly divided into the model group, YBJZD low-, medium-, and high-dose groups, and the positive group. The 24-h urine samples were collected. Biochemical indicators were monitored, and kidney tissues were collected for pathological analysis using light microscopy. The results showed that through 4 weeks of drug intervention, the urinary protein level was lower in the YBJZD and positive groups compared with the model group (P < 0.05). Serum levels of BUN, SCr, and TG were significantly lower (P < 0.01), and ALB was significantly higher (P < 0.01) in the YBJZD and positive groups compared with the model group. Compared with the model group, the pathological injury of kidney tissue in the YBJZD and positive groups was significantly alleviated. These outcomes proved that YBJZD had a renal protective effect on AN rats.

    Pharmacological monitoring and literature analysis of dagliflozin in patients with hypovolemia
    Ye Yuan, Bo Yu, Zhenzhen Yang, Weichong Dong, Xiuling Yang
    2022, 31(9):  718-722.  DOI: 10.5246/jcps.2022.09.061
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    : In the present study, we aimed to explore the timing of dosing with dapagliflozin (DAPA) in patients with hypovolemia and the role of the clinical pharmacist in pharmacological monitoring. The clinical pharmacist was involved in the dosing regimen of two patients with hypovolemia using DAPA and advising patients with insufficient blood volume to withhold the use of the drug. They reviewed the relevant literature to provide a theoretical basis for clinicians and the role of clinical pharmacists in pharmacy services. When considering patients with hypovolemia, the clinical pharmacist can promptly identify that DAPA can reduce blood volume and provide rational advice and rationale for the patient's medication that is adopted by the clinician, resulting in an individualized dosing regimen for the patient. Clinical pharmacists are advised to pay attention to the dosing adjustments of DAPA when patients are in hypovolemia and to be more alert to the adverse effects that can result from its use.

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