TPP

TPP
  • 文章类型: Systematic Review
    背景:目标产品概况(TPP)是行业中用于通过满足用户需求和促进利益相关者之间的有效沟通来指导发展战略的工具。然而,它们不经常用于学术研究,它们可能同样有用。这篇系统的综述旨在提取可访问的TPP的特征,确定共同点,并促进它们在学术研究方法中的整合。
    方法:我们在四个生物医学数据库中搜索了以英文发表的针对不同产品和健康状况的TPPs的同行评审论文。法官间协议,根据随机摘要和纸集计算(科恩的Kappa;零公差的百分比一致性)>0.91。我们采访了来自行业背景的专家,以深入了解TPP的发展过程,并提取了TPP使用和结构的一般和具体特征。
    结果:138篇论文符合数据提取条件。其中,92%(n=128)制定了新的TPP,41.3%(n=57)专注于治疗。所处理的疾病类别多种多样;最大的(47.1%,n=65)是传染病。只有一个TPP被确定为几个字段,包括痴呆症等全球优先事项。我们的分析发现,56.5%的论文(n=78)是由学者撰写的,57.8%的TPP(n=80)具有一个产品性能阈值水平。TPP特征的数量在产品类型之间和内部差异很大(n=3-44)。常见功能包括使用目的/上下文,药物稳定性和验证方面的保质期。大多数论文没有描述用于开发TPP的方法。我们确定了构建和报告TPP时要考虑的方面,作为指导学者使用更有重点的举措的起点。
    结论:TPPs主要用于传染病的学术研究,具有异质性特征。我们对关键特征和常见结构的提取有助于理解该工具并扩大其在学术界的使用。这与显著未满足需求的领域特别相关,比如痴呆症.利益相关者之间的合作是创新的关键。诸如TPP之类的简化通信的工具将支持学术界和工业界的产品和服务开发。
    BACKGROUND: The Target Product Profile (TPP) is a tool used in industry to guide development strategies by addressing user needs and fostering effective communication among stakeholders. However, they are not frequently used in academic research, where they may be equally useful. This systematic review aims to extract the features of accessible TPPs, to identify commonalities and facilitate their integration in academic research methodology.
    METHODS: We searched peer-reviewed papers published in English developing TPPs for different products and health conditions in four biomedical databases. Interrater agreement, computed on random abstract and paper sets (Cohen\'s Kappa; percentage agreement with zero tolerance) was > 0.91. We interviewed experts from industry contexts to gain insight on the process of TPP development, and extracted general and specific features on TPP use and structure.
    RESULTS: 138 papers were eligible for data extraction. Of them, 92% (n = 128) developed a new TPP, with 41.3% (n = 57) focusing on therapeutics. The addressed disease categories were diverse; the largest (47.1%, n = 65) was infectious diseases. Only one TPP was identified for several fields, including global priorities like dementia. Our analyses found that 56.5% of papers (n = 78) was authored by academics, and 57.8% of TPPs (n = 80) featured one threshold level of product performance. The number of TPP features varied widely across and within product types (n = 3-44). Common features included purpose/context of use, shelf life for drug stability and validation aspects. Most papers did not describe the methods used to develop the TPP. We identified aspects to be taken into account to build and report TPPs, as a starting point for more focused initiatives guiding use by academics.
    CONCLUSIONS: TPPs are used in academic research mostly for infectious diseases and have heterogeneous features. Our extraction of key features and common structures helps to understand the tool and widen its use in academia. This is of particular relevance for areas of notable unmet needs, like dementia. Collaboration between stakeholders is key for innovation. Tools to streamline communication such as TPPs would support the development of products and services in academia as well as industry.
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  • 文章类型: Journal Article
    线粒体特殊的双层结构在肿瘤、代谢性疾病等疾病的诊断和治疗中具有广阔的应用前景。可以开发纳米载体,例如用线粒体部分修饰的脂质体,以将治疗分子发送到线粒体。在这项研究中,合成了DSPE-PEG-TPP聚合物偶联物,并用于制备线粒体靶向脂质体(TPPLs),以提高化疗药物在线粒体中发挥作用的治疗指数并减少其副作用。制备了负载阿霉素(Dox)的TPPL和非靶向聚乙二醇化脂质体(PPLs),并根据理化性质进行了比较。形态学,释放配置文件,细胞摄取,线粒体定位,和抗癌作用。所有制剂均为球形,尺寸合适,分散性,和zeta电位。脂质体的稳定性在4°C下两个月是有利的。TPPL定位于线粒体,而PPL没有。空的TPPL和PPL对HCT116细胞没有细胞毒性。装载Dox的脂质体的释放动力学表明,从TPPL释放的Dox在pH5.6时比在pH7.4时高,这表明释放的药物在肿瘤环境中的积累更高。由于持续的药物释放,负载Dox的TPPL和PPL的半数最大抑制浓度比游离Dox低1.62倍和1.17倍。分别。当用负载Dox的TPPL处理HCT116细胞时,活性氧水平显着增加。总之,TPPL可能是靶向药物递送至肿瘤线粒体的有希望的载体。
    The special bilayer structure of mitochondrion is a promising therapeutic target in the diagnosis and treatment of diseases such as cancer and metabolic diseases. Nanocarriers such as liposomes modified with mitochondriotropic moieties can be developed to send therapeutic molecules to mitochondria. In this study, DSPE-PEG-TPP polymer conjugate was synthesized and used to prepare mitochondria-targeted liposomes (TPPLs) to improve the therapeutic index of chemotherapeutic agents functioning in mitochondria and reduce their side effects. Doxorubicin (Dox) loaded-TPPL and non-targeted PEGylated liposomes (PPLs) were prepared and compared based on physicochemical properties, morphology, release profile, cellular uptake, mitochondrial localization, and anticancer effects. All formulations were spherically shaped with appropriate size, dispersity, and zeta potential. The stability of the liposomes was favorable for two months at 4 °C. TPPLs localize to mitochondria, whereas PPLs do not. The empty TPPLs and PPLs were not cytotoxic to HCT116 cells. The release kinetics of Dox-loaded liposomes showed that Dox released from TPPLs was higher at pH 5.6 than at pH 7.4, which indicates a higher accumulation of the released drug in the tumor environment. The half-maximal inhibitory concentration of Dox-loaded TPPLs and PPLs was 1.62-fold and 1.17-fold lower than that of free Dox due to sustained drug release, respectively. The reactive oxygen species level was significantly increased when HCT116 cells were treated with Dox-loaded TPPLs. In conclusion, TPPLs may be promising carriers for targeted drug delivery to tumor mitochondria.
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  • 文章类型: Journal Article
    线粒体转运体促进代谢物在细胞质和线粒体之间的转运,并且对于线粒体功能完整性至关重要。尽管许多线粒体转运蛋白与代谢性疾病相关,它们如何调节线粒体功能及其在细胞水平上的代谢贡献在很大程度上是未知的。这里,我们显示线粒体硫胺素焦磷酸(TPP)转运蛋白SLC25A19是线粒体呼吸所必需的。SLC25A19缺乏导致细胞活力降低,综合应激反应(ISR)增加,增强糖酵解和提高细胞对2-脱氧葡萄糖(2-DG)治疗的敏感性。通过一系列的生化检测,我们发现线粒体NADH的耗竭是SLC25A19缺陷细胞线粒体呼吸受损的主要原因.我们还显示了SLC25A19参与调节复合物I和III的酶活性,三羧酸(TCA)循环,苹果酸-天冬氨酸穿梭和氨基酸代谢。始终如一,加入艾地苯醌,辅酶Q10的类似物可恢复SLC25A19缺陷细胞中的线粒体呼吸和细胞活力。一起,我们的发现为SLC25A19在线粒体和细胞生理学中的功能提供了新的见解,并提示恢复线粒体呼吸可能是治疗SLC25A19相关疾病的新策略。
    Mitochondrial transporters facilitate the translocation of metabolites between the cytoplasm and mitochondria and are critical for mitochondrial functional integrity. Although many mitochondrial transporters are associated with metabolic diseases, how they regulate mitochondrial function and their metabolic contributions at the cellular level are largely unknown. Here, we show that mitochondrial thiamine pyrophosphate (TPP) transporter SLC25A19 is required for mitochondrial respiration. SLC25A19 deficiency leads to reduced cell viability, increased integrated stress response (ISR), enhanced glycolysis and elevated cell sensitivity to 2-deoxyglucose (2-DG) treatment. Through a series of biochemical assays, we found that the depletion of mitochondrial NADH is the primary cause of the impaired mitochondrial respiration in SLC25A19 deficient cells. We also showed involvement of SLC25A19 in regulating the enzymatic activities of complexes I and III, the tricarboxylic acid (TCA) cycle, malate-aspartate shuttle and amino acid metabolism. Consistently, addition of idebenone, an analog of coenzyme Q10, restores mitochondrial respiration and cell viability in SLC25A19 deficient cells. Together, our findings provide new insight into the functions of SLC25A19 in mitochondrial and cellular physiology, and suggest that restoring mitochondrial respiration could be a novel strategy for treating SLC25A19-associated disorders.
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  • 文章类型: Journal Article
    在冠状病毒病(COVID-19)大流行期间,诊断测试被认为是至关重要的,大多数关键方法都使用生物分析方法检测到较大的分子(RNA,蛋白质抗原或抗体),而不是常规的临床生化技术。核酸扩增试验(NAAT),如聚合酶链反应(PCR),和其他分子方法,如测序(通常与NAAT结合使用),对COVID-19期间的诊断和管理至关重要。这在大流行的早期和后来都得到了体现,随着新的SARS-CoV-2遗传变异的出现。应对未来大流行威胁的100天任务强调了有效诊断的必要性,疗法和疫苗。在这三个人中,诊断是管理传染病的第一个机会,同时在证明有效性所需的基础设施方面也是最缺乏支持的。如果存在绩效目标,在如何证明它们符合的问题上,没有达成共识;这包括分析因素,如检测限(LOD)假阳性结果,以及如何进行临床评估.金标准的选择或使用流行病学因素,如预测价值,参考范围或临床阈值很少被正确考虑。COVID-19期间对分子诊断测试的关注说明了使用这些方法进行传染病诊断及以后的重要考虑因素和假设。在这份手稿中,我们讨论了最先进的诊断评估方法,并探讨了如何更好地针对NAAT等诊断技术,以最大限度地发挥这些高度通用的生物分析工具的影响。无论是在一般情况下还是在未来的疫情爆发期间。
    Diagnostic tests were heralded as crucial during the Coronavirus disease (COVID-19) pandemic with most of the key methods using bioanalytical approaches that detected larger molecules (RNA, protein antigens or antibodies) rather than conventional clinical biochemical techniques. Nucleic Acid Amplification Tests (NAATs), like the Polymerase Chain Reaction (PCR), and other molecular methods, like sequencing (that often work in combination with NAATs), were essential to the diagnosis and management during COVID-19. This was exemplified both early in the pandemic but also later on, following the emergence of new genetic SARS-CoV-2 variants. The 100 day mission to respond to future pandemic threats highlights the need for effective diagnostics, therapeutics and vaccines. Of the three, diagnostics represents the first opportunity to manage infectious diseases while also being the most poorly supported in terms of the infrastructure needed to demonstrate effectiveness. Where performance targets exist, they are not well served by consensus on how to demonstrate they are being met; this includes analytical factors such as limit of detection (LOD) false positive results as well as how to approach clinical evaluation. The selection of gold standards or use of epidemiological factors such as predictive value, reference ranges or clinical thresholds are seldom correctly considered. The attention placed on molecular diagnostic tests during COVID-19 illustrates important considerations and assumptions on the use of these methods for infectious disease diagnosis and beyond. In this manuscript, we discuss state-of-the-art approaches to diagnostic evaluation and explore how they may be better tailored to diagnostic techniques like NAATs to maximise the impact of these highly versatile bioanalytical tools, both generally and during future outbreaks.
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  • 文章类型: Journal Article
    LagunamideA是具有尚未确定的分子作用模式的生物活性天然产物。细胞研究表明,lagunamideA是一种有效的癌细胞增殖抑制剂,促进细胞凋亡并导致线粒体功能障碍。为了破译造成这些影响的细胞机制,我们利用热蛋白谱分析(TPP),并确定EYA3为lagunamideA处理后细胞中的稳定蛋白。EYA3参与DNA损伤修复过程,通过基于siRNA的敲低研究进行功能研究,并且证实了拉古尼酰胺A对DNA修复的相应作用。此外,我们表明,lagunamideA使肿瘤细胞对药物多柔比星的治疗敏感,这突显了一种推定的治疗策略。
    Lagunamide A is a biologically active natural product with a yet unidentified molecular mode of action. Cellular studies revealed that lagunamide A is a potent inhibitor of cancer cell proliferation, promotes apoptosis and causes mitochondrial dysfunction. To decipher the cellular mechanism responsible for these effects, we utilized thermal protein profiling (TPP) and identified EYA3 as a stabilized protein in cells upon lagunamide A treatment. EYA3, involved in the DNA damage repair process, was functionally investigated via siRNA based knockdown studies and corresponding effects of lagunamide A on DNA repair were confirmed. Furthermore, we showed that lagunamide A sensitized tumor cells to treatment with the drug doxorubicin highlighting a putative therapeutic strategy.
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  • 文章类型: Journal Article
    一种广泛使用的有机磷酸酯阻燃剂(OPFR),磷酸三苯酯(TPP),经常在各种环境媒体和人类中检测到。然而,人类角膜上皮暴露于TPP时对健康风险知之甚少。在这项研究中,人正常角膜上皮细胞(HCECs)用于研究细胞活力,形态学,凋亡,和线粒体膜电位暴露于TPP后,以及它们潜在的分子机制。我们发现TPP以浓度依赖的方式降低细胞活力,具有220μM的半最大抑制浓度(IC50)。此外,TPP显著诱导HCEC细胞凋亡,线粒体膜电位以剂量依赖性方式降低,并改变了凋亡生物标志物基因的mRNA水平(Cytc,Caspase-9,Caspase-3,Bcl-2和Bax)。结果表明,TPP对HCECs的细胞毒性,最终导致细胞凋亡和线粒体膜电位的变化。此外,caspase依赖性线粒体途径可能参与TPP诱导的HCEC细胞凋亡。本研究为TPP的人体角膜毒性研究提供参考,表明OPFR对人类健康的风险不容忽视。
    A widely used organophosphate flame retardant (OPFR), triphenyl phosphate (TPP), is frequently detected in various environmental media and humans. However, there is little known on the human corneal epithelium of health risk when exposed to TPP. In this study, human normal corneal epithelial cells (HCECs) were used to investigate the cell viability, morphology, apoptosis, and mitochondrial membrane potential after they were exposed to TPP, as well as their underlying molecular mechanisms. We found that TPP decreased cell viability in a concentration-dependent manner, with a half maximal inhibitory concentration (IC50) of 220 μM. Furthermore, TPP significantly induced HCEC apoptosis, decreased mitochondrial membrane potential in a dose-dependent manner, and changed the mRNA levels of the apoptosis biomarker genes (Cyt c, Caspase-9, Caspase-3, Bcl-2, and Bax). The results showed that TPP induced cytotoxicity in HCECs, eventually leading to apoptosis and changes in mitochondrial membrane potential. In addition, the caspase-dependent mitochondrial pathways may be involved in TPP-induced HCEC apoptosis. This study provides a reference for the human corneal toxicity of TPP, indicating that the risks of OPFR to human health cannot be ignored.
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  • 文章类型: Journal Article
    线粒体是能量的主要来源之一,以及监管机构,癌细胞代谢。因此,它们是有效治疗和管理癌症的潜在目标。研究已经探索了三苯基鳞(TPP)衍生物作为有效的癌症靶向配体,因为它们具有亲脂性和线粒体亲和力。在这次审查中,我们总结了基于TPP的缀合物靶向线粒体在不同类型的癌症和其他疾病中的实用性,如神经退行性疾病和心血管疾病。此类缀合物通过调节膜电位提供通用的治疗潜力,影响活性氧(ROS)的产生,和分子修饰(如ATP代谢和能量代谢)的偶联。因此,我们强调TPP偶联物作为用于靶向药物递送系统的有前途的线粒体靶向剂。
    Mitochondria are one of the major sources of energy as well as regulators of cancer cell metabolism. Thus, they are potential targets for the effective treatment and management of cancer. Research has explored triphenylphosphonium (TPP) derivatives as potent cancer-targeting ligands because of their lipophilic nature and mitochondrial affinity. In this review, we summarize the utility of TPP-based conjugates targeting mitochondria in different types of cancer and other diseases, such as neurodegenerative and cardiovascular disorders. Such conjugates offer versatile therapeutic potential by modulating membrane potential, influencing reactive oxygen species (ROS) production, and coupling of molecular modifications (such as ATP metabolism and energy metabolism). Thus, we highlight TPP conjugates as promising mitochondria-targeting agents for use in targeted drug delivery systems.
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  • 文章类型: Journal Article
    胶束体系具有易于制备的优点,便宜,并且容易装载生物活性分子货物。然而,它们的根本缺陷是稳定性差,特别是在稀释条件下。我们建议使用简单的季铵表面活性剂,即,十六胺(HDA)和十六烷基吡啶(HDAP),与三聚磷酸盐(TPP)阴离子一起,以产生能够将药物递送到癌细胞中的离子稳定的胶束。
    制备优化的混合HDA/HDAP胶束并用TPP稳定。姜黄素用作负载的模型药物。通过动态光散射对所制备的纳米粒子进行了表征,红外光谱,透射电子显微镜,和差示扫描量热法。此外,使用流式细胞术和共聚焦荧光显微镜评估其细胞摄取.
    发现制备的纳米颗粒在稀释和高温下稳定,并且尺寸范围为139nm至580nm,取决于pH(4.6-7.4),稀释(高达100倍),和温度(25-80°C)。它们可以有效地将负荷传递到癌细胞中。此外,流式细胞术表明所得稳定的胶束纳米颗粒是非细胞毒性的。
    所描述的新型稳定胶束制备简单并且可用于癌症递送。
    UNASSIGNED: Micellar systems have the advantage of being easily prepared, cheap, and readily loadable with bioactive molecular cargo. However, their fundamental pitfall is poor stability, particularly under dilution conditions. We propose to use simple quaternary ammonium surfactants, namely, hexadecylamine (HDA) and hexadecylpyridinium (HDAP), together with tripolyphosphate (TPP) anion, to generate ionotropically stabilized micelles capable of drug delivery into cancer cells.
    UNASSIGNED: optimized mixed HDA/HDAP micelles were prepared and stabilized with TPP. Curcumin was used as a loaded model drug. The prepared nanoparticles were characterized by dynamic light scattering, infrared spectroscopy, transmission electron microscopy, and differential scanning calorimetry. Moreover, their cellular uptake was assessed using flow cytometry and confocal fluorescence microscopy.
    UNASSIGNED: The prepared nanoparticles were found to be stable under dilution and at high temperatures and to have a size range from 139 nm to 580 nm, depending on pH (4.6-7.4), dilution (up to 100 times), and temperature (25 - 80 °C). They were effective at delivering their load into cancer cells. Additionally, flow cytometry indicated the resulting stabilized micellar nanoparticles to be non-cytotoxic.
    UNASSIGNED: The described novel stabilized micelles are simple to prepare and viable for cancer delivery.
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  • 文章类型: Journal Article
    这项研究调查了稀土元素(REE)的发生和分布,包括14种镧系元素,钪(Sc),和钇(Y),在大型燃煤火力发电厂(TPP)周围的地下水中。ICP-MS技术用于分析从监测井收集的地下水样品中的16个REE。稀土浓度范围为59.9至758ng/L,平均为290ng/L最丰富的是SC,接着是La,占总稀土元素浓度的54.2%和21.4%,分别。地理空间分析显示,TPP附近几个热点地区的稀土元素富集。在TPP和灰烬填埋场附近观察到最高的REE浓度,随着与工厂和垃圾填埋场的距离的增加而减少。稀土元素分馏比和异常表明轻稀土元素占优势,占总稀土元素的78%以上。相关性和主成分分析表明,大多数稀土元素的行为和来源相似。健康风险评估发现成人和儿童的危害指数(HI)为1.36×10-3和1.98×10-3,分别,远低于允许的极限(HI=1)。同样,增加的终生癌症风险(ILCR)均低于1×10-6.然而,随着时间的推移,持续的灰烬处置和环境中的潜在积累可能会增加稀土元素的暴露。
    This study investigated the occurrence and distribution of rare earth elements (REEs), including 14 lanthanoids, scandium (Sc), and yttrium (Y), in groundwater around a large coal-fired thermal power plant (TPP). The ICP-MS technique was used to analyze 16 REEs in groundwater samples collected from monitoring wells. REE concentrations ranged from 59.9 to 758 ng/L, with an average of 290 ng/L. The most abundant was Sc, followed by La, accounting for 54.2% and 21.4% of the total REE concentration, respectively. Geospatial analysis revealed the REE enrichment at several hotspots near the TPP. The highest REE concentrations were observed near the TPP and ash landfill, decreasing with the distance from the plant and the landfill. REE fractionation ratios and anomalies suggested the Light REE dominance, comprising over 78% of the total REEs. Correlation and principal component analyses indicated similar behavior and sources for most REEs. Health risk assessment found hazard indices (HI) of 1.36 × 10-3 and 1.98 × 10-3 for adults and children, respectively, which are far below the permissible limit (HI = 1). Likewise, incremental lifetime cancer risks (ILCR) were all below 1 × 10-6. Nevertheless, ongoing ash disposal and potential accumulation in the environment could elevate the REE exposure over time.
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  • 文章类型: Journal Article
    背景:酒精性肝病(ALD)是一种全球危重症,没有有效的治疗方法。
    方法:这里,我们生成了与两种不同试剂交联的壳聚糖(CS)纳米颗粒,羟丙基甲基纤维素邻苯二甲酸酯(HPMCP;称为CS/HPMCP)和三聚磷酸盐(TPP;称为CS/TPP),并用小檗碱(BBr;称为CS/HPMCP/BBr和CS/TPP/BBr,分别)。除了封装效率(EE)和负载能力(LC),还在刺激胃液(SGF)和刺激肠液(SIF)条件下测量纳米颗粒的释放活性。还评估了制备的纳米颗粒对间充质干细胞(MSC)活力的影响。最终,在ALD小鼠模型中研究了纳米颗粒的保护作用。
    结果:SEM图像表明CS/HPMCP和CS/TPP纳米颗粒的平均尺寸为235.5±42和172±21nm,分别。CS/HPMCP/BBr的LC和EE计算为79.78%和75.79%,CS/TPP/BBr的LC和EE分别为84.26%和80.05%,分别。pH是从CS/HPMCP纳米颗粒释放BBr的决定因素,因为在酸性较低的环境中观察到较高的货物释放速率。与它们的无BBr对应物相比,两种负载BBr的纳米颗粒都增加了MSC的活力。体内结果表明CS/HPMCP/BBr和CS/TPP/BBr纳米颗粒保护酶促肝脏功能免受乙醇诱导的损伤。它们还防止了乙醇诱导的组织病理学损伤。
    结论:将CS纳米粒与HPMCP交联可以介导肠道中的受控药物释放,从而提高BBr的生物利用度。
    BACKGROUND: Alcoholic liver disease (ALD) is a globally critical condition with no available efficient treatments.
    METHODS: Herein, we generated chitosan (CS) nanoparticles cross-linked with two different agents, hydroxypropyl methylcellulose phthalate (HPMCP; termed as CS/HPMCP) and tripolyphosphate (TPP; termed as CS/TPP), and loaded them with berberine (BBr; referred to as CS/HPMCP/BBr and CS/TPP/BBr, respectively). Alongside the encapsulation efficiency (EE) and loading capacity (LC), the releasing activity of the nanoparticles was also measured in stimulated gastric fluid (SGF) and stimulated intestinal fluid (SIF) conditions. The effects of the prepared nanoparticles on the viability of mesenchymal stem cells (MSCs) were also evaluated. Ultimately, the protective effects of the nanoparticles were investigated in ALD mouse models.
    RESULTS: SEM images demonstrated that CS/HPMCP and CS/TPP nanoparticles had an average size of 235.5 ± 42 and 172 ± 21 nm, respectively. The LC and EE for CS/HPMCP/BBr were calculated as 79.78% and 75.79%, respectively; while the LC and EE for CS/TPP/BBr were 84.26% and 80.05%, respectively. pH was a determining factor for releasing BBr from CS/HPMCP nanoparticles as a higher cargo-releasing rate was observed in a less acidic environment. Both the BBr-loaded nanoparticles increased the viability of MSCs in comparison with their BBr-free counterparts. In vivo results demonstrated CS/HPMCP/BBr and CS/TPP/BBr nanoparticles protected enzymatic liver functionality against ethanol-induced damage. They also prevented histopathological ethanol-induced damage.
    CONCLUSIONS: Crosslinking CS nanoparticles with HPMCP can mediate controlled drug release in the intestine improving the bioavailability of BBr.
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