Background
Cancer stands as a significant global health concern, leading to considerable patient suffering and death. The prognosis of patients is intricately connected to the metastatic extent of the disease to aloof sites, where metastatic conditions contribute substantially to cancer-related mortality.
Materials and Methods
Despite progress in the field, our understanding of the mechanisms governing cancer metastasis and its establishment at secondary sites remains limited. The TME (Tumor Microenvironment) controls vital tumor survival and advertising functions. Interactions within the TME, involving both cellular and structural apparatuses, enable cancer cells to acquire invasiveness and disseminate through a complex and multistep metastatic cascade from the crucial site to distant sites.
Results
In this review article, we have discussed tumor invasion and metastasis as well as the cellular and molecular events tangled in this complex process, like EMT, Cell adhesion, Angiogenesis and lymphangiogenesis, Intravasation and Extravasation, signaling pathways that govern tumor invasion and metastasis.
Conclusion
The part of stromal cells and the extracellular matrix in facilitating invasion and metastasis, current and emerging therapeutic approaches aimed at inhibiting tumor invasion and metastasis.
Colloidosomes, pioneering microcapsules composed of coagulated colloidal particles assembled at the interface of emulsion droplets, have garnered significant attention due to their remarkable properties and potential applications in targeted and controlled drug delivery. Their unique core-shell architecture offers unparalleled advantages, including tunable permeability, mechanical strength and encapsulation capabilities for a wide range of therapeutic agents. These versatile carriers have demonstrated remarkable potential in delivering small molecules, biomacromolecules, genetic materials and even living cells, addressing challenges associated with conventional drug delivery systems. Colloidosomes can be fabricated through various techniques, encompassing emulsion-based, nature-of-colloids-based and emerging methods such as microfluidics and 3D printing. Comprehensive characterization, employing techniques like electron microscopy, spectroscopy and rheology, is crucial for understanding their structural, physical and functional properties. Remarkable advancements have been achieved in developing stimuli-responsive, targeted and multi-functional colloidosomes, enabling precise spatiotemporal control, selective accumulation and integrated functionalities for theranostic applications. Despite their immense potential, challenges remain in scaling up production, ensuring long-term stability, navigating regulatory landscapes and facilitating clinical translation. Addressing these obstacles through collaborative efforts, advanced characterization and the integration of emerging technologies is paramount for unlocking the full potential of colloidosomes in revolutionizing drug delivery strategies and realizing personalized medicine.
Precision medicine is an approach to provide individualized treatment to the patient for a specific disease based on the genotypic, phenotypic and also psychological factors which in turn enhances the patient care to several folds. Apart from providing personalized treatment, it can also be used to accurately diagnose a disease state in a patient. Precision medicine can be employed to improve the health status of both individual patients and general population at high risk. However, several ethical considerations have to be looked upon while employing precision medicine at the same time it required more cutting-edge methodologies for the accurate execution of the same.
FDA has implemented 21 CFR 111 guidelines to regulate the production of dietary supplements that are sold in dosage forms. Creating an effective quality system demands both time and financial resources. However, the robust quality systems model of cGMP can offer the necessary controls to ensure acceptable quality. The current review focuses on the general quality system requirements of dietary supplements as per 21 CFR 111 regulations. The requirements mentioned in each subpart are discussed in the study. According to this study, a manufacturing firm can guarantee the consistency and quality of dietary supplements distributed to the USA by adhering to 21 CFR 111 regulations. A dietary supplement manufacturing company, therefore, has to comply with 21 CFR 111 and thus can be an FDA-approved plant. According to the findings of the study, a dietary supplement manufacturing firm can fulfill its commitment to quality by setting up a suitable quality system that can obtain the approval of the regulatory authorities to which it plans to export its products and thus can achieve customer satisfaction.
In the realm of healthcare, Central Nervous System disorders pose a formidable challenge, affecting countless lives globally. Conditions like Alzheimer’s, Parkinson’s and traumatic brain injuries exact a heavy toll. However, a glimmer of hope arises from the world of nanotechnology in the shape of Selenium Nanoparticles. Selenium, a trace element, is known for its antioxidant properties, but Selenium Nanoparticles take it a step further, offering enhanced antioxidant capabilities, better absorption and the ability to deliver therapeutic agents precisely where they’re needed in the brain. Oxidative stress, a major player in many Central Nervous System disorders, faces a formidable adversary in Selenium Nanoparticles, potentially offering relief to those grappling with conditions characterized by oxidative damage. Selenium Nanoparticles also exhibit anti-inflammatory prowess, valuable for tackling neuroinflammation, a common feature in these disorders. Moreover, Selenium Nanoparticles pave the way for precision drug delivery within the brain, minimizing side effects while maximizing treatment efficiency. In summary, Selenium Nanoparticles represent a promising frontier in the ongoing battle against Central Nervous System disorders, offering a glimpse of innovative solutions that could alleviate the burdens of these complex neurological conditions.
Advancements in computational techniques have revolutionized the field of drug design, offering a powerful arsenal of tools collectively known as in silico methods. This review provides an overview of the diverse computational techniques employed in the in silico assisted drug design process. From molecular docking and molecular dynamics simulations to Quantitative Structure-Activity Relationship (QSAR) models and artificial intelligence-based approaches, these methods play a pivotal role in expediting drug discovery and optimization. The utilization of molecular docking facilitates the prediction of ligand-receptor interactions, aiding in the identification of potential drug candidates. Molecular dynamics simulations contribute by unraveling the dynamic behavior of biomolecular complexes, offering insights into their stability and flexibility. QSAR models, relying on mathematical correlations between molecular descriptors and biological activities, enable the prediction of compound behaviors, guiding the optimization of lead compounds. The integration of machine learning and artificial intelligence further enhances drug design workflows. Deep learning algorithms, such as neural networks, have demonstrated remarkable capabilities in predicting complex biological activities and uncovering hidden patterns within large datasets. High-throughput screening, coupled with in silico methodologies, allows for the rapid exploration of vast chemical spaces, accelerating the identification of promising drug candidates. Despite these advancements, challenges persist, including the accurate representation of biological systems, the validation of computational predictions and the ethical implications of relying solely on in silico methods. This review critically evaluates the current state of computational techniques in silico assisted drug design, highlighting their strengths, limitations and potential future directions. The integration of computational techniques in drug design has significantly reshaped the landscape of pharmaceutical research. As these methods continue to evolve, bridging the gap between computational predictions and experimental validations, the synergy between in silico and in vitro approaches holds immense promise for the rapid and effective development of novel therapeutic agents.
Titanium dioxide nanoparticles, or TiO2 NPs, have shown potential in the fight against a range of diseases, including bacteria, viruses, fungi and parasites. Doping metals with nanoparticles modify their size and magnetic characteristics by decreasing the energy band gap and mixing spins and electrical charges. Furthermore, it has been shown that owing to their higher surface-to-volume ratio and improved ability to interact with bacterial cells, smaller metal-doped nanoparticles have better antibacterial action. Due in large part to their production, TiO3-NPs have outstanding antifungal and antibacterial capabilities. The major mechanism of TiO3-NPs’ antibacterial activity is their potent oxidizing capacity, which produces superoxide and hydroxyl anion radicals. Pseudomonas aeruginosa, Staphylococcus aureus and Escherichia coli are just a few of the pathogens against which TiO2 NPs have been shown to have antibacterial ability. Review topics will include the most recent discoveries in the sectors of water treatment, agriculture and medicine as well as the synthesis of TiO3- nanoparticles and their antimicrobial actions. TiO2 NPs as antibacterial agents: prospects and challenges will also be highlighted in the review.
The indole moiety, a prevalent and versatile heterocyclic scaffold, plays a pivotal role in the realm of organic synthesis, underpinning the structural basis of myriad natural products, pharmaceuticals and advanced materials. This review comprehensively surveys the landscape of methodologies for indole synthesis, highlighting the evolution of techniques from classical to contemporary strategies. We investigate the Fischer Indole Synthesis, emphasizing its historical significance and mechanistic nuances and transition to discussing the Reissert Indole Synthesis, detailing its unique contributions to the synthesis of indole derivatives. Furthermore, the review explores advanced methodologies including metal-catalyzed reactions, C-H activation processes and green synthesis approaches, offering insights into their mechanisms, scope and limitations. Through this review, we aim to provide a holistic overview of indole synthesis, furnishing researchers with a detailed understanding of its complex mechanisms and the broad utility of the indole moiety in synthesizing biologically active compounds. The synthesis methods reviewed not only underscore the chemical diversity and adaptability of indole chemistry but also highlight ongoing challenges and future directions in the synthesis and transformation of derivatives of indole. This comprehensive examination serves as a valuable resource for chemists seeking to harness the indole scaffold’s potential in novel synthetic applications.
Background
Psoralea cordifolia Linn. is also known as Bakuchi in Sanskrit and is found all over India. It has long been known for its therapeutic benefits and use in a variety of ailments. This plant belongs to the Fabaceae family, which serves a crucial role in maintaining a disease-free society. The antibacterial function of P. cordifolia L. is widely known.
Objectives
The goal of this systematic review was to collect and evaluate data from in vitro studies on the antibacterial activity of P. cordifolia Linn.
Materials and Methods
As a result, a systematic review was conducted using published literature gathered from Pubmed and Google Scholar till 2023. In total, 200 articles were found using a computer-based search engine. PubMed, Google Scholar and other databases were examined to investigate the anti-inflammatory properties of P. cordifolia L. Following the screening, 20 articles that met the requirements were chosen. P. cordifolia Linn. plant leaves, fruits, roots, seeds and their extract were employed to detect the various activities.
Results
The design and outcomes of the twenty selected research varied greatly.
Conclusion
The study finds that the varied extract of different parts and formulations and the chemical compounds of P. cordifolia L. that operate against the bacterial population that confirmed its antibacterial effectiveness. All the studies show Bakuchiol and Bavachin have more antibacterial activity as compared to others.
Today’s drugs, not all usually soluble and easy to formulate drug actives, they might be potent drug molecules at their specific target, they can never become a successful therapy, or molecule, or product if they are not able to reach the target where they are active. So, what we are targeting in this for is making these molecules bioavailable. So, this is what we want to achieve and it can be done by the melt extrusion process. The key point of this review was to establish the relationship between a novel technology, solubility and the bioavailability profile through Hot Melt Extrusion (HME) in order to reshaping the Pharmacokinetic (PK) and Pharmacodynamic (PD) landscape for poorly soluble drugs. Tailoring the PK and PD with HME solid dosage form was shown to be affected by the physicochemical properties of the carrier matrix used. With the help of HME technology by dissolving these crystalline drug actives in a molten polymer matrix and pre-dissolved form and that makes it much more bioavailable and this enhanced the performance of such drug actives and in many cases. It is that what actively enables such molecules to at all become a drug product and a therapy. Compared to the traditional methods of developing drug products, HME is a key the gate to enhance in delivering the drug products to avoid patient compliance. A report says there are lots of developments in pharmaceutical APIs with poor solubility and improving their solubility is quite challenging. The effective formulation needs characteristics carriers and polymers that are suitable for the HME technology that has been discussed here. HME has been proven as an effective choice for the conventional ways of producing tablets, films, implants, etc. that can be administered orally, transdermal and transmucosal. This review paper adds knowledge of supercharging sluggish drugs by the use of HME and it can put the punch back in pharmaceutical industries and should use these recent developments to employ and develop cutting-edge drug delivery systems to avoid patient compliance.
Medication adherence has always been an integral aspect to achieve any healthcare benefit of pharmacological treatment. Although health care has evolved remarkably, the need for conducting studies on medication adherence has its own noteworthiness, for instance, in clinical settings, the incapability to accurately identify medication non-adherence can lead to unwarranted intensification of the treatment. Hence assessment of medication adherence and common non-adherence plays a pivotal role in improving adherence in the future by promoting employment of techniques that may be beneficial in overcoming and preventing the global issue of non-adherence. The literature search was done using the keywords as mentioned below in EBSCO; further on the snowball method was employed. There are two types of measuring medication adherence: direct and indirect. Direct measurement for quantification is utilitarian in establishing a YES/NO result rather than elaborating upon the causes of non-adherence. Indirect measurements are the ones which cannot be quantified accurately. There are numerous types of direct and indirect measurements. Non-adherence can be classified as direct, indirect, intentional and nonintentional. Various factors contribute towards non-adherence such as patient knowledge, doctor-patient relationship and unintentional drivers. Approaches to overcome non-adherence can be from healthcare professionals, patients, pharmaceutical companies or system-based. Socio-economic factors, system, therapy, patient, condition-related factors constitute barriers of medication adherence.
Exosomes are small nanovesicles that are produced through the fusion of multiple veins and plasma membranes, then escaping into adjacent body fluids. Considerable attention has been paid to them due to their potential as delivery vehicles for drugs. Exosomes play a key role in many physiological processes that occur both in healthy and ill states. The production of exosomes depends on the state of the disease, but the disease itself often serves the opposite function by promoting more cell damage and stress. Traditional drug delivery methods often face limitations in terms of specificity, targeted delivery and drug release kinetics. Exosomes have emerged as promising candidates for drug delivery due to their natural ability to selectively deliver cargoes to recipient cells. Exosomes are taken up through various mechanisms, including endocytosis and fusion with target cells. They can encapsulate poorly soluble drugs, enhancing their bioavailability and improving their therapeutic efficacy. Exosomes inspired Lipid Nanovesicles (Exo-LNVs) have shown promising results as drug delivery vehicles. Exosomes have considerable potential as sophisticated vehicle for the delivery of targeted drugs and genes due to their unique characteristics, including inherent stability, minimal immunity and exceptional ability to penetrate tissues and cells. Therapeutic interventions have the capacity to increase effectiveness, reduce side effects and increase patient compliance. Exosomes have the ability to transport various therapeutic by encapsulating different substrates such as nucleic acids, proteins and small molecules. Recent advancements in exosome-inspired lipid nanovesicles have opened up new possibilities for cell-specific drug delivery. These nanovesicles mimic the composition and structure of exosomes, which are naturally occurring extracellular vesicles released by cells. By incorporating therapeutic agents into the lipid nanovesicles, they can effectively target and deliver drugs to specific cells of interest. This review article aims to summarize the current literature on Exo-LNVs and discuss their potential as drug delivery vehicles. A systematic search was conducted to identify relevant studies and relevant data were extracted and analyzed. The review covers various aspects of Exo-LNVs, including their composition, preparation methods and applications in various disease conditions.
The ongoing COVID-19 pandemic, caused by the novel coronavirus SARS-CoV-2, has spurred unprecedented research efforts worldwide. This comprehensive scientific review synthesizes key research developments and understandings, providing a nuanced exploration of the dynamic landscape of COVID-19. The virological section examines structural variations, viral replication mechanisms, immune responses and the impact of emerging variants of concern. Transmission dynamics are scrutinized, with a focus on airborne transmission, super-spreading events and the often elusive asymptomatic and pre-symptomatic transmission phases. Clinical manifestations and severity are elucidated, exploring genetic factors, immunopathology and long-term sequelae. Advancements in diagnostics are discussed, highlighting molecular techniques, rapid antigen tests and serological assays, while therapeutic developments encompass antiviral agents, immunomodulatory treatments and the challenges in drug development. Vaccine research is scrutinized, with in-depth analyses of mRNA and vector-based vaccines, including efficacy against variants and distribution challenges. The socioeconomic impact section evaluates economic repercussions, health disparities and long-term societal changes. The review underscores the importance of ongoing research, emphasizing unanswered questions and knowledge gaps. Future research directions explore novel technologies and collaborative efforts for improved diagnostics, treatments and vaccines. In conclusion, this review provides a panoramic view of the current state of COVID-19 research, offering insights for future pandemic preparedness and global health strategies.
The core structure is an aromatic heterocyclic organic compound i.e. Isoquinoline. Both the structures of Isoquinoline and quinoline contain a fused ring structure of benzene and pyridine. Isoquinoline, the pyridine counterpart, has a pKb of 8.6 and a pKa of 5.14, making it a weak basic. When it comes into contact with Lewis acids, such BF3, it protonates and becomes a salt. This process produces adducts. The liquid form of Isoquinoline is colorless, hygroscopic, and it has an unpleasant smell. Isoquinoline derivatives are a very significant group of natural and synthetic compounds which show various Pharmacological activities like anti-cancer, anti-oxidant, anti-microbial, anti-inflammatory, anti-microbial, analgesic, anti-fungal, anti-viral, antispasmodic and an enzyme inhibitor. Morphine and codeine are the most extensively characterized Isoquinoline alkaloids. They are made from either tyrosine or phenylalanine. Some of the Isoquinoline nucleus-containing drugs available in the market were Nelfinavir, Apomorphine, Quinapril, Praziquantel, Solifenacin, Papaverine, Metocurine, Tubocurarine. Isoquinoline alkaloids with anticancer properties may be therapeutically to target specific binding to nucleic acids, modulating polynucleic acid stability. These binds change the way that duplex B-form DNA interacts with proteins involved in DNA replication, repair, or transcription.
Hesperidin, a natural compound abundant in citrus fruits, shows promise in breast cancer management due to its safety and diverse mechanisms of action. This review explores hesperidin’s origin, chemical properties, and its ability to inhibit cell proliferation through various pathways. While hesperidin alone has limited efficacy against breast cancer, it demonstrates synergistic effects when combined with other compounds. Formulation strategies to enhance hesperidin’s efficacy include improving solubility, stability, and absorption for targeted delivery. Combisomes, liposomal delivery systems encapsulating hesperidin and anticancer compounds, offer a potentially efficacious and safe platform. They target cancer cells specifically, minimizing adverse effects on healthy cells. Hesperidin’s ability to induce cell cycle arrest, apoptosis, and modulate PD-L1 expression contributes to its anticancer effects. Combining hesperidin with other agents enhances its therapeutic potential. Overall, hesperidin emerges as a promising candidate for breast cancer treatment, with formulation enhancements and innovative delivery systems like combisomes offering significant advancements in therapeutic strategies. Further research into hesperidin’s efficacy and safety, especially in combination therapies, is warranted for its potential translation into clinical practice.
Background
Remogliflozin etabonate belongs to the gliflozin class used for the treatment of type 2 diabetes mellitus and non-alcoholic steatohepatitis.
Objectives
The objective of the present study is to develop an accurate, precise and validated bioanalytical reverse phase high-performance liquid chromatographic method for the estimation of Remogliflozin etabonate in human plasma and to conduct stability studies by forced degradation.
Materials and Methods
The chromatographic analysis was performed at 224 nm on THERMO C (250×4.6 mm, 5 μm) column with a flow rate of 1 mL/min and a mixture of methanol-0.1 % acetic acid (80:20 v/v) used as a mobile phase. The method was validated with respect to linearity, accuracy, precision and robustness. In compliance with ICH guidelines, forced degradation studies were conducted in acidic/alkaline hydrolytic, peroxide and photolytic conditions.
Results
The proposed method was used for the determination of drugs in plasma. Retention time was found to be 4.4 min for REM. The method was found to be linear over the concentration range 5-13 μg/ mL. The correlation coefficient was determined to be 0.9992. The recovery of REM was more than 98% and % RSD was found to be less than 2%. LOD and LOQ were determined to be 0.13 and 0.42, respectively.
Conclusion
The developed RP-HPLC method was found to be linear, accurate, precise and robust, hence it could be successfully used for routine quantification and stability monitoring of drugs in biological samples.
Background
One of the etiologies of stroke is intracerebral hemorrhage and the demand for potential therapeutic agents to alleviate symptoms and improve quality of life in patients with ICH is growing. Several phytocompounds capable of such potency with minimal adverse effects can replace drugs in market. This requires high throughput screening and in vivo experimental demonstration of the potency in ICH models that simulate mammalian pathophysiology. We aimed to study the neuroprotective activity of Asiaticoside using an adult zebrafish ICH model.
Materials and Methods
Atorvastatin-induced ICH models were treated with non-toxic concentrations of Asiaticoside. Behavioural, biochemical, and cellular assays were performed to validate the developed model. Antioxidant potency was identified by testing the levels of lipid peroxidation, superoxide dismutase and xanthine oxidase in the brain homogenate. Iron chelating potency was assessed in Perl’s-stained brain tissue sections. The anti-inflammatory potency was observed by measuring fold change in the expression of inflammatory gene IL-1β in brain homogenates by RT-PCR method and by immunohistochemistry techniques. The neuroprotective role of the compound was studied by fluorescent staining of the brain whole cell suspension to check apoptotic and necrotic population post-treatment.
Results and Discussion
The iron accumulation in tissue sections and brain homogenates reduced 3-fold post treatment. With 600 μg/mL concentration of Asiaticoside, the malondialdehyde and xanthine levels reduced 3-fold, and scavenging activity was found to increase after 24 hr, indicating antioxidant potency. This concentration also resulted in one third reduction in the expression of pro-inflammatory cytokine IL-1β and reduced inflammatory cell infiltration showing anti-inflammatory properties. The compound was found to be neuroprotective by reducing the apoptotic cell population from 84% to 20% in comparison to untreated control. In addition, post-treatment the nitric oxide levels were restored better than the untreated control indicating modulation in cellular signalling mechanisms.
Conclusion
The adult Zebrafish ICH model was developed to present the multifaceted mammalian pathophysiology of ICH in one system. The phytocompound Asiaticoside is shown to modulate neuroinflammation through a cycle of biological properties thus being neuroprotective, opening avenues for further pre-clinical testing.
Aim
The proposed study was to establish a Greener method and validation, by green chromatography technique for combined anti-viral drugs, measuring greenness using various tools, which is one of the emerging developments in the analytical field.
Materials and Methods
The chromatographic separation is achieved by using C (250x4.6, 5 μm) column by applying isocratic elution using the mobile phase containing Ethanol and Isopropyl acetate in the ratio of (55:45% v/v) with 1 mL/min flow rate.
Results
The separation of drugs is achieved by using greener mobile phase.The Retention time of 1.854 min and 9.09 min for Ritonavir and Ombitasvir was found respectively. The regression co-efficient (R
Background
Berberine, a phytochemical, possesses remarkable potential for multitargeted drug therapy in microbial infections, wound healing and anti-inflammatory applications. However, its clinical utility in skin and other diseases is constrained due to its high aqueous solubility and inadequate dermal and intestinal absorption, resulting in low absolute bioavailability.
Objectives
The current investigation endeavors to develop a microemulsion loaded with berberine to enhance its solubility and therapeutic effects specifically for skin diseases, while comparing its efficacy with a simple emulsion.
Materials and Methods
In this study, an optimized oil-in- water (o/w) type of emulsion and microemulsion were formulated utilizing berberine isolated from Berberis aristata roots, along with soy lecithin, oleic acid, Tween 80, and ethanol. The microemulsion and emulsion were subjected to characterization employing parameters such as FTIR, particle size, zeta potential, transmittance, viscosity, and stability. The formulations were assessed for their therapeutic effects through in vitro antioxidant, anti-inflammatory, and anti, microbial assays, encompassing six strains of micro, organisms comprising bacteria and fungi.
Results
The investigation successfully generated a thermodynamically stable o/w type of microemulsion, which exhibited improved transparency and formed a clear solution. Characterization results, including particle size, zeta potential, viscosity, and conductivity measurements, fell within the acceptable range. The therapeutic evaluation demonstrated a substantial enhancement in the in vitro antioxidant, anti-inflammatory, and anti, microbial activity of berberine microemulsion compared to the plain berberine solution.
Conclusion
This study concludes that berberine can be effectively incorporated into a microemulsion system. When topically applied, the microemulsion form exhibits significantly higher therapeutic efficacy against skin diseases compared to the conventional emulsion of berberine.
Background
Ascites is the accumulation of abdominal fluid in the peritoneal cavity. Liver cirrhosis, Alcoholic liver disease, Intra-abdominal malignancy, and tuberculosis are the significant etiologies of ascites. In our context, the etiology behind ascites and its correlation with symptoms and complications have not yet been studied, so the present study is conceptualized to evaluate the clinical profile of ascites. The present study aimed to observe the prevalence, clinical management, and assessment of complications associated with ascites in hospitalized patients, offering insights into contemporary ascites management and outcomes.
Materials and Methods
A prospective observational study was conducted at a tertiary care hospital in Hyderabad, and over 6 months of study was conducted on 113 patients admitted with ascites. All patients who fulfilled the inclusion criteria of patients above 18 years and ascites confirmed by clinical and ultrasound examination were thoroughly evaluated with a detailed history, physical examination, and appropriate investigations.
Results
The predominantly male (83%) patient population exhibited liver cirrhosis (27%) as the primary cause, followed by alcoholic liver disease (23%) and portal hypertension (17%). Abdominal distension (24%) and hepatic encephalopathy (35%) were prevalent symptoms. Laboratory analysis revealed transudative ascitic fluid in most cases (10% with SAAG values >1.1 mg/dL), prevalent hyponatremia (up to 50% in cirrhosis and ascites patients), hyperkalemia (1.6%) and anaemia (7%). Management primarily involved diuretics (23%) and human albumin transfusions (19%).
Conclusion
The study highlights early detection and comprehensive management, including liver transplantation consideration for eligible patients, as pivotal for improved outcomes and reduced morbidity and mortality. Emphasizing a multidisciplinary approach, this study underscores the necessity of vigilant monitoring, appropriate fluid handling, and collaborative efforts among medical specialties in ascites management.
Introduction
The discovery of new drugs is crucial for pharmaceutical research, development and patient care. One way to achieve this goal is by repurposing existing pharmaceuticals, which can provide valuable insights into their development trends and aid in the systematic creation of new drugs. The FDA’s CDER (Center for Drug Evaluation and Research) compiles an annual summary of novel pharmaceuticals, some of which are truly unique and contribute to the advancement of therapeutic therapy. We examined the FDA’s trends in medicine approval over the past 50 years. We compiled data on the number of new pharmaceuticals developed between 2019 and 2023, including the number of anti-viral drugs. I presented the graphs and analyzed the reasons for medication rejections before concluding.
Aim
This project aims to study and analyze the list of Anti-viral drugs Approved by USFDA From 2019-2023.
Background
The United States Food and Drug Administration (USFDA) has developed and approved antiviral medications at a significantly faster pace in recent years in response to the ongoing threat that various viral diseases offer to the world. Effective therapies against both recognized and developing viral infections are desperately needed and the pharmaceutical sector has shown a remarkable commitment to meeting this need between 2019 and 2023.
Materials and Methods
The study gathered data from the FDA’s online database on innovative medicine approvals between 2019 and 2023.
Results
Out of the 216 new pharmaceuticals approved in the last five years, just 24 are biologics. According to these results, fewer Investigational New Drug Applications (INDAs) are being filed under the antiviral and antibiotic categories.
Conclusion
Our findings show that upholding safety and efficacy requirements is essential to the development of new pharmaceuticals. Our analysis also clarifies the causes of drug rejections, highlighting the need to follow FDA guidelines to avert regulatory action.
Background
Rhinitis is a prevalent condition affecting individuals of all age groups, resulting from factors such as cold, nasal infections, allergies, inflammation, and sinusitis. The diverse compositions of bioactive essential oils, containing many chemical components, hold significant promise in preventing and treating numerous human diseases. Certain herbs exhibit favorable physiological and medicinal values when administered individually or in combination with others. Both eucalyptus oil and peppermint oil have been traditionally used to alleviate nasal congestion.
Aim
Considering the synergistic effects of bioactive oils, the present study aimed to develop nasal microemulsion systems using bioactive oils.
Materials and Methods
The microemulsion was prepared with eucalyptus oil and peppermint oil based on the pseudo-ternary phase diagram with different ratios of surfactant and co-surfactant. The microemulsions were evaluated for pH, electrical conductivity, viscosity, optical transparency, droplet sizes and stability studies.
Results
The microemulsion droplets were nano-sized and stable at different temperature conditions. The in vitro anti-inflammatory activity of the microemulsion was assessed by protein denaturation assay and showed a promising result compared to the standard drug.
Conclusion
Eucalyptus oil and Peppermint oil blend microemulsion formulations could be an effective platform for nasal drug delivery system for the treatment of rhinitis
Background
The study explores transdermal drug delivery as a solution to traditional oral and parenteral administration challenges, highlighting improvements in efficiency and scope with micro needle technology.
Objectives
The primary objective of this study was to fabricate a natural gum-grafted matrix transdermal patch for prolonged migraine treatment, emphasizing it’s in vitro characterization.
Materials and Methods
The materials utilized included active pharmaceutical ingredients (Ibuprofen, Caffeine), polymers (HPMC, Tamarind and Moringa), solvent (distilled water), permeation enhancer (Tween-80 5%w/w) and a backing layer. For the fabrication of the patches modified solvent evaporation method was employed.
Results and Discussion
The physical characteristics, including folding endurance and drug content, are within the official limit. The thermal analysis shows its excellent thermal stability. The in vitro drug release shows the maximum 98.3% drug release up to 24 hr, while the release kinetic shows its sustained behavior upon applying different kinetic models.
Conclusion
In conclusion, this innovative and economical transdermal approach holds promise for prolonged migraine management for up to 24 hr, offering a potential alternative to address challenges associated with traditional delivery methods used.
Background
Nipah virus is a deadly infectious virus that was first isolated and identified from Malaysia. Since then, a number of Nipah virus outbreaks have been reported from Bangladesh and India. Transmission of the disease occurs through Pteropus genus fruit bats. The case fatality rate of this infection is very high when compared with other viral zoonoses. At present, there are no approved vaccines or drugs available to prevent or treat this infection. A number of studies are ongoing to develop an efficient vaccine candidate to combat this deadly virus. The majority of them concentrate on the structural and non-structural proteins, which are the main targets of neutralizing antibodies.
Materials and Methods
Here, we analyzed the genome sequence identity of two Nipah virus strains, Indian and Malaysian, and also the amino acid identity between the two structural proteins (Attachment glycoprotein G and Fusion protein F) and one non-structural protein (W protein) of those two strains.
Results and Discussion
It was found that there is a considerable amount of nucleotide sequence homology between the initial strain that originated from Malaysia and the strain that is now found in India. Furthermore, the Structural and Non-structural proteins of these two strains exhibit a high degree of similarity.
Conclusion
Hence, a vaccine candidate designed using either NiV M or NiV B can be effectively used as a potent vaccine.
Background
1,3,4-thiadiazole nucleus is a flexible nucleus. There are numerous biological activities showed by this nucleus. Anticancer, anthelmintic, antimicrobial, anti-inflammatory, antioxidant; anti-HIV, anti- tubercular and anti-carbonic anhydrase are a few activities showed by 1,3,4-thiadiazole derivatives. This project study aimed to investigate the anthelmintic and in silico anticancer activity of derivatives of 1,3,4-thiadiazole.
Materials and Methods
The UV visible spectrophotometer (Shimadzu UV-1900) has been used to determine λmax of the synthesized molecules. The FT-IR (Bruker Alpha-II) spectrometer was used for IR spectra (4000-400 cm-1) via the KBr disc method. Proton (1H) and Carbon-13 (13C) NMR spectra were recorded in CDCl3 or (D6) DMSO at 300-500 MHz and 101-125 MHz, respectively, using the Bruker AV-III 400 spectrometer (Germany). High-Resolution Mass Spectra (HRMS) were obtained using the Xevo G2-XS QT of Mass Spectrometer (USA) with positive ESI mode at 70 eV.
Results
The bonding energy for compounds 1, 2 and 3 were all in the range -42.929 to -48.909 kcal/mol. Results of the docking study shows interactions of compound 3 with the neighboring residues and showing significant anticancer activity. The presence of o-nitro, m-nitro and p-hydroxy groups makes compounds 1 (105.77%), 2 (131.67%) and 3 (155.54%) more potent and nearly equal in terms of inhibition percentage when compared to standard ascorbic acid. Compound-1 [5-([1,1’-biphenyl]-4-yl)- N -(2-nitrobenzylidene)- 1,3,4-thiadiazol-2-amine] showed significant anthelmintic activity.
Conclusion
The biological profiles of these new generations of thiadiazoles would represent a fruitful matrix for further development of better medicinal agents.
Objectives
Pectinase plays a crucial role in the commercial food processing industry by aiding in the breakdown of pectin and facilitating various processing stages like liquefaction, clarifying, and juice extraction. To meet the increasing demand for these essential enzymes for industry, a thorough investigation of pectinases from different organisms will be beneficial in optimising growth conditions and reducing the cost of production.
Materials and Methods
The present study focussed on pectinase production from Bacillus species, optimization of the carbon, nitrogen and growth factors in achieving cost-effective production of pectinase.
Results
Higher concentrations of pectinases were produced with 5% pectin concentration, 5% inoculum size and fermentation broth with extra carbon source i.e., 1% dextrose.
Conclusion
We were able to increase the extracellular pectinase yield to 4.8 IU/mL fermentation broth by using Bacillus licheniformis.
Background
The most prevalent infectious disorders are Urinary Tract Infections (UTI) and Respiratory Tract Infections (RTI), which are frequently related to morbidity and mortality. Due to improper antibiotic administration in these diseases, antibiotic resistance increased. This study aims to identify the patterns of antibiotic resistance in RTI and UTI.
Materials and Methods
An investigation of a prospective observational cross-sectional type of study was carried out at the government general hospital’s Department of general medicine between November 2021 and April 2022. The study included all patients of either gender over the age of 20 who had received at least one prescription for an antibiotic and had culture sensitivity test results. Information was gathered from the patient’s medical case sheet regarding demographics, primary complaints, current medication history, and the results of an antibiotic sensitivity test. Based on the culture sensitivity test, the most prevalent microorganisms isolated from RTI and UTI were identified, and the antibiotic resistance pattern was established.
Results
160 samples from the general medicine department of the government public hospital were processed during the study period (100 sputum samples and 60 urine samples). A total of 293 antibiotics were prescribed among 160 samples, of which 183 (62.5%) were prescribed for RTI and 50 (27.32%) were found to be resistant. 40 (36.3%) of the 110 antibiotics administered for UTIs were found to be resistant. The remaining 203 (69.26%) patients received suitable antibiotic prescriptions for RTI and UTI.
Conclusion
The isolates seen in recent years show the value of longitudinal surveillance data to identify shifts in antibiotic resistance trends, and it is not entirely excluded that the movements may pick up again.
Background
Natural products such as plants and herbs are primely opted for by the consumers these days for the treatment or mitigation of any health condition. And countless options present in our surroundings, that can offer an aid in the management and cure of many nutritional health conditions. Vigna aconitifolia (Moth bean), Eleusine coracana (Finger millet) and Chenopodium quinoa (Quinoa) are some of the examples, that are enriched with a huge amount of nutrients like vitamins and minerals (iron and calcium) that has a potential to be utilized as for the management of Iron deficiency anemia. But the limitations associated with these herbs is, their fluctuating therapeutic effects due to low solubility, poor bioavailability, and low stability.
Materials and Methods
In order to overcome all these limitations, Vigna aconitifolia, Eleusine coracana and Chenopodium quinoa were formulated as nutraceutical granules (a standardized solid dosage form). These crops are well-known for their lofty nutritional potential, which includes a wide range of bioactive ingredients and amino acids, as well as minerals and vitamins. This study examined the use of various materials, such as binders (potato and maize starch), flavors, sweeteners, and other necessary components, to formulate the nutraceutical granules using wet-granulation method. The granules were then tested for different standardization parameters like micromeritic evaluation, organoleptic characterization, physico-chemical evaluation, and in vitro dissolution study. The herbal powders of V aconitifolia, E. coracana and C. quinoa were successfully formulated into nutraceutical dosage form.
Results and Discussion
The results revealed that these nutraceutical granules showed improved physico-chemical, and micromeritic properties as compared to their powdered forms. In vitro dissolution profile of the granules was found to be upto 99.32%.
Conclusion
These are the economical and feasible options for the conventional formulations available for the management of nutritional disorders like iron deficiency anemia due their remarkable mineral (iron) content.
Background
Cancer is the most lethal disease in humans, accounting for one out of every six fatalities. The most frequent type of cancer among women is breast cancer, followed by cervix cancer. Iron oxide nanoparticles, due to their superparamagnetic traits, are one of the most widely used nanomaterials for diagnosing and treating breast cancer. For site-specific medication delivery, biotin was coupled with magnetite nanoparticles.
Materials and Methods
The dextran-coated IONP was synthesized by a simple coprecipitation process and biotin was attached to the surface of dextran via a carboxylic/amine group. X-ray Diffractometer, Thermal gravimetric Analysis, Fourier Transformed Infrared Spectrometer, Atomic Force Microscopy and Vibrating Sample Magnetometer were used to investigate the structural, morphological, and magnetic properties of the produced materials.
Results and Discussion
The iron oxide nanoparticle particle size was determined to be 325 nm. The MTT assay of IONPs and dextran-coated biotin-conjugated IONPs with low IC50 values of 24.18 μg/mL and 1.66 μg/mL exhibit cytotoxicity toxicity against MCF 7 cells, whereas the cytotoxicity of biotin-linked IONPs higher when compared with pure iron oxide.
Conclusion
Iron oxide nanoparticle and dextran-coated biotin-conjugated iron oxide nanoparticle results confirmed the anti-breast cancer efficacy on human breast cancer cells by causing effective cytotoxicity and ensuring the drug delivery to a specific site.
Aim and Objectives
The present work aimed to prepare a FDBF with a fixed dose of Doxylamine succinate. This film provides fast relief from sudden allergic reactions.
Materials and Methods
FDBF were produced employing a technique known as solvent casting. Eight different formulations were tested in an experiment where we varied three factors: X1-PVA concentration, X2-PVP concentration and X3-PG concentration. The two responses were: Y1-disintegration time (sec) and Y2-cumulative drug release (%). Each formulation was subjected to a range of evaluations, including weight variation, folding endurance, thickness, drug content and in vitro studies. Statistical analysis of the responses was performed using Design Expert software version 13.0 trial edition.
Results
All the formulations of the films were transparent, non-sticky and could be easily peeled off. They satisfactory exhibited all the evaluation parameters. The concentration of the PVA, PVP and PG was observed to significantly influence on both the disintegration time and drug release. The optimized formulation OF1, dissolved in 68 sec and drug released at 71.5%. Ex vivo testing on goat buccal mucosa showed a drug release rate of 73.3%. The results of the short-term stability test of optimized formulation OF1 according to the International Council for Harmonization guidelines confirmed that the product stays stable for one month at temperature of 30°C±2°C and relative humidity of 65%±5%.
Conclusion
Based on these results, it can be concluded that FDBF present a promising drug delivery approach for DOXS bypassing first-pass metabolism. This facilitates rapid drug permeation, improving absorption and bioavailability.
Background
Antibiotics play a crucial role in the treatment of infectious diseases in humans and animals. However, their incomplete metabolism in the body often results in their release as active compounds into aquatic systems via domestic wastewater treatment plants. This release poses potential risks of chronic toxicity and significant health and environmental hazards. This study examines the efficacy of Polypyrrole/Titanium Dioxide Composite (PTDC) as an innovative adsorbent for removing Cephalexin (CFX) from aqueous solutions.
Materials and Methods
In the batch adsorption experiments, the researchers inspected the influence of solution pH, contact time, adsorbent dosage, and initial CFX concentration. Thermodynamic parameters were calculated, which include standard Gibbs free energy (ΔG°), standard enthalpy (ΔH°), standard entropy (ΔS°), and activation energy (A).
Results
The biosorption processes are considered spontaneous when the values of ΔG° are negative. The endothermic character of the biosorption processes is suggested by ΔH°>O for the biosorption of CFX. The biosorption capacity of the PTDC increases as the temperature rises, which also supports the endothermic nature of the biosorption processes. The activation energy for the biosorption of every CFX ion was less than 42 kJ/mol at all temperatures, suggesting that each process was diffusion-controlled.
Conclusion
The outcomes indicated that PTDC exhibits capability as an adsorbent for removing CFX from water samples to safeguard the environment.
Background
Breast cancer is the most commonly diagnosed cancer and the second most prominent cause of death in women. Owing to its intricate nature involving multiple cell types, preventing its onset is challenging. Tyrosine kinase plays a crucial role in cancer development and PTK6, a non-receptor kinase, is recognized as a prognostic biomarker for cancer. Consequently, inhibition of PTK6 has emerged as a potential strategy to curb breast cancer cell proliferation and survival. Dasatinib, an oral SRC-family kinase inhibitor, exhibits robust anti-proliferative, anti-metastatic, and anti-osteoclastic properties, demonstrating sensitivity in triple-negative or basal-like breast cancer cell lines.
Materials and Methods
In this context, our study aimed to identify potent lead compounds against breast cancer by leveraging dasatinib derivatives in the pursuit of robust inhibitors. Our methodology encompassed various parameters, including derivative construction by the online tool MolOpt which is freely available and widely used. Further molecular docking, ADME analysis, PASS prediction, rodent toxicity assessment, potential adverse effect evaluation, and MD with PCA calculations were investigated.
Results
Through meticulous analysis, we compiled a substantial dataset of 163 derivatives from which the top two compounds compound 1 and compound 10 emerged following rigorous parameter evaluation.
Conclusion
After filtration, the identified candidates underwent further scrutiny via MD and PCA analyses which helped to ascertain their potential as promising drug-like substances capable of inhibiting breast cancer effectively.
Background
Respiratory infections refer to any disease of airways and lungs which affects the respiratory system of humans. The nasal cavities, pharynx, larynx, trachea, bronchi and bronchioles, the tissues of the lungs and the respiratory muscles of chest cage are all susceptible to respiratory system diseases. To evaluate cost-benefit and cost-effective analysis of medications used in respiratory tract diseases, an observational prospective study was conducted for 120 patients.
Materials and Methods
The patient data and other socioeconomic details were collected. The current index of medical specialists, updated version in March 2022, was used for Cost benefit and Cost effectiveness study. Regression analysis was used for the statistical analysis.
Results
Among the 120 participants studied, 74 (61.66%) were male and 46 (38.34%) were female. Out of these participants, 89 had a C/B ratio of less than 1,30 had a C/B ratio greater than 1 and 1 had a C/B ratio equal to 1. The Cost-Effectiveness Analysis (CEA) of various drugs indicated that among bronchodilators, Asthalin is more cost-effective than Duolin; among corticosteroids, Budecort is more cost-effective than Hydrocort; and among anti-tuberculosis medications, AKT-4 is more cost-effective than Ethambutol.
Conclusion
The common medications prescribed in our study were Asthalin (bronchodilators). Out of 120 study participants 89 patients were cost benefited from the treatment. The CEA results showed that Asthalin, Budecort and AKT-4 are more cost-effective than Duolin, Hydrocort and Ethambutol. The study found that Asthalin is the most effective treatment for respiratory tract diseases among participants, according to CBA and CEA.
Background
Improving outcomes for cancer patients, particularly older adults with complex health requirements, necessitates optimizing drug therapy. The Individualized Medication Assessment and Planning (iMAP) program, a pharmacist-led intervention, was developed to address Medication-Related Problems (MRPs) in this population. This study aims to evaluate the effectiveness of the iMAP program in reducing MRPs, improving treatment compliance and enhancing the quality of life in elderly cancer patients.
Materials and Methods
A randomized controlled trial was conducted involving 238 older cancer patients, with 137 participants receiving the iMAP intervention. Participants were randomized into intervention and control groups using computer-generated basic randomization. Data on MRPs, chemotherapeutic compliance and quality of life were collected using standardized forms and questionnaires. Statistical analysis, including chi-square tests, was performed to evaluate the intervention’s effectiveness.
Results
The mean age of participants in the iMAP intervention group was 79.1 years (SD=8.10). The iMAP intervention significantly reduced the mean number of MRPs from baseline to the 30- and 60-day follow-ups (p <0.05). The intervention identified and addressed specific MRPs related to suboptimal drug usage, under treatment and non-adherence.
Conclusion
The pharmacist-led iMAP intervention effectively reduces MRPs in elderly cancer patients. The results highlight the importance of further research and the implementation of pharmacist-led interventions to improve medication management practices and outcomes in cancer care settings.
Acute Generalized Exanthematous Pustulosis (AGEP) is a rare and severe cutaneous adverse reaction characterized by the abrupt onset of widespread sterile pustules on an erythematous base. This is associated with medications, including antiepileptic drugs, phenytoin, and antibiotics such as beta-lactams and macrolides. This is a rare case where a macrolide antibiotic is reported to induce AGEP in an epileptic patient who was on phenytoin therapy. The patient, at the age of 25, was taking phenytoin for the past two years to subside epileptic symptoms. In this period, he has never reported any complications related to AGEP. Including macrolide antibiotics in his prescription aggravated the symptoms of AGEP within a few days. The primary course of action involved immediate withdrawal of both the drugs i.e. phenytoin and macrolide antibiotic, and symptomatic treatment.
Poorly soluble drugs are sources of concern in pharmaceutical formulations. Hydrotropes are compounds that enhance the solubility of insoluble materials in solvents. The hydrotropic solubilization concept is one of the most effective methods for avoiding the usage of organic solvents. The present research study used a hydrotropy strategy in order to enhance the solubility of felodipine implementing a mixed hydrotropic molecule. The experiment was carried out by assessing the medication’s solubility in combinations with hydrotropic agents. Sodium benzoate, nicotinamide, and sodium citrate were used at 10%w/v concentrations. Sodium benzoate and nicotinamide as a mixed hydrotropic agent increase the solubility of felodipine significantly in comparison with the other hydrotropic combination and its aqueous solubility. By using a solvent evaporation method, three formulas of felodipine mixed hydrotropic solid dispersions at different ratios were prepared. The drug content of prepared formulae has been established, FTIR, XRD, SEM, and dissolution studies. The achieved findings disclosed the solubility of felodipine increases synergistically by mixed hydrotropy six times in comparison with aqueous solubility of pure drug, F1(1:2) shows highest dissolution rate. FTIR results suggest no interaction between drug and hydrotropic agents. Reduced crystallinity was observed in XRD and SEM. The notion of mixed hydrotropic solid dispersion was demonstrated to be a cost-effective way for increasing the bioavailability of medications with low water solubility.