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  • 1995-1999  (3)
  • triamcinolone acetonide  (2)
  • Escherichia coli  (1)
  • PK-PD modeling  (1)
  • 1
    ISSN: 1573-904X
    Keywords: triamcinolone acetonide ; lung instillation ; lung targeting ; ex-vivo receptor binding ; corticosteroids
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology
    Notes: Abstract Triamcinolone acetonide (TA, 22 µg) was given to rats by intravenous (IV) injection or intratracheal (IT) instillation. Free glucocorticoid receptors were monitored over time in liver and lung using an ex-vivo receptor binding technique. After IV administration of a TA solution, the reduction of free receptors over time was very similar in lung and liver (AUCLung = 280 ± 47 %*h; AUCLiver = 320 ± 76 %*h). Intratracheal instillation of the same solution produced time profiles which mirrored those of IV injection (AUCLung = 260 ± 41 %*h; AUCLiver = 330 ± 50 %*h). The lack of lung targeting was also reflected in the failure to show any significant difference in the pulmonary targeting factor T (AUCLung/AUCLiver) between IV (T = 0.84 ± 0.18) and IT (T = 0.78 ± 0.03) administration. In contrast, a certain degree of lung specificity was observed after IT instillation of a glucocorticoid suspension (22 µg; AUCLung = 160 ± 135 %*h; AUCLiver = 65 ± 91 %*h, T = 2.3 ± 0.5) as indicated by significant differences in T between IV injection and IT instillation (p = 0.038). The method presented provides a means of simultaneously assessing pulmonary and systemic effects after different forms and routes of administration and might be of value in further studying multiple aspects of inhalation glucocorticoid therapy.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1573-904X
    Keywords: piperacillin ; Escherichia coli ; Emax-model ; PK-PD modeling
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology
    Notes: Abstract Purpose. It was the aim of the present study to investigate the in vitro antimicrobial effects of the β-lactam antibiotic piperacillin on Escherichia coli using concentration-time profiles similar to those encountered in vivo. Methods. An in vitro dilution model was used to expose E. coli to various piperacillin concentration profiles. The antimicrobial effect was evaluated by determination of the number of bacteria over time. Results. A modified Emax-model was found appropriate to describe the pharmacodynamic effect. This model was linked with the respective piperacillin concentrations to provide a suitable pharmaco-kinetic-pharmacodynamic (PK-PD) model. The average growth half-life in absence of piperacillin was 28 min and the maximum kill half-life was 25 min. The EC50 for the various dosing regimens averaged 5.2 µg/mL and was independent of dose. These parameters were used the simulate the bactericidal effects of commonly administered doses or dosing regimens in humans. Conclusions. Based on the in vitro data a more frequent administration of piperacillin will be more efficacious. The proposed PK-PD-model allows a more detailed evaluation of dosing regimens than the use of minimum inhibitory concentrations.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1573-904X
    Keywords: triamcinolone acetonide ; pulmonary targeting ; liposomes ; glucocorticoid receptors ; sustained release
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology
    Notes: Abstract Purpose. To explore the use of triamcinolone acetonide phosphate liposomes as a pulmonary targeted drug delivery system. Methods. Triamcinolone acetonide phosphate liposomes composed of 1,2-distearoyl phosphatidylcholine and 1,2-distearoyl phosphatidyl glycerol and triamcinolone acetonide 21-phosphate dipotassium salt were prepared by dispersion and extruded through polycarbonate membranes. Encapsulation efficiency and in vitro stability at 37°C were assessed after size exclusion chromatography. TAP liposomes (TAP-lip) or TAP in solution (TAP-sol) were delivered to rats either by intratracheal instillation (IT) or intravenous (IV) administration. Pulmonary targeting was assessed by simultaneous monitoring of glucocorticoid receptor occupancy over time in lung (local organ) and liver (systemic organ) using an ex vivo receptor binding assay as a pharmacodynamic measure of glucocorticoid action. Results. In vitro studies in different fluids over 24 hours, showed that more than 75% of the TAP remained encapsulated in liposomes. Cumulative pulmonary effects after IT administration of TAP-lip were 1.6 times higher than liver receptor occupancy. In contrast, there was no difference in the pulmonary and hepatic receptor occupancy time profiles when TAP was administered intratracheally as a solution. No preferential lung targeting was observed when TAP-lip was administered IV. As indicated by the mean effect times, lung receptor occupancy was sustained only when TAP-lip was administered IT. Conclusions. Intratracheal administration of TAP-lip provided sustained receptor occupancy, and increased pulmonary targeting which was superior to IT administration of TAP-sol or IV administration of TAP-lip. The use of liposomes may represent a valuable approach to optimize sustained delivery of glucocorticoids to the lungs via topical administration.
    Type of Medium: Electronic Resource
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