The great interindividual variation in drug handling, especially in the elderly, causes a problem in determining the correct individual dose for the administration of a drug. A solution would be the determination of the capacity to metabolize lipophilic drugs in vivo on an individual basis. One approach, as reported in the literature, may be to determine the clearance rates of the antipyrine metabolites, which are formed by different isoenzymes of cytochrome P-450. Pharmacokinetics of antipyrine were determined in 3-, 12-, 24-, 30- and 36-month-old male BN/BiRij rats. The elimination T1/2 did not change with age, or were changes found in apparent volume of distribution. The systemic clearance of 24-month-old rats, when expressed as milliliters per minute-1 was higher than that of 3- and 12-month-old ones. When expressed as milliliters per minute-1 per kilogram-1, the systemic clearance decreased between 3 and 12 months. Thereafter, no change occurred. The partial clearance, expressed as milliliters per minute-1, did not change with age. Expressed as milliliters per minute-1 per kilogram-1, the partial clearance of the metabolites also did not change for hydroxymethylantipyrine (HMA) and 4-hydroxyantipyrine (4-OHA) but for norantipyrine (NORA) a decrease was found between 3 and 24 months, followed by a tendency to increase between 24 and 36 months. When the data were expressed per rat (milliliters per minute-1), the increase in liver weight with age influenced the data markedly.(ABSTRACT TRUNCATED AT 250 WORDS)
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Am J Prev Med
August 2020
Center for Advancing Population Science, Medical College of Wisconsin, Milwaukee, Wisconsin; Division of General Internal Medicine, Department of Medicine, The Medical College of Wisconsin, Milwaukee, Wisconsin.
Introduction: Evidence suggests that individuals with a history of adverse childhood experiences have higher odds of developing kidney disease than individuals with no adverse childhood experiences. However, no study has examined the influence of coexisting adverse childhood experiences and kidney disease on mortality risk. This study uses a longitudinal survey of adults to examine the influence of coexisting adverse childhood experiences and decreased renal function on all-cause mortality in a sample of U.
View Article and Find Full Text PDFAm Heart J
March 2019
Cardiology Division, Massachusetts General Hospital, Boston, MA; Harvard Medical School, Boston, MA; Baim Institute for Clinical Research, Boston, MA. Electronic address:
Background: Kidney injury is common in patients with cardiovascular disease.
Objectives: We determined whether blood measurement of kidney injury molecule-1 (KIM-1), would predict kidney outcomes in patients undergoing angiographic procedures for various indications.
Methods: One thousand two hundred eight patients undergoing coronary and/or peripheral angiography were prospectively enrolled; blood was collected for KIM-1 measurement.
J Community Hosp Intern Med Perspect
August 2018
Department of Medicine, Division of Nephrology, Medical College of Wisconsin, Milwaukee, WI, USA.
Diabetic nephropathy (DN is a dreaded consequence of diabetes mellitus, accounting for about 40% of end-stage renal disease (ESRD). It is responsible for significant morbidity and mortality, both directly by causing ESRD and indirectly by increasing cardiovascular risk. Extensive research in this field has thrown light on multiple pathways that can be pharmacologically targeted, to control or reverse the process of DN.
View Article and Find Full Text PDFJ Clin Endocrinol Metab
November 2013
MD, MS, Perelman School of Medicine at the University of Pennsylvania, 12-134 Smilow Center for Translational Research, 3400 Civic Center Boulevard, Philadelphia, Pennsylvania 19104.
Context: Islet transplantation can improve metabolic control for type 1 diabetes (T1D), an effect anticipated to improve insulin sensitivity. However, current immunosuppression regimens containing tacrolimus and sirolimus have been shown to induce insulin resistance in rodents.
Objective: The objective of the study was to evaluate the effect of islet transplantation on insulin sensitivity in T1D using euglycemic clamps with the isotopic dilution method to distinguish between effects at the liver and skeletal muscle.
Cornea
May 2010
Department of Ophthalmology, Harvard Medical School, Boston, MA, USA.
Purpose: Time-kill testing was performed for a linalool-hinokitiol-based eyelid cleanser against Pseudomonas aeruginosa, Moraxella catarrhalis, Escherichia coli, Serratia marcescens, Staphylococcus aureus, methicillin-resistant S. aureus (MRSA), Staphylococcus epidermidis, and Pityrosporum ovale to evaluate its efficacy.
Methods: An inoculum of 1 mL of each test organism culture was added to 49 mL of test cleanser.
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