用于变应原疫苗分析和质控的实验技术

建立和应用一种可靠的质量分析方法是所有生物制品质量和工艺一致性的保障。一种准确反应药物中特异组成成分的活性和结构,并且优化和验证了的方法,是所有生物医药领域研发和新药上市的一个核心目标。变应原疫苗是天然物质的混合物,每一种变应原疫苗含有多种活性成分和与变应原无关未知的非活性成分,其中,具有变应原活性的物质只占一小部分,而且主要变应原成分作用在患者与患者之间差异性很大。本文介绍了一种变应原疫苗分析和质控的方法,包括变应原疫苗总蛋白含量、总蛋白组分、主要致敏蛋白组成、主要致敏蛋白含量、总生物活性几方面。     

Studies on Allergen of Fasciola hepatica

Allergenic substance obtained from liver flukes, P4, is composed of ribonucleic acid and peptide, but it was negative in ninhydrin reaction. The preparation was dinitrophenylated without any loss of its biological activity. When the dinitrophenylated material was subjected to digestion by ribonuclease and other enzymes, adenosine-3′-phosphate combined with DNP-peptide was obtained. The DNP-peptide, after hydrolysed with dilute alkali, produced a peptide whose amino terminal was histidine.     

Studies on Allergen of Fasciola hepatica

Two allergenic substances (C 5 and P 4), which consisted of ribonucleic acid as their main component, were isolated from the heated extract of liver fluke (Fasciola hepatica) by means of precipitation by ammonium sulphate and phenol extraction, followed by extraction with potassium acetate and ethanol fractionation.

One of these substances, C 5, which was extracted with phenol was electrophoretically homogeneous, but ultracentrifugally was shown to contain one other substance in a small quantity.

The other substance, P 4, which was isolated from the phenol insoluble fraction was electrophoretically and ultracentrifugally homogeneous.

Both of these were almost the same in biological activity, and their solutions, which were diluted 1 : 100,000 with Ringer’s solution, were still active in the intradermal reaction to the fascioliasis of cattle. Judging from their activity and yield, it seems that all the allergenic substances which are in the heated extract of liver fluke, are represented by the protein allergen reported already, as well as by C 5 and P 4 described here.     

Clinical and Laboratory Studies with Rubella Vaccines in Adults

Three live attenuated rubella vaccines were tested in adult volunteers. Clinical reactions were mild, but were more noticeable in vaccinated non-immune subjects than in control subjects. With the exception of two individuals, all of the remaining 54 subjects developed an immune response; the level of antibodies found was somewhat lower than that resulting from natural infection. Though virus could be isolated from some of the seronegative volunteers after vaccination, no evidence was found of transmission of infection.     

Intranasal Cabergoline: Pharmacokinetic and Pharmacodynamic Studies

Aims of this investigation were to prepare and characterize cabergoline intranasal microemulsion formulations, determine brain drug delivery through biodistribution using technetium-99m (^99mTc) as a tracer, and assess its performance pharmacodynamically in weight control. Cabergoline microemulsions of different compositions were prepared by water titration method and characterized for globule size and zeta potential. Microemulsion with maximum drug solubilization and stability was considered optimal and taken for further studies with or without addition of mucoadhesive agent. Pharmacokinetics of optimized ^99mTc-labeled cabergoline formulations and ^99mTc-labeled drug solution were studied by estimating radioactivity in brain and blood of albino rats post intranasal, intravenous, and oral administrations. To confirm localization of drug in brain following intranasal, intravenous, and oral administrations, gamma scintigraphy imaging was also performed. To assess weight control performance of formulations, body weight, white adipose tissue mass, serum lipids, leptin, and prolactin were determined before and after 40 days of intranasal administrations of these formulations to Wistar rats. Microemulsions were found to be stable both physically and chemically when stored at various stress conditions. Brain/blood uptake ratios, drug targeting efficiency, and direct drug transport were found to be highest for drug mucoadhesive microemulsion followed by drug microemulsion and drug solution post-intranasal administration compared to intravenous drug microemulsion. Significant (p < 0.05) reduction in assessed pharmacodynamic parameters was observed after intranasal administration of mucoadhesive microemulsion against control group. The results of the studies conclusively demonstrate that intranasal microemulsion formulations developed in this investigation are stable and can deliver cabergoline selectively and in higher amounts to the brain compared to both drug administrations as a solution intranasally or microemulsion intravenously. The results also demonstrate reduction in weight, adipose tissue mass, serum lipids, and serum prolactin after intranasal administration of drug microemulsion. Hence, long-term studies in at least two more animal models followed by extensive clinical evaluation can safely result into a product for clinical use.     

The Clinical Pharmacology of Intranasal l-Methamphetamine

Background  

We studied the pharmacology of l-methamphetamine, the less abused isomer, when used as a nasal decongestant.     

Vasopressin Analogue DDAVP in Diabetes Insipidus: Clinical and Laboratory Studies

In seven patients with cranial diabetes insipidus an analogue of vasopressin, DDAVP, produced an antidiuresis lasting up to 20 hours after a single intranasal dose. Lysine vasopressin (LVP) in the same dose produced a less potent antidiuresis which lasted for only three to four hours. The plasma half life of DDAVP was 7·8 and 75·5 min for the fast and slow phases, compared with 2·5 and 14·5 min for LVP. Radioiodine-labelled DDAVP was not destroyed by incubation with late pregnancy plasma, which contains an enzyme that inactivates vasopressin. The slow metabolic clearance of DDAVP, its absorption through the nasal mucosa, and its lack of side effects make this the ideal drug for the treatment of vasopressin-sensitive diabetes insipidus. Patients usually require 10 to 20 μg DDAVP given intranasally twice daily for good clinical control of their diabetes insipidus.     

Informatics and the Clinical Laboratory

The nature of pathology services is changing under the combined pressures of increasing workloads, cost constraints and technological advancement. In the face of this, laboratory systems need to meet new demands for data exchange with clinical electronic record systems for test requesting and results reporting. As these needs develop, new challenges are emerging especially with respect to the format and content of the datasets which are being exchanged. If the potential for the inclusion of intelligent systems in both these areas is to be realised, the continued dialogue between clinicians and laboratory information specialists is of paramount importance. Requirements of information technology (IT) in pathology, now extend well beyond the provision of purely analytical data. With the aim of achieving seamless integration of laboratory data into the total clinical pathway, ‘Informatics’ – the art and science of turning data into useful information – is becoming increasingly important in laboratory medicine. Informatics is a powerful tool in pathology – whether in implementing processes for pathology modernisation, introducing new diagnostic modalities (e.g. proteomics, genomics), providing timely and evidence-based disease management, or enabling best use of limited and often costly resources. Providing appropriate information to empowered and interested patients – which requires critical assessment of the ever-increasing volume of information available – can also benefit greatly from appropriate use of informatics in enhancing self-management of long term conditions. The increasing demands placed on pathology information systems in the context of wider developmental change in healthcare delivery are explored in this review. General trends in medical informatics are reflected in current priorities for laboratory medicine, including the need for unified electronic records, computerised order entry, data security and recovery, and audit. We conclude that there is a need to rethink the architecture of pathology systems and in particular to address the changed environment in which electronic patient record systems are maturing rapidly. The opportunity for laboratory-based informaticians to work collaboratively with clinical systems developers to embed clinically intelligent decision support systems should not be missed.