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抗痛风药物febuxostat的合成 被引量:12
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作者 武瑊 王春辉 +1 位作者 李松 郑志兵 《中国药物化学杂志》 CAS CSCD 2008年第4期259-262,共4页
目的合成新型抗痛风药物febuxostat(1)。方法以羟基苯腈为原料,经硫代甲酰化得到对羟基硫代苯甲酰胺(3),3经环合得到2-(4-羟基苯基)-4-甲基-噻唑-5-羧酸乙酯(4),4与乌洛托品反应,得到中间体2-(3-甲酰基-4-羟基苯基)-4-甲基-噻唑-5-羧酸... 目的合成新型抗痛风药物febuxostat(1)。方法以羟基苯腈为原料,经硫代甲酰化得到对羟基硫代苯甲酰胺(3),3经环合得到2-(4-羟基苯基)-4-甲基-噻唑-5-羧酸乙酯(4),4与乌洛托品反应,得到中间体2-(3-甲酰基-4-羟基苯基)-4-甲基-噻唑-5-羧酸乙酯(5),之后再经醚化、氰化、水解得到目标产物(1)。结果与结论中间体及目标化合物的结构经1H-NMR和FAB-MS确证。该合成路线中使用的原料和试剂价廉易得,反应条件温和易控,操作简便。 展开更多
关键词 febuxostat 黄嘌呤氧化酶抑制剂 抗痛风药 合成
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Febuxostat对痛风伴高尿酸血症患者的血液流变学和血小板活化功能的影响 被引量:6
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作者 刘青员 祁广东 陈鑫 《基础医学与临床》 CSCD 2018年第11期1568-1571,共4页
目的探讨febuxostat(非布司他)对痛风伴高尿酸血症患者血液流变学及血小板活化功能的影响。方法选取滨海县人民医院2015年4月至2017年3月收治的痛风伴高尿酸血症患者68例,随机分为对照组(35例)(给予别嘌醇治疗)和观察组(33例)(给予febux... 目的探讨febuxostat(非布司他)对痛风伴高尿酸血症患者血液流变学及血小板活化功能的影响。方法选取滨海县人民医院2015年4月至2017年3月收治的痛风伴高尿酸血症患者68例,随机分为对照组(35例)(给予别嘌醇治疗)和观察组(33例)(给予febuxostat治疗)。比较两组患者的临床疗效、血液流变学变化以及血小板活化功能的变化。结果治疗总有效率,观察组患者高于对照组患者(P<0. 05),与对照组相比,观察组患者在治疗后的血液流变学指标改善和血小板活化功能改善方面均更为明显(P<0. 05)。结论 Febuxostat治疗能有效地降低痛风伴高尿酸血症患者的高尿酸状态,改善患者的血液流变学与血小板活化功能,疗效优于别嘌醇。 展开更多
关键词 febuxostat 别嘌醇 高尿酸血症 痛风 血液流变学 血小板活化功能
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The preparation and characteristics of febuxostat SiO2 solid dispersions 被引量:2
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作者 宋文丁 杜若 +6 位作者 宋平 钟婷 张卫强 赵阳 王超 张烜 张强 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2014年第7期463-470,共8页
In the present research, we selected Sylysia as a porous material and febuxostat(FBT) as model drug to prepare the FBT SiO2 solid dispersions using a solvent evaporation method. We firstly established an HPLC method... In the present research, we selected Sylysia as a porous material and febuxostat(FBT) as model drug to prepare the FBT SiO2 solid dispersions using a solvent evaporation method. We firstly established an HPLC method for determining FBT in our prepared FBT SiO2 solid dispersions. And then, the characteristics of FBT SiO2 solid dispersions were investigated, including differential scanning calorimetry(DSC), powder X-ray diffraction(PXRD), scanning electron microscope(SEM), particle size and distribution. The solubility and dissolution of FBT SiO2 solid dispersion were also evaluated. The results of DSC and PXRD showed that the FBT existed in an amorphous state in FBT SiO2 solid dispersions. The SEM and particle size results indicated that the shape and average particle size of FBT SiO2 solid dispersions was similar to the Sylysia. The solubility and dissolution of FBT in FBT SiO2 solid dispersions were significantly enhanced compared with the pure FBT. In conclusion, we successfully prepared FBT SiO2 solid dispersions to increase the solubility and dissolution rate of the poorly water-soluble FBT. 展开更多
关键词 febuxostat Sylysia Solid dispersion Solubility and dissolution
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Characteristic dysbiosis in gout and the impact of a uric acid-lowering treatment,febuxostat on the gut microbiota 被引量:8
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作者 Suxian Lin Tao Zhang +8 位作者 Lingxiao Zhu Kun Pang Saisai Lu Xin Liao Senhong Ying Lixia Zhu Xin Xu Jinyu Wu Xiaobing Wang 《Journal of Genetics and Genomics》 SCIE CAS CSCD 2021年第9期781-791,共11页
Gut dysbiosis is suggested to play a critical role in the pathogenesis of gout.The aim of our study was to identify the characteristic dysbiosis of the gut microbiota in gout patients and the impact of a commonly used... Gut dysbiosis is suggested to play a critical role in the pathogenesis of gout.The aim of our study was to identify the characteristic dysbiosis of the gut microbiota in gout patients and the impact of a commonly used uric acid-lowering treatment,febuxostat on gut microbiota in gout.16S ribosomal RNA sequencing and metagenomic shotgun sequencing was performed on fecal DNA isolated from 38 untreated gout patients,38 gout patients treated with febuxostat,and 26 healthy controls.A restriction of gut microbiota biodiversity was detected in the untreated gout patients,and the alteration was partly restored by febuxostat.Biochemical metabolic indexes involved in liver and kidney metabolism were significantly associated with the gut microbiota composition in gout patients.Functional analysis revealed that the gut microbiome of gout patients had an enriched function on carbohydrate metabolism but a lower potential for purine metabolism,which was comparatively enhanced in the febuxostat treated gout patients.A classification microbial model obtained a high mean area under the curve up to 0.973.Therefore,gut dysbiosis characterizings gout could potentially serve as a noninvasive diagnostic tool for gout and may be a promising target of future preventive interventions. 展开更多
关键词 GOUT Gut microbiota febuxostat METABOLISM Gene sequencing
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Effects of febuxostat on atrial remodeling in a rabbit model of atrial fibrillation induced by rapid atrial pacing 被引量:2
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作者 Yong-Yan FAN Feng XU +5 位作者 Chao ZHU Wen-Kun CHENG Jian LI Zhao-Liang SHAN Yang LI Yu-Tang WANG 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2019年第7期540-551,共12页
Background Febuxostat,a novel nonpurine selective inhibitor of xanthine oxidase(XO),may be used in the prevention and management of atrial fibrillation(AF).The purpose of this study was to evaluate the effects of febu... Background Febuxostat,a novel nonpurine selective inhibitor of xanthine oxidase(XO),may be used in the prevention and management of atrial fibrillation(AF).The purpose of this study was to evaluate the effects of febuxostat on atrial remodeling in a rabbit model of AF induced by rapid atrial pacing(RAP)and the mechanisms by which it acts.Methods Twenty-four rabbits were randomly divided into four groups:sham-operated group(Group S),RAP group(Group P),RAP with 5 mg/kg per day febuxostat group(Group LFP),and RAP with 10 mg/kg per day febuxostat group(Group HFP).All rabbits except those in Group S were subjected to RAP at 600 beats/min for four weeks.The effects of febuxostat on atrial electrical and structural remodeling,markers of inflammation and oxidative stress,and signaling pathways involved in the left atrium were examined.Results Shortened atrial effective refractory period(AERP),increased AF inducibility,decreased mRNA levels of Cav1.2 and Kv4.3,and left atrial enlargement and dysfunction were observed in Group P,and these changes were suppressed in the groups treated with febuxostat.Prominent atrial fibrosis was observed in Group P,as were increased levels of TGF-β1,Collagen I,andα-SMA and decreased levels of Smad7 and eNOS.Treatment with febuxostat attenuated these differences.Changes in inflammatory and oxidative stress markers induced by RAP were consistent with the protective effects of febuxostat.Conclusions This study is the first to find that febuxostat can inhibit atrial electrical and structural remodeling of AF by suppressing XO and inhibiting the TGF-β1/Smad signaling pathway. 展开更多
关键词 ATRIAL FIBRILLATION ATRIAL remodeling febuxostat Rapid ATRIAL PACING XANTHINE OXIDASE
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Perturbation of Quorum Sensing in <i>Pseudomonas aeruginosa</i>by Febuxostat 被引量:1
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作者 Hisham Abdel Monem Abbas Wafaa Ezz Elarab Soliman Moutaz Ahamed Shaldam 《Advances in Microbiology》 2018年第8期650-664,共15页
Quorum sensing is a signal-based communication system in bacteria. It is an attractive target because it regulates the production of virulence factors in Pseudomonas aeruginosa. As a result, interference with quorum s... Quorum sensing is a signal-based communication system in bacteria. It is an attractive target because it regulates the production of virulence factors in Pseudomonas aeruginosa. As a result, interference with quorum sensing could result in inhibition of virulence of Pseudomonas aeruginosa with the merit of lack of selective pressure on growth that leads to development of resistance. This study investigated the anti-quorum sensing and anti-virulence activities of febuxostat in Pseudomonas aeruginosa PAO1 strain. At 1/8 MIC of febuxostat, the production of the quorum-sensing regulated violacein pigment of Chromobacterium violaceum CV026 was significantly reduced. Moreover, it markedly reduced pyocyanin, hemolysin, protease and elastase production. Significant inhibitory activities were also found against biofilm, swimming, twitching and swarming motilities. Molecular docking showed the ability of febuxostat to inhibit quorum sensing by competing with the autoinducers to bind with LasR and RhlR receptors. Febuxostat could bind to both receptors by hydrogen bonding and hydrophobic interaction. From the Molecular docking scores, febuxostat is a very promising quorum sensing inhibitor. Febuxostat could also significantly decrease the level of expression of all QS genes LasI, LasR, RhlI, RhlR, PqsA and PqsR that regulate the production of virulene factors as confirmed by qRT-PCR. 展开更多
关键词 febuxostat Pseudomonas AERUGINOSA QUORUM Sensing Virulence Inhibition Molecular Docking
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Preparation, optimization and in vitro–in vivo investigation for capsules of the choline salt of febuxostat
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作者 Xuemei Han Wanpeng Qi +3 位作者 Wenxiang Dong Mengran Guo Panqin Ma Jing Wang 《Asian Journal of Pharmaceutical Sciences》 SCIE CAS 2016年第6期715-721,共7页
The objective of the present study was to exhibit the enhanced water-solubility and in vivo oral absorption when febuxostat(FXT) became the salt formation of choline. The formation of the choline salt of febuxostat wa... The objective of the present study was to exhibit the enhanced water-solubility and in vivo oral absorption when febuxostat(FXT) became the salt formation of choline. The formation of the choline salt of febuxostat was confirmed by X-ray powder diffraction, infrared spectroscopy analysis and differential scanning calorimetry. The direct filling method was used to develop a capsule formulation. Cellactose 80 was used as the filler due to its good fluidity, while cross-linked polyvinylpyrrolidone(PVPP) and magnesium stearate(MS) were used as the disintegrant and lubricant, respectively. Then the in vitro release of the formulation was carried out in five different dissolution media including HCl solution(pH 1.2),acetate buffer(pH 4.5), phosphate buffer(pH 6.8 and pH 7.2) and water. Evident improvement of release for choline febuxostat(CXT) was presented in water while the dissolution degree was decreased for CXT in the medium of phosphate buffer(pH 6.8) in comparison with FXT. Furthermore, the pharmacokinetics of CXT was studied in rats using UPLC-MS/MS compared with FXT. The data acquired illustrated that AUC0-24 h of CXT and FXT were22,245.96 ± 7342.92 μg·h/l and 12,249.70 ± 2024.04 μg·h/l, respectively. The relative bioavailability of CXT to FXT was about 181.6% and the P value of AUC0-24 h was less than 0.05. It showed significant difference between the two drugs after oral administration. In conclusion, the water-solubility and oral bioavailability were both improved remarkably for the choline salt of febuxostat and choline salinization was proved an effective way to increase the in vivo absorption for FXT. 展开更多
关键词 CHOLINE febuxostat Characterization PREPARATION In VITRO release BIOAVAILABILITY
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Febuxostat治疗妇女痛风的效果优于AUopurinol
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《基础医学与临床》 CSCD 北大核心 2013年第3期381-381,共1页
据美国WebMD医学新闻网(2011-12-15)报道,根据已发表期刊的资料中,回顾性分析参与第3期比较实验222名高尿酸妇女的数据显示,每天80 mg febuxostat降低血清尿酸值低于6.0mg/dL之效果优于每天100、200或300mg的allopurinol。芝加... 据美国WebMD医学新闻网(2011-12-15)报道,根据已发表期刊的资料中,回顾性分析参与第3期比较实验222名高尿酸妇女的数据显示,每天80 mg febuxostat降低血清尿酸值低于6.0mg/dL之效果优于每天100、200或300mg的allopurinol。芝加哥大学Pritzker医学院和武田全球研发小组的Saima Chohan医生等人,比较了痛风患者使用febuxostat、allopurinol和安慰荆的随机控制实验数据进行了事后分析,这些数据共包括了4101名患者,其中226名女性,有4名女性在开始时的血清尿酸值低于8.0mg/dL,所以仅纳入其他222名患者。 展开更多
关键词 febuxostat 痛风患者 ALLOPURINOL febuxostat 妇女 治疗 数据显示 芝加哥大学
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Green UHPLC Method for Simultaneous Determination of Febuxostat and Diclofenac in Pharmaceutical Dosage Form and Human Plasma
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作者 Shimaa A. Mahmoud Amira M. El-Kosasy Fatma A. Fouad 《Journal of Analytical Sciences, Methods and Instrumentation》 2021年第4期29-45,共17页
Eco-friendly Ultra-high-performance liquid chromatography (UHPLC) with green aqueous-organic mobile phase was applied for the simultaneous determination of febuxostat (FEB) and diclofenac (DIC) with the composition of... Eco-friendly Ultra-high-performance liquid chromatography (UHPLC) with green aqueous-organic mobile phase was applied for the simultaneous determination of febuxostat (FEB) and diclofenac (DIC) with the composition of water:ethanol (85:15<span> </span>v/v) utilizing phenomenex Kinetex C<sub>18</sub> column (4.6 × 100 mm 2.6 μm), flow rate 1 ml/min and<b><span> </span></b>UV detection at 280 nm<b><span> </span></b>with linear ranges of 0.4 - 4.0 μg/mL and 0.5 - 5.0 μg/mL for FEB and DIC, respectively. The proposed method was also successfully applied to analyze the two drugs in pharmaceutical dosage form and human plasma. The results obtained were validated and statistically analyzed and found to be in accordance with those given by reported methods. Moreover, the greenness of the developed method is assessed using suitable analytical Eco-Scale and GAPI tools<b><span> </span></b>and comparison with the previously published methods have been carried out to indicate the priority of the proposed method. UHPLC is considered eco-friendly method regarding uses of safe solvents, simple, accurate and short time of analysis. 展开更多
关键词 febuxostat DICLOFENAC Ultra-High-Performance Liquid Chromatography Eco-Scale Green Analytical Procedure Index Tools
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其它:04073 Febuxostat在美国申请治疗痛风
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作者 李燕燕 《国外药讯》 2005年第4期29-29,共1页
武田/Abbott公司的合资企业TAP医药产品公司已经为选择性的黄嘌呤氧化酶抑制剂febuxostat(Ⅰ)在美国提出新药申请,该药用于治疗慢性痛风患者的高尿酸血症(高尿酸水平)。
关键词 febuxostat 美国 申请 治疗痛风 新药 黄嘌呤氧化酶抑制剂
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Clinical Efficacy of Febuxostat Combined with Allopurinol in the Treatment of Hyperuricemia Patients
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作者 ZHU Mengni HOU Lianhua 《外文科技期刊数据库(文摘版)医药卫生》 2021年第6期006-007,共4页
Objective: the experiment will focus on the implementation of drug therapy for patients with hyperuricemia. The research focuses on the analysis of the application results of febuxostat combined with allopurinol. Meth... Objective: the experiment will focus on the implementation of drug therapy for patients with hyperuricemia. The research focuses on the analysis of the application results of febuxostat combined with allopurinol. Methods: the experiment selected patients with hyperuricemia as the main body of the investigation, and the patients admitted from June 2019 to May 2020 were cut off in the time period. The patients were divided into two groups by using the random number method for comparative study, and the changes of 78 patients' conditions were recorded. The patients in the control group were treated with allopurinol, while those in the observation group were treated with febuxostat combined with allopurinol, and the therapeutic effect was analyzed. Results: from the treatment results, the results of serum uric acid, serum creatinine and urea nitrogen levels in the observation group were better than those in the control group, with significant difference (p < 0.05). At the same time, in the estimation of glomerular filtration rate, the indexes of patients in the observation group after 4 weeks and 12 weeks of treatment are better than those in the control group, and the difference is statistically significant. Conclusion: the combination of febuxostat and allopurinol is effective in the treatment of hyperuricemia, and is helpful to improve the related indicators of blood uric acid. The rehabilitation level of the patients is good and has clinical promotion value. 展开更多
关键词 febuxostat ALLOPURINOL HYPERURICEMIA clinical curative effect
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EMEA开始审查febuxostat
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作者 杨绍杰(摘) 《国外药讯》 2007年第5期30-30,共1页
Ipsen公司已递交febuxostat(Ⅰ)用于治疗症状性高尿酸血症的集中欧盟审批申请。如果获得批准,(Ⅰ)将成为40年来首个治疗高尿酸血症的新药,高尿酸血症与痛风有关。(Ⅰ)是一种口服黄嘌呤氧化酶抑制剂,可降低血中的尿酸水平,并... Ipsen公司已递交febuxostat(Ⅰ)用于治疗症状性高尿酸血症的集中欧盟审批申请。如果获得批准,(Ⅰ)将成为40年来首个治疗高尿酸血症的新药,高尿酸血症与痛风有关。(Ⅰ)是一种口服黄嘌呤氧化酶抑制剂,可降低血中的尿酸水平,并阻止痛风病人关节处尿酸晶体的沉积。(Ⅰ)比现有治疗药物别嘌呤(auopurin01)特异性更强,别瞟呤是通过抑制尿酸通路中的一系列酶发挥作用的。 展开更多
关键词 febuxostat 黄嘌呤氧化酶抑制剂 EMEA 高尿酸血症 治疗药物 痛风病人 尿酸水平 症状性
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Febuxostat治疗痛风与别嘌醇疗效相仿
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作者 景新(摘) 《国外药讯》 2008年第12期20-20,共1页
据美国风湿病学会72届科学年会与美国风湿病科医务人员协会43届年会(ACR/ARHP)上宣读的一项Ⅲ期研究,febuxostat(1)40mg在痛风患者中降低尿酸盐的疗效与别嘌醇(Ⅱ)300rag的相仿。
关键词 febuxostat 痛风患者 别嘌醇 疗效 治疗 风湿病学会 医务人员 风湿病科
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Fabrication and Optimization of Febuxostat-loaded Liposomal Gel Using the Box-Behnken Design for Gout Treatment
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作者 Bhushan Rane Punam Gadekar +2 位作者 Vaibhav Patil Akash Amkar Ashish Jain 《Nano Biomedicine & Engineering》 2024年第3期484-497,共14页
Monosodium urate crystals form and deposit in and around the joints due to hyperuricemia,a condition characterized by a prolonged increase in serum urate levels.This leads to tissue supersaturation with urate and resu... Monosodium urate crystals form and deposit in and around the joints due to hyperuricemia,a condition characterized by a prolonged increase in serum urate levels.This leads to tissue supersaturation with urate and results in gout,a prevalent form of inflammatory arthritis.Gout can be effectively managed with febuxostat(FBT),a nonpurine selective xanthine oxidase inhibitor.Despite the efficacy of FBT,its use is limited by poor oral bioavailability and aqueous solubility,which are influenced by its co-administration with food and enzymatic degradation.To address the formulation challenges,topical liposomal formulations can be utilized.These formulations,which leverage the affinity of liposomes for keratin and their ability to penetrate deeper into the skin,offer improved drug absorption.This study aimed to develop a liposomal formulation with soy lecithin and cholesterol using the thin-film hydration method,optimized via the Box-Behnken design.The optimized liposomal formulation was then incorporated into a transdermal gel prepared with Carbopol 934 using the dispersion method.The optimized liposomal formulation demonstrated favorable properties,including a vesicle size of 392.5±11.02 nm,zeta potential of 28±6.13 mV,polydispersity index of 0.127,and high entrapment efficiency as confirmed via transmission electron microscopy.The resulting transdermal gel exhibited the necessary antibacterial activity;excellent stability;in vitro release of 81.33%±1.19%over 7 h;and appropriate pH,viscosity,spreadability,and gel strength.Overall,the liposomal gel formulation represents a highly effective approach for transdermal drug delivery. 展开更多
关键词 febuxostat(FBT) LIPOSOME transdermal gel Box-Behnken design antimicrobial study
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Integrating the Quality-by-Design(QbD)Approach in the Development of Febuxostat-loaded Proniosomal Gel for Topical Delivery
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作者 Rajeshwar V.Kshirsagar Sujata R.Rajewar +3 位作者 Shreya S.Kokil Matte Kasi Viswanadh Ramling G.Patrakar Datta Maroti Pawde 《Nano Biomedicine & Engineering》 2024年第4期625-637,共13页
Febuxostat(FXT)is useful in treating hyperuricemia and chronic gout.However,it has limited bioavailability orally due to its low solubility and short half-life.This results in the need for more frequent and larger dos... Febuxostat(FXT)is useful in treating hyperuricemia and chronic gout.However,it has limited bioavailability orally due to its low solubility and short half-life.This results in the need for more frequent and larger doses,increasing the likelihood of adverse effects.Against this background,the current study was established to prepare and optimize an FXT-loaded proniosomal gel using the coacervation-phase separation method.A Quality-by-Design(QbD)methodology was used to ensure the quality of the finished product by assessing how critical process parameters and critical material attributes(CMAs)affected the proniosomal gel’s critical quality attributes.Box-Behnken design was employed to explore the effect of CMAs such as the amount of cholesterol,Span 40,and Span 60 on particle size and entrapment efficiency.The optimized proniosomes had a particle size and percentage entrapment efficiency of 193.7±2.26 nm and 85.3%±0.89%,respectively.Scanning electron microscopy was used to examine the surface morphology of the optimized formulation.The developed formulation was also subjected to in vitro drug release and ex vivo permeation studies,which established the efficiency of the prepared proniosomal gel.Stability studies also established the fact that the prepared formulation is stable to variations in temperature for up to 6 months. 展开更多
关键词 febuxostat proniosomal gel Quality-by-Design(QbD) drug delivery
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Revolution CT能谱成像技术对苯溴马隆与非布司他治疗痛风石的疗效评估
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作者 林丽君 杨晶 +3 位作者 姚勇利 范培云 李亚楠 谢延玲 《中国CT和MRI杂志》 2025年第10期197-200,共4页
目的探讨Revolution CT能谱成像技术对苯溴马隆与非布司他治疗痛风石的疗效评估,以期为临床早期制定相应干预方案提供参考。方法前瞻性选取我院2022年12月份至2023年12月份就诊的86例痛风患者作为研究对象,采用随机数字表法随机分为两组... 目的探讨Revolution CT能谱成像技术对苯溴马隆与非布司他治疗痛风石的疗效评估,以期为临床早期制定相应干预方案提供参考。方法前瞻性选取我院2022年12月份至2023年12月份就诊的86例痛风患者作为研究对象,采用随机数字表法随机分为两组,苯溴马隆组、非布司他组各43例。比较两组临床疗效、不良反应发生情况及治疗前后血尿酸(UA)、肝肾功能指标[天门冬氨酸转氨酶(AST)、丙氨酸氨基转移酶(ALT)、肌酐(SCr)、尿素氮(BUN)]、尿液相关指标(24小时尿蛋白定量、尿NAG酶)、尿酸盐沉积量、个数、最大尿酸结晶个体体积。结果非布司他组治疗总有效率95.35%高于苯溴马隆组的81.40%(P<0.05);非布司他组治疗后血UA、SCr、BUN水平均低于苯溴马隆组(P<0.05);非布司他组治疗后24小时尿蛋白定量、尿NAG酶水平均低于苯溴马隆组(P<0.05);非布司他组治疗后尿酸盐沉积量、个数、最大尿酸结晶个体体积均小于苯溴马隆组(P<0.05);两组不良反应发生率比较无明显差异(P>0.05)。结论Revolution CT能谱成像技术对于苯溴马隆与非布司他治疗痛风石的疗效具有良好评估价值,且非布司他优于苯溴马隆,可有效降低血UA水平,改善肾功能。 展开更多
关键词 痛风石 苯溴马隆 非布司他 疗效 CT能谱成像
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不同剂量非布司他治疗高尿酸血症合并痛风的效果及疗效的影响因素分析
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作者 李毅 吴娟 +1 位作者 郑应麟 常海英 《中国医学创新》 2025年第29期170-174,共5页
目的:分析非布司他治疗高尿酸血症合并痛风的最佳剂量及影响疗效的相关因素。方法:选取赣州市人民医院2022年6月—2024年6月收治的96例高尿酸血症合并痛风患者,根据随机数字表法将其分为A组(别嘌醇片治疗)、B组(低剂量非布司他)、C组(... 目的:分析非布司他治疗高尿酸血症合并痛风的最佳剂量及影响疗效的相关因素。方法:选取赣州市人民医院2022年6月—2024年6月收治的96例高尿酸血症合并痛风患者,根据随机数字表法将其分为A组(别嘌醇片治疗)、B组(低剂量非布司他)、C组(高剂量非布司他),每组32例。比较三组治疗前后血尿酸、CRP、WBC、IL-6。根据治疗后血尿酸水平是否达标将使用非布司他患者分为达标组和未达标组,对比两组患者临床资料,使用单因素及多因素logistic回归分析非布司他治疗高尿酸血症合并痛风效果的影响因素。结果:治疗后B组、C组血尿酸达标率高于A组(P<0.05),B组、C组比较差异无统计学意义(P>0.05),且治疗后三组血尿酸较治疗前均有降低,C组下降幅度最大,B组次之(P<0.05);治疗后三组CRP、WBC、IL-6水平较治疗前均有降低,C组下降幅度最大,B组次之(P<0.05)。使用非布司他患者中,血尿酸水平达标48例,未达标16例;未达标组年龄和治疗前血尿酸、CRP、WBC、IL-6高于达标组,高剂量非布司他片服用者占比低于达标组(P<0.05);经多因素logistic回归分析,年龄、治疗前血尿酸水平、非布司他片剂量均是影响疗效的独立危险因素(P<0.05)。结论:高剂量(80 mg/d)非布司他治疗高尿酸血症合并痛风的效果更好,对缓解患者炎症反应效果更突出,且年龄、治疗前血尿酸水平、非布司他片剂量均是影响疗效的独立危险因素。 展开更多
关键词 高尿酸血症 痛风 非布司他 最佳剂量 血尿酸
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尿酸及高尿酸常见治疗药物对滋养细胞融合功能的影响
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作者 李铭洋 赵佳琪 +4 位作者 解安霞 王议平 蔡忠宇 李瑞霞 魏晓星 《药物评价研究》 北大核心 2025年第5期1257-1265,共9页
目的 明确尿酸和常见高尿酸治疗药物对人绒毛膜癌(Bewo)细胞活力及融合功能的影响。方法 在加入或不加入50μmol·L^(-1)毛喉素诱导Bewo细胞融合的情况下,分别使用(30、50、70、100、160、200、400、600 mg·L^(-1))尿酸或者别... 目的 明确尿酸和常见高尿酸治疗药物对人绒毛膜癌(Bewo)细胞活力及融合功能的影响。方法 在加入或不加入50μmol·L^(-1)毛喉素诱导Bewo细胞融合的情况下,分别使用(30、50、70、100、160、200、400、600 mg·L^(-1))尿酸或者别嘌呤醇、非布司他、苯溴马隆、丙磺舒(1、10、20、50、100μmol·L^(-1))处理Bewo细胞48 h,通过CCK-8法检测细胞活力并筛选药物合适浓度,采用酶联免疫吸附测定(ELISA)法检测人绒毛膜促性腺激素(h CG)分泌量;使用激光共聚焦显微镜观察细胞融合情况并计算融合率;通过实时荧光定量PCR(qRT-PCR)技术分析融合关键基因合胞素1(ERVW-1)、合胞素2(ERVFRD-1)、合胞素2受体(MFSD2A)、丙氨酸/丝氨酸/半胱氨酸/苏氨酸转运蛋白(ASCT1)、ASCT2 m RNA表达量。结果 各浓度尿酸对Bewo细胞活力没有明显影响;与对照组相比,100μmol·L^(-1)别嘌呤醇组的Bewo细胞活力显著降低(P<0.05);在加入毛喉素后,100μmol·L^(-1)别嘌呤醇组的Bewo细胞活力在一定程度上下降,但没有显著差异;加或不加毛喉素,100μmol·L^(-1)非布司他,50、100μmol·L^(-1)苯溴马隆都显著降低Bewo细胞活力(P<0.05、0.001)。与毛喉素组相比,尿酸及4种高尿酸治疗药物均显著降低hCG分泌量(P<0.01、0.001),显著抑制细胞的融合(P<0.001);尿酸显著抑制ERVW-1、ERVFRD-1、MFSD2A m RNA表达(P<0.05、0.01、0.001),4种高尿酸治疗药物显著抑制VFRD-1、MFSD2A mRNA表达(P<0.001),非布司他显著抑制ERVW-1 mRNA表达(P<0.05),别嘌呤醇、非布司他、丙磺舒显著上调ASCT2的m RNA表达(P<0.01、0.001)。结论 尿酸降低滋养细胞融合程度进而导致其分泌hCG功能下降;高尿酸药物会加剧这种功能的缺陷,针对于高尿酸孕妇急需开发新药。 展开更多
关键词 尿酸 别嘌呤醇 非布司他 苯溴马隆 丙磺舒 BEWO细胞 毛喉素 滋养细胞 融合
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菌群移植疗法对难治性痛风患者的疗效观察
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作者 洪舒婷 丘锦源 +4 位作者 黄晓庆 林坚煜 陈英杰 陈永松 陈永如 《实用临床医药杂志》 2025年第9期50-54,共5页
目的 探讨菌群移植治疗对难治性痛风患者血尿酸(UA)代谢、不良反应、痛风控制的影响。方法 将2020年6月—2023年6月汕头大学医学院第一附属医院收治的102例难治性痛风患者随机分为2组,每组51例。对照组采取苯溴马隆、非布司他治疗,观察... 目的 探讨菌群移植治疗对难治性痛风患者血尿酸(UA)代谢、不良反应、痛风控制的影响。方法 将2020年6月—2023年6月汕头大学医学院第一附属医院收治的102例难治性痛风患者随机分为2组,每组51例。对照组采取苯溴马隆、非布司他治疗,观察组采取菌群移植治疗。观察2组痛风控制情况、不良反应发生情况,比较2组治疗前后肠道菌群、UA、C反应蛋白(CRP)、白细胞介素-18(IL-18)、白细胞介素-6(IL-6)水平及关节疼痛、肿胀、活动受限评分。结果 2组各有5例失访。观察组痛风总控制率为89.13%,高于对照组的69.57%,差异有统计学意义(P<0.05)。治疗后4、12周时,观察组大肠杆菌、UA、CRP、IL-18、IL-6水平以及关节肿胀、疼痛、活动受限评分低于对照组,双歧杆菌、乳酸杆菌、肠道菌群数量/肠道微生物定植抗力(B/E)水平高于对照组,差异均有统计学意义(P<0.01)。观察组和对照组不良反应总发生率分别为10.87%、6.52%,差异无统计学意义(P>0.05)。结论 菌群移植治疗难治性痛风患者效果确切,可显著降低UA水平,控制临床症状,其机制与纠正肠道菌群失调有关。 展开更多
关键词 难治性痛风 菌群移植 苯溴马隆 非布司他 血尿酸 不良反应 关节受限 疼痛
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清热泄浊方联合非布司他治疗尿酸性终末期肾病的疗效及对肾功能和肾动脉粥样硬化程度的影响
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作者 李亚平 马金荣 +5 位作者 赵丽 潘红梅 李莉 裴国超 张林燕 李跃林 《临床肾脏病杂志》 2025年第10期871-877,共7页
目的观察清热泄浊方联合非布司他治疗尿酸性终末期肾病的疗效及对肾功能、肾动脉粥样硬化程度的影响。方法选取2022年1月至2024年4月河北省沧州中西医结合医院肾病科门诊及住院收治的尿酸性终末期肾病患者80例,采用随机数字表法分为试验... 目的观察清热泄浊方联合非布司他治疗尿酸性终末期肾病的疗效及对肾功能、肾动脉粥样硬化程度的影响。方法选取2022年1月至2024年4月河北省沧州中西医结合医院肾病科门诊及住院收治的尿酸性终末期肾病患者80例,采用随机数字表法分为试验组(n=40)和常规组(n=40)。两组患者均给予补铁、控制嘌呤类饮食、降压、补充水电解质等常规治疗,常规组加用非布司他20 mg/d治疗,试验组在常规组基础上给予清热泄浊方联合治疗。比较两组患者肾功能、血尿酸(urine acid,UA)、红细胞沉降率(erythrocyte sedimentation rate,ESR)、C反应蛋白(C-reactive protein,CRP)、白细胞介素(interleukin,IL)6、IL-1β、肾血管超声指标、Likert压痛与肿胀指数、视觉模拟评分量表(visual analogue scale,VAS)评分、关节功能评分变化,统计两组患者的总有效率。结果两组患者治疗前血清学指标比较,差异无统计学意义(P>0.05)。与治疗前比较,两组患者治疗后尿素氮、血肌酐、ESR、CRP、UA、IL-6、IL-1β均下降,且试验组尿素氮[(6.87±1.47)mmol/L比(10.47±2.06)mmol/L]、血肌酐[(185.63±14.73)μmol/L比(202.12±18.84)μmol/L]、ESR[(20.21±4.86)mm/h比(29.64±7.41)mm/h]、CRP[(5.78±1.08)mg/L比(7.15±1.46)mg/L]、UA[(381.45±41.91)μmol/L比(432.32±48.11)μmol/L]、IL-6[(7.20±1.64)ng/L比(10.02±2.11)ng/L]、IL-1β[(31.14±4.11)ng/L比(40.59±4.82)ng/L]低于常规组,差异有统计学意义(P<0.05)。两组患者治疗前肾血管超声指标比较,差异无统计学意义(P>0.05)。与治疗前比较,两组患者治疗后管壁厚度、阻力指数(resistive index,RI)均下降,且试验组管壁厚度[(3.05±0.12)mm比(3.14±0.17)mm]、RI(0.81±0.20比0.92±0.24)低于常规组,差异有统计学意义(P<0.05);两组患者治疗后管壁内径均升高,且试验组管壁内径[(4.83±0.59)mm比(4.55±0.63)mm]高于常规组,差异有统计学意义(P<0.05)。两组患者治疗前相关评分比较,差异无统计学意义(P>0.05)。与治疗前比较,两组患者治疗后Likert压痛与肿胀指数、VAS评分、关节功能评分均下降,且试验组Likert压痛指数[(0.51±0.18)分比(0.93±0.21)分]、Likert肿胀指数[(0.59±0.21)分比(1.08±0.22)分]、VAS评分[(0.62±0.18)分比(1.14±0.22)分]、关节功能评分[(0.66±0.17)分比(0.97±0.20)分]低于常规组,差异有统计学意义(P<0.05)。试验组患者总有效率为92.50%,高于常规组的75.00%,差异有统计学意义(P<0.05)。两组患者不良反应比较,差异无统计学意义(P>0.05)。结论清热泄浊方联合非布司他治疗尿酸性终末期肾病可减轻肾动脉粥样硬化程度,改善肾功能,减轻症状,提高疗效。 展开更多
关键词 清热泄浊方 非布司他 尿酸性终末期肾病 肾动脉粥样硬化 肾功能
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