Background:Corneal scarring following bacterial keratitis,particularly from Pseudomonas infections,poses significant challenges in ophthalmic care.Current treatments often fall short in effectively reducing corneal ha...Background:Corneal scarring following bacterial keratitis,particularly from Pseudomonas infections,poses significant challenges in ophthalmic care.Current treatments often fall short in effectively reducing corneal haze and restoring vision.To our knowledge,this is the first report documenting the use of topical losartan,an angiotensin II receptor antagonist known to inhibit the transforming growth factor-β(TGF-β)pathway,for treating corneal haze resulting from bacterial keratitis.Case Description:A 30-year-old male presented with a persistent corneal scar in his right eye,178 days post-Pseudomonas keratitis.Despite a prolonged course of topical corticosteroids,his best-corrected visual acuity(BCVA)stabilized at 20/40 with a hybrid contact lens over a 2-month period.Given the lack of improvement,we initiated treatment with topical losartan at a concentration of 0.8 mg/mL,administered six times daily.After 4 months of therapy,the patient’s BCVA improved to 20/25.Slit-lamp examination and corneal tomography revealed a significant reduction in corneal haze,indicating a positive response to the treatment.Conclusions:This case suggests that topical losartan may be a promising therapeutic option for reducing corneal opacity following bacterial keratitis by inhibiting the TGF-βpathway.However,further clinical studies are necessary to confirm its efficacy and safety in broader patient populations.展开更多
目的比较非肽类血管紧张素Ⅱ受体Ⅰ型阻断剂氯沙坦(Losartan)和血管活性肽降钙素基因相关肽(CGRP)对血管紧张素Ⅱ诱导的血管平滑肌细胞增殖作用的影响,为探讨此两类物质的降压机制提供实验依据。方法采用MTT,3H-参入法和流式细胞仪分别...目的比较非肽类血管紧张素Ⅱ受体Ⅰ型阻断剂氯沙坦(Losartan)和血管活性肽降钙素基因相关肽(CGRP)对血管紧张素Ⅱ诱导的血管平滑肌细胞增殖作用的影响,为探讨此两类物质的降压机制提供实验依据。方法采用MTT,3H-参入法和流式细胞仪分别测定血管紧张素Ⅱ刺激下,Losartan或CGRP干预下血管平滑肌细胞的增殖变化,W est-ern b loting法测定不同状态下血管平滑肌细胞内ERK1/2的活性变化。结果Losartan或CGRP能抑制血管紧张素Ⅱ刺激下血管平滑肌细胞的生存率、DNA合成、细胞周期增殖指数,以及细胞内ERK1/2的活性,并呈剂量依赖性。而且,CGRP抑制作用强于Losartan。结论Losartan或CGRP能抑制血管紧张素Ⅱ刺激下血管平滑肌细胞增殖,其细胞内的信号传导途径与ERK1/2有关。展开更多
Aim To evaluate the bioequivalence of two brands of losartan/hydrochlorothiazide （50 mg/12.5 mg） compound tablets in healthy Chinese male volunteers. Methods An open, randomized, single-dose, two-period cross-over s...Aim To evaluate the bioequivalence of two brands of losartan/hydrochlorothiazide （50 mg/12.5 mg） compound tablets in healthy Chinese male volunteers. Methods An open, randomized, single-dose, two-period cross-over study with a wash-out period of 7 d was conducted. Twenty healthy male volunteers were given a single dose 50 mg losartan/12.5 mg hydrochlorothiazide of either test （T） or reference （R） compound tablets, respectively. Blood samples were collected up to 48 h after oral administration. The concentrations of losartan and hydrochlorothiazide in plasma were determined by a validated HPLC-ESI-MS method. Results In the case of losartan, the 90% confidence intervals of two one-side test for percent ratios with a significant level （α） of 0. 05 were 86% - 112% for AUC0-12 and 89% - 134% for Cmax, respectively, which were within the interval proposed in the Chinese Pharmacopoeia, 80% - 125% of AUC and 70% - 143% of Cmax, respectively. Similarly, the 90% confidence intervals for percent ratios were 85% - 100% and 75% - 102% for hydrochlorothiazide, both of which fell into the accepted interval. Conclusion Two immediate-release compound tablets of losartan/hydrochlorothiazide are bioequivalent from a statistical standpoint in the extent and rate of absorption from the single-dose study in healthy Chinese male volunteers.展开更多
The aim of this study was to develop a combined population pharmacokinetic （PPK） model for losartan and its active metabolite E-3174 in five Chinese ethnicities for individualized drug therapy in clinical practice. ...The aim of this study was to develop a combined population pharmacokinetic （PPK） model for losartan and its active metabolite E-3174 in five Chinese ethnicities for individualized drug therapy in clinical practice. HPLC method was used to determine the blood levels of losartan and E-3174 simultaneously. One-, two- and three-compartment models were fitted to plasma concentration time data of 50 Chinese healthy subjects （including Han, Mongolian, Korean, Hui and Uigur） using nonlinear mixed-effect modeling （NONMEM）. From the basic model of losartan, the effects of demography and biochemical covariates were investigated, which were added one by one by the forward inclusion and backward elimination. The final models of losartan and E-3174 were connected by first order or transit compartment model. Pharmacokinetic parameters of losartan and its active metabolite E-3174 were assessed simultaneously in one integrated model with the plausible covariates on the key pharmacokinetic parameters of E-3174. Nonparametric bootstrap was used for the model stability validation. The data of losartan were best described using a two-compartment model with linear elimination. The time to reach Cmax of losartan and E-3174 were obtained to be 0.9 and 3.8 h, respectively. Two transit compartments were chosen with adequate fit of the delayed Tmax of E-3174. The population estimates for transformation of losartan to E-3174 was about 73.9%. Ethnicity factor showed significant influence on the non-metabolizing E-3174 clearance CL10, the peripheral compartment clearance CL2 and the central compartment volume Vj of losartan and also has a significant effect on the transit rate （Kt）. A total of 925 out of 1000 iterations succeeded in minimization. The PPK models were steady and reliable. Ethnicity factor showed significant influence on both losartan clearance and the transition from losartan to E-3174, no covariate influencing the PK parameters of E-3174 was identified.展开更多
文摘Background:Corneal scarring following bacterial keratitis,particularly from Pseudomonas infections,poses significant challenges in ophthalmic care.Current treatments often fall short in effectively reducing corneal haze and restoring vision.To our knowledge,this is the first report documenting the use of topical losartan,an angiotensin II receptor antagonist known to inhibit the transforming growth factor-β(TGF-β)pathway,for treating corneal haze resulting from bacterial keratitis.Case Description:A 30-year-old male presented with a persistent corneal scar in his right eye,178 days post-Pseudomonas keratitis.Despite a prolonged course of topical corticosteroids,his best-corrected visual acuity(BCVA)stabilized at 20/40 with a hybrid contact lens over a 2-month period.Given the lack of improvement,we initiated treatment with topical losartan at a concentration of 0.8 mg/mL,administered six times daily.After 4 months of therapy,the patient’s BCVA improved to 20/25.Slit-lamp examination and corneal tomography revealed a significant reduction in corneal haze,indicating a positive response to the treatment.Conclusions:This case suggests that topical losartan may be a promising therapeutic option for reducing corneal opacity following bacterial keratitis by inhibiting the TGF-βpathway.However,further clinical studies are necessary to confirm its efficacy and safety in broader patient populations.
文摘目的比较非肽类血管紧张素Ⅱ受体Ⅰ型阻断剂氯沙坦(Losartan)和血管活性肽降钙素基因相关肽(CGRP)对血管紧张素Ⅱ诱导的血管平滑肌细胞增殖作用的影响,为探讨此两类物质的降压机制提供实验依据。方法采用MTT,3H-参入法和流式细胞仪分别测定血管紧张素Ⅱ刺激下,Losartan或CGRP干预下血管平滑肌细胞的增殖变化,W est-ern b loting法测定不同状态下血管平滑肌细胞内ERK1/2的活性变化。结果Losartan或CGRP能抑制血管紧张素Ⅱ刺激下血管平滑肌细胞的生存率、DNA合成、细胞周期增殖指数,以及细胞内ERK1/2的活性,并呈剂量依赖性。而且,CGRP抑制作用强于Losartan。结论Losartan或CGRP能抑制血管紧张素Ⅱ刺激下血管平滑肌细胞增殖,其细胞内的信号传导途径与ERK1/2有关。
文摘Aim To evaluate the bioequivalence of two brands of losartan/hydrochlorothiazide （50 mg/12.5 mg） compound tablets in healthy Chinese male volunteers. Methods An open, randomized, single-dose, two-period cross-over study with a wash-out period of 7 d was conducted. Twenty healthy male volunteers were given a single dose 50 mg losartan/12.5 mg hydrochlorothiazide of either test （T） or reference （R） compound tablets, respectively. Blood samples were collected up to 48 h after oral administration. The concentrations of losartan and hydrochlorothiazide in plasma were determined by a validated HPLC-ESI-MS method. Results In the case of losartan, the 90% confidence intervals of two one-side test for percent ratios with a significant level （α） of 0. 05 were 86% - 112% for AUC0-12 and 89% - 134% for Cmax, respectively, which were within the interval proposed in the Chinese Pharmacopoeia, 80% - 125% of AUC and 70% - 143% of Cmax, respectively. Similarly, the 90% confidence intervals for percent ratios were 85% - 100% and 75% - 102% for hydrochlorothiazide, both of which fell into the accepted interval. Conclusion Two immediate-release compound tablets of losartan/hydrochlorothiazide are bioequivalent from a statistical standpoint in the extent and rate of absorption from the single-dose study in healthy Chinese male volunteers.
文摘目的 研究 L osartan对肾小球系膜细胞 (MCs)结缔组织生长因子 (CTGF)表达的影响。进一步探讨 L osartan延缓肾纤维化的机制。方法 将体外培养的 MCs分为 3组 :1正常对照组 ,未加任何刺激因素 ;2浓度为 10 - 5mol/L 的 Ang 组 ;3Ang 中加入 10 - 5m ol/L 的 L osartan组。分别刺激 MCs72小时后 ,提取细胞RNA,采用逆转录 -聚合酶链反应技术测定 MCs CTGF m RNA水平变化。结果 L osartan干预 72小时后 ,MCsCTGF m RNA表达水平较 Ang 组下降 2 5 .1%,但仍高于对照 ,为对照组的 1.95倍。结论 L osartan通过部分抑制 Ang 对 CTGF m RNA表达的诱导而有益于延缓肾纤维化的进展 ,这可能是 L osartan延缓肾纤维化的机制。
基金The 115th Project of Legionary Medical Treatment and Public Health(Grant No.06G023)
文摘The aim of this study was to develop a combined population pharmacokinetic （PPK） model for losartan and its active metabolite E-3174 in five Chinese ethnicities for individualized drug therapy in clinical practice. HPLC method was used to determine the blood levels of losartan and E-3174 simultaneously. One-, two- and three-compartment models were fitted to plasma concentration time data of 50 Chinese healthy subjects （including Han, Mongolian, Korean, Hui and Uigur） using nonlinear mixed-effect modeling （NONMEM）. From the basic model of losartan, the effects of demography and biochemical covariates were investigated, which were added one by one by the forward inclusion and backward elimination. The final models of losartan and E-3174 were connected by first order or transit compartment model. Pharmacokinetic parameters of losartan and its active metabolite E-3174 were assessed simultaneously in one integrated model with the plausible covariates on the key pharmacokinetic parameters of E-3174. Nonparametric bootstrap was used for the model stability validation. The data of losartan were best described using a two-compartment model with linear elimination. The time to reach Cmax of losartan and E-3174 were obtained to be 0.9 and 3.8 h, respectively. Two transit compartments were chosen with adequate fit of the delayed Tmax of E-3174. The population estimates for transformation of losartan to E-3174 was about 73.9%. Ethnicity factor showed significant influence on the non-metabolizing E-3174 clearance CL10, the peripheral compartment clearance CL2 and the central compartment volume Vj of losartan and also has a significant effect on the transit rate （Kt）. A total of 925 out of 1000 iterations succeeded in minimization. The PPK models were steady and reliable. Ethnicity factor showed significant influence on both losartan clearance and the transition from losartan to E-3174, no covariate influencing the PK parameters of E-3174 was identified.
