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The solubility of camptothecin (CPT), a highly potent antineoplastic agent, as a function of different concentrations of cyclodextrins (alpha-cyclodextrin, alpha-CD; beta-cyclodextrin, beta-CD; and gamma-cyclodextrin, gamma-CD; hydroxypropyl-beta-cyclodextrin, HP-beta-CD; and randomly substituted dimethyl-beta-cyclodextrin, RDM-beta-CD, and dimethyl-gamma-cyclodextrin, RDM-beta-CD) in 0.02 N HCl solution at 25 degrees C was investigated. The results showed a linear increase in the solubility of CPT with increasing concentration of CDs. The apparent stability constants (K(c)) for the CPT complexes with alpha-CD, beta-CD, gamma-CD, HP-beta-CD, RDM-beta-CD, and RDM-gamma-CD were 188, 266, 73, 160, 910, and 40.6 M(-1), respectively, suggesting that RDM-beta-CD afforded the most stable complex. At a 25% w/v concentration of RDM-beta-CD, the solubility of CPT was 228.45 +/- 8.45 microg/ml, about 171 times higher than that in 0.02 N HCl. The stability of CPT in pH 7.4 buffer at 25 degrees C also increased linearly with an increase in the concentration of RDM-beta-CD. The observed pseudo-first-order hydrolysis rate constants (k(obs)) for the free and complexed CPT were 11.8 x 10(-3) and 1.18 x 10(-3) min(-1), corresponding to an increase in half-life of CPT from 58.7 to 587.3 min, respectively. The preliminary cytotoxicity study against the human-derived myeloid THP-1 leukemia cell line showed RDM-beta-CD/CPT and HP-beta-CD/CPT complexes to be about two-fold more active than free CPT. In conclusion, the results showed that CDs, in general, and RDM-beta-CD, in particular, are effective complexing agents and can be used to improve the solubility and stability of CPT. The increase in cytotoxicity of CPT in the presence of CD is likely due to an increase in its stability.
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http://dx.doi.org/10.1016/s0928-0987(01)00214-7 | DOI Listing |
CPT Pharmacometrics Syst Pharmacol
September 2025
Certara UK Ltd., Level 2 Acero, 1 Concourse Way, Sheffield, UK.
Therapeutic oligonucleotides (TOs) represent an emerging modality, which offers a promising alternative treatment option, particularly for intracellular targets. The two types of TOs, antisense oligonucleotides (ASO) and small interfering RNAs (siRNAs), distribute highly into tissues, especially into the liver and the kidneys. However, molecular processes at the cellular level such as the uptake into the cell, endosomal escape, binding to the target mRNA, and redistribution back to the systemic circulation are not well characterized because experimental data and assays are lacking.
View Article and Find Full Text PDFOrthop Res Rev
September 2025
Department of Orthopedics and Sports Medicine, Houston Methodist Hospital, Houston, TX, USA.
Objective: The incidence of total shoulder arthroplasty (TSA) in the United States continues to climb as an aging yet active population increases demand for the procedure. Due to promising clinical results out of Europe, improvement in prosthesis design, and wider acceptance of reverse total shoulder arthroplasty (rTSA), this study was designed to evaluate how rTSA and anatomical TSA (aTSA) utilization, patient selection, and length of stay have changed at a single institution.
Methods: This was a retrospective cohort study of patients from one hospital system between 2017 and 2023.
J Cardiovasc Electrophysiol
September 2025
University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Background: In 2022, the Centers for Medicare & Medicaid Services (CMS) implemented a bundled payment policy that substantially reduced reimbursement for atrial fibrillation (AF) ablation procedures, raising concerns about potential effects on utilization and procedural complexity.
Objective: To evaluate national trends in AF ablation volumes, reimbursement, and procedural complexity following the 2022 CMS reimbursement change.
Methods: Using the Medicare Physician and Other Practitioners by Geography and Service Dataset from 2016 to 2023, we identified pulmonary vein isolation (PVI) procedures using CPT 93656 and additional ablations beyond PVI using CPT 93657.
Behav Res Ther
August 2025
Stanford University, School of Medicine, Department of Psychiatry, USA.
Sexual assault is a pervasive problem, particularly for US college women. Although many recover naturally, a significant minority develop posttraumatic stress disorder (PTSD) or alcohol misuse. Intervening acutely can prevent chronic psychopathology from developing.
View Article and Find Full Text PDFAppl Neuropsychol Child
September 2025
Neuroscience Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Objective: Attention deficit hyperactivity disorder (ADHD) is linked to time perception deficits, with theories such as Scalar Expectancy Theory (SET) and Dynamic Attending Theory (DAT) offering different explanations. SET suggests time perception relies on a pacemaker-counter system influenced by working memory, whereas DAT highlights the role of attention in modulating time perception. This study examines the impact of attention, working memory, and motor response on time perception in children with ADHD.
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