scholarly journals Antimalarial drugs lose their activity with a slight drop in pH

2020 ◽  
Author(s):  
Tomohisa Kitagawa ◽  
Atsushi Mastumoto ◽  
Ichiro Terashima ◽  
Yukifumi Uesono

AbstractAntimalarial drugs have antimicrobial, antiviral, antimalarial and immunosuppressive activities, although the mechanisms remain unknown. Quinacrine (QC) increases the antimicrobial activity against yeast exponentially with a pH-dependent increase in the cationic amphiphilic drug (CAD) structure. CAD-QC localizes in membranes and induces glucose starvation by noncompetitively inhibiting glucose uptake. A logarithmic increase in antimicrobial activity with pH-dependent CAD formation was also observed for chloroquine, indicating that the CAD structure is crucial for its pharmacological activity. A decrease in CAD structure with a slight decrease in pH from 7.4 greatly reduced their effects; namely, these drugs would inefficiently act on falciparum malaria and COVID-19 pneumonia patients with acidosis, resulting in resistance. Recovering normal blood pH or using pH-insensitive quinoline drugs might be effective.

Author(s):  
Marlisa Marlisa

Head injury is any cases that caused high disability and mortallity rate. In neurology, head injury occupies the first squence and become the main of health problem to most youth, health and productive peoples. The treatment of head injury treatment is to prevent damage of brain cells by adequate oxygenation. The objective of the research was to find out the influence of giving oxygent therapy by using non-rebreathing mask (NRM) towards changing of partial pressure CO2 (PaCO2) value to head injury patients in ICU room of H. Adam Malik Hospital Medan. The research used the quasi experiment method with time series design. The samples were 10 respondents, taken by purpossive sampling technique. The instrument of the research was observation sheet. The result of the research showed that before given the oxygent therapy by using nonrebreathing mask (NRM), 5 respondents (50%) had normal blood pH value, 6 respondents (60%) had low blood HCO3- value, and 6 respondents (60%) had normal blood PaCO2 value. After given oxygent therapy found that 5 respondents (50%) had low blood pH value, 6 respondents (60%) had low blood HCO3- value, and 7 respondents (70%) had low blood PaCO2 value. The result of statistic analyze with T-Test was found significant influence of changing PaCO2 value with p value = 0,000 (p<0,05). The reduction of PaCO2 value is followed by increasing of blood pH value and reduction of blood HCO3- value. Using of non-rebreathing mask (NRM) is only effective for head injury patients with high blood PaCO2.


Cells ◽  
2020 ◽  
Vol 9 (5) ◽  
pp. 1249
Author(s):  
Alberto Azzalin ◽  
Francesca Brambilla ◽  
Eloisa Arbustini ◽  
Katia Basello ◽  
Attilio Speciani ◽  
...  

Adaptation of glioblastoma to caloric restriction induces compensatory changes in tumor metabolism that are incompletely known. Here we show that in human glioblastoma cells maintained in exhausted medium, SHC adaptor protein 3 (SHC3) increases due to down-regulation of SHC3 protein degradation. This effect is reversed by glucose addition and is not present in normal astrocytes. Increased SHC3 levels are associated to increased glucose uptake mediated by changes in membrane trafficking of glucose transporters of the solute carrier 2A superfamily (GLUT/SLC2A). We found that the effects on vesicle trafficking are mediated by SHC3 interactions with adaptor protein complex 1 and 2 (AP), BMP-2-inducible protein kinase and a fraction of poly ADP-ribose polymerase 1 (PARP1) associated to vesicles containing GLUT/SLC2As. In glioblastoma cells, PARP1 inhibitor veliparib mimics glucose starvation in enhancing glucose uptake. Furthermore, cytosol extracted from glioblastoma cells inhibits PARP1 enzymatic activity in vitro while immunodepletion of SHC3 from the cytosol significantly relieves this inhibition. The identification of a new pathway controlling glucose uptake in high grade gliomas represents an opportunity for repositioning existing drugs and designing new ones.


1993 ◽  
Vol 44 (4) ◽  
pp. 325-329 ◽  
Author(s):  
W. Supanaranond ◽  
T. M. E. Davis ◽  
S. Pukrittayakamee ◽  
B. Nagachinta ◽  
N. J. White

2008 ◽  
Vol 52 (7) ◽  
pp. 2660-2662 ◽  
Author(s):  
Ali A. Abdul Sater ◽  
David M. Ojcius ◽  
Matthew P. Meyer

ABSTRACT Hydroxyethyl cellulose (HEC) is used as a neutral excipient in microbicides used against sexually transmitted pathogens. However, HEC inhibits the infection of cervical epithelial cells by Chlamydia trachomatis at pH 5 in a concentration-dependent manner. At pH 7, infection is inversely dependent on the concentration of HEC, possibly due to pH-dependent calcium sequestration.


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