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  1. Book ; Online ; E-Book: Metabolomics and its impact on health and diseases

    Ghini, Veronica / Stringer, Kathleen A. / Luchinat, Claudio

    (Handbook of experimental pharmacology ; 277)

    2023  

    Abstract: Preface -- Practical Aspects of NMR-Based Metabolomics -- Compound Identification in Mass Spectrometry-Based Metabolomics -- METABOLOMICS USING NMR – Avoiding the ‘Black-Box’ -- Natural products drug discovery: on silica or in silico?- Quantitative NMR ... ...

    Author's details Veronica Ghini, Kathleen A. Stringer, Claudio Luchinat editors
    Series title Handbook of experimental pharmacology ; 277
    Collection
    Abstract Preface -- Practical Aspects of NMR-Based Metabolomics -- Compound Identification in Mass Spectrometry-Based Metabolomics -- METABOLOMICS USING NMR – Avoiding the ‘Black-Box’ -- Natural products drug discovery: on silica or in silico?- Quantitative NMR Methods in Metabolomics -- Advancements in pulsed stable isotope resolved metabolomics -- Metabolomics in Cell Biology -- NMR-based metabolomics to evaluate individual response to treatments -- Pharmacometabolomics of Asthma as a road map to Precision Medicine -- Prospective metabolomic studies in precision medicine -- Chemotherapy-induced Peripheral Neuropathy -- Metabolomics of Respiratory Diseases.

    This volume of the Handbook of Experimental Pharmacology, which celebrated its 100th anniversary in 2019, addresses the rapidly growing and evolving field of metabolomics. It has been compiled and designed to broaden and enrich your understanding as well as simplify a complicated picture of the diverse field of metabolomics. This is accomplished by chapters from experts in the field on basic principles as well as reviews and updates of analytical techniques. The variety and different perspectives of the NMR approaches are described in the chapters By David Wishart, Daniel Raftery and Ryan McKay, while mass spectrometry advances are covered by Charles R. Evans and Stefan Kempa. This book also reflects the state of the art in the application of metabolomics to cell biology (Marta Cascante and Ulrich Guenther) and chapters that share insights into the application of metabolomics in various diseases (Paola Turano and Claudio Luchinat, Rachel S. Kelly and Jessica Lasky-Su, Paige Lacy, and Angela Rogers. Relationships of metabolomics with drugs are highlighted by Robert Verpoorte (natural products drug discovery), by Oscar Millet and by Turano and Luchinat (perspectives in precision medicine) and by Daniel L. Hertz (drug-induced peripheral neuropathy). From the above list of diverse topics, we believe this book has interdisciplinary appeal and scholars with an interest in the role of metabolomics in achieving precision medicine will find it of particular or special interest.
    Keywords Pharmacology ; Biochemical markers ; Cytology ; Analytical biochemistry
    Language English
    Size 1 Online-Ressource (VIII, 384 Seiten), Illustrationen
    Publisher Springer
    Publishing place Cham
    Publishing country Switzerland
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT021777394
    ISBN 978-3-031-26859-5 ; 9783031268588 ; 3-031-26859-8 ; 303126858X
    DOI 10.1007/978-3-031-26859-5
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: The gut microbiome in ARDS: from the "whether" and "what" to the "how".

    Bongers, Kale S / Stringer, Kathleen A / Dickson, Robert P

    The European respiratory journal

    2023  Volume 61, Issue 2

    MeSH term(s) Animals ; Mice ; Gastrointestinal Microbiome ; Succinic Acid ; Acute Lung Injury ; Succinates ; Respiratory Distress Syndrome ; Ischemia
    Chemical Substances Succinic Acid (AB6MNQ6J6L) ; Succinates
    Language English
    Publishing date 2023-02-16
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 639359-7
    ISSN 1399-3003 ; 0903-1936
    ISSN (online) 1399-3003
    ISSN 0903-1936
    DOI 10.1183/13993003.02233-2022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Clofazimine-Mediated, Age-Related Changes in Skeletal Muscle Mitochondrial Metabolites.

    Diaz-Espinosa, Jennifer / Stringer, Kathleen A / Rosania, Gus R

    Metabolites

    2023  Volume 13, Issue 5

    Abstract: Mitochondrial health declines with age, and older patients can demonstrate dysfunction in mitochondrial-rich tissues, such as cardiac and skeletal muscle. Aged mitochondria may make older adults more susceptible to adverse drug reactions (ADRs). We ... ...

    Abstract Mitochondrial health declines with age, and older patients can demonstrate dysfunction in mitochondrial-rich tissues, such as cardiac and skeletal muscle. Aged mitochondria may make older adults more susceptible to adverse drug reactions (ADRs). We assessed mitochondrial metabolic function by measuring two metabolites, l-carnitine and acetylcarnitine, to determine their effectiveness as candidate clinical biomarkers for age-related, drug-induced alterations in mitochondrial metabolism. To study age- and medication-related changes in mitochondrial metabolism, we administered the FDA-approved mitochondriotropic drug, clofazimine (CFZ), or vehicle for 8 weeks to young (4-week-old) and old (61-week-old) male C57BL/6J mice. At the end of treatment, whole blood and cardiac and skeletal muscle were analyzed for l-carnitine, acetylcarnitine, and CFZ levels; muscle function was measured via a treadmill test. No differences were found in blood or cardiac carnitine levels of CFZ-treated mice, but CFZ-treated mice displayed lost body mass and alterations in endurance and levels of skeletal muscle mitochondrial metabolites. These findings demonstrate the age-related susceptibility of the skeletal muscle to mitochondria drug toxicity. Since drug-induced alterations in mitochondrial metabolism in skeletal muscle were not reflected in the blood by l-carnitine or acetylcarnitine levels, drug-induced catabolism and changes in muscle function appear more relevant to stratifying individuals at increased risk for ADRs.
    Language English
    Publishing date 2023-05-19
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662251-8
    ISSN 2218-1989
    ISSN 2218-1989
    DOI 10.3390/metabo13050671
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book ; Conference proceedings: Advances in the treatment of acute coronary syndromes

    Stringer, Kathleen A.

    focus on low-molecular-weight heparins ; based on the proceedings of a roundtable meeting

    (Pharmacotherapy ; 19,9, Pt. 2)

    1999  

    Author's details guest ed. Kathleen A. Stringer
    Series title Pharmacotherapy ; 19,9, Pt. 2
    Collection
    Language English
    Size S. 139S - 160S : Ill., graph. Darst.
    Publisher Pharmacotherapy Publ
    Publishing place Boston, MA
    Publishing country United States
    Document type Book ; Conference proceedings
    HBZ-ID HT011089233
    Database Catalogue ZB MED Medicine, Health

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  5. Article: Distinguishing the Concentration- vs. Bioaccumulation-Dependent Immunological and Metabolic Effects of Clofazimine.

    Willmer, Andrew R / Diaz-Espinosa, Jennifer / Zhou, Austin / Stringer, Kathleen A / Rosania, Gus R

    Pharmaceutics

    2023  Volume 15, Issue 9

    Abstract: The antimycobacterial drug clofazimine (CFZ) is used as a single agent at high doses, to suppress the exaggerated inflammation associated with leprosy. Paradoxically, increasing doses of CFZ leads to bioaccumulation of CFZ in the spleen and other organs ... ...

    Abstract The antimycobacterial drug clofazimine (CFZ) is used as a single agent at high doses, to suppress the exaggerated inflammation associated with leprosy. Paradoxically, increasing doses of CFZ leads to bioaccumulation of CFZ in the spleen and other organs under physiologically relevant dosing regimens, without accompanying dose-dependent elevation in the concentrations of the circulating drug in the blood. In long-term oral dosing regimens, CFZ induces immunological and metabolic changes resulting in splenomegaly, while the mass of other organs decreases or remains unchanged. As an organ that extensively sequesters CFZ as insoluble drug precipitates, the spleen likely influences drug-induced inflammatory signaling. To probe the role of systemic drug concentrations vs. drug bioaccumulation in the spleen, healthy mice were treated with six different dosing regimens. A subgroup of these mice underwent surgical splenectomies prior to drug treatment to assess the bioaccumulation-dependent changes in immune system signaling and immune-system-mediated drug distribution. Under increasing drug loading, the spleen was observed to grow up to six times in size, sequestering over 10% of the total drug load. Interestingly, when the spleen was removed prior to CFZ administration, drug distribution in the rest of the organism was unaffected. However, there were profound cytokine elevations in the serum of asplenic CFZ-treated mice, indicating that the spleen is primarily involved in suppressing the inflammatory signaling mechanisms that are upregulated during CFZ bioaccumulation. Thus, beyond its role in drug sequestration, the spleen actively modulates the systemic effect of CFZ on the immune system, without impacting its blood concentrations or distribution to the rest of the organism.
    Language English
    Publishing date 2023-09-20
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527217-2
    ISSN 1999-4923
    ISSN 1999-4923
    DOI 10.3390/pharmaceutics15092350
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Book ; Conference proceedings: The role of thrombolytics in acute myocardial infarction management

    Stringer, Kathleen A.

    where are we headed? ; Based on proceedings of a symposium presented during the American Society of Health-System Pharmacists Midyear Clinical Meeting, December 6, 1995 [Las Vegas]

    (Pharmacotherapy ; 16,5, Pt. 2 = Suppl.)

    1996  

    Event/congress Midyear Clinical Meeting (1995, LasVegasNev.)
    Author's details guest ed. Kathleen A. Stringer
    Series title Pharmacotherapy ; 16,5, Pt. 2 = Suppl.
    Collection
    Keywords Fibrinolytic Agents / therapeutic use / congresses ; Myocardial Infarction / drug therapy / congresses
    Language English
    Size S. 118S - 140S : Ill.
    Publisher Pharmacotherapy Publ
    Publishing place Boston, MA
    Publishing country United States
    Document type Book ; Conference proceedings
    HBZ-ID HT007490300
    Database Catalogue ZB MED Medicine, Health

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  7. Article ; Online: Excluded Volume and Weak Interactions in Crowded Solutions Modulate Conformations and RNA Binding of an Intrinsically Disordered Tail.

    Stringer, Madison A / Cubuk, Jasmine / Incicco, J Jeremías / Roy, Debjit / Hall, Kathleen B / Stuchell-Brereton, Melissa D / Soranno, Andrea

    The journal of physical chemistry. B

    2023  Volume 127, Issue 26, Page(s) 5837–5849

    Abstract: The cellular milieu is a solution crowded with a significant concentration of different components (proteins, nucleic acids, metabolites, ...

    Abstract The cellular milieu is a solution crowded with a significant concentration of different components (proteins, nucleic acids, metabolites,
    MeSH term(s) Humans ; COVID-19 ; SARS-CoV-2 ; Protein Conformation ; Polyethylene Glycols/chemistry ; RNA ; Nucleocapsid Proteins
    Chemical Substances Polyethylene Glycols (3WJQ0SDW1A) ; RNA (63231-63-0) ; Nucleocapsid Proteins
    Language English
    Publishing date 2023-06-22
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ISSN 1520-5207
    ISSN (online) 1520-5207
    DOI 10.1021/acs.jpcb.3c02356
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Kidney function as a key driver of the pharmacokinetic response to high-dose L-carnitine in septic shock.

    Jennaro, Theodore S / Puskarich, Michael A / Flott, Thomas L / McLellan, Laura A / Jones, Alan E / Pai, Manjunath P / Stringer, Kathleen A

    Pharmacotherapy

    2023  Volume 43, Issue 12, Page(s) 1240–1250

    Abstract: Study objective: Levocarnitine (L-carnitine) has shown promise as a metabolic-therapeutic for septic shock, where mortality approaches 40%. However, high-dose (≥ 6 grams) intravenous supplementation results in a broad range of serum concentrations. We ... ...

    Abstract Study objective: Levocarnitine (L-carnitine) has shown promise as a metabolic-therapeutic for septic shock, where mortality approaches 40%. However, high-dose (≥ 6 grams) intravenous supplementation results in a broad range of serum concentrations. We sought to describe the population pharmacokinetics (PK) of high-dose L-carnitine, test various estimates of kidney function, and assess the correlation of PK parameters with pre-treatment metabolites in describing drug response for patients with septic shock.
    Design: Population PK analysis was done with baseline normalized concentrations using nonlinear mixed effect models in the modeling platform Monolix. Various estimates of kidney function, patient demographics, dose received, and organ dysfunction were tested as population covariates.
    Data source: We leveraged serum samples and metabolomics data from a phase II trial of L-carnitine in vasopressor-dependent septic shock. Serum was collected at baseline (T0); end-of-infusion (T12); and 24, 48, and 72 h after treatment initiation.
    Patients and intervention: Patients were adaptively randomized to receive intravenous L-carnitine (6 grams, 12 grams, or 18 grams) or placebo.
    Measurements and main results: The final dataset included 542 serum samples from 130 patients randomized to L-carnitine. A two-compartment model with linear elimination and a fixed volume of distribution (17.1 liters) best described the data and served as a base structural model. Kidney function estimates as a covariate on the elimination rate constant (k) reliably improved model fit. Estimated glomerular filtration rate (eGFR), based on the 2021 Chronic Kidney Disease Epidemiology collaboration (CKD-EPI) equation with creatinine and cystatin C, outperformed creatinine clearance (Cockcroft-Gault) and older CKD-EPI equations that use an adjustment for self-identified race.
    Conclusions: High-dose L-carnitine supplementation is well-described by a two-compartment population PK model in patients with septic shock. Kidney function estimates that leverage cystatin C provided superior model fit. Future investigations into high-dose L-carnitine supplementation should consider baseline metabolic status and dose adjustments based on renal function over a fixed or weight-based dosing paradigm.
    MeSH term(s) Humans ; Cystatin C ; Carnitine ; Shock, Septic/drug therapy ; Creatinine ; Glomerular Filtration Rate/physiology ; Renal Insufficiency, Chronic ; Kidney
    Chemical Substances Cystatin C ; Carnitine (S7UI8SM58A) ; Creatinine (AYI8EX34EU)
    Language English
    Publishing date 2023-10-11
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 603158-4
    ISSN 1875-9114 ; 0277-0008
    ISSN (online) 1875-9114
    ISSN 0277-0008
    DOI 10.1002/phar.2882
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Co-occurrence and metabolic biomarkers of sensory and motor subtypes of peripheral neuropathy from paclitaxel.

    Chen, Ciao-Sin / Smith, Ellen M Lavoie / Stringer, Kathleen A / Henry, N Lynn / Hertz, Daniel L

    Breast cancer research and treatment

    2022  Volume 194, Issue 3, Page(s) 551–560

    Abstract: Purpose: Chemotherapy-induced peripheral neuropathy (CIPN) is the major treatment-limiting toxicity of paclitaxel, which predominantly presents as sensory symptoms, with motor symptoms in some patients. Differentiating CIPN into subtypes has been ... ...

    Abstract Purpose: Chemotherapy-induced peripheral neuropathy (CIPN) is the major treatment-limiting toxicity of paclitaxel, which predominantly presents as sensory symptoms, with motor symptoms in some patients. Differentiating CIPN into subtypes has been recommended to direct CIPN research. The objective of this study was to investigate whether sensory and motor CIPN are distinct subtypes with different predictive biomarkers in patients with breast cancer receiving paclitaxel.
    Methods: Data were from a prospective cohort of 60 patients with breast cancer receiving up to 12 weekly infusions of 80 mg/m
    Results: More sensory than motor CIPN was found (CIPN
    Conclusion: Our findings suggest that sensory and motor CIPN co-occur and may not have differentiating metabolic biomarkers. These findings need to be validated in larger cohorts of patients treated with paclitaxel and other neurotoxic agents to determine the optimal approach to predict, prevent, and treat CIPN and improve patients' outcomes.
    MeSH term(s) Antineoplastic Agents/adverse effects ; Breast Neoplasms/drug therapy ; Female ; Humans ; Paclitaxel/adverse effects ; Peripheral Nervous System Diseases/chemically induced ; Prospective Studies ; Quality of Life
    Chemical Substances Antineoplastic Agents ; Paclitaxel (P88XT4IS4D)
    Language English
    Publishing date 2022-06-28
    Publishing country Netherlands
    Document type Clinical Study ; Journal Article
    ZDB-ID 604563-7
    ISSN 1573-7217 ; 0167-6806
    ISSN (online) 1573-7217
    ISSN 0167-6806
    DOI 10.1007/s10549-022-06652-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Database screening as a strategy to identify endogenous candidate metabolites to probe and assess mitochondrial drug toxicity.

    De la Rosa, Mery Vet George / Patel, Dipali / McCann, Marc R / Stringer, Kathleen A / Rosania, Gus R

    Scientific reports

    2023  Volume 13, Issue 1, Page(s) 22013

    Abstract: Adverse drug reactions (ADRs) are considered an inherent risk of medication use, and some ADRs have been associated with off-target drug interactions with mitochondria. Metabolites that reflect mitochondrial function may help identify patients at risk of ...

    Abstract Adverse drug reactions (ADRs) are considered an inherent risk of medication use, and some ADRs have been associated with off-target drug interactions with mitochondria. Metabolites that reflect mitochondrial function may help identify patients at risk of mitochondrial toxicity. We employed a database strategy to identify candidate mitochondrial metabolites that could be clinically useful to identify individuals at increased risk of mitochondrial-related ADRs. This led to L-carnitine being identified as the candidate mitochondrial metabolite. L-carnitine, its acetylated metabolite, acetylcarnitine and other acylcarnitines are mitochondrial biomarkers used to detect inborn errors of metabolism. We hypothesized that changes in L-carnitine disposition, induced by a "challenge test" of intravenous L-carnitine, could identify mitochondrial-related ADRs by provoking variation in L-carnitine and/or acetylcarnitine blood levels. To test this hypothesis, we induced mitochondrial drug toxicity with clofazimine (CFZ) in a mouse model. Following CFZ treatment, mice received an L-carnitine "challenge test". CFZ-induced changes in weight were consistent with previous work and reflect CFZ-induced catabolism. L-carnitine induced differences in whole blood acetylcarnitine concentrations in a manner that was dependent on CFZ treatment. This supports the usefulness of a database strategy for the discovery of candidate metabolite biomarkers of drug toxicity and substantiates the potential of the L-carnitine "challenge test" as a "probe" to identify drug-related toxicological manifestations.
    MeSH term(s) Humans ; Mice ; Animals ; Acetylcarnitine/metabolism ; Carnitine/metabolism ; Mitochondria/metabolism ; Clofazimine/metabolism ; Drug-Related Side Effects and Adverse Reactions/metabolism ; Biomarkers/metabolism
    Chemical Substances Acetylcarnitine (6DH1W9VH8Q) ; Carnitine (S7UI8SM58A) ; Clofazimine (D959AE5USF) ; Biomarkers
    Language English
    Publishing date 2023-12-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-023-49443-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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