Development and Validation of In Vitro Assessment Protocol of Novel Intravenous Nanoemulsions for Parenteral Nutrition
Pharmaceutics,
Journal Year:
2025,
Volume and Issue:
17(4), P. 493 - 493
Published: April 8, 2025
Background:
Parenteral
nutrition
(PN)
is
a
lifesaving
therapeutic
approach
for
patients
unable
to
meet
nutritional
needs
through
oral
or
enteral
routes.
Lipid
nanoemulsions
(NEs),
critical
component
of
PN,
provide
essential
fatty
acids
and
influence
the
formulation’s
physicochemical
properties.
Advances
in
drug
delivery
systems
have
led
novel
intravenous
NEs
with
improved
stability,
purity,
ability
nutrient/active
substance
delivery.
Due
scattered
information
lack
standardized
protocol
testing
lipid
NEs,
this
study
aimed
develop
robust
assessment
method.
The
focuses
on
characterizing
properties,
biological
efficacy
while
adhering
bioethical
standards.
Methods:
Four
were
formulated
based
acid
profile
analysis,
demonstrate
applicability
our
protocol,
each
NE
utilized
distinct
emulsifier
system.
A
comprehensive
vitro
integrating
multiple
analytical
techniques
was
employed
evaluate
their
performance.
Results:
mean
droplet
diameter
(MDD)
developed
ranged
from
180.7
185.9
nm,
significantly
smaller
than
commercial
formulations
(249.6–335.4
nm).
PFAT5
remained
below
0.02%,
except
ILE-HS
(0.12%),
zeta
potential
(ZP)
−29.8
mV.
freeze–thaw
stability
constant
(KF)
range
formulation,
sterilization
(KS)
10,
(23.61
±
1.65).
Injectability
tests
confirmed
that
ILE-ELP
ILE-T
could
be
infused
at
50
mL/h
using
an
access
minimum
21
G.
Hemolytic
activity
met
strictest
criteria
(<5%),
MTT
assays
showed
higher
cell
viability
low
concentrations
all
ILE-ELP.
Conclusions:
five-step
provides
unified
framework
assessing
allowing
selection
highest
further
vivo
assessment.
Language: Английский
Intestinal Microbiota Modulation by Fecal Microbiota Transplantation in Nonalcoholic Fatty Liver Disease
Biomedicines,
Journal Year:
2025,
Volume and Issue:
13(4), P. 779 - 779
Published: March 23, 2025
Numerous
factors
are
involved
in
the
pathogenesis
of
nonalcoholic
fatty
liver
disease
(NAFLD),
which
responsible
for
its
development
and
progression
as
an
independent
entity,
but
also
thanks
to
their
simultaneous
action.
This
is
explained
by
hypothesis
multiple
parallel
hits.
These
insulin
resistance,
lipid
metabolism
alteration,
oxidative
stress,
endoplasmic
reticulum
inflammatory
cytokine
liberation,
gut
microbiota
dysbiosis
or
gut–liver
axis
activation.
a
systematic
review
has
aim
show
connection
between
intestinal
role
disbalance
NAFLD.
The
made
from
wide
spectrum
microorganisms
that
systemic
impact
on
human
health,
with
well-documented
digestion,
energy
metabolism,
stimulation
immune
system,
synthesis
essential
nutrients,
etc.
It
been
shown
associated
all
three
stages
chronic
disease.
Thus,
modulation
attracted
research
interest
novel
therapeutic
approach
management
NAFLD
patients.
modification
can
be
achieved
substantial
diet
application
probiotics
prebiotics,
while
most
radical
effects
observed
fecal
transplantation
(FMT).
Given
results
FMT
context
metabolic
syndrome
(MetS)
animal
models
scarce
pilot
studies
humans,
seems
promising
treatment
option
could
reverse
thereby
influence
course
Language: Английский
A medium-chain fatty acid analogue prevents endotoxin liver injury in a murine model
Scientific Reports,
Journal Year:
2025,
Volume and Issue:
15(1)
Published: April 20, 2025
Parenteral
nutrition
(PN)
is
lifesaving
for
patients
with
short
bowel
syndrome
and
other
gastrointestinal
disorders,
however
long-term
use
may
lead
to
complications
including
hepatosteatosis
sepsis.
We
have
previously
demonstrated
the
anti-steatotic,
-fibrotic,
-inflammatory
properties
of
SEFA-6179,
an
engineered
medium-chain
fatty
acid
analogue.
hypothesized
that
SEFA-6179
treatment
would
protect
against
endotoxin-induced
liver
injury
in
a
murine
model
PN-induced
hepatosteatosis.
C57Bl/6J
mice
were
administered
high-carbohydrate
liquid
diet
plus
intravenous
lipid
emulsion
(Intralipid,
4
g
fat/kg/d)
or
saline
19
days
induce
(100
mg/kg)
vehicle
(MCT/medium-chain
triglyceride)
was
via
oral
gavage
four
leading
up
intraperitoneal
challenge
lipopolysaccharide
(15
on
day
19.
Age-matched,
chow-fed
controls
received
same
treatments.
The
primary
outcome
biomarkers:
alanine
aminotransferase
aspartate
aminotransferase.
Pro-inflammatory
cytokines,
IL-6,
TNF-alpha,
monocyte
chemoattractant
protein
(MCP1),
analyzed.
Liver
immunofluorescence
staining
performed
evaluate
macrophage
phenotypes.
In
endotoxin-challenged
mice,
pre-treatment
lowered
enzymes
pro-inflammatory
cytokine
levels
compared
vehicle.
On
histology,
led
greater
polarization
M1/pro-inflammatory
macrophages
M2/anti-inflammatory
phenotype
currently
Phase
II
clinical
trials.
These
findings
support
potential
application
high-risk,
PN-dependent
patients.
Language: Английский
Investigation of parenteral nutrition-induced hepatotoxicity using human liver spheroid co-cultures
Archives of Toxicology,
Journal Year:
2024,
Volume and Issue:
98(9), P. 3109 - 3126
Published: May 14, 2024
Abstract
Parenteral
nutrition
(PN)
is
typically
administered
to
individuals
with
gastrointestinal
dysfunction,
a
contraindication
for
enteral
feeding,
and
need
nutritional
therapy.
When
PN
the
only
energy
source
in
patients,
it
defined
as
total
parenteral
(TPN).
TPN
life-saving
approach
different
patient
populations,
both
infants
adults.
However,
despite
numerous
benefits,
can
cause
adverse
effects,
including
metabolic
disorders
liver
injury.
TPN-associated
injury,
known
intestinal
failure-associated
disease
(IFALD),
represents
significant
problem
affecting
up
90%
of
receiving
TPN.
IFALD
pathogenesis
complex,
depending
on
components
well
patient’s
medical
conditions.
Despite
animal
studies
clinical
observations,
molecular
mechanisms
driving
remain
largely
unknown.
The
present
study
was
set
elucidate
underlying
IFALD.
For
this
purpose,
human
spheroid
co-cultures
were
treated
mixture,
followed
by
RNA
sequencing
analysis.
Subsequently,
following
exposure
its
single
components,
several
key
events
mitochondrial
endoplasmic
reticulum
stress,
oxidative
apoptosis,
lipid
accumulation
(steatosis),
studied
using
various
techniques.
It
found
that
prolonged
substantially
changes
transcriptome
profile
spheroids
affects
multiple
signaling
pathways
contributing
Moreover,
main
especially
emulsion,
induce
all
measured
trigger
steatosis.
Language: Английский
Adverse events associated with parenteral nutrition support therapy: A pharmacovigilance study
Jing Zhou,
No information about this author
Xu Hongyan,
No information about this author
Jingjing Ma
No information about this author
et al.
Journal of Parenteral and Enteral Nutrition,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Oct. 24, 2024
Abstract
Background
Parenteral
nutrition
(PN)
plays
a
crucial
role
in
support
therapy,
yet
data
on
related
adverse
events
(AEs)
practical
settings
are
scarce.
To
address
this,
we
analyzed
AE
signals
associated
with
PN
treatment
from
the
United
States
Food
and
Drug
Administration
Adverse
Event
Reporting
System
(FAERS)
database.
Methods
We
extracted
FAERS
database,
covering
period
first
quarter
(Q1)
of
2004
to
Q1
2024.
names
AEs
were
standardized.
then
conducted
disproportionality
analyses
using
four
different
algorithms
evaluate
association
between
its
AEs.
Results
collected
total
48,890,925
reports
which
1642
involved
PN‐related
After
categorization,
identified
21
system
organ
classes
(SOCs),
hepatobiliary
disorders
only
significant
SOC
across
all
algorithms.
At
preferred
term
(PT)
level,
99
PTs
that
showed
Fat
overload
syndrome,
fatty
acid
deficiency,
parenteral
nutrition–associated
liver
disease
(PNALD),
Malassezia
infection,
Pantoea
agglomerans
infection
most
prominent
PTs.
In
addition,
several
potential
new
included
nervous,
cardiac,
immune,
psychiatric,
blood,
renal,
urinary,
eye
disorders.
Conclusion
Our
study
common
rare
reported
Patients
healthcare
providers
should
remain
vigilant
about
these
Understanding
risks
therapy
establishing
procedures
can
help
reduce
Language: Английский
The use of parenteral nutrition in patients with inflammatory bowel disease: A detailed guide on the indications, risks, and benefits
David Köhler,
No information about this author
Hannah Freid,
No information about this author
Jennifer Cholewka
No information about this author
et al.
Nutrition in Clinical Practice,
Journal Year:
2024,
Volume and Issue:
39(5), P. 1026 - 1036
Published: June 23, 2024
Malnutrition
is
estimated
to
affect
roughly
30%-80%
of
patients
with
inflammatory
bowel
disease
(IBD).
In
those
who
cannot
tolerate
sufficient
oral
nutrition
or
there
no
possibility
for
placing
an
enteral
tube,
parenteral
offers
a
lifesaving
alternative.
However,
this
not
without
risk.
For
IBD,
understanding
the
indications,
contraindications,
and
complications
associated
crucial.
review,
we
will
discuss
indications
contraindications
in
common
intravenous
nutrition,
use
special
populations,
such
as
pediatric
perioperative
patients,
impact
on
IBD-related
outcomes.
Language: Английский
Molecular mechanisms underlying hepatoprotective activity of lutein in the context of intestinal failure-associated liver disease
Pharmacological Research,
Journal Year:
2024,
Volume and Issue:
209, P. 107421 - 107421
Published: Sept. 16, 2024
Language: Английский
Dataset on transcriptomic profiling of parenteral nutrition-induced hepatotoxicity in a human liver in vitro model
Data in Brief,
Journal Year:
2024,
Volume and Issue:
55, P. 110653 - 110653
Published: June 18, 2024
The
provided
dataset
describes
the
transcriptomic
profile
of
human
liver
spheroid
co-cultures
consisting
a
hepatoma
cell
line
(C3A/HepG2
cells)
and
an
immortalized
activated
hepatic
stellate
(LX-2
upon
exposure
to
total
parenteral
nutrition.
High-throughput
RNA
sequencing
was
performed
using
DNBSEQTM
technology.
Following
quality
check
filtering
raw
sequence
reads,
clean
reads
were
aligned
reference
genome
used
determine
differential
gene
expression.
Raw
processed
data
are
deposited
in
Gene
Expression
Omnibus
with
accession
number
GSE264357.
These
could
serve
further
mechanistic
studies
on
nutrition-induced
injury
support
translational
research
intestinal
failure-associated
disease
occurring
individuals
receiving
Language: Английский