◉ Summary of Use during Lactation:In the treatment of conditions such as ulcerative colitis and Crohn's disease, most professional guidelines and other experts consider breastfeeding to be acceptable during mercaptopurine therapy. No active metabolites of mercaptopurine were found in the blood of breastfed infants whose mothers were taking azathioprine and no adverse effects attributable to mercaptopurine or azathioprine have been noted. See the Azathioprine record for details. Mothers with decreased activity of the enzyme that detoxifies mercaptopurine metabolites may transmit higher levels of drug to their infants in breastmilk. It might be desirable to monitor exclusively breastfed infants with a complete blood count with differential, and liver function tests if mercaptopurine is used during lactation, although some authors feel that monitoring is unnecessary. Avoiding breastfeeding for 4 hours after a dose should markedly decrease the dose received by the infant in breastmilk.
Most sources consider breastfeeding to be contraindicated during maternal antineoplastic drug therapy, although antimetabolites such as mercaptopurine appear to pose the least risk to breastfed infants. After high-dose chemotherapy, it might be possible to breastfeed safely during intermittent therapy with an appropriate period of breastfeeding abstinence. Although no data are available to determine an appropriate period to withhold breastfeeding, the drug's terminal half-life suggests that withholding breastfeeding for 1 to 2 days may be sufficient. Chemotherapy may adversely affect the normal microbiome and chemical makeup of breastmilk.
◉ Effects in Breastfed Infants:In The Netherlands, 30 infants of mothers taking either azathioprine (n = 28) or mercaptopurine (n = 2) for inflammatory bowel disease during pregnancy and postpartum were followed at 1 to 6 years of age using a 43-item quality of life questionnaire. Of this cohort, 9 infants were breastfed for a mean of 7 months (range 3 to 13 months) No statistically significant differences were found between breastfed and formula-fed infants in any of the 12 domains of the survey.
A prospective cohort study followed pregnant women with inflammatory bowel disease throughout pregnancy and for 12 months postpartum. Women were assigned to one of the following groups: unexposed (no thiopurines or anti-TNF agents); group A (azathioprine or mercaptopurine); group B (infliximab, adalimumab or certolizumab pegol) and group AB (both a thiopurine and an anti-TNF agent). Of 1052 women enrolled in the study, 72% breastfed their infants, although the extent and duration were not stated in the abstract. A total of 264 women were exposed to a thiopurine and 59 were exposed to a thiopurine plus an anti-TNF agent. The use of a thiopurine alone was not associated with any complication in the infants and their growth and development were normal throughout the 12 months. Infants exposed to both a thiopurine and an anti-TNF agent had a 50% increase in the number of infections between 9 and 12 months of age. The relationship of this increase with breastfeeding could not be determined from the available data.
A national survey of gastroenterologists in Australia identified 21 infants who were breastfed by mothers taking a combination of allopurinol and a thiopurine (e.g. azathioprine, mercaptopurine) to treat inflammatory bowel disease. All had taken the combination during pregnancy also. Two postpartum infant deaths occurred, both at 3 months of age. One was a twin (premature birth-related) and the other from SIDS. The authors did not believe the deaths were medication related. No information was provided on the extent of breastfeeding, drug dosages or the outcomes of the other infants.
◉ Effects on Lactation and Breastmilk:Relevant published information was not found as of the revision date.
The reactivity of complexes containing the [Mo3(μ3S)(μS2)3]4+ core. Ligand substitution, sulfur elimination and sulfide binding
作者:Marc D. Meienberger、Kaspar Hegetschweiler、Heinz Rüegger、Volker Gramlich
DOI:10.1016/s0020-1693(00)83826-8
日期:1993.11
5-tris(dimethylamino)- cis -inositol. The complexes were characterized by one- and two-dimensional NMR spectroscopy and FAB mass spectrometry. In the presence of a weak base and 6-mercaptopurine (Hmp) or 8-hydroxyquinoline (Hoxq), the six Br atoms were replaced by these bidentate ligands forming [Mo 3 S(S 2 ) 3 (oxq) 3 ] + and [Mo 3 S(S 2 ) 3 (mp) 3 ] + . In addition, the three oxq ligands could be quantitatively
在溶液中研究了含有[Mo 3(μ3 S)(μS2)3] 4+核的配合物的反应性。两种类型的亲电子中心,(i)三个Mo原子,(ii)三个赤道(平面内)和(iii)三个轴向(平面外)硫原子与二亲核试剂的相互作用明显不同。通过使用(),选择性反应可以特异性合成含有[Mo 3(μ3 S)(μS2)3] 4+或[Mo 3(μ3 S)(μS)3] 4+核的新配合物。 NEt 4)2 [Mo 3 S(S 2)3 Br 6]作为起始原料。硫提取和配体取代的组合导致形成[Mo 3 S 4 L 3] 4+的复合物,其中L代表三齿N,O供体1,3,5-三氨基-1,3,5 -三甲氧基-顺式肌醇和1,3,5-三甲氧基-1,3,5-三(二甲基氨基)-顺式肌醇。通过一维和二维NMR光谱法和FAB质谱法对络合物进行表征。在弱碱和6-巯基嘌呤(Hmp)或8-羟基喹啉(Hoxq)的存在下,六个Br原子被这些双齿配体取代,形成[Mo
Auranofin and related heterometallic gold(I)–thiolates as potent inhibitors of methicillin-resistant Staphylococcus aureus bacterial strains
作者:Yozane Hokai、Boruch Jurkowicz、Jacob Fernández-Gallardo、Nuruddinkodja Zakirkhodjaev、Mercedes Sanaú、Theodore R. Muth、María Contel
DOI:10.1016/j.jinorgbio.2014.05.008
日期:2014.9
series of new heterometallic gold(I) thiolates containing ferrocenyl-phoshines were synthesized. Their antimicrobial properties were studied and compared to that of FDA-approved drug, auranofin (Ridaura), prescribed for the treatment of rheumatoid arthritis. MIC in the order of one digit micromolar were found for most of the compounds against Gram-positive bacteria Staphylococcus aureus and CA MRSA
合成了一系列含有二茂铁基膦的新型异金属金(I)硫醇盐。研究了它们的抗菌特性,并将其与 FDA 批准的用于治疗类风湿性关节炎的药物金诺芬 (Ridaura) 的抗菌特性进行了比较。大多数针对革兰氏阳性菌金黄色葡萄球菌和 CA MRSA 菌株 US300 和 US400的化合物的 MIC 为一位数微摩尔。值得注意的是,金诺芬以 150–300 nM 的量级抑制金黄色葡萄球菌、US300 和 US400。这是首次描述了金诺芬对 MRSA 菌株的有效抑制作用。还在非致瘤性人胚胎肾细胞系 (HEK-293) 中研究了选定的异金属化合物和金诺芬的作用。
6-substituted purinyl piperazine derivatives
申请人:Ortho Pharmaceutical Corporation
公开号:US05164390A1
公开(公告)日:1992-11-17
6-substituted purinyl piperazine derivatives and a method of synthesis for the derivatives are described. The 6-substituted purinyl piperazine derivatives are useful as cardiotonic agents and antiarrhythmic agents.
Inhibitors of human phosphatidylinositol 3-kinase delta
申请人:——
公开号:US20020161014A1
公开(公告)日:2002-10-31
Methods of inhibiting phosphatidylinositol 3-kinase delta isoform (PI3K&dgr;) activity, and methods of treating diseases, such as disorders of immunity and inflammation, in which PI3K&dgr; plays a role in leukocyte function are disclosed. Preferably, the methods employ active agents that selectively inhibit PI3K&dgr;, while not significantly inhibiting activity of other PI3K isoforms. Compounds are provided that inhibit PI3K&dgr; activity, including compounds that selectively inhibit PI3K&dgr; activity. Methods of using PI3K&dgr; inhibitory compounds to inhibit cancer cell growth or proliferation are also provided. Accordingly, the invention provides methods of using PI3K&dgr; inhibitory compounds to inhibit PI3K&dgr;-mediated processes in vitro and in vivo.
Synthesis and solution studies of ruthenium(II) complexes with thiazole and antileukaemic drug thiopurines. Crystal structure of trans-dichlorotris(1,3-thiazole)(triphenylphosphine)ruthenium(II) ‡
作者:Claudia Pifferi、Renzo Cini
DOI:10.1039/a802175i
日期:——
[RuCl3(AsPh3)2(MeOH)] and the base in alcoholic solution under nitrogen. The structures of the complexes were investigated by X-ray diffraction (2), NMR, conventional spectroscopic techniques and electrochemical methods. All the complex molecules have a pseudo-octahedral co-ordination geometry. The donor set of 2 consists of a phosphorus atom, two chloride anions trans to each other and three thz ligands