60 results on '"Saša Vukmirović"'
Search Results
2. Bile acids as novel enhancers of CNS targeting antitumor drugs: a comprehensive review
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Armin Mooranian, Marija Gvoic, Hani Al-Salami, Saša Vukmirović, Karmen Stankov, and Momir Mikov
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medicine.drug_class ,Pharmaceutical Science ,Antineoplastic Agents ,02 engineering and technology ,Pharmacology ,Drug penetration ,Mixed micelle ,030226 pharmacology & pharmacy ,Bile Acids and Salts ,03 medical and health sciences ,Drug Delivery Systems ,0302 clinical medicine ,Neoplasms ,Animals ,Humans ,Medicine ,Malignant cells ,Primary Brain Tumors ,Enhancer ,Drug Carriers ,Bile acid ,business.industry ,Biological Transport ,General Medicine ,021001 nanoscience & nanotechnology ,Blood-Brain Barrier ,Drug delivery ,0210 nano-technology ,Drug carrier ,business ,Central Nervous System Agents - Abstract
Despite a relatively low prevalence of primary brain tumors, they continuously attract scientific interest because of the complexity of their treatment due to their location behind the blood-brain barrier. The main challenge in treatment of brain tumors is not the efficacy of the drugs, per se, but the low efficiency of drug delivery to malignant cells. At the core of the problem is the complex structure of the blood-brain barrier. Nowadays, there is evidence supporting the claim that bile acids have the ability to cross the blood-brain barrier. That ability can be exploited by taking a part in novel drug carrier designs. Bile acids represent a drug carrier system as a part of a mixed micelle composition, bilosomes and conjugates with various drugs. This review discusses the current knowledge related to bile acid molecules as drug penetration modifying agents, with the focus on central nervous system antitumor drug delivery.
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- 2021
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3. Molecular mechanism of action and pharmacokinetic properties of methotrexate
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Saša Vukmirović, V. Maksimovic, Z. Pavlovic-Popovic, Jelena Cvejić, Hani Al-Salami, Armin Mooranian, Momir Mikov, and Svetlana Goločorbin-Kon
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0301 basic medicine ,Drug ,Sarcoidosis ,media_common.quotation_subject ,Pharmacology ,Arthritis, Rheumatoid ,03 medical and health sciences ,0302 clinical medicine ,Pharmacokinetics ,Genetics ,medicine ,Humans ,Molecular Biology ,media_common ,business.industry ,General Medicine ,medicine.disease ,Adenosine ,Tetrahydrofolate Dehydrogenase ,Methotrexate ,030104 developmental biology ,Polyglutamic Acid ,Prostaglandin-Endoperoxide Synthases ,Antirheumatic Agents ,030220 oncology & carcinogenesis ,Pharmacodynamics ,Rheumatoid arthritis ,Molecular mechanism ,Cytokines ,business ,medicine.drug - Abstract
Since its discovery in 1945, methotrexate has become a standard therapy for number of diseases, including oncological, inflammatory and pulmonary ones. Major physiological interactions of methotrexate include folate pathway, adenosine, prostaglandins, leukotrienes and cytokines. Methotrexate is used in treatment of pulmonary sarcoidosis as a second line therapy and is drug of choice in patients who are not candidates for corticosteroid therapy, with recommended starting weekly dose of 5-15 mg. Number of studies dealt with methotrexate use in rheumatoid arthritis and oncological patients. Authors are conducting research on oral methotrexate use and pharmacokinetics in chronic sarcoidosis patients and have performed literature research to better understand molecular mechanisms of methotrexate action as well as high level pharmacokinetic considerations. Polyglutamation of methotrexate affects its pharmacokinetic and pharmacodynamic properties and prolongs its effect. Bile excretion plays significant role due to extensive enterohepatic recirculation, although majority of methotrexate is excreted through urine. Better understanding of its pharmacokinetic properties in sarcoidosis patients warrant optimizing therapy when corticosteroids are contraindicated in these patients.
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- 2020
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4. Comprehensive Analysis of Antioxidant and Hepatoprotective Properties of Morus nigra L
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Saša Vukmirović, Vladimirka Ilić, Vanja Tadić, Ivan Čapo, Nebojša Pavlović, Ana Tomas, Milica Paut Kusturica, Nataša Tomić, Svetolik Maksimović, and Nebojša Stilinović
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nutraceuticals ,Physiology ,screening ,Clinical Biochemistry ,chemical composition ,oxidative stress ,hepatoprotective ,Cell Biology ,Molecular Biology ,Biochemistry - Abstract
The framework of this study was a comprehensive investigation of Morus nigra L. extracts, with the aim to establish the correlation between chemical composition and antioxidant/hepatoprotective activity of a series of black mulberry extracts obtained from aerial parts of the plant. Black mulberry leaf (MLEE), bark (MBEE), juice (MJ) and fresh fruit (MFEE) extracts were obtained using the conventional Soxhlet extraction, while the supercritical CO2 extraction procedure was employed for preparation of the seed oil (MSO). Analysis of the chemical composition was performed using spectrophotometric, HPLC and GC methods. For the evaluation of antioxidant activity, in vitro FRAP and DPPH assays were applied. In Haan strain NMRI mice with streptozotocin-induced oxidative stress, in vivo antioxidant activity and liver tissue integrity were examined. The content of polyphenolic compounds was the highest in MBEE (68.3 ± 0.7 mgGAE/g) with the most abundant compounds being polyphenolic acids, followed by MLEE (23.4 ± 0.5 mgGAE/g) with the flavonoids isoquercetin and rutin being present in a significant amount. An analysis of MSO revealed a high content of γ-linoleic acid. The highest antioxidant activity in vitro (FRAP and DPPH) was observed for MLEE, MBEE and MSO. Beneficial effects were confirmed in vivo, with lower values of hepatosomatic index, potentiation of the activity of the enzymes superoxide dismutase and catalase, a lower rate of lipid peroxidation and reduced positivity for the P450 enzyme in animals treated with MLEE, MBEE and MSO. Black mulberry leaf and bark extracts as well as seed oil exhibited significant antioxidant activity. Apart from the confirmed biological properties of the fruit and leaf extracts, the observed activities of black mulberry seed oil and bark extract imply its importance as a sustainable source of phytochemicals.
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- 2023
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5. Plasma Distribution of Methotrexate and Its Polyglutamates in Pediatric Acute Lymphoblastic Leukemia: Preliminary Insights
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Hani Al-Salami, Momir Mikov, Slavica Lazarević, Ivana Rajšić, Svetlana Goločorbin-Kon, Saša Vukmirović, Armin Mooranian, and Maja Đanić
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Male ,Antimetabolites, Antineoplastic ,Clinical chemistry ,Pharmacology ,03 medical and health sciences ,Plasma ,0302 clinical medicine ,Pediatric Acute Lymphoblastic Leukemia ,medicine ,Distribution (pharmacology) ,Humans ,Pharmacology (medical) ,Prospective Studies ,Child ,Active metabolite ,030304 developmental biology ,0303 health sciences ,Total plasma ,Polyglutamate ,business.industry ,Precursor Cell Lymphoblastic Leukemia-Lymphoma ,3. Good health ,Discontinuation ,Methotrexate ,Polyglutamic Acid ,030220 oncology & carcinogenesis ,business ,medicine.drug ,Chromatography, Liquid - Abstract
High-dose methotrexate (HD-MTX) is the mainstream therapy of current acute lymphoblastic leukemia (ALL) regimens, but frequent intra- and interindividual differences in the clinical response to HD-MTX lead to chemotherapeutic interruption or discontinuation. The exact mechanism of transport across the cell membrane and the disposition of active methotrexate metabolites—methotrexate polyglutamates (MTXPGs)—are not well described in the literature. The aim of this study was to gain more insight into the plasma distribution of methotrexate and MTXPGs in pediatric patients with ALL and to clarify the obscure pathways of MTXPGs. We prospectively measured the concentrations of MTXPG1–7 in plasma samples from three male pediatric patients treated with HD-MTX and leucovorin rescue according to the IC-BFM 2009 protocol using liquid chromatography–mass spectrometry (LC-MS). Blood samples were obtained at 24, 36, 42, and 48 h after the start of HD-MTX treatment. Noticeable plasma concentrations of MTXPGs with a 2.2-fold interpatient variability were detected. The highest interindividual variability in total plasma MTXPG concentration was observed at 36 h, and ranged from 13.78 to 30.82 μmol/L. Among all patients, the predominant polyglutamate types in relation to the total plasma MTXPG concentration at each time point were MTXPG3 (16.71–30.02%) and MTXPG5 (26.23–38.60%), while MTXPG7 was the least abundant MTXPG (3.22–5.02%). The presence of MTXPGs in plasma of patients with ALL could be related to the action of ABC efflux transporters on blood cells and hepatocytes resulting from the administration of high doses of methotrexate. This study may not draw definitive conclusions, but it does reduce uncertainty about the dynamics of methotrexate and its active metabolites, which may be of vital importance for achieving a clinical response.
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- 2021
6. Antidiabetic effect of two different Ganoderma species tested in alloxan diabetic rats
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Maja Karaman, Mira Popovic, Ivan Čapo, Saša Vukmirović, Milena Rašeta, Biljana Milosevic, and Nebojša Stilinović
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chemistry.chemical_classification ,Antioxidant ,Traditional medicine ,biology ,010405 organic chemistry ,Pancreatic tissue ,Ganoderma ,General Chemical Engineering ,medicine.medical_treatment ,Flavonoid ,General Chemistry ,biology.organism_classification ,01 natural sciences ,0104 chemical sciences ,010404 medicinal & biomolecular chemistry ,chemistry.chemical_compound ,chemistry ,Alloxan ,medicine ,Oral glucose tolerance ,Total protein ,Histological examination - Abstract
This journal is © The Royal Society of Chemistry. This study was designed to define total protein, phenol and flavonoid content as well as LC-MS/MS phenolic profile related to antioxidant and antidiabetic activity of ethanolic (EtOH) and water extracts of G. pfeifferi and G. resinaceum. G. resinaceum water extract possessed the highest ability to scavenge DPPH and O2-, while the EtOH extract of the same species showed better activity on NO related to other extracts. The highest level of bioactive compounds was determined generally in EtOH extracts. Antidiabetic action was evaluated by the oral glucose tolerance test (OGTT) and histological examination of pancreas and liver in normoglycemic and alloxan-induced diabetic animals. Histological examination of pancreatic tissue demonstrated that G. pfeifferi extracts have protective effects. To conclude, analysed extracts could be considered as a promising candidate for further research with the aim to promote antidiabetic activity, which is for the first time reported for G. pfeifferi.
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- 2020
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7. New horizons of methotrexate application
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V. Maksimovic, Saša Vukmirović, Momir Mikov, Svetlana Goločorbin-Kon, Zora Pavlović-Popović, and Jelena Cvejić
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0303 health sciences ,03 medical and health sciences ,0302 clinical medicine ,New horizons ,business.industry ,030220 oncology & carcinogenesis ,medicine ,Geochemistry ,Methotrexate ,business ,030304 developmental biology ,medicine.drug - Abstract
Methotrexate is an anti-inflammatory and anticancer drug that has been used in the treatment of various oncological and inflammatory diseases (such as rheumatoid arthritis, inflammatory bowel disease, psoriasis, sarcoidosis, etc.). Scientists are working on finding optimal formulation that will maintain its efficacy and improve safety and nanoparticles have shown to be carriers with great potential as they protect the drug from degradation while at the same time they increase absorption. In vivo and in vitro studies of numerous nanoparticle preparations have showed that they generally have appropriate characteristics and can be carriers for targeted delivery of methotrexate to the tissues affected by disease. Topical preparations of methotrexate, mainly for the treatment of psoriasis, have also been assessed in various research and have showed promising results. Further research is warranted by the obtained results and will hopefully lead to new methotrexate formulations that will be approved by regulatory authorities and used instead of existing ones to improve efficacy of the drug and patients' safety.
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- 2020
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8. PAMPA model of gliclazide permeability: The impact of probiotic bacteria and bile acids
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Nebojša Pavlović, Bojan Stanimirov, Saša Vukmirović, Slavica Lazarević, Hani Al-Salami, Maja Đanić, and Momir Mikov
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Pharmaceutical Science ,02 engineering and technology ,Gut flora ,digestive system ,030226 pharmacology & pharmacy ,Permeability ,Bile Acids and Salts ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Pharmacokinetics ,medicine ,Humans ,Gliclazide ,Food science ,biology ,Bacteria ,Probiotics ,Deoxycholic acid ,Cholic acid ,Metabolism ,021001 nanoscience & nanotechnology ,biology.organism_classification ,Bioavailability ,chemistry ,0210 nano-technology ,medicine.drug - Abstract
Gut microbiota and bile acids possess the ability to modify absorption and pharmacokinetic profile of numerous drugs. Since the variability of gliclazide response in patients cannot be explained only by genetic factors, the influence of gut microbiota and bile acids should be considered. The aim of this study was to determine the effects of probiotic bacteria and bile acids on the gliclazide permeability. The permeability of gliclazide with and without probiotic bacteria and bile acids (cholic acid, CA and deoxycholic acid, DCA) was tested using in vitro PAMPA model, at three different pH values (5.8, 6.5 and 7.4). Concentrations of gliclazide were determined by HPLC analysis. The interactions of gliclazide and bile acids were also investigated by molecular mechanics calculations (MM2). Probiotic bacteria significantly increased the permeability of gliclazide across the PAMPA membrane at all observed pH values while the total amount of gliclazide during incubation with bacteria was significantly reduced at pH 7.4, which could be a consequence of partial metabolism of the drug by enzymes of probiotic bacteria. Bile acids decreased the permeability of gliclazide through PAMPA membrane, with more pronounced effects of DCA, by forming more stable complexes with gliclazide. Given that probiotic bacteria and bile acids are naturally present in the gut and that each individual has a specific bacterial fingerprint, future research should extend the explanation of their effect on the gliclazide bioavailability and therapy individualization in in vivo conditions.
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- 2020
9. Chemical composition, nutritional profile and
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Nebojša, Stilinović, Ivan, Čapo, Saša, Vukmirović, Aleksandar, Rašković, Ana, Tomas, Mira, Popović, and Ana, Sabo
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Chemistry ,Coprinus comatus ,oxidative stress ,carbon tetrachloride ,Research Article - Abstract
This study investigated the chemical and nutritional profile and antioxidative properties of cultivated Coprinus comatus. Proximate analysis revealed that C. comatus is rich in carbohydrates, dietary fibres and proteins, and could also be a valuable source of phenolics. Additionally, fat content is low, consisting mainly of polyunsaturated and omega-3 fatty acids. Furthermore, the safety profile of C. comatus is satisfactory, with all elements of toxicological importance within the proposed limits. Oral treatment with C. comatus for 42 days improved the antioxidant capabilities and ameliorated carbon tetrachloride-induced liver damage in rats, marked by decreased serum aminotransferase levels and lipid peroxidation intensity. Glutathione concentrations increased in a dose-dependent manner. Histological morphometric and immunohistochemical analysis confirmed antioxidative and hepatoprotective potential. These findings imply that cultivated C. comatus could be considered a nutraceutical, having beneficial nutrient and therapeutic properties.
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- 2020
10. Prenatal Exposure to Organophosphate Pesticides in Vojvodina
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Jan Sudji, Saša Vukmirović, Ivana Fratrić, and Dragana Živković
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Pregnancy ,business.industry ,Organophosphate pesticides ,Environmental health ,Medicine ,General Medicine ,business ,medicine.disease ,Prenatal exposure - Published
- 2019
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11. Botulinum toxin: Poison and medicine
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Aleksandra Mikov, Velibor Vasović, Sanja Kecman, Lucija Vasović, Momir Mikov, Saša Vukmirović, Svetlana Goločorbin-Kon, Mladena Lalić-Popović, and Nebojša Pavlović
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business.industry ,medicine ,Pharmacology ,business ,Botulinum toxin ,medicine.drug - Published
- 2019
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12. High-Loading Dose of Microencapsulated Gliclazide Formulation Exerted a Hypoglycaemic Effect on Type 1 Diabetic Rats and Incorporation of a Primary Deconjugated Bile Acid, Diminished the Hypoglycaemic Antidiabetic Effect
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Boris Milijašević, Jelena Calasan, Saša Vukmirović, Hani Al-Salami, Mladena Lalić-Popović, Momir Mikov, and Svetlana Goločorbin-Kon
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Blood Glucose ,Male ,medicine.medical_specialty ,Clinical chemistry ,medicine.drug_class ,Drug Compounding ,medicine.medical_treatment ,Cholic Acid ,Absorption (skin) ,Pharmacology ,030226 pharmacology & pharmacy ,Diabetes Mellitus, Experimental ,Bile Acids and Salts ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Oral administration ,Internal medicine ,Diabetes mellitus ,medicine ,Animals ,Hypoglycemic Agents ,Drug Interactions ,Pharmacology (medical) ,Gliclazide ,Bile acid ,business.industry ,Insulin ,Cholic acid ,medicine.disease ,Rats ,3. Good health ,Diabetes Mellitus, Type 1 ,Endocrinology ,chemistry ,030220 oncology & carcinogenesis ,business ,medicine.drug - Abstract
Gliclazide is a drug commonly used in type 2 diabetes mellitus. Recently, gliclazide has shown desirable pharmacological effects such as immunoregulatory and anti-clotting effects, which suggests potential applications in type 1 diabetes mellitus (T1DM). Gliclazide has variable absorption after oral administration, and thus using targeted-delivery techniques, such as microencapsulation, may optimise gliclazide absorption and potential applications in T1DM. Bile acids such as cholic acid have shown microcapsule-stabilising and controlled-release effects, and thus their incorporation into gliclazide microcapsules may further optimise gliclazide release, absorption and antidiabetic effects. Accordingly, this study aimed to examine the hypoglycaemic effects of gliclazide microcapsules with and without cholic acid, in a rat model of T1DM. Thirty-five alloxan-induced T1DM rats were randomly divided into five equal groups and gavaged a single dose of empty microcapsules, gliclazide, gliclazide microcapsules, gliclazide-cholic acid or gliclazide-cholic acid microcapsules. Blood samples were collected over 10 h post-dose and analysed for blood glucose and gliclazide serum concentrations. Gliclazide microcapsules exerted a hypoglycaemic effect in the diabetic rats, and cholic acid incorporation diminished the hypoglycaemic effects, which suggests the lack of synergistic effects between gliclazide and cholic acid. In addition, neither microencapsulation nor cholic acid incorporation optimised gliclazide absorption which suggests that hypoglycaemic effects of gliclazide are independent of its absorption and serum concentrations. This also suggests that hypoglycaemic effects of gliclazide may be associated with gut-metabolic activation rather than gut-targeted delivery and systemic absorption. Gliclazide microcapsules exerted hypoglycaemic effects in T1DM rats independent of insulin and thus may have potentials in treatment of T1DM.
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- 2017
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13. Structural insights into anticancer activity of D-ring modified estrone derivatives using their lipophilicity in estimation of SAR and molecular docking studies
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Saša Vukmirović, Jovana Trifunović, Momir Mikov, and Vladan Borčić
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Stereochemistry ,Drug discovery ,Pharmaceutical Science ,Estrone ,030226 pharmacology & pharmacy ,Combinatorial chemistry ,Analytical Chemistry ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,chemistry ,030220 oncology & carcinogenesis ,Lipophilicity ,Environmental Chemistry ,Spectroscopy - Published
- 2017
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14. Antidiabetic effect of two different
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Milena, Rašeta, Mira, Popović, Ivan, Čapo, Nebojša, Stilinović, Saša, Vukmirović, Biljana, Milošević, and Maja, Karaman
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This study was designed to define total protein, phenol and flavonoid content as well as LC-MS/MS phenolic profile related to antioxidant and antidiabetic activity of ethanolic (EtOH) and water extracts of
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- 2019
15. Cryptorchidism and pesticides: Is there a connection?
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Dragana Živković, Jan Varga, Saša Vukmirović, Jan Sudji, and Ivana Fratrić
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Adult ,Male ,0301 basic medicine ,medicine.medical_specialty ,Metabolite ,Population ,Physiology ,Urine ,010501 environmental sciences ,01 natural sciences ,03 medical and health sciences ,chemistry.chemical_compound ,Organophosphorus Compounds ,Pregnancy ,Internal medicine ,Cryptorchidism ,Humans ,Medicine ,Prospective Studies ,Pesticides ,Prospective cohort study ,education ,0105 earth and related environmental sciences ,education.field_of_study ,business.industry ,Organophosphate ,Infant, Newborn ,Parturition ,Environmental Exposure ,General Medicine ,Pesticide ,Phosphate ,Organophosphates ,030104 developmental biology ,Endocrinology ,chemistry ,Case-Control Studies ,Pediatrics, Perinatology and Child Health ,Gestation ,Female ,Surgery ,business ,Serbia - Abstract
Introduction The aim of our study was to compare the level of the most common organophosphate metabolite, dimethyl phosphate, in urine of women giving birth to both boys with cryptorchidism (study group), and healthy boys (control group), as well as to compare the level of dimethyl phosphate in our population with the results obtained in other populations. Material and methods After the ethical approval we included thirty women in both study and control groups. All newborns were born between 38 and 42weeks' gestation. Urine samples were taken on 3rd postpartal day. Gas chromatography with flame photometric detection was used to analyze dimethyl phosphate in urine following the method of Wu et al. Statistical analysis was done using Mann–Whitney test to compare the results in the two groups. Results Geometric mean of dimethyl phosphate in the study group was 7.18±8.26μg/L and the creatinine-corrected level was 5.63±5.95μg/L, and in the control group, the values are 7.98±6.75μg/L and 6.15±7.01μg/L, respectively. There was not a statistically significant difference in levels of dimethyl phosphate between these two groups ( p =0.72786). Dimethyl phosphate levels obtained in similar studies are: 14.4μg/L in Israel, 3.7μg/L in Palestine, 10.3μg/L in Jerusalem, 1.60μg/L in Caribbean islands and 2.60μg/L in Canada. Conclusions Pregnant women in our country are exposed to organophosphate pesticides, but a correlation between the exposure to organophosphate pesticides and cryptorchidism was not found. Level of evidence I. Type of study : Prognostic study, prospective study.
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- 2017
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16. Chemical composition, nutritional profile and in vivo antioxidant properties of the cultivated mushroom Coprinus comatus
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Ivan Čapo, Ana Tomas, Mira Popovic, Aleksandar Rašković, Saša Vukmirović, Ana Sabo, and Nebojša Stilinović
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0303 health sciences ,Mushroom ,Multidisciplinary ,Antioxidant ,biology ,030309 nutrition & dietetics ,Chemistry ,medicine.medical_treatment ,04 agricultural and veterinary sciences ,medicine.disease_cause ,biology.organism_classification ,040401 food science ,03 medical and health sciences ,chemistry.chemical_compound ,0404 agricultural biotechnology ,Proximate analysis ,In vivo ,medicine ,Carbon tetrachloride ,Coprinus comatus ,Food science ,Chemical composition ,Oxidative stress - Abstract
This study investigated the chemical and nutritional profile and antioxidative properties of cultivated Coprinus comatus . Proximate analysis revealed that C. comatus is rich in carbohydrates, dietary fibres and proteins, and could also be a valuable source of phenolics. Additionally, fat content is low, consisting mainly of polyunsaturated and omega-3 fatty acids. Furthermore, the safety profile of C. comatus is satisfactory, with all elements of toxicological importance within the proposed limits. Oral treatment with C. comatus for 42 days improved the antioxidant capabilities and ameliorated carbon tetrachloride-induced liver damage in rats, marked by decreased serum aminotransferase levels and lipid peroxidation intensity. Glutathione concentrations increased in a dose-dependent manner. Histological morphometric and immunohistochemical analysis confirmed antioxidative and hepatoprotective potential. These findings imply that cultivated C. comatus could be considered a nutraceutical, having beneficial nutrient and therapeutic properties.
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- 2020
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17. Binary polymeric amorphous carvedilol solid dispersions: In vitro and in vivo characterization
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Nikola Martić, Dragana Vasiljević, Svetlana Đogo Mračević, Aleksandar Rašković, Saša Vukmirović, Marko Krstić, and Luka Manić
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Male ,Polymers ,Biological Availability ,Pharmaceutical Science ,02 engineering and technology ,Kidney ,030226 pharmacology & pharmacy ,Excipients ,03 medical and health sciences ,chemistry.chemical_compound ,Crystallinity ,0302 clinical medicine ,Polymer ratio ,medicine ,Animals ,Rats, Wistar ,Carvedilol ,Dissolution ,Antihypertensive Agents ,chemistry.chemical_classification ,Drug Carriers ,Polyvinylpyrrolidone ,Polymer ,021001 nanoscience & nanotechnology ,Microcrystalline cellulose ,Solvent ,Drug Liberation ,Liver ,chemistry ,0210 nano-technology ,medicine.drug ,Nuclear chemistry - Abstract
Binary polymeric amorphous carvedilol solid dispersions were prepared using solvent method by varying solvent type, polymer type and carvedilol to polymer ratio in order to assess the influence of these factors and maximize carvedilol dissolution rate. Low and high molecular weight polyvinylpyrrolidone, polyvinylpyrrolidone-vinyl acetate copolymer and polyvinyl caprolactam-polyvinyl acetate-polyethylene glycol graft copolymer were used as polymeric carriers in carvedilol to polymer ratios 1:1, 1:2 or 1:4, while absolute ethanol or acetone were used as solvents. Hard gelatin capsules were prepared with carvedilol solid dispersion and lactose monohydrate, mannitol or microcrystalline cellulose. FTIR and PXRD were used to detect carvedilol crystallinity and identify carvedilol-polymer interactions and carvedilol polymorphs. These techniques confirmed carvedilol transition to amorphous state and suggested that hydrogen bonds were formed between carvedilol and polymer molecules. Carvedilol dissolution rate was significantly higher from solid dispersions with higher carvedilol to polymer ratio and solid dispersions prepared using the solvent in which the polymer was more soluble. Solid dispersion with polyvinylpyrrolidone-vinyl acetate copolymer in 1:4 ratio in absolute ethanol displayed the highest carvedilol dissolution rate with 91.78% carvedilol dissolved in the first 30 min. Capsules prepared with the selected solid dispersion and microcrystalline cellulose as diluent displayed the highest carvedilol dissolution rate, with 93.43% carvedilol dissolved within the first 30 min. Carvedilol bioavailability was significantly increased by formulating solid dispersions, while the analysis of serum biochemical parameters excluded damage on liver and kidney function and the lipid profile of animals exposed to investigated drug delivery system.
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- 2020
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18. THE INFLUENCE OF ROSEMARY ESSENTIAL OIL APPLIED PER OS ON THE PHARMACODYNAMIC AND PHARMACOKINETIC PROPERTIES OF PARACETAMOL
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Momir Mikov, Isidora Milanovic, Saša Vukmirović, Nebojša Stilinović, and Aleksandar Rašković
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education.field_of_study ,business.industry ,Analgesic ,Population ,Pharmacology ,law.invention ,Pharmacokinetics ,law ,Pharmacodynamics ,Medicine ,business ,education ,Hplc method ,Articular pain ,Essential oil - Abstract
Introduction: Rosemary essential oil can be used for treating dyspepsia, mild spasmodic disorders of thegastrointestinal tract, externally as analgetic in muscular and articular pain and minor peripheral circulatory disorders.It is important to explore its analgesic potential and its influence on the pharmacodynamic and pharmacokineticproperties of paracetamol. Methodology: Rosemary essential oil was applied to mice orally (doses: 10 and 20 mg/kgb.w.) for pharmacodynamic tests for seven days. Rats treated with rosemary essential oil for seven days orally (5 and10 mg/kg b.w.) were used for the examination of the influence of essential oil on the pharmacokinetic properties ofparacetamol (applied on the 7th day p.o. or i.v.). Pharmacokinetic parameters were analyzed in blood samples obtainedfrom rats' tail veins, with the HPLC method. Results: The essential oil of rosemary shows analgetic properties. Therosemary essential oil increases pharmacological effects of paracetamol and does not change paracetamolbioavailability. Conclusion: The herbal drugs could change the pharmacodynamic and the pharmacokinetic propertiesof classical drugs and they could also change the safety of classical drugs use in human population.
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- 2018
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19. Pharmacokinetic Herb-Drug Interaction between Essential Oil of Aniseed (Pimpinella anisum L., Apiaceae) and Acetaminophen and Caffeine: A Potential Risk for Clinical Practice
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Biljana Božin, Stojan Petković, Isidora Samojlik, Vesna Mijatović, Saša Vukmirović, and Nebojša Stilinović
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0301 basic medicine ,Pharmacology ,Drug ,biology ,Chemistry ,media_common.quotation_subject ,Pimpinella ,biology.organism_classification ,Acetaminophen ,Bioavailability ,law.invention ,03 medical and health sciences ,chemistry.chemical_compound ,030104 developmental biology ,0302 clinical medicine ,Pharmacokinetics ,law ,030220 oncology & carcinogenesis ,Pimpinella anisum ,medicine ,Caffeine ,Essential oil ,medicine.drug ,media_common - Abstract
Aniseed (Pimpinella anisum L., Apiaceae) and its essential oil (EO) have been widely used. Because there are some data about the impact of aniseed EO on drug effects, this survey aimed to assess the potential of pharmacokinetic herb-drug interaction between aniseed EO and acetaminophen and caffeine in mice. The chemical analysis (gas chromatography-mass spectrometry) of aniseed EO has confirmed trans-anethole (87.96%) as the main component. The pharmacokinetic studies of intraperitoneally (i.p.) and orally applied acetaminophen (200 mg/kg) and caffeine (20 mg/kg) were performed in mice after 5 days of oral treatment with human equivalent dose of aniseed EO (0.3 mg/kg/day). The analysis of pharmacokinetic data showed that in the group treated by aniseed EO, the significant decrease in the peak plasma concentration of acetaminophen after oral application (p = 0.024) was revealed when compared with control group and the reduction of systemic exposure to the drug after oral application (74 ± 32% vs. 85 ± 35% in the control) was noted. The bioavailability of orally applied caffeine was also significantly decreased (p = 0.022) after the EO treatment in comparison with the control (57 ± 24% vs. 101 ± 29%). Therefore, the compromised therapeutic efficacy of acetaminophen and caffeine during the usage of aniseed EO preparations should be considered.
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- 2015
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20. Human exposure to endocrine disrupting chemicals as a prenatal risk factor for cryptorchidism
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Ivana Fratrić, Dragana Živković, and Saša Vukmirović
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medicine.medical_specialty ,Endocrinology ,Human exposure ,business.industry ,Prenatal risk ,Internal medicine ,Pediatrics, Perinatology and Child Health ,medicine ,Physiology ,Endocrine system ,business - Published
- 2015
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21. Relationship between outpatient antibiotic use and the prevalence of bacterial infections in Montenegro
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Saša Vukmirović, Nebojša Stilinović, Olga Horvat, Ljiljana Tomic, Majda Sahman-Zaimovic, and N. Tomic
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0301 basic medicine ,medicine.medical_specialty ,Pediatrics ,Time Factors ,medicine.drug_class ,030106 microbiology ,Antibiotics ,prevalence ,03 medical and health sciences ,Antimicrobial Stewardship ,Antibiotic resistance ,anti-bacterial agents ,Drug Utilization Review ,Ambulatory care ,Internal medicine ,Clavulanic acid ,medicine ,Ambulatory Care ,Prevalence ,Antimicrobial stewardship ,Humans ,Pharmacology (medical) ,Practice Patterns, Physicians' ,lcsh:R5-920 ,montenegro ,Respiratory tract infections ,business.industry ,bacterial infection ,Bacterial Infections ,Amoxicillin ,3. Good health ,outpatients ,Anti-Bacterial Agents ,Montenegro ,Defined daily dose ,Practice Guidelines as Topic ,Guideline Adherence ,lcsh:Medicine (General) ,business ,medicine.drug - Abstract
Background/Aim. The overuse of antibiotics unnecessarily exposes patients to risk of side effects, encourages reconsultation for similar problems and enhances antimicrobial resistance. The use of antibiotics in the year 2011 in Montenegro was high (39.05 Defined Daily Dose ? DDD/1,000 inhabitants/day), but it was not considered in relation to the frequency of bacterial diseases. The aim of our study was to determine the degree of conformance between the amount of outpatient antibiotic consumption and the reported prevalence of outpatient bacterial infections in the Republic of Montenegro. Methods. Data on the use of antibacterial drugs was obtained from the Agency for Medicines and Medical Devices of Montenegro for the year 2012. The amount of antibiotics was calculated using the Anatomic Therapeutic Chemical (ATC) DDD methodology. Data on the prevalence of outpatient infective disease was obtained from the Health Statistical Yearbook 2012 of Montenegro and it was expressed per 1,000 inhabitants. Results. A total of 30.34 DDD/1,000 inhabitants/day of antibiotics in outpatients were prescribed in Montenegro in 2012, with penicillins being most frequently prescribed. Amoxicillin and amoxicillin with clavulanic acid were the most frequently used antibiotics. The prevalence of outpatient bacterial infections was 6,745 cases or 10.87/1,000. The most frequent infections were respiratory tract infections. Less than 50% of the prescribed amount of antibiotics were prescribed in accordance with national guidelines on treatment of bacterial infections. Conclusion. Use of antibiotics in Montenegro in 2012 was more than double than necessary according to prevalence of bacterial infections and average duration of treatment. The structure of antibiotics was not in full compliance with the national good practice guidelines, but it was in accordance with data on bacterial antibiotic resistance in outpatient practice. It is necessary to initiate measures to rationalize the use of antibiotics both in terms of quantity and in terms of the structure of the most used antibiotics.
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- 2018
22. Structural insights into anticancer activity of D-ring modified estrone derivatives using their lipophilicity in estimation of SAR and molecular docking studies
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Vladan Borčić, Saša Vukmirović, Momir Mikov, and Jovana Trifunović
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0301 basic medicine ,Quantitative structure–activity relationship ,Estrone ,Stereochemistry ,Quantitative Structure-Activity Relationship ,Pharmaceutical Science ,Antineoplastic Agents ,Models, Biological ,01 natural sciences ,Intestinal absorption ,Analytical Chemistry ,03 medical and health sciences ,Pharmacokinetics ,Computational chemistry ,Neoplasms ,Drug Discovery ,Humans ,Environmental Chemistry ,Molecule ,High performance thin layer chromatography ,Spectroscopy ,Chemistry ,010401 analytical chemistry ,0104 chemical sciences ,Molecular Docking Simulation ,030104 developmental biology ,Drug development ,Docking (molecular) ,Lipophilicity ,Chromatography, Thin Layer ,Caco-2 Cells - Abstract
Many forms of breast carcinoma are hormone-dependent and therefore development of novel aromatase inhibitors is of particular interest. Since brain metastases are frequent in patients with advanced breast carcinoma, one of the goals of modern drug development is the discovery of drugs with specific pharmacokinetic profile. High performance thin layer chromatography (HPTLC) is often used to determine lipophilicity of the molecules based on their retention constant. As a predictive analysis, multiple linear regression method was performed to connect pharmacokinetic-dependent parameters with independent physicochemical properties such are: RM0 , TPSA and Mw of fourteen D-ring modified oestrone derivatives. Additionally, docking studies were performed. Conducted correlation analysis indicates excellent dependence between experimental RM parameter values and calculated values of pharmacokinetic parameters. Results show sufficient intestinal absorption of all the investigated molecules as well as moderate volumes of distribution and strong affinity for binding to plasma proteins. Crossing blood-brain barrier is predicted to be successful for 11 compounds. The created quantitative structure activity relationship model represents an excellent predictive tool and enables determination of pharmacokinetic properties of examined compounds. Docking analysis defined molecules I3 and II3 to be the best candidates; however, compound II3 violates the Lipinski rule. It has been concluded that molecules with hydroxyl group at C-3 more effectively pass through blood-brain barrier while structures with benzyloxy groups have stronger interactions with CYP1A19. Molecules II2 , II4 , II6 , and II7 are regarded as most suitable candidates for further investigation considering their good pharmacokinetic and docking characteristics. Copyright © 2017 John Wiley & Sons, Ltd.
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- 2017
23. Cardiovascular effects of methadone and concomitant use of diazepam during methadone maintenance treatment induction: low concentration risk
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Arsen Uvelin, Stojan Petković, Aleksandra Dickov, Vesna Mijatović, Isidora Samojlik, and Saša Vukmirović
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QTC PROLONGATION ,Adult ,Male ,Methadone maintenance ,Time Factors ,Pilot Projects ,030204 cardiovascular system & hematology ,Pharmacology ,03 medical and health sciences ,Electrocardiography ,0302 clinical medicine ,medicine ,Opiate Substitution Treatment ,Humans ,Hypnotics and Sedatives ,Pharmacology (medical) ,In patient ,Drug Interactions ,cardiovascular diseases ,030212 general & internal medicine ,Prospective Studies ,Volume concentration ,Diazepam ,Dose-Response Relationship, Drug ,business.industry ,Opioid use disorder ,General Medicine ,medicine.disease ,Opioid-Related Disorders ,3. Good health ,Long QT Syndrome ,Anesthesia ,Concomitant ,Female ,business ,Methadone ,medicine.drug - Abstract
The aim is to evaluate the role of diazepam concentrations in development of low-concentration-methadone-associated QTc prolongation in patients with opioid use disorder during methadone maintenance treatment (MMT) induction.Individuals with addiction disorder on MMT were studied before the beginning of MMT and after one and six months of MMT. Serum concentrations of methadone, diazepam, electrolytes and ECG were analyzed.Thirty patients were enrolled. The mean methadone concentration at time points was 177 ± 119 ng/ml and 343 ± 182 ng/ml, while the mean diazepam concentration was 561 ± 437 ng/ml and 1045 ± 933 ng/ml. The QTc interval before the introduction of MMT, after 1 and 6 months of MMT were 412 ± 27 ms, 425 ± 18 ms and 424 ± 15 ms, respectively, showing statistically significant increase in the length of QTc interval after 1 and 6 months of MMT. Statistically significant correlation between the concentration of methadone and QTc interval length at observed time points (RThe prolongation of QTc below the risk threshold in low methadone therapeutic doses has been recorded and concomitant use of diazepam could be a co-factor in such issue.
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- 2017
24. Determination of electrical parameters of dried blood spot samples with different concentration of methotrexate
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Goran Stojanovic, Saša Vukmirović, Momir Mikov, Zoran Stamenkovic, Jelena Laketa, Milan Radovanovic, and Tijana Kojic
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0301 basic medicine ,Materials science ,Chromatography ,Filter paper ,010401 analytical chemistry ,Satellite broadcasting ,01 natural sciences ,0104 chemical sciences ,Dried blood spot ,Impedance analyzer ,03 medical and health sciences ,030104 developmental biology ,medicine ,Methotrexate ,Dried blood ,medicine.drug - Abstract
The dried blood spot (DBS), a sample of filter paper bearing dried blood, has been applied in the field of clinical chemistry and pharmaceutical industry, for detection of different diseases and for drug development. This paper presents electrical characterization of DBS samples with different concentrations of a chemotherapy agent — drug methotrexate (MTX). Experimental characterization was conducted using a Hall-effect measurement system, profilometer, and impedance analyzer. Obtained results revealed that mobility decreases and resistivity increases with an increase of MTX concentration in DBS samples.
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- 2017
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25. Influence of Bile Salts as Excipients in Ranitidine, Aminophylline and Phenobarbital Tablets on Dissolution Rate
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Momir Mikov, Saša Vukmirović, Ksenija Kuhajda, Slavko Kevrešan, Jelena Cvejić, Marta Pocuca, and Nebojša Stilinović
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Drug ,medicine.drug_class ,media_common.quotation_subject ,Sodium ,Excipient ,chemistry.chemical_element ,Pharmacology ,030226 pharmacology & pharmacy ,01 natural sciences ,Ranitidine ,03 medical and health sciences ,0302 clinical medicine ,0103 physical sciences ,medicine ,Sodium Cholate ,media_common ,Chromatography ,010304 chemical physics ,Bile acid ,business.industry ,General Medicine ,chemistry ,Phenobarbital ,Aminophylline ,business ,medicine.drug - Abstract
Aim: The aim of this study is to investigate the influence of bile salts, sodium cholate, sodium 12-ketocholate and sodium dehydrocholate, as excipients in ranitidine, aminophylline and phenobarbital tablets on dissolution rate. Methods: Four groups of tablets (control without bile salts and three investigational groups containing different bile salts) were prepared for three different drug substances: ranitidine, aminophylline and phenobarbital. Dissolution rate was measured. Results: Dissolution rate is increased significantly in all investigational groups comparing to the control group in all three drug substances. Discussion: Presented results are very favourable and encouraging in case of dissolution enhancing and should be further investigated, especially in drug substances that are classified in class II and IV as per Biopharmaceutical Classification System (BCS) classification. Conclusion: Bile acid salts are very promising excipients, proven to act as surfactants and as lubricants. Running title: Bile salts as excipients in ranitidine, aminophylline and phenobarbital tablets.
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- 2017
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26. Insight into anti-diabetic effect of low dose of stevioside
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Vladimirka Ilić, Saša Vukmirović, Nebojša Stilinović, Ivan Čapo, Boris Milijašević, and Milan Arsenović
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0301 basic medicine ,Blood Glucose ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,Protein metabolism ,030226 pharmacology & pharmacy ,Diabetes Mellitus, Experimental ,03 medical and health sciences ,chemistry.chemical_compound ,Mice ,0302 clinical medicine ,Glucosides ,Internal medicine ,Alloxan ,Diabetes mellitus ,medicine ,Animals ,Hypoglycemic Agents ,Insulin ,Stevia ,Stevioside ,Saline ,Pharmacology ,Chemistry ,Plant Extracts ,General Medicine ,Carbohydrate ,Glucose Tolerance Test ,medicine.disease ,Stevia rebaudiana ,030104 developmental biology ,Endocrinology ,Diabetes Mellitus, Type 2 ,Hyperglycemia ,Diterpenes, Kaurane ,Phytotherapy - Abstract
Diabetes mellitus is a chronic disease characterized by abnormal carbohydrate, lipid and protein metabolism due to a lack of insulin or reduced target cell sensitivity to insulin. Stevia rebaudiana is an important source of biochemically active substances with proven anti-diabetic effect. The aim of this study was to determine anti-diabetic effects of the low dose of stevioside in NMRI Haan mice. Aqueous stevioside solution (20mg/kg body weight) was administered by oral route of administration. Anti-diabetic effect of stevioside was estimated by oral glucose tolerance test, adrenaline test after a 10day stevioside treatment, and alloxan induced hyperglycaemia in mice (two experimental groups, 10day stevioside treatment before and after alloxan administration). Aqueous stevioside solution prevented significant increase in glycaemia in oral glucose tolerance test (9.22±1.13 to 9.85±1.32mmol/l, P
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- 2016
27. Bile acids and their oxo derivatives: environmentally safe materials for drug design and delivery
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Momir Mikov, Jovana Trifunović, Saša Vukmirović, Vladan Borčić, and Velibor Vasović
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0301 basic medicine ,Drug ,Animal Use Alternatives ,Aquatic Organisms ,Health, Toxicology and Mutagenesis ,media_common.quotation_subject ,Expert Systems ,010501 environmental sciences ,Biology ,Toxicology ,01 natural sciences ,In vivo tests ,Daphnia ,Ames test ,Bile Acids and Salts ,Lethal Dose 50 ,03 medical and health sciences ,Mice ,Drug Delivery Systems ,Toxicity Tests, Acute ,Organic chemistry ,Ecotoxicology ,Animals ,Computer Simulation ,0105 earth and related environmental sciences ,media_common ,Pharmacology ,Chemical Health and Safety ,Chromatography ,Mutagenicity Tests ,Public Health, Environmental and Occupational Health ,Computational Biology ,General Medicine ,Drugs, Investigational ,biology.organism_classification ,Rats ,030104 developmental biology ,Drug Design ,Toxicity ,Lipophilicity ,Correlation analysis ,bacteria ,Chromatography, Thin Layer ,Hydrophobic and Hydrophilic Interactions ,Oxidation-Reduction - Abstract
Purpose: Animal tests have been often used in toxicology to determine parameters describing toxicity of a particular substance. However, in vivo tests must fulfill ethical requirements, and are both time and money consuming. Therefore, computational methods are considered to be very useful in toxicity prediction. Methods: Retention parameters were acquired by normal-phase TLC. Lipophilicity was used as a key parameter for predicting toxic potential. The correlation coefficients between calculated log P values obtained by five different software and experimentally determined hydrophobicity parameters ((tol/et), (tol/but), b(tol/et) and b(tol/but)) were calculated. Results: Correlation analysis provided reliable information (r2 > 0,8) for aquatic species – minnow, medaka, daphnia, and algae. In addition valuable data regarding rodents and AMES test were obtained. Conclusions: Tested bile acids show relatively good toxicological properties. Less toxic effects are noticed in compounds with higher pola...
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- 2016
28. Assessment of the pharmacokinetic profile of novel s-triazine derivatives and their potential use in treatment of Alzheimer's disease
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Saša Vukmirović, Momir Mikov, Vladan Borčić, and Jovana Trifunović
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0301 basic medicine ,Quantitative structure–activity relationship ,Pharmacology ,Molecular Docking Simulation ,General Biochemistry, Genetics and Molecular Biology ,Intestinal absorption ,Polar surface area ,03 medical and health sciences ,0302 clinical medicine ,Pharmacokinetics ,Alzheimer Disease ,medicine ,Humans ,General Pharmacology, Toxicology and Pharmaceutics ,Chemistry ,Triazines ,General Medicine ,medicine.disease ,030104 developmental biology ,Solubility ,Docking (molecular) ,Drug Design ,Lipophilicity ,Acetylcholinesterase ,Cholinesterase Inhibitors ,Alzheimer's disease ,030217 neurology & neurosurgery - Abstract
Aims The current treatment of Alzheimer's disease is purely symptomatic. Scientists are looking for new treatment options which could alter the course of the disease and improve the quality of life in patients with Alzheimer's disease. In this paper 14 novel s-triazine molecules have been evaluated for their lipophilicity. In addition docking study was carried out to evaluate acetylcholinesterase activity of these compounds. Main methods Lipophilicity was evaluated by RP HPTLC using 5 different mobile phases and obtained results were used in calculations of pharmacokinetic parameters - logBB, Ka and Pej. Multiple linear regression analysis was refined, taking account of molecular polarity (total polar surface area, TPSA) and molecular weight (Mw) descriptors. Appropriate QSAR models were developed. Docking studies were carried out using the Vina docking. Key findings Five out of fourteen compounds evaluated [5-10] are selected as the most promising compounds with satisfactory pharmacokinetic properties and good docking scores. Significance Compound 10 possesses the best combination of favourable pharmacokinetic characteristics (brain penetration, intestinal absorption) and capacity for acetylcholinesterase inhibition. Consequently this molecule should be further evaluated for potential therapeutic use in Alzheimer's disease.
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- 2016
29. Retention data of bile acids and their oxo derivatives in characterization of pharmacokinetic properties and in silico ADME modeling
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Jovana Trifunović, Momir Mikov, Svetlana Goločorbin Kon, Vladan Borčić, and Saša Vukmirović
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Pharmaceutical Science ,Receptors, Cytoplasmic and Nuclear ,01 natural sciences ,Models, Biological ,Intestinal absorption ,Madin Darby Canine Kidney Cells ,Receptors, G-Protein-Coupled ,Bile Acids and Salts ,chemistry.chemical_compound ,1-Butanol ,Dogs ,Pharmacokinetics ,medicine ,Organic chemistry ,Animals ,Humans ,Computer Simulation ,ADME ,Chromatography ,Ethanol ,010405 organic chemistry ,Butanol ,010401 analytical chemistry ,Water ,Blood Proteins ,1-Octanol ,Toluene ,Ursodeoxycholic acid ,0104 chemical sciences ,Partition coefficient ,Jejunum ,chemistry ,Intestinal Absorption ,Lipophilicity ,medicine.drug - Abstract
Purpose Information on ADME properties of examined bile acids and their oxo derivatives are scarce, although the interest for bile acids and their use in nanochemistry and macromolecular chemistry is increasing. The purpose of this research was to evaluate the lipophilicity, a crucial physicochemical parameter for describing ADME properties of selected bile acids and their oxo derivatives, and to compare two approaches: experimentally determined hydrophobicity parameters and calculated log P values. Methods Commercially available bile acids - deoxycholic, chenodeoxycholic, hyodeoxycholic and ursodeoxycholic acid were used to synthesize oxo derivatives. Lipophilicity was evaluated in two solvent systems: toluene/ethanol and toluene/butanol. Retention parameters were acquired by normal-phase TLC. The correlations between calculated log P values obtained using five different software and experimentally determined hydrophobicity parameters ( R M 0 (tol/eth) , R M 0 (tol/but) , b (tol/eth) and b (tol/but) ) were examined. Results Correlation analysis confirmed significant dependence between experimental R M 0 values and software calculated parameters. Results suggest satisfactory intestinal absorption after oral administration for all of the examined compounds as well as low volumes of distribution, and high affinity for binding with plasma proteins. Penetration through blood-brain barrier and skin is not satisfactory. All of the examined compounds show high affinity for binding with G-protein coupled receptors and consequently inhibition of ionic channels. Results also suggest possible binding with nuclear receptors. Conclusions Established lipophilicity testing model of studied compounds showed excellent predictive ability and might represent significant tool in development of relations between chromatographic behavior and ADME properties. Compounds 3α-hydroxy-7,12-dioxo-5β-cholanoic and 12α-hydroxy-3,7-dioxo-5β-cholanoic acid might be the most suitable candidates for further development studies (satisfactory pharmacokinetic properties and lowest haemolytic potential) followed by 3α-hydroxy-12-oxo-5β-cholanoic acid and 3α-hydroxy-7-oxo-5β-cholanoic acid (slightly higher haemolytic potential, but better ligand properties).
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- 2016
30. Patient opinion and knowledge on drug use: a pilot study
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Saša Vukmirović
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Drug ,medicine.medical_specialty ,business.industry ,Family medicine ,media_common.quotation_subject ,Medicine ,business ,media_common - Published
- 2018
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31. Pharmacodynamic action of a commercial preparation of the mushroom Coprinus comatus in rats
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Nebojša Stilinović, Zoran Bukumiric, Vida Jakovljevic, Ivan Čapo, Ana Sabo, and Saša Vukmirović
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Pharmacology ,medicine.medical_specialty ,biology ,business.industry ,Coprinus ,Histology ,Pharmacognosy ,biology.organism_classification ,chemistry.chemical_compound ,Endocrinology ,chemistry ,Internal medicine ,Alloxan ,Edema ,Pharmacodynamics ,Medicine ,Coprinus comatus ,Antipyretic ,medicine.symptom ,business ,medicine.drug - Abstract
The pharmacodynamic effect of a 7-day oral treatment with a suspension of Coprinus comatus at doses of 0.835 and 1.670 g/kg in rats was studied. Changes in body weight, bile secretion and hypoglycaemic action were examined together with antipyretic activity and paw oedema tests. Such treatments resulted in a significantly lower increase in the body weight of tested animals (15.73 ± 8.36 g/rat in the untreated group, 8.44 ± 8.23 g/rat (p < 0.05) and 3.18 ± 7.93 g/rat (p < 0.05), for C. comatus 0.835 and 1.67 g/kg, respectively). Hypoglycaemic action was evident only in the glucose load test (6.79 ± 0.61 to 9.70 ± 1.16 (p < 0.05) in the untreated group and 6.47 ± 0.35 to 7.27 ± 0.76 for C. comatus 1.67 g/kg). Histological examination of pancreas cross-sections suggested certain protective functions of the mushroom suspension in alloxan poisoning. In the antipyretic test, a significantly lower increase in body temperature was observed in the mushroom-pretreated rats. In the paw oedema test, no decrease in oedema induced by formalin injection was observed following treatment with C. comatus.
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- 2010
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32. Fermentation Potentiates Antimotility Properties of Chamomile Ligulate Flower Extracts
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Momir Mikov, Saša Vukmirović, Boris Milijašević, Jovana Trifunović, Ana Tthomas, and Milica Paut Kusturica
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0106 biological sciences ,0301 basic medicine ,Meal ,030109 nutrition & dietetics ,biology ,Traditional medicine ,medicine.medical_treatment ,Pharmaceutical Science ,Motility ,Asteraceae ,biology.organism_classification ,01 natural sciences ,Intestinal motility ,03 medical and health sciences ,chemistry.chemical_compound ,Glucoside ,chemistry ,Botany ,Apigenin ,medicine ,Fermentation ,Saline ,010606 plant biology & botany - Abstract
Matricaria recutita L. (Asteraceae) is one of the most ancient medical herbs, although the therapeutic uses and health benefits of chamomile are based largely on tradition. The present study aimed to investigate the effects of chamomile extract on the intestinal motility. Due to the fact that preparation techniques could significantly alter the glucoside content in the chamomile, we also explored the possible differences in the effects on gastrointestinal motility between native and fermented chamomile extract. Thirty minutes after the administration of saline or chamomile ligulate flower extracts, all animals were orally administered charcoal meal by gavage (0.6 ml emulsion–0.4 g Carbo medicinalis and 0.2 g Gummi arabicum in 10 ml of olive oil). Animals were sacrificed by cervical dislocation 30 min after charcoal meal administration. Intestinal motility was estimated according to the distance between Carbo medicinalis and pylorus in centimeters. Both native and fermented extract decreased intestinal motility compared to control. Native chamomile extract (5 mg/kg) and fermented chamomile extract (2.5 mg/kg) significantly decreased intestinal motility compared to control group (NE5=27.41±2.79, P
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- 2016
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33. The influence of bile salts on the distribution of simvastatin in the octanol/buffer system
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Bojan Stanimirov, Nebojša Pavlović, Saša Vukmirović, Katarina Nikolic, Maja Đanić, Danica Agbaba, and Momir Mikov
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0301 basic medicine ,Octanol ,Octanols ,Simvastatin ,Pharmaceutical Science ,Buffers ,030226 pharmacology & pharmacy ,Bile Acids and Salts ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Drug Discovery ,Solubility ,Pharmacology ,chemistry.chemical_classification ,Chromatography ,Aqueous solution ,Chemistry ,Anticholesteremic Agents ,Organic Chemistry ,Aqueous two-phase system ,Biological membrane ,Bioavailability ,Partition coefficient ,030104 developmental biology ,Lactone - Abstract
Introduction: Distribution coefficient (D) is useful parameter for evaluating drugs permeability properties across biological membranes, which are of importance for drugs bioavailability. Given that bile acids are intensively studied as drug permeation-modifying and -solubilizing agents, the aim of this study was to estimate the influence of sodium salts of cholic (CA), deoxycholic (DCA) and 12-monoketocholic acids (MKC) on distribution coefficient of simvastatin (SV) (lactone [SVL] and acid form [SVA]) which is a highly lipophilic compound with extremely low water solubility and bioavailability.Methods: LogD values of SVA and SVL with or without bile salts were measured by liquid-liquid extraction in n-octanol/buffer systems at pH 5 and 7.4. SV concentrations in aqueous phase were determined by HPLC-DAD. Chem3D Ultra program was applied for computation of physico-chemical properties of analyzed compounds and their complexes.Results: Statistically significant decrease in both SVA and SVL logD was observed for all three studied bile salts at both selected pH. MKC exerted the most pronounced effect in the case of SVA while there were no statistically significant differences between observed bile salts for SVL. The calculated physico-chemical properties of analyzed compounds and their complexes supported experimental results.Conclusions: Our data indicate that the addition of bile salts into the n-octanol/buffer system decreases the values of SV distribution coefficient at both studied pH values. This may be the result of the formation of hydrophilic complexes increasing the solubility of SV that could consequently impact the pharmacokinetic parameters of SV and the final drug response in patients.
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- 2015
34. Pharmacokinetic Herb-Drug Interaction between Essential Oil of Aniseed (Pimpinella anisum L., Apiaceae) and Acetaminophen and Caffeine: A Potential Risk for Clinical Practice
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Isidora, Samojlik, Stojan, Petković, Nebojša, Stilinović, Saša, Vukmirović, Vesna, Mijatović, and Biljana, Božin
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Male ,Pimpinella ,Herb-Drug Interactions ,Parasympatholytics ,Allylbenzene Derivatives ,Anisoles ,Gas Chromatography-Mass Spectrometry ,Mice ,Caffeine ,Fruit ,Oils, Volatile ,Animals ,Plant Oils ,Acetaminophen - Abstract
Aniseed (Pimpinella anisum L., Apiaceae) and its essential oil (EO) have been widely used. Because there are some data about the impact of aniseed EO on drug effects, this survey aimed to assess the potential of pharmacokinetic herb-drug interaction between aniseed EO and acetaminophen and caffeine in mice. The chemical analysis (gas chromatography-mass spectrometry) of aniseed EO has confirmed trans-anethole (87.96%) as the main component. The pharmacokinetic studies of intraperitoneally (i.p.) and orally applied acetaminophen (200 mg/kg) and caffeine (20 mg/kg) were performed in mice after 5 days of oral treatment with human equivalent dose of aniseed EO (0.3 mg/kg/day). The analysis of pharmacokinetic data showed that in the group treated by aniseed EO, the significant decrease in the peak plasma concentration of acetaminophen after oral application (p = 0.024) was revealed when compared with control group and the reduction of systemic exposure to the drug after oral application (74 ± 32% vs. 85 ± 35% in the control) was noted. The bioavailability of orally applied caffeine was also significantly decreased (p = 0.022) after the EO treatment in comparison with the control (57 ± 24% vs. 101 ± 29%). Therefore, the compromised therapeutic efficacy of acetaminophen and caffeine during the usage of aniseed EO preparations should be considered.
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- 2015
35. Effect of rat pretreatment with aqueous solutions of stevioside and bile acids on the action of certain cardioactive drugs
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Aleksandar Rašković, Momir Mikov, Velibor Vasović, Mihalj Poša, Vida Jakovljevic, and Saša Vukmirović
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Male ,medicine.medical_specialty ,Epinephrine ,medicine.drug_class ,medicine.medical_treatment ,Pharmacology ,Antiarrhythmic agent ,Bile Acids and Salts ,Electrocardiography ,Glucosides ,Heart Conduction System ,Heart Rate ,Internal medicine ,Heart rate ,medicine ,Animals ,Drug Interactions ,Pharmacology (medical) ,Stevioside ,Rats, Wistar ,Metoprolol ,Bile acid ,Chemistry ,Cardiovascular Agents ,Cholic Acids ,Heart ,Rats ,Solutions ,Endocrinology ,Verapamil ,Sweetening Agents ,Toxicity ,Diterpenes, Kaurane ,medicine.drug - Abstract
The interaction of aqueous solutions of stevioside and bile acids with cardioactive drugs was studied in rats by registering changes in their electrocardiograms (ECG). Wistar rats of both sexes received daily doses of 20 mg/kg (i.p.) of an aqueous solution of stevioside or physiological solution (controls), then were narcotized with urethane and connected to the ECG apparatus for the first recording. The jugular vein was prepared and connected to an infusion pump to administer one of the drugs: adrenaline (0.1 mg/ml), verapamil (2.5 mg/ml) or metoprolol (1 mg/ml) to rats in both groups, while recording their ECGs. In the second part of the study, the animals were treated in the same way but instead of the stevioside solution received a single dose of 4 mg/kg of monoketocholic acid methyl ester (ME) or sodium salt of the same bile acid (MKHNa), 30 minutes before cardioactive drug infusion. The infusion rate of cardioactive drugs was 0.2 ml/min, except for verapamil (0.1 ml/min). The events observed on ECG recordings were the first myocardial reaction to drug infusion, the second longer-lasting reaction (observed as more extended extrasystoles, decrease in intensity of the QRS complex, or changes in heart rate frequency), and toxicity effect. In the control animals, adrenaline induced a decrease in heart rate frequency at a dose of 0.094 mg/kg, while with stevioside-pretreated rats this effect appeared significantly earlier (at a dose of 0.018 mg/kg). No toxic effect of adrenaline was observed, either in control or stevioside-pretreated group. Bile acids caused no changes in myocardial reaction to adrenaline. Only in the group of animals that received MKHNa, a significant decrease in the QRS complex was observed. Finally, the infusion of stevioside to intact animals at doses of 45 and 55 mg/kg caused no significant changes in the ECG patterns. The myocardial reaction to metoprolol remained unchanged in rats of all groups when compared with controls except for a mild decrease in heart rate frequency. Stevioside induced/produced a significant increase in myocardial sensitivity to verapamil, but no toxic effect was observed in any of the cases. A similar conclusion also holds for the interaction with MKHNa, whereas ME caused an increase in the toxicity of verapamil.
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- 2006
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36. Counterfeit Drugs as A Common Risk For The Successful Treatment
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Momir Mikov, Mladena Lalić-Popović, J. Cvejić Hogervorst, Nebojša Pavlović, Svetlana Goločorbin-Kon, V. Maksimovic, and Saša Vukmirović
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Pharmacology ,medicine.medical_specialty ,business.industry ,Medicine ,Pharmacology (medical) ,business ,Intensive care medicine ,Counterfeit Drugs - Published
- 2017
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37. Use of Calcium Channel Blockers in Serbia in the Period from 2008 to 2012 Year
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Zdenko Tomić, Aleksandar Rašković, Saša Vukmirović, Boris Milijašević, N. Tomic, and D. Milijasevic
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Animal science ,business.industry ,Calcium channel ,Period (gene) ,Health Policy ,Public Health, Environmental and Occupational Health ,Medicine ,business - Published
- 2014
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38. The level of elements and antioxidant activity of commercial dietary supplement formulations based on edible mushrooms
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Biljana Škrbić, Saša Vukmirović, Jelena Živančev, Nebojša Stilinović, Nebojša Pavlović, and Nataša Mrmoš
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Chromium ,Antioxidant ,Reishi ,medicine.medical_treatment ,Chemistry, Pharmaceutical ,Iron ,chemistry.chemical_element ,Antioxidants ,law.invention ,Arsenic ,Coprinus ,law ,Botany ,medicine ,Food science ,Cadmium ,Mushroom ,Cordyceps ,biology ,Phenol ,Spectrophotometry, Atomic ,General Medicine ,biology.organism_classification ,chemistry ,Dietary Supplements ,Coprinus comatus ,Atomic absorption spectroscopy ,Agaricales ,Copper ,Food Science - Abstract
Commercial preparations of Cordyceps sinensis, Ganoderma lucidum and Coprinus comatus mushroom marketed as healthy food supplements in Serbia were analyzed by atomic absorption spectrometry with a graphite furnace (GFAAS) for their element content. Antioxidant activity potential and total phenolics of the same mushrooms were determined. The element content of mushroom samples was in the range of 0.130-0.360 mg kg(-1) for lead (Pb)
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- 2014
39. Effect of aqueous solution of stevioside on pharmacological properties of some cardioactive drugs
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Velibor Vasović, Boris Milijašević, Momir Mikov, Zorana Budakov, Aleksandar Rašković, Ivan Mikov, and Saša Vukmirović
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Male ,medicine.medical_specialty ,verapamil ,Epinephrine ,medicine.medical_treatment ,electrocardiography ,01 natural sciences ,03 medical and health sciences ,0302 clinical medicine ,Glucosides ,Heart Rate ,Internal medicine ,stevia ,Heart rate ,medicine ,Infusion pump ,Animals ,Pharmacology (medical) ,Drug Interactions ,Stevioside ,epinephrine ,Rats, Wistar ,Saline ,Metoprolol ,lcsh:R5-920 ,010405 organic chemistry ,Chemistry ,phytotherapy ,Cardiovascular Agents ,metoprolol ,3. Good health ,0104 chemical sciences ,Rats ,rats ,Solutions ,Endocrinology ,Verapamil ,030220 oncology & carcinogenesis ,Pharmacodynamics ,Sweetening Agents ,Female ,lcsh:Medicine (General) ,Diterpenes, Kaurane ,medicine.drug - Abstract
Background/Aim. Stevioside is a glycoside that supposedly possesses a number of pharmacodynamic effects such as anti-infective, hypoglycemic, along with the beneficial influence on the cardiovascular system. The aim of this study was to determine the effect of rats pretreatment with aqueous solution of stevioside on pharmacological actions of adrenaline, metoprolol and verapamil. Methods. Rats were administered (intraperitoneally 200 mg/kg/day) stevioside as aqueous solution or physiological saline in the course of 5 days, then anaesthetized with urethane and the first ECG recording was made. The prepared jugular vein was connected to an infusion pump with adrenaline (0.1 mg/mL), verapamil (2.5 mg/mL) or metoprolol (1 mg/mL). Control animals, pretreated with saline, in addition to the mentioned drugs, were also infused with the solution of stevioside (200 mg/mL) in the course of recording ECG. Results. The infusion of stevioside produced no significant changes in ECG, even at a dose exceeding 1,600 mg/kg. In the control group, a dose of adrenaline of 0.07 ± 0.02 mg/kg decreased the heart rate, whereas in the steviosidepretreated rats this occurred at a significantly higher dose (0.13 ± 0.03 mg/kg). In stevioside-pretreated rats, the amount of verapamil needed to produce the decrease in heart rate was significantly lower compared to the control. The pretreatment with stevioside caused no significant changes in the parameters registered on ECG during infusion of metoprolol. Conclusion. The results suggest that pretreatment with stevioside may change the effect of adrenaline and verapamile on the heart rate. [Projekat Ministarstva nauke Republike Srbije, br. 41012]
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- 2014
40. Cholic Acid Decreases the Distribution Coefficient of Simvastastin: A Potential for Increasing Simvastatin Bioavailability
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Saša Vukmirović, Bojan Stanimirov, M Djanic, Nebojša Pavlović, and Momir Mikov
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Chromatography ,030503 health policy & services ,Health Policy ,Cholic acid ,Public Health, Environmental and Occupational Health ,Bioavailability ,Partition coefficient ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,chemistry ,Simvastatin ,medicine ,030212 general & internal medicine ,0305 other medical science ,medicine.drug - Published
- 2015
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41. DOSING OF CIPROFLOXACIN IN UNCOMPLICATED URINARY TRACT INFECTIONS
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Momir Mikov, Olga Horvat, Zdenko Tomić, Saša Vukmirović, Ana Sabo, N. Tomic, Ana Tomas, and Boris Milijašević
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Pharmacology ,Ciprofloxacin ,medicine.medical_specialty ,business.industry ,Urinary system ,Internal medicine ,medicine ,Pharmacology (medical) ,Dosing ,business ,Gastroenterology ,medicine.drug - Published
- 2015
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42. Antioxidant activity of rosemary (Rosmarinus officinalis L.) essential oil and its hepatoprotective potential
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Momir Mikov, Isidora Milanovic, Nebojša Pavlović, Aleksandar Rašković, Tatjana Ćebović, and Saša Vukmirović
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Male ,Antioxidant ,DPPH ,medicine.medical_treatment ,Glutathione reductase ,Antioxidants ,Essential oil ,law.invention ,Lipid peroxidation ,Camphor ,chemistry.chemical_compound ,Random Allocation ,law ,medicine ,Oils, Volatile ,Animals ,Food science ,Carbon Tetrachloride ,2. Zero hunger ,chemistry.chemical_classification ,Plant Extracts ,Glutathione peroxidase ,General Medicine ,Rosmarinus ,3. Good health ,Rats ,Oxidative Stress ,Complementary and alternative medicine ,chemistry ,Biochemistry ,Hepatoprotection ,Liver ,Rosemary ,Rosmarinus officinalis ,Female ,Antioxidant enzymes ,Lipid Peroxidation ,Chemical and Drug Induced Liver Injury ,Research Article - Abstract
Background Natural antioxidant products are increasingly being used to treat various pathological liver conditions considering the role of oxidative stress in their pathogenesis. Rosemary essential oil has already being used as a preservative in food industry due to its antioxidant and antimicrobial activities, but it was shown to possess additional health benefits. The aim of our study was to evaluate the protective effect of rosemary essential oil on carbon tetrachloride - induced liver injury in rats and to explore whether its mechanism of action is associated with modulation of hepatic oxidative status. Methods Chemical composition of isolated rosemary essential oil was determined by gas chromatography and mass spectrometry. Antioxidant activity was determined in vitro using DPPH assay. Activities of enzyme markers of hepatocellular damage in serum and antioxidant enzymes in the liver homogenates were measured using the kinetic spectrophotometric methods. Results In this research, we identified 29 chemical compounds of the studied rosemary essential oil, and the main constituents were 1,8-cineole (43.77%), camphor (12.53%), and α-pinene (11.51%). Investigated essential oil was found to exert hepatoprotective effects in the doses of 5 mg/kg and 10 mg/kg by diminishing AST and ALT activities up to 2-fold in serum of rats with carbon tetrachloride - induced acute liver damage. Rosemary essential oil prevented carbon tetrachloride - induced increase of lipid peroxidation in liver homogenates. Furthermore, pre-treatment with studied essential oil during 7 days significantly reversed the activities of antioxidant enzymes catalase, peroxidase, glutathione peroxidase and glutathione reductase in liver homogenates, especially in the dose of 10 mg/kg. Conclusions Our results demonstrate that rosemary essential oil, beside exhibiting free radical scavenging activity determined by DPPH assay, mediates its hepatoprotective effects also through activation of physiological defense mechanisms.
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- 2013
43. Use of Diuretics in Serbia in the Period from 2007 to 2011 Year
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Saša Vukmirović, Zdenko Tomić, Boris Milijašević, D. Milijasevic, Momir Mikov, and Ana Sabo
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03 medical and health sciences ,0302 clinical medicine ,business.industry ,030503 health policy & services ,Health Policy ,Public Health, Environmental and Occupational Health ,Medicine ,030212 general & internal medicine ,0305 other medical science ,business ,Period (music) ,Demography - Published
- 2013
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44. Analysis of Consumption of Diuretics in Serbia from 2006 to 2010
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Momir Mikov, Zdenko Tomić, D. Milijasevic, Boris Milijašević, Ana Sabo, and Saša Vukmirović
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Consumption (economics) ,03 medical and health sciences ,0302 clinical medicine ,030503 health policy & services ,Environmental health ,Health Policy ,Economics ,Public Health, Environmental and Occupational Health ,030212 general & internal medicine ,0305 other medical science - Published
- 2013
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45. PP066—Do the antibiotics bought without prescription influences the total amount of antibiotics?
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Zdenko Tomić, Vesna Mijatović, Saša Vukmirović, Ana Sabo, and Olga Horvat
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Pharmacology ,medicine.medical_specialty ,medicine.drug_class ,business.industry ,Antibiotics ,02 engineering and technology ,030204 cardiovascular system & hematology ,03 medical and health sciences ,020210 optoelectronics & photonics ,0302 clinical medicine ,0202 electrical engineering, electronic engineering, information engineering ,medicine ,Pharmacology (medical) ,Medical prescription ,business ,Intensive care medicine - Published
- 2013
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46. Drug Interactions In Elderly Population In Primary Health Care
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Ana Sabo, N. Tomic, Saša Vukmirović, and Boris Milijašević
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Drug ,Gerontology ,business.industry ,030503 health policy & services ,media_common.quotation_subject ,Health Policy ,Primary health care ,Public Health, Environmental and Occupational Health ,03 medical and health sciences ,0302 clinical medicine ,Elderly population ,Medicine ,030212 general & internal medicine ,0305 other medical science ,business ,media_common - Published
- 2013
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47. DU4 Inappropriate Use of Drugs Influences Health Budget of Population
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Zdenko Tomić, Jelena Ćalasan, Ana Sabo, Boris Milijašević, and Saša Vukmirović
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education.field_of_study ,business.industry ,030503 health policy & services ,Health Policy ,Population ,Public Health, Environmental and Occupational Health ,03 medical and health sciences ,0302 clinical medicine ,Environmental health ,Medicine ,030212 general & internal medicine ,0305 other medical science ,education ,business - Published
- 2012
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48. Drug Information Unit, Medical Faculty of Novi Sad
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Nebojša Stilinović, Saša Vukmirović, Boris Milijašević, Zdenko Tomić, Aleksandar Rašković, Ana Sabo, and Olga Horvat
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Pharmacology ,Medical education ,Text mining ,business.industry ,Meeting Abstract ,Pharmacology toxicology ,Medicine ,Pharmacology (medical) ,business ,Data science ,Unit (housing) - Published
- 2012
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49. Influence of bile acid derivates on tramadol analgesic effect in mice
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Velibor Vasović, Ivan Mikov, M. Pjevic, Momir Mikov, Saša Vukmirović, and Vida Jakovljevic
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Male ,medicine.drug_class ,Sodium ,Analgesic ,chemistry.chemical_element ,Administration, Oral ,Mice, Inbred Strains ,Absorption (skin) ,Pharmacology ,Injections, Intramuscular ,Route of administration ,Mice ,Oral administration ,medicine ,Animals ,Pharmacology (medical) ,Tramadol ,Pain Measurement ,Bile acid ,Cholic Acids ,Metabolism ,Analgesics, Opioid ,chemistry ,medicine.drug - Abstract
Influence of two newly synthesized bile acids derivates, namely sodium salt of monoketocholic acid MKH-Na and methyl ester of monoketocholic acid MKH-Me on tramadol (12.5 mg/kg oral and intramuscular) analgesic effect was examined in this research. Analgesic effect was measured by antinociceptive hot plate method. Interaction was estimated by detection of changes in analgesic effect of tramadol combined with bile acids (subcutaneous administration of 4 mg/kg 20 min before tramadol) compared to analgesic effect of the same dose of tramadol given alone. Hydrosoluble sodium salt of monoketocholic acid did not show interaction with tramadol, regardless of the route of administration of tramadol. However, methyl ester of monoketocholic acid increased the analgesic effect of tramadol when it was given intramuscularly. After oral administration of tramadol, methyl ester of monoketocholic acid decreased the analgesic effect of tramadol. According to the time point when interaction reached statistically significant difference, it can be presumed that after intramuscular administration of tramadol, methyl ester of monoketocholic acid increases tramadol absorption and transport to brain and in that way increases its analgesic effect. The analgesic effect of tramadol after oral administration was decreased, which could be explained by the induction of tramadol metabolism in the liver, but should be examined in more details.
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- 2011
50. Consumption of serum lipid-reducing drugs in Serbia compared with Scandinavian countries: a population-based study, 2004-2008
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Saša Vukmirović, Ana Sabo, Boris Milijašević, Olga Horvat, Momir Mikov, Zdenko Tomić, and Nebojša Stilinović
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Statin ,Epidemiology ,medicine.drug_class ,Atorvastatin ,Population ,Pharmacology ,Scandinavian and Nordic Countries ,Environmental health ,medicine ,Humans ,Pharmacology (medical) ,education ,Hypolipidemic Agents ,Retrospective Studies ,education.field_of_study ,business.industry ,Mortality rate ,Cardiovascular Agents ,Pharmacoepidemiology ,Drug Utilization ,Defined daily dose ,Simvastatin ,Cardiovascular Diseases ,Cardiovascular agent ,Hydroxymethylglutaryl-CoA Reductase Inhibitors ,business ,Serbia ,medicine.drug - Abstract
Purpose The aim of this study was to measure the consumption of serum lipid reducing drugs in Serbia from 2004 to 2008, to compare this data with that from Scandinavian countries, and to compare the consumption of lipid lowering drugs and the rate of mortality from cardiovascular diseases in these countries. Methods A population-based study was undertaken to analyse lipid lowering drug consumption using the Anatomical Therapeutic Chemical/Defined Daily Dose methodology. Cause-specific mortality rates were obtained from the WHOSIS annual report for the year 2009. Results In 2008, a total of 1207.44 DDD/1000 inh/day of all drugs, was used in Serbia, of which 38.89% belonged to drugs for cardiovascular diseases. While in Scandinavian countries 17.03–24.80% of drugs for cardiovascular diseases belonged to lipid-lowering drugs, in Serbia it was substantially lower (3%). In 2004 in Serbia, 1.50 DDD/1000 inh/day of statins were used. In 2008, this value was 14.24 DDD/1000 inh/day. In every investigated country, simvastatin made up more than 50% of the consumption of statins. After simvastatin, the next most frequently used statin was atorvastatin, with 5.52, 11.00, 11.17 and 24.82 DDD/1000 inh/day, in Serbia, Denmark, Finland and Norway, respectively. In 2004 Serbia has the highest mortality rate for cardiovascular diseases among investigated countries with 762/100.000 inhabitants and Norway has the lowest rate with 158/100.000 inhabitants. Conclusion The use of lipid lowering drugs is 6–8 times lower in Serbia than in Scandinavian countries but there is an evident rise in lipid lowering drugs consumption in Serbia during years. Copyright © 2010 John Wiley & Sons, Ltd.
- Published
- 2010
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