Magnesium ; , iron or dairy products, bismuth salts, barbiturates, Carbamazepine and Phenytoin. Adverse Reactions: The most common 10% ; adverse effect is discolorization of teeth in children. Less common 1%-10% ; adverse effects include: lightheadedness, vertigo, photosensitivity, nausea and diarrhea. Costs and Monitoring: Cost of therapy ranges from $ 0.25 every other day to $ 9.62 per day. Product Identification: Capsule: 50 mg, 75 mg, 100 mg Capsule, pellet filled: 50 mg, 100 mg Conclusions: Minocyclune effectively suppresses Propionibacterium acnes and is clinically effective in treating severe acne. Recommendation: Add to formulary References.
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Minocycline reduces Ca2 + -induced mitochondrial swelling at high doses but does not enable Ca2 + uptake. A ; Representative traces of changes in light scattering upper panel, arbitrary units, 520 nm ; and changes in Calcium Green 5N fluorescence lower panel, arbitrary units ; of isolated rat brain mitochondria. A decrease in scattering reflects mitochondrial swelling whereas a decrease in Calcium Green fluorescence indicates a decrease in extramitochondrial Ca2 + mitochondrial Ca2 + uptake ; . Mitochondria 25 g ml ; were incubated in a sucrose-based buffer at 37C containing 1 g ml oligomycin, 20 M ADP, and 5 mM malate and glutamate as respiratory substrates. Mitochondria were pretreated with indicated doses of minocycline nmol mg ; prior to exposure of 2.0 mol Ca2 + mg protein 50 M ; for 10 min. Cyclosporin A and vehicle H2O ; were used as positive and negative controls, respectively. The ionophore alamethicin 7.5 g ml ; was added to induce a standardized maximal swelling response of the mitochondrial population. Trace disturbances during additions have been deleted for clarity. B ; Calculations of the extent of swelling of the mitochondrial population the decrease in light scattering following Ca2 + compared to that of alamethicin, expressed as % of maximal ; for experiments with rat and mouse brain and rat spinal cord mitochondria. Values are means SEM. * indicate p 0.05, treatment vs. vehicle control.
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It has been shown that a malignancy is the most common cause of pleural fluid accumulation [1521], and the estimated number of patients with malignant pleural effusion may be as high as 100 000 population [22]. Such a great incidence makes the malignant pleural effusion a serious problem for health-care institutions. Involvement of the pleura in metastatic disease usually makes curative treatment impossible, and therefore the goal in these patients is palliation of symptoms that may significantly worsen the quality of their life. A number of methods have been investigated in the treatment of malignant pleural effusion, including repeated needle aspiration, continuous pleural drainage also in outpatients, with thin-bore catheter and bag ; [2327], pleurectomy [2829], irradiation of the chest [30], intrapleural chemotherapy [31, 32], chemoimmunotherapy [33], and intrapleural -2b interferon [34], TNF [35], and interleukin-2 [36]. Although these methods may be indicated in certain clinical conditions, the most commonly used in clinical practice is chemical pleurodesis. This is because of the simplicity, safety and effectiveness of this method. There are many agents used to achieve pleurodesis, including tetracycline, doxycycline, minocycline, bleomycin, cisplatin, doxorubicine, vincristine, etoposide, 5-fluorouracil, interferon, mitomycine C, Corynebacterium parvum, methyloprednisolone, talc, povidone-iodine, polidocanol, erythromycin, mepacrine, and silver nitrate [113]. A great number of papers have been published in the past two decades, showing good effectiveness of talc and doxycycline [3245], but the differences of methods used make comparison difficult. In most of the studies the stage of involvement of pleura in metastatic disease was not recorded. The increasing popularity of videothoracoscopy makes it possible to specify the stage, giving the opportunity to design a study, assessing the real effectiveness of sclerosing agents in comparable groups of patients. The shortcoming of our study is undoubtedly the limited number of patients analyzed. This was partly because of the restrictive excluding criteria we adopted. However, the impossibility of re-expansion of the lung makes pleurodesis impossible, and we believe that including patients with malignant pleural meosthelioma would have biased the results. Malignant mesothelioma, being in the pleura localized, not metastatic disease, is characterised by different behavior; in selected patients there is the possibility of curative treatment, consisting of radical surgery and chemoradiotherapy. The significant number of patients with malignant mesothelioma in our group 14 of 52 ; due to the activity of an asbestos factory in our region terminated two years ago ; . Despite the smaller than initially planned number of patients analyzed, making the assessment of events like talc complications impossible, the study was able to answer the main clinical question about the relative efficiency of talc powder and doxycycline in achieving pleurodesis in patients with malignant pleural effusion and
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Fig. 1 Kinocycline inhibits the transmigration of T lymphocytes across a bronectin barrier. A ; minocycline inhibits the transmigration of T cells from six donors over a 24 h period. B ; Inhibition by minocylcine was concentration dependent, in that only 250 and 500 mg ml attenuated the transmigration of cells. C ; The time course of inhibition by m8nocycline was rapid, and was manifest within 15 min. All values are mean T standard deviation of triplicate samples. Results were analysed using the unpaired Student's t-test A and C ; or ANOVA with Bonferroni's post-ANOVA comparisons B ; . * P 0.05, * P 0.01, * P 0.001.
Tetracycline is thought to inhibit the growth of bacteria by entering the bacterial cell, binding to bacterial ribosomes, and stopping protein synthesis 26 ; . Despite years of study, however, it is not clear exactly how tetracycline exerts its effect. It has been shown that tetracycline binds strongly to a single site on the 30S ribosomal subunit, and the 7S ribosomal protein appears to form part of the binding site 26 ; . A highly conserved region of 16S rRNA may also be part of the binding site 74 ; , a feature that would explain the broad spectrum of tetracycline. There are many weaker tetracycline-binding sites on the ribosome, but their significance is unclear. The direct effect of tetracycline binding to ribosomes is that aminoacyl-tRNAs do not bind productively to the A site on the ribosome 23 ; . This could, by itself, be responsible for the ability of tetracycline to inhibit bacterial growth. However, interference with the binding of aminoacyl-tRNAs to the A site could also induce the stringent response and thus trigger numerous secondary effects 16 ; . These secondary effects would include effects on tRNA stability, rRNA synthesis, and amino acid metabolism, in addition to inhibition of protein synthesis indirectly via the stringent response 16 ; . Although tetracycline and most of its derivatives have been shown to bind to ribosomes and selectively inhibit protein synthesis, a few of the derivatives may not act this way. Rasmussen et al. 74 ; have recently shown that although chelocardin and thiatetracycline have good antibacterial activity against Escherichia coli and Bacillus subtilis, they are very poor inhibitors of protein synthesis and appear to bind ribosomes ineffectively or not at all. Also, unlike other tetracyclines, they inhibit both DNA and RNA synthesis as well as protein synthesis. Rasmussen et al. 74 ; suggest that chelocardin and thiatetracycline may be exerting their effects on the cytoplasmic membrane of the bacteria. Recently, Olivera and Chopra 70 ; proposed that tetracyclines be divided into two types on the basis of their modes of action: those that inhibit protein synthesis e.g., tetracycline, chlortetracycline, miocycline ; and those that interact with the cytoplasmic membrane e.g., chelocardin, anhydrotetracycline, thiatetracycline ; . Further work is necessary to determine the exact effect of chelocardin-type tetracyclines on the cytoplasmic membrane and vermox.
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The extraction procedure involves serial extractions using 50: THF: water. Each cycle uses ~7 mL of extraction solvent. Four cycles are needed to attain 95% extraction efficiency. Extracts are combined into a 50-mL volumetric flask and preservative is added. Solutions are then brought to volume with water. Solutions are stored ambient, protected from light. Minnocycline recovery is determined using HPLC with UV detection. Quantitation is accomplished using external calibration standards.
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UPDATE ON THE HARDIE UROLOGIC RESEARCH CHAIR As many of you will recall, Bob Hardie, who works in our Clinical Research Unit as a Research Associate, had the good fortune of winning the big prize in the Lotto 649 draw 2 years ago. Through Bob's incredible generosity with a $1 Million donation to the Division of Urology, the Robert Hardie Research Chair in Prostate Cancer and other Urologic Malignancies were established. We have teamed up with the Department of Microbiology and Immunology at UWO to jointly fund the Research Chair position. Details and terms of reference for this important research position have been worked out and the Search Committee has been activated to identify the best individual for the post. The successful candidate will direct the Urologic Cancer Translational Research Unit and will play a pivotal role in prostate cancer research in London and
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In each rat retina was compared with pooled control values to yield the survival rate. Data are presented as meansstandard errors of the mean. The neuroprotective effect of minocycline was evaluated for each time point by comparing the number of surviving RGCs in the minocycline-treated group with the number of surviving RGCs in the saline-treated group using paired and unpaired t tests with a significance level set at P .05. RESULTS.
Department of Neurological Surgery Loyola University Stritch School of Medicine Loyola University Medical Center 2160 First Avenue Maywood, IL 60153 708-216-0005 708-216-4948 Diplomate, American Board of Neurological Surgeons Loyola University of Chicago, Chicago, Illinois B.S. - Biological Sciences 1980 ; , Cum Laude Loyola University of Chicago Stritch School of Medicine, Maywood, IL M.D. 1984 and
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Four-month regimen termed "sequential therapy." Initially, patients receive "induction chemotherapy" with potent medications given by infusion daily except for weekends ; over nine weeks. Often this therapy alone shrinks the tumor, with subsequent treatment aimed at destroying remaining cancer cells that could cause a recurrence. The next phase, "chemoradiotherapy, " is the most punishing for the patient, but the most crucial for long-term survival. Tishler oversees radiation treatment with DFCI's new linear accelerator, which aims thou!
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Discussion minocycline has been shown to be neuroprotective in a variety of animal models of both chronic neurodegeneration and acute cns injury.
After MCAO and reperfusion, mice treated with minocycline had significantly smaller infarcts and better neurological scores than vehicle-treated mice Figure 4 ; . Furthermore, mortality was no different between groups minocycline 2 of 12 died; vehicle 2 of 9 died; NS ; . Miocycline reduced Evan's Blue extravasation Figure 5A and 5B ; . Because minocycline may lessen the extent of BBB disruption by reducing infarct size, we corrected for this potential confound by expressing the extent of BBB disruption relative to the infarct size and found that minocycline still reduced the proportionate amount of Evan's Blue dye extravasation Figure 5C ; . Minocycline reduced the occurrence of hemorrhagic transformation, assessed by scoring each brain for macroscopic hemorrhage at 24 hours, 21 from 70% of animals in the control group to only 17% in the treated group P 0.01; Figure 6A and 6B ; . Lectin histochemistry to identify microglia monocytes showed that cerebral vessels in cortex within the ischemic core were surrounded by microglia Figure 6C ; . In contrast, vessels in comparable ischemic brain regions in a minocycline-0treated animal showed fewer microglia monocytes associated with vessels Figure 6D and
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