Gastrointestinal tract, conditions

Figure 11.10 Effect of gastrointestinal tract conditions on the release behavior BSA of grafted and mixed polyelectrol3d e complex hydrogels. At constant grafting and mixing conditions (0.3% CS, 40°C, 3 h), formulation conditions (3% CaClj, for 1 h at R.T.) and release conditions (at 37 C, SPB pH 7.4) using BSA(20%w/w).

The carcinogenicity of nitrosamines has created widespread concern over the safety of food products that are significant sources of nitrates and nitrites. Nitrosamines are readily formed by reaction of secondary amines with nitrites at acid pH, conditions which may occur in the gastrointestinal tract. 

This is true of skeletal muscle, particularly the white fibers, where the rate of work output—and therefore the need for ATP formation—may exceed the rate at which oxygen can be taken up and utilized. Glycolysis in erythrocytes, even under aerobic conditions, always terminates in lactate, because the subsequent reactions of pymvate are mitochondrial, and erythrocytes lack mitochondria. Other tissues that normally derive much of their energy from glycolysis and produce lactate include brain, gastrointestinal tract, renal medulla, retina, and skin. The liver, kidneys, and heart usually take up... 

It is conceivable that nltrosamlnes can be synthesized In the Intestine, since the precursors are present. While the conditions for aqueous nltrosatlon reactions are not optimum at pH values encountered In the lower gastrointestinal tract, several studies have shown that these reactions can be catalyzed (39, 40, 41). It has been suggested that the Intestine might be a site for the formation of nltrosamlnes by bacterial action (42). Sander (43) has demonstrated the formation of nltrosamlnes by bacterial action from precursor amines and nitrate at neutral pH and Klubes and coworkers have reported the formation of NDMA. upon Incubation of l C-dlmethylamlne and sodium nitrite with rat fecal contents (44, 45). 

Treatment of pectin under conditions of gastrointestinal tract (GI)... 

Milieu conditions in gastrointestinal tract can influence the pectin structure and properties. Under the acid conditions of the stomach (pH 2-4) extraction of pectin from plant cell walls and hydrolysis of side chains can occur. In small intestine (pH 5-6) -elimination of main chains or de-esterification seems to be possible. In caecum and colon (pH 6-8) a strong fermentation of pectin takes place causing depolymerization to oligomers and leading to formation of short chain fatty acids and gases. The presence of OligoGalA is not yet clarified. 

Resins are moderately effective in lowering LDL cholesterol but do not lower triglycerides (Table 9-8). Moreover, in patients with elevated triglycerides, the use of a resin may worsen the condition. This may be due to a compensatory increase in HMG-CoA reductase activity and results in an increase in assembly and secretion of VLDL. The increase in HMG-CoA reductase activity can be blocked with a statin, resulting in enhanced reductions in serum lipids (see section on combination therapy). Resins reduce LDL cholesterol from 15% to 30%, with a modest increase in HDL cholesterol (3% to 5%) (Table 9-8). Resins are most often used as adjuncts to statins in patients who require additional lowering of LDL cholesterol. Since these drugs are not absorbed, adverse effects are limited to the gastrointestinal tract (Table 9-9). About 20%... 

S Chakrabarti, MZ Southard. Control of poorly soluble drug dissolution in conditions simulating the gastrointestinal tract flow. 1. Effect of tablet geometry in buffered medium. J Pharm Sci 85 313-319, 1996. 

The circulatory system carries out many important functions that contribute to homeostasis. It obtains oxygen from the lungs nutrients from the gastrointestinal tract and hormones from the endocrine glands and it delivers these substances to the tissues that need them. Furthermore, it removes metabolic waste products, such as carbon dioxide, lactic acid, and urea, from the tissues. Finally, it contributes to the actions of the immune system by transporting antibodies and leukocytes to areas of infection. Overall, the circulatory system plays a vital role in maintenance of optimal conditions for cell and tissue function. 

These functions are carried out most effectively and efficiently when the involved tissues receive an abundant blood flow. Under normal resting conditions, the kidneys, which account for only 1% of the body s weight, receive 20% of the cardiac output (CO) the gastrointestinal tract receives approximately 27% of the CO and the skin receives 6 to 15% of the blood pumped by the heart per minute. Because these tissues receive more blood than they need to support metabolic activity, they can easily tolerate a... 

Extensions of BCS beyond the oral IR area has also been suggested, for example to apply BCS in the extended-release area. However, this will provide a major challenge since the release from different formulations will interact in different ways with in vitro test conditions and the physiological milieu in the gastrointestinal tract. For example, the plasma concentration-time profile differed for two felodipine ER tablets for which very similar in vitro profiles had been obtained, despite the fact that both tablets were of the hydrophilic matrix type based on cellulose derivates [70], This misleading result in vitro was due to interactions between the gel strength of the matrix and components in the dissolution test medium of no in vivo relevance. The situation for ER formulations would be further complicated by the need to predict potential food effects on the drug release in vivo. 

The second situation when IVIVC is not likely for class II drugs is where the absorption is limited by the saturation solubility in the gastrointestinal tract rather than the dissolution rate, as discussed in more detail above. In this situation, the drug concentration in the gastrointestinal tract will be close to the saturation solubility, and changes of the dissolution rate will not affect the plasma concentrationtime profile and in vivo bioavailability. Standard in vitro dissolution tests are carried out under sink conditions , i.e., at concentrations well below the saturation solubility. Thus, only effects related to dissolution rate can be predicted in vitro. If more physiologically relevant dissolution media are used, which do not necessarily provide sink conditions , the possibility for IVIVC could be improved, as has been indicated by the results of recent studies using simulated intestinal medium [76],... 

Molecular hydrogen is an important intermediate in the degradation of organic matter by microorganisms in anoxic habitats such as freshwater and marine sediments, wet land soils, and the gastrointestinal tract of animals. In these particular conditions H2 is produced during fermentation of carbohydrates, lipids, nucleic acids, and proteins by anaerobic bacteria and,... 

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