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Pinto LA, Corá LA, Rodrigues GS, Prospero AG, Soares GA, de Andreis U, de Arruda Miranda JR. Pharmacomagnetography to evaluate the performance of magnetic enteric-coated tablets in the human gastrointestinal tract. Eur J Pharm Biopharm 2021; 161:50-55. [PMID: 33592280 DOI: 10.1016/j.ejpb.2021.02.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Revised: 02/05/2021] [Accepted: 02/08/2021] [Indexed: 12/30/2022]
Abstract
A magnetic enteric-coated tablet containing diclofenac sodium was produced, and its performance under physiological and disturbed gastrointestinal motility was assessed through pharmacomagnetography analysis. In vitro studies were performed using conventional methods and in vivo studies were conducted on healthy volunteers before (control) and after domperidone administration. The magnetic tablet's gastrointestinal (GI) transit and disintegration process were monitored using the Alternating Current Biosusceptometry sensors combined with drug plasmatic concentration. The Gastric Residence Time, Colon Arrival Time, Small Bowel Transit Time, Disintegration Time and the pharmacokinetics parameters were calculated. The pH-dependent polymers used to coat the magnetic tablets were able to avoid the premature drug release on gastric or small intestine simulated medium. Gastric Residence Time was accelerated compared with the control group (p < 0.01). No significant differences were found regarding small bowel transit, colon arrival, disintegration process, or pharmacokinetics parameters. A strong correlation between magnetic monitoring and pharmacokinetics parameters analysis was determinant to evaluate the efficiency in the drug delivery at a specific site in the human gastrointestinal tract. In addition, a tablet with a damaged coating was used as a proof of concept to show the suitability of our methodology to evaluate the tablet. Our study showed that pharmacomagnetography is a multi-instrumental approach towards assessing drug delivery and bioavailability.
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Affiliation(s)
- Leonardo Antonio Pinto
- São Paulo State University - UNESP, Department of Biophysics and Pharmacology, Institute of Biosciences, Botucatu, São Paulo 18618-689, Brazil.
| | - Luciana Aparecida Corá
- Alagoas State University of Health Sciences- UNCISAL, Center of Integrative Sciences, Maceio, Alagoas 57010-382, Brazil.
| | - Gustavo Serafim Rodrigues
- São Paulo State University - UNESP, Department of Biophysics and Pharmacology, Institute of Biosciences, Botucatu, São Paulo 18618-689, Brazil.
| | - Andre Gonçalves Prospero
- São Paulo State University - UNESP, Department of Biophysics and Pharmacology, Institute of Biosciences, Botucatu, São Paulo 18618-689, Brazil.
| | - Guilherme Augusto Soares
- São Paulo State University - UNESP, Department of Biophysics and Pharmacology, Institute of Biosciences, Botucatu, São Paulo 18618-689, Brazil.
| | - Uilian de Andreis
- São Paulo State University - UNESP, Department of Biophysics and Pharmacology, Institute of Biosciences, Botucatu, São Paulo 18618-689, Brazil
| | - José Ricardo de Arruda Miranda
- São Paulo State University - UNESP, Department of Biophysics and Pharmacology, Institute of Biosciences, Botucatu, São Paulo 18618-689, Brazil.
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Calabresi MFF, Quini CC, Matos JF, Moretto GM, Americo MF, Graça JRV, Santos AA, Oliveira RB, Pina DR, Miranda JRA. Alternate current biosusceptometry for the assessment of gastric motility after proximal gastrectomy in rats: a feasibility study. Neurogastroenterol Motil 2015; 27:1613-20. [PMID: 26303680 DOI: 10.1111/nmo.12660] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2015] [Accepted: 07/25/2015] [Indexed: 12/12/2022]
Abstract
BACKGROUND This study proposes an experimental model to assess the consequences of gastric surgeries on gastric motility. We investigated the effects of proximal gastrectomy (PG) using a non-invasive technique (alternate current biosusceptometry [ACB]) on gastric contractility (GC), gastric emptying (GE), and orocecal transit (OCT) after the ingestion of liquids and solids in rats. METHODS Twenty-four male rats were subjected to gastric motility assessment before and after the PG procedure. The GE and OCT results are expressed as the mean time of gastric emptying (MGET) and cecum arrival (MCAT). The GC recordings are presented as the frequency and amplitude of contractions. KEY RESULTS Mean time of gastric emptying after solid meals were significantly different (p < 0.001) between control and PG (113 ± 5 to 99 ± 6 min). Mean time of cecum arrival ranged from 265 ± 9 to 223 ± 11 min (p < 0.001) and 164 ± 9 to 136 ± 17 min (p < 0.050) for solid and liquid meals, respectively. The assessment of GC showed that surgery decreased the phasic frequency (4.4 ± 0.4 to 3.0 ± 1.1 cpm, p < 0.050) and increased the amplitude of contractions (3.6 ± 2.7 to 7.2 ± 3.0 V/s, p < 0.050). No significant difference was found in tonic frequency. CONCLUSIONS & INFERENCES The ACB system was able to assess GE, OCT, and GC in gastrectomized rats. Overall, PG accelerated GE and gastrointestinal transit, likely due to the increase in both intragastric pressure and amplitude contraction. Our data presented an efficient model to investigate functional consequences from gastric surgeries that will allow further studies involving different procedures.
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Affiliation(s)
- M F F Calabresi
- Departamento de Física e Biofísica, Instituto de Biociências de Botucatu, UNESP-Universidade Estadual Paulista, Botucatu, São Paulo, Brazil
| | - C C Quini
- Departamento de Física e Biofísica, Instituto de Biociências de Botucatu, UNESP-Universidade Estadual Paulista, Botucatu, São Paulo, Brazil
| | - J F Matos
- Departamento de Física e Biofísica, Instituto de Biociências de Botucatu, UNESP-Universidade Estadual Paulista, Botucatu, São Paulo, Brazil
| | - G M Moretto
- Departamento de Física e Biofísica, Instituto de Biociências de Botucatu, UNESP-Universidade Estadual Paulista, Botucatu, São Paulo, Brazil
| | - M F Americo
- Instituto de Ciências Biológicas e da Saúde, UFMT-Universidade Federal de Mato Grosso, Barra do Garças, Mato Grosso, Brazil
| | - J R V Graça
- Departamento de Fisiologia, Faculdade de Medicina de Sobral, UFC-Universidade Federal do Ceará, Sobral, Ceará, Brazil
| | - A A Santos
- Departamento de Fisiologia e Farmacologia, Faculdade de Medicina, UFC-Universidade Federal do Ceará, Fortaleza, Ceará, Brazil
| | - R B Oliveira
- Departamento de Clínica Médica, Faculdade de Medicina de Ribeirão Preto, USP-Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - D R Pina
- Departamento de Doenças Tropicais e Diagnóstico por Imagem, Faculdade de Medicina de Botucatu, UNESP - Universidade Estadual Paulista, Botucatu, São Paulo, Brazil
| | - J R A Miranda
- Departamento de Física e Biofísica, Instituto de Biociências de Botucatu, UNESP-Universidade Estadual Paulista, Botucatu, São Paulo, Brazil
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Bruno AC, Pavan TZ, Baffa O, Carneiro AAO. A hybrid transducer to magnetically and ultrasonically evaluate magnetic fluids. IEEE TRANSACTIONS ON ULTRASONICS, FERROELECTRICS, AND FREQUENCY CONTROL 2013; 60:2004-2012. [PMID: 24658731 DOI: 10.1109/tuffc.2013.2785] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Ultrasound, magnetic fields, and optical techniques have been explored for clinical diagnosis and therapy. However, these techniques have limitations. In this study, we constructed and characterized a transducer to magnetically and ultrasonically investigate samples labeled with magnetic particles. The transducer is a hybrid system consisting of an ac biosusceptometer (ACB) and an ultrasonic transducer. The basic operation principle consisted of measuring the magnetization and microvibrations of ferromagnetic particles (37 and 70 μm) mixed in yogurt and excited by an external alternating magnetic field generated by the ACB's excitation coils. The vibration of the ferromagnetic particles was measured in phantoms using a Doppler ultrasonic transducer; we verified the sensitivity to detecting the vibrations at low concentrations of ferromagnetic material (~1%). The responses of the susceptometer and Doppler ultrasound linearly depended on the voltage level applied to the magnetizing coils at low ferromagnetic particle concentrations (⩽ 5%). We also conducted a repeatability test on the prototype, which indicated a deviation of 0.94% and 0.25% in the Doppler and susceptometric measurements, respectively. We can conclude that the hybrid transducer technique has potential clinical applications.
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Teixeira M, Magalhães I, Galvão P, Souza G, Miranda J, Oliveira R, Corá L. Assessment of Gastrointestinal Motility in Renal Transplant Recipients by Alternate Current Biosusceptometry. Transplant Proc 2012; 44:2384-7. [DOI: 10.1016/j.transproceed.2012.07.048] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Américo MF, Marques RG, Zandoná EA, Andreis U, Stelzer M, Corá LA, Oliveira RB, Miranda JRA. Validation of ACB in vitro and in vivo as a biomagnetic method for measuring stomach contraction. Neurogastroenterol Motil 2010; 22:1340-4, e374. [PMID: 20874731 DOI: 10.1111/j.1365-2982.2010.01582.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
BACKGROUND The aim of this study was to validate a biomagnetic method (alternate current biosusceptometry, ACB) for monitoring gastric wall contractions in rats. METHODS In vitro data were obtained to establish the relationship between ACB and the strain-gauge (SG) signal amplitude. In vivo experiments were performed in pentobarbital-anesthetized rats with SG and magnetic markers previously implanted under the gastric serosa or after ingestion of magnetic material. Gastric motility was quantified from the tracing amplitudes and frequency profiles obtained by Fast Fourier Transform. KEY RESULTS The correlation between in vitro signal amplitudes was strong (R = 0.989). The temporal cross-correlation coefficient between the ACB and SG signal amplitude was higher (P < 0.0001) in the postprandial (88.3 ± 9.1 V) than in the fasting state (31.0 ± 16.9 V). Irregular signal profiles, low contraction amplitudes, and smaller signal-to-noise ratios explained the poor correlation between techniques for fasting-state recordings. When a magnetic material was ingested, there was also strong correlation in the frequency and signal amplitude and a small phase-difference between the techniques. The contraction frequencies using ACB were 0.068 ± 0.007 Hz (postprandial) and 0.058 ± 0.007 Hz (fasting) (P < 0.002) and those using SG were 0.066 ± 0.006 Hz (postprandial) and 0.059 ± 0.008 Hz (fasting) (P < 0.005). CONCLUSIONS & INFERENCES In summary, ACB is reliable for monitoring gastric wall contractions using both implanted and ingested magnetic materials, and may serve as an accurate and sensitive technique for gastrointestinal motility studies.
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Affiliation(s)
- M F Américo
- Departamento de Física e Biofísica, Instituto de Biociências, UNESP – Univ Estadual Paulista, Botucatu, São Paulo, Brazil.
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Paixao FC, Quini CC, Baffa O, Miranda JRDA. A novel device with 36 channels for imaging and signal acquisition of the gastrointestinal tract based on AC biosusceptometry. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2010; 2010:6457-60. [PMID: 21096717 DOI: 10.1109/iembs.2010.5627341] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The alternate current biosusceptometry (ACB) is a biomagnetic technique used to study some physiological parameters associated with gastrointestinal (GI) tract. For this purpose it applies an AC magnetic field and measures the response originating from magnetic marks or tracers. This paper presents an equipment based on the ACB which uses anisotropic magnetoresistive (AMR) sensors and an inexpensive electronic support. The ACB-AMR developed consists of a square array of 6×6 sensors arranged in a first-order gradiometer configuration with one reference sensor. The equipment was applied to capture magnetic images of different phantoms and to acquire gastric contraction activity of healthy rats. The results show a reasonable sensitivity and spatial-temporal resolution, so that it may be applied for imaging of phantoms and signal acquisition of the GI tract of small animals.
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Affiliation(s)
- Fabiano C Paixao
- Faculdade de Física, Pontifical Catholic University of Rio Grande do Sul - PUCRS, Av. Ipiranga, 6681 - Partenon, 90619-900, Porto Alegre-RS, Brazil.
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Miranda JRA, Corá LA, Américo MF, Romeiro FG. AC biosusceptometry technique to evaluate the gastrointestinal transit of pellets under influence of prandial state. J Pharm Sci 2010; 99:317-24. [PMID: 19431208 DOI: 10.1002/jps.21794] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
Multiparticulate dosage forms have been proposed when distal regions of gastrointestinal tract are desirable as target of drugs. It is known that physiological parameters might interfere with the processes related to the drug delivery and absorption and therefore, it is essential to evaluate the behavior of such delivery systems in vivo. The aim of this study was to propose the AC Biosusceptometry technique as a noninvasive and radiation free device to evaluate the gastrointestinal transit of a magnetic multiparticulate dosage form in healthy volunteers under fasting and fed conditions. Magnetic pellets were prepared by the powder layering method of ferrite on nonpareils sugar beads and coated by using Eudragit. Our data showed that the AC Biosusceptometry technique was able to monitoring the gastrointestinal transit of pellets presenting similar profiles as demonstrated by standard techniques. Food intake has markedly influenced the gastric emptying as well as the colon arrival and the small intestine transit of magnetic pellets.
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Affiliation(s)
- José Ricardo A Miranda
- Department of Physics and Biophysics, Biosciences Institute, IBB, Sao Paulo State University, UNESP, PO Box 510, 18618-000 Botucatu, Sao Paulo, Brazil
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Américo MF, Oliveira RB, Corá LA, Marques RG, Romeiro FG, Andreis U, Miranda JRA. The ACB technique: a biomagentic tool for monitoring gastrointestinal contraction directly from smooth muscle in dogs. Physiol Meas 2009; 31:159-69. [DOI: 10.1088/0967-3334/31/2/003] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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Andreis U, Américo MF, Corá LA, Oliveira RB, Baffa O, Miranda JRA. Gastric motility evaluated by electrogastrography and alternating current biosusceptometry in dogs. Physiol Meas 2008; 29:1023-31. [PMID: 18698113 DOI: 10.1088/0967-3334/29/9/002] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Association techniques could be the answer for evaluating electromechanical coupling and gastric emptying under basal conditions and after administration of drugs. Electrogastrography (EGG) and alternating current biosusceptometry (ACB) emerged due to their interesting nature, noninvasiveness and low cost. The aims were to examine in dogs the effect of erythromycin on gastric emptying by ACB and electrical and motor responses to erythromycin and propranolol by ACB and EGG respectively. Twelve beagle dogs ingested a solid test meal on separate days. Under anesthesia, gastric motility was evaluated by EGG and ACB after erythromycin and propranolol administration. Without anesthesia, gastric emptying was assessed under basal conditions and after erythromycin by ACB. ACB and EGG showed a strong temporal correlation. Erythromycin and propranolol presented the same profile with different power ratios; the amplitude increased whereas frequency decreased. Also, erythromycin administration hastened gastric emptying while reducing the orocaecal transit time. There is a demand for reliable, easy-to-perform and comfortable techniques to record gastric emptying and gastric activity in medicine and veterinary practice. In summary, the association of ACB with EGG accompanied by an appropriate animal model is promising for evaluating effects of drugs in gastric myoelectrical and contractile activity.
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Affiliation(s)
- Uilian Andreis
- Departamento de Física e Biofísica, IBB, São Paulo State University-UNESP, Botucatu, São Paulo, Brazil
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Paixão FC, Silva FM, Miranda JRDA, Baffa O. Magnetoresistive sensors in a new biomagnetic instrumentation for applications in gastroenterology. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2008; 2007:2948-51. [PMID: 18002613 DOI: 10.1109/iembs.2007.4352947] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Anisotropic Magnetoresistive (AMR) sensors shows a new possibility to detect magnetic fields produced by magnetic particles present in the gastrointestinal (GI) tract. A system that uses excitation and detection of magnetic field was developed using AMR sensor. A magnetic flux concentrator was also studied to increase the sensitivity of AMR in this work.
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Affiliation(s)
- Fabiano C Paixão
- Departamento de Física e Biofísica, IBB - Universidade Estadual Paulista (UNESP), Distrito de Rubião Júnior, Botucatu-SP, Brazil
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Paixão FC, de Moraes R, Stelzer M, Corá LA, Américo MF, Andreis U, Oliveira RB, Baffa O, de A Miranda JR. A novel biomagnetic instrumentation with four magnetoresistive sensors to evaluate gastric motility. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2008; 2007:2215-8. [PMID: 18002430 DOI: 10.1109/iembs.2007.4352764] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
A novel instrumentation using anisotropic magnetoresistive (AMR) sensors associated with magnetic coils excitation was developed to evaluate gastrointestinal tract motility parameters. The susceptometer has four sensors that were used to measure the gastric activity contractions (GAC) in anaesthetized dogs, its performance was evaluated by manometry with good results.
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Affiliation(s)
- Fabiano C Paixão
- Departamento de Física e Biofísica, IBB - Universidade Estadual Paulista, Distrito de Rubião Júnior, S/N, 18.618-000, Botucatu-SP, Brazil
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Américo MF, Oliveira RB, Romeiro FG, Baffa O, Corá LA, Miranda JRA. Scintigraphic validation of AC Biosusceptometry to study the gastric motor activity and the intragastric distribution of food in humans. Neurogastroenterol Motil 2007; 19:804-11. [PMID: 17883432 DOI: 10.1111/j.1365-2982.2007.00960.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
Abnormal intragastric distribution of food (IDF) and a phasic contractility in the proximal stomach have been related to dyspeptic symptoms. Thus, the behaviour of the stomach and the proximal region, in particular, continues to attract attention and demand for reliable and comfortable techniques. The aims of this study were to employ AC Biosusceptometry (ACB) and scintigraphy to evaluate IDF and gastric motor activity in humans. Fifteen healthy volunteers ingested 60 mL of yogurt containing 2 mCi of 99mTc and 4 g of ferrite. Each volunteer had gastric motility and IDF evaluated twice on separate days; on one occasion by ACB and another by scintigraphy. Digital signal processing was performed in MatLab (Mathworks Inc., Natick, MA, USA). Results were expressed as mean +/- SD. Similar results of distal accumulation time (P < 0.001) were obtained for scintigraphy (6.93 +/- 3.25 min) and for ACB (7.04 +/- 3.65 min). Fast Fourier Transform revealed two dominant frequencies (P > 0.9). Besides the well-know frequency of 3 cpm, our results showed identical frequencies in proximal stomach recordings (P < 0.001) for scintigraphic (1.01 +/- 0.01 cpm) and ACB (0.98 +/- 0.06 cpm). In summary, our data showed that scintigraphy and ACB are promising techniques to evaluate several aspects of gastric motility. Moreover, ACB is non-invasive, radiation-free and deserves the same importance as conventional methods for this kind of analysis.
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Affiliation(s)
- M F Américo
- Departamento de Fisiologia, FMRP, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil
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