Purpose/Background
The mortality rate of patients with schizophrenia due to metabolic disturbances is high. Our aim is to survey the effects of sitagliptin on metabolic disturbances associated with olanzapine in patients with schizophrenia.
Methods/Procedures
In this 12-week double-blind placebo-controlled clinical trial, 71 patients taking olanzapine (10 to 30 mg) for at least 1 month were randomly allocated to enter 1 of the 2 treatment groups (olanzapine plus placebo or olanzapine plus sitagliptin). Sitagliptin was added to patients ‘current medications with the dose of 100 mg/d. Physical examinations and measurement of anthropometric (body mass index and waist circumference) and laboratory parameters (fasting blood sugar, glycated hemoglobin, total cholesterol, low-density lipoprotein, high-density lipoprotein, and triglyceride) were measured at baseline, week 4, and week 12. The patients were assessed for any side effects of the medications in each visit.
Findings/Results
Sixty-one patients (30 in the sitagliptin and 31 in the placebo group) completed the trial. The anthropometric measurements at the end of the study did not differ between the 2 groups. glycated hemoglobin and total cholesterol were significantly lower in the sitagliptin group after 12 weeks. Other metabolic profile revealed either no change or minimal magnitude changes. No major side effect was reported.
Implications/Conclusions
Metabolic disturbances associated with olanzapine treatment in patients with schizophrenia can be modulated by sitagliptin.
Ultrasound-stimulated microbubbles have been shown a feasible approach for localized therapeutic delivery. As applications of this technique span many anatomical sites, so too do the local fluid dynamics experienced by the circulating microbubbles and the adjacent endothelial cells. Our objective was to assess the relative effectiveness of endothelial cell sonoporation as a function of flow conditions. Human umbilical vein (HUVECs) or human brain endothelial cells (HBECs) were cultured as a monolayer in flow chamber slides connected to a fluidic system and placedupon an acoustically-coupled microscope. A suspension of diluted lipid-encapsulated microbubbles and propidium iodide (PI), used as a sonoporation marker, was constantly perfused over the monolayer at either 5 or 30 ml/min. Cells were treated with 1 MHz ultrasound (PRI= 1 ms, 20 cycles, duration = 2 s), and the video-microscopy data were quantified offline to assess the number of PI-positive cells. Our results demonstrate a marked increase in sonoporation efficiency at 30 ml/min as compared to 5 ml/min in both endothelial cell lines under identical acoustic conditions (9.7-fold increase and 2.3-fold increase for HUVECs and HBECs respectively, p < 0.001). Our results suggest the local fluid flow environment plays a role in US-mediated endothelial perforation efficiency and can modulate treatment strategies.
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