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Biomedical subjects

M Miljković

Publications and source records attributed to M Miljković.

16 recordsLinked to original sources

Synthesis and properties of hydroxyapatite/poly-L-lactide composite biomaterials.

Calcium hydroxyapatite (HAp) and poly-L-lactide (PLLA) were synthesized chemically. The obtained HAp was of high purity and, after special thermal treatment, of high crystallinity as well. Synthesis of PLLA was performed using L-lactide as a monomer and nontoxic initiator. In this way a polymer of large molar weight (about 400,000) was obtained. The HAp and PLLA obtained were used as constituents of the HAp/PLLA composite biomaterial, a potential material for implants. The composite was obtained by mixing completely dissolved PLLA with granules of HAp. The composite was compacted by cold and hot pressing at pressures of 49.0-490.5 MPa and temperatures of 20-184 degrees C. The material obtained at optimum process parameters had a density of 99.6% and compressive strength of 93.2 MPa.

Biocompatible Materials↗

In vitro metabolism of progestins. III. The metabolic clearance rate of medroxyprogesterone acetate in monkeys.

3H-medroxyprogesterone acetate (MPA) was synthesized by selective catalytic tritiation of the delta1-olefinic bond of 6alpha-methyl-17alpha-hydroxy-pregna-1,4-diene-3,20-dione acetate. The metabolic clearance rate of MPA (MCRMPA) was determined in 9 female Rhesus monkeys by the single injection technique. The blood MCRMPA was 201 +/- 19 L/day (42.2 +/- 4.0 L/day/kg) which was approximately the same as that reported for progesterone clearance in the monkey. We conclude that a greater biological activity of MPA compared to progesterone cannot be related to its prolonged retention in the blood. Although both MPA and amino-glutethimide alter the rate of steroid metabolism in some species, neither of these agents influences the metabolic clearance rate of 3H-MPA in the monkey.

Aminoglutethimide↗

The in vivo metabolism of progestins. IV. The metabolic clearance rate and plasma binding of 6alpha-methylpregn-4-ene-3, 20-dione in women.

[3H]6alpha-methylprogesterone (6MP) was synthesized by selective catalytic tritiation of the delta1-olefinic bond of 6alpha-methylpregna-1,4-diene-3,20-dione. The metabolic clearance rate of 6MP (MCR6MP) was determined in 6 women by the single injection technique. The plasma MCR6MP was 4047 +/- 298 L/day (59 +/- 15 L/day/kg) which was higher than the MCR of progesterone and medroxyprogesterone acetate (6alpha-methyl-17alpha-hydroxy-pregna-4-ene-3,20-dione acetate). The high clearance was not due to binding or metabolism of 6MP by red cells. Although 6MP was bound to CBG with a lower affinity than progesterone, this could not entirely explain the high MCR6MP. When considered with the reports of progesterone and medroxyprogesterone acetate clearance, the present studies suggest that the 6alpha-substitution of progesterone leads to an increased rate of steroid metabolism in women.

Carrier Proteins↗

A novel affinity column for isolation of androgen binding protein from rat epididymis.

An androgen affinity column was synthesized by covalently linking 3-oxo-17beta-hydroxy-5alpha-androstan-17alpha-(6-hexanoic acid) to cyanogen bromide activated Sepharose through a dipropyldiamine side arm. This column was designed to recover androphilic proteins from homogenates rich in nonspecific esterases. An extract of rat epididymis was adsorbed on the affinity column after partial purification by ammonium sulfate precipitation. The column was washed with 1 M KCl and the androgen binding protein eluted with 17beta-hydroxy-5alpha-androstan-3-one resulting in a 1,100-fold increase in specific activity. This protein had the same mobility on polyacrylamide gels and the same estimated molecular weight (135,000 daltons by gel filtration) as androgen binding protein in the original extract. By contrast, electrophoresis on sodium dodecyl sulfate containing gels yielded 2 bands with estimated molecular weights of 42,000 and 47,000 daltons. These observations are consistent with a subunit structure for rat epididymal androgen binding protein.

Androgens↗

Medroxyprogesterone acetate: a steroid with potent progestational activity but low receptor affinity in the guinea pig uterus.

The guinea pig progestin receptor appears to be unique among mammalian receptors studied to date in that it displays a low binding affinity for some biologically potent 17 alpha-substituted progestinss. [3H]Medroxyprogesterone acetate (MPA) was synthesized and used to investigate this dichotomy between binding affinity and biological activity. The comparison of cytoplasmic and nuclear receptor binding characteristics suggested that progesterone and MPA were bound to the same receptor but with different affinities. Following an intravenous injection of 3H-steroids, the plasma level of progesterone was lower than that of MPA at all time points. Correspondingly, for up to 6 hours following steroid administration, progesterone levels were lower in uterine cytoplasm and higher in nuclei than those of MPA. However, by 24 hours, MPA nuclear levels were higher than those of progesterone, in accordance with plasma levels. We conclude that the potent biological activity of MPA relative to progesterone is due in part to its slower rate of metabolism and longer nuclear retention.

Animals↗

The in vivo metabolism of progestins. I. The metabolic clearance rates of progesterone and medroxyprogesterone acetate in the dog.

[3H]Medroxyprogesterone acetate (MPA) was synthesized by selective catalytic tritiation of the delta1-olefinic bond of 6alpha-methyl-17alpha-hydroxy-pregn-1,4-diene-3,20 dione acetate. [14C]MPA was synthesized by acetylation of 6alpha-methyl-17alpha-hydroxy-pregn-4-ene-3,20-dione with [14C]acetic anhydride. These radioactive materials were used to determine the MPA metabolic clearance rates (MCRMPA)and volumes of distribution (VoMPA) in dogs by the single injection technique. The metabolism of progesterone was also studied in the same animals. The MCRMPA (696 +/- 51 l/day) was only one-half that of progesterone (1332 +/- 59). By contrast, the volumes of distribution for the two steroids were similar. The metabolic clearance rates and the volumes of distribution for MPA and progesterone did not change during treatment with amino-glutethimide, a drug which is known to alter steroid metabolism in man.

Aminoglutethimide↗

[Interactions of the most frequently used drugs in the treatment of angina pectoris].

It seems that knowledge and evaluation of drug-interactions with organic nitrates, beta-blockers and calcium-channel blockers are of great importance in relation to patients with chronic diseases, who usually take more than one drug, which is in conjunction with the effect of their ageing. Organic nitrates are safe and the most important drug-group in angina pectoris therapy. Beta-adrenoreceptor blocking agents and calcium-channel blockers are involved in interactions with many different drugs (twenty interactions), but only three interactions are evaluated as interactions of high clinical significance (adrenaline, cimetidine and anti-thyroid agents with beta-blockers, and anti-arrhythmic agents, beta-blockers and cyclosporin with calcium-channel blockers), while the others are of moderate or minimal significance. The most desired interactions of these drugs can be avoided: adjustment of dosage, avoidance of fixed-combination, use of adequate form of drug, or alternative drug and, if necessary, elimination of one drug from therapy. Knowledge of these drug-interactions is important for physician's routine practice either in primary health-care or in hospital conditions.

Angina Pectoris↗