Two-dimensional wave patterns of spreading depolarization: Retracting, re-entrant, and stationary waves

We present spatio-temporal characteristics of spreading depolarizations (SD) in two experimental systems: retracting SD wave segments observed with intrinsic optical signals in chicken retina, and spontaneously occurring re-entrant SD waves that repeatedly spread across gyrencephalic feline cortex observed by laser speckle flowmetry. A mathematical framework of reaction-diffusion systems with augmented transmission capabilities is developed to explain the emergence and transitions between these patterns. Our prediction is that the observed patterns are reaction-diffusion patterns controlled and modulated by weak nonlocal coupling such as long-range, time-delayed, and global coupling. The described spatio-temporal characteristics of SD are of important clinical relevance under conditions of migraine and stroke. In stroke, the emergence of re-entrant SD waves is believed to worsen outcome. In migraine, retracting SD wave segments cause neurological symptoms and transitions to stationary SD wave patterns may cause persistent symptoms without evidence from noninvasive imaging of infarction.     

Targeted Metabolomics Based on LC-MS/MS Revealing Alteration of Bile Acids in Male Migraine Patients

Migraine is an episodic neurological disorder and the second most disabling disease with unclear pathogenesis. Since dietary adjustment and probiotics supplement can improve the symptoms of migraine, the intestinal flora metabolites of bile acids(BAs) attract attentions in this work. 21 BAs, including cholic acid(CA), chenodeoxycholic acid(CDCA), deoxycholic acid (DCA), lithocholic acid(LCA), ursodeoxycholic acid(UDCA), hyocholic acid(HCA), hyodeoxycholic acid(HDCA) and their glycine- and taurine-conjugated species, were compared in serum of migraine patients and healthy controls using liquid chromatography-tandem mass spectrometry(LC-MS/MS), which is the first study about the correlation between BAs and migraine. Two secondary BAs, DCA and LCA as well as their glycine- and taurine-conjugated forms, were demonstrated with significant difference between male patients and male controls, while no obvious difference was found in the two female groups. The result indicated that the variation of BAs might be gender-related when referred to migraine, which would emphasize the importance of gender-stratified analysis for the disease with varying morbidity in male and female. Five differential metabolites may serve as potential serum biomarkers for the male migraine patients, providing a new sight for the understanding and biomarker exploring of the migraine in male.     

Fast and Selective Simultaneous Determination of Acetaminophen,Aspirin and Caffeine in Pharmaceutical Products by Batch Injection Analysis with Multiple Pulse Amperometric Detection

In this work is presented a method for simultaneous determination of paracetamol (PA), acetylsalicylic acid (ASA) and caffeine (CA) in pharmaceutical tablets, using a bare boron‐doped diamond working electrode (BDDE) coupled to batch injection analysis system with multiple pulse amperometric detection (BIA‐MPA). The optimized sequence of fast potential pulses were applied on BDDE for acquisition of independent amperograms: +1.0 V for PA oxidation, +1.3 V for oxidation of PA and salicylic acid (SA) generated from a previous alkaline hydrolysis of ASA and +1.6 V in which the three analytes are oxidized (PA, SA and CA). Selective determination of PA is performed using the currents obtained at +1.0 V, while SA and CA signals are indirectly obtained using simple subtraction operations between peak currents from each amperogram and correction factors (CF's). The limitations of such approach on the precision and accuracy as function of BIA‐MPA conditions are discussed. Simultaneous determination of the target drugs in pharmaceutical tablets was performed by BIA‐MPA and the results compared to a HPLC‐DAD method. Under optimized conditions, the proposed method exhibits fast responses (180 injections per hour for the simultaneous determination of the three analytes) and suitable precision (RSD_PA: 0.78 %; RSD_SA: 1.09 %; RSD_CA: 2.73 %). BIA‐MPA method is simple, portable and presents relative low‐cost.     

Quantification of lysine clonixinate in intravenous injections by NIR spectroscopy

Migraine is a very painful and somewhat unpredictable ache that affects millions of people worldwide and for which no definite medicine exists, yet. New drugs and/or pharmaceutical forms are being developed, for which new quantitation methods are required. Lysine clonixinate (LC) has proved very advantageous to alleviate migraine episodes although, so far, no analytical procedures have been reported to quantify it in pharmaceutical dosage forms usually employed by physicians, i.e., injectable solutions. In this paper a NIR spectral method was developed and validated against international pharmaceutical standard guidelines and a new UV-based method to quantify LC in intravenous injection solutions. Both methods are almost inexpensive, fast, simple and suitable for LC routine determination. In addition, they provide analytical protocols less time-consuming than other reported HPLC methods (developed for other matrices), proved to be specific, accurate, precise and linear within the typical working range, according to the Harmonized Tripartite Guideline of Validation of Analytical Procedures from the International Conference on Harmonization. Both methods yield equivalent results and they are useful to monitor the concentration of LC in injectable solutions in routine analysis.     

Cerebellar metabolite alterations detected in vivo by proton MR spectroscopy

The aim of our work was to evaluate the feasibility of in vivo single-voxel quantitative proton MR spectroscopy in order to identify possible alterations in the main metabolite concentrations due to some metabolic dysfunctions in the cerebellum of patients suffering from a particular form of migraine called “with aura.” Measurements of metabolite levels in the cerebellum disclosed reduced choline values (normalized both to N-acetyl-aspartate and creatine) in the patient group with respect to the age-matched control group. Our interest in this pathology is motivated by the fact that there are no available specific biochemical markers for migraine characterization, and the current diagnostic only takes advantage of the medical history and the clinical examination.     

An efficient synthesis of the piperidinyl dihydroquinazolinone (PDQ) fragment of olcegepant

Olcegepant is one of the most potent and selective small molecule CGRP antagonists for the treatment of migraine headaches. Herein, we describe a new and efficient synthesis of the key piperidinyl dihydroquinazolinone (PDQ) fragment of olcegepant. PDQ plays a key role in the activity of CGRP antagonists. Primary improvements over existing methods include a high-yielding reductive amination step, greater overall yield, and operational simplicity. Coupling of PDQ to a d-tyrosine derivative effectively produced over one half of the total molecular structure of olcegepant. A unique tandem deprotection-nucleophilic addition sequence was also applied to the coupling of Fmoc-PDQ with phenyl isocyanate.