Stimuli-Responsive Drug Delivery and Chronopharmacologycq
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What is the primary function of a Continuous Glucose Monitoring (CGM) system in an artificial pancreas system?

  • To analyze blood sugar levels and send data to a central processor.
  • To monitor blood sugar levels in real-time and calibrate the insulin pump's dosage. (correct)
  • To create a closed-loop system that automatically regulates blood sugar levels.
  • To deliver insulin directly into the bloodstream.
  • Which of the following is NOT considered a synonym for an artificial pancreas system?

  • Autonomous system for glycaemic control
  • Automated insulin delivery system
  • Open-loop system (correct)
  • Closed-loop system
  • What is the main role of the blood glucose device in an artificial pancreas system?

  • To provide data to an algorithm for controlling insulin delivery.
  • To monitor blood sugar levels in real-time and adjust insulin pump dosage.
  • To deliver insulin directly into the bloodstream.
  • To calibrate the Continuous Glucose Monitoring (CGM) system. (correct)
  • What is the primary goal of an artificial pancreas system?

    <p>To reduce hyperglycemia and minimize hypoglycemic incidents. (B)</p> Signup and view all the answers

    How does an artificial pancreas system automatically adjust insulin delivery?

    <p>By directly analyzing blood sugar levels and sending instructions to the insulin pump. (D)</p> Signup and view all the answers

    Why are smart drug delivery systems considered 'smart'?

    <p>They can respond to specific stimuli to release their cargo. (C)</p> Signup and view all the answers

    Which of the following is an example of a biological stimulus that can trigger drug release from a smart drug delivery system?

    <p>Redox potential (A)</p> Signup and view all the answers

    What is the purpose of the computer-controlled algorithm in an artificial pancreas system?

    <p>To connect the CGM system to the insulin pump and facilitate communication between them. (B)</p> Signup and view all the answers

    What advantage does using externally applied stimuli like light and ultrasound offer for drug release?

    <p>They allow for spatial and temporal control of drug release. (A)</p> Signup and view all the answers

    What is the primary advantage of an artificial pancreas system over traditional blood sugar control methods?

    <p>It reduces the burden of manually adjusting insulin doses. (C)</p> Signup and view all the answers

    How is pH used as a stimulus in smart drug delivery?

    <p>To target and deliver drugs to specific areas with unique pH levels. (D)</p> Signup and view all the answers

    What is a potential disadvantage of an artificial pancreas system?

    <p>It can be expensive to acquire and maintain. (B)</p> Signup and view all the answers

    Which is considered a characteristic of "smart" drug delivery systems?

    <p>They release cargo in response to a specific trigger. (C)</p> Signup and view all the answers

    What is a primary benefit of using hydrogels and bioadhesive approaches in drug delivery?

    <p>They help to prevent leakage and loss of the product. (C)</p> Signup and view all the answers

    Which characteristic of pH-responsive systems is most relevant when used for vaginal drug delivery?

    <p>They transition from gel to sol in the presence of seminal fluid. (D)</p> Signup and view all the answers

    How does cellulose acetate phthalate (CAP) behave at different pH levels?

    <p>It is a gel/solid at lower pH but becomes soluble when pH increases. (B)</p> Signup and view all the answers

    What specific event triggers the release of drugs from CAP polymer meshes or tablets in the vagina?

    <p>An increase of pH due to the introduction of semen. (C)</p> Signup and view all the answers

    Under normal acidic conditions in the vagina, what purpose do these drug delivery systems serve?

    <p>They remain intact and can be used for sustained release. (A)</p> Signup and view all the answers

    Why would the semen-triggered release of anti-HIV drugs be particularly useful in developing countries?

    <p>It aligns drug release with the time of potential HIV exposure. (B)</p> Signup and view all the answers

    What is the gel to sol transition?

    <p>A material changing from a solid to a liquid. (A)</p> Signup and view all the answers

    What is the effect of increased pH levels on the CAP polymer?

    <p>The polymer transitions from a gel to a sol state and dissolves. (B)</p> Signup and view all the answers

    What happens to Poly(N-isopropylacrylamide) hydrogels above the lower critical solution temperature (LCST)?

    <p>They undergo dehydration and compaction. (B)</p> Signup and view all the answers

    How can the properties of PNIPAAm be modified?

    <p>By varying the alkyl component or copolymerization with hydrophilic monomers. (A)</p> Signup and view all the answers

    What is a potential application for PNIPAAm in medicine?

    <p>Tumor drug delivery with an external heat source. (A)</p> Signup and view all the answers

    What defines the critical temperature (Tc) for PNIPAAm hydrogels?

    <p>The temperature where swelling sharply transitions. (D)</p> Signup and view all the answers

    What is the significance of the LCST being close to body temperature for PNIPAAm?

    <p>It enables temperature-responsive behavior relevant for drug delivery. (B)</p> Signup and view all the answers

    What causes the gellan gum to form a gel in the Timoptic XE gel-forming preparation?

    <p>Contact with positive Ca2+ cations (D)</p> Signup and view all the answers

    What effect do Ca2+ cations have on the gellan gum in ocular preparations?

    <p>They neutralize the polymer and reduce its solubility (B)</p> Signup and view all the answers

    Which of the following statements correctly describes the behavior of gellan gum in the presence of electrolytes?

    <p>It forms a structured network upon bridging by electrolytes (D)</p> Signup and view all the answers

    In which situation would you expect gellan gum to thicken?

    <p>In the presence of positive Ca2+ cations (C)</p> Signup and view all the answers

    What is the primary purpose of using gellan gum in ocular drug delivery systems?

    <p>To prolong the contact time of medication in the eye (C)</p> Signup and view all the answers

    What happens to the solubility of gellan gum when it interacts with Ca2+ cations?

    <p>It decreases due to cross-linking (D)</p> Signup and view all the answers

    How does gellan gum behave in an aqueous solution before interaction with electrolytes?

    <p>It remains as a liquid solution (A)</p> Signup and view all the answers

    What is the role of gellan gum in the context of ocular formulations?

    <p>To provide a sustained release of medication (D)</p> Signup and view all the answers

    Which type of polymers tend to swell more in the presence of water?

    <p>Hydrophilic polymers (C)</p> Signup and view all the answers

    What is one method to incorporate drugs into polymer systems?

    <p>Soaking polymer monoliths in drug solution (B)</p> Signup and view all the answers

    What primarily affects the degree of swelling in polymer structures?

    <p>The extent of polymer cross-linking (A)</p> Signup and view all the answers

    In Fickian diffusion, what is the general direction of drug movement?

    <p>From high concentration to low concentration (C)</p> Signup and view all the answers

    What is a consequence of thehydrostatic pressure in hydrogels?

    <p>The contraction of the hydrogel (C)</p> Signup and view all the answers

    Which factor is NOT a possible issue with drug release from hydrogels?

    <p>Uniform drug distribution (A)</p> Signup and view all the answers

    What can trigger the contraction of a hydrogel?

    <p>Hydrostatic pressure changes (C)</p> Signup and view all the answers

    Which of the following statements about polymer swelling is true?

    <p>Loosely cross-linked polymers swell less than hydrophilic polymers. (A)</p> Signup and view all the answers

    Study Notes

    Stimuli-Responsive Drug Delivery Systems

    • Stimuli-responsive drug delivery systems tailor drug release at a target site
    • Systems respond to stimuli like pH, temperature, redox potential, enzymes, light, and ultrasound
    • Systems can control drug release temporally and spatially
    • Biological stimuli occur naturally in the body and can be exploited for tailored drug release
    • External stimuli can be used for release control
    • Stimuli-responsive systems can respond to a stimulus by changing properties, e.g., conformation, solubility, or HLB balance
    • Many responses can occur simultaneously
    • Examples of responses include chemical phase separation, swelling, surface/shape change, and permeability changes

    Chronopharmacology

    • Chronopharmacology considers a person's circadian rhythm
    • It determines the timing and quantity of medication
    • It does not introduce new medicines, but uses existing ones in a different approach.
    • Objective is to optimize drug effects and minimize side effects by exploiting biological stimuli
    • Circadian rhythms are studied in many clinical diseases
    • Symptoms and exacerbation patterns often fluctuate with the circadian cycle
    • Some diseases have more intense symptoms during certain times of the day or night
    • Examples include allergic rhinitis, asthma, arthritis, angina, and myocardial infarction

    Stimuli-Responsive Polymers

    • Examples of pH-sensitive polymer blocks include poly(acrylic acid), poly(methacrylic acid), poly (2-ethyl acrylic acid), and poly(2-propyl acrylic acid)
    • Examples of temperature-sensitive polymer blocks include N-isopropylacrylamide and poly(organophosphazenes)

    pH-Responsive Hydrogels

    • pH-responsive hydrogels use polymeric backbones with ionic pendant groups
    • In aqueous media these groups ionize and produce fixed charges, affecting swelling and deswelling
    • Pendant groups in anionic hydrogels are non-ionized below and ionized above their pKa, leading to swelling at higher pH
    • Cationic hydrogels are non-ionized above and ionized below their pKa, causing swelling at lower pH
    • Swelling and shrinking transitions are observed near pKa values

    Temperature-Responsive Hydrogels

    • Polymers like poly(N-isopropylacrylamide) have a lower critical solution temperature (LCST), generally around 33°C
    • Below the LCST, the polymer chains are hydrated and have a random coil configuration
    • Above the LCST, the polymer chains become dehydrated and more compact due to hydrophobic interactions

    Open and Closed-Loop Systems

    • Hydrogels can modulate drug release in open or closed loop modes
    • Open-loop systems use external stimuli, e.g., ultrasound
    • Closed-loop systems are self-regulated, responding to changes in the physiological environment, e.g., blood glucose levels
    • Artificial pancreas systems are closed-loop systems for glycemic control that mimic the function of a healthy pancreas

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    Description

    Explore the concepts of stimuli-responsive drug delivery systems that adapt drug release based on various stimuli and the principles of chronopharmacology that optimize medication timing according to circadian rhythms. This quiz covers the mechanisms, examples, and applications of these advanced drug delivery strategies.

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