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Tamiflu

Manufactured by Roche
Sourced in Switzerland, Latvia, Canada, Australia

Tamiflu is a prescription antiviral medication developed by Roche. It is used to treat influenza (flu) infections caused by influenza A and B viruses in individuals 2 weeks of age and older. Tamiflu works by inhibiting the neuraminidase enzyme, which is essential for the influenza virus to replicate and spread within the body.

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8 protocols using tamiflu

1

Immunosuppressive Regimen for Transplant Models

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The following immunosuppressive drugs were used to suppress the immune system of the animals: Mycophenolate mofetil (MMF) powder for infusion (20mg/kg) (CellCept, Roche, Woerden, The Netherlands), tacrolimus concentrate for infusion (5 mg/ml) (Prograft, Astellas Pharma BV, Leiderdorp, The Netherlands) and oral solution of prednisolone sodium phosphate (5 mg/ml) (Hospital Pharmacy, UMCN St Radboud, Nijmegen, The Netherlands). This regimen is similar to the immunosuppressive treatment of patients undergoing solid organ transplantation. To prevent opportunistic infections, all animals received an antibiotic prophylaxis of amoxicillin supplemented with oral suspension of clavulanic acid (250 mg and 62.5 mg per 5 mL, respectively) (Pharmachemie BV, Haarlem, The Netherlands). Oseltamivir phosphate (OSP; 10mg/Kg) was added to the regimes of ferrets receiving antiviral therapy and was provided by Hoffman-La Roche LtD. (Tamiflu, Basel, Switzerland). Preparation of the drugs was done as previous described [5 (link)].
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2

Preparation of Antiviral Compound Solutions

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Tamiflu (Batch No. B1162; Hoffmann-La Roche, Switzerland), Ribavirin granules (Batch No. 090112; China Medicine University Pharmaceutical Company, China), and Lianhua Qingwen capsules (Batch No. 090546; Yiling Pharmaceutical, Shijiazhuang, China) were used as active comparator positive controls. The following stock solutions of each active comparator drug were prepared with high purity water under sterile conditions: a 7.5 mg/ml stock solution of Tamiflu; a 10 mg/ml stock solution of Ribavirin; and a 35 mg/ml stock solution of Lianhua Qingwen. Stock solutions were stored at 4 °C and diluted as required prior to each experiment.
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3

Evaluating Antiviral Compound Effectiveness

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In addition, the same procedure as in the testing of the effect of virus-inhibitory activity was applied using as a reference, the following preparations[23 (link), 24 ]:

Rimantadine® (alpha-Methyl-1-adamantanemethylamine hydrochloride, “Olafarm”, Latvia);

Tamiflu® (3R,4R,5S)-4-acetylamino-5-amino-3(1-ethylpropoxy)-1-cyclohexene-1-carboxylic acid, ethyl ester, phosphate, Hoffmann-La Roche, Switzerland);

Selected earlier plant origin preparations “Virospan” and “Flavovir” of flavonoids and sesquiterpene nature with high antiviral activity.

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4

Plant-Derived Natural Compound Extraction

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Folin-Ciocalteu’s phenol reagent, vanillin, saponin from quillaja bark, and (+)-catechin were purchased from Sigma-Aldrich (St. Louis, MO, USA). Gallic acid was purchased from Tokyo Chemical Industry (Tokyo, Japan) and sodium carbonate was purchased from Samchun Chemical (Pyeongtaek, South Korea). Tamiflu were obtained from Roche (Seoul, Korea). B. juncea (seed), F. suspensa, (fruit) and I. britannica (seed) were obtained from Kyungdong-Market in Seoul, Korea. B. juncea, F. suspensa, and I. britannica were authenticated by Professor Hyun-Dong Paik at the Laboratory of Biotechnology (Konkuk University, Seoul, Korea) and stored as voucher specimen KU-H13, KU-H22 and KU-H26, respectively.
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5

Influenza A Virus NA Activity Assay

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The NA activity of pH1N1 influenza A virus (A/Hamburg/NY1580/2009) was measured by a fluorescence-based assay using the fluorogenic substrate 2′-(4-Methylumbelliferyl)-α-D-N-acetylneuraminic acid (4-MU-NANA, Sigma-Aldrich) which is cleaved by the viral NA enzyme to release the fluorescent product 4-methylumbelliferone (4-MU)98 (link). Therefore, recombinant wildtype (wt) or NA mutant (D199N, D199E, S247N, S247G) pH1N1 viruses were diluted to an equivalent NA activity and pre-incubated with 10, 100 or 1000 nM Oseltamivir (Tamiflu, Roche) or mock treated with 1xPBS for 15 min at 37 °C. The NA enzyme activity was initiated by adding 40 µM 4-MU-NANA in calcium-TBS (6.8 mM CaCl2, 0.85% NaCl, 0.02 M Tris; pH 7.3). After 30 min at 37 °C, the reaction was stopped by the addition of 100 µl of 0,1 M glycine buffer (pH 10,7) containing 25% ethanol. The fluorescence of released 4-MU was determined with a Safire 2 multi-plate reader (Tecan) using excitation and emission wavelengths of 355 nm and 460 nm, respectively. The mean fluorescence signal of the substrate without virus was subtracted as background from the signals obtained in the other wells. The specific NA activity was expressed in percentage.
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6

Evaluating Oseltamivir Dosing in Ferrets

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In two experiments, ferrets were treated with oseltamivir (Tamiflu, Roche). The drug was dissolved in sterile water to 12 mg/ml, and delivered to ferrets by oral gavage twice daily. Doses of 5 mg/kg/day and 10 mg/kg/day are equivalent to human doses of 75 and 150 mg/day, respectively [29] (link), and represent prophylactic and therapeutic doses. Prophylactic dosing commenced 2 hr prior to infection; therapeutic dosing commenced 6 hr post-infection. In both experiments, dosing continued for 5 days.
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7

Oseltamivir Phosphate Extraction and Preparation

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Tamiflu® (oseltamivir phosphate free base, Hoffmann-La Roche Ltd, Mississauga, ON, Canada) was used at the concentrations indicated. Tamiflu 75 mg capsules were dissolved in sterile phosphate-buffered saline and centrifuged at 1,000 rpm for 10 minutes to remove the filler. The stock-extracted oseltamivir phosphate solution had a concentration of 15 mg/mL. Pure (98%) oseltamivir phosphate was obtained from Hangzhou DayangChem Co, Ltd (Hangzhou City, People’s Republic of China). High-performance liquid chromatography (HPLC) analyses of the compounds showed a single histogram peak. Cell culture medium containing 1 × Dulbecco’s Modified Eagle’s Medium, 10% fetal calf serum, and 5 μg/mL Plasmocin with different concentrations of oseltamivir phosphate (200–800 μg/mL) were used for the in vitro and in vivo experiments.
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8

Comparing Antiviral and Anti-inflammatory Treatments

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Different groups of mice were administered with 100 µL of oseltamivir (Tamiflu; Roche Australia, Sydney, Australia) diluted in phosphate buffered saline (PBS) via oral gavage (o.g.) at 150 mg/kg (once daily) or 20 mg/kg (twice daily), etanercept (Enbrel; Pfizer Australia, Sydney, Australia) administered i.p. at 2.5 mg/kg diluted in PBS or S3I-201 (STAT3 inhibitor VI, Sigma-Aldrich Pty Ltd., Macquarie, Australia; cat. no. 573102) administered i.p. at 5 mg/kg after the onset of disease signs. S3I-201 was first dissolved in DMSO at 200 mg/mL and then further diluted in PBS to a working stock solution of 1 mg/mL.
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