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formoterol + fluticasone propionate (Abriff / Formoterol Combi / KRP108)

✓ Approved

Zambon · ADRB2 · Small Molecule

What is formoterol + fluticasone propionate?

formoterol + fluticasone propionate is a small molecule developed by Zambon. It is approved for therapeutic indications via inhaled.

Drug Profile

Brand NamesAbriff, Formoterol Combi, KRP108
CompanyZambon
Drug ClassSmall Molecule
Molecular TargetADRB2, NR3C1
RouteInhaled
StatusApproved

Mechanism of Action

Molecular Targets

formoterol + fluticasone propionate acts on 2 molecular targets:

ADRB2adrenoceptor beta 2 (B2AR, ARB2)
NR3C1nuclear receptor subfamily 3 group C member 1 (GR, GCCR)
Want deeper analysis?Noah AI can explain complex mechanisms and compare to similar drugs.

Therapeutic Indications

formoterol + fluticasone propionate is developed for 2 unique indications across 1 therapeutic area.

Therapeutic AreaConditionPhase
Respiratory, thoracic and mediastinal disordersAsthma✓ Approved
Respiratory, thoracic and mediastinal disordersChronic obstructive pulmonary diseasePhase III

Related Research Articles

PubMedAnalytical methods : advancing methods and applications2026-07-17

Exploiting von Pechmann coumarin derivatization for spectrofluorimetric determination of formoterol in pharmaceutical samples with application to content uniformity testing.

Derayea Sayed M SM, Badry Sara I SI, Nagi Dalia M DM, Oraby Mohamed M

A sensitive spectrofluorimetric technique exhibiting acceptable selectivity was established for the quantification of formoterol (FMT) via the von Pechmann condensation reaction, leading to the formation of intensely fluorescent coumarin derivatives. In this reaction, FMT interacts with ethyl acetoacetate in the presence of concentrated sulfuric acid, producing a fluorescent product. The emitted fluorescence was recorded at 445 nm following excitation at 361 nm. Experimental parameters influencing the reaction were carefully optimized to achieve maximum fluorescence response and method stability. The proposed method exhibited excellent linearity across the concentration range of 20-500 ng mL-1, with a correlation coefficient (r) of 0.9998. The limits of detection (LOD) and quantification (LOQ) were found to be 4 ng mL-1 and 12 ng mL-1, respectively. Acceptable selectivity was demonstrated under the studied formulation conditions, as no significant interference was observed from commonly used pharmaceutical excipients, including lactose monohydrate, magnesium stearate, gelatin, titanium dioxide and placebo. A reaction pathway based on the reported von Pechmann condensation was proposed, and the method was validated in accordance with ICH guidelines. The applicability of the method was successfully demonstrated for the determination of FMT in pharmaceutical dosage forms, including content uniformity testing, showing satisfactory recovery results. Finally, the environmental impact of the method was assessed using various greenness evaluation tools, indicating a favorable greenness profile and practical applicability.

PubMedDEN open2026-07-17

Lymphocytic Esophagitis Mimicking Eosinophilic Esophagitis and Esophageal Candidiasis: A Case Report.

Sugawara Hiroshi H, Eizuka Makoto M, Toya Yosuke Y, Sugimoto Ryo R et al.

A 59-year-old man presented with a 5-year history of progressive dysphagia. Esophagogastroduodenoscopy (EGD) revealed an esophageal stricture with adherent whitish exudates, and biopsy specimens demonstrated fungal elements. Subsequent EGD showed longitudinal furrows, concentric rings, and white exudates, mimicking eosinophilic esophagitis. Biopsy specimens revealed marked intraepithelial lymphocytic infiltration without eosinophils. Immunohistochemistry demonstrated a predominance of CD3-positive T cells, leading to a diagnosis of lymphocytic esophagitis. Despite treatment with proton pump inhibitors, H2-receptor antagonists, antifungal agents, and inhaled fluticasone, his symptoms persisted without sustained improvement.

PubMedbioRxiv : the preprint server for biology2026-07-17

Allosteric Gating Mechanism Regulates Odorant Selectivity and Antagonism in Odorant Receptors.

Ma Ning N, Marie Mona M, Takase Dan D, Del Torrent Masachs Clàudia Llinàs CL et al.

Odorant receptors (ORs) belong to class A G protein coupled receptors that detect diverse small molecules, yet the steps that link odorant association to receptor mediated selectivity remains incompletely defined. Here we combined 1.26 milliseconds of all-atom odorant association Molecular Dynamics simulations with Markov state modeling and cell-based cAMP measurements to examine two human ORs receptors that recognize chemically distinct odorants. In the class I receptor OR51E2, propionate associates via two extracellular pathways gated for selectivity by residues in the extracellular loop 2 and 3. The longer alkyl chain heptanoate occupies this gate and reduces propionate association and signaling which is consistent with the observed antagonist behavior of heptanoate. Pocket-expanding mutations at F155 and L158 allosterically regulate ECL2-ECL3 gate by permitting longer-chain fatty acids to adopt fully inserted poses that support gate closure, while also attenuating propionate responses. In the class II receptor OR1A1, hydrophobic odorants partition into the membrane and reach the orthosteric site mostly through multiple transmembrane paths. A mutational scan of gating residues and analysis of intermediate-state occupancies suggest that an orthosteric substitution at G108 can allosterically bias odorant association path choice. Together, these results support a model in which odorant association paths and gate residence, together with allosteric coupling between the orthosteric site and entry gates, contribute to odorant specificity and antagonism in odorant receptors.

PubMedFood & function2026-07-17

In vitro fermentation characteristics of licochalcone A and its regulatory effects on human gut microbiota via multi-omics analysis.

Asif Ali A, Ziying Zou Z, Chen Ting T, Ahmad Ali A et al.

Historically, bioactive flavonoids from plant foods have been important components of the human diet and play key roles in shaping gut microbiota composition and host metabolism. Licochalcone A (LCA), a chalcone-type flavonoid derived from licorice (Glycyrrhiza spp.), has gained attention for its potential interactions with gut microbial communities. In the present study, an in vitro fecal batch fermentation system using samples from six healthy volunteers was used to characterize LCA-induced changes in microbial composition and metabolism. LCA was rapidly metabolized by the intestinal microbiota within 48 h, with pronounced interindividual variability among donors, indicating active microbial transformation. LCA treatment altered microbial activity by modifying short-chain fatty acid profiles, including acetate, propionate, and butyrate. LCA significantly increased the relative abundance of beneficial bacteria, including Prevotella, Segatella, and Bacteroides, while decreasing the abundance of taxa such as Fusobacterium and Escherichia. Untargeted metabolomics of the fermented broth revealed that LCA reshaped the gut metabolome, enriching metabolites involved in tryptophan metabolism and pantothenate and coenzyme A biosynthesis. Several metabolites, including Romucosine, Mosin C, and lucidone B, were altered, suggesting changes in microbial metabolic activity. Overall, these findings demonstrate that LCA can reshape gut microbial composition and metabolism, providing a basis for future development of functional foods.

PubMedJournal of dental research2026-07-17

Beyond Acidification: Microbial Lactate in the Oral Microbiome-Host Axis.

Takahashi N N

Lactate, the major acidic end-product of carbohydrate metabolism in the oral microbiome, has long been recognized as a key driver of tooth demineralization by lowering the tooth surface pH below the critical threshold for enamel dissolution. Within the framework of the ecological plaque hypothesis, this frequent and prolonged acidification contributes to dysbiosis by favoring acidogenic and aciduric microorganisms. However, accumulating evidence indicates that microbiome-derived lactate plays broader roles in both microbial ecology and host physiology. This review synthesizes current knowledge on the multifaceted functions of lactate within the oral microbiome-host axis. Lactate produced by saccharolytic bacteria, mainly including Streptococcus, Actinomyces, and Lactobacillus, as well as Rothia and Gemella, is extensively used by commensal taxa, including Veillonella, Neisseria, Rothia, and Streptococcus oligofermentans, and is primarily converted into acetate, propionate, and carbon dioxide. These cross-feeding interactions form integral metabolic networks within oral biofilms that are tightly coupled to the production of bioactive molecules, including nitrite, hydrogen peroxide, and hydrogen sulfide, contributing to microbial ecological homeostasis. Nitrite may further enter the systemic circulation and exert physiological effects, such as peripheral vasodilation via nitric oxide production through the nitrate-nitrite-nitric oxide pathway. Furthermore, in addition to directly damaging host cells at high concentrations, lactate may function as a signaling molecule through hydroxycarboxylic acid receptor 1 on host cells, potentially modulating cellular responses by regulating metabolic and signal transduction pathways. Lactate is also transported into cells via monocarboxylate transporters, where it serves as a metabolic substrate for redox regulation and induces epigenetic modifications through histone and non-histone protein lactylation, thereby affecting host cell functions. These multifaceted functions highlight lactate as a metabolic and signaling hub in the oral microbiome-host axis. The modulation of the lactate flux, rather than simply inhibiting microbial lactate production, may offer a new strategy for maintaining and promoting oral and systemic health.

PubMedJournal of computational chemistry2026-07-17

Electron Affinity of Actinide (IV) Carboxylate Complexes From MN12-L Density-Functional Calculations and Explainable Machine Learning.

Khairbek Ali A AA, Badawi Mohammad Abd Al-Hakim MAA, Puchta Ralph R, Saleh Dalia I DI et al.

We present a relativistic density-functional and explainable machine learning study of the vertical electron affinity (EA) of 14 homologous actinide(IV) carboxylate complexes [M(L)3]+ (M = Th-Lr; L = propionate, acrylate). All values were obtained at the MN12-L level via the def2-TZVPPD basis set for H, C, and O and a Stuttgart small-core relativistic effective-core potential, together with its associated valence basis, for the actinide. For every (metal, ligand) pair, all physically accessible An(IV) multiplicities were considered (52 calculations in total), and the ground state was assigned to the multiplicity with the lowest total electronic energy. The EA, evaluated as the negative of the lower α- and β-LUMO eigenvalues (the "true LUMO"), increases monotonically across the series from 5.53 eV at Th(5f0) to 10.80 eV at Lr(5f13) for the propionates (5.95 → 10.58 eV for the acrylates), with one outlier: at Th, the LUMO is forced into the 7 s/7p-ligand manifold because no 5f acceptor is available. Squared coefficient population analysis of the corrected ground-state wavefunctions confirms that for Pa-No, the LUMO is predominantly metal-5f (59%-82% on the metal), whereas at Lr, the highest-energy 5f spin orbital mixes strongly with the carboxylate π* manifold (5f ≈20%-28%, O ≈42%-50%). A nine-feature explainable machine-learning model trained on the corrected dataset reproduces the EA series under leave-one-metal-out cross-validation with R2 = +0.70 and MAE = 0.56 eV; permutation and SHapley additive exPlanations (SHAP) analyses identify the 5f-electron count and the atomic spin-orbit constant as the single dominant predictor cluster (Pearson r = +0.94 for the 5f count). The cross-ligand transferability is excellent (R2 = 0.85-0.88, MAE = 0.35-0.43 eV). The combined DFT-ML analysis provides a quantitative reference for An (IV) carboxylate EAs and isolates the 5f-shell occupation as the single physical lever governing their reduction propensity.

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