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Within a 24-h interval, two dose fractions of methylprednisolone produce a stronger and more sustained immunosuppressive response than one single bolus dose.

Summary: Non-linear saturation kinetics can be described through a potency function, a trigonometric function, a logarithmic function, a hyperbolic function, or an exponential function. Saturable enzyme reaction kinetics can be alternatively formulated as a 1-exp function without the limitations of a steady-state assumption (d [C]/dt = 0, where C is the enzyme-substrate complex). The time-dependent substrate conversion (-d[S]/df = K max {1 -exp(-AT a [S])}) depends on the maximum velocity (F max ), the association constant (K a ) and substrate concentration [S]. In contrast to the classical Michaelis-Menten equation, the 1-exp function has an explicit solution for the substrate concentration [S] in an integrated form.A deceleration term must be introduced to describe enzyme reaction kinetics realistically. The 1-exp function with deceleration term can also be expanded to describe the three inhibition types of enzyme reaction kinetics.

Subtype-specific human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) are promising tools, e.g., to assess the potential of drugs to cause chronotropic effects (nodal hiPSC-CMs), atrial fibrillation (atrial hiPSC-CMs), or ventricular arrhythmias (ventricular hiPSC-CMs). We used single-cell patch-clamp reverse transcriptase-quantitative polymerase chain reaction to clarify the composition of the iCell cardiomyocyte population (Fujifilm Cellular Dynamics, Madison, WI, USA) and to compare it with atrial and ventricular Pluricytes (Ncardia, Charleroi, Belgium) and primary human atrial and ventricular cardiomyocytes. The comparison of beating and non-beating iCell cardiomyocytes did not support the presence of true nodal, atrial, and ventricular cells in this hiPSC-CM population. The comparison of atrial and ventricular Pluricytes with primary human cardiomyocytes showed trends, indicating the potential to derive more subtype-specific hiPSC-CM models using appropriate differentiation protocols. Nevertheless, the single-cell phenotypes of the majority of the hiPSC-CMs showed a combination of attributes which may be interpreted as a mixture of traits of adult cardiomyocyte subtypes: (i) nodal: spontaneous action potentials and high HCN4 expression and (ii) non-nodal: prominent INa-driven fast inward current and high expression of SCN5A. This may hamper the interpretation of the drug effects on parameters depending on a combination of ionic currents, such as beat rate. However, the proven expression of specific ion channels supports the evaluation of the drug effects on ionic currents in a more realistic cardiomyocyte environment than in recombinant non-cardiomyocyte systems.