Antioxidants as adjuvant therapy in the treatment of community-acquired pneumonia

IF 3.4 Q2 PHARMACOLOGY & PHARMACY Future Journal of Pharmaceutical Sciences Pub Date : 2024-08-22 DOI:10.1186/s43094-024-00674-6
Fatma Makram Youssef, Eman Mohamed Elmokadem, Amir Eskander Hanna Samy, Hayam Ateyya
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Abstract

Background

Community-acquired pneumonia remains a major health concern, characterized by significant morbidity and mortality. The underlying pathophysiology of community-acquired pneumonia involves substantial oxidative stress and inflammation, which contribute to lung tissue damage and impaired immune function.

Main body

Variations in oxidative metabolism contribute to the inflammatory cascade which triggers pneumonia to commence and evolve, whereas oxidative stress as well as inflammatory processes is strongly related. Understanding the underlying immunological dysregulation and unbalanced redox that heighten vulnerability to a variety of illnesses has improved over the past several decades attributable to research. One of the key strategies for addressing oxidative stress is to lower the reactive oxygen species creation in the mitochondrion which is one of the main sites of their generation by using antioxidants, where they prevent oxidants from transferring electrons to other molecules. Consequently, antioxidants either directly or indirectly reduce the risk of damage and preserve the redox equilibrium. Therefore, antioxidants, due to their ability to neutralize reactive oxygen species and modulate inflammatory processes, have been explored as potential adjuvant therapies to enhance the treatment outcomes of community-acquired pneumonia. Where recent research has explored the potential of antioxidants as adjuvant therapy in the treatment of community-acquired pneumonia, aiming to mitigate these detrimental effects. Antioxidants such as N-acetylcystein, vitamin C, vitamin E, astaxanthin, and zinc have shown promising results in both preclinical and clinical studies.

Conclusion

Outcomes of several in vitro as well as in vivo antioxidant studies have demonstrated the antioxidants' promising potential as an adjunct pneumonia therapy. For an assessment of its effectiveness in this therapeutic context, more research involving humans will be required.

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抗氧化剂作为治疗社区获得性肺炎的辅助疗法
背景社区获得性肺炎仍然是一个主要的健康问题,发病率和死亡率都很高。社区获得性肺炎的基本病理生理学涉及大量的氧化应激和炎症,这导致了肺组织损伤和免疫功能受损。过去几十年来,由于研究的深入,人们对导致各种疾病易发的潜在免疫失调和氧化还原失衡有了更深入的了解。解决氧化应激问题的关键策略之一是通过使用抗氧化剂来降低线粒体中活性氧的产生,线粒体是产生活性氧的主要场所之一。因此,抗氧化剂可以直接或间接地降低损害风险并保持氧化还原平衡。因此,抗氧化剂因其中和活性氧和调节炎症过程的能力,已被视为潜在的辅助疗法,以提高社区获得性肺炎的治疗效果。最近的研究探索了抗氧化剂作为辅助疗法治疗社区获得性肺炎的潜力,旨在减轻这些不利影响。N-乙酰胞嘧啶、维生素 C、维生素 E、虾青素和锌等抗氧化剂在临床前和临床研究中均显示出良好的效果。要评估抗氧化剂的治疗效果,还需要进行更多的人体研究。
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来源期刊
自引率
0.00%
发文量
44
审稿时长
23 weeks
期刊介绍: Future Journal of Pharmaceutical Sciences (FJPS) is the official journal of the Future University in Egypt. It is a peer-reviewed, open access journal which publishes original research articles, review articles and case studies on all aspects of pharmaceutical sciences and technologies, pharmacy practice and related clinical aspects, and pharmacy education. The journal publishes articles covering developments in drug absorption and metabolism, pharmacokinetics and dynamics, drug delivery systems, drug targeting and nano-technology. It also covers development of new systems, methods and techniques in pharmacy education and practice. The scope of the journal also extends to cover advancements in toxicology, cell and molecular biology, biomedical research, clinical and pharmaceutical microbiology, pharmaceutical biotechnology, medicinal chemistry, phytochemistry and nutraceuticals.
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