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Advancements in Nanotechnology for Enhanced Antifungal Drug Delivery: A Comprehensive Review. 纳米技术在增强抗真菌药物输送方面的进展:全面回顾。
Pub Date : 2024-01-01 DOI: 10.2174/0118715265266257231022134933
Rajat Srivastava, Ajay Kumar Singh Rawat, Manoj Kumar Mishra, Amit Kumar Patel

Infections caused by fungi can be mildly bothersome or fatal, causing life-threatening conditions or even death. Antifungal drugs have used synthetic chemicals, organic compounds, and phytoconstituents in their formulations to treat fungal infections. Research into novel antifungal drugs has progressed more rapidly than into antibacterial treatments. This can be attributed to the low resistance of fungal infections to antifungal bioactivities and the relatively low incidence of these diseases. Carrier systems based on nanotechnology have generated much interest recently because of the incredible potential of these systems. By using nanoarchitecture as a better carrier and drug delivery system (DDS), we can have greater antifungal effectiveness, bioavailability, targeted action, and less cytotoxicity, a development made possible using nanotechnology. This review discusses various nanocarrier-based technologies in addition to other nanotechnological methods. These include liposomes, transfersomes, ethosomes, niosomes, dendrimers, polymeric nanoparticles, polymer nanocomposites, metallic nanoparticles, carbon nanomaterials, etc. This review focused on general information regarding fungi infections, different antifungal agent types and mechanisms of action, and an overview of formulation strategies such as nanotechnology systems, which are frequently researched for antifungal therapies. We concluded that new drug delivery systems are crucial to delivering antifungal medicines to their target site with the optimum concentration. The researchers also concentrated on these innovative drug delivery systems, which primarily focus on regulating and maintaining the release of antifungal drugs.

由真菌引起的感染轻则令人烦恼,重则会危及生命,甚至导致死亡。抗真菌药物在配方中使用合成化学物质、有机化合物和植物成分来治疗真菌感染。与抗菌治疗相比,新型抗真菌药物的研究进展更为迅速。这是因为真菌感染对抗真菌生物活性的抗药性较低,而且这些疾病的发病率相对较低。基于纳米技术的载体系统最近引起了人们的极大兴趣,因为这些系统具有惊人的潜力。通过使用纳米结构作为更好的载体和给药系统(DDS),我们可以获得更高的抗真菌效果、生物利用度、靶向作用和更低的细胞毒性,而纳米技术的发展使这一切成为可能。除了其他纳米技术方法外,本综述还讨论了各种基于纳米载体的技术。这些技术包括脂质体、转移体、乙糖体、niosomes、树枝状聚合物、聚合物纳米复合材料、金属纳米颗粒、碳纳米材料等。这篇综述重点介绍了真菌感染的一般信息、不同的抗真菌药物类型和作用机制,并概述了纳米技术系统等制剂策略,这些都是抗真菌疗法的常用研究方法。我们得出的结论是,新型给药系统对于将抗真菌药物以最佳浓度输送到目标部位至关重要。研究人员还集中研究了这些创新的给药系统,它们主要侧重于调节和维持抗真菌药物的释放。
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引用次数: 0
An Unforeseen Spreading of Measles in South Africa. 麻疹在南非意外蔓延。
Pub Date : 2024-01-01 DOI: 10.2174/0118715265276129231211054120
Sumel Ashique
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引用次数: 0
Future Opportunities in Malaria Management Offered by Probiotics. 益生菌为疟疾防治带来的未来机遇。
Pub Date : 2024-01-01 DOI: 10.2174/0118715265271259231118154255
Amandeep Singh, Rohit Bhatia
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引用次数: 0
Identification of Genes Encoded Toxin-Antitoxin System in Mycobacterium Tuberculosis Strains from Clinical Sample. 从临床样本中鉴定结核分枝杆菌菌株中编码毒素-抗毒素系统的基因
Pub Date : 2024-01-01 DOI: 10.2174/0118715265274164240117104534
Karthikeyan Sundaram, Leela Kagithakara Vajravelu, Ravichandiran Velayutham, Utpal Mohan

Background: The toxin-antitoxin system is a genetic element that is highly present in Mycobacterium tuberculosis (MTB), the causative agent of tuberculosis. The toxin-antitoxin system comprises toxin protein and antitoxin protein or non-encoded RNA interacting with each other and inhibiting toxin activity. M. Tuberculosis has more classes of TA loci than non-tubercle bacilli and other microbes, including VapBC, HigBA, MazEF, ParDE, RelBE, MbcTA, PemIK, DarTG, MenTA, one tripartite type II TAC chaperone system, and hypothetical proteins.

Aims: The study aims to demonstrate the genes encoded toxin-antitoxin system in mycobacterium tuberculosis strains from clinical samples.

Materials and methods: The pulmonary and extra-pulmonary tuberculosis clinical samples were collected, and smear microscopy (Ziehl-Neelsen staining) was performed for the detection of high bacilli (3+) count, followed by nucleic acid amplification assay. Bacterial culture and growth assay, genomic DNA extraction, and polymerase chain reaction were also carried out.

Results: The positive PTB and EPTB samples were determined by 3+ in microscopy smear and the total count of tubercle bacilli determined by NAAT assay was 8.0×1005 in sputum and 1.3×1004 CFU/ml in tissue abscess. Moreover, the genomic DNA was extracted from culture, and the amplification of Rv1044 and Rv1045 genes in 624 and 412 base pairs (between 600-700 and 400-500 in ladder), respectively, in the H37Rv and clinical samples was observed.

Conclusion: It has been found that Rv1044 and Rv1045 are hypothetical proteins with 624 and 882 base pairs belonging to the AbiEi/AbiEii family of toxin-antitoxin loci. Moreover, the significant identification of TA-encoded loci genes may allow for the investigation of multidrugresistant and extensively drug-resistant tuberculosis.

背景:毒素-抗毒素系统是结核分枝杆菌(MTB)(结核病的致病菌)中高度存在的一种遗传因子。毒素-抗毒素系统由毒素蛋白和抗毒素蛋白或非编码 RNA 组成,两者相互作用,抑制毒素的活性。与非结核杆菌和其他微生物相比,结核分枝杆菌有更多种类的TA基因座,包括VapBC、HigBA、MazEF、ParDE、RelBE、MbcTA、PemIK、DarTG、MenTA、一个三方Ⅱ型TAC伴侣蛋白系统和假定蛋白:收集肺部和肺外结核病临床样本,涂片显微镜(齐氏-奈尔森染色)检测高杆菌数(3+),然后进行核酸扩增试验。此外,还进行了细菌培养和生长检测、基因组 DNA 提取和聚合酶链反应:结果:PTB 和 EPTB 阳性样本的显微镜涂片结果为 3+[20],NAAT 法测定的痰中结核杆菌总数为 8.0×1005,组织脓肿中结核杆菌总数为 1.3×1004 CFU/ml。此外,从培养物中提取基因组 DNA,在 H37Rv 和临床样本中分别观察到 Rv1044 和 Rv1045 基因在 624 和 412 个碱基对(梯形图在 600-700 和 400-500 之间)的扩增:结论:研究发现,Rv1044和Rv1045分别是624和882个碱基对的假定蛋白,属于AbiEi/AbiEii家族毒素-抗毒素基因座。此外,TA编码位点基因的重要鉴定可能有助于研究耐多药和广泛耐药结核病。
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引用次数: 0
A Comprehensive Review on Patents, Herbal Treatment and Clinical Trials on Acquired Immune Deficiency Syndrome. 获得性免疫缺陷综合征的专利、中药治疗及临床研究综述
Pub Date : 2024-01-01 DOI: 10.2174/0118715265270311231113041807
Sushen Singh Choudhary, Sushma Verma

This paper provides an outline of the Human immunodeficiency virus (HIV), its mechanism of action, and types of HIV/AIDS. Additionally, it offers recent advances and patent data on HIV medications and formulations for the last ten years. The HIV/AIDS patents describes how compounds can stop viruses from spreading and stop HIV from multiplying. It also gives information about monolithic tablets, fixed oral doses of triple HIV formulations, and drug delivery systems that use electrospun fibers. The patents also reveals the treatment for patients having liver disease by using herbal ingredients. The effects of various herbal ingredients and preparations on HIV replication, immunological function, and symptom management have been researched. Despite the encouraging randomized trial data available, it is crucial to proceed cautiously when using herbal treatments for HIV/AIDS treatment. Recent years clinical trials of HIV/AIDS were also reviewed. Herbal remedies are preferred more than other drugs because they have fewer side effects and have long-lasting effects for the treatment of HIV/AIDS. The regulation, quality assurance, and standardization of herbal products are the challenges for the industry.

本文概述了人类免疫缺陷病毒(HIV),它的作用机制,以及艾滋病毒/艾滋病的类型。此外,它还提供了过去十年艾滋病毒药物和配方的最新进展和专利数据。艾滋病毒/艾滋病专利描述了化合物如何阻止病毒传播和阻止艾滋病毒繁殖。它还提供了关于单片片剂、三效HIV制剂的固定口服剂量以及使用静电纺丝纤维的给药系统的信息。该专利还揭示了使用草药成分治疗肝病患者的方法。研究了各种草药成分和制剂对HIV复制、免疫功能和症状管理的影响。尽管有令人鼓舞的随机试验数据,但在使用草药治疗艾滋病毒/艾滋病时,谨慎行事至关重要。综述了近年来HIV/AIDS的临床试验。草药比其他药物更受欢迎,因为它们副作用少,对治疗艾滋病毒/艾滋病有持久的效果。草药产品的监管、质量保证和标准化是该行业面临的挑战。
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引用次数: 0
Fusobacterium/Peptostreptococcus - A Case Report of Community- Acquired Empyema Resulting in Surgical Decortication with Prolonged Antibiotic Therapy: A Case Series and Review of the Literature. 镰刀菌/eptostreptococcus - 一例社区获得性肺水肿导致长期抗生素治疗的手术去皮层的病例报告:病例系列和文献综述。
Pub Date : 2024-01-01 DOI: 10.2174/0118715265255809231107100450
Garrastegui-Mercado Emmanuel, Awad Chady, Suresh Antony

Background: Infections caused by anaerobic bacteria occur frequently and can be serious and life-threatening. Anaerobes are a rare cause of community-acquired pneumonia with Streptococcus pneumonia and respiratory viruses being the most frequently detected pathogens. We, herein, report a case of Fusobacterium/Peptostreptococcus parapneumonic effusion with empyema in a patient without risk factors for aspiration pneumonia. This case presents an opportunity to discuss an unusual case of community-acquired empyema secondary to anaerobic infection in a patient without the common risk factors for aspiration.

Case Presentation: A 59-year-old male patient without significant past medical history apart from a twenty-five-year history of smoking presented due to left flank pain and shortness of breath. Findings of a complicated parapneumonic effusion were found on imaging, resulting in surgical decortication and prolonged antibiotic therapy.

Discussion: Parapneumonic effusions and empyema are relatively common complications of pneumonia. It is important to note that the incidence of anaerobic empyema has been on the rise due to more modern culturing techniques.

Conclusion: This case highlights an unusual presentation of community-acquired empyema secondary to anaerobes without any risk factors for aspiration pneumonia. Therefore, clinicians should consider the possibility of anaerobic coverage in the treatment of community-acquired empyema in the appropriate setting.

.

背景:厌氧菌引起的感染经常发生,严重时可危及生命。厌氧菌是社区获得性肺炎的罕见病因,肺炎链球菌和呼吸道病毒是最常检测到的病原体。我们在此报告了一例无吸入性肺炎危险因素的患者肺旁积液并伴有肺水肿的分枝杆菌/链球菌病例。本病例为我们提供了一个机会,来讨论一个不寻常的病例,即一名没有常见吸入性肺炎危险因素的患者因厌氧菌感染而继发社区获得性肺水肿:病例介绍:一名 59 岁的男性患者因左侧腹痛和气短前来就诊,除有 25 年吸烟史外,无明显既往病史。影像学检查发现并发症性肺旁积液,患者接受了手术切除和长期抗生素治疗:讨论:副肺积液和肺水肿是肺炎比较常见的并发症。讨论:副肺积液和肺水肿是比较常见的肺炎并发症,值得注意的是,由于采用了更先进的培养技术,厌氧菌性肺水肿的发病率呈上升趋势:本病例强调了厌氧菌继发社区获得性肺水肿的不寻常表现,且无任何吸入性肺炎的危险因素。因此,临床医生在治疗社区获得性肺水肿时,应在适当情况下考虑厌氧菌感染的可能性。
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引用次数: 0
A New-fangled COVID-19 Variant, Eris, Might be the One to Lookout in 2023 or far from Over. 新式 COVID-19 变体 "阋神星 "可能会在 2023 年或更远的地方出现。
Pub Date : 2024-01-01 DOI: 10.2174/0118715265276833240105110046
Suman Kumar Ray, Sukhes Mukherjee

Coronavirus Disease-19 (COVID-19) is an infectious disease brought on by the extremely pathogenic and contagious severe acute respiratory syndrome-virus-2 (SARS-CoV-2). The agenda for the COVID-19 pandemic is dynamic and includes recent developments. Seven variants under monitoring (VUMs), one variant of interest (VOI), XBB.1.5, and their offspring lineages are currently being actively monitored by WHO. The VUMs are BA.2.75, CH.1.1, BQ.1, XBB (with the exception of XBB.1.5, XBB.1.16, and XBB.1.9.1), XBF, and XBB.1.16. With 95 countries having reported finding XBB.1.5 (VOI), it is still the most common strain worldwide, responsible for 47.9% of cases from epidemiological January to March 2023. Seventy nations discovered XBB.1.5 in February and March 2023 and posted sequencing data to GISAID. Of the 43 nations that uploaded more than 50 sequences, XBB.1.5 prevalence has increased to more than 50% in 11 nations. Over 23000 deaths and 3 million new cases were recorded globally in March and April 2023. Worldwide detection of a new COVID-19 strain has prompted specialists to issue a warning that the virus is "circulating unchecked". The Greek goddess of conflict and discord Eris has inspired the nicknaming of EG 5.1, a subvariant of Omicron. The strain is becoming more prevalent in the USA and cases are increasing in the UK. The severity of each SARS-CoV- 2 variant has been comparable, although a more severe form might develop. Eris is an ancestor of Omicron and exhibits some of its characteristics. Reinfection risk can be influenced by a variety of variables, including age, location, and health equity and the COVID-19 vaccine is more or less effective depending on the strain.

冠状病毒病-19(COVID-19)是一种由致病性和传染性极强的严重急性呼吸系统综合征-2 病毒(SARS-CoV-2)引起的传染病。COVID-19 大流行的议程是动态的,包括最近的事态发展。世卫组织目前正在积极监测 7 个监测变异体(VUM)、1 个关注变异体(VOI)XBB.1.5 及其子系。这些变异体是 BA.2.75、CH.1.1、BQ.1、XBB(XBB.1.5、XBB.1.16 和 XBB.1.9.1 除外)、XBF 和 XBB.1.16。有 95 个国家报告发现了 XBB.1.5(VOI),它仍然是全球最常见的菌株,占 2023 年 1 月至 3 月流行病学病例的 47.9%。有70个国家在2023年2月和3月发现了XBB.1.5,并向GISAID上传了测序数据。在上传了 50 个以上序列的 43 个国家中,XBB.1.5 在 11 个国家的流行率已增至 50%以上。2023 年 3 月和 4 月,全球共记录了 23000 多例死亡和 300 万个新病例。在全球范围内检测到一种新的 COVID-19 病毒株,这促使专家们发出警告,这种病毒正在 "肆意流行"。希腊冲突与不和女神厄里斯(Eris)是 EG 5.1 的昵称,它是 Omicron 的一个亚变种。这种病毒在美国越来越流行,在英国的病例也在增加。每种 SARS-CoV2 变体的严重程度不相上下,但也可能出现更严重的形式。Eris 是 Omicron 的祖先,具有 Omicron 的某些特征。再感染风险会受到多种变量的影响,包括年龄、地点和健康公平性,COVID-19 疫苗的效果因病毒株而异。
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引用次数: 0
The Intriguing Connection between Cholestasis and the Renin-Angiotensin System Dysregulation Induced by SARS-CoV-2 and/or the Vaccinal Spike Protein. SARS-CoV-2和/或疫苗尖峰蛋白诱发的胆汁淤积与肾素-血管紧张素系统失调之间的惊人联系
Pub Date : 2024-01-01 DOI: 10.2174/0118715265304515240220105152
Ziad Fajloun, Ziad Abi Khattar, Jean-Marc Sabatier
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引用次数: 0
Disease X: Beyond Fear, Toward Preparedness. 疾病 X:超越恐惧,做好准备。
Pub Date : 2024-01-01 DOI: 10.2174/0118715265285021240104091449
Rajendra Awasthi
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引用次数: 0
Can Vaccination with Various Types of Vaccines Make Communities Safer against COVID-19? 接种各种疫苗能使社区更安全地抵御新冠肺炎吗?
Pub Date : 2024-01-01 DOI: 10.2174/0118715265264961231025092542
SeyedAhmad SeyedAlinaghi, Pegah Mirzapour, Esmaeil Mehraeen
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引用次数: 0
期刊
Infectious disorders drug targets
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