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Cytokeratin 8 as a Novel Therapeutic Target in Type 2 Diabetes Mellitus: Suppression of Hepatic Glycogen Synthesis via IRS1/PI3K/Akt/GSK3β Signaling. 细胞角蛋白8作为2型糖尿病的新治疗靶点:通过IRS1/PI3K/Akt/GSK3β信号抑制肝糖原合成
IF 2.5 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 DOI: 10.2174/0113894501394500250903095958
Mingzhu Sun, Xiuli Li, Jin Sun, Zhidong Wang

Introduction: Recent studies have established that cytokeratin 8 (CK8) is closely linked to glycogen synthesis; however, its mechanistic role in hepatic glycogen synthesis in type 2 diabetes mellitus (T2DM) remains unclear. This study aimed to elucidate the effects and underlying molecular mechanisms of CK8.

Methods: We analyzed CK8 expression and the IRS1 (Insulin Receptor Substrate 1)/PI3K (Phosphoinositide 3-Kinase)/Akt (Protein Kinase B)/GSK3β (Glycogen Synthase Kinase 3 beta) pathway in liver samples from T2DM patients, diabetic C57BL/6J mouse models, and high glucose- treated NCTC 1469 cells using Western blotting, immunohistochemistry, and PAS staining.

Results: CK8 was significantly upregulated in all T2DM models, correlating with suppressed IRS1/PI3K/Akt/GSK3β signaling and reduced glycogen synthesis. Our functional studies demonstrated that CK8 overexpression exacerbated these effects, while CK8 knockdown restored glycogen levels to near-normal.

Discussion: In our study, CK8 was identified as a negative regulator of hepatic glycogen synthesis by modulating the IRS1/PI3K/Akt/GSK3β pathway.

Conclusion: These findings position CK8 as a promising therapeutic target for T2DM, with CK8 inhibition offering a novel strategy to improve hepatic insulin resistance and glycogen storage without requiring β-cell stimulation.

近年来的研究表明,细胞角蛋白8 (CK8)与糖原合成密切相关;然而,其在2型糖尿病(T2DM)肝糖原合成中的机制作用尚不清楚。本研究旨在阐明CK8的作用及其潜在的分子机制。方法:采用Western blotting、免疫组织化学和PAS染色分析T2DM患者、糖尿病C57BL/6J小鼠模型和高糖处理的NCTC 1469细胞肝脏样本中CK8的表达和IRS1(胰岛素受体底物1)/PI3K(磷酸肌肽3-激酶)/Akt(蛋白激酶B)/GSK3β(糖原合成酶激酶3β)通路。结果:CK8在所有T2DM模型中均显著上调,与IRS1/PI3K/Akt/GSK3β信号通路抑制和糖原合成减少相关。我们的功能研究表明,CK8过表达加剧了这些影响,而CK8敲低使糖原水平恢复到接近正常水平。讨论:在我们的研究中,CK8被鉴定为通过调节IRS1/PI3K/Akt/GSK3β通路的肝糖原合成的负调节因子。结论:这些发现表明CK8是T2DM的一个有希望的治疗靶点,抑制CK8提供了一种新的策略,可以改善肝脏胰岛素抵抗和糖原储存,而不需要刺激β细胞。
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引用次数: 0
Current Situation on Diabetes Management: New Weapons Fighting the Disease in 2025. 糖尿病管理现状:2025年抗击疾病的新武器
IF 2.5 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-29 DOI: 10.2174/0113894501399175250916110738
Mehmet Evren Okur, Androulla N Miliotou, Vasiliki Nitsola, Ioannis D Karantas, Neslihan Üstündağ Okur, Panoraia I Siafaka

Introduction: The global prevalence of Diabetes Mellitus is rising; this complex metabolic disorder marked with hyperglycemia comes with increased morbidity and more associated health risks. Type 1 Diabetes Mellitus, an autoimmune disorder primarily affecting young individuals, lacks innovative pharmacological therapies. While current treatments for Type 2 Diabetes Mellitus-including lifestyle interventions and medications-can be effective, many patients still struggle with glycemic control. This review aims to highlight recent advances in diabetes mellitus management, emphasizing novel therapeutics and drug delivery systems that aim to decrease dosage frequency, target the manifestation of side effects, and enhance anti-diabetic effectiveness.

Methods: We conducted a comprehensive review of over 300 articles published between 2017 and 2025, utilizing databases such as PubMed and ScienceDirect.

Results: Recent therapeutic innovations include nanocarrier-mediated drug delivery, microneedle patches, and mRNA- and gene-based systems.

Discussions: These technologies aim to improve glycemic control, reduce dosing frequency, and minimize side effects. The 2024 American Diabetes Association Standards of Care introduced updated diagnostic criteria and management recommendations, which are summarized herein.

Conclusion: This review outlines key developments in pharmacological and delivery strategies of the past 5 years, targeting all types of diabetes. Special focus is placed on emerging therapies such as mRNA, nanotechnology, and innovative delivery systems, which may transform future diabetes management. The content is designed to support clinicians, researchers, and healthcare professionals in developing future therapeutic strategies.

导读:全球糖尿病患病率呈上升趋势;这种以高血糖为特征的复杂代谢紊乱伴随着更高的发病率和更多相关的健康风险。1型糖尿病是一种主要影响年轻人的自身免疫性疾病,缺乏创新的药物治疗方法。虽然目前治疗2型糖尿病的方法——包括生活方式干预和药物治疗——是有效的,但许多患者仍在努力控制血糖。本文综述了糖尿病治疗的最新进展,重点介绍了旨在减少给药频率、靶向副作用表现和提高降糖效果的新治疗方法和药物传递系统。方法:我们利用PubMed和ScienceDirect等数据库,对2017年至2025年间发表的300多篇文章进行了全面的综述。结果:最近的治疗创新包括纳米载体介导的药物递送、微针贴片以及基于mRNA和基因的系统。讨论:这些技术旨在改善血糖控制,减少给药频率,并尽量减少副作用。2024年美国糖尿病协会护理标准介绍了最新的诊断标准和管理建议,现总结如下。结论:本综述概述了过去5年针对所有类型糖尿病的药理学和给药策略的关键进展。特别关注新兴疗法,如mRNA、纳米技术和创新的给药系统,这可能会改变未来的糖尿病管理。内容旨在支持临床医生,研究人员和医疗保健专业人员制定未来的治疗策略。
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引用次数: 0
Proteasome Fine-Tunes the Generation of Antimicrobial Peptides. 蛋白酶体微调抗菌肽的生成。
IF 2.5 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-24 DOI: 10.2174/0113894501421031250919055232
Anita Kovalaske, Ian McLauchlan, Megan Murphy, Hope Omoniyi, Grace Hohman, Mohamed Eldeeb

Antimicrobial peptides (AMPs), part of the body's innate immune response, are natural compounds that inhibit bacteria during bacterial infections. Despite their important role in counteracting cellular pathogens, the precise mechanism of generating AMPs in response to bacterial infection remains elusive. However, recent findings demonstrate that the proteasome, a cellular complex involved in the degradation of intracellular proteins, plays a key role in generating AMPs during bacterial infection. Intriguingly, bacterial infections have been shown to mediate the remodeling of the proteasome, resulting in altered cleavage activity that increases the generation of antimicrobial peptides and helps reduce intracellular bacterial load. Additionally, the 11S proteasome subunit PSME3 has been identified as the key regulatory particle responsible for triggering proteasome remodeling in response to bacterial stress. Remarkably, given the burgeoning research on antimicrobial agents, the recent findings uncover an important anti-bacterial functional role of the proteasome and open avenues for investigating strategies to modulate or enhance the cell's natural defense against pathogens to develop new antimicrobial therapeutics.

抗菌肽(AMPs)是人体先天免疫反应的一部分,是在细菌感染期间抑制细菌的天然化合物。尽管它们在对抗细胞病原体中起着重要作用,但在细菌感染反应中产生amp的确切机制仍然难以捉摸。然而,最近的研究结果表明,蛋白酶体是一种参与细胞内蛋白质降解的细胞复合物,在细菌感染期间产生amp中起关键作用。有趣的是,细菌感染已被证明可以介导蛋白酶体的重塑,导致裂解活性的改变,从而增加抗菌肽的产生,并有助于减少细胞内细菌负荷。此外,11S蛋白酶体亚基PSME3已被确定为在细菌胁迫下触发蛋白酶体重塑的关键调控颗粒。值得注意的是,鉴于对抗菌药物的研究迅速发展,最近的发现揭示了蛋白酶体的重要抗菌功能作用,并为研究调节或增强细胞对病原体的自然防御的策略开辟了途径,从而开发新的抗菌疗法。
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引用次数: 0
Therapeutic Potential of Scorpion Venom Proteins: Innovations in Cancer Treatment and Future Directions. 蝎毒蛋白的治疗潜力:癌症治疗的创新和未来方向。
IF 2.5 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-16 DOI: 10.2174/0113894501396738250904071722
Nooshin Ghadiri, Vida Homayouni, Zahra Akbari Jonoush, Roya Mahdavi, Nastaran Mohammadi, Amir Mohamad Amiri, Mahdieh Sadat Badiee, Mazdak Ganjalikhani Hakemi

Cancer is a significant human health concern due to its increasing mortality rate and profound impact on public health and healthcare systems. The cytotoxic, antiproliferative, immunosuppressive, and apoptogenic properties of scorpion venom proteins and peptides have been observed in various cancer cell lines. Therefore, the purpose of this study was to investigate the potential use of proteins derived from scorpion venom in cancer treatment. In this study, the effects of different scorpion venoms on transmembrane channels, the inhibition of angiogenesis, the inhibition of invasion and metastasis, the inhibition of proliferation, and the induction of apoptosis were investigated, as were their clinical applications in the treatment of hepatocellular carcinoma and breast, cervical, prostate, colorectal, and melanoma cancers. The results showed that various scorpion venoms can suppress cell growth, stimulate apoptosis, reduce tumor size, and enhance the immune response, thereby serving as alternative drugs for treating various types of cancers and their metastasis. This review suggests a positive association between scorpion venom (SV) proteins and the treatment of these cancers. Future research should focus on understanding the underlying mechanisms, identifying biomarkers to predict response, and exploring potential combination therapies to increase the efficacy of scorpion venom proteins in cancer treatment.

癌症因其不断上升的死亡率和对公共卫生和医疗保健系统的深远影响而成为一个重大的人类健康问题。蝎毒蛋白和肽的细胞毒性、抗增殖、免疫抑制和致凋亡特性已在多种癌细胞系中被观察到。因此,本研究的目的是探讨从蝎子毒液中提取的蛋白质在癌症治疗中的潜在用途。本研究探讨了不同蝎子毒液对跨膜通道的影响、对血管生成的抑制、对侵袭转移的抑制、对增殖的抑制和对细胞凋亡的诱导,以及它们在肝癌、乳腺癌、宫颈癌、前列腺癌、结直肠癌和黑色素瘤中的临床应用。结果表明,多种蝎子毒液具有抑制细胞生长、刺激细胞凋亡、缩小肿瘤大小、增强免疫应答等作用,可作为治疗多种类型癌症及其转移的替代药物。这一综述表明蝎子毒液(SV)蛋白与这些癌症的治疗之间存在正相关。未来的研究应侧重于了解其潜在机制,识别生物标志物以预测反应,并探索潜在的联合治疗方法以提高蝎子毒液蛋白在癌症治疗中的疗效。
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引用次数: 0
Exploring the Therapeutic Potential of Plant-Based Natural Products in Combating Aging. 探索植物性天然产物抗衰老的治疗潜力。
IF 2.5 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-16 DOI: 10.2174/0113894501384653250903110249
Adarsh Sharma, Arya Ojha, Sunny Rathee, Sanjay K Jain, Umesh K Patil

Aging is a complex biological process marked by progressive cellular and tissue decline, leading to an increased risk of age-related diseases. Plant-based natural compounds, including polyphenols, flavonoids, carotenoids, alkaloids, and terpenoids, have gained attention for their potential in mitigating aging-related damage through antioxidant, anti-inflammatory, and cellular repair mechanisms. The review identified that plant-derived bioactive compounds target key pathways involved in aging, including Sirtuins (SIRT1), AMP-activated protein kinase (AMPK), and Nuclear Factor-kappa B (NF-κB). These compounds address key hallmarks of aging, such as oxidative stress, mitochondrial dysfunction, cellular senescence, and chronic inflammation. Evidence suggests their potential in preventing or delaying age-related disorders, including neurodegenerative diseases, cardiovascular conditions, and skin aging. Plant-derived compounds offer a promising alternative to synthetic anti-aging interventions due to their efficacy, safety, and sustainability. However, challenges such as low bioavailability and limited clinical validation must be addressed. Advances in drug delivery systems and comprehensive clinical trials are critical to realizing their full therapeutic potential. Plant-based bioactive compounds represent a significant opportunity for developing safer and more sustainable anti-aging therapies. Continued research is essential to overcome existing limitations and facilitate the integration of these approaches into mainstream healthcare practices.

衰老是一个复杂的生物过程,其标志是细胞和组织的进行性衰退,导致与年龄有关的疾病的风险增加。以植物为基础的天然化合物,包括多酚、类黄酮、类胡萝卜素、生物碱和萜类化合物,因其通过抗氧化、抗炎和细胞修复机制减轻衰老相关损伤的潜力而受到关注。综述发现,植物源性生物活性化合物靶向衰老的关键途径,包括Sirtuins (SIRT1)、amp活化蛋白激酶(AMPK)和核因子κB (NF-κB)。这些化合物解决了衰老的关键特征,如氧化应激、线粒体功能障碍、细胞衰老和慢性炎症。有证据表明,它们有可能预防或延缓与年龄有关的疾病,包括神经退行性疾病、心血管疾病和皮肤老化。植物源性化合物由于其有效性、安全性和可持续性,为合成抗衰老干预措施提供了一个有希望的替代方案。然而,诸如低生物利用度和有限的临床验证等挑战必须得到解决。药物输送系统的进步和全面的临床试验对于充分发挥其治疗潜力至关重要。基于植物的生物活性化合物为开发更安全、更可持续的抗衰老疗法提供了重要机会。持续的研究对于克服现有的限制和促进将这些方法整合到主流医疗保健实践中至关重要。
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引用次数: 0
Investigating the Mechanism of Astragalus mongholicus-Mediated Treatment of Silicosis in Mice from the Perspective of Alternative Splicing. 从选择性剪接的角度探讨蒙古黄芪对小鼠矽肺的治疗作用机制。
IF 2.5 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-12 DOI: 10.2174/0113894501408966250903070801
Yu Zhang, Zhiyan Jiang, Yuanyuan Zhai, Yongqiang Xing

Introduction: Astragalus mongholicus is distributed in Inner Mongolia, China, and has a certain therapeutic effect on silicosis. However, the regulatory mechanisms of Astragalus mongholicus mediated by alternative splicing (AS) in silicosis pathology and treatment remain unclear.

Methods: The pathological examination was performed on the lung tissue of a constructed mouse model of silicosis. Then, rMATS-based AS detection, target prediction, PPI analysis, and molecular docking were conducted to investigate the mechanism of Astragalus mongholicus-mediated treatment of silicosis in mice from the perspective of AS.

Results: A total of 404 differentially alternatively spliced genes (DASGs) were identified between the Astragalus mongholicus treatment and the silicosis model group. Moreover, 194 potential targets were predicted from 33 active components of Astragalus mongholicus, of which the targets, Rps6ka2 and Clk4, underwent differential AS. Network pharmacology analysis indicated that the Isomucronulatol, 7-o-methylisomucronulatol, and Medicarpin in Astragalus mongholicus might participate in the treatment of silicosis through differential spliced of Rps6ka2 or Clk4. Molecular docking confirmed a strong binding affinity between the protein Rps6ka2 and Medicarpin.

Discussion: This study suggests that Isomucronulatol, 7-o-methylisomucronulatol, and Medicarpin, being active components in Astragalus mongholicus, may intervene in silicosis pathogenesis through differential splicing of Rps6ka2 or Clk4, involving biological processes such as protein serine/threonine kinase activity. However, further experimental validation is required to confirm these findings.

Conclusion: A large number of DASEs exist in the development and treatment of silicosis. Astragalus mongholicus may alleviate silicosis through AS-regulated mechanisms involving Rps6ka2 and Clk4. This finding provides novel strategies and potential molecular targets for silicosis treatment.

简介:蒙古黄芪分布于中国内蒙古,对矽肺有一定的治疗作用。然而,选择性剪接(AS)介导的蒙古黄芪在矽肺病理和治疗中的调控机制尚不清楚。方法:建立小鼠矽肺模型,对其肺组织进行病理检查。然后,基于rmats的AS检测、靶标预测、PPI分析、分子对接,从AS角度探讨蒙黄芪介导的小鼠矽肺治疗机制。结果:黄芪治疗组与矽肺模型组共鉴定出404个差异选择性剪接基因(DASGs)。此外,从33种黄芪有效成分中预测出194个潜在靶点,其中Rps6ka2和Clk4发生了不同程度的AS反应。网络药理学分析表明,蒙古黄芪中的异多环芦醇、7-o-甲基异多环芦醇和Medicarpin可能通过Rps6ka2或Clk4的差异剪接参与矽肺的治疗。分子对接证实了Rps6ka2蛋白与Medicarpin具有很强的结合亲和力。讨论:本研究提示,异多胞糖醇、7-o-甲基异多胞糖醇和Medicarpin作为蒙古黄芪中的活性成分,可能通过Rps6ka2或Clk4的差异剪接参与矽肺的发病机制,涉及蛋白丝氨酸/苏氨酸激酶活性等生物学过程。然而,需要进一步的实验验证来证实这些发现。结论:在矽肺的发展和治疗中存在大量的酶。蒙古黄芪可能通过Rps6ka2和Clk4等as调控机制缓解矽肺。这一发现为矽肺的治疗提供了新的策略和潜在的分子靶点。
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引用次数: 0
Nanoparticle-Based Drug Delivery Systems: Current Advances and Future Directions. 基于纳米颗粒的药物输送系统:当前进展和未来方向。
IF 2.5 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-10 DOI: 10.2174/0113894501393535250903071153
Mannat Mittal, Shreya Juneja, Neelesh Pandey, Rahul Mittal

Nanotechnology in drug delivery has revolutionized modern therapeutics by addressing the limitations of conventional drug delivery methods. This review article explores the significant advancements in nanoparticle-based drug delivery systems, highlighting their role in enhancing therapeutic efficacy and overcoming drug resistance. Nanoparticles, including lipid-based, polymer- based, inorganic, and biological types, offer improved solubility, stability, targeted delivery, and controlled release of therapeutic agents. By enabling precise delivery to specific tissues or cells, these advancements minimize off-target effects and toxicity, particularly in cancer therapy. Additionally, nanomedicine facilitates the delivery of drugs across biological barriers such as the blood-brain barrier, which opens new avenues for treating neurological disorders. The ability to co-encapsulate multiple therapeutic agents in nanoparticles also supports combination therapies that target multiple pathways simultaneously, thereby reducing the development of resistance. As research progresses, the integration of nanotechnology in drug delivery promises to transform healthcare by providing more effective, safer, and personalized treatments. This article advocates for continued exploration and innovation in the field by emphasizing the need for interdisciplinary collaboration to fully realize the potential of nanomedicine in improving patient outcomes and addressing unmet clinical needs.

纳米技术在给药方面解决了传统给药方法的局限性,从而彻底改变了现代治疗方法。本文综述了基于纳米颗粒的给药系统的重大进展,重点介绍了它们在提高治疗疗效和克服耐药性方面的作用。纳米颗粒,包括脂质、聚合物、无机和生物类型,提供了更好的溶解度、稳定性、靶向递送和治疗药物的控制释放。通过精确递送到特定的组织或细胞,这些进步最大限度地减少了脱靶效应和毒性,特别是在癌症治疗中。此外,纳米医学促进了药物跨越生物屏障(如血脑屏障)的输送,这为治疗神经系统疾病开辟了新的途径。将多种治疗药物包埋在纳米颗粒中的能力也支持同时针对多种途径的联合治疗,从而减少耐药性的产生。随着研究的进展,纳米技术在药物输送中的集成有望通过提供更有效、更安全、更个性化的治疗来改变医疗保健。本文通过强调跨学科合作的需要,以充分实现纳米医学在改善患者预后和解决未满足的临床需求方面的潜力,倡导在该领域的持续探索和创新。
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引用次数: 0
Modern Solutions to UTIs: The Role of Nanotechnology and Herbal Treatments. 尿路感染的现代解决方案:纳米技术和草药治疗的作用。
IF 3 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-07-21 DOI: 10.2174/0113894501371882250713174322
Ashutosh Kumar, Amit Kumar, Md Moidul Islam, Ranadeep Borgohain, Sarjana Raikwar

Introduction: Urinary tract infections (UTIs) range from mild to severe cases, commonly caused by uropathogenic Escherichia coli (E. coli). The growing concern about antibiotic resistance demands alternative treatment strategies. Nanotechnology, particularly nanocarriers, presents a promising solution by enhancing drug delivery, antibacterial activity, and targeted therapy. This review focuses on the emerging role of combining herbal remedies with nanotechnology for more effective and personalized management of UTIs, aiming to overcome the limitations of conventional antibiotic therapies.

Methods: The review involved an extensive search of scientific databases and relevant literature, including studies published to date from PubMed, Science Direct, and Google Scholar. Urinary tract infections (UTI), antibiotic resistance, nanotechnology, drug delivery, targeted drug delivery, and herbal drugs were among the search phrases used.

Result: According to studies, combining herbal extracts such as neem and turmeric with nanotechnology significantly enhances antimicrobial activity against UTI pathogens. These nanoformulations show enhanced bacterial inhibition, reduced inflammation, and increased therapeutic precision with minimal side effects.

Discussion: The synergistic use of herbal remedies and nanocarriers offers a novel approach to managing UTIs. Nanotechnology not only enhances drug delivery but also improves diagnostic accuracy through fluorescence markers and biomolecule tagging. This strategy effectively addresses growing antibiotic resistance and supports the development of personalized treatments. The combination of natural bioactives and advanced delivery systems offers a safer, more effective alternative to conventional antibiotics in treating UTIs.

Conclusion: The integration of nanotechnology and herbal therapies revolutionizes UTI management through precision medicine. This approach enhances treatment efficacy, diagnostic accuracy, and patient outcomes, offering a personalized solution to combat antibiotic resistance and urinary tract abnormalities with improved targeting and minimal side effects.

导读:尿路感染(UTIs)从轻微到严重不等,通常由尿路致病性大肠杆菌(E. coli)引起。对抗生素耐药性的日益关注需要替代治疗策略。纳米技术,特别是纳米载体,通过增强药物传递、抗菌活性和靶向治疗,提供了一个有前途的解决方案。这篇综述的重点是结合草药和纳米技术对尿路感染进行更有效和个性化管理的新作用,旨在克服传统抗生素治疗的局限性。方法:本综述广泛检索了科学数据库和相关文献,包括PubMed、Science Direct和谷歌Scholar上迄今发表的研究。尿路感染(UTI)、抗生素耐药性、纳米技术、药物传递、靶向药物传递和草药都是使用的搜索短语。结果:研究表明,印度楝树和姜黄等草药提取物与纳米技术结合可显著增强对尿路感染病原菌的抗菌活性。这些纳米制剂显示出增强的细菌抑制,减少炎症,提高治疗精度和最小的副作用。讨论:草药和纳米载体的协同使用为管理uti提供了一种新的方法。纳米技术不仅增强了药物的传递,而且通过荧光标记和生物分子标记提高了诊断的准确性。这一战略有效地解决了日益增长的抗生素耐药性问题,并支持个性化治疗的发展。天然生物活性物质与先进的给药系统相结合,为治疗尿路感染提供了一种比传统抗生素更安全、更有效的选择。结论:纳米技术与草药疗法的结合使尿路感染的精准医疗管理发生了革命性的变化。这种方法提高了治疗效果、诊断准确性和患者预后,提供了一种个性化的解决方案,以对抗抗生素耐药性和尿路异常,具有更好的靶向性和最小的副作用。
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引用次数: 0
Therapeutic Drug Monitoring: A New Hope for Individualised Treatment with Venetoclax. 治疗药物监测:Venetoclax个体化治疗的新希望。
IF 3 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-07-16 DOI: 10.2174/0113894501376271250710221018
Yue Tang, Shuojiao Li, Peng Rao, Wenxian Yu, Xuanpeng Jiang, Jiatao Liu

B-cell lymphoma-2 (BCL-2) plays a key role in regulating apoptosis. Venetoclax (VEN), a BCL-2 inhibitor, has been approved for the treatment of a variety of haematologic malignancies. VEN is primarily metabolized by CYP3A, and a variety of factors (such as CYP3A inhibitors, as well as food and hepatic functions) have been reported to significantly influence the metabolic process. There is significant interindividual variability in VEN plasma concentrations, and studies have shown that its exposure levels are correlated with efficacy, although the relationship with adverse effects remains controversial. The value of applying of therapeutic drug monitoring (TDM) in individualized VEN therapy has been confirmed by some studies, but the optimal therapeutic window for different malignancies is still unclear. This review summarizes the pharmacokinetic characteristics, along with the factors influencing VEN pharmacokinetics, drug-drug interactions, and advancements in TDM research on VEN, aiming to provide a theoretical basis for TDM-guided individualized therapy.

b细胞淋巴瘤-2 (BCL-2)在调节细胞凋亡中起关键作用。Venetoclax (VEN)是一种BCL-2抑制剂,已被批准用于治疗多种血液恶性肿瘤。VEN主要由CYP3A代谢,多种因素(如CYP3A抑制剂,以及食物和肝功能)已被报道显着影响代谢过程。VEN血浆浓度存在显著的个体间差异,研究表明其暴露水平与疗效相关,尽管与不良反应的关系仍存在争议。治疗药物监测(TDM)在个体化VEN治疗中的应用价值已被一些研究证实,但不同恶性肿瘤的最佳治疗窗口尚不清楚。本文就其药动学特点、影响VEN药动学的因素、药物-药物相互作用以及TDM在VEN方面的研究进展进行综述,旨在为TDM指导下的个体化治疗提供理论依据。
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引用次数: 0
Crossing Boundaries: A Review of the Diverse Functions of Heterocyclic Compounds in the Management of Cancer and Infectious Diseases. 跨越边界:杂环化合物在癌症和传染病管理中的多种功能综述。
IF 3 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-07-09 DOI: 10.2174/0113894501372336250703114127
Pranay Wal, Ankita Wal, Talha Jawaid, Paramita Ganguly, Binit Patel, Pankaj Nainwal, Mohd Qasid Lari, Ajay Kumar, Dileep Kumar

Introduction/objective: Heterocyclic molecules, a mainstay of contemporary medicinal chemistry, are essential in developing antibacterial and anticancer treatments. Their distinct structural features-one or more heteroatoms within the ring-allow for a wide range of biological activities. With a focus on their modes of action and insights into the structure-activity relationship (SAR), this study examines the therapeutic uses of heterocyclic compounds in antibacterial, antifungal, antiviral, and anticancer treatments.

Methods: The review uses search engines like PubMed and Google Scholar, with a preference for English as the major language, to gather and analyse recent research on the antibacterial and anticancer applications of diverse heterocyclic compounds.

Results: It has been discovered that heterocyclic chemicals are useful in blocking microbial enzymes, including DNA gyrase and the machinery involved in protein synthesis. Heterocyclic compounds such as benzimidazoles, quinolines, and acridines have demonstrated noteworthy efficacy in cancer therapy through their targeting of tubulin inhibition, DNA intercalation, and signalling pathways like PI3K/Akt/mTOR and MAPK. The pharmacological characteristics of these compounds were improved by the addition of electron-withdrawing groups, halogenation, and heteroatom replacements, according to SAR investigations.

Conclusion: Heterocyclic compounds have great promise for antibacterial and anticancer treatments. They are crucial in drug development because of their structural flexibility, which enables the targeted suppression of vital biological processes. The effectiveness of heterocyclic compounds will continue to be improved by ongoing advancements in drug design and SAR optimization, opening new possibilities for the creation of more potent and selective medicinal treatments.

简介/目的:杂环分子是当代药物化学的支柱,在抗菌和抗癌治疗中发挥着重要作用。它们独特的结构特征-环内有一个或多个杂原子-允许广泛的生物活性。本研究着眼于它们的作用模式和对结构-活性关系(SAR)的见解,探讨了杂环化合物在抗菌、抗真菌、抗病毒和抗癌治疗中的治疗用途。方法:利用PubMed、谷歌Scholar等搜索引擎,以英文为主要语言,对各类杂环化合物抗菌抗癌应用的最新研究进行汇总分析。结果:杂环类化合物可有效阻断微生物酶,包括DNA旋切酶和蛋白质合成机制。杂环化合物如苯并咪唑、喹啉和吖啶类化合物通过靶向微管蛋白抑制、DNA嵌入和信号通路如PI3K/Akt/mTOR和MAPK,在癌症治疗中显示出显著的疗效。根据SAR的研究,这些化合物的药理特性通过加入吸电子基团、卤化和杂原子取代而得到改善。结论:杂环类化合物在抗菌和抗癌方面具有广阔的应用前景。它们在药物开发中至关重要,因为它们的结构灵活性使得有针对性地抑制重要的生物过程成为可能。随着药物设计和SAR优化的不断进步,杂环化合物的有效性将继续得到改善,为创造更有效和选择性的药物治疗开辟了新的可能性。
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Current drug targets
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