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Latest Advancements in Biotherapeutics. 生物疗法的最新进展。
IF 2.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-25 DOI: 10.2174/0113892010456001251111095521
Satish Rojekar
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引用次数: 0
In vitro Investigation of Antimicrobial and Antioxidant Properties of Green Silver Nanoparticles Synthesized Using Ephedra gerardiana Plant Extract. 以麻黄植物提取物合成的纳米绿色银的体外抗菌和抗氧化性能研究。
IF 2.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-06 DOI: 10.2174/0113892010349133241120075750
Ali Abizi-Moqadam, Sobhan Mortazavi-Derazkola, Majid Zare-Bidaki, Freshteh Osmani, Leili Alizadeh

Background: The increasing prevalence of antibiotic-resistant bacteria necessitates exploring nanotechnology as a potential solution for microbial elimination.

Objectives: This study aimed to investigate the antimicrobial and antioxidant effects of silver nanoparticles synthesized using aqueous extract from the Ephedra gerardiana (E. gerardiana) plant (EG@AgNPs).

Methods: Optimal synthesis conditions, including silver nitrate concentration, time, and temperature, were determined. Characterization of EG@AgNPs was conducted, which was followed by antimicrobial assessment against eight bacterial strains and one fungal strain. Additionally, the antioxidant properties of EG@AgNPs were evaluated using the DPPH method.

Results: XRD analysis confirmed EG@AgNPs synthesis. DLS analysis revealed a hydrodynamic diameter of 22 nm. FT-IR analysis confirmed the presence of functional groups from the E. gerardiana plant extract in EG@AgNPs. FESEM and TEM images depicted spherical nanoparticles ranging in size from 10 to 20 nm. Antimicrobial investigations using the broth microdilution method demonstrated that E. gerardiana plant extract at 7.5 mg/ml inhibited only Streptococcus mutans and Candida albicans growth, with no antimicrobial effects observed at lower concentrations. However, EG@AgNPs significantly enhanced the antimicrobial properties of the E. gerardiana plant extract. Notably, these nanoparticles exhibited the most significant effect on E. coli and the least on S. salivaris, with MIC value of 125 and 2000 μg/ml, respectively. Furthermore, they inhibited C. albicans growth at a concentration of 62.5 μg/ml. An assessment of the antioxidant properties of EG@AgNPs indicated a significant increase in antioxidant activity.

Conclusion: The E. gerardiana plant extract has emerged as a promising option for silver nanoparticle synthesis. These nanoparticles have been found to exhibit potent antimicrobial properties against Gram-positive and Gram-negative bacterial species, as well as C. albicans. Additionally, they have demonstrated antioxidant properties.

背景:抗生素耐药细菌的日益流行需要探索纳米技术作为消除微生物的潜在解决方案。目的:研究用麻黄(e.g erardiana)植物(EG@AgNPs)水提物合成的纳米银的抗菌和抗氧化作用。方法:以硝酸银的浓度、合成时间、合成温度为考察条件。对EG@AgNPs进行了鉴定,并对8株细菌和1株真菌进行了抗菌评价。此外,利用DPPH法对EG@AgNPs的抗氧化性能进行了评价。结果:XRD分析证实EG@AgNPs合成。DLS分析显示其水动力直径为22 nm。FT-IR分析证实了EG@AgNPs中gerardiana植物提取物的功能基团的存在。FESEM和TEM图像描绘的球形纳米颗粒的尺寸范围从10到20纳米。采用肉汤微量稀释法进行抑菌试验,结果表明,7.5 mg/ml的紫叶假丝酵母提取物仅能抑制变形链球菌和白色念珠菌的生长,较低浓度下无抑菌作用。然而,EG@AgNPs显著增强了黄耆植物提取物的抗菌性能。值得注意的是,这些纳米颗粒对大肠杆菌的MIC值最高,对唾液链球菌的MIC值最低,分别为125 μg/ml和2000 μg/ml。浓度为62.5 μg/ml时,对白色念珠菌的生长有抑制作用。对EG@AgNPs抗氧化性能的评估表明其抗氧化活性显著增加。结论:金针菇植物提取物是一种很有前途的银纳米颗粒合成方法。这些纳米颗粒已被发现对革兰氏阳性和革兰氏阴性细菌以及白色念珠菌表现出有效的抗菌特性。此外,它们还具有抗氧化特性。
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引用次数: 0
Towards Pharmaceutical Industry 5.0: Impact of Artificial Intelligence in Drug Discovery and Development. 迈向制药工业5.0:人工智能对药物发现和开发的影响。
IF 2.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-03 DOI: 10.2174/0113892010396035250710120501
Achuth Jayakrishnan, Hiu Ching Phang, Vinie Xian Ying Tan, Phei Er Kee, Ying Hui Loke, Muhammad Redza Fahmi Mod Razif, Kar Ming Yee, Siti Munirah Md Noh, Long Chiau Ming, Siew Hua Gan, Kai Bin Liew

The pharmaceutical industry is transforming with the advent of Industry 5.0, which is marked by integrating artificial intelligence (AI) into drug discovery and development. AI technologies, such as machine learning, deep learning, and natural language processing, revolutionize the traditional drug development pipeline by accelerating the identification of novel drug candidates, optimizing clinical trial designs, and personalizing therapies. Moreover, AI models enhance the prediction of drug efficacy, toxicity, and patient responses, minimizing the risk of failure of clinical trials. Nevertheless, despite these advancements, challenges remain in integrating AI into the pharmaceutical workflow, including data quality, regulatory concerns, and the need for interdisciplinary collaboration. This review explores the current state of AI applications in drug discovery, drug formulation and optimization, pharmacokinetics and pharmacodynamics, drug manufacturing and quality control, regulatory compliance and pharmacovigilance. Overall, AI is poised to redefine the landscape of drug discovery and development, fostering a new era of precision medicine and transforming patient outcomes globally, especially in the era of Industry 5.0.

随着工业5.0的到来,制药行业正在转型,其标志是将人工智能(AI)整合到药物发现和开发中。人工智能技术,如机器学习、深度学习和自然语言处理,通过加速识别新的候选药物、优化临床试验设计和个性化治疗,彻底改变了传统的药物开发管道。此外,人工智能模型增强了对药物疗效、毒性和患者反应的预测,最大限度地降低了临床试验失败的风险。然而,尽管取得了这些进步,但在将人工智能整合到制药工作流程中仍然存在挑战,包括数据质量、监管问题以及跨学科合作的需求。本文综述了人工智能在药物发现、药物配方和优化、药代动力学和药效学、药物制造和质量控制、法规遵从性和药物警戒等方面的应用现状。总体而言,人工智能将重新定义药物发现和开发的格局,促进精准医疗的新时代,并在全球范围内改变患者的治疗结果,特别是在工业5.0时代。
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引用次数: 0
PREFACE. 前言。
IF 2.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-30 DOI: 10.2174/0113892010453930251023093614
Nikolaos E Labrou
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引用次数: 0
Research Progress on the Effect and Mechanism of Gene Transfection in Reducing the Inflammatory Response of Atherosclerosis. 基因转染降低动脉粥样硬化炎症反应的作用及机制研究进展。
IF 2.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-29 DOI: 10.2174/0113892010369468251020063757
Wenyun Zeng, Jinrong Huang, Yanping Xiao, Jiansheng Liu, Weiwei Peng, Xuchun Zhong, Yanrong Suo

Introduction: Gene transfection techniques have potential therapeutic value in reducing the inflammatory response in atherosclerosis. Atherosclerosis is a chronic inflammatory disease. Its pathological process involves multiple types of cells and signaling pathways.

Methods: In recent years, researchers have used gene transfection techniques to introduce specific genes into vascular or immune cells in order to inhibit inflammatory responses, stabilize plaques, and slow down the process of atherosclerosis. Research progress has shown that gene transfection can exert anti-inflammatory effects through various mechanisms. IL-10 transfection suppresses atherosclerosis by activating the STAT3 pathway, reducing TNF-α and IL-6 expression in macrophages. Conversely, eNOS transfection enhances nitric oxide bioavailability, inhibiting endothelial cell adhesion molecule expression (e.g., VCAM-1) and monocyte recruitment.

Results: Other studies have regulated the expression of inflammation-related genes by transfecting miRNA (tiny RNA), thus inhibiting the inflammatory response of atherosclerosis.

Discussion: Despite preclinical efficacy, clinical translation is hindered by suboptimal vector tropism (e.g., viral vectors exhibit off-target hepatotoxicity) and immune-mediated clearance of non-viral vectors (e.g., liposomes trigger complement activation). Long-term risks of insertional mutagenesis (retroviral vectors) and epigenetic silencing of transgenes further limit durability.

Conclusion: This paper discusses the role and mechanism of gene transfection in reducing the inflammatory response in atherosclerosis.

基因转染技术在减少动脉粥样硬化的炎症反应方面具有潜在的治疗价值。动脉粥样硬化是一种慢性炎性疾病。其病理过程涉及多种类型的细胞和信号通路。方法:近年来,研究人员利用基因转染技术,将特异性基因导入血管细胞或免疫细胞,以抑制炎症反应,稳定斑块,减缓动脉粥样硬化的进程。研究进展表明,基因转染可通过多种机制发挥抗炎作用。IL-10转染通过激活STAT3通路,降低巨噬细胞中TNF-α和IL-6的表达来抑制动脉粥样硬化。相反,转染eNOS可增强一氧化氮的生物利用度,抑制内皮细胞粘附分子表达(如VCAM-1)和单核细胞募集。结果:也有研究通过转染miRNA(微小RNA)调节炎症相关基因的表达,从而抑制动脉粥样硬化的炎症反应。讨论:尽管有临床前疗效,但临床翻译受到次优载体向性(例如,病毒载体表现出脱靶肝毒性)和免疫介导的非病毒载体清除(例如,脂质体触发补体激活)的阻碍。插入突变(逆转录病毒载体)和转基因的表观遗传沉默的长期风险进一步限制了持久性。结论:探讨了基因转染在动脉粥样硬化中降低炎症反应的作用及机制。
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引用次数: 0
Enhancement of Fowlicidin-1's Therapeutic Efficacy: Mitigation of Toxicity via a Chitosan Cross-Linked Nanocarrier System. 增强Fowlicidin-1的治疗效果:壳聚糖交联纳米载体系统减轻毒性。
IF 2.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-29 DOI: 10.2174/0113892010389986251016043606
Ammar Almaaytah, Bayan Bataineh, Nizar M Mhaidat, Salsabeel Sabi

Introduction: The rise of antimicrobial resistance, coupled with the declining discovery of new antibiotics, has intensified the need for alternative therapeutics. Antimicrobial peptides (AMPs), such as Fowlicidin-1, offer broad-spectrum antimicrobial activity but are limited by their cytotoxic effects, including hemolysis of human erythrocytes.

Method: In this study, Fowlicidin-1 was encapsulated into chitosan nanoparticles formed via ionic gelation. The formulation was optimized for encapsulation efficiency, particle size, and surface charge. Antimicrobial activity was evaluated against resistant bacterial strains, while cytotoxicity was assessed using hemolysis and cell viability assays.

Results: The chitosan nano-carrier system effectively preserved the antimicrobial potency of Fowlicidin-1 and significantly reduced its cytotoxicity. Encapsulated Fowlicidin-1 demonstrated reduced hemolytic activity and improved safety compared to the free peptide.

Discussion: Nano-encapsulation using a chitosan-based delivery system successfully mitigates the cytotoxic limitations of AMPs without compromising antimicrobial efficacy. This approach may enhance the clinical applicability of AMPs as alternatives to traditional antibiotics.

Conclusion: The developed chitosan-based cross-linked nanocarrier system offers a promising strategy to reduce the cytotoxicity of AMPs, supporting their potential as safer and more effective antimicrobial therapeutics in the fight against antibiotic resistance.

导言:抗菌素耐药性的上升,加上新抗生素发现的减少,加剧了对替代疗法的需求。抗菌肽(AMPs),如Fowlicidin-1,提供广谱抗菌活性,但受其细胞毒性作用(包括人红细胞溶血)的限制。方法:采用离子凝胶法制备壳聚糖纳米粒,并将福利西丁-1包封。对该配方进行了包封效率、粒径和表面电荷的优化。对耐药菌株进行抗菌活性评估,同时使用溶血和细胞活力测定评估细胞毒性。结果:壳聚糖纳米载体体系有效地保留了Fowlicidin-1的抗菌效力,并显著降低了其细胞毒性。与游离肽相比,包封的Fowlicidin-1显示溶血活性降低,安全性提高。讨论:使用壳聚糖为基础的递送系统的纳米封装成功地减轻了AMPs的细胞毒性限制,而不影响抗菌功效。这种方法可以提高抗菌肽作为传统抗生素替代品的临床适用性。结论:以壳聚糖为基础的交联纳米载体体系为降低抗菌肽的细胞毒性提供了一种有前景的策略,支持其作为更安全、更有效的抗抗生素耐药性药物的潜力。
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引用次数: 0
Novel Drug Molecules for Atherosclerosis from Ginkgo biloba, an Endangered Himalayan Herb, Via Pharmacoinformatics Approaches. 基于药物信息学方法的喜马拉雅濒危植物银杏抗动脉粥样硬化药物新分子研究。
IF 2.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-29 DOI: 10.2174/0113892010397083251013024656
Shiwani Chahal, Abhijit Debnath, Pooja Ridhal, Rajesh Kumar Singh, Akhilesh Mishra, Priyanka Siwach

Introduction: Atherosclerosis, a chronic inflammatory disease driven by lipid metabolism dysregulation and vascular dysfunction, is a major contributor to cardiovascular diseases (CVDs), which is the leading cause of global mortality. The present study was undertaken to explore the anti-atherosclerosis potential (targeting DPP-IV, ETB, and PPAR-α) of bioactive compounds from Ginkgo biloba L.; the corresponding commercially available drugs, viz. Evogliptin, Bosentan, and Bezafibrate were taken as controls.

Methods: Swiss ADME and Protox-II were utilized to evaluate the safety and applicability of G. biloba compounds. MGL Tools and AutoDock Vina were used for molecular docking, followed by analysis with Discovery Studio Biovia. MD simulation was performed for chosen complexes, and the resulting compound was examined for PPI, GO, and KEGG network enrichment using the Shiny GO server.

Results: Eight compounds were shortlisted by using SwissADME and Protox-II servers, followed by molecular docking studies with AutoDock Vina. Six compounds exhibited stronger binding affinities against DPP-IV compared to Evogliptin (-7.1 kcal/mol), five outperforming Bosentan (- 7.5 kcal/mol) against ETB, and six better than Bezafibrate (-7.5 kcal/mol) against PPAR-α. Postdocking analysis identified Isoginkgetin for both DPP-IV and ETB receptors, while Kaempferol for PPAR-α. MD simulation studies of Isoginkgetin-DPP-IV, Isoginkgetin-ETB, and Kaempferol- PPAR-α resulted in the ETB-Isoginkgetin complex with the most favourable binding stability, rapid equilibration, and consistent hydrogen bonding. Network pharmacology analysis further highlighted Isoginkgetin's ability to modulate key proteins (CYP19A1, ESR2, GSK3B, XDH, PTGS2) associated with crucial CVD-related pathways.

Conclusion: The findings highlight the multi-target therapeutic potential of Isoginkgetin in mitigating the initiation and progression of atherosclerosis.

简介:动脉粥样硬化是一种由脂质代谢失调和血管功能障碍驱动的慢性炎症性疾病,是心血管疾病(cvd)的主要诱因,是全球死亡的主要原因。本研究旨在探讨银杏生物活性化合物的抗动脉粥样硬化潜能(针对DPP-IV、ETB和PPAR-α);以相应的市售药物Evogliptin、Bosentan和Bezafibrate作为对照。方法:采用瑞士ADME法和Protox-II法评价双叶菌化合物的安全性和适用性。使用MGL Tools和AutoDock Vina进行分子对接,然后使用Discovery Studio Biovia进行分析。对选定的配合物进行MD模拟,并使用Shiny GO服务器检测所得化合物的PPI、GO和KEGG网络富集程度。结果:通过SwissADME和Protox-II服务器筛选到8个化合物,并与AutoDock Vina进行分子对接研究。6个化合物对DPP-IV的结合亲合力优于Evogliptin (-7.1 kcal/mol), 5个化合物对ETB的结合亲合力优于Bosentan (-7.5 kcal/mol), 6个化合物对PPAR-α的结合亲合力优于Bezafibrate (-7.5 kcal/mol)。对接后分析发现异黄酮对DPP-IV和ETB受体均有效,山奈酚对PPAR-α受体有效。对异黄芪素- dpp - iv、异黄芪素- etb和山奈酚- PPAR-α的MD模拟研究结果表明,etb -异黄芪素配合物具有良好的结合稳定性、快速平衡和一致的氢键。网络药理学分析进一步强调了Isoginkgetin调节与关键cvd相关通路相关的关键蛋白(CYP19A1, ESR2, GSK3B, XDH, PTGS2)的能力。结论:研究结果突出了异黄酮类化合物在缓解动脉粥样硬化发生和进展方面的多靶点治疗潜力。
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引用次数: 0
Identification of Potential Drug Targets for Generalized Anxiety Disorder: A Mendelian Randomization Study Based on Druggable Genes. 广泛性焦虑障碍潜在药物靶点的鉴定:基于可用药基因的孟德尔随机化研究。
IF 2.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-28 DOI: 10.2174/0113892010393317251014080710
Haining Zhang, Yusheng Li, Huanan Li, Shun Fan, Hongyi Wang, Jiacheng Zhang, Jingui Wang, An Bao

Introduction: Generalized anxiety disorder (GAD) is a prevalent and intricate mental disorder that significantly impairs the quality of life of patients. Currently, the exact etiology of GAD remains incompletely understood. Consequently, the discovery of novel drug targets for GAD is highly important.

Methods: We obtained cis-eQTL data of druggable genes from the eQTLGen Consortium as the exposure data and GWAS data of GAD from the FinnGen Database as the outcome. The impact of druggable genes on GAD was simulated through Mendelian randomization analysis. Subsequently, a colocalization analysis was conducted to calculate the probability of shared pathogenic variants between the cis-eQTLs of druggable genes and GAD. To further validate our findings, a summary data-based Mendelian randomization (SMR) analysis was carried out.

Results: Mendelian randomization (MR) analysis identified 24 druggable genes with potential causal relationships, among which genetically predicted increased KDM5A levels were associated with a higher risk of GAD (OR=1.0991, 95% CI: 1.0021-1.2056, P=0.0451), suggesting a potential role of KDM5A gene expression in the pathogenesis of GAD. The GAD and KDM5A genes might share a causal variant. The SMR further verified the accuracy of the KDM5A gene.

Discussion: MR analysis identified KDM5A as a promising therapeutic target for GAD, with additional potential from genes, like MERTK and PPT1. However, the effectiveness of the relevant drug targets requires further validation.

Conclusion: This study suggested that the KDM5A gene might be a potential therapeutic target for treating GAD, providing a direction for future drug development in GAD patients.

广泛性焦虑障碍(GAD)是一种普遍而复杂的精神障碍,严重影响患者的生活质量。目前,广泛性焦虑症的确切病因仍不完全清楚。因此,发现新的广泛性焦虑症药物靶点是非常重要的。方法:以eQTLGen联盟中可用药基因的顺式eqtl数据为暴露数据,以FinnGen数据库中GAD的GWAS数据为结果。通过孟德尔随机化分析模拟可用药基因对广泛性焦虑症的影响。随后,进行共定位分析,计算可用药基因的顺式- eqtl与GAD之间共享致病变异的概率。为了进一步验证我们的发现,我们进行了基于孟德尔随机化(SMR)分析。结果:孟德尔随机化(Mendelian randomization, MR)分析鉴定出24个具有潜在因果关系的可用药基因,其中基因预测KDM5A水平升高与GAD发病风险升高相关(OR=1.0991, 95% CI: 1.0021-1.2056, P=0.0451),提示KDM5A基因表达可能在GAD发病机制中发挥作用。广泛性焦虑症和KDM5A基因可能共享一个因果变异。SMR进一步验证了KDM5A基因的准确性。讨论:MR分析确定KDM5A是一个有希望的治疗广泛性焦虑症的靶点,与MERTK和PPT1等基因的额外潜力。然而,相关药物靶点的有效性有待进一步验证。结论:本研究提示KDM5A基因可能是治疗GAD的潜在靶点,为未来GAD患者的药物开发提供了方向。
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引用次数: 0
Ganoderma lucidum: A Medicinal Mushroom with Prebiotic and Anticancer Potential in Gastrointestinal Cancers. 灵芝:一种对胃肠道癌症具有益生元和抗癌潜力的药用菌。
IF 2.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-28 DOI: 10.2174/0113892010377275250930170651
Akshay Shankar, Yashika Sharma, Mahak Rastogi, Rajkumar Tulsawani, Pramod Kumar

Introduction: Ganoderma lucidum is considered a medicinal mushroom, as it primarily improves gut health by modulating the gut microbiota. As an abundant source of bioactive metabolites, antioxidants, and industrial enzymes, mushrooms make significant contributions to functional foods, nutrition, and pharmaceuticals. Polysaccharides derived from G. lucidum exhibit prebiotic potential, promoting the growth and activity of beneficial gut microorganisms.

Methods: This review examines the impact of white rot basidiomycetes metabolites on colorectal cancer treatment. We have compiled and analyzed data from PubMed, Google Scholar, and ResearchGate, presenting a comprehensive report with a table for clear understanding.

Results: Evidence from in vivo and in vitro studies demonstrates that G. lucidum has potential as a gastrointestinal cancer inhibitor by inducing pro-apoptosis, autophagy, G0/G1 cell cycle arrest, and immunomodulation.

Discussion: Bioactive metabolites and polysaccharides have prebiotic potential, enhancing the growth and activity of beneficial gut microorganisms that may lower the risk of gastrointestinal cancers by modifying gut bacteria. The prebiotic properties may boost immunity, reduce inflammation, and strengthen intestinal barrier integrity.

Conclusion: The current review explores the therapeutic potential of G. lucidum and other medicinal mushrooms as dietary supplements, focusing on their impact on the gut microbiome and gastrointestinal cancer.

简介:灵芝被认为是一种药用蘑菇,因为它主要通过调节肠道微生物群来改善肠道健康。作为生物活性代谢物、抗氧化剂和工业酶的丰富来源,蘑菇在功能食品、营养和药物方面做出了重大贡献。从灵芝中提取的多糖具有益生元潜力,促进有益肠道微生物的生长和活性。方法:本文综述了白腐担子菌代谢产物对结直肠癌治疗的影响。我们对PubMed、谷歌Scholar和ResearchGate的数据进行了汇编和分析,并以表格形式呈现了一份全面的报告。结果:体内和体外研究的证据表明,灵芝通过诱导促凋亡、自噬、G0/G1细胞周期阻滞和免疫调节,具有潜在的胃肠道肿瘤抑制剂的作用。讨论:生物活性代谢物和多糖具有益生元潜力,促进有益肠道微生物的生长和活性,可能通过改变肠道细菌来降低胃肠道癌症的风险。益生元的特性可以提高免疫力,减少炎症,并加强肠道屏障的完整性。结论:本综述探讨了灵芝和其他药用蘑菇作为膳食补充剂的治疗潜力,重点研究了它们对肠道微生物群和胃肠道癌症的影响。
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引用次数: 0
Gut Microecosystem and Metabolic Dysfunction-Associated Steatotic Liver Disease: Exploring the Crosstalk and Advancing Therapeutic Strategies. 肠道微生态系统和代谢功能障碍相关的脂肪变性肝病:探讨串扰和推进治疗策略。
IF 2.6 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-28 DOI: 10.2174/0113892010393279251013013142
Xin-Yi Zhou, Xin Wen, Qi-Qi Huang, Yi-Han Zhou, Ting Wang, Zhang-E Xiong

Metabolic dysfunction-associated steatotic liver disease (MASLD) has emerged as a global health concern. In recent years, the gut microbiota, often referred to as the body's "second genome," has been recognized as playing a crucial role in the pathogenesis of MASLD. PubMed was searched for articles published in the last decade using keywords like "MASLD," "NAFLD," "gut microbiota," "FXR," and "Trace elements." The progress of the latest NAFLD clinical trial was also reviewed from the Chinese Clinical Trial Registry, organized by clinical phase. In the development of MASLD, the gut microbiota not only participates in regulating host gene expression but also exerts a core influence on immune function and affects the liver's reparative capabilities. Furthermore, the metabolic products of the gut microbiota are involved in the occurrence and development of liver diseases through the gut-liver axis. A diet high in fat can trigger metabolic inflammation, changes in gut microbiota, and abnormalities in metabolic products, all of which may initiate inflammatory responses. The emerging strategies for treating MASLD are surprising. Clinical trial information for chemical drugs was obtained from the Chinese platform for registration and disclosure of drug clinical trials, and it was found that in the current drug development, some drugs have advanced to Phase III clinical trials. The diversity of gut bacteria among individuals and the impact of microbial composition beyond bacteria should not be overlooked. Whether drug therapy combined with dietary patterns is more effective than monotherapy remains to be seen.

代谢功能障碍相关的脂肪变性肝病(MASLD)已成为全球关注的健康问题。近年来,通常被称为人体“第二基因组”的肠道微生物群被认为在MASLD的发病机制中起着至关重要的作用。PubMed用“MASLD”、“NAFLD”、“肠道微生物群”、“FXR”和“微量元素”等关键词搜索了过去十年发表的文章。最新NAFLD临床试验的进展也从中国临床试验注册中心按临床阶段进行了综述。在MASLD的发展过程中,肠道菌群不仅参与调节宿主基因表达,还对免疫功能和肝脏修复能力产生核心影响。此外,肠道微生物群的代谢产物通过肠-肝轴参与肝脏疾病的发生和发展。高脂肪饮食会引发代谢性炎症、肠道菌群变化和代谢产物异常,所有这些都可能引发炎症反应。治疗MASLD的新策略令人惊讶。从中国药物临床试验注册与披露平台获取化学药物临床试验信息,发现在目前的药物开发中,部分药物已进入III期临床试验。个体肠道细菌的多样性以及细菌以外微生物组成的影响不应被忽视。药物治疗结合饮食模式是否比单一疗法更有效还有待观察。
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Current pharmaceutical biotechnology
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