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Radiophobia Harm, Its Main Cause, and a Proposed Solution.
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-03-27 eCollection Date: 2025-01-01 DOI: 10.1177/15593258251318305
Bobby R Scott

Background: We are exposed to natural ionizing radiation and other genomic stressors throughout life and radiophobia has caused much harm to society. The main basis for radiophobia is the invalid linear no-threshold (LNT) hypothesis for cancer induction, which the System of Radiological Protection (SRP) is linked to. Largely unknown to the public, evolution-associated genomic stress adaptation (gensadaptation) over many previous generations now provides protection to all lifeforms from low radiation doses. Objective: To help bring about an improved SRP not linked to the invalid LNT hypothesis for radiation-caused health detriment and to promote low-dose radiation therapy for different diseases. Methods: All-solid-cancer mortality risk dose-response relationships for A-bomb survivors were generated based on published LNT-modeling-related results. Dose-response relationships for lung cancer prevention by low-dose radiation were generated by linear interpolation based on published data from a study using > 15,000 mice. Uncertainty characterization was based on Monte Carlo calculations for binomial and Poisson distributions. New dose characterization tools were used for threshold dose-response relationships for radiation-caused cancer mortality. Results: The all-solid-cancer mortality risk for A-bomb survivors transitioned from LNT to threshold-linear when adjusted for key missing uncertainty at low doses. The prevention of lung cancer in mice by low radiation doses depends on the radiation absorbed dose and type. Conclusions: The SRP should be linked to population dose thresholds rather than the invalid LNT hypothesis and small likely harmless radiation doses could possibly be used in treating different diseases.

背景:我们终生暴露于天然电离辐射和其他基因组压力源中,而辐射恐惧症给社会造成了巨大危害。辐射恐惧症的主要依据是无效的线性无阈值(LNT)癌症诱导假说,辐射防护系统(SRP)与此假说有关。公众大多不知道,与进化相关的基因组应激适应(基因适应)经过许多代人的进化,现已为所有生命形式提供了低剂量辐射防护。目标:帮助改进 SRP,使其与无效的辐射导致健康损害的 LNT 假说无关,并促进针对不同疾病的低剂量放射治疗。方法:根据已发表的 LNT 模型相关结果,生成原子弹爆炸幸存者的全固态癌症死亡风险剂量-反应关系。低剂量辐射预防肺癌的剂量-反应关系是根据一项使用超过 15,000 只小鼠进行研究的已发表数据,通过线性插值生成的。不确定性表征基于二项分布和泊松分布的蒙特卡罗计算。新的剂量表征工具被用于辐射致癌死亡率的阈值剂量-反应关系。结果:根据低剂量时缺失的关键不确定性进行调整后,原子弹爆炸幸存者的全固态癌症死亡风险从 LNT 过渡到阈值线性。低辐射剂量对小鼠肺癌的预防作用取决于辐射吸收剂量和类型。结论:SRP应与人群剂量阈值相联系,而不是无效的LNT假说。
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引用次数: 0
Unprecedented Approach for Using Misoprostol Alongside Low-Dose Gamma Radiation to Alleviate Paraquat-Induced Pulmonary Injury in Rats.
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-03-25 eCollection Date: 2025-01-01 DOI: 10.1177/15593258251326707
Ahmed H Youssef, Heba H Mansour, Wafaa Gh Shousha, Shereen M Galal, Sara M Abdo

Background: Abrupt inflammation and alveolar epithelial membrane damage, which may cause the alveolar membrane's malfunction, are related to acute lung injury (ALI). This could eventually lead to pulmonary fibrosis. While lung injury can happen in many ways, the current study will concentrate on the changes in lung pathology mediated by paraquat (PQ). Paraquat, a widely used herbicide, targets lung toxicity through inflammation and oxidative stress, which significantly contribute to lung damage.

Objective: The current research was to ascertain whether low-dose gamma radiation (R) and misoprostol (MP) could lessen the lung inflammatory cascade started by PQ injection in rats.

Methods: The ALI model was induced by I.P. injection of PQ (20 mg/kg once), and then treatment was done by MP and/or R for 14 days, and finally, the biochemical and histological parameters were measured in the lung tissues.

Results: Our data suggest that PQ can promote ALI through TGF-β/smad, Notch, NF-κB, and ET-1 signaling pathways, resulting in EMT. These suggestions were supported by increased levels of TGF-β, inflammatory cytokines, α-SMA, NF-κB, ET-1, CTGF protein, and LPA, whereas PPAR-γ decreased. The aforementioned results have been confirmed by lung histopathology.

Conclusion: We suggest that the pulmonary inflammatory cascade was hindered and all the previously described gauges improved with R and/or MP therapy.

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引用次数: 0
Cancer Risk Assessment Concern Regarding the Publication "Random Threshold Model: A Low-Dose Radiation-Induced Risk Assessment Approach Considering Individual Susceptibility to Cancer".
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-03-14 eCollection Date: 2025-01-01 DOI: 10.1177/15593258251327026
Bobby R Scott
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引用次数: 0
Effects of Low Dose Neutron-Gamma Field on Cell Cycle and Damage of Human Lymphocytes.
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-03-01 eCollection Date: 2025-01-01 DOI: 10.1177/15593258251323789
Jinghong Fu, Guangfen Du, Haiqing Wang, Chenxing Liao, Yuyan Zhang, Weiguo Li

Purpose: The aim is to investigate the response of peripheral blood lymphocytes to a low-dose neutron-gamma field. Methods: The human peripheral blood was exposed to low-dose neutron-gamma radiation ex vivo. Flow cytometry was utilized to evaluate the changes in cell cycle and protein levels of p21, CDK2, and γH2AX. qPCR analysis was conducted to investigate the mRNA transcription of p21 and CDK2. The chromosomes aberration and micronucleus rate in peripheral blood lymphocytes were observed by microscope. Results: Within the radiation dose range of 0-5976 μGy, compared to the "0" dose group, there was an increase in the proportion of cells in G1 phase and a decrease in the proportion of cells in G2 phase. Additionally, there was an upregulation of p21 and γH2AX protein expression, a downregulation of CDK2 protein expression, and an increase in transcription levels of p21 and CDK2 mRNA. Furthermore, there was an elevation in the rate of chromosome aberrations in peripheral blood lymphocytes; however, no significant change of micronuclei rate was observed. Conclusions: The response of human lymphocytes to low dose neutron gamma irradiation can be reflected by the changes of cell cycle, chromosome aberration and RPS18 expression.

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引用次数: 0
The Mitigating Effect of Melatonin Against Radiation-Induced Inflammation and Disturbance of Reproductive Hormones in Female Albino Rats.
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-28 eCollection Date: 2025-01-01 DOI: 10.1177/15593258251323796
Shereen M Shedid, Nahed Abdel-Aziz, Fatma R Algeda, Helen N Saada

Objectives: Melatonin has been documented as an antioxidant agent. Numerous investigations have documented melatonin's radioprotective impact; however, investigation of its role post-irradiation requires further studies. Thus, the present study investigated melatonin's mitigating effect against radiation-induced alteration in the ovaries and reproductive hormones in female albino rats. Methods: Melatonin (10 mg/kg body weight, i. p.) was administered to the animals for 7, 11, and 15 days after whole-body exposure to 4 Gy γ-radiation. Results: The results demonstrated that melatonin has significantly attenuated the radiation-induced oxidative stress in the ovary, manifested by a decrease in protein carbonyl and malondialdehyde in conjunction with an increase in total antioxidant capacity. In addition, melatonin has alleviated the radiation-induced increase of the pro-inflammatory cytokines (tumor necrotic factor alpha, interleukin-6, interleukin-1 beta) and caspase-3 levels in the serum. These results were accompanied by a noticeable improvement in serum E2-estradiol, testosterone, progesterone, follicle-stimulating hormone, and luteinizing hormone compared to their respective levels in the irradiated group. Conclusion: It could be concluded that melatonin is an effective agent for minimizing the deleterious impacts of radiation on the ovaries and reproductive hormones through synergistic interdependence between anti-inflammatory, antioxidant, and anti-apoptotic activities.

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引用次数: 0
Comparative Analysis of Concurrent vs Sequential Administration of anti-PD-1 Following Thoracic Radiotherapy: Impact on Lung Tissue Damage. 胸腔放疗后同时服用抗 PD-1 与连续服用抗 PD-1 的比较分析:对肺组织损伤的影响
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-20 eCollection Date: 2025-01-01 DOI: 10.1177/15593258251322324
Peng Yan, Zewen Wang, Yufeng Wang, Yongliang Liu, Anna Tong, Meili Sun

The combination of thoracic radiotherapy and immune checkpoint inhibitors (ICIs) had demonstrated a synergistic therapeutic effect, albeit with the occurrence of overlapping pulmonary toxicities. We established a mouse model using programmed cell death protein-1 (PD-1) antibody at different time points after thoracic radiotherapy. Hematoxylin and eosin (HE) staining, as well as TUNEL staining, were utilized for the morphological assessment of lung tissue damage. Inflammatory cells and cytokines present in bronchoalveolar lavage fluid (BALF) were analyzed using flow cytometry and cytometric bead array immunoassay (CBA). Additionally, immunohistochemistry (IHC) and immunofluorescence (IF) staining were conducted to observe the infiltration of inflammatory cells in lung tissue. Immediate administration of PD-1 antibody after thoracic radiotherapy resulted in more severe lung tissue injury compared to delayed administration. Concurrent treatment led to an increase in lymphocytes and neutrophils in BALF, as well as higher levels of inflammatory cytokines. IHC and IF analysis revealed that neutrophils, macrophages, and lymphocytes were more prominent in the concurrent treatment group. A more severe lung injury occurred when PD-1 antibody was given simultaneously with thoracic radiotherapy, possibly due to increased inflammation caused by the combination treatment.

胸腔放疗与免疫检查点抑制剂(ICIs)的联合治疗已显示出协同治疗效果,尽管会出现重叠的肺部毒性。我们利用程序性细胞死亡蛋白-1(PD-1)抗体在胸部放疗后的不同时间点建立了小鼠模型。血红素和伊红(HE)染色以及 TUNEL 染色用于肺组织损伤的形态学评估。支气管肺泡灌洗液(BALF)中的炎症细胞和细胞因子采用流式细胞仪和细胞计数珠阵列免疫分析法(CBA)进行分析。此外,还进行了免疫组化(IHC)和免疫荧光(IF)染色,以观察肺组织中炎性细胞的浸润情况。与延迟给药相比,胸部放疗后立即给药 PD-1 抗体会导致更严重的肺组织损伤。同期治疗导致 BALF 中淋巴细胞和中性粒细胞增加,炎性细胞因子水平升高。IHC 和 IF 分析显示,同期治疗组的中性粒细胞、巨噬细胞和淋巴细胞更为突出。PD-1 抗体与胸腔放疗同时进行时,肺损伤更为严重,这可能是由于联合治疗导致炎症加重。
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引用次数: 0
Zeatin Elicits Premature Erythrocyte Senescence Through Calcium and Oxidative Stress Mediated by the NOS/PKC/CK1α Signaling Axis. 玉米素通过NOS/PKC/CK1α信号轴介导的钙和氧化应激诱导红细胞过早衰老。
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-15 eCollection Date: 2025-01-01 DOI: 10.1177/15593258251314825
Iman A Alajeyan, Jawaher Alsughayyir, Mohammad A Alfhili

Objectives: Cytokinins are plant hormones that regulate cell growth and differentiation. In particular, zeatin (ZTN) delays cellular senescence of human fibroblasts and keratinocytes and exhibits anticancer activity. Chemotherapy-induced anemia is a major side effect of anticancer therapy secondary to premature senescence of red blood cells (RBCs). Herein, we investigated the biochemical and molecular mechanisms underlying ZTN action in human RBCs. Methods: Colorimetric assays were used to quantify hemolysis and related markers and flow cytometric analysis was applied to examine eryptosis through phosphatidylserine (PS) exposure by annexin-V-FITC, intracellular Ca2+ by Fluo4/AM, reactive oxygen species (ROS) by H2DCFDA, and cell size from forward scatter (FSC). Results: ZTN at 200 μM induced significant hemolysis and K+, Na+, AST, and LDH leakage. ZTN also caused a significant increase in annexin-V-positive cells along with increased Fluo4 and DCF fluorescence and reduced FSC. Importantly, L-NAME, staurosporin, D4476, urea, sucrose, and polyethylene glycol 8000 (PEG) significantly ameliorated ZTN cytotoxicity. Conclusion: ZTN stimulates PS exposure, intracellular Ca2+ elevation, oxidative stress, and cell shrinkage. The hemolytic potential of ZTN, mediated through nitric oxide synthase/protein kinase C/casein kinase 1α signaling axis, is sensitive to isosmotic urea, sucrose, and PEG availability. Altogether, the anticancer potential of ZTN must be reconsidered with prudence.

目的:细胞分裂素是调节细胞生长和分化的植物激素。特别是,玉米蛋白(ZTN)延缓人成纤维细胞和角质形成细胞的细胞衰老,并表现出抗癌活性。化疗引起的贫血是抗肿瘤治疗继发于红细胞过早衰老的主要副作用。在此,我们研究了ZTN在人红细胞中作用的生化和分子机制。方法:采用比色法定量溶血和相关标志物,采用流式细胞术分析通过annexin-V-FITC暴露磷脂酰丝氨酸(PS), Fluo4/AM暴露细胞内Ca2+, H2DCFDA检测活性氧(ROS),以及前向散射(FSC)检测细胞大小来检测溶血。结果:200 μM ZTN诱导明显溶血,K+、Na+、AST、LDH渗漏。ZTN还引起膜联蛋白v阳性细胞的显著增加,Fluo4和DCF荧光增加,FSC降低。重要的是,L-NAME、staurosporin、D4476、尿素、蔗糖和聚乙二醇8000 (PEG)显著改善了ZTN的细胞毒性。结论:ZTN刺激PS暴露,细胞内Ca2+升高,氧化应激和细胞收缩。通过一氧化氮合酶/蛋白激酶C/酪蛋白激酶1α信号轴介导的ZTN的溶血电位对等渗尿素、蔗糖和聚乙二醇的可用性敏感。总之,必须谨慎地重新考虑ZTN的抗癌潜力。
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引用次数: 0
Identification, Characterization and Anti-inflammatory Activity of a New Flavonoid From Hibiscus mutabilis L. 一种新型木槿黄酮类化合物的鉴定、表征及抗炎活性研究。
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-20 eCollection Date: 2024-10-01 DOI: 10.1177/15593258241290130
Pan Hu, Lei Ye, Yuanxiang Gong, Xin Yan, Ping Huang, Xiaoqing Shi, Xi Wang

Hibiscus mutabilis L (Malvaceae) was a traditional Chinese medicine with significant anti-inflammatory activity. We isolated 3 compounds from the flowers of H mutabilis L , including a new flavonoid, (1″R)-8-(1-(3,4-dihydroxyphenyl)ethyl)-3,3',5,7-tetrahydroxy-4'-methoxyl flavone (1), and 2 known flavonoids (2-3). The structures of these compounds were elucidated by various spectroscopic methods. In addition, we evaluated the anti-inflammatory effect of compound 1. The bioactivity assay showed that 1 significantly inhibit the excessive production of IL-6, TNF-α and NO in LPS-induced RAW264.7 macrophages. Western blot analysis demonstrated that 1 inhibit the expressions of COX-2 and iNOS protein in the macrophages induced by LPS in a concentration-dependent manner. In addition, 1 also significantly suppress the expression of the key proteins P65 and p-P65 in the NF-κB signaling pathway. Our results revealed that 1 exert potential anti-inflammatory activity through inhibiting the activation of NF-κB signaling pathway.

木槿(malvacae)是一种具有显著抗炎活性的中药。我们从变异黄酮(H mutabilis L)花中分离到3个化合物,包括一个新的类黄酮(1″R)-8-(1-(3,4-二羟基苯基)乙基)-3,3',5,7-四羟基-4'-甲氧基黄酮(1)和2个已知的类黄酮(2-3)。这些化合物的结构用各种光谱方法进行了分析。此外,我们对化合物1的抗炎作用进行了评价。生物活性测定结果显示,1能显著抑制lps诱导的RAW264.7巨噬细胞过量产生IL-6、TNF-α和NO。Western blot分析显示,1对LPS诱导的巨噬细胞中COX-2和iNOS蛋白的表达呈浓度依赖性。此外,1还显著抑制NF-κB信号通路中关键蛋白P65和p-P65的表达。我们的研究结果表明,1通过抑制NF-κB信号通路的激活发挥潜在的抗炎活性。
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引用次数: 0
INWORKS and Hiroshima/Nagasaki Leukaemia Results. INWORKS和广岛/长崎白血病结果。
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-19 eCollection Date: 2024-10-01 DOI: 10.1177/15593258241303476
Ken Robert Chaplin

The Hiroshima/Nagasaki (H/N) studies by the Radiation Effect Research Foundation have not shown increased leukaemia for acute doses below 200 milli-gray (mGy). By contrast the INWORKS study of leukaemia in workers stated: "This study provides strong evidence of positive associations between protracted low-dose radiation exposure and leukemia". The INWORKS study also claimed increased leukaemia, not including Chronic Lymphocytic Leukaemia, at cumulative occupational doses of less than 100 mGy. This is contrary to the expectation that the H/N studies would show more severe effects than the worker study because the doses were acute instead of chronic and because the H/N studies included children who had higher rates of radiation induced leukaemia than adults. This paper shows that the INWORKS leukaemia study is consistent with the H/N studies in showing no increase in leukaemia in the low-dose range. In addition, any increase in leukaemia is confined to Chronic Myeloid Leukaemia, possibly from high radiation dose-rates or chemicals.

辐射效应研究基金会进行的广岛/长崎(H/N)研究没有显示低于200毫格瑞的急性剂量会增加白血病。相比之下,INWORKS对工人白血病的研究表明:“这项研究提供了强有力的证据,证明长期低剂量辐射暴露与白血病之间存在正相关。”INWORKS研究还声称,累积职业剂量低于100毫戈瑞时,白血病增加,不包括慢性淋巴细胞白血病。这与预期相反,H/N研究将显示比工人研究更严重的影响,因为剂量是急性的而不是慢性的,因为H/N研究包括的儿童比成人患辐射引起的白血病的比率更高。本文表明INWORKS白血病研究与H/N研究一致,在低剂量范围内白血病没有增加。此外,白血病的任何增加都局限于慢性髓系白血病,可能是高辐射剂量率或化学物质造成的。
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引用次数: 0
Antimicrobial and Hepatoprotective Properties of Pods of Acacia nilotica (L.) Willd. ex Delile: In Vivo and In Silico Approaches. 金合欢豆荚的抗菌和保肝作用Willd。脱手:体内和计算机方法。
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-12-12 eCollection Date: 2024-10-01 DOI: 10.1177/15593258241308998
Mehak Idrees, Sana Javaid, Sumaira Nadeem, Faria Khurshid, Abida Parveen, Abdul Malik, Azmat Ali Khan, Suhail Akhtar, Sabiha Fatima

Background: Acacia nilotica is a multipurpose plant known for its remedial properties but the antimicrobial and hepatoprotective activity of its pods remained unexplored.

Objective: This study aimed to evaluate the antimicrobial and hepatoprotective activity of n-hexane (ANPH) and methanol (ANPM) extracts of pods to scientifically validate their medicinal claims.

Methods: After the pharmacognostic evaluation of pods, in vitro tests were carried out to estimate phenolic and flavonoid content and antimicrobial potential. In vivo experiments involved testing of both extracts (250 and 500 mg/kg) paracetamol (PCM)-induced hepatotoxicity model in rats. The molecular docking studies explored insights into the potential binding capabilities of the ligands with the specific target proteins.

Results: ANPH and ANPM were enriched with phenols and flavonoids and showed antimicrobial effects. In the hepatoprotective test, the rats chronically treated with extracts had a dose-dependent hepatoprotection as markers of liver functionality were notably reduced (P < 0.05). The in silico studies revealed strong binding interactions of ergost-5-en-3-ol and oxiranyl methyl ester 9-octadecenoic acid with target proteins for antibacterial activity and hepatoprotective activity, respectively.

Conclusion: The antimicrobial and hepatoprotective potential of pods might be due to their phenols and flavonoids. The Pyrogallol, Ergost-5-en-3-and 9-octadecenoic acid might be bringing these remedial benefits through antioxidant and anti-inflammatory effects.

背景:金合欢是一种多用途植物,以其补救特性而闻名,但其荚果的抗菌和保肝活性仍未得到探索:本研究旨在评估豆荚正己烷(ANPH)和甲醇(ANPM)提取物的抗菌和保肝活性,以科学验证其药用价值:在对豆荚进行药理评估后,进行了体外测试,以评估酚类和类黄酮的含量以及抗菌潜力。体内实验包括测试两种提取物(250 毫克和 500 毫克/千克)在大鼠体内诱导的扑热息痛(PCM)肝毒性模型。分子对接研究探讨了配体与特定靶蛋白的潜在结合能力:结果:ANPH 和 ANPM 富含酚类和类黄酮,具有抗菌作用。在保肝试验中,用提取物长期治疗的大鼠具有剂量依赖性保肝作用,肝功能指标明显降低(P < 0.05)。硅学研究表明,麦角甾-5-烯-3-醇和环氧乙烷甲酯-9-十八烯酸分别与抗菌活性和保肝活性的靶蛋白有很强的结合相互作用:豆荚的抗菌和保肝潜力可能归功于其酚类和黄酮类化合物。焦谷醇、麦角甾-5-烯-3 和 9-十八烯酸可能通过抗氧化和抗炎作用带来了这些疗效。
{"title":"Antimicrobial and Hepatoprotective Properties of Pods of <i>Acacia nilotica</i> (L.) Willd. ex Delile: <i>In Vivo</i> and <i>In Silico</i> Approaches.","authors":"Mehak Idrees, Sana Javaid, Sumaira Nadeem, Faria Khurshid, Abida Parveen, Abdul Malik, Azmat Ali Khan, Suhail Akhtar, Sabiha Fatima","doi":"10.1177/15593258241308998","DOIUrl":"10.1177/15593258241308998","url":null,"abstract":"<p><strong>Background: </strong><i>Acacia nilotica</i> is a multipurpose plant known for its remedial properties but the antimicrobial and hepatoprotective activity of its pods remained unexplored.</p><p><strong>Objective: </strong>This study aimed to evaluate the antimicrobial and hepatoprotective activity of n-hexane (ANPH) and methanol (ANPM) extracts of pods to scientifically validate their medicinal claims.</p><p><strong>Methods: </strong>After the pharmacognostic evaluation of pods, <i>in</i> <i>vitro</i> tests were carried out to estimate phenolic and flavonoid content and antimicrobial potential. <i>In vivo</i> experiments involved testing of both extracts (250 and 500 mg/kg) paracetamol (PCM)-induced hepatotoxicity model in rats. The molecular docking studies explored insights into the potential binding capabilities of the ligands with the specific target proteins.</p><p><strong>Results: </strong>ANPH and ANPM were enriched with phenols and flavonoids and showed antimicrobial effects. In the hepatoprotective test, the rats chronically treated with extracts had a dose-dependent hepatoprotection as markers of liver functionality were notably reduced (<i>P</i> < 0.05). The <i>in</i> <i>silico</i> studies revealed strong binding interactions of ergost-5-en-3-ol and oxiranyl methyl ester 9-octadecenoic acid with target proteins for antibacterial activity and hepatoprotective activity, respectively.</p><p><strong>Conclusion: </strong>The antimicrobial and hepatoprotective potential of pods might be due to their phenols and flavonoids. The Pyrogallol, Ergost-5-en-3-and 9-octadecenoic acid might be bringing these remedial benefits through antioxidant and anti-inflammatory effects.</p>","PeriodicalId":11285,"journal":{"name":"Dose-Response","volume":"22 4","pages":"15593258241308998"},"PeriodicalIF":2.3,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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