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FtsZ inhibition: a promising approach for antistaphylococcal therapy. 抑制FtsZ:一种很有前途的抗葡萄球菌治疗方法。
Pub Date : 2010-06-01 DOI: 10.1358/dnp.2010.23.5.1429489
Parminder Singh, Dulal Panda

Staphylococcus causes a large number of animal and human diseases and has been considered as a major health concern. With the emergence of resistant strains of staphylococcus, like methicillin-resistant Staphylococcus aureus and vancomycin-resistant Staphylococcus aureus, the search for novel antibacterial targets has intensified. FtsZ, a bacterial cytoskeleton protein, is involved in cell division. FtsZ assembles into protofilaments in a GTP-dependent manner, and forms a dynamic Z-ring at the mid-cell position. The assembly dynamics of FtsZ in the Z-ring are regulated by the combined actions of several FtsZ-associated proteins. Furthermore, the interaction of FtsZ with accessory proteins is essential for their recruitment to the Zring. A disruption of this interaction perturbs the Z-ring formation. FtsZ inhibitors like PC-190723 have been suggested to inhibit the Staphylococcus cell division by perturbing the assembly and stability of FtsZ polymers. In this review, we discuss the assembly dynamics of Z-ring and its role in cell division. In addition, we highlight recent advances suggesting the potential of FtsZ as a drug target for antistaphylococcal therapy.

葡萄球菌引起大量动物和人类疾病,已被认为是一个主要的健康问题。随着耐药葡萄球菌的出现,如耐甲氧西林金黄色葡萄球菌和耐万古霉素金黄色葡萄球菌,对新型抗菌靶点的探索已经加强。FtsZ是一种细菌细胞骨架蛋白,参与细胞分裂。FtsZ以依赖gtp的方式组装成原丝,并在细胞中间位置形成动态z环。FtsZ在z环上的组装动力学受几个FtsZ相关蛋白的联合作用调控。此外,FtsZ与辅助蛋白的相互作用对于它们被募集到Zring是必不可少的。这种相互作用的破坏扰乱了z环的形成。FtsZ抑制剂如PC-190723被认为通过扰乱FtsZ聚合物的组装和稳定性来抑制葡萄球菌的细胞分裂。本文就z环的装配动力学及其在细胞分裂中的作用作一综述。此外,我们强调了FtsZ作为抗葡萄球菌治疗药物靶点的潜力的最新进展。
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引用次数: 38
The future of epilepsy treatment: focus on adeno-associated virus vector gene therapy. 癫痫治疗的未来:关注腺相关病毒载体基因治疗。
Pub Date : 2010-06-01 DOI: 10.1358/dnp.2010.23.5.1468393
Thomas J McCown

Adeno-associated virus (AAV) vectors support long-term, nontoxic gene expression in the central nervous system, and these AAV properties prove particularly applicable to the treatment of focal epilepsies, especially intractable temporal lobe epilepsy. A number of clinical studies have employed AAV vectors and to date, no known adverse effects have been directly associated with these treatments, particularly AAV serotype 2 (AAV2). Although other AAV serotypes may confer an advantage in the future, extensive studies on the inhibitory neuropeptides, galanin and neuropeptide Y, have generated enough preclinical evidence of efficacy to warrant AAV2-based clinical trials in the near future. Beyond these trials, emerging evidence suggests that AAV-mediated manipulation of adenosine can significantly impact limbic seizure activity. Thus, with appropriate nonhuman primate transduction patterns and favorable overall toxicology studies, AAV-based manipulation of adenosine could follow the AAV-neuropeptide clinical studies. Finally, recent findings using AAV capsid shuffling and directed evolution have identified a hybrid AAV vector that can selectively cross the seizure compromised blood-brain barrier and transduce cells after peripheral, intravenous administration. Thus, in the more distant future, AAV therapeutics for focal epilepsies may be delivered without any neurosurgical interventions.

腺相关病毒(AAV)载体支持中枢神经系统中长期、无毒的基因表达,这些AAV特性被证明特别适用于局灶性癫痫的治疗,特别是难治性颞叶癫痫。许多临床研究使用了AAV载体,迄今为止,没有已知的不良反应与这些治疗直接相关,特别是AAV血清2型(AAV2)。尽管其他AAV血清型可能在未来赋予优势,但对抑制性神经肽、丙氨酸和神经肽Y的广泛研究已经产生了足够的临床前证据,可以在不久的将来进行基于aav2的临床试验。除了这些试验,新出现的证据表明,aav介导的腺苷操纵可以显著影响边缘癫痫发作活动。因此,有了合适的非人灵长类动物转导模式和有利的总体毒理学研究,基于aav的腺苷操纵可以遵循aav神经肽的临床研究。最后,最近利用AAV衣壳重组和定向进化的研究发现,一种混合AAV载体可以选择性地穿过癫痫发作受损的血脑屏障,并在外周静脉给药后转导细胞。因此,在更遥远的将来,局灶性癫痫的AAV治疗可能不需要任何神经外科干预。
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引用次数: 16
PRM-151 (recombinant human serum amyloid P/pentraxin 2) for the treatment of fibrosis. PRM-151(重组人血清淀粉样蛋白P/戊traxin 2)用于治疗纤维化。
Pub Date : 2010-06-01 DOI: 10.1358/dnp.2010.23.5.1444206
Jeremy S Duffield, Mark L Lupher

Serum amyloid P or pentraxin 2 (PTX2) is a highly phylogenetically conserved, naturally circulating plasma protein and a soluble pattern recognition receptor of the innate immune system. The unique binding activities of PTX2 suggest that it may localize specifically to sites of injury and function to aid in the removal of damaged tissue. The recent discovery of its ability to regulate certain monocyte differentiation states has identified PTX2 as a novel and potentially powerful antifibrotic agent. A fully recombinant form of the human PTX2 protein, designated PRM-151, has recently initiated human clinical trials. Here we review the molecular, cellular and structural biology of PRM-151/PTX2 in vitro and in several in vivo preclinical models of fibrotic disease that demonstrate its potential as a first-in-class natural modulator of fibrotic pathology with significant potential to treat a wide variety of human diseases.

血清淀粉样蛋白P或戊素2 (PTX2)是一种高度进化保守的天然循环血浆蛋白和先天免疫系统的可溶性模式识别受体。PTX2独特的结合活性表明,它可能特异性定位于损伤部位,并有助于损伤组织的清除。最近发现其调节某些单核细胞分化状态的能力已将PTX2确定为一种新型且潜在强大的抗纤维化药物。一种完全重组的人类PTX2蛋白,被命名为PRM-151,最近开始了人体临床试验。在这里,我们回顾了PRM-151/PTX2在体外和几种体内纤维化疾病临床前模型中的分子,细胞和结构生物学,证明其作为纤维化病理的一流天然调节剂的潜力,具有治疗多种人类疾病的巨大潜力。
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引用次数: 74
CYBA gene variants as biomarkers for coronary artery disease. CYBA基因变异作为冠状动脉疾病的生物标志物
Pub Date : 2010-06-01 DOI: 10.1358/dnp.2010.23.5.1437711
Maria U Moreno, Guillermo Zalba

Oxidative stress plays a key role in the pathophysiology of coronary artery disease, and constitutes a common mechanism behind the risk factors associated with this disease such as atherosclerosis, hypertension, diabetes and the metabolic syndrome. Oxidative stress is defined as an imbalance between the production of reactive oxygen and nitrogen species and the detoxification by the appropriate cellular systems. Reactive oxygen species induce cardiovascular dysfunction by modulating cell contraction/dilation, migration, growth/apoptosis and extracellular matrix protein turnover, which contribute to vascular and cardiac remodeling. In the last decade, the NADPH oxidase family has emerged as one of the most relevant sources of reactive oxygen species within the cardiovascular system. Recent data suggest a significant role of the genetic background in NADPH oxidase regulation. Common genetic polymorphisms within the promoter and exonic sequences of CYBA, the gene that encodes the p22phox subunit of the NADPH oxidase, have been characterized in the context of cardiovascular diseases. This review aims to present the current state of research into these polymorphisms with regards to their relationship to coronary artery disease.

氧化应激在冠状动脉疾病的病理生理中起着关键作用,构成了与冠状动脉粥样硬化、高血压、糖尿病和代谢综合征等疾病相关危险因素背后的共同机制。氧化应激被定义为活性氧和氮的产生与适当细胞系统解毒之间的不平衡。活性氧通过调节细胞的收缩/扩张、迁移、生长/凋亡和细胞外基质蛋白的更新来诱导心血管功能障碍,从而促进血管和心脏重构。在过去的十年中,NADPH氧化酶家族已经成为心血管系统中活性氧最相关的来源之一。最近的数据表明遗传背景在NADPH氧化酶调节中起着重要作用。CYBA(编码NADPH氧化酶p22phox亚基的基因)的启动子和外显子序列中的常见遗传多态性已经在心血管疾病的背景下被表征。这篇综述旨在介绍这些多态性与冠状动脉疾病的关系的研究现状。
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引用次数: 8
Quinpramine--a promising compound for treating immune-mediated demyelination of the nervous system. 喹丙嗪——一种治疗免疫介导的神经系统脱髓鞘的有前途的化合物。
Pub Date : 2010-06-01 DOI: 10.1358/dnp.2010.23.5.1447850
Gerd Meyer zu Hörste, Anne K Mausberg, Carsten Korth, Olaf Stüve, Bernd C Kieseier

Multiple sclerosis (MS) is a chronic demyelinating autoimmune disease of the central nervous system. Different therapeutic options are available, but all require parenteral application and some expose patients to potentially lethal adverse effects. The response to treatment remains variable and often incomplete. Thus, the search for novel therapeutic agents is ongoing and relevant. The chimeric compound quinpramine-generated from its precursor substances imipramine and quinacrine-has recently demonstrated clinical efficacy in experimental autoimmune encephalomyelitis (EAE), an animal model for MS. Mechanistic considerations and recent experimental data suggest that intracellular redistribution of antigen-presenting molecules and cholesterol-rich membrane domains may account for the clinical efficacy of this drug. This article summarizes available treatment options in MS and explains why the candidate compound quinpramine may transfer from bench to bedside in the near future.

多发性硬化症(MS)是一种慢性脱髓鞘自身免疫性疾病的中枢神经系统。有不同的治疗选择,但都需要肠外应用,有些使患者暴露于潜在的致命副作用。对治疗的反应仍然是多变的,而且往往是不完整的。因此,寻找新的治疗药物是持续的和相关的。嵌合化合物喹丙胺——由其前体物质丙咪嗪和喹丙嗪生成——最近在实验性自身免疫性脑脊髓炎(EAE)中显示出临床疗效,这是一种多发性硬化动物模型。机制方面的考虑和最近的实验数据表明,抗原呈递分子和富含胆固醇的膜结构域的细胞内再分布可能是该药物临床疗效的原因。本文总结了多发性硬化症的可用治疗方案,并解释了为什么候选化合物喹丙嗪可能在不久的将来从实验室转移到床边。
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引用次数: 5
Pharmaceutical trademarks: navigating through the FDA's pilot program. 药品商标:通过FDA的试点计划导航。
Pub Date : 2010-06-01 DOI: 10.1358/dnp.2010.23.5.1499108
Elisa Ferrer

Creation and clearance of pharmaceutical trademarks continues to be one of the most difficult and challenging areas of trademark law. The Food and Drug Administration (FDA) recently initiated a 2-year Pilot Program under Prescription Drug User Fee Act (PDUFA) IV. The intent of the program is to enable participating pharmaceutical firms to evaluate proposed pharmaceutical marks and submit the data generated from those evaluations to the FDA for review. Submitting a trademark to the FDA warrants questions: What supporting data is needed and accepted when proposing a mark? What issues might arise, and how can they be averted? In a recent Thomson Reuters on-demand webinar (http://science.thomsonreuters.com/news/2010-02/8580404/), a group of renowned experts in the field of trademark development review the FDA pilot program, outline the requirements for submission and discuss what the changes will mean in clearing new pharmaceutical marks. They also present various approaches to trademark development and evaluation in light of the FDA's views.

药品商标的创建和审批仍然是商标法中最困难和最具挑战性的领域之一。美国食品和药物管理局(FDA)最近根据处方药用户收费法案(PDUFA) IV启动了一项为期2年的试点计划。该计划的目的是使参与的制药公司能够评估拟议的药品标志,并将这些评估产生的数据提交给FDA进行审查。向FDA提交商标需要考虑以下问题:在申请商标时需要哪些支持数据并被接受?可能会出现哪些问题?如何避免这些问题?在最近的汤森路透按需网络研讨会(http://science.thomsonreuters.com/news/2010-02/8580404/)上,一群商标开发领域的知名专家审查了FDA试点项目,概述了提交要求,并讨论了这些变化对新药商标的审批意味着什么。他们还根据FDA的观点提出了商标开发和评估的各种方法。
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引用次数: 0
The antipsychotic potential of muscarinic allosteric modulation. 毒蕈碱异构调节的抗精神病潜力。
Pub Date : 2010-05-01 DOI: 10.1358/dnp.2010.23.4.1416977
Thomas M Bridges, Evan P LeBois, Corey R Hopkins, Michael R Wood, Carrie K Jones, P Jeffrey Conn, Craig W Lindsley

The cholinergic hypothesis of schizophrenia emerged over 50 years ago based on clinical observations with both anticholinergics and pan-muscarinic agonists. Not until the 1990s did the cholinergic hypothesis of schizophrenia receive renewed enthusiasm based on clinical data with xanomeline, a muscarinic acetylcholine receptor M(1)/M(4)-preferring orthosteric agonist. In a clinical trial with Alzheimer's patients, xanomeline not only improved cognitive performance, but also reduced psychotic behaviors. This encouraging data spurred a second clinical trial in schizophrenic patients, wherein xanomeline significantly improved the positive, negative and cognitive symptom clusters. However, the question remained: Was the antipsychotic efficacy due to activation of M(1), M(4) or both M(1)/M(4)? Classical orthosteric ligands lacked the muscarinic receptor subtype selectivity required to address this key question. More recently, functional assays have allowed for the discovery of ligands that bind at allosteric sites, binding sites distinct from the orthosteric (acetylcholine) site, which are structurally less conserved and thereby afford high levels of receptor subtype selectivity. Recently, allosteric ligands, with unprecedented selectivity for either M(1) or M(4), have been discovered and have demonstrated comparable efficacy to xanomeline in preclinical antipsychotic and cognition models. These data suggest that selective allosteric activation of either M(1) or M(4) has antipsychotic potential through distinct, yet complimentary mechanisms.

50 多年前,根据对抗胆碱能药物和泛毒蕈碱激动剂的临床观察,出现了精神分裂症的胆碱能假说。直到 20 世纪 90 年代,一种毒蕈碱乙酰胆碱受体 M(1)/M(4)偏好正交激动剂--沙诺美林(xanomeline)的临床数据再次激发了人们对精神分裂症胆碱能假说的热情。在一项针对阿尔茨海默氏症患者的临床试验中,夏诺美林不仅改善了认知能力,还减少了精神病行为。这一令人鼓舞的数据推动了在精神分裂症患者中进行的第二次临床试验,结果显示,赛诺美林显著改善了患者的阳性、阴性和认知症状群。然而,问题依然存在:抗精神病药效是由于激活了 M(1)、M(4),还是同时激活了 M(1)/M(4)?经典的正交配体缺乏解决这一关键问题所需的毒蕈碱受体亚型选择性。最近,通过功能测试发现了与异位点结合的配体,这些结合点与正位点(乙酰胆碱)不同,在结构上不太保守,因此具有较高的受体亚型选择性。最近,人们发现了对 M(1)或 M(4)具有前所未有的选择性的异构配体,并在临床前抗精神病和认知模型中显示出与夏诺美林相当的疗效。这些数据表明,选择性异位激活 M(1)或 M(4)可通过不同但互补的机制发挥抗精神病潜力。
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引用次数: 0
Peroxisome proliferator-activated receptor gamma agonists as neuroprotective agents. 过氧化物酶体增殖物激活受体激动剂作为神经保护剂。
Pub Date : 2010-05-01 DOI: 10.1358/dnp.2010.23.4.1437710
Ravinder K Kaundal, Shyam S Sharma

Peroxisome proliferator-activated receptor gamma (PPARgamma) has already been considered as an attractive therapeutic target for the treatment of metabolic disorders. Recently, PPARgamma agonists were shown to effectively attenuate oxidative stress, inflammation and apoptosis in the central nervous system. There are several preclinical and clinical studies indicating neuroprotective potential of PPARgamma agonists in the treatment of cerebral ischemia, Parkinson's disease, Alzheimer's disease, multiple sclerosis and amyotrophic lateral sclerosis. In these disorders, apart from inhibiting oxidative stress, inflammation and apoptosis, PPARgamma agonists have the potential to modulate various signaling molecules/pathways, including matrix metalloproteinase-9, mitogen-activated protein kinases, signal transducer and activator of transcription, mitochondrial uncoupling protein 2, mitoNEET expression, amyloid precursor protein degradation, beta-site amyloid precursor protein cleaving enzyme 1 and Wnt signaling. This article discusses evidence and mechanisms supporting the neuroprotective effects of PPARgamma agonists in central nervous system disorders.

过氧化物酶体增殖体激活受体(PPARgamma)已被认为是治疗代谢紊乱的一个有吸引力的治疗靶点。最近,PPARgamma激动剂被证明可以有效地减轻中枢神经系统的氧化应激、炎症和细胞凋亡。有一些临床前和临床研究表明,PPARgamma激动剂在治疗脑缺血、帕金森病、阿尔茨海默病、多发性硬化症和肌萎缩侧索硬化症方面具有神经保护潜力。在这些疾病中,除了抑制氧化应激、炎症和凋亡外,PPARgamma激动剂还具有调节各种信号分子/途径的潜力,包括基质金属蛋白酶-9、丝裂原活化蛋白激酶、转录信号转导和激活因子、线粒体解偶联蛋白2、mitoNEET表达、淀粉样蛋白前体蛋白降解、β位点淀粉样蛋白前体蛋白切割酶1和Wnt信号。本文讨论了支持PPARgamma激动剂对中枢神经系统疾病的神经保护作用的证据和机制。
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引用次数: 66
Macrophage migration inhibitory factor (MIF): a promising biomarker. 巨噬细胞迁移抑制因子(MIF):一种有前景的生物标志物。
Pub Date : 2010-05-01 DOI: 10.1358/dnp.2010.23.4.1453629
Gerrit Grieb, Melanie Merk, Jürgen Bernhagen, Richard Bucala

Macrophage migration inhibitory factor (MIF) is an immunoregulatory cytokine, the effect of which on arresting random immune cell movement was recognized several decades ago. Despite its historic name, MIF also has a direct chemokine-like function and promotes cell recruitment. Multiple clinical studies have indicated the utility of MIF as a biomarker for different diseases that have an inflammatory component; these include systemic infections and sepsis, autoimmune diseases, cancer, and metabolic disorders such as type 2 diabetes and obesity. The identification of functional promoter polymorphisms in the MIF gene (MIF) and their association with the susceptibility or severity of different diseases has not only served to validate MIF's role in disease development but also opened the possibility of using MIF genotype information to better predict risk and outcome. In this article, we review the clinical data of MIF and discuss its potential as a biomarker for different disease applications.

巨噬细胞迁移抑制因子(Macrophage migration inhibitory factor, MIF)是一种免疫调节因子,其抑制随机免疫细胞运动的作用早在几十年前就被认识到。尽管它的历史名称,MIF也具有直接的趋化因子样功能,并促进细胞募集。多项临床研究表明,MIF可作为具有炎症成分的不同疾病的生物标志物;这些疾病包括全身性感染和败血症、自身免疫性疾病、癌症和代谢紊乱,如2型糖尿病和肥胖。MIF基因(MIF)功能启动子多态性的鉴定及其与不同疾病易感性或严重程度的关联,不仅有助于验证MIF在疾病发展中的作用,而且开启了利用MIF基因型信息更好地预测风险和预后的可能性。在本文中,我们回顾了MIF的临床数据,并讨论了其作为不同疾病生物标志物的潜力。
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引用次数: 196
Immunotherapy for Epstein-Barr virus-associated malignancies. eb病毒相关恶性肿瘤的免疫治疗。
Pub Date : 2010-05-01 DOI: 10.1358/dnp.2010.23.4.1439500
Heather M Long, Gregory Parsonage, Christopher P Fox, Steven P Lee

Epstein-Barr virus (EBV) is present in the malignant cells of several human cancers including post-transplant lymphoproliferative disease (PTLD), Hodgkin's lymphoma, nasopharyngeal carcinoma, natural killer/T lymphomas and Burkitt's lymphoma. Yet in > 90% of the world's adult population, who carry EBV as a lifelong asymptomatic infection, the oncogenic potential of this virus is controlled by a strong virus-specific T-cell response. Accordingly, EBV-associated malignancies represent good candidates for a T-cell-based therapy and provide an important model for developing such therapies for other human cancers. This review summarizes the impressive results seen with T-cell therapy for PTLD and discusses, in the light of recent technological advances, the prospects for developing more effective approaches for other EBV-associated cancers.

eb病毒(EBV)存在于几种人类癌症的恶性细胞中,包括移植后淋巴细胞增生性疾病(PTLD)、霍奇金淋巴瘤、鼻咽癌、自然杀伤/T淋巴瘤和伯基特淋巴瘤。然而,在世界上超过90%的携带EBV作为终身无症状感染的成年人中,这种病毒的致癌潜力受到强烈的病毒特异性t细胞反应的控制。因此,ebv相关的恶性肿瘤代表了t细胞治疗的良好候选者,并为开发用于其他人类癌症的此类治疗提供了重要模型。这篇综述总结了t细胞治疗PTLD的令人印象深刻的结果,并讨论了根据最近的技术进步,开发更有效的方法治疗其他ebv相关癌症的前景。
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引用次数: 16
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