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Synergistic Induction of Apoptosis and Cell Cycle Arrest against Breast Cancer Cells by Combined Kaempferol and Paclitaxel. 山奈酚和紫杉醇联合应用对乳腺癌细胞凋亡和细胞周期阻滞的协同诱导作用。
IF 2.1 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-07-14 DOI: 10.1055/a-2637-1672
Toofan Aghazadeh, Fatemeh Ramezani, Nuredin Bakhtiari, Isa Abdi Rad

The study investigates the potential of combining Kaempferol (KAE) and Paclitaxel (PAC) to enhance anti-cancer effects and induce apoptosis in MDA-MB-468 triple-negative breast cancer cells and human normal foreskin fibroblast cells.For this porpose, the cells were treated with PAC, KAE, and their combination for 24, 48, and 72 hours. Cytotoxicity was assessed via MTT assay, and synergy was evaluated using Combination Index analysis. Apoptosis was quantified via Annexin V/PI staining and DAPI staining. Flow cytometry analyzed cell cycle arrest, while qPCR assessed apoptotic gene expression.The combination of KAE and PAC exhibited a synergistic anti-proliferative effect, significantly reducing MDA-MB-468 cell viability compared to monotherapies. Annexin V/PI staining revealed an increased apoptotic rate (73%) in co-treated cells, with enhanced chromatin condensation and nuclear fragmentation observed via DAPI staining. Flow cytometry indicated a marked increase in SubG1 phase cells, confirming apoptosis induction. Gene expression analysis demonstrated upregulation of pro-apoptotic BAD and downregulation of anti-apoptotic Bcl-2 and Mcl-1, highlighting the activation of apoptosis pathways.The combination of PAC and KAE enhances cytotoxicity, promotes apoptosis, and alters key apoptotic gene expressions in MDA-MB-468 cells while sparing normal fibroblast cells. These findings suggest a promising therapeutic strategy for triple-negative breast cancer.

本研究探讨山奈酚(KAE)联合紫杉醇(PAC)对MDA-MB-468三阴性乳腺癌细胞和人正常包皮成纤维细胞增强抗癌作用和诱导凋亡的潜力。为此,将这些细胞分别用PAC、KAE及其组合处理24、48和72小时。MTT法评价细胞毒性,联合指数法评价协同作用。Annexin V/PI染色和DAPI染色定量细胞凋亡。流式细胞术分析细胞周期阻滞,qPCR检测凋亡基因表达。与单一治疗相比,KAE和PAC联合治疗显示出协同抗增殖作用,显著降低MDA-MB-468细胞活力。膜联蛋白V/PI染色显示共处理细胞的凋亡率增加(73%),DAPI染色观察到染色质凝聚和核碎裂增强。流式细胞术显示SubG1期细胞明显增加,证实凋亡诱导。基因表达分析显示,促凋亡的BAD上调,抗凋亡的Bcl-2和Mcl-1下调,突出了凋亡通路的激活。PAC和KAE联合使用可增强MDA-MB-468细胞的细胞毒性,促进细胞凋亡,改变关键凋亡基因的表达,同时保留正常成纤维细胞。这些发现为三阴性乳腺癌提供了一种有希望的治疗策略。
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引用次数: 0
Efficacy and Safety of Prolonged Treatment with Pemafibrate plus an HMG-CoA Reductase Inhibitor in Japanese Patients with Type 2 Diabetes Mellitus. 帕马布特联合HMG-CoA还原酶抑制剂长期治疗日本2型糖尿病患者的疗效和安全性
IF 2.1 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-05-21 DOI: 10.1055/a-2560-9750
Masataka Kusunoki, Fumiya Hisano, Shin-Ichi Matsuda, Akiko Kusunoki, Kazuhiko Tsutsumi, Tetsuro Miyata

It has been suggested that caution should be exercised when using HMG-CoA reductase inhibitor (statin) in combination with a drug of the fibrate family because of the potentially elevated risk of development of hepatic function impairment and myopathy. We conducted this present study to evaluate the efficacy and safety of treatment with a statin plus pemafibrate (a new fibrate) versus treatment with pemafibrate alone in Japanese patients with type 2 diabetes mellitus.In this study, a total of 23 Japanese patients with type 2 diabetes mellitus were divided into two groups: a group that received pemafibrate alone and a group that received pemafibrate+a statin for a period of 3 years, respectively. Blood levels of lipids and hepatic and renal function parameters were measured before and one and three years after the start of treatment.The pemafibrate-alone group showed reduction of the blood lipid levels, but no adverse changes of the hepatic or renal function parameters were observed. Similarly, the combined pemafibrate+statin treatment group also showed lowering of the blood lipid levels without any adverse changes of the parameters.Improvement of the blood lipid profile was observed in patients who received prolonged treatment with pemafibrate. Similarly, improvement of the blood lipid profile without any adverse changes of the hepatic or renal function parameters was also observed in patients who received prolonged combined pemafibrate+statin treatment. Thus, our findings confirm the safety and efficacy of pemafibrate administered either alone or in combination with a statin.

建议在使用HMG-CoA还原酶抑制剂(他汀类)与贝特家族药物联合使用时应谨慎,因为可能增加肝功能损害和肌病的发生风险。我们进行了这项研究,以评估他汀类药物加培马布特(一种新的贝特)治疗与单独使用培马布特治疗在日本2型糖尿病患者中的疗效和安全性。在本研究中,共有23例日本2型糖尿病患者被分为两组,分别是单独使用培马布特组和使用培马布特+他汀类药物组,疗程为3年。在治疗开始前、治疗开始后1年和3年测量血脂水平和肝肾功能参数。单独使用培马布特组可降低血脂水平,但未观察到肝肾功能参数的不良变化。同样,培马布特+他汀类药物联合治疗组血脂水平也有所降低,但各项参数均无不良变化。在长期接受培马颤治疗的患者中观察到血脂谱的改善。同样,长期接受培马布特+他汀类药物联合治疗的患者,其血脂水平也有所改善,但没有出现肝肾功能参数的不良变化。因此,我们的研究结果证实了保马菲特单独使用或与他汀类药物联合使用的安全性和有效性。
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引用次数: 0
Curcumin in Type 2 Diabetes Mellitus: A Natural Approach to Modulating Metabolic Dysfunction. 2型糖尿病中的姜黄素:调节代谢功能障碍的自然途径。
IF 2.1 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-06-02 DOI: 10.1055/a-2604-4115
Rufaida Wasim, Sumaiya Azmi, Mohammad Owais, Aamir Anwar

A complex and multifaceted metabolic disease, type 2 diabetes mellitus (T2DM) is becoming a significant public health concern. Due to their many biological characteristics, bioactive compounds from herbal medicine have been shown in multiple studies to have positive benefits on the prevention and control of type 2 diabetes. The scientific community is becoming more interested in curcumin, one of these therapeutic herbs. The plant Curcuma longa, often known as turmeric, has a bioactive compound called curcumin in its rhizome. Antioxidant, cardio-protective, anti-inflammatory, anti-microbial, nephro-protective, anti-neoplastic, hepato-protective, immunomodulatory, hypoglycemic, and anti-rheumatic effects are among the various pharmacological and biological effects of curcumin that have been reported by both in vitro and in vivo studies. Curcumin extract increases -cell functioning, delays the onset of diabetes, inhibits -cell death, and lowers insulin resistance in animal models. Recent preclinical studies and clinical trials have shown strong evidence of curcumin's vital roles in preventing type 2 diabetes via a number of pathways. Thus, the antidiabetic action of curcumin and its many mechanisms are comprehensively summarized in this study. The findings indicated that curcumin's anti-inflammatory, anti-oxidant, antihyperglycemic, antiapoptotic, and antihyperlipidemic properties, among others, account for its success in treating type 2 diabetes. These findings suggest that curcumin could be a potential option for T2DM prevention and management.

2型糖尿病(T2DM)是一种复杂的、多方面的代谢性疾病,正成为一个重大的公共卫生问题。由于草药中的生物活性化合物具有许多生物学特性,在多项研究中已被证明对预防和控制2型糖尿病具有积极作用。科学界对姜黄素越来越感兴趣,姜黄素是这些治疗草药之一。姜黄(Curcuma longa),通常被称为姜黄,它的根茎中含有一种叫做姜黄素的生物活性化合物。抗氧化、心脏保护、抗炎、抗微生物、肾保护、抗肿瘤、肝保护、免疫调节、降血糖和抗风湿病作用是姜黄素在体外和体内研究中报道的各种药理学和生物学作用。姜黄素提取物增加细胞功能,延缓糖尿病的发作,抑制细胞死亡,降低动物模型中的胰岛素抵抗。最近的临床前研究和临床试验已经强有力地证明了姜黄素通过多种途径在预防2型糖尿病中发挥重要作用。本文就姜黄素的抗糖尿病作用及其多种机制作一综述。研究结果表明,姜黄素的抗炎、抗氧化、降糖、抗细胞凋亡和抗高脂血症等特性是其成功治疗2型糖尿病的原因。这些发现表明姜黄素可能是预防和管理2型糖尿病的潜在选择。
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引用次数: 0
Drug Delivery Approaches for Buccal and Sublingual Administration. 口腔和舌下给药的给药途径。
IF 2.1 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-04-22 DOI: 10.1055/a-2560-9884
Asad Ahmad, Juber Akhtar, Mohammad Ahmad, Rufaida Wasim, Mohammad Irfan Khan

Both local and systemic medication delivery benefit greatly from the sublingual and buccal modes of administration. They have shown to be a successful substitute for the conventional oral route, particularly in situations requiring a quick commencement of action. Via venous drainage to the superior vena cava, drugs can enter the systemic circulation quickly and directly. They are therefore helpful for individuals who have trouble swallowing as well as for medications that are highly cleared by the liver or degraded in the gastrointestinal system. Traditionally, medications that are delivered through the buccal and sublingual channels are made in three different dose forms: liquid (such as sprays and drops), semi-solid (such as gels), and solid (such as pills, wafers, films, and patches). Physiological variables frequently influence conventional dose forms, which might decrease the formulation's interaction with the mucosa and result in unexpected medication absorption. Many formulation development advancements have been made to enhance medication absorption and retention in the buccal and sublingual areas. The physiological factors influencing buccal and sublingual drug delivery as well as developments in nanoparticulate drug delivery techniques for sublingual and buccal administration will be the main topics of this review. It also discusses about the clinical development pipeline, which includes formulations that have been authorized and are undergoing clinical studies.

舌下和口腔给药方式对局部和全身给药都有很大的好处。它们已证明是传统口头途径的成功替代品,特别是在需要迅速采取行动的情况下。药物经静脉引流至上腔静脉,可快速直接进入体循环。因此,它们对吞咽困难的人以及被肝脏高度清除或在胃肠道系统降解的药物都有帮助。传统上,通过口腔和舌下通道输送的药物有三种不同的剂量形式:液体(如喷雾剂和滴剂)、半固体(如凝胶)和固体(如药片、晶片、薄膜和贴片)。生理变量经常影响常规剂型,这可能会降低制剂与粘膜的相互作用,导致意外的药物吸收。许多配方开发的进步已经取得了加强药物的吸收和保留在口腔和舌下区域。影响口腔和舌下给药的生理因素以及用于舌下和口腔给药的纳米颗粒给药技术的发展将是本综述的主要主题。它还讨论了临床开发管道,其中包括已获批准并正在进行临床研究的配方。
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引用次数: 0
Infecting Cancer to Cure It: The Power of Oncolytic Viruses in Gynecologic Oncology - A Narrative Review. 感染癌症以治疗癌症:溶瘤病毒在妇科肿瘤中的作用——综述。
IF 2.1 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-06-10 DOI: 10.1055/a-2618-6935
Naina Kumar

Gynecological cancers, including ovarian, cervical, and endometrial malignancies, contribute significantly to the global cancer burden. Oncolytic virotherapy (OVT), using both double-stranded DNA viruses (such as adenovirus, vaccinia, and herpesvirus) and single-stranded RNA viruses (including positive-sense viruses like coxsackievirus and poliovirus, and negative-sense viruses like measles and Newcastle disease virus), has emerged as a promising therapeutic approach. This review aims to evaluate the current state and future prospects of OVT in treating gynecological cancers.A literature search was conducted from December 2005 to December 2024 using databases like PubMed, Scopus, and Web of Science with keywords such as "oncolytic virotherapy," "gynecological cancers," and specific virus types. Studies were included after assessing the efficacy, safety, mechanisms of action, and combinatorial use of OVT with other therapies. Exclusions included non-English publications, non-gynecological cancer studies, and those without relevant clinical or experimental data. This review thoroughly explores OVT's potential in gynecological cancer treatment.Oncolytic virotherapy demonstrates transformative potential for managing gynecological cancers. Whether used as monotherapy or in combination with other treatments, OVT shows promise in improving therapeutic outcomes and patient survival. However, further research is necessary to optimize its clinical application.

妇科癌症,包括卵巢癌、宫颈癌和子宫内膜恶性肿瘤,是全球癌症负担的重要组成部分。溶瘤病毒疗法(OVT),使用双链DNA病毒(如腺病毒、牛痘病毒和疱疹病毒)和单链RNA病毒(包括正义病毒,如柯萨奇病毒和脊髓灰质炎病毒,以及负义病毒,如麻疹和新城疫病毒),已经成为一种很有前途的治疗方法。本文就OVT治疗妇科肿瘤的现状及前景进行综述。从2005年12月到2024年12月,使用PubMed、Scopus和Web of Science等数据库进行了文献检索,关键词为“溶瘤病毒疗法”、“妇科癌症”和特定病毒类型。在评估了OVT与其他疗法的疗效、安全性、作用机制和联合使用后,纳入了研究。排除包括非英文出版物、非妇科癌症研究以及没有相关临床或实验数据的研究。本文将深入探讨OVT在妇科肿瘤治疗中的潜力。溶瘤病毒疗法在治疗妇科癌症方面具有变革性的潜力。无论是单独使用还是与其他治疗联合使用,OVT都有望改善治疗结果和患者生存。但其临床应用仍需进一步研究优化。
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引用次数: 0
Design and Optimization of Novel Pyrimidine-Morpholine Hybrids Through Computational Approaches for SRC Kinase Inhibitory Activity. 基于SRC激酶抑制活性计算方法的新型嘧啶-啉杂合体设计与优化。
IF 1.7 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-07-01 Epub Date: 2025-04-17 DOI: 10.1055/a-2554-1119
Knolin K Thachil, V Soumya

Src (non receptor tyrosine kinase) plays a role in multiple pathways leading to tumor survival, proliferation and metastasis. Inhibiting Src kinase would be a therapeutic benefit in Src dependent cancers. Most of the nitrogen containing heterocyclic moieties found to possess variety of biological activities. Combination of heterocyclic nucleus to active hybrids has proven to be a successful method of approach to augment biological activities. Hence a series of pyrimidine-morpholine hybrids were designed and its shape similarity studies calculated with the standard Dasatinib using Tanimoto coefficient. Designed molecules were docked with human tyrosine kinase (PDB ID: 2SRC) using AutoDock vina. Docked poses were ranked based on their binding affinities which are then compared with a reference. The studies revealed that docking of hybrid molecules with 2SRC showed promising interactions with affordable ADMET properties. The stability of highly docked complex was analyzed by molecular simulation studies and the results confirmed the docking outcomes thereby making it as a potential SRC kinase inhibitor. Hence these novel pyrimidine hybrids can be considered as lead molecules for developing novel druggable moieties for breast cancer research.

Src(非受体酪氨酸激酶)在导致肿瘤存活、增殖和转移的多种途径中发挥作用。抑制Src激酶将是Src依赖性癌症的治疗益处。大多数含氮杂环基团被发现具有多种生物活性。杂环核与活性杂合体的结合已被证明是提高生物活性的一种成功方法。因此,设计了一系列嘧啶-啉杂合体,并利用谷本系数计算了其与标准达沙替尼的形状相似性。设计的分子通过AutoDock与人酪氨酸激酶(PDB ID: 2SRC)对接。对接姿势根据它们的绑定亲和力进行排名,然后与参考进行比较。研究表明,杂化分子与2SRC的对接显示出有希望的相互作用,具有可负担的ADMET特性。通过分子模拟研究分析了高度对接配合物的稳定性,结果证实了对接结果,从而使其成为潜在的SRC激酶抑制剂。因此,这些新型嘧啶杂合体可以被认为是开发用于乳腺癌研究的新型药物的先导分子。
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引用次数: 0
A Real-world Pharmacovigilance Study Of FDA Adverse Event Reporting System (FAERS) Events For Gender Of Voriconazole Drugs. FDA不良事件报告系统(FAERS)对伏立康唑药物性别事件的现实药物警戒研究。
IF 1.7 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-07-01 Epub Date: 2025-04-28 DOI: 10.1055/a-2575-1530
Qiong Xu, Hongxia Cheng, Xu Sun, Jing Zhao, Yingying Chen, Lingyu Ji, Yan Liang

To detect the gender variations in adverse events (AEs) of voriconazole, promote personalised medicine.A normalized dataset from Q1 2004 to Q4 2022 from the US Food and Drug Administration's Adverse Event Reporting System (FAERS) was analyses. The reporting odds ratio (ROR), proportional reporting ratio (PRR), and P value were used to examine data from the FAERS database to detect risk signals and quantify the presence and extent of gender variations in voriconazole adverse events.A total of 7670 cases (female/male (2785/4885)) of adverse reactions to voriconazole were analysed, and drug interaction (ROR 1.30 (1.10,1.54)), death and sudden death (ROR 1.31 (1.06,1.61)), actinic keratosis (ROR 1.98 (1.10,3.57)) were found to be significantly more frequent in male patients than in female patients.We found that gender was a determinant in voriconazole-related AEs using FAERS. Our results require future validation due to the inherent limits of this open data source, but they also identify potential contributing elements for a customised side effect profiling.

发现伏立康唑不良事件(ae)的性别差异,促进个体化用药。分析了2004年第一季度至2022年第四季度来自美国食品和药物管理局不良事件报告系统(FAERS)的标准化数据集。采用报告优势比(ROR)、比例报告比(PRR)和P值检查FAERS数据库的数据,以检测风险信号,量化伏立康唑不良事件中性别差异的存在和程度。共分析了7670例(女/男(2785/4885))伏立康唑不良反应,发现男性患者的药物相互作用(ROR 1.30(1.10,1.54))、死亡和猝死(ROR 1.31(1.06,1.61))、光化性角化病(ROR 1.98(1.10,3.57))发生率明显高于女性患者。我们使用FAERS发现性别是伏立康唑相关ae的决定因素。由于这个开放数据源的固有限制,我们的结果需要未来的验证,但它们也确定了定制副作用分析的潜在贡献因素。
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引用次数: 0
Enhancing Doxorubicin Sensitivity in Osteosarcoma Cancer Cells: Unveiling the Role of Resveratrol-Induced Oxidative DNA Damage. 增强阿霉素在骨肉瘤癌细胞中的敏感性:揭示白藜芦醇诱导的DNA氧化损伤的作用。
IF 1.7 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-07-01 Epub Date: 2025-04-24 DOI: 10.1055/a-2567-9916
Mohammad Reza Bazavar, Hamed Helali, Linda Mohammadzadeh Boukani, Bahman Yousefi, Amir Valizadeh

Our current research aims to investigate how Resveratrol influences DOX-induced apoptosis in Saos-2 cells resulting from DNA damage.Saos-2 cells were cultured with DOX, and an MTT assay was conducted to evaluate cell viability. The expression levels of DNA damage markers were evaluated using qRT-PCR and western blotting methods. Apoptosis was also investigated by flow cytometry.In a dose-dependent way, DOX produced a profuse suppression of cell proliferation. This study investigates the effect of Resveratrol on DOX-induced apoptosis due to DNA damage in Saos-2 cells (P<0.05). There was an increase in H2AX, ATR, ATM, Rad51, and p53 expression, possibly contributing to subsequent apoptosis. Furthermore, Resv enhanced the apoptosis caused by DOX in Saos-2 cells.The findings from the current research provide an understanding of how Resv plays a role in potentially treating osteosarcoma by enhancing DOX-induced apoptosis.

我们目前的研究目的是研究白藜芦醇如何影响dox诱导的Saos-2细胞因DNA损伤而凋亡。用DOX培养Saos-2细胞,用MTT法评估细胞活力。采用qRT-PCR和western blotting方法检测DNA损伤标志物的表达水平。流式细胞术检测细胞凋亡。DOX以剂量依赖的方式对细胞增殖产生大量抑制。本研究探讨白藜芦醇对dox诱导的Saos-2细胞DNA损伤凋亡的影响(P
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引用次数: 0
Protective Effects of Niclosamide Ethanolamine Against Testosterone-Induced Benign Prostatic Hyperplasia in Rats. 氯硝胺乙醇胺对睾酮诱导的大鼠良性前列腺增生的保护作用。
IF 1.7 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-07-01 Epub Date: 2025-04-28 DOI: 10.1055/a-2576-4153
Ali Hussein Jasim, Ahmed Rahmah Abu-Raghif, Zeena Ayad Hussein

Benign prostatic hyperplasia is a common urological condition in aging men. The anthelmintic agent niclosamide ethanolamide exhibits a wide range of pharmacological activities. This study aimed to evaluate the protective effect of niclosamide ethanolamide in testosterone propionate-induced benign prostatic hyperplasia in rats along with elucidating the probable mechanism of action by investigating the influence on PPAR-γ and Wnt/β-catenin. 40 male Wistar rats were divided randomly into 4 groups. The healthy (control) group, received daily oral and subcutaneous administration of the vehicle. The Induced (TP) group, received only a daily dose of testosterone propionate 3 mg/kg, SC for 28 days. The treated groups (TP+FIN) and (TP+NE), received a concomitant administration of a daily dose of testosterone propionate along with finasteride 5 mg/kg/day and niclosamide ethanolamide 50 mg/kg/day respectively through oral gavage. Animals were euthanized on day 30 of the experiment and prostate tissue samples were collected to evaluate prostate index, prostate hyperplastic markers by ELISA, and gene expression by RT-qPCR. Results revealed that niclosamide ethanolamide significantly reduced prostate index compared to the induced (TP) group (P<0.0001). The agent nearly normalized BPH markers including 5α-reductase type-2 enzyme, dihydrotestosterone, and PCNA compared to the induced (TP) group (P<0.0001). The agent reduced the tissue level of β-catenin while elevating PPAR-γ to control levels (P<0.05). The current study revealed that NE can help prevent BPH in rats by upregulating the PPAR-γ receptor and inhibiting the Wnt pathway.

良性前列腺增生是老年男性常见的泌尿系统疾病。驱虫剂氯硝柳胺乙醇酰胺具有广泛的药理活性。本研究旨在通过对PPAR-γ和Wnt/β-catenin的影响,探讨氯硝沙胺乙醇酰胺对丙酸睾酮诱导的大鼠良性前列腺增生的保护作用,并阐明其可能的作用机制。40只雄性Wistar大鼠随机分为4组。健康组(对照组)每日口服和皮下给药。诱导(TP)组只给予每日剂量丙酸睾酮3 mg/kg,连续28天。治疗组(TP+FIN)和(TP+NE)分别给予每日剂量的丙酸睾酮和非那雄胺5 mg/kg/d、氯硝柳胺乙醇酰胺50 mg/kg/d灌胃。实验第30天处死大鼠,取前列腺组织标本,ELISA检测前列腺指数、前列腺增生标志物,RT-qPCR检测基因表达。结果显示,与诱导(TP)组相比,氯硝沙胺乙醇酰胺显著降低前列腺指数(P
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引用次数: 0
Canagliflozin: A Comprehensive Review of Advances in Preclinical Research. 卡格列净:临床前研究进展综述。
IF 1.7 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-07-01 Epub Date: 2025-04-28 DOI: 10.1055/a-2577-1899
Bushra Imran, Farogh Ahsan, Tarique Mahmood, Mohd Masih Uzzaman Khan, Shahzadi Bano, Syed Mehdi Hasan Zaidi, Jamal Akhtar Ansari, Aditya Singh

Canagliflozin is a synthetic sodium glucose transporter inhibitor (SGLT2i). It is the latest approved class of medicine used in the treatment of type 2 diabetes mellitus. As diabetes is emerging as the most common metabolic disorder, SGLT2i has lightened up the path of treatment with additional benefits. SGLT2 is located in the proximal convoluted tubules of the nephron and is responsible for glucose reabsorption. Thus, inhibiting the SGLT2 leads to a decline in glucose concentration in the plasma. The secondary effects of canagliflozin, such as cardiac protection, renoprotective, and decreased obesity, have made it more putative in the treatment of diabetes mellitus. There are some side effects of canagliflozin, such as volume depletion, genital and urinary tract infection, and lower limb amputation, which could be a matter of concern for patients. Being an anti-diabetic drug, canagliflozin also possesses anti-inflammatory and anti-cancer properties. Several studies have been conducted to determine the efficacy of canagliflozin as an anti-cancer agent. Its pharmacokinetics indicate rapid absorption, reaching peak plasma concentrations within 1-2 hours. With a half-life of approximately 12 hours, it undergoes minimal hepatic metabolism and is primarily excreted unchanged via urine. Common adverse drug reactions (ADRs) include urinary tract infections and dehydration. Clinical trials on canagliflozin, both alone and in combination with other diabetes complications, have been conducted, with some completed and others in various phases. This review article contains information about the pharmacokinetics, drug safety, and efficacy profile of canagliflozin, along with details regarding toxicological studies of canagliflozin.

卡格列净是一种合成葡萄糖转运蛋白钠抑制剂(SGLT2i)。这是最新批准的一类用于治疗2型糖尿病的药物。随着糖尿病成为最常见的代谢性疾病,SGLT2i为治疗提供了更多的益处。SGLT2位于肾元近曲小管中,负责葡萄糖的再吸收。因此,抑制SGLT2可导致血浆中葡萄糖浓度下降。卡格列净的继发作用,如心脏保护、肾保护和减少肥胖,使其在糖尿病的治疗中得到更多的推测。卡格列净有一些副作用,如体积减少,生殖器和尿路感染,下肢截肢,这可能是患者关注的问题。作为一种抗糖尿病药物,卡格列净还具有抗炎和抗癌的特性。已经进行了几项研究来确定卡格列净作为抗癌剂的功效。其药代动力学表明吸收迅速,在1-2小时内达到血药浓度峰值。它的半衰期约为12小时,肝脏代谢最低,主要通过尿液排出。常见的药物不良反应包括尿路感染和脱水。已经进行了卡格列净单独和与其他糖尿病并发症联合的临床试验,其中一些已完成,另一些处于不同阶段。这篇综述文章包含了关于卡格列净的药代动力学、药物安全性和有效性的信息,以及关于卡格列净毒理学研究的细节。
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