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Three-Dimensional Cell Culture Methods in Infectious Diseases and Vaccine Research 传染病和疫苗研究中的三维细胞培养方法
Pub Date : 2023-01-06 DOI: 10.3390/futurepharmacol3010004
Gamze Varan, Serhat Unal
Cells, the basic structures of all living organisms, reside in an extracellular matrix consisting of a complex three-dimensional architecture and interact with neighboring cells both mechanically and biochemically. Cell–cell and cell–extracellular matrix interactions form a three-dimensional network that maintains tissue specificity and homeostasis. Important biological processes in a cell cycle are regulated by principles organized by the microenvironment surrounding the cell. The conventional cell culture methods failed to mimic in vivo-like structural organization and are insufficient to examine features such as connectivity of cells, cellular morphology, viability, proliferation, differentiation, gene and protein expression, response to stimuli, and drug/vaccine metabolism. Three-dimensional cell culture studies are very important in terms of reducing the need for in vivo studies and creating an intermediate step. Three-dimensional cell culture methods have attracted attention in the literature in recent years, especially in examining the cellular distribution of organs in the presence of infectious diseases, elucidating the pathogenic mechanism of action of viruses, and examining virus–host interactions. This review highlights the use and importance of three-dimensional cell culture methods in the design and characterization of novel vaccine formulations and the pathogenesis of infectious diseases.
细胞是所有生物体的基本结构,存在于由复杂的三维结构组成的细胞外基质中,并与邻近的细胞通过机械和生化方式相互作用。细胞-细胞和细胞-细胞外基质相互作用形成一个三维网络,维持组织特异性和稳态。细胞周期中重要的生物过程是由细胞周围微环境组织的原理调节的。传统的细胞培养方法无法模拟体内样结构组织,也不足以检测细胞的连通性、细胞形态、活力、增殖、分化、基因和蛋白质表达、对刺激的反应以及药物/疫苗代谢等特征。三维细胞培养研究在减少对体内研究的需求和创造中间步骤方面非常重要。近年来,三维细胞培养方法受到了文献的关注,特别是在检查传染病存在时器官的细胞分布,阐明病毒的致病机制以及检查病毒与宿主的相互作用方面。本文综述了三维细胞培养方法在新型疫苗配方设计和表征以及传染病发病机制中的应用和重要性。
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引用次数: 2
Therapeutic Potential of Bioactive Flavonoids from Citrus Fruit Peels toward Obesity and Diabetes Mellitus 柑桔果皮黄酮类化合物对肥胖和糖尿病的治疗潜力
Pub Date : 2023-01-04 DOI: 10.3390/futurepharmacol3010002
Kaihui Lu, Y. Yip
Obesity is associated with a significantly increased risk of cardiovascular and metabolic diseases such as diabetes mellitus. Recently, a growing body of evidence shows that phytochemicals, especially many flavonoids, place an inhibitory regulatory effect on adipogenesis, obesity and diabetes. With computer-aided drug discovery, the action modes of more and more bioactive flavonoids are being identified and confirmed at the molecular level. Citrus fruit peels are particularly rich in bioactive flavonoids which have demonstrated strong therapeutic potentials in regulating lipid metabolisms. However, they are usually thrown away after consuming the flesh, sometimes even causing environmental problems. Thus, extraction of useful flavonoids from citrus fruit waste for pharmaceutical industry could be a profitable and environmentally friendly solution in the future, advocating the concepts of circular economy and sustainable society. The aim of this review is to summarize current evidence on the antiobesity and antidiabetic potentials of identified bioactive flavonoids extracted from the peels of citrus fruits. Our results suggest that various citrus fruit peels could be potential sources for novel drugs and nutraceuticals. Combining experimental data and artificial intelligence methods to study citrus flavonoids would facilitate the discovery of novel drugs against obesity and obesity-related metabolic diseases.
肥胖与心血管疾病和代谢疾病(如糖尿病)的风险显著增加有关。近年来,越来越多的证据表明,植物化学物质,特别是黄酮类化合物,对脂肪形成、肥胖和糖尿病具有抑制调节作用。随着计算机辅助药物发现,越来越多的生物活性类黄酮的作用方式正在分子水平上得到鉴定和证实。柑橘果皮中含有丰富的生物活性类黄酮,在调节脂质代谢方面具有很强的治疗潜力。然而,它们通常在食用后被扔掉,有时甚至会造成环境问题。因此,从柑橘类水果废弃物中提取有用的黄酮类化合物用于制药工业,在未来可能是一种有利可图且环保的解决方案,倡导循环经济和可持续社会的理念。本文综述了从柑橘类水果果皮中提取的生物活性黄酮类化合物的抗肥胖和抗糖尿病作用。我们的研究结果表明,各种柑橘果皮可能是新药和营养保健品的潜在来源。结合实验数据和人工智能方法对柑橘类黄酮进行研究,将有助于发现抗肥胖和肥胖相关代谢疾病的新药。
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引用次数: 6
Topical Application of ASPP 092, a Diarylheptanoid Isolated from Curcuma comosa Roxb, Accelerates Wound Healing 局部应用从姜黄中分离的二芳基庚烷类ASPP 092,加速伤口愈合
Pub Date : 2022-12-21 DOI: 10.3390/futurepharmacol3010001
Waratta Hemtong, Aporn Chuncharunee, G. Sreekanth
Wound healing is the restorative process of skin or tissue injury, composed of the inflammatory, proliferative, maturation, and remodeling phases. The current study aimed to examine the efficacy of ASPP 092 (a well-characterized diarylheptanoid from Curcuma comosa Roxb) in modulating wound healing. Full-thickness excision wounds were made in rats and treated with either ASPP 092 (dose: 1 mg/mL and 2 mg/mL) or mupirocin (bioequivalent formulation). A control group treated with the vehicle (gel base) was also maintained. The healing efficacy of ASPP 092 was evaluated based on gross appearance, wound closure, and histopathology on days 3, 7, and 12 post-wounding. The expression of cyclooxygenase-2 (COX-2) among the groups was also determined on day 3 post-wounding. Our results suggest that ASPP 092 treatment accelerated wound healing, as evidenced by rapid wound closure, re-epithelialization, and granulation of tissue formation with fewer inflammatory cells. More fibroblasts, collagen fibers, and blood vessels originated with reduced COX-2 expression in the wounds, demonstrating the anti-inflammatory potential of ASPP 092 in experimental wounds. In conclusion, our findings, for the first time, preliminarily identified the potential of ASPP 092 in accelerating wound healing; however, more detailed studies on its mechanism of action in wound healing are required.
伤口愈合是皮肤或组织损伤的修复过程,由炎症、增殖、成熟和重塑阶段组成。目前的研究旨在研究ASPP 092(一种来自姜黄的特性良好的二芳基庚类化合物)在调节伤口愈合中的功效。取大鼠做全层切除创面,用ASPP 092(剂量分别为1mg /mL和2mg /mL)或莫匹罗星(生物等效制剂)治疗。用载体(凝胶基)处理的对照组也保持不变。根据伤后3、7、12天的大体外观、伤口闭合和组织病理学来评估ASPP 092的愈合效果。在伤后第3天检测各组环氧化酶-2 (COX-2)的表达。我们的研究结果表明,ASPP 092治疗加速了伤口愈合,如伤口快速愈合、再上皮化和组织形成肉芽,炎症细胞减少。更多的成纤维细胞、胶原纤维和血管起源于伤口中COX-2表达降低,表明ASPP 092在实验伤口中的抗炎潜力。总之,我们的研究结果首次初步确定了ASPP 092在促进伤口愈合方面的潜力;然而,其在伤口愈合中的作用机制还需要更详细的研究。
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引用次数: 1
Persistence of Second and Third-Line Biologics in Inflammatory Bowel Disease: A Multi-Centre Cohort Study 炎症性肠病中二线和三线生物制剂的持久性:一项多中心队列研究
Pub Date : 2022-12-16 DOI: 10.3390/futurepharmacol2040041
T. Hanrahan, R. Chan, D. Tassone, N. Ding, C. Basnayake, J. Schulberg, A. Vasudevan, M. Kamm, M. De Gregorio, D. V. van Langenberg, O. Niewiadomski
Background: Despite proven efficacy of biologics in inflammatory bowel disease (IBD), many exhibit primary non-response or secondary loss of response and switch to subsequent biologic(s). Here, we identified early predictors of second- and/or third-line biologic persistence in IBD, in a real-world cohort of patients. Methods: A retrospective multicentre cohort study was conducted on patients receiving second- and/or third-line biologics for IBD from 2005–2021. Cox regression was applied to identify factors predictive of longer cumulative biologic persistence prior to treatment failure. Results: Of 179 patients who received ≥2 biologics, 159 (88.8%) received an anti-tumour necrosis factor (anti-TNF) first-line. There was a significantly increased likelihood of longer treatment persistence in recipients who received an anti-TNF first, versus those that received a non-anti-TNF agent first (p < 0.01). A diagnosis of CD (OR 7.1, 95% CI [2.3–21.7], p < 0.01), and endoscopic remission achieved on the first biologic (OR 10.4 [1.3–79.9], p = 0.03) were positive predictors of longer biologic persistence, whilst advancing age at IBD diagnosis (OR 0.97 [0.94–0.99], p = 0.04) and primary non-response to initial biologic (OR 0.3 [0.1–0.7], p < 0.01) were inversely associated with biologic persistence. Conclusions: These real-world data demonstrate multiple, simple to identify factors that offer the potential for early objectively assessed response to first-line biologic to predict future biologic persistence.
背景:尽管已证实生物制剂对炎症性肠病(IBD)有效,但许多生物制剂表现出原发性无反应或继发性反应丧失,并转而使用后续生物制剂。在这里,我们在现实世界的患者队列中确定了IBD的二线和/或三线生物学持久性的早期预测因素。方法:一项回顾性多中心队列研究对2005-2021年接受二线和/或三线生物制剂治疗IBD的患者进行了研究。应用Cox回归来确定治疗失败前更长的累积生物学持久性的预测因素。结果:179例接受≥2种生物制剂治疗的患者中,159例(88.8%)接受了一线抗肿瘤坏死因子(anti-TNF)治疗。首先接受抗肿瘤坏死因子治疗的患者与首先接受非抗肿瘤坏死因子治疗的患者相比,治疗持续时间较长的可能性显著增加(p < 0.01)。诊断为CD (OR 7.1, 95% CI [2.3-21.7], p < 0.01)和内镜下首次生物治疗缓解(OR 10.4 [1.3-79.9], p = 0.03)是生物治疗持续时间较长的积极预测因素,而IBD诊断时年龄越大(OR 0.97 [0.94-0.99], p = 0.04)和最初生物治疗无反应(OR 0.3 [0.1-0.7], p < 0.01)与生物治疗持续时间呈负相关。结论:这些真实世界的数据证明了多种简单识别的因素,这些因素提供了早期客观评估一线生物药物反应的潜力,以预测未来的生物持久性。
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引用次数: 0
Tramadol Steady-State Pharmacokinetics of Immediate-Release Capsules and Sustained-Release Tablets in Dogs 曲马多速释胶囊和缓释片在犬体内的稳态药动学研究
Pub Date : 2022-12-10 DOI: 10.3390/futurepharmacol2040040
E. Winter, I. V. van Geijlswijk, I. Akkerdaas, M. Sturkenboom, R. Gehring
Tramadol is a veterinary analgesic for dogs. In this study, the steady-state pharmacokinetics of a sustained-release (SR) tablet (Tramagetic OD®) and immediate-release capsules (IR) were compared. In a crossover design, six dogs received five doses of IR 50 mg four times a day (qid), or two doses of SR 200 mg once a day (sid). Eight blood samples were collected per dog, per formulation, up to 6 and 24 h after the last dose, respectively. Serum concentrations of tramadol and its metabolites were measured with LC-MS/MS. Metabolite M1 levels were below the lower limit of quantification (LLOQ) in all samples. The non-compartmental analysis of the time–concentration data showed a later Tmax with the SR formulation (median 6.00 h (3.00–9.00)) and a lower Cmax/D (median 7.74 µg/L/mg/kg (0.09–25.3)) compared to the IR formulation (median Tmax 1.75 h (0.75–2.00) and median Cmax/D 11.1 µg/L/mg/kg (4.8–70.4)). AUCtau/D after SR administration was 55.5 h × kg × µg/L/mg (0–174.1) compared to 29.8 h × kg × µg/L/mg (12.2–140.8) after IR administration. The terminal elimination half-lives were 2.38 h (1.77–6.22) and 1.70 h (0.95–2.11) for the SR and IR formulations, respectively. Strong conclusions cannot be drawn from this study because of the high percentage of samples that were below LLOQ and the great interindividual variability, but these results suggest that Tramagetic OD can be administered less frequently in dogs.
曲马多是一种犬用兽药。本研究比较了一种缓释片(Tramagetic OD®)和速释胶囊(IR)的稳态药代动力学。在交叉设计中,6只狗接受5次剂量的IR 50 mg,每天4次(qid),或2次剂量的SR 200 mg,每天1次(sid)。在最后一次给药后的6和24小时,每只狗分别采集8份血液样本。采用LC-MS/MS法测定曲马多及其代谢产物的血清浓度。所有样品的代谢产物M1水平均低于定量下限(LLOQ)。时间-浓度数据的非区隔分析显示,与IR制剂(Tmax中值1.75 h(0.75-2.00)和Cmax/D中值11.1µg/L/mg/kg(4.8-70.4))相比,SR制剂的Tmax中值较晚(中值6.00 h (3.00-9.00)), Cmax/D中值7.74µg/L/mg/kg(0.09-25.3))。SR给药后AUCtau/D为55.5 h × kg ×µg/L/mg (0 ~ 174.1), IR给药后AUCtau/D为29.8 h × kg ×µg/L/mg(12.2 ~ 140.8)。SR和IR配方的末端消除半衰期分别为2.38 h(1.77 ~ 6.22)和1.70 h(0.95 ~ 2.11)。由于低于LLOQ的样本比例很高,而且个体间差异很大,因此无法从这项研究中得出强有力的结论,但这些结果表明,在狗身上施用Tramagetic OD的频率较低。
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引用次数: 1
Chasing Uterine Cancer with NK Cell-Based Immunotherapies 用NK细胞免疫疗法治疗子宫癌
Pub Date : 2022-12-09 DOI: 10.3390/futurepharmacol2040039
Vijay Kumar, Caitlin E. Bauer, John H. Stewart Iv
Gynecological cancers, including endometrial adenocarcinoma, significantly contribute to cancer incidence and mortality worldwide. The immune system plays a significant role in endometrial cancer pathogenesis. NK cells, a component of innate immunity, are among the critical innate immune cells in the uterus crucial in menstruation, embryonic development, and fighting infections. NK cell number and function influence endometrial cancer development and progression. Hence, it becomes crucial to understand the role of local (uterine) NK cells in uterine cancer. Uterine NK (uNK) cells behave differently than their peripheral counterparts; for example, uNK cells are more regulated by sex hormones than peripheral NK cells. A deeper understanding of NK cells in uterine cancer may facilitate the development of NK cell-targeted therapies. This review synthesizes current knowledge on the uterine immune microenvironment and NK cell-targeted uterine cancer therapeutics.
妇科癌症,包括子宫内膜腺癌,是全球癌症发病率和死亡率的重要组成部分。免疫系统在子宫内膜癌的发病机制中起着重要作用。NK细胞是先天免疫的一个组成部分,是子宫内重要的先天免疫细胞之一,在月经、胚胎发育和抵抗感染中起着至关重要的作用。NK细胞的数量和功能影响子宫内膜癌的发生和发展。因此,了解局部(子宫)NK细胞在子宫癌中的作用变得至关重要。子宫NK (uNK)细胞的行为与周围细胞不同;例如,uNK细胞比外周NK细胞更受性激素的调节。深入了解NK细胞在子宫癌中的作用可能有助于NK细胞靶向治疗的发展。本文综述了子宫免疫微环境和NK细胞靶向子宫癌治疗的最新进展。
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引用次数: 1
Metabolomic Profiling of Red Blood Cells to Identify Molecular Markers of Methotrexate Response in the Collagen Induced Arthritis Mouse Model 红细胞代谢组学分析鉴定胶原诱导关节炎小鼠模型中甲氨蝶呤反应的分子标记
Pub Date : 2022-12-08 DOI: 10.3390/futurepharmacol2040038
Yezan M. Salamoun, Kishore Polireddy, Yu Kyoung Cho, R. Funk
Although methotrexate (MTX) is the first line disease-modifying therapy used in the treatment of autoimmune arthritis, it is limited by its unpredictable and variable response profile and lack of therapeutic biomarkers to predict or monitor therapeutic response. The purpose of this work is to evaluate the utility of red blood cell (RBC) metabolite profiles to screen for molecular biomarkers associated with MTX response. Methods: Utilizing the collagen-induced arthritis mouse model, DBA/1J mice were treated with subcutaneous MTX (20 mg/kg/week) and RBC samples were collected and analyzed by semi-targeted global metabolomic profiling and analyzed by univariate analysis. Results: MTX treatment normalized the following RBC metabolite levels that were found to be altered by disease induction: N-methylisoleucine, nudifloramide, phenylacetylglycine, 1-methyl-L-histidine, PC 42:1, PE 36:4e, PC 42:3, PE 36:4e (16:0e/20:4), and SM d34:0. Changes in the RBC metabolome weakly but significantly correlated with changes in the plasma metabolome following MTX treatment (ρ = 0.24, p = 1.1 × 10−13). The RBC metabolome resulted in the detection of nine significant discriminatory biomarkers, whereas the plasma metabolome resulted in two. Overall, the RBC metabolome yielded more highly sensitive and specific biomarkers of MTX response compared to the plasma metabolome. N-methylisoleucine was found to be highly discriminatory in both plasma and RBCs. Conclusions: Our results suggest that RBCs represent a promising biological matrix for metabolomics and future studies should consider the RBC metabolome in their biomarker discovery strategy.
尽管甲氨蝶呤(MTX)是用于治疗自身免疫性关节炎的一线疾病改善疗法,但由于其不可预测和可变的反应概况以及缺乏预测或监测治疗反应的治疗性生物标志物,它受到了限制。这项工作的目的是评估红细胞(RBC)代谢物谱在筛选与MTX反应相关的分子生物标志物方面的效用。方法:采用胶原诱导的关节炎小鼠模型,对DBA/1J小鼠皮下注射MTX (20 mg/kg/周),采集RBC样本,采用半靶向全局代谢组学分析,并进行单因素分析。结果:MTX治疗使以下红细胞代谢物水平正常化,这些代谢物被发现因疾病诱导而改变:n -甲基异亮氨酸、nudifloramide、苯基乙酰甘氨酸、1-甲基- l-组氨酸、PC 42:1、PE 36:4e、PC 42:3、PE 36:4e (16:0e/20:4)和SM d34:0。MTX治疗后红细胞代谢组的变化与血浆代谢组的变化呈微弱但显著的相关性(ρ = 0.24, p = 1.1 × 10−13)。红细胞代谢组检测到9个显著的歧视性生物标志物,而血浆代谢组检测到2个。总的来说,与血浆代谢组相比,红细胞代谢组产生了更高灵敏度和特异性的MTX反应生物标志物。发现n -甲基异亮氨酸在血浆和红细胞中都具有高度歧视性。结论:我们的研究结果表明,红细胞是一种很有前途的代谢组学生物基质,未来的研究应在其生物标志物发现策略中考虑红细胞代谢组学。
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引用次数: 0
Selenium and Its Compounds in the Treatment of Anxiety and Related Disorders: A Scoping Review of Translational and Clinical Research 硒及其化合物在治疗焦虑及相关疾病中的作用:对转化和临床研究的综述
Pub Date : 2022-12-06 DOI: 10.3390/futurepharmacol2040037
R. Rajkumar
Anxiety disorders are among the most common mental disorders worldwide and often respond incompletely to existing treatments. Selenium, a micronutrient that is a component of several biologically active selenoproteins, is also involved in several aspects of brain functioning and may exert antidepressant and anxiolytic effects through multiple pathways. The current paper is a scoping review of translational, observational, and interventional evidence on the potential role of selenium and its compounds in the management of anxiety and related disorders. Evidence from animal models suggests that this approach may be promising. Though evidence from observational studies in humans is inconsistent and affected by several confounding factors, the available evidence from randomized controlled trials suggests that selenium supplementation may be beneficial in the management of certain anxiety-related conditions, such as anxiety in medically ill patients, prevention of anxiety following exposure to traumatic stress, and obsessive-compulsive disorder. This paper provides a critical evaluation of the existing evidence base, including unanswered questions that could serve as the focus of further research, and outlines the potential benefits and risks associated with the use of selenium in anxiety disorders.
焦虑症是世界上最常见的精神障碍之一,对现有治疗方法的反应往往不完全。硒是一种微量营养素,是几种具有生物活性的硒蛋白的组成部分,它还参与大脑功能的几个方面,并可能通过多种途径发挥抗抑郁和抗焦虑作用。本文对硒及其化合物在焦虑及相关疾病治疗中的潜在作用的翻译、观察和干预证据进行了综述。来自动物模型的证据表明,这种方法可能是有希望的。尽管来自人类观察性研究的证据不一致,并受到几个混杂因素的影响,但来自随机对照试验的现有证据表明,补充硒可能有助于治疗某些与焦虑相关的疾病,如疾病患者的焦虑,暴露于创伤性应激和强迫症后的焦虑预防。本文对现有证据基础进行了批判性评估,包括可能作为进一步研究重点的未解决问题,并概述了使用硒治疗焦虑症的潜在益处和风险。
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引用次数: 1
Selenium-Based Drug Development for Antioxidant and Anticancer Activity 硒基抗氧化和抗癌药物的开发
Pub Date : 2022-12-06 DOI: 10.3390/futurepharmacol2040036
Sashi Debnath, A. Agarwal, N. R. Kumar, Anjan Bedi
Selenium is one of the eight necessary trace elements humans require for active health balance. It contributes in several ways to the proper functioning of selenoprotein. Selenium has received enormous interest recently due to its therapeutic potential against a number of ailments. To date, numerous chemical compounds containing selenium have been investigated for the therapy of cancer and other disorders. Unifying the selenium atom into chemical components (typically organic) greatly increased their bioactivities. We foresee that the structure–property relationship of recently developed materials could significantly decrease the laborious work of background research to achieve target-oriented drug design in coming years. This review summarizes the research progress in the last 10 to 15 years and the application of selenium-containing compounds in the design and synthesis of those materials for potential antioxidant and anticancer agents.
硒是人体保持积极健康平衡所必需的八种微量元素之一。它在几个方面有助于硒蛋白的正常运作。由于硒具有治疗多种疾病的潜力,它最近受到了极大的关注。迄今为止,已经研究了许多含有硒的化合物用于治疗癌症和其他疾病。将硒原子统一为化学成分(通常是有机成分)大大提高了它们的生物活性。我们预见到,最近开发的材料的结构-性质关系可以显着减少繁重的背景研究工作,从而在未来几年实现靶向药物设计。本文综述了近10 ~ 15年来含硒化合物在抗氧化和抗癌材料的设计和合成中的应用。
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引用次数: 6
Potentially Remediable Shortcomings in the Contemporary Drug Treatment of Migraine 当代偏头痛药物治疗中潜在可补救的缺陷
Pub Date : 2022-11-22 DOI: 10.3390/futurepharmacol2040035
M. Eadie
Despite the availability over the past decade of a number of new pharmaceutical agents with different mechanisms of action from those of the drugs used previously, the contemporary drug therapy of migraine attacks falls rather short of what would be desirable, while the pharmacological attempt to prevent further attacks appears to prove unsatisfactory about as often as it is successful. The present paper explores reasons for these shortcomings in both the earlier and the current drug therapy of the disorder. Significant major contributory factors appear to be an incomplete understanding of the underlying pathogenic mechanisms of the various stages of the migraine attack, less than optimal pharmacokinetic characteristics of many of the drugs used, and migraine sufferers failing to employ the available drugs to their best advantage. New drugs developed in the light of a more complete understanding of the molecular basis of migraine pathogenesis, together with awareness of pharmacokinetic desiderata in relation to treating and preventing migraine attacks, may go some way towards remedying the situation, but patient decision making may prove more difficult to modify.
尽管在过去的十年中出现了许多新的药物制剂,其作用机制与以前使用的药物不同,但当代偏头痛的药物治疗仍远远达不到预期的效果,而预防偏头痛进一步发作的药理学尝试似乎与成功的情况一样令人不满意。本文探讨了早期和当前药物治疗中这些缺陷的原因。重要的主要促成因素似乎是对偏头痛发作各个阶段的潜在致病机制的不完全理解,许多药物的最佳药代动力学特征不足,以及偏头痛患者未能充分利用现有药物。随着人们对偏头痛发病机制的分子基础有了更全面的了解,以及对治疗和预防偏头痛发作所需的药代动力学的认识,新药的开发可能会在某种程度上改善这种情况,但患者的决策可能会更加难以改变。
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引用次数: 0
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Future Pharmacology
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