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Investigation of the Immune System Effects of Desloratadine on Lipopolysaccharide-Stimulated Mammalian Macrophage Cells 地氯雷他定对脂多糖刺激的哺乳动物巨噬细胞免疫系统影响的研究。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-11-10 DOI: 10.1111/fcp.70056
Batuhan Yurtseven, Ömer Mete Başkan, Esra Aydemir, Furkan Ayaz

Background

Neuroimmune interactions are central to inflammatory and neurological disorders. Desloratadine (DES), a second-generation H1 antihistamine, has been suggested to exert immunomodulatory effects, yet its impact on innate immune cells remains unclear.

Methods

J774.2 macrophages were treated with DES (1–10 μg/mL) ± lipopolysaccharide (LPS, 1 μg/mL). Cytokine secretion (IL-6, TNF-α, IL-12p40, GM-CSF) was measured by ELISA, and cell viability was assessed using Trypan Blue exclusion.

Results

DES induced a dose-dependent suppression of TNF-α, with significant inhibition at higher concentrations, and reduced IL-12p40 at 10 μg/mL. IL-6 showed a modest, nonsignificant decrease, whereas GM-CSF was increased, indicating a pro-inflammatory effect on macrophage activation. No cytotoxicity was detected at any dose.

Conclusions

DES selectively modulates macrophage responses, strongly inhibiting TNF-α and IL-12p40 while enhancing GM-CSF, reflecting a dual anti- and pro-inflammatory profile. These findings support further investigation of DES in neuroinflammatory and immune-mediated conditions.

背景:神经免疫相互作用是炎症和神经系统疾病的核心。地氯雷他定(DES)是第二代H1抗组胺药,已被认为具有免疫调节作用,但其对先天免疫细胞的影响尚不清楚。方法:用DES (1 ~ 10 μg/mL)±脂多糖(LPS, 1 μg/mL)处理巨噬细胞J774.2。ELISA法检测细胞因子(IL-6、TNF-α、IL-12p40、GM-CSF)分泌,台盼蓝法测定细胞活力。结果:DES对TNF-α具有剂量依赖性抑制作用,浓度越高,IL-12p40浓度越低,IL-12p40浓度越低。IL-6表现出适度的、不显著的降低,而GM-CSF则升高,表明其对巨噬细胞活化具有促炎作用。在任何剂量下均未检测到细胞毒性。结论:DES选择性调节巨噬细胞反应,强烈抑制TNF-α和IL-12p40,同时增强GM-CSF,反映了抗炎和促炎的双重特征。这些发现支持进一步研究DES在神经炎症和免疫介导疾病中的作用。
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引用次数: 0
Impact of Direct Oral Anticoagulant Uptake on Hospitalizations for Stroke/Transient Ischemic Attack, Intracranial Hemorrhage, and Gastrointestinal Bleeding in Individuals With Atrial Fibrillation: A Population-Based Study 直接口服抗凝剂对房颤患者中风/短暂性脑缺血发作、颅内出血和胃肠道出血住院的影响:一项基于人群的研究
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-07 DOI: 10.1111/fcp.70051
Tony Antoniou, Daniel McCormack, Tianru Wang, Mina Tadrous, Tara Gomes

Background

Direct-acting oral anticoagulants (DOACs) have largely replaced warfarin for stroke prevention in patients with atrial fibrillation, yet their population-level impact on health outcomes and costs remains unclear. We examined whether the widespread uptake of DOACs was associated with changes in hospitalization rates and costs for stroke/transient ischemic attack (TIA), intracranial hemorrhage (ICH), and gastrointestinal bleeding among individuals with atrial fibrillation receiving publicly funded anticoagulation.

Methods

We conducted a population-based ecological time series study using administrative health data from Ontario, Canada, between 2003 and 2021. We used segmented negative binomial regression and generalized additive models to estimate immediate and post-DOAC uptake trends in hospitalization rates and costs following increased use of DOACs in 2012.

Results

We identified 12,134 hospitalizations for ICH, 59 946 for gastrointestinal bleeding, and 40 724 for stroke/TIA among anticoagulated individuals with atrial fibrillation. Following DOAC uptake, ICH rates (rate ratio [RR]: 0.88; 95% CI: 0.86–0.90) and costs (RR: 0.74; 95% CI: 0.62–0.88) declined immediately, with continued quarterly declines. Gastrointestinal bleeding rates increased initially (RR: 1.17; 95% CI: 1.14–1.20) and declined over time (RR per quarter: 0.99; 95% CI: 0.99–0.99). Gastrointestinal bleeding-related costs did not change significantly. Stroke/TIA rates remained stable, but hospitalization costs declined ($366 per 1000 individuals per quarter; 95% CI: −$562 to −$170).

Conclusion

DOAC uptake was associated with reduced ICH rates and costs and an initial increase but subsequent decline in gastrointestinal bleeding rates. Despite stable stroke rates, reduced costs suggest potential long-term economic benefits. Our findings support the real-world effectiveness and safety of DOACs.

背景:直接作用口服抗凝剂(DOACs)已在很大程度上取代华法林用于房颤患者的卒中预防,但其在人群水平上对健康结局和成本的影响尚不清楚。我们研究了在接受公共资助抗凝治疗的房颤患者中,DOACs的广泛应用是否与卒中/短暂性脑缺血发作(TIA)、颅内出血(ICH)和胃肠道出血的住院率和费用的变化有关。方法:我们利用加拿大安大略省2003年至2021年间的行政卫生数据进行了一项基于人口的生态时间序列研究。我们使用分段负二项回归和广义相加模型来估计2012年doac使用增加后住院率和费用的即时和后吸收趋势。结果:在抗凝房颤患者中,我们确定了12,134例脑出血住院,59946例胃肠道出血住院,40724例卒中/TIA住院。采用DOAC后,ICH率(比率比[RR]: 0.88; 95% CI: 0.86-0.90)和成本(RR: 0.74; 95% CI: 0.62-0.88)立即下降,并持续季度下降。胃肠道出血率最初增加(RR: 1.17; 95% CI: 1.14-1.20),并随着时间的推移下降(每季度RR: 0.99; 95% CI: 0.99-0.99)。胃肠道出血相关费用没有显著变化。卒中/TIA发生率保持稳定,但住院费用下降(每季度每1000人366美元;95% CI: - 562美元至- 170美元)。结论:DOAC摄取与脑出血率和成本降低以及胃肠道出血率的初始增加和随后下降有关。尽管中风率稳定,但降低的成本表明潜在的长期经济效益。我们的研究结果支持doac在现实世界中的有效性和安全性。
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引用次数: 0
Sex and Age Differences in Suspected Bleeding Reporting With Acetyl Salicylic Acid: A Descriptive Study in the Global Pharmacovigilance Database, Vigibase 乙酰水杨酸可疑出血报告的性别和年龄差异:全球药物警戒数据库(Vigibase)的描述性研究。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-07 DOI: 10.1111/fcp.70053
Jean-Louis Montastruc, Alessandra Bura-Rivière

Objective

The present study was performed to investigate putative sex differences in the reporting of acetyl salicylic acid (ASA)–related bleeding in the global pharmacovigilance database.

Methods

Using Vigibase, the global pharmacovigilance database, all bleeding reports with ASA between January 1, 2008, and December 31, 2021, in adults were included. The main bleeding locations with ASA were compared in men versus women. A secondary objective was to analyze possible age differences. Results are presented as reporting odds ratios (RORs) with their 95% confidence interval.

Results

Among 29 034 bleeding with ASA, the most frequent were gastrointestinal (41.2%), neurological (21.3%), and nasal (13.6%). Higher ROR values were found in men for all bleeding in general (ROR = 1.56 [1.51–1.61]) but also for gastrointestinal, neurological, nasal, and renal locations. Similar trends were found for “serious” reports (except for gastrointestinal bleeding). Neurological fatal reports were more frequently reported in men. These sex differences were also found in all the age categories. Higher ROR values were found in patients from 65 years.

Conclusion

The risk of total, “serious,” and fatal bleeding reporting with ASA was higher in men than in women and after 65 years. Similar conclusions can be made for the most frequent locations of ASA-associated bleeding: gastrointestinal followed by neurological and nasal ones.

目的:本研究旨在调查全球药物警戒数据库中乙酰水杨酸(ASA)相关出血报告的性别差异。方法:使用全球药物警戒数据库Vigibase,纳入2008年1月1日至2021年12月31日期间所有成人ASA出血报告。将ASA的主要出血部位在男性和女性中进行比较。第二个目的是分析可能存在的年龄差异。结果以95%置信区间的报告优势比(RORs)表示。结果:29 034例ASA出血中,以胃肠道出血(41.2%)、神经系统出血(21.3%)和鼻腔出血(13.6%)最为常见。男性一般出血的ROR值较高(ROR = 1.56[1.51-1.61]),但胃肠道、神经系统、鼻腔和肾脏部位的ROR值也较高。在“严重”报告中也发现了类似的趋势(除了胃肠道出血)。神经系统死亡报告在男性中更为常见。这些性别差异也存在于所有年龄段。65岁以上的患者ROR值较高。结论:65岁后ASA报告的全部、“严重”和致命出血的风险在男性中高于女性。asa相关出血最常见的部位也可以得出类似的结论:胃肠道,其次是神经系统和鼻腔。
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引用次数: 0
Topical Probiotic Therapy Reduces Chemotherapy-Induced Oral Mucositis: Preclinical Evaluation in a Rat Model 局部益生菌治疗减少化疗引起的口腔黏膜炎:大鼠模型的临床前评估。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-06 DOI: 10.1111/fcp.70050
Buse Kose Demirezen, Eren Demirpolat, Arzu Yay, Ozge Cengiz Mat, Mustafa Ermis

Background

Oral mucositis (OM) is a debilitating complication of chemotherapy and radiotherapy, characterized by painful ulcerations and inflammation of the oral mucosa. Current treatments provide limited efficacy and often lack regenerative properties. This study aimed to evaluate the therapeutic potential of topically administered probiotics in a rat model of OM.

Methods

OM was induced in Sprague–Dawley rats using 5-fluorouracil (5-FU) and acetic acid. Rats were randomized into groups receiving topical formulations of Lactobacillus acidophilus, Lactobacillus reuteri, Bacillus clausii, Bacillus coagulans, Lactobacillus plantarum, sucralfate, triamcinolone, and control. Treatments were applied for 5 consecutive days. OM severity was assessed using macroscopic and histopathological scoring, fibrosis grading, and inflammatory markers (TNF-α, IL-10, PGE2).

Results

L. acidophilus and L. reuteri significantly reduced macroscopic and histopathological OM scores compared to controls. L. acidophilus also demonstrated a notable reduction in fibrosis and PGE2 levels (p < 0.05), suggesting anti-inflammatory and antifibrotic activity. B. clausii and B. coagulans showed moderate efficacy, while sucralfate and triamcinolone reduced mucosal inflammation but were less effective in tissue regeneration. No significant changes in IL-10 were observed across groups.

Conclusion

Topically applied probiotics, particularly L. acidophilus, exhibit significant therapeutic potential in attenuating chemotherapy-induced OM by modulating inflammation and promoting mucosal healing. These findings support further exploration of localized probiotic therapies as a novel, non-systemic approach to manage OM in clinical settings.

背景:口腔黏膜炎(OM)是化疗和放疗的一种使人衰弱的并发症,其特征是口腔黏膜疼痛性溃疡和炎症。目前的治疗方法疗效有限,而且往往缺乏再生特性。本研究旨在评估局部给予益生菌对OM大鼠模型的治疗潜力。方法:用5-氟尿嘧啶(5-FU)和乙酸诱导sd大鼠OM。将大鼠随机分为两组,分别给予嗜酸乳杆菌、罗伊氏乳杆菌、克劳氏芽孢杆菌、凝固芽孢杆菌、植物乳杆菌、硫糖钠、曲安奈德和对照组。连续处理5 d。通过宏观和组织病理学评分、纤维化分级和炎症标志物(TNF-α、IL-10、PGE2)评估OM的严重程度。结果:与对照组相比,嗜酸乳杆菌和罗伊氏乳杆菌显著降低了宏观和组织病理学OM评分。结论:局部应用益生菌,特别是嗜酸乳杆菌,通过调节炎症和促进粘膜愈合,在减轻化疗诱导的OM方面表现出显著的治疗潜力。这些发现支持进一步探索局部益生菌疗法作为一种新的、非系统性的方法来管理临床环境中的OM。
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引用次数: 0
Acute or Chronic β-Caryophyllene Systemic Administration in Healthy Adult Male Mice Does Not Modulate Anxiety-Like Extinction Behavior Induced by Subsequent Re-Exposure to 3D Maze 健康成年雄性小鼠急性或慢性全身给药β-石竹烯不会调节随后再次暴露于3D迷宫诱导的焦虑样灭绝行为
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-26 DOI: 10.1111/fcp.70049
Rayan Fidel Martins Monteiro, Marcos Vinícius Lebrego Nascimento, Klinsmann Thiago Lima, Valdina Solimar Lopes Cardoso, José Ramon Gama Almeida, Wellington Junior Taisho Nagahama Costa, Anderson Valente-Amaral, Bruno Eduardo Godinho Teixeira, Ludmila Santos-Barbosa, Vinicius Teles Shirakura, Gilmara de Nazareth Tavares Bastos

Pharmacotherapy for major anxiety disorders continues to present dangerous side effects, complicating precise treatment choices for each patient. In this context, β-caryophyllene (BCP), a selective agonist of the cannabinoid type II receptor (CB2R), is recognized as a safe immunomodulatory drug. CB2R has recently been identified in glutamatergic and dopaminergic neurons, supporting its potential as a pharmacotherapy for mood disorders. Thus, we propose to investigate the effects of systemic BCP treatment (50, 100, and 200 mg/kg) on anxiety-like behavior. To this end, we utilized 92 adult male Swiss mice across two acute and one chronic pharmacological assay using the 3D maze test. In the acute assay, 30 min after treatment (BCP or vehicle), we conducted the One-Trial Protocol (OTP) lasting 12 min and the Two-Trial Protocol (TTP) lasting 12 min (comprising two trials of 5 min, with a 2-min interval between them). In the chronic assay, after 10 days of treatment (once daily; BCP or vehicle), testing was performed over five consecutive days (once daily; 12 min), 30 min after administration of BCP or vehicle. Additionally, locomotion was assessed. Under these conditions, we observed no effects on locomotion, anxiety-like behavior, or anxiety-like extinction behavior following either acute or chronic oral administration of BCP. Furthermore, we propose the use of TTP in the 3D maze as a valuable method for assessing acute pharmacological effects in mice. Lastly, behavioral modulation induced by CB2R agonists, particularly BCP, must be further investigated to better understand its potential neurological treatment applications and associated side effects.

严重焦虑症的药物治疗继续呈现危险的副作用,使每位患者的精确治疗选择复杂化。在这种情况下,β-石竹烯(BCP),大麻素II型受体(CB2R)的选择性激动剂,被认为是一种安全的免疫调节药物。最近在谷氨酸能和多巴胺能神经元中发现了CB2R,支持其作为情绪障碍药物治疗的潜力。因此,我们建议研究全身BCP治疗(50、100和200 mg/kg)对焦虑样行为的影响。为此,我们使用了92只成年雄性瑞士小鼠,使用3D迷宫测试进行两种急性和一种慢性药理试验。在急性试验中,治疗后30分钟(BCP或载体),我们进行了持续12分钟的单试验方案(OTP)和持续12分钟的双试验方案(TTP)(包括两个5分钟的试验,中间间隔2分钟)。在慢性试验中,治疗10天后(每天1次;BCP或载药),连续5天(每天1次;12分钟),BCP或载药后30分钟进行测试。此外,对运动进行评估。在这些条件下,我们观察到急性或慢性口服BCP对运动、焦虑样行为或焦虑样消退行为没有影响。此外,我们建议在3D迷宫中使用TTP作为评估小鼠急性药理作用的一种有价值的方法。最后,CB2R激动剂(特别是BCP)诱导的行为调节必须进一步研究,以更好地了解其潜在的神经治疗应用和相关副作用。
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引用次数: 0
Cholesterol Intake and Atorvastatin Modulate SCD1 and ELOVL6 in Rat Retroperitoneal Adipose Tissue 胆固醇摄入和阿托伐他汀对大鼠腹膜后脂肪组织SCD1和ELOVL6的调节。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-16 DOI: 10.1111/fcp.70048
Jagoda Drag, Marek Szlosarczyk, Anna Gawedzka, Malgorzata Belczyk, Urszula Hubicka, Malgorzata Knapik-Czajka

Background

Stearoyl-CoA desaturase 1 (SCD1) and elongase 6 (ELOVL6) are key enzymes in the synthesis of monounsaturated fatty acids (MUFA). Gene expression for SCD1 and ELOVL6 is high in the white adipose tissue (WAT) and is regulated at the transcriptional level by various factors.

Objectives

This study aimed to assess the effect of (a) cholesterol-enriched diet and (b) atorvastatin in a hypercholesterolemic state, on the relative mRNA and protein levels and indices for SCD1 and ELOVL6 in rat retroperitoneal WAT (rWAT).

Methods

The mRNA and protein levels of SCD1 and ELOVL6 were determined using the RT-qPCR and Western blot techniques, respectively. Gas chromatography was used to determine the FA composition, and the SCD1 and ELOVL6 indices were then calculated.

Results

In the HC group, the content of SAT decreased, as did the percentage of 14:0, 16:0, and 18:0. Conversely, PUFA content increased, as did the percentage of 18:2 n-6 and the indices for SCD18 and FA elongation compared to the CT group. In the AT group, the mRNA and protein levels of SCD1 increased, whereas the MUFA content and the percentage of 18:1 n-9 decreased compared to the HC group.

Conclusion

The study showed that a cholesterol-enriched diet increased the SCD1 index, leading to a decrease in SAT as these were used for MUFA synthesis. In contrast, atorvastatin lowered MUFA content, suggesting a protective effect of this compound in the rWAT of hypercholesterolemic rats. Furthermore, atorvastatin increased the expression of SCD1 mRNA and protein but did not affect the SCD1 index.

背景:硬脂酰辅酶a去饱和酶1 (SCD1)和延长酶6 (ELOVL6)是合成单不饱和脂肪酸(MUFA)的关键酶。SCD1和ELOVL6基因在白色脂肪组织(WAT)中高表达,并受多种因素在转录水平上调控。目的:本研究旨在评估(a)高胆固醇饮食和(b)高胆固醇血症状态下的阿托伐他汀对大鼠腹膜后WAT (rWAT) SCD1和ELOVL6相对mRNA和蛋白水平及指标的影响。方法:采用RT-qPCR和Western blot技术分别检测SCD1和ELOVL6 mRNA和蛋白水平。采用气相色谱法测定FA组成,计算SCD1和ELOVL6指数。结果:HC组SAT含量降低,14:0、16:0、18:0百分比降低。相反,与CT组相比,PUFA含量增加,18:2 n-6百分比以及SCD18和FA伸长率指数也有所增加。与HC组相比,AT组SCD1 mRNA和蛋白水平升高,MUFA含量和18:1 n-9比例降低。结论:该研究表明,富含胆固醇的饮食增加了SCD1指数,导致SAT下降,因为这些被用于MUFA合成。相比之下,阿托伐他汀降低了MUFA含量,表明该化合物对高胆固醇血症大鼠的rWAT有保护作用。此外,阿托伐他汀增加SCD1 mRNA和蛋白的表达,但不影响SCD1指数。
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引用次数: 0
Nebivolol Mitigates the Pro-Oxidative and Pro-Inflammatory Effects of Cyclophosphamide in the Heart 奈比洛尔减轻环磷酰胺在心脏中的促氧化和促炎作用
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-12 DOI: 10.1111/fcp.70047
Barbara M. Marchetti, Thales M. H. Dourado, Gustavo F. Pimenta, Alessandra O. Silva, Carlos R. Tirapelli

Cyclophosphamide (CP) is an alkylating agent commonly used to treat malignant conditions. However, CP is associated with various adverse effects, one of which is cardiotoxicity. To minimize this toxicity, a common clinical strategy involves combining CP with a cytoprotective agent. One of the main causes of cardiac toxicity from CP is redox imbalance. Nebivolol, an antihypertensive medication that selectively targets β1-adrenoceptors, has demonstrated cardioprotective effects in certain situations, partly due to its antioxidant properties. In this study, we evaluated whether nebivolol could reduce the harmful effects of CP on the heart. Male C57BL/6 mice were treated with nebivolol (10 mg/kg/day, administered by gavage for 5 days) and subsequently injected with either saline or a single dose of CP (300 mg/kg, via intraperitoneal injection). We assessed pro-oxidative and pro-inflammatory parameters in the left ventricle 24 h after the CP injection. Treatment with CP resulted in increased levels of superoxide (O2•−) derived from NADPH-oxidase, upregulation of NOX1 expression, and elevated hydrogen peroxide (H2O2) levels and lipoperoxidation. Pretreatment with nebivolol significantly mitigated these pro-oxidative effects. Moreover, nebivolol prevented the increase in COX2 expression induced by CP. Echocardiographic analyses indicated that, despite the molecular changes caused by CP, cardiac function was preserved in the CP-injected mice. In conclusion, nebivolol demonstrates cardioprotective effects against the toxicity of CP by reducing pro-oxidative and pro-inflammatory responses. Thus, nebivolol may represent a novel clinical approach for managing the cardiotoxic effects associated with CP.

环磷酰胺(CP)是一种常用于治疗恶性疾病的烷基化剂。然而,CP与各种不良反应有关,其中之一是心脏毒性。为了减少这种毒性,一种常见的临床策略是将CP与细胞保护剂联合使用。CP引起心脏毒性的主要原因之一是氧化还原失衡。奈比洛尔是一种选择性靶向β1-肾上腺素受体的降压药,在某些情况下已证明具有心脏保护作用,部分原因是其抗氧化特性。在这项研究中,我们评估了奈比洛尔是否可以减少CP对心脏的有害影响。雄性C57BL/6小鼠给予奈比洛尔(10 mg/kg/天,灌胃5天)治疗,然后注射生理盐水或单剂量CP (300 mg/kg,腹腔注射)。我们在注射CP后24小时评估左心室的促氧化和促炎症参数。CP处理导致nadph氧化酶产生的超氧化物(O2•−)水平升高,NOX1表达上调,过氧化氢(H2O2)水平升高和脂质过氧化。奈比洛尔预处理可显著减轻这些促氧化作用。此外,奈比洛尔还能阻止CP引起的COX2表达增加。超声心动图分析表明,尽管CP引起了分子变化,但注射CP的小鼠的心功能得到了保留。综上所述,奈比洛尔通过减少促氧化和促炎症反应,对CP的毒性具有心脏保护作用。因此,奈比洛尔可能代表了一种新的临床方法来管理与CP相关的心脏毒性作用。
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引用次数: 0
Statins as Antifungal Agents: A Review on Drug Repurposing and Nanotechnology-Driven Delivery Strategies 他汀类药物作为抗真菌药物:药物再利用和纳米技术驱动的给药策略综述。
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-10 DOI: 10.1111/fcp.70046
Dominique Mesquita e Silva, Laís de Souza Lacerda, Andrea de Souza Andrioli, Wilson Rodrigues Braz, Lara Melo Campos, Mayara Rodrigues Brandão de Paiva, Frederico Pittella, Rodrigo Luiz Fabri, Guilherme Diniz Tavares

This review highlights the integration of drug repurposing and nanotechnology-driven delivery strategies as innovative approaches to enhance the antifungal activity of statins against mucosal candidiasis, providing a framework for future translational research and clinical application. The rising prevalence of antifungal resistance and virulence factors of Candida albicans underscore the limitations of current therapies. Statins, commonly used as lipid-lowering agents, have emerged as attractive repurposed drug candidates due to their ability to interfere with fungal ergosterol biosynthesis and Ras-mediated signaling pathways. However, repurposed statins face major translational barriers, including poor water solubility, limited mucosal bioavailability, and dose-dependent systemic toxicity. Nanotechnology-driven delivery platforms offer versatile solutions to these challenges, enabling site-directed delivery, improved stability, enhanced permeability, and controlled release. Lipid and polymeric nanocarriers, particularly chitosan-based nanoparticles, enable controlled release and prolonged mucosal retention, making them suitable for localized antifungal therapy. This review explores the integration of statin repurposing with advanced drug delivery strategies as a novel therapeutic paradigm for mucosal candidiasis. Updated evidence demonstrating the antifungal potential of nano-formulated statins is summarized, in conjunction with a general overview of design aspects relevant to optimizing delivery systems. Although still in early stages of investigation, this synergistic approach holds promise for overcoming resistance mechanisms and reducing the recurrence rates associated with existing antifungals. Ultimately, leveraging drug repurposing alongside nanotechnology may accelerate the translation of statin-based antifungal therapies into clinical practice, providing an innovative and cost-effective avenue to broaden the therapeutic arsenal against mucosal Candida infections.

这篇综述强调了药物再利用和纳米技术驱动的给药策略的整合,作为提高他汀类药物抗黏膜念珠菌病抗真菌活性的创新方法,为未来的转化研究和临床应用提供了一个框架。白色念珠菌抗真菌耐药性和毒力因子的流行率不断上升,强调了当前治疗方法的局限性。他汀类药物通常被用作降脂剂,由于其干扰真菌麦角甾醇生物合成和ras介导的信号通路的能力,他汀类药物已成为有吸引力的重新用途的候选药物。然而,重新使用的他汀类药物面临主要的翻译障碍,包括水溶性差、有限的粘膜生物利用度和剂量依赖性全身毒性。纳米技术驱动的输送平台为这些挑战提供了多种解决方案,实现了定向输送、改善稳定性、增强渗透性和控制释放。脂质和聚合物纳米载体,特别是壳聚糖纳米颗粒,能够控制释放和延长粘膜保留,使其适合局部抗真菌治疗。这篇综述探讨了他汀类药物再利用与先进的药物递送策略作为粘膜念珠菌病的一种新的治疗范例的整合。本文总结了最新证据,证明纳米配方他汀类药物具有抗真菌潜力,并结合优化给药系统的设计方面的总体概述。虽然仍处于早期研究阶段,但这种协同方法有望克服耐药机制并降低与现有抗真菌药物相关的复发率。最终,利用药物再利用和纳米技术可能会加速以他汀类药物为基础的抗真菌疗法进入临床实践,为扩大针对粘膜念珠菌感染的治疗武器库提供一种创新和经济有效的途径。
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引用次数: 0
No Impact of Vancomycin MIC, AUC, or AUC/MIC in Enterococcus faecium Bacteremia 万古霉素MIC、AUC或AUC/MIC对粪肠球菌菌血症无影响
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-08-13 DOI: 10.1111/fcp.70039
Anne Limelette, Thibaut Tromeur, Rami Rhaiem, Morgane Bonnet, Yohan N'Guyen

Background

There is no clear pharmacokinetic and pharmacodynamic (PK/PD) target during vancomycin-susceptible Enterococcus faecium bacteremia (EFB).

Objectives

To investigate whether in-hospital mortality was associated with susceptibility to amoxicillin or vancomycin minimum inhibitory concentration (MIC) of the strain and with area under the curve over 24 h (AUC) and AUC/MIC during EFBs.

Methods

All E. faecium strains isolated from blood cultures performed between January 1, 2017, and December 31, 2022, were included, and clinicobiological data were retrospectively extracted from corresponding medical records. The Vancomycin MICs were estimated using the VITEK 2 automated system. AUC was calculated among patients who received vancomycin during their first episode of EFB with available data.

Results

Two hundred fifteen E. faecium strains not susceptible to amoxicillin had been isolated in 207 patients (125 male, median age 69 [1–98] years) with biliary and digestive tract diseases, hematologic malignancies, or COVID-19 in 124 (59.9%), 35 (16.9%), and 17 (8.2%) cases, respectively. The median vancomycin MIC was 0.5 [0.5–2] mg/L, and 67 patients (32.3%) died during the hospitalization. In-hospital mortality was not associated with susceptibility to amoxicillin (p = 0.14) or vancomycin MIC (p = 0.07) of the strain. Neither mean AUC (592.7 versus 521.7mgh/L) nor mean AUC/MIC ratio (1066.5 versus 1000.5) was associated with in-hospital mortality (p = 0.17 and p = 0.54, respectively).

Conclusions

Besides amoxicillin susceptibility and vancomycin MIC of the strain, there was no significant association between in-hospital mortality and vancomycin AUC or AUC/MIC. Retrospective observational studies focusing on in-hospital mortality among patients with severe comorbidities may not be adequate for the determination of the PK/PD target of vancomycin.

背景万古霉素敏感粪肠球菌菌血症(EFB)的药代动力学和药效学(PK/PD)靶点尚不明确。目的探讨住院死亡率是否与菌株对阿莫西林或万古霉素的最低抑菌浓度(MIC)、24 h曲线下面积(AUC)和EFBs期间的AUC/MIC相关。方法纳入2017年1月1日至2022年12月31日期间从血培养中分离的所有粪肠杆菌,并从相应的病历中回顾性提取临床生物学资料。使用VITEK 2自动化系统估计万古霉素mic。利用现有数据计算首次EFB发作时接受万古霉素治疗的患者AUC。结果在207例胆道、消化道疾病、血液系统恶性肿瘤和COVID-19患者(男性125例,中位年龄69[1-98]岁)中分离到阿莫西林不敏感粪肠杆菌215株,分别为124例(59.9%)、35例(16.9%)和17例(8.2%)。万古霉素MIC中位数为0.5 [0.5 - 2]mg/L,住院期间死亡67例(32.3%)。住院死亡率与该菌株对阿莫西林(p = 0.14)或万古霉素MIC (p = 0.07)的易感性无关。平均AUC(592.7对521.7mgh/L)和平均AUC/MIC比值(1066.5对1000.5)均与院内死亡率无关(p分别= 0.17和p = 0.54)。结论该菌株除阿莫西林敏感性和万古霉素MIC外,院内死亡率与万古霉素AUC或AUC/MIC无显著相关性。关注严重合并症患者住院死亡率的回顾性观察性研究可能不足以确定万古霉素的PK/PD靶点。
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引用次数: 0
Leveraging Fiber Photometry to Decipher Neural Circuits Underlying Anxiety in Mice 利用纤维光度法解读小鼠焦虑背后的神经回路
IF 2.5 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-08-11 DOI: 10.1111/fcp.70043
Salma R. Abdennebi, Nour El Haya Touihri, Emmanuelle Corruble, Denis J. David, Indira Mendez-David

Anxiety disorders rank among the most prevalent mental health conditions worldwide, significantly affecting patients' lives. They are frequently comorbid with other psychiatric disorders, often exacerbating their severity. Current pharmacological treatments; selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines, remain limited in efficacy and are associated with undesirable side effects, underscoring the urgent need for alternative therapeutic approaches. However, progress in developing new treatments has been hindered by an incomplete understanding of the neural mechanisms underlying these disorders. Bridging this knowledge gap requires advanced research tools capable of providing deeper insight into the neural circuits involved in anxiety. Fiber photometry (FP) has emerged as a powerful and cost-effective technique for measuring neural activity in freely moving animal models. By enabling real-time monitoring of calcium dynamics in specific neural populations within defined brain regions, this method offers invaluable insights into both normal physiological processes and pathological states. In this review, we first present an accessible introduction to FP, detailing its apparatus, procedures, and key advantages and limitations. We then conducted a comprehensive analysis of 39 studies indexed in PubMed that have employed FP to investigate neural circuits implicated in anxiety. Our review reveals the techniques' significant contributions across different research domains, including physiological (33%), pathological (53%), and dual-purpose studies (13%). Beyond summarizing its utility, our goal is to make FP more accessible to researchers. By providing a foundational guide for its integration into future scientific projects, we aim to facilitate advances in anxiety research and contribute to the development of novel therapeutic strategies.

焦虑症是世界上最普遍的精神健康状况之一,严重影响患者的生活。他们经常与其他精神疾病合并症,往往加剧其严重程度。目前的药物治疗;选择性血清素再摄取抑制剂(SSRIs)和苯二氮卓类药物的疗效仍然有限,并伴有不良副作用,因此迫切需要替代治疗方法。然而,由于对这些疾病背后的神经机制的不完全理解,开发新疗法的进展一直受到阻碍。弥合这一知识鸿沟需要先进的研究工具,能够更深入地了解与焦虑有关的神经回路。纤维光度法(FP)已成为一种测量自由运动动物模型神经活动的强大而经济的技术。通过实时监测特定大脑区域内特定神经群的钙动态,该方法提供了对正常生理过程和病理状态的宝贵见解。在这篇综述中,我们首先介绍了FP,详细介绍了它的设备、程序和主要优点和局限性。然后,我们对PubMed收录的39项研究进行了全面分析,这些研究使用FP来研究与焦虑有关的神经回路。我们的回顾揭示了该技术在不同研究领域的重大贡献,包括生理学(33%)、病理学(53%)和双重目的研究(13%)。除了总结其效用之外,我们的目标是使FP更易于研究人员使用。通过为其整合到未来的科学项目提供基础指导,我们的目标是促进焦虑研究的进展,并为开发新的治疗策略做出贡献。
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引用次数: 0
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Fundamental & Clinical Pharmacology
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