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Phosphatidylserine liposomes containing metformin mitigate experimental atopic dermatitis: evidence for Akt/mTOR pathway involvement. 含有二甲双胍的磷脂酰丝氨酸脂质体减轻实验性特应性皮炎:Akt/mTOR通路参与的证据。
IF 5.3 2区 医学 Q2 IMMUNOLOGY Pub Date : 2026-02-05 DOI: 10.1007/s10787-026-02111-x
Moein Ghasemi, Negin Bagheri, Amirabbas Mohammadi Hamaneh, Sara Ashtari, Mohammad Mahdi Mehrabi, Saman Dehpour, Partow Mirzaee Saffari, Seyed Mohammad Tavangar, Ramin Goudarzi, Ahmad Reza Dehpour, Alireza Partoazar
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引用次数: 0
Computationally guided synthesis and biological profiling of chalcones as antioxidant and anti-inflammatory activities. 查尔酮抗氧化和抗炎活性的计算指导合成和生物学分析。
IF 5.3 2区 医学 Q2 IMMUNOLOGY Pub Date : 2026-02-05 DOI: 10.1007/s10787-026-02134-4
Hafiz Aamir Ali Kharl, Muhammad Naeem, Shakira Ghazanfar, Arifa Mehreen, Hasnain Haider, Sumel Ashique, Sabina Yasmin, Fatimah M Al-Salem, Md Yousuf Ansari

Inflammation and oxidative stress are involved in the physiological changes associated with many chronic diseases, which has led to sustained interest in small molecules with pleiotropic properties. As part of this effort, this study reports the synthesis and evaluation of six chalcones. These six synthesized derivatives were produced using acetophenone and benzaldehyde, and structures were characterised through nuclear magnetic resonance (NMR) spectral analysis and Fourier transform infrared (FTIR) spectroscopy. The compounds were tested for their in-vitro antioxidant properties using the DPPH free radical scavenging assay and anti-inflammatory and analgesic properties using an in-vivo model in rats and carrageenan-induced paw edema, heat-induced hyperalgesia, and mechanical allodynia.Computational finding by using AutoDockVina protocol against target enzyme (COX-II) (PDB: 3LN1), where the compounds 3B, 2B, and 1A exhibited strong binding affinities of - 9.8 kcal/mol, - 9.2 kcal/mol, and - 9.2 kcal/mol, respectively.Among these compounds, compound 3B exhibited the highest antioxidant activity, demonstrating an efficacy percentage of 78.34% and an IC50 value of 7.86μg/ml. The chalcone derivatives were also assessed for their effectiveness in carrageenan-induced hyperalgesia, a model used to study pain response. Compound 1A significantly increased latency periods at 30, 60, 90, and 120 min compared to compounds 2B and 3B, suggesting its potential analgesic properties. Furthermore, compound 3B significantly reduced allodynia response at 120 min, indicating its potential to alleviate mechanical sensitivity.These findings suggest that chalcone derivatives, particularly 2B and 3B, hold strong potential as lead compounds for developing novel COX-2-targeted anti-inflammatory and antioxidant therapeutics. This study offers a comprehensive preclinical framework for chalcone-based drug discovery targeting inflammation and oxidative stress. This study emphasizes structure-dependent variations in chalcones, which present potential leads and are worthy of further exploration.

炎症和氧化应激与许多慢性疾病相关的生理变化有关,这导致了对具有多效性的小分子的持续兴趣。本研究报道了六种查尔酮的合成和评价。以苯乙酮和苯甲醛为原料合成了这6个衍生物,并通过核磁共振(NMR)光谱分析和傅里叶变换红外(FTIR)光谱对其结构进行了表征。通过DPPH自由基清除实验测试了这些化合物的体外抗氧化性能,并通过大鼠体内模型测试了它们的抗炎和镇痛性能,以及卡拉胶诱导的足跖水肿、热致痛症和机械异常性疼痛。通过AutoDockVina协议对靶酶(COX-II) (PDB: 3LN1)的计算发现,化合物3B, 2B和1A分别表现出- 9.8 kcal/mol, - 9.2 kcal/mol和- 9.2 kcal/mol的强结合亲和力。其中化合物3B的抗氧化活性最高,效率为78.34%,IC50值为7.86μg/ml。查尔酮衍生物也被评估其对卡拉胶诱导的痛觉过敏的有效性,这是一种用于研究疼痛反应的模型。与化合物2B和3B相比,化合物1A显著增加了30、60、90和120 min的潜伏期,提示其潜在的镇痛作用。此外,化合物3B在120 min时显著降低了异位性疼痛反应,表明其有减轻机械敏感性的潜力。这些发现表明,查尔酮衍生物,特别是2B和3B,在开发新型cox -2靶向抗炎和抗氧化疗法方面具有很强的潜力。本研究为以查尔酮为基础的靶向炎症和氧化应激的药物发现提供了一个全面的临床前框架。本研究强调了查尔酮的结构依赖性变异,这是值得进一步探索的潜在线索。
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引用次数: 0
Diosgenin-mediated NF-κB and MAPK pathway modulation for osteoarthritis treatment: molecular mechanisms, bioavailability enhancement, and therapeutic applications. 薯蓣皂苷元介导的NF-κB和MAPK通路调节治疗骨关节炎:分子机制、生物利用度增强和治疗应用。
IF 5.3 2区 医学 Q2 IMMUNOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-19 DOI: 10.1007/s10787-025-02102-4
Rudresh Adarkar, Vijishna Lekshmi Viswambharan, Akanksha Dessai, Richard Lobo, Vamshi Krishna Tippavajhala, Vasudev Pai, Chandrashekar Kodangala Subraya, H N Aswatha Ram

The review has comprehensively examined the therapeutic potential of phytoconstituents in the treatment of arthritis with specific emphasis being given to diosgenin as a promising natural molecule. Arthritis is a significant health concern in the world, with its two most common types; Osteoarthritis and rheumatoid arthritis, becoming the causes of disability, and expensive to manage in the long run. Even though disease-modifying anti-rheumatic drugs and biologics have helped to better the patient outcomes, their side effects, high treatment cost, and inaccessibility demonstrate the necessity of safer and cheaper alternatives. The pharmacological significance of the root steroidal sapogenin, diosgenin, as a derivative of the species Dioscorea, that exhibits strong anti-inflammatory effects with clearly defined, molecular-based, mechanisms, is highlighted in this manuscript. Diosgenin suppresses cartilage destruction because of matrix metalloproteinases, the NF-kB signaling pathway as well as the major pro-inflammatory cytokines, TNF-a, IL-1b, and IL-6. It also has chondroprotective action to maintain the integrity of the extracellular matrix, increase levels of type II collagen and aggrecan, and decrease the expression of MMP-3 and MMP-13 by about 65-85% in the presence of inflammation. The challenges to clinical translation associated with formulation which are discussed in the review include the very low aqueous solubility of diosgenin (0.95 ug/mL) and oral bioavailability (< 7%). It addresses the use of the advanced delivery systems, including lipid nanoparticles, vesicular carriers and amorphous solid dispersions, which have demonstrated a 2.55-fold increase in bioavailability and also have the potential to improve therapeutic efficacy. Crucially, this review uniquely integrates these bioavailability enhancement strategies with diosgenin's underlying molecular mechanisms, illustrating how optimised delivery systems are essential to fully unlock its therapeutic potential. Despite robust preclinical evidence supporting its anti-arthritic and chondroprotective actions, clinical investigations remain scarce, with only a few small studies and none directly evaluating diosgenin for arthritis outcomes. Overall, this review emphasises the need for well-designed clinical trials to validate the therapeutic promise of diosgenin and related phytoconstituents, paving the way for safer, accessible, and multi-targeted natural interventions for arthritis management.

这篇综述全面研究了植物成分在关节炎治疗中的治疗潜力,特别强调了薯蓣皂苷元作为一种有前途的天然分子。关节炎是世界上一个重要的健康问题,有两种最常见的类型;骨关节炎和类风湿关节炎,成为致残的原因,从长远来看,治疗费用昂贵。尽管改善疾病的抗风湿药物和生物制剂帮助改善了患者的预后,但它们的副作用、高昂的治疗费用和难以获得性表明,需要更安全、更便宜的替代品。根甾体皂苷元(薯蓣皂苷元)作为薯蓣属植物的衍生物,具有很强的抗炎作用,具有明确的分子机制,其药理意义在本文中得到强调。薯蓣皂苷元抑制由基质金属蛋白酶、NF-kB信号通路以及主要的促炎细胞因子TNF-a、IL-1b和IL-6引起的软骨破坏。它还具有软骨保护作用,维持细胞外基质的完整性,增加II型胶原蛋白和聚集蛋白的水平,并在炎症存在时将MMP-3和MMP-13的表达降低约65-85%。本综述中讨论的与配方相关的临床翻译的挑战包括薯蓣皂苷元的水溶性极低(0.95 ug/mL)和口服生物利用度(
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引用次数: 0
Anti-arthritic effect of Helicteres isora L. ethanolic extract via modulation of cytokines and oxidative stress in CFA-induced arthritic rats. 鸢尾乙醇提取物通过调节细胞因子和氧化应激对cfa诱导的关节炎大鼠的抗关节炎作用。
IF 5.3 2区 医学 Q2 IMMUNOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-13 DOI: 10.1007/s10787-025-02103-3
Muhammad Muzammil Nazir, Azhar Rafique, Salma Sultana, Asma Ashraf

Helicteres isora L. is widely used in traditional medicine for the treatment of gastrointestinal disorders, diabetes, and inflammatory conditions, yet its anti-arthritic potential has not been systematically explored. Given the limitations of conventional rheumatoid arthritis (RA) therapies, evaluation of this plant may provide scientific validation for its ethnomedicinal use against inflammatory diseases. The present study aimed to investigate the anti-arthritic efficacy and underlying mechanisms of ethanolic extract of Helicteres isora L. (EEHI) in a Complete Freund Adjuvant (CFA) induced arthritis model in rats and to relate these findings to its traditional application in inflammation management. EEHI was prepared and phytochemically profiled using GCMS. Anti-arthritic activity was assessed through in vitro protein denaturation assay and in vivo in CFA induced arthritic rats administered EEHI at 100, 200, and 400 mg/kg for 28 days. Clinical parameters (paw diameter, arthritic score, body weight, and organ weights), hematological and biochemical markers (RF, CRP), oxidative stress indices (SOD, CAT, GSH, MDA), pro-inflammatory gene expression (NF-κB, TNF-α, IL-6, COX-2), and histopathological changes were evaluated. Diclofenac sodium served as the standard drug. EEHI treatment resulted in significant, dose dependent improvements across all evaluated parameters. The 400 mg/kg dose markedly reduced paw swelling and arthritic scores, improved hematological indices, and restored antioxidant enzyme levels. Serum CRP and RF were significantly decreased. Gene expression analysis confirmed downregulation of NF-κB, TNF-α, IL-6, and COX-2, while histopathology showed substantial protection of joint architecture. GCMS identified several bioactive compounds, including dodecanoic acid, 11-octadecenoic acid, and 8, 11-octadecadienoic acid, which may contribute to the observed pharmacological effects. The findings provide scientific evidence supporting the ethnomedicinal use of Helicteres isora L. in inflammatory conditions. EEHI demonstrated potent anti-arthritic, antioxidant, and anti-inflammatory activities through modulation of cytokines and oxidative stress. This work validates traditional knowledge and highlights Helicteres isora L. as a promising natural therapeutic candidate for rheumatoid arthritis, warranting further pharmacological and clinical studies.

鸢尾草在传统医学中被广泛用于治疗胃肠道疾病、糖尿病和炎症,但其抗关节炎的潜力尚未被系统地探索。鉴于常规类风湿性关节炎(RA)治疗方法的局限性,对该植物的评价可能为其抗炎症性疾病的民族医药应用提供科学验证。本研究旨在探讨鸢尾草乙醇提取物(EEHI)在完全弗氏佐剂(CFA)诱导的大鼠关节炎模型中的抗关节炎功效及其机制,并将这些发现与其在炎症治疗中的传统应用联系起来。制备了EEHI,并用GCMS对其进行了植物化学分析。通过体外蛋白变性实验和体内给药EEHI(100、200和400 mg/kg) 28天,评估CFA诱导的关节炎大鼠的抗关节炎活性。评估临床参数(足径、关节炎评分、体重、脏器重量)、血液学及生化指标(RF、CRP)、氧化应激指标(SOD、CAT、GSH、MDA)、促炎基因表达(NF-κB、TNF-α、IL-6、COX-2)及组织病理学改变。双氯芬酸钠作为标准药物。EEHI治疗在所有评估参数中产生了显著的剂量依赖性改善。400 mg/kg剂量显著减轻足跖肿胀和关节炎评分,改善血液学指标,恢复抗氧化酶水平。血清CRP和RF明显降低。基因表达分析证实了NF-κB、TNF-α、IL-6和COX-2的下调,而组织病理学显示了对关节结构的实质性保护。GCMS鉴定出几种生物活性化合物,包括十二烷酸、11-十八烯酸和8,11 -十八烯酸,可能与观察到的药理作用有关。该研究结果提供了科学证据,支持鸢尾草在炎症条件下的民族医学应用。通过调节细胞因子和氧化应激,EEHI显示出有效的抗关节炎、抗氧化和抗炎活性。这项工作验证了传统知识,并强调了鸢尾是一种有前途的天然治疗类风湿性关节炎的候选药物,值得进一步的药理和临床研究。
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引用次数: 0
Formulation and characterization of escin loaded-chitosan nanoparticles and assessment of its anti-arthritic potential in Wistar rats: a mechanistic approach. escin负载壳聚糖纳米颗粒的制备和表征及其对Wistar大鼠抗关节炎潜力的评估:一种机制方法。
IF 5.3 2区 医学 Q2 IMMUNOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-24 DOI: 10.1007/s10787-025-02051-y
Ayesha Riaz, Ammara Saleem, Muhammad Furqan Akhtar

Rheumatoid arthritis (RA) is a chronic autoimmune inflammatory disorder that primarily effect synovial joints, leading to primarily cartilage and bone damage. The present study aimed to develop Escin loaded biodegradable nanoparticles (ESNPs) through the ionic gelation method using chitosan as biodegradable polymer, followed by comprehensive characterization of the nanoparticles. Additionally, the in-vivo anti-arthritic efficacy of the nanoparticles was assessed by Complete Freund's Adjuvant (CFA). ESNPs has 213 nm size, + 0.4 mV charge, and a polydispersity index of 0.42 with loading capacity of 81%, and entrapment efficiency of 87%. XRD revealed a semi-crystalline structure of ESNPs, whereas scanning electron microscopy suggested a spherical, uneven shape. For anti-arthritic potential, 0.15 ml CFA was injected in left hind paw in all rats aside from normal rats at day 1. From the eighth to twenty-eighth day, ESNPs (2.5, 5, and 10 mg/kg) and Escin (ES 10) were given orally, whereas blank nanoparticles were given to normal and disease controls. The standard reference medication utilized was methotrexate (1 mg/kg). In treated rats, paw edema was notably reduced and body weight was restored by ESNPs at 10 mg/kg. At all dosage levels, ESNPs demonstrated strong analgesic effects in arthritic rats. When compared to ES 10 and disease control, ESNPs significantly adjusted the impaired blood parameters, oxidative stress markers, and neurotransmitters levels as evident from the histological analysis of the treated rats' ankle joint. Treatment with ESNPs at 10 mg/kg, significantly altered the expression of IL-4, IL-6, cyclooxygenase-2, nuclear factor kappa-β and TNF-α. The results indicated that, in comparison to ES 10 and methotrexate, ESNPs, primarily at 10 mg/kg, demonstrated strong anti-arthritic activity.

类风湿性关节炎(RA)是一种慢性自身免疫性炎症性疾病,主要影响滑膜关节,主要导致软骨和骨损伤。本研究以壳聚糖为可生物降解聚合物,通过离子凝胶法制备了载叶esin的可生物降解纳米粒子,并对其进行了综合表征。此外,通过完全弗氏佐剂(CFA)评估纳米颗粒的体内抗关节炎功效。ESNPs的尺寸为213 nm,电荷为+ 0.4 mV,多分散性指数为0.42,负载容量为81%,包封效率为87%。XRD显示ESNPs为半晶体结构,而扫描电镜显示ESNPs为球形,形状不均匀。第1天,除正常大鼠外,其余大鼠左后爪均注射CFA 0.15 ml。从第8天到第28天,口服ESNPs(2.5、5和10 mg/kg)和Escin (es10),而空白纳米颗粒给予正常和疾病对照。使用的标准参考药物为甲氨蝶呤(1mg /kg)。10 mg/kg ESNPs可显著减轻大鼠足部水肿,恢复体重。在所有剂量水平下,ESNPs对关节炎大鼠表现出强烈的镇痛作用。与es10和疾病对照组相比,ESNPs显著调节了受损的血液参数、氧化应激标志物和神经递质水平,这一点从治疗大鼠踝关节的组织学分析中可以看出。ESNPs在10 mg/kg剂量下显著改变了IL-4、IL-6、环氧化酶-2、核因子kappa-β和TNF-α的表达。结果表明,与es10和甲氨蝶呤相比,ESNPs主要在10 mg/kg时表现出较强的抗关节炎活性。
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引用次数: 0
Topical 10% sulfasalazine ointment attenuates imiquimod-induced psoriasiform inflammation in mice compared with clobetasol. 与氯倍他索相比,外用10%磺胺吡啶软膏可减轻吡喹莫德引起的小鼠牛皮癣样炎症。
IF 5.3 2区 医学 Q2 IMMUNOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-16 DOI: 10.1007/s10787-025-02105-1
Mohammed Abdul Muttalib Abdul Bari

Background: Psoriasis is a chronic, immune-mediated disease with an overabundance of cytokines and aberrant keratinocyte proliferation.

Objective: To assess the therapeutic activity of topical application of 10% sulfasalazine in an imiquimod-induced murine model and to compare its therapeutic activity with that of clobetasol.

Methodology: Thirty-two male mice were randomly assigned into four groups, with each group consisting of eight individuals: normal control group, IMQ + vehicle group, IMQ + clobetasol group, and IMQ + 10% sulfasalazine group. IMQ was administered for 7 days, and then daily topical application was conducted for 14 days. Lesion severity was determined by PASI scores, and histological scores and concentrations of TNF-α and IL-6.

Results: Both sulfasalazine and clobetasol led to significant reduction in PASI scores, compared to IMQ + vehicle (p < 0.05). The regimen of sulfasalazine improved epidermal structure, acanthosis, and inflammation, as well as.

Conclusion: Topical sulfasalazine was found to possess significant anti-inflammatory activity, both clinical and histological, against IMQ-induced inflammation resembling psoriasis.

背景:银屑病是一种慢性、免疫介导的疾病,伴有细胞因子过多和角化细胞增生异常。目的:观察10%柳氮磺胺吡啶外用对吡喹莫德致小鼠模型的治疗作用,并与氯倍他索进行比较。方法:将32只雄性小鼠随机分为4组,每组8只:正常对照组、IMQ +载药组、IMQ +氯倍他索组、IMQ + 10%柳氮磺胺吡啶组。IMQ给药7 d,然后每日外敷14 d。通过PASI评分、组织学评分和TNF-α、IL-6浓度确定病变严重程度。结果:与IMQ +对照剂相比,磺胺氮嗪和氯倍他索均可显著降低PASI评分(p)。结论:在临床和组织学上,磺胺氮嗪对IMQ诱导的类似银屑病的炎症均具有显著的抗炎活性。
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引用次数: 0
Targeting PKC/NF-κB/NLRP3-driven NcRNA neuroinflammatory crosstalk by condensed tannins in global cerebral ischemia. 浓缩单宁在全脑缺血中靶向PKC/NF-κB/ nlrp3驱动的NcRNA神经炎症串扰。
IF 5.3 2区 医学 Q2 IMMUNOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-30 DOI: 10.1007/s10787-026-02121-9
Pradeep Kant Pachauri, Siva Prasad Panda

PKC-NF-κB-NLRP3 inflammasome axis and its non-coding RNA (ncRNA) regulatory network triggers robust innate immune activation and neuroinflammation, culminating in neuronal apoptosis and death during Global cerebral ischemia (GCI). The present mechanistic overview illustrates how condensed and hydrolysable tannins, along with related polyphenols, modulate such regulatory network to confer neuroprotection. Ischemia-associated danger signals activate Toll-like receptor-2 (TLR2) through di/tri-acylated lipopolysaccharides, engaging MyD88 and TRAF6 to stimulate protein kinase C (PKC). PKC activation promotes nuclear factor-κB (NF-κB) signaling, leading to interleukin-1β (IL-1β) production and priming of the NLRP3 inflammasome. Subsequent caspase-1 activation drives neuroinflammation and neuronal apoptosis, ultimately resulting in neuronal death. Compounds such as tannic acid, punicalagin, corilagin, pedunculagin, chebulagic acid, chebulinic acid, castalagin, and epigallocatechin gallate (EGCG) suppress NF-κB/IL-1β signaling, while tellimagrandin II, procyanidin C1/B2, paeoniflorin gallate, rosmarinic acid, and savinin directly inhibit NLRP3 activation. Additional phytochemicals, including baicalin and carnosic acid, attenuate upstream PKC signaling. Crucially, these effects are fine-tuned by ncRNAs: miR-146a and miR-155/lncRNA TUG1 regulate NF-κB activity, miR-124 and miR-223 constrain PKC and NLRP3 signaling, and lncRNA NEAT1 modulates caspase-1 activation. Collectively, the integrated suppression of PKC/NF-κB/NLRP3-ncRNA neuroinflammatory signaling by tannins limits inflammasome activation, reduces neuronal apoptosis, and mitigates ischemia-induced neuronal loss. This framework underscores tannins as promising multi-target neuroprotective agents for GCI.

PKC-NF-κB-NLRP3炎症小体轴及其非编码RNA (ncRNA)调控网络触发强大的先天免疫激活和神经炎症,最终导致全脑缺血(GCI)期间神经元凋亡和死亡。目前的机制概述说明如何凝聚和水解单宁,以及相关的多酚,调节这种调节网络赋予神经保护。缺血相关的危险信号通过二/三酰化脂多糖激活toll样受体-2 (TLR2),参与MyD88和TRAF6刺激蛋白激酶C (PKC)。PKC激活促进核因子-κB (NF-κB)信号传导,导致白细胞介素-1β (IL-1β)的产生和NLRP3炎性体的启动。随后的caspase-1激活驱动神经炎症和神经元凋亡,最终导致神经元死亡。单宁酸、槟榔素、槟榔素、槟榔素、儿茶素、没食子儿茶素没食子酸酯(EGCG)等化合物抑制NF-κB/IL-1β信号,而未食子花青素II、原花青素C1/B2、没食子花青素没食子酸酯、迷迭香酸和沙木素直接抑制NLRP3的激活。其他植物化学物质,包括黄芩苷和鼠尾草酸,减弱上游PKC信号。至关重要的是,这些作用是由ncrna微调的:miR-146a和miR-155/lncRNA TUG1调节NF-κB活性,miR-124和miR-223约束PKC和NLRP3信号传导,lncRNA NEAT1调节caspase-1激活。总之,单宁对PKC/NF-κB/NLRP3-ncRNA神经炎症信号的综合抑制限制了炎症小体的激活,减少了神经元凋亡,减轻了缺血引起的神经元损失。该框架强调单宁是GCI中有前途的多靶点神经保护剂。
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引用次数: 0
Long COVID: a review of mechanisms and treatment modalities. 新冠肺炎:机制和治疗方式综述。
IF 5.3 2区 医学 Q2 IMMUNOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-22 DOI: 10.1007/s10787-025-02071-8
Mabel Yet, Hui Sheung Teo, Hannah Kwa, Joseph Yeo, Samuel S Y Wang

Long COVID is defined by the World Health Organisation (WHO) as a condition arising within 3 months of an acute COVID infection with symptoms lasting for a minimum of 2 weeks. However, this syndrome is poorly understood and has been recorded to include many systemic manifestations, including neurological, respiratory, cardiovascular, gastrointestinal, dermatological, psychosocial, and metabolic systems. Constitutional symptoms also include fatigue, insomnia, body weight changes, poor attention span, hair loss, sexual dysfunction, myalgia, and joint pain, with fatigue being the most common. Given the various proposed mechanisms published in the literature, the postulated mechanisms and pathways are discussed in this paper to contribute to the understanding of defining this syndrome. In this review article, the authors first explored how endothelial damage from COVID infection can lead to a hypercoagulable state. In addition, the effects of an insufficient initial immune response can lead to viral persistence alongside a potentially prolonged hyperactive immune response that includes a cytokine storm and mast cell activation syndrome. Furthermore, the viral persistence can be exacerbated by antibody-dependent enhancement or complicated by molecular mimicry. Current pharmacological therapies are explored and evaluated to investigate their efficacy in addressing this complex and chronic presentation. This review article has been written after an extensive literature review to increase the understanding and awareness regarding Long COVID, as a sincere effort to direct further research for an effective diagnosis and management.

长期COVID被世界卫生组织(WHO)定义为急性COVID感染后3个月内出现的症状,症状持续至少2周。然而,人们对该综合征了解甚少,并记录了许多系统性表现,包括神经系统、呼吸系统、心血管系统、胃肠系统、皮肤系统、社会心理系统和代谢系统。体质症状还包括疲劳、失眠、体重变化、注意力不集中、脱发、性功能障碍、肌痛和关节痛,其中疲劳是最常见的。鉴于文献中发表的各种提出的机制,本文讨论了假设的机制和途径,以有助于理解定义该综合征。在这篇综述文章中,作者首先探讨了COVID感染导致的内皮损伤如何导致高凝状态。此外,初始免疫反应不足的影响可导致病毒持续存在,并伴有潜在的长时间过度活跃的免疫反应,包括细胞因子风暴和肥大细胞激活综合征。此外,病毒的持久性可以通过抗体依赖性增强或分子拟态而加剧。目前的药理学疗法进行探索和评估,以调查其在解决这一复杂和慢性表现的功效。这篇综述文章是在广泛的文献综述之后撰写的,旨在提高对Long COVID的理解和认识,真诚地努力指导进一步的研究,以实现有效的诊断和管理。
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引用次数: 0
Sodium-glucose cotransporter-2 inhibitors and sepsis: a story with two tails or with one tail? 钠-葡萄糖共转运蛋白-2抑制剂与败血症:一个有两条尾巴还是一条尾巴的故事?
IF 5.3 2区 医学 Q2 IMMUNOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-05 DOI: 10.1007/s10787-025-02091-4
Baris Afsar, Rengin Elsurer Afsar, Katherine Tuttle, Krista L Lentine

Sepsis is a heterogeneous clinical syndrome characterized by dysregulated host response to infection. The pathophysiology of sepsis is very complex and it is now considered that sepsis has a variety of subtypes. During sepsis, apart from immune dysfunction, simultaneous activation of the complement and coagulation systems occur. These alterations damage the endothelium, cause microcirculatory dysfunction and decreased perfusion to tissues resulting in hypoxic damage causing vicious cycle in sepsis.Sodium-glucose cotransporter inhibitors (SGLTi) are a class of medications initially developed as glucose-lowering agents that have since been proven to have profound effects for kidney and heart protection in broad populations with or without diabetes. Especially SGLT2i, but also the combination of SGLT1/2i, have cardiovascular and renal benefits, independent of their glucose lowering effects. Interestingly, recent experimental studies have shown that SGLT2i have favorable effects during sepsis by modulation of immune system, improving tissue perfusion and hemodynamics. Clinical studies have shown that SGLT2i decreased sepsis severity and hospitalizations during sepsis. Apart from above mentioned effects, SGLT2i potentially modify gut microbiota, energetics and mitochondrial function which are involved in the pathogenesis of sepsis. In this review, we have summarized the experimental and clinical studies regarding the use of SGLT2i in sepsis and described potential mechanisms underlying these beneficial effects.

脓毒症是一种异质性临床综合征,其特征是宿主对感染的反应失调。脓毒症的病理生理非常复杂,目前认为脓毒症有多种亚型。在败血症期间,除了免疫功能障碍外,补体和凝血系统同时激活。这些改变损害内皮细胞,引起微循环功能障碍和组织灌注减少,导致缺氧损伤,导致脓毒症的恶性循环。钠-葡萄糖共转运蛋白抑制剂(SGLTi)是一类最初作为降血糖剂开发的药物,已被证明对广泛的有或无糖尿病人群的肾脏和心脏保护有深远的影响。尤其是SGLT2i,以及SGLT1/2i的联合使用,除了它们的降血糖作用外,还具有心血管和肾脏方面的益处。有趣的是,最近的实验研究表明,SGLT2i通过调节免疫系统,改善组织灌注和血流动力学,在脓毒症中具有良好的作用。临床研究表明,SGLT2i可降低脓毒症严重程度和脓毒症期间的住院率。除了上述作用外,SGLT2i还可能改变与脓毒症发病有关的肠道微生物群、能量学和线粒体功能。在这篇综述中,我们总结了在脓毒症中使用SGLT2i的实验和临床研究,并描述了这些有益作用的潜在机制。
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引用次数: 0
Montelukast alleviates levels of inflammatory factors and chemokines in patients with allergic rhinitis. 孟鲁司特缓解变应性鼻炎患者炎症因子和趋化因子水平。
IF 5.3 2区 医学 Q2 IMMUNOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-31 DOI: 10.1007/s10787-025-02097-y
Bo Ru, Wenbo Jiang
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引用次数: 0
期刊
Inflammopharmacology
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