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Criteria for developing active cellular targeting miRNA oligonucleotide therapeutics with a peptide nucleic acid backbone: Combating cardiometabolic pandemics 开发以肽核酸为骨架的活性细胞靶向 miRNA 寡核苷酸疗法的标准:抗击心脏代谢大流行病
Pub Date : 2024-07-16 DOI: 10.36922/itps.3025
Marc Thibonnier
Oligonucleotide therapeutics (ONTs) represent a growing new class of therapeutic agents aimed at addressing chronic diseases that remain untreatable by small molecules and antibodies. Our goal was to establish a selection of several criteria to design and develop miRNA-based ONTs, focusing on improved chemistry, pharmacokinetics/pharmacodynamics (PK/PD) profiles, and safety characteristics to combat cardiometabolic pandemics. By leveraging our own experimental data obtained from experiments involving miR-22-3p antagomirs and a careful review of the literature, we established a set of seven criteria to optimize the design of miRNA ONTs. These criteria prioritize simplified drug synthesis, optimized PK/PD properties, and reduced potential toxicities. This proposed set of seven criteria represents a novel strategy for developing active cellular targeting miRNA ONTs for various therapeutic indications.
寡核苷酸疗法(ONTs)是一类不断发展的新型治疗药物,旨在解决小分子药物和抗体仍无法治疗的慢性疾病。我们的目标是建立设计和开发基于 miRNA 的 ONTs 的若干标准选择,重点是改进化学、药代动力学/药效学(PK/PD)特征和安全性特征,以防治心脏代谢大流行病。通过利用我们从 miR-22-3p 抗凝集素实验中获得的实验数据以及对文献的仔细研究,我们建立了一套七项标准来优化 miRNA ONTs 的设计。这些标准优先考虑简化药物合成、优化 PK/PD 特性和减少潜在毒性。这套拟议的七项标准代表了一种新策略,可用于开发针对各种治疗适应症的活性细胞靶向 miRNA ONTs。
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引用次数: 0
Transcriptomic signature of CD4-expressing T-cell abundance developed in healthy peripheral blood predicts strong anti-retroviral therapeutic response in HIV-1: A retrospective and proof-of-concept study 健康外周血中 CD4 表达 T 细胞丰度的转录组特征可预测 HIV-1 强烈的抗逆转录病毒治疗反应:一项回顾性和概念验证研究
Pub Date : 2024-07-12 DOI: 10.36922/itps.2761
Youdinghuan Chen
CD4-expressing T-cells (CD4Ts) play a crucial role in maintaining the normal functioning of the mammalian immune system and overall systemic health. Diseased individuals, such as those infected with the human immunodeficiency virus type I (HIV-1), experience progressive and eventual depletion of CD4T leading to uncurable conditions and ultimate death if left untreated. Although much is known about the role of CD4T-mediated immunity, the understanding of CD4T-related transcriptomic patterns remains incomplete. This proof-of-concept study aims to identify a transcriptome-wide gene signature for CD4T abundance by Least Absolute Shrinkage and Selection Operator (LASSO) regression modeling in 340 healthy peripheral blood samples. The optimized LASSO model demonstrated computational robustness (tenfold average Pearson’s r = 0.89) and biological relevance evidenced by four significant Gene Ontology terms (all odds ratio [OR] ≥ 4.5 and false discovery rate ≤0.05). Subsequently, in an independent cohort with 24 HIV-1-infected men who received anti-retroviral therapies, there is a significant, positive association between the gene signature and a strong anti-retroviral response before (OR = 13.6, P < 0.05) and after adjusting for subject age, sex, and race (OR = 14.4, P < 0.05). Taken together, the gene expression pattern associated with CD4T abundance is predictable, generalizable, and biologically relevant, shedding new light on the importance of CD4T abundance.
表达 CD4 的 T 细胞(CD4T)在维持哺乳动物免疫系统正常功能和全身健康方面发挥着至关重要的作用。患病的人,如感染了人类免疫缺陷病毒 I 型(HIV-1)的人,CD4T 会逐渐消耗,最终导致无法治愈的病症,如果不及时治疗,最终会导致死亡。尽管人们对 CD4T 介导的免疫作用了解甚多,但对 CD4T 相关转录组模式的了解仍不全面。这项概念验证研究旨在通过最小绝对收缩和选择操作器(LASSO)回归建模,在 340 份健康外周血样本中确定 CD4T 丰度的全转录组基因特征。优化后的 LASSO 模型具有计算稳健性(十倍平均皮尔森 r = 0.89)和生物学相关性,四个重要的基因本体术语(所有比值比 [OR] 均≥ 4.5,误发现率≤0.05)证明了这一点。随后,在一个由 24 名接受抗逆转录病毒疗法的 HIV-1 感染者组成的独立队列中,基因特征与抗逆转录病毒治疗前(OR = 13.6,P < 0.05)和调整受试者年龄、性别和种族后(OR = 14.4,P < 0.05)的强抗逆转录病毒反应之间存在显著的正相关。综上所述,与 CD4T 丰度相关的基因表达模式是可预测的、可推广的、与生物学相关的,它为 CD4T 丰度的重要性提供了新的启示。
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引用次数: 0
Recommendations on the management and prevention of spinal cord injury in children following backbend dance 关于处理和预防儿童后弯舞蹈脊髓损伤的建议
Pub Date : 2024-07-11 DOI: 10.36922/itps.3460
Jamal Alshorman, Ruba Altahla, Xu Tao
Spinal cord injury (SCI) is a kind of disease that indiscriminately affects all age groups, although the number of SCI cases in children is far lower than that in adults. In this paper, we discuss the appropriate diagnostic methods and prevention methods for SCI caused by repetitive hyperextension movement. Case study reports available in the published literature concerning SCI due to hyperextension movement, which were categorized using the American Spinal Injury Association (ASIA) grades, were gathered. Moreover, the age, gender, lesion length on magnetic resonance image (MRI), time of symptoms appearance, initial spinal cord atrophy region, neurological level of injury, and initial and final ASIA grades were analyzed. A total of 144 cases with SCI after backbend dance were included in our analysis, with some cases with an incubation period ranging between 15 min and 4 h showing no symptoms. Most of the collected cases were young girls of <11 years old. Early MRI showed that the pathological changes had extended toward cephalocaudal regions. In summation, the number of SCI cases, which are disabling for many children, is rapidly accumulating in China. Thus, SCI following repetitive hyperextension movements requires further research.
脊髓损伤(SCI)是一种各年龄段均可发病的疾病,但儿童脊髓损伤病例远低于成人。在本文中,我们将讨论重复性过伸运动导致 SCI 的适当诊断方法和预防方法。本文收集了已发表文献中有关过伸运动导致 SCI 的病例研究报告,并根据美国脊柱损伤协会(ASIA)的分级进行了分类。此外,还分析了患者的年龄、性别、磁共振成像(MRI)上的病变长度、症状出现时间、最初脊髓萎缩区域、神经损伤程度以及最初和最终的 ASIA 分级。我们共分析了 144 例在后弯舞蹈后发生 SCI 的病例,其中一些病例的潜伏期在 15 分钟至 4 小时之间,没有任何症状。收集到的病例大多是年龄小于 11 岁的年轻女孩。早期磁共振成像显示,病理改变向头尾部扩展。总之,在中国,导致许多儿童致残的 SCI 病例正在迅速增加。因此,对重复性过伸运动引起的 SCI 需要进一步研究。
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引用次数: 0
Medicinal plants as a source of natural remedies in the management of diabetes 药用植物作为治疗糖尿病的天然药物来源
Pub Date : 2024-07-10 DOI: 10.36922/itps.1885
Zingisia Sitobo, Liberty Tinotenda Navhaya, Xolani Henry Makhoba
Diabetes is a severe chronic illness that has impacted thousands of individuals worldwide. It is caused by the body’s failure to produce insulin or insufficient production of insulin. While diabetes is not curable, it can be managed with injectable insulin, which decreases blood glucose levels. However, this treatment has several disadvantages that can affect a patient’s health, and it is often unaffordable for some individuals. Previous studies have suggested that phytochemicals can improve insulin sensitivity. Due to the presence of therapeutic phytochemicals in natural plants, medicinal plants emerge as potential candidates for treating diabetes. In addition, compared to conventional diabetes treatments, phytochemical treatment may be affordable for all diabetics and has fewer side effects. This review primarily focuses on the symptoms and treatment options for the four known types of diabetes: type 1 diabetes mellitus, type 2 diabetes mellitus, type 3c diabetes mellitus, and neonatal diabetes. The article reviews medicinal plants that have been used to treat diabetes effectively with minimum side effects, such as Momordica charantia L., Syzygium cumini (L.) Skeels, and Ocimum tenuiflorum L., among others. In addition, some newly approved drugs, such as tirzepatide, sergliflozin, saxagliptin, and liraglutide, recommended for treating patients suffering from various forms of diabetes, are discussed.
糖尿病是一种严重的慢性疾病,影响着全世界成千上万的人。它是由人体无法产生胰岛素或胰岛素分泌不足引起的。虽然糖尿病无法治愈,但可以通过注射胰岛素来降低血糖水平。然而,这种治疗方法有几个缺点,可能会影响患者的健康,而且有些人往往负担不起。以往的研究表明,植物化学物质可以改善胰岛素敏感性。由于天然植物中含有具有治疗作用的植物化学物质,药用植物成为治疗糖尿病的潜在候选药物。此外,与传统的糖尿病治疗方法相比,植物化学疗法可能是所有糖尿病患者都能负担得起的,而且副作用较少。本综述主要关注四种已知类型糖尿病的症状和治疗方案:1 型糖尿病、2 型糖尿病、3c 型糖尿病和新生儿糖尿病。文章回顾了可用于有效治疗糖尿病且副作用最小的药用植物,如 Momordica charantia L.、Syzygium cumini (L.) Skeels 和 Ocimum tenuiflorum L.等。此外,还讨论了一些新批准的药物,如替扎帕肽、舍格列嗪、沙格列汀和利拉鲁肽,建议用于治疗各种糖尿病患者。
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引用次数: 0
Behavioral addictions beyond classic addictions and their future perspectives 经典成瘾之外的行为成瘾及其未来展望
Pub Date : 2024-07-04 DOI: 10.36922/itps.3558
Jo-Eun Jeong, Dai-Jin Kim
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引用次数: 0
The potential therapeutic value of terpenes 萜烯的潜在治疗价值
Pub Date : 2024-06-07 DOI: 10.36922/itps.0332
Henry Lowe, Amza Ali, Blair Steele, Lorenzo Gordon, Justin Grant
Terpenes form part of a huge and diverse class of naturally occurring and volatile secondary metabolites produced by many plants, fruits, animals, insects, and other organisms. They are the largest group of naturally occurring metabolites, with over 55,000 types of terpenes produced by plants alone, primarily as essential oils. In humans, they contain significant biological properties such as antifungal, antiviral, antimicrobial, anti-inflammatory, antiparasitic, antihyperglycemic, anti-cancer, and analgesic agents. In plants, terpenes also play significant roles in defensive mechanisms against herbivores and invasive plants, disease resistance, chemical signaling and communication between plants, protection against photo-oxidation, plant-environment mediation, thermo-protection, and the attraction of pollinators. In addition, terpenes are responsible for a plant’s scent, taste, flavor, and pigmentation, leading to their commercial use as fragrances and food dyes. Terpenes are also used in the production of synthetic polymers, natural rubbers (polyisoprene), organic solvents, varnishes, inks, adhesives, cleaning products, biofuels, pesticides, and food and drink products. For these reasons, terpenes have significant value in modern medicine, pharmacy, nutraceuticals, cosmetics, and other industries.
萜烯是由许多植物、果实、动物、昆虫和其他生物体产生的庞大而多样的天然挥发性次级代谢物的一部分。萜烯是天然代谢物中最大的一类,仅植物就能产生超过 55,000 种萜烯,主要以精油的形式存在。在人体中,它们具有重要的生物特性,如抗真菌、抗病毒、抗菌、消炎、抗寄生虫、降血糖、抗癌和镇痛。在植物中,萜烯还在针对食草动物和入侵植物的防御机制、抗病性、植物之间的化学信号传递和交流、防止光氧化、植物环境调解、热保护和吸引传粉昆虫等方面发挥重要作用。此外,萜烯还能产生植物的气味、口感、风味和色素,因此被用作香料和食品染料。萜烯还可用于生产合成聚合物、天然橡胶(聚异戊二烯)、有机溶剂、清漆、油墨、粘合剂、清洁产品、生物燃料、杀虫剂以及食品和饮料产品。因此,萜烯在现代医学、制药、营养保健品、化妆品和其他行业中具有重要价值。
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引用次数: 0
The effect of dapsone on skin flap survival depends on modulation of inflammatory response and VEGF expression 地塞米松对皮瓣存活的影响取决于对炎症反应和血管内皮生长因子表达的调节
Pub Date : 2024-04-16 DOI: 10.36922/itps.2241
Abolfazl Badripour, Anahita Najafi, Zahra Ebrahim Soltani, Alireza Hasanzadeh, M. Behzadi, Alireza Rahbar, Armaghan Ahangarishizary, Seyed Mohsen Ahmadi-Tafti, Mohammad Ashouri, Ahmadreza Dehpour
The random-pattern skin flap is a common method used for reconstructing skin defects. However, flap ischemia necrosis remains a significant challenge in plastic surgery. Strategies aimed at reducing persistent inflammation and promoting blood supply through angiogenesis have been identified as crucial for improving flap survival. Dapsone, a chemotherapeutic agent known for its anti-inflammatory properties through multiple pathways, is of interest in this regard. This study aims to investigate the effect of dapsone on random-pattern flap survival in rats, along with its impact on inflammation and angiogenesis. The ischemia/reperfusion (I/R) injury rat models were created using a caudal-based dorsal skin flap with delayed I/R. Twenty-four male Sprague Dawley rats were divided into control, sham, and two treatment groups receiving dapsone at doses of 12.5 mg/kg/day and 5 mg/kg/day, respectively. On the 7th post-operative day, flap survival was evaluated. Neutrophil infiltration and ulceration were measured through microscopic examination, and interleukin (IL)-8 levels through enzyme-linked immunosorbent assay. Expression levels of vascular endothelial growth factor (VEGF) and tumor necrosis factor-alpha (TNF-α) were determined using an immunohistochemistry (IHC) array. The findings revealed an increased flap survival on day 7 post-operation following systemic administration of dapsone for 5 consecutive days. Dapsone at both dosages significantly reduced the ulcer thickness, neutrophil infiltration, and IL-8 levels. The IHC results revealed that VEGF expression was significantly higher in the treatment groups compared to the control group. Moreover, TNF-α expression was significantly lower in the treatment groups compared to the control group. In conclusion, we confirmed that treatment with dapsone promotes skin flap survival, and this effect aligned with a reduction in persistent inflammation and the enhancement of VEGF. Nonetheless, more studies are required to elucidate the precise anti-inflammatory mechanism of dapsone in I/R injuries.
随机模式皮瓣是重建皮肤缺损的常用方法。然而,皮瓣缺血坏死仍是整形外科面临的一大挑战。旨在减少持续性炎症和通过血管生成促进血液供应的策略被认为是提高皮瓣存活率的关键。多普生是一种通过多种途径抗炎的化疗药物,在这方面很有意义。本研究旨在探讨多松对大鼠随机皮瓣存活率的影响,以及多松对炎症和血管生成的影响。缺血/再灌注(I/R)损伤大鼠模型是使用延迟I/R的尾侧背侧皮瓣制作的。24只雄性Sprague Dawley大鼠被分为对照组、假治疗组和两组,两组分别接受12.5毫克/千克/天和5毫克/千克/天剂量的达帕松治疗。术后第7天,对皮瓣存活率进行评估。中性粒细胞浸润和溃疡通过显微镜检查进行测量,白细胞介素(IL)-8水平通过酶联免疫吸附试验进行测量。血管内皮生长因子(VEGF)和肿瘤坏死因子-α(TNF-α)的表达水平是通过免疫组织化学(IHC)阵列测定的。研究结果表明,连续5天全身使用多松后,皮瓣在术后第7天的存活率有所提高。两种剂量的多apseone都能显著减少溃疡厚度、中性粒细胞浸润和IL-8水平。IHC 结果显示,治疗组的血管内皮生长因子表达明显高于对照组。此外,与对照组相比,治疗组的 TNF-α 表达明显降低。总之,我们证实了用达肝酮治疗能促进皮瓣存活,而且这种效果与持续性炎症的减轻和血管内皮生长因子的增强相一致。然而,还需要更多的研究来阐明多松在I/R损伤中的确切抗炎机制。
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引用次数: 0
Rational drug design from phosphatidylinositol 3-kinase-α inhibitors through molecular docking and 3D-QSAR methodologies for cancer immunotherapy 通过分子对接和 3D-QSAR 方法从磷脂酰肌醇 3- 激酶-α 抑制剂中合理设计药物,用于癌症免疫疗法
Pub Date : 2024-04-15 DOI: 10.36922/itps.2340
Kevin Tochukwu Dibia, Sandra Nneka Van-Dibia, Philomena Kanwulia Igbokwe
Dysregulation or aberrant activation of the phosphatidylinositol 3-kinase (PI3K) signaling pathway is commonly observed in various cancers and is associated with tumor growth, metastasis, and resistance to therapy. Targeting PI3K-α with appropriate inhibitors can disrupt this pathway, hindering cancer progression, and potentially enhancing the immune system’s ability to recognize and eliminate cancer cells. In this study, we aimed to design a novel and potent inhibitor of PI3K-α for cancer immunotherapy using rational drug design techniques, including virtual screening, molecular docking, and 3D-QSAR. We obtained the human PI3K-α protein (6PYS) complexed with (3S)-3-benzyl-3-methyl-5-[5-(2-methylpyrimidin-5-yl)pyrazolo[1,5-a]pyrimidin-3-yl]-1,3-dihydro-2H-indol-2-one (PJ5) from the RCSB Protein Data Bank. Virtual screening of ligands, integrated with predictive computational molecular docking and 3D-field-based-QSAR, was implemented using appropriate Schrödinger Maestro modules. Rational drug design was also carried out, and its clinical relevance was validated across several ADMET descriptors. Docking results suggested that a hybrid of sulfonamide and pyridine-based heterocyclic compounds, functionalized with potent moieties derived from alkaloids, exhibited adequate synergistic biological effects capable of enhancing sufficient biological activity against PI3K-α. A field-based 3D-QSAR model was built on four partial least squares factors, and five statistical metrics were employed to validate the model. The newly designed ligand from this approach, named 6’-amino-5’-(2-fluoro-1,3-oxazol-5-yl)-N-{[3-(hydroxymethyl)oxetan-3-yl]methyl}-3-methyl-[2,3’-bipyridine]-6-sulfonamide or T85, exhibited a predicted bioactivity (pIC50) of 8.25. The predicted ADMET properties of T85 fell reasonably within the range of recommended standards, especially adhering to Lipinski’s rule of five and Jorgensen’s rule of three. In conclusion, the results of this study offer significant insights into in silico drug design using a rational approach, which could expedite the discovery and development of new drug molecules.
磷脂酰肌醇 3- 激酶(PI3K)信号通路失调或异常激活常见于各种癌症,与肿瘤生长、转移和抗药性有关。使用适当的抑制剂靶向 PI3K-α 可以破坏这一通路,阻碍癌症进展,并有可能增强免疫系统识别和消灭癌细胞的能力。在这项研究中,我们旨在利用合理药物设计技术,包括虚拟筛选、分子对接和三维-QSAR,设计出一种新型、强效的 PI3K-α 抑制剂,用于癌症免疫疗法。我们从 RCSB 蛋白质数据库中获得了与 (3S)-3-benzyl-3-methyl-5-[5-(2-methylpyrimidin-5-yl)pyrazolo[1,5-a]pyrimidin-3-yl]-1,3-dihydro-2H-indol-2-one (PJ5) 复合物的人类 PI3K-α 蛋白 (6PYS)。利用适当的 Schrödinger Maestro 模块,结合预测性计算分子对接和基于三维场的 QSAR,对配体进行了虚拟筛选。此外,还进行了合理的药物设计,并通过多个 ADMET 描述因子验证了其临床相关性。对接结果表明,磺酰胺类和吡啶类杂环化合物的混合物,在功能上具有来自生物碱的有效分子,表现出充分的协同生物效应,能够增强对 PI3K-α 的足够生物活性。在四个偏最小二乘法因子的基础上建立了基于场的三维-QSAR模型,并采用五个统计指标对模型进行了验证。该方法新设计的配体名为 6'-氨基-5'-(2-氟-1,3-恶唑-5-基)-N-{[3-(羟甲基)氧杂环丁烷-3-基]甲基}-3-甲基-[2,3'-联吡啶]-6-磺酰胺或 T85,其预测生物活性(pIC50)为 8.25。T85 的 ADMET 特性预测值在推荐标准的合理范围内,尤其符合利宾斯基的五原则和乔根森的三原则。总之,本研究的结果为采用合理方法进行硅学药物设计提供了重要启示,可加快新药物分子的发现和开发。
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引用次数: 0
Navigating the complex landscape of cardiac metabolism in health and disease states 驾驭健康和疾病状态下心脏代谢的复杂局面
Pub Date : 2024-04-03 DOI: 10.36922/itps.2302
Pongpan Tanajak, Tipthida Pasachan
The intricate interplay between cardiovascular health and metabolic regulation forms a critical junction in understanding the complexities of heart-related conditions. Cardiometabolic regulation orchestrates a sophisticated network of factors governing energy utilization, substrate metabolism, and cellular processes within the cardiovascular system. Balancing these mechanisms is pivotal for optimal heart function, considering the substantial energy demands for both contractile and non-contractile activities. In a healthy heart, fatty acids (FAs) derived from FA β-oxidation contribute to approximately 70% of total energy production. However, emerging evidence sheds light on pathological changes in the heart that lead to profound metabolic alterations. These alterations involve a shift from predominant FA utilization to alternative substrates such as glucose and ketone bodies, accompanied by an increased reliance on FAs. This metabolic remodeling extends beyond substrate metabolism, encompassing changes in transporter expression, the activity of metabolic-related proteins, hormonal functions, and cardiac mitochondrial energetics. This comprehensive review article delves into the intricate web of cardiometabolic regulation, elucidating the multifaceted factors influencing cardiac metabolism across diverse states encompassing health, metabolic disorders, and heart diseases. Unraveling the molecular intricacies and interconnected pathways shaping cardiac metabolism in various physiological and pathological conditions provides critical insights into the adaptive mechanisms and dysregulations associated with heart-related conditions. Furthermore, the exploration of these regulatory mechanisms offers promising avenues for targeted therapeutic interventions and diagnostic strategies in cardiovascular medicine. Integrating multidisciplinary approaches and leveraging advanced technologies will facilitate a deeper understanding of cardiac metabolism, paving the way for innovative interventions to mitigate metabolic dysregulation and optimize cardiac health.
心血管健康与新陈代谢调节之间错综复杂的相互作用,是了解心脏相关疾病复杂性的关键所在。心血管代谢调节是一个复杂的网络,其中的各种因素对心血管系统内的能量利用、底物代谢和细胞过程起着调节作用。考虑到收缩和非收缩活动都需要大量能量,平衡这些机制对于优化心脏功能至关重要。在健康的心脏中,FA β-氧化产生的脂肪酸(FAs)约占总能量产生的 70%。然而,新出现的证据揭示了心脏的病理变化,这些病理变化导致了新陈代谢的深刻改变。这些变化涉及从主要利用 FA 到葡萄糖和酮体等替代底物的转变,同时对 FA 的依赖性增加。这种代谢重塑超出了底物代谢的范围,包括转运体表达、代谢相关蛋白的活性、激素功能和心脏线粒体能量的变化。这篇综合性综述文章深入探讨了错综复杂的心脏代谢调控网络,阐明了在包括健康、代谢紊乱和心脏病在内的不同状态下影响心脏代谢的多方面因素。揭示各种生理和病理状态下影响心脏代谢的错综复杂的分子机制和相互关联的途径,有助于深入了解与心脏相关疾病有关的适应机制和失调。此外,对这些调控机制的探索为心血管医学中的靶向治疗干预和诊断策略提供了前景广阔的途径。整合多学科方法和利用先进技术将有助于加深对心脏代谢的理解,为减轻代谢失调和优化心脏健康的创新干预措施铺平道路。
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引用次数: 0
Evaluating the SARS-CoV-2 spike glycoprotein as a molecular target for therapeutic development 将 SARS-CoV-2 穗状糖蛋白作为治疗开发的分子靶点进行评估
Pub Date : 2024-03-26 DOI: 10.36922/itps.1651
Brandon H. Adame-Velasco, Pablo Octavio-Aguilar, Luis H. Mendoza-Huizar, Liliana M. Aguilar-Castro
The SARS-CoV-2 virus gains entry into host cells by binding its spike glycoprotein (S-glycoprotein) to the angiotensin 2 receptor. This viral protein contains several conserved regions, such as the receptor binding domain region, making it an ideal target for treating COVID-19. Notably, the majority of existing vaccines elicit antigenic reaction by targeting this protein epitope. This study evaluated the binding affinities of 44 different drugs against the SARS-CoV-2 S-glycoprotein, considering their toxicity profiles and previous clinical studies at different testing stages. Our results revealed that maraviroc and estradiol benzoate exhibited high affinities (−7.7 and −7.6 kcal mol−1, respectively), while other ligands, such as indinavir and ritonavir, showed affinity at lower levels. Among the drugs with high affinity, toxicity levels ranged from harmful if swallowed (300 mg/kg < LD50 < 2000 mg/kg) to non-toxic (LD50 > 5000 mg/kg), with only three having undergone clinical testing, yielding promising or controversial results. Furthermore, emtricitabine and docosanol, previously explored as COVID-19 treatments, exhibited the lowest affinities (−4.7 and −3.9 kcal mol−1, respectively), with associated harmful effects if swallowed. These results provide essential information about drug interaction against the SARS-CoV-2 S-glycoprotein and potential treatment pathways for COVID-19.
SARS-CoV-2 病毒通过将其尖峰糖蛋白(S-糖蛋白)与血管紧张素 2 受体结合而进入宿主细胞。这种病毒蛋白包含几个保守区域,如受体结合域区域,使其成为治疗 COVID-19 的理想靶点。值得注意的是,现有的大多数疫苗都是通过靶向这一蛋白表位引起抗原反应的。本研究评估了 44 种不同药物与 SARS-CoV-2 S 糖蛋白的结合亲和力,同时考虑了这些药物的毒性特征和以往不同试验阶段的临床研究。结果显示,马拉韦罗和苯甲酸雌二醇的亲和力较高(分别为-7.7和-7.6 kcal mol-1),而其他配体,如茚地那韦和利托那韦的亲和力较低。在具有高亲和力的药物中,毒性水平从吞服有害(300 毫克/千克 < 半数致死剂量 < 2000 毫克/千克)到无毒(半数致死剂量 > 5000 毫克/千克)不等,只有三种药物经过了临床试验,结果令人鼓舞或存在争议。此外,以前作为 COVID-19 治疗药物的恩曲他滨和多果三醇的亲和力最低(分别为-4.7和-3.9 kcal mol-1),吞服后会产生有害影响。这些结果提供了有关针对 SARS-CoV-2 S 糖蛋白的药物相互作用和 COVID-19 潜在治疗途径的重要信息。
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引用次数: 0
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INNOSC Theranostics and Pharmacological Sciences
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