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Erratum: Secondary Autoimmune Dermatological Disorders Induced by Multiple Sclerosis Biological Immunotherapy Agents: A Systematic Review of Case Reports [IJ Pharm Res. 2025; 24 (1): e166426]. 多发性硬化症所致继发性自身免疫性皮肤病的生物免疫治疗药物:病例报告的系统回顾[j] .药学杂志。2025;24 (1): e166426]。
IF 1.8 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-28 eCollection Date: 2025-01-01 DOI: 10.5812/ijpr-169319
Mohammad Ali Sahraian, Shahaboddin Emami, Sara Ataei, Fahime Nasr Esfahani, Nasibeh Ghalandari

[This corrects the article DOI: 10.5812/ijpr-166426.].

[这更正了文章DOI: 10.5812/ijpr-166426.]
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引用次数: 0
In Silico and in vitro Characterization of Lactobacillus acidophilus Bacteriocins as ROR-1-Targeted Therapeutics in Breast Cancer. 嗜酸乳杆菌细菌素作为ror -1靶向治疗乳腺癌的实验和体外研究。
IF 1.8 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-22 eCollection Date: 2025-01-01 DOI: 10.5812/ijpr-163509
Sara Soheili, Shekufe Rezghi Barez, Seyed Davar Siadat, Seyed Hossein Hejazi, Hamid Abtahi

Background: The human microbiota plays a crucial role in maintaining host health and is involved in various illnesses, including cancer. The intestinal microbiota has been identified as a factor in the development of colorectal carcinoma and breast cancer (BC).

Objectives: This study investigated the anticancer properties of bacteriocins produced by Lactobacillus acidophilus, specifically their interaction with receptor tyrosine kinase-like orphan receptor 1 (ROR-1), a protein involved in aggressive BC subtypes.

Methods: Employing sophisticated computational methodologies, encompassing molecular docking and molecular dynamics (MD) simulations, this research elucidated the dynamic interactions and binding strengths of four distinct bacteriocins - Acidocin A, Acidocin B, Acidocin 8912, and Acidocin J1132β - with the ROR-1 receptor. This observation was substantiated by consistent hydrogen bond formation and low root mean square deviation (RMSD) values throughout the simulation period. Furthermore, the biological activity of crude acidocins was evaluated on the ROR-1-Src signaling axis in Michigan Cancer Foundation-7 (MCF-7) and MDA-MB-231 cell lines utilizing Western blot analysis.

Results: The findings of this research demonstrate that Acidocin A exhibits promise as a prospective therapeutic intervention directed at ROR-1 in BC. Furthermore, the synergistic application of molecular docking, MD simulations, and molecular mechanics/Poisson-Boltzmann surface area (MM/PBSA) free energy calculations yielded a thorough elucidation of the underlying interaction mechanisms. The assessment of protein expression levels indicated a significant downregulation of the ROR-1-Src signaling pathway following treatment with Acidocins.

Conclusions: This research highlights the potential of bacteriocins in cancer treatment and adds to evidence linking the microbiota to cancer, establishing new pathways for anticancer therapies from microbial sources.

背景:人类微生物群在维持宿主健康方面起着至关重要的作用,并与包括癌症在内的各种疾病有关。肠道微生物群已被确定为结直肠癌和乳腺癌(BC)发展的一个因素。目的:本研究研究了嗜酸乳杆菌产生的细菌素的抗癌特性,特别是它们与酪氨酸激酶样孤儿受体1 (ROR-1)的相互作用,这是一种与侵袭性BC亚型有关的蛋白质。方法:采用复杂的计算方法,包括分子对接和分子动力学(MD)模拟,本研究阐明了四种不同的细菌素- Acidocin A, Acidocin B, Acidocin 8912和Acidocin J1132β -与rr -1受体的动态相互作用和结合强度。在整个模拟期间,一致的氢键形成和低均方根偏差(RMSD)值证实了这一观察结果。此外,我们还利用Western blot分析方法,在密歇根癌症基金会-7 (MCF-7)和MDA-MB-231细胞系的ror1 - src信号轴上评估了粗酸蛋白的生物活性。结果:本研究结果表明,Acidocin A有望作为针对BC中ROR-1的前瞻性治疗干预措施。此外,分子对接、MD模拟和分子力学/泊松-玻尔兹曼表面积(MM/PBSA)自由能计算的协同应用,对潜在的相互作用机制进行了彻底的阐明。蛋白表达水平的评估表明,使用Acidocins治疗后,ROR-1-Src信号通路显著下调。结论:本研究强调了细菌素在癌症治疗中的潜力,并增加了将微生物群与癌症联系起来的证据,为微生物来源的抗癌治疗建立了新的途径。
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引用次数: 0
Mitotherapy and the Possibility of Energetic Rescue in Evolving Brain Death. 进化性脑死亡的细胞有丝分裂治疗和能量救援的可能性。
IF 1.8 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-21 eCollection Date: 2025-01-01 DOI: 10.5812/ijpr-168337
Ali Dabbagh, Jalal Pourahmad, Amir Farrokhian
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引用次数: 0
Short-term Antihyperglycemic and Weight Modulation Effects of Leuenbergeria bleo (Kunth) Lodé: Phytochemical Screening and in vivo Assessment in an Alloxan-Induced Diabetic Rat Model. leenbergeria bleo (Kunth) lod<s:1>的短期降糖和体重调节作用:四氧嘧啶诱导的糖尿病大鼠模型的植物化学筛选和体内评估。
IF 1.8 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-14 eCollection Date: 2025-01-01 DOI: 10.5812/ijpr-164873
Sheryar Afzal, Velaga Venkata Sathya Sai Appalaraju, Ali Attiq, Iram Malik, Ibrahim Albokhadaim, Sameer M Alhojaily, Yuan Seng Wu, Yasir A Almofty, Ahmed Omer Alameen, Ghazi Aljabl

Background: Leuenbergeria bleo, a medicinal plant with traditional therapeutic uses, has attracted interest for its antidiabetic potential.

Objectives: This study evaluated the antihyperglycemic effects of its leaf extracts in an alloxan-induced diabetic rat model.

Methods: The leaves of L. bleo were sequentially extracted using petroleum ether, chloroform, and methanol. Phytochemical screening was conducted to identify bioactive compounds such as phytosterols, alkaloids, tannins, and flavonoids. Thirty healthy Albino Wistar rats were divided into five groups. Diabetes was induced in four groups via intraperitoneal injection of alloxan monohydrate (140 mg/kg). The diabetic rats were treated with either chloroform or methanol extracts of L. bleo (500 mg/kg/day) for five days, with metformin (100 mg/kg/day) serving as the standard reference treatment. Blood glucose levels were monitored daily, and body weight was recorded on days 1, 3, and 5.

Results: Methanol extract significantly reduced blood glucose levels by 12.23% by day 5, compared to a 6.35% reduction with chloroform extract. Additionally, the methanol extracts mitigated weight loss, resulting in an 8.07% increase in body weight, while the diabetic control group experienced a 26.72% decrease. The effects of the methanol extract were comparable to metformin, though slightly less potent. Leuenbergeria bleo exhibits modest antihyperglycemic potential, particularly in its methanol extract, which also stabilizes body weight in diabetic rats.

Conclusions: The presence of flavonoids and alkaloids likely contributes to these effects. Further research is warranted to elucidate the exact mechanisms and explore L. bleo's potential as a natural alternative therapy for diabetes management.

背景:leenbergeria bleo是一种具有传统治疗用途的药用植物,因其具有抗糖尿病的潜力而引起人们的兴趣。目的:研究其叶提取物对四氧嘧啶诱导的糖尿病大鼠模型的降糖作用。方法:采用石油醚、氯仿、甲醇等萃取方法对白莲叶进行萃取。进行了植物化学筛选,以确定生物活性化合物,如植物甾醇、生物碱、单宁和类黄酮。将30只健康的白化Wistar大鼠分为5组。四组小鼠腹腔注射一水四氧嘧啶(140 mg/kg)诱导糖尿病。以二甲双胍(100 mg/kg/d)为标准对照,分别用三氯甲烷或白莲草甲醇提取物(500 mg/kg/d)治疗糖尿病大鼠5 d。每天监测血糖水平,并于第1、3、5天记录体重。结果:与氯仿提取物相比,甲醇提取物在第5天显著降低血糖水平12.23%,而氯仿提取物降低了6.35%。此外,甲醇提取物减轻了体重减轻,导致体重增加8.07%,而糖尿病对照组的体重减少了26.72%。甲醇提取物的效果与二甲双胍相当,但效力略弱。leenbergeria bleo表现出适度的降糖潜力,特别是其甲醇提取物,也稳定糖尿病大鼠的体重。结论:黄酮类化合物和生物碱的存在可能与这些作用有关。进一步的研究是必要的,以阐明确切的机制,并探索白莲叶作为糖尿病管理的天然替代疗法的潜力。
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引用次数: 0
Biomolecular Insights Into the Antifungal Activity of Allium Species Constituents: From Mechanisms to Applications. 葱属植物抗真菌活性的生物分子研究:从机制到应用。
IF 1.8 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-13 eCollection Date: 2025-01-01 DOI: 10.5812/ijpr-162031
Saeid Eslami, Behzad Zolfaghari, Masoud Sadeghi Dinani, Mustafa Ghanadian

Context: This review explores the antifungal potential of Allium species, emphasizing pure compounds identified through phytochemical studies. It also analyzes the mechanisms and efficacy of Allium-derived antifungal agents within pharmaceutical, agricultural, and food science applications.

Objectives: To assess the antifungal properties of major Allium species and their bioactive compounds, and to evaluate their mechanisms of action and effectiveness across pharmaceutical treatments, agricultural pathogen control, and food preservation.

Data sources: A comprehensive literature search was conducted using major scientific databases, including Web of Science, PubMed, ScienceDirect, Scopus, and Google Scholar.

Study selection: Studies reporting antifungal activities of major Allium species and their isolated compounds were selected based on PRISMA guidelines.

Data extraction: Data were extracted from recent research focusing on the antifungal effects, mechanisms of action, and minimum inhibitory concentrations of sulfur compounds and saponins derived from Allium species.

Results: Sulfur-containing compounds such as allicin and ajoene were found to disrupt fungal cell metabolism, destabilize cellular structures, and induce oxidative stress. These compounds showed strong activity against pathogens including Candida albicans and Aspergillus fumigatus. Saponins were also identified as key antifungal agents, with spirostane and spirostanol saponins from species like A. ampeloprasum and A. porrum demonstrating activity against C. albicans, A. niger, and Fusarium culmorum. Additional saponins - such as Fistoloside C, Minutoside B, and Ceposide variants - exhibited promising antifungal potential, particularly in combination therapies. Reported minimum inhibitory concentrations ranged from 0.15 µg/mL for sulfur compounds to 3.1-800+ µg/mL for saponins.

Conclusions: Saponins from Allium species represent promising adjuncts for overcoming antifungal drug resistance and may expand treatment options beyond traditional sulfur-derived compounds. These bioactive molecules also show potential for agricultural use against soil-borne pathogens like F. oxysporum, as well as food preservation applications against spoilage fungi such as Penicillium italicum and A. niger. Overall, Allium species constitute a valuable natural source of antifungal agents with broad pharmaceutical and agricultural relevance.

背景:本文综述了葱属植物的抗真菌潜力,重点介绍了通过植物化学研究鉴定的纯化合物。它还分析了机制和功效的葱衍生抗真菌剂在制药,农业和食品科学的应用。目的:研究主要葱属植物及其生物活性化合物的抗真菌特性,探讨其在药物治疗、农业病原菌防治和食品保鲜等方面的作用机制和有效性。数据来源:利用Web of Science、PubMed、ScienceDirect、Scopus、谷歌Scholar等主要科学数据库进行了全面的文献检索。研究选择:根据PRISMA指南选择报道主要葱属植物及其分离化合物抗真菌活性的研究。数据提取:数据提取自近期有关葱属植物中硫化合物和皂苷的抗真菌作用、作用机制和最低抑菌浓度的研究。结果:发现含硫化合物如大蒜素和阿琼烯破坏真菌细胞代谢,破坏细胞结构稳定,诱导氧化应激。这些化合物对白色念珠菌和烟曲霉等病原菌具有较强的抗氧化活性。皂苷也被鉴定为关键的抗真菌剂,从蛇耳草和猪耳草中提取的螺烷烷和螺烷醇皂苷对白色念珠菌、黑曲霉和镰刀菌有活性。其他皂苷-如金缕草皂苷C, Minutoside B,和金缕草皂苷变体-显示出有希望的抗真菌潜力,特别是在联合治疗中。报道的最低抑制浓度范围从0.15µg/mL硫化合物到3.1-800+µg/mL皂苷。结论:从葱属植物中提取的皂苷是克服抗真菌药物耐药性的有希望的辅助物,并可能扩大传统硫衍生化合物的治疗选择。这些生物活性分子也显示出在农业上用于对抗土传病原体(如尖孢镰刀菌)的潜力,以及在食品保存中用于对抗意大利青霉和黑霉等腐败真菌的潜力。总的来说,葱属植物是一种有价值的天然抗真菌剂来源,具有广泛的制药和农业意义。
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引用次数: 0
Expression of Concern for Interfering with Lipid Raft Association: A Mechanism to Control Influenza Virus Infection By Sambucus nigra [Iran J Pharm Res. 2017; 16 (3): e124953]. 黑参对流感病毒感染的影响[J] . journal of nurses training; 2017;[16] (3): e124953。
IF 1.8 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-09 eCollection Date: 2025-01-01 DOI: 10.5812/ijpr-168991
Editor-In-Chief Ijpr
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引用次数: 0
Pin1 as a Central Modulator of Wnt/β-Catenin Signaling in Pulmonary Fibrosis: Interplay with EBV-LMP1 and Therapeutic Implications. Pin1作为肺纤维化中Wnt/β-Catenin信号的中枢调节剂:与EBV-LMP1的相互作用及其治疗意义
IF 1.8 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-08 eCollection Date: 2025-01-01 DOI: 10.5812/ijpr-160860
Xiaodan Jiao, Jin Yingli, Yanchao Liu, Hong Jiang Yan, Pei Wang, Yadong Yuan

Background: Pulmonary fibrosis (PF) is characterized by dysregulated signaling, with the Wnt/β-catenin pathway playing a critical role. Pin1, a peptidyl-prolyl isomerase, is implicated in post-translational modifications and cellular signaling.

Objectives: This study explores the expression, localization, and functional role of Pin1 in regulating Wnt/β-catenin signaling in human lung fibroblasts (MRC-5 cells). These cells, derived from normal lung tissue, are commonly used to model fibrotic processes due to their ability to mimic fibroblast behavior in PF. Importantly, we report the first demonstration of Epstein-Barr virus (EBV) latent membrane protein 1 (LMP1)-mediated Pin1 activation in the context of PF. Notably, we demonstrate that EBV-LMP1 activates Pin1 and amplifies Wnt/β-catenin signaling in fibroblasts.

Methods: We employed a combination of Pin1 overexpression and siRNA-mediated knockdown in MRC-5 cells to assess pathway modulation. Subcellular localization analysis was performed, and pathway output was evaluated by quantifying β-catenin, cyclin D1, and Axin2 via Western blotting. Co-immunoprecipitation (Co-IP) was used to examine the Pin1-β-catenin interaction. To examine viral contributions, LMP1 overexpression was carried out, and pharmacological inhibition of Pin1 was achieved using Juglone and PiB.

Results: Pin1 expression was significantly higher in MRC-5 cells compared to alveolar epithelial cells, with a 2.5-fold increase in protein levels (P < 0.05). Pin1 was localized to both the cytoplasm and nucleus. Overexpression of Pin1 led to an approximately two-fold increase in β-catenin (192%), cyclin D1 (178%), and Axin2 (165%) expression compared to controls (P < 0.01), while knockdown reduced their levels by 60%, 55%, and 63%, respectively (P < 0.01). The LMP1 overexpression increased Pin1 by 1.8-fold, strengthened its interaction with β-catenin, and amplified Wnt/β-catenin signaling. Treatment with Wnt3a further enhanced β-catenin expression by 2.4-fold, while XAV939 reduced it by 66% (P < 0.01). Pharmacological inhibition of Pin1 using Juglone and PiB significantly suppressed pathway activation, including LMP1-induced enhancement, with reductions in β-catenin levels by 68% and 72%, respectively (P < 0.01).

Conclusions: Pin1 is a critical regulator of the Wnt/β-catenin pathway in PF, integrating signals from viral and cellular modulators. This study provides novel evidence of EBV-LMP1's role in activating Pin1 in lung fibroblasts, reinforcing its value as a therapeutic target. Pin1 inhibitors effectively downregulate this signaling cascade, even under hyperactive conditions, highlighting their therapeutic potential for PF treatment. While Pin1 inhibitors effectively downregulate this signaling cascade even under hyperactive conditions, their therapeutic potential remains to be validated in preclinical models.

背景:肺纤维化(PF)以信号失调为特征,其中Wnt/β-catenin通路起关键作用。Pin1是一种肽基脯氨酸异构酶,参与翻译后修饰和细胞信号传导。目的:本研究探讨Pin1在人肺成纤维细胞(MRC-5细胞)中表达、定位及其在调节Wnt/β-catenin信号传导中的功能作用。重要的是,我们首次报道了Epstein-Barr病毒(EBV)潜伏膜蛋白1 (LMP1)在PF背景下介导的Pin1激活,值得注意的是,我们证实了EBV-LMP1激活Pin1并放大成纤维细胞中的Wnt/β-catenin信号传导。方法:我们在MRC-5细胞中采用Pin1过表达和sirna介导的敲低相结合的方法来评估通路调节。进行亚细胞定位分析,并通过Western blotting定量检测β-catenin、cyclin D1和Axin2来评估通路输出。采用共免疫沉淀法(Co-IP)检测Pin1-β-catenin相互作用。为了检验病毒的作用,我们进行了LMP1的过表达,并用Juglone和PiB实现了对Pin1的药理学抑制。结果:与肺泡上皮细胞相比,MRC-5细胞中Pin1的表达明显升高,蛋白水平升高2.5倍(P < 0.05)。Pin1定位于细胞质和细胞核。Pin1过表达导致β-catenin(192%)、cyclin D1(178%)和Axin2(165%)的表达比对照组增加约两倍(P < 0.01),而敲低则分别使其表达减少60%、55%和63% (P < 0.01)。LMP1过表达使Pin1增加1.8倍,增强了其与β-catenin的相互作用,增强了Wnt/β-catenin信号传导。Wnt3a使β-catenin的表达提高了2.4倍,而XAV939使其表达降低了66% (P < 0.01)。用Juglone和PiB抑制Pin1可显著抑制通路激活,包括lmp1诱导的增强,β-catenin水平分别降低68%和72% (P < 0.01)。结论:Pin1是PF中Wnt/β-catenin通路的关键调节因子,整合来自病毒和细胞调节剂的信号。本研究为EBV-LMP1在肺成纤维细胞中激活Pin1的作用提供了新的证据,增强了其作为治疗靶点的价值。即使在过度活跃的情况下,Pin1抑制剂也能有效下调这种信号级联,这突出了它们在PF治疗中的治疗潜力。尽管Pin1抑制剂即使在过度活跃的情况下也能有效下调这种信号级联,但它们的治疗潜力仍有待于在临床前模型中得到验证。
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引用次数: 0
Protective Effects of Berberine-Loaded Black Seed (Nigella sativa L.) Oil Nanoemulsion in the Atherosclerotic Mouse Model. 含小檗碱的黑籽的保护作用油纳米乳在动脉粥样硬化小鼠模型中的应用。
IF 1.8 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-06 eCollection Date: 2025-01-01 DOI: 10.5812/ijpr-162867
Nasim Darjani, Negar Panahi, Pejman Mortazavi, Mohammad Kazem Koohi

Background: This study investigated atherosclerosis (AS), a pivotal contributor to the onset of coronary artery disease and other cardiovascular ailments.‎.

Objectives: The presents study examined a novel therapeutic strategy combining black seed oil [Nigella sativa L. (NS)] and berberine (BBR) in a C57BL/6J mouse model of AS.

Methods: After preparing the NS nanoemulsion, gas chromatography-mass spectrometry (GC-MS) was used for analysis. A BBR-loaded black seed oil-based nanoemulsion (BBS) was developed and evaluated for its thermodynamic stability, viscosity, particle size, and dynamic light scattering (DLS) properties. Forty-eight male C57BL/6J mice (8 weeks old, 18 - 20 g) were divided into six groups and fed a modified AIN-76 diet with 25% dietary fat for 16 weeks to induce AS. Treatment began after 8 weeks through oral gavage for the remaining 8 weeks. Levels of low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglyceride (TG), and total cholesterol were measured, along with the atherogenic coefficient and cardiac risk ratio. We also quantified malondialdehyde (MDA), superoxide dismutase (SOD), glutathione peroxidase (GPX), and catalase (CAT) activities, and assessed pathological changes in cardiac and aortic tissues using hematoxylin and eosin (H&E) staining.

Results: The GC-MS analysis confirmed that NS oil met quality benchmarks, displaying stability with a zeta potential of -18.4 mV. The study showed a Polydispersity Index (PDI) of 0.3019 and a Z-average of 250.4 nm. The BBS improved lipid profiles in mice, increasing HDL and decreasing LDL, TG, and total cholesterol, thereby reducing cardiac risk. The formulation exhibited strong antioxidant effects, with reduced MDA levels and enhanced SOD, GPX, and CAT activities. Pathological observations supported these biochemical results.

Conclusions: Our findings suggest that BBS offers valuable insights into the mechanisms underlying atherosclerotic disease. This understanding could pave the way for novel approaches to cardiovascular health and the development of effective preventive strategies.

背景:本研究调查了动脉粥样硬化(AS),这是冠状动脉疾病和其他心血管疾病发病的关键因素。目的:研究黑籽油(Nigella sativa L., NS)与小檗碱(berberine, BBR)联合治疗C57BL/6J小鼠AS模型的新策略。方法:制备纳米乳后,采用气相色谱-质谱联用技术进行分析。研制了一种负载bbr的黑籽油基纳米乳(BBS),并对其热力学稳定性、粘度、粒径和动态光散射性能进行了评价。选取8周龄、18 ~ 20 g的雄性C57BL/6J小鼠48只,随机分为6组,饲喂脂肪含量为25%的改良AIN-76日粮,连续16周诱导AS。8周后开始治疗,其余8周灌胃。测量低密度脂蛋白(LDL)、高密度脂蛋白(HDL)、甘油三酯(TG)和总胆固醇水平,以及动脉粥样硬化系数和心脏风险比。我们还量化了丙二醛(MDA)、超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GPX)和过氧化氢酶(CAT)的活性,并使用苏木精和伊红(H&E)染色评估了心脏和主动脉组织的病理变化。结果:GC-MS分析证实,NS油符合质量标准,zeta电位为-18.4 mV,具有稳定性。研究结果表明,多分散性指数(PDI)为0.3019,z -平均值为250.4 nm。BBS改善了小鼠的脂质谱,增加了HDL,降低了LDL, TG和总胆固醇,从而降低了心脏风险。该配方具有较强的抗氧化作用,降低MDA水平,提高SOD、GPX和CAT活性。病理观察支持这些生化结果。结论:我们的研究结果表明,BBS对动脉粥样硬化疾病的机制提供了有价值的见解。这种理解可以为心血管健康的新方法和有效预防策略的发展铺平道路。
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引用次数: 0
Secondary Autoimmune Dermatological Disorders Induced by Multiple Sclerosis Biological Immunotherapy Agents: A Systematic Review of Case Reports. 多发性硬化症诱导的继发性自身免疫性皮肤病生物免疫治疗药物:病例报告的系统回顾。
IF 1.8 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-02 eCollection Date: 2025-01-01 DOI: 10.5812/ijpr-166426
Mohammad Ali Sahraian, Shahboddin Emami, Sara Ataei, Fahime Nasr Esfahani, Nasibeh Ghalandari

Context: Multiple sclerosis (MS) is a devastating autoimmune neurodegenerative disease, for which disease-modifying drugs (DMDs) have been associated with secondary autoimmune dermatological disorders.

Objectives: This systematic review of case reports seeks to examine documented case reports involving biological medications utilized in managing MS attacks and disease progression that correlate with such dermatological complications.

Evidence acquisition: A systematic search was conducted in the Google Scholar, Scopus, and PubMed databases for studies published until January 2024. The search strategy employed combinations of keywords such as "multiple sclerosis" with specific biological agents ("Natalizumab" OR "Ocrelizumab" OR "Rituximab" OR "Alemtuzumab" OR "Ofatumumab" OR "Ublituximab") and "case report", incorporating relevant Medical Subject Headings (MeSH) terms. All articles, if full texts were available, on case reports and case series of autoimmune dermatological complications of biological medication of MS were analyzed. The quality of the case reports was evaluated using the Joanna Briggs Institute (JBI) critical appraisal checklist.

Results: A total of 19 articles fulfilled the inclusion criteria and were included in this review. The highest frequency of secondary autoimmune complications was documented with alemtuzumab administration, whereas rituximab demonstrated the lowest incidence of dermal autoimmune manifestations in MS patients.

Conclusions: The employed injectable MS immunotherapies demonstrate various autoimmune adverse reactions that have been documented across numerous case reports. This review examines different categories of secondary autoimmune complications and explores the theoretical mechanisms underlying their development.

背景:多发性硬化症(MS)是一种毁灭性的自身免疫性神经退行性疾病,疾病调节药物(dmd)与继发性自身免疫性皮肤病有关。目的:本系统的病例报告综述旨在检查文献病例报告,包括用于管理与此类皮肤并发症相关的多发性硬化症发作和疾病进展的生物药物。证据获取:在b谷歌Scholar、Scopus和PubMed数据库中进行系统检索,检索到2024年1月之前发表的研究。搜索策略采用关键词组合,如“多发性硬化症”与特定生物制剂(“Natalizumab”或“Ocrelizumab”或“Rituximab”或“Alemtuzumab”或“Ofatumumab”或“Ublituximab”)和“病例报告”,结合相关医学主题标题(MeSH)术语。如果有全文,我们分析了所有关于多发性硬化症生物药物治疗的自身免疫性皮肤病并发症的病例报告和病例系列。病例报告的质量使用乔安娜布里格斯研究所(JBI)关键评估清单进行评估。结果:共有19篇文章符合纳入标准,被纳入本综述。阿仑单抗组继发性自身免疫性并发症的发生率最高,而利妥昔单抗组在MS患者中皮肤自身免疫性表现的发生率最低。结论:所采用的注射性MS免疫疗法显示出各种自身免疫不良反应,这些不良反应已在许多病例报告中被记录下来。本文综述了不同类型的继发性自身免疫性并发症,并探讨了其发展的理论机制。
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引用次数: 0
Ellagic Acid Ameliorates Diabetic Cardiomyopathy by Inhibiting Ferroptosis Through the Modulation of the SIRT1/p53 Pathway in Streptozotocin-Induced Diabetic Rats. 鞣花酸通过调节链脲佐菌素诱导的糖尿病大鼠的SIRT1/p53通路抑制铁下垂来改善糖尿病心肌病。
IF 1.8 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-12-02 eCollection Date: 2025-01-01 DOI: 10.5812/ijpr-166600
Qingmei Wang, Xuanguo Zhang, Li Xi

Background: Diabetic cardiomyopathy (DCM) involves ferroptosis, an iron-dependent cell death pathway. Ellagic acid (EA), a natural antioxidant flavonoid, may offer therapeutic potential; however, its mechanisms in DCM remain unexplored.

Objectives: This study investigated the cardioprotective effects of EA in experimental DCM, focusing on its capacity to mitigate ferroptosis via the sirtuin 1 (SIRT1)/p53 pathway.

Methods: The EA (25, 50, or 100 mg/kg/day) was orally administered to streptozotocin (STZ)-induced diabetic rats for 60 days. We assessed cardiac function, histology, metabolic parameters, oxidative stress, inflammation, and key markers of ferroptosis and the SIRT1/p53 axis. Data were analyzed by one-way analysis of variance (ANOVA) with Tukey's post-hoc test.

Results: The EA treatment dose-dependently attenuated cardiac hypertrophy, myocardial injury, and metabolic dysregulation, with maximal benefits at 100 mg/kg. It also reduced oxidative stress and inflammation. Crucially, EA inhibited ferroptosis, as evidenced by reduced iron overload and upregulation of solute carrier family 7 member 11 (SLC7A11) and glutathione peroxidase 4 (GPX4). These benefits were associated with the upregulation of SIRT1 and downregulation of p53 in cardiac tissue.

Conclusions: The EA mitigates DCM by suppressing ferroptosis, potentially through modulation of the SIRT1/p53 pathway, thereby improving cardiac function and metabolic homeostasis. However, as this study utilized an STZ-induced model of type 1 diabetes, further research is warranted to confirm its efficacy in type 2 diabetic contexts.

背景:糖尿病性心肌病(DCM)涉及铁下垂,铁依赖性细胞死亡途径。鞣花酸(EA)是一种天然抗氧化剂类黄酮,可能具有治疗潜力;然而,其在DCM中的机制仍未被探索。目的:本研究探讨EA在实验性DCM中的心脏保护作用,重点研究其通过sirtuin 1 (SIRT1)/p53通路减轻铁下沉的能力。方法:采用链脲佐菌素(STZ)诱导的糖尿病大鼠口服EA(25、50、100 mg/kg/d) 60 d。我们评估了心功能、组织学、代谢参数、氧化应激、炎症以及铁下垂和SIRT1/p53轴的关键标志物。数据分析采用单因素方差分析(ANOVA)和Tukey事后检验。结果:EA治疗剂量依赖性地减轻了心肌肥厚、心肌损伤和代谢失调,在100 mg/kg时效果最大。它还能减少氧化应激和炎症。至关重要的是,EA抑制铁凋亡,这可以通过减少铁超载和上调溶质载体家族7成员11 (SLC7A11)和谷胱甘肽过氧化物酶4 (GPX4)来证明。这些益处与心脏组织中SIRT1的上调和p53的下调有关。结论:EA通过抑制铁下垂减轻DCM,可能通过调节SIRT1/p53通路,从而改善心功能和代谢稳态。然而,由于本研究采用的是stz诱导的1型糖尿病模型,其对2型糖尿病的疗效有待进一步研究。
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Iranian Journal of Pharmaceutical Research
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