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Alternative reinforcers enhance the effects of opioid antagonists, but not agonists, on oxycodone choice self-administration in nonhuman primates 替代性强化剂能增强阿片类拮抗剂而非激动剂对非人灵长类动物羟考酮选择自我给药的影响
IF 3.5 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-16 DOI: 10.1124/jpet.123.001911
Fernando B. de Moura, Stephen J. Kohut
Clinical reports suggest that the most effective strategies for managing opioid use disorder comprise a comprehensive treatment program of both pharmacological and non-pharmacological approaches. However, the conditions under which these combinations are most effective are not well characterized. This study examined whether the presence of an alternative reinforcer could alter the efficacy of FDA-approved opioid antagonist or agonist medications, as well as the non-opioid flumazenil, in decreasing oxycodone choice self-administration in nonhuman primates. Adult squirrel monkeys (n=7; 4 females) responded under concurrent second-order FR3(FR5:S);TO45s schedules of reinforcement for intravenous oxycodone (0.1mg/kg) or saline on one lever and 30% sweetened condensed milk or water on the other. Doses of naltrexone (0.00032-1.0mg/kg), nalbuphine (0.32-10mg/kg), buprenorphine (0.0032-0.032mg/kg), methadone (0.32-1.0mg/kg), or flumazenil (1-3.2mg/kg) were administered intramuscularly prior to oxycodone self-administration sessions that occurred with either milk or water as the alternative. Naltrexone, a m-opioid receptor antagonist, was >30-fold more potent when milk was available compared to water and abolished oxycodone intake (injections/session) while concomitantly increasing milk deliveries at the highest dose tested. Pretreatment with the low efficacy m-agonist nalbuphine was most effective in the presence of milk compared to water, decreasing oxycodone preference to <50% of control values. The higher efficacy m-agonists, methadone and buprenorphine, and the benzodiazepine antagonist flumazenil, did not appreciably alter the reinforcing potency of oxycodone under either condition. These results suggest that antagonist medications used in combination with alternative reinforcers may be an effective strategy to curtail opioid abuse-related behaviors.
临床报告显示,控制阿片类药物使用障碍的最有效策略包括药物和非药物方法的综合治疗方案。然而,这些组合在什么条件下最有效,目前还没有很好的定性。本研究考察了替代性强化剂的存在是否会改变美国食品及药物管理局批准的阿片类拮抗剂或激动剂药物以及非阿片类药物氟马西尼对减少非人灵长类动物羟考酮选择自我给药的疗效。成年松鼠猴(n=7;4只雌猴)在同时进行的二阶FR3(FR5:S);TO45s强化表中,一边杠杆是静脉注射羟考酮(0.1mg/kg)或生理盐水,另一边杠杆是30%的甜炼乳或水。在进行羟考酮自我给药之前,肌肉注射纳曲酮(0.00032-1.0 毫克/千克)、纳布啡(0.32-10 毫克/千克)、丁丙诺啡(0.0032-0.032 毫克/千克)、美沙酮(0.32-1.0 毫克/千克)或氟马西尼(1-3.2 毫克/千克)。纳曲酮是一种m-阿片受体拮抗剂,与水相比,在有牛奶的情况下,纳曲酮的药效要高出30倍,而且在测试的最高剂量下,纳曲酮可以取消羟考酮的摄入量(注射次数/疗程),同时增加牛奶的输送量。与水相比,使用低效m-激动剂纳布啡进行预处理在有牛奶的情况下最为有效,可将羟考酮偏好降低到对照值的50%。美沙酮、丁丙诺啡和苯二氮卓拮抗剂氟马西尼这几种药效较高的间苯二氮卓拮抗剂在这两种条件下都没有明显改变羟考酮的强化效力。这些结果表明,将拮抗剂药物与替代性强化剂结合使用可能是抑制阿片类药物滥用相关行为的有效策略。
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引用次数: 0
Evaluating the potential for psilocybin as a treatment for post-traumatic stress disorder 评估迷幻药治疗创伤后应激障碍的潜力
IF 3.5 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-16 DOI: 10.1124/jpet.124.002237
Claire E Miller, Phillip R Zoladz
Post-traumatic stress disorder (PTSD) is a debilitating psychiatric condition that develops following exposure to a traumatic event. Individuals with this condition experience numerous physiological and behavioral alterations, including intrusive memories, avoidance of trauma-related stimuli, heightened anxiety, hypervigilance, impaired cognition, elevated resting heart rate and blood pressure, and altered neuroendocrine function, to name a few. In most patients, currently available pharmacological and psychological treatments are insufficient to alleviate the array of symptoms associated with the disorder. Thus, novel treatment options that can more effectively target the core etiology of PTSD are desperately needed. Recent work demonstrating the psychoplastogenic effects of psychedelics has reinvigorated research to examine their therapeutic potential in psychiatric conditions. Psilocybin, one psychedelic found in the Psilocybe genus of mushrooms, has exhibited promising antidepressant and anxiolytic effects in preclinical and clinical studies. The purpose of this review is to summarize the existing research that has examined the behavioral effects of psilocybin and link it to potential efficacy in treating PTSD-related symptoms. The proposed mechanisms for psilocybin's effects are then explored, as are the benefits and drawbacks for the agent's therapeutic use. Finally, the challenges faced by investigators aiming to study psilocybin as a therapeutic aid in future studies are discussed in order to shed light on this budding area of research.
创伤后应激障碍(PTSD)是一种令人衰弱的精神疾病,是在遭受创伤事件后出现的。患者会出现许多生理和行为改变,包括侵入性记忆、回避与创伤相关的刺激、焦虑加剧、过度警觉、认知能力受损、静息心率和血压升高以及神经内分泌功能改变等等。对于大多数患者来说,目前可用的药物和心理治疗不足以缓解与该疾病相关的一系列症状。因此,亟需能更有效地针对创伤后应激障碍核心病因的新型治疗方案。最近的研究表明,迷幻剂具有精神增殖效应,这为研究迷幻剂在精神疾病方面的治疗潜力注入了新的活力。在临床前和临床研究中,迷幻蘑菇中的一种迷幻剂--迷幻蘑菇素(Psilocybin)表现出了良好的抗抑郁和抗焦虑效果。本综述旨在总结现有的研究,这些研究考察了迷幻蘑菇素的行为效应,并将其与治疗创伤后应激障碍相关症状的潜在疗效联系起来。然后,探讨了所提出的迷幻药作用机制,以及使用这种药物进行治疗的益处和弊端。最后,讨论了研究人员在未来研究中将迷幻药作为治疗辅助药物所面临的挑战,以揭示这一崭露头角的研究领域。
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引用次数: 0
Nonclinical Profile of PF-06952229 (MDV6058), a Novel TGFβRI/Activin Like Kinase 5 (ALK-5) Inhibitor Supports Clinical Evaluation in Cancer 新型 TGFβRI/Activin Like Kinase 5 (ALK-5) 抑制剂 PF-06952229 (MDV6058) 的非临床研究结果支持癌症临床评估
IF 3.5 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-16 DOI: 10.1124/jpet.124.002193
Mausumee Guha, Stephane Thibault, Son Pham, Sebastian Bernales, Rama Pai, Francisco J. Herrera, Theodore R. Johnson, Allison Vitsky, Tina Fernando, Martin Finkelstein
The development of TGFβR inhibitors (TGFβRi) as new medicines have been affected by cardiac valvulopathy and arteriopathy toxicity findings in nonclinical toxicology studies. PF-06952229 (MDV6058) selected using rational drug design is a potent and selective TGFβRI inhibitor (TGFβRIi) with a relatively clean off-target selectivity profile and good pharmacokinetic properties across species. PF-06952229 inhibited clinically translatable phospho-SMAD2 biomarker ({greater than or equal to}60%) in human and cynomolgus monkey peripheral blood mononuclear cells, as well as in mouse and rat splenocytes. Using an optimized, intermittent dosing schedule (7 day-on, 7-off/cycle; five cycles), PF-06952229 demonstrated efficacy in a 63-day syngeneic MC38 colon carcinoma mouse model. In the pivotal repeat dose toxicity studies (rat and cynomolgus monkey), PF-06952229 on an intermittent dosing schedule (5 day-on, 5-off/cycle; five cycles, 28 doses) showed no cardiac-related adverse findings. However, new toxicity findings related to PF-06952229 included reversible hepatocellular (hepatocyte necrosis with corresponding clinically monitorable transaminase increases) and lung (hemorrhage with mixed cell inflammation) findings at {greater than or equal to} targeted projected clinical efficacious exposures. Furthermore, partially reversible cartilage hypertrophy (trachea and femur in rat; femur in monkey), and partially to fully reversible, clinically monitorable decreases in serum phosphorus and urinary phosphate, at {greater than or equal to} projected clinically efficacious exposures were observed. Given the integral role of TGFβ in endochondral bone formation, cartilage findings in toxicity studies have been observed with other TGFβRi class of compounds. The favorable cumulative profile of PF-06952229 in biochemical, pharmacodynamic, pharmacokinetic and nonclinical studies, allowed for its evaluation in cancer patients using the intermittent dosing schedule (7-on/7-off) and careful protocol-defined monitoring.
TGFβR 抑制剂(TGFβRi)作为新药的开发一直受到非临床毒理学研究中发现的心脏瓣膜病变和动脉病变毒性的影响。通过合理药物设计筛选出的 PF-06952229 (MDV6058) 是一种强效、选择性的 TGFβRI 抑制剂(TGFβRIi),具有相对干净的脱靶选择性特征和良好的跨物种药代动力学特性。PF-06952229 可抑制人和野猴外周血单核细胞以及小鼠和大鼠脾细胞中临床可转化的磷酸化-SMAD2 生物标志物({大于或等于}60%)。PF-06952229 采用优化的间歇给药方案(7 天/周期,7 天/周期,5 个周期),在为期 63 天的合成 MC38 结肠癌小鼠模型中显示出疗效。在关键的重复剂量毒性研究(大鼠和野猴)中,PF-06952229 的间歇给药计划(5 天-1 次,5 次-停药/周期;5 个周期,28 次给药)未发现与心脏相关的不良反应。然而,与PF-06952229有关的新毒性发现包括在{大于或等于}目标预测临床有效暴露量时出现的可逆性肝细胞(肝细胞坏死,并伴有相应的临床可监测转氨酶升高)和肺部(出血,伴有混合细胞炎症)。此外,还观察到部分可逆的软骨肥大(大鼠的气管和股骨;猴子的股骨),以及部分至完全可逆的、临床上可监测的血清磷和尿磷酸盐下降,{高于或等于}预计的临床疗效暴露量。鉴于 TGFβ 在软骨内骨形成中的重要作用,其他 TGFβRi 类化合物在毒性研究中也观察到软骨发现。PF-06952229在生化、药效学、药代动力学和非临床研究中具有良好的累积特征,因此可以采用间歇给药计划(7-on/7-off)和谨慎的方案定义监测对其进行癌症患者评估。
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引用次数: 0
Sensory-motor neuropathy in Mfn2 T105M knock-in mice and its reversal by a novel piperine-derived mitofusin activator Mfn2 T105M基因敲入小鼠的感觉运动神经病及其通过新型哌啶衍生丝裂霉素激活剂的逆转作用
IF 3.5 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-16 DOI: 10.1124/jpet.124.002258
Jochen Weigele, Lihong Zhang, Antonietta Franco, Etienne Cartier, Gerald W. Dorn
Mitochondrial dysfunction is a hallmark of many genetic neurodegenerative diseases, but therapeutic options to reverse mitochondrial dysfunction are limited. While recent studies support the possibility of improving mitochondrial fusion/fission dynamics and motility to correct mitochondrial dysfunction and resulting neurodegeneration in Charcot-Marie-Tooth disease (CMT) and other neuropathies, the clinical utility of reported compounds and relevance of pre-clinical models are uncertain. Here, we describe motor and sensory neuron dysfunction characteristic of clinical CMT type 2A in a CRISPR/Casp-engineered Mfn2 Thr105Met (T105M) mutant knock-in mouse. We further demonstrate that daily oral treatment with a novel mitofusin activator derived from the natural product piperine can reverse these neurological phenotypes. Piperine derivative 8015 promoted mitochondrial fusion and motility in Mfn2-deficient cells in a mitofusin-dependent manner, and reversed mitochondrial dysfunction in cultured fibroblasts and reprogrammed motor neurons from a human CMT2A patient carrying the MFN2 T105M mutation. Like previous mitofusin activators, 8015 exhibited stereospecific functionality, but the more active stereoisomer, 8015-P2, is unique in that it has sub-nanomolar potency and undergoes entero-hepatic recirculation which extends its in vivo half-life. Daily administration of 8015-P2 to Mfn2 T105M knock-in mice for 6 weeks normalized neuromuscular and sensory dysfunction and corrected histological/ultrastructural neurodegeneration and neurogenic myoatrophy. These studies describe a more clinically relevant mouse model of CMT2A and an improved mitofusin activator derived from piperine. We posit that 8015-P2 and other piperine derivatives may benefit CMT2A or other neurodegenerative conditions wherein mitochondrial dysdynamism plays a contributory role.
线粒体功能障碍是许多遗传性神经退行性疾病的标志,但逆转线粒体功能障碍的治疗方案却很有限。尽管最近的研究支持通过改善线粒体融合/分裂动力学和运动性来纠正线粒体功能障碍以及由此导致的夏科-玛丽-牙病(CMT)和其他神经病的神经退行性变的可能性,但所报道的化合物的临床实用性和临床前模型的相关性尚不确定。在这里,我们描述了在 CRISPR/Casp 工程化的 Mfn2 Thr105Met(T105M)突变基因敲入小鼠中出现的具有临床 CMT 2A 型特征的运动和感觉神经元功能障碍。我们进一步证明,每天口服一种从天然产品胡椒碱中提取的新型丝裂蛋白激活剂可以逆转这些神经表型。胡椒碱衍生物 8015 能以有丝分裂素依赖的方式促进 Mfn2 缺陷细胞的线粒体融合和运动,并能逆转培养的成纤维细胞和来自携带 MFN2 T105M 突变的人类 CMT2A 患者的重编程运动神经元的线粒体功能障碍。与以前的丝裂霉素激活剂一样,8015 也具有立体特异性,但活性更强的立体异构体 8015-P2 的独特之处在于它具有亚纳摩尔效力,并能进行肠肝再循环,从而延长了其体内半衰期。Mfn2 T105M 基因敲入小鼠每天服用 8015-P2 6 周后,神经肌肉和感觉功能障碍趋于正常,组织学/超微结构神经变性和神经源性肌萎缩得到纠正。这些研究描述了一种更贴近临床的 CMT2A 小鼠模型和一种从胡椒碱中提取的改良丝裂霉素激活剂。我们认为,8015-P2 和其他胡椒碱衍生物可能对 CMT2A 或其他线粒体失调的神经退行性疾病有益。
{"title":"Sensory-motor neuropathy in Mfn2 T105M knock-in mice and its reversal by a novel piperine-derived mitofusin activator","authors":"Jochen Weigele, Lihong Zhang, Antonietta Franco, Etienne Cartier, Gerald W. Dorn","doi":"10.1124/jpet.124.002258","DOIUrl":"https://doi.org/10.1124/jpet.124.002258","url":null,"abstract":"Mitochondrial dysfunction is a hallmark of many genetic neurodegenerative diseases, but therapeutic options to reverse mitochondrial dysfunction are limited. While recent studies support the possibility of improving mitochondrial fusion/fission dynamics and motility to correct mitochondrial dysfunction and resulting neurodegeneration in Charcot-Marie-Tooth disease (CMT) and other neuropathies, the clinical utility of reported compounds and relevance of pre-clinical models are uncertain. Here, we describe motor and sensory neuron dysfunction characteristic of clinical CMT type 2A in a CRISPR/Casp-engineered Mfn2 Thr105Met (T105M) mutant knock-in mouse. We further demonstrate that daily oral treatment with a novel mitofusin activator derived from the natural product piperine can reverse these neurological phenotypes. Piperine derivative 8015 promoted mitochondrial fusion and motility in Mfn2-deficient cells in a mitofusin-dependent manner, and reversed mitochondrial dysfunction in cultured fibroblasts and reprogrammed motor neurons from a human CMT2A patient carrying the MFN2 T105M mutation. Like previous mitofusin activators, 8015 exhibited stereospecific functionality, but the more active stereoisomer, 8015-P2, is unique in that it has sub-nanomolar potency and undergoes entero-hepatic recirculation which extends its in vivo half-life. Daily administration of 8015-P2 to Mfn2 T105M knock-in mice for 6 weeks normalized neuromuscular and sensory dysfunction and corrected histological/ultrastructural neurodegeneration and neurogenic myoatrophy. These studies describe a more clinically relevant mouse model of CMT2A and an improved mitofusin activator derived from piperine. We posit that 8015-P2 and other piperine derivatives may benefit CMT2A or other neurodegenerative conditions wherein mitochondrial dysdynamism plays a contributory role.","PeriodicalId":16798,"journal":{"name":"Journal of Pharmacology and Experimental Therapeutics","volume":"7 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142255557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
First-in-Class Mitogen-Activated Protein Kinase p38α: MAPK-Activated Protein Kinase-2 (MK2) Dual Signal Modulator with Anti-inflammatory and Endothelial-stabilizing Properties 第一类具有抗炎和内皮稳定特性的丝裂原活化蛋白激酶 p38α:具有抗炎和稳定内皮特性的 MAPK 激活蛋白激酶-2 (MK2) 双信号调节剂
IF 3.5 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-16 DOI: 10.1124/jpet.124.002281
Mohan E Tulapurkar, Kari Ann Shirey, Katerina N. Lugkey, Wendy Luo, Ritu Lal, Adam Galan, Omar Mahmoud, Nathaniel McClean, Kiruphagaran Thangaraju, Daniel Cericola, Daniel Lewis, William A. Murphy, Steven Fletcher, Alexander D. MacKerell, Stefanie N. Vogel, Paul Shapiro, Jeffrey D Hasday
We previously identified a small molecule, UM101, predicted to bind to the substrate-binding groove of p38aMitogen-activated Protein Kinase (MAPK) near the binding site of its proinflammatory substrate, MAPK-activated protein kinase (MK2). UM101 exhibited anti-inflammatory, endothelial-stabilizing, and lung-protective effects. To overcome its limited aqueous solubility and p38a binding affinity, we designed an analog of UM101, GEn-1124, with improved aqueous solubility, stability, and p38a binding affinity. Compared with UM101, GEn-1124 has 18-fold greater p38a-binding affinity as measured by Surface Plasmon Resonance (SPR), 11-fold greater aqueous solubility, enhanced barrier-stabilizing activity in thrombin-stimulated human pulmonary artery endothelial cells (hPAEC) in vitro, and greater lung protection in vivo. GEn-1124 improved survival from 10% to 40% in murine acute lung injury (ALI) induced by combined exposure to intratracheal bacterial endotoxin lipopolysaccharide (LPS) instillation and febrile-range hyperthermia (FRH) and from 0% to 50% in a mouse influenza pneumonia model. Gene expression analysis by RNASeq in TNFa-treated hPAEC showed that the gene-modifying effects of GEn-1124 were much more restricted to TNFa-inducible genes than the catalytic site p38 inhibitor, SB203580. Gene expression pathway analysis, confocal immunofluorescence analysis of p38aand MK2 subcellular trafficking, and SPR analysis of phosphorylated p38a:MK2 binding affinity supports a novel mechanism of action. GEn-1124 destabilizes the activated p38a:MK2 complex, dissociates nuclear export of MK2 and p38a, thereby promoting intranuclear retention and enhanced intranuclear signaling by phosphorylated p38a retention, and accelerated inactivation of p38-free cytosolic MK2 by unopposed phosphatases.
我们先前发现了一种小分子 UM101,据预测它能与 p38a 肌原激活蛋白激酶(MAPK)的底物结合槽结合,该结合槽靠近其促炎底物 MAPK 激活蛋白激酶(MK2)的结合位点。UM101 具有抗炎、稳定血管内皮和保护肺部的作用。为了克服 UM101 有限的水溶性和 p38a 结合亲和力,我们设计了一种 UM101 的类似物 GEn-1124,它具有更好的水溶性、稳定性和 p38a 结合亲和力。与 UM101 相比,通过表面等离子共振(SPR)测量,GEn-1124 的 p38a 结合亲和力提高了 18 倍,水溶性提高了 11 倍,在体外凝血酶刺激的人肺动脉内皮细胞(hPAEC)中增强了屏障稳定活性,并在体内增强了肺保护能力。在气管内细菌内毒素脂多糖(LPS)灌注和发热范围高热(FRH)联合暴露诱导的小鼠急性肺损伤(ALI)中,GEn-1124能将存活率从10%提高到40%;在小鼠流感肺炎模型中,GEn-1124能将存活率从0%提高到50%。通过RNASeq对TNFa处理的hPAEC进行的基因表达分析表明,与催化位点p38抑制剂SB203580相比,GEn-1124对TNFa诱导基因的基因修饰作用更局限于TNFa诱导基因。基因表达通路分析、p38a 和 MK2 亚细胞贩运的共聚焦免疫荧光分析以及磷酸化 p38a:MK2 结合亲和力的 SPR 分析支持了一种新的作用机制。GEn-1124 能破坏活化的 p38a:MK2 复合物的稳定性,使 MK2 和 p38a 的核输出分离,从而通过磷酸化 p38a 的滞留促进核内滞留和增强核内信号传导,并加速无 p38 的细胞膜 MK2 被未抗衡的磷酸酶灭活。
{"title":"First-in-Class Mitogen-Activated Protein Kinase p38α: MAPK-Activated Protein Kinase-2 (MK2) Dual Signal Modulator with Anti-inflammatory and Endothelial-stabilizing Properties","authors":"Mohan E Tulapurkar, Kari Ann Shirey, Katerina N. Lugkey, Wendy Luo, Ritu Lal, Adam Galan, Omar Mahmoud, Nathaniel McClean, Kiruphagaran Thangaraju, Daniel Cericola, Daniel Lewis, William A. Murphy, Steven Fletcher, Alexander D. MacKerell, Stefanie N. Vogel, Paul Shapiro, Jeffrey D Hasday","doi":"10.1124/jpet.124.002281","DOIUrl":"https://doi.org/10.1124/jpet.124.002281","url":null,"abstract":"We previously identified a small molecule, UM101, predicted to bind to the substrate-binding groove of p38aMitogen-activated Protein Kinase (MAPK) near the binding site of its proinflammatory substrate, MAPK-activated protein kinase (MK2). UM101 exhibited anti-inflammatory, endothelial-stabilizing, and lung-protective effects. To overcome its limited aqueous solubility and p38a binding affinity, we designed an analog of UM101, GEn-1124, with improved aqueous solubility, stability, and p38a binding affinity. Compared with UM101, GEn-1124 has 18-fold greater p38a-binding affinity as measured by Surface Plasmon Resonance (SPR), 11-fold greater aqueous solubility, enhanced barrier-stabilizing activity in thrombin-stimulated human pulmonary artery endothelial cells (hPAEC) <em>in vitro,</em> and greater lung protection <em>in vivo</em>. GEn-1124 improved survival from 10% to 40% in murine acute lung injury (ALI) induced by combined exposure to intratracheal bacterial endotoxin lipopolysaccharide (LPS) instillation and febrile-range hyperthermia (FRH) and from 0% to 50% in a mouse influenza pneumonia model. Gene expression analysis by RNASeq in TNFa-treated hPAEC showed that the gene-modifying effects of GEn-1124 were much more restricted to TNFa-inducible genes than the catalytic site p38 inhibitor, SB203580. Gene expression pathway analysis, confocal immunofluorescence analysis of p38aand MK2 subcellular trafficking, and SPR analysis of phosphorylated p38a:MK2 binding affinity supports a novel mechanism of action. GEn-1124 destabilizes the activated p38a:MK2 complex, dissociates nuclear export of MK2 and p38a, thereby promoting intranuclear retention and enhanced intranuclear signaling by phosphorylated p38a retention, and accelerated inactivation of p38-free cytosolic MK2 by unopposed phosphatases.","PeriodicalId":16798,"journal":{"name":"Journal of Pharmacology and Experimental Therapeutics","volume":"30 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142255556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors influencing the Central Nervous System (CNS) distribution of the ATR inhibitor elimusertib (BAY1895344): Implications for the treatment of CNS tumors 影响ATR抑制剂elimusertib(BAY1895344)在中枢神经系统(CNS)分布的因素:对中枢神经系统肿瘤治疗的影响
IF 3.5 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-16 DOI: 10.1124/jpet.123.002002
Sneha Rathi, Ann C Mladek, Ju-Hee Oh, Sonja Dragojevic, Danielle M. Burgenske, Wenjuan Zhang, Surabhi Talele, Wenqiu Zhang, Katrina K Bakken, Brett L Carlson, Margaret A Connors, Lihong He, Zeng Hu, Jann N. Sarkaria, William F. Elmquist
Glioblastoma (GBM) is a disease of the whole brain, with infiltrative tumor cells protected by an intact BBB. GBM has a poor prognosis despite aggressive treatment, in part due to lack of adequate drug permeability at the BBB. Standard of care GBM therapies include radiation and cytotoxic chemotherapy that lead to DNA damage. Subsequent activation of DNA damage response (DDR) pathways can induce resistance. Various DDR inhibitors, targeting the key regulators of these pathways such as ataxia telangiectasia mutated and Rad3-related (ATR), are being explored as radio- and chemo-sensitizers. Elimusertib, a novel ATR kinase inhibitor, can prevent repair of damaged DNA, increasing efficacy of DNA damaging cytotoxic therapies. Robust synergy was observed in vitro when elimusertib was combined with the DNA-damaging agent, temozolomide, however, we did not observe improvement with this combination in in vivo efficacy studies in GBM orthotopic tumor-bearing mice. This in vitro - in vivo disconnect was explored to understand factors influencing CNS distribution of elimusertib and reasons for lack of efficacy. We observed that elimusertib is rapidly cleared from systemic circulation in mice and would not maintain adequate exposure in the CNS for efficacious combination therapy with temozolomide. CNS distribution of elimusertib is partially limited by P-gp efflux at the BBB, and high binding to CNS tissues leads to low levels of pharmacologically active (unbound) drug in the brain. Acknowledging the potential for inter-species differences in pharmacokinetics, these data suggest that clinical translation of elimusertib in combination with temozolomide for treatment of GBM may be limited.
胶质母细胞瘤(GBM)是一种全脑疾病,浸润性肿瘤细胞受完整的 BBB 保护。尽管进行了积极的治疗,但 GBM 的预后很差,部分原因是 BBB 缺乏足够的药物渗透性。GBM 的标准疗法包括导致 DNA 损伤的放射治疗和细胞毒性化疗。随后激活的DNA损伤应答(DDR)通路可诱发耐药性。针对这些通路的关键调控因子(如共济失调毛细血管扩张症突变和 Rad3 相关 (ATR))的各种 DDR 抑制剂正被探索用作放射和化疗增敏剂。新型 ATR 激酶抑制剂 Elimusertib 能阻止受损 DNA 的修复,提高 DNA 损伤细胞毒性疗法的疗效。在体外研究中,我们观察到 Elimusertib 与损伤 DNA 的药物替莫唑胺联用时能产生强大的协同作用,但在 GBM 正位肿瘤小鼠的体内疗效研究中,我们并没有观察到这种联用能提高疗效。我们对这种体外-体内脱节的情况进行了探索,以了解影响 elimusertib 在中枢神经系统分布的因素以及缺乏疗效的原因。我们观察到,el elimusertib 在小鼠体内会迅速从全身循环中清除,因此无法在中枢神经系统中保持足够的暴露量,从而无法与替莫唑胺进行有效的联合治疗。艾乐替布在中枢神经系统的分布部分受限于 BBB 的 P-gp 外流,与中枢神经系统组织的高结合率导致脑内药理活性(未结合)药物水平较低。考虑到药代动力学可能存在种间差异,这些数据表明,elimusertib联合替莫唑胺治疗GBM的临床应用可能有限。
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引用次数: 0
Significance of Nitric Oxide Derived from the Nitric Oxide Synthases System in Cardiovascular Inter-Organ Cross-Talk. 一氧化氮合成酶系统产生的一氧化氮在心血管器官间交叉对话中的意义
IF 3.1 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-23 DOI: 10.1124/jpet.124.002222
Masato Tsutsui, Kazuhiro Yatera

Inter-organ cross-talk contributes to the pathogenesis of various disorders, and drug development based on inter-organ cross-talk is attracting attention. The roles of nitric oxide (NO) derived from the NO synthases system (NOSs) in inter-organ cross-talk remain unclear. We have investigated this issue by using our mice deficient in all three NOSs (triple n/i/eNOSs-/- mice). We reported that 2/3 nephrectomized triple n/i/eNOSs-/- mice die suddenly because of early onset of myocardial infarction, suggesting the protective role of NO derived from NOSs in the cross-talk between the kidney and the heart. We studied the role of NO derived from NOSs expressed in the bone marrow in vascular lesion formation. Constrictive arterial remodeling and neointimal formation following unilateral carotid artery ligation were prominently aggravated in wild-type mice transplanted with triple n/i/eNOSs-/- bone marrow cells as compared with those with wild-type bone marrow cells, suggesting the protective role of NO derived from NOSs in the cross-talk between the bone marrow and the blood vessel. We further investigated the role of NO derived from NOSs expressed in the bone marrow in pulmonary hypertension. The extent of pulmonary hypertension after chronic hypoxic exposure was markedly exacerbated in wild-type mice underwent triple n/i/eNOSs-/- bone marrow transplantation as compared with those underwent wild-type bone marrow transplantation, suggesting the protective role of NO derived from NOSs in the cross-talk between the bone marrow and the lung. These lines of evidence demonstrate that systemic and myelocytic NOSs could be novel therapeutic targets for myocardial infarction, vascular disease, and pulmonary hypertension. Significance Statement We demonstrated in studies with triple n/i/eNOSs-/- mice that partial nephrectomy accelerates the occurrence of myocardial infarction induced by systemic NOSs deficiency, that myelocytic NOSs deficiency aggravates vascular lesion formation after unilateral carotid artery ligation, and that myelocytic NOSs deficiency exacerbates chronic hypoxia-induced pulmonary hypertension. These results suggest that NO derived from NOSs plays a protective role in cardiovascular inter-organ cross-talk, indicating that systemic and myelocytic NOSs could be important therapeutic targets for myocardial infarction, vascular disease, and pulmonary hypertension.

器官间的交叉作用是各种疾病的发病机理之一,基于器官间交叉作用的药物开发也备受关注。来自一氧化氮合成酶系统(NOS)的一氧化氮(NO)在器官间交叉对话中的作用仍不清楚。我们利用缺乏所有三种 NOS 的小鼠(三重 n/i/eNOSs-/- 小鼠)研究了这一问题。我们发现,2/3 肾切除的三重 n/i/eNOSs-/- 小鼠会因心肌梗死的早期发生而突然死亡,这表明在肾脏和心脏之间的交叉对话中,来自 NOS 的 NO 起着保护作用。我们研究了源自骨髓中表达的 NOSs 的 NO 在血管病变形成中的作用。与移植了野生型骨髓细胞的小鼠相比,移植了三重n/i/eNOSs-/骨髓细胞的野生型小鼠在单侧颈动脉结扎后收缩性动脉重塑和新内膜形成明显加重,这表明NOSs衍生的NO在骨髓和血管之间的交叉对话中起着保护作用。我们进一步研究了骨髓中表达的NOSs所产生的NO在肺动脉高压中的作用。与接受野生型骨髓移植的小鼠相比,接受 n/i/eNOSs-/ 三重骨髓移植的野生型小鼠在慢性缺氧暴露后的肺动脉高压程度明显加重,这表明 NOSs 衍生的 NO 在骨髓和肺之间的交叉对话中起着保护作用。这些证据表明,全身性NOS和骨髓细胞NOS可成为心肌梗死、血管疾病和肺动脉高压的新型治疗靶点。意义声明 我们在对三重n/i/eNOSs-/-小鼠的研究中证明,肾部分切除会加速全身性NOSs缺乏所诱发的心肌梗死的发生,髓细胞NOSs缺乏会加重单侧颈动脉结扎后血管病变的形成,髓细胞NOSs缺乏会加剧慢性缺氧诱发的肺动脉高压。这些结果表明,NOSs产生的NO在心血管器官间的交叉对话中起着保护作用,表明全身性NOSs和髓细胞NOSs可能是心肌梗死、血管疾病和肺动脉高压的重要治疗靶点。
{"title":"<b>Significance of Nitric Oxide Derived from the</b> <b>Nitric Oxide Synthases System in Cardiovascular</b> <b>Inter-Organ Cross-Talk</b>.","authors":"Masato Tsutsui, Kazuhiro Yatera","doi":"10.1124/jpet.124.002222","DOIUrl":"https://doi.org/10.1124/jpet.124.002222","url":null,"abstract":"<p><p>Inter-organ cross-talk contributes to the pathogenesis of various disorders, and drug development based on inter-organ cross-talk is attracting attention. The roles of nitric oxide (NO) derived from the NO synthases system (NOSs) in inter-organ cross-talk remain unclear. We have investigated this issue by using our mice deficient in all three NOSs (triple n/i/eNOSs<sup>-/-</sup> mice). We reported that 2/3 nephrectomized triple n/i/eNOSs<sup>-/-</sup> mice die suddenly because of early onset of myocardial infarction, suggesting the protective role of NO derived from NOSs in the cross-talk between the kidney and the heart. We studied the role of NO derived from NOSs expressed in the bone marrow in vascular lesion formation. Constrictive arterial remodeling and neointimal formation following unilateral carotid artery ligation were prominently aggravated in wild-type mice transplanted with triple n/i/eNOSs<sup>-/-</sup> bone marrow cells as compared with those with wild-type bone marrow cells, suggesting the protective role of NO derived from NOSs in the cross-talk between the bone marrow and the blood vessel. We further investigated the role of NO derived from NOSs expressed in the bone marrow in pulmonary hypertension. The extent of pulmonary hypertension after chronic hypoxic exposure was markedly exacerbated in wild-type mice underwent triple n/i/eNOSs<sup>-/-</sup> bone marrow transplantation as compared with those underwent wild-type bone marrow transplantation, suggesting the protective role of NO derived from NOSs in the cross-talk between the bone marrow and the lung. These lines of evidence demonstrate that systemic and myelocytic NOSs could be novel therapeutic targets for myocardial infarction, vascular disease, and pulmonary hypertension. <b>Significance Statement</b> We demonstrated in studies with triple n/i/eNOSs<sup>-/-</sup> mice that partial nephrectomy accelerates the occurrence of myocardial infarction induced by systemic NOSs deficiency, that myelocytic NOSs deficiency aggravates vascular lesion formation after unilateral carotid artery ligation, and that myelocytic NOSs deficiency exacerbates chronic hypoxia-induced pulmonary hypertension. These results suggest that NO derived from NOSs plays a protective role in cardiovascular inter-organ cross-talk, indicating that systemic and myelocytic NOSs could be important therapeutic targets for myocardial infarction, vascular disease, and pulmonary hypertension.</p>","PeriodicalId":16798,"journal":{"name":"Journal of Pharmacology and Experimental Therapeutics","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142046846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
KVX-053, a Protein Tyrosine Phosphatase 4A3 inhibitor, ameliorates SARS-CoV-2 Spike protein subunit 1 - induced acute lung injury in mice. 蛋白酪氨酸磷酸酶 4A3 抑制剂 KVX-053 可改善 SARS-CoV-2 Spike 蛋白亚基 1 诱导的小鼠急性肺损伤。
IF 3.1 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-23 DOI: 10.1124/jpet.124.002154
Pavel A Solopov, Ruben Manuel Luciano Colunga Biancatelli, Tierney Day, Betsy Gregory, Elizabeth R Sharlow, John S Lazo, John D Catravas

The Acute Respiratory Distress Syndrome (ARDS), often preceded by acute lung injury (ALI), is characterized by the accumulation of inflammatory fluid in the lung alveoli, leaky alveolar epithelium and endothelium, and overexpression of pro-inflammatory cytokines. This progression from ALI to ARDS is a major contributor to the high mortality observed in COVID-19 patients. The Spike protein of SARS-CoV-2 binds to lung ACE2 and, in addition to facilitating viral cell entry, it plays an important role in the development of ALI and ARDS, especially in the later phases of COVID-19 as well as long COVID. Protein tyrosine phosphatase (PTP) 4A3 is a key mediator of ARDS pathology. This study tested the hypothesis that targeting PTP4A3 would prevent COVID-19 associated ALI. Intratracheal administration of SARS-CoV-2 Spike protein Subunit 1 to K18-hACE2 transgenic mice expressing human ACE2 elicited pulmonary and systemic inflammation, leaky alveoli, overexpression of cytokines, structural lung injury and lung dysfunction; all these symptoms were ameliorated by the selective, allosteric inhibitor of PTP4A3, KVX-053. These findings provide the first evidence supporting a role for PTP4A3 in the development of SARS-CoV-2- mediated ALI. Significance Statement This study tested the hypothesis that targeting PTP4A3 would prevent COVID-19 associated ALI/ARDS. Intratracheal administration of SARS-CoV-2 Spike protein Subunit 1 to K18-hACE2 transgenic mice expressing human ACE2 elicited pulmonary and systemic inflammation, leaky alveoli, overexpression of cytokines and chemokines, structural lung injury and lung dysfunction; all these symptoms were ameliorated by the selective, allosteric inhibitor of PTP4A3, KVX-053. These findings suggest that this novel PTP4A3 inhibitor may be useful against COVID-19 and potentially other viral-induced ARDS.

急性呼吸窘迫综合征(ARDS)通常以急性肺损伤(ALI)为先兆,其特征是肺泡内炎性液体积聚、肺泡上皮和内皮渗漏以及促炎细胞因子过度表达。从 ALI 发展到 ARDS 是 COVID-19 患者死亡率高的主要原因。SARS-CoV-2 的穗状病毒蛋白与肺 ACE2 结合,除了促进病毒细胞进入肺部外,还在 ALI 和 ARDS 的发展过程中发挥重要作用,尤其是在 COVID-19 和长 COVID 的后期阶段。蛋白酪氨酸磷酸酶(PTP)4A3是ARDS病理学的关键介质。本研究测试了靶向 PTP4A3 可预防 COVID-19 相关 ALI 的假设。给表达人 ACE2 的 K18-hACE2 转基因小鼠气管内注射 SARS-CoV-2 Spike 蛋白亚单位 1 会引起肺部和全身炎症、肺泡渗漏、细胞因子过度表达、肺结构损伤和肺功能障碍;PTP4A3 的选择性异位抑制剂 KVX-053 可改善所有这些症状。这些发现首次证明了 PTP4A3 在 SARS-CoV-2 介导的 ALI 发病中的作用。意义声明 本研究测试了靶向 PTP4A3 可预防 COVID-19 相关 ALI/ARDS 的假设。给表达人 ACE2 的 K18-hACE2 转基因小鼠气管内注射 SARS-CoV-2 Spike 蛋白亚基 1 会引起肺部和全身炎症、肺泡渗漏、细胞因子和趋化因子过度表达、肺结构损伤和肺功能障碍;PTP4A3 的选择性异位抑制剂 KVX-053 可改善所有这些症状。这些研究结果表明,这种新型 PTP4A3 抑制剂可能对 COVID-19 以及其他可能由病毒诱发的 ARDS 有帮助。
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引用次数: 0
Inhibition of TTX-S Na+ currents by a novel blocker QLS-278 for antinociception. 新型阻断剂 QLS-278 对 TTX-S Na+ 电流的抑制作用可用于抗痛觉。
IF 3.1 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-21 DOI: 10.1124/jpet.124.002273
Min Su, Xiang-Shuo Ou-Yang, Ping Zhou, Li-Ying Dong, Li-Ming Shao, Ke-Wei Wang, Ya-Ni Liu

Genetic loss-of-function mutations of Nav1.7 channel, abundantly expressed in peripheral nociceptive neurons, cause congenital insensitivity to pain (CIP) in humans, indicating that selective inhibition of the channel may lead to potential therapy of pain disorders. In this study, we investigated a novel compound, 5-chloro-N-(cyclopropylsulfonyl)-2-fluoro-4-(2-(8-(furan-2-ylmethyl)-8-azaspiro [4.5] decan-2-yl) ethoxy) benzamide (QLS-278) that inhibits Nav1.7 channel and exhibits anti-nociceptive activity. Compound QLS-278 exhibits inactivation- and concentration-dependent inhibition of macroscopic currents of Nav1.7 channels stably expressed in HEK293 cells with an IC50 of 1.2 {plus minus} 0.2 μM. QLS-278 causes a hyperpolarization shift of the channel inactivation and delays recovery from inactivation, without an obvious effect on voltage-dependent activation. In mouse DRG neurons, QLS-278 suppresses native TTX-sensitive Nav currents and also reduces neuronal firing. Moreover, QLS-278 dose-dependently relieves neuropathic pain induced by spared nerve injury and inflammatory pain induced by formalin without significant alteration of spontaneous locomotor activity in mice. Altogether, our identification of the novel compound QLS-278 may hold developmental potential for the treatment of chronic pain. Significance Statement QLS-278, a novel voltage-gated sodium Nav1.7 channel blocker, inhibits native TTX-S Na+ current and reduces action potential firings in DRG sensory neurons. QLS-278 also exhibits antinociceptive activity in mouse models of pain, thus demonstrating potential for the development of a treatment for chronic pain.

Nav1.7通道在外周痛觉神经元中大量表达,其基因功能缺失突变会导致人类先天性痛觉不敏感(CIP),这表明选择性抑制该通道可能有助于治疗疼痛疾病。在这项研究中,我们研究了一种新型化合物--5-氯-N-(环丙基磺酰基)-2-氟-4-(2-(8-(呋喃-2-基甲基)-8-氮杂螺[4.5]癸烷-2-基)乙氧基)苯甲酰胺(QLS-278),它能抑制 Nav1.7 通道并表现出抗痛活性。化合物 QLS-278 对稳定表达在 HEK293 细胞中的 Nav1.7 通道的大电流具有失活和浓度依赖性抑制作用,IC50 为 1.2 {plus minus} 0.2 μM。QLS-278 会导致通道失活的超极化转变,并延迟失活后的恢复,但对电压依赖性激活没有明显影响。在小鼠DRG神经元中,QLS-278抑制了对TTX敏感的原生Nav电流,也降低了神经元的发射。此外,QLS-278还能剂量依赖性地缓解神经损伤引起的神经病理性疼痛和福尔马林引起的炎症性疼痛,而不会明显改变小鼠的自发运动活动。总之,我们发现的新型化合物 QLS-278 可能具有治疗慢性疼痛的发展潜力。意义声明 QLS-278是一种新型电压门控钠Nav1.7通道阻断剂,它能抑制原生TTX-S Na+电流,减少DRG感觉神经元的动作电位激发。QLS-278 还能在疼痛小鼠模型中显示出抗痛活性,因此具有开发慢性疼痛治疗药物的潜力。
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引用次数: 0
Mitigation of cisplatin-induced acute kidney injury through oral administration of FAAH Inhibitor PF-04457845. 通过口服 FAAH 抑制剂 PF-04457845 减轻顺铂诱发的急性肾损伤
IF 3.1 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-08-21 DOI: 10.1124/jpet.124.002282
Chaoling Chen, Weili Wang, Justin L Poklis, Pin-Lan Li, Aron H Lichtman, David A Gewirtz, Ningjun Li

Fatty acid amide hydrolase (FAAH) serves as the primary enzyme responsible for degrading the endocannabinoid anandamide (AEA). Inhibition of FAAH, either through pharmacological means or genetic manipulation, can effectively reduce inflammation in various organs, including the brain, colon, heart, and kidneys. Infusion of a FAAH inhibitor into the kidney medulla has been shown to induce diuretic and natriuretic effects. FAAH knockout mice have shown protection against both post-ischemia reperfusion injury and cisplatin-induced acute kidney injury (AKI), although through distinct mechanisms. The present study was based on the hypothesis that pharmacological inhibition of FAAH activity could mitigate cisplatin-induced AKI, exploring potential renoprotective mechanism. Male wild type C57BL/6 were administered an oral gavage of a FAAH inhibitor (PF-04457845, 5mg/kg) or vehicle (10% PEG200+5% Tween80+normal saline) at 72, 48, 24, and 2 hours before and 24 and 48 hours after a single intraperitoneal injection of cisplatin (Cis, 25 mg/kg). Mice were euthanatized 72 hours after cisplatin treatment. Compared to vehicle-treated mice, PF-04457845-treated mice showed a decrease of cisplatin-induced plasma creatinine, blood urea nitrogen levels, kidney injury biomarkers (NGAL and KIM-1) and renal tubular damage. The renal protection from oral gavage of PF-04457845 against cisplatin-induced nephrotoxicity was associated with an enhanced AEA tone and reduced levels of DNA damage response biomarkers p53 and p21. Our work demonstrates that PF-04457845 effectively alleviates cisplatin-induced nephrotoxicity in mice, underscoring the potential of orally targeting FAAH as a novel strategy to prevent cisplatin nephrotoxicity. Significance Statement Oral administration of FAAH inhibitor, can reduce cisplatin-induced DNA damage response, tubular damages, and kidney dysfunction. Inactivation of FAAH could be a potential strategy to prevent cisplatin-induced nephrotoxicity.

脂肪酸酰胺水解酶(FAAH)是降解内源性大麻酰胺(AEA)的主要酶。通过药物或遗传操作抑制 FAAH 可以有效减轻大脑、结肠、心脏和肾脏等多个器官的炎症反应。将 FAAH 抑制剂注入肾髓质可产生利尿和利钠作用。FAAH 基因剔除小鼠对缺血后再灌注损伤和顺铂诱导的急性肾损伤(AKI)都有保护作用,但机制不同。本研究基于药物抑制 FAAH 活性可减轻顺铂诱导的 AKI 的假设,探索潜在的肾脏保护机制。雄性野生型 C57BL/6 在腹腔注射顺铂(Cis,25 毫克/千克)前 72、48、24 和 2 小时以及注射后 24 和 48 小时分别口服 FAAH 抑制剂(PF-04457845,5 毫克/千克)或载体(10% PEG200+5% Tween80+ 生理盐水)。小鼠在顺铂治疗 72 小时后安乐死。与药物治疗的小鼠相比,PF-04457845 治疗的小鼠显示出顺铂诱导的血浆肌酐、血尿素氮水平、肾损伤生物标志物(NGAL 和 KIM-1)和肾小管损伤均有所下降。口服 PF-04457845 对顺铂诱导的肾毒性具有保护作用,这与 AEA 信号增强以及 DNA 损伤反应生物标志物 p53 和 p21 水平降低有关。我们的研究表明,PF-04457845 能有效缓解顺铂诱导的小鼠肾毒性,这凸显了口服靶向 FAAH 作为预防顺铂肾毒性新策略的潜力。意义声明 口服 FAAH 抑制剂可减少顺铂诱导的 DNA 损伤反应、肾小管损伤和肾功能障碍。使 FAAH 失活可能是预防顺铂诱导的肾毒性的一种潜在策略。
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引用次数: 0
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Journal of Pharmacology and Experimental Therapeutics
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