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Beyond the stomach stall: Current and emerging pharmacotherapeutics for gastroparesis. 超越胃失速:当前和新兴的药物治疗胃轻瘫。
IF 19.3 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-03-01 Epub Date: 2024-12-31 DOI: 10.1016/j.pharmr.2024.100021
Ali H Eid
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引用次数: 0
Shared molecular, cellular, and environmental hallmarks in cardiovascular disease and cancer: Any place for drug repurposing? 心血管疾病和癌症中共享的分子、细胞和环境特征:药物再利用的任何地方?
IF 19.3 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-03-01 Epub Date: 2024-12-24 DOI: 10.1016/j.pharmr.2024.100033
Elisa Avolio, Barbara Bassani, Marzia Campanile, Khaled Ak Mohammed, Paola Muti, Antonino Bruno, Gaia Spinetti, Paolo Madeddu

Cancer and cardiovascular disease (CVD) are the 2 biggest killers worldwide. Specific treatments have been developed for the 2 diseases. However, mutual therapeutic targets should be considered because of the overlap of cellular and molecular mechanisms. Cancer research has grown at a fast pace, leading to an increasing number of new mechanistic treatments. Some of these drugs could prove useful for treating CVD, which realizes the concept of cancer drug repurposing. This review provides a comprehensive outline of the shared hallmarks of cancer and CVD, primarily ischemic heart disease and heart failure. We focus on chronic inflammation, altered immune response, stromal and vascular cell activation, and underlying signaling pathways causing pathological tissue remodeling. There is an obvious scope for targeting those shared mechanisms, thereby achieving reciprocal preventive and therapeutic benefits. Major attention is devoted to illustrating the logic, advantages, challenges, and viable examples of drug repurposing and discussing the potential influence of sex, gender, age, and ethnicity in realizing this approach. Artificial intelligence will help to refine the personalized application of drug repurposing for patients with CVD. SIGNIFICANCE STATEMENT: Cancer and cardiovascular disease (CVD), the 2 biggest killers worldwide, share several underlying cellular and molecular mechanisms. So far, specific therapies have been developed to tackle the 2 diseases. However, the development of new cardiovascular drugs has been slow compared with cancer drugs. Understanding the intersection between pathological mechanisms of the 2 diseases provides the basis for repurposing cancer therapeutics for CVD treatment. This approach could allow the rapid development of new drugs for patients with CVDs.

癌症和心血管疾病(CVD)是全球最大的两大杀手。针对这两种疾病已经开发出了专门的治疗方法。然而,由于细胞和分子机制的重叠,应考虑相互的治疗靶点。癌症研究发展迅速,导致越来越多的新的机制治疗。其中一些药物可能被证明对治疗心血管疾病有用,这实现了癌症药物再利用的概念。本文综述了癌症和心血管疾病的共同特征,主要是缺血性心脏病和心力衰竭。我们关注慢性炎症、免疫反应改变、基质和血管细胞活化以及引起病理组织重塑的潜在信号通路。有一个明显的范围,以这些共同机制为目标,从而实现互惠的预防和治疗效益。主要关注说明药物再利用的逻辑、优势、挑战和可行的例子,并讨论性别、性别、年龄和种族对实现这一方法的潜在影响。人工智能将有助于完善心血管疾病患者药物再利用的个性化应用。意义声明:癌症和心血管疾病(CVD)是世界上最大的两个杀手,它们有几个共同的潜在细胞和分子机制。到目前为止,已经开发出针对这两种疾病的特异性治疗方法。然而,与抗癌药物相比,心血管新药物的开发一直较为缓慢。了解这两种疾病的病理机制之间的交集,为重新利用癌症治疗方法治疗心血管疾病提供了基础。这种方法可以使心血管疾病患者的新药快速开发。
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引用次数: 0
Carbonic anhydrase inhibitors: "Old" drugs with new potential in unexpected areas. 碳酸酐酶抑制剂:在意想不到的领域具有新潜力的“老”药物。
IF 19.3 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 Epub Date: 2024-12-27 DOI: 10.1016/j.pharmr.2024.100007
Ali H Eid
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引用次数: 0
Bioactives from marine resources as natural health products: A review. 海洋资源中作为天然保健品的生物活性物质:综述。
IF 19.3 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 Epub Date: 2024-11-22 DOI: 10.1124/pharmrev.123.001227
Sarusha Santhiravel, Deepika Dave, Fereidoon Shahidi

The oceans are a rich source of a myriad of structurally different and unique natural products that are mainly found in invertebrates, with potential applications in different disciplines. Microbial infection and cancer are the leading causes of death worldwide. The discovery of new sources of therapy for microbial infections is an urgent requirement owing to the emergence of pathogenic microorganisms that are resistant to existing therapies. Marine bioactives have been demonstrated to be promising sources for the discovery and development of novel antimicrobial and anticancer compounds. Several marine compounds are confirmed to have antibacterial effects, and most marine-based antifungal compounds are cytotoxic. Numerous antitumor marine natural products, derived mainly from not only sponges or molluscs but also bryozoans and cyanobacteria, exhibit potent antimitotic activity. In addition, marine biodiversity offers some possible leads or new drugs to treat human immunodeficiency virus. A majority of marine-derived drugs are currently in clinical trials or under preclinical evaluation. Furthermore, marine-based drugs approved by the US Food and Drug Administration are available in the market. This review summarizes the sources, mechanisms of action, and potential utilization of marine natural products such as peptides, alkaloids, polyketides, polyphenols, terpenoids, and sterols as antifungal, antibacterial, antiviral, and anticancer compounds. SIGNIFICANCE STATEMENT: Utilization of natural bioactive compounds from marine resources is a crucial advancement in the field of health care and wellness. A valuable source of potent compounds with therapeutic potential exists in marine organisms. These bioactives offer promising medicinal value for disease prevention, promoting overall wellbeing, and advancing pharmaceutical and nutraceutical industries. Their sustainable extraction and utilization not only benefit human health but also contribute to the conservation of marine ecosystems. This transformative approach enhances global health outcomes and sustainability.

海洋是无数结构不同和独特的天然产物的丰富来源,这些产物主要存在于无脊椎动物中,在不同学科中具有潜在的应用前景。微生物感染和癌症是全世界死亡的主要原因。由于出现了对现有治疗具有耐药性的病原微生物,因此迫切需要发现新的微生物感染治疗方法。海洋生物活性物质已被证明是发现和开发新型抗菌和抗癌化合物的有希望的来源。几种海洋化合物已被证实具有抗菌作用,大多数海洋抗真菌化合物具有细胞毒性。许多抗肿瘤的海洋天然产物,主要来源于海绵或软体动物,也来源于苔藓虫和蓝藻,表现出强大的抗有丝分裂活性。此外,海洋生物多样性为治疗人类免疫缺陷病毒提供了一些可能的线索或新药。大多数海洋衍生药物目前正处于临床试验或临床前评估阶段。此外,经美国食品和药物管理局批准的海洋药物在市场上可用。本文综述了肽类、生物碱、聚酮类、多酚类、萜类、甾醇类等海洋天然产物作为抗真菌、抗菌、抗病毒和抗癌化合物的来源、作用机制及应用前景。意义声明:利用来自海洋资源的天然生物活性化合物是卫生保健和保健领域的重要进步。具有治疗潜力的有效化合物的宝贵来源存在于海洋生物中。这些生物活性物质为预防疾病、促进整体健康、推进制药和营养保健行业提供了有希望的药用价值。它们的可持续开采和利用不仅有益于人类健康,而且有助于海洋生态系统的保护。这一变革性方法增强了全球卫生成果和可持续性。
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引用次数: 0
Drugs from the ocean floor. 来自海底的毒品。
IF 19.3 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 Epub Date: 2024-12-27 DOI: 10.1016/j.pharmr.2024.100009
Maha Khachab, Amirhossein Sahebkar, Ali H Eid
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引用次数: 0
Toward a paradigm shift: Oral agents and injectable drugs in the future of obesity management. 走向范式转变:未来肥胖治疗的口服药物和注射药物。
IF 19.3 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 Epub Date: 2024-12-27 DOI: 10.1016/j.pharmr.2024.100008
Amirhossein Sahebkar, Ali H Eid
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引用次数: 0
International Union of Basic and Clinical Pharmacology. CXVII: Taste 2 receptors-Structures, functions, activators, and blockers. 国际基础和临床药理学联合会。味觉2受体——结构、功能、激活剂和阻滞剂。
IF 19.3 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 Epub Date: 2024-11-22 DOI: 10.1124/pharmrev.123.001140
Maik Behrens

For most vertebrates, bitter perception plays a critical role in the detection of potentially harmful substances in food items. The detection of bitter compounds is facilitated by specialized receptors located in the taste buds of the oral cavity. This work focuses on these receptors, including their sensitivities, structure-function relationships, agonists, and antagonists. The existence of numerous bitter taste receptor variants in the human population and the fact that several of them profoundly affect individual perceptions of bitter tastes are discussed as well. Moreover, the identification of bitter taste receptors in numerous tissues outside the oral cavity and their multiple proposed roles in these tissues are described briefly. Although this work is mainly focused on human bitter taste receptors, it is imperative to compare human bitter taste with bitter taste of other animals to understand which forces might have shaped the evolution of bitter taste receptors and their functions and to distinguish apparently typical human features from rather general ones. For readers who are not very familiar with the gustatory system, short descriptions of taste anatomy, signal transduction, and oral bitter taste receptor expression are included in the beginning of this article. SIGNIFICANCE STATEMENT: Apart from their role as sensors for potentially harmful substances in the oral cavity, the numerous additional roles of bitter taste receptors in tissues outside the gustatory system have recently received much attention. For careful assessment of their functions inside and outside the taste system, a solid knowledge of the specific and general pharmacological features of these receptors and the growing toolbox available for studying them is imperative and provided in this work.

对于大多数脊椎动物来说,苦味感知在检测食物中潜在有害物质方面起着关键作用。苦味化合物的检测是由位于口腔味蕾中的特殊受体促进的。这项工作的重点是这些受体,包括它们的敏感性,结构-功能关系,激动剂和拮抗剂。我们还讨论了人类中存在的许多苦味感受器变异,以及其中一些变异会深刻影响个体对苦味的感知。此外,在口腔外的许多组织中苦味受体的鉴定及其在这些组织中的多种作用也进行了简要的描述。虽然这项工作主要集中在人类苦味感受器上,但有必要将人类的苦味与其他动物的苦味进行比较,以了解哪些力量可能影响了苦味感受器及其功能的进化,并将明显典型的人类特征与相当普遍的特征区分开来。对于不太熟悉味觉系统的读者,本文的开头包括味觉解剖,信号转导和口腔苦味受体表达的简短描述。意义声明:除了它们作为口腔中潜在有害物质的传感器的作用外,苦味感受器在味觉系统外的组织中的许多附加作用最近受到了广泛关注。为了仔细评估它们在味觉系统内外的功能,对这些受体的特定和一般药理特征的扎实知识以及用于研究它们的不断增长的工具箱是必要的,并且在这项工作中提供了。
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引用次数: 0
The 75-Year Anniversary of the Department of Physiology and Pharmacology at Karolinska Institutet—Examples of Recent Accomplishments and Future Perspectives 卡罗林斯卡医学院生理学和药理学系 75 周年纪念--近期成就实例与未来展望
IF 21.1 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-11-01 DOI: 10.1124/pharmrev.124.001433
Eddie Weitzberg, Magnus Ingelman-Sundberg, Jon O. Lundberg, Göran Engberg, Gunnar Schulte, Volker M. Lauschke, Lynette Daws
Karolinska Institutet is a medical university encompassing 21 departments distributed across three departmental or campus groups. Pharmacological research has a long and successful tradition at the institute with a multitude of seminal findings in the areas of neuronal control of vasodilatation, cardiovascular pharmacology, neuropsychopharmacology, receptor pharmacology, and pharmacogenomics that resulted in, among many other recognitions, two Nobel prizes in Physiology and Medicine, one in 1970 to Ulf von Euler for his discovery of the processes involved in storage, release, and inactivation of neurotransmitters and the other in 1982 to Sune Bergström and Bengt Samuelsson for their work on prostaglandins and the discovery of leukotrienes. Pharmacology at Karolinska Institutet has over the last decade been ranked globally among the top 10 according to the QS World University Ranking. With the Department of Physiology and Pharmacology now celebrating its 75-year anniversary, we wanted to take this as an opportunity to showcase recent research achievements and how they paved the way for current activities at the department. We emphasize examples from preclinical and clinical research where the dpartment's integrative environment and robust infrastructure have successfully facilitated the translation of findings into clinical applications and patient benefits. The close collaboration between preclinical scientists and clinical researchers across various disciplines, along with a strong network of partnerships within the department and beyond, positions us to continue leading world-class pharmacological research at the Department of Physiology and Pharmacology for decades to come.
卡罗林斯卡医学院是一所医科大学,下设 21 个系,分布在三个部门或校园集团。卡罗林斯卡医学院在药理学研究方面有着悠久而成功的传统,在神经元控制血管扩张、心血管药理学、神经精神药理学、受体药理学和药物基因组学等领域取得了许多开创性的研究成果,并获得了许多其他认可、1970 年,乌尔夫-冯-欧拉(Ulf von Euler)因发现神经递质的储存、释放和失活过程而荣获诺贝尔生理学与医学奖;1982 年,苏内-伯格斯特罗姆(Sune Bergström)和本特-萨缪尔森(Bengt Samuelsson)因研究前列腺素和发现白三烯而荣获诺贝尔生理学与医学奖。根据 QS 世界大学排名,卡罗林斯卡医学院的药理学在过去十年中一直位居全球前十名。在生理学和药理学系迎来 75 周年庆典之际,我们希望借此机会展示最近的研究成果,以及这些成果如何为该系当前的活动铺平了道路。我们强调临床前和临床研究中的实例,在这些实例中,生理学与药理学系的综合环境和强大的基础设施成功地促进了研究成果转化为临床应用并造福患者。临床前科学家和各学科临床研究人员之间的密切合作,以及系内外强大的合作伙伴网络,使我们能够在未来数十年中继续引领生理学和药理学系的世界级药理学研究。
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引用次数: 0
Ironing Out the Mechanism of gp130 Signaling 厘清 gp130 信号传递机制
IF 21.1 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-11-01 DOI: 10.1124/pharmrev.124.001245
Essam Eldin A. Osman, Nouri Neamati, Des Richardson
gp130 functions as a shared signal-transducing subunit not only for interleukin (IL)-6 but also for eight other human cytokine receptor complexes. The IL-6 signaling pathway mediated through gp130 encompasses classical, trans, or cluster signaling, intricately regulated by a diverse array of modulators affecting IL-6, its receptor, and gp130. Currently, only a limited number of small molecule antagonists and agonists for gp130 are known. This review aims to comprehensively examine the current knowledge of these modulators and provide insights into their pharmacological properties, particularly in the context of cancer and other diseases. Notably, the prominent gp130 modulators SC144, bazedoxifene, and raloxifene are discussed in detail, with a specific focus on the discovery of SC144’s iron-chelating properties. This adds a new dimension to the understanding of its pharmacological effects and therapeutic potential in conditions where iron homeostasis is significant. Our bioinformatic analysis of gp130 and genes related to iron homeostasis reveals insightful correlations, implicating the role of iron in the gp130 signaling pathway. Overall, this review contributes to the evolving understanding of gp130 modulation and its potential therapeutic applications in various disease contexts.
gp130 不仅是白细胞介素(IL)-6 的共享信号转导亚基,也是其他八种人类细胞因子受体复合物的共享信号转导亚基。通过 gp130 介导的 IL-6 信号转导途径包括经典、反式或集群信号转导,由影响 IL-6、其受体和 gp130 的各种调节剂错综复杂地调节。目前,已知的 gp130 小分子拮抗剂和激动剂数量有限。本综述旨在全面考察这些调节剂的现有知识,并深入了解它们的药理特性,尤其是在癌症和其他疾病方面。值得注意的是,本综述详细讨论了著名的 gp130 调节剂 SC144、bazedoxifene 和 raloxifene,并特别关注 SC144 的铁螯合特性。这为我们了解 SC144 的药理作用和在铁平衡非常重要的情况下的治疗潜力增添了新的维度。我们对 gp130 和铁平衡相关基因的生物信息学分析揭示了深刻的相关性,暗示了铁在 gp130 信号通路中的作用。总之,这篇综述有助于加深人们对 gp130 调节及其在各种疾病中的潜在治疗应用的理解。
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引用次数: 0
Glatiramer Acetate for the Treatment of Multiple Sclerosis: From First-Generation Therapy to Elucidation of Immunomodulation and Repair 醋酸格拉替雷治疗多发性硬化症:从第一代疗法到免疫调节和修复的阐明
IF 21.1 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-11-01 DOI: 10.1124/pharmrev.124.000927
Rina Aharoni, Ron Milo, Ruth Arnon, Francesca Levi-Schaffer
Multiple sclerosis (MS) is a chronic inflammatory demyelinating and neurodegenerative disease of the central nervous system (CNS), with a putative autoimmune origin and complex pathogenesis. Modification of the natural history of MS by reducing relapses and slowing disability accumulation was first attained in the 1990 s with the development of the first-generation disease-modifying therapies. Glatiramer acetate (GA), a copolymer of L-alanine, L-lysine, L-glutamic acid, and L-tyrosine, was discovered due to its ability to suppress the animal model of MS, experimental autoimmune encephalomyelitis. Extensive clinical trials and long-term assessments established the efficacy and the safety of GA. Furthermore, studies of the therapeutic processes induced by GA in animal models and in MS patients indicate that GA affects various levels of the innate and the adaptive immune response, generating deviation from proinflammatory to anti-inflammatory pathways. This includes competition for binding to antigen presenting cells; driving dendritic cells, monocytes, and B-cells toward anti-inflammatory responses; and stimulating T-helper 2 and T-regulatory cells. The immune cells stimulated by GA reach the CNS and secrete in situ anti-inflammatory cytokines alleviating the pathological processes. Furthermore, cumulative findings reveal that in addition to its immunomodulatory effect, GA promotes neuroprotective repair processes such as neurotrophic factors secretion, remyelination, and neurogenesis. This review aims to provide an overview of MS pathology diagnosis and treatment as well as the diverse mechanism of action of GA.
多发性硬化症(MS)是中枢神经系统(CNS)的一种慢性炎症性脱髓鞘和神经退行性疾病,可能源于自身免疫,发病机制复杂。20 世纪 90 年代,随着第一代疾病修饰疗法的开发,通过减少复发和减缓残疾累积来改变多发性硬化症的自然病史的目标首次实现。醋酸格拉替雷(GA)是一种由L-丙氨酸、L-赖氨酸、L-谷氨酸和L-酪氨酸组成的共聚物,因其能够抑制多发性硬化症的动物模型--实验性自身免疫性脑脊髓炎而被发现。广泛的临床试验和长期评估证实了 GA 的有效性和安全性。此外,对 GA 在动物模型和多发性硬化症患者中诱导的治疗过程的研究表明,GA 会影响先天性和适应性免疫反应的不同水平,产生从促炎到抗炎途径的偏差。这包括与抗原呈递细胞竞争结合;促使树突状细胞、单核细胞和 B 细胞产生抗炎反应;以及刺激 T 辅助 2 细胞和 T 调节细胞。受 GA 刺激的免疫细胞进入中枢神经系统,并在原位分泌抗炎细胞因子,从而缓解病理过程。此外,累积的研究结果表明,除了免疫调节作用外,GA 还能促进神经保护性修复过程,如神经营养因子分泌、髓鞘再形成和神经再生。本综述旨在概述多发性硬化症的病理诊断和治疗以及 GA 的多种作用机制。
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