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The interplay of aging, sleep dysregulation, and mitochondrial dysfunction in metabolic and neurodegenerative diseases 衰老、睡眠失调和线粒体功能障碍在代谢和神经退行性疾病中的相互作用。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107614
Kuo-Jen Lin , I-Hung Shao , Yu-Hsiang Lin
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引用次数: 0
Stem Cell Revolutions: An alliance for Parkinson’s disease driven by European Commission consortia 干细胞革命:由欧盟委员会联盟推动的帕金森病联盟。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2024.107569
Elena Cattaneo , Dario Besusso
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引用次数: 0
Efficacy and safety of SHR8554 on postoperative pain in subjects with moderate to severe acute pain following orthopedic surgery: A multicenter, randomized, double-blind, dose-explored, active-controlled, phase II/III clinical trial SHR8554对骨科术后中至重度急性疼痛患者的疗效和安全性:一项多中心、随机、双盲、剂量探索、主动对照的II/III期临床试验
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107576
Yanhua Zhao , Zhisheng Lu , Xuesong Song , Haihui Xie , Xungang Xiao , Guonian Wang , Qi Zhou , Qingmei Zhang , Liang Liu , Zhijian Lan , Ning Bai , Haiyan Wang , Zhihao Pan , Liang Dong , Xianzhong Lin , Gang Chen , Qinghui Wang , Jiangtao Dong , Jia Deng , Yongshan Nan , Xiyao Gu
Biased µ-opioid receptor (MOR) agonists enhance pain relief by selectively activating G protein-coupled receptor signaling and minimizing β-arrestin-2 activation, resulting in fewer side effects. This multicenter Phase II/III trial evaluated the optimal dosage, efficacy, and safety of SHR8554, a biased MOR agonist, for postoperative pain management following orthopedic surgery. In Phase II, 121 patients were divided into four groups to receive varying patient-controlled analgesia (PCA) doses of SHR8554 or morphine. Phase III involved 320 patients with similar groupings, including a placebo group. The primary outcome was the resting summed pain intensity difference over 24 hours (rSPID24). Secondary outcomes included rSPID and active-SPID (aSPID) at other time points, rescue analgesia received, cumulative dose of analgesics, and satisfaction scores. Safety endpoints included treatment-emergent adverse events (TEAEs) and AE of special interest (AESIs). In both phases, SHR8554 demonstrated significant analgesic efficacy. In Phase II, the least squares (LS) mean differences in rSPID24 compared to morphine for the 0.05 mg,0.1 mg, and 0.2 mg SHR8554 groups were 16.8 (p = 0.01), 7.4 (p = 0.27), and 0.2 (p = 0.98), respectively. Phase III confirmed the efficacy of the 0.05 mg and 0.1 mg SHR8554 doses compared to placebo, with LS mean differences of 15.4 (p = 0.0001) and −19.8 (p < 0.0001), respectively. Trends in other secondary outcomes mirrored these findings. Safety analysis revealed that the 0.2 mg SHR8554 group had higher incidences of TEAEs (83.3 %) and AESIs (33.3 %) compared to other groups in Phase II. Similarly, in Phase III, the incidences of TEAEs were 81.0 %, 73.4 %, and 74.1 % in the 0.05 and 0.1 mg SHR8554 and morphine groups, respectively, compared with 61.3 % in the placebo group, while the AESIs were 29.1 %, 20.3 %, and 24.7 % compared with 12.5 % in the placebo group. In conclusion, SHR8554 exhibited efficacy compared to placebo and safety comparable to morphine for patients experiencing moderate-to-severe acute pain following unilateral total knee replacement or knee ligament reconstruction surgery.

Trial Registration

Trial Name: Study on the Efficacy and Safety of SHR8554 Injection for Postoperative Analgesia in Orthopedics: Multicenter, Randomized, Double Blind, Dose Exploration, Placebo/Positive Control, Phase II/III Clinical Trial Registered on: chinadrugtrials.org.cn Identifier: CTR20220639.
偏倚的µ-阿片受体(MOR)激动剂通过选择性激活G蛋白偶联受体信号和最小化β-arrestin-2激活来增强疼痛缓解,从而减少副作用。这项多中心II/III期试验评估了SHR8554(一种偏倚MOR激动剂)用于骨科手术后疼痛管理的最佳剂量、疗效和安全性。在II期研究中,121名患者被分为四组,分别接受不同剂量的SHR8554或吗啡的患者控制镇痛(PCA)治疗。第三期试验涉及320名相似分组的患者,包括安慰剂组。主要终点是24小时内静息疼痛强度差异(rSPID24)。次要结局包括其他时间点的rSPID和活性spid (aSPID)、接受的抢救镇痛、镇痛药累积剂量和满意度评分。安全性终点包括治疗中出现的不良事件(teae)和特别关注的不良事件(AESIs)。在这两个阶段,SHR8554表现出显著的镇痛效果。在II期试验中,与吗啡相比,0.05mg、0.1mg和0.2mg SHR8554组rSPID24的最小二乘(LS)平均值分别为16.8 (p=0.01)、7.4 (p=0.27)和0.2 (p=0.98)。与安慰剂相比,III期试验证实了0.05mg和0.1mg SHR8554剂量的疗效,LS平均差异为15.4 (p=0.0001)和-19.8 (p=0.0001)
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引用次数: 0
Targeting ion homeostasis in metabolic diseases: Molecular mechanisms and targeted therapies 代谢疾病中的靶向离子稳态:分子机制和靶向治疗。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107579
Yanjiao Zhang , Kaile Ma , Xinyi Fang , Yuxin Zhang , Runyu Miao , Huifang Guan , Jiaxing Tian
The incidence of metabolic diseases—hypertension, diabetes, obesity, metabolic dysfunction-associated steatotic liver disease (MASLD), and atherosclerosis—is increasing annually, imposing a significant burden on both human health and the social economy. The occurrence and development of these diseases are closely related to the disruption of ion homeostasis, which is crucial for maintaining cellular functions and metabolic equilibrium. However, the specific mechanism of ion homeostasis in metabolic diseases is still unclear. This article reviews the role of ion homeostasis in the pathogenesis of metabolic diseases and assesses its potential as a therapeutic target. Furthermore, the article explores pharmacological strategies that target ion channels and transporters, including existing drugs and emerging drugs under development. Lastly, the article discusses the development direction of future therapeutic strategies, including the possibility of gene therapy targeting specific ion channels and personalized therapy using novel biomarkers. In summary, targeting ion homeostasis provides a new perspective and potential therapeutic approach for the treatment of metabolic diseases.
高血压、糖尿病、肥胖症、代谢功能障碍相关性脂肪肝(MASLD)和动脉粥样硬化等代谢性疾病的发病率逐年上升,给人类健康和社会经济造成了巨大负担。这些疾病的发生和发展与离子平衡的破坏密切相关,而离子平衡对维持细胞功能和代谢平衡至关重要。然而,离子平衡在代谢性疾病中的具体机制尚不清楚。本文回顾了离子平衡在代谢性疾病发病机制中的作用,并评估了其作为治疗靶点的潜力。此外,文章还探讨了针对离子通道和转运体的药理学策略,包括现有药物和正在开发的新兴药物。最后,文章讨论了未来治疗策略的发展方向,包括针对特定离子通道的基因疗法和利用新型生物标记物进行个性化治疗的可能性。总之,靶向离子平衡为治疗代谢性疾病提供了一个新的视角和潜在的治疗方法。
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引用次数: 0
Expanding perspectives on the relationship between statin potency and lipophilicity in Alzheimer's disease management 拓展阿尔茨海默病治疗中他汀类药物效力与亲脂性之间关系的视角。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107594
Yixiang Hu, Shixuan Peng, Can Xiao
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引用次数: 0
Mitochondrial insights on antidiabetic therapies: Differential impacts of SGLT2i, GLP-1, and insulin 线粒体对降糖治疗的影响:SGLT2i、GLP-1和胰岛素的不同影响。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107610
Yu-Hsiang Lin, Kuo-Hsuan Chang, Yu-Jen Lu
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引用次数: 0
Muscarinic cannabinoid suppression of excitation, a novel form of coincidence detection 毒蕈碱-大麻素抑制兴奋,一种新的巧合检测形式。
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107606
Michaela Dvorakova , Ken Mackie , Alex Straiker
Δ9-tetrahydrocannabinol (THC), the chief psychoactive ingredient of cannabis, acts in the brain primarily via cannabinoid CB1 receptors. These receptors are implicated in several forms of synaptic plasticity – depolarization-induced suppression of excitation (DSE), metabotropic suppression of excitation (MSE), long term depression (LTD) and activation-dependent desensitization. Cultured autaptic hippocampal neurons express all of these, illustrating the rich functional and temporal heterogeneity of CB1 at a single set of synapses. Here we report that coincident activation of muscarinic acetylcholine receptors and elicitation of DSE in autaptic hippocampal neurons results in a substantial (∼40 %) and temporally precise inhibition of excitatory transmission lasting ∼10 minutes. Its induction is blocked by CB1 and muscarinic M3/M5 receptor antagonists and is absent in CB1 receptor knockout neurons. Notably, once it is established, inhibition is reversed by a CB1, but not a muscarinic, antagonist, suggesting that the inhibition occurs via persistent activation of CB1 receptors. We refer to this inhibition as muscarinic cannabinoid suppression of excitation (MCSE). MCSE can be mimicked by coapplication of muscarinic and cannabinoid agonists and requires Ca2+-release from internal stores. As such, MCSE represents a novel and targeted form of coincidence detection – important for many modes of learning and memory -- between cannabinoid and muscarinic signaling systems that elicits a medium-duration depression of synaptic signaling. Given the known roles of muscarinic and cannabinoid receptors in the hippocampus, MCSE may be important in the modulation of hippocampal signaling at the site of septal inputs, with potential implications for learning and memory, epilepsy and addiction.
Δ9-tetrahydrocannabinol (THC)是大麻的主要精神活性成分,主要通过大麻素CB1受体在大脑中起作用。这些受体参与多种形式的突触可塑性——去极化诱导的兴奋抑制(DSE)、代谢抑制兴奋(MSE)、长期抑制(LTD)和激活依赖性脱敏。培养的自适应海马神经元表达所有这些,说明CB1在单一突触组中具有丰富的功能和时间异质性。在这里,我们报告了在自闭海马神经元中,毒蕈碱乙酰胆碱受体的同时激活和DSE的激发导致了大量(~ 40 %)和时间上精确的兴奋传递抑制,持续~ 10 分钟。它的诱导被CB1和毒蕈碱M3/M5受体拮抗剂阻断,在CB1受体敲除神经元中不存在。值得注意的是,一旦建立,抑制作用被CB1逆转,而不是毒蕈碱拮抗剂,这表明抑制作用是通过CB1受体的持续激活发生的。我们将这种抑制称为毒蕈碱大麻素兴奋抑制(MCSE)。MCSE可以通过毒蕈碱和大麻素激动剂的共同应用来模拟,并且需要从内部储存中释放Ca2+。因此,MCSE代表了大麻素和毒蕈碱信号系统之间一种新的、有针对性的巧合检测形式——对许多学习和记忆模式都很重要——引起突触信号的中期抑制。鉴于毒蕈碱和大麻素受体在海马中的已知作用,MCSE可能在中隔输入部位的海马信号调节中起重要作用,可能对学习和记忆、癫痫和成瘾有潜在的影响。
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引用次数: 0
The molecular receptor NKBB enhances the persistence and anti-hepatocellular carcinoma activity of GPC3 CAR-T cells
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107619
Minghao Sui , Tiantian Liu , Xuanli Song , Ji Li , Han Ding , Yuqian Liu , Xinyu Wang , Huimin Liu , Yuchan Xue , Jianni Qi , Miao Zhang , Songbo Zhao , Qiang Zhu
Chimeric antigen receptor (CAR) T cells have encouraging results in the treatment of hematological malignancies. However, CAR-T therapy still faces numerous challenges against solid tumors, such as hepatocellular carcinoma (HCC), owing to heterogeneous antigen expression in tumor cells, limited persistence of CAR-T cells, etc. Therefore, to treat HCC more effectively, we connected the molecular receptor NKBB to a second-generation glypican-3 (GPC3) CAR to construct GC3328z-NKBB CAR-T cells, which have double specific targets of GPC3 and NKG2DLs (natural killer group 2, member D ligands), dual co-stimulation of CD28 and 41BB, and a single CD3ζ chain. Our study showed that the molecular receptor NKBB conferred GPC3 CAR-T cells with enhanced migration and infiltration abilities towards HCC, higher central memory T (TCM) cell proportion and proliferation capacity, and reduced exhaustion level. GC3328z-NKBB CAR-T cells exhibited improved cytotoxicity against HCC cells and prolonged persistence. The cathepsin L/interleukin-17 (CTSL/IL-17) axis contributed to the superior anti-HCC activity of GC3328z-NKBB CAR-T cells. Overall, the molecular receptor NKBB significantly increased the persistence of GPC3 CAR-T cells, and GC3328z-NKBB CAR-T cells possessed potent anti-HCC activity in mice, providing a new strategy for the potential improvement of adoptive T cell therapy in the treatment of HCC.
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引用次数: 0
Promising LOX proteins for cartilage-targeting osteoarthritis therapy
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107627
Luca Morici , Eric Allémann , Olivier Jordan , Ines Nikolić
Osteoarthritis (OA) is the most affected joint disease worldwide, touching millions of people every year. It is caused by a progressive degeneration of articular cartilage, causing pain and limited mobility. Among the pathways involved in cartilage homeostasis, “LOX” proteins (referring to three distinct protein families, very often confused in the literature) play a prominent role. The lipoxygenase enzyme family is involved in the inflammatory process of OA by inducing the production of several pro-inflammatory leukotrienes. Lectin-like oxidized low-density lipoprotein family are receptors located at the surface of chondrocytes, which interact with their ligand, ox-LDL, activating several catabolic pathways involved in OA pathophysiology. Finally, lysyl oxidase and lysyl oxidase-like are enzymes expressed intracellularly (in chondrocytes' cytoplasm) involved in elastin biosynthesis and collagen cross-linking in cartilage extracellular matrix. EMA and FDA have not yet approved any drug targeting the LOX proteins. In particular, today lysyl oxidase-like 2 is considered as a new promising target for OA modifying therapy. This review clarifies the main roles of different LOX proteins involved in the progression of OA. Potential LOX inhibitoion strategies for drug development in advanced OA therapy, particularly for local intraarticular delivery, were listed and discussed for each target type. This review, therefore, proposes promising strategies for future drug development in OA treatment.
{"title":"Promising LOX proteins for cartilage-targeting osteoarthritis therapy","authors":"Luca Morici ,&nbsp;Eric Allémann ,&nbsp;Olivier Jordan ,&nbsp;Ines Nikolić","doi":"10.1016/j.phrs.2025.107627","DOIUrl":"10.1016/j.phrs.2025.107627","url":null,"abstract":"<div><div>Osteoarthritis (OA) is the most affected joint disease worldwide, touching millions of people every year. It is caused by a progressive degeneration of articular cartilage, causing pain and limited mobility. Among the pathways involved in cartilage homeostasis, “LOX” proteins (referring to three distinct protein families, very often confused in the literature) play a prominent role. The lipoxygenase enzyme family is involved in the inflammatory process of OA by inducing the production of several pro-inflammatory leukotrienes. Lectin-like oxidized low-density lipoprotein family are receptors located at the surface of chondrocytes, which interact with their ligand, ox-LDL, activating several catabolic pathways involved in OA pathophysiology. Finally, lysyl oxidase and lysyl oxidase-like are enzymes expressed intracellularly (in chondrocytes' cytoplasm) involved in elastin biosynthesis and collagen cross-linking in cartilage extracellular matrix. EMA and FDA have not yet approved any drug targeting the LOX proteins. In particular, today lysyl oxidase-like 2 is considered as a new promising target for OA modifying therapy. This review clarifies the main roles of different LOX proteins involved in the progression of OA. Potential LOX inhibitoion strategies for drug development in advanced OA therapy, particularly for local intraarticular delivery, were listed and discussed for each target type. This review, therefore, proposes promising strategies for future drug development in OA treatment.</div></div>","PeriodicalId":19918,"journal":{"name":"Pharmacological research","volume":"212 ","pages":"Article 107627"},"PeriodicalIF":9.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Targeting protein kinase C-α prolongs survival and restores liver function in sepsis: Evidence from preclinical models
IF 9.1 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1016/j.phrs.2025.107581
Ling Xiong , Dustin Beyer , Na Liu , Tina Lehmann , Sophie Neugebauer , Sascha Schaeuble , Oliver Sommerfeld , Philipp Ernst , Carl-Magnus Svensson , Sandor Nietzsche , Sebastian Scholl , Tony Bruns , Nikolaus Gaßler , Markus H. Gräler , Marc Thilo Figge , Gianni Panagiotou , Michael Bauer , Adrian T. Press
Sepsis is a life-threatening organ failure resulting from a poorly regulated infection response. Organ dysfunction includes hepatic involvement, weakening the immune system due to excretory liver failure, and metabolic dysfunction, increasing the death risk. Although experimental studies correlated excretory liver functionality with immune performance and survival rates in sepsis, the proteins and pathways involved remain unclear. This study identified protein kinase C-α (PKCα) as a novel target for managing excretory liver function during sepsis. Using a preclinical murine sepsis model, we found that both PKCα knockout and the use of a PKCα-inhibitor midostaurin successfully restored liver function without hindering the host’s response or ability to clear the pathogen, highlighting PKCα’s vital role in excretory liver failure. In septic animals, both approaches significantly boosted survival rates. Midostaurin is the clinically approved active pharmaceutical ingredient in Rydapt, approved for the adjuvant treatment of FTL3-mutated AML. Here, it reduced plasma bile acids and related inflammation in those patients, opening a translational avenue for therapeutics in sepsis. Conclusively, our research underscores the significance of PKCα in controlling excretory liver function during inflammation. This suggests that targeting this protein could restore liver function without compromising the immune system, thereby decreasing sepsis mortality and supporting the recent paradigm that the liver is a hub for the host response to infection that might, in the future, result in novel host-directed therapies supporting the current state-of-the-art intensive care medicine in patients with sepsis-associated liver failure.
{"title":"Targeting protein kinase C-α prolongs survival and restores liver function in sepsis: Evidence from preclinical models","authors":"Ling Xiong ,&nbsp;Dustin Beyer ,&nbsp;Na Liu ,&nbsp;Tina Lehmann ,&nbsp;Sophie Neugebauer ,&nbsp;Sascha Schaeuble ,&nbsp;Oliver Sommerfeld ,&nbsp;Philipp Ernst ,&nbsp;Carl-Magnus Svensson ,&nbsp;Sandor Nietzsche ,&nbsp;Sebastian Scholl ,&nbsp;Tony Bruns ,&nbsp;Nikolaus Gaßler ,&nbsp;Markus H. Gräler ,&nbsp;Marc Thilo Figge ,&nbsp;Gianni Panagiotou ,&nbsp;Michael Bauer ,&nbsp;Adrian T. Press","doi":"10.1016/j.phrs.2025.107581","DOIUrl":"10.1016/j.phrs.2025.107581","url":null,"abstract":"<div><div>Sepsis is a life-threatening organ failure resulting from a poorly regulated infection response. Organ dysfunction includes hepatic involvement, weakening the immune system due to excretory liver failure, and metabolic dysfunction, increasing the death risk. Although experimental studies correlated excretory liver functionality with immune performance and survival rates in sepsis, the proteins and pathways involved remain unclear. This study identified protein kinase C-α (PKCα) as a novel target for managing excretory liver function during sepsis. Using a preclinical murine sepsis model, we found that both PKCα knockout and the use of a PKCα-inhibitor midostaurin successfully restored liver function without hindering the host’s response or ability to clear the pathogen, highlighting PKCα’s vital role in excretory liver failure. In septic animals, both approaches significantly boosted survival rates. Midostaurin is the clinically approved active pharmaceutical ingredient in Rydapt, approved for the adjuvant treatment of FTL3-mutated AML. Here, it reduced plasma bile acids and related inflammation in those patients, opening a translational avenue for therapeutics in sepsis. Conclusively, our research underscores the significance of PKCα in controlling excretory liver function during inflammation. This suggests that targeting this protein could restore liver function without compromising the immune system, thereby decreasing sepsis mortality and supporting the recent paradigm that the liver is a hub for the host response to infection that might, in the future, result in novel host-directed therapies supporting the current state-of-the-art intensive care medicine in patients with sepsis-associated liver failure.</div></div>","PeriodicalId":19918,"journal":{"name":"Pharmacological research","volume":"212 ","pages":"Article 107581"},"PeriodicalIF":9.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Pharmacological research
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