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Progress in the study of anti-tumor effects and mechanisms of vitexin. 牡荆素抗肿瘤作用和机制的研究进展。
IF 3.6 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2024-10-31 DOI: 10.1007/s43440-024-00664-8
Qiming Yang, Rui Huan, Defeng Meng, Junwei Qi, Lei Xia

Vitexin (apigenin-8-C-beta-D-glucopyranoside) is a natural flavonoid derivative with anti-cancer, antioxidant, anti-inflammatory, antihypertensive, anti-asthma, anti-epilepsy, and other therapeutic effects. It is extracted from pearl millet, hawthorn, pigeon bean, mung bean, and other medicinal plants. Vitexin has received widespread attention because of its significant anti-tumor effect. It induces apoptosis and anti-tumor angiogenesis, inhibits tumor cell migration and invasion, regulates tumor cell autophagy and immunity, and increases patient sensitivity to radiotherapy and chemotherapy. It has a significant anti-tumor effect on breast, prostate, liver, cervical, and colon cancers, gliomas, and other malignant tumors. This review demonstrates the latest research progress on the anti-tumor effects and potential mechanisms of vitexin. It summarizes its anti-tumor mechanism to provide new theoretical support and reference for cancer treatment.

牡荆素(芹菜素-8-C-beta-D-吡喃葡萄糖苷)是一种天然黄酮类衍生物,具有抗癌、抗氧化、抗炎、降血压、抗哮喘、抗癫痫等治疗作用。它是从珍珠粟、山楂、鸽豆、绿豆和其他药用植物中提取的。牡荆素因其显著的抗肿瘤作用而受到广泛关注。它能诱导肿瘤细胞凋亡和抗肿瘤血管生成,抑制肿瘤细胞迁移和侵袭,调节肿瘤细胞自噬和免疫功能,提高患者对放疗和化疗的敏感性。它对乳腺癌、前列腺癌、肝癌、宫颈癌、结肠癌、胶质瘤和其他恶性肿瘤有明显的抗肿瘤作用。本综述展示了有关牡荆素抗肿瘤作用和潜在机制的最新研究进展。总结了其抗肿瘤机理,为癌症治疗提供新的理论支持和参考。
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引用次数: 0
A hydrogen sulphide-releasing non-steroidal anti-inflammatory, ATB-346, significantly attenuates human myometrial contractions. 一种释放硫化氢的非甾体抗炎药 ATB-346 能明显减弱人体子宫肌收缩。
IF 3.6 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2024-09-04 DOI: 10.1007/s43440-024-00643-z
Ana Mijušković, Susan Wray, Sarah Arrowsmith

Background: Spontaneous preterm birth is the leading cause of perinatal morbidity and mortality. Tocolytics are drugs used to inhibit uterine contractions in cases of imminent preterm birth, however, few are effective in stopping labour once initiated and all have side effects. Combination approaches involving drugs that target multiple signalling pathways that regulate contractions may increase efficacy, reduce dosage and improve tolerability. Both non-steroidal anti-inflammatory drugs (NSAIDs) and hydrogen sulphide (H2S)-releasing compounds can reduce myometrial contractions. In a novel approach we evaluated the tocolytic properties of ATB-346-a H2S-releasing derivative of the NSAID naproxen, shown clinically to reduce pain and inflammation in arthritis.

Methods: Using organ baths, paired strips of human myometrium were exposed to increasing concentrations of ATB-346, or equimolar concentrations (10µM and 30µM) of the parent drug, naproxen, or the H2S-releasing moiety, 4-hydroxy-thiobenzamide (TBZ), alone. The ability of ATB-346 versus the individual components of ATB-346 to decrease ex vivo spontaneous contractions was investigated, and the potency was compared to a known H2S donor, Na2S.

Results: Acute application of Na2S produced a concentration-dependent decrease in force amplitude and force integral (area under the curve) of contraction. ATB-346 produced a more profound decrease in contraction compared to equimolar concentrations of naproxen or TZB alone and was more potent than the equivalent concentration of Na2S.

Conclusions: ATB-346 exhibits potent tocolytic properties in human myometrium. These exciting results call for further exploration of ATB-346, with a view to repurposing this or similar drugs as novel therapies for delaying preterm labour.

背景:自然早产是围产期发病率和死亡率的主要原因。催产药是用于抑制即将发生早产的子宫收缩的药物,但很少有药物能在开始使用后有效阻止分娩,而且所有药物都有副作用。针对调节宫缩的多种信号通路的联合用药可提高疗效、减少用药量并改善耐受性。非甾体抗炎药(NSAIDs)和硫化氢(H2S)释放化合物都能减少子宫肌收缩。ATB-346是一种非甾体抗炎药萘普生的H2S释放衍生物,在临床上可减轻关节炎患者的疼痛和炎症:方法:采用器官浴法,将成对的人体子宫肌膜条暴露于浓度不断增加的 ATB-346,或等摩尔浓度(10µM 和 30µM)的母药萘普生,或单独的 H2S 释放分子 4-hydroxy-thiobenzamide (TBZ)。研究了 ATB-346 与 ATB-346 的单个成分降低体内外自发收缩的能力,并将其效力与已知的 H2S 供体 Na2S 进行了比较:结果:急性应用 Na2S 会导致收缩力振幅和收缩力积分(曲线下面积)随浓度而下降。与等摩尔浓度的萘普生或 TZB 相比,ATB-346 能更有效地降低收缩力,而且比同等浓度的 Na2S 更有效:ATB-346对人体子宫肌层具有强效的收缩特性。这些令人兴奋的结果要求进一步探索 ATB-346,以期将这种药物或类似药物重新用作推迟早产的新型疗法。
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引用次数: 0
Proteomics analysis in rats reveals convergent mechanisms between major depressive disorder and dietary zinc deficiency. 大鼠蛋白质组学分析揭示了重度抑郁症与膳食缺锌之间的趋同机制。
IF 3.6 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2024-12-03 DOI: 10.1007/s43440-024-00681-7
Łukasz Gąsior, Bartłomiej Pochwat, Monika Zaręba-Kozioł, Jakub Włodarczyk, Andreas Martin Grabrucker, Bernadeta Szewczyk

Background: Preclinical and clinical studies have shown that dietary zinc deficiency can lead to symptoms similar to those observed in major depressive disorder (MDD). However, the underlying molecular mechanisms remain unclear. To investigate these mechanisms, we examined proteomic changes in the prefrontal cortex (PFC) and hippocampus (HP) of rats, two critical brain regions implicated in the pathophysiology of depression.

Methods: Rats were fed diets either adequate in zinc (ZnA, 50 mg Zn/kg) or deficient in zinc (ZnD, <3 mg/kg) for four weeks. High-throughput proteomic analysis was used to detect changes in protein expression, supplemented by enzyme activity assay for mitochondrial complexes I and IV, examining their functional impacts.

Results: ZnD led to significant alterations in protein expression related to zinc transport and mitochondrial function. Proteomic analysis revealed changes in zinc transporter family members such as Slc30a1 (6.64 log2FC), Slc30a3 (-2.32 log2FC), Slc30a4 (2.87 log2FC), Slc30a5 (5.90 log2FC), Slc30a6 (1.50 log2FC), and Slc30a7 (2.17 log2FC) in the PFC, and Slc30a3 (-1.02 log2FC), Slc30a5 (-1.04 log2FC), and Slc30a7 (1.08 log2FC) in the HP of rats subjected to ZnD. Furthermore, ZnD significantly affected essential mitochondrial activity proteins, including Atp5pb (3.25 log2FC), Cox2 (2.28 log2FC), Atp5me (2.04 log2FC), Cyc1 (2.30 log2FC), Cox4i1 (1.23 log2FC), Cox7c (1.63 log2FC), and Cisd1 (1.55 log2FC), with a pronounced decrease in complex I activity in the PFC.

Conclusions: Our study demonstrates that ZnD leads to significant proteomic changes in the PFC and HP of rats. Specifically, ZnD alters the expression of zinc transporter proteins and proteins critical for mitochondrial function. The significant decrease in complex I activity in the PFC further underscores the impact of ZnD on mitochondrial function. These results highlight the molecular mechanisms by which ZnD can influence brain function and contribute to symptoms similar to those observed in depression.

临床前和临床研究表明,膳食锌缺乏可导致与重度抑郁症(MDD)相似的症状。然而,潜在的分子机制尚不清楚。为了研究这些机制,我们检测了大鼠前额叶皮质(PFC)和海马体(HP)的蛋白质组学变化,这两个关键的大脑区域与抑郁症的病理生理有关。方法:分别饲喂锌充足(ZnA, 50 mg Zn/kg)和锌缺乏(ZnD)两组大鼠。结果:ZnD导致与锌转运和线粒体功能相关的蛋白表达显著改变。蛋白质组学分析显示,锌转运蛋白家族成员Slc30a1 (6.64 log2FC)、Slc30a3 (-2.32 log2FC)、Slc30a4 (2.87 log2FC)、Slc30a5 (5.90 log2FC)、Slc30a6 (1.50 log2FC)和Slc30a7 (2.17 log2FC)在锌锌处理大鼠的PFC和HP中发生了变化。此外,ZnD显著影响线粒体必需活性蛋白Atp5pb (3.25 log2FC)、Cox2 (2.28 log2FC)、Atp5me (2.04 log2FC)、Cyc1 (2.30 log2FC)、Cox4i1 (1.23 log2FC)、Cox7c (1.63 log2FC)、Cisd1 (1.55 log2FC), PFC复合物I活性明显降低。结论:本研究表明ZnD导致大鼠PFC和HP蛋白组学发生显著变化。具体来说,ZnD改变锌转运蛋白和对线粒体功能至关重要的蛋白的表达。PFC中复合物I活性的显著降低进一步强调了ZnD对线粒体功能的影响。这些结果强调了ZnD可以影响大脑功能的分子机制,并导致与抑郁症相似的症状。
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引用次数: 0
Novel fluorinated cannabinoid analogs modulate cytokine expression in human C20 microglial cells. 新型氟化大麻素类似物调节人C20小胶质细胞的细胞因子表达。
IF 3.6 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2024-11-29 DOI: 10.1007/s43440-024-00680-8
Randall L Davis, Sascha Grotjahn, Burkhard Koenig, Daniel J Buck, Jimmie D Weaver

Background: Phytochemicals derived from the plant Cannabis sativa hold promise in terms of medicinal value. Cannabinoids such as Δ9-tetrahydrocannabinol (THC), cannabidiol (CBD), and cannabinol (CBN) are arguably the best characterized and known to possess wide-ranging therapeutic benefits. The mechanism of action for these therapeutic effects remains to be fully elucidated, however, the anti-inflammatory actions are of particular interest. Maximizing therapeutic effects while limiting adverse effects is crucial in pharmaceutical development. Fluorination of natural products often yields molecules with enhanced biological properties and provides opportunities for intellectual property protection not available to the natural product.

Methods: Herein, we describe four novel cannabinoids (a deoxy trifluoroCBN analog (F3CBN), the racemic cis-deoxy-trifluoro-THC (F3THC), and truncated pyridine analogs of an intermediate in route to the THC and CBN, SG126 and SG154. Importantly, we provide the initial assessment of the biologic activity of these molecules, by investigating the in vitro effects on metabolic activity (via 3-[4,5-dimethylthiazol-2-yl]-2,5,-diphenyltetrazolium bromide, MTT assay) and cytokine expression (via enzyme linked immunosorbent assay, ELISA) in human C20 microglial cells.

Results: The cannabinoids examined had minimal to no effect on metabolic activity up to 10 µM. Notably, F3CBN and F3THC potentiated interleukin-1 β (IL-1β)-induced expression of interferon-γ inducible protein 10 (CXCL10) and IL-6 expression whereas, SG126 and SG154 were inhibitory.

Conclusions: These findings are foundational for new lines of investigation into the therapeutic potential of four novel fluorinated cannabinoids.

背景:从大麻植物中提取的植物化学物质具有药用价值。大麻素如Δ9-tetrahydrocannabinol (THC),大麻二酚(CBD)和大麻酚(CBN)可以说是最具特征的,并且已知具有广泛的治疗益处。这些治疗作用的作用机制仍有待充分阐明,然而,抗炎作用是特别感兴趣的。最大限度地发挥治疗效果,同时限制不良反应是药物开发的关键。天然产品的氟化通常产生具有增强生物特性的分子,并提供天然产品无法获得的知识产权保护机会。方法:本文描述了四种新型大麻素(脱氧三氟ocbn类似物(F3CBN),外消旋顺式脱氧三氟THC (F3THC)和截断吡啶类似物的中间产物SG126和SG154)。重要的是,我们通过研究这些分子对人C20小胶质细胞代谢活性的体外影响(通过3-[4,5-二甲基噻唑-2-基]-2,5,-二苯基溴化四唑,MTT测定)和细胞因子表达(通过酶联免疫吸附测定,ELISA),提供了这些分子生物活性的初步评估。结果:大麻素对代谢活性的影响最小,甚至没有影响。值得注意的是,F3CBN和F3THC增强了白细胞介素-1β (IL-1β)诱导的干扰素-γ诱导蛋白10 (CXCL10)和IL-6的表达,而SG126和SG154则具有抑制作用。结论:这些发现为探索四种新型氟化大麻素的治疗潜力奠定了基础。
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引用次数: 0
Impact of statin therapy on CD40:CD40L signaling: mechanistic insights and therapeutic opportunities. 他汀类药物治疗对 CD40:CD40L 信号传导的影响:机理认识和治疗机会。
IF 3.6 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2024-12-16 DOI: 10.1007/s43440-024-00678-2
Fatemeh Askarizadeh, Sercan Karav, Tannaz Jamialahmadi, Amirhossein Sahebkar

Statins are widely utilized to reduce cholesterol levels, particularly in cardiovascular diseases. They interface with cholesterol synthesis by inhibiting the 3-hydroxy-3-methylglutaryl coenzyme-A (HMG-CoA) reductase enzyme. Besides their primary effect, statins demonstrate anti-inflammatory and immune-modulating properties in various diseases, highlighting the pleiotropic effect of these drugs. The CD40:CD40L signaling pathway is considered a prominent inflammatory pathway in multiple diseases, including autoimmune, inflammatory, and cardiovascular diseases. The findings from clinical trials and in vitro and in vivo studies suggest the potential anti-inflammatory effect of statins in modulating the CD40 signaling pathway and downstream inflammatory mediator. Accordingly, as its classic ligand, statins can suppress immune responses in autoimmune diseases by inhibiting CD40 expression and blocking its interaction with CD40L. Additionally, statins affect intracellular signaling and inhibit inflammatory mediator secretion in chronic inflammatory diseases like asthma and autoimmune disorders such as myasthenia gravis, multiple sclerosis, systemic lupus erymanthus, and cardiovascular diseases like atherosclerosis. However, it is essential to note that the anti-inflammatory effect of statins may vary depending on the specific type of statin used. In this study, we aim to explore the potential anti-inflammatory effects of statins in treating inflammatory diseases by examining their role in regulating immune responses, particularly their impact on the CD40:CD40L signaling pathway, through a comprehensive review of existing literature.

他汀类药物被广泛用于降低胆固醇水平,特别是在心血管疾病中。它们通过抑制3-羟基-3-甲基戊二酰辅酶a (HMG-CoA)还原酶与胆固醇合成相结合。除了其主要作用外,他汀类药物在多种疾病中表现出抗炎和免疫调节特性,突出了这些药物的多效性。CD40:CD40L信号通路被认为是多种疾病的重要炎症通路,包括自身免疫性疾病、炎症性疾病和心血管疾病。临床试验和体内体外研究结果表明,他汀类药物通过调节CD40信号通路和下游炎症介质具有潜在的抗炎作用。因此,他汀类药物作为其经典配体,通过抑制CD40的表达并阻断其与CD40L的相互作用,抑制自身免疫性疾病的免疫应答。此外,他汀类药物在慢性炎症性疾病(如哮喘)和自身免疫性疾病(如重症肌无力、多发性硬化、系统性红斑狼疮)以及心血管疾病(如动脉粥样硬化)中影响细胞内信号传导并抑制炎症介质分泌。然而,必须注意的是,他汀类药物的抗炎作用可能因使用的具体类型而异。在本研究中,我们旨在通过对现有文献的综合综述,通过研究他汀类药物在调节免疫反应中的作用,特别是对CD40:CD40L信号通路的影响,探讨他汀类药物在治疗炎症性疾病中的潜在抗炎作用。
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引用次数: 0
Advanced pharmacological and pharmacokinetic evaluation of 1,3 dimethylpurine-2,6-dione derivative (GR-14) with prominent mood-modulating activity in rats. 对具有显著情绪调节活性的 1,3-二甲基嘌呤-2,6-二酮衍生物(GR-14)进行大鼠高级药理学和药代动力学评估。
IF 3.6 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2024-12-16 DOI: 10.1007/s43440-024-00686-2
Agnieszka Cios, Grażyna Chłoń-Rzepa, Magdalena Jastrzębska-Więsek, Krzysztof Pociecha, Katarzyna Wójcik-Pszczoła, Elżbieta Pękala, Anna Wesołowska

Background: Research on new candidates for antidepressant/anxiolytic drugs from the long-chain arylpiperazines (LCAPs) group containing a 1,3-dimethylpurine-2,6-dione as a terminal amide fragment fits into the modern exploration trend. This study aimed to examine, for the first time in male Wistar rats, pharmacodynamic (antidepressant- and anxiolytic-like) and pharmacokinetic properties of 7-(5-(4-(3-chlorophenyl)piperazin-1-yl)pentyl)-1,3-dimethyl-3,7-dihydro-1 H-purine-2,6-dione hydrochloride (GR-14).

Methods: Antidepressant- and anxiolytic-like activities have been assessed in the forced swim test (FST) and Vogel conflict drinking test, respectively. The pharmacokinetic characteristics of GR-14, its distribution into rat tissues, and several in vitro ADME-Tox parameters (hepatocytotoxic, neurocytotoxic, metabolic stability) have been defined.

Results: GR-14 produces strong and dose-dependent antidepressant- and anxiolytic-like effects in both tests used. Pharmacokinetic findings demonstrate that GR-14 reveals linear pharmacokinetics tested after intravenous (iv) and was rapidly absorbed after oral (po) administration. It rapidly crosses the blood-brain barrier (BBB) which is vital for therapeutic effects in vivo in psychiatric diseases, depression, and anxiety. Moreover, it is slowly eliminated from the brain, maintaining concentrations higher than those in plasma at the last time point measured. Further studies have also shown that GR-14 is an average high-clearance drug in rat liver microsomes and exerts neither hepatocytotoxic nor neurocytotoxic effects in vitro.

Conclusion: The tested derivative GR-14 presents prominent mood-modulating activity in rats and has promising pharmacokinetic parameters and a good safety profile. The beneficial pharmacology and pharmacokinetics of GR-14 in vivo are in high concordance with its profile in vitro, thus underlining very hopeful properties to support the early development process.

背景:从以1,3-二甲基嘌呤-2,6-二酮为末端酰胺片段的长链芳基哌嗪(LCAPs)基团中寻找抗抑郁/抗焦虑药物的新候选物符合现代探索的趋势。本研究首次在雄性Wistar大鼠中研究了7-(5-(4-(3-氯苯基)哌嗪-1-基)戊基)-1,3-二甲基-3,7-二氢-1 h -嘌呤-2,6-二酮盐酸(GR-14)的药效学(抗抑郁和抗焦虑样)和药代动力学特性。方法:分别用强迫游泳试验(FST)和Vogel冲突饮酒试验评估抗抑郁药和焦虑样活动。确定了GR-14的药代动力学特征、在大鼠组织中的分布以及ADME-Tox的几个体外参数(肝细胞毒性、神经细胞毒性、代谢稳定性)。结果:GR-14在使用的两种测试中产生强烈的剂量依赖性抗抑郁药和抗焦虑药样作用。药代动力学结果表明,GR-14在静脉注射(iv)后呈线性药代动力学,口服(po)后迅速吸收。它迅速穿过血脑屏障(BBB),这对精神疾病、抑郁症和焦虑症的体内治疗效果至关重要。此外,它会慢慢地从大脑中消失,维持比上次测量时血浆中的浓度更高的浓度。进一步的研究也表明,GR-14在大鼠肝微粒体中是一种平均高清除率的药物,在体外不产生肝细胞毒性和神经细胞毒性作用。结论:所测衍生物GR-14在大鼠体内具有明显的情绪调节活性,具有良好的药动学参数和安全性。GR-14在体内的有益药理学和药代动力学与其在体外的情况高度一致,因此强调了非常有希望支持早期发育过程的特性。
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引用次数: 0
c-Myc inhibition and p21 modulation contribute to unsymmetrical bisacridines-induced apoptosis and senescence in pancreatic cancer cells. c-Myc 抑制和 p21 调节有助于非对称双吖啶诱导胰腺癌细胞凋亡和衰老。
IF 3.6 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2024-10-03 DOI: 10.1007/s43440-024-00658-6
Agnieszka Kurdyn, Monika Pawłowska, Ewa Paluszkiewicz, Mirosława Cichorek, Ewa Augustin

Background: Pancreatic cancer (PC) is one of the most aggressive cancers and is the seventh leading cause of cancer-related death worldwide. PC is characterized by rapid progression and resistance to conventional treatments. Mutations in KRAS, CDKN2A, TP53, SMAD4/DPC4, and MYC are major genetic alterations associated with poor treatment outcomes in patients with PC. Therefore, optimizing PC therapy is a tremendous challenge. Unsymmetrical bisacridines (UAs), synthesized by our group, are new promising compounds that have exhibited high cytotoxicity and antitumor activity against several solid tumors, including pancreatic cancer.

Methods: The cellular effects induced by UAs in PC cells were evaluated by MTT assay (cell growth inhibition), flow cytometry, and fluorescence and light microscopy (cell cycle distribution, apoptosis, and senescence detection). Analysis of the effects of UAs on the levels of proteins (c-Myc, p53, SMAD4, p21, and p16) was performed by Western blotting.

Results: Apoptosis was the main triggered mechanism of death after UAs treatment, and induction of the SMAD4 protein can facilitate this process. c-Myc, which is one of the molecular targets of UAs, can participate in the induction of cell death in a p53-independent manner. Moreover, UAs can also induce accelerated senescence through the upregulation of p21. Notably, senescent cells can die via apoptosis after prolonged exposure to UAs.

Conclusions: UAs have emerged as potent anticancer agents that induce apoptosis by inhibiting c-Myc protein and triggering cellular senescence in a dose-dependent manner by increasing p21 levels. Thus, UAs exhibit desirable features as promising candidates for future pancreatic anticancer therapies.

背景:胰腺癌(PC)是侵袭性最强的癌症之一,也是全球第七大癌症致死原因。胰腺癌的特点是进展迅速和对常规治疗产生抗药性。KRAS、CDKN2A、TP53、SMAD4/DPC4 和 MYC 基因突变是与 PC 患者治疗效果不佳相关的主要基因改变。因此,优化 PC 治疗是一项巨大的挑战。我们小组合成的不对称双吖啶(UAs)是一种新的有前途的化合物,对包括胰腺癌在内的多种实体瘤具有很高的细胞毒性和抗肿瘤活性:方法:通过 MTT 试验(细胞生长抑制)、流式细胞术、荧光和光学显微镜(细胞周期分布、细胞凋亡和衰老检测)评估 UAs 对 PC 细胞的细胞效应。用 Western 印迹法分析了 UAs 对蛋白质(c-Myc、p53、SMAD4、p21 和 p16)水平的影响:c-Myc是UAs的分子靶标之一,能以与p53无关的方式参与诱导细胞死亡。此外,UAs 还能通过 p21 的上调诱导加速衰老。值得注意的是,衰老细胞在长期接触 UAs 后可通过凋亡死亡:UAs已成为一种有效的抗癌剂,它通过抑制c-Myc蛋白诱导细胞凋亡,并通过提高p21水平以剂量依赖的方式引发细胞衰老。因此,UAs 具有理想的特性,有望成为未来胰腺癌抗癌疗法的候选药物。
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引用次数: 0
Safety of dapagliflozin and empagliflozin in cases with diabetes mellitus or/and heart failure: a retrospective pharmacovigilance study conducted on the eudravigilance database. 糖尿病或/和心力衰竭患者服用达帕格列净和恩格列净的安全性:一项基于 eudravigilance 数据库进行的回顾性药物警戒研究。
IF 3.6 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2024-10-23 DOI: 10.1007/s43440-024-00668-4
Annamaria Mascolo, Alessia Zinzi, Mario Gaio, Donatella Ruggiero, Cristina Scavone, Francesco Rossi, Annalisa Capuano

Introduction: Dapagliflozin and empagliflozin are sodium-glucose cotransporter-2 (SGLT2) inhibitors initially approved for the treatment of type 2 diabetes mellitus (DM), and later for heart failure (HF). Considering this differential therapeutic use, we decided to evaluate cases related to these agents by comparing those with DM, HF, or both (DM and HF).

Methods: A retrospective, pharmacovigilance study was conducted by using data contained in the EudraVigilance from January 1st, 2021, to December 31st, 2023. Cases were classified into those with DM, HF, or both diseases. The Reporting Odds Ratio (ROR), and its 95% confidence interval (95%CI) were computed to compare the reporting probability of the four most reported adverse events. The following comparisons were performed: DM vs. HF; both DM and HF vs. HF; both DM and HF vs. DM. Analyses were adjusted for age, sex, and time between the approval date of the SGLT2 inhibitor and the reporting date.

Results: A total of 14,594 (50.5%) cases were classifiable for DM (N = 11,962; 82.0%), HF (N = 2,100; 14.4%), or both DM and HF (N = 532; 3.64%). The empagliflozin was the most reported SGLT2 inhibitor (60.1%), and only 15 cases (0.1%) reported both empagliflozin and dapagliflozin. Cases with DM and both DM and HF were associated with a higher reporting probability of ketoacidosis (ROR: 5.95, 95%CI: 4.87-7.26; ROR: 3.05, 95%CI: 2.27-4.09) and Fournier's gangrene (ROR: 2.30, 95%CI: 1.65-3.20; ROR: 2.30, 95%CI: 1.38-3.82) than HF. These results were also confirmed by adjusted analyses.

Conclusion: We found that ketoacidosis and Fournier's gangrene had a higher reporting in cases with DM. Further studies are warranted.

简介Dapagliflozin和empagliflozin是钠-葡萄糖共转运体-2(SGLT2)抑制剂,最初被批准用于治疗2型糖尿病(DM),后来被批准用于治疗心力衰竭(HF)。考虑到这种不同的治疗用途,我们决定通过比较糖尿病患者、心力衰竭患者或同时患有糖尿病和心力衰竭的患者(DM 和 HF)来评估与这些药物相关的病例:我们利用 EudraVigilance 中包含的 2021 年 1 月 1 日至 2023 年 12 月 31 日的数据,开展了一项回顾性药物警戒研究。病例分为糖尿病、高血压或同时患有这两种疾病的病例。计算了报告几率比(ROR)及其 95% 置信区间(95%CI),以比较报告最多的四种不良事件的报告概率。比较结果如下DM vs. HF;DM 和 HF 均 vs. HF;DM 和 HF 均 vs. DM。分析根据年龄、性别以及 SGLT2 抑制剂批准日期与报告日期之间的时间进行了调整:共有 14,594 例(50.5%)可归类为 DM(N = 11,962; 82.0%)、HF(N = 2,100; 14.4%)或既有 DM 又有 HF(N = 532; 3.64%)。报告最多的SGLT2抑制剂是empagliflozin(60.1%),只有15例(0.1%)同时报告了empagliflozin和dapagliflozin。与 HF 相比,DM 病例以及同时患有 DM 和 HF 的病例报告酮症酸中毒(ROR:5.95,95%CI:4.87-7.26;ROR:3.05,95%CI:2.27-4.09)和 Fournier 坏疽(ROR:2.30,95%CI:1.65-3.20;ROR:2.30,95%CI:1.38-3.82)的概率更高。这些结果在调整分析中也得到了证实:结论:我们发现酮症酸中毒和福尼尔坏疽在糖尿病病例中报告率较高。有必要开展进一步研究。
{"title":"Safety of dapagliflozin and empagliflozin in cases with diabetes mellitus or/and heart failure: a retrospective pharmacovigilance study conducted on the eudravigilance database.","authors":"Annamaria Mascolo, Alessia Zinzi, Mario Gaio, Donatella Ruggiero, Cristina Scavone, Francesco Rossi, Annalisa Capuano","doi":"10.1007/s43440-024-00668-4","DOIUrl":"10.1007/s43440-024-00668-4","url":null,"abstract":"<p><strong>Introduction: </strong>Dapagliflozin and empagliflozin are sodium-glucose cotransporter-2 (SGLT2) inhibitors initially approved for the treatment of type 2 diabetes mellitus (DM), and later for heart failure (HF). Considering this differential therapeutic use, we decided to evaluate cases related to these agents by comparing those with DM, HF, or both (DM and HF).</p><p><strong>Methods: </strong>A retrospective, pharmacovigilance study was conducted by using data contained in the EudraVigilance from January 1st, 2021, to December 31st, 2023. Cases were classified into those with DM, HF, or both diseases. The Reporting Odds Ratio (ROR), and its 95% confidence interval (95%CI) were computed to compare the reporting probability of the four most reported adverse events. The following comparisons were performed: DM vs. HF; both DM and HF vs. HF; both DM and HF vs. DM. Analyses were adjusted for age, sex, and time between the approval date of the SGLT2 inhibitor and the reporting date.</p><p><strong>Results: </strong>A total of 14,594 (50.5%) cases were classifiable for DM (N = 11,962; 82.0%), HF (N = 2,100; 14.4%), or both DM and HF (N = 532; 3.64%). The empagliflozin was the most reported SGLT2 inhibitor (60.1%), and only 15 cases (0.1%) reported both empagliflozin and dapagliflozin. Cases with DM and both DM and HF were associated with a higher reporting probability of ketoacidosis (ROR: 5.95, 95%CI: 4.87-7.26; ROR: 3.05, 95%CI: 2.27-4.09) and Fournier's gangrene (ROR: 2.30, 95%CI: 1.65-3.20; ROR: 2.30, 95%CI: 1.38-3.82) than HF. These results were also confirmed by adjusted analyses.</p><p><strong>Conclusion: </strong>We found that ketoacidosis and Fournier's gangrene had a higher reporting in cases with DM. Further studies are warranted.</p>","PeriodicalId":19947,"journal":{"name":"Pharmacological Reports","volume":" ","pages":"274-286"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142505741","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
Inhibition of CHI3L1 decreases N-cadherin and VCAM-1 levels in glioblastoma. 抑制 CHI3L1 可降低胶质母细胞瘤中 N-粘连蛋白和 VCAM-1 的水平。
IF 3.6 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2024-11-14 DOI: 10.1007/s43440-024-00677-3
Agnieszka Rusak, Marlena Gąsior-Głogowska, Azzurra Sargenti, Edward Krzyżak, Krzysztof Kotowski, Monika Mrozowska, Tomasz Górnicki, Krzysztof Kujawa, Piotr Dzięgiel

Background: The protein CHI3L1 contributes to cancer development by several mechanisms, including stimulation of angiogenesis and invasion as well as immunomodulatory effects. These properties make it a potential target for the development of targeted therapies in precision medicine. In this context, the particular potential of CHI3L1 inhibition could be considered in glioblastoma multiforme (GBM), whose tumors exhibit high levels of angiogenesis and increased CHI3L1 expression. This study aims to investigate whether inhibition of CHI3L1 in spheroids used as a GBM model affects the mechanisms of invasiveness; METHODS: We analyzed the interactions between CHI3L1 and the inhibitor G721-0282 in molecular docking and molecular dynamics (in silico) and infrared spectroscopy. Uptake of G721-0282 in GBM spheroids was measured using a label-free physical cytometer. Changes in E-, N- and VE-cadherins, VCAM-1, and EGFR were analyzed by immunohistochemical reactions, Western blot, and ddPCR methods in U-87 MG cells and GBM spheroids consisting of U-87 MG glioblastoma cells, HMEC-1 endothelial cells and macrophages; RESULTS: A direct interaction between CHI3L1 and G721-0282 was confirmed. G721-0282 decreased N-cadherins and VCAM-1 in GBM spheroids, but the changes in the 2D model of U-87 MG glioblastoma cells were different; CONCLUSION: Inhibition of CHI3L1 has the potential to reduce the invasiveness of GBM tumors. The 3D model of GBM spheroids is of great significance for investigating changes in membrane proteins and the tumor microenvironment.

背景:蛋白质 CHI3L1 通过多种机制促进癌症的发展,包括刺激血管生成和侵袭以及免疫调节作用。这些特性使其成为开发精准医学靶向疗法的潜在目标。在此背景下,CHI3L1抑制剂在多形性胶质母细胞瘤(GBM)中的特殊潜力值得考虑,这种肿瘤表现出高水平的血管生成和CHI3L1表达增加。本研究旨在探讨在作为 GBM 模型的球体内抑制 CHI3L1 是否会影响侵袭性机制;方法:我们通过分子对接、分子动力学(in silico)和红外光谱分析了 CHI3L1 与抑制剂 G721-0282 之间的相互作用。使用无标记物理细胞计测量了GBM球体内对G721-0282的吸收。在 U-87 MG 细胞和由 U-87 MG 胶质母细胞瘤细胞、HMEC-1 内皮细胞和巨噬细胞组成的 GBM 球体内,通过免疫组化反应、Western 印迹和 ddPCR 方法分析了 E、N 和 VE 粘连蛋白、VCAM-1 和表皮生长因子受体的变化;结果:证实了 CHI3L1 与 G721-0282 之间的直接相互作用。G721-0282能降低GBM球形细胞中的N-粘连蛋白和VCAM-1,但在U-87 MG胶质母细胞瘤细胞的二维模型中的变化有所不同;结论:抑制CHI3L1有可能降低GBM肿瘤的侵袭性。GBM球形细胞的三维模型对于研究膜蛋白和肿瘤微环境的变化具有重要意义。
{"title":"Inhibition of CHI3L1 decreases N-cadherin and VCAM-1 levels in glioblastoma.","authors":"Agnieszka Rusak, Marlena Gąsior-Głogowska, Azzurra Sargenti, Edward Krzyżak, Krzysztof Kotowski, Monika Mrozowska, Tomasz Górnicki, Krzysztof Kujawa, Piotr Dzięgiel","doi":"10.1007/s43440-024-00677-3","DOIUrl":"10.1007/s43440-024-00677-3","url":null,"abstract":"<p><strong>Background: </strong>The protein CHI3L1 contributes to cancer development by several mechanisms, including stimulation of angiogenesis and invasion as well as immunomodulatory effects. These properties make it a potential target for the development of targeted therapies in precision medicine. In this context, the particular potential of CHI3L1 inhibition could be considered in glioblastoma multiforme (GBM), whose tumors exhibit high levels of angiogenesis and increased CHI3L1 expression. This study aims to investigate whether inhibition of CHI3L1 in spheroids used as a GBM model affects the mechanisms of invasiveness; METHODS: We analyzed the interactions between CHI3L1 and the inhibitor G721-0282 in molecular docking and molecular dynamics (in silico) and infrared spectroscopy. Uptake of G721-0282 in GBM spheroids was measured using a label-free physical cytometer. Changes in E-, N- and VE-cadherins, VCAM-1, and EGFR were analyzed by immunohistochemical reactions, Western blot, and ddPCR methods in U-87 MG cells and GBM spheroids consisting of U-87 MG glioblastoma cells, HMEC-1 endothelial cells and macrophages; RESULTS: A direct interaction between CHI3L1 and G721-0282 was confirmed. G721-0282 decreased N-cadherins and VCAM-1 in GBM spheroids, but the changes in the 2D model of U-87 MG glioblastoma cells were different; CONCLUSION: Inhibition of CHI3L1 has the potential to reduce the invasiveness of GBM tumors. The 3D model of GBM spheroids is of great significance for investigating changes in membrane proteins and the tumor microenvironment.</p>","PeriodicalId":19947,"journal":{"name":"Pharmacological Reports","volume":" ","pages":"210-228"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
The future of metronomic chemotherapy: experimental and computational approaches of drug repurposing. 节律化疗的未来:药物再利用的实验和计算方法。
IF 3.6 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2024-10-21 DOI: 10.1007/s43440-024-00662-w
Yousef A Abdelrady, Hayam S Thabet, Ahmed M Sayed

Metronomic chemotherapy (MC), long-term continuous administration of anticancer drugs, is gaining attention as an alternative to the traditional maximum tolerated dose (MTD) chemotherapy. By combining MC with other treatments, the therapeutic efficacy is enhanced while minimizing toxicity. MC employs multiple mechanisms, making it a versatile approach against various cancers. However, drug resistance limits the long-term effectiveness of MC, necessitating ongoing development of anticancer drugs. Traditional drug discovery is lengthy and costly due to processes like target protein identification, virtual screening, lead optimization, and safety and efficacy evaluations. Drug repurposing (DR), which screens FDA-approved drugs for new uses, is emerging as a cost-effective alternative. Both experimental and computational methods, such as protein binding assays, in vitro cytotoxicity tests, structure-based screening, and several types of association analyses (Similarity-Based, Network-Based, and Target Gene), along with retrospective clinical analyses, are employed for virtual screening. This review covers the mechanisms of MC, its application in various cancers, DR strategies, examples of repurposed drugs, and the associated challenges and future directions.

作为传统的最大耐受剂量化疗(MTD)的替代疗法,长期连续服用抗癌药物的 "剂量化疗"(MC)正受到越来越多的关注。通过将 MC 与其他治疗方法相结合,可在提高疗效的同时将毒性降至最低。MC 采用了多种机制,因此是治疗各种癌症的通用方法。然而,耐药性限制了 MC 的长期有效性,因此需要不断开发抗癌药物。传统的药物研发过程漫长而昂贵,需要经过靶蛋白鉴定、虚拟筛选、先导物优化以及安全性和有效性评估等过程。药物再利用(Drug repurposing,DR),即筛选美国食品及药物管理局批准的药物用于新用途,正在成为一种具有成本效益的替代方法。虚拟筛选采用了实验和计算方法,如蛋白质结合测定、体外细胞毒性测试、结构筛选、几种关联分析(基于相似性、基于网络和目标基因)以及回顾性临床分析。本综述涉及 MC 的机制、在各种癌症中的应用、DR 策略、再利用药物的实例以及相关挑战和未来方向。
{"title":"The future of metronomic chemotherapy: experimental and computational approaches of drug repurposing.","authors":"Yousef A Abdelrady, Hayam S Thabet, Ahmed M Sayed","doi":"10.1007/s43440-024-00662-w","DOIUrl":"10.1007/s43440-024-00662-w","url":null,"abstract":"<p><p>Metronomic chemotherapy (MC), long-term continuous administration of anticancer drugs, is gaining attention as an alternative to the traditional maximum tolerated dose (MTD) chemotherapy. By combining MC with other treatments, the therapeutic efficacy is enhanced while minimizing toxicity. MC employs multiple mechanisms, making it a versatile approach against various cancers. However, drug resistance limits the long-term effectiveness of MC, necessitating ongoing development of anticancer drugs. Traditional drug discovery is lengthy and costly due to processes like target protein identification, virtual screening, lead optimization, and safety and efficacy evaluations. Drug repurposing (DR), which screens FDA-approved drugs for new uses, is emerging as a cost-effective alternative. Both experimental and computational methods, such as protein binding assays, in vitro cytotoxicity tests, structure-based screening, and several types of association analyses (Similarity-Based, Network-Based, and Target Gene), along with retrospective clinical analyses, are employed for virtual screening. This review covers the mechanisms of MC, its application in various cancers, DR strategies, examples of repurposed drugs, and the associated challenges and future directions.</p>","PeriodicalId":19947,"journal":{"name":"Pharmacological Reports","volume":" ","pages":"1-20"},"PeriodicalIF":3.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142472215","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
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