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Novel method of measurement of in vitro drug uptake in OATP1B3 overexpressing cells in the presence of dextran. 在存在葡聚糖的情况下测量 OATP1B3 过表达细胞体外药物吸收的新方法。
IF 4.4 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-04-01 Epub Date: 2024-03-26 DOI: 10.1007/s43440-024-00583-8
Anna Kowal-Chwast, Ewelina Gabor-Worwa, Nilesh Gaud, Dawid Gogola, Agnieszka Piątek, Adrian Zarębski, Peter Littlewood, Marek Smoluch, Krzysztof Brzózka, Kamil Kuś

Background: In predictions about hepatic clearance (CLH), a number of studies explored the role of albumin and transporters in drug uptake by liver cells, challenging the traditional free-drug theory. It was proposed that liver uptake can occur for transporter substrate compounds not only from the drug's unbound form but also directly from the drug-albumin complex, a phenomenon known as uptake facilitated by albumin. In contrast to albumin, dextran does not exhibit binding properties for compounds. However, as a result of its inherent capacity for stabilization, it is widely used to mimic conditions within cells.

Methods: The uptake of eight known substrates of the organic anion-transporting polypeptide 1B3 (OATP1B3) was assessed using a human embryonic kidney cell line (HEK293), which stably overexpresses this transporter. An inert polymer, dextran, was used to simulate cellular conditions, and the results were compared with experiments involving human plasma and human serum albumin (HSA).

Results: This study is the first to demonstrate that dextran increases compound uptake in cells with overexpression of the OATP1B3 transporter. Contrary to the common theory that highly protein-bound ligands interact with hepatocytes to increase drug uptake, the results indicate that dextran's interaction with test compounds does not significantly increase concentrations near the cell membrane surface.

Conclusions: We evaluated the effect of dextran on the uptake of known substrates using OATP1B3 overexpressed in the HEK293 cell line, and we suggest that its impact on drug concentrations in liver cells may differ from the traditional role of plasma proteins and albumin.

背景:在预测肝清除率(CLH)时,一些研究探讨了白蛋白和转运体在肝细胞摄取药物中的作用,对传统的自由药物理论提出了挑战。有研究提出,肝脏对转运体底物化合物的摄取不仅可以来自药物的非结合形式,也可以直接来自药物-白蛋白复合物,这种现象被称为白蛋白促进摄取。与白蛋白不同,葡聚糖不具有与化合物结合的特性。然而,由于其固有的稳定能力,它被广泛用于模拟细胞内的情况:方法:使用稳定过表达有机阴离子转运多肽 1B3(OATP1B3)的人胚胎肾细胞系(HEK293)评估了该转运体对八种已知底物的吸收情况。使用惰性聚合物葡聚糖来模拟细胞条件,并将结果与涉及人血浆和人血清白蛋白(HSA)的实验进行了比较:本研究首次证明右旋糖酐能增加过表达 OATP1B3 转运体的细胞对化合物的吸收。与高蛋白结合配体与肝细胞相互作用增加药物摄取的常见理论相反,结果表明右旋糖酐与测试化合物的相互作用并不会显著增加细胞膜表面附近的浓度:我们利用 HEK293 细胞系中过表达的 OATP1B3 评估了右旋糖酐对已知底物吸收的影响,我们认为右旋糖酐对肝细胞中药物浓度的影响可能不同于血浆蛋白和白蛋白的传统作用。
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引用次数: 0
Further proof on the role of accumbal nNOS in cocaine-seeking behavior in rats. 进一步证明蓄积性 nNOS 在大鼠可卡因寻求行为中的作用。
IF 4.4 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.1007/s43440-024-00571-y
Małgorzata Frankowska, Irena Smaga, Kinga Gawlińska, Renata Pieniążek, Małgorzata Filip

Background: Cocaine use disorder (CUD) remains a severe health problem with no effective pharmacological therapy. One of the potential pharmacological strategies for CUD pharmacotherapy includes manipulations of the brain glutamatergic (Glu) system which is particularly involved in drug withdrawal and relapse. Previous research indicated a pivotal role of ionotropic N-methyl-D-aspartate (NMDA) receptors or metabotropic receptors' type 5 (mGlu5) receptors in controlling the reinstatement of cocaine. Stimulation of the above molecules results in the activation of the downstream signaling targets such as neuronal nitric oxide synthase (nNOS) and the release of nitric oxide.

Methods: In this paper, we investigated the molecular changes in nNOS in the prefrontal cortex and nucleus accumbens following 3 and 10 days of cocaine abstinence as well as the effectiveness of nNOS blockade with the selective enzyme inhibitor N-ω-propyl-L-arginine hydrochloride (L-NPA) on cocaine seeking in male rats. The effect of L-NPA on locomotor activity in drug-naïve animals was investigated.

Results: Ten-day (but not 3-day) cocaine abstinence from cocaine self-administration increased nNOS gene and protein expression in the nucleus accumbens, but not in the prefrontal cortex. L-NPA (0.5-5 mg/kg) administered peripherally did not change locomotor activity but attenuated the reinstatement induced with cocaine priming or the drug-associated conditioned cue.

Conclusions: Our findings support accumbal nNOS as an important molecular player for cocaine seeking while its inhibitors could be considered as anti-cocaine pharmacological tools in male rats.

背景:可卡因使用障碍(CUD)仍然是一个严重的健康问题,目前尚无有效的药物疗法。可卡因使用障碍药物疗法的潜在药理学策略之一包括操纵大脑谷氨酸能(Glu)系统,该系统尤其与戒断和复吸药物有关。以前的研究表明,离子型 N-甲基-D-天冬氨酸(NMDA)受体或代谢受体 5 型(mGlu5)受体在控制可卡因复吸中起着关键作用。对上述分子的刺激会导致下游信号靶点的激活,如神经元一氧化氮合酶(nNOS)和一氧化氮的释放:本文研究了雄性大鼠戒断可卡因3天和10天后前额叶皮层和伏隔核中nNOS的分子变化,以及选择性酶抑制剂N-ω-丙基-L-精氨酸盐酸盐(L-NPA)阻断nNOS对可卡因寻求的有效性。研究还探讨了L-NPA对未服药动物运动活动的影响:结果:对可卡因自我给药戒断10天(而非3天)后,可卡因累加核中的nNOS基因和蛋白表达增加,但前额叶皮层中的nNOS基因和蛋白表达没有增加。外周给药 L-NPA(0.5-5 毫克/千克)不会改变运动活动,但会减弱可卡因引物或药物相关条件线索诱导的恢复:我们的研究结果支持蓄积性 nNOS 是可卡因寻求的重要分子角色,而其抑制剂可被视为雄性大鼠抗可卡因的药理学工具。
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引用次数: 0
Diagnostic, prognostic, and therapeutic potential of exosomal microRNAs in renal cancer. 肾癌外泌体 microRNA 的诊断、预后和治疗潜力。
IF 4.4 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-04-01 Epub Date: 2024-02-22 DOI: 10.1007/s43440-024-00568-7
Xiaodong Yu, Zhongbo Du, Pingyu Zhu, Bo Liao

Renal cell carcinoma (RCC) arises from the tubular epithelial cells of the nephron. It has the highest mortality rate among urological cancers. There are no effective therapeutic approaches and no non-invasive biomarkers for diagnosis and follow-up. Thus, suitable novel biomarkers and therapeutic targets are essential for improving RCC diagnosis/prognosis and treatment. Circulating exosomes such as exosomal microRNAs (Exo-miRs) provide non-invasive prognostic/diagnostic biomarkers and valuable therapeutic targets, as they can be easily isolated and quantified and show high sensitivity and specificity. Exosomes secreted by an RCC can exhibit alterations in the miRs' profile that may reflect the cellular origin and (patho)physiological state, as a ''signature'' or ''fingerprint'' of the donor cell. It has been shown that the transportation of renal-specific miRs in exosomes can be rapidly detected and measured, holding great potential as biomarkers in RCC. The present review highlights the studies reporting tumor microenvironment-derived Exo-miRs with therapeutic potential as well as circulating Exo-miRs as potential diagnostic/prognostic biomarkers in patients with RCC.

肾细胞癌(RCC)产生于肾小管上皮细胞。它是死亡率最高的泌尿系统癌症。目前还没有有效的治疗方法,也没有用于诊断和随访的非侵入性生物标志物。因此,合适的新型生物标志物和治疗靶点对于改善 RCC 的诊断/预后和治疗至关重要。循环外泌体,如外泌体微RNA(Exo-miRs),可提供非侵入性的预后/诊断生物标志物和有价值的治疗靶点,因为它们很容易被分离和量化,并显示出很高的灵敏度和特异性。RCC 分泌的外泌体可显示出 miRs 特征的改变,这可能反映了细胞来源和(病理)生理状态,是供体细胞的 "签名 "或 "指纹"。有研究表明,外泌体中肾脏特异性 miRs 的运输可被快速检测和测量,具有作为 RCC 生物标记物的巨大潜力。本综述重点介绍了有关具有治疗潜力的肿瘤微环境衍生 Exo-miRs 以及作为 RCC 患者潜在诊断/预后生物标志物的循环 Exo-miRs 的研究报告。
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引用次数: 0
The protective effects of statins in traumatic brain injury. 他汀类药物对创伤性脑损伤的保护作用。
IF 4.4 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-04-01 Epub Date: 2024-03-07 DOI: 10.1007/s43440-024-00582-9
Safoora Pordel, Alice P McCloskey, Wael Almahmeed, Amirhossein Sahebkar

Traumatic brain injury (TBI), often referred to as the "silent epidemic", is the most common cause of mortality and morbidity worldwide among all trauma-related injuries. It is associated with considerable personal, medical, and economic consequences. Although remarkable advances in therapeutic approaches have been made, current treatments and clinical management for TBI recovery still remain to be improved. One of the factors that may contribute to this gap is that existing therapies target only a single event or pathology. However, brain injury after TBI involves various pathological mechanisms, including inflammation, oxidative stress, blood-brain barrier (BBB) disruption, ionic disturbance, excitotoxicity, mitochondrial dysfunction, neuronal necrosis, and apoptosis. Statins have several beneficial pleiotropic effects (anti-excitotoxicity, anti-inflammatory, anti-oxidant, anti-thrombotic, immunomodulatory activity, endothelial and vasoactive properties) in addition to promoting angiogenesis, neurogenesis, and synaptogenesis in TBI. Supposedly, using agents such as statins that target numerous and diverse pathological mechanisms, may be more effective than a single-target approach in TBI management. The current review was undertaken to investigate and summarize the protective mechanisms of statins against TBI. The limitations of conducted studies and directions for future research on this potential therapeutic application of statins are also discussed.

创伤性脑损伤(TBI)常被称为 "无声的流行病",是全世界所有与创伤有关的伤害中最常见的致死和发病原因。它对个人、医疗和经济造成了严重后果。尽管在治疗方法上已经取得了长足的进步,但目前针对创伤性脑损伤恢复的治疗和临床管理仍有待改进。造成这一差距的因素之一可能是现有疗法只针对单一事件或病理。然而,创伤性脑损伤后的脑损伤涉及多种病理机制,包括炎症、氧化应激、血脑屏障(BBB)破坏、离子紊乱、兴奋毒性、线粒体功能障碍、神经元坏死和细胞凋亡。他汀类药物除了促进创伤性脑损伤患者的血管生成、神经再生和突触生成外,还具有多种有益的多效应(抗兴奋毒性、抗炎、抗氧化、抗血栓形成、免疫调节活性、内皮和血管活性特性)。据称,在治疗创伤性脑损伤时,使用他汀类药物等针对多种不同病理机制的药物可能比单一靶点的方法更有效。本综述旨在研究和总结他汀类药物对创伤性脑损伤的保护机制。此外,还讨论了已开展研究的局限性以及他汀类药物这一潜在治疗应用的未来研究方向。
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引用次数: 0
Cannabinoids in the treatment of glioblastoma. 治疗胶质母细胞瘤的大麻素。
IF 4.4 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-04-01 Epub Date: 2024-03-08 DOI: 10.1007/s43440-024-00580-x
Barbara Buchalska, Katarzyna Kamińska, Maja Owe-Larsson, Agnieszka Cudnoch-Jędrzejewska

Glioblastoma (GBM) is the most prevalent primary malignant tumor of the nervous system. While the treatment of other neoplasms is increasingly more efficacious the median survival rate of GBM patients remains low and equals about 14 months. Due to this fact, there are intensive efforts to find drugs that would help combat GBM. Nowadays cannabinoids are becoming more and more important in the field of cancer and not only because of their properties of antiemetic drugs during chemotherapy. These compounds may have a direct cytotoxic effect on cancer cells. Studies indicate GBM has disturbances in the endocannabinoid system-changes in cannabinoid metabolism as well as in the cannabinoid receptor expression. The GBM cells show expression of cannabinoid receptors 1 and 2 (CB1R and CB2R), which mediate various actions of cannabinoids. Through these receptors, cannabinoids inhibit the proliferation and invasion of GBM cells, along with changing their morphology. Cannabinoids also induce an intrinsic pathway of apoptosis in the tumor. Hence the use of cannabinoids in the treatment of GBM may be beneficial to the patients. So far, studies focusing on using cannabinoids in GBM therapy are mainly preclinical and involve cell lines and mice. The results are promising and show cannabinoids inhibit GBM growth. Several clinical studies are also being carried out. The preliminary results show good tolerance of cannabinoids and prolonged survival after administration of these drugs. In this review, we describe the impact of cannabinoids on GBM and glioma cells in vitro and in animal studies. We also provide overview of clinical trials on using cannabinoids in the treatment of GBM.

胶质母细胞瘤(GBM)是神经系统中最常见的原发性恶性肿瘤。虽然治疗其他肿瘤的疗效越来越好,但 GBM 患者的中位生存率仍然很低,仅为 14 个月左右。因此,人们一直在努力寻找有助于治疗 GBM 的药物。如今,大麻素在癌症领域正变得越来越重要,这不仅是因为它们在化疗期间具有止吐药的特性。这些化合物可对癌细胞产生直接的细胞毒性作用。研究表明,GBM 的内源性大麻素系统出现紊乱--大麻素代谢和大麻素受体表达发生变化。GBM 细胞表达大麻素受体 1 和 2(CB1R 和 CB2R),它们介导大麻素的各种作用。通过这些受体,大麻素可以抑制 GBM 细胞的增殖和侵袭,并改变其形态。大麻素还能诱导肿瘤细胞凋亡的内在途径。因此,使用大麻素治疗 GBM 可能对患者有益。迄今为止,关于使用大麻素治疗 GBM 的研究主要是临床前研究,涉及细胞系和小鼠。研究结果很有希望,显示大麻素能抑制 GBM 的生长。目前还在进行一些临床研究。初步结果显示,患者对大麻素有良好的耐受性,服用这些药物后存活时间延长。在本综述中,我们将介绍大麻素在体外和动物实验中对 GBM 和胶质瘤细胞的影响。我们还概述了使用大麻素治疗 GBM 的临床试验。
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引用次数: 0
Mechanisms of norcantharidin against renal tubulointerstitial fibrosis. 去甲斑蝥素抗肾小管间质纤维化的机制
IF 4.4 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-04-01 Epub Date: 2024-03-12 DOI: 10.1007/s43440-024-00578-5
Qin-Su Yun, Yu-Xin Bao, Jie-Bing Jiang, Qian Guo

Renal tubulointerstitial fibrosis (RTIF) is a common feature and inevitable consequence of all progressive chronic kidney diseases, leading to end-stage renal failure regardless of the initial cause. Although research over the past few decades has greatly improved our understanding of the pathophysiology of RTIF, until now there has been no specific treatment available that can halt the progression of RTIF. Norcantharidin (NCTD) is a demethylated analogue of cantharidin, a natural compound isolated from 1500 species of medicinal insect, the blister beetle (Mylabris phalerata Pallas), traditionally used for medicinal purposes. Many studies have found that NCTD can attenuate RTIF and has the potential to be an anti-RTIF drug. This article reviews the recent progress of NCTD in the treatment of RTIF, with emphasis on the pharmacological mechanism of NCTD against RTIF.

肾小管间质纤维化(RTIF)是所有进展性慢性肾病的共同特征和必然结果,无论最初的病因是什么,它都会导致终末期肾衰竭。尽管过去几十年的研究大大提高了我们对肾小管间质纤维化病理生理学的认识,但到目前为止,还没有一种特效疗法可以阻止肾小管间质纤维化的发展。Norcantharidin(NCTD)是从1500种药用昆虫--水泡甲虫(Mylabris phalerata Pallas)--中分离出来的天然化合物。许多研究发现,NCTD 可减轻 RTIF,具有成为抗 RTIF 药物的潜力。本文回顾了 NCTD 治疗 RTIF 的最新进展,重点介绍了 NCTD 抗 RTIF 的药理机制。
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引用次数: 0
The study of platelet aggregation using a microtiter plate reader ‒ methodological considerations. 使用微孔板阅读器研究血小板聚集--方法上的考虑。
IF 4.4 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-04-01 Epub Date: 2024-03-05 DOI: 10.1007/s43440-024-00576-7
Magdalena Boncler, Jacek Golański

Optical aggregometry by 96-well plate assay, the microplate method, is a fast, efficient, and readily available method for measuring the pharmacological effects of antiplatelet drugs. Even though recent years have witnessed growing interest in adopting the microplate method for widespread use, it remains in the shadow of the standard light transmission aggregometry (LTA). Regardless of the method used, the results of platelet aggregation depend on a variety of factors and often vary among laboratories worldwide. While several methodological papers have examined the microplate method, no standards have been established, most likely because the approach is not used as a diagnostic tool. Currently, the microplate method is recommended by researchers to be used in conjunction with LTA or as an adjunct to LTA. This raises the question of whether an optimal protocol exists for microplate aggregometry, and what are the key considerations in a good experimental protocol for obtaining reliable results? This article attempts to address these questions by summarizing the knowledge accumulated in this field over the last three decades.

通过 96 孔板测定法(即微孔板法)进行光学聚集测定,是一种快速、高效、易于使用的测定抗血小板药物药理作用的方法。尽管近年来人们对采用微孔板法进行广泛应用的兴趣与日俱增,但它仍处于标准透光聚集测定法(LTA)的阴影之下。无论使用哪种方法,血小板聚集的结果都取决于多种因素,而且世界各地的实验室往往各不相同。虽然有多篇方法论论文对微孔板方法进行了研究,但尚未建立标准,这很可能是因为该方法并未被用作诊断工具。目前,研究人员建议将微孔板方法与 LTA 结合使用,或作为 LTA 的辅助方法。这就提出了一个问题:微孔板聚集测定法是否存在最佳方案,获得可靠结果的良好实验方案有哪些关键考虑因素?本文试图通过总结过去三十年在该领域积累的知识来解决这些问题。
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引用次数: 0
Ginsenoside Rg5 as an anticancer drug: a comprehensive review on mechanisms, structure-activity relationship, and prospects for clinical advancement. 作为抗癌药物的人参皂苷 Rg5:关于机理、结构-活性关系和临床应用前景的全面综述。
IF 4.4 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-04-01 Epub Date: 2024-03-25 DOI: 10.1007/s43440-024-00586-5
Tilal Elsaman, Ali Mahmoud Muddathir, Ebtihal A M Mohieldin, Irmanida Batubara, Min Rahminiwati, Kosei Yamauchi, Magdi Awadalla Mohamed, Shadila Fira Asoka, Dietrich Büsselberg, Solomon Habtemariam, Javad Sharifi-Rad

Cancer remains one of the leading causes of death in the world. Despite the considerable success of conventional treatment strategies, the incidence and mortality rates are still high, making developing new effective anticancer therapies an urgent priority. Ginsenoside Rg5 (Rg5) is a minor ginsenoside constituent obtained exclusively from ginseng species and is known for its broad spectrum of pharmacological activities. This article aimed to comprehensively review the anticancer properties of Rg5, focusing on action mechanisms, structure-activity relationship (SAR), and pharmacokinetics attributes. The in vitro and in vivo activities of Rg5 have been proven against several cancer types, such as breast, liver, lung, bone, and gastrointestinal (GI) cancers. The modulation of multiple signaling pathways critical for cancer growth and survival mediates these activities. Nevertheless, human clinical studies of Rg5 have not been addressed before, and there is still considerable ambiguity regarding its pharmacokinetics properties. In addition, a significant shortage in the structure-activity relationship (SAR) of Rg5 has been identified. Therefore, future efforts should focus on further optimization by performing extensive SAR studies to uncover the structural features essential for the potent anticancer activity of Rg5. Thus, this review highlights the value of Rg5 as a potential anticancer drug candidate and identifies the research areas requiring more investigation.

癌症仍然是世界上最主要的死亡原因之一。尽管传统治疗策略取得了巨大成功,但癌症的发病率和死亡率仍然居高不下,因此开发新的有效抗癌疗法已成为当务之急。人参皂苷 Rg5(Rg5)是一种只从人参中提取的次要人参皂苷成分,以其广泛的药理活性而著称。本文旨在全面综述 Rg5 的抗癌特性,重点关注其作用机制、结构-活性关系(SAR)和药代动力学属性。Rg5 的体外和体内活性已被证实可对抗多种癌症类型,如乳腺癌、肝癌、肺癌、骨癌和胃肠道癌。对癌症生长和存活至关重要的多种信号通路的调节介导了这些活性。然而,Rg5 的人体临床研究之前尚未涉及,其药代动力学特性仍相当模糊。此外,还发现 Rg5 的结构-活性关系(SAR)存在很大不足。因此,今后的工作重点应该是通过开展广泛的 SAR 研究来进一步优化 Rg5 的结构,从而发现 Rg5 具有强效抗癌活性所必需的结构特征。因此,本综述强调了 Rg5 作为潜在抗癌候选药物的价值,并指出了需要进一步调查的研究领域。
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引用次数: 0
Migraine and the microbiota. Can probiotics be beneficial in its prevention? - a narrative review 偏头痛与微生物群。益生菌对偏头痛的预防有益吗?- 综述
IF 4.4 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-03-19 DOI: 10.1007/s43440-024-00584-7
Aneta Kiecka, Marian Szczepanik

Migraine is a recurrent disease of the central nervous system that affects an increasing number of people worldwide causing a continuous increase in the costs of treatment. The mechanisms underlying migraine are still unclear but recent reports show that people with migraine may have an altered composition of the intestinal microbiota. It is well established that the gut-brain axis is involved in many neurological diseases, and probiotic supplementation may be an interesting treatment option for these conditions. This review collects data on the gastrointestinal and oral microbiota in people suffering from migraine and the use of probiotics as a novel therapeutic approach in its treatment.

偏头痛是一种反复发作的中枢神经系统疾病,影响着全球越来越多的人,导致治疗费用不断增加。偏头痛的发病机制尚不清楚,但最近的报告显示,偏头痛患者的肠道微生物群组成可能发生了改变。肠道-大脑轴与许多神经系统疾病有关,这一点已得到公认,而补充益生菌可能是治疗这些疾病的一个有趣选择。本综述收集了有关偏头痛患者胃肠道和口腔微生物群的数据,以及使用益生菌作为治疗偏头痛的新疗法。
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引用次数: 0
Effect of polyphenols against complications of COVID-19: current evidence and potential efficacy 多酚对 COVID-19 并发症的影响:现有证据和潜在疗效
IF 4.4 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2024-03-18 DOI: 10.1007/s43440-024-00585-6
Mahdi Vajdi, Arash Karimi, Shirin Hassanizadeh, Mahdieh Abbasalizad Farhangi, Mohammad Bagherniya, Gholamreza Askari, Basil D. Roufogalis, Neal M. Davies, Amirhossein Sahebkar

The COVID-19 pandemic that started in 2019 and resulted in significant morbidity and mortality continues to be a significant global health challenge, characterized by inflammation, oxidative stress, and immune system dysfunction.. Developing therapies for preventing or treating COVID-19 remains an important goal for pharmacology and drug development research. Polyphenols are effective against various viral infections and can be extracted and isolated from plants without losing their therapeutic potential. Researchers have developed methods for separating and isolating polyphenols from complex matrices. Polyphenols are effective in treating common viral infections, including COVID-19, and can also boost immunity. Polyphenolic-based antiviral medications can mitigate SARS-CoV-2 enzymes vital to virus replication and infection. Individual polyphenolic triterpenoids, flavonoids, anthraquinonoids, and tannins may also inhibit the SARS-CoV-2 protease. Polyphenol pharmacophore structures identified to date can explain their action and lead to the design of novel anti-COVID-19 compounds. Polyphenol-containing mixtures offer the advantages of a well-recognized safety profile with few known severe side effects. However, studies to date are limited, and further animal studies and randomized controlled trials are needed in future studies. The purpose of this study was to review and present the latest findings on the therapeutic impact of plant-derived polyphenols on COVID-19 infection and its complications. Exploring alternative approaches to traditional therapies could aid in developing novel drugs and remedies against coronavirus infection.

始于2019年并导致大量发病和死亡的COVID-19大流行病仍然是一个重大的全球健康挑战,其特点是炎症、氧化应激和免疫系统功能失调。开发预防或治疗 COVID-19 的疗法仍然是药理学和药物开发研究的重要目标。多酚对各种病毒感染有效,而且可以从植物中提取和分离而不会失去其治疗潜力。研究人员已经开发出从复杂基质中分离多酚的方法。多酚可有效治疗包括 COVID-19 在内的常见病毒感染,还能增强免疫力。以多酚为基础的抗病毒药物可以减轻对病毒复制和感染至关重要的 SARS-CoV-2 酶。个别多酚三萜类化合物、黄酮类化合物、蒽醌类化合物和单宁酸也可抑制 SARS-CoV-2 蛋白酶。迄今发现的多酚药效结构可以解释其作用,并有助于设计新型抗 COVID-19 化合物。含多酚的混合物具有公认的安全性,几乎没有已知的严重副作用。然而,迄今为止的研究还很有限,未来的研究还需要进一步的动物实验和随机对照试验。本研究旨在回顾和介绍植物多酚对 COVID-19 感染及其并发症的治疗效果的最新发现。探索传统疗法的替代方法有助于开发新型药物和疗法来预防冠状病毒感染。
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