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Effects of curcumin on vascular smooth muscle cells: implications for health and disease. 姜黄素对血管平滑肌细胞的影响:对健康和疾病的影响。
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 Epub Date: 2025-06-05 DOI: 10.1007/s43440-025-00744-3
Majid Shohrati, Farshad Abedi, Mahdi Bagheri, Amirhossein Sahebkar

Vascular smooth muscle cells (SMCs) are pivotal in regulating vascular tone and integrity. Their dysregulation significantly contributes to the pathophysiology of cardiovascular ailments, including atherosclerosis, blood pressure, and vascular remodeling. Curcumin, a polyphenol with a natural origin in turmeric, exhibits promising therapeutic properties due to its remarkable anti-inflammatory, antioxidant, and antiproliferative characteristics. This review aims to assess the effects of curcumin on vascular SMC behavior, encompassing its impact on proliferation, migration, phenotypic switching, and extracellular matrix remodeling. The underlying molecular mechanisms are highlighted, particularly curcumin's modulation of signaling pathways such as nuclear factor-kappa B (NF-κB), mitogen-activated protein kinase (MAPK), and nuclear transcription factor E2-related factor-2 (Nrf2) signaling pathways, as well as its ability to decrease oxidative stress and inflammatory cytokine generation. Furthermore, we evaluate the implications of the results for vascular health and disease, emphasizing curcumin's potential to prevent or mitigate atherosclerosis, restenosis, and hypertension. Despite promising preclinical evidence, challenges related to curcumin's bioavailability and clinical translation remain.

血管平滑肌细胞(SMCs)是调节血管张力和完整性的关键。它们的失调显著地促进了心血管疾病的病理生理,包括动脉粥样硬化、血压和血管重塑。姜黄素是一种天然来源于姜黄的多酚,由于其显著的抗炎、抗氧化和抗增殖特性,显示出有希望的治疗特性。本文旨在评估姜黄素对血管SMC行为的影响,包括其对增殖、迁移、表型转换和细胞外基质重塑的影响。强调了潜在的分子机制,特别是姜黄素调节信号通路,如核因子-κB (NF-κB)、丝裂原活化蛋白激酶(MAPK)和核转录因子e2相关因子-2 (Nrf2)信号通路,以及其减少氧化应激和炎症细胞因子生成的能力。此外,我们评估了结果对血管健康和疾病的影响,强调姜黄素预防或减轻动脉粥样硬化、再狭窄和高血压的潜力。尽管有很好的临床前证据,姜黄素的生物利用度和临床转化方面的挑战仍然存在。
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引用次数: 0
The impact of muscarinic and mGlu receptors modulators on MK-801-induced impairments in NO-dependent processes both in vitro and in vivo. 毒蕈碱和mGlu受体调节剂对mk -801诱导的一氧化氮依赖过程损伤的影响
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 Epub Date: 2025-06-24 DOI: 10.1007/s43440-025-00752-3
Grzegorz Burnat, Michał Santocki, Leszek Kalinowski, Joanna M Wierońska

Background: Schizophrenia is a mental disorder with multifactorial etiology including positive, negative and cognitive symptoms. Nitric oxide (NO֗)-related biochemical pathways significantly contribute to the disease's pathophysiology and subsequent antipsychotic treatment. Recently, metabotropic glutamatergic (mGlu) or muscarinic (M) receptors have been considered as potent antipsychotics with the potential to reverse cognitive symptoms. The aim of this study was to investigate how selected mGlu or muscarinic receptor ligands regulate the most important aspects of NO֗-related neurotransmission.

Methods: In this study, MK-801-the tool compound that induces schizophrenia-related changes-was used alone or with mGlu or muscarinic receptor ligands. Positive allosteric modulators (PAM) of mGlu2 (LY487379), mGlu5 (CDPPB), M1 (VU0357017) and M4 (VU0152100) receptors were administered. cGMP levels, superoxide dismutase (SOD) activity, nitrite and GLT-1 s-nitrosilation processes were investigated in mouse brain and plasma samples, while oxidative stress was measured in vitro with the use of mouse or human astrocytic cell lines.

Results: MK-801 did not change cGMP levels, while a decrease was observed in mice treated with VU0357017 or LY487379 in parallel. Increased SOD activity was observed in the cortex of MK-801-treated mice, and the compounds, with the exception of CDPPB, prevented this effect. The investigated compounds also prevented an MK-801-induced increase in plasma nitrite levels. GLT-1 protein was decreased after MK-801 treatment which was not evident in mice administered with muscarinic or mGlu ligands. GLT-1 S-nitrosilation was increased in all groups. In vitro studies revealed the potency of these compounds in counteracting MK-801-induced oxidative stress.

Conclusions: The present data confirm that both mGlu and muscarinic receptor ligands may exert antipsychotic effects through biochemical pathways regulated by NO֗, in particular by decreasing oxidative stress indicators.

背景:精神分裂症是一种多因素病因的精神障碍,包括阳性、阴性和认知症状。一氧化氮(NO)相关的生化途径对疾病的病理生理和随后的抗精神病治疗有显著的贡献。最近,代谢性谷氨酸能(mGlu)或毒蕈碱(M)受体被认为是有效的抗精神病药物,具有逆转认知症状的潜力。本研究的目的是研究选择的mGlu或毒蕈碱受体配体如何调节一氧化氮相关神经传递的最重要方面。方法:在本研究中,诱导精神分裂症相关变化的工具化合物mk -801单独或与mGlu或毒蕈碱受体配体一起使用。给予mGlu2 (LY487379)、mGlu5 (CDPPB)、M1 (VU0357017)和M4 (VU0152100)受体的阳性变构调节剂(PAM)。在小鼠脑和血浆样品中研究cGMP水平、超氧化物歧化酶(SOD)活性、亚硝酸盐和GLT-1 s-亚硝基化过程,并利用小鼠或人星形细胞细胞系在体外测量氧化应激。结果:MK-801未改变小鼠cGMP水平,而VU0357017和LY487379并行处理小鼠cGMP水平下降。在mk -801处理的小鼠皮层中观察到SOD活性增加,而除CDPPB外,这些化合物阻止了这种作用。所研究的化合物还可以防止mk -801引起的血浆亚硝酸盐水平升高。MK-801治疗后,GLT-1蛋白水平下降,而在给予毒蕈碱或mGlu配体的小鼠中,这一现象并不明显。各组GLT-1 s -亚硝化反应均升高。体外研究揭示了这些化合物在对抗mk -801诱导的氧化应激方面的效力。结论:目前的数据证实mGlu和毒蕈碱受体配体都可能通过NO调控的生化途径发挥抗精神病作用,特别是通过降低氧化应激指标。
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引用次数: 0
Pretreatment with alendronate augments lipid A-induced IFN-β production via upregulation of cGAS expression. 阿仑膦酸钠预处理通过上调cGAS表达增加脂质a诱导的IFN-β产生。
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 Epub Date: 2025-08-14 DOI: 10.1007/s43440-025-00773-y
Satoru Watanabe, Yusuke Kiyoura, Riyoko Tamai

Background: Alendronate (ALN), a nitrogen-containing bisphosphonate (NBP), augments proinflammatory cytokine production by mouse macrophage-like cells incubated with ligands of Toll-like receptor (TLR) 2 and TLR4. The present study investigated whether ALN augments the production of interferon (IFN)-β, which has anti-viral activity.

Methods: Mouse macrophage-like J774.1 cells were pretreated with or without ALN and then incubated with or without lipid A, a TLR4 ligand. Levels of secreted mouse IFN-β were measured by enzyme-linked immunosorbent assay (ELISA). Expression of interferon regulatory factor (IRF)-5, cyclic GMP-AMP synthase (cGAS), stimulator of interferon genes (STING), retinoic acid-inducible gene-I (RIG-I), downstream of kinase (DOK) 3, caspase-11, Nur77, laminB1, and β-actin was analyzed by Western blot analysis. Cell viability was evaluated by measuring the reduction of 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium (MTS) to formazan by living cells.

Results: Pretreatment with ALN significantly augmented lipid A-induced IFN-β production and nuclear IRF-5 expression in J774.1 cells. In addition, treatment with ALN upregulated the expression of cGAS, RIG-I, and DOK3. Pretreatment of J774.1 cells with RU.521, a cGAS inhibitor, inhibited ALN-augmented IFN-β production, IRF-5 activation, and caspase-11 expression. Similar results were shown in the pretreatment of cells with another inhibitor, G140. RIG012, a RIG-I antagonist, also suppressed ALN-augmented lipid A-induced IFN-β production. Furthermore, pretreatment with ALN significantly upregulated lipid A-induced Nur77 expression, which was also inhibited by RU.521.

Conclusion: These results suggest that pretreatment with ALN augments lipid A-induced IFN-β production by J774.1 cells via the upregulation of cGAS expression.

背景:阿仑膦酸钠(ALN)是一种含氮双膦酸盐(NBP),通过toll样受体(TLR) 2和TLR4配体培养的小鼠巨噬细胞样细胞增加促炎细胞因子的产生。本研究调查了ALN是否增加了具有抗病毒活性的干扰素(IFN)-β的产生。方法:小鼠巨噬细胞样J774.1细胞分别经ALN和不经ALN预处理,再经TLR4配体脂质A和不经TLR4配体脂质A孵育。采用酶联免疫吸附试验(ELISA)检测小鼠分泌的IFN-β水平。Western blot分析干扰素调节因子(IRF)-5、环GMP-AMP合成酶(cGAS)、干扰素刺激因子(STING)、视黄酸诱导基因-i (RIG-I)、激酶(DOK) 3下游、caspase-11、Nur77、laminB1、β-actin的表达。通过测定活细胞对3-(4,5-二甲基噻唑-2-基)-5-(3-羧基甲氧基苯基)-2-(4-磺苯基)- 2h -四氮唑(MTS)的还原程度来评估细胞活力。结果:ALN预处理显著增强脂质a诱导的J774.1细胞IFN-β生成和核IRF-5表达。此外,ALN处理上调了cGAS、RIG-I和DOK3的表达。用cGAS抑制剂RU.521预处理J774.1细胞,可以抑制aln增强的IFN-β产生、IRF-5激活和caspase-11表达。用另一种抑制剂G140预处理细胞也显示了类似的结果。RIG012,一种RIG-I拮抗剂,也抑制aln增强脂质a诱导的IFN-β产生。此外,ALN预处理显著上调脂质a诱导的Nur77表达,RU.521也抑制了Nur77的表达。结论:上述结果提示ALN预处理通过上调cGAS表达增加脂质a诱导的J774.1细胞IFN-β的产生。
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引用次数: 0
The second life of Citrus bergamia: bioavailability analysis of a new formulation using waste-based microencapsulation as a valuable source of bioactive compounds. 佛手柑的第二生命:利用废物微胶囊作为有价值的生物活性化合物来源的新配方的生物利用度分析。
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 Epub Date: 2025-07-25 DOI: 10.1007/s43440-025-00758-x
Maria Serra, Roberta Macrì, Sonia Bonacci, Giovanna Ritorto, Sara Ussia, Saverio Nucera, Rosamaria Caminiti, Stefano Ruga, Carmen Altomare, Luigi Tucci, Giuseppe Trunfio, Donato Cosco, Antonio Procopio, Carolina Muscoli, Rocco Mollace, Vincenzo Mollace

Background: Polyphenols have garnered significant interest because of their potential health benefits, but their bioavailability is limited. According to recent studies, in vivo metabolites of phenol compounds may mediate their biological activity, potentially countering systemic oxidation and inflammation and therefore reducing multi-organ dysfunction associated with gut microbiota alterations. This pre-clinical study aims to characterize a novel formulation, enhancing metabolite bioavailability, ensuring long-term stability, and employing sustainable production methods. Our research provides the first evidence of the presence of these metabolites in the blood plasma of animals receiving different Bergamot polyphenols fraction (BPF) formulations.

Methods: Male Sprague-Dawley were used throughout the study. The animals were subdivided into three groups of six animals each receiving 50 mg/kg of BPF standard (BPF), 50 mg/kg of Bergamot polyphenols fraction micronized (BPFmicro), and 50 mg/kgof Bergamot polyphenols fraction encapsulation (BPFencap), respectively, by oral gavage. Blood samples were collected, and plasma was prepared with a specific protocol and analysed for the presence of primary and secondary metabolites through ultra-high performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS).

Results: UHPLC-MS/MS analysis showed significantly higher plasma concentrations of naringin and its metabolites in the BPFencap group compared to the BPF standard and BPFmicro groups at all time points. In comparison to BPF, plasma Area Under Curve (AUC) analysis of metabolites revealed substantially elevated values for the BPFencap group and substantially reduced values for the BPFmicro group.

Conclusion: While BPFmicro greatly increased bioavailability, the improvement was only temporary, highlighting a stability problem. The bioavailability and stability of metabolites are significantly improved over time by the new BPFencap formulation (micronized BPF in hybrid phospholipid systems with citrus albedo fibers).

背景:多酚因其潜在的健康益处而引起了极大的兴趣,但其生物利用度有限。根据最近的研究,苯酚化合物的体内代谢物可能介导其生物活性,潜在地对抗全身氧化和炎症,从而减少与肠道微生物群改变相关的多器官功能障碍。这项临床前研究旨在描述一种新的配方,提高代谢物的生物利用度,确保长期稳定性,并采用可持续的生产方法。我们的研究提供了在接受不同佛手柑多酚组分(BPF)制剂的动物血浆中存在这些代谢物的第一个证据。方法:在整个研究过程中使用男性Sprague-Dawley。将实验动物再分为三组,每组6只,分别口服50 mg/kg BPF标准剂(BPF)、50 mg/kg佛手柑多酚微胶囊(BPFmicro)和50 mg/kg佛手柑多酚微胶囊(BPFencap)。采集血样,按照特定方案制备血浆,并通过超高高效液相色谱-串联质谱(UHPLC-MS/MS)分析初级和次级代谢物的存在。结果:UHPLC-MS/MS分析显示,与BPF标准组和BPFencap组相比,BPFencap组血浆中柚皮苷及其代谢物浓度在各时间点均显著高于BPFencap组。与BPF相比,血浆代谢物的曲线下面积(AUC)分析显示,BPFencap组的值显著升高,BPFmicro组的值显著降低。结论:虽然BPFmicro大大提高了生物利用度,但改善只是暂时的,突出了稳定性问题。随着时间的推移,新的BPFencap配方(在柑橘反射率纤维的杂交磷脂系统中微细化BPF)显著提高了代谢物的生物利用度和稳定性。
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引用次数: 0
Cobalt protoporphyrin IX induces transient, dose- and time-dependent granulocyte mobilization with mild metabolic effects in mice. 原卟啉钴IX诱导小鼠瞬时,剂量和时间依赖性粒细胞动员,具有轻度代谢作用。
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 Epub Date: 2025-07-09 DOI: 10.1007/s43440-025-00751-4
Aleksandra Bednarz, Paweł Kożuch, Kacper Kowalski, Izabella Skulimowska, Neli Kachamakova-Trojanowska, Jadwiga Filipek-Gorzała, Patrycja Kwiecińska, Raquel García-García, Kinga Gawlińska, Kinga Mależyna, Andrzej Kubiak, Natalia Bryniarska-Kubiak, Alicja Józkowicz, Krzysztof Szade, Agata Szade

Background: Recombinant granulocyte colony-stimulating factor (G-CSF) is the most commonly used agent for treating neutropenia and mobilizing hematopoietic stem cells (HSCs) for transplantation. However, some patients do not respond effectively to the currently used mobilization protocols. To address this, new therapeutic approaches are needed. A potential strategy is pharmacological induction of endogenous mobilizing factors via cobalt protoporphyrin IX (CoPP). CoPP mobilizes HSCs and granulocytes by increasing endogenous G-CSF, though optimal dosing and potential side effects remain unclear. Our study aimed to optimize CoPP dosing and timing, and assess its safety in mobilizing cells from bone marrow to blood.

Methods: Mice were treated with different doses of CoPP, and blood cell counts, cytokine concentrations, and organ damage markers were evaluated at various time points after injection.

Results: Our results show that CoPP exerts a dose-dependent mobilizing effect, with the highest G-CSF levels and number of mobilized leukocytes observed in mice treated with 10 mg/kg of CoPP. While there were no severe adverse effects, there were mild fluctuations in markers of organ function, including a reduction in blood urea nitrogen (BUN) and glucose levels during the five days of administration. Additionally, although most parameters normalized within 30 days, the decrease in BUN persisted. Mice experienced short-term weight loss following CoPP administration, but they regained their initial weight within two weeks.

Conclusions: This study demonstrates that CoPP mobilizes cells from the bone marrow to the blood in a dose-dependent manner, with mild side effects, including temporary changes in biochemical markers and a sustained reduction in BUN levels.

背景:重组粒细胞集落刺激因子(G-CSF)是治疗中性粒细胞减少症和动员造血干细胞(hsc)移植最常用的药物。然而,一些患者对目前使用的动员方案没有有效反应。为了解决这个问题,需要新的治疗方法。一个潜在的策略是通过钴原卟啉IX (CoPP)药理诱导内源性动员因子。CoPP通过增加内源性G-CSF来动员造血干细胞和粒细胞,但最佳剂量和潜在副作用尚不清楚。我们的研究旨在优化CoPP的剂量和时间,并评估其从骨髓向血液动员细胞的安全性。方法:给小鼠注射不同剂量的CoPP,观察小鼠注射后不同时间点的血细胞计数、细胞因子浓度和器官损伤指标。结果:我们的研究结果表明,CoPP具有剂量依赖性的动员作用,10 mg/kg CoPP处理小鼠的G-CSF水平和动员的白细胞数量最高。虽然没有严重的副作用,但在五天的给药期间,器官功能标记物有轻微的波动,包括血液尿素氮(BUN)和葡萄糖水平的降低。此外,尽管大多数参数在30天内归一化,但BUN的下降持续存在。小鼠在服用CoPP后出现短期体重减轻,但在两周内恢复到初始体重。结论:本研究表明,CoPP以剂量依赖的方式将细胞从骨髓动员到血液中,其副作用轻微,包括生化标志物的暂时改变和BUN水平的持续降低。
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引用次数: 0
Real‑world safety and efficacy of biological agents in inflammatory bowel disease: a one-year post-marketing pharmacovigilance observational study in the Calabria region. 生物制剂治疗炎症性肠病的真实世界安全性和有效性:卡拉布里亚地区一项为期一年的上市后药物警戒观察研究
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 Epub Date: 2025-08-19 DOI: 10.1007/s43440-025-00774-x
Antonio Fabiano, Caterina De Sarro, Domenico Frajia, Francesca Bosco, Lorenza Guarnieri, Stefano Ruga, Stefano Rodinò, Ladislava Sebkova, Enrico Ciliberto, Isidoro Buoncompagni, Laura Costantino, Antonio Leo, Gianmarco Marcianò, Vincenzo Rania, Rita Citraro, Ashour Michael, Giovambattista De Sarro

Background: The use of immune-modifying biological agents has markedly changed the clinical course and the management of inflammatory bowel diseases (IBDs). Active post-marketing surveillance programs are essential for the early recognition of both expected and unexpected adverse events (AEs), providing a powerful tool for better defining the safety profiles of biologics in a real-world setting.

Methods: Patients diagnosed with IBDs and treated with biologic drugs at two gastroenterology units in Calabria, Italy, were monitored during the period from 2023 to 2024. AEs and drug switches or swaps were recorded. The primary objective was to assess the safety profile of biological therapies in real-world practice, as measured by the occurrence of AEs. Secondary objectives focused on assessing treatment effectiveness by monitoring rates of therapeutic ineffectiveness and rigorously analyzing necessary modifications to therapy (swaps/switches) in response to treatment failure.

Results: A total of 214 patients were enrolled, including 85 with Crohn's disease (CD) and 120 with ulcerative colitis (UC). Among biologics, vedolizumab (VDZ) was the most prescribed drug (50.3%), followed by ustekinumab (UST, 33.6%). Among biosimilars, infliximab (IFX) was the most administered (70%), followed by adalimumab (ADA) (63.3%). 96 patients experienced AEs, though no serious adverse events (SAEs) were reported. The highest number of AEs was reported with VDZ (n = 31; 32.3%), followed by IFX (n = 22, 23.0%), ADA and UST (n = 17, 17.7%), and golimumab (GOL) (n = 7; 7.3%). The biological drugs associated with the fewest AEs were upadacitinib (UPA) and tofacitinib (TFC) (n = 1; 1.0%).

Conclusions: This study confirms the importance of pharmacovigilance in monitoring the safety of biologics in IBDs. The results offer useful insights into the actual use of monoclonals in gastroenterology and support more targeted prescribing.

Clinical trial number: Not applicable.

背景:免疫修饰生物制剂的使用显著改变了炎症性肠病(IBDs)的临床病程和治疗。积极的上市后监测计划对于早期识别预期和意外不良事件(ae)至关重要,为更好地定义生物制剂在现实环境中的安全性提供了强有力的工具。方法:对意大利卡拉布里亚(Calabria)两家消化科诊断为ibd并接受生物药物治疗的患者进行监测,时间为2023年至2024年。记录ae和药物开关或互换。主要目的是评估生物疗法在实际应用中的安全性,通过不良反应的发生来衡量。次要目标侧重于通过监测治疗无效率来评估治疗效果,并严格分析治疗失败后对治疗进行必要的修改(交换/切换)。结果:共有214例患者入组,包括85例克罗恩病(CD)和120例溃疡性结肠炎(UC)。在生物制剂中,vedolizumab (VDZ)是处方最多的药物(50.3%),其次是ustekinumab (UST, 33.6%)。在生物仿制药中,英夫利昔单抗(IFX)使用最多(70%),其次是阿达木单抗(ADA)(63.3%)。96例患者发生ae,但无严重不良事件(SAEs)报告。报告的ae数量最多的是VDZ (n = 31, 32.3%),其次是IFX (n = 22, 23.0%)、ADA和UST (n = 17, 17.7%)和golimumab (GOL) (n = 7, 7.3%)。与ae相关最少的生物药物是upadacitinib (UPA)和tofacitinib (TFC) (n = 1; 1.0%)。结论:本研究证实了药物警戒在ibd生物制剂安全性监测中的重要性。该结果为胃肠病学中单克隆药物的实际使用提供了有用的见解,并支持更有针对性的处方。临床试验号:不适用。
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引用次数: 0
Current insights into the safety and adverse effects of methylphenidate in children, adolescents, and adults - narrative review. 目前关于哌醋甲酯在儿童、青少年和成人中的安全性和不良反应的见解-叙述性综述。
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 Epub Date: 2025-07-22 DOI: 10.1007/s43440-025-00763-0
Andrzej Silczuk, Aleksandra Lewandowska, Małgorzata Filip, Paweł A Atroszko, Jakub Podolec, Małgorzata Gałecka, Robert Madejek, Łukasz Czyżewski

Methylphenidate (MPH) is a central nervous system stimulant that is approved and widely used for the treatment of attention-deficit hyperactivity disorder (ADHD) and narcolepsy. It acts primarily by inhibiting the reuptake of dopamine and norepinephrine, thereby enhancing synaptic concentrations of these neurotransmitters and improving attention, impulse control, and wakefulness. Despite its well-established therapeutic efficacy, MPH is associated with a complex safety profile that necessitates careful consideration, particularly in long-term use and in populations with preexisting health conditions. Cardiovascular risks, including increased heart rate, elevated blood pressure, and, in rare cases, serious adverse events such as myocardial infarction, arrhythmias, and sudden cardiac death, have been reported. Psychiatric adverse effects, including anxiety, agitation, psychotic symptoms, and exacerbation of preexisting mood disorders, also warrant close monitoring. Additionally, MPH has the potential for misuse, abuse, and dependence, particularly due to its dopaminergic effects, which can contribute to reinforcement and addiction-related behaviors. This review synthesizes current evidence on the safety of MPH, with a focus on its impact on cardiovascular and psychiatric health, and addiction potential. Special attention is given to vulnerable populations, including children, adolescents, individuals with comorbid psychiatric or cardiovascular conditions, and those with a history of substance use disorders. Furthermore, sex and gender influence health outcomes, for MPH healthcare strategies have been addressed. Given these concerns, the necessity for rigorous patient monitoring, individualized risk assessment, and adherence to prescribing guidelines is emphasized to optimize therapeutic outcomes while minimizing risks. Clinical trial number: Not applicable.

哌醋甲酯(MPH)是一种中枢神经系统兴奋剂,被批准并广泛用于治疗注意力缺陷多动障碍(ADHD)和嗜睡症。它的作用主要是抑制多巴胺和去甲肾上腺素的再摄取,从而增强这些神经递质的突触浓度,改善注意力、冲动控制和清醒。尽管MPH具有公认的治疗效果,但其复杂的安全性需要仔细考虑,特别是在长期使用和已有健康状况的人群中。心血管风险,包括心率加快、血压升高,在极少数情况下,严重的不良事件,如心肌梗死、心律失常和心源性猝死,已被报道。精神不良反应,包括焦虑、躁动、精神病症状和先前存在的情绪障碍的恶化,也需要密切监测。此外,MPH具有误用、滥用和依赖的潜力,特别是由于其多巴胺能作用,可以促进强化和成瘾相关行为。这篇综述综合了目前关于MPH安全性的证据,重点是它对心血管和精神健康的影响,以及成瘾的可能性。特别关注弱势群体,包括儿童、青少年、患有精神或心血管疾病合并症的个人以及有物质使用障碍史的人。此外,性别和性别影响健康结果,因为公共卫生保健战略已经得到解决。鉴于这些担忧,必须严格监测患者,进行个体化风险评估,并遵守处方指南,以优化治疗结果,同时将风险降到最低。临床试验号:不适用。
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引用次数: 0
Marizomib in the therapy of brain tumors-how far did we go and where do we stand? Marizomib在脑肿瘤治疗中的应用——我们已经走了多远?
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 Epub Date: 2025-05-29 DOI: 10.1007/s43440-025-00739-0
Magdalena Kusaczuk, Wiktoria Monika Piskorz, Julia Domasik

Out of several types of tumors of the central nervous system (CNS), glioblastoma (GBM) represents one of the most frequent and malignant forms of brain neoplasms. To date, GBM holds very limited therapeutic options leaving patients with poor prognosis of survival. As such, novel treatment approaches are constantly quested. One of these strategies is based on the utilization of proteasome inhibitors (PIs). However, although several PIs have been approved as therapy for patients with hematological malignancies, these treatment benefits cannot not be easily extrapolated to brain tumors. This is mostly due to the blood-brain barrier (BBB) impermeability of the majority of PIs, which is then followed by their low brain bioavailability. Marizomib (MZB) is a unique, irreversible, second-generation proteasome inhibitor, which unlike other PIs can penetrate through the BBB, making it a promising therapeutic tool in brain tumors. Despite an indisputable therapeutic potential of MZB, it has yet failed to be successfully introduced to the clinics as a ready-to-use chemotherapy for GBM-suffering patients. Therefore, in this work we describe the potential of PIs as candidates for neuro-oncological drugs, present results of preclinical and clinical investigations concerning MZB in brain tumors, discuss possible reasons of failure of MZB-based therapies and delineate future directions of MZB-related studies.

在中枢神经系统(CNS)的几种肿瘤类型中,胶质母细胞瘤(GBM)是最常见和恶性的脑肿瘤之一。迄今为止,GBM的治疗选择非常有限,导致患者预后不良。因此,人们不断寻求新的治疗方法。其中一种策略是基于蛋白酶体抑制剂(PIs)的利用。然而,尽管一些pi已被批准用于血液系统恶性肿瘤患者的治疗,但这些治疗益处不能轻易推断到脑肿瘤。这主要是由于大多数pi的血脑屏障(BBB)不渗透性,然后是它们的低脑生物利用度。Marizomib (MZB)是一种独特的,不可逆的第二代蛋白酶体抑制剂,与其他pi不同,它可以穿透血脑屏障,使其成为治疗脑肿瘤的有前途的工具。尽管MZB具有无可争议的治疗潜力,但它尚未成功地作为gbm患者的现成化疗药物引入诊所。因此,在这项工作中,我们描述了pi作为神经肿瘤药物候选者的潜力,介绍了MZB在脑肿瘤中的临床前和临床研究结果,讨论了基于MZB的治疗失败的可能原因,并描绘了MZB相关研究的未来方向。
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引用次数: 0
The influence of morphine treatment on the opioid propeptide gene expression in the forebrain of two inbred mouse strains with different sensitivity to opioids. 吗啡对两种不同阿片敏感性近交系小鼠前脑阿片前肽基因表达的影响。
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 Epub Date: 2025-08-14 DOI: 10.1007/s43440-025-00769-8
Barbara Ziółkowska, Agnieszka Gieryk, Ryszard Przewłocki

Background: C57BL/6 and DBA/2 mouse strains differ markedly in behavioral responses to acute and chronic morphine administration. Some of these disparities might be underlain by and/or correlated with different expression of the opioid propeptide genes Pdyn and Penk. The objective of our study was to characterize the influence of morphine on Pdyn and Penk expression in substance abuse-related forebrain regions of C57BL/6 and DBA/2 mice.

Methods: Pdyn and Penk mRNA levels were measured using in situ hybridization after acute or chronic morphine administration, and during 24-48-h withdrawal.

Results: Pdyn and Penk gene expression was increased after chronic morphine and throughout withdrawal in all investigated brain regions. The changes were strain-specific in the central amygdaloid nucleus (CeA), where both genes were upregulated exclusively in C57BL/6 mice. The effect of morphine on Penk and Pdyn mRNA levels in the NAc core and shell did not significantly differ between the strains. However, trends within the data suggest greater upregulation of Pdyn in DBA/2 mice and of Penk in C57BL/6 mice. No such trends were observed in the dorsal striatum.

Conclusions: Our results suggest that Penk-expressing neurons of the CeA, which are critical for some withdrawal symptoms, adapt differently to chronic morphine in C57BL/6 vs. DBA/2 mice. We discuss how this may correspond to the inter-strain disparity in the opioid withdrawal syndrome intensity. We also analyze possible causes and consequences of the presumed inter-strain differences in morphine effects within the NAc.

背景:C57BL/6和DBA/2小鼠品系对急性和慢性吗啡的行为反应有显著差异。其中一些差异可能与阿片前肽基因Pdyn和Penk的不同表达有关。本研究旨在探讨吗啡对C57BL/6和DBA/2小鼠药物滥用相关前脑区Pdyn和Penk表达的影响。方法:采用原位杂交法检测吗啡急性、慢性给药后以及停药24 ~ 48 h时Pdyn和Penk mRNA水平。结果:Pdyn和Penk基因表达在慢性吗啡后和整个戒断过程中均有所增加。这种变化在中央杏仁核(CeA)中是菌株特异性的,这两个基因在C57BL/6小鼠中都是上调的。吗啡对NAc核和壳中Penk和Pdyn mRNA水平的影响在不同菌株间无显著差异。然而,数据中的趋势表明DBA/2小鼠的Pdyn和C57BL/6小鼠的Penk上调幅度更大。在背纹状体中没有观察到这种趋势。结论:我们的研究结果表明,C57BL/6小鼠与DBA/2小鼠相比,表达penk的CeA神经元对慢性吗啡的适应不同,而这些神经元对某些戒断症状至关重要。我们讨论了这可能如何对应于阿片类戒断综合征强度的应变间差异。我们还分析了NAc内吗啡效应的假定菌株间差异的可能原因和后果。
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引用次数: 0
A novel 2-oxopyrrolidine derivative (LN-53) efficiently induces Nrf-2 signaling pathway activation in human epidermal keratinocytes. 一种新的2-氧吡咯烷衍生物(LN-53)有效地诱导人表皮角质形成细胞中Nrf-2信号通路的激活。
IF 3.8 3区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-10-01 Epub Date: 2025-06-24 DOI: 10.1007/s43440-025-00757-y
Basak Ezgi Sarac, Laura Nissim, Dilara Karaguzel, Gokhan Arik, Shirin Kahremany, Edward E Korshin, Arie Gruzman, Cagatay Karaaslan

Background: The skin is a pivotal organ that serves as a physical barrier, protecting the body from harmful substances such as pathogens, allergens, and other environmental irritants. Chronic inflammation in the skin, along with the anthropogenic effects, can cause reactive oxygen species (ROS) overproduction. Prolonged exposure to elevated ROS levels and inadequate antioxidant defenses in the skin can contribute to the onset of various skin disorders. The nuclear factor erythroid 2-related factor-2 (Nrf-2) signaling pathway plays a key role in enhancing antioxidant capacity by promoting the production of antioxidant and detoxifying molecules. Consequently, pharmacological activation of the Nrf-2 pathway may help restore the oxidant-antioxidant balance, thereby improving therapeutic outcomes for chronic skin disorders. This study aimed to investigate the potential effect of novel agent: (5-((4-(4-(methoxycarbonyl)-2-oxopyrrolidin-1-yl)phenyl)carbamoyl)benzene-1,2,3-triyl triacetate (LN-53), synthesized based on the structure of previously developed by our team lead compound SK-119, on Nrf-2 signaling pathway in human epidermal keratinocytes (HEKs) at mRNA and protein level.

Methods: The cytotoxicity of LN-53 was evaluated by MTT, LDH, live/dead cell staining, and caspase-3,-8,-9 multiplex activity assays. Intracellular ROS production was assessed by DCFH-DA staining. The Nrf-2 gene was silenced by transient transfection using human Nrf-2 siRNA. Nrf-2 and related factors (heme oxygenase-1 (HO-1) and NAD(P)H dehydrogenase: quinone-1 (NQO1)) were evaluated at the mRNA level by qPCR and protein level in nuclear and cytosolic fractions by Nrf-2 activation assay and Western blot. The levels of inflammatory cytokines (IL-6 and IL-8) in supernatants were determined by ELISA.

Results: Our results indicate that LN-53 effectively reduces intracellular ROS production triggered by tert-butyl hydroperoxide (TBHP), without leading to any noticeable cell damage. It promoted the nuclear translocation of Nrf-2 and induced the production of Nrf-2, HO-1, and NQO1 at both the mRNA and protein levels. LN-53-mediated alterations in antioxidant gene expressions were blocked by Nrf-2 knockdown. LN-53 treatment also suppressed the release of IL-6 and IL-8 cytokines mediated by TBHP exposure. Additionally, novel compound LN-53 was found to be more stable than the parent compound SK-119.

Conclusion: LN-53 can effectively induce antioxidant mechanisms by promoting Nrf-2 nuclear translocation and suppressing ROS production in human epidermal keratinocytes. These data may suggest that LN-53 can contribute to maintaining redox balance and homeostasis in the skin.

背景:皮肤是一个关键的器官,作为一个物理屏障,保护身体免受有害物质,如病原体、过敏原和其他环境刺激物的侵害。皮肤的慢性炎症,加上人为的影响,会导致活性氧(ROS)的过量产生。长期暴露于ROS水平升高和皮肤抗氧化防御不足会导致各种皮肤疾病的发生。核因子-红细胞2相关因子-2 (Nrf-2)信号通路通过促进抗氧化和解毒分子的产生,在增强抗氧化能力中起关键作用。因此,Nrf-2途径的药理激活可能有助于恢复氧化-抗氧化平衡,从而改善慢性皮肤病的治疗效果。本研究旨在研究基于本课课组先导化合物SK-119结构合成的新型药物(5-((4-(4-(4-(甲氧基羰基)-2-氧吡啶-1-基)苯基)氨基甲酰基)苯-1,2,3-三乙酸三酯(LN-53)在mRNA和蛋白水平上对人表皮角质形成细胞(HEKs) Nrf-2信号通路的潜在影响。方法:采用MTT法、LDH法、活/死细胞染色法、caspase-3、-8、-9多重活性法评价LN-53的细胞毒性。DCFH-DA染色检测细胞内ROS生成。用人Nrf-2 siRNA瞬时转染Nrf-2基因,使其沉默。采用qPCR检测Nrf-2及其相关因子(血红素加氧酶-1 (HO-1)和NAD(P)H脱氢酶:醌-1 (NQO1)) mRNA水平,采用Nrf-2活化试验和Western blot检测细胞核和细胞质中Nrf-2蛋白水平。ELISA法检测上清液中炎症因子(IL-6、IL-8)水平。结果:我们的研究结果表明,LN-53有效地减少了叔丁基过氧化氢(TBHP)引发的细胞内ROS的产生,而不会导致任何明显的细胞损伤。在mRNA和蛋白水平上促进Nrf-2的核易位,诱导Nrf-2、HO-1和NQO1的产生。ln -53介导的抗氧化基因表达改变被Nrf-2敲除阻断。LN-53处理也抑制了由三必必暴露介导的IL-6和IL-8细胞因子的释放。此外,发现新化合物LN-53比母体化合物SK-119更稳定。结论:LN-53可通过促进人表皮角质形成细胞Nrf-2核易位、抑制ROS生成等机制诱导抗氧化。这些数据可能表明,LN-53有助于维持皮肤的氧化还原平衡和体内平衡。
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Pharmacological Reports
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