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Transmissibility and Epidemicity of COVID-19 in India: A Case Study. COVID-19 在印度的传播性和流行性:案例研究。
Q3 Medicine Pub Date : 2020-09-15 DOI: 10.2174/1574891X15666200915140806
Bevish Y Jinila, Prayla S Shyry

Background: The global outbreak of COVID-19 incepted in Wuhan, China in the late 2019. It is still unclear about the origin of the infection. Over time, it has migrated geographically to 150 countries in the world and World Health Organization (WHO) has declared the infectious disease to be pandemic.

Objective: Recently, COVID-19 has stepped into India by the travellers from other countries. The transmissibility and epidemicity of COVID-19 in India is exponential. So, in-order to understand the above characteristics, specifically COVID-19 status in India is analyzed. To analyze this into deeper, the state of Kerala is selected. The epidemiological characteristics of patients in Kerala, South India and the possible transmission of COVID-19 from asymptomatic members to other peers are shown using certain cases.

Methods: The COVID-19 dataset is taken from Kaggle dataset. This dataset contains the details of the infected patients from different states of India. Statistical analysis techniques where used to analyze the distribution of the affected cases in a particular state.

Results: The analysis shows that there is possibility of transmission of the infection even during incubation period. The recent trend in the number of infected cases in India is discussed.

Conclusion: The transmissibility of COVID-19 and its epidemicity in India is discussed. In specific, a case study on COVID -19 cases in the state of Kerala relating the transmissibility is also summarized. Further, data related to patents on corona virus is also discussed. From the analysis, it can be concluded that there is a possibility of COVID-19 transmission even during incubation period. The preventive measures to overcome COVID-19 and methods to increase the immunity are discussed.

背景:COVID-19 于 2019 年底在中国武汉爆发。目前尚不清楚感染的起源。随着时间的推移,它已在全球 150 个国家传播,世界卫生组织(WHO)已宣布该传染病为大流行病:最近,COVID-19 由其他国家的旅行者带入印度。COVID-19 在印度的传播性和流行性呈指数增长。因此,为了了解上述特征,我们对印度的 COVID-19 现状进行了具体分析。为了深入分析,我们选择了喀拉拉邦。通过某些病例来说明印度南部喀拉拉邦患者的流行病学特征以及 COVID-19 可能从无症状成员传染给其他同伴的情况:COVID-19 数据集来自 Kaggle 数据集。该数据集包含来自印度不同邦的感染者的详细信息。统计分析技术用于分析特定邦受感染病例的分布情况:结果:分析表明,即使在潜伏期内,感染也有可能传播。本文讨论了印度感染病例数量的最新趋势:结论:讨论了 COVID-19 的传播性及其在印度的流行情况。具体而言,还总结了喀拉拉邦 COVID-19 病例中与传播性有关的案例研究。此外,还讨论了与电晕病毒专利相关的数据。通过分析可以得出结论,即使在潜伏期,COVID-19 也有传播的可能性。讨论了克服 COVID-19 的预防措施和提高免疫力的方法。
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引用次数: 0
4-Aminoquinoline-ferrocene Hybrids as Potential Antimalarials. 4-氨基喹啉-二茂铁杂合体作为潜在的抗疟药物。
Q3 Medicine Pub Date : 2020-01-01 DOI: 10.2174/1574891X15666200804160322
Xhamla Nqoro, Blessing A Aderibigbe

Background: Malaria is a deadly disease. It is mostly treated using 4- aminoquinoline derivatives such as chloroquine etc. because it is well-tolerated, displays low toxicity, and after administration, it is rapidly absorbed. The combination of 4-aminoquinoline with other classes of antimalarial drugs has been reported to be an effective approach for the treatment of malaria. Furthermore, some patents reported hybrids 4-aminoquinolines containing ferrocene moiety with potent antimalarial activity.

Objective: The objective of the current study is to prepare 4-aminoquinoline-ferrocene hybrids via esterification and amidation reactions. The compounds were characterized via FTIR, LC-MS and NMR spectroscopy. In vitro screening against chloroquine-sensitive P. falciparum parasite (NF54) at concentrations (1 μM and 5 μM) and an inhibitory concentration (full dose-response) was studied.

Methods: The compounds were prepared via known reactions and monitored by Thin Layer Chromatography. The compounds were purified by column chromatography and characterized using FTIR, NMR and MS. In vitro antiplasmodial evaluation was performed against asexual parasite and chloroquine was used as a reference drug.

Results: The percentage inhibition effects of the hybrid compounds were in a range of 97.9-102% at 5 μM and 36-96% at 1 μM. Furthermore, the IC50 values of the compounds were in the range of 0.7-1.6 μM when compared to the parent drug, 4-ferrocenylketobutanoic acid.

Conclusion: The hybrid compounds displayed significant antimalarial activity when compared to the parent drug. However, they were not as effective as chloroquine on the drug-sensitive parasite. The findings revealed that 4-aminoquinolines and ferrocene are potential scaffolds for developing potent antimalarials.

背景:疟疾是一种致命疾病。主要使用4-氨基喹啉衍生物如氯喹等治疗,因为它耐受性好,毒性低,给药后迅速吸收。据报道,4-氨基喹啉与其他种类的抗疟疾药物联合使用是治疗疟疾的一种有效方法。此外,一些专利报道了含有二茂铁片段的杂化4-氨基喹啉具有有效的抗疟疾活性。目的:通过酯化和酰胺化反应制备4-氨基喹啉-二茂铁杂化物。通过FTIR、LC-MS和NMR对化合物进行了表征。研究了1 μM和5 μM浓度对氯喹敏感的恶性疟原虫(NF54)的体外筛选及全剂量效应。方法:采用已知反应制备化合物,并采用薄层色谱法进行监测。化合物经柱层析纯化,并用FTIR、NMR和ms对其进行了结构表征。以氯喹为对照药,进行了体外抗寄生虫活性评价。结果:杂化化合物在5 μM范围内的抑制率为979 ~ 102%,在1 μM范围内的抑制率为36 ~ 96%。与母药4-二茂铁基酮丁酸相比,化合物的IC50值在0.7 ~ 1.6 μM之间。结论:与母体药物相比,杂种化合物具有明显的抗疟活性。然而,它们对药物敏感的寄生虫没有氯喹那么有效。结果表明,4-氨基喹啉和二茂铁是开发有效抗疟药物的潜在支架。
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引用次数: 3
Development of Emulgel Delivery of Mupirocin for Treatment of Skin Infection. 莫匹罗星凝胶给药治疗皮肤感染的研究进展。
Q3 Medicine Pub Date : 2020-01-01 DOI: 10.2174/1386207323999200819153404
Swati C Jagdale, Payal V Kothekar

Aim: To design controlled release topical delivery of mupirocin for the treatment of skin infection.

Background: Mupirocin is an antibacterial drug. Mupirocin works to kill the bacteria, which include strains of Staphylococcus aureus and Streptococcus pyogenes. It is also used for the treatment of inflammation of a hair follicle. The half-life of mupirocin is only 20-40 min. It has very slight solubility in water. Patent literature had shown work on ointment, antibiotic composition, nasal and topical composition. Emulgel is a duel control release system for the topical delivery of hydrophobic drugs.

Objective: The objective was to formulate emulgel with controlled delivery of mupirocin using Sepineo P 600.

Methods: Soya oil, tween 80 and polyethylene glycol 400 (Oil:Surfactant:Cosurfactant) were used for emulsion formulation. Emulgel was optimized by 32 factorial design. Sepineo P 600 and hydroxy propyl methyl cellulose K4M were used as independent variables. Drug excipient compatibility analysis was carried out by FTIR, UV and DSC spectra. Emulgel was evaluated for its physical characterization, in vitro release, ex vivo release, antimicrobial and anti-inflammatory study.

Results: DSC, UV and FTIR analysis confirmed drug excipient compatibility. FE SEM showed a size range between 228-255 nm. Zeta potential was found to be -25.1 mV, which showed good stability of the emulsion. Design expert software showed F2 as an optimized batch. Release studies indicated that the controlled release of drugs forms Sepineo P 600 gel due to its higher gelling capacity. Batch F2 showed comparable results with marketed formulation against Staphylococcus aureus. For batch F2, 40 μg/ml was the minimal inhibitory concentration.

Conclusion: Antimicrobial and anti-inflammatory study proved successful development of stably controlled release mupirocin emulgel.

目的:设计局部控释莫匹罗星治疗皮肤感染的方法。背景:莫匹罗星是一种抗菌药物。莫匹罗星的作用是杀死细菌,包括金黄色葡萄球菌和化脓性链球菌。它也用于治疗毛囊的炎症。莫匹罗星的半衰期只有20-40分钟,在水中溶解度很小。专利文献显示药膏、抗生素组合物、鼻用和外用组合物的工作。乳凝胶是一种双重控制释放系统,用于局部递送疏水药物。目的:用Sepineo p600制备莫匹罗星控释凝胶。方法:采用大豆油、吐温80和聚乙二醇400(油:表面活性剂:共表面活性剂)配制乳液。采用32因子设计对乳凝胶进行优化。以Sepineo p600和羟丙基甲基纤维素K4M为自变量。采用FTIR、UV、DSC等方法进行配伍分析。对乳凝胶的物理特性、体外释放、体外释放、抗菌和抗炎研究进行了评价。结果:DSC、UV和FTIR分析证实了药物赋形剂的相容性。FE - SEM显示其尺寸范围在228 ~ 255 nm之间。Zeta电位为-25.1 mV,表明该乳液具有良好的稳定性。设计专家软件显示F2为优化批。释放研究表明,由于Sepineo p600凝胶具有较高的胶凝能力,药物的控释形成了Sepineo p600凝胶。批次F2显示了与市场上销售的抗金黄色葡萄球菌制剂相当的结果。F2批最低抑菌浓度为40 μg/ml。结论:抗菌和抗炎实验证明了稳定控释的莫匹罗星乳剂的成功开发。
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引用次数: 5
The Role of Tocilizumab in Cytokine Storm and Improving Outcomes in COVID-19. 托珠单抗在COVID-19细胞因子风暴中的作用及改善预后
Q3 Medicine Pub Date : 2020-01-01 DOI: 10.2174/1574891X15666200922155712
Afroze Ali, Milad H Kamjani, Marc M Kesselman

To date, severe acute respiratory syndrome coronavirus 2 (SARSCoV- 2) has infected millions of individuals worldwide. This virus causes coronavirus disease 2019 (COVID-19) and has led to numerous deaths worldwide. A large percentage of infected patients present asymptomatically, augmenting the spread of the virus. Symptomatic COVID-19 commonly causes mild to severe respiratory disease and fever, but some individuals experience serious complications resulting in death. Immune compromised, high risk, and elderly individuals are at an increased risk of more severe consequences of the illness such as respiratory failure, organ dysfunction, and shock. Cytokine storm (also known as cytokine release syndrome (CRS)), a systemic inflammatory response that can be triggered by an infection, has been associated with the symptom progression of COVID-19. This review evaluates several published studies that have implemented tocilizumab (TCZ), an IL-6 receptor antibody (US20120253016A1), in COVID-19 treatment. Outcomes and biomarkers of patients treated with TCZ are compared to patients treated with standard of care regimens. Interleukin-6 (IL-6), a prominent inflammatory cytokine involved in CRS in various inflammatory conditions, may have a vital role in the underlying mechanism involved in debilitating SARS-CoV-2 infections and could serve as a viable treatment target. Studies suggest that TCZ may aid in the recovery of patients with COVID-19 and reduce mortality.

迄今为止,严重急性呼吸综合征冠状病毒2 (SARSCoV- 2)已在全球感染了数百万人。这种病毒会导致2019冠状病毒病(COVID-19),并在世界范围内导致许多人死亡。很大比例的感染患者无症状出现,增加了病毒的传播。有症状的COVID-19通常会引起轻度至重度呼吸道疾病和发烧,但有些人会出现严重并发症,导致死亡。免疫功能低下、高危人群和老年人出现呼吸衰竭、器官功能障碍和休克等更严重疾病后果的风险增加。细胞因子风暴(也称为细胞因子释放综合征(CRS))是一种可由感染引发的全身炎症反应,与COVID-19的症状进展有关。本综述评估了几项已发表的使用IL-6受体抗体(US20120253016A1) tocilizumab (TCZ)治疗COVID-19的研究。用TCZ治疗的患者的结果和生物标志物与用标准护理方案治疗的患者进行比较。白细胞介素-6 (IL-6)是一种重要的炎症细胞因子,参与各种炎症条件下的CRS,可能在削弱SARS-CoV-2感染的潜在机制中发挥重要作用,并可能作为可行的治疗靶点。研究表明,TCZ可能有助于COVID-19患者的康复并降低死亡率。
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引用次数: 9
Recent Patents on Phytoconstituents-based Formulations for the Treatment of Acne Infection: A Review. 以植物成分为基础的治疗痤疮感染配方的最新专利:综述。
Q3 Medicine Pub Date : 2020-01-01 DOI: 10.2174/1574891X15666200929150103
Vandana Singh, Ravinder Verma, Deepak Kaushik, Vineet Mittal

Background: Acne is an infection of the skin that occurs in both men and women during their lifespan. There are various natural or synthetic products available in the market to prevent and cure this disease.

Introduction: The majority of the world population depends on the herbs or natural resources for the relief of acne disease. These are used to lessen the cost of treatment and the side effects of synthetic analogs.

Methods: We have explored the various authentic web resources to compile information regarding different patented and marketed herbal formulations for acne treatment.

Results: It has been found that most of the herbal formulation for acne include the plant actives/extracts having the potential activity against the Propionibacterium acne. The occurrence of this skin disease is also associated with the presence of free radicals in the body, which also causes the inflammation and redness of the skin. Further, the study of various patents also revealed that herbs with anti-oxidant properties have been used in most of the herbal anti-acne formulations. Moreover, the various patents also give the idea that herbal formulations also prevent the appearance of pimples on the skin.

Conclusion: It has been concluded that the herbal anti-acne formulation is not only used to treat acne but also prevents this disease safely and economically.

背景:痤疮是一种皮肤感染,在男性和女性的一生中都会发生。市场上有各种天然或合成的产品可以预防和治疗这种疾病。世界上大多数人依靠草药或自然资源来缓解痤疮疾病。它们被用来减少治疗费用和合成类似物的副作用。方法:我们探索了各种真实的网络资源,以汇编有关不同的专利和市场草药配方治疗痤疮的信息。结果:大多数治疗痤疮的中药制剂都含有植物活性成分/提取物,对痤疮丙酸杆菌具有潜在的活性。这种皮肤病的发生也与体内自由基的存在有关,自由基也会引起皮肤的炎症和发红。此外,对各种专利的研究也表明,具有抗氧化特性的草药已被用于大多数草药抗痤疮配方。此外,各种专利还表明,草药配方也可以防止皮肤上出现粉刺。结论:中药抗痘配方不仅可以治疗痤疮,而且可以安全、经济地预防痤疮的发生。
{"title":"Recent Patents on Phytoconstituents-based Formulations for the Treatment of Acne Infection: A Review.","authors":"Vandana Singh,&nbsp;Ravinder Verma,&nbsp;Deepak Kaushik,&nbsp;Vineet Mittal","doi":"10.2174/1574891X15666200929150103","DOIUrl":"https://doi.org/10.2174/1574891X15666200929150103","url":null,"abstract":"<p><strong>Background: </strong>Acne is an infection of the skin that occurs in both men and women during their lifespan. There are various natural or synthetic products available in the market to prevent and cure this disease.</p><p><strong>Introduction: </strong>The majority of the world population depends on the herbs or natural resources for the relief of acne disease. These are used to lessen the cost of treatment and the side effects of synthetic analogs.</p><p><strong>Methods: </strong>We have explored the various authentic web resources to compile information regarding different patented and marketed herbal formulations for acne treatment.</p><p><strong>Results: </strong>It has been found that most of the herbal formulation for acne include the plant actives/extracts having the potential activity against the Propionibacterium acne. The occurrence of this skin disease is also associated with the presence of free radicals in the body, which also causes the inflammation and redness of the skin. Further, the study of various patents also revealed that herbs with anti-oxidant properties have been used in most of the herbal anti-acne formulations. Moreover, the various patents also give the idea that herbal formulations also prevent the appearance of pimples on the skin.</p><p><strong>Conclusion: </strong>It has been concluded that the herbal anti-acne formulation is not only used to treat acne but also prevents this disease safely and economically.</p>","PeriodicalId":20909,"journal":{"name":"Recent patents on anti-infective drug discovery","volume":"15 2","pages":"119-136"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38435243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prophylactic Activity of Biogenic Selenium Nanoparticles Against Chronic Toxoplasma gondii Infection. 生物源性纳米硒对慢性弓形虫感染的预防作用。
Q3 Medicine Pub Date : 2020-01-01 DOI: 10.2174/1574891X15666200604115001
Amir Keyhani, Mojtaba Shakibaie, Hossein Mahmoudvand, Sareh Jahanbakhsh, Amir T Kareshk, Saeedeh Shojaee, Naser Ziaali

Background: Studies showed that biogenic selenium nanoparticles (SeNPs) have a number of pharmacological properties, such as antimicrobial ones.

Objective: The present investigation assesses the efficacy of biogenic selenium nanoparticles (SeNPs) as a new patent against latent toxoplasmosis in a mice model.

Methods: Male BALB/c mice were orally treated with SeNPs at the doses of 2.5, 5, 10 mg/kg once a day for 14 days. On the 15th day, the mice were infected with the intraperitoneal inoculation of 20-25 tissue cysts from the Tehran strain of Toxoplasma gondii. The mean numbers of brain tissue cysts and the mRNA levels of TNF-α, IL-12, IL-10, IFN-γ, and inducible nitric oxide synthase (iNOS) in mice of each tested group were measured. Moreover, serum clinical chemistry factors in treated mice were examined to determine the safety of SeNPs.

Results: The mean number of the brain tissue cysts was significantly (P<0.001) decreased in mice treated with SeNPs at doses 2.5 (n=37), 5 (n=11), and 10 mg/kg (n=3) based on a dose dependent manner compared with the control group (n=587). The mRNA levels of IFN-γ, TNF-α, IL-12, and iNO were significantly increased in mice treated with SeNPs at the doses 10 mg/kg compared with control subgroups (p<0.05). No significant variation (p>0.05) was observed in the clinical chemistry parameters among the mice in the control subgroups compared with groups treated with SeNPs.

Conclusion: The results of the present study showed a new patent in the treatment of toxoplasmosis; so that taking the biogenic selenium nanoparticles in concentrations of 2.5-10 mg/kg for 2 weeks was able to prevent severe symptoms of the toxoplasmosis in a mice model. This indicated the prophylactic effects of SeNPs with no considerable toxicity against latent toxoplasmosis. However, more studies are required to elucidate the correct anti-Toxoplasma mechanisms of SeNPs.

背景:研究表明,生物源性纳米硒(SeNPs)具有许多药理特性,如抗菌特性。目的:研究生物源性纳米硒(SeNPs)作为一种新专利对小鼠潜伏性弓形虫病的治疗效果。方法:雄性BALB/c小鼠口服SeNPs,剂量分别为2.5、5、10 mg/kg,每天1次,连用14 d。第15天,小鼠腹腔接种20 ~ 25个刚地弓形虫德黑兰株组织囊肿。测定各组小鼠脑组织囊肿的平均数量及TNF-α、IL-12、IL-10、IFN-γ和诱导型一氧化氮合酶(iNOS) mRNA水平。此外,还检测了治疗小鼠的血清临床化学因子,以确定SeNPs的安全性。结果:与SeNPs治疗组相比,对照组小鼠的临床化学参数中脑组织囊肿的平均数量有显著性差异(P0.05)。结论:本研究结果为弓形虫病的治疗开辟了新的专利;因此,在小鼠模型中,服用浓度为2.5 ~ 10 mg/kg的生物源性纳米硒2周可以预防严重的弓形虫病症状。这表明SeNPs对潜伏性弓形虫病的预防作用没有明显的毒性。然而,需要更多的研究来阐明SeNPs的正确抗弓形虫机制。
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引用次数: 11
Understanding the Role of Corona Virus based on Current Scientific Evidence - A Review with Emerging Importance in Pandemic. 基于现有科学证据理解冠状病毒的作用——在大流行中日益重要的综述。
Q3 Medicine Pub Date : 2020-01-01 DOI: 10.2174/1574891X15999200918144833
Suman K Ray, Sukhes Mukherjee

Coronavirus disease is a potentially deadly disease and of significant apprehension for global communal health because of its lethality. Vaccines and antiviral medications are still under trial to prevent or treat human coronavirus (HCoV) till date. The virus HCoV originated in 2003, SARS-CoV, which causes respiratory syndrome having distinctive pathogenesis and infections of the respiratory tract. A mechanism was projected for the evolution of SARS virus, and a handy association with bats was found. When this virus reaches the respective host system, the infection starts with spike protein binding to its complementary receptor of the host cell. The coronavirus spike protein's association with its host cell receptor complement is crucial in deciding the virus infectivity, tissue tropism and species variety. Recent studies show that SARS Coronavirus 2 or COVID-19 requires protease to get into cells, offering a new therapeutic target. Distinctive attention and exertions should be given to defending or reducing transmission in vulnerable populaces, including those directly associated with caregiving and treatment and also aged one. Researchers are planning to develop a vaccine for COVID-19, and in this approach are also considered developing a vaccine that sensitizes our immune system preventing from this pandemic. The present review focuses on the role of S-spike protein in COVID-19, which helps the virus intruding the enzyme ACE2 (Angiotensin-Converting Enzyme 2). Passive antibody therapy is an additional alternative to use blood donors from hale and hearty people who have already recovered from COVID-19 and therapeutic advancement in handling the COVID-19 pandemic.

冠状病毒病是一种潜在的致命疾病,因其致命性而对全球公共卫生造成重大担忧。迄今为止,预防或治疗人类冠状病毒(HCoV)的疫苗和抗病毒药物仍在试验中。HCoV病毒起源于2003年的SARS-CoV,它引起呼吸道综合征,具有独特的发病机制和呼吸道感染。研究人员预测了SARS病毒的进化机制,并发现了与蝙蝠的密切联系。当这种病毒到达各自的宿主系统时,感染开始于刺突蛋白与宿主细胞的互补受体结合。冠状病毒刺突蛋白与其宿主细胞受体补体的关联对决定病毒的感染性、组织亲和性和物种多样性至关重要。最近的研究表明,SARS冠状病毒2或COVID-19需要蛋白酶才能进入细胞,这提供了一个新的治疗靶点。应特别注意并努力防止或减少在脆弱人群中的传播,包括与护理和治疗直接相关的人群以及老年人。研究人员正在计划开发针对COVID-19的疫苗,同时也在考虑开发使我们的免疫系统变得敏感的疫苗,以防止这次大流行。目前的综述重点是S-spike蛋白在COVID-19中的作用,该蛋白有助于病毒侵入ACE2(血管紧张素转换酶2)酶。被动抗体治疗是使用已经从COVID-19康复的健康人群的献血者和治疗进展的另一种替代方案,以应对COVID-19大流行。
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引用次数: 2
Is Ocular Toxicity Expected in Chloroquine/Hydroxychloroquine Prescription as a Therapeutic or Prophylactic Option in COVID-19? 作为治疗或预防COVID-19的选择,氯喹/羟氯喹处方是否会产生眼部毒性?
Q3 Medicine Pub Date : 2020-01-01 DOI: 10.2174/1574891X15999200819102507
Masood Bagheri, Zahra Rashe, Mohammad H Ahur, Mojtaba Eidizadeh

Background: On 11th March 2020, WHO announced novel coronavirus infectious (COVID-19) as a pandemic. New Coronavirus Pneumonia (NCP) that emerge on 31st December 2019 from China and quickly became a Public Health Emergency of International Concern (PHEIC). In the absence of evidence-based proven prophylactic or therapeutic options, chloroquine/hydroxychloroquine (CQ/HCQ) patented as first line choice in COVID- 19 treatment, which raised concerns about drug poisoning, especially ocular toxicity.

Objective: This study aims to investigate the possibility of ocular toxicity and the need for ophthalmic counseling to prescribing this therapeutic protocol.

Methods: All the articles that were most relevant to the COVID-19 therapeutic or prophylactic options and CQ derivative ocular toxicity, were founded by a literature search and were thoroughly reviewed.

Results: Anecdotal recent reports introduce CQ/HCQ as an effective therapeutic or prophylactic choice for COVID-19. Because of the short time prescribe and the insignificant cumulative dose of the drug on the one hand and a higher risk of cross-infection during an ophthalmic examination, on the other hand, an ophthalmologic consult is not recommended except in highrisk patients for retinal toxicity.

Conclusion: This study recommended ophthalmic evaluation before CQ/HCQ prescription for treatment or prophylaxis of COVID-19 only in preexisting maculopathy.

背景:2020年3月11日,世卫组织宣布新型冠状病毒传染病(COVID-19)为大流行。新型冠状病毒肺炎(NCP)于2019年12月31日在中国出现,并迅速成为国际关注的突发公共卫生事件。在缺乏循证证明的预防或治疗方案的情况下,氯喹/羟氯喹(CQ/HCQ)获得专利,成为治疗COVID- 19的一线选择,这引发了对药物中毒,特别是眼毒性的担忧。目的:本研究旨在探讨眼毒性的可能性和眼科咨询对处方该治疗方案的必要性。方法:通过文献检索找到所有与COVID-19治疗或预防方案及CQ衍生物眼毒性最相关的文章,并对其进行全面复习。结果:最近的轶事报道将CQ/HCQ作为COVID-19的有效治疗或预防选择。由于该药处方时间短,累积剂量小,且眼科检查时交叉感染的风险较高,因此除视网膜毒性高危患者外,不建议进行眼科会诊。结论:本研究建议仅在已有黄斑病变患者使用CQ/HCQ处方治疗或预防COVID-19前进行眼科评估。
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引用次数: 2
Current Insights for the Management of Acne in the Modern Era. 当代痤疮管理的新见解。
Q3 Medicine Pub Date : 2020-01-01 DOI: 10.2174/1574891X15999200729192138
Neha Singh, Apoorva Singh, Kalpana Pandey, Nimisha

Background: Acne vulgaris a chronic disease which is caused by blockage of the sebaceous gland is commonly seen in almost every human being at some point in their lives. There are 20-25% chances of progression of acne to severe cases, which leads to permanent scarring that results in psychological problems like depression, social isolation, lowered self-esteem, and lowered self-confidence.

Objective: Though several conventional treatments are available in the market but still there are various adverse effects associated with topical anti-acne agents due to which it lacks patient compatibility. The present study is undertaken to find out the major shortcoming; why the current therapies do not give the desired therapeutic results.

Conclusion: Novel drug delivery strategies can play a crucial role in the enhancement of topical delivery of anti-acne agents by escalating their dermal localization and reducing their adverse effects. Consumption of medicinal plants like Aloe vera, Withania somniferia etc. have clinical evidence regarding the effective management of acne. The current inclination towards nanotechnology is considerable due to several changes in the pharmaceutical research area. To secure the research work in different pharmaceutical fields, patents are filed against various agents like Galderma Research & Development have filed patents for adapalene and benzoyl peroxide for the management of acne vulgaris. The current review highlights the potential of various novel drug delivery approaches like liposomes, niosomes, ethosomes, transfersomes etc. in enhancing the topical delivery of anti-acne agents.

背景:寻常痤疮是一种由皮脂腺阻塞引起的慢性疾病,几乎在每个人的一生中都会出现。痤疮发展到严重程度的几率为20-25%,这会导致永久性的疤痕,从而导致心理问题,如抑郁、社交孤立、自尊心下降和自信心下降。目的:虽然市场上有几种常规治疗方法,但由于缺乏患者兼容性,局部抗痤疮药物仍然存在各种不良反应。本研究旨在找出主要的不足之处;为什么目前的治疗方法不能达到预期的治疗效果。结论:新的给药策略可以通过提高抗痤疮药物的真皮定位和减少其不良反应,在增强抗痤疮药物局部给药方面发挥重要作用。食用药用植物,如芦荟,Withania somniferia等,在有效治疗痤疮方面有临床证据。由于药物研究领域的一些变化,目前对纳米技术的倾向相当大。为了保证在不同制药领域的研究工作,针对各种药物申请了专利,如Galderma research & Development已经申请了用于治疗寻常痤疮的阿达帕林和过氧化苯甲酰专利。本文综述了各种新型给药途径如脂质体、脂质体、脂质体、转移体等在增强抗痤疮药物局部给药方面的潜力。
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引用次数: 3
Identification of Quinolone and Colistin Resistance Genes in Escherichia Coli Strains Isolated from Mucosal Samples of Patients with Colorectal Cancer and Healthy Subjects. 结直肠癌患者及健康人粘膜标本中大肠杆菌耐喹诺酮和粘菌素基因的鉴定
Q3 Medicine Pub Date : 2020-01-01 DOI: 10.2174/1574891X14666190611125951
Hassan Mahmoudi, Sima Ghiasvand, Omid Zarei, Hadi Hossainpour, Mohammad Y Alikhani

Introduction: Antibiotic resistance and extensive use of antibiotics are amongst the major causes of failure in antibiotic treatment. The purpose of this study was to investigate antibiotic resistance patterns and to identify resistance genes of quinolones and colistin in Escherichia coli. There are a very few patents on E. coli isolated from colorectal cancer. So, this study demonstrates that some bacteria resistant to ciprofloxacin have not resistance genes.Moreover, new patterns for E. coli are presented for isolates of patients with colorectal cancer.

Materials and methods: Of the three healthy people, inflammatory bowel diseases (IBD) patients and colorectal cancer patients, 40 E. coli strains isolated after confirmation by biochemical and molecular methods. The susceptibility of isolates to antibiotics was investigated using disk diffusion test. After deoxyribonucleic acid (DNA) extraction, polymerase chain reaction (PCR) was used to identify genes encoding resistance to ciprofloxacin (qnr A, qnr B) and colistin (mcr-1).

Results: The results showed that E. coli isolates from colorectal cancer patients had the highest resistance to piperacillin (67.5%), ceftazidime (47.5%), and cefepime (42.5%). Also, E. coli strains isolated from IBD patients showed resistance to antibiotic ceftazidime 13%. More than 95% of E. coli strains isolated from healthy people were susceptible to antibiotics. Based on the results, 18 (15%) E. coli strains showed resistance to ciprofloxacin. The qnr A gene was detected in 61.11% isolates; however, qnr B was detected in 9 (50%) isolates. Isolates resistant to colistin were not observed.

Conclusion: These findings indicate increased resistance of E. coli to ciprofloxacin in comparison with prior studies. Further research in this field will increase our knowledge and more effective exposure to the antibiotic resistance of the pathogenic microorganisms.

抗生素耐药性和广泛使用抗生素是抗生素治疗失败的主要原因之一。本研究的目的是调查抗生素耐药模式,并确定喹诺酮类和粘菌素在大肠杆菌中的耐药基因。从结直肠癌中分离出的大肠杆菌很少有专利。因此,这项研究表明,一些对环丙沙星耐药的细菌没有耐药基因。此外,大肠杆菌的新模式提出了分离结肠直肠癌患者。材料与方法:从3名健康人群、炎症性肠病(IBD)患者和结直肠癌患者中分离出40株大肠杆菌,经生化和分子方法证实。采用纸片扩散试验研究分离菌株对抗生素的敏感性。提取脱氧核糖核酸(DNA)后,采用聚合酶链反应(PCR)鉴定对环丙沙星(qnr A, qnr B)和粘菌素(mcr-1)的耐药基因。结果:大肠杆菌对哌拉西林(67.5%)、头孢他啶(47.5%)和头孢吡肟(42.5%)的耐药率最高。此外,从IBD患者中分离的大肠杆菌菌株对抗生素头孢他啶的耐药性为13%。从健康人群中分离出的大肠杆菌菌株中,95%以上对抗生素敏感。结果显示,18株(15%)大肠杆菌对环丙沙星耐药。61.11%分离株中检出qnr A基因;9株(50%)分离株检出qnr B。未观察到对粘菌素耐药的分离株。结论:这些发现表明,与先前的研究相比,大肠杆菌对环丙沙星的耐药性增加。在这一领域的进一步研究将增加我们的知识和更有效地暴露于病原微生物的抗生素耐药性。
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引用次数: 2
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Recent patents on anti-infective drug discovery
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