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Current Approaches and Future Prospects of Nanomedicine in Tuberculosis Therapy. 纳米医学在结核病治疗中的应用现状与展望。
Q3 Medicine Pub Date : 2017-01-01 DOI: 10.2174/1574891X12666170425122416
Mohammad T Athar, Zabih Ullah

Background: Tuberculosis (TB), which is caused by the Mycobacterium tuberculosis, is a serious threat and one of the major health problems worldwide.

Objective: In recent years, an estimated of 9.6 million TB cases occurred and 1.5 million death occurred due to TB worldwide.

Conclusion: The present review is an attempt to introduce this disease focusing on the pathophysiology of the disease, the current approaches and the related patents for treatment and the future planning for combating this disease.

背景:结核病是由结核分枝杆菌引起的一种严重威胁,是世界范围内的主要健康问题之一。目的:近年来,全球估计发生了960万例结核病病例,150万人死于结核病。结论:本文对本病的病理生理、目前的治疗途径、相关专利及今后的防治计划等方面进行了综述。
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引用次数: 2
Nanoemulsion-Based Transdermal Drug Delivery System for the Treatment of Tuberculosis. 基于纳米乳化剂的经皮给药系统治疗结核病。
Q3 Medicine Pub Date : 2017-01-01 DOI: 10.2174/1574891X12666170602075733
Mohammad Wais, Mohammad Aqil, Priyanka Goswami, Jaya Agnihotri, Sayyed Nadeem

Background: The nanoemulsion based carriers are the most suitable delivery systems for poorly soluble drugs to improve the drugs solubility, permeation of drugs and ultimately increase bioavailability by transdermal therapeutic system. The nanoemulsion for poorly soluble drugs is admirable and offered several advantages over others drug delivery.

Methods: For nanoemulsions formulation, they have to deliver the energetic element at the specific organ with nominal uneasiness. Because of the prevention of hepatic first pass uptake transdermal course excel usual crest and trough plasma shape that usually comfort the administration. The antitubercular drugs relate to the formulation of Poly DL-Lactide-Co-Glycolide nanoparticles having an active substance encapsulated within and that the encapsulated substances are stable with respect to each other.

Conclusion: The present study aimed to explore the challenges and methods in order to increase the solubility of poorly aqueous soluble drug for improved bioavailability alongwith relative study of toxicity problems related to anti-tubercular drug.

背景:纳米乳为载体的药物是最适合的低溶性药物的递送系统,以改善药物的溶解度,药物的渗透,最终通过透皮治疗系统提高生物利用度。纳米乳用于难溶性药物是令人钦佩的,与其他药物递送相比具有许多优点。方法:在纳米乳液的配制中,它们必须在特定的器官上传递能量元素,这是名义上的不安。由于防止肝脏第一次通过摄取,经皮过程优于通常的波峰和波谷血浆形状,通常安慰给药。所述抗结核药物涉及聚dl -丙交酯-共羟基糖苷纳米颗粒的配方,该纳米颗粒具有包被的活性物质,并且所包被的物质彼此稳定。结论:本研究旨在探讨提高难溶性药物的溶解度以提高生物利用度所面临的挑战和方法,并对抗结核药物的毒性问题进行相关研究。
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引用次数: 9
An Overwiev of ORF Virus Infection in Humans and Animals. 人类和动物感染口蹄疫病毒的全面调查。
Q3 Medicine Pub Date : 2017-01-01 DOI: 10.2174/1574891X12666170602080301
Hayati Demiraslan, Gokcen Dinc, Mehmet Doganay

Background: Orf virus is a DNA virus that belongs to the Parapoxvirus genus. The virus is a causative agent of orf in humans or contagious ecthyma in animals which is mostly seen in sheep, goat and cattle.

Discussion: Orf is an emerging zoonosis with an increasing number of worldwide outbreaks that have been reported. It is a contagious disease that tends to spread very fast among livestock. The morbidity rate is very high, particularly among young unvaccinated animals. The fatality rate is low but can be seen due to secondary infections. The disease has a significant effect on livestock health and may lead to economical losses. Humans may become infected if they have a direct contact with animal lesions. The disease is seen as a cutaneous lesion with a mild clinical outcome. Human to human transmission exists but is very rare. Nosocomial transmission was reported with one outbreak in a burn unit. The diagnosis is mostly based on the history of animal contact and clinical findings. Molecular tests are used to confirm clinical diagnose. There is no specific treatment but a live vaccine is available for animals. Surveillance implementations and infection control measurements are very important for the prevention of infection. Currently, there are limited studies on orf or contagious ecthyma. It has been observed that there are few studies that have resulted in patents.

Conclusion: The aim of this paper was to review the current relevant patents, epidemiological features, clinical presentations, the diagnosis and treatment of orf.

背景:口疮病毒是一种DNA病毒,属于副痘病毒属。该病毒是人类口蹄疫或动物传染性湿疹的病原体,主要见于绵羊、山羊和牛。讨论:口蹄疫是一种新兴的人畜共患病,在世界范围内报告的疫情越来越多。这是一种传染病,往往在牲畜中迅速传播。发病率非常高,特别是在未接种疫苗的幼畜中。死亡率较低,但可因继发感染而出现。该病对牲畜健康有重大影响,并可能造成经济损失。人类如果直接接触动物患处,也可能被感染。该病被视为一种皮肤病变,临床预后轻微。人与人之间的传播是存在的,但非常罕见。据报告医院传播,其中一例在烧伤病房暴发。诊断主要基于动物接触史和临床表现。分子检测用于临床诊断。没有专门的治疗方法,但有一种用于动物的活疫苗。监测实施和感染控制措施对预防感染非常重要。目前,对传染性湿疹的治疗研究有限。据观察,很少有研究获得专利。结论:本文对口腔溃疡的相关专利、流行病学特征、临床表现、诊断和治疗进行了综述。
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引用次数: 14
Editorial: Nanomedicines for the Treatment of Tuberculosis: Role of Nanocarriers and Functional Excipients. 社论:治疗肺结核的纳米药物:纳米载体和功能赋形剂的作用。
Q3 Medicine Pub Date : 2017-01-01 DOI: 10.2174/1574891X1202180503101725
Abdus Samad, Iram Nazish, Sarwar Beg
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引用次数: 0
Recent Complications and Issues in Tuberculosis Treatment. 结核病治疗的近期并发症和问题。
Q3 Medicine Pub Date : 2017-01-01 DOI: 10.2174/1574891X12666171006104430
Mohammad Taleuzzaman, Vinay Kumar

Background: Tuberculosis is one of the major communicable diseases which can be prevented and cured. The prevalence of tuberculosis infection is more despite this disease causes major morbidity and mortality. To establish connection between tuberculosis (TB) related stigma and hindrance in search of a treatment after the inception of symptoms associated with tuberculosis.

Methods: Physicians conducted the interviews using a structured questionnaire. Information from the medical reports available at health care centers (especial results of sputum microscopy, radiological and other investigations) was also distracted. Patients is said to be infected with TB having a minimum two initial +ve sputum smears or one +ve sputum smear and chest radiographic abnormalities along with active pulmonary TB as determined by clinician; one sputum +ve culture specimen +ve for Mycobacterium tuberculosis. High resolution computed tomography (HRCT), a new susceptible technique shows erratically disseminated military nodules. The organs associated and extents of lesions of miliary TB in the pulmonary tuberculosis are examined by ultrasonography, computed tomography (CT) and magnetic resonance imaging (MRI). Histopathological examination of tissue biopsy is a conservative and fast technique for the separation of mycobacterium tuberculosis and assessment of choroid tubercles in fundus.

Conclusion: Even though numerous prognostic markers have been described which envisage mortality, yet untreated miliary TB has a serious outcome within one year. A high index of clinical research, early diagnosis and timely institution of anti-tuberculosis treatment can be life-saving. Response to first-line anti-tuberculosis drugs is good. Anti-tuberculosis drugs are patent.

背景:结核病是可预防和可治愈的主要传染病之一。尽管这种疾病造成严重的发病率和死亡率,但结核病感染的流行率较高。在出现与结核病有关的症状后,确定与结核病有关的耻辱与寻求治疗的障碍之间的联系。方法:医师采用结构化问卷进行访谈。保健中心提供的医疗报告(特别是痰液显微镜检查、放射检查和其他检查结果)的信息也被转移。据说感染结核病的患者至少有两次初始+ 5痰涂片或一次+ 5痰涂片和胸片异常,并伴有临床医生确定的活动性肺结核;1份痰液+ 5份培养标本+ 5份结核分枝杆菌。高分辨率计算机断层扫描(HRCT)是一种新的敏感技术,可以显示不规则分布的军事结节。通过超声、计算机断层扫描(CT)和磁共振成像(MRI)检查肺结核中军旅性结核的相关器官和病变程度。组织活检病理检查是一种保守、快速的分离结核分枝杆菌和评估眼底脉络膜结核的技术。结论:尽管已经描述了许多预测死亡率的预后指标,但未经治疗的军人结核病在一年内有严重的后果。高指标的临床研究、早期诊断和及时的抗结核治疗可以挽救生命。对一线抗结核药物反应良好。抗结核药物是专利。
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引用次数: 4
Macrophage Targeted Cellular Carriers for Effective Delivery of Anti-Tubercular Drugs. 巨噬细胞靶向细胞载体有效递送抗结核药物。
Q3 Medicine Pub Date : 2017-01-01 DOI: 10.2174/1574891X13666171207151313
Jaya Agnihotri, Sobhna Singh, Mohammad Wais, Abhishek Pathak

Background: Newly developed vaccine VPM1002 confers paradigm swing in the prophylactic treatment of tuberculosis (TB). Multi-drug resistant and latent TB in adults as well as in underprivileged patients is instigating menace over world population if the host is immune-compromised.

Methods: One third of the world's population is infected with TB. Recently it is estimated around 9.6 million people around the world became sick with TB disease. There were 1.5 million TB-related deaths worldwide. Therefore with the advent in biotechnology and Nano engineering, newly adapted survival molecular mechanism of Mycobacterium tuberculosis, new targets receptors on alveolar macrophages must be explored out for eradication of TB from the globe. Macrophage acts as a reservoir of phagocytic receptors to execute diverse physiological functions as well as to perform defense mechanism.

Results: Advances in novel carriers open new era for the treatment of tuberculosis which remains a very substantial global health encumbrance. Different binding receptors especially mannose, folate and scavenger receptors are attractive platform for internalization of therapeutics in alveolar macrophage. Nano-carriers and nano-devices designed after the acquaintance of receptor composition and functioning affords site specific targeting of biodegradable and biocompatible drug delivery systems for the treatment of tuberculosis offering complete cure and patient compliance.

Conclusion: This chapter encompasses recent studies on nanocarriers and new treatment strategies for tuberculosis. In spite of the budding benefits of nano carriers, many limitations still remain to be overcome such as poor oral stability, instability in circulation, inadequate tissue distribution as well as toxicity to normal cells.

背景:新开发的疫苗VPM1002为结核病(TB)的预防性治疗提供了范式转变。成人和贫困患者的多重耐药和潜伏性结核病如果宿主免疫功能低下,将对世界人口构成威胁。方法:世界上三分之一的人口感染了结核病。据估计,最近全世界约有960万人感染了结核病。全世界有150万人死于结核病。因此,随着生物技术和纳米工程的出现,新的适应结核分枝杆菌生存的分子机制,肺泡巨噬细胞上的新靶点受体必须被探索出来,才能从全球范围内根除结核病。巨噬细胞作为吞噬受体的储存库,在执行多种生理功能的同时,也发挥着防御机制。结果:新型载体的进展为结核病的治疗开辟了新时代,结核病仍然是一个非常重大的全球卫生负担。不同的结合受体,特别是甘露糖、叶酸和清道夫受体是肺泡巨噬细胞内化治疗药物的良好平台。在了解受体组成和功能后设计的纳米载体和纳米装置为治疗结核病提供了可生物降解和生物相容性的药物输送系统的特异性靶向,提供了完全治愈和患者依从性。结论:本章涵盖了纳米载体和结核病新治疗策略的最新研究。尽管纳米载体的益处初见曙光,但仍有许多限制有待克服,如口服稳定性差、循环不稳定、组织分布不充分以及对正常细胞的毒性。
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引用次数: 0
Antibiotic Effects of Loperamide: Homology of Human Targets of Loperamide with Targets in Acanthamoeba spp. 洛哌丁胺的抗生素作用:洛哌丁胺人靶点与棘阿米巴原虫靶点的同源性。
Q3 Medicine Pub Date : 2017-01-01 DOI: 10.2174/1574891X12666170425170544
Abdul M Baig, Zohaib Rana, Mohsin Mannan, Sumayya Tariq, H R Ahmad

Background: Loperamide is an anti-diarrheal drug prescribed for non-infectious diarrhea. The drug is an opioid receptor agonist, blocker of voltage-dependent calcium channel (Cav) and calmodulin (CaM) inhibitor on human cells. Loperamide has been reported to exert anti-amoebic effects against pathogenic strains of Acanthamoeba castellanii.

Objectives: The precise mode of antibiotic action, cellular target homology with human counterparts and the pattern of cell death induced by loperamide in Acanthamoeba castellanii remain to be established. Additionally, we attempt to establish the presence a primitive Cav in Acanthamoeba castellanii.

Methods: Bioinformatics, 3D structural modelling, ligand binding predictions and apoptotic/ amoebicidal assays were used in this study to answer the above queries. Amino acid sequences and structural models were compared between human and A. castellanii proteins that are involved in the regulation of calcium (Ca+2) homeostasis.

Results: Our results show that A. castellanii expresses similar, to near identical types of primitive calcium channels Cav Ac and CaM that are well known targets of loperamide in humans. The growth assays showed anti-amoebic effects of loperamide at different doses, both alone and in combinations with other Ca+2- CaM inhibitors. The synergistic actions of loperamide with haloperidol showed to be more amoebicidal than when either of them used alone. Imaging with Annexin V, Acridine orange and Propidium iodide showed apoptosis in A. castellanii at a dose of 100 µg/ml and necrosis at higher doses of 250 µg/ml.

Conclusion: Though, Acanthamoeba does not express a homolog of the human mu-opioid receptor, but does shows evidence of the homologs for other known human targets of loperamide that are involved in Ca+2 uptake and Ca+2 signal transduction pathways. This suggests optimization of similar drug interactions with these targets may be useful in developing new approaches to control the growth of this parasite and possibly the diseases caused by it.

背景:洛哌丁胺是一种用于非感染性腹泻的抗腹泻药物。该药是一种阿片受体激动剂、电压依赖性钙通道(Cav)阻滞剂和钙调素(CaM)抑制剂。据报道,洛哌丁胺对卡斯特兰棘阿米巴致病性菌株具有抗阿米巴作用。目的:尚不清楚洛哌丁胺致棘阿米巴细胞死亡的确切作用方式、与人对应物的细胞靶点同源性和模式。此外,我们试图在棘阿米巴中建立一个原始洞穴的存在。方法:本研究采用生物信息学、三维结构建模、配体结合预测和凋亡/杀阿米巴实验来回答上述问题。比较了人类和castellanii参与钙(Ca+2)稳态调节的蛋白的氨基酸序列和结构模型。结果:我们的研究结果表明,A. castellanii表达类似的,几乎相同类型的原始钙通道Cav Ac和CaM,这是洛哌丁胺在人类中众所周知的靶点。生长试验显示不同剂量的洛哌丁胺抗阿米巴作用,无论是单独使用还是与其他Ca+2- CaM抑制剂联合使用。洛哌丁胺与氟哌啶醇的协同作用比单独使用时更有杀阿米巴的作用。Annexin V、吖啶橙和碘化丙啶成像显示,剂量为100µg/ml时,castellanii细胞凋亡,较高剂量为250µg/ml时出现坏死。结论:棘阿米巴不表达人类mu-阿片受体的同源物,但有证据表明洛哌胺其他已知的人类靶点的同源物参与Ca+2摄取和Ca+2信号转导途径。这表明,优化与这些靶点的类似药物相互作用,可能有助于开发新的方法来控制这种寄生虫的生长,并可能控制由它引起的疾病。
{"title":"Antibiotic Effects of Loperamide: Homology of Human Targets of Loperamide with Targets in Acanthamoeba spp.","authors":"Abdul M Baig,&nbsp;Zohaib Rana,&nbsp;Mohsin Mannan,&nbsp;Sumayya Tariq,&nbsp;H R Ahmad","doi":"10.2174/1574891X12666170425170544","DOIUrl":"https://doi.org/10.2174/1574891X12666170425170544","url":null,"abstract":"<p><strong>Background: </strong>Loperamide is an anti-diarrheal drug prescribed for non-infectious diarrhea. The drug is an opioid receptor agonist, blocker of voltage-dependent calcium channel (Cav) and calmodulin (CaM) inhibitor on human cells. Loperamide has been reported to exert anti-amoebic effects against pathogenic strains of Acanthamoeba castellanii.</p><p><strong>Objectives: </strong>The precise mode of antibiotic action, cellular target homology with human counterparts and the pattern of cell death induced by loperamide in Acanthamoeba castellanii remain to be established. Additionally, we attempt to establish the presence a primitive Cav in Acanthamoeba castellanii.</p><p><strong>Methods: </strong>Bioinformatics, 3D structural modelling, ligand binding predictions and apoptotic/ amoebicidal assays were used in this study to answer the above queries. Amino acid sequences and structural models were compared between human and A. castellanii proteins that are involved in the regulation of calcium (Ca+2) homeostasis.</p><p><strong>Results: </strong>Our results show that A. castellanii expresses similar, to near identical types of primitive calcium channels Cav Ac and CaM that are well known targets of loperamide in humans. The growth assays showed anti-amoebic effects of loperamide at different doses, both alone and in combinations with other Ca+2- CaM inhibitors. The synergistic actions of loperamide with haloperidol showed to be more amoebicidal than when either of them used alone. Imaging with Annexin V, Acridine orange and Propidium iodide showed apoptosis in A. castellanii at a dose of 100 µg/ml and necrosis at higher doses of 250 µg/ml.</p><p><strong>Conclusion: </strong>Though, Acanthamoeba does not express a homolog of the human mu-opioid receptor, but does shows evidence of the homologs for other known human targets of loperamide that are involved in Ca+2 uptake and Ca+2 signal transduction pathways. This suggests optimization of similar drug interactions with these targets may be useful in developing new approaches to control the growth of this parasite and possibly the diseases caused by it.</p>","PeriodicalId":20909,"journal":{"name":"Recent patents on anti-infective drug discovery","volume":"12 1","pages":"44-60"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34996353","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: 7
Nanostructured Therapeutic Carriers for Tuberculosis Treatment: Approaches & Challenges. 纳米结构结核治疗载体:方法与挑战。
Q3 Medicine Pub Date : 2017-01-01 DOI: 10.2174/1574891X12666171006105409
Zabih Ullah, Mohammad T Athar, Abdus Samad

Background: The diseases tuberculosis, triggered by intracellular pathogens, is a major problem for the global medical professionals. Treatments for these diseases through conventional dosage form consist of long-term therapy with multiple drugs, leading to several side effects and contribute to low patient compliance and drug resistance. The pathogens are found to be situated in the intracellular compartments of the cells, which ultimately results in additional blockades to effective treatment. Therefore, improved and more efficient therapies for such intracellular diseases are required.

Methods: This review discusses the potential of nanomedicine and related patents to improve intracellular disease chemotherapy. To complete the objective, we searched bibliographic databases of indexed literature using a focused and structured criteria. The quality and characteristics of selected papers were assessed using standard parameters with qualitative analysis having a conceptual framework.

Results: Nanoparticle-based drug delivery systems are suitable for the treatment of illnesses, such as tuberculosis. Due to the unique size-dependent properties, nanocarriers such as nanoparticles, liposomes, niosomes and microspheres offer the opportunity to develop new therapeutic and diagnostic tools. The ability to integrate drugs into nanosystems displays a new standard in pharmacotherapy that could be used for cell-targeted drug therapy. Experimental data showed the possibility of intermittent chemotherapy with main antituberculosis drugs by employing nanocarriers. Besides the advantage of the controlled release of medications in organs, the other benefits of the nanocarriers include the possibility of various routes of therapy, reduction in drug dosage and adverse effects, reduced possibility of drug interactions, and drug-resistant targeting. Published literature including patented studies suggests that nanomedicine mediated drug delivery may improve tuberculosis chemotherapy by offering benefits such as targeting to the specific organs, sustained and controlled drug release, tuberculosis diagnosis, drug delivery to the pathogen's intracellular location, and tuberculosis vaccine development.

Conclusion: The properties of nanomedicine may prove beneficial in developing improved, efficacious or alternative therapies for tuberculosis diseases.

背景:由细胞内病原菌引发的结核病是困扰全球医学界的一大难题。通过常规剂型对这些疾病的治疗包括多种药物的长期治疗,导致多种副作用,并导致患者依从性和耐药性低。发现病原体位于细胞的细胞内区室中,这最终导致对有效治疗的额外封锁。因此,需要改进和更有效的治疗方法来治疗这种细胞内疾病。方法:综述纳米药物及其相关专利在改善细胞内疾病化疗方面的潜力。为了完成这个目标,我们使用一个集中的和结构化的标准搜索索引文献的书目数据库。所选论文的质量和特征使用具有概念框架的定性分析的标准参数进行评估。结果:纳米颗粒给药系统适用于结核病等疾病的治疗。由于其独特的尺寸依赖性,纳米载体如纳米颗粒、脂质体、纳米体和微球为开发新的治疗和诊断工具提供了机会。将药物整合到纳米系统的能力显示了药物治疗的新标准,可用于细胞靶向药物治疗。实验数据表明,利用纳米载体进行主要抗结核药物间歇化疗是可能的。除了药物在器官内的控制释放的优势外,纳米载体的其他好处还包括多种治疗途径的可能性、药物剂量和不良反应的减少、药物相互作用的可能性降低以及耐药靶向。包括专利研究在内的已发表文献表明,纳米药物介导的药物递送可以通过提供诸如靶向特定器官、持续和受控的药物释放、结核病诊断、将药物递送到病原体的细胞内位置以及结核病疫苗开发等益处来改善结核病化疗。结论:纳米药物的特性可能有助于开发改进的、有效的或替代的结核病治疗方法。
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引用次数: 0
New Drugs and Vaccines for Tuberculosis. 新的结核病药物和疫苗。
Q3 Medicine Pub Date : 2017-01-01 DOI: 10.2174/1574891X12666171006105921
Praveen K Gaur, Shikha Mishra

Background: Tuberculosis (TB) is an infectious disease that resulted in estimated 9.6 million new cases in 2014 and 1.5 million deaths. The available drug regimen for TB is time consuming which more often leads to the patient non compliance which then results in occurrence of drug resistant TB (Multi-drug and extremely drug resistant TB) in several portions of the world.

Methods: The dangerous combinations of TB and HIV is taking its toll on human health. The foremost factor is non- profit associated with the development of anti TB drugs. There is almost 10 different drugs in various levels of trials whereas the vaccine development is focusing more on adult vaccine rather than a child vaccine.

Results: More than 15 vaccine candidate are in various stages of pipelines. Present compilation gives an account for various drug candidates and vaccine products in various stages of drug development. Also included is a recent collection of patents for assay methods, potential drug candidates/classes and vaccination products.

Conclusion: The need is for improvement in the activity and chemical and biological description of under development compounds. Lastly the set up for clinical and appropriate uses for running a reliable clinical trial is a necessary prerequisite.

背景:结核病是一种传染病,2014年估计造成960万新发病例和150万人死亡。现有的结核病药物治疗方案耗时耗力,往往导致患者不遵医嘱,从而导致在世界若干地区发生耐药结核病(多药和极度耐药结核病)。方法:结核病和艾滋病毒的危险组合正在危害人类健康。最重要的因素是与抗结核药物开发有关的非营利性。有近10种不同的药物处于不同水平的试验中,而疫苗的开发更多地侧重于成人疫苗而不是儿童疫苗。结果:超过15种候选疫苗处于不同的研发阶段。本汇编说明了药物开发不同阶段的各种候选药物和疫苗产品。还包括最近收集的检测方法、潜在候选药物/类别和疫苗接种产品的专利。结论:待开发化合物的活性及化学生物学描述有待进一步完善。最后,为进行可靠的临床试验建立临床和适当的用途是必要的先决条件。
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引用次数: 6
Targets and Patented Drugs for Chemotherapy of Chagas Disease in the Last 15 Years-Period. 近15年来恰加斯病化疗的靶点和专利药物
Q3 Medicine Pub Date : 2016-07-31 DOI: 10.2174/1574891X11666161024165304
V. Duschak
BACKGROUNDThe American trypanosomiasis, Chagas disease, is a parasitic infection typically spread by triatomine vectors affecting millions of people all over Latin America. Existing chemotherapy is centered on the nitroaromatic compounds benznidazole and nifurtimox that provide unsatisfactory results and substantial side effects. So, the finding and exploration of novel ways to challenge this neglected disease is a main priority.METHODSThe biologic and biochemical progress in the scientific knowledge of Trypanosoma cruzi in the period comprising last 15-years has increased the identification of multiple targets for Chagas´ disease chemotherapy. In the middle of the best encouraging targets for trypanocidal drugs, ergosterol biosynthesis pathway and cruzipain, a key cysteine protease (CP) of T. cruzi, have been pointed out. Unfortunately, recent clinical trials investigating the administration of pozoconazole and ravuconazole to chronic indeterminate Chagas disease patients revealed their inferiority compared to the standard drug Benznidazole.RESULTSIn view of the information gained in the preceding years, a reasonable approach for the fast development of novel anti-T. cruzi chemotherapy would be focused on K777, the cysteine proteinase inhibitor (CPI) near to enter to clinical trials, and founded on the clinical evaluation of combination of known drugs with existing trypanocidal agents to obtain more efficiency and less secondary effects. Top series of xanthine have been recently identified as clinical candidate for Chagas disease. In addition, trypanothione biosynthesis, thiol-dependant redox and polyamine metabolism, the glycolytic, glyconeogenic, pentose phosphate, lipidic and polyisoprenoid biosynthetic pathways, and the enzymes from biosynthetic glycoconjugates pathways have been studied. Several specific enzymes from these particular biosynthetic pathways such as hypoxanthine-guaninephosphoribosyl- transferase and farnesyl-pyrophosphate synthase, among others, have also been broadly studied in T. cruzi. Novel synthesized anti-T. cruzi compounds with or without specific single or multi-target assigned are also described in detail.CONCLUSIONIn summary, loans on anti-Chagas disease agents focused to specific parasite targets as their metabolic pathways or specific enzymes will be summarized. Targets will also be specifically discussed. Patent literature collected and published from 2000 to 2015, alleging inhibitors for specific T. cruzi targets or trypanocidal activity was achieved over the search database from Delphion Research intellectual property network including international patents and the European patent office, Espacenet.
美洲锥虫病,即恰加斯病,是一种寄生虫感染,通常由锥虫病媒传播,影响拉丁美洲数百万人。现有的化疗以硝基芳香族化合物苯并硝唑和硝呋替莫为主,效果不理想,副作用大。因此,寻找和探索新的方法来挑战这种被忽视的疾病是一个主要的优先事项。方法近15年来克氏锥虫的生物学和生化科学知识的进步,增加了对恰加斯病化疗的多个靶点的鉴定。其中,麦角甾醇的生物合成途径和克氏锥虫的关键半胱氨酸蛋白酶(CP)锥虫蛋白(cruzipain)已被指出是抗锥虫药物的最佳靶点。不幸的是,最近的临床试验调查了pozoconazole和ravuconazole对慢性不确定恰加斯病患者的治疗效果,结果显示它们与标准药物苯并硝唑相比存在劣势。结果总结前几年获得的信息,为新型抗t细胞白血病药物的快速发展提供了一条合理的途径。cruzi化疗将以即将进入临床试验的半胱氨酸蛋白酶抑制剂(CPI) K777为重点,以已知药物与现有锥虫药物联合临床评价为基础,以获得更高的疗效和更少的继发效应。顶级系列黄嘌呤最近被确定为恰加斯病的临床候选者。此外,还研究了锥虫硫酮的生物合成、硫醇依赖的氧化还原和多胺代谢、糖酵解、糖异生、戊糖磷酸、脂质和聚异戊二烯类生物合成途径以及生物合成糖缀合物途径中的酶。这些特殊生物合成途径中的一些特定酶,如次黄嘌呤-鸟嘌呤-磷酸核糖基转移酶和法尼基-焦磷酸合成酶等,也在克氏锥虫中得到了广泛的研究。新型合成抗t抗体。还详细描述了具有或不具有特定单靶标或多靶标的克氏化合物。结论总结了针对特定寄生虫靶点的抗恰加斯病药物的代谢途径或特异性酶的研究进展。还将具体讨论目标。从2000年到2015年收集和发表的专利文献,声称特定T. cruzi靶点或锥虫活性的抑制剂是通过Delphion Research知识产权网络(包括国际专利和欧洲专利局Espacenet)的搜索数据库获得的。
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引用次数: 27
期刊
Recent patents on anti-infective drug discovery
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