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Modern view on the effectiveness and safety of non-steroidal anti-inflammatory drugs 非甾体抗炎药的有效性和安全性的现代观点
Pub Date : 2024-06-04 DOI: 10.17816/rcf627091
Liliya Shamal
Issues of the effectiveness and safety of drugs continue to be relevant and controversial. The benefits and risks of drug therapy are two facets of one whole, called pharmacotherapy, and can turn out to be an undesirable side and even outweigh the benefits with a large negative value. The effectiveness and safety of drugs requires serious study also because it becomes possible to discover new effects of drugs and reveal new mechanisms for unregistered indications and, at the same time, a deep understanding of adverse drug reactions will allow more correct prescribing of drugs and proper medical supervision of therapy. Nonsteroidal anti-inflammatory drugs (NSAIDs) are over-the-counter drugs and are perceived by a wide range of patients as safe drugs that do not require a doctor’s prescription, which can cause dangerous drug reactions, especially when used uncontrollably. The review presents literature data from studies of the effectiveness of NSAIDs and current data on new therapeutic effects of individual drugs, as well as the risks of adverse reactions, their mechanisms and methods of correction.
药物的有效性和安全性问题仍然具有相关性和争议性。药物治疗的益处和风险是一个整体(即药物疗法)的两个方面,可能会产生不良的副作用,甚至以巨大的负值超过益处。药物的有效性和安全性需要认真研究,这也是因为我们有可能发现药物的新作用,揭示未注册适应症的新机制,同时,对药物不良反应的深入了解将有助于更正确地开具处方和对治疗进行适当的医疗监督。非甾体抗炎药(NSAIDs)属于非处方药,被广大患者视为不需要医生处方的安全药物,但它也可能引起危险的药物不良反应,尤其是在不加控制地使用时。本综述介绍了非甾体抗炎药物疗效研究的文献数据和目前关于个别药物新疗效的数据,以及不良反应的风险、机制和纠正方法。
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引用次数: 0
INVOLVEMENT OF BDNF, NTRK2 AND PI3K IN THE MECHANISMS OF BINGE EATING AFTER PSYCHOGENIC STRESSORS IN ONTOGENESIS BDNF、NTRK2 和 PI3K 参与胚胎期精神应激源暴食机制的研究
Pub Date : 2024-06-04 DOI: 10.17816/rcf625676
Alexey Lizunov, Edgar Sekste, Andrei Lebedev, Eugenii Bychkov, Victor Lebedev, V. Goltz, Natalia D. Nadbitova, S. Pyurveev, Natalya Evdokimova, Petr Shabanov
Aim. Study of binge eating after maternal deprivation or after rearing in social isolation on the expression of the Bdnf, Ntrk2 and Pi3k genes in the hypothalamus of rats. Methods. Animals from days 2 to 12 after birth were weaned from their mother for 10 days at 180 minutes; males aged 90-100 days were used in the experiments. Another group of animals was reared in individual cages from the 21st day after birth; males aged 90-100 days were used in the experiments. When developing binge eating, the animals received a high-carbohydrate diet (Nutella chocolate spread) for 1 hour every day or every third day within 30 days. 15 min before feeding, the paste was placed within 5 cm of reach with visual contact. Results. In groups with intermittent exposure to high-calorie food (the animals received pasta every third day), PCR analysis showed the presence of expression of the Bdnf, Ntrk2 and Pi3k genes in the hypothalamus. Expression of the Bdnf gene was higher in the group of rats after maternal deprivation compared to the control. It was also shown that the expression of the Ntrk2 and Pi3k genes on a high-carbohydrate diet was higher in rats reared in isolation compared to animals reared in the community. Conclusion. The data obtained suggest new pathways for the synthesis of pharmacological agents of a peptide nature associated with the PI3K/AKT/mTOR signaling pathway for the correction of food addiction caused by psychogenic stress in ontogenesis.
研究目的研究母体剥夺后或社会隔离饲养后暴食对大鼠下丘脑中 Bdnf、Ntrk2 和 Pi3k 基因表达的影响。研究方法将出生后第 2 到 12 天的大鼠从母体断奶,断奶时间为 10 天,断奶时间为 180 分钟;实验中使用的是 90 到 100 天的雄性大鼠。另一组动物从出生后第21天开始在单独的笼子中饲养,实验对象为90-100天的雄性大鼠。当出现暴食时,动物每天或在30天内每隔3天接受1小时高碳水化合物饮食(Nutella巧克力酱)。喂食前 15 分钟,将巧克力酱放置在动物可触及的 5 厘米范围内。试验结果在间歇性摄入高热量食物的组别中(动物每隔三天摄入一次意大利面),PCR分析显示下丘脑中存在Bdnf、Ntrk2和Pi3k基因的表达。与对照组相比,母性剥夺组大鼠的 Bdnf 基因表达量更高。研究还表明,与群体饲养的大鼠相比,隔离饲养的大鼠在高碳水化合物饮食中的 Ntrk2 和 Pi3k 基因表达量更高。结论所获得的数据为合成与 PI3K/AKT/mTOR 信号通路相关的肽类药物提供了新的途径,可用于纠正新生儿期因精神压力导致的食物成瘾。
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引用次数: 0
INVESTIGATION OF THE ANALGESIC ACTIVITY OF NEW LIGANDS OF THE NMDA RECEPTOR COMPLEX 研究 nmda 受体复合物新配体的镇痛活性
Pub Date : 2024-06-04 DOI: 10.17816/rcf624859
Ekaterina Yakovleva, Mekhriniso Kamalova, Mariia Brusina, Evgenii Bychkov, L. Piotrovskiy, Petr Shabanov
According to the Russian Society for the Study of Pain, 90% of patients seeking medical help experience pain, with 70% suffering from chronic pain [15, 16]. It should be acknowledged that the capabilities of traditional analgesic methods are limited, and the prescription of opioids is associated with an increase in complications, the development of tolerance, drug dependence, and an increase in the patient's hospital stay costs. Thus, the main directions for improving pain relief include the rational combination of analgesics with different mechanisms of action and the development of new effective and safe medicinal substances with analgesic activity. It is known that the activation of spinal cord NMDA receptors is a key factor in the pathogenesis of acute and chronic pain. Therefore, the use of existing NMDA antagonists in analgesic schemes, as well as the development of new compounds targeting the NMDA receptor complex, is of particular interest. New ligands of the glutamate NMDA receptor complex are derivatives of imidazole-4,5-dicarboxylic acid. The conformational rigidity of the molecules of imidazole-4,5-dicarboxylic acid derivatives allow for increased selectivity of interaction and reduced side effects. The aim of the study was to investigate the analgesic effect of new ligands of the glutamate NMDA receptor complex - derivatives of imidazole-4,5-dicarboxylic acid in mice using the tail-flick test and the formalin test. The tested compounds (IEM-303 and IEM-2044) were administered intraperitoneally at doses of 5, 10, 15, 20 mg/kg. Мetamizole was used as a comparison drug. The experiments demonstrated a significant dose-dependent analgesic effect of the tested compounds in experimental models of acute pain at doses of 5-20 mg/kg. In the groups receiving IEM-2044 and IEM-303, the tail-flick latency increased by 1.4-1.7 times compared to the control group. The analgesic activity of the tested compounds at doses of 10-20 mg/kg was comparable to the analgesic activity of metamizole, indicating the prospect of developing these agents and further searching for effective and safe analgesics among this pharmacological class.
根据俄罗斯疼痛研究学会(Russian Society for the Study of Pain)的数据,90%的求医者都经历过疼痛,其中 70% 为慢性疼痛[15, 16]。应该承认,传统镇痛方法的能力是有限的,而且阿片类药物的处方与并发症的增加、耐受性的产生、药物依赖性以及患者住院费用的增加有关。因此,改善镇痛效果的主要方向包括合理组合具有不同作用机制的镇痛药,以及开发有效、安全且具有镇痛活性的新药物。众所周知,脊髓 NMDA 受体的激活是急性和慢性疼痛发病机制的关键因素。因此,在镇痛方案中使用现有的 NMDA 拮抗剂以及开发以 NMDA 受体复合物为靶点的新化合物尤其令人感兴趣。谷氨酸 NMDA 受体复合物的新配体是咪唑-4,5-二羧酸的衍生物。咪唑-4,5-二羧酸衍生物分子的构象刚度可提高相互作用的选择性并减少副作用。研究的目的是通过尾搔试验和福尔马林试验,研究谷氨酸 NMDA 受体复合物的新配体--咪唑-4,5-二羧酸衍生物对小鼠的镇痛效果。受试化合物(IEM-303 和 IEM-2044)的腹腔给药剂量分别为 5、10、15 和 20 毫克/千克。Мetamizole 用作对比药物。实验表明,在急性疼痛实验模型中,剂量为 5-20 毫克/千克的受试化合物具有显著的剂量依赖性镇痛效果。与对照组相比,接受 IEM-2044 和 IEM-303 治疗组的尾搔潜伏期延长了 1.4-1.7 倍。在剂量为 10-20 毫克/千克时,受试化合物的镇痛活性与甲氰咪唑的镇痛活性相当,这表明这些药物的开发前景广阔,有望在这一药理类别中进一步寻找有效、安全的镇痛药。
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引用次数: 0
Targeted delivery of the domestic anticancer drug from the group of aziridine triazines (literature review) 氮丙啶三嗪类国产抗癌药物的靶向给药(文献综述)
Pub Date : 2024-06-04 DOI: 10.17816/rcf625968
D. Kachanov, Olesya Aleksandrovna Belyaeva, Alexander Nikolaevich Stukov, G. V. Tochilnikov, Andrey Vladislavovich Pavlysh, Y. Zmitrichenko, Valery Anatolievich Alexandrov, Tatiana Yurievna Semiglazova, A. M. Belyaev
At the present time targeted delivery of anticancer drugs can significantly increase the effectiveness of therapy, reduce the side effects of systemic chemotherapy and improve the quality of cancer patients treatment. The aim is summarization of data about the domestic antitumor drug 2,4-bis(1-aziridinyl)-6-(2,2-dimethyl-5-hydroxymethyl-1,3-dioxan-5-yl)amino-1,3,5-thriazine (Dioxadet) today, its nanoforms, possibilities of use in the clinic and the main antitumor nanodrugs clinical introduced in recent years in the world. The study was conducted with search and information (eLibrary, PubMed, CyberLeninka, ResearchGate, Springer, Wiley Online Library, Elsevier) and library databases. The literature review summarizes data on preclinical trials of Dioxadet and provides information on its developed nanoforms, such as nanogels, nanodiamonds, silica particles, copolymers with lactic and caproic acids. New drug nanoforms open up opportunities to reduce its side effects and systemic toxicity, as well as maintain optimal therapeutic concentrations, increase the circulation time of the drug in the blood and control its release. The possibility of chemopreparation cytotoxic doses using is the main advantage of the new drug nanoform. To date, about 20 antitumor nanodrugs have been introduced in clinical practice, and a number of nanodrugs are undergoing preclinical and various phases of clinical trials. Thus, the development of new effective dioxadet nanoforms makes it possible to ensure targeted drug delivery in higher cytotoxic doses to the target cell, increase of the selective action, and reduce the cytostatic toxicity towards normal cells.
目前,抗癌药物的靶向给药可以显著提高疗效,减少全身化疗的副作用,提高癌症患者的治疗质量。本研究旨在总结目前国内抗肿瘤药物 2,4-双(1-氮丙啶基)-6-(2,2-二甲基-5-羟甲基-1,3-二恶烷-5-基)氨基-1,3,5-三嗪(Dioxadet)的相关数据、其纳米形式、在临床上使用的可能性以及近年来世界范围内临床引进的主要抗肿瘤纳米药物。该研究通过搜索和信息(电子图书馆、PubMed、CyberLeninka、ResearchGate、Springer、Wiley Online Library、Elsevier)和图书馆数据库进行。文献综述总结了 Dioxadet 的临床前试验数据,并提供了有关其开发的纳米形式的信息,如纳米凝胶、纳米金刚石、二氧化硅颗粒、乳酸和己酸共聚物。新的药物纳米形式为降低药物副作用和全身毒性、保持最佳治疗浓度、延长药物在血液中的循环时间以及控制药物释放提供了机会。使用化学制备细胞毒性剂量的可能性是新型纳米药物的主要优势。迄今为止,已有约 20 种抗肿瘤纳米药物进入临床实践,还有一些纳米药物正在进行临床前和不同阶段的临床试验。因此,开发新的有效二恶英纳米药物可以确保靶向给药,提高靶细胞的细胞毒性剂量,增加选择性作用,减少对正常细胞的细胞毒性。
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引用次数: 0
Influence of gel matrix on wound healing activity of adhesive dressings filled with silver nanoparticles and humic acids applied for the rat burn model. 凝胶基质对大鼠烧伤模型中填充银纳米颗粒和腐植酸的粘合敷料伤口愈合活性的影响。
Pub Date : 2024-06-04 DOI: 10.17816/rcf623329
Ruslan I. Glushakov, I. V. Perminova
IM: to evaluate the therapeutic effectiveness of gels based on silver nanoparticles in combination with humic acids on healing of a thermal skin damage (burn wound) in rats. MATERIALS AND METHODS: In experiments on 57 white non-linear male rats weighing 218-260 g, the wound-healing effect of gels with a 10% composition of humic acids modified with nanosilver on various bases, prepared in a pharmacopoeial manner, was studied on a model of thermal skin burn of degree IIIB. The gel base used in 3 experimental groups was sodium salt of carboxymethylcellulose (Na-CMC, group Ia, n=12), polyacrylamide (PAAM, group Ib, n=12), polyethylene glycol (PEG, group I, n=12) . Laboratory animals in the comparison group (group II, n=12) received Levomekol ointment; in the control group (group III, n=8) no treatment was carried out. A thermal burn corresponding to degree III was applied to the proximal part of the back under general anesthesia using a thermal applicator with a flat working part in the shape of a circle with a diameter of 20 mm. 72 hours after the burn, the wound was freed from the scab by complete excision along the border with intact skin with the application of a splinting ring, after which the study drugs were applied. The dynamics of changes in the burn wound were assessed on days 10, 14, 17, 21, 24, 28 using the Universal Desktop Ruler program. RESULTS: It was found that the average time (median) for 75% epithelization of wounds in groups Ia, Ic, II was 29.4±0.2, 34 (33;34) and 33.3±0.45 days, while in Ib and III groups, the median time to 75% epithelization was not achieved. The healing index (%/day) for 28 days was 8.6, 4.8, 6.5, 6.1 and 4.4 in groups Ia, Ib, Ic, II and III, respectively. The dynamics of epithelization of thermal burns was most pronounced in group Ia, where Na-CMC acted as a gel base for humic substances modified with nanosilver. CONCLUSIONS: Based on the studies conducted, it can be concluded that the gel with the addition of nanosilver-modified humic substances based on Na-CMC has a wound-healing effect in case of thermal damage to the skin, superior to the effect of the reference drug “Levomekol” in terms of the healing time of burn wounds.
目的:评估基于纳米银颗粒的凝胶与腐植酸结合对大鼠皮肤热损伤(烧伤)愈合的治疗效果。材料和方法:在对 57 只体重 218-260 克的白色非线性雄性大鼠进行的实验中,以 IIIB 度皮肤热烧伤模型为对象,研究了在不同基质上以药典方式制备的含 10%腐殖酸修饰纳米银的凝胶的伤口愈合效果。3 个实验组使用的凝胶基质分别是羧甲基纤维素钠盐(Na-CMC,Ia 组,n=12)、聚丙烯酰胺(PAAM,Ib 组,n=12)、聚乙二醇(PEG,I 组,n=12)。对比组(II 组,n=12)的实验动物接受左旋咪唑软膏治疗;对照组(III 组,n=8)未进行任何治疗。在全身麻醉的情况下,使用带有直径为 20 毫米的圆形扁平工作部位的热敷器,在背部近端进行相当于 III 度的热烧伤。烧伤 72 小时后,在使用夹板环的情况下沿完整皮肤的边界完全切除创面,使其脱离痂皮,然后使用研究药物。在第 10、14、17、21、24 和 28 天,使用通用桌面尺程序评估烧伤创面的动态变化。结果:研究发现,Ⅰa、Ⅰc、Ⅱ组创面75%上皮化的平均时间(中位数)分别为29.4±0.2天、34(33;34)天和33.3±0.45天,而Ⅰb和Ⅲ组创面75%上皮化的中位数时间没有达到。Ia、Ib、Ic、II 和 III 组 28 天的愈合指数(%/天)分别为 8.6、4.8、6.5、6.1 和 4.4。在 Ia 组中,Na-CMC 作为纳米银修饰的腐殖质的凝胶基质,热烧伤上皮的动态变化最为明显。结论:根据所进行的研究,可以得出结论:在 Na-CMC 基础上添加纳米银修饰腐殖质的凝胶对皮肤热损伤具有伤口愈合效果,在烧伤伤口愈合时间方面优于参考药物 "左旋美可 "的效果。
{"title":"Influence of gel matrix on wound healing activity of adhesive \u0000dressings filled with silver nanoparticles and humic acids applied for \u0000the rat burn model.","authors":"Ruslan I. Glushakov, I. V. Perminova","doi":"10.17816/rcf623329","DOIUrl":"https://doi.org/10.17816/rcf623329","url":null,"abstract":"IM: to evaluate the therapeutic effectiveness of gels based on silver nanoparticles in combination with humic acids on healing of a thermal skin damage (burn wound) in rats. \u0000MATERIALS AND METHODS: In experiments on 57 white non-linear male rats weighing 218-260 g, the wound-healing effect of gels with a 10% composition of humic acids modified with nanosilver on various bases, prepared in a pharmacopoeial manner, was studied on a model of thermal skin burn of degree IIIB. The gel base used in 3 experimental groups was sodium salt of carboxymethylcellulose (Na-CMC, group Ia, n=12), polyacrylamide (PAAM, group Ib, n=12), polyethylene glycol (PEG, group I, n=12) . Laboratory animals in the comparison group (group II, n=12) received Levomekol ointment; in the control group (group III, n=8) no treatment was carried out. A thermal burn corresponding to degree III was applied to the proximal part of the back under general anesthesia using a thermal applicator with a flat working part in the shape of a circle with a diameter of 20 mm. 72 hours after the burn, the wound was freed from the scab by complete excision along the border with intact skin with the application of a splinting ring, after which the study drugs were applied. The dynamics of changes in the burn wound were assessed on days 10, 14, 17, 21, 24, 28 using the Universal Desktop Ruler program. \u0000RESULTS: It was found that the average time (median) for 75% epithelization of wounds in groups Ia, Ic, II was 29.4±0.2, 34 (33;34) and 33.3±0.45 days, while in Ib and III groups, the median time to 75% epithelization was not achieved. The healing index (%/day) for 28 days was 8.6, 4.8, 6.5, 6.1 and 4.4 in groups Ia, Ib, Ic, II and III, respectively. The dynamics of epithelization of thermal burns was most pronounced in group Ia, where Na-CMC acted as a gel base for humic substances modified with nanosilver. \u0000CONCLUSIONS: Based on the studies conducted, it can be concluded that the gel with the addition of nanosilver-modified humic substances based on Na-CMC has a wound-healing effect in case of thermal damage to the skin, superior to the effect of the reference drug “Levomekol” in terms of the healing time of burn wounds.","PeriodicalId":21186,"journal":{"name":"Reviews on Clinical Pharmacology and Drug Therapy","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141265987","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
KISS1 KISSPEPTIN OF BONY FISH AND MAMMALIAN KISSPEPTIN ANALOGUES ENHANCE COMMUNICATIVE BEHAVIOUR OF DANIO RERIO INDUCED BY SOCIAL ISOLATION 骨鱼的吻1和哺乳动物的吻肽类似物能增强由社会隔离诱导的丹顶鹤交流行为
Pub Date : 2024-06-04 DOI: 10.17816/rcf625892
V. Goltz, Andrey А. Lebedev, S. Eresko, M. Airapetov, S. Pyurveev, E. R. Bychkov, A. A. Bayramov, Viktor A. Lebedev, Petr D. Shabanov
Relevance. Rodents are often used as model of social isolation. In the present study, we investigated the effects of social isolation in Danio rerio. Danio rerio form groups, form social hierarchies and exhibit complex of social interactions similar to rodents. The expression of a number of brain genes of fish reared in isolation was found to be different from individuals reared in a group. The aim of the study was to investigate the effect of kisspeptins on the social behaviour of Danio rerio exposed to social isolation. Materials and Methods. Fish were placed in 200 ml individual measuring cups for 48 hours. After the social isolation period, bony fish kisspeptins and mammalian kisspeptin analogues were tested. The animal was placed in the 1L individual tank for 15 min and then placed in the tank with a glass partition, behind which there was a group of congeners. Fish were allowed to approach or swim away from the partition. Two patterns were used to assess behaviour: latent time and number of swims to the partition. The results of the research. When comparing the control group with fish kept in social isolation, reliable differences were observed: The number of swims to the aquarium partition after isolation was 1,3 times higher compared to the control group (p 0,05). Against the background of Kiss1 and Kiss2 bony fish Kisspeptin administration, no significant changes in the number of swims to the aquarium partition were observed. At the same time, after administration of KS6 and KS10, increases in the number of swims to the aquarium partition were observed in 1,6 times (p 0,01) and 1,8 times (p 0,001), respectively. After administration of the comparison drug oxytocin, a 1,6 times (p 0.01) increase in the number of swims to the aquarium partition was observed compared to isolates without administration of the drug. The latent time of swimming to the partition increased 2,4 times in isolates without drug administration compared to the control group (p 0,001). Against the background of oxytocin administration, latent time decreased 2,3 times compared to isolates without drug administration (p 0,001). After Kiss1 administration, latent time decreased respectively 2 times (p 0,001) compared to isolates without drug administration. The latent time was decreased 5 times (p 0,001) after KS10 administration and 3,4 times (p 0,001) after KS6 administration compared to isolates without drug administration. Conclusion. Thus, social isolation in Danio rerio fish reduces communicative behaviour. Analogues of mammalian kisspeptin, Kiss1 kisspeptin of bony fish and oxytocin normalise the communicative behaviour of fish after a period of social isolation to the level of the control group.
相关性。啮齿类动物经常被用作社会隔离的模型。在本研究中,我们研究了社会隔离对黑线梭鱼的影响。与啮齿类动物相似,丹瑞鱼也会形成群体、社会等级和复杂的社会互动。研究发现,与群体饲养的个体相比,隔离饲养的鱼类大脑中一些基因的表达有所不同。本研究的目的是调查吻肽对暴露于社会隔离环境中的丹顶鹤社会行为的影响。材料和方法将鱼放入 200 毫升的单个量杯中 48 小时。社会隔离期结束后,测试骨鱼吻肽和哺乳动物吻肽类似物。将动物放入 1 升的单个鱼缸中 15 分钟,然后放入有玻璃隔板的鱼缸中,玻璃隔板后面是一组同源物。允许鱼接近或游离隔板。行为评估采用两种模式:潜伏时间和游向隔板的次数。研究结果在比较对照组和社会隔离饲养的鱼时,观察到了可靠的差异:隔离后游向水族箱隔板的次数是对照组的 1.3 倍(P 0.05)。在对 Kiss1 和 Kiss2 骨鱼施用 Kisspeptin 的背景下,观察到游向水族箱隔板的次数没有显著变化。同时,在服用 KS6 和 KS10 后,游向水族箱隔板的次数分别增加了 1.6 倍(p 0.01)和 1.8 倍(p 0.001)。施用对比药物催产素后,观察到游向水族箱隔板的次数比未施用药物的分离物增加了 1.6 倍(p 0.01)。与对照组相比(p 0.001),未服用催产素的隔离体游向隔板的潜伏时间增加了 2.4 倍。在注射催产素的情况下,潜伏时间比未注射催产素的个体缩短了 2.3 倍(p 0,001)。注射 Kiss1 后,潜伏时间比未注射药物的分离株分别缩短了 2 倍(p 0,001)。与未施药的分离物相比,施用 KS10 后潜伏时间缩短了 5 倍(p 0,001),施用 KS6 后潜伏时间缩短了 3.4 倍(p 0,001)。结论因此,丹瑞鱼的社会隔离会减少交流行为。哺乳动物吻肽、多骨鱼 Kiss1 吻肽、催产素的类似物可使鱼类在社会隔离一段时间后的交流行为恢复到对照组的水平。
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引用次数: 0
Modern approach to pharmacotherapy of chronic insomnia in childhood 儿童慢性失眠症药物治疗的现代方法
Pub Date : 2024-06-04 DOI: 10.17816/rcf624874
Z. G. Tadtaeva, A. Galustyan, Alexandr E. Krivoshein, V. V. Rusanovsky, Alexandr A. Akimov, I. S. Sardaryan, N. A. Kuritcyna
Aim. Insomnia is a widespread problem in the pediatric population. The prevalence of insomnia in childhood varies from 5 to 50%. The lack of adequate therapy can lead to chronicity of the disease, impairment of the child’s cognitive and motor functions, and in the long term – the development of cardiovascular and metabolic diseases, diabetes, gastrointestinal and mental disorders. Thus, timely identification and treatment of childhood insomnia is important. The goal is to summarize and systematize current information about the modern approach to pharmacotherapy of chronic insomnia in childhood. Materials and methods: an analysis of modern and foreign publications, randomized controlled trials over the past 10 years was carried out. Results. Treatment of chronic insomnia includes non-pharmacological and pharmacological approaches. Behavioral strategies are recommended as first-line treatment for childhood insomnia. The presence of different pharmacological groups of drugs allows for a personalized approach to treatment. The use of “off-label” drugs requires justified prescription. Conclusion. The lack of large-scale clinical studies on the effectiveness, tolerability, dosing and safety profile of drugs dictates the need for further research to better understand the risks (negative side effects) and benefits of using medications for sleep disorders in children.
目的失眠是儿科人群中普遍存在的问题。儿童失眠症的发病率在 5%至 50%之间。缺乏适当的治疗会导致疾病慢性化,损害儿童的认知和运动功能,长此以往还会导致心血管疾病、代谢性疾病、糖尿病、胃肠道疾病和精神障碍。因此,及时发现和治疗儿童失眠症非常重要。本文旨在总结和系统归纳有关儿童慢性失眠症现代药物治疗方法的最新信息。材料和方法:对过去 10 年中现代和国外出版物、随机对照试验进行了分析。结果。慢性失眠症的治疗包括非药物治疗和药物治疗。行为疗法被推荐为儿童失眠症的一线治疗方法。由于存在不同的药物组别,因此可以采取个性化的治疗方法。使用 "标签外 "药物需要有合理的处方。结论由于缺乏关于药物有效性、耐受性、剂量和安全性的大规模临床研究,因此有必要开展进一步研究,以更好地了解使用药物治疗儿童睡眠障碍的风险(负面影响)和益处。
{"title":"Modern approach to pharmacotherapy of chronic insomnia in childhood","authors":"Z. G. Tadtaeva, A. Galustyan, Alexandr E. Krivoshein, V. V. Rusanovsky, Alexandr A. Akimov, I. S. Sardaryan, N. A. Kuritcyna","doi":"10.17816/rcf624874","DOIUrl":"https://doi.org/10.17816/rcf624874","url":null,"abstract":"Aim. Insomnia is a widespread problem in the pediatric population. The prevalence of insomnia in childhood varies from 5 to 50%. The lack of adequate therapy can lead to chronicity of the disease, impairment of the child’s cognitive and motor functions, and in the long term – the development of cardiovascular and metabolic diseases, diabetes, gastrointestinal and mental disorders. Thus, timely identification and treatment of childhood insomnia is important. \u0000The goal is to summarize and systematize current information about the modern approach to pharmacotherapy of chronic insomnia in childhood. \u0000Materials and methods: an analysis of modern and foreign publications, randomized controlled trials over the past 10 years was carried out. \u0000Results. Treatment of chronic insomnia includes non-pharmacological and pharmacological approaches. Behavioral strategies are recommended as first-line treatment for childhood insomnia. The presence of different pharmacological groups of drugs allows for a personalized approach to treatment. The use of “off-label” drugs requires justified prescription. \u0000Conclusion. The lack of large-scale clinical studies on the effectiveness, tolerability, dosing and safety profile of drugs dictates the need for further research to better understand the risks (negative side effects) and benefits of using medications for sleep disorders in children.","PeriodicalId":21186,"journal":{"name":"Reviews on Clinical Pharmacology and Drug Therapy","volume":"76 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141268183","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
EARLY STRESS OF MATERNAL DEPRIVATION AFFECTS THE EXPRESSION OF OX1R OREXIN IN THE LIMBIC SYSTEM OF THE BRAIN AND CONTRIBUTES TO THE DEVELOPMENT OF ANXIETY-DEPRESSIVE SYMPTOMS IN RATS. 早期的母性剥夺压力会影响大脑边缘系统中 ox1r 奥曲肽的表达,并导致大鼠焦虑抑郁症状的形成。
Pub Date : 2024-06-04 DOI: 10.17816/rcf622940
S. Pyurveev, Nikolay S. Dedanishvili, E. Sexte, Andrey А. Lebedev, Eugenii Bychkov, Petr Shabanov
BACKGROUND. Depressive states are becoming an increasingly common mental disorder, as well as a serious social problem that places a heavy economic burden on society. More and more data from preclinical and clinical studies indicate that orexins (neuropeptides, also known as hypocretins) and their receptors are involved in the pathogenesis of depression. The orexinergic system regulates functions that are disrupted in depressive states, such as sleep, reward system, eating behavior, stress response and monoaminergic regulation. However, the exact role of orexins in behavioral and neurophysiological disorders observed in depression is still unclear. AIM. To study the effect of early postnatal stress on the expression of OX1R orexin in the limbic system of the brain and the development of anxiety-depressive symptoms in rats. MATERIALS AND METHODS. In the work, maternal deprivation was used as a model of early postnatal stress (from the 2nd to the 12th postpartum day). Two experimental groups were formed: control (n = 20); "maternal deprivation" (n = 20). On the 90th day of life, the influence of early postnatal stress on the development of anxiety-depressive symptoms in rats in adulthood was analyzed using a package of behavioral tests. Behavior analysis was performed using the following tests: raised cruciform maze, forced swimming Porsolt test, two-bottle test. After the experiments, the animals were killed by decapitation, the brain was extracted, placed in the cold and brain structures (hypothalamus, amygdala) were isolated, immediately frozen in liquid nitrogen and stored at a temperature of -80 C until PCR analysis was performed. RESULTS. Testing of experimental animals in the "Raised cruciform maze" showed that in a group of animals subjected to deprivation from the mother, there was a decrease in the time spent in the open arms of the maze, and the time spent in the closed sleeves increased relative to the control, which can be assessed as an increase in the level of anxiety of animals. In the Porsolt test, the maternal deprivation group had an increased immobilization time relative to the control group of animals. In the maternal deprivation group, under the conditions of a two-bottle sucrose preference test, there was a decrease in sucrose solution preference, which indicates the development of anhedonia. In the hypothalamus, there was a statistically significant decrease in the expression of OX1R mRNA in the experimental group of animals, in contrast to the intact control group. A two-fold decrease in the level of OX1R mRNA expression in the experimental group relative to the control animals was also observed in the amygdala. CONCLUSION. Early stress of maternal deprivation causes a decrease in the expression of OX1R orexin in the hypothalamus and amygdala of the brain and contributes to the development of anxiety-depressive symptoms in rats.
背景。抑郁症正日益成为一种常见的精神疾病,同时也是一个严重的社会问题,给社会带来了沉重的经济负担。越来越多的临床前和临床研究数据表明,奥曲肽及其受体与抑郁症的发病机制有关。奥曲肽能系统调节抑郁状态下被破坏的功能,如睡眠、奖赏系统、进食行为、应激反应和单胺类物质调节。然而,奥曲肽在抑郁症的行为和神经生理紊乱中的确切作用仍不清楚。研究目的研究出生后早期应激对大鼠大脑边缘系统中 OX1R 奥曲肽表达的影响以及焦虑抑郁症状的发展。材料和方法:在这项研究中,母体剥夺被用作产后早期应激的模型(从产后第 2 天到第 12 天)。实验分为两组:对照组(n = 20);"母体剥夺 "组(n = 20)。在大鼠出生后第 90 天,使用一套行为测试分析产后早期应激对大鼠成年后焦虑抑郁症状发展的影响。行为分析采用了以下测试:高架十字迷宫、强迫游泳 Porsolt 测试、双瓶测试。实验结束后,动物被斩首处死,提取大脑并置于低温环境中,分离出脑部结构(下丘脑、杏仁核),立即用液氮冷冻并保存在零下 80 摄氏度的环境中,直到进行 PCR 分析。结果对实验动物进行的 "饲养十字形迷宫 "测试表明,与对照组相比,被剥夺母爱的一组动物在迷宫开放臂中停留的时间减少,而在封闭袖中停留的时间增加,这可以被评估为动物焦虑水平的增加。在 Porsolt 试验中,相对于对照组,母性剥夺组动物的固定时间增加。在双瓶蔗糖偏好试验条件下,母体剥夺组动物对蔗糖溶液的偏好下降,这表明出现了失认症。在下丘脑中,与完整对照组相比,实验组动物的 OX1R mRNA 表达量出现了统计学意义上的显著下降。在杏仁核中,也观察到实验组的 OX1R mRNA 表达水平比对照组降低了两倍。结论早期的母性剥夺应激会导致大鼠大脑下丘脑和杏仁核中的 OX1R 牛精表达量减少,从而导致大鼠焦虑抑郁症状的发生。
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引用次数: 0
ANTIDEPRESSIVE EFFECT OF NEW COUMARIN DERIVATIVES 新型香豆素衍生物的抗抑郁作用
Pub Date : 2024-06-04 DOI: 10.17816/rcf623295
Bakhodir B. Daliev, D.I. Klimenko, Inessa V. Karpova, Leonid V. Myznikov, E. R. Bychkov, Andrey А. Lebedev, Petr D. Shabanov
Background: The number of patients with bipolar disorders is increasing worldwide. The search for new compounds with antidepressant activity and a low level of adverse drug reactions is an urgent task of modern psychopharmacology. Aim: To study the effect of new neuroactive coumarin derivatives on the level of depressive behavior and monoamine metabolism in the brain structures of rats Materials and methods: The antidepressant effect of the drugs LVM-091, LVM-099, LVM-S144, IEM-2886 was studied in the Porsolt forced swimming test in rats and the metabolism of monoamines in brain structures (studied by LVM-099) using high-performance liquid chromatography (HPLC). Results: Drugs LVM-091, LVM-099, LVM-S144, IEM-2886, synthesized on the basis of coumarin, decreased immobilization time in the Porsolt forced swimming test. This indicates the antidepressant effect of these substances. Administration of LVM-099 at a dose of 10 mg/kg increased homovanillic acid (HVA) level and the HVA to dopamine ratio in the nucleus accumbens. LVM-099 also increased 5-hydroxyindoleacetic acid (5-HIAA) levels and the 5-HIAA to serotonin ratio in the nucleus accumbens. In the amygdala, the level of norepinephrine, dopamine, serotonin and their metabolites did not change after administration of LVM-099. Conclusion. New coumarin derivatives cause an antidepressant effect and increase the metabolism of dopamine and serotonin in the nucleus accumbens of the rat brain, which in the future can be used in the development of new highly effective antidepressants.
背景:全世界躁郁症患者的数量正在不断增加。寻找具有抗抑郁活性且药物不良反应低的新化合物是现代精神药理学的一项紧迫任务。目的:研究新的神经活性香豆素衍生物对大鼠抑郁行为水平和脑结构中单胺代谢的影响 材料和方法:在大鼠波尔索尔特强迫游泳试验中研究药物 LVM-091、LVM-099、LVM-S144 和 IEM-2886 的抗抑郁作用,并使用高效液相色谱法(HPLC)研究脑结构中单胺的代谢(以 LVM-099 为研究对象)。研究结果以香豆素为基础合成的药物 LVM-091、LVM-099、LVM-S144 和 IEM-2886 可缩短波尔索尔特强迫游泳试验中的固定时间。这表明这些物质具有抗抑郁作用。剂量为10毫克/千克的LVM-099可增加伏牛芝酸(HVA)水平以及伏牛芝酸与多巴胺的比率。此外,LVM-099还能提高杏仁核中5-羟基吲哚乙酸(5-HIAA)的水平以及5-HIAA与血清素的比率。在杏仁核中,去甲肾上腺素、多巴胺、血清素及其代谢物的水平在服用 LVM-099 后没有变化。结论新型香豆素衍生物具有抗抑郁作用,并能增加大鼠脑内多巴胺和血清素的代谢,未来可用于开发新型高效抗抑郁药物。
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引用次数: 0
Problematic issues of prevention and precise control of diseases associated with hypoxia 预防和精确控制与缺氧有关的疾病的难题
Pub Date : 2024-02-28 DOI: 10.17816/rcf624289
Andrey V. Lyubimov
Cardiovascular diseases are the one of the main causes of death in the 21st century. Their rating is not expected to be decreased in the near future despite all the successes in the wide distribution and using of high-tech methods of treatment. This article is devoted to the problem of introducing fundamental recent discoveries into practical medicine as part of the development of preventive, personalized and precision medicine. The author considers not used mechanisms of endogenous adaptation, prevention and preclinical diagnosis of hypoxia-associated diseases in the clinic and concludes that introducing of a new marker of adaptation to visceral hypoxemia is perspective approach in therapy of the cardiovascular diseases.
心血管疾病是 21 世纪的主要死亡原因之一。尽管在广泛传播和使用高科技治疗方法方面取得了巨大成功,但预计在不久的将来,心血管疾病的发病率不会下降。这篇文章专门探讨了在发展预防医学、个性化医学和精准医学的过程中,如何将最新的基本发现引入实用医学的问题。作者考虑了临床中尚未使用的内源性适应机制、低氧相关疾病的预防和临床前诊断,并得出结论:引入内脏低氧血症适应的新标志物是治疗心血管疾病的一种新方法。
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引用次数: 0
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Reviews on Clinical Pharmacology and Drug Therapy
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