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[Learning from Natural Products: Study on Actinomycetes of the Genus Nocardia]. [从天然产品中学习:诺卡氏放线菌研究]。
IF 0.3 4区 医学 Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1248/yakushi.23-00161-3
Masami Ishibashi

The genus Nocardia comprises gram-positive bacteria, most of which are pathogenic and cause opportunistic infections of the lungs, skin, and brain in humans. Based on a collaboration study with the Medical Mycology Research Center, Chiba University, we focused on Nocardia actinomycetes as a new natural-product resource. First, by culturing (monoculture) Nocardia in various media, we isolated a new aminocyclitol nabscessin A from Nocardia abscessus IFM10029T and a new γ-lactone inohanalactone from Nocardia inohanaensis IFM0092T. On the other hand, by imitating the state in which the genus Nocardia actinomycete infects animal cells and culturing the genus in the presence of animal cells (coculture), this genus was expected to produce new compounds through interactions with the animal cells. Using mouse macrophage-like cells (J774.1) as animal cells, a new pantothenic acid amide derivative and a cyclic peptide, nocarjamide, with Wnt signal activation activity were isolated from Nocardia tenerifensis IFM10554T strain.

诺卡氏菌属由革兰氏阳性菌组成,其中大部分是致病菌,会引起人类肺部、皮肤和大脑的机会性感染。在与千叶大学医学真菌学研究中心合作研究的基础上,我们重点研究了作为新天然产品资源的诺卡放线菌。首先,通过在各种培养基中培养(单菌培养)诺卡氏放线菌,我们从脓肿诺卡氏放线菌 IFM10029T 中分离出了一种新的氨基环醇 nabscessin A,并从 Inohanaensis 诺卡氏放线菌 IFM0092T 中分离出了一种新的γ-内酯 inohanalactone。另一方面,通过模仿诺卡氏放线菌属感染动物细胞的状态,并在有动物细胞存在的情况下培养该菌属(共培养),该菌属有望通过与动物细胞的相互作用产生新的化合物。以小鼠巨噬细胞样细胞(J774.1)为动物细胞,从Nocardia tenerifensis IFM10554T菌株中分离出了一种新的泛酸酰胺衍生物和一种具有Wnt信号激活活性的环肽nocarjamide。
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引用次数: 0
[Application of qNMR in Standard Materials Used for the Crude Drugs]. [qNMR 在粗制药物标准材料中的应用]。
IF 0.3 4区 医学 Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1248/yakushi.23-00151-5
Azusa Suzuki

Crude drugs and Kampo formulations derived from natural materials such as plants, animals, and minerals are multicomponent medicines that contain numerous chemical constituents. Quantitative determination of characteristic constituents for quality control is crucial for the standardization and quality assurance of natural medicines. Quantitative assays to determine marker compound contents are commonly performed using HPLC systems. In order to achieve accurate quantitative determination, it is essential to use standard materials with well-defined purities corresponding to the target analytes. Many marker compounds used as standard materials must be purified and isolated from natural products while ensuring sufficient purity. However, the composition of impurities in the standard material differs among different batches due to differences in the raw materials and their extraction, separation, and purification processes. Therefore, controlling the purity of standard materials derived from natural products is more complex than that of synthetic substances. Quantitative NMR (qNMR), which has become widely used as an absolute quantitative method for low-molecule organic compounds, makes it possible to solve these issues. qNMR has been introduced into the crude drug section of the Japanese Pharmacopoeia (JP) for evaluating the purity of standard materials used for the assay. This review outlines an example of quantitative determination using relative molar sensitivity (RMS) based on qNMR adopted in the JP and introduces the latest efforts toward the application of qNMR to standard materials used for crude drugs in this context.

从植物、动物和矿物等天然材料中提取的原药和康普制剂是多成分药物,含有多种化学成分。定量测定特征成分以进行质量控制对于天然药物的标准化和质量保证至关重要。测定标记化合物含量的定量检测通常使用 HPLC 系统。为了实现准确的定量测定,必须使用与目标分析物相对应的纯度明确的标准物质。许多用作标准物质的标记化合物必须从天然产物中纯化和分离出来,同时确保足够的纯度。然而,由于原材料及其提取、分离和纯化过程的不同,不同批次标准物质中的杂质成分也不尽相同。因此,控制天然产品标准物质的纯度比控制合成物质的纯度更为复杂。定量核磁共振(qNMR)作为一种低分子有机化合物的绝对定量方法已被广泛应用,使解决这些问题成为可能。本综述概述了日本药典中采用的基于 qNMR 的相对摩尔灵敏度 (RMS) 进行定量测定的实例,并介绍了在此背景下将 qNMR 应用于粗制药物标准材料的最新努力。
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引用次数: 0
[Examination of Analytical Method for Tris(2,3-dibromopropyl)phosphate and Bis(2,3-dibromopropyl)phosphate to Revise the Official Methods Based on "Act on the Control of Household Products Containing Harmful Substances"]. [根据 "含有有害物质的家用产品管理法 "修订官方方法的磷酸三(2,3-二溴丙基)酯和磷酸二(2,3-二溴丙基)酯分析方法的审查]。
IF 0.3 4区 医学 Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1248/yakushi.23-00188
Tsuyoshi Kawakami, Tomoko Ooshima, Masayuki Ohyama, Naeko Sugaya, Iwaki Nishi, Taichi Yoshitomi, Hisayoshi Takai, Takanari Wakayama, Hiroyuki Ohno, Maiko Tahara, Yoshiaki Ikarashi

In Japan, the use of frame retardants [tris(2,3-dibromopropyl)phosphate: TDBPP and bis(2,3-dibromopropyl)phosphate: BDBPP] in several household textile products is banned under the "Act on the Control of Household Products Containing Harmful Substances." As the official analytical methods for testing these substances have not been revised for over 42 years, several issues such as the using of harmful reagents, have been pointed out. Therefore, we developed a new method to revise the official method in our previous study. In this study, the validity of the developed test method is evaluated at six laboratories using two types of textile samples spiked with TDBPP and BDBPP at three concentrations (4, 8, and 20 µg/g). TDBPP and BDBPP are extracted under reflux using methanol containing hydrochloric acid. TDBPP is analyzed using GC-MS, and BDBPP is also analyzed using GC-MS after methylation with trimethylsilyl diazomethane. Although the accuracy (70-120%), repeatability (<10%), and reproducibility (<15%) of a few samples, mainly low concentration samples, are out of range, overall, the concentration level of detection limits of TDBPP and BDBPP (8 and 10 µg/g) in official analytical methods are quantifiable with sufficient precision using the proposed method. Furthermore, harmful reagents are not used in this method. Thus, the method validated in this study is effective as a revised method for the testing of TDBPP and BDBPP in household textile products.

在日本,框架阻燃剂[三(2,3-二溴丙基)磷酸酯:TDBPP 和双(2,3-二溴丙基)磷酸酯:根据 "含有害物质家用产品控制法",禁止在几种家用纺织品中使用框架阻燃剂[磷酸三(2,3-二溴丙基)酯:TDBPP 和磷酸二(2,3-二溴丙基)酯:BDBPP]。由于检测这些物质的官方分析方法已有 42 年未修订,使用有害试剂等一些问题已被指出。因此,我们在之前的研究中开发了一种新方法来修订官方方法。在本研究中,我们使用两种纺织品样品,分别添加了三种浓度(4、8 和 20 µg/g)的 TDBPP 和 BDBPP,在六个实验室对所开发测试方法的有效性进行了评估。使用含盐酸的甲醇在回流条件下提取 TDBPP 和 BDBPP。使用气相色谱-质谱仪分析 TDBPP,使用三甲基硅基重氮甲烷甲基化后,使用气相色谱-质谱仪分析 BDBPP。虽然该方法的准确度(70%-120%)、重复性
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引用次数: 0
[Standardization and Practical Application of Quantitative NMR (qNMR)]. [定量核磁共振 (qNMR) 的标准化和实际应用]。
IF 0.3 4区 医学 Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1248/yakushi.23-00151-2
Naoki Sugimoto

In Japan, quantitative NMR (qNMR) has already been recognized as a standard method for determining the purity of quantitative samples not only in the Japanese Pharmacopoeia and the Japanese Standards and Specifications for Food Additives but also in the Japanese Industrial Standard (JIS K 0138: 2018). However, since there was no consensus on the establishment of a standard method, the international standardization of qNMR was initiated based on a proposal from Japan. After three years of discussion among experts, International Organization for Standardization/Technical Committee on Food (ISO/TC34) published ISO 24583: 2022 "Quantitative nuclear magnetic resonance spectroscopy-Purity determination of organic compounds used for foods and food products-General requirements for 1H-NMR internal standard method." Publication of this standard has resulted in an internationally agreed upon set of requirements for purity determination using qNMR. New technologies emerge from the cycle of basic research, practical use, and standardization, and qNMR is no exception. A novel chromatographic quantification method based on relative molar sensitivity (RMS) is now being put into practical use. The RMS of an analyte with respect to a different reference substance can be determined by using qNMR to accurately determine the molar ratio and then introducing it into the chromatographic system. This method uses the RMS determined by combining qNMR and chromatography instead of the analyte's reference material to determine its content in sample. This method has been adopted in the Japanese Pharmacopoeia, and the development of a general rule in the Japanese Agricultural Standards (JAS) is also under consideration.

在日本,定量核磁共振(qNMR)不仅在《日本药典》和《日本食品添加剂标准和规格》中,而且在《日本工业标准》(JIS K 0138:2018)中已被确认为测定定量样品纯度的标准方法。然而,由于在标准方法的制定方面尚未达成共识,因此根据日本的提议启动了 qNMR 的国际标准化工作。经过三年的专家讨论,国际标准化组织/食品技术委员会(ISO/TC34)发布了 ISO 24583:2022 "定量核磁共振光谱法--食品和食品用有机化合物的纯度测定--1H-NMR 内标法的一般要求"。该标准的发布为使用 qNMR 进行纯度测定提供了一套国际公认的要求。新技术在基础研究、实际应用和标准化的循环中不断涌现,qNMR 也不例外。基于相对摩尔灵敏度 (RMS) 的新型色谱定量方法现已投入实际应用。使用 qNMR 准确测定摩尔比,然后将其引入色谱系统,即可确定分析物相对于不同参比物质的 RMS。这种方法使用 qNMR 和色谱法结合测定的 RMS,而不是分析物的参比物质来测定其在样品中的含量。这种方法已被日本药典采用,日本农业标准 (JAS) 中的一般规则也在考虑制定中。
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引用次数: 0
[Development of Transdermal Formulation Based on Nanotechnology and Elucidation of Its Drug Delivery Pathways]. [基于纳米技术的透皮制剂的开发及其给药途径的阐明]。
IF 0.3 4区 医学 Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1248/yakushi.23-00178-1
Hiroko Otake, Noriaki Nagai

Transdermal drug delivery is a formulation in which the drug is absorbed through the skin for systemic action. Its advantages include avoidance of first-pass effects, sustained drug supply, and ease of administration and discontinuation. Drugs administered transdermally transfer into the blood circulation through the stratum corneum, epidermis, and dermis. The stratum corneum on the skin surface plays a barrier function in skin absorption. Therefore, developing of transdermal drug delivery systems requires innovations that overcome the barrier function of the stratum corneum and improve skin permeation. This review examines the usefulness of transdermal formulations based on solid nanoparticles using raloxifene. Milled raloxifene was gelled with (mRal-NPs) or without menthol (Ral-NPs) using Carbopol. The drug release and transdermal penetration were measured using a Franz diffusion cell, and the therapeutic evaluation of osteoporosis was determined in an ovariectomized rat model. Although the raloxifene released from Ral-NPs remained in the nanoparticle state, the skin penetration of raloxifene nanoparticles was prevented by the stratum corneum in rat. The inclusion of menthol in the formulation attenuated the barrier function of the stratum corneum and permitted raloxifene nanoparticles to penetrate through the skin. Moreover, macropinocytosis relates to the formulation's skin penetration, including menthol (mRal-NPs). Applying mRal-NPs attenuated the decreases in calcium level and stiffness of bones of ovariectomized rats. This information can support future studies aimed at designing novel transdermal formulations.

透皮给药是一种通过皮肤吸收药物以发挥全身作用的制剂。其优点包括避免首过效应、持续供药、易于给药和停药。经皮给药的药物通过角质层、表皮和真皮进入血液循环。皮肤表面的角质层在皮肤吸收中起着屏障作用。因此,开发透皮给药系统需要克服角质层的屏障功能并改善皮肤渗透性的创新技术。本综述利用雷洛昔芬研究了基于固体纳米颗粒的透皮制剂的实用性。使用 Carbopol 将磨碎的雷洛昔芬与含薄荷醇(mRal-NPs)或不含薄荷醇(Ral-NPs)胶凝在一起。使用弗朗兹扩散池测量了药物释放和透皮渗透,并在卵巢切除大鼠模型中确定了对骨质疏松症的治疗评价。虽然从 Ral-NPs 中释放的雷洛昔芬仍保持纳米颗粒状态,但大鼠的角质层阻止了雷洛昔芬纳米颗粒的皮肤渗透。在制剂中加入薄荷醇削弱了角质层的屏障功能,使雷洛昔芬纳米粒子得以穿透皮肤。此外,包括薄荷醇(mRal-NPs)在内的大颗粒细胞与制剂的皮肤渗透性有关。应用 mRal-NPs 可减轻卵巢切除大鼠骨骼钙含量和硬度的下降。这些信息可为今后旨在设计新型透皮制剂的研究提供支持。
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引用次数: 0
[Survey of Preventing Exposure Regarding Sweat in Patients Receiving Antineoplastic Agents at Base Hospitals for Promoting Hematopoietic Stem Cell]. [为促进造血干细胞在基地医院接受抗肿瘤药物治疗的患者防止接触汗液的调查]。
IF 0.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.1248/yakushi.24-00098
Hiromu Tanigawa, Kento Kohara, Makoto Onizuka, Atsuko Otsuka, Yuji Suzuki, Masayoshi Hirohara

This survey aimed to reveal the actual preventing exposure for handling of clothing and sweat of patients treated with anticancer drugs, following the publication of "Guideline for Preventing Occupational Exposure in Cancer Chemotherapy Drugs, 2019 Edition" (Guideline 2019). A survey was conducted among nurses working at 95 hematopoietic stem cell transplantation promotion base hospitals from September 1, 2023 to October 31, 2023. The response rate was 84.2% (80 facilities). Of the respondents, 45% wore gloves when touching patients' skin to administer anticancer drugs. Almost the nurses identified "urine" and "feces" as fluids on contaminated linen, while 14.1% also identified "sweat." For new staff, the results for preventing exposure education on "if touching the patients' skin" and "if handling clothing and linen" were 23.8% and 34.9%, respectively. This survey shows that nurses may not be following the Guideline 2019 for use of personal protective equipment and handling of clothes. Medical institutions handling anticancer drugs need to educate their staff for preventing occupational exposure.

本调查旨在揭示《预防癌症化疗药物职业暴露指南 2019 版》(以下简称《指南 2019》)发布后,处理抗癌药物治疗患者衣物和汗液的实际预防暴露情况。2023 年 9 月 1 日至 2023 年 10 月 31 日,对 95 家造血干细胞移植推广基地医院的护士进行了调查。回复率为 84.2%(80 家医院)。在受访者中,45%的人在接触患者皮肤时会戴手套使用抗癌药物。几乎所有护士都认为 "尿液 "和 "粪便 "是受污染床单上的液体,14.1%的人认为是 "汗液"。对于新员工,"如果接触患者皮肤 "和 "如果处理衣物和床单 "的预防接触教育结果分别为 23.8%和 34.9%。这项调查表明,护士可能没有按照《2019 年指南》的要求使用个人防护设备和处理衣物。处理抗癌药物的医疗机构需要对员工进行教育,以防止职业暴露。
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引用次数: 0
[Synthesis of Coumarin-oligonucleiotide Conjugates for Application in DNA-encoded Libraries]. [应用于 DNA 编码库的香豆素-寡核苷酸共轭物的合成]。
IF 0.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.1248/yakushi.24-00134
Takashi Osawa

Oligonucleotides, including DNA and RNA, can be functionalized by chemical modification based on synthetic organic chemistry. For example, ligand-oligonucleotide conjugates have a wide variety of applications. Conjugates of functional ligands and oligonucleotides have attracted attention in recent years as a drug delivery system (DDS) for improving the efficacy of oligonucleotide therapeutics. In addition, oligonucleotide conjugates with drug candidate compounds as ligands have been applied to drug screening using DNA-encoded libraries (DELs). Against this background, we have focused on the development of practical synthetic methods for ligand-oligonucleotide conjugates. Recently, we have developed a new synthetic method to construct oligonucleotides conjugated with coumarins and dipeptides, which are expected to have bioactivity, for application to DDS research of oligonucleotide therapeutics and drug discovery research using DEL. In this review, we will discuss the details, including how to construct a coumarin scaffold on oligonucleotides based on Knoevenagel condensation.

包括 DNA 和 RNA 在内的寡核苷酸可以通过基于合成有机化学的化学修饰进行功能化。例如,配体-寡核苷酸共轭物就有广泛的应用。近年来,功能配体与寡核苷酸的共轭物作为一种药物输送系统(DDS),在提高寡核苷酸疗效方面备受关注。此外,以候选药物化合物为配体的寡核苷酸共轭物已被应用于使用 DNA 编码文库(DEL)进行药物筛选。在此背景下,我们致力于开发配体-寡核苷酸共轭物的实用合成方法。最近,我们开发了一种新的合成方法,用于构建与香豆素和二肽共轭的寡核苷酸,这些寡核苷酸有望具有生物活性,可应用于寡核苷酸疗法的 DDS 研究和使用 DEL 的药物发现研究。在这篇综述中,我们将讨论有关细节,包括如何基于 Knoevenagel 缩合在寡核苷酸上构建香豆素支架。
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引用次数: 0
[Considering Medical Professionalism from the Standpoint of Pharmacy Education]. [从药学教育的角度思考医学职业精神]。
IF 0.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.1248/yakushi.23-00172-6
Sayo Suzuki

Worldwide interest in teaching medical professionalism has increased drastically over the past two decades and is recognized as an important core competency. It is also essential in pharmacy education. However, there is no single definition of medical professionalism owing to its multifaceted nature, leading to difficulty in understanding it. The foundational concept of professionalism are the social contract and accountability, which describe the relationship between the profession and the society which it serves. Profession must understand expectations from the society, which is trustworthy, assures competence, and devoted to the public good for the contract based on their mutual trust. In "teaching," three basic educational actions ("setting expectations," "providing experiences," and "evaluating outcomes") are required. There are two learning goals of professionalism education: the minimum goal of not doing unprofessional acts and the aspirational goal of pursuing a higher level of interiorized professionalism which leads to the professional identity formation. The true professionals are "reflective practitioners," who have the ability to manage ambiguous problems using their interiorized professionalism in complicated situations. Therefore, reflection is one of the central concepts of professionalism education. The Professionalism Mini-Evaluation Exercise (P-MEX), an observational tool to evaluate medical professionalism, has some favorable aspects; the Japanese version is available and is a guide to specific actions for professionalism through its items, although some cautions must be exercised when using it. Considering that teaching professionalism includes not only formal but informal and hidden curricula, all of the staff in the educational environments should consider professionalism education by understanding professionalism.

在过去二十年里,全世界对医学职业精神教学的兴趣急剧增加,并将其视为一项重要的核心能力。它在药学教育中也至关重要。然而,由于医学职业精神具有多面性,因此没有一个统一的定义,导致人们难以理解。专业精神的基本概念是社会契约和问责制,它们描述了专业与其所服务的社会之间的关系。专业必须理解社会对其的期望,即值得信赖、保证能力、致力于公益,以双方相互信任为基础的契约。在 "教学 "中,需要三个基本的教育行为("设定期望"、"提供经验 "和 "评估结果")。职业精神教育有两个学习目标:不做非职业行为的最低目标和追求更高层次的内在化职业精神、形成职业认同的理想目标。真正的专业人员是 "反思的实践者",他们有能力在复杂的情况下利用其内化的专业精神处理模棱两可的问题。因此,反思是专业精神教育的核心理念之一。专业精神迷你评估练习(P-MEX)是一种评估医学专业精神的观察工具,它有一些有利的方面;日文版的专业精神迷你评估练习可以通过其项目指导专业精神的具体行动,但在使用时必须谨慎。考虑到职业精神教育不仅包括正式课程,还包括非正式课程和隐性课程,教育环境中的所有工作人员都应通过了解职业精神来考虑职业精神教育。
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引用次数: 0
[Investigation of Mechanism of Creming-down Phenomenon and Development of High-order Functions Using Tea Catechins]. [利用茶儿茶素研究克里明降现象的机理和高阶功能的开发]。
IF 0.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.1248/yakushi.24-00086
Takashi Ishizu

An aqueous solution of 2,3-cis gallate type catechin (-)-epigallocatechin-3-O-gallate (EGCg) and caffeine afforded a precipitate of Creaming-down Phenomenon, which crystallized slowly for about three months to give a colorless block crystal. By X-ray crystallographic analysis, the crystal was determined to be a 2 : 2 complex of EGCg and caffeine, in which caffeine molecules were captured in a hydrophobic space formed with three aromatic A, B, and B' rings of EGCg. It was considered that the solubility of the 2 : 2 complex in water rapidly decreased and the 2 : 2 complex precipitated from aqueous solution. The hydrophobic spaces of EGCg captured a variety of heterocyclic compounds, and the molecular capture abilities of heterocyclic compounds using EGCg from the aqueous solutions were evaluated. Since the C ring of EGCg has two chiral carbon atoms, C2 and C3, the hydrophobic space of EGCg was a chiral space. EGCg captured diketopiperazine cyclo(Pro-Xxx) (Xxx=Phe, Tyr) and pharmaceuticals with a xanthine skeleton, proxyphylline and diprophylline, in the hydrophobic space, and recognized their chirality.

2,3-顺式没食子酸型儿茶素(-)-表没食子儿茶素-3-O-没食子酸酯(EGCg)和咖啡因的水溶液产生了 "奶油化现象 "沉淀,该沉淀经过约三个月的缓慢结晶,形成了无色块状晶体。通过 X 射线晶体学分析,确定该晶体是 EGCg 和咖啡因的 2 : 2 复合物,其中咖啡因分子被 EGCg 的三个芳香族 A、B 和 B' 环形成的疏水空间所捕获。据认为,2:2 复合物在水中的溶解度迅速降低,2:2 复合物从水溶液中析出。EGCg 的疏水空间捕获了多种杂环化合物,并评估了利用 EGCg 从水溶液中捕获杂环化合物的分子捕获能力。由于 EGCg 的 C 环有两个手性碳原子(C2 和 C3),因此 EGCg 的疏水空间是一个手性空间。EGCg 在疏水空间中捕获了二酮哌嗪环(Pro-Xxx)(Xxx=Phe、Tyr)和具有黄嘌呤骨架的药物、哌啶和二哌啶,并识别了它们的手性。
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引用次数: 0
[Aging-associated Cyst Formation and Fibrosis]. [与衰老相关的囊肿形成和纤维化]。
IF 0.3 4区 医学 Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1248/yakushi.23-00165-2
Yuichi Tsuchiya, Takao Seki, Hiroyasu Nakano, Minoru Tanaka, Ryoya Takahashi

Cysts are abnormal fluid-filled sacs found in various human organs, including the liver. Liver cysts can be associated with known causes such as parasite infections and gene mutations, or simply aging. Among these causes, simple liver cysts are often found in elderly people. While they are generally benign, they may occasionally grow but rarely shrink with age, indicating their clear association with aging. However, the mechanism behind the formation of simple liver cysts has not been thoroughly investigated. Recently, we have generated transgenic mice that specifically overexpress fibroblast growth factor (FGF)18 in hepatocytes. These mice exhibit severe liver fibrosis without inflammation and spontaneously develop liver cysts that grow with age. Our findings suggest that simple liver cysts can be induced by fibrosis accompanied by sterile inflammation or injury, whereas fibrosis accompanied by severe inflammation or injury may lead to cirrhosis. We also discuss the detrimental effects of disease- and aging-associated fibrosis in various organs, such as the heart, lungs, and kidneys. Additionally, we provide a brief summary of the two currently approved anti-fibrotic drugs for idiopathic pulmonary fibrosis, nintedanib and pirfenidone, as well as their possibility of future expansion of application toward other fibrotic diseases.

囊肿是指在人体各器官(包括肝脏)中发现的异常液囊。肝囊肿可能与寄生虫感染和基因突变等已知原因有关,也可能仅仅与衰老有关。在这些病因中,单纯性肝囊肿通常出现在老年人身上。虽然它们一般是良性的,但偶尔会随着年龄的增长而增大,却很少缩小,这表明它们与衰老有明显的关联。然而,单纯性肝囊肿的形成机制尚未得到深入研究。最近,我们培育出了在肝细胞中特异性过表达成纤维细胞生长因子(FGF)18的转基因小鼠。这些小鼠表现出严重的肝纤维化,但没有炎症,并自发形成肝囊肿,且随着年龄的增长而增大。我们的研究结果表明,单纯的肝囊肿可由伴有无菌性炎症或损伤的肝纤维化诱发,而伴有严重炎症或损伤的肝纤维化则可能导致肝硬化。我们还讨论了与疾病和衰老相关的纤维化对心脏、肺和肾脏等不同器官的不利影响。此外,我们还简要介绍了目前已获批的两种治疗特发性肺纤维化的抗纤维化药物--宁替达尼和吡非尼酮,以及它们未来在其他纤维化疾病中推广应用的可能性。
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引用次数: 0
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