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The Potential Anti-psoriatic Effects of Andrographolide: A Comparative Study to Topical Corticosteroids. 穿心莲内酯潜在的抗银屑病作用:与外用皮质类固醇的比较研究
IF 0.4 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-05-06 DOI: 10.2174/0127722708296983240424102212
Indira Dharmasamitha, Luh Made Mas Rusyati, Dyah Kanya Wati, I Made Agus Gelgel Wirasuta

Background: Andrographolide (AP), a bioactive anti-inflammatory compound of Sambiloto, inhibits NF-κB, TNF-α, and interleukin IL-6. Nowadays, molecular docking simulation between AP and dexamethasone against NF-κB receptor presented the energy AP higher than dexamethasone. This becomes a potential treatment for psoriasis.

Objective: This manuscript reported the effectiveness of AP from Sambiloto in treating psoriasis compared to topical steroids.

Methods: This study conducted TLC analysis of AP content and its metabolite impurities, emulgel formulation, molecular docking, in-silico skin toxicity study, and in-vivo anti-psoriatic activity. This was a combination study of an in-silico study and an in-vivo study. This in-silico study was analyzed through multivariate statistical analysis (PCA) to elucidate the data constellation relationship of andrographolide derivatives with several target proteins. The intervention was performed in seven days. The PASI score, molecular parameters (IL-6, IL-17, VEGF, and TNF-a levels), and histopathological findings were assessed.

Results: Molecular docking results revealed andrographolide to exhibit a relatively high binding affinity towards IL-6, NF-kB, and TNF-α which is comparable to the corticosteroids, andrographolide also shares similar residue interaction profile with each of the respective protein's native ligand. In the in-vivo study, we found several parameters statistically significantly different regarding the intervention, including final PASI score (p = 0.017), redness (p = 0.017), scale (p = 0.040), thickness (p = 0.023), total histopathology of psoriasis score (p = 0.037), keratin layer score (p = 0.018).

Conclusion: Emulgel AP 0.1% could lower the anti-inflammatory agent, which is vital to psoriasis progression.

背景:穿心莲内酯(Andrographolide,AP)是一种生物活性抗炎化合物,可抑制 NF-κB、TNF-α 和白细胞介素 IL-6。目前,AP 与地塞米松针对 NF-κB 受体的分子对接模拟显示,AP 的能量高于地塞米松。这成为治疗银屑病的一种潜在方法:本手稿报告了桑比洛托 AP 与外用类固醇相比在治疗银屑病方面的有效性:本研究对 AP 的含量及其代谢物杂质、凝胶配方、分子对接、体内皮肤毒性研究和体内抗银屑病活性进行了 TLC 分析。这是一项综合了室内研究和体内研究的研究。通过多变量统计分析(PCA)对这项体内研究进行了分析,以阐明穿心莲内酯衍生物与几种靶蛋白之间的数据星座关系。干预为期七天。对PASI评分、分子参数(IL-6、IL-17、VEGF和TNF-a水平)以及组织病理学结果进行了评估:分子对接结果显示,穿心莲内酯与IL-6、NF-kB和TNF-α的结合亲和力较高,与皮质类固醇的结合亲和力相当。在体内研究中,我们发现有几个参数在统计学上与干预有显著差异,包括最终的 PASI 评分(p = 0.017)、发红(p = 0.017)、鳞屑(p = 0.040)、厚度(p = 0.023)、银屑病组织病理学总评分(p = 0.037)、角质层评分(p = 0.018):结论:Emulgel AP 0.1%可降低抗炎剂,而抗炎剂对银屑病的发展至关重要。
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引用次数: 0
From Traditional Medicine to Advanced Therapeutics: The Renaissance of Phyto-nano Interventions in Psoriasis. 从传统医学到高级治疗:植物纳米介入治疗银屑病的复兴。
IF 0.4 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.2174/0127722708265612231012080047
Rajneesh Semele, Sonam Grewal, Manish Kumar Jeengar, Thakur Gurjeet Singh, Rajan Swami

Psoriasis is an autoimmune systemic chronic inflammatory disease that exhibits characteristic detrimental effects on the skin, often leading to infections or comorbid conditions. The multifaceted nature of psoriasis has made it very challenging to treat, especially with current chemotherapy options. Therefore, it is essential to consider phytoconstituents as novel alternatives. However, despite demonstrating higher anti-inflammatory, anti-psoriasis, and immunomodulatory potential, their clinical usage is hindered due to their poor physicochemical properties. To address these drawbacks, nanoparticulate drug delivery systems have been developed, helping to achieve better permeation of phytoconstituents through topical administration. This has breathed new life into traditional systems of medicine, particularly in the context of treating psoriasis. In this current review, we present a detailed, comprehensive, and up-to-date analysis of the literature, which will contribute to affirming the clinical role of phyto-nano interventions against psoriasis.

银屑病是一种自身免疫系统性慢性炎症性疾病,对皮肤表现出特有的有害影响,通常会导致感染或合并症。银屑病的多面性使其治疗极具挑战性,尤其是在目前的化疗方案下。因此,有必要考虑将植物成分作为新的替代品。然而,尽管表现出更高的抗炎、抗银屑病和免疫调节潜力,但由于其较差的物理化学性质,其临床应用受到阻碍。为了解决这些缺点,已经开发了纳米颗粒药物递送系统,有助于通过局部给药实现植物成分的更好渗透。这为传统医学体系注入了新的活力,尤其是在治疗银屑病的背景下。在这篇综述中,我们对文献进行了详细、全面和最新的分析,这将有助于肯定植物纳米干预措施对银屑病的临床作用。
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引用次数: 0
Modulation of the Immune System Mechanisms using Probiotic Bacteria in Allergic Diseases: Focus on Allergic Retinitis and Food Allergies. 过敏性疾病中使用益生菌调节免疫系统机制:关注过敏性视网膜炎和食物过敏。
IF 0.4 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.2174/0127722708246899230928080651
Haleh Forouhandeh, Saiedeh Razi Soofiyani, Kamran Hosseini, Sohrab Minaei Beirami, Hossein Ahangari, Yusif Moammer, Sara Ebrahimzadeh, Masoomeh Kashef Nejad, Afsaneh Farjami, Fariba Khodaiefar, Vahideh Tarhriz

Allergic illnesses occur when an organism's immune system is excessively responsive to certain antigens, such as those that are presented in the environment. Some people suffer from a wide range of immune system-related illnesses including allergic rhinitis, asthma, food allergies, hay fever, and even anaphylaxis. Immunotherapy and medications are frequently used to treat allergic disorders. The use of probiotics in bacteriotherapy has lately gained interest. Probiotics are essential to human health by modulating the gut microbiota in some ways. Due to probiotics' immunomodulatory properties present in the gut microbiota of all animals, including humans, these bacterial strains can prevent a wide variety of allergic disorders. Probiotic treatment helps allergy patients by decreasing inflammatory cytokines and enhancing intestinal permeability, which is important in the battle against allergy. By altering the balance of Th1 and Th2 immune responses in the intestinal mucosa, probiotics can heal allergic disorders. Numerous studies have shown a correlation between probiotics and a reduced risk of allergy disorders. A wide range of allergic disorders, including atopic dermatitis, asthma, allergic retinitis and food allergies has been proven to benefit from probiotic bacteria. Therefore, the use of probiotics in the treatment of allergic diseases offers a promising perspective. Considering that probiotic intervention in the treatment of diseases is a relatively new field of study, more studies in this regard seem necessary.

当生物体的免疫系统对某些抗原(如环境中存在的抗原)反应过度时,就会发生过敏性疾病。有些人患有多种免疫系统相关疾病,包括过敏性鼻炎、哮喘、食物过敏、花粉热,甚至过敏反应。免疫疗法和药物经常用于治疗过敏性疾病。益生菌在细菌治疗中的应用最近引起了人们的兴趣。益生菌通过某些方式调节肠道微生物群,对人类健康至关重要。由于益生菌的免疫调节特性存在于包括人类在内的所有动物的肠道微生物群中,这些菌株可以预防各种过敏性疾病。益生菌治疗通过降低炎症细胞因子和增强肠道通透性来帮助过敏患者,这在对抗过敏的斗争中很重要。通过改变肠粘膜中Th1和Th2免疫反应的平衡,益生菌可以治愈过敏性疾病。大量研究表明,益生菌与降低过敏性疾病风险之间存在相关性。益生菌已被证明对多种过敏性疾病有益,包括特应性皮炎、哮喘、过敏性视网膜炎和食物过敏。因此,益生菌在治疗过敏性疾病中的应用提供了一个很有前景的前景。考虑到益生菌干预治疗疾病是一个相对较新的研究领域,似乎有必要在这方面进行更多的研究。
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引用次数: 0
Biological Potential and Therapeutic Effectiveness of Phytoproduct 'Fargesin' in Medicine: Focus on the Potential of an Active Phytochemical of Magnolia fargesii. 植物产品'Fargesin'在医药方面的生物潜力和治疗效果:关注厚朴活性植物化学物质的潜力。
IF 1.2 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.2174/0127722708286664240429093913
Kanika Patel, Dinesh Kumar Patel

Flos Magnoliae is one of the important medicinal plants in different traditional medicine, including Chinese herbal medicine. Lignans and neolignans, including tetrahydrofurofuran, tetrahydrofuran, and aryltetralin, are present in the Flos Magnoliae species. A wide range of pharmacological activity of Flos Magnoliae has been reported in medicine. Fargesin has been isolated from Magnolia fargesii and it is a lignan-class phytochemical. Fargesin has numerous pharmacological activities in medicine, including its effectiveness on lipid and glucose metabolism, oxidative stress, myocardial apoptosis, etc. In the present work, we have summarized the detailed scientific information of fargesin concerning its medicinal properties and pharmacological activities. Numerous biological and chemical aspects of fargesin are discussed here, including the detailed pharmacological activities and analytical aspects of fargesin. In this review, we have also compiled analytical data on fargesin based on available scientific literature. Ethnopharmacological information on fargesin was gathered by a literature survey on PubMed, Science Direct, Google, and Scopus using the terms fargesin, Flos Magnoliae, phytochemical, and herbal medicine. The present review paper compiled the scientific data on fargesin in medicine for its pharmacological activities and analytical aspects in a very concise manner with proper citations. The present work signified the biological importance of fargesin in medicine due to its significant impact on bone disorders, lung injury, colon cancer, atherosclerosis, neurological disorders, ischemia, sars-cov-2, allergy, lipid and glucose metabolism, melanin synthesis, and different classes of enzymes. Furthermore, fargesin also has anti-inflammatory, antihypertensive, antiprotozoal, antimycobacterial, and antifeedant activity. However, analytical methods used for the separation, identification and isolation of fargesin in different biological and non-biological samples were also covered in the present review. The present work revealed the pharmacological activities and analytical aspects of fargesin in medicine and other allied health sectors.

厚朴是包括中药在内的各种传统医学中的重要药用植物之一。木兰科植物中含有木质素和新木质素,包括四氢呋喃、四氢呋喃和芳基四氢萘。据报道,木兰科植物具有广泛的药理活性。远志皂苷(Fargesin)是从远志木兰中分离出来的,是一种木脂素类植物化学物质。Fargesin 具有多种药理活性,包括对脂质和葡萄糖代谢、氧化应激、心肌凋亡等方面的作用。在本研究中,我们总结了法吉辛在药用特性和药理活性方面的详细科学信息。本文讨论了法吉辛的许多生物和化学方面的问题,包括法吉辛的详细药理活性和分析方面的问题。在这篇综述中,我们还根据现有的科学文献,汇编了法吉辛的分析数据。通过在 Pubmed、Science Direct、Google 和 Scopus 上使用 fargesin、Flos Magnoliae、phytochemical 和 herbal medicine 等术语进行文献调查,收集了有关法哥辛的民族药理学信息。本综述论文以非常简洁的方式汇编了法吉辛在药理活性和分析方面的科学数据,并适当引用了相关文献。本研究表明,法吉辛在医学上具有重要的生物学意义,因为它对骨骼疾病、肺损伤、结肠癌、动脉粥样硬化、神经系统疾病、缺血、sars-cov-2、过敏、脂质和葡萄糖代谢、黑色素合成以及不同种类的酶都有显著影响。此外,法吉辛还具有抗炎、抗高血压、抗原虫、抗霉菌和抗飞虫活性。不过,本综述也涵盖了用于在不同生物和非生物样本中分离、鉴定和分离法吉辛的分析方法。本研究揭示了法吉辛在医药和其他相关卫生部门中的药理活性和分析方面。
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引用次数: 0
Immunoinformatic Analysis of Leishmania Major gp46 Protein and Potential Targets for Vaccination against Leishmaniasis. 利什曼病主要 gp46 蛋白的免疫形式分析和利什曼病疫苗的潜在靶标。
IF 1.2 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.2174/0127722708283588240124095057
Mohammad Reza Hafezi Ahmadi, Mina Mamizadeh, Davood Siamian, Mehdi Ali Asghari Touyeh, Morteza Shams, Yasaman Rashidi

Background: Cutaneous leishmaniasis (CL) is a parasitic disease with a significant burden in the Old World countries.

Objective: In the current study, some of the primary biochemical properties and IFN-γ inducing epitopes with specific binding capacity to human and mouse MHC alleles were predicted for Leishmania major gp46 antigenic protein.

Methods: Several online servers were used to predict physico-chemical traits, allergenicity, antigenicity, transmembrane domain and signal peptide, subcellular localization, post-translational modifications (PTMs), secondary and tertiary structures, tertiary model refining with validations. Also, IEDB web server was used to predict mouse/human cytotoxic T-lymphocyte (CTL) and helper T-lymphocyte (HTL) epitopes.

Results: The 33.25 kDa protein was stable, hydrophilic, antigenic, while non-allergenic, with enhanced thermotolerance and 45 PTM sites. The secondary structure encompassed a random coil, followed by extended strands and helices. Ramachandran-based analysis of the refined model showed 73.1%, 21.6%, 3.4% and 1.9% of residues in the most favored, additional allowed, generously-allowed and disallowed regions, respectively. Epitope screening demonstrated 4 HTL epitopes against seemingly protective HLA alleles, 5 HTL epitopes against the HLA reference set, 3 human CTL epitopes and a number of mouse MHC-restricted epitopes.

Conclusion: This paper provides insights into the bioinformatics characteristics of the L. major gp46 protein as a promising vaccine candidate.

背景:皮肤利什曼病(CL皮肤利什曼病(CL)是一种寄生虫病,给旧世界国家带来了沉重负担:本研究预测了利什曼原虫主要抗原蛋白 gp46 的一些主要生化特性以及与人类和小鼠 MHC 等位基因具有特异性结合能力的 IFN-γ 诱导表位:使用多个在线服务器预测理化性状、过敏性、抗原性、跨膜域和信号肽、亚细胞定位、翻译后修饰(PTMs)、二级和三级结构、三级模型提炼和验证。此外,还利用 IEDB 网络服务器预测了小鼠/人类细胞毒性 T 淋巴细胞(CTL)和辅助性 T 淋巴细胞(HTL)表位:33.25 kDa 蛋白稳定、亲水性强、抗原性强、无过敏性、耐热性强,有 45 个 PTM 位点。二级结构包括一个随机线圈,其次是延伸的链和螺旋。基于拉马钱德兰分析法对完善后的模型进行了分析,结果显示,在最有利、额外允许、慷慨允许和不允许区域的残基分别占 73.1%、21.6%、3.4% 和 1.9%。表位筛选结果表明,有 4 个 HTL 表位针对看似具有保护性的 HLA 等位基因,5 个 HTL 表位针对 HLA 参考集,3 个人类 CTL 表位和一些小鼠 MHC 限制表位:本文深入探讨了大肠杆菌 gp46 蛋白作为候选疫苗的生物信息学特征。
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引用次数: 0
Beyond Pharmaceuticals: Harnessing the Potential of Plant-based Compounds for Anti-inflammatory Therapy. 超越药物:利用植物化合物的潜力进行抗炎治疗。
IF 1.2 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.2174/0127722708292961240508110207
Vishnu Mittal, Anjali Sharma

A complicated biological reaction of vascular tissues to damaging stimuli like infections, harmed cells, or irritants is called inflammation. Symptoms include redness, inflamed joints, stiffness, discomfort in the joints, and loss of joint function. NSAIDs are frequently used to treat inflammation. Sadly, these drugs raise the possibility of blood clots, which can result in heart attacks and strokes. Consequently, there is ongoing research focusing on developing potent anti-inflammatory drugs using natural ingredients. Natural products, due to their diverse chemical composition, offer a rich source for the development of novel medications. The treatment of various inflammation- related disorders heavily relies on a natural substance derived from medicinal plants. The objective of the present study is to assemble information on potential parts of the plants or phytochemicals derived from medicinal plants used on inflammatory models, employing state-ofthe- art scientific methodologies. In this study, state-of-the-art scientific methodologies are utilized to investigate the effects of phytochemicals derived from medicinal plants. Relevant data is collected, focusing on the examination of these phytochemicals in experimental models of inflammation. The study aims to collect thorough data on potential plant parts or promising phytochemicals derived from medicinal plants that have been evaluated using advanced scientific techniques in the realm of inflammation models. This compilation will offer valuable insights into their potential as anti-inflammatory agents. The findings have the potential to contribute to the development of new and improved anti-inflammatory medications with fewer or no adverse effects compared to current treatments. While many of these studies hold academic interest only a few are accepted into clinical trials. Numerous phytoconstituents have been identified for exhibiting diverse pharmacological actions.

血管组织对感染、受损细胞或刺激物等破坏性刺激的复杂生物反应称为炎症。症状包括关节发红、发炎、僵硬、不适以及关节功能丧失。非甾体抗炎药常用于治疗炎症。遗憾的是,这些药物有可能引发血栓,导致心脏病发作和中风。因此,目前的研究重点是利用天然成分开发强效消炎药。天然产品的化学成分多种多样,为开发新型药物提供了丰富的资源。各种炎症相关疾病的治疗在很大程度上依赖于从药用植物中提取的天然物质。本研究的目的是采用最先进的科学方法,收集有关用于炎症模型的植物潜在部分或从药用植物中提取的植物化学物质的信息。本研究采用最先进的科学方法来研究从药用植物中提取的植物化学物质的作用。研究收集了相关数据,重点考察了这些植物化学物质在炎症实验模型中的作用。本研究旨在收集有关药用植物中提取的潜在植物部分或有前景的植物化学物质的详尽数据,这些数据已在炎症模型领域使用先进的科学技术进行了评估。这一汇编将为了解它们作为抗炎剂的潜力提供宝贵的见解。与目前的治疗方法相比,这些研究结果有可能有助于开发新的、更好的抗炎药物,减少或消除不良反应。虽然这些研究中有许多都具有学术意义,但只有少数被纳入临床试验。目前已发现许多植物成分具有不同的药理作用。
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引用次数: 0
Decrypting the Pathological Pathways in IgA Nephropathy. IgA肾病的病理途径解密。
IF 0.4 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.2174/0127722708275167231011102924
Rajiv Jash, Kousik Maparu, Sanket Seksaria, Saptarshi Das

IgAN is the most common form of glomerulonephritis affecting 2000000 people annually. The disease ultimately progresses to chronic renal failure and ESRD. In this article, we focused on a comprehensive understanding of the pathogenesis of the disease and thus identifying different target proteins that could be essential in therapeutic approaches in the management of the disease. Aberrantly glycosylated IgA1 produced by the suppression of the enzyme β-1, 3 galactosyltransferase ultimately triggered the formation of IgG autoantibodies which form complexes with Gd-IgA1. The complex gets circulated through the blood vessels through monocytes and ultimately gets deposited in the glomerular mesangial cells via CD71 receptors present locally. This complex triggers the inflammatory pathways activating the alternate complement system, various types of T Cells, toll-like receptors, cytokines, and chemokines ultimately recruiting the phagocytic cells to eliminate the Gd-IgA complex. The inflammatory proteins cause severe mesangial and podocyte damage in the kidney which ultimately initiates the repair process following chronic inflammation by an important protein named TGFβ1. TGF β1 is an important protein produced during chronic inflammation mediating the repair process via various downstream transduction proteins and ultimately producing fibrotic proteins which help in the repair process but permanently damage the glomerular cells.

IgAN是最常见的肾小球肾炎,每年影响2000000人。这种疾病最终发展为慢性肾功能衰竭和ESRD。在这篇文章中,我们专注于全面了解该疾病的发病机制,从而确定不同的靶蛋白,这些蛋白可能对该疾病的治疗方法至关重要。通过抑制β-1,3半乳糖基转移酶产生的异常糖基化IgA1最终触发IgG自身抗体的形成,该自身抗体与Gd-IgA1形成复合物。该复合物通过单核细胞在血管中循环,最终通过局部存在的CD71受体沉积在肾小球系膜细胞中。这种复合物触发炎症途径,激活备用补体系统、各种类型的T细胞、toll样受体、细胞因子和趋化因子,最终募集吞噬细胞以消除Gd-IgA复合物。炎症蛋白导致肾脏严重的系膜和足细胞损伤,最终通过一种名为TGFβ1的重要蛋白启动慢性炎症后的修复过程。TGFβ2是慢性炎症过程中产生的一种重要蛋白,通过各种下游转导蛋白介导修复过程,并最终产生有助于修复过程,但永久性损伤肾小球细胞。
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引用次数: 0
Insights into Prospects of Novel NSAID Prodrugs in the Management of Gastrointestinal Toxicity: A Perspective Review. 洞察新型非甾体抗炎药原药在胃肠道毒性治疗中的应用前景:展望综述。
IF 0.4 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.2174/0127722708278736231205055035
Rajat Goyal, Sumeet Gupta, Prabodh Sharma, Manu Sharma

Non-steroidal anti-inflammatory drugs (NSAIDs) have a long history in the healthcare system due to their therapeutic potential. These NSAIDs cause ulcerogenicity, stomach pains, gastrointestinal hemorrhage, mucosa bleeding, and pancreatitis when used moderately and consistently. With researchers, managing the aforementioned adverse effects therapeutically is getting increasingly difficult. One method for creating NSAID moieties with low penetration as well as ulcerogenic properties is the prodrug technique. During the oral consumption of NSAID-prodrugs, ulcerations, intestinal hemorrhage, and mucosa hemorrhage have significantly decreased. Considering this background, this review focussed on NSAID prodrugs as well as their justifications, the pathogenesis of NSAIDs inducing gastrointestinal toxicity, and the role of different antioxidants and spacer groups. Prodrug moieties have more advantages over parent medicines concerning both solubility and lipophilicity. In general, NSAID-class prodrugs can successfully treat both acute and long-term inflammation and aches without causing ulcerotoxicity and related gastrointestinal side effects, which reduces their burden from the pharmacoeconomic perspective.

非甾体抗炎药(NSAIDs)因其治疗潜力而在医疗系统中有着悠久的历史。这些非甾体抗炎药在适度和持续使用时会导致溃疡、胃痛、胃肠道出血、粘膜出血和胰腺炎。随着研究人员的不断深入,治疗上述不良反应变得越来越困难。一种制造低渗透性和低致溃特性的非甾体抗炎药的方法是原药技术。在口服非甾体抗炎药原药的过程中,溃疡、肠道出血和粘膜出血明显减少。考虑到这一背景,本综述重点讨论了非甾体抗炎药原药及其理由、非甾体抗炎药诱发胃肠道毒性的发病机制以及不同抗氧化剂和间隔基的作用。与母药相比,原药在溶解性和亲油性方面具有更多优势。一般来说,非甾体抗炎药类原药能成功治疗急性和长期炎症和疼痛,而不会引起溃疡毒性和相关的胃肠道副作用,这从药物经济学角度减轻了其负担。
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引用次数: 0
Olfactory Dysfunction in Healthcare Workers with COVID-19: Prevalence and Associated Factors. 新冠肺炎医护人员的嗅觉障碍:患病率和相关因素。
IF 0.4 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.2174/0127722708249126231006061438
Kacem Imène, Kahloul Mohamed, Ghenim Amal, Ajmi Mohamed, Chouchane Asma, Aloui Asma, Khalefa Wael, H Kalboussi, El Maalel Olfa, Naija Walid, Maoua Maher, Mrizak Nejib

Background: The COVID-19 pandemic is a real global health crisis. Its clinical presentation has evolved over time with an increasing number of symptoms. Olfactory dysfunction (OD) has recently been recognized as a frequent symptom relevant to screening for COVID-19, especially in pauci-asymptomatic forms. However, the underlying mechanisms of OD are not yet fully understood.

Aim: To determine the prevalence of OD in healthcare workers with SARS-CoV-2 and to identify its associated factors.

Methods: This is a cross-sectional, analytical study, carried out during a period of six months and including all healthcare workers at Farhat Hached Academic Hospital (Tunisia) who were diagnosed with SARS-CoV-2 by PCR, RAT, or chest CT scan.

Results: A total of 474 healthcare workers were included, representing a participation rate of 85.4%. The mean age was 41.02±10.67 years with a sex ratio of 0.2. The distribution of this population by department noted that it was mainly maternity (13.9%). The most presented workstation was nursing (31.4%). OD represented 39.2% of the reasons for consultation. Hospitalization was indicated in 16 patients (3.4%). The average duration of hospitalization was 8.87 ± 7.8 days. The average time off work was 17.04 ± 11.6 days. OD persisted for more than 90 days in 35 patients (7.4%). After multiple binary logistic regression, OD was statistically associated with female gender (p =0.001; OR 95% CI: 2.46 [1.4-4.2]) and blue-collar occupational category (p =0.002; OR IC95%:3.1 [1.5-6.5]). A significant association was also noted between OD and professional seniority and absence from work duration (p =0.019; OR 95% CI: 0.97 [0.95-0.99] and p =0.03; OR 95% CI: 0.97 [0.95-0.99]) respectively.

Conclusion: OD is common in COVID-19 patients. The identification of its associated factors may contribute to enhancing the understanding of its mechanism and drive therapeutic options.

背景:新冠肺炎大流行是一场真正的全球卫生危机。随着时间的推移,其临床表现也随着症状数量的增加而变化。嗅觉功能障碍(OD)最近被认为是与新冠肺炎筛查相关的常见症状,尤其是在症状缺乏的情况下。然而,OD的潜在机制尚不完全清楚。目的:确定严重急性呼吸系统综合征冠状病毒2型医护人员OD的患病率,并确定其相关因素。方法:这是一项横断面分析研究,为期六个月,包括突尼斯Farhat Hached学术医院通过PCR、RAT或胸部CT扫描诊断为严重急性呼吸系统综合征冠状病毒2型的所有医护人员。结果:共纳入474名医护人员,参与率为85.4%,平均年龄为41.02±10.67岁,性别比为0.2。按部门划分的人群分布表明,主要是产妇(13.9%)。最常见的工作站是护理(31.4%)。OD占咨询原因的39.2%。有16名患者(3.4%)表示住院,平均住院时间为8.87±7.8天。平均休息时间为17.04±11.6天。OD持续90天以上者35例(7.4%),OD与女性(p=0.001;OR 95%CI:2.46[1.4-4.2])和蓝领职业类别(p=0.002;OR IC95%CI:3.1[1.5-6.5])具有统计学相关性。OD与职业资历和缺勤时间之间也存在显著相关性(p=0.019;OR 95%CI:0.97[95-0.99]和p=0.03;OR 95%CI:997[95-00.99])。结论:OD在新冠肺炎患者中普遍存在。识别其相关因素可能有助于增强对其机制的理解,并推动治疗选择。
{"title":"Olfactory Dysfunction in Healthcare Workers with COVID-19: Prevalence and Associated Factors.","authors":"Kacem Imène, Kahloul Mohamed, Ghenim Amal, Ajmi Mohamed, Chouchane Asma, Aloui Asma, Khalefa Wael, H Kalboussi, El Maalel Olfa, Naija Walid, Maoua Maher, Mrizak Nejib","doi":"10.2174/0127722708249126231006061438","DOIUrl":"10.2174/0127722708249126231006061438","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic is a real global health crisis. Its clinical presentation has evolved over time with an increasing number of symptoms. Olfactory dysfunction (OD) has recently been recognized as a frequent symptom relevant to screening for COVID-19, especially in pauci-asymptomatic forms. However, the underlying mechanisms of OD are not yet fully understood.</p><p><strong>Aim: </strong>To determine the prevalence of OD in healthcare workers with SARS-CoV-2 and to identify its associated factors.</p><p><strong>Methods: </strong>This is a cross-sectional, analytical study, carried out during a period of six months and including all healthcare workers at Farhat Hached Academic Hospital (Tunisia) who were diagnosed with SARS-CoV-2 by PCR, RAT, or chest CT scan.</p><p><strong>Results: </strong>A total of 474 healthcare workers were included, representing a participation rate of 85.4%. The mean age was 41.02±10.67 years with a sex ratio of 0.2. The distribution of this population by department noted that it was mainly maternity (13.9%). The most presented workstation was nursing (31.4%). OD represented 39.2% of the reasons for consultation. Hospitalization was indicated in 16 patients (3.4%). The average duration of hospitalization was 8.87 ± 7.8 days. The average time off work was 17.04 ± 11.6 days. OD persisted for more than 90 days in 35 patients (7.4%). After multiple binary logistic regression, OD was statistically associated with female gender (p =0.001; OR 95% CI: 2.46 [1.4-4.2]) and blue-collar occupational category (p =0.002; OR IC95%:3.1 [1.5-6.5]). A significant association was also noted between OD and professional seniority and absence from work duration (p =0.019; OR 95% CI: 0.97 [0.95-0.99] and p =0.03; OR 95% CI: 0.97 [0.95-0.99]) respectively.</p><p><strong>Conclusion: </strong>OD is common in COVID-19 patients. The identification of its associated factors may contribute to enhancing the understanding of its mechanism and drive therapeutic options.</p>","PeriodicalId":29815,"journal":{"name":"Recent Advances in Inflammation & Allergy Drug Discovery","volume":" ","pages":"67-77"},"PeriodicalIF":0.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49692758","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
Antibacterial and Antimalarial Therapeutic Agents: A Patent Perspective. 抗菌和抗疟治疗剂:专利视角。
IF 0.4 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.2174/0127722708268538231010041307
Hai-Long Zhang, Yongxia Li

Background: Antibacterial and antimalarial drugs play a critical role in combating infectious diseases. It is a continuous work to develop new types of antibacterial and antimalarial drugs.

Objective: To better understand current landscape and association of antibacterial and antimalarial agents, the European patent analysis was performed.

Methods: Antibacterial and antimalarial agents were analyzed by patent analysis. Patent documents from January 2003 to May 2022 were retrieved and analyzed.

Results: The present study indicated there were virtually three therapeutic approaches for antibacterial agents, including chemical drugs, biological products and siRNA technology. Chemical drugs were a mainstream therapeutic approach for development of both antibacterial and antimalarial agents. However, the present study found that in contrast to antimalarials, siRNA technology had been initially explored as therapeutic strategy for antibacterial agents. Also, our study is the first to show that there is a low correlation between antibacterial and antimalarial agents.

Conclusion: Globally, our study is the first one to show that it may be not a fast approach to discover antimalarial drugs from antibacterial agents based on drug repurposing. siRNA technology as therapeutic strategy had been explored and used in antibacterial field.

背景:抗菌和抗疟药物在对抗传染病方面发挥着至关重要的作用。开发新型抗菌和抗疟药物是一项持续的工作。目的:为了更好地了解抗菌和抗疟药物的现状和关联,进行了欧洲专利分析。方法:采用专利分析法对抗菌、抗疟药物进行分析。检索并分析了2003年1月至2022年5月的专利文献。结果:本研究表明,抗菌剂的治疗方法实际上有三种,包括化学药物、生物制品和siRNA技术。化学药物是开发抗菌和抗疟药物的主流治疗方法。然而,本研究发现,与抗疟药物相比,siRNA技术最初被探索为抗菌药物的治疗策略。此外,我们的研究首次表明,抗菌剂和抗疟剂之间的相关性很低。结论:在全球范围内,我们的研究首次表明,基于药物再利用从抗菌剂中发现抗疟药物可能不是一种快速的方法。siRNA技术作为一种治疗策略已经在抗菌领域得到了探索和应用。
{"title":"Antibacterial and Antimalarial Therapeutic Agents: A Patent Perspective.","authors":"Hai-Long Zhang, Yongxia Li","doi":"10.2174/0127722708268538231010041307","DOIUrl":"10.2174/0127722708268538231010041307","url":null,"abstract":"<p><strong>Background: </strong>Antibacterial and antimalarial drugs play a critical role in combating infectious diseases. It is a continuous work to develop new types of antibacterial and antimalarial drugs.</p><p><strong>Objective: </strong>To better understand current landscape and association of antibacterial and antimalarial agents, the European patent analysis was performed.</p><p><strong>Methods: </strong>Antibacterial and antimalarial agents were analyzed by patent analysis. Patent documents from January 2003 to May 2022 were retrieved and analyzed.</p><p><strong>Results: </strong>The present study indicated there were virtually three therapeutic approaches for antibacterial agents, including chemical drugs, biological products and siRNA technology. Chemical drugs were a mainstream therapeutic approach for development of both antibacterial and antimalarial agents. However, the present study found that in contrast to antimalarials, siRNA technology had been initially explored as therapeutic strategy for antibacterial agents. Also, our study is the first to show that there is a low correlation between antibacterial and antimalarial agents.</p><p><strong>Conclusion: </strong>Globally, our study is the first one to show that it may be not a fast approach to discover antimalarial drugs from antibacterial agents based on drug repurposing. siRNA technology as therapeutic strategy had been explored and used in antibacterial field.</p>","PeriodicalId":29815,"journal":{"name":"Recent Advances in Inflammation & Allergy Drug Discovery","volume":" ","pages":"57-66"},"PeriodicalIF":0.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231300","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
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Recent Advances in Inflammation & Allergy Drug Discovery
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