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Unveiling the potential of molecular imprinting polymer-based composites in the discovery of advanced drug delivery carriers 揭示分子印迹聚合物基复合材料在发现先进药物输送载体方面的潜力。
IF 6.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-16 DOI: 10.1016/j.drudis.2024.104164
Amit Kumar , Shashi Kashyap , Farhan Mazahir , Rajeev Sharma , Awesh K. Yadav
Molecularly imprinted polymers (MIPs) are polymeric matrices that can mimic natural recognition entities, such as antibodies and biological receptors. Molecular imprinting of therapeutics is very appealing in the design of drug delivery systems since the specific and selective binding sites created within the polymeric matrix turn these complex structures into value-added carriers with tunable features, notably high drug-loading capacity and good control of payload release. MIPs possess considerable promise as synthetic recognition elements in ‘theranostics’. Moreover, the high affinity and specificity of MIPs make them more advantageous than other polymer-based nanocomposites. This review summarizes the present state-of-the-art of MIP-based delivery systems for the targeted delivery of bioactives, with current challenges and future perspectives.
分子印迹聚合物(MIPs)是一种聚合物基质,可以模拟抗体和生物受体等天然识别实体。治疗药物的分子印迹在药物输送系统的设计中非常有吸引力,因为在聚合物基质中创建的特异性和选择性结合位点可将这些复杂结构转化为具有可调特性的增值载体,特别是高药物负载能力和有效载荷释放的良好控制。作为 "治疗学 "中的合成识别元件,MIPs 具有广阔的前景。此外,MIPs 的高亲和性和特异性使其比其他聚合物基纳米复合材料更具优势。本综述总结了目前基于 MIP 的定向输送生物活性物质的输送系统的最新进展,以及当前面临的挑战和未来展望。
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引用次数: 0
The regulatory mechanism of natural polysaccharides in type 2 diabetes mellitus treatment 天然多糖在 2 型糖尿病治疗中的调节机制
IF 6.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-14 DOI: 10.1016/j.drudis.2024.104182
Surina Bo , Mu Dan , Wei Li , Chen Chen
Diabetes is a complex, multifactorial disease that is caused by a pathological combination of insulin resistance and pancreatic islet dysfunction. Polysaccharides are extensively dispersed in nature and have a very complicated structure with various biological properties. Natural polysaccharides have potentially extraordinary beneficial health effects on managing metabolic diseases such as diabetes, obesity and cardiovascular disease. Thus, a systematic review of the latest research into and possible regulatory mechanisms of natural polysaccharides for type 2 diabetes mellitus treatment is of great significance for a better understanding of their pharmaceutical value. We discuss the regulatory mechanisms of natural polysaccharides for the treatment of diabetes, and especially their role in reshaping dysfunctional gut microbiota. Natural polysaccharides could be developed as new and safe antidiabetic drugs, and detailed mechanistic studies could further clarify the molecular targets of polysaccharides in the treatment of diabetes.
糖尿病是一种复杂的多因素疾病,由胰岛素抵抗和胰岛功能障碍的病理组合引起。多糖广泛分布于自然界中,具有非常复杂的结构和各种生物特性。天然多糖对控制糖尿病、肥胖症和心血管疾病等代谢性疾病具有非凡的潜在保健作用。因此,对天然多糖治疗 2 型糖尿病的最新研究和可能的调控机制进行系统综述,对于更好地了解天然多糖的医药价值具有重要意义。我们讨论了天然多糖治疗糖尿病的调节机制,特别是其在重塑功能失调的肠道微生物群方面的作用。天然多糖可开发为安全的新型抗糖尿病药物,详细的机理研究可进一步阐明多糖治疗糖尿病的分子靶点。
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引用次数: 0
Regulatory readiness to facilitate the appropriate use of innovation in clinical trials: The case of decentralized clinical trial approaches 为促进在临床试验中适当利用创新做好监管准备:分散式临床试验方法
IF 6.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-14 DOI: 10.1016/j.drudis.2024.104180
Amos J. de Jong , Mira G.P. Zuidgeest , Yared Santa-Ana-Tellez , Anthonius de Boer , Helga Gardarsdottir , the Trials@Home Consortium
Methodological and operational clinical trial innovation is needed to address key challenges associated with clinical trials, including limited generalizability and (s)low recruitment rates. In this article, we discuss how appropriate implementation of innovative clinical trial approaches can be facilitated by a timely identification of, and response to, emerging situations and innovation by regulators (i.e. regulatory readiness) using decentralized clinical trial (DCT) approaches – in which trial activities are moved closer to participants and away from the investigative sites – as a case study example. Specifically, we discuss how explorative research (e.g. using regulatory sandboxes) can enable the collection of data on the usefulness of DCT approaches. Additionally, we argue that DCT approaches should be evaluated similarly to conventional clinical trials.
需要在临床试验方法和操作方面进行创新,以应对与临床试验相关的主要挑战,包括有限的普遍性和(低)招募率。在本文中,我们将以分散临床试验(DCT)方法为例,讨论如何通过监管机构及时发现和应对新出现的情况和创新(即监管准备就绪)来促进创新临床试验方法的适当实施,在分散临床试验方法中,试验活动更接近参与者,而不是研究机构。具体来说,我们讨论了探索性研究(如使用监管沙盒)如何能够收集有关 DCT 方法有用性的数据。此外,我们认为对 DCT 方法的评估应与传统临床试验类似。
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引用次数: 0
Expression, regulation, and function of PD-L1 on non-tumor cells in the tumor microenvironment 肿瘤微环境中非肿瘤细胞上 PD-L1 的表达、调节和功能
IF 6.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-13 DOI: 10.1016/j.drudis.2024.104181
Lingrong Hu , Chengliang Sun , Kai Yuan , Peng Yang
Antiprogrammed death ligand 1 (PD-L1) therapy is a leading immunotherapy, but only some patients with solid cancers benefit. Overwhelming evidence has revealed that PD-L1 is expressed on various immune cells in the tumor microenvironment (TME), including macrophages, dendritic cells, and regulatory T cells, modulating tumor immunity and influencing tumor progression. PD-L1 can also be located on tumor cell membranes as well as in exosomes and cytoplasm. Accordingly, the dynamic expression and various forms of PD-L1 might explain the therapy’s limited efficacy and resistance. Herein a systematic summary of the expression of PD-L1 on different immune cells and their regulatory mechanisms is provided to offer a solid foundation for future studies.
抗程序性死亡配体1(PD-L1)疗法是一种领先的免疫疗法,但只有部分实体瘤患者能从中获益。大量证据表明,PD-L1 表达于肿瘤微环境(TME)中的各种免疫细胞,包括巨噬细胞、树突状细胞和调节性 T 细胞,可调节肿瘤免疫并影响肿瘤进展。PD-L1 还可位于肿瘤细胞膜以及外泌体和细胞质中。因此,PD-L1的动态表达和各种形式可能是该疗法疗效有限和耐药的原因。本文系统总结了 PD-L1 在不同免疫细胞上的表达及其调控机制,为今后的研究提供了坚实的基础。
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引用次数: 0
MicroRNAs and therapeutic potentials in acute and chronic cardiac disease 急性和慢性心脏病中的微 RNA 和治疗潜力
IF 6.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-12 DOI: 10.1016/j.drudis.2024.104179
Rui Song, Lubo Zhang

microRNAs (miRNAs) are small regulatory RNAs implicated in various cardiac disorders. In this review, the role of miRNAs is discussed in relation to acute myocardial infarction and chronic heart failure. In both settings, miRNAs are altered, contributing to injury and adverse remodeling. Notably, miRNA profiles differ between acute ischemic injury and progressive heart failure. Owing to miRNA variabilities between disease stages and delivery difficulties, translation of animal studies to the clinic remains challenging. The identification of distinct miRNA signatures could lead to the development of miRNA therapies tailored to different disease stages. Here, we summarize the current understanding of miRNAs in acute and chronic cardiac diseases, identify knowledge gaps and discuss progress in developing miRNA-based treatment strategies.

microRNA(miRNA)是与各种心脏疾病有关的小调控 RNA。本综述将讨论 miRNA 在急性心肌梗死和慢性心力衰竭中的作用。在这两种情况下,miRNA 都会发生改变,导致损伤和不良重塑。值得注意的是,急性缺血性损伤和进行性心力衰竭的 miRNA 图谱各不相同。由于不同疾病阶段的 miRNA 存在差异,加上运送困难,将动物研究成果应用于临床仍具有挑战性。识别不同的 miRNA 特征可开发出针对不同疾病阶段的 miRNA 疗法。在此,我们总结了目前对急性和慢性心脏病中 miRNA 的认识,找出了知识差距,并讨论了开发基于 miRNA 的治疗策略的进展。
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引用次数: 0
Targeted protein degradation: current molecular targets, localization, and strategies 靶向蛋白质降解:当前的分子靶点、定位和策略
IF 6.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-12 DOI: 10.1016/j.drudis.2024.104178
Dimanthi Pliatsika, Cindy Blatter, Rainer Riedl
Targeted protein degradation (TPD) has revolutionized drug discovery by selectively eliminating specific proteins within and outside the cellular context. Over the past two decades, TPD has expanded its focus beyond well-established targets, exploring diverse proteins beyond cancer-related ones. This evolution extends the potential of TPD to various diseases. Notably, TPD can target proteins at demanding locations, such as the extracellular matrix (ECM) and cellular membranes, presenting both opportunities and challenges for future research. In this review, we comprehensively examine the exciting opportunities in the burgeoning field of TPD, highlighting different targets, their cellular environment, and innovative strategies for modern drug discovery.
靶向蛋白质降解(TPD)通过选择性地消除细胞内外的特定蛋白质,为药物发现带来了革命性的变化。在过去的二十年里,TPD 的研究重点已经超越了既定靶点,探索了癌症相关靶点以外的多种蛋白质。这一演变将 TPD 的潜力扩展到各种疾病。值得注意的是,TPD 可以靶向细胞外基质 (ECM) 和细胞膜等高要求位置的蛋白质,这为未来的研究带来了机遇和挑战。在这篇综述中,我们将全面审视 TPD 这一新兴领域中令人兴奋的机遇,重点介绍不同的靶点、它们的细胞环境以及现代药物发现的创新策略。
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引用次数: 0
Clinical strategies with antibody–drug conjugates as potential modifications for virotherapy 将抗体药物共轭物作为病毒疗法潜在改良剂的临床策略
IF 6.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-11 DOI: 10.1016/j.drudis.2024.104165
Zi-Xian Liao , Po-Hsiang Huang , Shan-hui Hsu , Hsiung-Hao Chang , Chi-Heng Chang , S.-Ja Tseng

The ability to selectively target cancer cells makes antibody–drug conjugates (ADCs) promising therapeutic options. They have been tested in clinical trials as a vehicle for tumor-specific delivery of cytotoxic payloads for a range of cancers. However, systemic administration of oncolytic virotherapy is challenging, because only a small portion of injected viruses reach the target. Despite the approval of higher viral doses, most viruses still end up in the liver, potentially causing toxicity in that organ. Integrating ADCs with virotherapy in the form of antibody–virus conjugates or virus–drug conjugates can potentially overcome these challenges and improve therapeutic outcomes.

抗体-药物共轭物(ADCs)能够选择性地靶向癌细胞,因此是很有前景的治疗选择。在临床试验中,ADCs 已被用作肿瘤特异性细胞毒性有效载荷的载体,用于多种癌症的治疗。然而,溶瘤病毒疗法的全身给药具有挑战性,因为只有一小部分注射病毒能到达靶点。尽管批准了更高的病毒剂量,但大多数病毒最终仍会进入肝脏,可能对该器官造成毒性。以抗体-病毒共轭物或病毒-药物共轭物的形式将 ADC 与病毒疗法相结合,有可能克服这些挑战并改善治疗效果。
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引用次数: 0
Embryonic and larval zebrafish models for the discovery of new bioactive compounds against tuberculosis 用于发现抗结核新生物活性化合物的胚胎和幼体斑马鱼模型。
IF 6.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-07 DOI: 10.1016/j.drudis.2024.104163
Stella S. Antunes , Gabriel Forn-Cuní , Nelilma C. Romeiro , Herman P. Spaink , Fons J. Verbeek , Michelle F. Muzitano

Tuberculosis (TB) is a world health challenge the treatment of which is impacted by the rise of drug-resistant strains. Thus, there is an urgent need for new antitubercular compounds and novel approaches to improve current TB therapy. The zebrafish animal model has become increasingly relevant as an experimental system. It has proven particularly useful during early development for aiding TB drug discovery, supporting both the discovery of new insights into mycobacterial pathogenesis and the evaluation of therapeutical toxicity and efficacy in vivo. In this review, we summarize the past two decades of zebrafish–Mycobacterium marinum research and discuss its contribution to the field of bioactive antituberculosis therapy development.

结核病是一项世界性的健康挑战,耐药菌株的增加影响了结核病的治疗。因此,迫切需要新的抗结核化合物和新方法来改善目前的结核病治疗。斑马鱼动物模型作为一种实验系统已变得越来越重要。事实证明,斑马鱼动物模型在结核病药物的早期研发过程中特别有用,它既能帮助发现分枝杆菌发病机制的新线索,又能帮助评估体内的治疗毒性和疗效。在这篇综述中,我们总结了过去二十年的斑马鱼-海洋分枝杆菌研究,并讨论了其对生物活性抗结核疗法开发领域的贡献。
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引用次数: 0
P-glycoprotein (P-gp)-driven cancer drug resistance: biological profile, non-coding RNAs, drugs and nanomodulators P-糖蛋白(P-gp)驱动的癌症耐药性:生物学概况、非编码 RNA、药物和纳米调节剂。
IF 6.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-07 DOI: 10.1016/j.drudis.2024.104161
Yang Guo , Milad Ashrafizadeh , Murtaza M. Tambuwala , Jun Ren , Gorka Orive , Guiping Yu

Drug resistance has compromised the efficacy of chemotherapy. The dysregulation of drug transporters including P-glycoprotein (P-gp) can mediate drug resistance through drug efflux. In this review, we highlight the role of P-gp in cancer drug resistance and the related molecular pathways, including phosphoinositide 3-kinase (PI3K)–Akt, phosphatase and tensin homolog (PTEN) and nuclear factor-κB (NF-κB), along with non-coding RNAs (ncRNAs). Extracellular vesicles secreted by the cells can transport ncRNAs and other proteins to change P-gp activity in cancer drug resistance. P-gp requires ATP to function, and the induction of mitochondrial dysfunction or inhibition of glutamine metabolism can impair P-gp function, thus increasing chemosensitivity. Phytochemicals, small molecules and nanoparticles have been introduced as P-gp inhibitors to increase drug sensitivity in human cancers.

耐药性损害了化疗的疗效。包括P-糖蛋白(P-gp)在内的药物转运体失调可通过药物外流介导耐药性。在这篇综述中,我们将重点介绍 P-gp 在癌症耐药性中的作用以及相关的分子通路,包括磷脂肌醇 3 激酶(PI3K)-Akt、磷酸酶和天丝同源物(PTEN)、核因子-κB(NF-κB)以及非编码 RNA(ncRNA)。细胞分泌的胞外囊泡可以运输 ncRNA 和其他蛋白质,从而改变 P-gp 的活性,产生抗癌药物。P-gp 需要 ATP 才能发挥作用,诱导线粒体功能障碍或抑制谷氨酰胺代谢会损害 P-gp 功能,从而增加化疗敏感性。植物化学物质、小分子和纳米颗粒已被用作 P-gp 抑制剂,以提高人类癌症的药物敏感性。
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引用次数: 0
Collaborative GSK–University of Strathclyde doctoral research and training programmes: Transforming approaches to industry–academia engagement 葛兰素史克公司与斯特拉思克莱德大学的合作博士研究和培训计划:转变产学合作方式。
IF 6.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-07 DOI: 10.1016/j.drudis.2024.104162
Laura C. Paterson , Philip G. Humphreys , Henry A. Kelly , William J. Kerr

A global biopharma company, GSK, and the University of Strathclyde have developed an expansive and transformative research and training partnership originating in chemistry-aligned disciplines, with subsequent extensive expansion across further areas of the company. This has opened unique approaches for the delivery of collaborative research innovations while also enhancing the professional development and learning of GSK personnel, in addition to other embedded researchers and collaborating scientists, on a pathway towards more rapid and efficient discovery of new medicines.

全球生物制药公司葛兰素史克(GSK)与斯特拉思克莱德大学(University of Strathclyde)从化学学科入手,建立了广泛和变革性的研究与培训合作伙伴关系,并随后在公司的其他领域广泛扩展。这为合作研究创新开辟了独特的途径,同时也加强了葛兰素史克公司员工以及其他嵌入式研究人员和合作科学家的专业发展和学习,为更快速、更高效地发现新药铺平了道路。
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引用次数: 0
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Drug Discovery Today
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