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MG53: A new protagonist in the precise treatment of cardiomyopathies MG53:精准治疗心肌病的新主角
Pub Date : 2024-02-01 DOI: 10.1016/j.bcp.2024.116057
Qianru Zhao, Qingya Zhang, Xiaopeng Zhao, Zheng Tian, Mingli Sun, Lian He
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引用次数: 0
High mobility group box-1: A therapeutic target for analgesia and associated symptoms in chronic pain 高迁移率基团框-1:慢性疼痛中镇痛和相关症状的治疗靶点
Pub Date : 2024-02-01 DOI: 10.1016/j.bcp.2024.116058
N. Morioka, Yoki Nakamura, K. Hisaoka-Nakashima, Yoshihiro Nakata
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引用次数: 0
Metabolism and Interactions of Antileprosy Drugs. 抗麻风病药物的代谢和相互作用。
Pub Date : 2020-04-24 DOI: 10.22541/au.158584227.73323001
J. George
Leprosy is a chronic infectious disease caused my Mycobacterium leprae that primarily affects peripheral nervous system and extremities and is prevalent in tropical countries. Treatment for leprosy with multidrug regimens is very effective compared to monotherapy especially in multibacillary cases. The three major antileprosy drugs currently in use are 4, 4'-diaminodiphenyl sulfone (DDS, dapsone), rifampicin, and clofazimine. During multidrug therapy, the potent antibiotic rifampicin induces the metabolism of dapsone, which results in decreased plasma half-life of dapsone and its metabolites. Furthermore, rifampicin induces its own metabolism and decreases its half-life during monotherapy. Rifampicin upregulates several hepatic microsomal drug-metabolizing enzymes, especially cytochrome P450 (CYP) family that in turn induce the metabolism of dapsone. Clofazimine lacks significant induction of any drug-metabolizing enzyme including CYP family and does not interact with dapsone metabolism. Rifampicin does not induce clofazimine metabolism during combination treatment. Administration of dapsone in the acetylated form (acedapsone) can release the drug slowly into circulation up to 75 days and could be useful for the effective treatment of paucibacillary cases along with rifampicin. This review summarizes the major aspects of antileprosy drug metabolism and drug interactions and the role of cytochrome P450 family of drug metabolizing enzymes, especially CYP3A4 during multidrug regimens for the treatment of leprosy.
麻风病是一种由麻风分枝杆菌引起的慢性传染病,主要侵犯周围神经系统和四肢,在热带国家十分流行。与单一疗法相比,使用多种药物治疗麻风病非常有效,尤其是对多脓疱病例。目前使用的三种主要抗麻风病药物是 4,4'-二氨基二苯砜(DDS,达泊松)、利福平和氯法齐明。在多种药物治疗过程中,强效抗生素利福平会诱导达哌酮的新陈代谢,从而导致达哌酮及其代谢物的血浆半衰期缩短。此外,利福平在单药治疗期间也会诱导其自身的新陈代谢,并缩短其半衰期。利福平会上调几种肝微粒体药物代谢酶,特别是细胞色素 P450(CYP)家族,进而诱导地普松的代谢。氯法齐明对包括 CYP 家族在内的任何药物代谢酶都没有明显的诱导作用,也不会与达司酮的代谢产生相互作用。在联合治疗期间,利福平不会诱导氯法齐明的代谢。乙酰化形式的达帕松(acedapsone)可以缓慢释放到血液循环中长达75天,可以与利福平一起用于有效治疗贫血病例。本综述总结了抗麻风病药物代谢和药物相互作用的主要方面,以及细胞色素P450家族药物代谢酶,特别是CYP3A4在麻风病多药治疗中的作用。
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引用次数: 9
期刊
Biochemical Pharmacology
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