首页 > 最新文献

Pharmaceuticals最新文献

英文 中文
The Pivotal Role of Preclinical Animal Models in Anti-Cancer Drug Discovery and Personalized Cancer Therapy Strategies 临床前动物模型在抗癌药物研发和个性化癌症治疗策略中的关键作用
Pub Date : 2024-08-09 DOI: 10.3390/ph17081048
Haochuan Guo, Xinru Xu, Jiaxi Zhang, Yajing Du, Xinbing Yang, Zhiheng He, Linjie Zhao, Tingming Liang, Li Guo
The establishment and utilization of preclinical animal models constitute a pivotal aspect across all facets of cancer research, indispensably contributing to the comprehension of disease initiation and progression mechanisms, as well as facilitating the development of innovative anti-cancer therapeutic approaches. These models have emerged as crucial bridges between basic and clinical research, offering multifaceted support to clinical investigations. This study initially focuses on the importance and benefits of establishing preclinical animal models, discussing the different types of preclinical animal models and recent advancements in cancer research. It then delves into cancer treatment, studying the characteristics of different stages of tumor development and the development of anti-cancer drugs. By integrating tumor hallmarks and preclinical research, we elaborate on the path of anti-cancer drug development and provide guidance on personalized cancer therapy strategies, including synthetic lethality approaches and novel drugs widely adopted in the field. Ultimately, we summarize a strategic framework for selecting preclinical safety experiments, tailored to experimental modalities and preclinical animal species, and present an outlook on the prospects and challenges associated with preclinical animal models. These models undoubtedly offer new avenues for cancer research, encompassing drug development and personalized anti-cancer protocols. Nevertheless, the road ahead continues to be lengthy and fraught with obstacles. Hence, we encourage researchers to persist in harnessing advanced technologies to refine preclinical animal models, thereby empowering these emerging paradigms to positively impact cancer patient outcomes.
临床前动物模型的建立和利用在癌症研究的各个方面都起着举足轻重的作用,对了解疾病的发生和发展机制以及促进创新性抗癌治疗方法的开发有着不可或缺的贡献。这些模型已成为基础研究和临床研究之间的重要桥梁,为临床研究提供了多方面的支持。本研究首先关注建立临床前动物模型的重要性和益处,讨论不同类型的临床前动物模型以及癌症研究的最新进展。然后深入探讨癌症治疗,研究肿瘤发展不同阶段的特征和抗癌药物的开发。通过整合肿瘤特征和临床前研究,我们阐述了抗癌药物的开发路径,并为个性化癌症治疗策略提供指导,包括合成致死方法和该领域广泛采用的新型药物。最后,我们总结了根据实验方式和临床前动物物种选择临床前安全性实验的战略框架,并对临床前动物模型的前景和挑战进行了展望。这些模型无疑为癌症研究提供了新的途径,包括药物开发和个性化抗癌方案。然而,前方的道路依然漫长而充满障碍。因此,我们鼓励研究人员坚持不懈地利用先进技术完善临床前动物模型,从而使这些新兴范例对癌症患者的预后产生积极影响。
{"title":"The Pivotal Role of Preclinical Animal Models in Anti-Cancer Drug Discovery and Personalized Cancer Therapy Strategies","authors":"Haochuan Guo, Xinru Xu, Jiaxi Zhang, Yajing Du, Xinbing Yang, Zhiheng He, Linjie Zhao, Tingming Liang, Li Guo","doi":"10.3390/ph17081048","DOIUrl":"https://doi.org/10.3390/ph17081048","url":null,"abstract":"The establishment and utilization of preclinical animal models constitute a pivotal aspect across all facets of cancer research, indispensably contributing to the comprehension of disease initiation and progression mechanisms, as well as facilitating the development of innovative anti-cancer therapeutic approaches. These models have emerged as crucial bridges between basic and clinical research, offering multifaceted support to clinical investigations. This study initially focuses on the importance and benefits of establishing preclinical animal models, discussing the different types of preclinical animal models and recent advancements in cancer research. It then delves into cancer treatment, studying the characteristics of different stages of tumor development and the development of anti-cancer drugs. By integrating tumor hallmarks and preclinical research, we elaborate on the path of anti-cancer drug development and provide guidance on personalized cancer therapy strategies, including synthetic lethality approaches and novel drugs widely adopted in the field. Ultimately, we summarize a strategic framework for selecting preclinical safety experiments, tailored to experimental modalities and preclinical animal species, and present an outlook on the prospects and challenges associated with preclinical animal models. These models undoubtedly offer new avenues for cancer research, encompassing drug development and personalized anti-cancer protocols. Nevertheless, the road ahead continues to be lengthy and fraught with obstacles. Hence, we encourage researchers to persist in harnessing advanced technologies to refine preclinical animal models, thereby empowering these emerging paradigms to positively impact cancer patient outcomes.","PeriodicalId":509865,"journal":{"name":"Pharmaceuticals","volume":"34 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141923023","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
Antioxidative and Antiglycative Stress Activities of Selenoglutathione Diselenide 硒谷胱甘肽二硒化物的抗氧化和抗糖化应激活性
Pub Date : 2024-08-09 DOI: 10.3390/ph17081049
Akiko Kanamori, Nana Egawa, Suyako Yamasaki, Takehito Ikeda, M. J. da Rocha, C. F. Bortolatto, L. Savegnago, C. A. Brüning, Michio Iwaoka
The damage caused by oxidative and glycative stress to cells accumulates on a daily basis and accelerates aging. Glutathione (GSH), a major antioxidant molecule in living organisms, plays a crucial role in detoxifying the stress-causing substances inherent in cells, such as H2O2 and methylglyoxal (MG), an important intermediate of advanced glycation end-products (AGEs). In this study, we focused on the enhanced antioxidant capacity of the selenium analog of GSH, i.e., selenoglutathione (GSeH), compared to GSH, and examined its effects on the detoxification of stress-causing substances and improvement in cell viability. In cell-free systems, GSeH (1 mM) generated in situ from GSeSeG in the presence of NADPH and glutathione reductase (GR) rapidly reduced more than 80% of 0.1 mM H2O2, indicating the significant glutathione peroxidase (GPx)-like antioxidant activity of GSeSeG. Similarly, around 50% of 0.5 mM MG was degraded by 0.5 mM GSeH within 30 min through a non-enzymatic mechanism. It was also found that GSeSeG (0.05–0.5 mM) showed glutathione S-transferase (GST)-like activity against 1-chloro-2,4-dinitrobenzene (CDNB), a model substance of oxidative stress-causing toxic materials in cells. Meanwhile, HeLa cells that had been pre-treated with GSeSeG exhibited increased viability against 1.2 mM H2O2 (at [GSeSeG] = 0.5–50 μM) and 4 mM MG (at [GSeSeG] = 3 μM), and the latter effect was maintained for two days. Thus, GSeSeG is a potential antioxidant and antiglycative stress agent for cells.
氧化和糖化压力对细胞造成的损害每天都在累积,并加速衰老。谷胱甘肽(GSH)是生物体内一种主要的抗氧化分子,在解毒细胞中固有的导致压力的物质(如 H2O2 和甲基乙二醛(MG),后者是高级糖化终产物(AGEs)的一种重要中间体)方面发挥着至关重要的作用。 在这项研究中,我们重点研究了 GSH 的硒类似物(即硒谷胱甘肽(GSeH))与 GSH 相比所增强的抗氧化能力,并考察了其对人体的影响、与 GSH 相比,硒谷胱甘肽(GSeH)的抗氧化能力更强,我们还考察了它在解毒应激物质和提高细胞活力方面的作用。在无细胞系统中,由 GSeSeG 在 NADPH 和谷胱甘肽还原酶(GR)存在下原位生成的 GSeH(1 mM)可迅速还原 80% 以上的 0.1 mM H2O2,这表明 GSeSeG 具有类似谷胱甘肽过氧化物酶(GPx)的显著抗氧化活性。同样,0.5 mM GSeH 在 30 分钟内通过非酶促机制降解了约 50% 的 0.5 mM MG。研究还发现,GSeSeG(0.05-0.5 mM)对 1-氯-2,4-二硝基苯(CDNB)具有类似谷胱甘肽 S 转移酶(GST)的活性。同时,经 GSeSeG 预处理的 HeLa 细胞对 1.2 mM H2O2([GSeSeG] = 0.5-50 μM)和 4 mM MG([GSeSeG] = 3 μM)表现出更高的存活率,且后者的效果可维持两天。因此,GSeSeG 是一种潜在的细胞抗氧化剂和抗糖化应激剂。
{"title":"Antioxidative and Antiglycative Stress Activities of Selenoglutathione Diselenide","authors":"Akiko Kanamori, Nana Egawa, Suyako Yamasaki, Takehito Ikeda, M. J. da Rocha, C. F. Bortolatto, L. Savegnago, C. A. Brüning, Michio Iwaoka","doi":"10.3390/ph17081049","DOIUrl":"https://doi.org/10.3390/ph17081049","url":null,"abstract":"The damage caused by oxidative and glycative stress to cells accumulates on a daily basis and accelerates aging. Glutathione (GSH), a major antioxidant molecule in living organisms, plays a crucial role in detoxifying the stress-causing substances inherent in cells, such as H2O2 and methylglyoxal (MG), an important intermediate of advanced glycation end-products (AGEs). In this study, we focused on the enhanced antioxidant capacity of the selenium analog of GSH, i.e., selenoglutathione (GSeH), compared to GSH, and examined its effects on the detoxification of stress-causing substances and improvement in cell viability. In cell-free systems, GSeH (1 mM) generated in situ from GSeSeG in the presence of NADPH and glutathione reductase (GR) rapidly reduced more than 80% of 0.1 mM H2O2, indicating the significant glutathione peroxidase (GPx)-like antioxidant activity of GSeSeG. Similarly, around 50% of 0.5 mM MG was degraded by 0.5 mM GSeH within 30 min through a non-enzymatic mechanism. It was also found that GSeSeG (0.05–0.5 mM) showed glutathione S-transferase (GST)-like activity against 1-chloro-2,4-dinitrobenzene (CDNB), a model substance of oxidative stress-causing toxic materials in cells. Meanwhile, HeLa cells that had been pre-treated with GSeSeG exhibited increased viability against 1.2 mM H2O2 (at [GSeSeG] = 0.5–50 μM) and 4 mM MG (at [GSeSeG] = 3 μM), and the latter effect was maintained for two days. Thus, GSeSeG is a potential antioxidant and antiglycative stress agent for cells.","PeriodicalId":509865,"journal":{"name":"Pharmaceuticals","volume":"65 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141922869","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
Guidance on Selecting Optimal Steady-State Tacrolimus Concentrations for Continuous IV Perfusion: Insights from Physiologically Based Pharmacokinetic Modeling 为连续静脉灌注选择最佳稳态他克莫司浓度的指导:基于生理学的药代动力学模型的启示
Pub Date : 2024-08-08 DOI: 10.3390/ph17081047
Romain Martischang, Argyro Nikolaou, Youssef Daali, C. Samer, Jean Terrier
Introduction: The dose–response relationships of tacrolimus have been primarily assessed through trough concentrations during intermittent administrations. In scenarios where oral administration (PO) is unfeasible, continuous intravenous (IV) administration is advised. Under these circumstances, only steady-state (Css) plasma or blood concentrations are measured, with the absence of distinct trough levels (Cmin). Consequently, the measured concentrations are frequently misinterpreted as trough concentrations, potentially resulting in sub-therapeutic true tacrolimus blood levels. This study employs physiologically based pharmacokinetic modeling (PBPK) to establish the Css/Cmin ratio for tacrolimus across various clinical scenarios. Method: Using a validated PBPK model, the tacrolimus dose (both PO and IV) and the Css/Cmin ratios corresponding to matching area under the blood concentration–time curve during a dosage interval (AUCτ) values were estimated under different conditions, including healthy subjects and individuals exhibiting cytochrome P450 3A (CYP3A) interactions or CYP3A5 polymorphisms, along with a demonstration of a real-life clinical application. Result: In healthy volunteers, the oral/intravenous (PO/IV) dose ratio was found to be 4.25, and the Css/Cmin ratio was 1.40. A specific clinical case substantiated the practical applicability of the Css/Cmin ratio as simulated by PBPK, demonstrating no immediate clinical complications related to the transplant. When considering liver donors versus recipients expressing CYP3A5, the tacrolimus AUCτ was notably affected, yielding a PO/IV dose ratio of 4.00 and a Css/Cmin ratio of 1.75. Furthermore, the concomitant administration of the CYP3A inhibitor itraconazole given PO resulted in a PO/IV ratio of 1.75 with and a Css/Cmin ratio of 1.28. Notably, the inhibitory effect of itraconazole was diminished when administered IV. Conclusions: Through the application of PBPK methodologies, this study estimates the PO/IV dose ratios and Css/Cmin ratios that can enhance dose adjustment and therapeutic drug monitoring during the switch between IV and PO administration of tacrolimus in transplant patients, ultimately guiding clinicians in real-time decision-making. Further validation with in vivo data is recommended to support these findings.
介绍:他克莫司的剂量-反应关系主要通过间歇给药期间的谷浓度进行评估。在口服给药不可行的情况下,建议连续静脉给药。在这种情况下,只能测量血浆或血液的稳态浓度(Css),而没有明显的谷值浓度(Cmin)。因此,所测得的浓度经常被误认为是谷浓度,可能导致他克莫司的真实血药浓度低于治疗水平。本研究采用基于生理学的药代动力学模型(PBPK)来确定他克莫司在各种临床情况下的 Css/Cmin 比值。方法:使用经过验证的 PBPK 模型,估算了在不同条件下他克莫司的剂量(包括 PO 和 IV)和与剂量间隔期间血药浓度-时间曲线下面积(AUCτ)值相匹配的 Css/Cmin 比值,包括健康受试者和表现出细胞色素 P450 3A (CYP3A) 相互作用或 CYP3A5 多态性的个体,并演示了实际临床应用。结果在健康志愿者中,口服/静脉注射(PO/IV)剂量比为 4.25,Css/Cmin 比为 1.40。一个具体的临床病例证实了 PBPK 模拟的 Css/Cmin 比值的实际应用性,表明移植手术没有出现直接的临床并发症。当考虑到肝脏供体与表达 CYP3A5 的受体时,他克莫司的 AUCτ 会受到明显影响,PO/IV 剂量比为 4.00,Css/Cmin 比为 1.75。此外,同时服用 CYP3A 抑制剂伊曲康唑(itraconazole),PO/IV 剂量比为 1.75,Css/Cmin 比为 1.28。值得注意的是,静脉注射伊曲康唑时,其抑制作用会减弱。结论通过应用 PBPK 方法,本研究估算出了 PO/IV 剂量比和 Css/Cmin 比,可在移植患者静脉注射和 PO 给药切换期间加强剂量调整和治疗药物监测,最终指导临床医生做出实时决策。建议进一步利用体内数据进行验证,以支持这些发现。
{"title":"Guidance on Selecting Optimal Steady-State Tacrolimus Concentrations for Continuous IV Perfusion: Insights from Physiologically Based Pharmacokinetic Modeling","authors":"Romain Martischang, Argyro Nikolaou, Youssef Daali, C. Samer, Jean Terrier","doi":"10.3390/ph17081047","DOIUrl":"https://doi.org/10.3390/ph17081047","url":null,"abstract":"Introduction: The dose–response relationships of tacrolimus have been primarily assessed through trough concentrations during intermittent administrations. In scenarios where oral administration (PO) is unfeasible, continuous intravenous (IV) administration is advised. Under these circumstances, only steady-state (Css) plasma or blood concentrations are measured, with the absence of distinct trough levels (Cmin). Consequently, the measured concentrations are frequently misinterpreted as trough concentrations, potentially resulting in sub-therapeutic true tacrolimus blood levels. This study employs physiologically based pharmacokinetic modeling (PBPK) to establish the Css/Cmin ratio for tacrolimus across various clinical scenarios. Method: Using a validated PBPK model, the tacrolimus dose (both PO and IV) and the Css/Cmin ratios corresponding to matching area under the blood concentration–time curve during a dosage interval (AUCτ) values were estimated under different conditions, including healthy subjects and individuals exhibiting cytochrome P450 3A (CYP3A) interactions or CYP3A5 polymorphisms, along with a demonstration of a real-life clinical application. Result: In healthy volunteers, the oral/intravenous (PO/IV) dose ratio was found to be 4.25, and the Css/Cmin ratio was 1.40. A specific clinical case substantiated the practical applicability of the Css/Cmin ratio as simulated by PBPK, demonstrating no immediate clinical complications related to the transplant. When considering liver donors versus recipients expressing CYP3A5, the tacrolimus AUCτ was notably affected, yielding a PO/IV dose ratio of 4.00 and a Css/Cmin ratio of 1.75. Furthermore, the concomitant administration of the CYP3A inhibitor itraconazole given PO resulted in a PO/IV ratio of 1.75 with and a Css/Cmin ratio of 1.28. Notably, the inhibitory effect of itraconazole was diminished when administered IV. Conclusions: Through the application of PBPK methodologies, this study estimates the PO/IV dose ratios and Css/Cmin ratios that can enhance dose adjustment and therapeutic drug monitoring during the switch between IV and PO administration of tacrolimus in transplant patients, ultimately guiding clinicians in real-time decision-making. Further validation with in vivo data is recommended to support these findings.","PeriodicalId":509865,"journal":{"name":"Pharmaceuticals","volume":"55 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141928175","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
Artemisia vulgaris Extract as A Novel Therapeutic Approach for Reversing Diabetic Cardiomyopathy in a Rat Model 青蒿提取物是逆转大鼠模型中糖尿病心肌病的新型治疗方法
Pub Date : 2024-08-08 DOI: 10.3390/ph17081046
Liza, G. Hussain, Abdul Malik, Suhail Akhtar, Haseeb Anwar
Diabetic cardiomyopathy, a severe diabetic complication, impairs heart function, leading to heart failure. Treatment that effectively addresses this condition without causing side effects is urgently needed. Current anti-hyperglycemic therapies are expensive, has side effects and do not effectively prevent cardiac remodeling. Therefore, it is important to explore natural products that may have the potential to reverse cardiac remodeling. That is why the aim of the current study was to determine the left ventricular remodeling potential of the methanolic extract of Artemisia vulgaris in a diabetic cardiomyopathy rat model. Following the initial comprehensive phytochemical evaluation of plant phenolic and flavonoid content, which showed strong anti-hyperglycemic and antioxidant activities, an extract of Artemisia vulgaris was administered in an in vivo experiment. Diabetic cardiomyopathy was induced in Wistar albino rats according to previously described protocols in the literature, and the effect of treatment was checked by serum and histopathological analysis after 45 days. Artemisia vulgaris treatment significantly (p ≤ 0.05) reduced fasting blood glucose (108.5 ± 1.75 mg/dL), glycated hemoglobin (4.03 ± 0.12 %), serum glucose (116.66 ± 3.28 mg/dL), insulin (15.66 ± 0.66 ng/mL), total oxidant status (54.66 ± 3.22 µmol H2O2Equiv.L−1), Malondialdehyde (0.20 ± 0.01 mmol/L), total cholesterol (91.16 ± 3.35 mg/dL), triglycerides (130.66 ± 3.15 mg/dL), low-density lipids (36.57 ± 1.02 mg/dL), sodium (140 ± 3.21 mmol/L), calcium (10.44 ± 0.24 mmol/L), creatine kinase MB (1227.5 ± 17.89 IU/L), lactate dehydrogenase (1300 ± 34.64 IU/L), C-reactive protein (30 ± 0.57 pg/mL), tumor necrosis factor-α (58.66 ± 1.76 pg/mL), atrial natriuretic peptide (2.53 ± 0.04 pg/mL), B-type natriuretic peptide (10.66 ± 0.44 pg/mL), aspartate aminotransferase (86.5 ± 4.99 U/L), Alanine Transaminase (55.33 ± 2.90 U/L), urea (25.33 ± 1.15 mg/dL) and creatinine (0.64 ± 0.02 mg/dL) but significantly increased (p ≤ 0.05) total antioxidant capacity (1.73 ± 0.07 mmol Trolox Equil./L), high-density lipids (40 ± 1.59 mg/dL) and potassium (3.82 ± 0.04 mmol/L) levels. ECG and histopathology confirmed the significant improvement in remodeling and the reversal of structural changes in the heart and pancreas. In conclusion, Artemisia vulgaris possesses significant left ventricular remodeling potential in course of diabetes-induced cardiomyopathy.
糖尿病心肌病是一种严重的糖尿病并发症,会损害心脏功能,导致心力衰竭。目前亟需一种既能有效治疗这种病症,又不会产生副作用的治疗方法。目前的抗高血糖疗法价格昂贵,有副作用,而且不能有效防止心脏重塑。因此,探索有可能逆转心脏重塑的天然产品非常重要。因此,本研究的目的是确定青蒿甲醇提取物在糖尿病心肌病大鼠模型中的左心室重塑潜力。在对植物酚类和类黄酮含量进行了初步的综合植物化学评估,结果显示其具有很强的抗高血糖和抗氧化活性之后,我们在体内实验中给大鼠服用了青蒿提取物。按照之前文献中描述的方法诱导 Wistar 白化大鼠患糖尿病心肌病,45 天后通过血清和组织病理学分析检测治疗效果。青蒿治疗可明显降低空腹血糖(108.5 ± 1.75 mg/dL)、糖化血红蛋白(4.03 ± 0.12 %)、血清葡萄糖(116.66 ± 3.28 mg/dL)、胰岛素(15.66 ± 0.66 ng/mL)、总氧化状态(54.66 ± 3.22 µmol H2O2Equiv.L-1)、丙二醛(0.20 ± 0.01 mmol/L)、总胆固醇(91.16 ± 3.35 mg/dL)、甘油三酯(130.66 ± 3.15 mg/dL)、低密度脂蛋白(36.57 ± 1.02 mg/dL)、钠(140 ± 3.21 mmol/L)、钙(10.44 ± 0.24 mmol/L)、肌酸激酶 MB(1227.5 ± 17.89 IU/L)、乳酸脱氢酶(1300 ± 34.64 IU/L)、C 反应蛋白(30 ± 0.57 pg/mL)、肿瘤坏死因子-α(58.66 ± 1.76 pg/mL)、心房钠尿肽(2.53 ± 0.04 pg/mL)、B 型钠尿肽(10.66 ± 0.44 pg/mL)、天门冬氨酸氨基转移酶(86.5 ± 4.99 U/L)、丙氨酸转氨酶(55.33 ± 2.90 U/L)、尿素(25.33 ± 1.15 mg/dL)和肌酐(0.64 ± 0.02 mg/dL),但总抗氧化能力(1.73 ± 0.07 mmol Trolox Equil./L)、高密度脂质(40 ± 1.59 mg/dL)和钾(3.82 ± 0.04 mmol/L)水平显著升高(p≤0.05)。心电图和组织病理学证实,心脏和胰腺的重塑和结构变化得到了显著改善和逆转。总之,青蒿在糖尿病诱发的心肌病过程中具有显著的左心室重塑潜力。
{"title":"Artemisia vulgaris Extract as A Novel Therapeutic Approach for Reversing Diabetic Cardiomyopathy in a Rat Model","authors":"Liza, G. Hussain, Abdul Malik, Suhail Akhtar, Haseeb Anwar","doi":"10.3390/ph17081046","DOIUrl":"https://doi.org/10.3390/ph17081046","url":null,"abstract":"Diabetic cardiomyopathy, a severe diabetic complication, impairs heart function, leading to heart failure. Treatment that effectively addresses this condition without causing side effects is urgently needed. Current anti-hyperglycemic therapies are expensive, has side effects and do not effectively prevent cardiac remodeling. Therefore, it is important to explore natural products that may have the potential to reverse cardiac remodeling. That is why the aim of the current study was to determine the left ventricular remodeling potential of the methanolic extract of Artemisia vulgaris in a diabetic cardiomyopathy rat model. Following the initial comprehensive phytochemical evaluation of plant phenolic and flavonoid content, which showed strong anti-hyperglycemic and antioxidant activities, an extract of Artemisia vulgaris was administered in an in vivo experiment. Diabetic cardiomyopathy was induced in Wistar albino rats according to previously described protocols in the literature, and the effect of treatment was checked by serum and histopathological analysis after 45 days. Artemisia vulgaris treatment significantly (p ≤ 0.05) reduced fasting blood glucose (108.5 ± 1.75 mg/dL), glycated hemoglobin (4.03 ± 0.12 %), serum glucose (116.66 ± 3.28 mg/dL), insulin (15.66 ± 0.66 ng/mL), total oxidant status (54.66 ± 3.22 µmol H2O2Equiv.L−1), Malondialdehyde (0.20 ± 0.01 mmol/L), total cholesterol (91.16 ± 3.35 mg/dL), triglycerides (130.66 ± 3.15 mg/dL), low-density lipids (36.57 ± 1.02 mg/dL), sodium (140 ± 3.21 mmol/L), calcium (10.44 ± 0.24 mmol/L), creatine kinase MB (1227.5 ± 17.89 IU/L), lactate dehydrogenase (1300 ± 34.64 IU/L), C-reactive protein (30 ± 0.57 pg/mL), tumor necrosis factor-α (58.66 ± 1.76 pg/mL), atrial natriuretic peptide (2.53 ± 0.04 pg/mL), B-type natriuretic peptide (10.66 ± 0.44 pg/mL), aspartate aminotransferase (86.5 ± 4.99 U/L), Alanine Transaminase (55.33 ± 2.90 U/L), urea (25.33 ± 1.15 mg/dL) and creatinine (0.64 ± 0.02 mg/dL) but significantly increased (p ≤ 0.05) total antioxidant capacity (1.73 ± 0.07 mmol Trolox Equil./L), high-density lipids (40 ± 1.59 mg/dL) and potassium (3.82 ± 0.04 mmol/L) levels. ECG and histopathology confirmed the significant improvement in remodeling and the reversal of structural changes in the heart and pancreas. In conclusion, Artemisia vulgaris possesses significant left ventricular remodeling potential in course of diabetes-induced cardiomyopathy.","PeriodicalId":509865,"journal":{"name":"Pharmaceuticals","volume":"111 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141926586","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
Evaluation of Cytotoxicity and Acute Oral Toxicity of Saline Extract and Protein-Rich Fraction from Moringa oleifera Lam. Leaves 盐水提取物和富含蛋白质的 Moringa oleifera Lam.叶
Pub Date : 2024-08-08 DOI: 10.3390/ph17081045
Robson Raion de Vasconcelos Alves, Alisson Macário de Oliveira, Gabryella Borges dos Prazeres, Abdênego Rodrigues da Silva, Franciele Florencio Costa, B. R. S. Barros, T. G. Souza, L. Coelho, C. D. de Melo, Magda RA Ferreira, L. Soares, C. Chagas, Maria Lígia Rodrigues Macedo, T. Napoleão, Mariana Pinheiro Fernandes, P. Paiva
Moringa oleifera Lam. (horseradish tree) leaves demonstrate high nutritional value, are rich in proteins, and are widely used in folk medicine and food. This study investigated the presence of secondary metabolites and antinutritional proteins in leaf extract (LE) and the protein-rich fraction (PRF) derived from M. oleifera leaves, as well as the cytotoxicity to human cells, hemolytic activity, and in vivo acute toxicity and genotoxicity in mice. The flavonoids rutin and vitexin as well as trypsin inhibitors and lectins were detected in LE and PRF. Neither sample demonstrated toxicity against human peripheral blood mononuclear cells and both showed low hemolytic action. In vivo, LE and PRF did not show antinutritional effects and caused no death. The hematological parameters of the animals in the treated group were similar to those of the control. A significant increase in the serum levels of alanine aminotransferase and a discrete leukocyte infiltration with cytoplasmic vacuolization of the hepatocytes in the liver were detected in LE-treated animals. The preparations were not genotoxic or mutagenic. This study shows that LE and PRF are not antinutritional agents and presented low acute toxicity and no genotoxicity or mutagenicity. The present study contributes to the determination of the safety of using M. oleifera leaf proteins.
辣木(Moringa oleifera Lam.(辣木)叶片具有很高的营养价值,富含蛋白质,被广泛用于民间医药和食品中。本研究调查了油麻叶提取物(LE)和富含蛋白质的馏分(PRF)中的次生代谢物和抗营养蛋白,以及对人体细胞的细胞毒性、溶血活性、小鼠体内急性毒性和遗传毒性。在油橄榄叶和油橄榄果中检测到了黄酮类化合物芦丁和牡荆素以及胰蛋白酶抑制剂和凝集素。两种样品都没有显示出对人类外周血单核细胞的毒性,而且都显示出较低的溶血作用。在体内,LE 和 PRF 没有显示出抗营养作用,也没有造成死亡。处理组动物的血液学参数与对照组相似。经 LE 处理的动物血清中的丙氨酸氨基转移酶水平明显升高,肝脏中的肝细胞出现离散的白细胞浸润和胞浆空泡化。这些制剂没有遗传毒性或诱变性。这项研究表明,LE 和 PRF 不是抗营养剂,而且急性毒性低,没有遗传毒性和致突变性。本研究有助于确定使用油橄榄叶蛋白的安全性。
{"title":"Evaluation of Cytotoxicity and Acute Oral Toxicity of Saline Extract and Protein-Rich Fraction from Moringa oleifera Lam. Leaves","authors":"Robson Raion de Vasconcelos Alves, Alisson Macário de Oliveira, Gabryella Borges dos Prazeres, Abdênego Rodrigues da Silva, Franciele Florencio Costa, B. R. S. Barros, T. G. Souza, L. Coelho, C. D. de Melo, Magda RA Ferreira, L. Soares, C. Chagas, Maria Lígia Rodrigues Macedo, T. Napoleão, Mariana Pinheiro Fernandes, P. Paiva","doi":"10.3390/ph17081045","DOIUrl":"https://doi.org/10.3390/ph17081045","url":null,"abstract":"Moringa oleifera Lam. (horseradish tree) leaves demonstrate high nutritional value, are rich in proteins, and are widely used in folk medicine and food. This study investigated the presence of secondary metabolites and antinutritional proteins in leaf extract (LE) and the protein-rich fraction (PRF) derived from M. oleifera leaves, as well as the cytotoxicity to human cells, hemolytic activity, and in vivo acute toxicity and genotoxicity in mice. The flavonoids rutin and vitexin as well as trypsin inhibitors and lectins were detected in LE and PRF. Neither sample demonstrated toxicity against human peripheral blood mononuclear cells and both showed low hemolytic action. In vivo, LE and PRF did not show antinutritional effects and caused no death. The hematological parameters of the animals in the treated group were similar to those of the control. A significant increase in the serum levels of alanine aminotransferase and a discrete leukocyte infiltration with cytoplasmic vacuolization of the hepatocytes in the liver were detected in LE-treated animals. The preparations were not genotoxic or mutagenic. This study shows that LE and PRF are not antinutritional agents and presented low acute toxicity and no genotoxicity or mutagenicity. The present study contributes to the determination of the safety of using M. oleifera leaf proteins.","PeriodicalId":509865,"journal":{"name":"Pharmaceuticals","volume":"30 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141925680","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
Why Is Wnt/β-Catenin Not Yet Targeted in Routine Cancer Care? 为什么 Wnt/β-Catenin 尚未成为常规癌症治疗的靶点?
Pub Date : 2024-07-16 DOI: 10.3390/ph17070949
Auriane de Pellegars-Malhortie, Laurence Picque Lasorsa, T. Mazard, Fabien Granier, Corinne Prévostel
Despite significant progress in cancer prevention, screening, and treatment, the still limited number of therapeutic options is an obstacle towards increasing the cancer cure rate. In recent years, many efforts were put forth to develop therapeutics that selectively target different components of the oncogenic Wnt/β-catenin signaling pathway. These include small molecule inhibitors, antibodies, and more recently, gene-based approaches. Although some of them showed promising outcomes in clinical trials, the Wnt/β-catenin pathway is still not targeted in routine clinical practice for cancer management. As for most anticancer treatments, a critical limitation to the use of Wnt/β-catenin inhibitors is their therapeutic index, i.e., the difficulty of combining effective anticancer activity with acceptable toxicity. Protecting healthy tissues from the effects of Wnt/β-catenin inhibitors is a major issue due to the vital role of the Wnt/β-catenin signaling pathway in adult tissue homeostasis and regeneration. In this review, we provide an up-to-date summary of clinical trials on Wnt/β-catenin pathway inhibitors, examine their anti-tumor activity and associated adverse events, and explore strategies under development to improve the benefit/risk profile of this therapeutic approach.
尽管在癌症预防、筛查和治疗方面取得了重大进展,但治疗方案的数量仍然有限,这阻碍了癌症治愈率的提高。近年来,许多人努力开发选择性针对致癌 Wnt/β-catenin 信号通路不同成分的疗法。其中包括小分子抑制剂、抗体以及最近出现的基于基因的方法。虽然其中一些方法在临床试验中显示出良好的效果,但在常规临床实践中,Wnt/β-catenin 通路仍未成为癌症治疗的靶点。与大多数抗癌疗法一样,Wnt/β-catenin 抑制剂的一个关键限制因素是其治疗指数,即难以将有效的抗癌活性与可接受的毒性结合起来。由于 Wnt/β-catenin 信号通路在成人组织的稳态和再生中起着至关重要的作用,因此保护健康组织免受 Wnt/β-catenin 抑制剂的影响是一个重要问题。在这篇综述中,我们总结了有关 Wnt/β-catenin 通路抑制剂临床试验的最新情况,研究了这些抑制剂的抗肿瘤活性和相关不良反应,并探讨了正在开发的策略,以改善这种治疗方法的效益/风险状况。
{"title":"Why Is Wnt/β-Catenin Not Yet Targeted in Routine Cancer Care?","authors":"Auriane de Pellegars-Malhortie, Laurence Picque Lasorsa, T. Mazard, Fabien Granier, Corinne Prévostel","doi":"10.3390/ph17070949","DOIUrl":"https://doi.org/10.3390/ph17070949","url":null,"abstract":"Despite significant progress in cancer prevention, screening, and treatment, the still limited number of therapeutic options is an obstacle towards increasing the cancer cure rate. In recent years, many efforts were put forth to develop therapeutics that selectively target different components of the oncogenic Wnt/β-catenin signaling pathway. These include small molecule inhibitors, antibodies, and more recently, gene-based approaches. Although some of them showed promising outcomes in clinical trials, the Wnt/β-catenin pathway is still not targeted in routine clinical practice for cancer management. As for most anticancer treatments, a critical limitation to the use of Wnt/β-catenin inhibitors is their therapeutic index, i.e., the difficulty of combining effective anticancer activity with acceptable toxicity. Protecting healthy tissues from the effects of Wnt/β-catenin inhibitors is a major issue due to the vital role of the Wnt/β-catenin signaling pathway in adult tissue homeostasis and regeneration. In this review, we provide an up-to-date summary of clinical trials on Wnt/β-catenin pathway inhibitors, examine their anti-tumor activity and associated adverse events, and explore strategies under development to improve the benefit/risk profile of this therapeutic approach.","PeriodicalId":509865,"journal":{"name":"Pharmaceuticals","volume":"4 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141640796","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
Roles of Two-Dimensional Materials in Antibiofilm Applications: Recent Developments and Prospects 二维材料在抗生物膜应用中的作用:最新发展与前景
Pub Date : 2024-07-16 DOI: 10.3390/ph17070950
Lei Xin, Hongkun Zhao, Min Peng, Yuanjie Zhu
Biofilm-associated infections pose a significant challenge in healthcare, constituting 80% of bacterial infections and often leading to persistent, chronic conditions. Conventional antibiotics struggle with efficacy against these infections due to the high tolerance and resistance induced by bacterial biofilm barriers. Two-dimensional nanomaterials, such as those from the graphene family, boron nitride, molybdenum disulfide (MoS2), MXene, and black phosphorus, hold immense potential for combating biofilms. These nanomaterial-based antimicrobial strategies are novel tools that show promise in overcoming resistant bacteria and stubborn biofilms, with the ability to circumvent existing drug resistance mechanisms. This review comprehensively summarizes recent developments in two-dimensional nanomaterials, as both therapeutics and nanocarriers for precision antibiotic delivery, with a specific focus on nanoplatforms coupled with photothermal/photodynamic therapy in the elimination of bacteria and penetrating and/or ablating biofilm. This review offers important insight into recent advances and current limitations of current antibacterial nanotherapeutic approaches, together with a discussion on future developments in the field, for the overall benefit of public health.
生物膜相关感染是医疗保健领域面临的一项重大挑战,占细菌感染的 80%,通常会导致顽固的慢性病。由于细菌生物膜屏障具有高度耐受性和抗药性,传统抗生素很难有效对付这些感染。二维纳米材料,如石墨烯家族、氮化硼、二硫化钼(MoS2)、MXene 和黑磷等材料,在抗击生物膜方面具有巨大潜力。这些以纳米材料为基础的抗菌策略是新型工具,有望战胜耐药细菌和顽固的生物膜,并有能力规避现有的耐药机制。这篇综述全面总结了二维纳米材料的最新进展,既可作为治疗剂,也可作为纳米载体用于精准抗生素递送,重点关注纳米平台与光热/光动力疗法在消灭细菌、穿透和/或消融生物膜方面的结合。这篇综述对当前抗菌纳米治疗方法的最新进展和当前局限性提出了重要见解,并讨论了该领域的未来发展,以全面促进公众健康。
{"title":"Roles of Two-Dimensional Materials in Antibiofilm Applications: Recent Developments and Prospects","authors":"Lei Xin, Hongkun Zhao, Min Peng, Yuanjie Zhu","doi":"10.3390/ph17070950","DOIUrl":"https://doi.org/10.3390/ph17070950","url":null,"abstract":"Biofilm-associated infections pose a significant challenge in healthcare, constituting 80% of bacterial infections and often leading to persistent, chronic conditions. Conventional antibiotics struggle with efficacy against these infections due to the high tolerance and resistance induced by bacterial biofilm barriers. Two-dimensional nanomaterials, such as those from the graphene family, boron nitride, molybdenum disulfide (MoS2), MXene, and black phosphorus, hold immense potential for combating biofilms. These nanomaterial-based antimicrobial strategies are novel tools that show promise in overcoming resistant bacteria and stubborn biofilms, with the ability to circumvent existing drug resistance mechanisms. This review comprehensively summarizes recent developments in two-dimensional nanomaterials, as both therapeutics and nanocarriers for precision antibiotic delivery, with a specific focus on nanoplatforms coupled with photothermal/photodynamic therapy in the elimination of bacteria and penetrating and/or ablating biofilm. This review offers important insight into recent advances and current limitations of current antibacterial nanotherapeutic approaches, together with a discussion on future developments in the field, for the overall benefit of public health.","PeriodicalId":509865,"journal":{"name":"Pharmaceuticals","volume":"7 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141641332","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
Cancer Cell Secreted Legumain Promotes Gastric Cancer Resistance to Anti-PD-1 Immunotherapy by Enhancing Macrophage M2 Polarization 癌细胞分泌的豆豆蛋白酶通过增强巨噬细胞M2极化促进胃癌对抗PD-1免疫疗法的抵抗力
Pub Date : 2024-07-16 DOI: 10.3390/ph17070951
Xu Pei, Shi-Long Zhang, Bai-Quan Qiu, Peng-Fei Zhang, Tian-Shu Liu, Yan Wang
The interaction between cancer cells and immune cells plays critical roles in gastric cancer (GC) progression and immune evasion. Forced legumain (LGMN) is one of the characteristics correlated with poor prognosis in gastric cancer patients. However, the role of gastric-cancer-secreted LGMN (sLGMN) in modulating the tumor immune microenvironment and the biological effect on the immune evasion of gastric cancer remains unclear. In this study, we found that forced expression of sLGMN in gastric cancer serum correlates with increased M2 macrophage infiltration in GC tissues and predicted resistance to anti-PD-1 immunotherapy. Mechanistically, gastric cancer cells secrete LGMN via binding to cell surface Integrin αvβ3, then activate Integrin αvβ3/PI3K (Phosphatidylinositol-4,5-bisphosphate3-kinase)/AKT (serine/threonine kinase)/mTORC2 (mammalian target of rapamycin complex 2) signaling, promote metabolic reprogramming, and polarize macrophages from the M1 to the M2 phenotype. Either blocking LGMN, Integrin αv, or knocking out Integrin αv expression and abolishing the LGMN/Integrin αvβ3 interaction significantly inhibits metabolic reprogramming and polarizes macrophages from the M1 to the M2 phenotype. This study reveals a critical molecular crosstalk between gastric cancer cells and macrophages through the sLGMN/Integrinαvβ3/PI3K/AKT/mTORC2 axis in promoting gastric cancer immune evasion and resistance to anti-PD-1 immunotherapy, indicating that the sLGMN/Integrinαvβ3/PI3K/AKT/mTORC2 axis may act as a promising therapeutic target.
癌细胞与免疫细胞之间的相互作用在胃癌(GC)进展和免疫逃避中起着关键作用。强制豆状核蛋白(LGMN)是胃癌患者预后不良的相关特征之一。然而,胃癌分泌的LGMN(sLGMN)在调节肿瘤免疫微环境中的作用以及对胃癌免疫逃避的生物学效应仍不清楚。在这项研究中,我们发现胃癌血清中sLGMN的强迫表达与胃癌组织中M2巨噬细胞浸润的增加相关,并预测了抗PD-1免疫治疗的耐药性。从机理上讲,胃癌细胞通过与细胞表面整合素αvβ3结合分泌LGMN,然后激活整合素αvβ3/PI3K(磷脂酰肌醇-4,5-二磷酸3-激酶)/AKT(丝氨酸/苏氨酸激酶)/mTORC2(哺乳动物雷帕霉素靶复合物2)信号,促进代谢重编程,并将巨噬细胞从M1表型极化为M2表型。无论是阻断 LGMN、Integrin αv,还是敲除 Integrin αv 表达并取消 LGMN/Integrin αvβ3 相互作用,都能显著抑制新陈代谢重编程,并使巨噬细胞从 M1 表型极化为 M2 表型。这项研究揭示了胃癌细胞和巨噬细胞之间通过sLGMN/Integrinαvβ3/PI3K/AKT/mTORC2轴在促进胃癌免疫逃避和抗PD-1免疫疗法中的关键分子串扰,表明sLGMN/Integrinαvβ3/PI3K/AKT/mTORC2轴可能成为一个有前景的治疗靶点。
{"title":"Cancer Cell Secreted Legumain Promotes Gastric Cancer Resistance to Anti-PD-1 Immunotherapy by Enhancing Macrophage M2 Polarization","authors":"Xu Pei, Shi-Long Zhang, Bai-Quan Qiu, Peng-Fei Zhang, Tian-Shu Liu, Yan Wang","doi":"10.3390/ph17070951","DOIUrl":"https://doi.org/10.3390/ph17070951","url":null,"abstract":"The interaction between cancer cells and immune cells plays critical roles in gastric cancer (GC) progression and immune evasion. Forced legumain (LGMN) is one of the characteristics correlated with poor prognosis in gastric cancer patients. However, the role of gastric-cancer-secreted LGMN (sLGMN) in modulating the tumor immune microenvironment and the biological effect on the immune evasion of gastric cancer remains unclear. In this study, we found that forced expression of sLGMN in gastric cancer serum correlates with increased M2 macrophage infiltration in GC tissues and predicted resistance to anti-PD-1 immunotherapy. Mechanistically, gastric cancer cells secrete LGMN via binding to cell surface Integrin αvβ3, then activate Integrin αvβ3/PI3K (Phosphatidylinositol-4,5-bisphosphate3-kinase)/AKT (serine/threonine kinase)/mTORC2 (mammalian target of rapamycin complex 2) signaling, promote metabolic reprogramming, and polarize macrophages from the M1 to the M2 phenotype. Either blocking LGMN, Integrin αv, or knocking out Integrin αv expression and abolishing the LGMN/Integrin αvβ3 interaction significantly inhibits metabolic reprogramming and polarizes macrophages from the M1 to the M2 phenotype. This study reveals a critical molecular crosstalk between gastric cancer cells and macrophages through the sLGMN/Integrinαvβ3/PI3K/AKT/mTORC2 axis in promoting gastric cancer immune evasion and resistance to anti-PD-1 immunotherapy, indicating that the sLGMN/Integrinαvβ3/PI3K/AKT/mTORC2 axis may act as a promising therapeutic target.","PeriodicalId":509865,"journal":{"name":"Pharmaceuticals","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141640459","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
Impact of Anti-CD38 Monoclonal Antibody Therapy on CD34+ Hematopoietic Stem Cell Mobilization, Collection, and Engraftment in Multiple Myeloma Patients—A Systematic Review 抗 CD38 单克隆抗体疗法对多发性骨髓瘤患者 CD34+ 造血干细胞动员、采集和移植的影响--系统性综述
Pub Date : 2024-07-15 DOI: 10.3390/ph17070944
Flavia Bigi, Enrica Manzato, S. Barbato, Marco Talarico, Michele Puppi, Simone Masci, Ilaria Sacchetti, Roberta Restuccia, Miriam Iezza, I. Rizzello, Chiara Sartor, K. Mancuso, L. Pantani, P. Tacchetti, Michele Cavo, E. Zamagni
This systematic review examines the available clinical data on CD34+ cell mobilization, collection, and engraftment in multiple myeloma patients treated with the anti-CD38 monoclonal antibodies daratumumab and isatuximab in clinical trials and in real life. Twenty-six clinical reports were published between 2019 and February 2024. Most studies documented lower circulating CD34+ cells after mobilization compared to controls, leading to higher plerixafor requirements. Although collection yields were significantly lower in approximately half of the studies, the collection target was achieved in similar proportions of daratumumab- and isatuximab-treated and nontreated patients, and access to autologous stem cell transplant (ASCT) was comparable. This could be explained by the retained efficacy of plerixafor in anti-CD38 monoclonal antibody-treated patients, while no chemotherapy-based or sparing mobilization protocol proved superior. Half of the studies reported slower hematopoietic reconstitution after ASCT in daratumumab- and isatuximab-treated patients, without an excess of infectious complications. While no direct effect on stem cells was observed in vitro, emerging evidence suggests possible dysregulation of CD34+ cell adhesion after daratumumab treatment. Overall, anti-CD38 monoclonal antibodies appear to interfere with CD34+ cell mobilization, without consistently leading to significant clinical consequences. Further research is needed to elucidate the underlying mechanisms and define optimal mobilization strategies in this patient population.
本系统性综述研究了在临床试验和实际生活中使用抗CD38单克隆抗体达拉单抗和伊沙妥昔单抗治疗多发性骨髓瘤患者的CD34+细胞动员、收集和移植的现有临床数据。2019年至2024年2月期间共发表了26篇临床报告。与对照组相比,大多数研究记录了动员后较低的循环CD34+细胞,导致更高的普乐沙福需求。虽然约半数研究的收集率明显较低,但达拉曲单抗和伊沙妥昔单抗治疗患者与未治疗患者达到收集目标的比例相似,自体干细胞移植(ASCT)的机会也相当。这可能是由于抗CD38单克隆抗体治疗的患者中,普乐沙福的疗效得以保留,而基于化疗或疏导的动员方案均未被证明具有优越性。半数研究报告称,达拉曲单抗和伊沙妥昔单抗治疗患者的ASCT后造血重建较慢,但没有出现过多感染并发症。虽然在体外没有观察到对干细胞的直接影响,但新出现的证据表明,达拉土单抗治疗后,CD34+细胞粘附可能出现失调。总之,抗CD38单克隆抗体似乎会干扰CD34+细胞的动员,但不会持续导致显著的临床后果。需要进一步研究以阐明其潜在机制,并确定该患者群体的最佳动员策略。
{"title":"Impact of Anti-CD38 Monoclonal Antibody Therapy on CD34+ Hematopoietic Stem Cell Mobilization, Collection, and Engraftment in Multiple Myeloma Patients—A Systematic Review","authors":"Flavia Bigi, Enrica Manzato, S. Barbato, Marco Talarico, Michele Puppi, Simone Masci, Ilaria Sacchetti, Roberta Restuccia, Miriam Iezza, I. Rizzello, Chiara Sartor, K. Mancuso, L. Pantani, P. Tacchetti, Michele Cavo, E. Zamagni","doi":"10.3390/ph17070944","DOIUrl":"https://doi.org/10.3390/ph17070944","url":null,"abstract":"This systematic review examines the available clinical data on CD34+ cell mobilization, collection, and engraftment in multiple myeloma patients treated with the anti-CD38 monoclonal antibodies daratumumab and isatuximab in clinical trials and in real life. Twenty-six clinical reports were published between 2019 and February 2024. Most studies documented lower circulating CD34+ cells after mobilization compared to controls, leading to higher plerixafor requirements. Although collection yields were significantly lower in approximately half of the studies, the collection target was achieved in similar proportions of daratumumab- and isatuximab-treated and nontreated patients, and access to autologous stem cell transplant (ASCT) was comparable. This could be explained by the retained efficacy of plerixafor in anti-CD38 monoclonal antibody-treated patients, while no chemotherapy-based or sparing mobilization protocol proved superior. Half of the studies reported slower hematopoietic reconstitution after ASCT in daratumumab- and isatuximab-treated patients, without an excess of infectious complications. While no direct effect on stem cells was observed in vitro, emerging evidence suggests possible dysregulation of CD34+ cell adhesion after daratumumab treatment. Overall, anti-CD38 monoclonal antibodies appear to interfere with CD34+ cell mobilization, without consistently leading to significant clinical consequences. Further research is needed to elucidate the underlying mechanisms and define optimal mobilization strategies in this patient population.","PeriodicalId":509865,"journal":{"name":"Pharmaceuticals","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141647019","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
Unraveling the Bioactive Potential of Camellia japonica Edible Flowers: Profiling Antioxidant Substances and In Vitro Bioactivity Assessment
Pub Date : 2024-07-15 DOI: 10.3390/ph17070946
A. Pereira, M. Fraga-Corral, Aurora Silva, Maria Fátima Barroso, Clara Grosso, M. Carpena, P. García-Pérez, Rosa Pérez-Gregorio, Lucía Cassani, Jesus Simal-gandara, M. Prieto
In recent years, the search for novel natural-based ingredients by food and related industries has sparked extensive research aimed at discovering new sources of functional molecules. Camellia japonica, traditionally known as an ornamental plant, has gained attention due to its diverse array of bioactive compounds with potential industrial applications. Although C. japonica flowers are edible, their phytochemical profile has not been thoroughly investigated. In this study, a phenolic profile screening through an HPLC–ESI-QQQ-MS/MS approach was applied to C. japonica flower extracts, revealing a total of 36 compounds, including anthocyanins, curcuminoids, dihydrochalcones, dihydroflavonols, flavonols, flavones, hydroxybenzoic acids, hydroxycinnamic acids, isoflavonoids, stilbenes, and tyrosols. Following extract profiling, their bioactivity was assessed by means of in vitro antioxidant, antimicrobial, cytotoxic, and neuroprotective activities. The results showed a multifaceted high correlation of phenolic compounds with all the tested bioactivities according to Pearson’s correlation analysis, unraveling the potential of C. japonica flowers as promising sources of nutraceuticals. Overall, these findings provide insight into the valorization of C. japonica flowers from different unexplored cultivars thus diversifying their industrial outcome.
{"title":"Unraveling the Bioactive Potential of Camellia japonica Edible Flowers: Profiling Antioxidant Substances and In Vitro Bioactivity Assessment","authors":"A. Pereira, M. Fraga-Corral, Aurora Silva, Maria Fátima Barroso, Clara Grosso, M. Carpena, P. García-Pérez, Rosa Pérez-Gregorio, Lucía Cassani, Jesus Simal-gandara, M. Prieto","doi":"10.3390/ph17070946","DOIUrl":"https://doi.org/10.3390/ph17070946","url":null,"abstract":"In recent years, the search for novel natural-based ingredients by food and related industries has sparked extensive research aimed at discovering new sources of functional molecules. Camellia japonica, traditionally known as an ornamental plant, has gained attention due to its diverse array of bioactive compounds with potential industrial applications. Although C. japonica flowers are edible, their phytochemical profile has not been thoroughly investigated. In this study, a phenolic profile screening through an HPLC–ESI-QQQ-MS/MS approach was applied to C. japonica flower extracts, revealing a total of 36 compounds, including anthocyanins, curcuminoids, dihydrochalcones, dihydroflavonols, flavonols, flavones, hydroxybenzoic acids, hydroxycinnamic acids, isoflavonoids, stilbenes, and tyrosols. Following extract profiling, their bioactivity was assessed by means of in vitro antioxidant, antimicrobial, cytotoxic, and neuroprotective activities. The results showed a multifaceted high correlation of phenolic compounds with all the tested bioactivities according to Pearson’s correlation analysis, unraveling the potential of C. japonica flowers as promising sources of nutraceuticals. Overall, these findings provide insight into the valorization of C. japonica flowers from different unexplored cultivars thus diversifying their industrial outcome.","PeriodicalId":509865,"journal":{"name":"Pharmaceuticals","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141647008","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
期刊
Pharmaceuticals
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1