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Macrophage P2Y6R activation aggravates psoriatic inflammation through IL-27-mediated Th1 responses 巨噬细胞 P2Y6R 激活通过 IL-27 介导的 Th1 反应加剧银屑病炎症
IF 14.7 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-01 DOI: 10.1016/j.apsb.2024.06.008
Purinergic signaling plays a causal role in the modulation of immune inflammatory response in the course of psoriasis, but its regulatory mechanism remains unclear. As a member of purinoceptors, P2Y6R mainly distributed in macrophages was significantly up-expressed in skin lesions from patients with psoriasis in the present study. Here, the severity of psoriasis was alleviated in imiquimod-treated mice with macrophages conditional knockout of P2Y6R, while the cell-chat algorithm showed there was a correlation between macrophage P2Y6R and Th1 cells mediated by IL-27. Mechanistically, P2Y6R enhanced PLCβ/p-PKC/MAPK activation to induce IL-27 release dependently, which subsequently regulated the differentiation of Th1 cells, leading to erythematous and scaly plaques of psoriasis. Interestingly, we developed a novel P2Y6R inhibitor FS-6, which bonds with the ARG266 side chain of P2Y6R, exhibited remarkable anti-psoriasis effects targeting P2Y6R. Our study provides insights into the role of P2Y6R in the pathogenesis of psoriasis and suggests its potential as a target for the development of therapeutic interventions. A novel P2Y6R inhibitor FS-6 could be developed as an anti-psoriasis drug candidate for the clinic.
嘌呤能信号在银屑病发病过程中对免疫炎症反应的调节起着决定性作用,但其调节机制尚不清楚。在本研究中,作为嘌呤受体的一员,主要分布于巨噬细胞的 P2YR 在银屑病患者的皮损中明显高表达。在本研究中,巨噬细胞条件性敲除 P2YR 的咪喹莫特处理小鼠的银屑病严重程度得到缓解,而细胞聊天算法显示巨噬细胞 P2YR 与 IL-27 介导的 Th1 细胞之间存在相关性。从机理上讲,P2YR能增强PLC/p-PKC/MAPK的激活,从而诱导IL-27的释放,进而调节Th1细胞的分化,导致银屑病的红斑和鳞屑。有趣的是,我们开发了一种新型 P2YR 抑制剂 FS-6,它与 P2YR 的 ARG266 侧链结合,针对 P2YR 发挥了显著的抗银屑病作用。我们的研究深入揭示了 P2YR 在银屑病发病机制中的作用,并表明它有可能成为开发治疗干预措施的靶点。新型 P2YR 抑制剂 FS-6 可作为抗银屑病候选药物应用于临床。
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引用次数: 0
Characteristic roadmap of linker governs the rational design of PROTACs 链接器的特征路线图指导着 PROTAC 的合理设计
IF 14.7 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-01 DOI: 10.1016/j.apsb.2024.04.007
Proteolysis targeting chimera (PROTAC) technology represents a groundbreaking development in drug discovery, leveraging the ubiquitin‒proteasome system to specifically degrade proteins responsible for the disease. PROTAC is characterized by its unique heterobifunctional structure, which comprises two functional domains connected by a linker. The linker plays a pivotal role in determining PROTAC's biodegradative efficacy. Advanced and rationally designed functional linkers for PROTAC are under development. Nonetheless, the correlation between linker characteristics and PROTAC efficacy remains under-investigated. Consequently, this study will present a multidisciplinary analysis of PROTAC linkers and their impact on efficacy, thereby guiding the rational design of linkers. We will primarily discuss the structural types and characteristics of PROTAC linkers, and the optimization strategies used for their rational design. Furthermore, we will discuss how factors like linker length, group type, flexibility, and linkage site affect the biodegradation efficiency of PROTACs. We believe that this work will contribute towards the advancement of rational linker design in the PROTAC research area.
蛋白水解靶向嵌合体(PROTAC)技术是药物发现领域的一项突破性进展,它利用泛素-蛋白酶体系统特异性地降解导致疾病的蛋白质。PROTAC 的特点是其独特的异功能结构,包括由连接体连接的两个功能域。连接体在决定 PROTAC 的生物降解功效方面起着关键作用。目前正在为 PROTAC 开发设计先进合理的功能连接体。然而,连接体特性与 PROTAC 功效之间的相关性仍未得到充分研究。因此,本研究将对 PROTAC 连接物及其对药效的影响进行多学科分析,从而指导连接物的合理设计。我们将主要讨论 PROTAC 连接体的结构类型和特点,以及用于合理设计的优化策略。此外,我们还将讨论连接体长度、基团类型、灵活性和连接部位等因素如何影响 PROTAC 的生物降解效率。我们相信,这项工作将有助于推动 PROTAC 研究领域的合理连接体设计。
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引用次数: 0
Simultaneous enhancement of cellular and humoral immunity by the lymph node-targeted cholesterolized TLR7 agonist liposomes 淋巴结靶向胆固醇化 TLR7 激动剂脂质体可同时增强细胞和体液免疫力
IF 14.7 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-01 DOI: 10.1016/j.apsb.2024.06.006
Dandan Wan , Ziyi Bai , Yu Zhang , Li Chen , Haiying Que , Tianxia Lan , Weiqi Hong , Jiayu Huang , Cai He , Yuquan Wei , Qiang Pu , Xiawei Wei
Toll-like receptor (TLR) agonists, as promising adjuvants and immunotherapeutic agents, have the potential to enhance immune responses and modulate antigen-dependent T-cell immune memory through activation of distinct signaling pathways. However, their clinical application is hindered by uncontrolled systemic inflammatory reactions. Therefore, it is imperative to create a vaccine adjuvant for TLR receptors that ensures both safety and efficacy. In this study, we designed lymph node-targeted cholesterolized TLR7 agonist cationic liposomes (1V209-Cho-Lip+) to mitigate undesired side effects. Co-delivery of the model antigen OVA and cholesterolized TLR7 agonist facilitated DC maturation through TLR activation while ensuring optimal presentation of the antigen to CD8+ T cells. The main aim of the present study is to evaluate the adjuvant effectiveness of 1V209-Cho-Lip+ in tumor vaccines. Following immunization with 1V209-Cho-Lip++OVA, we observed a pronounced "depot effect" and enhanced trafficking to secondary lymphoid organs. Prophylactic vaccination with 1V209-Cho-Lip++OVA significantly delays tumor development, prolongs mouse survival, and establishes durable immunity against tumor recurrence. Additionally, 1V209-Cho-Lip++OVA, while used therapeutic tumor vaccine, has demonstrated its efficacy in inhibiting tumor progression, and when combined with anti-PD-1, it further enhances antitumor effects. Therefore, the co-delivery of antigen and lymph node-targeted cholesterolized TLR7 agonist shows great promise as a cancer vaccine.
Toll 样受体(TLR)激动剂是一种很有前景的佐剂和免疫治疗剂,有可能通过激活不同的信号通路来增强免疫反应和调节抗原依赖性 T 细胞免疫记忆。然而,它们在临床上的应用却受到不受控制的全身性炎症反应的阻碍。因此,当务之急是为 TLR 受体创造一种既安全又有效的疫苗佐剂。在本研究中,我们设计了淋巴结靶向胆固醇化 TLR7 激动剂阳离子脂质体(1V209-Cho-Lip),以减轻不良副作用。模型抗原 OVA 和胆固醇化 TLR7 激动剂的联合给药有助于通过 TLR 激活促进 DC 成熟,同时确保抗原以最佳方式呈现给 CD8 T 细胞。本研究的主要目的是评估 1V209-Cho-Lip 在肿瘤疫苗中的佐剂效果。在使用 1V209-Cho-Lip+OVA 进行免疫接种后,我们观察到了明显的 "储藏效应 "和向次级淋巴器官的迁移增强。预防性接种 1V209-Cho-Lip+OVA 能显著延缓肿瘤的发展,延长小鼠的存活时间,并建立起防止肿瘤复发的持久免疫力。此外,1V209-Cho-Lip+OVA 作为治疗性肿瘤疫苗,在抑制肿瘤进展方面的疗效已得到证实,与抗-PD-1 结合使用时,可进一步增强抗肿瘤效果。因此,将抗原和淋巴结靶向胆固醇化 TLR7 激动剂联合递送作为癌症疫苗大有可为。
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引用次数: 0
PGC-1α-mediated imbalance of mitochondria-lipid droplet homeostasis in neomycin-induced ototoxicity and nephrotoxicity PGC-1 在新霉素诱发的耳毒性和肾毒性中介导线粒体-脂滴平衡失调
IF 14.7 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-01 DOI: 10.1016/j.apsb.2024.05.024
Ototoxicity and nephrotoxicity are the most prevalent side effects of aminoglycoside antibiotics (gentamicin, amikacin, neomycin) and platinum anti-tumor drugs (cisplatin, carboplatin). The inner ear and kidney share similarities in drug deposition and toxicity, but the underlying pathophysiological mechanisms remain unclear. Investigating the shared mechanisms and metabolic alterations in these distinct organs will provide valuable insights for clinical therapy. A strong correlation has been identified between the spatiotemporal accumulation patterns of neomycin and the specific occurrence of lipid metabolism disorders in these two organs. The primary allocation of neomycin to mitochondria results in a notable escalation in the accumulation of lipid droplets (LDs) and more interactions between mitochondria and LDs, leading to a sequence of disturbances in lipid metabolism, such as increased lipid ROS and the blocked transfer of fatty acids from LDs to mitochondria. PGC-1α deficiency worsens the neomycin-induced disorders in lipid metabolism and intensifies the pathological interactions between mitochondria and LDs, as indicated by the exacerbated disturbance of dynamic LD turnover, increased level of oxidized lipids and decreased use of fatty acids. This investigation provides a fresh perspective on the lipid metabolic dysfunction related to mitochondria–LD interactions in drug-induced ototoxicity and nephrotoxicity, potentially providing novel avenues for intervention strategies.
耳毒性和肾毒性是氨基糖苷类抗生素(庆大霉素、阿米卡星、新霉素)和铂类抗肿瘤药物(顺铂、卡铂)最常见的副作用。内耳和肾脏在药物沉积和毒性方面有相似之处,但其潜在的病理生理机制仍不清楚。研究这些不同器官的共同机制和代谢改变将为临床治疗提供有价值的见解。在这两个器官中,新霉素的时空积累模式与脂质代谢紊乱的具体发生之间存在着很强的相关性。新霉素主要分配给线粒体,导致脂滴(LDs)积累显著增加,线粒体与 LDs 之间的相互作用增多,从而导致脂质代谢紊乱,如脂质 ROS 增加和脂肪酸从 LDs 转移到线粒体的过程受阻。PGC-1α 缺乏会加重新霉素诱导的脂质代谢紊乱,并加剧线粒体和 LD 之间的病理相互作用,表现为 LD 动态周转紊乱加剧、氧化脂质水平升高和脂肪酸利用率降低。这项研究从一个全新的角度探讨了药物诱导的耳毒性和肾毒性中与线粒体-低密度脂蛋白相互作用相关的脂质代谢功能障碍,可能为干预策略提供了新的途径。
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引用次数: 0
Cover Story 封面故事
IF 14.7 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-01 DOI: 10.1016/S2211-3835(24)00361-7
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引用次数: 0
PKCα inhibitors promote breast cancer immune evasion by maintaining PD-L1 stability PKCα 抑制剂通过维持 PD-L1 的稳定性促进乳腺癌免疫逃避
IF 14.7 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-01 DOI: 10.1016/j.apsb.2024.08.003
Jiaojiao Yu , Yujin Xiang , Yuzhen Gao , Shan Chang , Ren Kong , Xiaoxi Lv , Jinmei Yu , Yunjie Jin , Chenxi Li , Yiran Ma , Zhenhe Wang , Jichao Zhou , Hongyu Yuan , Shuang Shang , Fang Hua , Xiaowei Zhang , Bing Cui , Pingping Li
Protein kinase C α (PKCα) regulates diverse biological functions of cancer cells and is a promising therapeutic target. However, clinical trials of PKC-targeted therapies have not yielded satisfactory results. Recent studies have also indicated a tumor-suppressive role of PKCs via unclear molecular mechanisms. In this study, we found that PKCα inhibition enhances CD8+ T-cell-mediated tumor evasion and abolishes antitumor activity in immunocompetent mice. We further identified PKCα as a critical regulator of programmed cell death-ligand 1 (PD-L1) and found that it enhances T-cell-dependent antitumor immunity in breast cancer by interacting with PD-L1 and suppressing PD-L1 expression. We demonstrated that PKCα-mediated PD-L1 phosphorylation promotes PD-L1 degradation through β transducin repeat-containing protein. Notably, the efficacy of PKCα inhibitors was intensified by synergizing with anti-PD-L1 mAb therapy to boost antitumor T-cell immunity in vivo. Clinical analysis revealed that PKCα expression is positively correlated with T-cell function and the interferon-gamma signature in patients with breast cancer. This study demonstrated the antitumor capability of PKCα, identified potential therapeutic strategies to avoid tumor evasion via PKC-targeted therapies, and provided a proof of concept for targeting PKCα in combination with anti-PD-L1 mAb therapy as a potential therapeutic approach against breast cancer, especially TNBC.
蛋白激酶C(PKC)调节癌细胞的多种生物功能,是一个很有前景的治疗靶点。然而,PKC 靶向疗法的临床试验并未取得令人满意的结果。最近的研究还表明,PKCs 的抑制肿瘤作用的分子机制尚不清楚。在这项研究中,我们发现抑制PKC会增强CD8 T细胞介导的肿瘤逃避,并取消免疫功能正常小鼠的抗肿瘤活性。我们进一步确定了 PKC 是程序性细胞死亡配体 1(PD-L1)的关键调节因子,并发现它通过与 PD-L1 相互作用并抑制 PD-L1 的表达,增强了乳腺癌中 T 细胞依赖性抗肿瘤免疫。我们证实,PKC 介导的 PD-L1 磷酸化可通过含转导蛋白重复序列蛋白促进 PD-L1 降解。值得注意的是,PKC抑制剂与抗PD-L1 mAb疗法协同增强了抗肿瘤T细胞免疫的疗效。临床分析表明,PKC 的表达与乳腺癌患者的 T 细胞功能和干扰素-γ 特征呈正相关。这项研究证明了PKC的抗肿瘤能力,确定了避免肿瘤逃避PKC靶向疗法的潜在治疗策略,并提供了将PKC靶向疗法与抗PD-L1 mAb疗法相结合作为乳腺癌(尤其是TNBC)潜在治疗方法的概念验证。
{"title":"PKCα inhibitors promote breast cancer immune evasion by maintaining PD-L1 stability","authors":"Jiaojiao Yu ,&nbsp;Yujin Xiang ,&nbsp;Yuzhen Gao ,&nbsp;Shan Chang ,&nbsp;Ren Kong ,&nbsp;Xiaoxi Lv ,&nbsp;Jinmei Yu ,&nbsp;Yunjie Jin ,&nbsp;Chenxi Li ,&nbsp;Yiran Ma ,&nbsp;Zhenhe Wang ,&nbsp;Jichao Zhou ,&nbsp;Hongyu Yuan ,&nbsp;Shuang Shang ,&nbsp;Fang Hua ,&nbsp;Xiaowei Zhang ,&nbsp;Bing Cui ,&nbsp;Pingping Li","doi":"10.1016/j.apsb.2024.08.003","DOIUrl":"10.1016/j.apsb.2024.08.003","url":null,"abstract":"<div><div>Protein kinase C <em>α</em> (PKC<em>α</em>) regulates diverse biological functions of cancer cells and is a promising therapeutic target. However, clinical trials of PKC-targeted therapies have not yielded satisfactory results. Recent studies have also indicated a tumor-suppressive role of PKCs <em>via</em> unclear molecular mechanisms. In this study, we found that PKC<em>α</em> inhibition enhances CD8<sup>+</sup> T-cell-mediated tumor evasion and abolishes antitumor activity in immunocompetent mice. We further identified PKC<em>α</em> as a critical regulator of programmed cell death-ligand 1 (PD-L1) and found that it enhances T-cell-dependent antitumor immunity in breast cancer by interacting with PD-L1 and suppressing PD-L1 expression. We demonstrated that PKC<em>α</em>-mediated PD-L1 phosphorylation promotes PD-L1 degradation through <em>β</em> transducin repeat-containing protein. Notably, the efficacy of PKC<em>α</em> inhibitors was intensified by synergizing with anti-PD-L1 mAb therapy to boost antitumor T-cell immunity <em>in vivo</em>. Clinical analysis revealed that PKC<em>α</em> expression is positively correlated with T-cell function and the interferon-gamma signature in patients with breast cancer. This study demonstrated the antitumor capability of PKC<em>α</em>, identified potential therapeutic strategies to avoid tumor evasion <em>via</em> PKC-targeted therapies, and provided a proof of concept for targeting PKC<em>α</em> in combination with anti-PD-L1 mAb therapy as a potential therapeutic approach against breast cancer, especially TNBC.</div></div>","PeriodicalId":6906,"journal":{"name":"Acta Pharmaceutica Sinica. B","volume":"14 10","pages":"Pages 4378-4395"},"PeriodicalIF":14.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142186917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transformation of peptides to small molecules in medicinal chemistry: Challenges and opportunities 在药物化学中将肽转化为小分子:挑战与机遇
IF 14.7 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-01 DOI: 10.1016/j.apsb.2024.06.019
Peptides are native binders involved in numerous physiological life procedures, such as cellular signaling, and serve as ready-made regulators of biochemical processes. Meanwhile, small molecules compose many drugs owing to their outstanding advantages of physiochemical properties and synthetic convenience. A novel field of research is converting peptides into small molecules, providing a convenient portable solution for drug design or peptidomic research. Endowing properties of peptides onto small molecules can evolutionarily combine the advantages of both moieties and improve the biological druggability of molecules. Herein, we present eight representative recent cases in this conversion and elaborate on the transformation process of each case. We discuss the innovative technological methods and research approaches involved, and analyze the applicability conditions of the approaches and methods in each case, guiding further modifications of peptides to small molecules. Finally, based on the aforementioned cases, we summarize a general procedure for peptide-to-small molecule modifications, listing the technological methods available for each transformation step and providing our insights on the applicable scenarios for these methods. This review aims to present the progress of peptide-to-small molecule modifications and propose our thoughts and perspectives for future research in this field.
肽是参与细胞信号传递等众多生理生命过程的原生粘合剂,是生化过程的现成调节剂。与此同时,小分子因其突出的理化特性和合成方便的优势,成为许多药物的组成成分。将多肽转化为小分子是一个新的研究领域,为药物设计或肽组学研究提供了方便携带的解决方案。将多肽的特性赋予小分子,可以在进化过程中结合两种分子的优势,提高分子的生物可药性。在此,我们介绍了最近在这一转化过程中具有代表性的八个案例,并详细阐述了每个案例的转化过程。我们讨论了其中涉及的创新技术方法和研究途径,并分析了每种方法和途径的适用条件,为多肽向小分子的进一步转化提供指导。最后,根据上述案例,我们总结了多肽到小分子修饰的一般流程,列出了每个转化步骤可采用的技术方法,并对这些方法的适用场景提出了自己的见解。本综述旨在介绍多肽到小分子修饰的进展,并提出我们对该领域未来研究的想法和展望。
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引用次数: 0
Charge-guided masking of a membrane-destabilizing peptide enables efficient endosomal escape for targeted intracellular delivery of proteins 电荷引导的膜失稳肽掩蔽技术可实现高效的内泌体逃逸,从而在细胞内定向输送蛋白质
IF 14.7 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-10-01 DOI: 10.1016/j.apsb.2024.06.022
Intracellular delivery of biologicals such as peptides, proteins, and nucleic acids presents a great opportunity for innovative therapeutics. However, the endosome entrapment remains a major bottleneck in the intracellular delivery of biomacromolecules, largely limiting their therapeutic potential. Here, we converted a cell-penetrating peptide (CPP), low molecular weight protamine (LMWP), to endosomal escape peptides (EEPs) by masking LMWP with a pH-responsive counter-ionic peptide. The resulting masked CPPs (mLMWP and mLMWP2) effectively promoted the escape of peptide/protein cargoes from endosomes into the cytoplasm. Consequential lysosome repair and lysophagy were initiated upon the endolysosomal leakage. Minimal reactive oxygen species (ROS) elevation or cell death was observed. Based on mLMWP2, we constructed an intracellular protein delivery system containing an antibody as a targeting module, mLMWP2 as an endosomal escape module, and the desired protein cargo. With the HER2-targeting delivery system, we efficiently translocated cyclization recombination enzyme (Cre) and BH3-interacting domain death agonist (BID) into the cytosol of HER2+ cells to exert their biological activity. Thereby, the modular delivery system shows its potential as a promising tool for scientific studies and therapeutic applications.
肽、蛋白质和核酸等生物物质的细胞内输送为创新疗法带来了巨大机遇。然而,内质体诱捕仍然是生物大分子细胞内递送的主要瓶颈,在很大程度上限制了它们的治疗潜力。在这里,我们通过用具有 pH 响应性的反离子肽掩蔽低分子量原胺(LMWP),将细胞穿透肽(CPP)转化为内质体逃逸肽(EEPs)。由此产生的屏蔽 CPPs(mLMWP 和 mLMWP2)有效地促进了肽/蛋白质货物从内体逃逸到细胞质中。内溶酶体泄漏后,溶酶体修复和溶酶吞噬作用随之启动。活性氧(ROS)升高或细胞死亡的情况极少。在 mLMWP2 的基础上,我们构建了一种细胞内蛋白质递送系统,其中包含作为靶向模块的抗体、作为内溶酶体逸出模块的 mLMWP2 以及所需的蛋白质货物。通过这种 HER2 靶向递送系统,我们将环化重组酶(Cre)和 BH3-相互作用结构域死亡激动剂(BID)有效地转运到 HER2 细胞的细胞质中,从而发挥其生物活性。因此,模块化递送系统显示出其作为科学研究和治疗应用工具的潜力。
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引用次数: 0
DiPTAC: A degradation platform via directly targeting proteasome DiPTAC:直接靶向蛋白酶体的降解平台
IF 14.5 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-07 DOI: 10.1016/j.apsb.2024.09.003
Yutong Tu, Qian Yu, Mengna Li, Lixin Gao, Jialuo Mao, Jingkun Ma, Xiaowu Dong, Jinxin Che, Chong Zhang, Linghui Zeng, Huajian Zhu, Jiaan Shao, Jingli Hou, Liming Hu, Bingbing Wan, Jia Li, Yubo Zhou, Jiankang Zhang
{"title":"DiPTAC: A degradation platform via directly targeting proteasome","authors":"Yutong Tu, Qian Yu, Mengna Li, Lixin Gao, Jialuo Mao, Jingkun Ma, Xiaowu Dong, Jinxin Che, Chong Zhang, Linghui Zeng, Huajian Zhu, Jiaan Shao, Jingli Hou, Liming Hu, Bingbing Wan, Jia Li, Yubo Zhou, Jiankang Zhang","doi":"10.1016/j.apsb.2024.09.003","DOIUrl":"https://doi.org/10.1016/j.apsb.2024.09.003","url":null,"abstract":"","PeriodicalId":6906,"journal":{"name":"Acta Pharmaceutica Sinica. B","volume":"77 1","pages":""},"PeriodicalIF":14.5,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of Jinzhen oral liquid and ambroxol hydrochloride and clenbuterol hydrochloride oral solution in the treatment of acute bronchitis in children: A multicenter, non-inferiority, prospective, randomized controlled trial 金振口服液与盐酸氨溴索和盐酸克伦特罗口服溶液治疗儿童急性支气管炎的比较:多中心、非劣效、前瞻性、随机对照试验
IF 14.5 1区 医学 Q1 PHARMACOLOGY & PHARMACY Pub Date : 2024-09-03 DOI: 10.1016/j.apsb.2024.09.001
Qinhua Fan, Chongming Wu, Yawei Du, Boyang Wang, Yanming Xie, Zeling Zhang, Wenquan Su, Zizhuo Wang, Changchang Xu, Xueke Li, Ying Ding, Xinjiang An, Jing Chen, Yunying Xiao, Rong Yu, Nan Li, Juan Wang, Yiqun Teng, Hongfen Lv, Nian Yang, Yuling Wen, Xiaoli Huang, Wei Pan, Yufeng Liu, Xueqin Xi, Qianye Zhao, Changshan Liu, Jian Xu, Haitao Zhang, Lie Zhuo, Qiangquan Rong, Yu Xia, Qin Shen, Shao Li, Junhong Wang, Shengxian Wu
The comparison between traditional Chinese medicine Jinzhen oral liquid (JZOL) and Western medicine in treating children with acute bronchitis (AB) showed encouraging outcomes. This trial evaluated the efficacy and safety of the JZOL for improving cough and expectoration in children with AB. 480 children were randomly assigned to take JZOL or ambroxol hydrochloride and clenbuterol hydrochloride oral solution for 7 days. The primary outcome was time-to-cough resolution. The median time-to-cough resolution in both groups was 5.0 days and the antitussive onset median time was only 1 day. This randomized controlled trial showed that JZOL was not inferior to cough suppressant and phlegm resolving western medicine in treating cough and sputum and could comprehensively treat respiratory and systemic discomfort symptoms. Combined with clinical trials, the mechanism of JZOL against AB was uncovered by network target analysis, it was found that the pathways in TRP channels like IL-1/IL1R/TRPV1/TRPA1, NGF/TrkA/TRPV1/TRPA1, and PGE2/EP/PKA/TRPV1/TRPA1 might play important roles. Animal experiments further confirmed that inflammation and the immune regulatory effect of JZOL in the treatment of AB were of vital importance and TRP channels were the key mechanism of action.
中药金振口服液(JZOL)与西药在治疗急性支气管炎(AB)患儿方面的比较结果令人鼓舞。这项试验评估了金樱子口服液改善急性支气管炎患儿咳嗽和排痰的疗效和安全性。480名儿童被随机分配服用JZOL或盐酸氨溴索和盐酸克仑特罗口服溶液7天。主要结果是咳嗽缓解时间。两组咳嗽缓解时间的中位数均为 5.0 天,而止咳药起效时间的中位数仅为 1 天。这项随机对照试验表明,在治疗咳嗽、咳痰方面,JZOL的疗效并不亚于止咳化痰的西药,而且可以综合治疗呼吸道和全身不适症状。结合临床试验,通过网络靶点分析揭示了JZOL抗AB的机制,发现IL-1/IL1R/TRPV1/TRPA1、NGF/TrkA/TRPV1/TRPA1、PGE2/EP/PKA/TRPV1/TRPA1等TRP通道中的通路可能发挥了重要作用。动物实验进一步证实,JZOL治疗AB的炎症和免疫调节作用至关重要,而TRP通道是其关键的作用机制。
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引用次数: 0
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Acta Pharmaceutica Sinica. B
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