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Exploring antidiabetic potential of plant diterpenes: from mechanisms to clinical insights 探索植物二萜的抗糖尿病潜力:从机制到临床见解
IF 3.1 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2025-09-26 DOI: 10.1007/s00044-025-03476-4
E. Anusri, S. Akhila, Sanu Augustine, PK Lakshmi

Type 2 diabetes mellitus (DM) is a heterogeneous metabolic disorder characterized by chronic hyperglycemia and glucose intolerance. The search for safer and more effective antihyperglycemic drugs of plant origin is a priority due to the limited number of drugs available to treat metabolic syndrome. This review aims to compile various classes of plant-derived diterpenes and elucidate the mechanisms underlying their potential roles in key pathways involved in regulating diabetes and metabolic disorders. It also provides a critical evaluation of their preclinical efficacy, bioavailability, and translational potential. Studies show that diterpenes have a prominent effect on various biochemical pathways that help maintain glucose homeostasis by either interfering with insulin secretion and signaling pathways or modulating carbohydrate metabolism. Notable diterpenes include labdanes like andrographolide (targeting insulin signaling, inflammation, and gluconeogenesis), pimarane and abietane types (inhibiting α-glucosidase and protein tyrosine phosphatase 1B), and kauranes (enhancing insulin secretion and sensitivity). The SwissTargetPrediction software was utilized to predict the targets of major diterpenes from each class, suggesting that these compounds interact with a broad spectrum of protein classes (e.g., kinases, nuclear receptors, proteases), thereby reflecting multitarget pharmacological profiles. A few members of this group, such as stevioside and rebaudioside A, have progressed to clinical trials, demonstrating safety and modest reductions in postprandial glucose levels. Although other diterpenes have shown promise in preclinical models of diabetes and metabolic disorders, robust clinical data on their efficacy and safety are still lacking. These findings highlight the therapeutic potential of plant-derived diterpenes, but further research is needed to overcome limitations related to bioavailability, mechanistic clarity, and translational validation, thereby advancing them toward clinical application.

2型糖尿病(DM)是一种以慢性高血糖和葡萄糖不耐受为特征的异质性代谢紊乱。由于可用于治疗代谢综合征的药物数量有限,寻找更安全、更有效的植物性降糖药物是当务之急。本文综述了植物源二萜的分类,并阐明了它们在糖尿病和代谢紊乱的关键通路中的潜在作用机制。它还提供了临床前疗效、生物利用度和转化潜力的关键评估。研究表明,二萜通过干扰胰岛素分泌和信号通路或调节碳水化合物代谢,在多种生化途径中发挥重要作用,有助于维持葡萄糖稳态。值得注意的二萜包括穿心莲内酯(针对胰岛素信号传导、炎症和糖异生)、海玛烷和阿比烷(抑制α-葡萄糖苷酶和蛋白酪氨酸磷酸酶1B)和kauranes(增强胰岛素分泌和敏感性)等labdanes。利用SwissTargetPrediction软件预测每一类主要二萜的靶点,表明这些化合物与广泛的蛋白质类别(如激酶、核受体、蛋白酶)相互作用,从而反映了多靶点的药理学特征。该组中的一些成员,如甜菊糖苷和雷鲍迪糖苷A,已经进入临床试验,证明了安全性和餐后血糖水平的适度降低。尽管其他二萜在糖尿病和代谢紊乱的临床前模型中显示出前景,但关于其有效性和安全性的可靠临床数据仍然缺乏。这些发现强调了植物源二萜的治疗潜力,但需要进一步的研究来克服与生物利用度、机制清晰度和转化验证相关的限制,从而推动它们走向临床应用。
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引用次数: 0
Targeting west nile virus replication by xanthine inhibitors 黄嘌呤抑制剂靶向西尼罗病毒复制
IF 3.1 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2025-09-26 DOI: 10.1007/s00044-025-03481-7
Theresa H. Nguyen, Jessica L. Smith, Shuklendu D. Karyakarte, John P. Tillotson, Sarath C. Sarngadharan, Fuad Al Abir, Jake Y. Chen, Sixue Zhang, Lynn Rasmussen, Robert Bostwick, Alec J. Hirsch, Corinne E. Augelli-Szafran, Ashish K. Pathak, Omar Moukha-Chafiq

West Nile Virus (WNV) is a mosquito-borne emerging virus, which can result in the development of meningitis or encephalitis. Our medicinal chemistry effort was initiated to identify potent small-molecule inhibitors of WNV with the potential for lead optimization. The initial hit compound 8-(4-(2,5-dimethylbenzyl)piperazin-1-yl)-7-(2-fluorobenzyl)-3-methyl-3,7-dihydro-1H-purine-2,6-dione 1 was identified from a high-throughput screening (HTS) campaign of 197 K compounds using a cytopathic effect (CPE) cell-based assay against WNV, and showed antiviral inhibition against WNV (EC90 = 0.93 µM), moderate cytotoxicity (CC50 = 12 µM), low solubility (solubility = 9.7 µM) and metabolic stability [mouse and human microsomal stability (MLM and HLM) half-lives < 10 min]. To improve the antiviral activity and drug-like properties of this hit compound, a structure-activity relationship (SAR) campaign led to the discovery of a new potent inhibitor, 8-(4-(4-(tert-butyl)benzyl)piperazin-1-yl)-7-(2-fluorobenzyl)-3-methyl-3,7-dihydro-1H-purine-2,6-dione 21, which retained its potency and efficacy and minimal cytotoxicity (EC90 = 0.87 μM, CC50 > 30 μM) as compared to hit compound 1. In addition to its desired anti-WNV activity profile, analog 21 showed improved microsomal stability (MLM t1/2 = 21 min, HLM t1/2 = 41 min) with acceptable pharmacokinetic properties for an initial in vivo proof-of-concept (POC) study, though the compound was inactive. Herein, we report the hit-to-lead optimization study that led to the discovery of this xanthine series.

西尼罗河病毒(WNV)是一种蚊媒新发病毒,可导致脑膜炎或脑炎。我们的药物化学工作是为了确定有效的小分子西尼罗河病毒抑制剂,并有可能进行先导优化。利用细胞病变效应(CPE)细胞实验,从197个K化合物的高通量筛选(HTS)活动中鉴定出初始靶向化合物8-(4-(2,5-二甲基)哌嗪-1-基)-7-(2-氟苯基)-3-甲基-3,7-二氢- 1h -嘌呤-2,6-二酮1,并显示出对西尼罗病毒的抗病毒抑制作用(EC90 = 0.93µM),中等细胞毒性(CC50 = 12µM),低溶解度(溶解度= 9.7µM)和代谢稳定性[小鼠和人微粒体稳定性(MLM和HLM)半衰期<; 10 min]。为了提高该击中化合物的抗病毒活性和药物样性质,通过构效关系(SAR)研究发现了一种新的有效抑制剂8-(4-(4-(叔丁基)苄基)哌嗪-1-基)-7-(2-氟苯基)-3-甲基-3,7-二氢- 1h -嘌呤-2,6-二酮21,与击中化合物1相比,该抑制剂保留了其效力和功效,并且具有最小的细胞毒性(EC90 = 0.87 μM, CC50 > 30 μM)。除了其理想的抗西尼雅病毒活性外,类似物21还显示出改善的微体稳定性(MLM t1/2 = 21分钟,HLM t1/2 = 41分钟),在初步的体内概念验证(POC)研究中具有可接受的药代动力学特性,尽管该化合物是无活性的。在此,我们报告了导致发现该黄嘌呤系列的hit-to-lead优化研究。
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引用次数: 0
Designations of new biological drugs 生物新药的命名
IF 3.1 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2025-09-25 DOI: 10.1007/s00044-025-03470-w
Sarah K. Branch, Israel Agranat
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引用次数: 0
Discovery of novel and potent URAT1 inhibitors bearing sulfamide scaffold for the treatment of gout 发现新的有效的URAT1抑制剂含有磺胺支架治疗痛风
IF 3.1 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2025-09-25 DOI: 10.1007/s00044-025-03475-5
Ke Xue, Zehao Xu, Panpan Sun, Yepu He, Zongtao Zhou, Xinwu Huang, Lei Liu

The urate transporter 1 (URAT1) plays an important role in the reabsorption of uric acid, so URAT1 inhibitors are considered as the promising therapy for gout. To explore potent URAT1 inhibitors with new scaffold, we have designed a series of novel derivatives based on the scaffold hopping strategy by merging the structural feature of URAT1 inhibitor SHR4640 into probenecid. The subsequently structure-activity relationship study led to the discovery of a series of potent URAT1 inhibitors, including the typical acid derivative 8 (IC50 = 2.5 μM) and non-carboxylic acid derivative 10 (IC50 = 3.8 μM). Moreover, these compounds also exhibit excellent metabolic stability in human liver microsomes. In the docking study, compounds 8 and 10 fitted very well to the same binding pocket of Lesinurad. In hyperuricemic model mice, compounds 7, 8 and 10 exhibited significantly uric acid-lowering effect, and compound 8 revealed dose-dependent uric acid-lowering effect to the level of benzbromarone. Moreover, compound 8 has significant potential in alleviating chronic hyperuricemia, improving renal function, and reducing inflammation in chronic hyperuricemia mice. These results extend the chemical space in this field and might help to design more promising URAT1 inhibitors.

尿酸转运蛋白1 (URAT1)在尿酸的重吸收中起重要作用,因此URAT1抑制剂被认为是治疗痛风的有前景的药物。为了探索具有新型支架的有效URAT1抑制剂,我们将URAT1抑制剂SHR4640的结构特征融合到probenecid中,设计了一系列基于支架跳跃策略的新型衍生物。随后的构效关系研究发现了一系列有效的URAT1抑制剂,包括典型的酸衍生物8 (IC50 = 2.5 μM)和非羧酸衍生物10 (IC50 = 3.8 μM)。此外,这些化合物在人肝微粒体中也表现出良好的代谢稳定性。在对接研究中,化合物8和10非常适合于Lesinurad的同一结合口袋。在高尿酸血症模型小鼠中,化合物7、8和10表现出明显的降尿酸作用,化合物8表现出剂量依赖性的降尿酸作用至苯溴马隆水平。此外,化合物8在缓解慢性高尿酸血症小鼠的慢性高尿酸血症、改善肾功能和减轻炎症方面具有显著的潜力。这些结果扩展了该领域的化学空间,并可能有助于设计更有前途的URAT1抑制剂。
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引用次数: 0
Correction: Synthesis and inhibitory activity against enzymes responsible for Type 2 diabetes mellitus of lactose-conjugated thiosemicarbazones from substituted acetophenones 更正:取代苯乙酮的乳糖偶联硫代氨基脲的合成和对2型糖尿病酶的抑制活性
IF 3.1 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2025-09-24 DOI: 10.1007/s00044-025-03474-6
Hoang Thi Kim Van, Nguyen Dinh Thanh, Duong Thu Nguyet
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引用次数: 0
A comprehensive review of the phytochemical and pharmacological potential of Alnus glutinosa (L.) Gaertn., (Black Alder) 谷草桤木(Alnus glutinosa, L.)的植物化学和药理潜力综述Gaertn。(黑桤木)
IF 3.1 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2025-09-22 DOI: 10.1007/s00044-025-03473-7
Atif Ali Khan Khalil,  Salsabila, Hanhong Bae

Alnus glutinosa (Betulaceae), commonly known as black alder, is a traditional medicinal tree with ecological, ethnobotanical, and pharmacological importance. This review presents the first comprehensive assessment of its medicinal potential, integrating botanical background, phytochemistry, and bioactivities. Scientific investigations have validated the traditional applications and revealed diverse pharmacological properties, including anticancer, antioxidant, antibacterial, antifungal, anti-inflammatory, hepatoprotective, and wound-healing effects. These effects can be attributed, in large part, to bioactive chemical compounds such as diarylheptanoids, flavonoids, phenolics, tannins, terpenoids, and steroids. These constituents modulate oxidative stress, inflammatory pathways, and other important cellular functions. This work highlights the therapeutic value of A. glutinosa and exposes crucial gaps in knowledge by combining chemical composition with pharmacological insights. Specifically, the work focuses on the relationship between the two. In particular, additional mechanistic investigations and clinical validation are required in order to advance its function in contemporary medical practice. Overall, the review provides a foundation for future studies on A. glutinosa, supporting its potential as a promising source of bioactive compounds for drug development.

Alnus glutinosa(桦木科),俗称黑桤木,是一种具有生态、民族植物学和药理重要性的传统药用树木。本文综合植物背景、植物化学和生物活性,首次对其药用潜力进行了综合评价。科学研究证实了其传统应用,并揭示了其多种药理特性,包括抗癌、抗氧化、抗菌、抗真菌、抗炎、保护肝脏和伤口愈合作用。这些作用在很大程度上可归因于生物活性化合物,如二芳基庚烷、类黄酮、酚类物质、单宁、萜类和类固醇。这些成分调节氧化应激、炎症途径和其他重要的细胞功能。这项工作突出了谷氨酰胺的治疗价值,并通过将化学成分与药理学见解相结合,暴露了知识的关键空白。具体来说,这项工作的重点是两者之间的关系。特别是,为了提高其在当代医学实践中的功能,需要额外的机制调查和临床验证。综上所述,本文的研究结果为今后的研究奠定了基础,支持了其作为药物开发生物活性化合物的潜力。
{"title":"A comprehensive review of the phytochemical and pharmacological potential of Alnus glutinosa (L.) Gaertn., (Black Alder)","authors":"Atif Ali Khan Khalil,&nbsp; Salsabila,&nbsp;Hanhong Bae","doi":"10.1007/s00044-025-03473-7","DOIUrl":"10.1007/s00044-025-03473-7","url":null,"abstract":"<div><p><i>Alnus glutinosa</i> (Betulaceae), commonly known as black alder, is a traditional medicinal tree with ecological, ethnobotanical, and pharmacological importance. This review presents the first comprehensive assessment of its medicinal potential, integrating botanical background, phytochemistry, and bioactivities. Scientific investigations have validated the traditional applications and revealed diverse pharmacological properties, including anticancer, antioxidant, antibacterial, antifungal, anti-inflammatory, hepatoprotective, and wound-healing effects. These effects can be attributed, in large part, to bioactive chemical compounds such as diarylheptanoids, flavonoids, phenolics, tannins, terpenoids, and steroids. These constituents modulate oxidative stress, inflammatory pathways, and other important cellular functions. This work highlights the therapeutic value of <i>A. glutinosa</i> and exposes crucial gaps in knowledge by combining chemical composition with pharmacological insights. Specifically, the work focuses on the relationship between the two. In particular, additional mechanistic investigations and clinical validation are required in order to advance its function in contemporary medical practice. Overall, the review provides a foundation for future studies on <i>A. glutinosa</i>, supporting its potential as a promising source of bioactive compounds for drug development.</p><div><figure><div><div><picture><source><img></source></picture></div></div></figure></div></div>","PeriodicalId":699,"journal":{"name":"Medicinal Chemistry Research","volume":"34 10","pages":"2052 - 2074"},"PeriodicalIF":3.1,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145184090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Design, synthesis, biological evaluation, and in silico studies of cholinesterase inhibitors based on the 2-aminothiazole scaffold 基于2-氨基噻唑支架的胆碱酯酶抑制剂的设计、合成、生物学评价和硅研究
IF 3.1 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2025-09-22 DOI: 10.1007/s00044-025-03468-4
Wen-Rong Du, Xue-Wei Zhou, Yi-Xuan Wang, Zheng-Yue Ma

In this study, a series of 2-aminothiazole derivatives were designed, synthesized, and evaluated as potential cholinesterase inhibitors (ChEIs) for the treatment of Alzheimer’s disease (AD). Subsequently, the antioxidant activities of these synthesized compounds were assessed using the DPPH (2,2-diphenyl-1-picrylhydrazyl) radical scavenging assay. The results of the cholinesterase (ChE) inhibition assays revealed that most of the compounds exhibited certain inhibitory activities against acetylcholinesterase (AChE) and butyrylcholinesterase (BuChE). Among them, compound 14s demonstrated the most potent inhibitory activity against AChE, with IC50 value of 3.54 μM. Meanwhile, compound 14s also exhibited moderate inhibitory activity against BuChE, with IC50 value of 7.95 μM. The inhibitory activities of compound 14s against both AChE and BuChE were superior to those of galantamine (AChE: IC50 = 3.47 μM; BuChE: IC50 = 17.31 μM). The type of inhibition for compound 14s was determined through enzyme kinetic studies, and the results showed that the compound was a mixed type inhibitor. In addition, molecular docking results showed that compound 14s could interact with the catalytic active site (CAS) and the peripheral anionic site (PAS) of AChE, which was consistent with the enzyme kinetic experimental results. Molecular dynamics (MD) simulation studies demonstrated the stability of the 14s-AChE/BuChE complexes. Moreover, results from the DPPH free radical scavenging assay indicated that the compounds also exhibited antioxidant activity. Collectively, these experimental results indicated that the designed and synthesized ChEI 14s exhibits potential for further research.

本研究设计、合成了一系列2-氨基噻唑衍生物,并对其作为治疗阿尔茨海默病(AD)的潜在胆碱酯酶抑制剂(ChEIs)进行了评价。随后,利用DPPH(2,2-二苯基-1-苦味酰肼)自由基清除实验评估这些合成化合物的抗氧化活性。胆碱酯酶(ChE)抑制实验结果表明,大部分化合物对乙酰胆碱酯酶(AChE)和丁基胆碱酯酶(BuChE)具有一定的抑制活性。其中化合物14s对AChE的抑制活性最强,IC50值为3.54 μM。同时化合物14s对BuChE也表现出中等的抑制活性,IC50值为7.95 μM。化合物14s对AChE和BuChE的抑制活性均优于加兰他敏(AChE: IC50 = 3.47 μM; BuChE: IC50 = 17.31 μM)。通过酶动力学研究确定了化合物14s的抑制类型,结果表明该化合物为混合型抑制剂。此外,分子对接结果表明,化合物14s可以与AChE的催化活性位点(CAS)和外周阴离子位点(PAS)相互作用,这与酶动力学实验结果一致。分子动力学(MD)模拟研究证实了14s-AChE/BuChE配合物的稳定性。此外,DPPH自由基清除实验结果表明,化合物还具有抗氧化活性。综上所述,这些实验结果表明设计和合成的ChEI 14s具有进一步研究的潜力。
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引用次数: 0
Synthesis and biological evaluation of triazole alcohols containing an indole-3-methyl(phenyl)amino side chain against fluconazole-resistant Candida albicans 含吲哚-3-甲基(苯基)氨基侧链的三唑醇对耐氟康唑白色念珠菌的合成及生物学评价
IF 3.1 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2025-09-20 DOI: 10.1007/s00044-025-03469-3
Zefei Fan, Lijiao Yang, Jidong Wang, Yafei Hou, Fei Zou, Tianyu Zhang, Yongyan Fu, Yue Zhang, Ruirui Wang, Shichong Yu, Guanghui Ni

A novel series of triazole alcohols containing an indole-3-methyl(phenyl)a- mino side chain have been synthesized as derivatives of fluconazole. The title compounds were synthesized via the ring-open reaction of epoxide with various N-aryl indole-3-methylamine. Compound C04 exhibited significant inhibitory activity against fluconazole-resistant Candida albicans (ATCC-14053) with an MIC50 of 2.31 μM. Notably, compound C08 displayed potent inhibition against seven fungal pathogens including two clinically isolated fluconazole-resistant strains. The time-kill assays demonstrated that compounds C04 and C08 exhibited significant growth inhibitory effects against Candida albicans ATCC 14053. Further studies confirmed their potent inhibitory activity against C. albicans biofilm development. Cytotoxicity evaluation demonstrated that both compounds exhibited favorable safety profiles. These results indicate that C04 and C08 are promising antifungal drug candidates, providing novel therapeutic strategies to combat clinically resistant fungal infections.

作为氟康唑的衍生物,合成了一系列含有吲哚-3-甲基(苯基)A -氨基侧链的新型三唑醇。标题化合物是由环氧化物与各种n -芳基吲哚-3-甲胺开环反应合成的。化合物C04对耐氟康唑白色念珠菌(ATCC-14053)具有显著的抑制活性,MIC50为2.31 μM。值得注意的是,化合物C08对7种真菌病原体表现出有效的抑制作用,其中包括两种临床分离的氟康唑耐药菌株。时间杀伤实验表明,化合物C04和C08对白色念珠菌ATCC 14053具有明显的生长抑制作用。进一步的研究证实了它们对白色念珠菌生物膜发育的抑制作用。细胞毒性评价表明,这两种化合物都具有良好的安全性。这些结果表明,C04和C08是很有前景的抗真菌候选药物,为对抗临床耐药真菌感染提供了新的治疗策略。
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引用次数: 0
Plant-derived pyroptosis inducers as a therapeutic strategy in drug-resistant cancers 植物源性焦亡诱导剂作为耐药癌症的治疗策略
IF 3.1 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2025-09-19 DOI: 10.1007/s00044-025-03472-8
Kang Zi Khor, Adam Azlan, Nozlena Abdul Samad, Emmanuel Jairaj Moses, George George Mathew, Julia Joseph

Drug resistance in cancer therapy, often due to the evasion of apoptosis, highlights the need for alternative treatments. Pyroptosis is a type of inflammatory programmed cell death mediated by gasdermin proteins. It offers a promising approach as it can trigger anti-tumour immunity through cytokine release. Plant-derived compounds, rich in bioactive metabolites, can induce pyroptosis via inflammasome activation, gasdermin cleavage and reactive oxygen species (ROS) generation. Phytochemicals like curcumin, quercetin, cucurbitacin B and kaempferol selectively target cancer cells while modulating inflammation in healthy tissues. Combining these compounds with chemotherapy, immunotherapy or nanoparticle-based delivery systems enhance their therapeutic efficacy and overcome drug resistance. Despite promising preclinical findings, clinical translation remains challenging, necessitating further research to optimise safety, specificity, and delivery mechanisms. This review consolidates current knowledge on plant-derived pyroptosis inducers, highlighting their mechanisms, therapeutic potential, and future directions in combating drug-resistant cancers.

癌症治疗中的耐药性通常是由于细胞凋亡的逃避,这突出了替代治疗的必要性。焦亡是一种由气皮蛋白介导的炎性程序性细胞死亡。它提供了一种很有前途的方法,因为它可以通过细胞因子的释放来触发抗肿瘤免疫。植物源性化合物富含生物活性代谢物,可通过炎性小体激活、气皮蛋白裂解和活性氧(ROS)的产生诱导焦亡。姜黄素、槲皮素、葫芦素B和山奈酚等植物化学物质选择性地靶向癌细胞,同时调节健康组织中的炎症。将这些化合物与化疗、免疫疗法或基于纳米颗粒的递送系统相结合,可提高其治疗效果并克服耐药性。尽管临床前研究结果很有希望,但临床转化仍然具有挑战性,需要进一步研究以优化安全性、特异性和给药机制。本文综述了目前植物源性焦亡诱导剂的研究进展,重点介绍了它们的机制、治疗潜力和未来在对抗耐药癌症方面的研究方向。
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引用次数: 0
Silibinin: a natural flavonoid with multifaceted anticancer potential and therapeutic challenges 水飞蓟宾:天然类黄酮具有多方面的抗癌潜力和治疗挑战
IF 3.1 4区 医学 Q3 CHEMISTRY, MEDICINAL Pub Date : 2025-09-17 DOI: 10.1007/s00044-025-03466-6
Snigdha Singh, Arpit Sharma, Tanu Pandey, Shivani Gupta, Alok Shukla, Santosh Kumar Singh, Amit Singh

Silibinin, the principal bioactive flavonolignan of Silybum marianum (milk thistle), has emerged as a promising natural agent with multifaceted anticancer potential. Extensive preclinical studies demonstrate its diverse pharmacological properties, including antioxidant, anti-inflammatory, and chemopreventive activities, which collectively contribute to its antitumor effects. At the molecular level, silibinin exerts cytotoxicity through the induction of apoptosis, involving both extrinsic (death receptor-mediated) and intrinsic (mitochondria-dependent) pathways. It modulates key signaling cascades such as EGFR, STAT3, and PI3K/AKT/mTOR, leading to suppression of proliferation, angiogenesis, invasion, and modulation of autophagy, stemness and Senescence. Importantly, silibinin acts as a modulator of apoptosis by restoring the balance between pro- and anti-apoptotic proteins, thereby sensitizing cancer cells to programmed cell death. Evidence across multiple malignancies, including hepatocellular carcinoma, breast, lung, and colorectal cancers etc, highlights its broad-spectrum therapeutic relevance. Clinical studies, though limited, suggest that silibinin may enhance the efficacy of standard chemotherapeutic, radiotherapeutic, and targeted regimens while reducing associated toxicities, underscoring its role as a synergistic adjuvant. However, challenges such as poor bioavailability, variable pharmacokinetics, and limited large-scale clinical validation constrain its translational application. To address these limitations, novel strategies such as nanocarrier-based delivery, structural modifications, and combination therapies are being actively investigated. Overall, silibinin represents a compelling natural flavonoid with dual preventive and therapeutic roles in oncology, though future research must overcome pharmacological barriers to fully harness its clinical potential.

水飞蓟宾是水飞蓟中主要的生物活性黄酮木脂素,是一种具有多方面抗癌潜力的天然药物。广泛的临床前研究表明其多种药理特性,包括抗氧化、抗炎和化学预防活性,这些共同有助于其抗肿瘤作用。在分子水平上,水飞蓟宾通过诱导细胞凋亡发挥细胞毒性,涉及外源性(死亡受体介导)和内源性(线粒体依赖)途径。它调节EGFR、STAT3和PI3K/AKT/mTOR等关键信号级联,抑制增殖、血管生成、侵袭,调节自噬、干性和衰老。重要的是,水飞蓟宾通过恢复促凋亡和抗凋亡蛋白之间的平衡来调节细胞凋亡,从而使癌细胞对程序性细胞死亡敏感。包括肝细胞癌、乳腺癌、肺癌和结直肠癌等多种恶性肿瘤的证据,突出了其广谱治疗相关性。临床研究虽然有限,但表明水飞蓟宾可以增强标准化疗、放疗和靶向治疗方案的疗效,同时减少相关的毒性,强调其作为增效佐剂的作用。然而,诸如生物利用度差、药代动力学变量和有限的大规模临床验证等挑战限制了其转化应用。为了解决这些局限性,人们正在积极研究基于纳米载体的递送、结构修饰和联合治疗等新策略。总的来说,水飞蓟宾是一种令人信服的天然类黄酮,具有双重预防和治疗肿瘤的作用,尽管未来的研究必须克服药理学障碍,以充分利用其临床潜力。
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引用次数: 0
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