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Brusatol modulates diverse cancer hallmarks and signaling pathways as a potential cancer therapeutic Brusatol调节多种癌症特征和信号通路,作为潜在的癌症治疗药物
Pub Date : 2022-07-21 DOI: 10.15212/amm-2022-0014
Song-Bin Guo, Wei-Juan Huang, X. Tian
Cancer is a consequence of uncontrolled cell proliferation that is associated with cell-cycle disruption. It is a multifactorial disease that depends on the modulation of numerous oncogenic signaling pathways and targets. Although a battle against cancer has been waged for centuries, this disease remains a major cause of death worldwide. Because of the development of resistance to current anticancer drugs, substantial effort has been focused on discovering more effective agents for tumor therapy. Natural products have powerful prospects as anticancer drugs. Brusatol, a component isolated from the plant Brucea javanica, has been demonstrated to efficiently combat a wide variety of tumors. Extensive studies have indicated that brusatol exhibits anticancer effects by arresting the cell cycle; promoting apoptosis; inducing autophagy; attenuating epithelial-mesenchymal transition; inhibiting migration, invasion and angiogenesis; and increasing chemosensitivity and radiosensitivity. These effects involve various oncogenic signaling pathways, including the MAPK, NF-κB, PI3K/AKT/mTOR, JAK/STAT and Keap1/Nrf2/ARE signaling pathways. This review describes the evidence suggesting that brusatol is a promising drug candidate for cancer therapeutics.
癌症是与细胞周期中断相关的不受控制的细胞增殖的结果。它是一种多因素疾病,依赖于许多致癌信号通路和靶点的调节。尽管与癌症的斗争已经进行了几个世纪,但这种疾病仍然是全世界死亡的主要原因。由于对当前抗癌药物的耐药性的发展,大量的努力已经集中在发现更有效的肿瘤治疗药物上。天然产物作为抗癌药物具有强大的前景。Brusatol是一种从植物Brucea javanica中分离出来的成分,已被证明可以有效地对抗多种肿瘤。广泛的研究表明,brusatol通过阻止细胞周期表现出抗癌作用;促进细胞凋亡;诱导自噬;减弱上皮-间质转化;抑制迁移、侵袭和血管生成;增加化学敏感性和放射敏感性。这些作用涉及多种致癌信号通路,包括MAPK、NF-κB、PI3K/AKT/mTOR、JAK/STAT和Keap1/Nrf2/ARE信号通路。这篇综述描述了表明brusatol是一种很有前途的癌症治疗药物的证据。
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引用次数: 11
Statistical Evaluation of Absolute Change versus Responder Analysis in Clinical Trials. 临床试验中绝对变化与应答分析的统计评价。
Pub Date : 2022-07-21 DOI: 10.15212/amm-2022-0020
Peijin Wang, Sarah Peskoe, Rebecca Byrd, Patrick Smith, Rachel Breslin, Shein-Chung Chow

In clinical trials, the primary analysis is often either a test of absolute/relative change in a measured outcome or a corresponding responder analysis. Though each of these tests may be reasonable, determining which test is most suitable for a particular research study is still an open question. These tests may require different sample sizes, define different clinically meaningful differences, and most importantly, lead to different study conclusions. This paper aims to compare a typical non-inferiority test using absolute change as the study endpoint to the corresponding responder analysis in terms of sample size requirements, statistical power, and hypothesis testing results. From numerical analysis, using absolute change as an endpoint generally requires a larger sample size; therefore, when the sample size is the same, the responder analysis has higher power. The cut-off value and non-inferiority margin are critical which can meaningfully impact whether the two types of endpoints yield conflicting conclusions. Specifically, an extreme cut-off value is more likely to cause different conclusions. However, this impact decreases as population variance increases. One important reason for conflicting conclusions is that the population distribution is not normal. To eliminate conflicting results, researchers should pay attention to the population distribution and cut-off value selection.

在临床试验中,主要分析通常是测量结果的绝对/相对变化的测试或相应的应答者分析。虽然这些测试中的每一个都可能是合理的,但确定哪种测试最适合特定的研究仍然是一个悬而未决的问题。这些测试可能需要不同的样本量,定义不同的临床有意义的差异,最重要的是,得出不同的研究结论。本文旨在比较以绝对变化为研究终点的典型非劣效检验与相应的应答者分析在样本量要求、统计能力和假设检验结果等方面的差异。从数值分析来看,使用绝对变化作为终点通常需要更大的样本量;因此,在样本量相同的情况下,应答者分析具有更高的功效。截止值和非劣效性裕度是至关重要的,可以有意义地影响两种类型的终点是否产生冲突的结论。具体来说,一个极端的临界值更有可能导致不同的结论。然而,这种影响随着人口方差的增加而减小。得出相互矛盾的结论的一个重要原因是人口分布不正常。为了消除相互矛盾的结果,研究人员应注意总体分布和临界值的选择。
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引用次数: 2
Factors associated with pharmacists’ knowledge regarding high-alert medications: a convenience sample survey in China 药师对高危药物知识的相关因素:中国便利性抽样调查
Pub Date : 2022-07-20 DOI: 10.15212/amm-2022-0012
Ye Zhang, Yuhang Zhao, Linhui Yang, Yuanxuan Cai, Xiaofang Shangguan, R. Huang
The consequences of medication errors are more severe for high-alert medications than general drugs. Improving pharmacists’ knowledge regarding high-alert medications is important to increase drug safety and maintain patient health. This study was aimed at understanding Chinese hospital pharmacists’ knowledge regarding high-alert medications and exploring associated factors, to provide suggestions for management of high-alert medications. A total of 380 pharmacists from four hospitals in southern, northern and central China were selected through a convenience sampling method. Through a questionnaire survey, the pharmacists’ demographic sociology characteristics and knowledge regarding high-alert medications were investigated. Chi-square tests and binary logistic regression were used to analyze the factors associated with pharmacists’ knowledge regarding high-alert medications. A total of 336 valid questionnaires were returned, with an effective recovery rate of 88.4%. Among the respondents, 79.2% had high knowledge regarding high-alert medications. The analysis results show that the main factors significantly associated with pharmacists’ knowledge levels of high-alert medication were work experience and professional title, whether high alert-medication knowledge was obtained through the network channel, whether high-alert-medication knowledge was obtained through daily work practice and whether high-alert medications were double independent checked before use. Increase the sharing of work cases and knowledge cooperation among different pharmacists and departments in high-alert medications, rationally adjust and arrange the responsibilities of pharmacists, and improve the internal circulation of hospital high-alert medications are helpful to improve pharmacists’ cognitive level of high-alert medication and improve the hospital’s ability to control the risk of high-alert medication.
与一般药物相比,高度警惕药物的用药错误后果更为严重。提高药剂师对高警戒药物的认识对于提高药物安全性和维护患者健康非常重要。本研究旨在了解中国医院药剂师对高警戒药物的认识,并探讨相关因素,为高警戒药物管理提供建议。采用方便抽样的方法,从中国南方、北方和中部四所医院共抽取380名药剂师。通过问卷调查,调查药剂师的人口学社会学特征和对高警戒药物的认识。采用卡方检验和二元逻辑回归分析与药剂师对高警戒药物知识的相关因素。共返回336份有效问卷,有效回收率为88.4%。在受访者中,79.2%的人对高警戒药物有较高的了解。分析结果表明,与药剂师高警惕药物知识水平显著相关的主要因素是工作经验和职称、是否通过网络渠道获得高警惕药物的知识、,是否通过日常工作实践获得了高度警惕药物知识,以及在使用前是否对高度警惕药物进行了双重独立检查。加强不同药师和科室在高警戒药物方面的工作案例共享和知识合作,合理调整和安排药师职责,改善医院高警戒药物的内循环,有助于提高药师对高警戒药物认知水平,提高医院控制高警戒药物风险的能力。
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引用次数: 2
Structure prediction of the entire proteome of monkeypox variants 猴痘变异体全蛋白质组的结构预测
Pub Date : 2022-06-28 DOI: 10.15212/amm-2022-0017
Liangzhen Zheng, Jintao Meng, Ming-cheng Lin, Rui Lv, Hongjun Cheng, Lixin Zou, Jinyuan Sun, Linxian Li, R. Ren, Sheng Wang
Recently, the monkeypox virus has begun to spread in many countries worldwide [1]. The genome sequence of the monkeypox virus variant responsible for the current outbreak has been reported, thus providing an important resource for better understanding the new variant and accelerating vaccine and drug development. Here, we report structure predictions of the whole proteomes of three monkeypox variants, with annotation of potential small-molecule-binding regions of the proteins. Experimentally determined structures with high similarity to monkeypox proteins were vetted through a structure-alignment algorithm. Our work should help accelerate the development of vaccines and drugs.
最近,猴痘病毒已开始在全球许多国家传播[1]。导致当前疫情爆发的猴痘病毒变种的基因组序列已被报道,从而为更好地了解新变种、加快疫苗和药物开发提供了重要资源。在这里,我们报道了三种猴痘变体的整个蛋白质组的结构预测,并对蛋白质的潜在小分子结合区进行了注释。通过结构比对算法对实验确定的与猴痘蛋白具有高度相似性的结构进行审查。我们的工作应该有助于加快疫苗和药物的开发。
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引用次数: 11
New lathyrane diterpenoid hybrids have anti-inflammatory activity through the NF-κB signaling pathway and autophagy 新戊烷二萜类化合物通过NF-κB信号通路和自噬具有抗炎活性
Pub Date : 2022-05-25 DOI: 10.15212/amm-2022-0008
Wang Wang, Lian-Ming Xiong, Yanli Wu, Yirong Zhou, Yutong Li, Meng-zhu Zheng, Zhuorui Song, De-juan Sun, Lixia Chen
In our ongoing work on the identification of potent anti-inflammatory agents, we designed and synthesized three series of lathyrane diterpenoid hybrids in which the lathyrane diterpenoid skeleton was hybridized with other anti-inflammatory pharmacophores. Unexpectedly, lathyrane diterpenoid/3-hydroxyflavone hybrids showed more potent anti-inflammatory activity in RAW264.7 cells than did the corresponding parent compounds. Compound 8d1 exhibited potent anti-inflammatory activity with low cytotoxicity (IC50 = 1.55 ± 0.68 μM), and downregulated LPS-induced expression of iNOS and COX-2, as well as IκBα phosphorylation. This compound also inhibited the expression and nuclear translocation of NF-κB, and stimulated autophagy induction. Thus, 8d1’s anti-inflammatory mechanism is associated with inhibition of the NF-κB signaling pathway and increasing autophagy. This compound may serve as a promising anti-inflammatory agent.
在我们正在进行的强效抗炎剂鉴定工作中,我们设计并合成了三个系列的板条烷二萜杂化物,其中板条烷二萜烯骨架与其他抗炎药效团杂交。出乎意料的是,板条烷二萜/3-羟基黄酮杂交体在RAW264.7细胞中显示出比相应的母体化合物更有效的抗炎活性。化合物8d1表现出强大的抗炎活性和低细胞毒性(IC50=1.55±0.68μM),并下调LPS诱导的iNOS和COX-2的表达以及IκBα磷酸化。该化合物还抑制NF-κB的表达和核转位,并刺激自噬诱导。因此,8d1的抗炎机制与抑制NF-κB信号通路和增加自噬有关。这种化合物可能是一种很有前途的抗炎剂。
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引用次数: 7
Design and synthesis of novel hydroxamic acid derivatives based on quisinostat as promising antimalarial agents with improved safety 基于奎诺司他的新型异羟肟酸衍生物的设计与合成
Pub Date : 2022-05-17 DOI: 10.15212/amm-2022-0007
Manjiong Wang, Tongke Tang, Zhenghui Huang, Ruoxi Li, Dazheng Ling, Jin Zhu, Lubing Jiang, Jian Li, Xiaokang Li
In our previous work, the clinical phase II HDAC inhibitor quisinostat was identified as a promising antimalarial agent through a drug repurposing strategy, but its safety was a matter of concern. Herein, further medicinal chemistry methods were used to identify new chemical entities with greater effectiveness and safety than quisinostat. In total, 38 novel hydroxamic acid derivatives were designed and synthesized, and their in vitro antimalarial activities were systematically investigated. These compounds at nanomolar concentrations showed inhibitory effects on wild-type and drug-resistant Plasmodium falciparum strains in the erythrocyte stage. Among them, compound 30, after oral administration, resulted in complete elimination of parasites in mice infected with Plasmodium yoelii, and also exhibited better safety and metabolic properties than observed in our previous work. Mechanistically, compound 30 upregulated plasmodium histone acetylation, according to western blotting, thus suggesting that it exerts antimalarial effects through inhibition of Plasmodium falciparum HDAC enzymes.
在我们之前的工作中,临床II期HDAC抑制剂quisinostat通过药物再利用策略被确定为一种有前途的抗疟药,但其安全性是一个值得关注的问题。本文进一步利用药物化学方法鉴定出比喹司他更有效、更安全的新化学实体。共设计合成了38种新型羟肟酸衍生物,并对其体外抗疟活性进行了系统的研究。这些化合物在纳摩尔浓度下对野生型和耐药恶性疟原虫在红细胞期表现出抑制作用。其中,化合物30经口服后,在感染约氏疟原虫的小鼠体内完全消除了寄生虫,而且其安全性和代谢特性也比我们之前的研究结果更好。在机制上,根据western blotting,化合物30上调疟原虫组蛋白乙酰化,从而表明它通过抑制恶性疟原虫HDAC酶发挥抗疟作用。
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引用次数: 0
Identification of a cytisine-based EED-EZH2 protein-protein interaction inhibitor preventing metastasis in triple-negative breast cancer cells 基于胞氨酸的ed - ezh2蛋白-蛋白相互作用抑制剂在三阴性乳腺癌细胞中预防转移的鉴定
Pub Date : 2022-05-16 DOI: 10.15212/amm-2022-0006
Shasha Cheng, Guan-Jun Yang, Wanhe Wang, Ying-Qi Song, Chung-Nga Ko, Quan-Bing Han, Diklung Ma, Chung-Hang Leung
Enhancer of zeste homolog 2 (EZH2) is activated in breast cancer, particularly in triple-negative breast cancer (TNBC), and is critical for cell invasion. It interacts with embryonic ectoderm development (EED) in maintaining cancer stem cells (CSC) and epithelial-mesenchymal transition (EMT) properties, hence promoting CSC metastasis. Because the association of EZH2 with EED promotes the catalytic activity of EZH2, inhibiting the EED-EZH2 interaction is a potential therapeutic strategy for treating EZH2-dependent cancer. Although several EED-EZH2 protein-protein interaction (PPI) inhibitors have been developed, few target EED. Here, we identified that a cytisine derivative compound (1) potently binds EED, thus blocking the EED-EZH2 PPI. Compound 1 was found to inhibit cell proliferation and suppress the growth of 3D tumor spheres of TNBC cells. Moreover, by reversing EMT and decreasing the ratio of CSCs, the compound inhibited TNBC metastasis and invasion ability. Therefore, targeting EED to disrupt the EED-EZH2 PPI may provide a new approach for treating TNBC metastasis. To our knowledge, compound 1 is the first cytisine-based EED-EZH2 PPI inhibitor preventing metastasis in TNBC cells. This study may provide a new avenue for the development of more efficacious EED-EZH2 PPI inhibitors in TNBC treatment.
齐斯特同源物2(EZH2)的增强剂在乳腺癌症中被激活,特别是在癌症三阴性(TNBC)中,并且对细胞侵袭至关重要。它与胚胎外胚层发育(EED)相互作用,维持癌症干细胞(CSC)和上皮-间质转化(EMT)特性,从而促进CSC转移。由于EZH2与EED的结合促进了EZH2的催化活性,因此抑制EED-ZH2相互作用是治疗EZH2依赖性癌症的潜在治疗策略。尽管已经开发了几种EED-ZH2蛋白质-蛋白质相互作用(PPI)抑制剂,但很少有靶向EED。在这里,我们鉴定了胞嘧啶衍生物化合物(1)有效地结合EED,从而阻断EED-ZH2 PPI。发现化合物1抑制细胞增殖并抑制TNBC细胞的3D肿瘤球体的生长。此外,通过逆转EMT和降低CSCs的比例,该化合物抑制TNBC的转移和侵袭能力。因此,靶向EED破坏EED-ZH2 PPI可能为治疗TNBC转移提供一种新的途径。据我们所知,化合物1是第一种预防TNBC细胞转移的基于胞嘧啶的EED-ZH2 PPI抑制剂。本研究可能为开发更有效的EED-ZH2 PPI抑制剂治疗TNBC提供新的途径。
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引用次数: 12
Oral delivery of glutathione: antioxidant function, barriers and strategies 口服谷胱甘肽:抗氧化功能、障碍和策略
Pub Date : 2022-05-10 DOI: 10.15212/amm-2022-0005
Tielan Wei, Sachin S. Thakur, Mengyang Liu, Jingyuan Wen
Glutathione (GSH) is a tripeptide with potent antioxidant activity, which is involved in numerous basic biological processes and has been used for interventions in various degenerative diseases. However, oral delivery of GSH remains challenging, similarly to that of other protein and peptide drugs, because the physicochemical barriers in the gastrointestinal (GI) tract lead to low oral bioavailability. Although several approaches have been explored to improve delivery, such as co-administration with penetration enhancers and enzymatic inhibitors, or encapsulation into nanoparticles, microemulsions and liposomes, appropriate formulations with clinical therapeutic effects remain to be developed. This review discusses approaches explored to developing an oral GSH delivery system that could provide protection against proteolytic degradation in the GI tract and enhance molecular absorption across the epithelial membrane. This system may be beneficial for the design and development of an oral formulation of GSH in the future.
谷胱甘肽(GSH)是一种具有强抗氧化活性的三肽,它参与了许多基本的生物过程,并被用于各种退行性疾病的干预。然而,与其他蛋白质和肽类药物一样,谷胱甘肽的口服递送仍然具有挑战性,因为胃肠道(GI)中的物理化学屏障导致口服生物利用度低。虽然已经探索了几种改善递送的方法,如与渗透增强剂和酶抑制剂共同给药,或包封在纳米颗粒、微乳液和脂质体中,但仍需开发具有临床治疗效果的适当配方。这篇综述讨论了开发口服谷胱甘肽递送系统的方法,该系统可以提供防止胃肠道蛋白水解降解的保护,并增强上皮膜上的分子吸收。该系统可为将来谷胱甘肽口服制剂的设计和开发提供参考。
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引用次数: 3
Discovery and characterization of naturally occurring chalcones as potent inhibitors of bile salt hydrolases 天然查尔酮作为胆盐水解酶的有效抑制剂的发现和表征
Pub Date : 2022-05-06 DOI: 10.15212/amm-2022-0003
Chun Xing Li, Hao-Nan Wang, Guanghao Zhu, Li-Lin Song, Xu-Dong Hou, Peng-Chao Huo, J. Hou, Guangbo Ge
Bile salt hydrolases (BSHs) play crucial roles in the deconjugation of conjugated bile acids and therefore are key targets for modulating bile acid metabolism. This study aimed to identify efficacious BSH inhibitors from a natural compound library and to characterize their inhibitory mechanisms. The inhibitory potential of more than 100 natural compounds against BSH produced by Lactobacillus salivarius (lsBSH) was assayed, and several chalcones with strong or moderate lsBSH inhibitory activity were identified. Of all tested chalcones, licochalcone C and isobavachalcone showed the most potent lsBSH inhibitory activity (IC50 < 1 μM). Inhibition kinetic analyses demonstrated that both licochalcone C and isobavachalcone reversibly inhibited lsBSH-catalyzed CA-AMCA hydrolysis via a mixed manner. Docking simulations suggested that they bind lsBSH at two distinct sites mainly via hydrogen bonding and hydrophobic interactions. Additionally, licochalcone C and isobavachalcone were found to inhibit various BSHs and decrease the total BSH activity in mouse feces, thus suggesting that these agents are broad-spectrum BSH inhibitors. Collectively, our findings revealed that licochalcone C and isobavachalcone are naturally occurring inhibitors of BSH, which may serve as promising lead compounds in the development of more efficacious BSH inhibitors for modulating bile acid metabolism.
胆汁盐水解酶(BSHs)在共轭胆汁酸的解偶联中起着至关重要的作用,因此是调节胆汁酸代谢的关键靶点。本研究旨在从天然化合物库中鉴定有效的BSH抑制剂,并表征其抑制机制。测定了100多种天然化合物对唾液乳杆菌(Lactobacillus salivarius, lsBSH)产生的BSH的抑制潜力,并鉴定出几种具有强烈或中等抑制lsBSH活性的查尔酮。在所有查尔酮中,低查尔酮C和异巴伐恰尔酮的抑制lsBSH活性最强(IC50 < 1 μM)。抑制动力学分析表明,licochalcone C和isobaavachalcone均以混合方式可逆地抑制lsbsh催化的CA-AMCA水解。对接模拟表明,它们主要通过氢键和疏水相互作用在两个不同的位点结合lsBSH。此外,甘草查尔酮C和异巴伐恰尔酮可抑制多种BSH,降低小鼠粪便中BSH的总活性,从而表明这些药物是广谱BSH抑制剂。总的来说,我们的研究结果表明,licochalcone C和isobaavachalcone是天然存在的BSH抑制剂,它们可能是开发更有效的BSH抑制剂来调节胆汁酸代谢的有希望的先导化合物。
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引用次数: 2
Research progress in 3D-printed medicinal tablets 3D打印药片的研究进展
Pub Date : 2022-04-14 DOI: 10.15212/amm-2021-0010
Naijun Dong, Hongqian Lv, Cheng Liu, P. Zhang
Three-dimensional printing (3DP) is a rapid-prototyping technology that uses a digital model file to construct an object through layer printing. This novel technology is widely used in aerospace, medicine, architecture and industrial applications. However, the pharmaceutical applications of 3DP technology remain in early stages, and the pharmaceutical industry is expected to experience a revolution in 3DP. Herein, recent research progress in 3D-printed medicinal tablets is reviewed, to provide a reference for future studies and applications of 3DP technology in pharmaceutics.
三维打印(3DP)是一种使用数字模型文件通过分层打印构建对象的快速原型技术。这项新技术广泛应用于航空航天、医学、建筑和工业应用。然而,3DP技术的制药应用仍处于早期阶段,预计制药行业将经历一场3DP革命。本文综述了近年来3D打印药用片的研究进展,为3DP技术在药学中的研究和应用提供参考。
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引用次数: 2
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Acta materia medica
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