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Prognosis and treatment of complications associated with COVID-19: a systematic review and meta-analysis 新冠肺炎并发症的预后和治疗:一项系统综述和荟萃分析
Pub Date : 2022-04-07 DOI: 10.15212/amm-2022-0002
Xudong Xie, Liangcong Hu, Hang Xue, Y. Xiong, Adriana C. Panayi, Ze Lin, Lang Chen, Chenchen Yan, Wu Zhou, B. Mi, Guohui Liu
The Coronavirus Disease 2019 (COVID-19) pandemic has been estimated to have claimed more than 6 million lives, and most deaths have been attributed to complications non-specific to the virus. Therefore, understanding and treating these complications are imperative. In this meta-analysis, we reviewed 181 studies published in early stages of the COVID-19 pandemic. We presented that the complications with high incidence among all COVID-19 cases were acute respiratory distress syndrome (ARDS, 18.52%), respiratory failure (16.54%), liver injury (14.13%) and multiple-organ dysfunction syndrome (MODS, 13.62%). Among patients who died, the most common complications were ARDS (84.10%), respiratory failure (78.75%) and respiratory injury (75.72%). Subsequently, we analyzed the risk factors for complications, and reviewed the currently available therapies according to complications and prognosis. To decrease the prevalence of COVID-19 complications and mortality, healthcare workers and patients should pay greater attention to the complications identified herein, particularly those occurring preclinically.
据估计,2019冠状病毒病(新冠肺炎)大流行已夺走600多万人的生命,大多数死亡归因于非特定于该病毒的并发症。因此,了解和治疗这些并发症势在必行。在这项荟萃分析中,我们回顾了在新冠肺炎大流行早期发表的181项研究。我们发现所有新冠肺炎病例中发病率较高的并发症是急性呼吸窘迫综合征(ARDS,18.52%)、呼吸衰竭(16.54%)、肝损伤(14.13%)和多器官功能障碍综合征(MODS,13.62%)。在死亡的患者中,最常见的并发症是ARDS(84.10%)、呼吸失败(78.75%)和呼吸损伤(75.72%)。随后,我们分析了并发症的危险因素,并根据并发症和预后回顾了目前可用的治疗方法。为了降低新冠肺炎并发症和死亡率的流行率,医护人员和患者应更多地关注本文中确定的并发症,尤其是临床前发生的并发症。
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引用次数: 7
Regulatory lessons from China’s COVID-19 vaccines development and approval policies 中国新冠肺炎疫苗研发和审批政策的监管经验教训
Pub Date : 2022-03-18 DOI: 10.15212/amm-2021-0008
Jingshu Yang, Yue Yang
Coronavirus disease 2019, responsible for a global pandemic, is caused by the severe acute respiratory syndrome coronavirus 2. Several vaccines have been developed and approved worldwide, particularly in China. As of Oct 17, 2021, four new coronavirus vaccines in China have been conditionally approved for marketing by the National Medical Products Administration, two of which have been authorized for emergency use in the Emergency Use Listing of the World Health Organization. Domestic vaccine R&D in China has relied on legal and regulatory support. This article summarizes the regulatory policy for vaccine development, review and approval. Vaccine approval laws have been continually improved, and regulations for special approval have been used to shorten the review time. China has coordinated pandemic-related needs, both domestically and with other countries, and made substantial progress in cooperative international anti-pandemic efforts.
2019冠状病毒病是由严重急性呼吸系统综合征冠状病毒2引起的,是全球大流行的罪魁祸首。世界各地,特别是中国,已经开发并批准了几种疫苗。截至2021年10月17日,中国已有四种新型冠状病毒疫苗获得国家医疗产品管理局有条件批准上市,其中两种已在世界卫生组织的《紧急使用清单》中获得紧急使用授权。中国国内疫苗的研发依赖于法律和监管的支持。本文概述了疫苗开发、审查和批准的监管政策。疫苗审批法律不断完善,特别审批条例被用于缩短审查时间。中国协调了国内外疫情相关需求,在国际抗疫合作方面取得了实质性进展。
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引用次数: 2
Structural diversity and biological activities of caged Garcinia xanthones: recent updates 笼中藤黄酮的结构多样性和生物活性研究进展
Pub Date : 2022-02-17 DOI: 10.15212/amm-2022-0001
Yeelin Phang, Changwu Zheng, Hongxi Xu
Caged xanthones are a class of natural compounds with approximately 200 members that are commonly isolated from the Garcinia genus in the Clusiaceae (formerly Guttiferae) family. They are often characterized by a notable 4-oxa-tricyclo[4.3.1.03,7]dec-2-one (caged) architecture with a common xanthone backbone. Because most caged xanthones have potent anticancer properties, they have become a target of interest in natural product chemistry. The unique chemical architectures and increasingly identified biological importance of these compounds have stimulated many studies and intense interest in their isolation, biological evaluation and mechanistic studies. This review summarizes recent progress and development in the chemistry and biological activity of caged Garcinia xanthones and of several compounds of non-Garcinia origin, from the years 2008 to 2021, providing an in-depth discussion of their structural diversity and medicinal potential. A preliminary discussion on structure-activity relationships is also provided.
笼状黄酮是一类天然化合物,约有200个成员,通常从藤科藤黄属中分离出来。它们通常具有显著的4-氧杂-三环[4.1.03,7]癸-2-酮(笼状)结构,具有常见的黄酮骨架。由于大多数笼状黄烷酮具有强大的抗癌特性,它们已成为天然产物化学中感兴趣的目标。这些化合物独特的化学结构和日益确定的生物学重要性激发了许多研究,并对其分离、生物学评价和机理研究产生了浓厚的兴趣。本文综述了2008年至2021年笼状藤黄酮和几种非藤黄来源化合物的化学和生物活性的最新进展和发展,对其结构多样性和药用潜力进行了深入讨论。还提供了关于结构-活性关系的初步讨论。
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引用次数: 6
Advances in therapeutic agents targeting quiescent cancer cells 靶向静止期癌症细胞的治疗剂研究进展
Pub Date : 2022-02-08 DOI: 10.15212/amm-2021-0005
Wan Najbah Nik Nabil, Zhichao Xi, Mengfan Liu, Yang Li, M. Yao, Taidong Liu, Q. Dong, Hongxi Xu
Quiescent cancer cells (QCCs) reversibly reside in G0 phase, thus allowing them to survive chemotherapy and radiotherapy, which generally target proliferating cells. Surviving QCCs may re-proliferate, and consequently result in cancer progression, recurrence, and metastasis. Therefore, understanding the key players governing QCC survival and activation is crucial for developing QCC-targeting agents. This review presents an overview of (1) the mechanisms underlying the regulation of QCC status and (2) recent advances in the development of QCC-targeting therapeutic agents and their underlying mechanisms. The development of effective therapeutic modalities that target QCCs may enable new cancer treatments to prevent cancer progression and recurrence.
静止的癌症细胞(QCCs)可逆地处于G0期,从而使它们能够在化疗和放疗中存活下来,而化疗和放疗通常针对增殖细胞。存活的QCC可能会再增殖,从而导致癌症的进展、复发和转移。因此,了解控制QCC存活和激活的关键参与者对于开发QCC靶向剂至关重要。这篇综述概述了(1)QCC状态调节的潜在机制,以及(2)QCC靶向治疗剂的开发及其潜在机制的最新进展。以QCC为靶点的有效治疗模式的发展可能使新的癌症治疗能够预防癌症的进展和复发。
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引用次数: 15
The regulation of neuronal autophagy and cell survival by MCL1 in Alzheimer's disease. MCL1在阿尔茨海默病中对神经元自噬和细胞存活的调节。
Pub Date : 2022-01-28 DOI: 10.15212/amm-2021-0002
A. Rezaeian, Wenyi Wei, H. Inuzuka
Maintaining neuronal integrity and functions requires precise mechanisms controlling organelle and protein quality. Alzheimer's disease (AD) is characterized by functional defects in the clearance and recycling of intracellular components. As such, neuronal homeostasis involves autophagy, mitophagy, and apoptosis. Compromised activity in these cellular processes may cause pathological phenotypes of AD. Dysfunction of mitochondria is one of the hallmarks of AD. Mitophagy is a critical mitochondria quality control system, and the impaired mitophagy is observed in AD. Myeloid cell leukemia 1 (MCL1), a member of the pro-survival B-cell lymphoma protein 2 (BCL2) family, is a mitochondria-targeted protein that contributes to maintaining mitochondrial integrity. Mcl1 knockout mice display peri-implantation lethality. The studies on conditional Mcl1 knockout mice demonstrate that MCL1 plays a central role in neurogenesis and neuronal survival during brain development. Accumulating evidence reveals the critical role of MCL1 as a regulator of neuronal autophagy, mitophagy, and survival. In this review, we discuss the emerging neuroprotective function of MCL1 and how dysregulation of MCL1 signaling is involved in the pathogenesis of AD. As the pro-survival BCL2 family of proteins are promising targets of pharmacological intervention with BH3 mimetic drugs, we also discuss the promise of MCL1-targeting therapy in AD.
维持神经元的完整性和功能需要精确的机制来控制细胞器和蛋白质的质量。阿尔茨海默病(AD)的特点是细胞内成分清除和循环的功能缺陷。因此,神经元稳态涉及自噬、有丝自噬和细胞凋亡。这些细胞过程的活性受损可能导致AD的病理表型。线粒体功能障碍是阿尔茨海默病的标志之一。线粒体自噬是线粒体质量控制的关键系统,在AD中观察到线粒体自噬受损。髓细胞白血病1 (MCL1)是促存活b细胞淋巴瘤蛋白2 (BCL2)家族的成员,是一种线粒体靶向蛋白,有助于维持线粒体完整性。Mcl1基因敲除小鼠表现出植入期的致命性。对条件性Mcl1敲除小鼠的研究表明,Mcl1在脑发育过程中神经发生和神经元存活中起着核心作用。越来越多的证据揭示了MCL1作为神经元自噬、有丝自噬和存活的调节因子的关键作用。在这篇综述中,我们讨论了MCL1的新兴神经保护功能以及MCL1信号的失调如何参与AD的发病机制。由于促生存BCL2家族蛋白是BH3模拟药物药物干预的有希望的靶标,我们也讨论了mcl1靶向治疗AD的前景。
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引用次数: 13
PROTACs technology for treatment of Alzheimer's disease: Advances and perspectives. 治疗阿尔茨海默病的PROTACs技术:进展与展望。
Pub Date : 2022-01-21 DOI: 10.15212/amm-2021-0001
H. Inuzuka, Jing Liu, Wenyi Wei, A. Rezaeian
Neurodegenerative diseases (NDs) are characteristic with progression of neuron degeneration, resulting in dysfunction of cognition and mobility. Many neurodegenerative diseases are because of proteinopathies that results from unusual protein accumulations and aggregations. The aggregation of misfolded proteins like β-amyloid, α-synuclein, tau, and polyglutamates are hallmarked in Alzheimer's disease (AD), which are undruggable targets, and usually do not respond to conventional small-molecule agents. Therefore, developing novel technology and strategy for reducing the levels of protein aggregates would be critical for treatment of AD. Recently, the emerging proteolysis targeting chimeras (PRPTACs) technology has been significantly considered for artificial and selective degradation of aberrant target proteins. These engineered bifunctional molecules engage target proteins to be degraded by either the cellular degradation machinery in the ubiquitin-proteasome system (UPS) or via the autophagy-lysosome degradation pathway. Although the application of PROTACs technology is preferable than oligonucleotide and antibodies for treatment of NDs, many limitations such as their pharmacokinetic properties, tissue distribution and cell permeabilities, still need to be corrected. Herein, we review the recent advances in PROTACs technology with their limitation for pharmaceutical targeting of aberrant proteins involved in Alzheimer's diseases. We also review therapeutic potential of dysregulated signaling such as PI3K/AKT/mTOR axis for the management of AD.
神经退行性疾病(NDs)的特点是神经元退化的进展,导致认知和行动功能障碍。许多神经退行性疾病是由于蛋白质异常积累和聚集引起的蛋白质疾病。错误折叠的蛋白质如β-淀粉样蛋白、α-突触核蛋白、tau和聚谷氨酸盐的聚集在阿尔茨海默病(AD)中是显著的,它们是不可治疗的靶点,通常对传统的小分子药物没有反应。因此,开发降低蛋白质聚集体水平的新技术和策略对AD的治疗至关重要。最近,新兴的蛋白水解靶向嵌合体(PRPTAC)技术被广泛考虑用于人工和选择性降解异常靶蛋白。这些工程化的双功能分子与靶蛋白结合,通过泛素-蛋白酶体系统(UPS)中的细胞降解机制或通过自噬-溶酶体降解途径进行降解。尽管PROTACs技术的应用比寡核苷酸和抗体更适合治疗NDs,但其药代动力学特性、组织分布和细胞渗透性等许多局限性仍需纠正。在此,我们回顾了PROTACs技术的最新进展及其在阿尔茨海默病异常蛋白药物靶向方面的局限性。我们还综述了失调信号传导(如PI3K/AKT/mTOR轴)对AD的治疗潜力。
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引用次数: 12
Small-molecule fluorescence-based probes for aging diagnosis 基于小分子荧光的衰老诊断探针
Pub Date : 2022-01-12 DOI: 10.15212/amm-2021-0004
Donglei Shi, Wenwen Liu, Guangwei Wang, Yuan Guo, Jian Li
Aging is a time-dependent decline in physiological function that affects most organisms and is the major risk factor for many non-communicable diseases. The early diagnosis of aging is critical for the treatment of aging and aging-related diseases. In recent years, extensive efforts have attempted to accurately diagnose aging. To date, multiple types of fluorescent probes for various age-related biomarkers have been developed, with the aims of achieving rapid, precise diagnosis of the aging process and evaluating the efficacy of anti-aging drugs. This review summarizes recent research progress in small-molecule fluorescence-based probes for aging diagnosis, and further discusses the challenges and opportunities in this field.
衰老是一种与时间相关的生理功能下降,影响大多数生物体,是许多非传染性疾病的主要风险因素。衰老的早期诊断对于治疗衰老和衰老相关疾病至关重要。近年来,人们进行了广泛的努力,试图准确诊断衰老。到目前为止,已经开发出多种用于各种年龄相关生物标志物的荧光探针,目的是实现对衰老过程的快速、精确诊断,并评估抗衰老药物的疗效。本文综述了近年来基于小分子荧光的衰老诊断探针的研究进展,并进一步探讨了该领域的挑战和机遇。
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引用次数: 8
PROTAC Degraders with Ligands Recruiting MDM2 E3 Ubiquitin Ligase: An Updated Perspective. 与配体招募MDM2 E3泛素连接酶的PROTAC降解物:一个最新的观点。
Pub Date : 2022-01-01 DOI: 10.15212/amm-2022-0010
Xin Han, Wenyi Wei, Yi Sun

Mouse double minute 2 (MDM2) is an E3 ubiquitin ligase which effectively degrades tumor suppressor p53. In the past two decades, many MDM2 inhibitors that disrupt the MDM2-p53 binding have been discovered and developed. Given that the MDM2-p53 forms auto-regulatory loop in which p53 is a substrate of MDM2 for targeted degradation, while MDM2 is a p53 target for transcriptional upregulation, these MDM2 inhibitors have limited efficacy due to p53 degradation by accumulated MDM2 upon rapid in vivo clearance of the MDM2 inhibitors. Fortunately, proteolysis targeting chimeras (PROTACs), a novel therapeutic strategy, overcome the limitations of MDM2 inhibitors. Some of MDM2 inhibitors developed in the past two decades have been used in PROTAC technology for two applications: 1) as component 1 to bind with endogenous MDM2 as a target for PROTAC-based degradation of MDM2; and 2) as component 2 to bind with endogenous MDM2 as a PROTAC E3 ligand for PROTAC-based degradation of other oncogenic proteins. In this review, we summarize current progress in the discovery and development of MDM2-based PROTAC drugs with future perspectives and challenges for their applications in effective treatment of human cancer.

小鼠双分钟2 (MDM2)是一种E3泛素连接酶,可有效降解肿瘤抑制因子p53。在过去的二十年中,许多破坏MDM2-p53结合的MDM2抑制剂被发现和开发。考虑到MDM2-p53形成自调节回路,其中p53是MDM2靶向降解的底物,而MDM2是p53转录上调的靶标,这些MDM2抑制剂的功效有限,因为在体内快速清除MDM2抑制剂后,p53会被积累的MDM2降解。幸运的是,蛋白水解靶向嵌合体(PROTACs),一种新的治疗策略,克服了MDM2抑制剂的局限性。在过去二十年中开发的一些MDM2抑制剂在PROTAC技术中有两个应用:1)作为与内源性MDM2结合的组分1,作为基于PROTAC的MDM2降解的靶标;2)作为成分2与内源性MDM2结合,作为PROTAC E3配体,以PROTAC为基础降解其他致癌蛋白。本文综述了目前基于mdm2的PROTAC药物的发现和开发进展,展望了其在有效治疗人类癌症中的应用前景和面临的挑战。
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引用次数: 16
The 'New (Nu)-clear' evidence for the tumor-driving role of PI3K. PI3K 推动肿瘤作用的 "新(Nu)-明确 "证据。
Pub Date : 2022-01-01 Epub Date: 2022-05-16 DOI: 10.15212/amm-2022-0013
Franklin Mayca Pozo, Tony Hunter, Youwei Zhang

The classical phosphatidylinositol 3-kinases (PI3Ks) are heterodimers of p110 and p85. PIK3CA, the gene encoding the catalytic p110α subunit, is one of the most frequently mutated oncogenes in human cancers with hot spot mutations occurring in the helical domain or in the kinase domain. Tumors with these two types of PIK3CA mutations show overlapping yet distinct phenotypes; however, the underlying mechanisms remain unclear. In a recent publication [1], Hao et al revealed exciting findings about the PI3K p85β regulatory subunit in promoting PIK3CA helical domain mutation-driven cancer progression. The authors found that p85β disassociated from the PI3K complex and translocated into the nucleus only in cancer cells harboring PIK3CA helical domain mutations. Disrupting nuclear localization of p85β suppressed mouse tumor growth of cancer cells with PIK3CA helical domain mutation. Mechanistically, they elegantly showed that nuclear p85β recruited the deubiquitinase USP7 to stabilize the histone methyltransferases EZH1/2, leading to enhanced H3K27 trimethylation and gene transcription. Combining an EZH inhibitor with a PI3K inhibitor specifically resulted in regression of mouse xenograft tumors with PIK3CA helical domain mutations. These findings illustrate a previously uncharacterized function of p85β in tumor development and suggest an effective approach to target tumors with PIK3CA helical mutations.

经典的磷脂酰肌醇 3 激酶(PI3K)是 p110 和 p85 的异二聚体。PIK3CA 是编码催化 p110α 亚基的基因,是人类癌症中最常发生突变的致癌基因之一,其热点突变发生在螺旋结构域或激酶结构域。这两类PIK3CA突变的肿瘤表现出重叠但不同的表型;然而,其潜在机制仍不清楚。在最近发表的一篇论文[1]中,Hao 等人揭示了 PI3K p85β 调节亚基在促进 PIK3CA 螺旋结构域突变驱动的癌症进展方面的激动人心的发现。作者发现,只有在携带 PIK3CA 螺旋结构域突变的癌细胞中,p85β 才会脱离 PI3K 复合物并转位到细胞核中。破坏 p85β 的核定位可抑制 PIK3CA 螺旋结构域突变癌细胞的小鼠肿瘤生长。从机理上讲,他们清楚地表明,核p85β招募去泛素化酶USP7来稳定组蛋白甲基转移酶EZH1/2,从而导致H3K27三甲基化和基因转录增强。将 EZH 抑制剂与 PI3K 抑制剂结合使用,可使 PIK3CA 螺旋结构域突变的小鼠异种移植肿瘤消退。这些发现说明了 p85β 在肿瘤发生发展过程中的一种之前未被描述的功能,并提出了一种针对 PIK3CA 螺旋结构突变肿瘤的有效方法。
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引用次数: 0
Cytotoxic compounds from marine actinomycetes: Sources, Structures and Bioactivity. 海洋放线菌的细胞毒性化合物:来源、结构和生物活性。
Pub Date : 2022-01-01 DOI: 10.15212/amm-2022-0028
Ziyan Qiu, Yinshuang Wu, Kunyan Lan, Shiyi Wang, Huilin Yu, Yufei Wang, Cong Wang, Shugeng Cao

Marine actinomycetes produce a substantial number of natural products with cytotoxic activity. The strains of actinomycetes were isolated from different sources like fishes, coral, sponges, seaweeds, mangroves, sediments etc. These cytotoxic compounds can be categorized briefly into four classes: polyketides, non-ribosomal peptides and hybrids, isoprenoids and hybrids, and others, among which majority are polyketides (146). Twenty two out of the 254 compounds showed potent cytotoxicity with IC50 values at ng/mL or nM level. This review highlights the sources, structures and antitumor activity of 254 natural products isolated from marine actinomycetes, which were new when they were reported from 1989 to 2020.

海洋放线菌产生大量具有细胞毒性活性的天然产物。从鱼类、珊瑚、海绵、海藻、红树林、沉积物等不同来源中分离到放线菌菌株。这些细胞毒性化合物可以简单地分为四类:聚酮类、非核糖体多肽和杂交种、类异戊二烯和杂交种等,其中大多数是聚酮类(146)。254个化合物中有22个具有较强的细胞毒性,IC50值在ng/mL或nM水平。本文综述了1989 ~ 2020年报道的254种海洋放线菌天然产物的来源、结构和抗肿瘤活性。
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引用次数: 2
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Acta materia medica
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