首页 > 最新文献

Exploration of drug science最新文献

英文 中文
Influenza A virus hemagglutinin: from classical fusion inhibitors to proteolysis targeting chimera-based strategies in antiviral drug discovery 甲型流感病毒血凝素:从经典的融合抑制剂到基于蛋白水解靶向嵌合体的抗病毒药物研发策略
Pub Date : 2024-02-29 DOI: 10.37349/eds.2024.00037
Francisco Javier Hermoso-Pinilla, Aitor Valdivia, M. Camarasa, Tiziana Ginex, F. J. Luque
The influenza virus glycoprotein hemagglutinin (HA) participates in critical steps of the attachment of viral particles to the host cell membrane receptor and membrane fusion. Due to its crucial involvement in the initial phases of influenza A infections, HA emerges as a promising target in the search of novel drug-like candidates. Given its pivotal role in the early stages of influenza A infections, intense drug discovery efforts have been undertaken to target HA in the past decades. Drug discovery studies mainly rely on preventing the recognition of sialic acid units by the receptor binding site in the globular head (GH) domain, or the conformational rearrangement required for the fusion of viral and cell membranes. In this work, the aim is to summarize the progress made in HA-targeted development of small molecule fusion inhibitors. To this end, attention will primarily be focused on the analysis of the X-ray crystallographic structures of HA bound to fusion inhibitors. Furthermore, this study also aims to highlight the efforts made in exploiting the structural information in conjunction with molecular modeling techniques to discern the mechanism of action of the fusion inhibitors and to assist the design and interpretation of structure-activity relationships of novel lead compounds will be highlighted. The final section will be dedicated to elucidating novel and promising antiviral strategies proceeding from the transformation of known small molecule antivirals in proteolysis targeting chimera (PROTAC)-based targeted protein degradation. This knowledge will be valuable to assist the exploitation of classical and novel antiviral structure-based strategies, together with a deeper understanding of the mechanism of action and minimization of the impact of drug resistance.
流感病毒糖蛋白血凝素(HA)参与病毒颗粒附着到宿主细胞膜受体和膜融合的关键步骤。由于其在甲型流感感染初期阶段的关键作用,HA 成为了寻找新型候选药物的一个有希望的靶点。鉴于 HA 在甲型流感感染早期阶段的关键作用,过去几十年来,针对 HA 的药物研发工作一直在紧张进行。药物发现研究主要依赖于阻止球头(GH)结构域中的受体结合位点识别硅酸单位,或阻止病毒与细胞膜融合所需的构象重排。本研究旨在总结 HA 靶向开发小分子融合抑制剂的进展。为此,我们将主要关注与融合抑制剂结合的 HA 的 X 射线晶体学结构分析。此外,本研究还将重点介绍在利用结构信息和分子建模技术方面所做的努力,以揭示融合抑制剂的作用机制,并协助设计和解释新型先导化合物的结构-活性关系。最后一部分将专门阐明新颖而有前途的抗病毒策略,这些策略源于将已知的小分子抗病毒药物转化为基于蛋白水解靶向嵌合体(PROTAC)的靶向蛋白降解。这些知识将有助于利用基于结构的经典和新型抗病毒策略,同时加深对作用机制的理解,并最大限度地减少耐药性的影响。
{"title":"Influenza A virus hemagglutinin: from classical fusion inhibitors to proteolysis targeting chimera-based strategies in antiviral drug discovery","authors":"Francisco Javier Hermoso-Pinilla, Aitor Valdivia, M. Camarasa, Tiziana Ginex, F. J. Luque","doi":"10.37349/eds.2024.00037","DOIUrl":"https://doi.org/10.37349/eds.2024.00037","url":null,"abstract":"The influenza virus glycoprotein hemagglutinin (HA) participates in critical steps of the attachment of viral particles to the host cell membrane receptor and membrane fusion. Due to its crucial involvement in the initial phases of influenza A infections, HA emerges as a promising target in the search of novel drug-like candidates. Given its pivotal role in the early stages of influenza A infections, intense drug discovery efforts have been undertaken to target HA in the past decades. Drug discovery studies mainly rely on preventing the recognition of sialic acid units by the receptor binding site in the globular head (GH) domain, or the conformational rearrangement required for the fusion of viral and cell membranes. In this work, the aim is to summarize the progress made in HA-targeted development of small molecule fusion inhibitors. To this end, attention will primarily be focused on the analysis of the X-ray crystallographic structures of HA bound to fusion inhibitors. Furthermore, this study also aims to highlight the efforts made in exploiting the structural information in conjunction with molecular modeling techniques to discern the mechanism of action of the fusion inhibitors and to assist the design and interpretation of structure-activity relationships of novel lead compounds will be highlighted. The final section will be dedicated to elucidating novel and promising antiviral strategies proceeding from the transformation of known small molecule antivirals in proteolysis targeting chimera (PROTAC)-based targeted protein degradation. This knowledge will be valuable to assist the exploitation of classical and novel antiviral structure-based strategies, together with a deeper understanding of the mechanism of action and minimization of the impact of drug resistance.","PeriodicalId":72998,"journal":{"name":"Exploration of drug science","volume":"9 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140414496","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
Effect of the size of nucleic acid delivery systems on their fate in cancer treatment 核酸递送系统的大小对其在癌症治疗中的命运的影响
Pub Date : 2024-02-01 DOI: 10.37349/eds.2024.00035
Mengyun Ye, Junni Gong, Wang Chen, Xiaoxuan Liu, Da-Ni Zhu
Nucleic acid therapeutics are emerging as a promising class of medicines, offering unique therapeutic options for cancer at the gene level. However, the druggability of nucleic acid therapeutics is fundamentally restricted by their low stability, poor membrane permeability, and low bioavailability, necessitating the use of delivery vectors. Various delivery vectors have been developed for nucleic acid therapeutics. The fate of established nucleic acid delivery systems (NADS) in vivo substantially affects the delivery efficiency and therapeutic efficacy. The physicochemical properties of NADS (such as size, charge, shape, etc) are crucial for the interaction of NADS with various biological barriers in the body, thereby determining the fate of NADS in the body. Nanoparticle (NP) size is an important parameter defining the blood circulation, distribution, tumor accumulation, and cellular uptake of NADS. This mini-review briefly introduces the various biological barriers of NADS in cancer treatment and focuses on the influence of the particle size of delivery vectors on the in vivo fate of NADS and their therapeutic efficacy, which provides new insights into the rational design of NADS.
核酸疗法正在成为一类前景广阔的药物,在基因水平上为癌症提供了独特的治疗方案。然而,由于核酸稳定性低、膜渗透性差、生物利用度低,从根本上限制了核酸疗法的可药性,因此必须使用递送载体。目前已开发出各种用于核酸疗法的递送载体。已建立的核酸递送系统(NADS)在体内的转归会对递送效率和疗效产生重大影响。核酸递送系统的理化性质(如大小、电荷、形状等)对于核酸递送系统与体内各种生物屏障的相互作用至关重要,从而决定了核酸递送系统在体内的命运。纳米粒子(NP)的大小是决定 NADS 血液循环、分布、肿瘤蓄积和细胞吸收的重要参数。这篇微型综述简要介绍了 NADS 在癌症治疗中的各种生物屏障,并重点探讨了递送载体的粒度对 NADS 体内转归及其疗效的影响,从而为合理设计 NADS 提供新的见解。
{"title":"Effect of the size of nucleic acid delivery systems on their fate in cancer treatment","authors":"Mengyun Ye, Junni Gong, Wang Chen, Xiaoxuan Liu, Da-Ni Zhu","doi":"10.37349/eds.2024.00035","DOIUrl":"https://doi.org/10.37349/eds.2024.00035","url":null,"abstract":"Nucleic acid therapeutics are emerging as a promising class of medicines, offering unique therapeutic options for cancer at the gene level. However, the druggability of nucleic acid therapeutics is fundamentally restricted by their low stability, poor membrane permeability, and low bioavailability, necessitating the use of delivery vectors. Various delivery vectors have been developed for nucleic acid therapeutics. The fate of established nucleic acid delivery systems (NADS) in vivo substantially affects the delivery efficiency and therapeutic efficacy. The physicochemical properties of NADS (such as size, charge, shape, etc) are crucial for the interaction of NADS with various biological barriers in the body, thereby determining the fate of NADS in the body. Nanoparticle (NP) size is an important parameter defining the blood circulation, distribution, tumor accumulation, and cellular uptake of NADS. This mini-review briefly introduces the various biological barriers of NADS in cancer treatment and focuses on the influence of the particle size of delivery vectors on the in vivo fate of NADS and their therapeutic efficacy, which provides new insights into the rational design of NADS.","PeriodicalId":72998,"journal":{"name":"Exploration of drug science","volume":"58 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139817378","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
Revisiting 310-helices: biological relevance, mimetics and applications 重新审视 310-螺旋:生物学意义、仿生学和应用
Pub Date : 2024-02-01 DOI: 10.37349/eds.2024.00034
Diego Núñez-Villanueva
310-Helices represent the third most abundant secondary structure proteins. Although understandably overshadowed by α-helices for decades, the 310-helix structure is slowly regaining certain relevance in protein science. The key role of this secondary structure in biological processes has been highlighted in reports over the last decade. In addition, 310-helices are considered key intermediates in protein folding as well as a crucial structure for the antimicrobial activity of naturally occurring peptaibols. Thus, it is clear that 310-helices are relevant scaffolds to take into consideration in the field of biomimetics. In this context, this review covers the strategies developed to stabilize the 310-helix structure in peptide chains, from the incorporation of constrained amino acids to stapling methodologies. In the last section, the use of 310-helices as scaffolds of interest in the development of bioactive compounds, catalysts for enantioselective reactions, supramolecular receptors, and membrane-embedded signal transducers are discussed. The present work aims to highlight the relevance, sometimes underestimated, of 310-helices in chemical biology and protein science, providing the tools to develop functional biomimetics with a wide range of potential applications.
310 螺旋是二级结构蛋白质中含量第三高的结构。数十年来,310-螺旋结构一直被α-螺旋所掩盖,但它在蛋白质科学中的重要性正在慢慢恢复。过去十年的研究报告强调了这种二级结构在生物过程中的关键作用。此外,310-螺旋被认为是蛋白质折叠的关键中间体,也是天然七叶皂苷抗菌活性的关键结构。因此,310-螺旋显然是生物仿生学领域需要考虑的相关支架。在此背景下,本综述涵盖了为稳定肽链中的 310 螺旋结构而开发的策略,从加入受限氨基酸到订书机方法。最后一部分讨论了如何利用 310 螺旋作为支架,开发生物活性化合物、对映选择反应催化剂、超分子受体和膜嵌入式信号转换器。本研究旨在强调 310 螺旋在化学生物学和蛋白质科学中的相关性(有时被低估),为开发具有广泛潜在应用的功能生物仿生学提供工具。
{"title":"Revisiting 310-helices: biological relevance, mimetics and applications","authors":"Diego Núñez-Villanueva","doi":"10.37349/eds.2024.00034","DOIUrl":"https://doi.org/10.37349/eds.2024.00034","url":null,"abstract":"310-Helices represent the third most abundant secondary structure proteins. Although understandably overshadowed by α-helices for decades, the 310-helix structure is slowly regaining certain relevance in protein science. The key role of this secondary structure in biological processes has been highlighted in reports over the last decade. In addition, 310-helices are considered key intermediates in protein folding as well as a crucial structure for the antimicrobial activity of naturally occurring peptaibols. Thus, it is clear that 310-helices are relevant scaffolds to take into consideration in the field of biomimetics. In this context, this review covers the strategies developed to stabilize the 310-helix structure in peptide chains, from the incorporation of constrained amino acids to stapling methodologies. In the last section, the use of 310-helices as scaffolds of interest in the development of bioactive compounds, catalysts for enantioselective reactions, supramolecular receptors, and membrane-embedded signal transducers are discussed. The present work aims to highlight the relevance, sometimes underestimated, of 310-helices in chemical biology and protein science, providing the tools to develop functional biomimetics with a wide range of potential applications.","PeriodicalId":72998,"journal":{"name":"Exploration of drug science","volume":"52 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139687117","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
Effect of the size of nucleic acid delivery systems on their fate in cancer treatment 核酸递送系统的大小对其在癌症治疗中的命运的影响
Pub Date : 2024-02-01 DOI: 10.37349/eds.2024.00035
Mengyun Ye, Junni Gong, Wang Chen, Xiaoxuan Liu, Da-Ni Zhu
Nucleic acid therapeutics are emerging as a promising class of medicines, offering unique therapeutic options for cancer at the gene level. However, the druggability of nucleic acid therapeutics is fundamentally restricted by their low stability, poor membrane permeability, and low bioavailability, necessitating the use of delivery vectors. Various delivery vectors have been developed for nucleic acid therapeutics. The fate of established nucleic acid delivery systems (NADS) in vivo substantially affects the delivery efficiency and therapeutic efficacy. The physicochemical properties of NADS (such as size, charge, shape, etc) are crucial for the interaction of NADS with various biological barriers in the body, thereby determining the fate of NADS in the body. Nanoparticle (NP) size is an important parameter defining the blood circulation, distribution, tumor accumulation, and cellular uptake of NADS. This mini-review briefly introduces the various biological barriers of NADS in cancer treatment and focuses on the influence of the particle size of delivery vectors on the in vivo fate of NADS and their therapeutic efficacy, which provides new insights into the rational design of NADS.
核酸疗法正在成为一类前景广阔的药物,在基因水平上为癌症提供了独特的治疗方案。然而,由于核酸稳定性低、膜渗透性差、生物利用度低,从根本上限制了核酸疗法的可药性,因此必须使用递送载体。目前已开发出各种用于核酸疗法的递送载体。已建立的核酸递送系统(NADS)在体内的转归会对递送效率和疗效产生重大影响。核酸递送系统的理化性质(如大小、电荷、形状等)对于核酸递送系统与体内各种生物屏障的相互作用至关重要,从而决定了核酸递送系统在体内的命运。纳米粒子(NP)的大小是决定 NADS 血液循环、分布、肿瘤蓄积和细胞吸收的重要参数。这篇微型综述简要介绍了 NADS 在癌症治疗中的各种生物屏障,并重点探讨了递送载体的粒度对 NADS 体内转归及其疗效的影响,从而为合理设计 NADS 提供新的见解。
{"title":"Effect of the size of nucleic acid delivery systems on their fate in cancer treatment","authors":"Mengyun Ye, Junni Gong, Wang Chen, Xiaoxuan Liu, Da-Ni Zhu","doi":"10.37349/eds.2024.00035","DOIUrl":"https://doi.org/10.37349/eds.2024.00035","url":null,"abstract":"Nucleic acid therapeutics are emerging as a promising class of medicines, offering unique therapeutic options for cancer at the gene level. However, the druggability of nucleic acid therapeutics is fundamentally restricted by their low stability, poor membrane permeability, and low bioavailability, necessitating the use of delivery vectors. Various delivery vectors have been developed for nucleic acid therapeutics. The fate of established nucleic acid delivery systems (NADS) in vivo substantially affects the delivery efficiency and therapeutic efficacy. The physicochemical properties of NADS (such as size, charge, shape, etc) are crucial for the interaction of NADS with various biological barriers in the body, thereby determining the fate of NADS in the body. Nanoparticle (NP) size is an important parameter defining the blood circulation, distribution, tumor accumulation, and cellular uptake of NADS. This mini-review briefly introduces the various biological barriers of NADS in cancer treatment and focuses on the influence of the particle size of delivery vectors on the in vivo fate of NADS and their therapeutic efficacy, which provides new insights into the rational design of NADS.","PeriodicalId":72998,"journal":{"name":"Exploration of drug science","volume":"173 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139877687","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
Histological diagnosis of primary biliary cholangitis in one patient without cholestasis alterations: a case report that escaped guidelines 无胆汁淤积改变的原发性胆汁性胆管炎组织学诊断:一份未纳入指南的病例报告
Pub Date : 2024-01-22 DOI: 10.37349/eds.2024.00033
Matteo Biagi, Elisa Bernasconi, C. Cursaro, Enrico Ronconi, Filippo Zanni, Pamela Sighinolfi, Pietro Andreone
Primary biliary cholangitis (PBC) is an autoimmune cholangiopathy that affects mainly women and, if untreated, can evolve into biliary cirrhosis. Its prevalence varies worldwide, depending on race, and accounts for 22.27 cases/100,000 habitants in Europe. To establish the diagnosis of PBC according to the European Association for the Study of the Liver (EASL) guidelines, two criteria must be satisfied among alkaline phosphatase (ALP) alterations, autoantibody positivity, and histologic abnormalities. Early treatment is effective in prolonging survival. Current guidelines do not suggest hepatic biopsy in patients with autoantibody positivity without cholestasis alterations. However, many patients with these characteristics have been diagnosed with PBC disease only histologically, mainly patients with normal ALP and elevated gamma-glutamyl transferase (GGT), whose normalization has been used as a marker for the follow-up. In contrast, this is the case of a patient with autoantibody positivity and both ALP and GGT within the range, diagnosed for PBC by histology. The manuscript wants to propose the re-evaluation of the role of liver biopsy in PBC diagnosis and the need for a serological or histological biomarker in the follow-up of patients without cholestatic alterations.
原发性胆汁性胆管炎(PBC)是一种自身免疫性胆管病变,主要影响女性,如不及时治疗,可演变为胆汁性肝硬化。世界各地的发病率因种族而异,欧洲的发病率为 22.27 例/100,000 人。根据欧洲肝脏研究协会(EASL)的指南,要确诊 PBC,必须满足两个标准,即碱性磷酸酶(ALP)改变、自身抗体阳性和组织学异常。早期治疗可有效延长生存期。目前的指南不建议对自身抗体阳性但无胆汁淤积改变的患者进行肝活检。然而,许多具有这些特征的患者仅从组织学角度被诊断为 PBC 疾病,主要是 ALP 正常和γ-谷氨酰转移酶(GGT)升高的患者,其正常化被用作随访的标志。相比之下,本例患者自身抗体阳性,ALP 和 GGT 均在正常范围内,但经组织学检查确诊为 PBC。该手稿希望建议重新评估肝活检在 PBC 诊断中的作用,以及在随访无胆汁淤积性改变的患者时使用血清学或组织学生物标志物的必要性。
{"title":"Histological diagnosis of primary biliary cholangitis in one patient without cholestasis alterations: a case report that escaped guidelines","authors":"Matteo Biagi, Elisa Bernasconi, C. Cursaro, Enrico Ronconi, Filippo Zanni, Pamela Sighinolfi, Pietro Andreone","doi":"10.37349/eds.2024.00033","DOIUrl":"https://doi.org/10.37349/eds.2024.00033","url":null,"abstract":"Primary biliary cholangitis (PBC) is an autoimmune cholangiopathy that affects mainly women and, if untreated, can evolve into biliary cirrhosis. Its prevalence varies worldwide, depending on race, and accounts for 22.27 cases/100,000 habitants in Europe. To establish the diagnosis of PBC according to the European Association for the Study of the Liver (EASL) guidelines, two criteria must be satisfied among alkaline phosphatase (ALP) alterations, autoantibody positivity, and histologic abnormalities. Early treatment is effective in prolonging survival. Current guidelines do not suggest hepatic biopsy in patients with autoantibody positivity without cholestasis alterations. However, many patients with these characteristics have been diagnosed with PBC disease only histologically, mainly patients with normal ALP and elevated gamma-glutamyl transferase (GGT), whose normalization has been used as a marker for the follow-up. In contrast, this is the case of a patient with autoantibody positivity and both ALP and GGT within the range, diagnosed for PBC by histology. The manuscript wants to propose the re-evaluation of the role of liver biopsy in PBC diagnosis and the need for a serological or histological biomarker in the follow-up of patients without cholestatic alterations.","PeriodicalId":72998,"journal":{"name":"Exploration of drug science","volume":"70 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139606878","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
Mechanism of the blood-brain barrier modulation by cadherin peptides. 粘连蛋白肽调节血脑屏障的机制。
Pub Date : 2024-01-01 Epub Date: 2024-06-26 DOI: 10.37349/eds.2024.00049
Elinaz Farokhi, Ahmed L Alaofi, Vivitri D Prasasty, Filia Stephanie, Marlyn D Laksitorini, Krzysztof Kuczera, Teruna J Siahaan

Aim: This study was aimed at finding the binding site on the human E-cadherin for Ala-Asp-Thr Cyclic 5 (ADTC5), ADTC7, and ADTC9 peptides as blood-brain barrier modulator (BBBM) for determining their mechanism of action in modulating the blood-brain barrier (BBB).

Methods: ADTC7 and ADTC9 were derivatives of ADTC5 where the Val6 residue in ADTC5 was replaced by Glu6 and Tyr6 residues, respectively. The binding properties of ADTC5, ADTC7, and ADTC9 to the extracellular-1 (EC1) domain of E-cadherin were evaluated using chemical shift perturbation (CSP) method in the two dimensional (2D) 1H-15N-heteronuclear single quantum coherence (HSQC) nuclear magnetic resonance (NMR) spectroscopy. Molecular docking experiments were used to determine the binding sites of these peptides to the EC1 domain of E-cadherin.

Results: This study indicates that ADTC5 has the highest binding affinity to the EC1 domain of E-cadherin compared to ADTC7 and ADTC9, suggesting the importance of the Val6 residue as shown in our previous in vitro study. All three peptides have a similar binding site at the hydrophobic binding pocket where the domain swapping occurs. ADTC5 has a higher overlapping binding site with ADTC7 than that of ADTC9. Binding of ADTC5 on the EC1 domain influences the conformation of the EC1 C-terminal tail.

Conclusions: These peptides bind the domain swapping region of the EC1 domain to inhibit the trans-cadherin interaction that creates intercellular junction modulation to increase the BBB paracellular porosity.

目的:本研究旨在寻找作为血脑屏障调节剂(BBBM)的Ala-Asp-Thr Cyclic 5(ADTC5)、ADTC7和ADTC9多肽在人E-cadherin上的结合位点,以确定其调节血脑屏障(BBB)的作用机制:ADTC7和ADTC9是ADTC5的衍生物,ADTC5中的Val6残基分别被Glu6和Tyr6残基取代。在二维(2D)1H-15N-异核单量子相干(HSQC)核磁共振(NMR)光谱中使用化学位移扰动(CSP)方法评估了ADTC5、ADTC7和ADTC9与E-cadherin的胞外-1(EC1)结构域的结合特性。分子对接实验用于确定这些肽与 E-cadherin EC1 结构域的结合位点:这项研究表明,与 ADTC7 和 ADTC9 相比,ADTC5 与 E-cadherin EC1 结构域的结合亲和力最高,这表明 Val6 残基的重要性正如我们之前的体外研究所示。这三种肽在发生结构域交换的疏水结合袋上都有相似的结合位点。与 ADTC9 相比,ADTC5 与 ADTC7 的结合位点重叠度更高。ADTC5 与 EC1 结构域的结合会影响 EC1 C 端尾部的构象:这些肽结合了 EC1 结构域的结构域交换区,从而抑制了跨粘连蛋白的相互作用,这种相互作用产生了细胞间连接调节,从而增加了 BBB 的细胞旁孔隙率。
{"title":"Mechanism of the blood-brain barrier modulation by cadherin peptides.","authors":"Elinaz Farokhi, Ahmed L Alaofi, Vivitri D Prasasty, Filia Stephanie, Marlyn D Laksitorini, Krzysztof Kuczera, Teruna J Siahaan","doi":"10.37349/eds.2024.00049","DOIUrl":"10.37349/eds.2024.00049","url":null,"abstract":"<p><strong>Aim: </strong>This study was aimed at finding the binding site on the human E-cadherin for Ala-Asp-Thr Cyclic 5 (ADTC5), ADTC7, and ADTC9 peptides as blood-brain barrier modulator (BBBM) for determining their mechanism of action in modulating the blood-brain barrier (BBB).</p><p><strong>Methods: </strong>ADTC7 and ADTC9 were derivatives of ADTC5 where the Val6 residue in ADTC5 was replaced by Glu6 and Tyr6 residues, respectively. The binding properties of ADTC5, ADTC7, and ADTC9 to the extracellular-1 (EC1) domain of E-cadherin were evaluated using chemical shift perturbation (CSP) method in the two dimensional (2D) <sup>1</sup>H-<sup>15</sup>N-heteronuclear single quantum coherence (HSQC) nuclear magnetic resonance (NMR) spectroscopy. Molecular docking experiments were used to determine the binding sites of these peptides to the EC1 domain of E-cadherin.</p><p><strong>Results: </strong>This study indicates that ADTC5 has the highest binding affinity to the EC1 domain of E-cadherin compared to ADTC7 and ADTC9, suggesting the importance of the Val6 residue as shown in our previous in vitro study. All three peptides have a similar binding site at the hydrophobic binding pocket where the domain swapping occurs. ADTC5 has a higher overlapping binding site with ADTC7 than that of ADTC9. Binding of ADTC5 on the EC1 domain influences the conformation of the EC1 C-terminal tail.</p><p><strong>Conclusions: </strong>These peptides bind the domain swapping region of the EC1 domain to inhibit the <i>trans</i>-cadherin interaction that creates intercellular junction modulation to increase the BBB paracellular porosity.</p>","PeriodicalId":72998,"journal":{"name":"Exploration of drug science","volume":"2 3","pages":"322-338"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11309765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Harnessing the power of seaweed: unveiling the potential of marine algae in drug discovery 利用海藻的力量:发掘海洋藻类在药物发现中的潜力
Pub Date : 2023-12-28 DOI: 10.37349/eds.2023.00032
Leonel Pereira, A. Valado
Seaweeds, also known as marine algae, have gained attention as a promising source of bioactive compounds with potential applications in drug discovery. This review explores the emerging field of seaweed-based drug discovery and highlights the diverse range of bioactive compounds found in seaweeds, including polysaccharides, phlorotannins, pigments, and peptides. These compounds exhibit various pharmacological activities such as antioxidant, anti-inflammatory, antimicrobial, antiviral, and anticancer effects. Seaweeds have demonstrated particular promise in the areas of cancer research, with certain species showing potent antitumor properties. Additionally, their anti-inflammatory, antimicrobial, and neuroprotective potential has captured scientific interest in the treatment of chronic diseases and neurodegenerative disorders. However, challenges related to compound identification, extraction methods, scalability of seaweed cultivation, and understanding the mechanisms of action still need to be addressed. As researchers employ advanced technologies and dive deeper into the chemical composition of seaweeds, the untapped potential of these marine organisms in drug discovery awaits further exploration and holds significant promise for future therapeutic advancements.
海藻(又称海洋藻类)作为生物活性化合物的重要来源,在药物发现中具有潜在的应用前景,因而备受关注。这篇综述探讨了基于海藻的药物发现这一新兴领域,并重点介绍了在海藻中发现的各种生物活性化合物,包括多糖、叶绿素、色素和肽。这些化合物具有多种药理活性,如抗氧化、抗炎、抗菌、抗病毒和抗癌作用。海藻在癌症研究领域显示出特别的前景,其中某些种类显示出强大的抗肿瘤特性。此外,海藻的抗炎、抗菌和神经保护潜力也引起了科学界对治疗慢性疾病和神经退行性疾病的兴趣。然而,与化合物鉴定、提取方法、海藻栽培的可扩展性以及对作用机制的理解有关的挑战仍有待解决。随着研究人员采用先进技术并深入研究海藻的化学成分,这些海洋生物在药物发现方面尚未开发的潜力有待进一步发掘,并为未来的治疗进步带来巨大希望。
{"title":"Harnessing the power of seaweed: unveiling the potential of marine algae in drug discovery","authors":"Leonel Pereira, A. Valado","doi":"10.37349/eds.2023.00032","DOIUrl":"https://doi.org/10.37349/eds.2023.00032","url":null,"abstract":"Seaweeds, also known as marine algae, have gained attention as a promising source of bioactive compounds with potential applications in drug discovery. This review explores the emerging field of seaweed-based drug discovery and highlights the diverse range of bioactive compounds found in seaweeds, including polysaccharides, phlorotannins, pigments, and peptides. These compounds exhibit various pharmacological activities such as antioxidant, anti-inflammatory, antimicrobial, antiviral, and anticancer effects. Seaweeds have demonstrated particular promise in the areas of cancer research, with certain species showing potent antitumor properties. Additionally, their anti-inflammatory, antimicrobial, and neuroprotective potential has captured scientific interest in the treatment of chronic diseases and neurodegenerative disorders. However, challenges related to compound identification, extraction methods, scalability of seaweed cultivation, and understanding the mechanisms of action still need to be addressed. As researchers employ advanced technologies and dive deeper into the chemical composition of seaweeds, the untapped potential of these marine organisms in drug discovery awaits further exploration and holds significant promise for future therapeutic advancements.","PeriodicalId":72998,"journal":{"name":"Exploration of drug science","volume":"26 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139150549","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
Hybrid azole-based conjugates as upcoming anticancer and antimicrobial agents 即将用作抗癌和抗菌剂的混合唑基共轭物
Pub Date : 2023-11-23 DOI: 10.37349/eds.2023.00028
Luís M. T. Frija, Bruno Guerreiro, Inês C. C. Costa, V. Isca, L. Saraíva, B. G. Neves, Mariana Magalhães, Célia Cabral, M. L. Cristiano, P. Rijo
Aim: This study discloses the synthesis and the antimicrobial and anticancer activities of four molecules of structural basis saccharin-thiadiazolyl (4), saccharin-pyridyl (6, 8), and tetrazole-thiadiazolyl (11). Methods: Antimicrobial properties of the molecules were evaluated by the well-diffusion method, against Gram-positive bacteria [Staphylococcus aureus American Type Culture Collection (ATCC) 25923, Staphylococcus epidermidis ATCC 12228, Mycobacterium smegmatis ATCC 607], Gram-negative bacteria (Pseudomonas aeruginosa ATCC 27853) and yeast (Saccharomyces cerevisiae ATCC 2601 and Candida albicans ATCC 10231) strains. The anticancer activity of the compounds was assessed through i) proliferation assays for HCT116, MCF-7, and A375 human cell lines [cells were treated with serial dilutions of compounds and the effect on cell propagation was evaluated by sulforhodamine B (SRB) assay]; ii) antiproliferative and cytotoxic assays for glioma-type cell lines A172 (glioblastoma), U87 (brain-likely glioblastoma), and H4 (neuroglioma; cells were treated with diverse concentrations and the cell viability was assessed using a modified Alamar blue® assay). Results: Compound 11 exhibited significant inhibitory activity against S. aureus and S. epidermidis, with the further molecules demonstrating some inhibitory potential against all the tested Gram-positive, Gram-negative, and yeast strains. Similarly, derivative 11 showed an interesting antiproliferative activity against human colon adenocarcinoma (HCT116), human breast adenocarcinoma (MCF-7), and melanoma (A375) cells, with 50% growth inhibition (GI50) values varying from 3.55 µmol/L to 11.5 µmol/L, in the same order of magnitude of those shown by etoposide. Treatment of brain-like glioblastoma cells (U87) with 11, at the concentration of 100 µg/mL, induced a decrease in cell viability by 50% after 48 h and 72 h. Besides, results attained for A172 cells have shown that compound 11 only induces a significant decrease in cell viability upon treatment at 100 µg/mL for 72 h. A divergent observation was recorded for H4 cells, where the treatment with derivative 11 had promoted a significant decrease in cell viability (< 40–60%), even at concentrations as low as 0.39 µg/mL, after 24 h. Conclusions: This investigation reveals the potential of distinct azole-based conjugates, in particular the tetrazole-thiadiazolyl (11) derivative, as scaffolds worth further investigations, in the frame of antimicrobial and antineoplastic chemotherapy.
目的:本研究揭示了糖精-噻二唑基(4)、糖精-吡啶基(6、8)和四唑-噻二唑基(11)四种分子的合成及其抗菌和抗癌活性。方法:采用井扩散法评估了这些分子对革兰氏阳性细菌[金黄色葡萄球菌美国类型培养物保藏中心(ATCC)25923、表皮葡萄球菌 ATCC 12228、烟曲霉菌 ATCC 607]、革兰氏阴性菌(铜绿假单胞菌 ATCC 27853)和酵母菌(酿酒酵母 ATCC 2601 和白色念珠菌 ATCC 10231)菌株。化合物的抗癌活性通过以下方法进行评估: i) HCT116、MCF-7 和 A375 人体细胞系的增殖试验[用化合物的系列稀释液处理细胞,并通过磺基罗丹明 B(SRB)试验评估其对细胞增殖的影响];ii) 对胶质瘤型细胞株 A172(胶质母细胞瘤)、U87(脑似胶质母细胞瘤)和 H4(神经胶质瘤;用不同浓度的化合物处理细胞,并用改良的 Alamar blue® 分析法评估细胞活力)进行抗增殖和细胞毒性试验。结果化合物 11 对金黄色葡萄球菌和表皮葡萄球菌有明显的抑制活性,其他分子对所有测试的革兰氏阳性、革兰氏阴性和酵母菌株都有一定的抑制潜力。同样,衍生物 11 对人类结肠腺癌(HCT116)、人类乳腺腺癌(MCF-7)和黑色素瘤(A375)细胞显示出有趣的抗增殖活性,50% 生长抑制(GI50)值从 3.55 µmol/L 到 11.5 µmol/L 不等,与依托泊苷的数量级相同。用浓度为 100 µg/mL 的 11 处理类脑胶质母细胞瘤细胞(U87),48 小时和 72 小时后,细胞活力下降 50%。对 H4 细胞的观察结果与此不同,即使浓度低至 0.39 微克/毫升,用 11 号衍生物处理 24 小时后,细胞活力也会显著下降(< 40-60%):这项研究揭示了不同唑基共轭物的潜力,尤其是四唑-噻二唑(11)衍生物,值得在抗菌和抗肿瘤化疗框架内进一步研究。
{"title":"Hybrid azole-based conjugates as upcoming anticancer and antimicrobial agents","authors":"Luís M. T. Frija, Bruno Guerreiro, Inês C. C. Costa, V. Isca, L. Saraíva, B. G. Neves, Mariana Magalhães, Célia Cabral, M. L. Cristiano, P. Rijo","doi":"10.37349/eds.2023.00028","DOIUrl":"https://doi.org/10.37349/eds.2023.00028","url":null,"abstract":"Aim: This study discloses the synthesis and the antimicrobial and anticancer activities of four molecules of structural basis saccharin-thiadiazolyl (4), saccharin-pyridyl (6, 8), and tetrazole-thiadiazolyl (11). Methods: Antimicrobial properties of the molecules were evaluated by the well-diffusion method, against Gram-positive bacteria [Staphylococcus aureus American Type Culture Collection (ATCC) 25923, Staphylococcus epidermidis ATCC 12228, Mycobacterium smegmatis ATCC 607], Gram-negative bacteria (Pseudomonas aeruginosa ATCC 27853) and yeast (Saccharomyces cerevisiae ATCC 2601 and Candida albicans ATCC 10231) strains. The anticancer activity of the compounds was assessed through i) proliferation assays for HCT116, MCF-7, and A375 human cell lines [cells were treated with serial dilutions of compounds and the effect on cell propagation was evaluated by sulforhodamine B (SRB) assay]; ii) antiproliferative and cytotoxic assays for glioma-type cell lines A172 (glioblastoma), U87 (brain-likely glioblastoma), and H4 (neuroglioma; cells were treated with diverse concentrations and the cell viability was assessed using a modified Alamar blue® assay). Results: Compound 11 exhibited significant inhibitory activity against S. aureus and S. epidermidis, with the further molecules demonstrating some inhibitory potential against all the tested Gram-positive, Gram-negative, and yeast strains. Similarly, derivative 11 showed an interesting antiproliferative activity against human colon adenocarcinoma (HCT116), human breast adenocarcinoma (MCF-7), and melanoma (A375) cells, with 50% growth inhibition (GI50) values varying from 3.55 µmol/L to 11.5 µmol/L, in the same order of magnitude of those shown by etoposide. Treatment of brain-like glioblastoma cells (U87) with 11, at the concentration of 100 µg/mL, induced a decrease in cell viability by 50% after 48 h and 72 h. Besides, results attained for A172 cells have shown that compound 11 only induces a significant decrease in cell viability upon treatment at 100 µg/mL for 72 h. A divergent observation was recorded for H4 cells, where the treatment with derivative 11 had promoted a significant decrease in cell viability (< 40–60%), even at concentrations as low as 0.39 µg/mL, after 24 h. Conclusions: This investigation reveals the potential of distinct azole-based conjugates, in particular the tetrazole-thiadiazolyl (11) derivative, as scaffolds worth further investigations, in the frame of antimicrobial and antineoplastic chemotherapy.","PeriodicalId":72998,"journal":{"name":"Exploration of drug science","volume":"41 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139246172","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
Could flavonoid aglycones prevent the absorption of flavonoid glycosides by inhibiting sodium-dependent glucose transporter-1 in the small intestine? 黄酮类苷元能否通过抑制小肠钠依赖性葡萄糖转运体-1来阻止黄酮类苷的吸收?
Pub Date : 2023-08-30 DOI: 10.37349/eds.2023.00019
K. Sak
Flavonoids present a large group of natural polyphenols with numerous important health benefits for preventing and treating a diverse variety of pathological conditions. However, the actual therapeutic use of these phytochemicals is impeded by their low oral bioavailability. In this commentary article, an interesting paradox is presented: while the ingested flavonoid glycosides can be absorbed by means of sodium-dependent glucose transporters (SGLTs; SGLT1) located in the brush border membrane facing the lumen of the small intestine, certain flavonoid aglycones are able to inhibit these shuttle proteins. It is expected that avoiding the co-intake of such SGLT1 inhibitors concomitantly with flavonoid-rich foods might provide a new option for enhancing the oral bioavailability of flavonoids, thereby preventing the transport of unabsorbed compounds to the large intestine and conversion into catabolites by the colonic microbiota. Altogether, the administration of flavonoids in appropriate combinations is highlighted for getting the maximal health benefits from consuming these bioactive compounds.
黄酮类化合物是一大类天然多酚类物质,对预防和治疗多种病理状况有许多重要的健康益处。然而,这些植物化学物质的实际治疗用途受到其低口服生物利用度的阻碍。在这篇评论文章中,提出了一个有趣的悖论:虽然摄入的类黄酮苷可以通过钠依赖性葡萄糖转运体(SGLTs;SGLT1)位于面向小肠管腔的刷状边界膜上,某些类黄酮苷元能够抑制这些穿梭蛋白。因此,避免与富含类黄酮的食物同时摄入此类SGLT1抑制剂可能为提高类黄酮的口服生物利用度提供新的选择,从而防止未吸收的化合物转运到大肠并被结肠微生物群转化为分解代谢物。总之,黄酮类化合物的适当组合的管理强调从消耗这些生物活性化合物中获得最大的健康益处。
{"title":"Could flavonoid aglycones prevent the absorption of flavonoid glycosides by inhibiting sodium-dependent glucose transporter-1 in the small intestine?","authors":"K. Sak","doi":"10.37349/eds.2023.00019","DOIUrl":"https://doi.org/10.37349/eds.2023.00019","url":null,"abstract":"Flavonoids present a large group of natural polyphenols with numerous important health benefits for preventing and treating a diverse variety of pathological conditions. However, the actual therapeutic use of these phytochemicals is impeded by their low oral bioavailability. In this commentary article, an interesting paradox is presented: while the ingested flavonoid glycosides can be absorbed by means of sodium-dependent glucose transporters (SGLTs; SGLT1) located in the brush border membrane facing the lumen of the small intestine, certain flavonoid aglycones are able to inhibit these shuttle proteins. It is expected that avoiding the co-intake of such SGLT1 inhibitors concomitantly with flavonoid-rich foods might provide a new option for enhancing the oral bioavailability of flavonoids, thereby preventing the transport of unabsorbed compounds to the large intestine and conversion into catabolites by the colonic microbiota. Altogether, the administration of flavonoids in appropriate combinations is highlighted for getting the maximal health benefits from consuming these bioactive compounds.","PeriodicalId":72998,"journal":{"name":"Exploration of drug science","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91020712","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
Single or multiple treatments with lusutrombopag in subjects with thrombocytopenia and chronic liver disease needing an invasive procedure 对于需要侵入性手术的血小板减少和慢性肝病患者,lusutrombopag单次或多次治疗
Pub Date : 2023-08-30 DOI: 10.37349/eds.2023.00020
Davide Scalabrini, Paolo Sciuto, C. Felicani, A. Rudilosso, P. Andreone
Thrombocytopenia is one of the most frequent implications of liver cirrhosis. This condition, when present in the severe form [platelet count (PLT) less than 50 × 109/L] correlates, with an increased risk of bleeding during the main diagnostic-therapeutic procedures which cirrhotic patients usually undergone. In these cases, generally, an infusion of platelets is performed, albeit in recent years has been replaced by a cycle of second generation thrombopoietin receptor (TpoR) agonists. This article reports two different cases concerning respectively an 83-year-old female patient suffering from arterial hypertension, aneurysm of the sub-renal aorta, hepatitis C virus (HCV)-positive liver cirrhosis responsive to treatment with antiviral drugs, and a 2.0 cm diameter hepatocellular carcinoma (HCC) nodule localized in the hepatic segment III and a 53-year-old female patient with HCV-positive liver cirrhosis complicated by portal hypertension with splenomegaly, thrombocytopenia, and F3 esophageal varices at high risk of bleeding. Both of them, eligible for invasive procedures such as HCC transarterial chemoembolization (TACE) and for esophageal variceal band ligation, were prescribed prophylaxis with TpoR agonists due to their severe and persistent thrombocytopenia. These two cases show how a short course of lusutrombopag allows to safely perform one or more invasive procedures and how the administration of the drug can be repeated without losing efficacy. Furthermore, this drug shows an excellent safety profile and avoids the risks of platelet transfusion. In conclusion, second generation TpoR agonists can be considered the prophylactic treatment of choice to reduce the risk of bleeding in patients with liver cirrhosis and severe thrombocytopenia.
血小板减少症是肝硬化最常见的症状之一。当以严重形式(血小板计数(PLT)低于50 × 109/L)出现时,这种情况与肝硬化患者通常经历的主要诊断-治疗过程中出血风险增加相关。在这些情况下,通常会进行血小板输注,尽管近年来已被第二代血小板生成素受体(tor)激动剂替代。本文报告了两例不同的病例,分别为一名83岁女性患者,患有动脉高压,肾下主动脉动脉瘤,丙型肝炎病毒(HCV)阳性肝硬化,抗病毒药物治疗有反应,肝段III区直径2.0 cm的肝癌(HCC)结节,以及一名53岁女性HCV阳性肝硬化合并门脉高压,脾肿大,血小板减少,F3型食管静脉曲张出血风险高。这两例患者均符合肝细胞癌经动脉化疗栓塞(TACE)和食管静脉曲张束结扎等侵入性手术的条件,由于其严重且持续的血小板减少症,均给予t泊受体激动剂预防性治疗。这两个病例表明,短疗程的lusutrombopag如何允许安全地进行一次或多次侵入性手术,以及如何重复给药而不会失去疗效。此外,该药物具有良好的安全性,避免了血小板输注的风险。综上所述,第二代TpoR激动剂可被认为是降低肝硬化和严重血小板减少症患者出血风险的预防性治疗选择。
{"title":"Single or multiple treatments with lusutrombopag in subjects with thrombocytopenia and chronic liver disease needing an invasive procedure","authors":"Davide Scalabrini, Paolo Sciuto, C. Felicani, A. Rudilosso, P. Andreone","doi":"10.37349/eds.2023.00020","DOIUrl":"https://doi.org/10.37349/eds.2023.00020","url":null,"abstract":"Thrombocytopenia is one of the most frequent implications of liver cirrhosis. This condition, when present in the severe form [platelet count (PLT) less than 50 × 109/L] correlates, with an increased risk of bleeding during the main diagnostic-therapeutic procedures which cirrhotic patients usually undergone. In these cases, generally, an infusion of platelets is performed, albeit in recent years has been replaced by a cycle of second generation thrombopoietin receptor (TpoR) agonists. This article reports two different cases concerning respectively an 83-year-old female patient suffering from arterial hypertension, aneurysm of the sub-renal aorta, hepatitis C virus (HCV)-positive liver cirrhosis responsive to treatment with antiviral drugs, and a 2.0 cm diameter hepatocellular carcinoma (HCC) nodule localized in the hepatic segment III and a 53-year-old female patient with HCV-positive liver cirrhosis complicated by portal hypertension with splenomegaly, thrombocytopenia, and F3 esophageal varices at high risk of bleeding. Both of them, eligible for invasive procedures such as HCC transarterial chemoembolization (TACE) and for esophageal variceal band ligation, were prescribed prophylaxis with TpoR agonists due to their severe and persistent thrombocytopenia. These two cases show how a short course of lusutrombopag allows to safely perform one or more invasive procedures and how the administration of the drug can be repeated without losing efficacy. Furthermore, this drug shows an excellent safety profile and avoids the risks of platelet transfusion. In conclusion, second generation TpoR agonists can be considered the prophylactic treatment of choice to reduce the risk of bleeding in patients with liver cirrhosis and severe thrombocytopenia.","PeriodicalId":72998,"journal":{"name":"Exploration of drug science","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86463391","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
Exploration of drug science
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