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Role of antioxidants as immunity booster in obesity and diabetes: a systematic review on neuro-gliopathies perspective 抗氧化剂在肥胖症和糖尿病中作为免疫促进剂的作用:从神经胶质病变角度的系统综述
Pub Date : 2024-04-07 DOI: 10.37349/en.2024.00039
L. Sharma, Dhananjay Sharma
Background: The main objective of the study was to carry out a systematic literature review to investigate the beneficial role of antioxidants in obesity and diabetes and the association of antioxidants in neuro-gliopathies and gut microbiome on antioxidant production and enteric nervous system (ENS) protection.Methods: A literature search was done electronically on 8 June 2022 in the databases Google Scholar, and PubMed, reviewing all the articles published in English. There were no limitations for the study (region, or any time frame). The study included randomized controlled trials (RCTs) and observational studies on a human subject, primarily focusing on information such as a change in body weight, body mass index (BMI), waist-to-height ratio (WHtR), waist-to-hip ratio (WHR), fasting blood glucose level, glycated haemoglobin (HbA1c), and other parameters that connected with diabetes and obesity. The search was also conducted for neuro-gliopathies and gut microbiome.Results: The beginning database search picked out a total of 2,428 articles, 1,310 in PubMed, 876 in Google Scholar, and 242 records from other sources. A total of 2,040 (total duplicates 388) was found after removing the duplicated articles, and after reading the title and abstracts were further decreased to 139 full-text articles. These 139 studies went for full-text analysis, which resulted in the exclusion of 123 studies and generated a final 16 articles included for systemic analysis.Discussion: This literature search of present studies shows the interconnection between antioxidant intake among obese and diabetes neuro-gliopathies. The findings indicate both obese and diabetic patients have a minimum content of antioxidants, especially carotenoids, retinol, ascorbic acid, tocopherol, magnesium, and zinc. While few research illustrated that ingestion of the abovementioned antioxidants was lowered among diabetes and obese subjects in contrast with their normal-weight population, this was not endorsed by every study.
研究背景本研究的主要目的是进行系统性文献综述,研究抗氧化剂在肥胖症和糖尿病中的有益作用,以及抗氧化剂在神经胶质病变和肠道微生物组对抗氧化剂产生和肠道神经系统(ENS)保护的关联:于 2022 年 6 月 8 日在 Google Scholar 和 PubMed 数据库中进行了电子文献检索,查阅了所有以英文发表的文章。研究不受限制(地区或任何时间范围)。研究包括以人为对象的随机对照试验(RCT)和观察性研究,主要关注体重变化、体重指数(BMI)、腰围身高比(WHTR)、腰围臀围比(WHR)、空腹血糖水平、糖化血红蛋白(HbA1c)等与糖尿病和肥胖有关的参数。此外,还对神经胶质病变和肠道微生物组进行了搜索:开始的数据库搜索共筛选出 2428 篇文章,其中 1310 篇来自 PubMed,876 篇来自 Google Scholar,242 篇来自其他来源。去除重复文章后,共找到 2,040 篇文章(重复文章总数为 388 篇),阅读标题和摘要后,全文文章进一步减少到 139 篇。对这 139 篇研究进行了全文分析,结果排除了 123 篇研究,最后纳入 16 篇文章进行系统分析:对现有研究的文献检索表明,肥胖和糖尿病神经胶质病变之间存在抗氧化剂摄入量的相互联系。研究结果表明,肥胖和糖尿病患者的抗氧化剂含量都很低,尤其是类胡萝卜素、视黄醇、抗坏血酸、生育酚、镁和锌。虽然有少数研究表明,与正常体重人群相比,糖尿病和肥胖受试者的上述抗氧化剂摄入量较低,但这并不是每项研究都认可的。
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引用次数: 0
Cuban policosanol: a natural compound for ischemic stroke treatment 古巴警察皂醇:治疗缺血性中风的天然化合物
Pub Date : 2024-02-26 DOI: 10.37349/en.2024.00037
Vivian Molina Cuevas, Ambar Oyarzábal Yera
Stroke is among the leading causes of mortality and disability; therefore, it constitutes a relevant health problem. Cuban policosanol presents lipid-lowering, antiplatelet, antioxidant and vascular endothelium protective properties, all of which give it a comprehensive anti-atherosclerotic effect. This review is aimed to show, analyze and discuss the main preclinical and clinical evidence of the effects of Cuban policosanol on ischemic stroke. Preclinical studies evidenced the anti-ischemic effects of preventive and therapeutic oral treatment with Cuban policosanol in Mongolian gerbils with cerebral ischemia induced by unilateral and permanent ligation of a carotid artery, and in global cerebral ischemia induced by bilateral clamping and recirculation of both carotids; being similar or superior to other anti-ischemic agents. Also, combination therapy with aspirin produced greater anti-stroke efficacy compared with aspirin monotherapy, but being similar to policosanol plus atorvastatin combination. This anti-stroke effect was associated to a serum thromboxane A2 (TxA2) concentrations reduction and prostacyclin (PgI2) increase, leading to a favorable TxA2/PgI2 balance, and also to the malondialdehyde (MDA) and sulfhydryl groups (SHG, lipid peroxidation and protein oxidation markers, respectively) reduction. Cuban policosanol combined with aspirin (standard therapy) improved and benefited patients with prior ischemic stroke in terms of functional and neurological outcomes, in open-label studies and in randomized, double-blind, controlled studies. These beneficial effects on stroke patients were associated with antioxidant and antiplatelet effects of policosanol. Also, the combinations of Cuban policosanol plus aspirin and atorvastatin plus aspirin compared in a clinical study significantly and similarly improved the neurological recovery of patients with ischemic stroke. Cuban policosanol was safe and well tolerated, with no serious adverse events occurring during the trials. In conclusion, Cuban policosanol is a safe and effective natural drug for ischemic stroke treatment, which is supported by preclinical and clinical evidences.
中风是导致死亡和残疾的主要原因之一,因此是一个相关的健康问题。古巴苦艾醇具有降血脂、抗血小板、抗氧化和保护血管内皮的特性,这些特性使其具有全面的抗动脉粥样硬化作用。本综述旨在展示、分析和讨论古巴山梨醇对缺血性中风影响的主要临床前和临床证据。临床前研究证明,在单侧永久性结扎颈动脉诱发脑缺血的蒙古沙鼠身上,以及在双侧颈动脉夹闭和再循环诱发的全脑缺血中,口服古巴苦木三醇的预防和治疗性抗缺血作用与其他抗缺血药物相似或优于其他抗缺血药物。此外,与阿司匹林单药治疗相比,与阿司匹林联合治疗产生了更大的抗中风疗效,但与碱性山梨醇加阿托伐他汀联合治疗的疗效相似。这种抗中风效果与血清血栓素 A2(TxA2)浓度降低和前列环素(PgI2)浓度升高有关,从而导致有利的 TxA2/PgI2 平衡,还与丙二醛(MDA)和巯基(SHG,分别是脂质过氧化和蛋白质氧化标志物)降低有关。在开放标签研究和随机、双盲、对照研究中,古巴罂粟碱与阿司匹林(标准疗法)联合使用,可改善既往缺血性中风患者的功能和神经功能,并使其受益。这些对中风患者的益处与碱性山梨醇的抗氧化和抗血小板作用有关。此外,在一项临床研究中,古巴山梨醇加阿司匹林与阿托伐他汀加阿司匹林的组合相比,也能显著改善缺血性中风患者的神经功能恢复。古巴山梨醇安全且耐受性良好,试验期间未出现严重不良反应。总之,古巴罂粟酚是一种安全有效的治疗缺血性中风的天然药物,这一点得到了临床前和临床证据的支持。
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引用次数: 0
Antinociceptive effect and anti-inflammatory activity of 1,4-naphthoquinones in mice 1,4-萘醌类化合物对小鼠的抗痛觉作用和抗炎活性
Pub Date : 2024-02-22 DOI: 10.37349/en.2024.00035
Sergey Kozlovskiy, E. Pislyagin, E. Menchinskaya, E. Chingizova, Yuri Sabutski, Sergey Polonik, Irina Agafonova, Dmitry Aminin
Aim: The ability of synthetic 1,4-naphthoquinones (1,4-NQs) to prevent adenosine triphosphate (ATP)-induced and purinergic P2X7 receptor (P2X7R) mediated inflammation in macrophage and neurodegeneration of neuronal cells in vitro was previously established. The aim of the present study was to investigate analgesic-like and anti-inflammatory activity of 1,4-NQs thioglucoside derivatives, compounds U-286 and U-548, in in vivo experiments.Methods: Spectrofluorimetry approach and YO-PRO-1 fluorescent dye uptake determination were applied to study the effect of 1,4-NQs upon ATP-induced P2X7R mediated macropore formation in mouse neuroblastoma Neuro-2a cells and macrophages RAW 264.7 cells. An acetic acid-induced writhing test, hot plate test, and carrageenan-induced paw edema test were used as an in vivo mouse models to study the ability of 1,4-NQs to inhibit pain and inflammation. In the in vivo experiments, compounds were administered to mice intraperitoneally at dosages of 0.1 mg/kg, 1.0 mg/kg and 10.0 mg/kg. A group of animals that received injections of sterile water was used as a control. Each dosage group and the control group consisted of 6 mice.Results: In the present work the analgesic-like and anti-inflammatory activity of 1,4-NQs, U-286 and U-548, was demonstrated. Compound U-548 showed a significant inhibitory effect in antinociceptive tests reducing the number of mouse writhings and eliminating the latent time of mouse hind paw licking, correspondingly. Selected compounds were able to almost completely reduce the size of carrageenan-induced paw edema 24 h after injection and had a potent anti-inflammatory activity. Observed effects were accompanied with aptitude of studied 1,4-NQs to inhibit the formation of purinergic P2X7R macropore associated with inflammation and nociceptive pain.Conclusions: The results obtained allow to consider compounds U-286 and U-548 and as a pharmacological basis for the development of new analgesic-like and anti-inflammatory drugs.
目的:合成的 1,4-萘醌(1,4-NQs)能够在体外防止三磷酸腺苷(ATP)诱导和嘌呤能 P2X7 受体(P2X7R)介导的巨噬细胞炎症和神经元细胞的神经变性。本研究的目的是在体内实验中研究 1,4-NQs 硫代葡萄糖苷衍生物(化合物 U-286 和 U-548)的类镇痛和抗炎活性:方法:采用分光荧光测定法和 YO-PRO-1 荧光染料吸收测定法研究 1,4-NQs 对 ATP 诱导的 P2X7R 介导的小鼠神经母细胞瘤 Neuro-2a 细胞和巨噬细胞 RAW 264.7 大孔形成的影响。醋酸诱导的蠕动试验、热板试验和卡拉胶诱导的爪水肿试验被用作体内小鼠模型,以研究 1,4-NQs 抑制疼痛和炎症的能力。在体内实验中,小鼠腹腔注射的化合物剂量分别为 0.1 毫克/千克、1.0 毫克/千克和 10.0 毫克/千克。一组动物注射无菌水作为对照。每个剂量组和对照组均由 6 只小鼠组成:本研究证明了 1,4-NQs、U-286 和 U-548 的镇痛和抗炎活性。化合物 U-548 在抗痛觉试验中表现出了明显的抑制作用,相应地减少了小鼠扭动的次数,并消除了小鼠后爪舔舐的潜伏时间。选定的化合物能够在注射 24 小时后几乎完全缩小角叉菜胶诱导的爪水肿的大小,并具有强大的抗炎活性。所观察到的效果与所研究的 1,4-NQs 抑制与炎症和痛觉相关的嘌呤能 P2X7R 大孔的形成的能力有关:结论:根据研究结果,可以考虑将化合物 U-286 和 U-548 作为开发新型镇痛和抗炎药物的药理学基础。
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引用次数: 0
A mechanism for tuning proprioception proposed by research in Drosophila and mammals 果蝇和哺乳动物研究提出的本体感觉调节机制
Pub Date : 2024-02-21 DOI: 10.37349/en.2024.00034
I. Hunter
Proprioception provides important sensory feedback regarding the position of an animal’s body and limbs in space. This interacts with a central pattern generator responsible for rhythmic movement, to adapt locomotion to the demands that an animal’s environment places on it. The mechanisms by which this feedback is enabled are poorly understood, which belies its importance: dysfunctional proprioception is associated with movement disorder and improving it can help reduce the severity of symptoms. Similarly, proprioception is important for guiding accurate robotic movement and for understanding how sensory systems capture and process information to guide action selection. It is therefore important to interpret research that investigates mechanisms of proprioception, to ask: what type of information do proprioceptive sensors capture, and how do they capture it? Work in mammalian models has made important progress towards answering this question. So too, has research conducted Drosophila. Fruit fly proprioceptors are more accessible than mammalian equivalents and can be manipulated using a unique genetic toolkit, so experiments conducted in the invertebrate can make a significant contribution to overall understanding. It can be difficult, however, to relate work conducted in different models, to draw general conclusions about proprioception. This review, therefore, explores what research in the fruit fly has revealed about proprioceptor function, to highlight its potential translation to mammals. Specifically, the present text presents evidence that differential expression of mechanoelectrical transducers contributes to tuning of fly proprioceptors and suggests that the same mechanism may play a role in tuning mammalian proprioceptors.
运动感觉为动物身体和四肢在空间中的位置提供了重要的感觉反馈。它与负责有节奏运动的中枢模式发生器相互作用,使运动适应环境对动物的要求。人们对实现这种反馈的机制知之甚少,这也掩盖了它的重要性:本体感觉失调与运动障碍有关,改善本体感觉有助于减轻症状的严重程度。同样,本体感觉对于指导机器人准确运动以及了解感觉系统如何捕捉和处理信息以指导动作选择也非常重要。因此,在解读本体感觉机制的研究时,必须要问:本体感觉传感器捕捉的是哪类信息,它们又是如何捕捉这些信息的?哺乳动物模型的研究在回答这一问题方面取得了重要进展。果蝇的研究也是如此。果蝇的本体感受器比哺乳动物的本体感受器更容易获得,而且可以使用独特的基因工具包进行操作,因此在无脊椎动物中进行的实验可以为全面理解这一问题做出重要贡献。然而,要将不同模型中进行的工作联系起来,从而得出有关本体感觉的一般性结论可能会很困难。因此,这篇综述探讨了果蝇研究对本体感受器功能的启示,以突出其转化为哺乳动物的潜力。具体来说,本文提出的证据表明,机械电换能器的不同表达有助于调谐果蝇的本体感受器,并提出同样的机制可能在调谐哺乳动物的本体感受器中发挥作用。
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引用次数: 0
Connecting the ends: signaling via receptor tyrosine kinases and cytoskeletal degradation in neurodegeneration 连接两端:神经退行性变中通过受体酪氨酸激酶和细胞骨架降解发出信号
Pub Date : 2024-02-20 DOI: 10.37349/en.2024.00033
P. Sengupta, Russa Das, Piyali Majumder, Debashis Mukhopadhyay
Receptor tyrosine kinases (RTKs) are known to perform versatile roles in disease landscapes, which determine the fate of the cell. Although much has been discussed from the perspective of proliferation, this review focuses on the impact of RTK-mediated signaling and its role in cytoskeletal degradation, the penultimate stage of cellular degeneration. In the case of degenerative diseases such as Alzheimer’s disease (AD), Huntington’s disease (HD), amyotrophic lateral sclerosis (ALS), Parkinson’s disease (PD), age-related macular degeneration (AMD), and type 2 diabetes mellitus (T2DM), RTK signaling has been reported to be perturbed in several studies. The implications of downstream signaling via these receptors through canonical and noncanonical pathways alter the status of actin filaments that provide structural integrity to cells. Degenerative signaling leads to the altered status of rat sarcoma (Ras), Ras homologous (Rho), Ras-related C3 botulinum toxin substrate (Rac), and cell division control protein 42 (Cdc42), the best-characterized components of the cytoskeleton remodeling machinery. RTKs, along with their diverse adaptor partners and other membrane receptors, affect the functionality of Rho family guanosine triphosphate hydrolases (GTPases), which are discussed in this review. To conclude, this review focuses on therapeutic strategies targeting RTKs and Rho GTPase-mediated pathways that can be more effective due to their combined multifactorial impact on neurodegenerative cascades.
众所周知,受体酪氨酸激酶(RTK)在决定细胞命运的疾病景观中扮演着多种角色。尽管已经从细胞增殖的角度进行了大量讨论,但本综述侧重于 RTK 介导的信号传导的影响及其在细胞骨架降解(细胞退化的倒数第二阶段)中的作用。在阿尔茨海默病(AD)、亨廷顿病(HD)、肌萎缩性脊髓侧索硬化症(ALS)、帕金森病(PD)、老年性黄斑变性(AMD)和 2 型糖尿病(T2DM)等变性疾病中,有多项研究报道 RTK 信号传导受到干扰。这些受体通过规范和非规范途径发出的下游信号改变了为细胞提供结构完整性的肌动蛋白丝的状态。退化信号导致大鼠肉瘤(Ras)、Ras 同源物(Rho)、Ras 相关 C3 肉毒毒素底物(Rac)和细胞分裂控制蛋白 42(Cdc42)的状态发生改变,而这些都是细胞骨架重塑机制中特征最明显的成分。RTKs及其各种适配伙伴和其他膜受体会影响Rho家族三磷酸鸟苷水解酶(GTP酶)的功能,本综述将对此进行讨论。总之,本综述侧重于针对 RTKs 和 Rho GTPase 介导的途径的治疗策略,由于它们对神经退行性级联具有多因素的综合影响,因此治疗策略可能会更加有效。
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引用次数: 0
Applying the PRECEDE-PROCEED model to develop MommaConnect: a digital healthcare platform for addressing postpartum depression and improving infant well-being. 应用 PRECEDE-PROCEED 模型开发 MommaConnect:解决产后抑郁和改善婴儿福祉的数字医疗保健平台。
Pub Date : 2024-01-01 Epub Date: 2024-08-06 DOI: 10.37349/en.2024.00052
Bobbie Posmontier, June Andrews Horowitz, Pamela A Geller, Mona Elgohail, Mary McDonough, Kayla Alvares, Jaleesa Smoot, Katie Chang, Tony Ma

The PRECEDE-PROCEED model is a comprehensive planning and theoretical framework that incorporates epidemiological, environmental, behavioral, and social factors systematically to design, implement, and evaluate health promotion programs. As such, PRECEDE-PROCEED is a highly effective tool for addressing complex and significant public health concerns like postpartum depression (PPD). PPD negatively impacts mothers and their infants, with studies showing that approximately one in eight mothers experience PPD, leading to adverse effects on maternal functioning and infant development. However, access to specialized evidence-based treatment remains significantly limited due to barriers including social determinants of health. This paper explores the application of the PRECEDE-PROCEED model as a planning and theoretical framework for the design and development of MommaConnect, an innovative digital healthcare platform aimed at reducing PPD symptoms and improving maternal-infant interaction while overcoming barriers to treatment. Key components of the MommaConnect design and development process are mapped onto the steps of the PRECEDE-PROCEED model. MommaConnect features are aligned with specific stages of the model, from assessing, predisposing, enabling, and reinforcing factors to designing, implementing, and evaluating the intervention. By leveraging this model, MommaConnect represents a promising innovative approach to address PPD to improve maternal functioning and infant health in a digitally-enabled era. This paper underscores the importance of utilizing a framework like the PRECEDE-PROCEED model in the design and development of innovative healthcare solutions.

PRECEDE-PROCEED 模型是一个全面的规划和理论框架,它将流行病学、环境、行为和社会因素系统地纳入到健康促进计划的设计、实施和评估中。因此,PRECEDE-PROCEED 是解决产后抑郁症(PPD)等复杂而重要的公共卫生问题的高效工具。产后抑郁症对母亲和婴儿都有负面影响,研究表明,大约八分之一的母亲会经历产后抑郁症,从而对母亲的功能和婴儿的发育造成不利影响。然而,由于健康的社会决定因素等障碍,获得专门循证治疗的机会仍然非常有限。本文探讨了 PRECEDE-PROCEED 模型作为规划和理论框架在 MommaConnect 设计和开发中的应用,MommaConnect 是一个创新的数字医疗保健平台,旨在减少 PPD 症状,改善母婴互动,同时克服治疗障碍。MommaConnect 设计和开发过程的关键组成部分被映射到 PRECEDE-PROCEED 模型的各个步骤中。MommaConnect 的功能与该模型的特定阶段相一致,从评估、倾向因素、促成因素和强化因素到设计、实施和评估干预措施。通过利用这一模型,MommaConnect 代表了一种很有前景的创新方法,可用于解决 PPD 问题,从而在数字化时代改善产妇功能和婴儿健康。本文强调了在设计和开发创新医疗保健解决方案时利用 PRECEDE-PROCEED 模型等框架的重要性。
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引用次数: 0
Emerging therapies of hemangioblastomas 血管母细胞瘤的新疗法
Pub Date : 2023-12-29 DOI: 10.37349/en.2023.00031
Chaitanya Sanghadia, Melanie E. Martinez, Marisa McNulty, Eric Russ, Maxwell G. Woolridge, Dat Thanh Cao, Marko Micunovic, Jeffery Roberts, Juan Perez, Brandon Lucke-Wold
Hemangioblastoma are benign, vascularized cranial tumors caused by autosomal dominant inherited von Hippel-Lindau disease or can appear sporadically. This review will investigate current and emerging treatments for cerebral tumors. It will focus on the current and, more importantly, developing hemangioblastoma treatments. Surgical resectioning and radiotherapy are effective treatment options for cerebral tumors, whereas chemotherapies are not commonly used due to their limited ability to penetrate the blood-brain barrier. Recent chemotherapies have shown promise, but further research is needed to determine the efficacy as a treatment for hemangioblastomas. New advances in brachytherapy and immunotherapy are considered promising treatment options for hemangioblastoma. This review aims to offer valuable insights into the latest developments in hemangioblastoma treatments.
血管母细胞瘤是由常染色体显性遗传的冯-希佩尔-林道病引起的良性、血管化颅脑肿瘤,也可偶发。本综述将探讨脑肿瘤的现有治疗方法和新兴治疗方法。它将重点关注目前的治疗方法,更重要的是正在开发的血管母细胞瘤治疗方法。手术切除和放射治疗是治疗脑肿瘤的有效方法,而化疗因其穿透血脑屏障的能力有限而不常用。最近的化疗方法显示出良好的前景,但要确定其作为治疗血管母细胞瘤的疗效,还需要进一步的研究。近距离放射治疗和免疫疗法的新进展被认为是治疗血管母细胞瘤的有前途的选择。本综述旨在就血管母细胞瘤治疗的最新进展提供有价值的见解。
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引用次数: 0
Psychology of bipolar depression: revisiting past and present researches, prospects ahead, and moving toward future directions 双相抑郁心理学:回顾过去和现在的研究,展望未来,走向未来的方向
Pub Date : 2023-12-29 DOI: 10.37349/en.2023.00032
Behrooz Afshari
Bipolar disorder (BD) is a debilitating psychiatric disorder characterized by recurrent depression, mania, and hypomania episodes. The interaction of psychological, neuropsychological, and neurobiological factors (cognitive, behavioral, and emotional) is implicated in the development and persistence of BD. Accordingly, almost all investigators confirm that BD is the outcome of psychological and genetic interactions. Therefore, researchers should consider various factors in the psychopathology and psychotherapy of BD. This selective review first reviews research on these factors, then points to a variety of therapeutic methods for BD [interpersonal and social rhythm therapy (IPSRT), cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), mindfulness-based cognitive therapy (MBCT), and family-focused therapy (FFT)], and finally suggested a new comprehensive integrated model for the assessment and therapy of BD.
双相情感障碍(BD)是一种使人衰弱的精神疾病,其特征是反复出现抑郁、躁狂和躁狂发作。心理、神经心理学和神经生物学因素(认知、行为和情感)的相互作用与躁狂症的发展和持续有关。因此,几乎所有研究者都证实,BD 是心理和遗传相互作用的结果。因此,研究人员在研究 BD 的精神病理学和心理治疗时应考虑各种因素。这篇选择性综述首先回顾了有关这些因素的研究,然后指出了针对 BD 的多种治疗方法 [人际和社会节奏疗法 (IPSRT)、认知行为疗法 (CBT)、辩证行为疗法 (DBT)、正念认知疗法 (MBCT) 和以家庭为中心的疗法 (FFT)],最后为 BD 的评估和治疗提出了一个新的全面综合模型。
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引用次数: 0
Neuroprotective compounds from three common medicinal plants of West Bengal, India: a mini review 印度西孟加拉邦三种常见药用植物中的神经保护化合物:微型综述
Pub Date : 2023-12-26 DOI: 10.37349/en.2023.00030
Suvendu Ghosh, P. Singha, D. Ghosh
Neural disorders refer to conditions of the nervous system due to infection or degeneration of the neurons leading to either neurodegenerative disorder or neuropsychiatric disorder. Some such disorders of the nervous system include Parkinsons’s disease, depression, amnesia, dementia, Alzheimer’s disease, schizophrenia, cerebrovascular impairment, epilepsy, seizure disorders, etc. In conventional medical system, some medicines belonging to the class of psychodelic drugs, sedatives, neurotransmitters, neuro-stimulants, etc. are in extensive use. Unfortunately, most of these drugs either delay the progression of the neural disorder or leave the patient with prominent adverse side effects. Several potent bioactive compounds with neuroprotective potential have been reported from medicinal plants and some of them have been found to be highly effective. Belonging from natural sources, mostly, the plant derived compounds exhibit minimum or no cytotoxicity at a prescribed standardised dose against a particular health ailment. Many such phytocompounds from plant sources with potent neuroprotective activities have been in use in Ayurvedacharya, Unani, and Chinese medicine for ages. The compounds if isolated chemically, modified to make more potent neuroprotective derivatives and utilised to make highly effective neuroprotective pharmaceutical formulations with minimum side effects, may open new revolutionary doorways in neuropharmacology. In this review, it has been briefly discussed about the neuroprotective compounds isolated from certain indigenous plants of West Bengal, India, and their mechanism of action.
神经紊乱指的是神经系统因感染或神经元变性而导致的神经退行性疾病或神经精神疾病。这类神经系统疾病包括帕金森病、抑郁症、健忘症、痴呆症、阿尔茨海默病、精神分裂症、脑血管损伤、癫痫、癫痫发作等。在传统医学体系中,一些属于精神药物、镇静剂、神经递质、神经兴奋剂等类别的药物被广泛使用。遗憾的是,这些药物中的大多数要么会延缓神经紊乱的发展,要么会给患者带来明显的副作用。据报道,药用植物中含有几种具有神经保护潜力的强效生物活性化合物,其中一些已被证实非常有效。植物提取的化合物大多来自天然来源,在规定的标准剂量下,它们对特定疾病的细胞毒性最小或没有细胞毒性。长期以来,阿育吠陀医学、尤那尼医学和中医学一直在使用许多此类具有强效神经保护作用的植物化合物。如果对这些化合物进行化学分离,将其改造成更有效的神经保护衍生物,并利用其制成副作用最小的高效神经保护药物制剂,将为神经药理学开辟新的革命性道路。本综述简要讨论了从印度西孟加拉邦某些本地植物中分离出的神经保护性化合物及其作用机制。
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引用次数: 0
Interventional procedures for refractory neuropathic pain 难治性神经病理性疼痛的介入治疗程序
Pub Date : 2023-12-22 DOI: 10.37349/en.2023.00028
Hannah G. Matejowsky, Saurabh Kataria, Noah J. Spillers, Collyn C. O’Quin, Sonnah Barrie, S. Ahmadzadeh, Sahar Shekoohi, Alan D. Kaye
Neuropathic pain is an increasingly common disease affecting millions of individuals worldwide. Refractory pain poses a significant impact on patients’ quality of life, financial and economic stability, and social interaction. Numerous effective modalities for treatment of refractory neuropathic pain are presently available. Currently, many options provide symptomatic treatment but are associated with an unfavorable side effect profile and increased risk of addiction. The present investigation reviews current medical management for refractory neuropathic pain including the use of antidepressants, anticonvulsants, gabapentinoids and opioid therapy, as well as interventional pain procedures such as spinal cord stimulation (SCS) and intrathecal targeted drug delivery. While multidisciplinary management with lifestyle modification and pharmacologic regimens remains at the forefront of treating many of these patients, interventional modalities are growing in popularity and have been demonstrated to be highly efficacious. In this regard, continued understanding of the pathophysiology surrounding refractory neuropathic pain has led to the development of interventional procedures and better outcomes for patients suffering from refractory neuropathic pain. When and if patients fail conservative therapy, interventional techniques are desirable alternatives for pain management. SCS and intrathecal targeted drug delivery are important tools for the treatment of refractory neuropathic pain. In summary, treatment modalities for refractory neuropathic pain are evolving with demonstrated efficacy. This review aims to outline the efficacy of various interventional procedures for refractory neuropathic pain in comparison to traditional drug therapies.
神经病理性疼痛是一种越来越常见的疾病,影响着全球数百万人。难治性疼痛对患者的生活质量、财务和经济稳定性以及社会交往造成了严重影响。目前有许多治疗难治性神经病理性疼痛的有效方法。目前,许多治疗方法可对症治疗,但副作用大,且增加了成瘾风险。本研究回顾了目前治疗难治性神经病理性疼痛的药物疗法,包括抗抑郁药、抗惊厥药、加巴喷丁类和阿片类药物疗法,以及脊髓刺激(SCS)和鞘内靶向给药等介入性疼痛治疗方法。虽然改变生活方式和药物治疗的多学科管理仍是治疗许多此类患者的首要方法,但介入治疗方法越来越受欢迎,并已被证明具有很高的疗效。在这方面,对难治性神经病理性疼痛的病理生理学的不断深入了解促进了介入疗法的发展,并为难治性神经病理性疼痛患者带来了更好的治疗效果。当患者保守治疗失败时,介入技术是治疗疼痛的理想选择。SCS 和鞘内靶向给药是治疗难治性神经病理性疼痛的重要工具。总之,难治性神经病理性疼痛的治疗模式在不断发展,疗效已得到证实。本综述旨在概述治疗难治性神经病理性疼痛的各种介入疗法与传统药物疗法的疗效比较。
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Exploration of neuroscience
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