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Drug repurposing approach for identifying Pfmrk inhibitors as potential antimalarial agents: An in silico analysis 鉴定Pfmrk抑制剂作为潜在抗疟药的药物再利用方法:计算机分析
Pub Date : 2023-11-02 DOI: 10.36922/itps.1313
Abhishek Sahu, Tanuj Handa, Debanjan Kundu
Malaria represents a major global health concern, primarily due to the emergence of resistance against most currently available antimalarial drugs. This pressing issue necessitates the discovery of novel antimalarial agents to combat the escalating resistance. A cyclin-dependent kinase (CDK)-like protein, Pfmrk, found in Plasmodium falciparum, plays a crucial role in regulating cell proliferation and exhibits a 36.28% sequence homology with its human counterpart hCDK7. Pfmrk forms a complex with plasmodial cyclin (Pfcyc-1) and stimulates kinase activity. Pfcyc-1 from P. falciparum, with the highest sequence homology to human cyclin (cyclin H), binds and activates Pfmrk in a cyclin-dependent manner. This discovery provides the first indication that cyclin subunits may regulate both human and plasmodial CDKs in a similar fashion. In this study, we conducted molecular docking and simulation analysis to investigate the interaction between Pfmrk and a selection of the FDA-approved drugs retrieved from the ZINC15 database. The top five drugs – Lurasidone, Vorapaxar, Donovex, Alvesco, and Orap – were screened based on their binding energies, with the best-docked scores ranging between −8 kcal/mol and −12 kcal/mol. Further, evaluation through molecular dynamics simulations for 100 nanoseconds revealed that Lurasidone exhibited the highest binding affinity (−105.90 ± 57.72 kJ/mol) followed by Donovex (−92.877 ± 17.872 kJ/mol). They exhibited stable interactions with the amino acid residues located in the active site of Pfmrk. The results of the in silico investigation indicate that Lurasidone and Donovex exhibit antimalarial potential and could serve as promising Pfmrk inhibitors. Further, development of new drugs based on these findings warrants subsequent in vitro studies.
疟疾是一个主要的全球健康问题,主要原因是对目前大多数抗疟疾药物出现耐药性。这一紧迫问题要求发现新的抗疟药,以对抗不断升级的耐药性。恶性疟原虫中发现的细胞周期蛋白依赖性激酶(CDK)样蛋白Pfmrk在调节细胞增殖中起着至关重要的作用,其序列与人类对应的hCDK7同源性为36.28%。Pfmrk与plasmodial cyclin (Pfcyc-1)形成复合物,刺激激酶活性。来自恶性疟原虫的Pfcyc-1序列与人类周期蛋白(cyclin H)同源性最高,以周期蛋白依赖的方式结合并激活Pfmrk。这一发现首次表明细胞周期蛋白亚基可能以类似的方式调节人类和疟原虫的CDKs。在这项研究中,我们进行了分子对接和模拟分析,以研究Pfmrk与从ZINC15数据库中检索到的fda批准的药物之间的相互作用。排名前五的药物& &;鲁拉西酮、Vorapaxar、Donovex、Alvesco和Orap;根据它们的结合能进行筛选,最佳对接分数在- 8 kcal/mol到- 12 kcal/mol之间。此外,通过100纳秒的分子动力学模拟评估显示,鲁拉西酮具有最高的结合亲和力(- 105.90 +)。57.72 kJ/mol),其次是Donovex (- 92.877 kJ/mol;17.872焦每摩尔)。它们与Pfmrk活性位点的氨基酸残基表现出稳定的相互作用。结果表明,鲁拉西酮和Donovex具有抗疟疾的潜力,可以作为有前途的Pfmrk抑制剂。此外,基于这些发现的新药物的开发保证了随后的体外研究。
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引用次数: 0
Cytotoxicity of bioactive compounds derived from cyanobacteria 源自蓝藻的生物活性化合物的细胞毒性
Pub Date : 2023-10-26 DOI: 10.36922/itps.1388
Hanaa Ali Hussein, Fatin L. Khaphi, Zahra Kadhum Saeed
Cyanobacteria are rich in bioactive compounds that exhibit diverse biological activities, including antiproliferative, cytotoxic, and antineoplastic properties. Many of these compounds are currently being studied in clinical trials. In this paper, newly discovered bioactive compounds from various cyanobacteria species that have demonstrated anticancer effects against multiple cancer cell lines, such as apratoxin, symplostatin 1, bartolosides, caylobolide, bisebromoamides, carmaphycins, and anaenamides, are reviewed. At present, there are no clear guidelines on approving cyanobacteria-derived bioactive compounds for use in treating diseases. While it is not uncommon that the intake of these compounds is accompanied by side effects, investigations on these compounds should focus on increasing the safety and efficacy of the compounds, or at least tread a fine line between drug safety and effectiveness for cancer patients. This review overviews the efficacy and cytotoxicity of cyanobacteria-derived bioactive compounds, providing researchers insights into how to maximize the benefits of these compounds through research.
蓝藻含有丰富的生物活性化合物,具有多种生物活性,包括抗增殖、细胞毒性和抗肿瘤特性。其中许多化合物目前正在临床试验中进行研究。本文综述了近年来从各种蓝藻中发现的对多种癌细胞具有抗癌作用的生物活性化合物,如阿帕曲霉毒素、symplostatin 1、bartolosides、caylobolide、双溴酰胺、carmaphyins、anaenamides等。目前,尚无明确的指导方针批准蓝藻衍生的生物活性化合物用于治疗疾病。虽然这些化合物的摄入伴随着副作用的情况并不少见,但对这些化合物的研究应该集中在提高化合物的安全性和有效性上,或者至少在药物安全性和癌症患者的有效性之间把握好界限。本文综述了蓝藻衍生的生物活性化合物的功效和细胞毒性,为研究人员提供了如何通过研究最大化这些化合物的益处的见解。
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引用次数: 0
Antiplatelet, anticoagulation, and elective aneurysm treatments in neurological patients 神经系统患者的抗血小板、抗凝和选择性动脉瘤治疗
Pub Date : 2023-10-18 DOI: 10.36922/itps.1202
Anjali Patel, Daisy Valle, Drashti Patel, Marco Foreman, Akash Nijhawan, Devon Foster, Alexander Nguyen, Brandon Lucke-Wold
Developing more specialized care for neurological disorders, such as aneurysms, arteriovenous malformations, and strokes, can revolutionize patient healthcare and outcomes. With the advent of surgical techniques such as flow diversion, non-stent- and stent-assisted coiling, and catheter embolization for elective aneurysm treatment in neurological patients, the adverse effects and morbidities associated with aneurysms can be reduced. This paper aims to highlight three specific strengths and weaknesses of the newly emerged techniques. Flow diversion devices involve placing a stent in the parent artery, whereas Woven EndoBridge embolization involves manipulation of the wall of the artery without the administration of dual-antiplatelet therapy. In addition to aneurysm treatment, the administration of antiplatelets and anticoagulants is helpful in disrupting the coagulation cascade. As stated in the new and enhanced guidelines released by the American Heart Association, the administration of dual anticoagulants is beneficial to the patients if they have low ischemic severity. Understanding the various benefits and complications associated with each treatment can allow clinicians to gain insight into the potential trajectory of treatment for different patients.
对神经系统疾病(如动脉瘤、动静脉畸形和中风)开展更专业的护理可以彻底改变患者的医疗保健和结果。随着外科手术技术的出现,如分流、非支架和支架辅助盘绕、导管栓塞等用于神经系统患者的选择性动脉瘤治疗,与动脉瘤相关的不良反应和发病率可以减少。本文旨在突出新出现的技术的三个具体优点和缺点。血流转移装置包括在母动脉内放置支架,而Woven EndoBridge栓塞包括在不使用双重抗血小板治疗的情况下对动脉壁进行操作。除动脉瘤治疗外,抗血小板和抗凝剂的使用有助于破坏凝血级联。正如美国心脏协会发布的新的和增强的指南所述,如果患者的缺血性严重程度较低,双抗凝剂的施用是有益的。了解与每种治疗相关的各种益处和并发症可以使临床医生深入了解不同患者的潜在治疗轨迹。
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引用次数: 0
Guidelines for treating spinal cord injury without radiological abnormalities in children 无放射学异常儿童脊髓损伤的治疗指南
Pub Date : 2023-10-13 DOI: 10.36922/itps.1386
Ruba Altahla, Jamal Alshorman, Xu Tao
Spinal cord injury without radiological abnormality (SCIWORA) is a rare condition that predominantly affects children. The enigmatic nature of SCIWORA poses significant challenges in terms of diagnosis, treatment, and achieving full recovery. Various factors, such as different injury mechanisms, delayed symptom onset, normal magnetic resonance imaging findings in certain cases, and complex management decisions, contribute to the challenges of dealing with SCIWORA. Attaining a significant outcome and complete recovery through a single-treatment approach is difficult. Therefore, a multifaceted treatment strategy is proposed to yield more favorable results. This paper comprehensively addresses the assessment and management, examination and diagnosis procedures, treatment methods, rehabilitation techniques, and potential complications associated with SCIWORA in children. The paper provides therapeutic guidance for physicians and medical staff, with the aim of enhancing survival rates and improving recovery outcomes. Moreover, it offers suggestions for restoring neurological functions in pediatric patients suffering from SCIWORA.
无放射学异常的脊髓损伤(SCIWORA)是一种罕见的疾病,主要影响儿童。SCIWORA的神秘性质在诊断、治疗和实现完全康复方面提出了重大挑战。各种因素,如不同的损伤机制、延迟的症状发作、某些病例的正常磁共振成像结果以及复杂的管理决策,都给SCIWORA的治疗带来了挑战。通过单一治疗方法获得显著效果和完全恢复是困难的。因此,提出了一个多方面的治疗策略,以获得更有利的结果。本文全面论述了儿童SCIWORA的评估与管理、检查与诊断程序、治疗方法、康复技术和潜在并发症。本文为医生和医务人员提供治疗指导,旨在提高生存率和改善康复结果。为SCIWORA患儿神经功能的恢复提供建议。
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引用次数: 0
Anti-ulcer activity of aqueous ethanol extract of Rheum spiciforme and its fractions in animal model 大黄乙醇水提物及其组分在动物模型中的抗溃疡活性
Pub Date : 2023-10-13 DOI: 10.36922/itps.1343
Hafiz Muhammad Irfan, Maham Idrees, Kainat Jabeen
Helicobacter pylori infection, pepsin, ischemia, hypoxia, smoking, alcohol intake, hydrochloric acid, and nonsteroidal anti-inflammatory drugs are the causal factors of ulceration. In third-world countries, approximately one in two individuals has signs of gastric ulceration. Extensive literature suggested that plant-derived drugs hold the potential in the treatment of peptic ulcer, and Rheum spiciforme (family: Polygonaceae) has been known in the folk medicine for possessing medicinal effect on ulceration. To explore further along this line, the current study was designed to investigate the effects of aqueous ethanol extract of R. spiciforme roots and its fractions on peptic ulcer and to identify bioactive compounds responsible for mitigating this pathological condition. Animal model of ethanol-induced gastric ulcer was utilized in this study. The animals were pre-treated with crude plant extract, given at doses 125, 250, and 500 mg/kg, and then orally administered with butanol, aqueous, and dichloromethane fractions at doses of 250 mg/kg for 7 days. Following the treatments, a significant decrease in ulcerative lesions, ulcer index, ulcer severity score, volume, free acidity, and total acidity of gastric juice as well as a marked increase of gastric pH in the groups treated with plant extract at doses of 250 and 500 mg/kg were noted. Moreover, butanol fraction has been shown to produce effects equipotent to that of the reference drug omeprazole. Liquid chromatography-mass spectrometry analyses show that the plant extract contains emodin, aloe-emodin, and quercetin. In conclusion, this study demonstrated that the aqueous ethanol extract of R. spiciforme and its butanol fraction exhibited gastro-protective effect.
幽门螺杆菌感染、胃蛋白酶、缺血、缺氧、吸烟、饮酒、盐酸、非甾体类抗炎药是溃疡发生的原因。在第三世界国家,大约每两个人中就有一个有胃溃疡的迹象。大量文献表明,植物源性药物在治疗消化性溃疡方面具有潜力,而大黄(蓼科)在民间医学中已被认为具有治疗溃疡的作用。为了进一步探索这条路线,本研究旨在研究细柄参根及其组分的水乙醇提取物对消化性溃疡的影响,并确定减轻这种病理状况的生物活性化合物。本研究采用乙醇性胃溃疡动物模型。动物先用粗植物提取物预处理,剂量分别为125、250和500 mg/kg,然后用剂量为250 mg/kg的丁醇、水溶液和二氯甲烷组分口服,持续7天。治疗后,250 mg/kg和500 mg/kg植物提取物组的溃疡病变、溃疡指数、溃疡严重程度评分、胃液体积、游离酸度和总酸度显著降低,胃pH显著升高。此外,丁醇部分已被证明能产生与参比药物奥美拉唑相同的效果。液相色谱-质谱分析表明,该植物提取物含有大黄素、芦荟大黄素和槲皮素。综上所述,本研究表明,细叶参乙醇水提物及其丁醇部分具有胃保护作用。
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引用次数: 0
Network pharmacology-based findings of the immunomodulatory activity of phytocompounds from Withania somnifera and Aloe barbadensis 基于网络药理学的苦参和芦荟植物化合物免疫调节活性研究
Pub Date : 2023-09-14 DOI: 10.36922/itps.1076
Funmilayo I. D. Afolayan, Deborah G. Joseph, Ridwan A. Salaam
Immunomodulation constitutes a crucial part of individual organisms’ defense systems. Moreover, the utilization of plant-based natural products as herbal medicine for immunomodulation has garnered significant interest. Herein, we examined the immunomodulatory potentials of active phytocompounds extracted from Withania somnifera and Aloe barbadensis by employing ADMET screening, network pharmacology, and molecular docking techniques. This study follows the paradigm in drug discovery, which has shifted from a “one-target, one-drug” mode to a “network-target, multiple-component-therapeutics” mode. Phyto compounds sourced from W. somnifera and A. barbadensis were mined from online databases, including Dr. Duke’s Phytochemical Ethnobotanical Database. After screening these active compounds, their potential targets were predicted through in silico ADMET property prediction models. Network pharmacology was utilized to establish a “compound-protein/gene-disease” network and reveal the regulatory mechanism of small molecules in a high-throughput manner through STRING, Cytohubba plugin in Cytoscape, and the g: Profiler software. A molecular docking simulation was performed to examine the binding affinity between the selected hub targets and bioactives. The findings showed that phytocompounds derived from the W. somnifera and A. barbadensis exhibit immunomodulatory effects by inhibiting specific protein targets, notably AKT1, HCK, JAK2, PDPK1, KIT, and IL2. Molecular docking analysis further revealed the potential of withanolide G, somniferine, and somniferanolide as promising immunomodulatory compounds against HCK, JAK2, and PDPK1 proteins, which are involved in multiple myeloma pathways, encompassing the PI3K-Akt signaling pathway, NOD-like receptor signaling pathway, and Toll-like receptor signaling pathway. In conclusion, these compounds are recommended for further in vivo and in vitro investigations to ascertain their potential as treatments for multiple myeloma.
免疫调节是个体生物体生存的重要组成部分。防御系统。此外,利用基于植物的天然产物作为免疫调节的草药已经引起了极大的兴趣。本文采用ADMET筛选、网络药理学和分子对接技术,研究了从Withania somnifera和Aloe barbadensis中提取的活性植物化合物的免疫调节潜力。本研究遵循药物发现的范式,即从“一个靶点,一种药物”转变为“一个靶点,一种药物”。网络-靶点-多组分治疗模式模式。来自W. somnifera和A. barbadensis的植物化合物是从在线数据库中挖掘的,包括Dr. duke&rsquo的植物化学民族植物学数据库。筛选这些活性化合物后,通过ADMET性质预测模型预测其潜在靶点。利用网络药理学建立了“化合物-蛋白/基因-疾病”模型。通过STRING、Cytoscape中的Cytohubba插件和g: Profiler软件,以高通量的方式揭示小分子的调控机制。进行了分子对接模拟,以检查所选枢纽靶点与生物活性物之间的结合亲和力。研究结果表明,从索尼玛和巴贝达中提取的植物化合物通过抑制特定蛋白靶点,特别是AKT1、HCK、JAK2、PDPK1、KIT和IL2,表现出免疫调节作用。分子对接分析进一步揭示了withanolide G、somniferine和somniferanolide作为抗HCK、JAK2和PDPK1蛋白的有前景的免疫调节化合物的潜力,这些蛋白参与多发性骨髓瘤通路,包括PI3K-Akt信号通路、nod样受体信号通路和toll样受体信号通路。总之,建议对这些化合物进行进一步的体内和体外研究,以确定其治疗多发性骨髓瘤的潜力。
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引用次数: 0
In silico evaluation of heat shock proteins reveals an interplay with polyamines as a survival strategy for the Plasmodium falciparum 热休克蛋白的计算机评价揭示了与多胺的相互作用作为恶性疟原虫的生存策略
Pub Date : 2023-09-13 DOI: 10.36922/itps.1228
Godlo Sesethu, Maxam Nombalentle, Mthembu Yamkela, Mpumza Anelisa, Stanley Makumire, Noxolo Mkwetshana, Krishna K. Govender, Xolani H. Makhoba
The current drugs available in the market are not effective due to growing numbers of resistance to the causative agent of malaria. There are various Plasmodium parasites, of which Plasmodium falciparum is the main cause of morbidity and mortality reported worldwide. Therefore, there is an urgent need to come up with an innovative and effective treatment for this disease. Polyamines play a major role in the parasite’s well-being and growth, while heat shock proteins keep the proteomics of the parasite in good shape. In this study, an in silico analysis of the interaction between putrescine, spermidine, spermine, and heat shock proteins was carried out to establish the binding site for drug discovery. Computational tools such as Bioedit, PROCHECK, KNIME Hub, and Schrodinger were used. The results revealed interactions between polyamines and heat shock proteins with glutamine and aspartic acid being common amino acids where interaction occurs between the chaperones and polyamines. Molecular dynamics showed a strong interaction between PfHsp70-1 and putrescine, but the best interaction is observed for PfHsp70-1 and spermidine. Based on these results, a follow-up study will be conducted to establish the synthesis of drugs that will be used as targets for both polyamines and heat shock proteins to eradicate malaria.
由于越来越多的人对疟疾病原体产生耐药性,目前市场上可用的药物并不有效。疟原虫有多种寄生虫,其中恶性疟原虫是世界范围内发病率和死亡率的主要原因。因此,迫切需要找到一种创新而有效的治疗方法。多胺在寄生虫的健康和生长中起着重要作用,而热休克蛋白则使寄生虫的蛋白质组保持良好的状态。本研究对腐胺、亚精胺、精胺和热休克蛋白之间的相互作用进行了计算机分析,以确定药物发现的结合位点。使用了Bioedit、PROCHECK、KNIME Hub和Schrodinger等计算工具。结果揭示了多胺与热休克蛋白之间的相互作用,谷氨酰胺和天冬氨酸是常见的氨基酸,其中伴侣蛋白与多胺之间发生相互作用。分子动力学结果表明,PfHsp70-1与腐胺具有较强的相互作用,但与亚精胺的相互作用效果最好。基于这些结果,将进行一项后续研究,以确定将用作多胺和热休克蛋白靶点的药物的合成,以根除疟疾。
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引用次数: 0
Plasmodium falciparum histoaspartic protease inhibitor: Toxicity investigation and docking study of 2-(2-benzoyl-4-methylphenoxy) quinoline-3-carbaldehyde derivatives 恶性疟原虫组织天冬氨酸蛋白酶抑制剂:2-(2-苯甲酰-4-甲基苯氧基)喹啉-3-乙醛衍生物的毒性研究和对接研究
Pub Date : 2023-09-13 DOI: 10.36922/itps.0976
Oluwafemi S. Aina, Luqman A. Adams, Adebayo J. Bello, Oluwole B. Familoni
Aspartic proteases can hydrolyze peptide bonds, making them potential targets for drug development against malaria parasites. In particular, inhibiting the histoaspartic protease (HAP) can disrupt the growth phase of Plasmodium falciparum and its ability to degrade hemoglobin for protein synthesis. Compound 5, specifically designed as 2-(2-benzoyl-4-methylphenoxy)quinoline-3-carbaldehyde, served as the basis for designing 50 hypothetical compounds (A1-A50). These compounds were subjected to in silico screening to assess their toxicity profiles, pharmacokinetics, bioactivity scores, and theoretical binding affinities, as a part of the drug design protocol. Out of the 50 compounds, nine lead candidates showed no toxicity to human cells. In addition, ten standard reference antimalarial drugs were included in this study for comparison. The highest binding energies were observed for compound A5 (−11.2 kcal/mol) and A31 (−11.3 kcal/mol), surpassing the performance of mefloquine, the best reference drug, which ranked ninth with a binding energy of (−9.6 kcal/mol). Compound A31 did not exhibit the evidence of interaction with either Asp215 or His32, whereas compound A5 displayed π-π stacking interactions with His32. Mefloquine also did not show any interaction with Asp215 or His32. Moreover, compound A5 demonstrated greater hydrophobic interactions at the active site with most binding residues, except for Lys7 in the hydrophobic region. This characteristic suggests that compound A5 may have the ability to adopt a smaller surface area, exhibit increased biological activity, and have reduced interactions with water, which could facilitate slower clearance. Based on the assessment of various drug-likeness parameters, compound A5 (2-(2-benzoyl-4-methylphenoxy)-7-methylquinoline-3-carbaldehyde) is a potential lead candidate for the development of a new antimalarial drug.
天冬氨酸蛋白酶可以水解肽键,使其成为开发抗疟疾寄生虫药物的潜在靶点。特别是,抑制组织天冬氨酸蛋白酶(HAP)可以破坏恶性疟原虫的生长期及其降解血红蛋白合成蛋白质的能力。化合物5,特别设计为2-(2-苯甲酰-4-甲基苯氧基)喹啉-3-乙醛,作为设计50个假设化合物的基础(A1-A50)。作为药物设计方案的一部分,对这些化合物进行了计算机筛选,以评估它们的毒性特征、药代动力学、生物活性评分和理论结合亲和力。在50种化合物中,有9种候选化合物对人体细胞没有毒性。此外,本研究还纳入了10种标准参比抗疟药进行比较。化合物A5 (- 11.2 kcal/mol)和A31 (- 11.3 kcal/mol)的结合能最高,超过了最佳参比药物甲氟喹(- 9.6 kcal/mol),排在第9位。化合物A31没有显示出与Asp215或His32相互作用的证据,而化合物A5显示出π-π与His32叠加相互作用。甲氟喹也未显示出与Asp215或His32的相互作用。此外,化合物A5在活性位点与大多数结合残基表现出更大的疏水相互作用,除了疏水区域的Lys7。这一特性表明,化合物A5可能有能力采用更小的表面积,表现出更高的生物活性,并减少与水的相互作用,这可能会促进较慢的清除。基于各种药物相似参数的评估,化合物A5(2-(2-苯甲酰-4-甲基苯氧基)-7-甲基喹啉-3-乙醛)是开发新型抗疟药物的潜在候选化合物。
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引用次数: 0
Pharmacogenetic and liquid biopsy: The new tools of precision medicine in cancer 药物遗传学和液体活检:癌症精准医学的新工具
Pub Date : 2023-09-11 DOI: 10.36922/itps.1227
Verónica Alejandra Alonso, Alberto Lazarowski
The main difficulty in the treatment of cancer lies in the already known mechanism of resistance to conventional chemotherapy. It is mainly due to the expression of the multidrug transport systems known as ABC transporters, both in neoplastic cells and in excretory organs that reduce the chemotherapeutic concentration. The cancer cell proliferation by activation of growth factor receptors induces their intrinsic tyrosine kinase activity, and their intracellular signaling pathways involved in such activation. Tumor proliferation can respond to the direct action of growth factors on their respective receptors, or due to somatic mutations in different steps of their signaling pathway, in an independent manner of growth factor stimulus. Pharmacogenetics studies have been performed to identify these drivers’ mutations and their detection enables targeted inhibitory therapies against their abnormal proteins. The design of new molecules capable of inhibiting these signals has opened a new line of treatment for each type of tumor, thereby enabling tumor growth control and giving rise to the precision medicine approach. It is possible that mutations of sensitive and resistant to these targeted therapies coexist in the same tumor, from the start of therapy or as a consequence of the first-line treatment. The mutations in circulating DNA in body fluids, which are detected and quantified by droplet digital polymerase chain reaction-assisted liquid biopsy, are the ideal biomarkers for the evaluation of pharmacological response, which is crucial for facilitating the change of therapeutic strategy involving second- or third-generation drugs. The quantification of these mutations can be used to assess minimal residual disease in the therapeutic follow-up of each case.
治疗癌症的主要困难在于已知的对常规化疗的耐药性机制。这主要是由于肿瘤细胞和排泄器官中被称为ABC转运体的多药物转运系统的表达降低了化疗浓度。癌细胞增殖通过激活生长因子受体诱导其固有的酪氨酸激酶活性,其胞内信号通路参与了这种激活。肿瘤增殖既可以直接响应生长因子对其各自受体的作用,也可以由于其信号通路不同步骤的体细胞突变,以独立的方式刺激生长因子。已经进行了药物遗传学研究以确定这些驱动因素。突变及其检测使针对其异常蛋白的靶向抑制治疗成为可能。能够抑制这些信号的新分子的设计为每种类型的肿瘤开辟了一条新的治疗路线,从而使肿瘤生长得到控制,并产生了精准医学方法。从治疗开始或作为一线治疗的结果,对这些靶向治疗的敏感和耐药突变可能在同一肿瘤中共存。通过液滴数字聚合酶链反应辅助液体活检检测和量化体液中循环DNA的突变,是评估药物反应的理想生物标志物,这对于促进涉及第二代或第三代药物的治疗策略的改变至关重要。这些突变的量化可用于评估每个病例的治疗随访中的最小残留疾病。
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引用次数: 0
Precision medicine in neurosurgery: The evolving role of theranostics. 神经外科的精准医疗:治疗学不断发展的作用。
Pub Date : 2023-01-01 Epub Date: 2023-08-03 DOI: 10.36922/itps.417
Drashti Patel, Andrew Nguyen, Chance Fleeting, Anjali B Patel, Mohammed Mumtaz, Brandon Lucke-Wold

Theranostics in neurosurgery is a rapidly advancing field of precision medicine that combines diagnostic and therapeutic modalities to optimize patient outcomes. This approach has the potential to provide real-time feedback during therapy and diagnose a condition while simultaneously providing treatment. One such form of theranostics is focused ultrasound, which has been found to be effective in inducing neuroablation and neuromodulation and improving the efficacy of chemotherapy drugs by disrupting the blood-brain barrier. Targeted radionuclide therapy, which pairs positron emission tomography tracers with therapeutic effects and imaging modalities, is another promising form of theranostics for neurosurgery. Automated pathology analysis is yet another form of theranostics that can provide real-time feedback during the surgical resection of tumors. Electrical stimulation has also shown promise in optimizing therapies for patients with cerebral palsy. Overall, theranostics is a cost-effective way to optimize medical care for patients in neurosurgery. It is a relatively new field, but the advancements made so far show great promise for improving patient outcomes.

神经外科的血流动力学是一个快速发展的精准医学领域,它结合了诊断和治疗模式,以优化患者的治疗效果。这种方法有可能在治疗过程中提供实时反馈,在诊断病情的同时提供治疗。聚焦超声是治疗学的一种形式,它能有效诱导神经消融和神经调节,并通过破坏血脑屏障提高化疗药物的疗效。靶向放射性核素疗法将正电子发射断层扫描示踪剂与治疗效果和成像模式结合起来,是神经外科领域另一种前景广阔的疗法。自动病理分析是治疗放射技术的另一种形式,可在肿瘤手术切除过程中提供实时反馈。电刺激也有望优化脑瘫患者的治疗。总之,治疗学是优化神经外科病人医疗护理的一种经济有效的方法。它是一个相对较新的领域,但迄今取得的进展表明,它在改善患者预后方面大有可为。
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INNOSC theranostics & pharmacological sciences
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