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Neuroprotection in Glaucoma: Old and New Promising Treatments. 青光眼的神经保护:新旧有希望的治疗方法。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2017-01-01 Epub Date: 2017-10-17 DOI: 10.1155/2017/4320408
Dario Rusciano, Salvatore Pezzino, Maria Giulia Mutolo, Rossella Giannotti, Aloisa Librando, Nicola Pescosolido

Glaucoma is a major global cause of blindness, but the molecular mechanisms responsible for the neurodegenerative damage are not clear. Undoubtedly, the high intraocular pressure (IOP) and the secondary ischemic and mechanical damage of the optic nerve have a crucial role in retinal ganglion cell (RGC) death. Several studies specifically analyzed the events that lead to nerve fiber layer thinning, showing the importance of both intra- and extracellular factors. In parallel, many neuroprotective substances have been tested for their efficacy and safety in hindering the negative effects that lead to RGC death. New formulations of these compounds, also suitable for chronic oral administration, are likely to be used in clinical practice in the future along with conventional therapies, in order to control the progression of the visual impairment due to primary open-angle glaucoma (POAG). This review illustrates some of these old and new promising agents for the adjuvant treatment of POAG, with particular emphasis on forskolin and melatonin.

青光眼是全球致盲的主要原因,但导致神经退行性损伤的分子机制尚不清楚。毫无疑问,高眼压(IOP)和视神经继发性缺血和机械损伤在视网膜神经节细胞(RGC)死亡中起着至关重要的作用。一些研究专门分析了导致神经纤维层变薄的事件,显示了细胞内和细胞外因素的重要性。与此同时,许多神经保护物质在阻止导致研究人员死亡的负面影响方面的有效性和安全性也得到了测试。这些化合物的新配方也适用于慢性口服给药,未来可能与传统疗法一起用于临床实践,以控制原发性开角型青光眼(POAG)视力损害的进展。本文综述了一些有前景的辅助治疗POAG的新旧药物,特别强调了福斯克林和褪黑素。
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引用次数: 27
Downregulation of Thromboxane A2 Receptor Occurs Mainly via Nuclear Factor-KappaB Signaling Pathway in Rat Renal Artery. 大鼠肾动脉血栓素A2受体下调主要通过核因子- κ b信号通路发生。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2017-01-01 Epub Date: 2017-07-09 DOI: 10.1155/2017/6507048
Yaping Zhang, Man Mi, Yan-Hua Xie, Si-Wang Wang, Lars Edvinsson, Cang-Bao Xu

Thromboxane A2 (TXA2) acts on TXA2 receptors (TP) to regulate renal artery blood flow and subsequently contributes to the pathogenesis of renal ischemia. The present study was designed to examine if nuclear factor-kappaB (NF-κB) signaling pathway is involved in the downregulation of TP receptors in rat renal artery. Rat renal artery segments were organ cultured for 6 or 24 h. Downregulation of TP receptors was monitored using myograph (contractile function), real-time PCR (receptor mRNA), and immunohistochemistry (receptor protein). Specific inhibitors (MG-132 and BMS345541) for NF-κB signaling pathway were used to dissect the underlying molecular mechanisms involved. Compared to fresh (noncultured) segments, organ culture of the renal artery segments for 24 h induced a significant rightward shift of U46619 (TP receptor agonist) contractile response curves (pEC50: 6.89 ± 0.06 versus 6.48 ± 0.04, P < 0.001). This decreased contractile response to U46619 was paralleled with decreased TP receptor mRNA and protein expressions in the renal artery smooth muscle cells. Specific inhibitors (MG-132 and BMS345541) for NF-κB signaling pathway significantly abolished the decreased TP protein expression and receptor-mediated contractions. In conclusion, downregulation of TP receptors in the renal artery smooth muscle cells occurs mainly via the NF-κB signaling pathway.

血栓素A2 (TXA2)作用于TXA2受体(TP)调节肾动脉血流,从而参与肾缺血的发病机制。本研究旨在探讨核因子κ b (NF-κB)信号通路是否参与大鼠肾动脉TP受体的下调。大鼠肾动脉段器官培养6、24 h。采用肌图(收缩功能)、实时PCR(受体mRNA)和免疫组化(受体蛋白)监测TP受体的下调。利用NF-κB信号通路特异性抑制剂(MG-132和BMS345541)来剖析其潜在的分子机制。与新鲜(未培养)肾动脉段相比,器官培养24小时可诱导U46619 (TP受体激动剂)收缩反应曲线显著右移(pEC50: 6.89±0.06 vs 6.48±0.04,P < 0.001)。U46619的收缩反应降低与肾动脉平滑肌细胞中TP受体mRNA和蛋白表达的降低是一致的。NF-κB信号通路特异性抑制剂MG-132和BMS345541显著消除TP蛋白表达下降和受体介导的收缩。综上所述,肾动脉平滑肌细胞中TP受体的下调主要通过NF-κB信号通路发生。
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引用次数: 1
Phytochemical and Pharmacological Review of Cryptolepis sanguinolenta (Lindl.) Schlechter. Cryptolepis sanguinolenta (Lindl.) Schlechter 的植物化学和药理综述。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2017-01-01 Epub Date: 2017-10-15 DOI: 10.1155/2017/3026370
Newman Osafo, Kwesi Boadu Mensah, Oduro Kofi Yeboah

Ethnopharmacological relevance: Cryptolepis sanguinolenta is a scrambling thin-stemmed shrub found in Africa. Traditionally in West Africa, it is employed in the treatment of malaria, diarrhea, and respiratory conditions. This review discusses the traditional importance as well as the phytochemical, ethnomedical, pharmacological, and toxicological importance of this plant.

Materials and methods: Excerpta Medica Database, Google Scholar, Springer, and PubMed Central were the electronic databases used to search for and filter primary studies on Cryptolepis sanguinolenta.

Results: The detailed review of various studies conducted on C. sanguinolenta and some of its constituents gives an important body of proof of its potential therapeutic benefits and also of its use as a source of lead compounds with therapeutic potentials.

Conclusion: The review on C. sanguinolenta is important in identifying grey areas in the research on this medicinal plant and also provides comprehensive data thus far to continue research on this plant.

民族药理学意义:Cryptolepis sanguinolenta 是一种生长在非洲的蔓生细茎灌木。在西非的传统中,它被用于治疗疟疾、腹泻和呼吸道疾病。这篇综述讨论了这种植物的传统重要性以及植物化学、民族医学、药理学和毒理学方面的重要性:Excerpta Medica Database、Google Scholar、Springer 和 PubMed Central 是用于搜索和筛选 Cryptolepis sanguinolenta 主要研究的电子数据库:结果:对 C. sanguinolenta 及其部分成分进行的各种研究的详细综述为其潜在的治疗功效提供了重要的证据,也为其作为具有治疗潜力的先导化合物的来源提供了重要的证据:关于 C. sanguinolenta 的综述对于确定这种药用植物研究中的灰色地带非常重要,同时也为继续研究这种植物提供了全面的数据。
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引用次数: 0
Changes in IL-2 and IL-10 during Chronic Administration of Isoniazid, Nevirapine, and Paracetamol in Rats 大鼠长期服用异烟肼、奈韦拉平和扑热息痛时IL-2和IL-10的变化
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2016-11-20 DOI: 10.1155/2016/3094783
Zanelle Bekker, A. Walubo, J. D. du Plessis
The aim of this study was to illustrate the initial subclinical drug-induced liver injury and the associated adaptive immune response by monitoring for the changes in plasma IL-2, IL-10, and some cytochrome P450 activity during chronic administration of nevirapine (NVP), isoniazid (INH), and paracetamol (PAR) in rats without clinical hepatotoxicity. Male Sprague-Dawley (SD) rats were divided into four groups (saline (S), NVP, INH, and PAR) of 25 animals each. The drugs were administered daily for 42 days at therapeutic doses (NVP 200 mg/kg, PAR 500 mg/kg, and INH 20 mg/kg) to the respective groups by oral gavage and five rats per group were sacrificed weekly. All the three drugs induced a subclinical liver injury in the first 2-3 weeks followed by healing, indicating adaption. The liver injury was pathologically similar and was associated with immune stimulation and increased cytochrome P450 activity. NVP- and PAR-induced liver injury lasted up to 14 days while that for INH lasted for 28 days. NVP-induced liver injury was associated with increased IL-2, CD4 count, and CYP3A2 activity, followed by increased IL-10 during the healing phase. In conclusion, the initial drug-induced subclinical liver injury, its spontaneous healing, and the associated adaptive immune response have been demonstrated.
本研究的目的是通过监测血浆IL-2、IL-10和一些细胞色素P450活性在长期给药奈韦拉平(NVP)、异烟肼(INH)和扑热息痛(PAR)大鼠无临床肝毒性时的变化,阐明亚临床药物性肝损伤和相关的适应性免疫反应。雄性SD大鼠分为生理盐水(S)组、NVP组、INH组和PAR组,每组25只。各组按治疗剂量(NVP 200 mg/kg、PAR 500 mg/kg、INH 20 mg/kg)每日灌胃,连续42 d,每组每周处死5只大鼠。三种药物均在前2-3周引起亚临床肝损伤,随后愈合,表明适应。肝损伤病理相似,与免疫刺激和细胞色素P450活性增加有关。NVP和par诱导的肝损伤持续14 d, INH诱导的肝损伤持续28 d。nvp诱导的肝损伤与IL-2、CD4计数和CYP3A2活性增加相关,随后在愈合阶段增加IL-10。总之,最初的药物诱导的亚临床肝损伤,其自发愈合和相关的适应性免疫反应已经得到证实。
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引用次数: 12
The Methanolic Extract from Murraya koenigii L. Inhibits Glutamate-Induced Pain and Involves ATP-Sensitive K+ Channel as Antinociceptive Mechanism 木参醇提物抑制谷氨酸诱导的疼痛及参与atp敏感的K+通道的抗痛觉机制
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2016-10-12 DOI: 10.1155/2016/3790860
Nushrat Sharmin Ani, Sudip Chakraborty, M. Moniruzzaman
Murraya koenigii L. is a perennial shrub, belonging to the family Rutaceae. Traditionally, the leaves of this plant are extensively used in treatment of a wide range of diseases and disorders including pain and inflammation. Although researchers have revealed the antinociceptive effects of this plant's leaves during past few years, the mechanisms underlying these effects are still unknown. Therefore, the present study evaluated some antinociceptive mechanisms of the methanolic extract of M. koenigii (MEMK) leaves along with its antinociceptive potential using several animal models. The antinociceptive effects of MEMK were evaluated using formalin-induced licking and acetic acid-induced writhing tests at the doses of 50, 100, and 200 mg/kg. In addition, we also justified the possible participations of glutamatergic system and ATP-sensitive potassium channels in the observed activities. Our results demonstrated that MEMK significantly (p < 0.01) inhibited the pain thresholds induced by formalin and acetic acid in a dose-dependent manner. MEMK also significantly (p < 0.01) suppressed glutamate-induced pain. Moreover, pretreatment with glibenclamide (an ATP-sensitive potassium channel blocker) at 10 mg/kg significantly (p < 0.05) reversed the MEMK-mediated antinociception. These revealed that MEMK might have the potential to interact with glutamatergic system and the ATP-sensitive potassium channels to exhibit its antinociceptive activities. Therefore, our results strongly support the antinociceptive effects of M. koenigii leaves and provide scientific basis of their analgesic uses in the traditional medicine.
龙舌兰(Murraya koenigii L.)是一种多年生灌木,属于蕨科。传统上,这种植物的叶子被广泛用于治疗各种疾病和失调,包括疼痛和炎症。尽管在过去的几年里,研究人员已经揭示了这种植物叶子的抗伤感受作用,但这些作用的机制仍然未知。因此,本研究通过多种动物模型,评估了柯尼希叶甲醇提取物(MEMK)的一些抗伤害感受机制及其抗伤害感受潜力。采用50、100和200 mg/kg剂量的福尔马林诱导的舔舐和醋酸诱导的扭体试验来评价MEMK的抗伤性作用。此外,我们还证明了谷氨酸系统和atp敏感的钾通道可能参与了观察到的活动。结果表明,MEMK显著(p < 0.01)抑制福尔马林和乙酸诱导的疼痛阈值,且呈剂量依赖性。MEMK对谷氨酸诱导的疼痛也有显著抑制作用(p < 0.01)。此外,10 mg/kg的格列本脲(一种atp敏感的钾通道阻滞剂)预处理显著(p < 0.05)逆转了memk介导的抗伤感受。这些结果表明,MEMK可能与谷氨酸系统和atp敏感的钾通道相互作用,以显示其抗伤害感受活性。因此,我们的研究结果有力地支持了柯氏叶的抗伤感受作用,并为其在传统医学中的镇痛作用提供了科学依据。
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引用次数: 5
Thrombus Degradation by Fibrinolytic Enzyme of Stenotrophomonas sp. Originated from Indonesian Soybean-Based Fermented Food on Wistar Rats 印尼大豆发酵食品窄养单胞菌纤维蛋白溶酶对Wistar大鼠血栓的降解作用
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2016-08-21 DOI: 10.1155/2016/4206908
F. Nailufar, R. Tjandrawinata, M. Suhartono
Objective. To evaluate thrombus degrading effect of a fibrinolytic enzyme from food origin Stenotrophomonas sp. of Indonesia. Methods. Prior to animal study, the enzyme safety was tested using cell culture. The effect on expression of tissue plasminogen activator was also analysed in the cell culture. For in vivo studies, 25 Wistar rats were used: normal control, negative control, treatment groups with crude and semipurified enzyme given orally at 25 mg/kg, and positive control group which received Lumbrokinase at 25 mg/kg. Blood clot in the tail was induced by kappa carrageenan injection at 1 mg/kg BW. Results. Experiment with cell culture confirmed the enzyme safety at the concentration used and increased expression of tPA. Decreasing of thrombus was observed in the positive group down to 70.35 ± 23.11% of the negative control animals (100%). The thrombus observed in the crude enzyme treatment was down to 56.99 ± 15.95% and 71.5 ± 15.7% for semipurified enzyme. Scanning electron microscopy showed clearly that bood clots were found in the animals injected with kappa carrageenan; however, in the treatment and positive groups, the clot was much reduced. Conclusions. Oral treatment of enzyme from Stenotrophomonas sp. of Indonesian fermented food was capable of degrading thrombus induced in Wistar rats.
目标。评价一种来自印度尼西亚食源性窄养单胞菌的纤溶酶对血栓的降解作用。方法。在动物实验之前,酶的安全性是通过细胞培养进行测试的。并分析了在细胞培养中对组织纤溶酶原激活物表达的影响。活体实验选用Wistar大鼠25只:正常对照组、阴性对照组、粗酶和半纯化酶治疗组(剂量为25 mg/kg)和阳性对照组(剂量为25 mg/kg)。以1 mg/kg BW的剂量注射kappa角叉菜胶诱导大鼠尾部形成血凝块。结果。细胞培养实验证实了酶在使用浓度下的安全性和tPA表达的增加。阳性组血栓减少率为阴性对照组的70.35±23.11%(100%)。粗酶组血栓形成率为56.99±15.95%,半纯化酶组血栓形成率为71.5±15.7%。扫描电镜显示,注射卡帕角叉胶的动物有明显的血凝块;然而,在治疗组和阳性组,血栓明显减少。结论。口服印尼发酵食品中的窄养单胞菌酶能降解Wistar大鼠血栓。
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引用次数: 18
Pharmacokinetics of Immediate and Sustained Release Cephalexin Administered by Different Routes to Llamas (Lama glama) 不同给药途径头孢氨苄速释和缓释对骆驼的药动学研究
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2016-03-09 DOI: 10.1155/2016/4621039
V. Kreil, L. Ambros, A. Prados, L. Tarragona, A. Monfrinotti, G. Bramuglia, M. Rebuelto
We investigate the pharmacokinetics of two different cephalexin formulations administered to llamas by the intravenous (IV), intramuscular (IM), and subcutaneous (SC) routes, the minimum inhibitory concentration (MIC) of cephalexin against some Escherichia coli and staphylococci isolated from llamas, and we apply the PK/PD modelling approach, so that effective dosage recommendations for this species could be made. Six llamas received immediate (10 mg/kg, IV, IM, and SC) and sustained (8 mg/kg IM, SC) release cephalexin. Pharmacokinetic parameters were calculated by noncompartmental approach. Immediate release SC administration produced a significantly longer elimination half-life as compared with the IV and IM administration (1.3 ± 0.2 versus 0.6 ± 0.1 and 0.6 ± 0.1 h, resp.) and higher mean absorption time as compared with the IM administration (1.7 ± 0.5 versus 0.6 ± 0.4 h). Absolute bioavailability was in the range of 72–89% for both formulations and routes of administration. Cephalexin MIC90 values against staphylococci and E. coli were 1.0 and 8.0 μg/mL, respectively. Our results show that the immediate release formulation (10 mg/kg) would be effective for treating staphylococcal infections administered every 8 h (IM) or 12 h (SC), whereas the sustained release formulation (8 mg/kg) would require the IM or SC administration every 12 or 24 h, respectively.
我们研究了两种不同的头孢氨苄制剂通过静脉注射(IV)、肌肉注射(IM)和皮下注射(SC)途径给羊驼的药代动力学,头孢氨苄对羊驼分离的大肠杆菌和葡萄球菌的最低抑制浓度(MIC),并应用PK/PD建模方法,以便提出该物种的有效剂量建议。6只大羊羊立即(10mg /kg,静脉注射,IM和SC)和持续(8mg /kg IM, SC)释放头孢氨苄。采用非室室法计算药代动力学参数。与静脉注射和IM给药相比,即刻释放SC给药产生更长的消除半衰期(分别为1.3±0.2和0.6±0.1和0.6±0.1 h,分别为1.3±0.2和0.6±0.1 h),平均吸收时间比IM给药高(1.7±0.5和0.6±0.4 h)。制剂和给药途径的绝对生物利用度均在72-89%之间。头孢氨苄对葡萄球菌和大肠杆菌的MIC90值分别为1.0和8.0 μg/mL。我们的研究结果表明,速释制剂(10 mg/kg)对治疗葡萄球菌感染有效,每8小时(IM)或12小时(SC)给药一次,而缓释制剂(8 mg/kg)则需要每12或24小时分别给药一次。
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引用次数: 3
Protective Role of Ramipril and Candesartan against Myocardial Ischemic Reperfusion Injury: A Biochemical and Transmission Electron Microscopical Study 雷米普利和坎地沙坦对心肌缺血再灌注损伤的保护作用:生化和透射电镜研究
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2016-03-06 DOI: 10.1155/2016/4608979
M. S. T. Sheik Uduman, Rajitha Reddy, Priyanka Punuru, G. Chakka, G. Karunakaran
The present study was designed to investigate the role of combined administration of Ramipril and Candesartan against in vitro myocardial ischemic reperfusion injury in rat. Male Wistar albino rats were divided into five groups (n = 6) and treated with saline (10 mL/kg), Ramipril (2 mg/kg), Candesartan (1 mg/kg), and the combination of both drugs, respectively 24 h before induction of global ischemia (5 min of stabilization, 9 min of global ischemia, and 12 min of reflow). Combination of Ramipril and Candesartan when compared to the monotherapy significantly increased the levels of superoxide dismutase, reduced glutathione, catalase, and nitric oxide and decreased the levels of thiobarbituric acid reactive substances. In addition, the superior protective role of combination of Ramipril and Candesartan on ischemia induced myocardial damage was further confirmed by well preserved myocardial tissue architecture in light microscopy and transmission electron microscopy analysis studies. The combination was proved to be effective in salvaging the myocardial tissue against ischemic reperfusion injury when compared to the monotherapy of individual drugs and further investigations on protective mechanism of drugs by increasing the nitric oxide level at molecular levels are needed.
本研究旨在探讨雷米普利和坎地沙坦联合给药对大鼠体外心肌缺血再灌注损伤的作用。雄性Wistar白化大鼠分为5组(n = 6),分别于诱导全脑缺血前24 h(稳定5min、全脑缺血9min、回流12min)给予生理盐水(10ml /kg)、雷米普利(2mg /kg)、坎地沙坦(1mg /kg)及两药联合治疗。与单药治疗相比,雷米普利和坎地沙坦联合治疗显著增加了超氧化物歧化酶、还原性谷胱甘肽、过氧化氢酶和一氧化氮的水平,并降低了硫巴比妥酸反应性物质的水平。此外,在光镜和透射电镜分析研究中,保存完好的心肌组织结构进一步证实了雷米普利和坎地沙坦联用对缺血心肌损伤的优越保护作用。与单药治疗相比,联合用药对心肌组织缺血再灌注损伤有较好的挽救作用,需要进一步从分子水平上研究药物通过提高一氧化氮水平的保护机制。
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引用次数: 7
Cytotoxic Activity of Holothuria leucospilota Extract against Leishmania infantum In Vitro 白蛉提取物对婴儿利什曼原虫体外细胞毒活性的研究
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2016-02-28 DOI: 10.1155/2016/8195381
S. Khademvatan, Alborz Eskandari, J. Saki, M. Foroutan-Rad
Leishmaniasis is a tropical parasitic infection. The resistance and toxicity issues are the major complications and remain significant consequences related to the treatment of leishmaniasis with the recent and classical drugs. Thus there is an immediate requirement to develop new compounds for the treatment of this protozoan disease. Sea cucumbers or holothurians are potentially presented as the marine sources of antimicrobial and cytotoxic compounds. The aim of this study was investigation of in vitro antileishmanial activity of methanol extract of body wall, coelomic fluid, and cuvierian organs of Holothuria leucospilota obtained from coastal parts of Persian Gulf against Leishmania infantum promastigotes and axenic amastigotes. The colorimetric MTT assay was used to determine L. infantum promastigotes and axenic amastigotes viability at different concentrations of the extracts and drug control (Glucantime®) at time dependent manner and the results are represented as IC50 (50% of inhibitory concentration). Coelomic fluid was the most active extract among the three different extracts of H. leucospilota against L. infantum promastigotes and axenic amastigotes with IC50s of 62.33 μg/mL and 22.4 μg/mL and 73 μg/mL and 46 μg/mL at 48 and 72 hours after treatment, respectively. Cuvierian organs extract showed less toxicity with IC50s more than 1000 μg/mL for both Leishmania infantum axenic amastigotes and promastigotes forms after 48 and 72 hours of exposure. Results acquired from the present study propose that the sea cucumber H. leucospilota may be a provoking source of antileishmanial compounds and could be a lead source in the development of the potent antileishmanial and cytotoxic drugs.
利什曼病是一种热带寄生虫感染。耐药性和毒性问题是利什曼病的主要并发症,并且仍然是与使用最新和传统药物治疗利什曼病有关的重大后果。因此,迫切需要开发治疗这种原生动物疾病的新化合物。海参或海参是潜在的抗菌和细胞毒性化合物的海洋来源。本研究研究了波斯湾沿海地区产的白斑全息图体壁、体腔液和膀胱器官甲醇提取物对幼年利什曼原虫原毛螺旋体和无性系无毛螺旋体的体外抗利什曼原虫活性。采用比色MTT法测定不同浓度的提取物和药物对照(葡聚糖酶®)对婴儿乳杆菌promastigotes和axenic amastigotes的活力,并以IC50(50%的抑制浓度)表示。在三种不同提取液中,体腔液对婴儿乳杆菌promastigotes和axenic amastigotes的抑制作用最强,处理后48和72 h的ic50分别为62.33和22.4 μg/mL和73和46 μg/mL。Cuvierian器官提取物在暴露48和72 h后对幼利什曼原虫无性系和promastigotes型的ic50均大于1000 μg/mL,毒性较低。本研究结果表明,leucospilota海参可能是抗利什曼原虫化合物的主要来源,可能是开发有效的抗利什曼原虫和细胞毒性药物的主要来源。
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引用次数: 24
Potential Effects of Silymarin and Its Flavonolignan Components in Patients with β-Thalassemia Major: A Comprehensive Review in 2015 水飞蓟素及其黄酮木脂素成分对重度β-地中海贫血的潜在作用综述
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2016-02-21 DOI: 10.1155/2016/3046373
Hadi Darvishi Khezri, E. Salehifar, M. Kosaryan, Aily Aliasgharian, H. Jalali, A. Hadian Amree
Major β-thalassemia (β-TM) is one of the most common inherited hemolytic types of anemia which is caused as a result of absent or reduced synthesis of β-globin chains of hemoglobin. This defect results in red blood cells lysis and chronic anemia that can be treated by multiple blood transfusions and iron chelation therapy. Without iron chelation therapy, iron overload will cause lots of complications in patients. Antioxidant components play an important role in the treatment of the disease. Silymarin is an antioxidant flavonoid isolated from Silybum marianum plant. In the present study, we reviewed clinical and experimental studies investigating the use of silymarin prior to September 1, 2015, using PubMed, ISI Web of Knowledge, Science Direct, Scopus, Ovid, and Cochrane Library databases and we evaluated the potential effects of silymarin on controlling the complications induced by iron overload in patients with β-TM. Based on the results of the present study, we can conclude that silymarin may be useful as an adjuvant for improving multiple organ dysfunctions.
重度β-地中海贫血(β-TM)是一种最常见的遗传性溶血性贫血,是由于血红蛋白中β-珠蛋白链的缺失或合成减少而引起的。这种缺陷导致红细胞溶解和慢性贫血,可通过多次输血和铁螯合治疗。如果不进行铁螯合治疗,铁超载会给患者带来许多并发症。抗氧化成分在疾病的治疗中起着重要作用。水飞蓟素是从水飞蓟植物中分离得到的抗氧化类黄酮。在本研究中,我们通过PubMed、ISI Web of Knowledge、Science Direct、Scopus、Ovid和Cochrane图书馆数据库,回顾了2015年9月1日之前关于水飞蓟素使用的临床和实验研究,并评估了水飞蓟素对控制β-TM患者铁超载并发症的潜在作用。基于本研究的结果,我们可以得出结论,水飞蓟素可能是一种有用的辅助治疗多器官功能障碍。
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引用次数: 29
期刊
Advances in Pharmacological Sciences
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