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SARS-CoV-2 Pandemic-Therapeutics in Warp Speed. SARS-CoV-2大流行的治疗方法。
Pub Date : 2023-01-01 DOI: 10.2174/2772434418666230119101350
Sourav Sen, Nitin Kumar

Ever since the coronavirus disease 2019 (COVID-19) pandemic struck, the challenges posed to the scientific community by its causative agent, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have been countless, and still continue to emerge. Even though a host of repurposed and new therapeutic agents as well as vaccines have been, and are being assessed at a breakneck speed, this contagion continues to create havoc, returning back in waves, with appearance of newer viral variants which are associated with numerous challenges, which include greater transmissibility, increased virulence, immune escape, etc. In this study, we discuss the current status of various therapeutic agents which are being used, or in the various stages of preclinical/clinical trials for managing COVID-19.

自2019冠状病毒病(COVID-19)大流行以来,其病原体严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2)给科学界带来了无数挑战,并仍在继续出现。尽管大量改换用途的新型治疗剂和疫苗已经并正在以极快的速度进行评估,但这种传染病仍在继续造成严重破坏,一波又一波地卷土重来,出现了新的病毒变体,这些变体带来了许多挑战,包括更大的传染性、更强的毒性、免疫逃逸等。在本研究中,我们讨论了目前正在使用的各种治疗药物的现状,或在临床前/临床试验的各个阶段用于治疗COVID-19。
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引用次数: 1
Isoniazid Loaded PCL-PEG Copolymer Nanoparticles for Sustained Release Application. 异烟肼负载聚氯联苯-聚乙二醇共聚物纳米颗粒缓释应用。
Pub Date : 2023-01-01 DOI: 10.2174/2772434418666230228121730
Alpana Kulkarni, Priya Betai

Background: Tuberculosis (TB) is still a major cause of death worldwide, despite possibly curable therapies. Neurotoxicity, optic neuritis, and severe liver damage are side effects of isoniazid, a powerful first-line anti-TB drug.

Objective: We investigated the use of PCL-PEG copolymer to sustain the release of isoniazid to reduce its adverse effects.

Methods: In the present work, PCL-PEG copolymer was synthesized and characterized. Isoniazid-loaded nanoparticles (Inp) were prepared using a PCL-PEG copolymer. Furthermore, a 23 half factorial design was employed for the optimization of drug and emulsifier concentration in Inp. Full characterization of the nanoparticles was performed in terms of drug loading, entrapment efficiency, particle size, zeta potential, and in vitro drug release. The morphology, FTIR, DSC, and PXRD evaluation of the optimized Batch Inp F13 were studied. Stability was evaluated by storing the freeze-dried Inp F13 at various temperatures.

Results: The entrapment efficiency and drug loading of nanoparticles prepared by double emulsion solvent evaporation were found to be the highest. The release study revealed that all batches of nanoparticles exhibited sustained drug release (60.26 - 88.59%) for 5 days. The cytotoxicity study conducted on Mycobacterium tuberculosis revealed a gradual release of isoniazid from Inp, reaching the maximum (on the 15th day) compared to plain isoniazid (on the 4th day). At 0.8 μg/mL concentration, the inhibitory activity of Inp F13 was maintained for 15 days, indicating sustained release of isoniazid.

Conclusion: The nanoparticles having PCL:PEG in a 95:5 ratio, with 0.5% PVA and initial drug loading of 3 mg, produced the optimum batch. Isoniazid-loaded PCL-PEG nanoparticles allowed controlled (sustained) release of isoniazid.

背景:尽管有可能治愈的治疗方法,结核病仍然是世界范围内死亡的主要原因。异烟肼是一种强力的一线抗结核药物,其副作用包括神经毒性、视神经炎和严重的肝损伤。目的:探讨聚氯乙烯-聚乙二醇共聚物对异烟肼缓释的影响,以减少其不良反应。方法:合成聚氯联苯-聚乙二醇共聚物并对其进行表征。采用聚氯联苯-聚乙二醇共聚物制备了负载异烟肼的纳米颗粒。采用23半因子设计对Inp中药物和乳化剂的浓度进行优化。从载药量、包封效率、粒径、zeta电位和体外药物释放等方面对纳米颗粒进行了全面表征。对优化后的Inp F13进行了形貌、FTIR、DSC和PXRD评价。通过在不同温度下储存冻干的inpf13来评价其稳定性。结果:双乳溶剂蒸发法制备的纳米颗粒包封效率和载药量最高。释放研究表明,各批次纳米颗粒均具有5 d的缓释(60.26 ~ 88.59%)。对结核分枝杆菌进行的细胞毒性研究显示,异烟肼从Inp中逐渐释放,与普通异烟肼相比,在第15天达到最大(第4天)。在0.8 μg/mL浓度下,Inp F13的抑制活性维持15 d,表明异烟肼具有缓释作用。结论:PCL:PEG为95:5,PVA为0.5%,初始载药量为3mg的纳米颗粒为最佳批次。负载异烟肼的PCL-PEG纳米颗粒允许异烟肼的可控(持续)释放。
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引用次数: 0
Whether Early Steroid dose is Associated with Lower Mortality in COVID-19 Critically Ill Patients-An Exploratory Chart Review. 早期类固醇剂量是否与COVID-19危重患者的低死亡率相关——一项探索性图表回顾
Pub Date : 2023-01-01 DOI: 10.2174/2772434417666220817121439
Abhishek Goyal, Ankur Joshi, Saurabh Saigal, Dodda Brahmam, Yogesh Niwariya, Alkesh Khurana, Sagar Khadanga, Arun Mitra

Introduction: Steroids have shown its usefulness in critically ill COVID-19 patients. However, the time of starting steroid and dose tailored to severity remain a matter of inquiry due to still emerging evidences and wide-ranging concerns of benefits and harms. We did a retrospective record analysis in an apex teaching hospital ICU setting to explore optimal doses and duration of steroid therapy which can decrease mortality.

Methods: 114 adults with COVID-19-ARDS admitted to ICU between 20th March-15th August 2020 were included in chart review. We did preliminary exploratory analysis (rooted in steroid therapy matrix categorized by dose and duration) to understand the effect of several covariates on survival. This was followed by univariate and multivariate Cox proportion hazard regression analysis and model diagnostics.

Results: Exploratory analysis and visualization indicated age, optimal steroid, severity (measured in P/F) of disease and infection status as potential covariates for survival. Univariate cox regression analysis showed significant positive association of age > 60 years {2.6 (1.5-4.7)} and protective effect of optimum steroid {0.38(0.2-0.72)} on death (hazard) in critically ill patients. Multivariate cox regression analysis after adjusting effect of age showed protective effect of optimum steroid on hazard defined as death {0.46(0.23-0.87), LR = 17.04, (p = 2e-04)}. The concordance was 0.70 and model diagnostics fulfilled the assumption criteria for proportional hazard model.

Conclusion: Optimal dose steroid as per defined 'optimum' (<24 hours and doses tailored to P/F at presentation) criteria can offer protective effect from mortality which persists after adjusting for age. This protective effect was not found to be negatively influenced by the risk of infection.

类固醇在COVID-19危重患者中显示出其有用性。然而,由于新出现的证据和对益处和危害的广泛关注,开始使用类固醇的时间和根据严重程度量身定制的剂量仍然是一个问题。我们在一家顶尖教学医院的ICU环境中进行了回顾性记录分析,以探索可以降低死亡率的类固醇治疗的最佳剂量和持续时间。方法:对2020年3月20日- 8月15日期间在ICU住院的114例成人COVID-19-ARDS患者进行图表回顾。我们进行了初步的探索性分析(基于按剂量和持续时间分类的类固醇治疗矩阵),以了解几个协变量对生存的影响。随后进行单因素和多因素Cox比例风险回归分析和模型诊断。结果:探索性分析和可视化显示,年龄、最佳类固醇、疾病严重程度(以P/F测量)和感染状态是生存的潜在协变量。单因素cox回归分析显示,年龄> 60岁{2.6(1.5-4.7)}和最佳类固醇保护作用{0.38(0.2-0.72)}与危重患者死亡(危险)呈显著正相关。调整年龄效应后的多因素cox回归分析显示,最佳类固醇对死亡风险的保护作用{0.46(0.23-0.87),LR = 17.04, (p = 2e-04)}。一致性为0.70,模型诊断符合比例风险模型的假设标准。结论:类固醇的最佳剂量符合定义的“最佳”(
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引用次数: 1
Meet the Regional Editor 见见地区编辑
Pub Date : 2022-11-01 DOI: 10.2174/277243441703221110095800
A. Tsakris
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引用次数: 0
Meet the Regional Editor 认识地区编辑
Pub Date : 2022-08-01 DOI: 10.2174/277243441702221007104933
Michael R. Hamblin
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引用次数: 1
A study on the bio-responses of a freshwater snail (Biomphalaria alexandrina) to fungal derived compounds. 淡水蜗牛(Biomphalaria alexandrina)对真菌衍生化合物的生物反应研究。
Pub Date : 2022-06-10 DOI: 10.2174/2772434417666220610110226
A. Mekawey, Salah A R, Mohammed Yosri
BACKGROUNDBiomphalaria alexandrina snails, as transitional hosts of schistosomiasis, plays an essential part in spread of the illness. Control of these snails by the substance molluscicides antagonistically influences the oceanic climate, causing poisonous and cancer-causing consequences for non-target life forms.OBJECTIVELooking for new naturally safe substances can be used for treatment of schistosomiasis disease with minimal side effects on environment and plants, fish wealth and did not affect on human vital functions.METHODSFifty fungal species were used to evaluate their activity against Biomphalaria alexandrina. Study the effect of fungal extract on vital functions of Biomphalaria alexandrina and fish wealth. Purification of active substances and identification of their chemical structures. Results Cladosporium nigrellum and Penicillium aurantiogresium metabolites were effective against B. alexandrina snails, the effects of promising fungal extracts sub-lethal concentrations (IC10 & IC25) on the levels of steroid sex hormones, liver enzymes, total protein, lipids, albumin and glucose were determined. Chemical analyses of this filtrate resulted in the separation of a compound effective against snails; it was identified. Protein electrophoresis showed that fungal filtrate affects the protein pattern of snails' haemolymph. Little or no mortality of Daphnia pulex individuals was observed after their exposure to sub lethal concentrations of each treatment.CONCLUSIONCertain compounds from fungal cultures could be safely used for biological control of Biomphalaria alexandrina snails.
背景亚历山大生物phalaria alexandrina蜗牛作为血吸虫病的过渡宿主,在血吸虫病的传播中起着重要作用。用杀螺剂控制这些蜗牛会对海洋气候产生拮抗作用,对非目标生命形式造成有毒和致癌的后果。目的寻找对环境、植物、鱼类健康、不影响人体生命功能的天然安全的治疗血吸虫病的新物质。方法对50种真菌进行抑菌活性评价。研究了真菌提取物对绿藻生命功能和鱼类财富的影响。活性物质的纯化及其化学结构的鉴定。结果黑枝孢霉和金黄色青霉代谢产物对绿僵螺旋体钉螺有一定的杀伤作用,并测定了有潜力的真菌提取物亚致死浓度(IC10和IC25)对钉螺体内类固醇性激素、肝酶、总蛋白、血脂、白蛋白和葡萄糖水平的影响。对该滤液进行化学分析,分离出一种对蜗牛有效的化合物;它被确认了。蛋白电泳结果表明,真菌滤液对钉螺血淋巴蛋白结构有影响。在暴露于每一种处理的亚致死浓度后,观察到水蚤个体很少或没有死亡。结论从真菌培养物中提取的某些化合物可安全用于山绿螺的生物防治。
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引用次数: 0
Design, Synthesis, Anti-microbial and Molecular Docking Studies of Novel 5-Pyrazyl-2-Sulfanyl-1, 3, 4-Oxadiazole Derivatives. 新型5-吡唑-2-磺胺基- 1,3,4 -恶二唑衍生物的设计、合成、抗菌及分子对接研究。
Pub Date : 2022-06-09 DOI: 10.2174/2772434417666220609105755
R. Das, D. Mehta, Sumeet Gupta, Meenakshi Dhanawat
BACKGROUNDChemical modification of Oxadiazole may lead to a potent therapeutic agent. A series of novel 5-pyrazyl-2-sulfanyl-1, 3, 4-oxadiazole derivatives (5a-g) have been synthesised utilising pyrazinoic acid as a precursor. The new oxadiazole compounds were docked against potential targets and evaluated for antibacterial and antitubercular activity.METHODSThe 5-pyrazyl-2-substituted sulfanyl-1,3,4-oxadiazole derivatives (5a-g) were synthesized from the crucial intermediate 2-sulfanyl-5-pyrazyl-1,3,4-oxadiazole (4), which was prepared by treating the 2-pyrazyl hydrazide with CS2 and pyridine. IR, 1HNMR, 13C, MS and elemental analyses were used to confirm the chemical structures.RESULTSAntimicrobial activity was determined for each synthesized compound. Additionally, compounds were evaluated for antitubercular activity against the Mycobacterium Tuberculosis H37Rv strain. Compounds 5c, 5g, and 5a had a favourable antibacterial profile, while 5c and 5g (MIC = 25 g/ml) demonstrated potential antitubercular activity when compared to the other produced compounds. Molecular docking experiments using V-Life Science MDS 4.6 supplemented the biological data.CONCLUSIONEach compound has been tested for antibacterial and antitubercular action against a variety of microorganism strains and exhibits considerable activity. Additionally, molecular docking analysis confirmed the experimental results by describing improved interaction patterns.
背景:对恶二唑进行化学修饰可制成一种有效的治疗剂。以吡嗪酸为前体合成了一系列新的5-吡唑-2-磺胺基- 1,3,4 -恶二唑衍生物(5a-g)。新的恶二唑类化合物与潜在靶点对接,并对其抗菌和抗结核活性进行了评价。方法以关键中间体2-磺酰-5-吡唑-1,3,4-恶二唑(4)为原料,用CS2和吡啶处理2-吡唑肼,合成5-吡唑-2-取代磺酰-1,3,4-恶二唑衍生物(5a-g)。用IR、1HNMR、13C、MS和元素分析证实了其化学结构。结果测定了各合成化合物的抗菌活性。此外,化合物对结核分枝杆菌H37Rv菌株的抗结核活性进行了评估。化合物5c、5g和5a具有良好的抗菌特性,而5c和5g (MIC = 25 g/ml)与其他化合物相比显示出潜在的抗结核活性。利用V-Life Science MDS 4.6进行分子对接实验,补充生物学数据。结论各化合物对多种微生物均有抑菌、抗结核作用,具有一定的抑菌活性。此外,分子对接分析通过描述改进的相互作用模式证实了实验结果。
{"title":"Design, Synthesis, Anti-microbial and Molecular Docking Studies of Novel 5-Pyrazyl-2-Sulfanyl-1, 3, 4-Oxadiazole Derivatives.","authors":"R. Das, D. Mehta, Sumeet Gupta, Meenakshi Dhanawat","doi":"10.2174/2772434417666220609105755","DOIUrl":"https://doi.org/10.2174/2772434417666220609105755","url":null,"abstract":"BACKGROUND\u0000Chemical modification of Oxadiazole may lead to a potent therapeutic agent. A series of novel 5-pyrazyl-2-sulfanyl-1, 3, 4-oxadiazole derivatives (5a-g) have been synthesised utilising pyrazinoic acid as a precursor. The new oxadiazole compounds were docked against potential targets and evaluated for antibacterial and antitubercular activity.\u0000\u0000\u0000METHODS\u0000The 5-pyrazyl-2-substituted sulfanyl-1,3,4-oxadiazole derivatives (5a-g) were synthesized from the crucial intermediate 2-sulfanyl-5-pyrazyl-1,3,4-oxadiazole (4), which was prepared by treating the 2-pyrazyl hydrazide with CS2 and pyridine. IR, 1HNMR, 13C, MS and elemental analyses were used to confirm the chemical structures.\u0000\u0000\u0000RESULTS\u0000Antimicrobial activity was determined for each synthesized compound. Additionally, compounds were evaluated for antitubercular activity against the Mycobacterium Tuberculosis H37Rv strain. Compounds 5c, 5g, and 5a had a favourable antibacterial profile, while 5c and 5g (MIC = 25 g/ml) demonstrated potential antitubercular activity when compared to the other produced compounds. Molecular docking experiments using V-Life Science MDS 4.6 supplemented the biological data.\u0000\u0000\u0000CONCLUSION\u0000Each compound has been tested for antibacterial and antitubercular action against a variety of microorganism strains and exhibits considerable activity. Additionally, molecular docking analysis confirmed the experimental results by describing improved interaction patterns.","PeriodicalId":74643,"journal":{"name":"Recent advances in anti-infective drug discovery","volume":"103 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74371927","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
Assessment of the anti-malarial properties of dihydroartemisinin-piperaquine phosphate solid lipid-based tablets. 磷酸二氢青蒿素-哌喹固体脂基片抗疟疾性能评价。
Pub Date : 2022-06-06 DOI: 10.2174/2772434417666220606105822
Chime Salome A, A. A., Onunkwo Godswill C
BACKGROUNDArtemisinin based combination therapies (ACTs) typified by dihydroartemisinin-piperaquine phosphate is one of the first line drugs used in the treatment of Plasmodium falciparum malaria. However, the emergence of drug resistance to ACTs show the necessity to develop novel sustained release treatment in order to ensure maximum bioavailability.OBJECTIVESTo formulate dihydroartemisinin (DHA)-piperaquine phosphate (PQ) sustained release tablets based on solidified reverse micellar solutions (SRMS).METHODSThe SRMS was prepared by fusion using varying ratios of Phospholipon® 90H and Softisan® 154 and characterised. The tablets were prepared by using an in-house made and validated mould. The formulations were tested for uniformity of weight, hardness, friability, softening time, erosion time and in vitro-in vivo dissolution rate. Anti malarial properties were studied by modified Peter's 4-days suppressive test in mice. One-way analysis of variance (ANOVA) was used in analysis of results.RESULTSSmooth caplets, with average weight of 1300 ± 0.06 to 1312 ± 0.11 mg, drug content of 61 mg for DHA and t 450 mg for PQ. Tablets hardness ranged from 7.1 to 9.0 Kgf and softening time of 29.50 ± 1.90 min. Erosion time of 62.00 ± 2.58 to 152.00 ± 1.89 min were obtained for tablets formulated with Poloxamer 188 (Batches R2, S2 and T2) which significantly reduced the softening and erosion time (p < 0.05). In vitro release showed that optimized formulation had maximum release at 12 h. Formulations exhibited significantly higher parasitaemia clearance and in vivo absorption compared to marketed formulations at day 7 (p < 0.05).CONCLUSIONDHA-PQ tablets based on SRMS is much easier and relatively cheaper to produce than compressed tablets. They also showed exceptionally better treatment of malaria owing to their sustained release properties and improved bioavailability and is recommended to Pharmaceutical companies for further studies.
以二氢青蒿素-磷酸哌喹为代表的青蒿素为基础的联合疗法(ACTs)是治疗恶性疟原虫疟疾的一线药物之一。然而,对ACTs的耐药性的出现表明有必要开发新的缓释治疗,以确保最大的生物利用度。目的采用固化反胶束溶液(SRMS)制备双氢青蒿素(DHA)-磷酸哌喹(PQ)缓释片。方法采用不同比例的Phospholipon®90H和Softisan®154融合制备SRMS,并对其进行表征。该片剂采用自行制作并经验证的模具制备。测试了配方的重量、硬度、脆性、软化时间、侵蚀时间和体内外溶出率的均匀性。采用改良的小鼠彼得4天抑制试验研究其抗疟作用。结果分析采用单因素方差分析(ANOVA)。结果胶囊光滑,平均质量为1300±0.06 ~ 1312±0.11 mg, DHA含量为61 mg, PQ含量为450 mg。波洛沙姆188 (R2、S2、T2批)配制的片剂硬度为7.1 ~ 9.0 Kgf,软化时间为29.50±1.90 min,侵蚀时间为62.00±2.58 ~ 152.00±1.89 min,显著缩短了软化和侵蚀时间(p < 0.05)。体外释放结果表明,优化后的制剂在12 h释放量最大。第7天,与市售制剂相比,优化后的制剂的寄生虫清除率和体内吸收率显著提高(p < 0.05)。结论基于SRMS的dha - pq片剂比压缩片剂更容易生产,成本相对较低。由于它们的缓释特性和提高的生物利用度,它们还显示出对疟疾的治疗效果特别好,并被推荐给制药公司进行进一步研究。
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引用次数: 0
Synthesis, Molecular docking and In-Vitro Antimycobacterial Studies on N'-arylidene-4-nitrobenzohydrazides. N′-芳基芳基-4-硝基苯并肼的合成、分子对接及体外抑菌研究
Pub Date : 2022-05-31 DOI: 10.2174/1570193X19666220531154544
D. Bhosale, Suraj N. Mali, B. Thorat, Swati S Wavhal, D. Bhagat, R. M. Borade
BACKGROUNDMycobacterium tuberculosis (Mtb) is the organism that causes tuberculosis to develop (TB). In 2019, 10 million individuals worldwide contracted tuberculosis, with 1.4 million people dying from the disease each year (World Health Organization, 2021). Hydrazones-hydrazide-based drugs have been shown to be bactericidal against M. tuberculosis replication.OBJECTIVESWe herein intended to synthesize a series of acid hydrazones (3a-3l) by condensing 4-nitrobenzohydrazine with substituted aromatic acids in ethanol at room temperature.MATERIALS AND METHODSAll newly synthesized compounds were characterized by standard spectroscopic techniques. Synthesized compounds were then tested for anti-mycobacterial analysis, H37Rv strains. Molecular docking analysis was performed for three crystal structures of 1ENY, 1TED and 2FUM Mycobacterium tuberculosis receptors.RESULTSAmong all tested molecules, 3i (MIC: 50 μg/mL) and 3b (MIC: 50 μg/mL) were found to best ligands for further development of new anti-TB drug. We noticed that our proposed molecules were having higher docking scores that corresponding standard anti-TB agents such as Ciprofloxacin and Isoniazid. Synthesized compounds were found to have Drug-Likeness properties when tested with Lipinski's filter for drug-likeness.CONCLUSIONFrom our current study, we wish to propose N'-arylidene-4-nitrobenzohydrazides as anti-TB agents. Agents with such system can be developed in future for developments into active lead molecules.
背景结核分枝杆菌(Mtb)是导致结核病发展(TB)的有机体。2019年,全球有1000万人感染结核病,每年有140万人死于结核病(世界卫生组织,2021年)。肼类药物已被证明对结核分枝杆菌的复制具有杀菌作用。目的:采用4-硝基苯并肼与取代芳香酸在乙醇中室温缩合的方法合成一系列酸腙(3a-3l)。材料与方法所有新合成的化合物均采用标准光谱技术进行了表征。然后对合成的化合物进行抗分枝杆菌分析,H37Rv菌株。对结核分枝杆菌受体1ENY、1TED和2FUM三种晶体结构进行分子对接分析。结果发现3i (MIC: 50 μg/mL)和3b (MIC: 50 μg/mL)是进一步开发抗结核新药的最佳配体。我们注意到我们提出的分子比相应的标准抗结核药物如环丙沙星和异烟肼具有更高的对接分数。当用利平斯基的药物相似过滤器进行测试时,发现合成的化合物具有药物相似特性。结论从我们目前的研究来看,我们希望提出N'-芳基烯-4-硝基苯并肼作为抗结核药物。具有这种体系的试剂可以在未来发展成活性铅分子。
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引用次数: 2
Mapping of new pharmacological alternatives in the face of the emergence of antibiotic resistance in COVID-19 patents treated for opportunistic respiratory bacterial pathogens. 在治疗机会性呼吸道细菌病原体的COVID-19专利中出现抗生素耐药性时,绘制新的药物替代方案
Pub Date : 2022-05-18 DOI: 10.2174/1574891X16666220518142347
A. M. Santos, Mariana Mendonça Santos, José Adão Carvalho Nascimento Júnior, João Rafael Lisboa Rêgo Brito, Tatianny de Araújo Andrade, L. Frank, M. Serafini
BACKGROUNDThe worldwide pandemic fought by COVID-19 could emerge another type of pandemic, the increase in bacterial resistance against antibiotics. Emergency treatment based on antibioticsis a major influence in increasing this resistance. Bacteria, such as Klebsiella pneumoniae, are most affected by the indiscriminate use of antibiotics since they are resistant to most antibiotics currently available on the market.OBJECTIVEThis review aimed to evaluate patents of new drugs and formulations, for the treatment of infections caused by Klebsiella pneumoniae.METHODSThe present patent review was carried out through a specialized search database Espacenet. The selection was based on the criteria of patents published from 2010 to May 2021, in any language, and containing the keywords in title or abstract. Also, a research was performed on the PubMed database, using the inclusion criteria.RESULTSTwenty-two patents were selected for the analysis according to the aim of the study. The advance of new patents has been mostly seen in World Intellectual Property Organization, China, and United States. The results showed that the main approach was the drug association, followed by drug carriers, new isolated products, and vaccines.CONCLUSIONIt has been observed that few studies use new drug alternatives for the treatment, probably due to the higher cost of the development and lack of investments. The effectiveness and safety of these therapies depend on the acceptance, the correct prescription, and rational use of medicines. Therefore, this review can further develop new treatments as alternatives against Klebsiella pneumoniae and pneumonia caused by it.
与COVID-19作斗争的全球大流行可能出现另一种类型的大流行,即细菌对抗生素的耐药性增加。基于抗生素的紧急治疗是增加这种耐药性的主要影响因素。肺炎克雷伯菌等细菌受滥用抗生素的影响最大,因为它们对目前市场上可获得的大多数抗生素具有耐药性。目的评价治疗肺炎克雷伯菌感染的新药和制剂专利。方法通过专用检索数据库Espacenet进行专利审查。该选择基于2010年至2021年5月期间发表的专利标准,以任何语言进行,并且在标题或摘要中包含关键字。同时,利用纳入标准对PubMed数据库进行了研究。结果根据研究目的选取了22项专利进行分析。新专利的进步主要体现在世界知识产权组织、中国和美国。结果表明,主要途径是药物关联,其次是药物载体、新分离产物和疫苗。结论目前很少有研究使用新药替代治疗,可能是由于开发成本较高和缺乏投资。这些疗法的有效性和安全性取决于接受度、正确的处方和合理用药。因此,本文综述可以进一步开发新的治疗方法,作为肺炎克雷伯菌及其引起的肺炎的替代疗法。
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引用次数: 2
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Recent advances in anti-infective drug discovery
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