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The Duality of AIM2 Inflammasome: A Focus on its Role in Autoimmunity and Skin Diseases AIM2炎性小体的双重性:在自身免疫和皮肤疾病中的作用
Pub Date : 2016-04-23 DOI: 10.3844/AJPTSP.2016.8.19
M. Canavese
Understanding the inflammasome biology is one of the most exciting challenges in immuno-pharmacology. The role of the inflammasomes has been recognized in the host defense mechanism against invading pathogens and in the development of several conditions, such as cancer, auto-inflammatory, autoimmune, metabolic and neurodegenerative disorders. DNA recognition by the cells is a crucial immunological step leading to the initiation of an innate immune response. Absent in Melanoma 2 (AIM2) is a cytoplasmic sensor that perceives double-stranded DNA of microbial or host origin. Once the DNA is bound, AIM2 assembles a multiprotein complex named inflammasome, which drives pyroptosis and proteolytic cleavage of pro-IL-1I² and pro-IL-18 pro-inflammatory cytokines, leading to a protective inflammasome-mediated host response. However, improper recognition of self-DNA by AIM2 triggers deleterious inflammatory responses, leading to systemic inflammation and several pathological conditions. Therefore, understanding the mechanisms of AIM2-inflammasome-mediated inflammation will provide an essential knowledge base to develop new successful therapeutic strategies to cure the outlined pathologies in which AIM2- inflammasome activation plays a key role, as well as to guide clinical practice. This mini-review provides an overview on the latest research findings on AIM2 inflammasome, with particular focus on its role in autoimmunity and skin disorders. An update on its therapeutic implications has also been documented.
了解炎性体生物学是免疫药理学中最令人兴奋的挑战之一。炎性小体的作用已被认识到在宿主防御入侵病原体的机制和几种疾病的发展中,如癌症、自身炎症、自身免疫、代谢和神经退行性疾病。细胞的DNA识别是导致先天免疫反应启动的关键免疫步骤。在黑色素瘤2 (AIM2)中缺失的是一种细胞质传感器,它可以感知微生物或宿主来源的双链DNA。一旦DNA被结合,AIM2就会组装一个名为炎性小体的多蛋白复合物,该复合物驱动前il - 1i²和前il -18促炎细胞因子的焦亡和蛋白水解裂解,从而导致炎性小体介导的保护性宿主反应。然而,AIM2对自身dna的错误识别会引发有害的炎症反应,导致全身性炎症和多种病理状况。因此,了解AIM2-炎性小体介导的炎症机制将为开发新的成功治疗策略提供必要的知识基础,以治愈AIM2-炎性小体激活起关键作用的概述病理,并指导临床实践。本文综述了AIM2炎性小体的最新研究成果,重点介绍了其在自身免疫和皮肤疾病中的作用。关于其治疗意义的最新情况也有文献记载。
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引用次数: 0
Effects of Artemisinin-Based Combination Therapies on Lipids and Hepatorenal Circulating Indices in Guinea Pigs 青蒿素联合治疗对豚鼠血脂和肝肾循环指标的影响
Pub Date : 2016-02-01 DOI: 10.3844/AJPTSP.2016.26.31
A. Mankwe, J. Aprioku, A. Obianime
Artemisinin-based Combination Therapies (ACTs) are employed as first-line agents in malaria chemotherapy. In many malaria endemic areas, ACTs are frequently abused partly due to resistance, poor drug control and inadequate health facilities. This study investigated the effects of prolong administration of Artesunate-Sulfadoxine-Pyrimethamine (ATS-SP), Artesunate-Amodiaquine (ATS-Amod) and Artemether-Lumefantrine (ATM-Lum) on plasma levels of biochemical parameters (AST, ALT, ALP, urea and creatinine) and lipids in guinea pigs. Adult guinea pigs were administered standard (NTD) or Double Therapeutic Dose (DTD) equivalents of ATS-SP, ATS-Amod or ATM-Lum for 14 days. Some other animals received similar drug treatments but were allowed to recover for 14 days. Control group was given vehicle. ATS-Amod caused significant (p<0.05) elevations in AST, ALT, urea and creatinine levels without altering ALP compared to control. The elevations were all reversed except the DTD-induced creatinine elevation. ATS-SP reversibly elevated (p<0.05) AST and creatinine levels. ATM-Lum caused no effect on urea, creatinine and ALT, but increased AST and ALP levels. Lipids were unaffected, except triglyceride level that was reversibly elevated (p<0.05) by ATS-SP (DTD). The results demonstrate that standard doses of the ACTs may have no harmful effects, but prolong overdose treatment with artesunate-amodiaquine or artesunate-SP may elevate creatinine and triglyceride levels, respectively.
以青蒿素为基础的联合疗法被用作疟疾化疗的一线药物。在许多疟疾流行地区,以青蒿素为基础的联合疗法经常被滥用,部分原因是抗药性、药物管制不力和保健设施不足。本研究探讨了延长给药时间对豚鼠血浆生化指标(AST、ALT、ALP、尿素、肌酐)及血脂水平的影响。成年豚鼠分别给予标准剂量(NTD)或双倍治疗剂量(DTD)等量的ATS-SP、ATS-Amod或ATM-Lum 14天。其他一些动物也接受了类似的药物治疗,但被允许恢复14天。对照组给予载药。与对照组相比,ATS-Amod导致AST、ALT、尿素和肌酐水平显著升高(p<0.05),但未改变ALP。除td引起的肌酐升高外,其他升高均逆转。ATS-SP可使AST和肌酐水平可逆升高(p<0.05)。ATM-Lum对尿素、肌酐和ALT无影响,但使AST和ALP水平升高。脂类不受影响,除了甘油三酯水平通过ATS-SP (DTD)可逆性升高(p<0.05)。结果表明,标准剂量的ACTs可能没有有害影响,但延长过量服用青蒿琥酯-阿莫地喹或青蒿琥酯- sp可能分别升高肌酐和甘油三酯水平。
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引用次数: 1
Stage Specificity of Eurycomanone Isolated from Eurycoma longifolia on Plasmodium falciparum Cycles 长叶Eurycoma Eurycomanone在恶性疟原虫周期中的分期特异性
Pub Date : 2016-01-16 DOI: 10.3844/AJPTSP.2016.1.7
E. N. Sholikhah, M. A. Wijayanti, R. A. Susidarti, Indah Purwantini, Rani Afifah Nur Hestiyani, H. Yusuf, Mustofa
Eurycomanone is the most active compounds in the roots of Eurycoma longifolia and shown to have in vitro antiplasmodial activity. However, the stage of Plasmodium falciparum cycles which are sensitive to eurycomanone have not been investigated. This study was conducted to investigate stage specificity of eurycomanone at various stages of P. falciparum life cycles. Stage specificity of eurycomanone at various stages of P. falciparum was performed on P. falciparum culture in vitro. A total of 100 µL of solution containing P. falciparum at ring stage after synchronized with 1-2% parasitemia (hematocrit 3%) were included in 96 wells microcultures and then added 100 µL of solution containing eurycomanone with 6 various concentrations. The specificity of eurycomanone was evaluated microscopically by counting the percentage of each stage of P. falciparum after for 8, 16, 24, 32, 40, 48, 56, 64 and 72 h incubation time, compared with control without any compound. The results showed that eurycomanone can kill ring stage of P. falciparum and may inhibit the development of young schizont to mature schizont in vitro. However, it needs further investigations for the mechanism.
Eurycomanone是Eurycoma longfolia根中最具活性的化合物,并显示出体外抗疟原虫活性。然而,恶性疟原虫周期对芡实酮敏感的阶段尚未研究。本研究的目的是探讨在恶性疟原虫生命周期的不同阶段,eurycomanone的阶段特异性。在体外恶性疟原虫培养物上进行了假eurycomanone对恶性疟原虫不同阶段的分期特异性测定。在96孔微培养中加入1-2%寄生率(红细胞比容3%)同步后的恶性疟原虫环期溶液100µL,然后加入6种不同浓度的eurycomanone溶液100µL。显微镜下,与不加任何化合物的对照组相比,通过计算孵育8、16、24、32、40、48、56、64和72 h后各阶段恶性疟原虫的百分率来评价eurycomanone的特异性。结果表明,假eurycomanone能杀灭恶性疟原虫环期,并能抑制体外分裂体向成熟分裂体的发育。但其作用机理有待进一步研究。
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引用次数: 2
Are we Able to Harness the Immunomodulatory Power of Cytokines for Novel Autoimmune Disease Treatments 我们能够利用细胞因子的免疫调节能力来治疗新的自身免疫性疾病吗
Pub Date : 2015-10-22 DOI: 10.3844/AJPTSP.2015.37.39
G. Nocentini, G. Migliorati, C. Riccardi
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引用次数: 1
Abrus Precatorius Induced Hemorrhagic Colitis Abrus Precatorius诱导出血性结肠炎
Pub Date : 2015-09-13 DOI: 10.3844/AJPTSP.2015.40.45
R. Ganesan, Rajalakshmi Ettiyan
Abrus Precatorius commonly known as Rosary bead or Kundumani (Arena, 1986) is an irritant poison affecting almost all major systems of the body with more damage to the gastrointestinal system. The mortality rate is 10 to 15% for a lethal dose of just 1-2 crushed seeds. Following is the case report of hemorrhagic colitis due to the ingestion of a toxic dose of ABRUS seeds (Reedman et al., 2008). Sigmoidoscopy was done to document the hemorrhagic colitis. Client was treated as severe colitis with intra venous antibiotics, intravenous steroids; Oral Mesalamine, Intra venous Pantaprazole and IV fluids. Despite consuming a large amount of the toxin, our client survived.
Abrus Precatorius通常被称为Rosary珠或Kundumani (Arena, 1986)是一种刺激性毒药,几乎影响身体的所有主要系统,对胃肠道系统的损害更大。1-2粒碾碎的种子致死剂量,死亡率为10% - 15%。以下是因摄入有毒剂量的ABRUS种子而导致出血性结肠炎的病例报告(Reedman et al., 2008)。乙状结肠镜检查记录出血性结肠炎。病人被诊断为严重结肠炎,静脉注射抗生素、类固醇;口服美沙拉明,静脉注射泮他拉唑和静脉输液。尽管摄入了大量毒素,我们的委托人还是活了下来。
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引用次数: 3
Analgesic and Anti-inflammatory Activity of Euphorbia antiquorum Linn 大戟的镇痛和抗炎作用
Pub Date : 2015-08-27 DOI: 10.3844/AJPTSP.2015.46.55
B. Das, S. Alam, Rajib Bhattacharjee, B. Das
Euphorbia antiquorum (L.) is used as traditional medicine for various ailments in Bangladesh. But the scientific basis for its use especially in pain and inflammation remains largely unknown. Therefore, the present study was designed to evaluate analgesic and anti-inflammatory effect of the aqueous ethanolic extract of the whole plant. The analgesic activity was evaluated by hot plate, acetic acid induced writhing and formalin induced writhing methods in Swiss Albino mice at the doses of 250 and 500 mg kg-1 body weight. The extract was also investigated for the anti-inflammatory effect on Long Evans rats at above mentioned doses using carrageenan induced rat paw edema method. Phytochemical analysis of the extract revealed the presence of tannins, alkaloids, flavonoids, saponins and terpenoids. The extract elicited a significant (p
大戟(L.)在孟加拉国被用作治疗各种疾病的传统药物。但其用于治疗疼痛和炎症的科学依据在很大程度上仍然未知。因此,本研究旨在评价全株水乙醇提取物的镇痛和抗炎作用。采用热板法、醋酸扭体法和福尔马林扭体法对250、500 mg kg-1体重的瑞士白化病小鼠进行镇痛作用评价。采用角叉菜胶诱导大鼠足部水肿法,研究了上述剂量下该提取物对Long Evans大鼠的抗炎作用。植物化学分析表明,提取物中含有单宁、生物碱、黄酮类化合物、皂苷和萜类化合物。提取物引起了显著的(p
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引用次数: 4
Prescription Pattern of Anti-Hypertensive Drugs in Adherence to JNC- 7 Guidelines 遵循JNC- 7指南的抗高血压药物处方模式
Pub Date : 2015-06-02 DOI: 10.3844/AJPTSP.2015.27.31
K. Murti, M. Khan, A. Dey, M. Sethi, P. Das, K. Pandey
The main objective of the present study to investigate the utilization pattern of antihypertensive drugs in hypertensive patients and to find out whether the prescription pattern is in adherence with the JNC7 guidelines for the management of hypertension. A prospective study was conducted and drug utilization data were collected from 137 hypertensive patients who were attended as Out Patient Department (OPD) of Rajendra Memorial Research Institute of Medical Sciences (RMRIMS), Patna, Bihar, India. The data was retrieved from patient’s medical records as well as from the interview of patients and their legally acceptable representatives. The following classes of antihypertensive drugs were analyzed; Angiotensin Converting Enzyme Inhibitors (ACEI), Angiotensin Receptor Blockers (ARBs), Beta Blockers (BBs), Calcium Channel Blockers (CCBs) and Diuretics. The inclusion criteria for the recruitment of study subjects were the patients suffering from hypertension with or without other co-morbid conditions. The analysis of the prescription frequency, proportion of the different antihypertensive classes of drugs as monotherapy as well as combination therapy was done. The most frequently prescribed classes of antihypertensive medications were Diuretics (mainly thiazides followed by Loop category) followed by CCBs, BBs, ACEIs and ARBs. Antihypertensive drug combination therapy was given to 72.26% of the total population while monotherapy was received by 27.73% of the total hypertensive population, representing more utilization of combination therapy as compared to monotherapy. The prescription pattern of these classes of drugs was found to be considerately in adherence to JNC7 guidelines for the management of hypertension. It was evident from the study that hypertension is more pronounced in males with increasing age as compared to females. The diuretics were the first choice alone or in combination and pattern of prescription was adhered to JNC-7 Guidelines.
本研究的主要目的是了解高血压患者抗高血压药物的使用模式,并了解其处方模式是否符合JNC7高血压治疗指南。对印度比哈尔邦巴特那Rajendra纪念医学科学研究所(rrimms)门诊就诊的137例高血压患者进行前瞻性研究,并收集其用药数据。数据来源于患者的医疗记录以及对患者及其合法代理人的访谈。对以下几类降压药进行分析:血管紧张素转换酶抑制剂(ACEI),血管紧张素受体阻滞剂(ARBs), β受体阻滞剂(BBs),钙通道阻滞剂(CCBs)和利尿剂。招募研究对象的入选标准是伴有或不伴有其他合并症的高血压患者。分析不同降压类别药物单药和联合用药的处方频次、比例。最常用的降压药物是利尿剂(主要是噻嗪类药物,其次是Loop类药物),其次是ccb、bb、acei和arb。降压药物联合治疗占总人数的72.26%,单药治疗占总人数的27.73%,联合治疗的使用率高于单药治疗。这些类别的药物的处方模式被发现非常符合JNC7高血压管理指南。从研究中可以明显看出,与女性相比,随着年龄的增长,高血压在男性中更为明显。首选利尿剂单独或联合使用,处方模式遵循JNC-7指南。
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引用次数: 16
Effects of Recombinant Toxin Phospholipase D in Cardiac Muscle of Rats 重组毒素磷脂酶D对大鼠心肌组织的影响
Pub Date : 2015-06-02 DOI: 10.3844/AJPTSP.2015.32.36
J. V. Peixoto, F. Dias, C. Damiani, I. K. Silva, S. S. Veiga, J. C. Francisco, R. Fogaça
Loxoceles spiders gender are worldwide spread and its bites can cause dermonecrosis or even a systemic effect (hemolysis, kidney and liver injury). It is believed that phospholipase D, the main component present in the venom, could be responsible for the injury. In this study, we used a recombinant form of phospholipase D (rLiD1) and evaluated its direct and systemic effects on the contractility of papillary muscles and in the left intra ventricular pressure of isolated perfused hearts, respectively. In papillary muscle directly exposed to rLiD1 no effects on force, maximum speed of contraction (df/dtmax) or relaxation (df/dtmin) were observed. In isolated perfused heart, the peak of systolic pressure and the rate of relaxation (dP/dtmin) were reduced in animals treated with rLiD1. However, the maximum speed of pressure developed during contraction (dP/dtmax) was unaffected. These data suggest that rLiD1 did not affect directly the excitation contraction coupling or the contractility of the myocardium but its systemic effect can induce reduction in the cardiac performance.
Loxoceles蜘蛛在世界范围内广泛传播,它的叮咬会导致皮肤坏死甚至全身影响(溶血,肾脏和肝脏损伤)。据信,毒液中的主要成分磷脂酶D可能是造成这种伤害的原因。在这项研究中,我们使用了重组形式的磷脂酶D (rLiD1),并分别评估了其对离体灌注心脏乳头肌收缩力和左室内压的直接和全身影响。直接暴露于rLiD1的乳头肌,其力、最大收缩速度(df/dtmax)和舒张速度(df/dtmin)均无明显变化。在离体灌注心脏中,rLiD1处理动物的收缩压峰值和舒张率(dP/dtmin)降低。然而,收缩过程中产生的最大压力速度(dP/dtmax)不受影响。这些数据表明,rLiD1不直接影响心肌的兴奋收缩耦合或收缩力,但其全身作用可引起心肌功能的降低。
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引用次数: 0
Selected Genotoxic Impurities Profiling During WFI Qualification to Control Carcinogenesis in Large Volume Parenterals 在WFI鉴定过程中选择遗传毒性杂质分析以控制大容量静脉注射的癌变
Pub Date : 2015-05-27 DOI: 10.3844/AJPTSP.2015.13.26
M. Ullah
Water For Injections (WFI) which is the main vehicle of Large Volume Parenterals (LVPs) should be free from trace amount of genotoxic impurities. This review gives emphasis on quantification of genotoxic trace metals during qualification of WFI in LVPs manufacturing unit. According to ICH guidelines, impurities related to drug substances are classified into three main categories: Organic impurities, inorganic (elemental) impurities and residual solvents. Within these categories, genotoxic impurities form a special case that poses a significant safety risk, even at low concentrations, because they may be mutagenic and are therefore potentially damaging to DNA. As a result they can lead to mutations or cause cancer. Chemical carcinogens most often directly or after xenobiotic metabolism, act as genotoxic causes to induce DNA damage. The roles of trace metals (some of which are either genotoxic or non-genotoxic) in cancer development and inhibition have a complex character and have raised many questions because of their essential and toxic effects on people's health. Trace metals such as cadmium, nickel, arsenic, beryllium and chromium (VI) have been recognized as human or animal carcinogens by International Agency for Research on Cancer (IARC). There are several genotoxic chemicals like residual solvent, impurities and trace metals present in Pharmaceuticals to form carcinogens. Regulatory body like FDA and EMEA has fixed up specific limits for these elemental impurities. The toxicity of an elemental impurity is related to its extent of exposure (bioavailability). In that sense, parenteral dosage forms has its most possibility to be bioavailable than the other dosage forms, the limit of genotoxic impurities are 10 times lower than that of oral dosage forms by United States Pharmacopoeia (USP). The present article is for the importance of identification and quantification of the trace amount of the metal genotoxic impurities in Water For Injection (WFI) during qualification (IQ, OQ, PQ) as a preventive measure to control the production and distribution of WFI for Large Volume Parenteral (LVP) production.
注射用水(WFI)是大容量静脉注射(LVPs)的主要载体,应不含微量的遗传毒性杂质。本文对lvp生产单位WFI鉴定过程中基因毒性微量金属的定量进行了综述。根据ICH指南,与原料药相关的杂质主要分为三大类:有机杂质、无机(元素)杂质和残留溶剂。在这些类别中,基因毒性杂质构成一种特殊情况,即使在低浓度下也会造成重大安全风险,因为它们可能具有诱变性,因此可能对DNA造成损害。因此,它们可能导致突变或致癌。化学致癌物通常直接或经过外源代谢,作为基因毒性引起DNA损伤。微量金属(其中一些具有遗传毒性或非遗传毒性)在癌症发生和抑制中的作用具有复杂的特征,并因其对人们健康的重要和毒性作用而引起了许多问题。镉、镍、砷、铍、铬等微量金属已被国际癌症研究机构(IARC)认定为人类或动物致癌物。药物中有几种遗传毒性化学物质,如残留溶剂、杂质和微量金属,会形成致癌物。像FDA和EMEA这样的监管机构已经确定了这些元素杂质的具体限制。元素杂质的毒性与其暴露程度(生物利用度)有关。从这个意义上说,肠外剂型比其他剂型更有可能具有生物利用度,美国药典(USP)规定的遗传毒性杂质限量比口服剂型低10倍。本文阐述了在大剂量注射用水(LVP)的生产过程中,对注射用水(WFI)中痕量金属遗传毒性杂质进行鉴定和定量作为控制其生产和分配的预防措施的重要性。
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引用次数: 0
Vascular Endothelial Growth Factor: An Overview Across Multiple Disease Conditions 血管内皮生长因子:跨越多种疾病条件的综述
Pub Date : 2015-05-06 DOI: 10.3844/AJPTSP.2015.1.12
M. Canavese
Vascular Endothelial Growth Factor (VEGF) is the major player in the regulation of physiological angiogenesis as well as it has also been implicated in pathological angiogenesis, associated with cancers and other conditions, among which psoriasis, autoimmune diseases and visual loss in macular degeneration. Interestingly, three regulatory Single Nucleotide Polymorphisms (rSNPs) in the promoter region of VEGF-A gene have been significantly associated with different human diseases and it is possible that, in the near future, the cumulative effect of several high-risk Single Nucleotide Polymorphisms (SNPs) may prove useful in a clinical setting. Currently, new VEGF inhibitors are undergoing clinical testing in various disease conditions, given that VEGF inhibition has also been contemplated as a possible strategy for prevention of angiogenesis and vascular leakage to decrease inflammation. This review focuses mainly on the role of Vascular Endothelial Growth Factor in several pathological contexts, highlighting the emerging association of the most common VEGF polymorphisms with disease risk. An update on the therapeutic implications of VEGF has also been documented.
血管内皮生长因子(Vascular Endothelial Growth Factor, VEGF)在生理性血管生成的调控中起着重要作用,它也与病理性血管生成有关,与癌症和其他疾病有关,其中包括牛皮癣、自身免疫性疾病和黄斑变性中的视力丧失。有趣的是,VEGF-A基因启动子区域的三种调节性单核苷酸多态性(rSNPs)与不同的人类疾病显著相关,在不久的将来,几种高风险单核苷酸多态性(SNPs)的累积效应可能在临床环境中被证明是有用的。目前,新的VEGF抑制剂正在各种疾病条件下进行临床试验,因为VEGF抑制也被认为是预防血管生成和血管泄漏以减少炎症的可能策略。这篇综述主要关注血管内皮生长因子在几种病理背景下的作用,强调了最常见的VEGF多态性与疾病风险的新关联。关于VEGF治疗意义的最新研究也有文献记载。
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引用次数: 3
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American Journal of Pharmacology and Toxicology
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