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Tetrazoles Leitmotif: An Intriguing Insight into Contemporary Developments and Biological Activities 四氮唑主题:对当代发展和生物活动的有趣见解
Q4 Medicine Pub Date : 2023-08-23 DOI: 10.2174/2211352521666230823094517
P. Mohite, Deepali Nahar, Ankita Lonkar, A. Kadam, Kaustubh Desale
Heterocyclic compounds with a tetrazole core are of great interest because they represent an important class of synthetic compounds with a wide range of relevant biological properties that have the potential to be clinically translated as treatments for a variety of disorders. Due to their beneficial bioactivities, heterocycles with a tetrazole scaffold have aroused the interest of organic and medicinal chemists and sparked much attention in recent years. Tetrazoles are a form of nitrogen heterocycle found in several natural compounds in addition to their pharmacologically active nucleus. The tetrazole ring is similar to carboxylic acids and acts as a bioisostere analogue. A booster is a set of molecules with identical physiological features, including biological activity. Tetrazole nuclei are found in compounds used to evaluate new antimicrobial, anticancer, antitubercular, anticonvulsant, antimalarial, antihypertensive, and anti-inflammatory medicines. Tetrazole and its derivatives' broad and potent actions have established them as pharmacologically significant scaffolds. So far, tetrazole ring alterations have proven to be highly efficient, with greater efficacy. This review aims to provide an in-depth recapitulation of recent trends used to synthesize promising Tetrazole incorporated compounds and focus on the clinical significance of functionalized tetrazole analogues, which would essentially aid medicinal chemists in new research exploration and discovery in this field.
具有四唑核心的杂环化合物引起了人们的极大兴趣,因为它们代表了一类重要的合成化合物,具有广泛的相关生物特性,有可能在临床上转化为治疗各种疾病的药物。具有四唑支架的杂环化合物由于其有益的生物活性,近年来引起了有机和药物化学家的兴趣,并引起了人们的广泛关注。四唑是一种氮杂环,存在于几种天然化合物中,除了它们的药理学活性核之外。四唑环类似于羧酸,起到生物异山梨醇类似物的作用。助推器是一组具有相同生理特征的分子,包括生物活性。四唑核存在于用于评价新型抗菌、抗癌、抗结核、抗惊厥、抗疟、抗高血压和抗炎药的化合物中。四唑及其衍生物广泛而有效的作用使其成为具有重要药理学意义的支架。到目前为止,四唑环的改变已被证明是高效的,具有更大的疗效。本综述旨在深入综述合成有前景的四唑类化合物的最新趋势,并重点介绍功能化四唑类似物的临床意义,这将有助于药物化学家在该领域进行新的研究探索和发现。
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引用次数: 0
Current Therapeutic Strategies for Chagas Disease Chagas病的当前治疗策略
Q4 Medicine Pub Date : 2023-08-23 DOI: 10.2174/2211352521666230823122601
Sangeeta Narwal, Tilak Dhanda, Prerna Sharma, Vikas Sharma, Sanchit Dhankhar, N. Garg, N. Ghosh, N. Rani
Trypanosoma cruzi, the parasite that causes Chagas disease, can only be cured with one of two drugs, benznidazole or nifurtimox. The main disadvantages of these drugs include their ineffectiveness outside of the acute or early infection phase, their unpleasant effects, and the parasite's tolerance to their activities. On the other hand, several institutions and research groups have been working on a number of ways that can help find a solution to the problem. These strategies have evolved over the last few years. Several examples of such advancements include the utilization of combination therapy, the repurposing of current treatments, and the change of dosages for traditional drugs. Research has also been conducted on antiparasitic plants and the substances that may be obtained from them, and it makes use of existing knowledge gathered through medical procedures. Some works have studied the parasite in order to identify important genes that have the potential to be used as therapeutic targets in the development of novel targeted medications. Even though a lot of these studies have shown promising results, only a small fraction of them make it to the clinical testing phase of the study. Institutions and research organizations should be rewarded for coordinating their efforts and addressing all areas of drug development, given their resources and information. Last but not least, distributing this information will result in novel Chagas disease therapies, which would assist impacted populations.
克鲁兹锥虫是一种导致恰加斯病的寄生虫,只能用两种药物中的一种治愈,即苯硝唑或硝呋噻莫。这些药物的主要缺点包括在急性或早期感染阶段之外无效、不良反应以及寄生虫对其活动的耐受性。另一方面,一些机构和研究小组一直在研究一些有助于找到解决问题的方法。这些策略在过去几年中不断发展。这些进步的几个例子包括联合治疗的利用、当前治疗方法的重新利用以及传统药物剂量的改变。还对抗寄生虫植物及其可能获得的物质进行了研究,并利用了通过医疗程序收集的现有知识。一些工作已经对这种寄生虫进行了研究,以确定有潜力在开发新的靶向药物时用作治疗靶点的重要基因。尽管这些研究中的许多都显示出了有希望的结果,但只有一小部分进入了研究的临床测试阶段。鉴于机构和研究组织的资源和信息,它们应因协调努力和处理药物开发的所有领域而受到奖励。最后但同样重要的是,传播这些信息将产生新的恰加斯病疗法,这将有助于受影响的人群。
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引用次数: 0
Methicillin, β-lactams, and clindamycin resistance profiles of Staphylococcus aureus strains isolated from patients with UTI in Bechar province (Algeria) 贝查尔省(阿尔及利亚)UTI患者分离的金黄色葡萄球菌菌株的甲氧西林、β-内酰胺和克林霉素耐药性谱
Q4 Medicine Pub Date : 2023-08-22 DOI: 10.2174/2211352521666230822104016
E. Benyagoub
Staphylococcus aureus is a bacterial pathogen responsible for many diseases. Multidrug resistance in S aureus has become common worldwide and is a serious clinical issue in the treatment and care of S. aureus-infected patients. S. aureus uropathogenic strains isolated from patients with UTI in Bechar province (Algeria) were phenotypically identified and evaluated for multiple drug resistance (MDR) patterns against recommended antimicrobial drugs.Through selective media, the uropathogenic S. aureus strains were isolated by analyzing a total of 211 urine samples, then subjected to various biochemical identification tests. Multidrug resistance pattern (MRSA, MLSB, and β-lactamase production) among Staphylococcus aureus uropathogenic strains was performed using phenotypic tests.A total of 50 S. aureus strains were isolated, i.e., 40,48% of all the isolated uropathogenic agents estimated at 126 isolates. More than 69% of the women had a urinary tract infection, i.e., a sex ratio (SR) of 0,43. The susceptibility test results showed that the isolated S. aureus strains were resistant to various antibiotics of the β-lactams class (penicillin, cefoxitin, and oxacillin) and were susceptible to gentamicin, chloramphenicol, co-trimoxazole, vancomycin, ofloxacin, and ciprofloxacin. Cefoxitin disk diffusion and agar screening tests showed that all the isolated S. aureus strains were qualified as MRSA at the rate of 100% (50/50), whereas a rate of 74% (37/50) was granted to MRSA using oxacillin disk diffusion test. The highest percentage of MDR-MRSA was observed in class three of antibiotics 12 (24%). The lowest percentage was observed in classes 8 and 9 of antibiotics 1 (2%). For MDR-MRSA, the MAR index ranged from 0,27 to 1,0.Penicillin disk diffusion (DD) and DDST (PI/PIT) tests showed a production rate of β-lactamase in the range of 94 and 80%, respectively. 85,1% (40/50) of penicillin-resistant strains were positive for DDST. Thus, the D-test among MRSA strains shows a rate of 38% (19/50) of cMLSB and no strain attributed to the iMLSB phenotype.This is an alarming rate, confirming the concern that is still being discussed within the medical teams of the national health sector as well as the Algerian antimicrobial resistance network, which requires prompt intervention to update a new strategy to fight antimicrobial resistance.
金黄色葡萄球菌是导致许多疾病的细菌病原体。金黄色葡萄球菌的多药耐药性已在全球范围内普遍存在,是治疗和护理金黄色葡萄菌感染患者的一个严重临床问题。对从贝查尔省(阿尔及利亚)尿路感染患者中分离的金黄色葡萄球菌尿路致病菌株进行表型鉴定,并评估其对推荐抗菌药物的多重耐药性(MDR)模式。通过选择性培养基,对211份尿液样本进行分析,分离出尿路致病金黄色葡萄球菌菌株,并进行各种生化鉴定试验。使用表型测试对金黄色葡萄球菌尿路致病菌株的多药耐药模式(MRSA、MLSB和β-内酰胺酶产生)进行了研究。共分离出50株金黄色葡萄球菌,占126株分离出的所有泌尿系病原体的40,48%。超过69%的女性有尿路感染,即性别比(SR)为0.43。药敏试验结果表明,分离的金黄色葡萄球菌对β-内酰胺类抗生素(青霉素、头孢西丁和苯唑西林)具有耐药性,对庆大霉素、氯霉素、复方三唑、万古霉素、氧氟沙星和环丙沙星敏感。头孢西丁纸片扩散和琼脂筛选试验表明,所有分离的金黄色葡萄球菌菌株均以100%(50/50)的比率被鉴定为MRSA,而使用苯唑西林纸片扩散试验,MRSA的合格率为74%(37/50)。耐多药耐药性MRSA的最高百分比出现在第三类抗生素12(24%)中。在抗生素1的8类和9类中观察到的百分比最低(2%)。耐多药耐药MRSA的MAR指数在0.27至1.0之间。青霉素盘扩散(DD)和DDST(PI/PIT)试验显示β-内酰胺酶的产生率分别在94%和80%之间。85,1%(40/50)的青霉素耐药菌株DDST阳性。因此,MRSA菌株之间的D测试显示cMLSB的比率为38%(19/50),并且没有菌株归因于iMLSB表型。这是一个惊人的速度,证实了国家卫生部门医疗团队以及阿尔及利亚抗微生物耐药性网络仍在讨论的担忧,该网络需要及时干预,以更新对抗抗微生物耐药性的新战略。
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引用次数: 0
The development and evaluation of linalool-loaded liposomal gel for oral candida infections: Characterization, skin permeation, dermal retention, and in vitro anti-microbial studies 用于口腔念珠菌感染的载芳樟醇脂质体凝胶的开发和评价:表征、皮肤渗透、皮肤保留和体外抗微生物研究
Q4 Medicine Pub Date : 2023-08-09 DOI: 10.2174/2211352521666230809144537
V. Rai, Pragati Thakran, Tushar Kanti Rajwar, Alok Sharma, K. Yadav, B. Kar, G. Ghosh, Goutam Rath
Linalool is a known anti-fungal molecule. It could be a good candidate against oropharyngeal candidiasis if its retention in deeper skin layers, specifically at body temperature, can be extended for a long duration.We aimed to develop and evaluate a linalool liposome-based mucoadhesive gel.The objective of this study is to improvise localization in oral mucosa by achieving sustained release, ensuring less volatility of linalool and less permeability into the systemic circulation through the mucosa.The liposomes were prepared by film formation and hydration method and characterized for particle size, polydispersity index, encapsulation efficiency, and morphological characteristics. The lipid carriers were dispersed into the gel matrix of carbopol 934 and HPMC.The gel was characterized and evaluated for in vitro drug release, ex vivo drug permeation through the goat mucosa and ex vivo dermal retention studies. The particle size and entrapment efficiency were 201 nm and 79.8%, respectively, with 0.300 PDI. Transmission Electron Microscopy revealed the spherical shape of the particles with a well-identified surface. The gel pH (6.8) was close to oral mucosal pH and had desired adhesiveness and rheological properties. The latter portrayed a slow linalool release (74.75% in 12 hours), low permeation (28.80% in 24 hours) through the mucosa and high retention (45%) compared to simple linalool gel, ensuring its improvised anti-microbial effectiveness against candida.A mucoadhesive liposomal gel offers a suitable medium for ensuring modified release, improved mucosal retention, and the ability to achieve the desired therapeutic effectiveness locally in mucosa for other drugs of volatile nature.
芳樟醇是一种已知的抗真菌分子。如果它能在较深的皮肤层,特别是在体温下保持较长时间,它可能是抗口咽念珠菌病的良好候选者。我们的目的是开发和评价一种芳樟醇脂质体为基础的黏附凝胶。本研究的目的是通过实现持续释放,确保芳樟醇的挥发性降低和通过粘膜进入体循环的渗透性降低,从而在口腔黏膜中即兴定位。采用成膜和水合法制备了脂质体,并对其粒径、多分散指数、包封效率和形态特征进行了表征。脂质载体分散到caropol 934和HPMC凝胶基质中。对该凝胶进行了体外药物释放、山羊粘膜体外药物渗透和体外皮肤保留研究。粒径为201 nm,包封效率为79.8%,PDI为0.300。透射电子显微镜显示了颗粒的球形,表面很好地识别。凝胶pH值(6.8)接近口腔黏膜pH值,具有良好的黏附性和流变性能。与简单的芳樟醇凝胶相比,后者具有缓慢的芳樟醇释放(12小时内释放74.75%),通过粘膜的渗透性低(24小时内渗透28.80%)和高保留率(45%),确保了其对念珠菌的临时抗菌效果。黏附性脂质体凝胶为其他挥发性药物提供了一种合适的介质,以确保修饰释放,改善粘膜保留,以及在粘膜局部实现所需治疗效果的能力。
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引用次数: 0
An overview of the anti-HIV potential of thiazolidinone derivatives 噻唑烷酮衍生物抗艾滋病潜力综述
Q4 Medicine Pub Date : 2023-07-18 DOI: 10.2174/2211352521666230718094413
J. Jamalis, Fatma Mohamed A. Abid, Nurul Syahirah Salim, R. A. Wahab, Siti Ernieyanti Hashim, Murugesan Sankaranarayanan, A. R. Bhat
Human immunodeficiency virus (HIV) is the cause of acquired immunodeficiency syndrome (AIDS), an immunosuppressive, life-threatening condition that frequently results in other potentially fatal opportunistic infections in affected patients. Despite advancements in anti-retroviral therapy, AIDS remains the main reason for worldwide mortality. Although various anti-HIV drugs have profoundly enhanced the quality of life for AIDS patients, some patients develop resistance to the drugs, and the long-term anti-HIV treatments, and their adverse effects, prevail as major therapeutic failure causes. Therefore, concerted efforts by the scientific community are crucial to identifying new candidates for anti-HIV therapies. In this respect, the thiazolidinone moiety has acquired prominence in drug discovery and development due to its antifungal, antiviral, antidepressant, anticancer, and antibacterial properties. This moiety also demonstrated significant anti-HIV activity as a core heterocycle or derivative of substituted heterocycles. To expedite the synthesis of more novel anti-HIV drugs containing a thiazolidinone nucleus, we compiled a list of thiazolidinone-containing previously documented anti-HIV compounds. We hope that this could serve as a guide for future researchers in their design of effective thiazolidine-containing compounds showing anti-HIV activity.
人类免疫缺陷病毒(HIV)是导致获得性免疫缺陷综合征(AIDS)的原因,这是一种免疫抑制、危及生命的疾病,经常导致受感染患者发生其他可能致命的机会性感染。尽管抗逆转录病毒疗法取得了进步,艾滋病仍然是全世界死亡的主要原因。尽管各种抗hiv药物极大地提高了艾滋病患者的生活质量,但也有部分患者出现耐药性,长期的抗hiv治疗及其不良反应是导致治疗失败的主要原因。因此,科学界的共同努力对于确定抗hiv治疗的新候选药物至关重要。在这方面,噻唑烷酮部分由于其抗真菌、抗病毒、抗抑郁、抗癌和抗菌的特性,在药物发现和开发中获得了突出的地位。该片段作为核心杂环或取代杂环的衍生物也显示出显著的抗hiv活性。为了加速合成更多含有噻唑烷酮核的新型抗hiv药物,我们编制了一份含有噻唑烷酮的先前记录的抗hiv化合物清单。我们希望这可以为未来研究人员设计具有抗hiv活性的有效噻唑烷类化合物提供指导。
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引用次数: 0
Novel and Predictive QSAR Model and Molecular Docking: New Natural Sulfonamides of Potential Concern Against SARS-Cov-2 新型预测QSAR模型与分子对接:抗SARS-Cov-2潜在关注的新型天然磺胺类药物
Q4 Medicine Pub Date : 2023-07-17 DOI: 10.2174/2211352521666230717115823
Nathalie Moussa, Hoda Mando
Since the outbreak of the COVID-19 pandemic in 2019, the world has been racing to develop effective drugs for treating this deadly disease. Although there are now some vaccines that have somewhat alleviated global panic, the lack of approved drugs remains a persistent challenge. Consequently, there is a pressing need to discover new therapeutic molecules.In this study, we explore the application of a quantitative structure−activity relationship (QSAR) model to predict the efficacy of 28 cyclic sulfonamide derivatives against SARS-CoV-2. The model was developed using multiple linear regression, and six molecular descriptors were identified as the most significant factors in determining the inhibitory activity. This proposed QSAR model holds the potential for aiding the virtual screening and drug design process in the development of new and more effective SARS-CoV-2 inhibitors. The model was also applied to seven natural products primary sulfonamides and sulfamates, demonstrating promising activityThe study results indicated that the atom count, as represented by the descriptor nCl, had the most significant impact on the inhibitory activity against SARS-CoV-2. The proposed model was validated using various statistical parameters, confirming its validity, robustness, and predictiveness, with a high correlation coefficient (R2) of 0.77 for the training group and 0.95 for the test group. Furthermore, we predicted the activity of seven natural compounds, and among them, Dealanylascamycin exhibited the highest predicted activity. Subsequently, Dealanylascamycin was docked to SARS-CoV-2 and the results of the docking study further strengthened its potential as a promising candidate against COVID-19, suggesting that it should be considered for further optimization and validation.Our findings demonstrate promising predicted inhibitory activity against SARS-CoV-2 for seven natural products, primary sulfonamides, and primary sulfamates.
自2019年COVID-19大流行爆发以来,世界一直在竞相开发治疗这种致命疾病的有效药物。虽然现在有一些疫苗在一定程度上缓解了全球恐慌,但缺乏批准的药物仍然是一个持续的挑战。因此,迫切需要发现新的治疗分子。在这项研究中,我们探索了定量结构-活性关系(QSAR)模型的应用,以预测28种环磺胺衍生物对SARS-CoV-2的疗效。利用多元线性回归建立模型,确定了6个分子描述符是决定抑制活性的最重要因素。该提出的QSAR模型具有帮助开发新的和更有效的SARS-CoV-2抑制剂的虚拟筛选和药物设计过程的潜力。该模型还应用于7种天然产物磺胺类和磺胺类,显示出良好的活性。研究结果表明,以描述符nCl为代表的原子计数对抑制SARS-CoV-2的活性影响最显著。采用各种统计参数对模型进行验证,证实了模型的有效性、稳健性和预测性,训练组和试验组的相关系数(R2)分别为0.77和0.95。此外,我们预测了7种天然化合物的活性,其中Dealanylascamycin的预测活性最高。随后,我们将Dealanylascamycin与SARS-CoV-2对接,对接研究结果进一步强化了Dealanylascamycin作为抗COVID-19候选药物的潜力,值得进一步优化和验证。我们的研究结果表明,七种天然产物、原磺胺类和原磺胺类化合物对SARS-CoV-2具有良好的预测抑制活性。
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引用次数: 0
Virtual Screening, ADMET Analysis, and Synthesis of 2-(1H- benzotriazol-1-yl) N- substituted Acetohydrazide that binds to the Glycoprotein B of Herpes Simplex Virus-I (HSV-I) 单纯疱疹病毒(HSV-I)糖蛋白B结合的2-(1H-苯并三唑-1-酰基)N-取代乙酰肼的虚拟筛选、ADMET分析和合成
Q4 Medicine Pub Date : 2023-07-17 DOI: 10.2174/2211352521666230717111247
Dhanashri Mali, S. Amrutkar
Herpes simplex Virus type 1 (HSV-1) is a contagious human pathogen causing severe infection. In recent decades, the virus has become dormant and resistant to available treatment creating the need for the development of new therapeutic agents against it. Benzotriazole is a versatile molecule with a wide range of activities like antibacterial, antiprotozoal, antiulcer, anthelmintic, and antiproliferative activity.A series of 2-(1H- benzotriazole-1-yl) N- substituted acetohydrazide derivatives were synthesized using the method given in the literature. The derivatives were obtained in good yield and characterized by spectral methods of analysis. The antiviral activity against the glycoprotein B of Herpes Simplex Virus-I (HSV-I) was determined using molecular docking (2GUM).All compounds had strong binding affinity over the standard Acyclovir. Compound 5h had the highest binding affinity and the highest inhibitory activity.The Benzotriazole-N- substituted acetohydrazide derivatives has the highest binding affinity and good inhibition of glycoprotein B of Herpes Simplex Virus-I (HSV-I), which makes it a good antiviral agent.
1型单纯疱疹病毒(HSV-1)是一种引起严重感染的传染性人类病原体。近几十年来,这种病毒处于休眠状态,对现有的治疗方法产生了抗药性,因此需要开发新的治疗药物。苯并三唑是一种多功能分子,具有广泛的抗菌、抗原虫、抗溃疡、驱虫药和抗增殖活性。采用文献中给出的方法合成了一系列2-(1H-苯并三唑-1-酰基)N-取代的乙酰肼衍生物。所得衍生物收率高,并通过光谱分析方法进行了表征。采用分子对接法(2GUM)测定了其对单纯疱疹病毒(HSV-I)糖蛋白B的抗病毒活性。所有化合物对标准的阿昔洛韦具有很强的结合亲和力。化合物5h具有最高的结合亲和力和抑制活性。苯并三唑- n -取代乙酰肼衍生物结合亲和力最高,对单纯疱疹病毒(HSV-I)糖蛋白B具有良好的抑制作用,是一种良好的抗病毒药物。
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引用次数: 0
Prospects for New Antibiotics Discovered Through Genome Analysis 通过基因组分析发现新抗生素的前景
Q4 Medicine Pub Date : 2023-07-17 DOI: 10.2174/2211352521666230717164854
R. Malviya, Ashutosh Kumar Singh, Rishav Sharma
Antibiotic-resistant illnesses are on the rise worldwide, and the pipeline for developing new antibiotics is drying up. As a result, researchers need to create novel compounds with antimicrobial action. Recent decades have seen a dearth of novel antibiotics because of the reliance on conventional empirical screening procedures using both natural and synthetic chemicals to find them. There is hope that the massive amount of bacterial genome sequence data that has become accessible since the sequencing of the first bacterial genome more than 20 years ago might help lead to the development of new antibiotic drugs. Genes with significant levels of conservation both within and between bacterial species can be found using comparative genomic techniques; these genes may be involved in essential bacterial functions. Bioactive chemicals found in natural products have been successfully used in treating everything from infectious diseases to cancer, but over the past 20-30 years, the effectiveness of screening methods based on fermentation has decreased. Researchers urgently need answers to the unmet demand for bacterial infection resistance. Now more than ever, with the advent of cheap, high-throughput genomic sequencing technology, natural product discovery can be revitalized. Using bioinformatics, investigators may foretell whether or not a certain microbial strain would generate compounds with novel chemical structures, which may have novel modes of action in inhibiting bacterial growth. This manuscript describes how this potential might be utilised, with a particular emphasis on manipulating the expression of dormant biosynthetic gene clusters that are hypothesised to encode new antibiotics. Additionally, it consolidates the work of the past and the present to utilise bacterial genomic data in the identification and development of new antibiotics.
抗生素耐药性疾病在世界范围内呈上升趋势,开发新抗生素的渠道正在枯竭。因此,研究人员需要创造出具有抗菌作用的新型化合物。近几十年来,由于依赖传统的经验性筛选程序,使用天然和合成化学物质来寻找新型抗生素,因此缺乏新型抗生素。自20多年前第一个细菌基因组测序以来,大量的细菌基因组序列数据已经变得触手可及,人们希望这些数据可能有助于开发新的抗生素药物。使用比较基因组技术可以发现细菌物种内部和物种之间具有显著保护水平的基因;这些基因可能与细菌的基本功能有关。在天然产物中发现的生物活性化学物质已经成功地用于治疗从传染病到癌症的各种疾病,但在过去的20-30年里,基于发酵的筛选方法的有效性有所下降。研究人员迫切需要解决细菌感染耐药性的未满足需求。现在比以往任何时候,随着廉价,高通量基因组测序技术的出现,自然产物的发现可以振兴。利用生物信息学,研究人员可以预测某种微生物菌株是否会产生具有新化学结构的化合物,这些化合物可能具有抑制细菌生长的新作用模式。这篇手稿描述了如何利用这种潜力,特别强调操纵休眠生物合成基因簇的表达,这些基因簇被假设为编码新的抗生素。此外,它巩固了过去和现在的工作,利用细菌基因组数据识别和开发新的抗生素。
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引用次数: 0
Safety and efficacy of Imatinib, Nilotinib, and Artesunate in COVID-19 patients: a systematic review of current evidence 伊马替尼、尼洛替尼和Artessunate治疗新冠肺炎患者的安全性和有效性:对现有证据的系统回顾
Q4 Medicine Pub Date : 2023-07-14 DOI: 10.2174/2211352521666230714160740
E. Mehraeen, Ehsan Ghavimehr, A. Zand, Seyedahmad Seyedalinaghi, A. Karimi, Hamid Zaferani Arani, P. Mirzapour, Z. Pashaei, O. Dadras
There is a need for better treatment options against COVID-19. This systematic review aimed to assess the safety and efficacy of imatinib and nilotinib, two tyrosine kinase inhibitors (TKIs), as well as artesunate (an anti-malarial agent), whose multilayer activities against SARS, MERS, and SARS-CoV-2 pathogenesis have been suggested in laboratory and observational studies.A comprehensive search strategy targeting relevant literature on PubMed, Scopus, and Web of Science online databases was constructed. The retrieved records were reviewed and screened by title/abstract and full text with eligibility criteria, and the most pertinent articles were included in the final qualitative synthesis. This review adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) to ensure the reliability of the results.This systematic review assessed the safety and applicability of imatinib, nilotinib, and artesunate in COVID-19 patients. The results showed not only possible anti-COVID-19 effects but also acceptable safety for both generic users with comorbidities with COVID-19 and off-label use in other COVID-19 patients. Promising results were also reported enhancing the survival of COVID-19 patients.A double-blinded multicenter randomized controlled trial found survival benefits for imatinib with no significant treatment-related adverse events. However, no clinical trials or large observational studies exist for artesunate and nilotinib, and the evidence relies only on case reports and case series. Molecular mechanisms revealed in preclinical studies support the possible benefits of these medications in COVID-19 treatment. However, the scarcity of reliable evidence requires further studies on possible COVID-19 treatments, including but not limited to artesunate, nilotinib, and imatinib. Nevertheless,  these drugs' lack of serious adverse events suggests their safe use for other indications during the COVID-19 pandemic.
需要针对新冠肺炎提供更好的治疗方案。这篇系统综述旨在评估伊马替尼和尼洛替尼这两种酪氨酸激酶抑制剂(TKIs)以及青蒿琥酯(一种抗疟疾药物)的安全性和有效性,实验室和观察性研究表明,它们对SARS、MERS和严重急性呼吸系统综合征冠状病毒2型发病机制具有多层活性。针对PubMed、Scopus和Web of Science在线数据库上的相关文献,构建了一个全面的搜索策略。检索到的记录按照标题/摘要和符合资格标准的全文进行了审查和筛选,最相关的文章被纳入最终的定性综合。本次评审遵循系统评审和荟萃分析(PRISMA)的首选报告项目,以确保结果的可靠性。这项系统综述评估了伊马替尼、尼洛替尼和青琥酯在新冠肺炎患者中的安全性和适用性。结果显示,对于患有新冠肺炎合并症的非专利使用者和其他新冠肺炎患者的非标签使用,不仅可能具有抗新冠肺炎的效果,而且安全性也可接受。据报道,有希望的结果也提高了新冠肺炎患者的存活率。一项双盲多中心随机对照试验发现伊马替尼的生存益处没有显著的治疗相关不良事件。然而,青蒿琥酯和尼洛替尼没有临床试验或大型观察性研究,证据仅依赖于病例报告和病例系列。临床前研究揭示的分子机制支持这些药物在新冠肺炎治疗中的可能益处。然而,由于缺乏可靠的证据,需要对可能的新冠肺炎治疗方法进行进一步研究,包括但不限于青琥酯、尼洛替尼和伊马替尼。然而 这些药物没有严重不良事件,这表明它们在新冠肺炎大流行期间可安全用于其他适应症。
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引用次数: 0
Propolis, Plant Sources and Antimicrobial Activity: an overview 蜂胶、植物来源和抗菌活性综述
Q4 Medicine Pub Date : 2023-07-13 DOI: 10.2174/2211352521666230713162636
Mokhtar Benhanifia, Amina Soltani
Antibiotic resistance was described soon after the discovery of penicillin by Fleming. In recent years, there has been an increasing interest in developing alternatives to solve this problem. Propolis «Bee glue» has been used by humans in folk medicine since ancient times, it is a natural resinous mixture produced by honeybees (Apis mellifera) from collected parts of plants. Many studies reported that the phytochemical composition of Bee glue is complex and highly variable and depends on plant species, thus, determining their biological and pharmacological properties. Propolis is considered a potential an-ti-microbial agent that overcomes the phenomenon of antibiotic resistance. Therefore, its combination with standard antibiotics could be a very useful strategy in the medical field, to treat infectious diseases.
弗莱明在发现青霉素后不久就描述了抗生素耐药性。近年来,人们对开发解决这一问题的替代方案越来越感兴趣。自古以来,人类就在民间医学中使用蜂胶,它是一种天然的树脂混合物,由蜜蜂(Apis mellifera)从收集的植物部分中产生。许多研究报道,蜂胶的植物化学成分是复杂和高度可变的,并取决于植物种类,从而决定了它们的生物学和药理学特性。蜂胶被认为是一种潜在的抗微生物剂,可以克服抗生素耐药性现象。因此,它与标准抗生素的结合可能是医疗领域治疗传染病的一种非常有用的策略。
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引用次数: 0
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Anti-Infective Agents
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