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Therapeutic uses of antihistamines in the management of COVID-19: a narrative review 抗组胺药在COVID-19管理中的治疗用途:叙述性综述
Q4 Medicine Pub Date : 2022-09-26 DOI: 10.2174/2211352520666220926153205
Hesamoddin Hosseinjani, Mahshid Ataei, O. Arasteh, A. Maghsoudi, S. Hassani
The first case of COVID-19 was introduced in China in 2019 and spread rapidly worldwide. Therefore, all researchers worldwide sought ways to treat and prevent the disease. Since production of vaccines and new drugs is time-consuming, a good way is to look at existing drugs to find new effects.Due to the pathogenic mechanism of COVID-19, most of its symptoms, including anosmia, ageusia, and cytokine storm, are dependent on the release of histamine and its activities. Therefore, one category of drugs that may be effective in treating and improving the symptoms of COVID-19 is antihistamines. This paper reviewed studies that have been done so far on the effects of antihistamines, specially famotidine, in COVID-19.A literature search was performed using scientific databases such as PubMed, Web of Science, Scopus, and Google Scholar from beginning up to December 2021. The most relevant articles considering the potential impacts of antihistamines against COVID-19 were collected.In addition to the current medications prescribed for the treatment of SARS-CoV-2, H1 and H2 blockers are promising drugs for repurposing in the COVID-19 remedy. Several studies on famotidine were performed using virtual screening to determine whether they are effective. Many studies have shown that famotidine use improved COVID-19 symptoms and reduced the need for intubation and mortality. However, few studies concluded that famotidine is ineffective.Antihistamines, and specifically famotidine, are effective in reducing COVID-19 symptoms. Therefore, they are a good choice for combination therapy with other drugs to treat COVID-19.
新冠肺炎病例于2019年在中国出现,并在全球迅速传播。因此,全世界的研究人员都在寻找治疗和预防这种疾病的方法。由于疫苗和新药的生产很耗时,一个好方法是研究现有药物以发现新的效果。由于新冠肺炎的致病机制,其大多数症状,包括嗅觉缺失、老年痴呆和细胞因子风暴,都依赖于组胺的释放及其活性。因此,抗组胺药可能对治疗和改善新冠肺炎症状有效。本文回顾了迄今为止关于抗组胺药,特别是法莫替丁对新冠肺炎影响的研究。从2021年初到12月,使用PubMed、Web of Science、Scopus和Google Scholar等科学数据库进行了文献检索。收集了考虑抗组胺药对新冠肺炎的潜在影响的最相关文章。除了目前用于治疗SARS-CoV-2的药物外,H1和H2阻断剂是用于新冠肺炎治疗的有前景的药物。法莫替丁的几项研究是通过虚拟筛选来确定它们是否有效。许多研究表明,法莫替丁的使用改善了新冠肺炎症状,减少了插管需求和死亡率。然而,很少有研究得出法莫替丁无效的结论。抗组胺药,特别是法莫替丁,可有效减少新冠肺炎症状。因此,它们是与其他药物联合治疗新冠肺炎的良好选择。
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引用次数: 0
Successful combination of remdesivir and convalescent plasma to treat a patient with rituximab-related B-cell deficiency and prolonged COVID-19: A case report 成功联合使用瑞德西韦和恢复期血浆治疗一例利妥昔单抗相关B细胞缺乏症和长期新冠肺炎患者:病例报告
Q4 Medicine Pub Date : 2022-09-22 DOI: 10.2174/2211352520666220922091227
Giorgio Raho, William Cordeddu, D. Firinu, S. Giacco, G. Angioni
Treatment of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in immuno compromised patients with complete B cell depletion can be really challenging due to the lack of seroconversion and long lasting disease.We describe a case of long-lasting coronavirus disease (COVID-19) in a female patient with rheumatoid arthritis who was treated with rituximab and continued to show B-cell depletion. An ongoing replication of SARS-CoV-2 was demonstrated for a period of 8 months when nasopharyngeal swabs were tested. She was treated once with remdesivir but without lasting resolution, and she was then treated with convalescent plasma but with a similar effect. Only with a combination of both treatments was clinical resolution achieved. The patient's lack of seroconversion and the prolonged course of the disease illustrate the importance of humoral immunity in resolving SARS-CoV-2 infection. This case report highlights challenges in managing immunocompromised hosts, who may act as persistent shedders and sources of transmission.Combination of remdesivir and convalescent plasma resulted successful to achieve clinical resolution of SARS-CoV-2 infection in our patient.
由于缺乏血清转化和长期疾病,免疫受损的B细胞完全耗竭患者的严重急性呼吸综合征冠状病毒2型(严重急性呼吸系统综合征冠状病毒冠状病毒2型)感染的治疗可能非常具有挑战性。我们描述了一例长期冠状病毒疾病(新冠肺炎),患者为一名类风湿性关节炎女性患者,她接受了利妥昔单抗治疗,并继续显示B细胞耗竭。鼻咽拭子检测显示,严重急性呼吸系统综合征冠状病毒2型持续复制了8个月。她接受了一次瑞德西韦治疗,但没有持久的缓解,然后接受了恢复期血浆治疗,但效果相似。只有两种治疗方法的结合才能达到临床疗效。患者缺乏血清转换和病程延长说明了体液免疫在解决严重急性呼吸系统综合征冠状病毒2型感染中的重要性。该病例报告强调了管理免疫功能低下宿主的挑战,这些宿主可能是持续的脱落者和传播源。瑞德西韦和恢复期血浆的联合用药成功地在我们的患者中实现了严重急性呼吸系统综合征冠状病毒2型感染的临床解决。
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引用次数: 0
Calprotectin as a Serodiagnostic Marker for Bacterial Sepsis 钙卫蛋白作为细菌性脓毒症的血清学诊断标志物
Q4 Medicine Pub Date : 2022-08-29 DOI: 10.2174/2211352520666220829153943
Faranak Rezaei, Zahra Bakhshiani, S. Fouladi
Since sepsis is a major global health problem, a rapid and correct diagnosis and the initiation of therapy are essential to improve the patient consequences. This study aimed to assess the serum levels of calprotectin and a more widely used sepsis biomarker in the patients with bacterial sepsis (BS).Subjects were classified into BS group with the patients who met the sepsis criteria at the beginning of the study and the control group. We investigated the concentrations of biomarkers in 300 blood samples collected at admission from all patients hospitalized in the Fatemeh Al-Zahra Hospital, Najafabad, Isfahan in April 2019 and April 2020.The microbial etiology in the BS group was confirmed in 35 patients (100%). The most frequently cultivated pathogens were Escherichia coli (n=11). The serum concentrations of calprotectin and CRP were significantly higher in the patients with BS (n= 35) than in the healthy controls (n= 20).Our results suggest that the serum level of calprotectin could have the substantial added value to manage BS which is a reliable biomarker of BS.
由于败血症是一个主要的全球健康问题,快速准确的诊断和治疗对于改善患者的后果至关重要。本研究旨在评估细菌性败血症(BS)患者血清钙卫蛋白和一种更广泛使用的败血症生物标志物的水平。受试者被分为BS组和对照组,其中患者在研究开始时符合败血症标准。我们调查了2019年4月和2020年4月在伊斯法罕纳贾法巴德Fatemeh Al Zahra医院住院的所有患者入院时采集的300份血液样本中的生物标志物浓度。BS组的微生物病因在35名患者中得到证实(100%)。最常培养的病原体是大肠杆菌(n=11)。BS患者(n=35)的血清钙卫蛋白和CRP浓度显著高于健康对照组(n=20)。我们的结果表明,血清钙卫蛋白水平可能对管理BS具有实质性的附加值,这是BS的可靠生物标志物。
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引用次数: 0
Antibiotics in Paediatrics: A Boon or a Bane? 儿科抗生素:是福还是祸?
Q4 Medicine Pub Date : 2022-08-22 DOI: 10.2174/2211352520666220822145139
R. Kaur, Rajwinder Kaur, Ashlin Varghese, Nidhi Garg, S. Arora
Antibiotics play an essential role in antimicrobial therapy. Among all the medications in children, the most commonly prescribed therapy is antibiotics and is currently the indispensable means to cure transmissible diseases. Several categories of antibiotics have been introduced into clinical practice to treat microbial infections. Reducing the unnecessary use of antibiotics is a global need and priority. This article aims to provide better knowledge and understanding of the impact of the early use of antibiotics. This article highlights the proper use of antibiotics in children, detailing how early and inappropriate use of antibiotics affect the gut microbiome during normal body development and consequently affect the metabolic by way of diabetes mellitus, obesity, and recurrence of infections such as UTI and resistance factors in neonates, infant and developing child, dose requirement, etc. Several new antibiotics in their development stage, newly marketed antibiotics, some recalled and withdrawn from the market are also briefly discussed in this article. This study will help future researchers to explore the latest information about antibiotics used in paediatrics.
抗生素在抗菌治疗中起着至关重要的作用。在儿童使用的所有药物中,最常用的是抗生素,也是目前治疗传染性疾病不可缺少的手段。几种类型的抗生素已被引入临床实践,以治疗微生物感染。减少抗生素的不必要使用是一项全球需求和优先事项。本文旨在更好地了解和理解早期使用抗生素的影响。本文重点介绍了儿童抗生素的正确使用,详细介绍了早期和不适当使用抗生素如何影响正常身体发育过程中的肠道微生物群,从而通过糖尿病、肥胖、新生儿、婴幼儿和发育中儿童尿路感染等感染的复发和耐药因素、剂量需求等方式影响代谢。本文还简要介绍了几种处于开发阶段的新抗生素、新上市的抗生素以及一些召回和退出市场的抗生素。这项研究将有助于未来的研究人员探索儿科抗生素使用的最新信息。
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引用次数: 0
PHYSICOCHEMICAL AND THERAPEUTIC PROPERTIES OF MALAYSIAN STINGLESS BEE KELULUT HONEY IN COMPARISON WITH YEMENI SIDR HONEY 马来无刺蜂KELULUT蜂蜜与也门蜂蜜的理化和治疗性能比较
Q4 Medicine Pub Date : 2022-08-18 DOI: 10.2174/2211352520666220818095716
Mohammad A Al-Kafaween, A. M. Hilmi, H. Al-Jamal
Kelulut and Yemeni Sidr honeys have been documented to have various therapeutic properties. Investigations associated with the medicinal properties and physicochemical characteristics of Kelulut and Yemeni Sidr honey are growing broadly and receiving raised awareness. This study incorporated and analysed the findings on the biological and physicochemical properties of Kelulut and Yemeni Sidr honeys. Kelulut and Yemeni Sidr honeys were found to have a wide variety of biological effects attributed to their physicochemical characteristics. Findings showed that Kelulut and Yemeni Sidr honeys have anti-bacterial, anti-biofilm, anti-virulence, anti-oxidative, anti-cancer, anti-inflammatory, anti-diabetic, anti-obesity and wound-healing properties. The physicochemical properties of Kelulut and Yemeni Sidr honeys were compared and discussed and results revealed that they have high-quality contents and excellent antioxidant sources.
Keulut和也门Sidr蜂蜜已被证明具有各种治疗特性。与Keulut和也门Sidr蜂蜜的药用特性和理化特性相关的调查正在广泛进行,并得到了提高。本研究结合并分析了克鲁鲁特和也门锡德蜂蜜的生物学和理化性质。Keulut和也门Sidr蜂蜜由于其理化特性而被发现具有多种生物学效应。研究结果表明,Keulut和也门Sidr蜂蜜具有抗菌、抗生物膜、抗毒力、抗氧化、抗癌、抗炎、抗糖尿病、抗肥胖和伤口愈合的特性。对克鲁鲁特和也门锡德蜂蜜的理化性质进行了比较和讨论,结果表明,它们具有高质量的含量和良好的抗氧化来源。
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引用次数: 1
Two Years Study of Frequency and Antimicrobial Resistance Patterns of Escherichia coli Strains Isolated from Clinical Specimens in Northern Iran 伊朗北部临床标本分离大肠埃希菌两年频率及耐药模式研究
Q4 Medicine Pub Date : 2022-08-15 DOI: 10.2174/2211352520666220815145503
H. Goli, Z. Bazgir, M. Gholami
According to the reports from World Health Organization, increased use of antibiotics and bacterial resistance has become a worldwide issue. Resistance to antimicrobial agents in Escherichia coli clinical strains is increasing.The objective of this study was to determine the antibiotic resistance patterns and frequency of multidrug resistance (MDR) phenotype in Escherichia coli isolated from patients in two major hospitals of Sari, north Iran.In this descriptive-analytical study, a total of 13322 clinical specimens were collected from patients. All the specimens were evaluated to determine the presence of E. coli strains using conventional biochemical tests and API kit. Susceptibility testing against twelve antibiotics was determined using the disk-diffusion method. Results were interpreted in accordance to the Clinical and Laboratory Standard Institute (CLSI) protocol.Out of 13322 studied samples, 964 (7.23%) E. coli strains were identified. In two hospitals, high resistance to ampicillin and cefalexin was presented in 621 (64.4 %) and 402 (41.7 %) isolates, respectively. The highest antibiotic resistance was observed in the burn unit, the burn intensive care unit (ICU) and the burn restoration section, while all the strains (eight) that were isolated from the neonatal-ICU, were sensitive to all the tested antibiotics except cefalexin, nitrofurantoin, nalidixic acid, and ampicillin. Also, strains isolated from urine, wound, stool, and blood samples were resistant to all tested antibiotics.Increased resistance to different antibiotics in burn hospitals has created increasing concern. Very high resistance to some antibiotics indicates that these drugs are misused in therapeutic centers and highlights that infection control measures should be arranged in the ICUs of our hospitals.
根据世界卫生组织的报告,抗生素使用的增加和细菌耐药性已成为一个全球性问题。大肠杆菌临床菌株对抗菌药物的耐药性正在增加。本研究的目的是确定从伊朗北部萨里两家主要医院的患者中分离的大肠杆菌的抗生素耐药模式和多药耐药表型的频率。在这项描述性分析研究中,共收集了13322例患者的临床标本。所有标本均采用常规生化试验和API试剂盒检测大肠杆菌菌株的存在。采用纸片扩散法对12种抗生素进行药敏试验。结果按照临床和实验室标准协会(CLSI)协议进行解释。在13322份样本中,检出大肠杆菌964株(7.23%)。在两家医院,分别有621株(64.4%)和402株(41.7%)对氨苄西林和头孢氨苄西林耐药。烧伤病房、烧伤重症监护病房(ICU)和烧伤修复病房的抗生素耐药性最高,而从新生儿-ICU分离的8株菌株对除头孢氨苄、呋喃妥因、萘啶酸和氨苄西林外的所有试验抗生素均敏感。此外,从尿液、伤口、粪便和血液样本中分离出的菌株对所有测试的抗生素都具有耐药性。烧伤医院对不同抗生素的耐药性增加引起了越来越多的关注。部分抗生素耐药程度较高,说明这些药物在治疗中心存在滥用现象,强调在我院icu中应安排感染控制措施。
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引用次数: 0
Therapeutic Potentials of Black Seeds (Nigella sativa) in the Management of COVID-19 -A Review of Clinical and In-silico Studies 黑籽(Nigella sativa)治疗COVID-19的潜力——临床和计算机研究综述
Q4 Medicine Pub Date : 2022-08-02 DOI: 10.2174/2211352520666220802150156
Naina Mohamed Pakkir Maideen, Rajkapoor Balasubramaniam, Sudha Muthusamy, Mirunalini Gobinath, Mohamed Rafiullah
Coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus-2 (SARS, CoV-2), and patients with COVID-19 are managed mainly using repurposed conventional drugs, which target the viral entry and viral replication of SARS CoV-2 along with standard care and supportive therapy.This review article focuses on the potential benefits of black seeds (Nigella sativa) observed in clinical and in silico molecular docking studies of COVID-19.The literature was searched using databases such as LitCOVID, Web of Science, Google Scholar, bioRxiv, medRxiv, Science Direct, EBSCO, Scopus, EMBASE, and reference lists to identify published manuscripts or preprints related to the prevention or treatment of COVID-19 with black seeds (N. sativa) or their phytoconstituents.Various clinical studies and in silico molecular docking studies determined that black seeds (N. sativa) and their bioactive phytoconstituents have potential activity against SARS CoV-2 infection.Patients with COVID-19 could be managed using black seeds (N. sativa) along with supportive care, which would speed up the recovery and decrease the mortality rate. More randomized controlled clinical trials would further establish the safety and efficacy of N. sativa in COVID-19 patients.
2019冠状病毒病(COVID-19)是由严重急性呼吸系统综合征冠状病毒-2 (SARS, CoV-2)引起的,COVID-19患者的治疗主要使用改变用途的常规药物,这些药物针对SARS CoV-2的病毒进入和病毒复制,以及标准护理和支持治疗。本文综述了黑籽(Nigella sativa)在COVID-19临床和硅分子对接研究中观察到的潜在益处。使用LitCOVID、Web of Science、谷歌Scholar、bioRxiv、medRxiv、Science Direct、EBSCO、Scopus、EMBASE等数据库和参考文献列表进行文献检索,以确定与黑色种子(N. sativa)或其植物成分预防或治疗COVID-19相关的已发表手稿或预印本。各种临床研究和硅分子对接研究确定,黑色种子(N. sativa)及其生物活性植物成分具有抗SARS - CoV-2感染的潜在活性。COVID-19患者可以使用黑籽(N. sativa)和支持性护理进行治疗,这将加快康复并降低死亡率。更多的随机对照临床试验将进一步确定sativa在COVID-19患者中的安全性和有效性。
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引用次数: 2
A review of pyridine and pyrimidine derivatives as anti-MRSA agents 吡啶和嘧啶衍生物抗MRSA研究进展
Q4 Medicine Pub Date : 2022-07-05 DOI: 10.2174/2211352520666220705085733
Adarsh Kumar, Ankit Kumar Singh, Suresh Thareja, Pradeep Kumar
Methicillin-resistant Staphylococcus aureus (MRSA) is a gram-positive strain whose resistance against existing antibiotics is a major concern for the researchers across the globe. Gram-positive infections, particularly methicillin-resistant Staphylococcus aureus spreading among S. aureus isolates, observed to increase exponentially from 29% in 2009 to 47% in 2014. Literature reviews revealed about 13-74% of worldwide S. aureus strains are Methicillin-resistant.In this article, we have summarized the mechanism of bacterium resistance, molecular targets to treat MRSA, and the activity of reported pyridine and pyrimidine derivatives against methicillin-resistant Staphylococcus aureus.The data collected for this study from online peer reviewed research articles and Molecular-docking study of reported anti-MRSA agents performed by using Maestro Module of Schrodinger software. Results of in silico studies showed that some pyridine derivatives having better binding interactions than standard anti-MRSA agents.Molecular docking studies of reported pyridine derivatives resulted in excellent hits for the development of novel anti- MRSA agents. Overall, this study will be immense importance for researchers working in design and development of target based anti-MRSA agents.
耐甲氧西林金黄色葡萄球菌(MRSA)是一种革兰氏阳性菌株,其对现有抗生素的耐药性是全球研究人员关注的主要问题。革兰氏阳性感染,特别是在金黄色葡萄球菌分离株中传播的耐甲氧西林金黄色葡萄菌,从2009年的29%呈指数级增长到2014年的47%。文献综述显示,全球约13-74%的金黄色葡萄球菌菌株对甲氧西林具有耐药性。在这篇文章中,我们总结了细菌耐药性的机制,治疗MRSA的分子靶点,以及已报道的吡啶和嘧啶衍生物对耐甲氧西林金黄色葡萄球菌的活性。本研究收集的数据来自在线同行评审的研究文章和使用薛定谔软件的Maestro模块对已报道的抗MRSA药物进行的分子对接研究。计算机研究结果表明,一些吡啶衍生物比标准抗MRSA药物具有更好的结合相互作用。已报道的吡啶衍生物的分子对接研究为开发新型抗MRSA药物带来了极好的成功。总的来说,这项研究将对设计和开发基于靶点的抗MRSA药物的研究人员具有极其重要的意义。
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引用次数: 3
Synthesis, Characterization and Antitubercular Evaluation of Tetrahydrotetrazolo Quinazoline Derivatives 四氢四唑喹唑啉衍生物的合成、表征及抗肿瘤作用评价
Q4 Medicine Pub Date : 2022-06-27 DOI: 10.2174/2211352520666220627153144
N. R. Babu, R. Raju, R. R. Alavala, G. K. Rao, P. K. Desu, J. Namratha, V. Muralidharan
Tuberculosis is a highly contagious disease that is one of the major causes of mortality worldwide and the leading infectious organism-related cause of death. Various tetrazole and quinazoline compounds have been successfully developed in the past for tuberculosis treatment. In this case, we planned to design the hybrid moieties by combining both tetrazole and quinazoline nucleus to create novel compounds with increased activity.6, 6-dimethyl-5, 6, 7, 9–tetrahydrotetrazolo [5, 1-b] Quinazolin-8(4H) -one derivatives were synthesized, characterized by using spectral data. The antitubercular activity of the synthesised compounds was tested against the H37RV strain of Mycobacterium tuberculosis. In order to identify the interactions with the target protein Mtb Pks13 Thioesterase domain in complex with inhibitor, docking analysis of the final compounds was performed (Protein data bank ID: 5V41). To verify their drug-like potential, the synthesised compounds were subjected to Pharmacokinetic prediction experiments. Zebrafish larvae had been used to test the teratogenicity of the synthesised compounds.At 6.25 µg/mL, compounds F4 and F7 exhibited good efficacy against Mycobacterium tuberculosis strains. Docking studies aided in determining the most likely binding mode within the binding cavity of the concerned target protein.Compounds containing p-fluorophenyl and p-nitrophenyl groups as substituents were found to have excellent anti-tubercular activity.
结核病是一种高度传染性疾病,是全世界死亡的主要原因之一,也是与传染性生物体有关的主要死亡原因。各种四唑类和喹唑啉类化合物已被成功开发用于治疗结核病。在这种情况下,我们计划通过结合四唑和喹唑啉核来设计杂交部分,以创造具有更高活性的新化合物。合成了6,6 -二甲基- 5,6,7,9 -四氢四唑[5,1 -b]喹唑啉-8(4H) - 1衍生物,并用光谱数据对其进行了表征。合成的化合物对结核分枝杆菌H37RV株的抗结核活性进行了测试。为了确定目标蛋白Mtb Pks13硫酯酶结构域与抑制剂复合物的相互作用,对最终化合物进行对接分析(蛋白质数据库ID: 5V41)。为了验证其药物样潜力,合成的化合物进行了药代动力学预测实验。斑马鱼幼虫被用来测试合成化合物的致畸性。在6.25µg/mL浓度下,化合物F4和F7对结核分枝杆菌有较好的抑制作用。对接研究有助于确定相关靶蛋白结合腔内最可能的结合模式。含对氟苯基和对硝基取代基的化合物具有良好的抗结核活性。
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引用次数: 0
Synthesis, characterization in vitro antimicrobial evaluation and in silico approach of molecular docking of pyrazole based pyrimidine and pyrazolone motifs 吡唑基嘧啶与吡唑酮基序的合成、表征、体外抗菌评价及分子对接方法
Q4 Medicine Pub Date : 2022-06-16 DOI: 10.2174/2211352520666220616105540
N. Desai, A. Khasiya, B. Dave, V. Khedkar
In the past few decades, mankind is suffering from tormented life-threatening infectious diseases caused by multidrug-resistant bacteria. As a result, new antimicrobial classes with distinct modes of action are required to combat multidrug-resistant infections.The pyrazole-based pyrimidine and pyrazolone motifs were synthesized, characterized, and screened for their antimicrobial activity. Molecular docking was carried out for the development of antimicrobial agents based on the results of biological activity obtained.: We have synthesized a new series of pyrazole containing pyrimidine-pyrazolone hybrids by using multi-step reactions in the search of antimicrobial agents (7a-o). The structures were determined by 1H NMR, 13C NMR, IR, and mass spectroscopy techniques. Moreover, synthesized compounds were evaluated for their antimicrobial activity by using serial Broth dilution method.Antimicrobial activity of synthesized compounds has been tested against bacterial and fungal strains. Compound 7o was most effective against S. aureus with MIC = 0.096 M/mL. A molecular docking study against microbial DNA gyrase revealed important information about the mechanisms underlying antimicrobial efficacy. Through significant interactions with active site residues, all of the compounds were able to dock well into the enzyme's active site. Furthermore, Compounds 7a (0.531 M/mL), 7b (0.456 M/mL), and 7m (0.485 M/mL) showed excellent antifungal activity against C. albicans compared to the positive control griseofulvin.It has been concluded that compounds containing electron-donating groups are found to be most active against bacterial strains while compounds having both electron-donating as well as electron-withdrawing groups are most favorable for antifungal activity.
在过去的几十年里,人类正遭受由耐多药细菌引起的危及生命的传染病的折磨。因此,需要具有不同作用模式的新型抗菌药物来对抗耐多药感染。合成了吡唑基嘧啶和吡唑啉酮基序,对其进行了表征,并对其抗菌活性进行了筛选。基于所获得的生物活性结果,进行了分子对接以开发抗微生物剂我们利用多步反应合成了一系列新的含吡唑的嘧啶-吡唑酮杂化物(7a-o)。通过1H NMR、13C NMR、IR和质谱技术确定了结构。此外,采用连续肉汤稀释法对合成的化合物的抗菌活性进行了评价。合成化合物的抗菌活性已对细菌和真菌菌株进行了测试。化合物7o对金黄色葡萄球菌最有效,MIC=0.096M/mL。一项针对微生物DNA旋转酶的分子对接研究揭示了有关抗菌功效机制的重要信息。通过与活性位点残基的显著相互作用,所有化合物都能够很好地对接到酶的活性位点。此外,与阳性对照灰黄霉素相比,化合物7a(0.531M/mL)、7b(0.456M/mL)和7m(0.485M/mL)对白色念珠菌显示出优异的抗真菌活性。已经得出结论,发现含有给电子基团的化合物对细菌菌株最具活性,而同时具有给电子基团和吸电子基团的复合物对抗真菌活性最有利。
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Anti-Infective Agents
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