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Ubiquitin–proteasome system as a target for anticancer treatment—an update 泛素-蛋白酶体系统作为抗癌治疗靶点的最新进展
IF 6.7 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2023-08-05 DOI: 10.1007/s12272-023-01455-0
Yeon Jung Kim, Yeonjoo Lee, Hyungkyung Shin, SuA Hwang, Jinyoung Park, Eun Joo Song

As the ubiquitin–proteasome system (UPS) regulates almost every biological process, the dysregulation or aberrant expression of the UPS components causes many pathological disorders, including cancers. To find a novel target for anticancer therapy, the UPS has been an active area of research since the FDA’s first approval of a proteasome inhibitor bortezomib in 2003 for treating multiple myeloma (MM). Here, we summarize newly described UPS components, including E3 ubiquitin ligases, deubiquitinases (DUBs), and immunoproteasome, whose malfunction leads to tumorigenesis and whose inhibitors have been investigated in clinical trials as anticancer therapy since 2020. We explain the mechanism and effects of several inhibitors in depth to better comprehend the advantages of targeting UPS components for cancer treatment. In addition, we describe attempts to overcome resistance and limited efficacy of some launched proteasome inhibitors, as well as an emerging PROTAC-based tool targeting UPS components for anticancer therapy.

由于泛素-蛋白酶体系统(UPS)调节着几乎所有的生物过程,UPS成分的失调或异常表达会导致包括癌症在内的许多病理疾病。自2003年FDA首次批准蛋白酶体抑制剂硼替佐米用于治疗多发性骨髓瘤(MM)以来,UPS一直是一个活跃的研究领域,以寻找抗癌治疗的新靶点。在这里,我们总结了新描述的UPS组件,包括E3泛素连接酶,去泛素酶(DUBs)和免疫蛋白酶体,其功能障碍导致肿瘤发生,其抑制剂自2020年以来已在临床试验中作为抗癌治疗进行了研究。我们深入解释了几种抑制剂的机制和作用,以更好地理解靶向UPS组件用于癌症治疗的优势。此外,我们描述了克服一些启动的蛋白酶体抑制剂的耐药性和有限疗效的尝试,以及一种新兴的基于protac的靶向UPS组件的抗癌治疗工具。
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引用次数: 3
Paeoniflorin increases the survival of Pseudomonas aeruginosa infected Caenorhabditis elegans at the immunosuppression stage by activating PMK-1, BAR-1, and EGL-1 signals 芍药苷通过激活PMK-1、BAR-1和EGL-1信号,提高了铜绿假单胞菌感染秀丽隐杆线虫免疫抑制期的存活率
IF 6.7 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2023-08-03 DOI: 10.1007/s12272-023-01459-w
Le Zhang, Yuxing Wang, Dayong Wang

Paeoniflorin is the major active compound of total glycoside of paeony in Paeonia lactiflora Pall. Although several aspects of beneficial effects of paeoniflorin have been described, whether the paeoniflorin treatment is helpful for inhibiting the pathogen infection-induced immunosuppression remains largely unclear. Using the immunosuppression model in Caenorhabditis elegans induced by Pseudomonas aeruginosa infection, we here examined the beneficial effect of paeoniflorin treatment against the immunosuppression induced by bacterial pathogen infection. In this immunosuppression model, we observed that the survival rate of P. aeruginosa infected nematodes at the immunosuppression stage could be significantly increased by 25–100 mg/L paeoniflorin treatment. P. aeruginosa accumulation in intestinal lumen of nematodes at the immunosuppression stage was reduced by paeoniflorin treatment. Paeoniflorin could activate the expressions of antimicrobial genes (lys-1 and lys-8) in nematodes at the immunosuppression stage. Moreover, at the immunosuppression stage, paeoniflorin treatment increased the expressions of bar-1, pmk-1, and egl-1 required for the control of innate immunity against bacterial infection. Meanwhile, RNAi of bar-1, pmk-1, and egl-1 inhibited the beneficial effect of paeoniflorin treatment in increasing the survival, reducing the P. aeruginosa accumulation in intestinal lumen, and activating the expressions of antimicrobial genes (lys-1 and lys-8) in nematodes at the immunosuppression stage. Therefore, paeoniflorin treatment could effectively inhibit the immunosuppression induced by bacterial pathogen infection in the hosts.

芍药苷是芍药总苷的主要活性化合物。虽然芍药苷的几个方面的有益作用已经被描述,但芍药苷治疗是否有助于抑制病原体感染引起的免疫抑制仍不清楚。采用铜绿假单胞菌感染引起的秀丽隐杆线虫免疫抑制模型,研究芍药苷对细菌病原菌感染引起的免疫抑制的有益作用。在免疫抑制模型中,我们观察到25-100 mg/L的芍药苷可以显著提高P. aeruginosa感染的线虫在免疫抑制期的存活率。芍药苷可减少免疫抑制期线虫肠道内铜绿假单胞菌的积累。芍药苷可激活免疫抑制期线虫体内抗微生物基因lys-1和lys-8的表达。此外,在免疫抑制阶段,芍药苷处理增加了控制细菌感染先天免疫所需的bar-1、pmk-1和egl-1的表达。同时,bar-1、pmk-1和egl-1的RNAi抑制了芍药苷处理在提高线虫存活、减少铜绿假单胞菌在肠道内积聚、激活免疫抑制期线虫抗微生物基因(lys-1和lys-8)表达等方面的有益作用。因此,芍药苷处理能有效抑制病原菌感染引起的宿主免疫抑制。
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引用次数: 1
Ionically bridged dexamethasone sodium phosphate–zinc–PLGA nanocomplex in alginate microgel for the local treatment of ulcerative colitis 海藻酸盐微凝胶中离子桥接地塞米松磷酸钠-锌- plga纳米复合物局部治疗溃疡性结肠炎
IF 6.7 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2023-08-03 DOI: 10.1007/s12272-023-01456-z
Aruzhan Saparbayeva, Juho Lee, Shwe Phyu Hlaing, Jihyun Kim, Dongmin Kwak, Hyunwoo Kim, Eun Hee Lee, Seonghwan Hwang, Min-Soo Kim, Hyung Ryong Moon, Yunjin Jung, Jin-Wook Yoo

Colon-targeted oral drug delivery systems comprising nanoparticles and microparticles have emerged as promising tools for the treatment of ulcerative colitis (UC) because they minimize side effects and maximize the local drug concentration. Dexamethasone sodium phosphate (DSP) is a potent anti-inflammatory glucocorticoid used for the treatment of UC. However, it remains a rather short-term treatment option owing to its side effects. In the present study, we developed the alginate gel encapsulating ionically bridged DSP-zinc-poly(lactic-co-glycolic acid) (PLGA) nanocomplex (DZP-NCs-in-microgel) for the oral local treatment of UC. The successful encapsulation of DSP-zinc-PLGA nanocomplex (DZP-NCs) in alginate microgel was confirmed by SEM imaging. The prepared gel released DZP-NCs in the stimulated intestinal fluid and dampened the release of DSP in the upper gastrointestinal tract. Furthermore, DZP-NCs-in-microgel alleviated colonic inflammation in a mouse model of dextran sodium sulfate-induced colitis by relieving clinical symptoms and histological marks. Our results suggest a novel approach for the oral colon-targeted delivery of dexamethasone sodium phosphate for the treatment of UC.

由纳米颗粒和微颗粒组成的结肠靶向口服给药系统已成为治疗溃疡性结肠炎(UC)的有前途的工具,因为它们可以最大限度地减少副作用并最大化局部药物浓度。地塞米松磷酸钠(DSP)是一种有效的抗炎糖皮质激素,用于治疗UC。然而,由于其副作用,它仍然是一个相当短期的治疗选择。在本研究中,我们开发了海藻酸盐凝胶包封离子桥接的dsp -锌-聚乳酸-羟基乙酸(PLGA)纳米复合物(DZP-NCs-in-microgel),用于口腔局部治疗UC。扫描电镜(SEM)证实了海藻酸盐微凝胶成功包封了dsp - zn - plga纳米复合物(dzp - nc)。制备的凝胶在受刺激的肠液中释放DZP-NCs,并抑制上消化道DSP的释放。此外,dzp - ncs -in微凝胶通过缓解临床症状和组织学标记,减轻了右旋糖酐硫酸钠诱导结肠炎小鼠模型的结肠炎症。我们的研究结果提出了一种口服结肠靶向递送地塞米松磷酸钠治疗UC的新方法。
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引用次数: 1
Myriocin suppresses tumor growth by modulating macrophage polarization and function through the PI3K/Akt/mTOR pathway 肉豆蔻素通过PI3K/Akt/mTOR通路调节巨噬细胞极化和功能,抑制肿瘤生长
IF 6.7 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2023-07-19 DOI: 10.1007/s12272-023-01454-1
Hyeonha Jang, Uttam Ojha, Ji-Hak Jeong, Keun-Gyu Park, Shin Yup Lee, You Mie Lee

Macrophages within the tumor microenvironment (TME), referred to as tumor-associated macrophages (TAMs), are involved in various aspects of tumor progression including initiation, angiogenesis, metastasis, immunosuppression, and resistance to therapy. Myriocin, a natural compound isolated from Mycelia sterilia, is an immunosuppressant that inhibits tumor growth and angiogenesis. However, the mechanisms underlying the effects of myriocin on TAMs and TAM-mediated tumor growth have not yet been elucidated. In this study, we determined the effects of myriocin on TAMs and the underlying mechanism in vitro and in vivo. Myriocin significantly suppressed monocyte–macrophage differentiation and M2 polarization of macrophages but not M1 polarization. In addition, myriocin inhibited the expression of anti-inflammatory cytokines and secretion of proangiogenic factors, such as vascular endothelial growth factor, in M2 macrophages as well as M2-induced endothelial cell permeability. Myriocin also inhibited the PI3K/Akt/mTOR signaling pathway in M2 macrophages. Myriocin reduced the population of M2-like TAMs within the tumor tissue of a mouse allograft tumor model but not that of M1-like TAMs. Moreover, combined treatment with myriocin and cisplatin synergistically suppressed tumor growth and enhanced survival rate in mice by reducing the population of M2-like TAMs. Overall, these results suggest that myriocin inhibits tumor growth by remodeling the TME through suppression of differentiation and polarization of M2-like TAMs via the PI3K/Akt/mTOR signaling pathway.

肿瘤微环境(TME)内的巨噬细胞,被称为肿瘤相关巨噬细胞(tam),参与肿瘤进展的各个方面,包括起始、血管生成、转移、免疫抑制和对治疗的抵抗。肉豆蔻素是一种从无菌菌丝中分离出来的天然化合物,是一种抑制肿瘤生长和血管生成的免疫抑制剂。然而,肉豆蔻素对tam和tam介导的肿瘤生长的影响机制尚未阐明。在本研究中,我们在体外和体内研究了肉豆蔻素对tam的影响及其可能的机制。肉豆蔻素显著抑制单核-巨噬细胞分化和巨噬细胞M2极化,但对M1极化无明显抑制作用。此外,肉豆蔻素还能抑制M2巨噬细胞中抗炎细胞因子的表达和血管内皮生长因子等促血管生成因子的分泌,以及M2诱导的内皮细胞通透性。肉豆蔻素还能抑制M2巨噬细胞的PI3K/Akt/mTOR信号通路。肉豆蔻素可以减少小鼠同种异体移植肿瘤模型中肿瘤组织中m2样tam的数量,但对m1样tam的数量没有影响。此外,肉豆杉素和顺铂联合治疗通过减少m2样tam的数量,协同抑制肿瘤生长,提高小鼠存活率。综上所述,这些结果表明,肉豆蔻素通过PI3K/Akt/mTOR信号通路抑制m2样tam的分化和极化,从而通过重塑TME来抑制肿瘤生长。
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引用次数: 0
Recent advances on Pestalotiopsis genus: chemistry, biological activities, structure–activity relationship, and biosynthesis 拟盘多毛孢属植物的化学、生物活性、构效关系及生物合成研究进展
IF 6.7 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2023-06-30 DOI: 10.1007/s12272-023-01453-2
Peng Jiang, Xiujuan Fu, Hong Niu, Siwei Chen, Feifei Liu, Yu Luo, Dan Zhang, Hui Lei

Strains of the fungal genus Pestalotiopsis are reported as large promising sources of structurally varied biologically active metabolites. Many bioactive secondary metabolites with diverse structural features have been derived from Pestalotiopsis. Moreover, some of these compounds can potentially be developed into lead compounds. Herein, we have systematically reviewed the chemical constituents and bioactivities of the fungal genus Pestalotiopsis, covering a period ranging from January 2016 to December 2022. As many as 307 compounds, including terpenoids, coumarins, lactones, polyketides, and alkaloids, were isolated during this period. Furthermore, for the benefit of readers, the biosynthesis and potential medicinal value of these new compounds are also discussed in this review. Finally, the perspectives and directions for future research and the potential applications of the new compounds are summarized in various tables.

据报道,拟盘多毛孢真菌属的菌株是结构多样的生物活性代谢物的巨大有前途的来源。拟盘多毛孢衍生出许多具有不同结构特征的生物活性次生代谢物。此外,其中一些化合物有发展成为先导化合物的潜力。本文系统回顾了拟盘多毛孢属真菌的化学成分和生物活性,研究时间为2016年1月至2022年12月。在此期间,共分离出307种化合物,包括萜类、香豆素、内酯、聚酮和生物碱。此外,为了方便读者,本文还对这些新化合物的生物合成和潜在的药用价值进行了综述。最后,以表格形式总结了新化合物的研究前景和应用前景。
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引用次数: 1
Beyond DNA sensing: expanding the role of cGAS/STING in immunity and diseases 超越DNA传感:扩大cGAS/STING在免疫和疾病中的作用
IF 6.7 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2023-06-24 DOI: 10.1007/s12272-023-01452-3
Jin Kyung Seok, Minhyuk Kim, Han Chang Kang, Yong-Yeon Cho, Hye Suk Lee, Joo Young Lee

Cyclic guanosine monophosphate-adenosine monophosphate (cGAMP) synthase (cGAS) is a DNA sensor that elicits a robust type I interferon response by recognizing ubiquitous danger-associated molecules. The cGAS/stimulator of interferon genes (cGAS/STING) is activated by endogenous DNA, including DNA released from mitochondria and extranuclear chromatin, as well as exogenous DNA derived from pathogenic microorganisms. cGAS/STING is positioned as a key axis of autoimmunity, the inflammatory response, and cancer progression, suggesting that the cGAS/STING signaling pathway represents an efficient therapeutic target. Based on the accumulated evidence, we present insights into the prevention and treatment of cGAS/STING-related chronic immune and inflammatory diseases. This review presents the current state of clinical and nonclinical development of modulators targeting cGAS/STING, providing useful information on the design of therapeutic strategies.

环鸟苷单磷酸腺苷(cGAMP)合成酶(cGAS)是一种DNA传感器,通过识别无处不在的危险相关分子,引发强大的I型干扰素反应。干扰素基因的cGAS/刺激因子(cGAS/STING)被内源性DNA激活,包括线粒体和核外染色质释放的DNA,以及来自病原微生物的外源性DNA。cGAS/STING被定位为自身免疫、炎症反应和癌症进展的关键轴,这表明cGAS/STING信号通路是一个有效的治疗靶点。基于积累的证据,我们对cGAS/ sting相关慢性免疫和炎症疾病的预防和治疗提出了见解。本文综述了靶向cGAS/STING的调节剂的临床和非临床发展现状,为治疗策略的设计提供有用的信息。
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引用次数: 3
Paritaprevir ameliorates experimental acute lung injury in vitro and in vivo Paritaprevir在体外和体内改善实验性急性肺损伤
IF 6.7 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2023-06-12 DOI: 10.1007/s12272-023-01451-4
Rui Ren, Xin Wang, Zehui Xu, Wanglin Jiang

Paritaprevir is a potent inhibitor of the NS3/4A protease used to treat chronic hepatitis C virus infection. However, its therapeutic effect on acute lung injury (ALI) remains to be elucidated. In this study, we investigated the effect of paritaprevir on a lipopolysaccharide (LPS)-induced two-hit rat ALI model. The anti-ALI mechanism of paritaprevir was also studied in human pulmonary microvascular endothelial (HM) cells following LPS-induced injury in vitro. Administration of 30 mg/kg paritaprevir for 3 days protected rats from LPS-induced ALI, as reflected by the changes in the lung coefficient (from 0.75 to 0.64) and lung pathology scores (from 5.17 to 5.20). Furthermore, the levels of the protective adhesion protein VE-cadherin and tight junction protein claudin-5 increased, and the cytoplasmic p-FOX-O1 and nuclear β-catenin and FOX-O1 levels decreased. Similar effects were observed in vitro with LPS-treated HM cells, including decreased nuclear β-catenin and FOX-O1 levels and higher VE-cadherin and claudin-5 levels. Moreover, β-catenin inhibition resulted in higher p-FOX-O1 levels in the cytoplasm. These results suggested that paritaprevir could alleviate experimental ALI via the β-catenin/p-Akt/ FOX-O1 signaling pathway.

Paritarevir是NS3/4A蛋白酶的有效抑制剂,用于治疗慢性丙型肝炎病毒感染。然而,其对急性肺损伤(ALI)的治疗作用仍有待阐明。在本研究中,我们研究了帕利他韦对脂多糖(LPS)诱导的两次撞击大鼠ALI模型的影响。本文还研究了帕利他韦在体外LPS诱导的人肺微血管内皮细胞损伤后的抗ALI机制。30 mg/kg帕利他韦连续3天可保护大鼠免受LPS诱导的ALI,肺系数(从0.75到0.64)和肺病理评分(从5.17到5.20)的变化反映了这一点。此外,保护性粘附蛋白VE钙粘蛋白和紧密连接蛋白claudin-5的水平增加,β-连环蛋白和FOX-O1水平下降。LPS处理的HM细胞在体外也观察到类似的作用,包括降低核β-连环蛋白和FOX-O1水平,以及升高VE钙粘蛋白和claudin-5水平。此外,β-连环蛋白抑制导致细胞质中p-FOX-O1水平升高。这些结果表明,帕利他韦可以通过β-catenin/p-Akt/FOX-O1信号通路减轻实验性ALI。
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引用次数: 0
Harnessing deep learning into hidden mutations of neurological disorders for therapeutic challenges 利用深度学习研究神经系统疾病的隐藏突变,以应对治疗挑战
IF 6.7 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2023-06-01 DOI: 10.1007/s12272-023-01450-5
Sumin Yang, Sung-Hyun Kim, Mingon Kang, Jae-Yeol Joo

The relevant study of transcriptome-wide variations and neurological disorders in the evolved field of genomic data science is on the rise. Deep learning has been highlighted utilizing algorithms on massive amounts of data in a human-like manner, and is expected to predict the dependency or druggability of hidden mutations within the genome. Enormous mutational variants in coding and noncoding transcripts have been discovered along the genome by far, despite of the fine-tuned genetic proofreading machinery. These variants could be capable of inducing various pathological conditions, including neurological disorders, which require lifelong care. Several limitations and questions emerge, including the use of conventional processes via limited patient-driven sequence acquisitions and decoding-based inferences as well as how rare variants can be deduced as a population-specific etiology. These puzzles require harnessing of advanced systems for precise disease prediction, drug development and drug applications. In this review, we summarize the pathophysiological discoveries of pathogenic variants in both coding and noncoding transcripts in neurological disorders, and the current advantage of deep learning applications. In addition, we discuss the challenges encountered and how to outperform them with advancing interpretation.

在基因组数据科学的发展领域中,转录组范围变异和神经系统疾病的相关研究正在兴起。深度学习以类似人类的方式利用算法处理大量数据,并有望预测基因组中隐藏突变的依赖性或可药物性。尽管有精细的基因校对机制,但到目前为止,在基因组中已经发现了大量编码和非编码转录本的突变变异。这些变异可能会诱发各种病理状况,包括需要终身护理的神经系统疾病。出现了一些限制和问题,包括通过有限的患者驱动序列获取和基于解码的推断使用常规过程,以及如何将罕见变异推断为人群特异性病因。这些难题需要利用先进的系统进行精确的疾病预测、药物开发和药物应用。在这篇综述中,我们总结了神经系统疾病中编码和非编码转录物致病性变异的病理生理学发现,以及目前深度学习应用的优势。此外,我们还讨论了所遇到的挑战以及如何通过先进的解释来超越它们。
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引用次数: 1
Recent advances in GPR35 pharmacology; 5-HIAA serotonin metabolite becomes a ligand GPR35的药理研究进展5-HIAA 5-羟色胺代谢物成为配体
IF 6.7 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2023-05-25 DOI: 10.1007/s12272-023-01449-y
Dong-Soon Im

GPR35, an orphan receptor, has been waiting for its ligand since its cloning in 1998. Many endogenous and exogenous molecules have been suggested to act as agonists of GPR35 including kynurenic acid, zaprinast, lysophosphatidic acid, and CXCL17. However, complex and controversial responses to ligands among species have become a huge hurdle in the development of therapeutics in addition to the orphan state. Recently, a serotonin metabolite, 5-hydroxyindoleacetic acid (5-HIAA), is reported to be a high potency ligand for GPR35 by investigating the increased expression of GPR35 in neutrophils. In addition, a transgenic knock-in mouse line is developed, in which GPR35 was replaced with a human ortholog, making it possible not only to overcome the different selectivity of agonists among species but also to conduct therapeutic experiments on human GPR35 in mouse models. In the present article, I review the recent advances and prospective therapeutic directions in GPR35 research. Especially, I’d like to draw attention of readers to the finding of 5-HIAA as a ligand of GPR35 and lead to apply the 5-HIAA and human GPR35 knock-in mice to their research fields in a variety of pathophysiological conditions.

GPR35是一种孤儿受体,自1998年克隆以来一直在等待它的配体。许多内源性和外源性分子被认为是GPR35的激动剂,包括犬尿酸、扎普利司特、溶血磷脂酸和CXCL17。然而,除了孤儿状态外,物种之间对配体的复杂和有争议的反应已经成为治疗药物发展的巨大障碍。最近,一种血清素代谢物5-羟基吲哚乙酸(5-HIAA)通过研究GPR35在中性粒细胞中的表达增加,被报道为GPR35的高效配体。此外,我们开发了一种转基因敲入小鼠系,其中GPR35被人类同源物取代,不仅可以克服激动剂在物种之间的不同选择性,而且可以在小鼠模型中对人类GPR35进行治疗实验。本文就GPR35的研究进展及未来治疗方向作一综述。特别想提请读者注意的是,发现5-HIAA作为GPR35的配体,并导致5-HIAA和人GPR35敲入小鼠在多种病理生理条件下应用于各自的研究领域。
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引用次数: 1
Effects of CYP2C9 and CYP2C19 genetic polymorphisms on the pharmacokinetics and pharmacodynamics of gliclazide in healthy subjects CYP2C9和CYP2C19基因多态性对格列齐特在健康人体内药代动力学和药效学的影响
IF 6.7 3区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2023-04-25 DOI: 10.1007/s12272-023-01448-z
Pureum Kang, Chang-Keun Cho, Choon-Gon Jang, Seok-Yong Lee, Yun Jeong Lee, Chang-Ik Choi, Jung-Woo Bae

Gliclazide metabolism is mediated by genetically polymorphic CYP2C9 and CYP2C19 enzymes. We investigated the effects of CYP2C9 and CYP2C19 genetic polymorphisms on the pharmacokinetics and pharmacodynamics of gliclazide. Twenty-seven Korean healthy volunteers were administered a single oral dose of gliclazide 80 mg. The plasma concentration of gliclazide was quantified for the pharmacokinetic analysis and plasma concentrations of glucose and insulin were measured as pharmacodynamic parameters. The pharmacokinetics of gliclazide showed a significant difference according to the number of defective alleles of combined CYP2C9 and CYP2C19. The two defective alleles group (group 3) and one defective allele group (group 2) showed 2.34- and 1.46-fold higher AUC0–∞ (P < 0.001), and 57.1 and 32.3% lower CL/F (P < 0.001), compared to those of the no defective allele group (group 1), respectively. The CYP2C9IM–CYP2C19IM group had AUC0–∞ increase of 1.49-fold (P < 0.05) and CL/F decrease by 29.9% (P < 0.01), compared with the CYP2C9 Normal Metabolizer (CYP2C9NM)–CYP2C19IM group. The CYP2C9NM–CYP2C19PM group and CYP2C9NM–CYP2C19IM group showed 2.41- and 1.51-fold higher AUC0–∞ (P < 0.001), and 59.6 and 35.4% lower CL/F (P < 0.001), compared to those of the CYP2C9NM–CYP2C19NM group, respectively. The results represented that CYP2C9 and CYP2C19 genetic polymorphisms significantly affected the pharmacokinetics of gliclazide. Although the genetic polymorphism of CYP2C19 had a greater effect on the pharmacokinetics of gliclazide, the genetic polymorphism of CYP2C9 also had a significant effect. On the other hand, plasma glucose and insulin responses to gliclazide were not significantly affected by the CYP2C9–CYP2C19 genotypes, requiring further well-controlled studies with long-term dosing of gliclazide in diabetic patients.

格列齐特代谢是由基因多态性CYP2C9和CYP2C19酶介导的。我们研究了CYP2C9和CYP2C19基因多态性对格列齐特药代动力学和药效学的影响。27名韩国健康志愿者口服单剂量格列齐特80毫克。定量测定血浆格列齐特浓度进行药代动力学分析,测定血浆葡萄糖和胰岛素浓度作为药效学参数。根据CYP2C9和CYP2C19联合缺陷等位基因的数量,格列齐特的药代动力学有显著差异。2个缺陷等位基因组(3组)和1个缺陷等位基因组(2组)的AUC0 -∞分别比无缺陷等位基因组(1组)高2.34倍和1.46倍(P < 0.001), CL/F分别比无缺陷等位基因组(1组)低57.1倍和32.3% (P < 0.001)。与CYP2C9正常代谢产物(CYP2C9NM) - cyp2c19im组相比,CYP2C9IM-CYP2C19IM组AUC0 -∞升高1.49倍(P < 0.05), CL/F降低29.9% (P < 0.01)。CYP2C9NM-CYP2C19PM组和CYP2C9NM-CYP2C19IM组AUC0 -∞分别比CYP2C9NM-CYP2C19NM组高2.41倍和1.51倍(P < 0.001), CL/F分别比CYP2C9NM-CYP2C19NM组低59.6%和35.4% (P < 0.001)。结果表明,CYP2C9和CYP2C19基因多态性显著影响格列齐特的药代动力学。虽然CYP2C19基因多态性对格列齐特的药代动力学影响较大,但CYP2C9基因多态性也有显著影响。另一方面,血浆葡萄糖和胰岛素对格列齐特的反应不受CYP2C9-CYP2C19基因型的显著影响,需要进一步对糖尿病患者长期给药格列齐特进行良好的对照研究。
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引用次数: 1
期刊
Archives of Pharmacal Research
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