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Tetrahydroxy Stilbene Glycoside Reduces Abeta Deposition by Modulating Microglia Activation and via TREM2/PI3K/AKT Pathway in APP/PS1 Mice
IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-13 DOI: 10.1111/bcpt.70008
Ming Li, Qihan Song, Shanshan Jie, Chenchen Wang, Can Zhang, Kexin Chi, Yan Gao, Tianzuo Li

Tetrahydroxy stilbene glycoside (TSG), which is the primary active substance of Chinese herbal medicine called Polygonum multiflorum, has been acknowledged to alleviate Alzheimer's disease (AD)-induced learning disorder in the transgene mice. Because the microglia activation is really important during the AD progression, herein, we determined the effects of TSG on AD neuropathology, microglia polarization and its underlying mechanism. We used APP/PS1 mice along with immunohistochemistry and immunofluorescence techniques to evaluate the function of TSG as 60, 120 and 180 mg/kg on Aβ deposition, neuronal loss and microglia polarization induced by AD. Additionally, we assessed the effects of TSG on TREM2 signalling using both molecular docking and Western blot analysis. TSG was found to promote neuronal survival and decrease Aβ deposition in APP/PS1 mice. Moreover, TSG reduced microglia M1 polarization and modulated the TREM2/PI3K/AKT signalling pathways. TSG could reduce neuronal impairment by mediating the microglia polarization by TREM2/PI3K/AKT signalling pathway in APP/PS1 mice and is a latent pharmacological research direction for the therapy in the patients with AD.

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引用次数: 0
Could Flumazenil Be Used Pre-hospital by Intramuscular Injection for Coma due to Mixed Drug Overdose Not Responding to Naloxone?: A Systematic Review of the Evidence
IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-13 DOI: 10.1111/bcpt.70007
Ilinca Farcas, Lisa Schölin, Michael Eddleston

Background/Rationale

Benzodiazepine-involved overdose deaths are increasing. Flumazenil is rarely used due to fear of seizures; however, the risk benefit may favour its use. Flumazenil is licensed for intravenous (IV) use, but intramuscular (IM) treatment would be required pre-hospital.

Objective

To identify and synthesise pre-clinical and clinical data on the parenteral IM flumazenil safety and efficacy.

Methods

PubMed, Google Scholar, Cochrane and Scopus searches without any language restriction. Adverse effect studies were limited to systematic reviews and large cohort studies (n > 100), IM administration efficacy to studies in large animal (mammalian, excluding reptiles and birds) and humans.

Results

Two systematic reviews reported adverse effects from IV or IM flumazenil in clinical use and combined retrospective/prospective patient cohort. Seizures were uncommon (< 2%) including mixed overdoses. Seven studies (four animal, three human) reported on IM flumazenil. Animal studies indicated IM flumazenil efficacy. In a canine cross-over study, IM flumazenil reversed midazolam sedation moderately slower than IV. Two clinical observational studies reported sedation reversal with IM flumazenil, whereas a cross-over study found no IM flumazenil response at 15 min.

Conclusion

IM flumazenil data are sparse, but it may be effective and safe. Clinical research is urgently needed to determine whether pre-hospital IM flumazenil can prevent benzodiazepine-involved overdose deaths.

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引用次数: 0
Promoting Resiliency to Stress in the Vascular Endothelium
IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-12 DOI: 10.1111/bcpt.70001
Maria J. Jaramillo-Torres, Rachel H. Limpert, William J. Butak, Katie E. Cohen, Alicen A. Whitaker-Hilbig, Matthew J. Durand, Julie K. Freed, Gopika SenthilKumar

By 2050, roughly 60% of the population will have cardiovascular disease. While a substantial amount of data has been generated over the last few decades that has aided in our understanding of cardiovascular disease pathology, less is known about how to increase resiliency to cardiovascular risk factors that individuals are exposed to on a daily basis. The vascular endothelium is considered the first line of defence against circulating noxious stimuli and, when dysfunctional, is an early risk factor for the development of cardiovascular disease. A vast amount of data has been generated demonstrating how external stress impairs the vascular endothelium; however, there is a paucity of knowledge regarding how to amplify protective pathways and ward off stress and the development of disease, which is the focus of this review. Targeting known protective endothelial pathways may be feasible to increase resiliency to vascular stress. Leveraging stress to boost defence mechanisms within the vascular endothelium is also proposed and may help identify novel therapeutic targets to protect individuals from the stress of everyday life.

{"title":"Promoting Resiliency to Stress in the Vascular Endothelium","authors":"Maria J. Jaramillo-Torres,&nbsp;Rachel H. Limpert,&nbsp;William J. Butak,&nbsp;Katie E. Cohen,&nbsp;Alicen A. Whitaker-Hilbig,&nbsp;Matthew J. Durand,&nbsp;Julie K. Freed,&nbsp;Gopika SenthilKumar","doi":"10.1111/bcpt.70001","DOIUrl":"https://doi.org/10.1111/bcpt.70001","url":null,"abstract":"<p>By 2050, roughly 60% of the population will have cardiovascular disease. While a substantial amount of data has been generated over the last few decades that has aided in our understanding of cardiovascular disease pathology, less is known about how to increase resiliency to cardiovascular risk factors that individuals are exposed to on a daily basis. The vascular endothelium is considered the first line of defence against circulating noxious stimuli and, when dysfunctional, is an early risk factor for the development of cardiovascular disease. A vast amount of data has been generated demonstrating how external stress impairs the vascular endothelium; however, there is a paucity of knowledge regarding how to amplify protective pathways and ward off stress and the development of disease, which is the focus of this review. Targeting known protective endothelial pathways may be feasible to increase resiliency to vascular stress. Leveraging stress to boost defence mechanisms within the vascular endothelium is also proposed and may help identify novel therapeutic targets to protect individuals from the stress of everyday life.</p>","PeriodicalId":8733,"journal":{"name":"Basic & Clinical Pharmacology & Toxicology","volume":"136 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bcpt.70001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of GLP-1 Receptor Agonists in Alcohol Use Disorder
IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1111/bcpt.70004
Mette Kruse Klausen, Gitte Moos Knudsen, Tina Vilsbøll, Anders Fink-Jensen

In the search for novel treatment strategies for alcohol use disorder (AUD), glucagon-like peptide-1 (GLP-1) receptor agonists (GLP-1RAs) approved for treating Type 2 diabetes and obesity have caught much attention. GLP-1 is a naturally occurring peptide produced in the small intestines and the brain, regulating plasma glucose levels and satiety. This focused review will report on the preclinical studies, case stories, register-based cohort studies, brain-imaging data and secondary analysis of clinical data supporting the role of GLP-1RAs as a novel treatment of AUD. Several clinical trials are ongoing, examining the potential effects of the GLP-1RA semaglutide in AUD.

{"title":"Effects of GLP-1 Receptor Agonists in Alcohol Use Disorder","authors":"Mette Kruse Klausen,&nbsp;Gitte Moos Knudsen,&nbsp;Tina Vilsbøll,&nbsp;Anders Fink-Jensen","doi":"10.1111/bcpt.70004","DOIUrl":"10.1111/bcpt.70004","url":null,"abstract":"<p>In the search for novel treatment strategies for alcohol use disorder (AUD), glucagon-like peptide-1 (GLP-1) receptor agonists (GLP-1RAs) approved for treating Type 2 diabetes and obesity have caught much attention. GLP-1 is a naturally occurring peptide produced in the small intestines and the brain, regulating plasma glucose levels and satiety. This focused review will report on the preclinical studies, case stories, register-based cohort studies, brain-imaging data and secondary analysis of clinical data supporting the role of GLP-1RAs as a novel treatment of AUD. Several clinical trials are ongoing, examining the potential effects of the GLP-1RA semaglutide in AUD.</p>","PeriodicalId":8733,"journal":{"name":"Basic & Clinical Pharmacology & Toxicology","volume":"136 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fluvoxamine Inhibited NLRP3 and NF-κB Inflammatory Pathways and Maintained Genital Functions by Ameliorating CD-MPR, KISS-1, AQP4 and Claudin-1 Expressions
IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 DOI: 10.1111/bcpt.70000
Senay Topsakal, Ozlem Ozmen, Kadriye Nilay Ozcan, Halil Asci, Orhan Berk Imeci, Mehmet Abdulkadir Sevuk, Pinar Aslan Kosar

Fluvoxamine (FLV), a selective serotonin reuptake inhibitor, is commonly used to treat anxiety, major depressive disorder and obsessive-compulsive disorder, among other psychiatric conditions. This study aims to evaluate the effectiveness of FLV in mitigating damage caused by lipopolysaccharide (LPS) to the female genital tract. Thirty-two female Wistar Albino rats were randomly divided into four groups: control, LPS, LPS-FLV and FLV. At the end of the experimental period, tissues from the ovaries, fallopian tubes and uterus were collected for histological, immunohistochemical and genetic analyses. Histological examination of the LPS group revealed mild to moderate bleeding, oedema and neutrophil infiltration. Additionally, there were signs of endometrial damage in the uterus and loss of cilia in the fallopian tubes. Immunohistochemical analysis showed that LPS increased the expressions of nuclear factor kappa beta (NF-κB) and cation-dependent mannose 6-phosphate receptors (CD-MPR) and reduced kisspeptin-1 (KISS-1) expression. Genetic analysis indicated that LPS increased the expression of the NOD-like receptor family pyrin domain-containing 3 (NLRP3) and aquaporin4 (AQP4) genes while decreasing Claudin-1 expression. However, all these adverse effects were reversed by FLV treatment. The study's findings suggest that FLV may be beneficial in treating LPS-induced damage to the female reproductive system.

{"title":"Fluvoxamine Inhibited NLRP3 and NF-κB Inflammatory Pathways and Maintained Genital Functions by Ameliorating CD-MPR, KISS-1, AQP4 and Claudin-1 Expressions","authors":"Senay Topsakal,&nbsp;Ozlem Ozmen,&nbsp;Kadriye Nilay Ozcan,&nbsp;Halil Asci,&nbsp;Orhan Berk Imeci,&nbsp;Mehmet Abdulkadir Sevuk,&nbsp;Pinar Aslan Kosar","doi":"10.1111/bcpt.70000","DOIUrl":"10.1111/bcpt.70000","url":null,"abstract":"<p>Fluvoxamine (FLV), a selective serotonin reuptake inhibitor, is commonly used to treat anxiety, major depressive disorder and obsessive-compulsive disorder, among other psychiatric conditions. This study aims to evaluate the effectiveness of FLV in mitigating damage caused by lipopolysaccharide (LPS) to the female genital tract. Thirty-two female Wistar Albino rats were randomly divided into four groups: control, LPS, LPS-FLV and FLV. At the end of the experimental period, tissues from the ovaries, fallopian tubes and uterus were collected for histological, immunohistochemical and genetic analyses. Histological examination of the LPS group revealed mild to moderate bleeding, oedema and neutrophil infiltration. Additionally, there were signs of endometrial damage in the uterus and loss of cilia in the fallopian tubes. Immunohistochemical analysis showed that LPS increased the expressions of nuclear factor kappa beta (NF-κB) and cation-dependent mannose 6-phosphate receptors (CD-MPR) and reduced kisspeptin-1 (KISS-1) expression. Genetic analysis indicated that LPS increased the expression of the NOD-like receptor family pyrin domain-containing 3 (NLRP3) and aquaporin4 (AQP4) genes while decreasing Claudin-1 expression. However, all these adverse effects were reversed by FLV treatment. The study's findings suggest that FLV may be beneficial in treating LPS-induced damage to the female reproductive system.</p>","PeriodicalId":8733,"journal":{"name":"Basic & Clinical Pharmacology & Toxicology","volume":"136 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In Vivo Investigation of the Effects of Nonylphenol on the Pituitary–Adrenal Axis and Pineal Gland in Male Rats
IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-31 DOI: 10.1111/bcpt.70003
E. N. İnkaya, E. Tokgöz, N. Barlas

The pineal gland secretes melatonin, which regulates various physiological processes; damage to this gland disrupts these functions. This study aimed to investigate the effect of nonylphenol on the pineal gland and the pituitary–adrenal axis, which is associated with this system. The study was initiated using Wistar albino male rats on their postnatal 21st day, a critical developmental stage for endocrine regulation. Nonylphenol was administered via oral gavage at doses of 5, 25 and 125 mg/kg/day, while bisphenol-A was given at 50 mg/kg/day as a positive control. At the end of the treatment period, liver, kidney, pituitary, pineal and adrenal tissues were examined histopathologically. Hormone levels were analysed in serum samples. Significant changes in adrenocorticotropic hormone, melatonin and aldosterone levels were detected in hormone analyses. In contrast, no differences in corticosterone and glucose levels were detected. Histopathological findings showed structural changes in tissues. The effects of nonylphenol on the pituitary–adrenal axis and melatonin vary depending on the experimental protocols employed. However, it is clear that nonylphenol and bisphenol A have negative effects on the pituitary–adrenal axis, pineal gland, liver and kidney. In conclusion, future research should focus on elucidating the molecular mechanisms underlying these effects and developing environmentally friendly strategies to eliminate nonylphenol and bisphenol-A contamination.

{"title":"In Vivo Investigation of the Effects of Nonylphenol on the Pituitary–Adrenal Axis and Pineal Gland in Male Rats","authors":"E. N. İnkaya,&nbsp;E. Tokgöz,&nbsp;N. Barlas","doi":"10.1111/bcpt.70003","DOIUrl":"10.1111/bcpt.70003","url":null,"abstract":"<p>The pineal gland secretes melatonin, which regulates various physiological processes; damage to this gland disrupts these functions. This study aimed to investigate the effect of nonylphenol on the pineal gland and the pituitary–adrenal axis, which is associated with this system. The study was initiated using Wistar albino male rats on their postnatal 21st day, a critical developmental stage for endocrine regulation. Nonylphenol was administered via oral gavage at doses of 5, 25 and 125 mg/kg/day, while bisphenol-A was given at 50 mg/kg/day as a positive control. At the end of the treatment period, liver, kidney, pituitary, pineal and adrenal tissues were examined histopathologically. Hormone levels were analysed in serum samples. Significant changes in adrenocorticotropic hormone, melatonin and aldosterone levels were detected in hormone analyses. In contrast, no differences in corticosterone and glucose levels were detected. Histopathological findings showed structural changes in tissues. The effects of nonylphenol on the pituitary–adrenal axis and melatonin vary depending on the experimental protocols employed. However, it is clear that nonylphenol and bisphenol A have negative effects on the pituitary–adrenal axis, pineal gland, liver and kidney. In conclusion, future research should focus on elucidating the molecular mechanisms underlying these effects and developing environmentally friendly strategies to eliminate nonylphenol and bisphenol-A contamination.</p>","PeriodicalId":8733,"journal":{"name":"Basic & Clinical Pharmacology & Toxicology","volume":"136 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Addressing Improper Medicine Storage Practices: Commentary on Louhisalmi et  al.'s Study
IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-25 DOI: 10.1111/bcpt.70005
Shu-Wen Cheng, Lien-Chung Wei
{"title":"Addressing Improper Medicine Storage Practices: Commentary on Louhisalmi et  al.'s Study","authors":"Shu-Wen Cheng,&nbsp;Lien-Chung Wei","doi":"10.1111/bcpt.70005","DOIUrl":"10.1111/bcpt.70005","url":null,"abstract":"","PeriodicalId":8733,"journal":{"name":"Basic & Clinical Pharmacology & Toxicology","volume":"136 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Plasma NGAL, suPAR, KIM-1 and GDF-15 for Improving Glomerular Filtration Rate Estimation in Older Hospitalized Patients
IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-25 DOI: 10.1111/bcpt.70002
Morten Baltzer Houlind, Alberte Linnet Nielsen, Anne Byriel Walls, Louise Westberg Strejby Christensen, Rikke Lundsgaard Nielsen, Aino Andersen, Baker Nawfal Jawad, Ove Andersen, Morten Damgaard, Esben Iversen, Juliette Tavenier, Helle Gybel Juul-Larsen
<p>Accurate glomerular filtration rate (GFR) estimation is crucial for diagnosing kidney disease and prescribing renal risk medications [<span>1-3</span>]. In clinical practice, estimated GFR (eGFR) is typically determined by plasma creatinine levels adjusted for age and sex (eGFR<sub>cre</sub>) [<span>4</span>]. However, creatinine is an imperfect metric of GFR, particularly in older (age ≥ 65 years) hospitalized patients, due to age-related changes in non-GFR factors such as muscle mass and nutritional status that affect creatinine level [<span>5</span>]. The addition of cystatin C to creatinine (eGFR<sub>comb</sub>) improves the accuracy of GFR estimates for older hospitalized patients, but there remains a large and unpredictable margin of error compared with measured GFR (mGFR) [<span>5</span>].</p><p>mGFR is not feasible for large-scale use due to its complexity, underscoring the need for alternative biomarkers to improve GFR estimation. We previously reported that the addition of β-trace protein (BTP) and β2-microglobulin (B2M) (eGFR<sub>panel</sub>) did not substantially improve accuracy beyond eGFR<sub>comb</sub>, so we considered other novel biomarkers that may reflect kidney function. We are currently evaluating the utility of neutrophil gelatinase–associated lipocalin (NGAL), soluble urokinase plasminogen activator receptor (suPAR), kidney injury molecule-1 (KIM-1) and growth differentiation factor-15 (GDF-15) as early diagnostic and prognostic tools for acutely hospitalized patients. Elevated levels of these biomarkers have been associated with accelerated GFR decline [<span>6-9</span>]; therefore, we hypothesized that they may improve the accuracy of GFR estimates for older hospitalized patients.</p><p>The study was carried out in compliance with the guidelines set by the Basic & Clinical Pharmacology & Toxicology policy for experimental and clinical research [<span>10</span>]. This is a post-hoc analysis of data from a previously described study of GFR performance [<span>5, 11</span>] based on data from the umbrella ‘OptiNAM’ clinical trial [<span>12</span>]. The study included older Caucasian patients admitted to the Emergency Department at Hvidovre Hospital in Denmark. All patients provided informed written consent, and the clinical trial was approved by the Regional Ethical Review Board (H-18023853) and the Danish Data Protection Agency (H-18023853) and registered at ClinicalTrials.gov (NCT03741283). Additional details, including eligibility criteria, are described elsewhere [<span>5</span>]. Importantly, patients in this study were excluded because of dialysis, clinical signs of ascites or edema, prior amputation, use of immunosuppressants or acute kidney injury [<span>5</span>].</p><p>In total, data was analysed for 106 older hospitalized patients (median age 78 years, 43% male). The median body mass index was 26.0 kg/m<sup>2</sup>, the median mGFR was 62.9 mL/min/1.73 m<sup>2</sup>, 49% of patients had hypertension and
{"title":"Plasma NGAL, suPAR, KIM-1 and GDF-15 for Improving Glomerular Filtration Rate Estimation in Older Hospitalized Patients","authors":"Morten Baltzer Houlind,&nbsp;Alberte Linnet Nielsen,&nbsp;Anne Byriel Walls,&nbsp;Louise Westberg Strejby Christensen,&nbsp;Rikke Lundsgaard Nielsen,&nbsp;Aino Andersen,&nbsp;Baker Nawfal Jawad,&nbsp;Ove Andersen,&nbsp;Morten Damgaard,&nbsp;Esben Iversen,&nbsp;Juliette Tavenier,&nbsp;Helle Gybel Juul-Larsen","doi":"10.1111/bcpt.70002","DOIUrl":"10.1111/bcpt.70002","url":null,"abstract":"&lt;p&gt;Accurate glomerular filtration rate (GFR) estimation is crucial for diagnosing kidney disease and prescribing renal risk medications [&lt;span&gt;1-3&lt;/span&gt;]. In clinical practice, estimated GFR (eGFR) is typically determined by plasma creatinine levels adjusted for age and sex (eGFR&lt;sub&gt;cre&lt;/sub&gt;) [&lt;span&gt;4&lt;/span&gt;]. However, creatinine is an imperfect metric of GFR, particularly in older (age ≥ 65 years) hospitalized patients, due to age-related changes in non-GFR factors such as muscle mass and nutritional status that affect creatinine level [&lt;span&gt;5&lt;/span&gt;]. The addition of cystatin C to creatinine (eGFR&lt;sub&gt;comb&lt;/sub&gt;) improves the accuracy of GFR estimates for older hospitalized patients, but there remains a large and unpredictable margin of error compared with measured GFR (mGFR) [&lt;span&gt;5&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;mGFR is not feasible for large-scale use due to its complexity, underscoring the need for alternative biomarkers to improve GFR estimation. We previously reported that the addition of β-trace protein (BTP) and β2-microglobulin (B2M) (eGFR&lt;sub&gt;panel&lt;/sub&gt;) did not substantially improve accuracy beyond eGFR&lt;sub&gt;comb&lt;/sub&gt;, so we considered other novel biomarkers that may reflect kidney function. We are currently evaluating the utility of neutrophil gelatinase–associated lipocalin (NGAL), soluble urokinase plasminogen activator receptor (suPAR), kidney injury molecule-1 (KIM-1) and growth differentiation factor-15 (GDF-15) as early diagnostic and prognostic tools for acutely hospitalized patients. Elevated levels of these biomarkers have been associated with accelerated GFR decline [&lt;span&gt;6-9&lt;/span&gt;]; therefore, we hypothesized that they may improve the accuracy of GFR estimates for older hospitalized patients.&lt;/p&gt;&lt;p&gt;The study was carried out in compliance with the guidelines set by the Basic &amp; Clinical Pharmacology &amp; Toxicology policy for experimental and clinical research [&lt;span&gt;10&lt;/span&gt;]. This is a post-hoc analysis of data from a previously described study of GFR performance [&lt;span&gt;5, 11&lt;/span&gt;] based on data from the umbrella ‘OptiNAM’ clinical trial [&lt;span&gt;12&lt;/span&gt;]. The study included older Caucasian patients admitted to the Emergency Department at Hvidovre Hospital in Denmark. All patients provided informed written consent, and the clinical trial was approved by the Regional Ethical Review Board (H-18023853) and the Danish Data Protection Agency (H-18023853) and registered at ClinicalTrials.gov (NCT03741283). Additional details, including eligibility criteria, are described elsewhere [&lt;span&gt;5&lt;/span&gt;]. Importantly, patients in this study were excluded because of dialysis, clinical signs of ascites or edema, prior amputation, use of immunosuppressants or acute kidney injury [&lt;span&gt;5&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;In total, data was analysed for 106 older hospitalized patients (median age 78 years, 43% male). The median body mass index was 26.0 kg/m&lt;sup&gt;2&lt;/sup&gt;, the median mGFR was 62.9 mL/min/1.73 m&lt;sup&gt;2&lt;/sup&gt;, 49% of patients had hypertension and","PeriodicalId":8733,"journal":{"name":"Basic & Clinical Pharmacology & Toxicology","volume":"136 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gossypin Ameliorates Collagen-Induced Arthritic Rats by Inhibiting Angiogenesis, Inflammation and Oxidative Stress
IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-21 DOI: 10.1111/bcpt.14128
Caiyou He, Ankit Kumar

Background

Rheumatoid arthritis (RA) is a long-term inflammatory autoimmune disease that damages cartilage and synovial membranes while also affecting bones and joints. The aim of the current study was to investigate the antiarthritic effect of gossypin against collagen-induced arthritis (CIA) in rats.

Methods

Intraperitoneal administration of Type II collagen (2 mg/mL) was used to induce arthritis in the rats, followed by oral administration of gossypin (5, 10 and 15 mg/kg) for 28 days. Various parameters were assessed, including body weight, paw swelling, arthritis score, organ weights, RF, haematological parameters, inflammatory markers, MMP levels, antioxidants, cytokines and nonhepatic and hepatic liver parameters. Additionally, the expression of various mRNAs was analysed.

Results

Gossypin significantly (p < 0.001) altered the body weight, paw swelling, arthritis score and organ weights along with RF level. Gossypin treatment significantly (p < 0.001) altered the level of antioxidant and hepatic parameters; inflammatory cytokines; and inflammatory parameters such as PGE2, COX-2, NF-κB and VEGF, respectively. Gossypin also enhanced the level of HO-1 and Nrf2 and suppressed the level of MMP parameters such as MMP-2, MMP-3 and MMP-9. Gossypin also modified the mRNA expression of MMP-3, MMP-9, TRAP, RANK, Ctsk and RANKL, respectively.

Conclusion

Gossypin demonstrated antiarthritic effects against CIA in rats.

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引用次数: 0
Investigation of Cannabidiol's Protective Effects on Cadmium-Induced Toxicity in Mice 大麻二酚对镉致小鼠毒性保护作用的研究。
IF 2.7 4区 医学 Q2 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-20 DOI: 10.1111/bcpt.14131
Serkan Sahin, Tulay Mortas, Ahmet Muderrisoglu, Vugar Ali Turksoy

Current chelation treatments used for cadmium poisoning may cause some serious side effects. Thus, safer novel treatments could be promising for clinical use. This study evaluated the effects of cannabidiol on Cd toxicity. Four groups of 10 mice were formed: Groups I and III were cadmium-free, while groups II and IV received 50 mg/L cadmium in drinking water. Groups III and IV received daily cannabidiol (25 mg/kg) via intragastric gavage. After 30 days, the animals were killed, and blood and tissue samples were collected. Oxidative stress and inflammation markers, including glutathione, catalase, myeloperoxidase, TNF-α, IL-1β and IL-6, were analysed using ELISA. Additionally, histological evaluations of the liver, kidney and testis were performed. Cadmium exposure reduced glutathione and catalase levels in the blood, liver, kidney and testis, while increasing myeloperoxidase. Cannabidiol mitigated these effects on oxidative stress markers. Cannabidiol also reduced the increase in proinflammatory cytokines. Histopathological analysis revealed reduced liver and kidney damage in cannabidiol-treated groups compared to cadmium-only groups. In addition, histopathological evaluation showed CBD had no protective effect on the testicular tissue against Cd toxicity. Our results indicate that cannabidiol protects against some toxic effects of cadmium. If confirmed by future studies, cannabidiol may be proposed as a novel treatment for cadmium toxicity.

目前用于镉中毒的螯合治疗可能会产生一些严重的副作用。因此,更安全的新疗法有望用于临床。本研究评价了大麻二酚对镉毒性的影响。将小鼠分成四组,每组10只,第一组和第三组不含镉,第二组和第四组饮水中镉含量为50 mg/L。III组和IV组每日灌胃给予大麻二酚25 mg/kg。30天后,这些动物被杀死,并收集血液和组织样本。采用ELISA法检测氧化应激和炎症标志物谷胱甘肽、过氧化氢酶、髓过氧化物酶、TNF-α、IL-1β和IL-6。此外,对肝脏、肾脏和睾丸进行组织学评估。镉暴露降低了血液、肝脏、肾脏和睾丸中的谷胱甘肽和过氧化氢酶水平,同时增加了髓过氧化物酶。大麻二酚减轻了这些对氧化应激标志物的影响。大麻二酚还减少了促炎细胞因子的增加。组织病理学分析显示,与仅镉组相比,大麻二酚处理组的肝脏和肾脏损伤减少。此外,组织病理学评价显示,CBD对睾丸组织对Cd毒性没有保护作用。我们的研究结果表明,大麻二酚可以防止镉的一些毒性作用。如果未来的研究得到证实,大麻二酚可能会成为一种治疗镉中毒的新方法。
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引用次数: 0
期刊
Basic & Clinical Pharmacology & Toxicology
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