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Colistin Resistance in Acinetobacter baumannii: Basic and Clinical Insights. 鲍曼不动杆菌的粘菌素耐药性:基础和临床见解。
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b23-00642
Go Kamoshida, Noriteru Yamada, Daiki Yamaguchi, Kinnosuke Yahiro, Yuji Morita

The emergence of drug-resistant bacteria has posed a significant problem in medical institutions worldwide. Colistin, which targets lipopolysaccharide (LPS), serves as a last-resort antimicrobial agent against multidrug-resistant Gram-negative bacteria. Nevertheless, Acinetobacter baumannii, a pathogen with a worldwide prevalence of antimicrobial resistance, has been reported to develop resistance to colistin frequently. In this review, we discuss how A. baumannii acquires resistance to colistin, focusing on modification as well as loss of LPS present in its outer membrane, which is the primary mechanism of A. baumannii's resistance to colistin. Basic and clinical insights regarding colistin resistance in A. baumannii have been discussed in isolation. Therefore, we discuss the relationship between these 2 colistin resistance mechanisms in terms of the frequency and fitness of genetic mutations based on the insights from basic studies and clinical settings. We concluded that understanding the detailed mechanisms of colistin drug resistance requires a comprehensive understanding of both the frequency of mutations and the effects of selection pressure. Finally, we highlight the importance of promoting research from both basic science and clinical perspectives.

耐药细菌的出现给世界各地的医疗机构带来了一个重大问题。粘菌素以脂多糖(LPS)为靶点,是对抗多重耐药革兰氏阴性细菌的最后一种抗菌剂。然而,鲍曼不动杆菌是一种世界范围内普遍存在的抗菌素耐药性病原体,据报道经常对粘菌素产生耐药性。在本文中,我们讨论了鲍曼不动杆菌如何获得对粘菌素的抗性,重点讨论了鲍曼不动杆菌外膜LPS的修饰和丢失,这是鲍曼不动杆菌对粘菌素耐药的主要机制。关于鲍曼不动杆菌耐粘菌素的基本和临床见解已经单独讨论。因此,我们根据基础研究和临床环境的见解,从基因突变的频率和适应度方面讨论这两种粘菌素耐药机制之间的关系。我们得出结论,了解粘菌素耐药的详细机制需要全面了解突变频率和选择压力的影响。最后,我们强调从基础科学和临床角度促进研究的重要性。
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引用次数: 0
Curcumin Is Primarily Distributed in Lung, Spleen and Liver, Metabolized to Glucuronide and Sulfate, and Excreted through Bile and Urine by Using an Amorphous Curcumin Formulation with High Absorbability. 姜黄素主要分布于肺、脾和肝脏,代谢为葡萄糖醛酸盐和硫酸根,并通过胆汁和尿液排出,使用无定形姜黄素配方,具有高吸收性。
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b24-00877
Tomohiro Nakao, Michiko Nakamura, Kazuya Nagano, Mariko Takeda, Haruna Hirai, Hikaru Maekita, Jian-Qing Gao, Hirofumi Tsujino, Makoto Sakata, Masayuki Nishino, Yuya Haga, Kazuma Higashisaka, Yasuo Tsutsumi

Curcumin (CUR), a polyphenol, is a promising compound for use in functional foods owing to various biological properties. However, the kinetics of CUR remains unclear because CUR has extremely low water solubility and absorbability. Here, we tried to elucidate the distribution, metabolism, and excretion of CUR by using amorphous CUR, a novel formulation that has dramatically improved water solubility and absorbability. When amorphous CUR was orally administered, CUR was predominantly distributed in the lungs, spleen, and liver, with low levels of accumulation over 24 h. Moreover, most of the CUR metabolites were observed to be glucuronide and sulfate conjugates. Furthermore, CUR was found to be excreted not only in bile but also in urine. Taken together, we have systematically demonstrated the kinetics of CUR by using a highly absorbable CUR formulation. In order to develop functional foods with high quality, it is important to not only evaluate the function and toxicity of CUR but also to correctly understand its kinetics, such as absorption, distribution, accumulation, metabolism, and excretion.

姜黄素(CUR)是一种多酚类化合物,具有多种生物特性,是一种有望用于功能食品的化合物。然而,由于姜黄素的水溶性和可吸收性极低,因此姜黄素的动力学仍不清楚。在这里,我们尝试使用无定形 CUR 来阐明 CUR 的分布、代谢和排泄情况,无定形 CUR 是一种新型制剂,其水溶性和可吸收性显著提高。口服无定形 CUR 后,CUR 主要分布在肺部、脾脏和肝脏,24 小时内的蓄积量较低。此外,还发现 CUR 不仅通过胆汁排泄,还通过尿液排泄。综上所述,我们利用一种高吸收性的 CUR 制剂系统地展示了 CUR 的动力学。为了开发高质量的功能食品,不仅要评估 CUR 的功能和毒性,还要正确理解其吸收、分布、蓄积、代谢和排泄等动力学过程。
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引用次数: 0
Development of a Digital Image-Based Method to Screen Molecules That Regulate Melanization. 一种基于数字图像的方法来筛选调节黑色素化的分子。
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b24-00851
Waka Shimosako, Susumu Tanimura, Taiki Baba, Megumi Kuroiwa, Hiroyuki Murota, Kohsuke Takeda

Vitiligo vulgaris is an acquired disorder that is thought to arise from the suppression of melanin synthesis by melanocytes in the basal epidermal layer. To develop therapeutic agents for vitiligo vulgaris, it is critical to identify compounds that promote melanization. In this study, we established a digital image-based method to quantify melanization that does not require biochemical procedures. B16F10 cells were seeded in a white-bottom 96-well microplate. After treatment with or without α-melanocyte-stimulating hormone, followed by fixation of the cells, digital images of the microplates were captured, and the total signal intensity of each well on the image was measured. The extent of melanization in the cells in each well was defined after the subtraction of the signal from the corresponding blank well. This method was found to quantify melanization more sensitively than the conventional technique that measures the absorbance of cell lysates at UV-A wavelengths. We obtained statistical parameters showing that this method was applicable to a high-throughput screening assay; thus, this method appears to be useful for screening and identifying molecules that suppress or promote melanization, the latter of which may be developed as therapeutic agents for vitiligo vulgaris.

寻常白癜风是一种后天疾病,被认为是由基底表皮层黑色素细胞抑制黑色素合成引起的。为了开发治疗寻常白癜风的药物,鉴定促进黑色素化的化合物是至关重要的。在这项研究中,我们建立了一种基于数字图像的方法来量化黑化,而不需要生化程序。B16F10细胞接种于96孔白底微孔板。用α-促黑素激素或不加α-促黑素激素处理后,将细胞固定,采集微孔板的数字图像,测量图像上各孔的总信号强度。在从相应的空白孔中减去信号后,定义每个孔中细胞的黑色素化程度。这种方法被发现比测量细胞裂解物在UV-A波长的吸光度的传统技术更敏感地量化黑化。我们得到的统计参数表明,该方法适用于高通量筛选试验;因此,这种方法似乎对筛选和鉴定抑制或促进黑色素化的分子是有用的,后者可能被开发为治疗寻常白癜风的药物。
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引用次数: 0
Potentiation of Nicotine-Induced Currents by QO58, a Kv7 Channel Opener, in Intracardiac Ganglion Neurons of Rats. Kv7通道开启剂QO58对大鼠心内神经节神经元尼古丁诱导电流的增强作用
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b24-00498
Shiho Arichi, Kei Eto, Masanori Ogata, Sachie Sasaki-Hamada, Hitoshi Ishibashi

QO58 (5-(2,6-dichloro-5-fluoropyridin-3-yl)-3-phenyl-2-(trifluoromethyl)-1H-[1,5-a] pyrimidin-7-one) is currently used as a specific activator of the Kv7 (KCNQ) family of K+ channels. Here, we report an unexpected potentiating effect of this drug on nicotinic acetylcholine receptors. We recorded the whole-cell responses to the rapid application of nicotine with the Cs+-based pipette solution in intracardiac ganglion neurons freshly dissociated from the rat heart. Nicotine-induced inward currents were concentration-dependently blocked by mecamylamine, but not by 1 μM atropine at a holding potential of -60 mV. While the application of QO58 per se evoked a persistent inward current at this holding potential, 10 μM QO58 potentiated the peak amplitude of the nicotine-induced current. The QO58-induced inward currents were inhibited by the Kv7 channel blockers XE991 and Ba2+, but not by mecamylamine. On the other hand, the nicotine-induced current potentiated by QO58 was fully inhibited by mecamylamine. The facilitatory action of QO58 on the nicotinic response was unaffected by Ba2+. QO58 did not affect the reversal potential of the nicotine-induced current. QO58 apparently shifted the concentration-response curve of nicotine to the left. The half-maximal effective concentrations for nicotine in the absence and presence of 10 μM QO58 were 10.2 and 4.3 μM, respectively. These results suggest that QO58 acts as a positive allosteric modulator of nicotinic acetylcholine receptors. Given the prevalence of nicotinic receptor signaling, the present observations should be considered in future studies on the roles of Kv7 channels in the function of neural circuits and diseases.

QO58(5-(2,6-二氯-5-氟吡啶-3-基)-3-苯基-2-(三氟甲基)- 1h -[1,5-a]嘧啶-7- 1)目前被用作K+通道Kv7 (KCNQ)家族的特异性活化剂。在这里,我们报告了这种药物对烟碱乙酰胆碱受体的意想不到的增强作用。我们用Cs+为基础的移液管溶液在刚从大鼠心脏分离的心内神经节神经元上记录了尼古丁快速应用的全细胞反应。在保持电位为-60 mV时,尼古丁诱导的内向电流被甲美胺阻断,但不被1 μM阿托品阻断。QO58本身在该保持电位下激发了持续的内向电流,而10 μM QO58则增强了尼古丁诱导电流的峰值幅度。qo58诱导的向内电流可被Kv7通道阻滞剂XE991和Ba2+抑制,但不受甲胺的抑制。另一方面,QO58增强的尼古丁诱导电流被甲胺完全抑制。QO58对烟碱反应的促进作用不受Ba2+的影响。QO58不影响尼古丁诱导电流的逆转电位。QO58使尼古丁浓度-反应曲线明显左移。10 μM QO58不存在和存在时,烟碱的半最大有效浓度分别为10.2和4.3 μM。这些结果表明,QO58是烟碱乙酰胆碱受体的正变构调节剂。鉴于烟碱受体信号的普遍存在,在未来关于Kv7通道在神经回路功能和疾病中的作用的研究中,应该考虑目前的观察结果。
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引用次数: 0
Role of Histamine H1 and H3 Receptors in Emotion Regulation in Intermittent Sleep-Deprived Mice. 组胺H1和H3受体在间歇性睡眠剥夺小鼠情绪调节中的作用。
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b25-00028
Fukie Yaoita, Hiroki Imaizumi, Keigo Kawanami, Masahiro Tsuchiya, Koichi Tan-No

The central histamine system is involved in several physiological behaviors and neurological disorders, including the sleep-wake cycle, anxiety-related behaviors (both high and low anxiety), and attention deficit hyperactivity disorder (ADHD). Histamine is synthesized from l-histidine by histidine decarboxylase (HDC) and primarily metabolized by histamine-N-methyltransferase (HNMT) in the central nervous system. We previously reported that mice with intermittent sleep deprivation may exhibit impulsive-like symptoms resembling ADHD and low-anxiety behavior. However, the specific role of histaminergic systems in these behaviors remains unclear. In this study, we evaluated HDC expression levels in the hypothalamus as well as the expression of histamine H1 to H4 receptors and HNMT in the hypothalamus and frontal cortex of sleep-deprived mice. Moreover, the effects of administering histidine, a histamine precursor, and inhibitors of each histamine receptor on sleep deprivation-induced low-anxiety and impulsive-like behaviors were examined using an elevated plus maze test. The expressions of HDC and histamine H1 and H3 receptors in the hypothalamus increased, while that of histamine H1 receptors in the frontal cortex of sleep-deprived mice decreased. The low-anxiety and impulsive-like behaviors in intermittent sleep-deprived mice significantly decreased and increased, respectively, following the administration of histamine H1 and H3 receptor blockers and histidine. Collectively, these findings suggest that the low-anxiety behavior and impulsive-like ADHD symptoms induced by intermittent sleep deprivation may result from the overstimulation of histamine H1 and H3 receptors by elevated histamine, together with increased hypothalamic HDC expression. Furthermore, they suggest that sufficient sleep may contribute to ameliorating ADHD symptoms.

中枢组胺系统参与多种生理行为和神经系统疾病,包括睡眠-觉醒周期、焦虑相关行为(高焦虑和低焦虑)和注意缺陷多动障碍(ADHD)。组胺是由l-组氨酸通过组氨酸脱羧酶(HDC)合成的,主要由中枢神经系统的组胺- n -甲基转移酶(HNMT)代谢。我们之前报道过间歇性睡眠剥夺的小鼠可能会表现出类似多动症和低焦虑行为的冲动性症状。然而,组胺能系统在这些行为中的具体作用尚不清楚。在本研究中,我们评估了睡眠剥夺小鼠下丘脑中HDC的表达水平,以及下丘脑和额叶皮层中组胺H1到H4受体和HNMT的表达。此外,使用升高+迷宫测试,研究了组氨酸(一种组胺前体)和组胺受体抑制剂对睡眠剥夺引起的低焦虑和冲动行为的影响。睡眠剥夺小鼠下丘脑HDC和组胺H1、H3受体表达增加,额叶皮层组胺H1受体表达减少。在给予组胺H1和H3受体阻滞剂和组氨酸后,间歇性睡眠剥夺小鼠的低焦虑和冲动行为分别显著减少和增加。综上所述,这些发现提示间歇性睡眠剥夺引起的低焦虑行为和冲动性样ADHD症状可能是由于组胺升高过度刺激组胺H1和H3受体,同时下丘脑HDC表达增加所致。此外,他们认为充足的睡眠可能有助于改善ADHD症状。
{"title":"Role of Histamine H1 and H3 Receptors in Emotion Regulation in Intermittent Sleep-Deprived Mice.","authors":"Fukie Yaoita, Hiroki Imaizumi, Keigo Kawanami, Masahiro Tsuchiya, Koichi Tan-No","doi":"10.1248/bpb.b25-00028","DOIUrl":"https://doi.org/10.1248/bpb.b25-00028","url":null,"abstract":"<p><p>The central histamine system is involved in several physiological behaviors and neurological disorders, including the sleep-wake cycle, anxiety-related behaviors (both high and low anxiety), and attention deficit hyperactivity disorder (ADHD). Histamine is synthesized from l-histidine by histidine decarboxylase (HDC) and primarily metabolized by histamine-N-methyltransferase (HNMT) in the central nervous system. We previously reported that mice with intermittent sleep deprivation may exhibit impulsive-like symptoms resembling ADHD and low-anxiety behavior. However, the specific role of histaminergic systems in these behaviors remains unclear. In this study, we evaluated HDC expression levels in the hypothalamus as well as the expression of histamine H1 to H4 receptors and HNMT in the hypothalamus and frontal cortex of sleep-deprived mice. Moreover, the effects of administering histidine, a histamine precursor, and inhibitors of each histamine receptor on sleep deprivation-induced low-anxiety and impulsive-like behaviors were examined using an elevated plus maze test. The expressions of HDC and histamine H1 and H3 receptors in the hypothalamus increased, while that of histamine H1 receptors in the frontal cortex of sleep-deprived mice decreased. The low-anxiety and impulsive-like behaviors in intermittent sleep-deprived mice significantly decreased and increased, respectively, following the administration of histamine H1 and H3 receptor blockers and histidine. Collectively, these findings suggest that the low-anxiety behavior and impulsive-like ADHD symptoms induced by intermittent sleep deprivation may result from the overstimulation of histamine H1 and H3 receptors by elevated histamine, together with increased hypothalamic HDC expression. Furthermore, they suggest that sufficient sleep may contribute to ameliorating ADHD symptoms.</p>","PeriodicalId":8955,"journal":{"name":"Biological & pharmaceutical bulletin","volume":"48 5","pages":"545-554"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961821","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
Nutritional Availability of Methylated Selenometabolites in Gut Microbiota, Dimethyldiselenide and Dimethylselenide, in Rats. 大鼠肠道微生物群中甲基化硒代谢物的营养有效性,二甲基二硒化物和二甲基硒化物。
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b24-00876
Kazuaki Takahashi, Sayano Iijima, Yasumitsu Ogra

Selenium (Se) is an essential micronutrient for animals. Various chemical forms of Se exist in nature, each with distinct physiological, nutritional, and toxicological properties. In this study, we aimed to determine whether dimethyldiselenide (DMDSe, a monomethylated Se (MMSe) compound) and dimethylselenide (DMSe, a dimethylated Se compound), known gut bacterial metabolites, could serve as Se sources in rats. DMDSe could be utilized for selenoprotein biosynthesis and was metabolized into urinary selenometabolites. By contrast, DMSe was not utilized for selenoprotein biosynthesis but was further methylated to trimethylselenonium ion (TMSe), one of the urinary Se metabolites. Our findings indicate that dimethylated Se is not readily available as an Se source in rats, unlike MMSe. Selenoprotein biosynthesis requires selenide, an unmethylated form of Se, in the metabolic pathway. Our observations support the hypothesis that demethylation occurs on MMSe as a reversible methylation step but not on dimethylated Se. This suggests that the second methylation step is crucial for inactivating Se and plays a significant role in metabolism to maintain Se homeostasis in animals. Gut microbiota, which can synthesize both DMDSe and DMSe, may contribute to host Se metabolism through methylation processes.

硒(Se)是动物必需的微量营养素。自然界中存在着各种化学形式的硒,每一种都有不同的生理、营养和毒理学特性。在这项研究中,我们旨在确定二甲基二硒化物(DMDSe,一种单甲基化硒(MMSe)化合物)和二甲基硒化物(DMSe,一种二甲基化硒化合物)这两种已知的肠道细菌代谢物是否可以作为大鼠的硒源。DMDSe可用于硒蛋白的生物合成,并被代谢为尿硒代谢产物。相比之下,DMSe不用于硒蛋白的生物合成,而是进一步甲基化为三甲基硒离子(TMSe),这是尿硒代谢产物之一。我们的研究结果表明,与MMSe不同,二甲基化硒在大鼠中不容易作为硒源。硒蛋白的生物合成需要硒化物,硒的一种未甲基化形式,在代谢途径中。我们的观察结果支持这样的假设,即去甲基化作为一个可逆的甲基化步骤发生在MMSe上,而不是在二甲基化Se上。这表明第二甲基化步骤对于硒失活至关重要,并在动物的代谢中发挥重要作用,以维持硒的稳态。肠道菌群可以合成DMDSe和DMSe,可能通过甲基化过程参与宿主硒代谢。
{"title":"Nutritional Availability of Methylated Selenometabolites in Gut Microbiota, Dimethyldiselenide and Dimethylselenide, in Rats.","authors":"Kazuaki Takahashi, Sayano Iijima, Yasumitsu Ogra","doi":"10.1248/bpb.b24-00876","DOIUrl":"https://doi.org/10.1248/bpb.b24-00876","url":null,"abstract":"<p><p>Selenium (Se) is an essential micronutrient for animals. Various chemical forms of Se exist in nature, each with distinct physiological, nutritional, and toxicological properties. In this study, we aimed to determine whether dimethyldiselenide (DMDSe, a monomethylated Se (MMSe) compound) and dimethylselenide (DMSe, a dimethylated Se compound), known gut bacterial metabolites, could serve as Se sources in rats. DMDSe could be utilized for selenoprotein biosynthesis and was metabolized into urinary selenometabolites. By contrast, DMSe was not utilized for selenoprotein biosynthesis but was further methylated to trimethylselenonium ion (TMSe), one of the urinary Se metabolites. Our findings indicate that dimethylated Se is not readily available as an Se source in rats, unlike MMSe. Selenoprotein biosynthesis requires selenide, an unmethylated form of Se, in the metabolic pathway. Our observations support the hypothesis that demethylation occurs on MMSe as a reversible methylation step but not on dimethylated Se. This suggests that the second methylation step is crucial for inactivating Se and plays a significant role in metabolism to maintain Se homeostasis in animals. Gut microbiota, which can synthesize both DMDSe and DMSe, may contribute to host Se metabolism through methylation processes.</p>","PeriodicalId":8955,"journal":{"name":"Biological & pharmaceutical bulletin","volume":"48 4","pages":"410-414"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143958149","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
Evaluation of the Influence of the National Action Plan on Antimicrobial Resistance and the COVID-19 Pandemic on the Consumption of Broad-Spectrum Antimicrobial and Anti-methicillin-resistant Staphylococcus aureus Agents. 《国家抗微生物药物耐药性行动计划》和2019冠状病毒病疫情对广谱抗菌药物和耐甲氧西林金黄色葡萄球菌药物消费的影响评价
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b24-00784
Ryota Goto, Ryo Inose, Ryuji Koizumi, Keisuke Sawada, Masahiro Ishikane, Norio Ohmagari, Yuichi Muraki

Surveillance of antimicrobial consumption (AMC) is important for controlling antimicrobial resistance (AMR). In recent years, the landscape of infectious diseases has changed due to factors such as the introduction of the National Action Plan (NAP) on AMR and the coronavirus disease 2019 (COVID-19) pandemic. However, their impact on the consumption of broad-spectrum antimicrobial and anti-methicillin-resistant Staphylococcus aureus (MRSA) agents remains unexplored. This study aimed to clarify trends in the consumption of these agents up to 2021, considering the spread of NAP and the COVID-19 pandemic. We used sales data from IQVIA Japan, which were analyzed using an interrupted time-series analysis, with April 2016 (introduction of NAP) and April 2020 (first declaration of a state of emergency) as key change points. The oral broad-spectrum antimicrobial agents consumption decreased, and the spread of the NAP (p-value: 8.15 * 10-3, 95% confidence intervals (95% CI): -7.70 * 10-3 to -2.06 * 10-3) and behavioral restrictions for the COVID-19 pandemic (p value: 1.60 * 10-8, 95% CI: -0.35 to -0.17) were significantly related to this change. Conversely, there was no notable change in the consumption of anti-MRSA agents from 2013 to 2021. Thus, the introduction of NAP and the COVID-19 pandemic may have been more effective in decreasing the consumption of oral broad-spectrum antimicrobial agents. Since antibiotics are used to treat infections across multiple anatomical therapeutic chemical classifications, continuous evaluation based on treatment purposes is important.

抗菌药物用量监测对控制耐药性具有重要意义。近年来,由于《抗微生物药物耐药性国家行动计划》的出台和2019年冠状病毒病(COVID-19)大流行等因素,传染病形势发生了变化。然而,它们对广谱抗菌药物和抗甲氧西林耐药金黄色葡萄球菌(MRSA)药物消费的影响仍未探索。考虑到NAP和COVID-19大流行的传播,本研究旨在澄清到2021年这些药物的消费趋势。我们使用了IQVIA日本的销售数据,并使用中断时间序列分析对其进行了分析,并将2016年4月(引入NAP)和2020年4月(首次宣布紧急状态)作为关键变化点。口服广谱抗菌药物用量下降,NAP的传播(p值:8.15 * 10-3,95%可信区间(95% CI): -7.70 * 10-3 ~ -2.06 * 10-3)和COVID-19大流行行为限制(p值:1.60 * 10-8,95% CI: -0.35 ~ -0.17)与这一变化显著相关。相反,从2013年到2021年,抗mrsa药物的消费量没有显著变化。因此,NAP和COVID-19大流行的引入可能更有效地减少了口服广谱抗菌药物的使用。由于抗生素用于治疗多种解剖治疗化学分类的感染,基于治疗目的的持续评估是重要的。
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引用次数: 0
Nephropathy II Decoction Attenuates Renal Fibrosis via Regulating TLR4 and Gut Microbiota Along the Gut-Kidney Axis. 肾病II汤通过调节TLR4和肠道菌群沿肠肾轴减轻肾纤维化。
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b24-00863
Chen Liu, Yujiu Gao, Yirui Chen, Liting Zhu, Fu Rao, Yuhan Huang, Yini Zeng, Rui Cai, Fangyan Wang, Jinguo Cheng

Nephropathy II Decoction (NED) is a widely used Chinese medicinal formulation for managing chronic kidney disease (CKD). Despite its extensive application, the precise mechanisms underlying its therapeutic effects remain poorly understood. This study aims to elucidate the role of NED in attenuating renal fibrosis and to explore its impact on the gut-kidney axis. The principal constituents of NED were analyzed using ultra-performance LC-tandem mass spectrometry (UPLC-MS/MS). A bilateral renal ischemia-reperfusion injury (bIRI) model was employed to induce fibrosis. RT-qPCR was utilized to assess the expression of mRNA related to the toll-like receptor 4 (TLR4) and myeloid differentiation factor 88 (MyD88) and nuclear factor-κB (NF-κB) signaling pathway. Western blotting analysis was performed to identify changes in renal fibrosis markers, TLR4/MyD88/NF-κB pathway proteins, and the colon proteins ZO-1 and Occludin-1. Serum levels of uremic toxins were quantified using enzyme-linked immunosorbent assay (ELISA), and 16S ribosomal RNA (rRNA) gene sequencing was conducted to explore changes in the gut microbiome of the mice. Our study demonstrated that mice in the NED group exhibited reduced serum creatinine, blood urea nitrogen, and urinary protein levels, alongside improvements in kidney damage and a decrease in renal fibrosis markers. In the bIRI group, TLR4/MyD88/NF-κB protein and mRNA levels, as well as intestinal tight junction proteins and enterogenic uremic toxins, were significantly reduced. NED treatment reversed these changes and modified the gut microbiota. Furthermore, fecal microbial transplantation (FMT) alleviated kidney damage and fibrosis in bIRI mice. In summary, NED ameliorates kidney injury and fibrosis by modulating the gut microbiota and may further attenuate fibrosis through the inhibition of TLR4 expression, thereby influencing the gut-kidney axis.

肾病II汤(NED)是一种广泛应用于治疗慢性肾脏疾病(CKD)的中药配方。尽管其广泛应用,其治疗效果的确切机制仍然知之甚少。本研究旨在阐明NED在减轻肾纤维化中的作用,并探讨其对肠肾轴的影响。采用超高效液相色谱-串联质谱(UPLC-MS/MS)对NED的主要成分进行分析。采用双侧肾缺血再灌注损伤(bIRI)模型诱导纤维化。RT-qPCR检测toll样受体4 (TLR4)、髓样分化因子88 (MyD88)、核因子-κB (NF-κB)信号通路相关mRNA的表达。Western blotting分析肾纤维化标志物、TLR4/MyD88/NF-κB通路蛋白、结肠蛋白ZO-1和Occludin-1的变化。采用酶联免疫吸附法(ELISA)定量测定血清尿毒症毒素水平,并进行16S核糖体RNA (rRNA)基因测序,探讨小鼠肠道微生物组的变化。我们的研究表明,NED组小鼠血清肌酐、血尿素氮和尿蛋白水平降低,同时肾脏损伤改善,肾纤维化标志物减少。bIRI组TLR4/MyD88/NF-κB蛋白和mRNA水平以及肠道紧密连接蛋白和肠源性尿毒症毒素水平均显著降低。NED治疗逆转了这些变化并改变了肠道微生物群。此外,粪便微生物移植(FMT)减轻了bIRI小鼠的肾脏损伤和纤维化。综上所述,NED通过调节肠道微生物群改善肾损伤和纤维化,并可能通过抑制TLR4表达进一步减轻纤维化,从而影响肠肾轴。
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引用次数: 0
Platelet-Activating Factor (PAF) Induces Strong Mechanical Activities Accompanied by Basal Tension Increases in Esophageal and Gastric Fundus Smooth Muscles from Rat. 血小板活化因子(PAF)诱导大鼠食管和胃底平滑肌强机械活动并伴有基底张力升高。
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b25-00125
Keisuke Obara, Sana Takahashi, Miho Otake, Mako Fujiwara, Mio Yamashita, Azusa Murata, Kento Yoshioka, Yoshio Tanaka

In rats, platelet-activating factor (PAF) has been reported to increase mechanical activity in various gastrointestinal smooth muscles (SMs) except for esophagus SM. The aim of this study was to examine whether PAF increases mechanical activity in rat esophagus longitudinal SM (LSM) and to compare PAF actions in esophagus LSM with those in other gastrointestinal LSMs. PAF (10-9-10-6 M) increased esophagus LSM mechanical activities in a concentration-dependent manner; PAF mainly elicited basal tension increases that were almost eliminated by a PAF receptor antagonist CV-6209 (10-5 M; against 10-6 M PAF). In the LSM of the gastric fundus, which is similar to esophagus LSM in that it is derived from the foregut during development, PAF (10-6 M) increased basal tension to a comparable, albeit significantly different, magnitude as in esophagus LSM. In contrast, in LSMs of the duodenum-jejunum, ileum, and ascending colon, which are derived from the midgut, and the descending colon, which is derived from the hindgut, the ability of PAF (10-6 M) to increase basal tension was less than that in esophagus and gastric fundus LSMs. Interestingly, in ascending colon LSMs, PAF (10-6 M) induced oscillatory contractions with a small increase in basal tension. PAF-induced contractions were positively correlated with the mRNA expression levels of the PAF-degrading enzymes Pafah2 (R = 0.82) and Pafah1b3 (R = 0.51). These results suggest that PAF strongly stimulates mechanical activities that are mainly accompanied by basal tension increases in rat LSMs of the gastrointestinal tracts that are derived from the foregut during embryogenesis.

据报道,在大鼠中,血小板活化因子(PAF)可增加除食道平滑肌外的各种胃肠道平滑肌(SMs)的机械活动。本研究的目的是研究PAF是否会增加大鼠食管纵向SM (LSM)的机械活动,并比较PAF在食管纵向SM和其他胃肠道LSM中的作用。PAF (10-9-10-6 M)以浓度依赖性方式增加食管LSM的机械活动;PAF主要引起基底张力升高,几乎被PAF受体拮抗剂CV-6209 (10-5 M;10-6 M PAF)。胃底LSM与食道LSM相似,在发育过程中起源于前肠,PAF (10-6 M)将基底张力增加到与食道LSM相当的程度,尽管明显不同。相比之下,来自中肠的十二指肠-空肠、回肠和升结肠以及来自后肠的降结肠的lsm中,PAF (10-6 M)增加基础张力的能力低于食管和胃底lsm。有趣的是,在升结肠lsm中,PAF (10-6 M)诱导振荡性收缩,同时基底张力小幅增加。paf诱导的收缩与paf降解酶Pafah2 (R = 0.82)和Pafah1b3 (R = 0.51) mRNA表达量呈正相关。这些结果表明,PAF强烈刺激大鼠胚胎发生期间源自前肠的胃肠道lsm的机械活动,主要伴随着基础张力的增加。
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引用次数: 0
Evaluation of the Effect of Aldehyde Oxidase Inhibitors on 6-Mercaptopurine Metabolism. 醛氧化酶抑制剂对6-巯基嘌呤代谢影响的评价。
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 DOI: 10.1248/bpb.b25-00083
Hinata Ueda, Katsuya Narumi, Ayako Furugen, Keisuke Okamoto, Yoshitaka Saito, Masaki Kobayashi

Thiopurines, such as 6-mercaptopurine (6-MP) and azathioprine, are converted to the inactive metabolites 6-thioxanthin (6-TX) and 6-thiouric acid (6-TUA). Molybdenum-containing oxidoreductases, aldehyde oxidase (AOX) and xanthine oxidase (XO), are involved in the oxidation of 6-MP to 6-TX; XO inhibitors affect the therapeutic efficacy of thiopurines and the incidence of adverse effects, such as liver and blood disorders. However, the role of AOX in the pharmacokinetics of 6-MP remains unclear. To clarify the clinical importance of AOX-mediated drug-drug interactions, we evaluated whether drugs that inhibit AOX affect 6-MP metabolism. The metabolism of 6-MP to 6-TX was strongly inhibited by AOX inhibitors (amitriptyline, chlorpromazine, clomipramine, clozapine, hydralazine, quetiapine, and raloxifene) in a reaction mixture containing human liver cytosol. The inhibition of 6-TX production rate by each AOX inhibitor was 60-70% at high concentrations, although the XO inhibitor febuxostat showed an inhibition rate of 10-30%. Furthermore, the combination of febuxostat and each AOX inhibitor showed greater inhibition than when each compound was added alone. The AOX inhibitor did not alter 6-MP oxidation by recombinant XO. These results suggest that AOX inhibition may affect the pharmacokinetics of thiopurines. However, because of the lower activity of AOX in rats than that in humans, the contribution of AOX could not be assessed using in vivo experiments. Further studies are needed to evaluate the contribution of AOX to the therapeutic and adverse effects of thiopurines, both in clinical studies and in animal models of liver humanization.

硫嘌呤,如6-巯基嘌呤(6-MP)和硫嘌呤,转化为无活性代谢物6-硫黄嘌呤(6-TX)和6-硫脲酸(6-TUA)。含钼氧化还原酶,醛氧化酶(AOX)和黄嘌呤氧化酶(XO)参与6-MP氧化成6-TX;XO抑制剂影响硫嘌呤的治疗效果和不良反应的发生率,如肝脏和血液疾病。然而,AOX在6-MP药代动力学中的作用尚不清楚。为了阐明AOX介导的药物-药物相互作用的临床重要性,我们评估了抑制AOX的药物是否会影响6-MP代谢。在含有人肝细胞质的反应混合物中,6-MP到6-TX的代谢被AOX抑制剂(阿米替林、氯丙嗪、氯米帕明、氯氮平、肼嗪、喹硫平和雷洛昔芬)强烈抑制。虽然XO抑制剂非布司他的抑制率为10-30%,但在高浓度情况下,每种AOX抑制剂对6-TX产率的抑制率为60-70%。此外,非布司他与每种AOX抑制剂联合使用比单独使用时具有更大的抑制作用。AOX抑制剂不改变重组XO对6-MP的氧化。这些结果表明,抑制AOX可能影响硫嘌呤的药代动力学。然而,由于AOX在大鼠中的活性低于人,因此无法通过体内实验来评估AOX的贡献。在临床研究和肝脏人源化动物模型中,需要进一步的研究来评估AOX对硫嘌呤治疗和不良反应的贡献。
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