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Phosphatidylcholine-Plasmalogen-Oleic Acid Reduces BACE1 Expression in Human SH-SY5Y Cells. 磷脂酰胆碱-质原油酸可降低人 SH-SY5Y 细胞中 BACE1 的表达。
IF 2 4区 医学 Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1248/bpb.b23-00787
Haruka Okabayashi, Miki Yasuda, Chinatsu Nii, Ryo Sugishita, Keijo Fukushima, Kouki Yuasa, Satoshi Kotoura, Hiromichi Fujino

Plasmalogens are a family of glycerophospholipids containing one vinyl-ether bond at the sn-1 position in the glycerol backbone, and play important roles in cellular homeostasis including neural transmission. Therefore, reductions of plasmalogens have been associated with neurodegenerative disorders, such as Alzheimer's disease (AD). To evaluate the potential protective effects of plasmalogens against the pathology of AD, protein expression levels of key factors in amyloid precursor protein (APP) metabolic processes were examined using human neuroblastoma SH-SY5Y cells. Here, phosphatidylcholine-plasmalogen-oleic acid (PC-PLS-18) was shown to reduce protein expression levels of β-site APP cleaving enzyme 1 (BACE1), clusterin, and Tau, factors involved in the amyloid β-associated pathogenesis of AD. Thus, PC-PLS-18 may have preventive effects against AD by delaying the onset risk for a certain period.

质磷脂是甘油磷脂的一个家族,在甘油骨架的 sn-1 位含有一个乙烯基醚键,在包括神经传导在内的细胞稳态中发挥着重要作用。因此,质粒蛋白的减少与阿尔茨海默病(AD)等神经退行性疾病有关。为了评估质粒蛋白对阿尔茨海默病病理的潜在保护作用,我们使用人神经母细胞瘤 SH-SY5Y 细胞检测了淀粉样前体蛋白(APP)代谢过程中关键因子的蛋白质表达水平。结果表明,磷脂酰胆碱-质子酰胆碱-油酸(PC-PLS-18)可降低β位点APP裂解酶1(BACE1)、簇蛋白和Tau的蛋白表达水平,这些因子参与了与淀粉样β相关的AD发病机制。因此,PC-PLS-18 可通过在一定时期内延缓发病风险,从而起到预防 AD 的作用。
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引用次数: 0
A Novel Strategy for the Discovery of Drug Targets: Integrating Clinical Evidence with Molecular Studies. 发现药物靶点的新策略:将临床证据与分子研究相结合。
IF 2 4区 医学 Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1248/bpb.b23-00831
Shuji Kaneko

The mechanisms of several drugs remain unclear, limiting our understanding of how they exert their effects. Receptor affinities have not been comprehensively measured during drug development, and the safety investigations in humans are limited. Therefore, numerous unknown adverse and beneficial effects of drugs in humans persist. In this review, I highlight our achievements in identifying the unexpected beneficial effects of drugs through the analysis of real-world clinical data, which can contribute to drug repositioning and target finding. (1) Through the analysis of real-world data, we found that the anti-arrhythmic amiodarone induced interstitial lung disease, leading to fibrosis. Surprisingly, concurrent use of an anti-thrombin drug, dabigatran mitigated these adverse events. Pharmacological studies using animal models have mimicked this phenomenon and revealed the molecular mechanisms associated with the platelet-derived growth factor-alpha receptors. (2) The antidiabetic dipeptidyl-peptidase 4 inhibitors increased the risk of an autoimmune disease, bullous pemphigoid, which was reduced by the concomitant use of lisinopril. Pharmacological studies using human peripheral blood mononuclear cells have revealed that lisinopril suppressed the skin disorders by inhibiting the expression of cutaneous matrix metalloproteinase 9 in macrophages. (3) The antimicrobial fluoroquinolones increased the risk of tendinopathy, which was reduced by the concomitant use of dexamethasone. However, clinical guidelines have suggested that corticosteroid increases the risk of tendinopathy. Our investigation demonstrated that fluoroquinolones impaired tendon cells through DNA damage by generating reactive oxygen species. In contrast, dexamethasone exhibited an acute beneficial effect on tendon tissue by upregulating the expression of a radical scavenger, glutathione peroxidase 3.

有几种药物的作用机制尚不清楚,限制了我们对其如何产生作用的了解。在药物开发过程中,尚未对受体亲和力进行全面测量,对人体的安全性调查也很有限。因此,许多未知的药物对人体的不良和有益影响依然存在。在这篇综述中,笔者将重点介绍我们在通过分析真实世界的临床数据来发现药物的意外有益效应方面所取得的成就,这些成就有助于药物的重新定位和靶点的寻找。(1)通过对真实世界数据的分析,我们发现抗心律失常药物胺碘酮会诱发间质性肺病,导致肺纤维化。令人惊讶的是,同时使用抗凝血酶药物达比加群能减轻这些不良反应。利用动物模型进行的药理学研究模拟了这一现象,并揭示了与血小板衍生生长因子-α受体相关的分子机制。(2)抗糖尿病二肽基肽酶 4 抑制剂增加了自身免疫性疾病--大疱性类天疱疮的风险,而同时使用利辛普利可降低这种风险。利用人体外周血单核细胞进行的药理学研究表明,利辛普利通过抑制巨噬细胞中皮肤基质金属蛋白酶 9 的表达来抑制皮肤疾病。(3)抗菌药氟喹诺酮类药物会增加腱鞘炎的风险,而同时使用地塞米松可降低这种风险。然而,临床指南认为皮质类固醇会增加腱鞘炎的风险。我们的研究表明,氟喹诺酮类药物会产生活性氧,通过 DNA 损伤损害肌腱细胞。与此相反,地塞米松通过上调自由基清除剂谷胱甘肽过氧化物酶 3 的表达,对肌腱组织产生急性有益影响。
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引用次数: 0
Temperature-Dependent Upregulation of Per2 Protein Expression Is Mediated by eIF2α Kinases PERK and PKR through PI3K Activation. eIF2α 激酶 PERK 和 PKR 通过 PI3K 激活介导温度依赖性 Per2 蛋白表达上调
IF 2 4区 医学 Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1248/bpb.b23-00739
Xinyan Shao, Takahito Miyake, Yuichi Inoue, Emi Hasegawa, Masao Doi

Temperature-dependent translational control of the core clock gene Per2 plays an important role in establishing entrainment of the circadian clock to physiological body temperature cycles. Previously, we found an involvement of the phosphatidylinositol 3-kinase (PI3K) in causing Per2 protein expression in response to a warm temperature shift (WTS) within a physiological range (from 35 to 38.5 °C). However, signaling pathway mediating the Per2 protein expression in response to WTS is only sparsely understood. Additional factor(s) other than PI3K remains unknown. Here we report the identification of eukaryotic initiation factor 2α (eIF2α) kinases, protein kinase R (PKR) and PKR-like endoplasmic reticulum kinase (PERK), as a novel mediator of WTS-dependent Per2 protein expression. Canonically, eIF2α has been regarded as a major downstream target of PERK and PKR. However, we found that PERK and PKR mediate WTS response of Per2 in a manner not involving eIF2α. We observed that PERK and PKR serve as an upstream regulator of PI3K rather than eIF2α in the context of WTS-dependent Per2 protein expression. There have been studies reporting PI3K activation occurring depending on PERK and PKR, while its physiological contribution has remained elusive. Our finding therefore not only helps to enrich the knowledge of how WTS affects Per2 protein expression but also extends the region of cellular biology involving the PERK/PKR-mediated PI3K activation to include entrainment-mechanism of the circadian clock.

核心时钟基因 Per2 的温度依赖性翻译控制在建立昼夜节律时钟与生理体温周期的一致性方面发挥着重要作用。此前,我们发现磷脂酰肌醇 3-激酶(PI3K)参与了导致 Per2 蛋白表达的生理范围(35 至 38.5 °C)内的暖温转移(WTS)反应。然而,人们对介导 Per2 蛋白表达以响应 WTS 的信号通路知之甚少。除 PI3K 外,其他因素仍然未知。在这里,我们报告了真核启动因子 2α(eIF2α)激酶、蛋白激酶 R(PKR)和 PKR 样内质网激酶(PERK)作为 WTS 依赖性 Per2 蛋白表达的新型介导因子的鉴定结果。通常,eIF2α 被认为是 PERK 和 PKR 的主要下游靶标。然而,我们发现 PERK 和 PKR 以不涉及 eIF2α 的方式介导 Per2 的 WTS 反应。我们观察到,在依赖 WTS 的 Per2 蛋白表达中,PERK 和 PKR 是 PI3K 而不是 eIF2α 的上游调节因子。有研究报告称,PI3K 的活化依赖于 PERK 和 PKR,但其生理贡献仍难以确定。因此,我们的发现不仅有助于丰富有关 WTS 如何影响 Per2 蛋白表达的知识,还将涉及 PERK/PKR 介导的 PI3K 激活的细胞生物学区域扩展到昼夜节律钟的诱导机制。
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引用次数: 0
Structural Impact Assessment of Cytochrome P450 2A13 Polymorphisms Using Molecular Dynamics Simulations. 利用分子动力学模拟评估细胞色素 P450 2A13 多态性的结构影响。
IF 2 4区 医学 Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1248/bpb.b23-00908
Koichi Kato, Tomoki Nakayoshi, Sho Hioki, Masahiro Hiratsuka, Yoshinobu Ishikawa, Eiji Kurimoto, Akifumi Oda

One of the members of CYP, a monooxygenase, CYP2A13 is involved in the metabolism of nicotine, coumarin, and tobacco-specific nitrosamine. Genetic polymorphisms have been identified in CYP2A13, with reported loss or reduction in enzymatic activity in CYP2A13 allelic variants. This study aimed to unravel the mechanism underlying the diminished enzymatic activity of CYP2A13 variants by investigating their three-dimensional structures through molecular dynamics (MD) simulations. For each variant, MD simulations of 1000 ns were performed, and the obtained results were compared with those of the wild type. The findings indicated alterations in the interaction with heme in CYP2A13.4, .6, .8, and .9. In the case of CYP2A13.5, observable effects on the helix structure related to the interaction with the redox partner were identified. These conformational changes were sufficient to cause a decrease in enzyme activity in the variants. Our findings provide valuable insights into the molecular mechanisms associated with the diminished activity in the CYP2A13 polymorphisms.

CYP2A13 是单加氧酶 CYP 的成员之一,参与尼古丁、香豆素和烟草特异性亚硝胺的代谢。已发现 CYP2A13 存在遗传多态性,据报道,CYP2A13 等位基因变体的酶活性丧失或降低。本研究旨在通过分子动力学(MD)模拟研究 CYP2A13 变体的三维结构,从而揭示其酶活性降低的机制。研究人员对每个变体进行了 1000 ns 的 MD 模拟,并将所得结果与野生型进行了比较。研究结果表明,CYP2A13.4、.6、.8 和.9 与血红素的相互作用发生了改变。就 CYP2A13.5 而言,与氧化还原作用伙伴的相互作用对螺旋结构产生了可观察到的影响。这些构象变化足以导致变体的酶活性下降。我们的研究结果为了解与 CYP2A13 多态性活性降低有关的分子机制提供了宝贵的见解。
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引用次数: 0
Wild-Type DCTN1 Suppresses the Aggregation of DCTN1 Mutants Associated with Perry Disease. 野生型 DCTN1 可抑制与佩里病有关的 DCTN1 突变体的聚集。
IF 2 4区 医学 Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1248/bpb.b23-00828
Yuto Fukui, Hisashi Shirakawa, Shuji Kaneko, Kazuki Nagayasu

Perry disease, a rare autosomal dominant neurodegenerative disorder, is characterized by parkinsonism, depression or apathy, unexpected weight loss, and central hypoventilation. Genetic analyses have revealed a strong association between point mutations in the dynactin I gene (DCTN1) coding p150glued and Perry disease. Although previous reports have suggested a critical role of p150glued aggregation in Perry disease pathology, whether and how p150glued mutations affect protein aggregation is not fully understood. In this study, we comprehensively investigated the intracellular distribution of the p150glued mutants in HEK293T cells. We further assessed the effect of co-overexpression of the wild-type p150glued protein with mutants on the formation of mutant aggregates. Notably, overexpression of p150glued mutants identified in healthy controls, which is also associated with amyotrophic lateral sclerosis, showed a thread-like cytoplasmic distribution, similar to the wild-type p150glued. In contrast, p150glued mutants in Perry disease and motor neuron disease caused aggregation. In addition, the co-overexpression of the wild-type protein with p150glued mutants in Perry disease suppressed aggregate formation. In contrast, the p150glued aggregation of motor neuron disease mutants was less affected by the wild-type p150glued. Further investigation of the mechanism of aggregate formation, contents of the aggregates, and biological mechanisms of Perry disease could help develop novel therapeutics.

佩里病是一种罕见的常染色体显性神经退行性疾病,以帕金森病、抑郁或冷漠、意外消瘦和中枢通气不足为特征。基因分析表明,编码 p150glued 的 dynactin I 基因(DCTN1)的点突变与佩里病之间存在密切联系。尽管之前的报道表明 p150glued 的聚集在佩里病的病理中起着关键作用,但 p150glued 突变是否以及如何影响蛋白质的聚集尚未完全明了。在本研究中,我们全面研究了 p150glued 突变体在 HEK293T 细胞中的胞内分布。我们进一步评估了野生型 p150glued 蛋白与突变体共重表达对突变体聚集体形成的影响。值得注意的是,在健康对照组(也与肌萎缩性脊髓侧索硬化症有关)中发现的过表达 p150glued 突变体显示出线状胞质分布,与野生型 p150glued 相似。相反,佩里病和运动神经元病中的 p150glued 突变体则会引起聚集。此外,在佩里病中,野生型蛋白与 p150glued 突变体共同外表达可抑制聚集体的形成。相比之下,运动神经元病突变体的 p150glued 聚合受到野生型 p150glued 的影响较小。进一步研究聚合体的形成机制、聚合体的含量以及佩里病的生物学机制有助于开发新型疗法。
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引用次数: 0
Substrate-Dependent Alteration in the C- and O-Prenylation Specificities of Cannabis Prenyltransferase. 大麻异戊烯基转移酶 C-和 O-异戊烯基特异性的底物依赖性改变
IF 2 4区 医学 Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1248/bpb.b23-00868
Ryosuke Tanaya, Takeshi Kodama, Juthamart Maneenet, Yoko Yasuno, Atsushi Nakayama, Tetsuro Shinada, Hironobu Takahashi, Takuya Ito, Hiroyuki Morita, Suresh Awale, Futoshi Taura

CsPT4 is an aromatic prenyltransferase that synthesizes cannabigerolic acid (CBGA), the key intermediate of cannabinoid biosynthesis in Cannabis sativa, from olivetolic acid (OA) and geranyl diphosphate (GPP). CsPT4 has a catalytic potential to produce a variety of CBGA analogs via regioselective C-prenylation of aromatic substrates having resorcylic acid skeletons including bibenzyl 2,4-dihydroxy-6-phenylethylbenzoic acid (DPA). In this study, we further investigated the substrate specificity of CsPT4 using phlorocaprophenone (PCP) and 2',4',6'-trihydroxydihydrochalcone (THDC), the isomers of OA and DPA, respectively, and demonstrated that CsPT4 catalyzed both C-prenylation and O-prenylation reactions on PCP and THDC that share acylphloroglucinol substructures. Interestingly, the kinetic parameters of CsPT4 for these substrates differed depending on whether they underwent C-prenylation or O-prenylation, suggesting that this enzyme utilized different substrate-binding modes suitable for the respective reactions. Aromatic prenyltransferases that catalyze O-prenylation are rare in the plant kingdom, and CsPT4 was notable for altering the reaction specificity between C- and O-prenylations depending on the skeletons of aromatic substrates. We also demonstrated that enzymatically synthesized geranylated acylphloroglucinols had potent antiausterity activity against PANC-1 human pancreatic cancer cells, with 4'-O-geranyl THDC being the most effective. We suggest that CsPT4 is a valuable catalyst to generate biologically active C- and O-prenylated molecules that could be anticancer lead compounds.

CsPT4 是一种芳香族前酰基转移酶,可从橄榄醇酸 (OA) 和二磷酸香叶酯 (GPP) 合成大麻茄酸 (CBGA),这是大麻生物合成过程中的关键中间体。CsPT4 具有催化潜能,可通过对具有树脂酸骨架的芳香底物(包括 2,4-二羟基-6-苯乙基苯甲酸联苄酯 (DPA))进行区域选择性 C-异戊烯酰化,生成多种 CBGA 类似物。在本研究中,我们分别使用 OA 和 DPA 的异构体--氯代苯丙酮(PCP)和 2',4',6'-三羟基二氢查尔酮(THDC)进一步研究了 CsPT4 的底物特异性,结果表明 CsPT4 可催化具有酰基氯代葡萄糖醛酸亚基结构的 PCP 和 THDC 的 C-异戊烯化反应和 O-异戊烯化反应。有趣的是,CsPT4 对这些底物的动力学参数因其进行 C-异戊烯基化还是 O-异戊烯基化而不同,这表明该酶利用了适合各自反应的不同底物结合模式。催化 O-异戊烯基化的芳香族前酰转移酶在植物界非常罕见,而 CsPT4 的显著特点是能根据芳香族底物的骨架改变 C-异戊烯基化和 O-异戊烯基化反应的特异性。我们还证明,酶法合成的香叶基酰基氯葡萄糖醇对 PANC-1 人类胰腺癌细胞具有强效抗抑郁活性,其中 4'-O- 香叶基 THDC 的效果最好。我们认为,CsPT4 是一种宝贵的催化剂,可生成具有生物活性的 C-和 O-丙烯酰化分子,从而成为抗癌先导化合物。
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引用次数: 0
The Beneficial Effect of Brazilian Propolis for Liver Damage through Endoplasmic Reticulum Stress. 巴西蜂胶对通过内质网应激造成的肝损伤的益处
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.1248/bpb.b24-00092
Tomohiro Ogawa, Takumi Terada

There is evidence that propolis exhibits anti-inflammatory, anticancer, and antioxidant properties. We assessed the potential beneficial effects of Brazilian propolis on liver injury in nonalcoholic fatty liver disease (NAFLD). Our findings demonstrate that Brazilian propolis suppresses inflammation and fibrosis in the liver of mice with NAFLD by inhibiting the expression of genes involved in endoplasmic reticulum (ER) stress. Additionally, Brazilian propolis also suppressed the expression of ER stress-related genes in HepG2 cells treated with an excess of free fatty acids, leading to cell apoptosis. A deeper analysis revealed that kaempferol, one of the components present in Brazilian propolis, induces cell proliferation through the mitogen-activated protein kinase (MAPK)/extracellular signal-regulated kinase (ERK) pathway and protects against oxidative stress. In conclusion, Brazilian propolis exhibits hepatoprotective properties against oxidative stress by inhibiting ER stress in NAFLD-induced model mice.

有证据表明,蜂胶具有抗炎、抗癌和抗氧化特性。我们评估了巴西蜂胶对非酒精性脂肪肝(NAFLD)肝损伤的潜在有益作用。我们的研究结果表明,巴西蜂胶通过抑制内质网(ER)应激相关基因的表达,抑制了非酒精性脂肪肝小鼠肝脏的炎症和纤维化。此外,巴西蜂胶还能抑制经过量游离脂肪酸处理的HepG2细胞中ER应激相关基因的表达,从而导致细胞凋亡。更深入的分析表明,巴西蜂胶中的一种成分山奈酚可通过有丝分裂原激活蛋白激酶(MAPK)/细胞外信号调节激酶(ERK)途径诱导细胞增殖,并保护细胞免受氧化应激。总之,巴西蜂胶通过抑制非酒精性脂肪肝模型小鼠的ER应激,对氧化应激具有保肝作用。
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引用次数: 0
Research on the Development of Methods for Detection of Substandard and Falsified Medicines by Clarifying Their Pharmaceutical Characteristics Using Modern Technology. 利用现代技术通过阐明药品特征来开发假冒伪劣药品检测方法的研究。
IF 2 4区 医学 Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-01-01 DOI: 10.1248/bpb.b23-00749
Naoko Yoshida

The existence of substandard and falsified medicines threatens people's health and causes economic losses as well as a loss of trust in medicines. As the distribution of pharmaceuticals becomes more globalized and the spread of substandard and falsified medicines continues worldwide, pharmaceutical security measures must be strengthened. To eradicate substandard and falsified medicines, our group is conducting fact-finding investigations of medicines distributed in lower middle-income countries (LMICs) and on the Internet. From the perspective of pharmaceutics, such as physical assessment of medicines, we are working to clarify the actual situation and develop methods to detect substandard and falsified medicines. We have collected substandard and falsified medicines distributed in LMICs and on the Internet and performed pharmacopoeial tests, mainly using HPLC, which is a basic analytic method. In addition to quality evaluation, we have evaluated the applicability of various analytic methods, including observation of pharmaceuticals using an electron microscope, Raman scattering analysis, near-IR spectroscopic analysis, chemical imaging, and X-ray computed tomography (CT) to detect substandard and falsified medicines, and we have clarified their limitations. We also developed a small-scale quality screening method using statistical techniques. We are engaged in the development of methods to monitor the distribution of illegal medicines and evolve research in forensic and policy science. These efforts will contribute to the eradication of substandard and falsified medicines. Herein, I describe our experience in the development of detection methods and elucidation of the pharmaceutical status of substandard and falsified medicines using novel technologies.

假冒伪劣药品的存在威胁着人们的健康,造成经济损失,并使人们对药品失去信任。随着药品流通日益全球化,假冒伪劣药品在全球范围内不断蔓延,必须加强药品安全措施。为了杜绝假冒伪劣药品,我们小组正在对中低收入国家(LMIC)和互联网上销售的药品进行实况调查。从药品物理评估等制药学的角度出发,我们正在努力澄清实际情况,并制定检测假冒伪劣药品的方法。我们收集了在低收入国家和互联网上销售的假冒伪劣药品,并进行了药典检测,主要使用 HPLC 这一基本分析方法。除质量评价外,我们还评估了各种分析方法的适用性,包括使用电子显微镜观察药品、拉曼散射分析、近红外光谱分析、化学成像和 X 射线计算机断层扫描 (CT),以检测假劣药品,并阐明了这些方法的局限性。我们还利用统计技术开发了一种小规模的质量筛选方法。我们正在开发监测非法药品分销的方法,并在法医和政策科学方面开展研究。这些努力将有助于根除假冒伪劣药品。在此,我将介绍我们在利用新技术开发检测方法和阐明假冒伪劣药品的药品状况方面的经验。
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引用次数: 0
Risk Factors for Treatment Transition in Patients with Low-Risk Atrial Fibrillation Patients Undergoing Anticoagulation Monotherapy: A Large Claims Database Study in Japan. 接受抗凝单药治疗的低风险心房颤动患者治疗转换的风险因素:日本大型索赔数据库研究。
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.1248/bpb.b24-00093
Haruki Funakoshi, Yoshihiro Kiryu, Kenji Momo

The global prevalence of atrial fibrillation (AF) is rising, paralleling increased life expectancy. Early rhythm control benefits AF management. However, in low-risk, often asymptomatic, AF patients, anticoagulant monotherapy is the selected treatment, aligning with current guidelines. However, early AF progression in these low-risk individuals is not well-understood. Thus, this study aims to: 1) determine the proportion of low-risk AF patients who worsen within a year of initial AF diagnosis and 2) identify risk factors such treatment transitions. We analyzed data from 18623 AF patients, spanning January 2005 to June 2017. Low-risk patients were those on anticoagulant monotherapy ± rate control, following the JCS/JHRS 2020 Guideline on Pharmacotherapy of Cardiac Arrhythmias. We defined 2 patterns of treatment transition for 1) initiating ablation or antiarrhythmic drug therapy and 2) solely using antiarrhythmic drugs. This retrospective cohort study was employed a 12-month study, following a 6-month screening period. We included 1874 patients for all rhythm control (analysis 1) and 1503 for only medication-based control (analysis 2). The primary endpoint, treatment transition of AF under monotherapy, occurred in 28.4% of patients in analysis 1 and 10.8% in analysis 2. Risk factors common to both scenarios were male gender, baseline rate control drug use, and rivaroxaban selection, as identified by multiple logistic regression. These findings suggest a higher AF treatment transition trend in patients starting rivaroxaban, calling for further research. The study highlights the importance of informed early rhythm control initiation decisions in clinical settings.

随着预期寿命的延长,心房颤动(房颤)的全球发病率也在不断上升。尽早控制心律有利于房颤的治疗。然而,在低风险、通常无症状的房颤患者中,抗凝剂单药治疗是符合现行指南的首选治疗方法。然而,人们对这些低风险患者的房颤早期进展并不十分了解。因此,本研究旨在1)确定在最初确诊房颤后一年内病情恶化的低危房颤患者的比例;2)识别治疗转换的风险因素。我们分析了 18623 名房颤患者的数据,时间跨度为 2005 年 1 月至 2017 年 6 月。低风险患者是指按照《JCS/JHRS 2020 年心律失常药物治疗指南》接受抗凝剂单药治疗和心率控制的患者。我们定义了两种治疗过渡模式:1)开始消融或抗心律失常药物治疗;2)仅使用抗心律失常药物。这项回顾性队列研究为期 12 个月,筛选期为 6 个月。我们纳入了 1874 名接受所有节律控制的患者(分析 1)和 1503 名仅接受药物控制的患者(分析 2)。分析 1 和分析 2 中,分别有 28.4% 和 10.8% 的患者出现了主要终点--单一疗法下的房颤治疗转归。经多重逻辑回归确定,两种情况下共同的风险因素包括男性性别、基线心率控制药物的使用以及利伐沙班的选择。这些研究结果表明,开始使用利伐沙班的患者房颤治疗过渡趋势较高,需要进一步研究。该研究强调了在临床环境中做出明智的早期心律控制启动决定的重要性。
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引用次数: 0
FXR Antagonist FLG249 Lowers Hepatic Triacylglycerol and Serum Cholesterol Level in High-Fat Diet-Induced Obese Mice. FXR拮抗剂FLG249可降低高脂饮食诱发肥胖小鼠的肝脏三酰甘油和血清胆固醇水平
IF 1.7 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2024-01-01 DOI: 10.1248/bpb.b24-00311
Yusuke Iguchi, Yukiko Yamashita, Keigo Gohda, Keisuke Oda, Ko Fujimori, Yukihiro Sera, Tsuneo Imanaka, Masafumi Yamaguchi, Mizuho Une, Naoki Teno

Farnesoid X receptor (FXR) is a nuclear receptor that regulates the synthesis and enterohepatic circulation of bile acids (BAs). It also regulates lipid and carbohydrate metabolism, making FXR ligands potential therapeutic agents for systemic and/or hepatic metabolic disorders. We previously synthesized a series of FXR antagonists and showed that oral administration of FLG249 reduced the expression of several FXR target genes in the mouse ileum. Here, we investigated the effects of FLG249 on lipid metabolism in mice fed a high-fat diet (HFD). When FLG249 was administered for 4 weeks to HFD-induced obese mice, it altered the expression of genes related to BA metabolism, ceramide synthesis and fatty acid β-oxidation, improving lipid metabolism in the liver and ileum without decreasing body weight. These findings suggest that FLG249 has the potential to be a low toxicity pharmaceutical compound and likely acts as a nonsteroidal FXR antagonist to improve lipid metabolism disorders.

类脂质 X 受体(FXR)是一种核受体,可调节胆汁酸(BA)的合成和肠肝循环。它还能调节脂质和碳水化合物的代谢,使 FXR 配体成为治疗全身和/或肝脏代谢紊乱的潜在药物。我们之前合成了一系列 FXR 拮抗剂,结果表明口服 FLG249 能降低小鼠回肠中多个 FXR 靶基因的表达。在此,我们研究了 FLG249 对高脂饮食(HFD)小鼠脂质代谢的影响。给高脂饮食诱导的肥胖小鼠注射 FLG249 4 周后,它改变了 BA 代谢、神经酰胺合成和脂肪酸 β 氧化相关基因的表达,改善了肝脏和回肠的脂质代谢,但体重并未减轻。这些研究结果表明,FLG249 有可能成为一种低毒性药物化合物,并有可能作为一种非甾体 FXR 拮抗剂来改善脂质代谢紊乱。
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引用次数: 0
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