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Recent Research Progress in and Future Perspective on Treatment of Parkinson's Disease 帕金森病治疗的研究进展与展望
Pub Date : 2014-07-25 DOI: 10.1159/000365571
Y. Mizuno
Background: Clinical features, pathogenesis, and treatment of Parkinson's disease (PD) are reviewed as there has been progress in these areas. Summary: PD is a systemic disease of the nervous system as the initial symptom is related to disturbance of the autonomic nervous system, such as constipation or nocturia. Then, the disease progresses to the brain stem involving the nuclei in the pons and the substantia nigra, and inducing sleep and wakefulness disturbances, affect problems such as anxiety and depression, and motor problems when the disease process has reached the substantia nigra. Furthermore, the disease has an effect on the nucleus basalis of Meynert, the amygdaloid complex and the cerebrum manifesting cognitive impairment. The olfactory pathway is also frequently involved. Key Messages: For the treatment of PD, younger patients without dementia should be treated with a nonergot dopamine agonist first and then with levodopa if necessary. Elderly patients or those with dementia should be treated with levodopa. However, after 5 years of levodopa treatment, many patients with PD develop wearing off. Drugs for the treatment of wearing-off symptoms are reviewed. Many of the patients with wearing-off symptoms develop dyskinesia, and amantadine is so far the only drug that can ameliorate dyskinesia. Because of this situation, a new method of treatment is warranted, such as RNA interaction, according to the author's opinion. Recent progress in this field is also reviewed. i 2014 S. Karger AG, Basel
背景:综述了帕金森病(PD)的临床特征、发病机制和治疗方法,以及在这些领域的研究进展。摘要:PD是一种全身性神经系统疾病,其首发症状与自主神经系统紊乱有关,如便秘、夜尿等。然后,疾病进展到脑干,累及脑桥核和黑质,并诱发睡眠和觉醒障碍,当疾病进展到黑质时,影响焦虑、抑郁和运动问题等问题。此外,该病对Meynert基底核、杏仁核复合体和大脑有影响,表现为认知障碍。嗅觉通路也经常参与其中。关键信息:对于PD的治疗,无痴呆的年轻患者应首先使用非角胺受体激动剂,必要时再使用左旋多巴。老年患者或痴呆患者应服用左旋多巴。然而,经过5年的左旋多巴治疗,许多PD患者逐渐消失。本文综述了治疗磨损症状的药物。许多症状消退的患者会出现运动障碍,金刚烷胺是迄今为止唯一能改善运动障碍的药物。由于这种情况,一种新的治疗方法是必要的,如RNA相互作用,根据作者的意见。本文还评述了这一领域的最新进展。i 2014 S. Karger AG,巴塞尔
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引用次数: 22
Spectroscopic Measurements in Patients with Completely Ruptured Anterior Cruciate Ligament before and after RegentK and Physiotherapy 前交叉韧带完全破裂患者摄谱仪测量前后RegentK和物理治疗
Pub Date : 2014-06-26 DOI: 10.1159/000365105
D. Litscher, G. Litscher, Michael Ofner, Ingrid Gaischek, D. Malliga
Background: The goal of this study was to investigate acute effects of a special kind of manual therapy developed by Mohamed Khalifa (RegentK) compared to standard physiotherapy on regional oxygen saturation (rSO2) of knee tissues in patients with completely ruptured anterior cruciate ligament (ACL). Methods: Twenty patients were enrolled in this study and randomly assigned to receive either RegentK (group A; n = 10, 8 female, 2 male, mean age ± SD 31.3 ± 8.5 years) or physiotherapy (group B; n = 10, 6 female, 4 male, mean age 34.8 ± 10.2 years). The values of rSO2, assessed using near-infrared spectroscopy, were registered anterolaterally and anteromedially on both the injured and the healthy (control) knee. Results: rSO2 increased significantly (p < 0.001) after RegentK on both registration sites of the injured knee, whereas after physiotherapy only the anterolateral side showed significant increases. Interestingly, we found significant increases in rSO2 also on the control knee after RegentK; in group B, these results were insignificant. Conclusion: We conclude that manual therapy influences the hemodynamics of muscles and deeper structures. The results will also serve to quantify the effects of nonpharmacological and nonsurgical interventions (e.g. RegentK) on the microvascular circulation in deep tissue after a complete rupture of the ACL.
背景:本研究的目的是研究由Mohamed Khalifa (RegentK)开发的一种特殊的手工疗法与标准物理疗法对前交叉韧带(ACL)完全破裂患者膝关节组织区域氧饱和度(rSO2)的急性效果。方法:20例患者被纳入本研究,随机分配接受RegentK (A组;n = 10,女性8人,男性2人,平均年龄±SD 31.3±8.5岁)或物理治疗(B组;其中女性6例,男性4例,平均年龄34.8±10.2岁。采用近红外光谱法测定损伤膝关节和健康(对照)膝关节的前外侧和前内侧的rSO2值。结果:RegentK治疗后,损伤膝关节两个登记部位的rSO2均显著升高(p < 0.001),而物理治疗后,仅前外侧的rSO2显著升高。有趣的是,我们发现RegentK后对照膝关节的rSO2也显著增加;在B组,这些结果不显著。结论:手工治疗影响肌肉和深层结构的血流动力学。该结果还将用于量化非药物和非手术干预(如RegentK)对前交叉韧带完全破裂后深层组织微血管循环的影响。
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引用次数: 3
The Neuroprotective Effect and Probable Mechanism of DL-3-n-Butylphthalide in Brain Diseases dl -3-n-丁苯酞对脑部疾病的神经保护作用及其可能机制
Pub Date : 2014-06-25 DOI: 10.1159/000362633
Yinyi Sun, Kangyong Liu, Ting Zhang, Yan Sun, Wenqi Chen, Qian Li, Rongfu Chen, Xiao-Jiang Sun
3-n-Butylphthalide (NBP), one of the chemical constituents of celery oil, is used for the treatment of many central nervous system diseases, including Parkinson's disease, Alzheimer's disease and cerebral ischemia. NBP showed potent neuroprotective effects by decreasing oxidative damage, inhibiting inflammatory responses, improving mitochondrial function, and reducing neuronal apoptosis.
3-n-丁苯酞(NBP)是芹菜油的化学成分之一,用于治疗许多中枢神经系统疾病,包括帕金森病、阿尔茨海默病和脑缺血。NBP通过降低氧化损伤、抑制炎症反应、改善线粒体功能和减少神经元凋亡,显示出强大的神经保护作用。
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引用次数: 4
Influence of Xingnaojing Injection on the Expression of c-fos and c-jun Proteins in Brains of Rats in a Kindling Model of Epilepsy Chronically Induced by Pentetrazol 醒脑静注射液对戊四唑慢性癫痫点燃模型大鼠脑c-fos和c-jun蛋白表达的影响
Pub Date : 2014-06-04 DOI: 10.1159/000362637
Ji-Wei Cheng, Yu Bai, Xiao-jing Zhang, Lijun Zhang, Yuqing Hou
Objective: To investigate the molecular biological mechanism of the antiepileptic effect of Xingnaojing (XNJ) injection on a rat kindling model of epilepsy (KME). Methods: Fifty healthy 6-week-old male Sprague-Dawley rats were divided into the following five groups: blank control (BC) group, model (M) group, XNJ injection (XI) group, phenobarbital injection (PI) group and XNJ combined with phenobarbital (XP) group. There were 10 rats in each group. The intervention drugs were administered 30 min before the model-building drugs once a day for 5 weeks. The model-building drug pentetrazol was given to each group as an intraperitoneal injection 30 min after the use of the intervention drug once a day for 4 weeks for KME establishment (except for the BC group). The BC group was given physiological saline instead. All drugs were injected intraperitoneally. The behaviors of each group of rats were observed after the use of the model-building drugs for 1 h every day. The last kindling test was carried out at the end of week 5. Then, c-fos and c-jun protein expressions in the rat brains of each group were observed and analyzed by immunohistochemistry at the end of the experiment. Results: There was a large number of cells positive for the c-fos and c-jun proteins in the rat brains of the M group. Compared with the M group, the expression level of the c-fos and c-jun proteins was lower in the rat brains of the XI and PI groups (p < 0.01). There was no statistical difference between the XI and PI groups (p > 0.05). The number of positive cells in the rat brains of the XP group was even smaller than that of the XI or PI groups. Conclusion: The antiepileptic effect of the XNJ injection on the rat KME is probably related to its interruption function on the expression of the c-fos and c-jun proteins in rat brains.
目的:探讨醒脑静注射液对大鼠癫痫点燃模型(KME)抗癫痫作用的分子生物学机制。每组10只。干预药物在造模药物前30分钟给药,每天1次,连续5周。各组在使用干预药物30 min后腹腔注射造模药物戊四唑,每天1次,连续4周建立KME (BC组除外)。BC组给予生理盐水替代。所有药物均经腹腔注射。每天给药1 h后观察各组大鼠的行为。最后一次引燃试验在第5周末进行。实验结束时,采用免疫组化方法观察各组大鼠脑中c-fos和c-jun蛋白的表达情况。结果:M组大鼠脑内有大量c-fos和c-jun蛋白阳性细胞。结论:XNJ注射液对大鼠KME的抗癫痫作用可能与其阻断大鼠脑c-fos和c-jun蛋白的表达有关。
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引用次数: 1
Rotigotine Transdermal Patch for the Treatment of Restless Legs Syndrome 罗替戈汀透皮贴片治疗不宁腿综合征
Pub Date : 2014-05-23 DOI: 10.1159/000362629
P. Ratti, M. V. Rey, O. Rascol, S. Pérez-Lloret
Rotigotine, a nonergot dopamine agonist, has been developed as a novel transdermal formulation. The rotigotine transdermal patch has received EMA and FDA marketing authorization for the treatment of adult patients with early or advanced Parkinson's disease or with moderate-to-severe restless legs syndrome (RLS). This review comprises an overview of the pharmacokinetics, the pharmacodynamics and the clinical efficacy and safety of the rotigotine transdermal patch for RLS. Its source material was identified by a PubMed search for the terms ‘rotigotine' and ‘RLS'. The rotigotine transdermal patch demonstrates clinical efficacy alongside a good tolerability profile. Application site reactions were the most frequent adverse events, and they were considered mild to moderate in the majority of cases. In summary, the rotigotine transdermal patch offers a safe and efficacious alternative for the treatment of RLS. Further studies should focus on the possibility that continuous dopamine stimulation by means of transdermal patches might have an influence on RLS augmentation rates.
罗替戈汀是一种非麦角多巴胺激动剂,已被开发为一种新的透皮制剂。罗替戈汀透皮贴片已获得EMA和FDA的上市许可,用于治疗早期或晚期帕金森病或中度至重度不宁腿综合征(RLS)的成年患者。本文综述了罗替戈汀透皮贴剂治疗RLS的药代动力学、药效学、临床疗效和安全性。通过PubMed搜索“rotigotine”和“RLS”,可以确定其来源材料。罗替戈汀透皮贴片具有良好的耐受性和临床疗效。应用部位反应是最常见的不良事件,在大多数情况下被认为是轻度至中度的。总之,罗替戈汀透皮贴片为治疗RLS提供了一种安全有效的替代方法。进一步的研究应该关注通过透皮贴片持续刺激多巴胺对RLS增强率的影响。
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引用次数: 1
Adenostoma fasciculatum, California Chamise: Chemistry and Use in Skin Conditions 束状腺瘤,加利福尼亚紫菀:化学和在皮肤状况中的使用
Pub Date : 2014-05-14 DOI: 10.1159/000362630
Alexis Bouttemy, Osvaldo Ruiter Faria Filho, J. D. Adams, T. Williams
Adenostoma fasciculatum is used traditionally to treat skin conditions such as eczema. The plant was found to contain monoterpenoids, including hydroquinone and geranial. Other terpenoids were found, including the triterpenoids 7α-hydroxybaruol and glutinol, the diterpenoids thalianol and thaliandiol as well as the steroids suberosol and campesterol. The new compound, 7α-hydroxybaruol, was further analyzed by two-dimensional nuclear magnetic resonance (NMR) imaging, 13C NMR and high-resolution high-performance liquid chromatography combined with mass spectrometry. A balm was made from the plant with olive oil and bees wax. Several patients tried the balm and reported improvements in Adams disease, eczema symptoms and seborrhea within 1 week.
束状腺瘤通常用于治疗湿疹等皮肤病。这种植物被发现含有单萜类化合物,包括对苯二酚和天竺葵。还发现了其他萜类化合物,包括三萜- 7α-羟基茴香醇和谷氨酸,二萜-萘烷醇和萘烷二醇,以及类固醇亚油菜醇和油菜醇。通过二维核磁共振(NMR)、13C核磁共振(NMR)和高分辨率高效液相色谱-质谱联用技术对新化合物7α-羟基baruol进行了进一步的分析。人们用橄榄油和蜂蜡制成了一种香膏。几名患者尝试了这种软膏,并在一周内报告了亚当斯病、湿疹症状和脂溢症的改善。
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引用次数: 0
Rapid Treatment of Waist Pain by Nanoscale Electric Stimulation 纳米级电刺激快速治疗腰痛
Pub Date : 2014-05-13 DOI: 10.1159/000362634
Jaehwi Lee, Jae-Youl Cho, K. Kim
The primary purpose of the study was to examine the ability of thin aluminum and copper bands to treat difficulties in moving, such as walking, standing and sitting, due to waist pain. The mechanism behind this therapy is a very weak nanoscale electrical stimulation caused by the electric current flow between aluminum and copper due to a difference in ionization tendency and electronegativity. The bands were firmly attached at the specified area, which was carefully selected based on the nerve connection of the human body. Prompt improvement in those having moving difficulties could be observed. More clinical trials are being conducted to analyze the rapid effect of nanoelectric current on the treatment of pain.
这项研究的主要目的是检查薄铝和铜带治疗由于腰痛导致的行走、站立和坐姿等活动困难的能力。这种疗法背后的机制是由于电离倾向和电负性的差异,铝和铜之间的电流流动引起的非常微弱的纳米级电刺激。根据人体的神经连接,精心选择特定区域,将绑带牢固地固定在指定区域。行动困难的病人可迅速得到改善。更多的临床试验正在进行,以分析纳米电流在治疗疼痛方面的快速效果。
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引用次数: 1
Targeting Neurogenesis: A Promising Therapeutic Strategy for Post-Stroke Treatment with Chinese Herbal Medicine 靶向神经发生:中草药治疗脑卒中后的一个有前景的治疗策略
Pub Date : 2014-05-10 DOI: 10.1159/000362638
Jiangang Shen, Xing-miao Chen, X. Chen, R. Deng
Recent progress suggests that neural stem/progenitor cells can potentially develop into new functional neurons in adult brain, offering hope for regeneration therapies for stroke treatment. Targeting adult neurogenesis becomes a novel and promising therapeutic strategy for brain repair and recovery of neurological functions. Traditional Chinese Medicine (TCM) has a long history with accumulated experiences and case reports using herbal formulas to treat stroke disability. The combination of Chinese herbal medicine and stem cell biology approaches provides great potential for post-stroke rehabilitations. In the last decade, large efforts have been made to investigate the molecular targets for the regulation of adult neurogenesis and to explore the active compounds and molecular targets of herbal medicine for regeneration therapy. Herein, we reviewed the current progress concerning the molecular targets and cellular signaling pathways involved in adult neurogenesis after cerebral ischemia. We then briefly introduced Chinese medical theory and herbs for stroke treatment in TCM. Finally, we reviewed the current knowledge about the effects of Chinese herbal formulas, active fractions and active compounds on promoting adult neurogenesis as well as their molecular targets. Although the precise mechanisms and molecular targets of herbal medicine for neurogenesis are still unclear, current progress at least provides a cue for exploring the therapeutic principles of Chinese herbal medicine and developing new drugs for brain repair after stroke.
最近的进展表明,神经干/祖细胞可能在成人大脑中发育成新的功能神经元,为中风治疗的再生疗法提供了希望。靶向成体神经发生是一种新颖而有前途的脑修复和神经功能恢复治疗策略。中医药历史悠久,利用中药方剂治疗脑卒中致残积累了丰富的经验和病例报告。中草药与干细胞生物学方法的结合为中风后康复提供了巨大的潜力。近十年来,人们对成人神经发生调控的分子靶点进行了大量的研究,并探索了用于再生治疗的草药活性化合物和分子靶点。本文就脑缺血后成人神经发生的分子靶点和细胞信号通路的研究进展进行综述。然后简要介绍中医治疗中风的中医理论和中药。最后,综述了近年来有关中药制剂、活性组分和活性化合物促进成人神经发生的作用及其分子靶点的研究进展。虽然草药神经发生的确切机制和分子靶点尚不清楚,但目前的进展至少为探索中草药治疗原理和开发中风后脑修复新药提供了线索。
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引用次数: 10
Inclusion of Integrative Medicine in Clinical Practice 将中西医结合纳入临床实践
Pub Date : 2014-05-01 DOI: 10.1159/000362628
Weidong Pan, Hua Zhou
Most Western medicines are synthetic chemical products that come with side effects for patients, and therefore, our modern medical system needs to be optimized. A new concept called integrative medicine represents a more comprehensive system for understanding our body in a holistic fashion in terms of analyzing, evaluating and treating complex diseases successfully. Integrative medicine may be the combination of Western medicine and complementary/alternative medicine (CAM) [1] in the United States and Europe, and in China, it might consist of integrated traditional Chinese medicine (TCM) and Western medicine [2] .
大多数西药是合成的化学产品,对患者有副作用,因此,我们的现代医疗体系需要优化。一种被称为综合医学的新概念代表了一种更全面的系统,以整体的方式了解我们的身体,成功地分析、评估和治疗复杂的疾病。在美国和欧洲,中西医结合可能是西医和补充/替代医学(CAM)的结合,而在中国,中西医结合可能是中医(TCM)和西医结合。
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引用次数: 24
期刊
Integrative medicine international
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