背景:多器官功能障碍,尤其是脓毒症相关的多器官损伤,仍然是感染晚期高死亡率的主要原因,也是巨大的临床挑战。近年来,天然药物因其价格低廉而受到广泛关注,来源广泛,高功效,低毒性,和有限的副作用。石蒜碱,从石蒜科提取的天然化合物,表现出多种药理活性,包括调节自噬和诱导癌细胞凋亡,并具有抗炎作用,抗真菌药,抗病毒,抗疟药,和抗肿瘤活性。然而,关于石蒜碱的研究主要集中在其抗肿瘤特性上,以及对其用于器官保护的研究,尤其是在败血症相关的器官损伤中,相对有限。
目的:综述和探讨石蒜碱治疗多器官功能障碍的作用和机制,尤其是脓毒症.
方法:在电子数据库中检索文献,比如WebofScience,科学直接,PubMed,谷歌学者,还有Scopus,使用“石蒜碱”进行,\'石蒜科\',\'药理学\',\'药代动力学\',\'抗炎\',\'自噬\',\'细胞凋亡\',\'抗微生物和抗寄生虫\',\'抗肿瘤\',\'器官保护\',和“脓毒症”作为关键字,从上述数据库中提取并进行相关文献。
结果:通过总结现有研究的进展,我们发现,石蒜碱的一般作用涉及自噬的调节和癌细胞凋亡的诱导,和抗炎,抗真菌药,抗病毒,抗疟药,和抗肿瘤作用;通过这些途径,该化合物可以改善器官损伤。此外,lycorine被发现对脓毒症的器官损伤有重要影响。
结论:石蒜碱是一种有前途的天然器官保护剂。本综述将为器官保护治疗提供新的理论依据,尤其是败血症.
BACKGROUND: Multiorgan dysfunction, especially sepsis-related multiorgan damage, remains a major cause of high mortality in the late stages of infection and a great clinical challenge. In recent years, natural drugs have received widespread attention because of their low cost, wide sources, high efficacy, low toxicity, and limited side effects. Lycorine, a natural compound extracted from Amaryllidaceae, exhibits multiple pharmacological activities, including in the regulation of autophagy and the induction of cancer cell apoptosis, and has anti-inflammatory, antifungal, antiviral, antimalarial, and antitumor activities. However, studies on lycorine have mainly focused on its antitumor properties, and research on its use for organ protection, especially in sepsis-related organ injury, is relatively limited.
OBJECTIVE: To
review and discuss the effects and mechanisms of lycorine in the treatment of multi-organ dysfunction, especially sepsis.
METHODS: Literature searches in electronic databases, such as Web of Science, Science Direct, PubMed, Google Scholar, and Scopus, were performed using \'Lycorine\', \'Amaryllidaceae\', \'Pharmacology\', \'Pharmacokinetics\', \'Anti-inflammation\', \'Autophagy\', \'Apoptosis\', \'Anti-microbial and anti-parasitic\', \'Antitumor\', \'Organ protection\', and \'Sepsis\' as keywords, the correlated literature was extracted and conducted from the databases mentioned above.
RESULTS: By summarizing the progress made in existing research, we found that the general effects of lycorine involve the regulation of autophagy and the induction of cancer cell apoptosis, and anti-inflammatory, antifungal, antiviral, antimalarial, and antitumor effects; through these pathways, the compound can ameliorate organ damage. In addition, lycorine was found to have an important effect on organ damage in sepsis.
CONCLUSIONS: Lycorine is a promising natural organ protective agent. This
review will provide a new theoretical basis for the treatment of organ protection, especially in sepsis.