anti-inflammatory agents

抗炎药
  • 文章类型: Journal Article
    为了提高药物发现的成功率,一个实用的策略是开始分子杂交。在单个单元中两个或更多个药效团的存在导致药理学效力大于每个单独部分的效力的总和。杂环化合物在自然界中分布非常广泛,对生命活动至关重要。苯并咪唑和恶二唑是药物化学中的特权结构,由于其广泛的生物学特性而被广泛用于药物发现和开发。通过分子杂交方法,苯并咪唑-恶二唑嵌合分子可以改善单个支架的药物样特性(如药代动力学和药效学)。苯并咪唑和恶二唑核可以稠合或使用官能团/键并入。在过去的几十年里,药物发现科学家预测,这些部分可以相互连接,产生一种新的或修饰的杂合化合物。苯并咪唑和恶二唑杂种被确定为最有效的抗癌,抗菌,抗炎,抗氧化剂,抗惊厥药,抗抑郁药,抗高血压和抗结核药。在这种情况下,本综述描述了苯并咪唑-恶二唑(1,3,4和1,2,4)杂种的生物学特性,它们可能的结构-活性关系和作用机制研究。这篇综述文章旨在激发新的想法,以寻找更活跃,毒性更小的苯并咪唑-恶二唑混合前瞻性治疗候选药物的合理设计,以及更有效的诊断试剂和病理探针。
    To increase the success rate of drug discovery, one practical strategy is to begin molecular hybridisation. The presence of two or more pharmacophores in a single unit leads to a pharmacological potency greater than the sum of each individual moiety\'s potency. Heterocyclic compounds are very widely distributed in nature and are essential for life activities. Benzimidazole and oxadiazole are privileged structures in medicinal chemistry and are widely used in drug discovery and development due to their vast biological properties. The drug-like properties (like pharmacokinetics and pharmacodynamics) of the individual scaffolds can be improved by benzimidazole-oxadiazole chimeric molecules via a molecular hybridisation approach. Benzimidazole and oxadiazole cores can either be fused or incorporated using either functional groups/bonds. Over the last few decades, drug discovery scientists have predicted that these moieties could be interconnected to yield a novel or modified hybrid compound. Benzimidazole and oxadiazole hybrids were identified as the most potent anticancer, antimicrobial, anti-inflammatory, antioxidant, anticonvulsant, antidepressant, antihypertensive and antitubercular agents. In this context, the present review describes the biological properties of benzimidazole-oxadiazole (1,3,4 and 1,2,4) hybrids, their possible structure-activity relationship and the mechanism of action studies presented. This review article is intended to stimulate fresh ideas in the search for rational designs of more active and less toxic benzimidazole-oxadiazole hybrid prospective therapeutic candidates, as well as more effective diagnostic agents and pathologic probes.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:茶多酚(TP),绿茶的主要成分,具有显著的抗氧化和抗炎特性。然而,它们的治疗潜力是有限的,由于低吸收和低生物利用度。为了解决这一限制并提高其功效,我们通过将血小板膜(PM)包被在聚乳酸-羟基乙酸共聚物(PLGA)纳米颗粒(NPs)上,开发了一种仿生纳米平台,从而为TPs(PM@TP/NPs)提供靶向给哮喘炎症组织的载体.
    方法:合成并表征PM@TP/NP后,我们通过细胞活力试验评估了它们的生物相容性和生物安全性,溶血试验,体内和体外炎症分析。然后使用HDM诱导的哮喘的小鼠模型评价PM@TP/NP对哮喘的治疗作用。此外,PM@TP/NPs介导的活性氧(ROS)清除能力,以及信号通路的激活,通过流式细胞术在HBE细胞和哮喘小鼠中进行分析,RT-qPCR,和西方印迹。
    结果:与免费TP相比,PM@TP/NP在体外和体内均表现出优异的生物相容性和安全性,以及增强在发炎的肺中的保留。在HDM诱导的小鼠哮喘模型中,与游离TP相比,吸入PM@TP/NP大大减轻了肺部炎症,并减少了肺部2型促炎细胞因子的分泌。PM@TP/NP对哮喘的治疗作用可能与增强的ROS清除能力有关,Nrf2/HO-1通路的激活增加,并降低了肺中CCL2/MAPK和TLR4/NF-κB通路的激活。
    结论:我们的发现表明,吸入PM@TP/NPs在很大程度上减轻了HDM诱导的哮喘小鼠的肺部炎症。这些结果表明PM@TP/NP可能是哮喘的一种新的治疗策略。
    BACKGROUND: Tea polyphenols (TPs), prominent constituents of green tea, possess remarkable antioxidant and anti-inflammatory properties. However, their therapeutic potential is limited due to low absorption and poor bioavailability. To address this limitation and enhance their efficacy, we developed a biomimetic nanoplatform by coating platelet membrane (PM) onto poly-lactic-co-glycolic acid (PLGA) nanoparticles (NPs) to create targeted delivery vehicles for TPs (PM@TP/NPs) to the inflamed tissues in asthma.
    METHODS: After synthesizing and characterizing PM@TP/NPs, we assessed their biocompatibility and biosafety through cell viability assays, hemolysis tests, and inflammation analysis in vivo and in vitro. The therapeutic effect of PM@TP/NPs on asthma was then evaluated using a mouse model of HDM-induced asthma. Additionally, PM@TP/NPs-mediated reactive oxygen species (ROS) scavenging capacity, as well as the activation of signaling pathways, were analyzed in HBE cells and asthmatic mice via flow cytometry, RT-qPCR, and western blotting.
    RESULTS: Compared with free TPs, PM@TP/NPs demonstrated excellent biocompatibility and safety profiles in both in vitro and in vivo, as well as enhanced retention in inflamed lungs. In HDM-induced mouse asthma model, inhaled PM@TP/NPs largely attenuated lung inflammation and reduced the secretion of type 2 pro-inflammatory cytokines in the lungs compared to free TPs. The therapeutic effects of PM@TP/NPs on asthma might be associated with an enhanced ROS scavenging capacity, increased activation of the Nrf2/HO-1 pathway, and decreased activation of the CCL2/MAPK and TLR4/NF-κB pathway in the lungs.
    CONCLUSIONS: Our findings demonstrate that inhalation of PM@TP/NPs largely attenuated lung inflammation in HDM-induced asthmatic mice. These results suggest that PM@TP/NPs might be a novel therapeutic strategy for asthma.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    网状网克雷布。和甘草,豆科,已被用作泰国草药配方中的活性成分,用于治疗发烧和皮肤病。
    评估开发的草药凝胶制剂的物理化学和药理特性,该制剂含有来自D.reticulata茎木和G.glabra根(RGF)的组合提取物。
    通过评估抗炎,研究了含有RGF(8%w/w)作为活性成分的草药凝胶制剂的潜力,抗氧化剂,使用定量逆转录-聚合酶链反应测定和抗金黄色葡萄球菌活性,分光光度法,和肉汤微量稀释技术,分别。生物测试的参考标准包括Nω-硝基-L-精氨酸(L-NA),抗坏血酸,儿茶素,和青霉素G。通过加热-冷却测试(在45°C下24小时和在4°C下24小时/1个循环;6个循环)进行RGF草药凝胶的稳定性研究,并通过HPLC技术研究了中药凝胶中的生物活性标记化合物。
    RGF显示出有希望的药理作用,特别是其抗炎特性(IC5073.86µg/mL),与L-NA(IC5047.10µg/mL)相比。含有RGF的凝胶具有抗炎作用(IC50为3.59mg/mL)和清除自由基的作用(IC50为0.05-4.39mg/mL),而它没有反S。金黄色葡萄球菌活性(MIC>10mg/mL)。开发的草药凝胶中的活性成分通过下调iNOSmRNA水平来显着抑制脂多糖诱导的一氧化氮产生。稳定性测试后,RGF凝胶中生物活性标记物(羽扇豆林和光吡啶)的含量没有显着变化。
    含RGF的凝胶具有作为治疗皮肤炎症的草药产品进一步开发的潜力。
    UNASSIGNED: Derris reticulata Craib. and Glycyrrhiza glabra L., of the Fabaceae, have been used as active components in Thai herbal formulas for the treatment of fever and skin diseases.
    UNASSIGNED: To evaluate the physicochemical and pharmacological properties of the developed herbal gel formulation containing the combined extract from D. reticulata stem wood and G. glabra root (RGF).
    UNASSIGNED: The potential of the herbal gel formulation containing RGF (8% w/w) as the active ingredient was studied by evaluating the anti-inflammatory, antioxidant, and anti-Staphylococcus aureus activities using quantitative reverse transcription-polymerase chain reaction assay, spectrophotometric method, and broth microdilution technique, respectively. The reference standards for the biological testing included Nω-nitro-L-arginine (L-NA), ascorbic acid, catechin, and penicillin G. The stability study of the RGF herbal gel was performed by a heating-cooling test (at 45 °C for 24 h and at 4 °C for 24 h/1 cycle; for 6 cycles), and the bioactive marker compounds in the herbal gel were investigated by the HPLC technique.
    UNASSIGNED: RGF showed promising pharmacological effects, particularly on its anti-inflammatory property (IC50 73.86 µg/mL), compared to L-NA (IC50 47.10 µg/mL). The RGF-containing gel demonstrated anti-inflammatory (IC50 3.59 mg/mL) and free radical scavenging effects (IC50 0.05-4.39 mg/mL), whereas it had no anti-S. aureus activity (MIC > 10 mg/mL). The active ingredient in the developed herbal gel significantly inhibited lipopolysaccharide-induced nitric oxide production by downregulating iNOS mRNA levels. The contents of the bioactive markers in the RGF gel (lupinifolin and glabridin) did not change significantly after stability testing.
    UNASSIGNED: The RGF-containing gel has potential to be further developed as an herbal product for the treatment of skin inflammation.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    Thrombosis and inflammation are primary contributors to the onset and progression of ischemic stroke. The contact-kinin pathway, initiated by plasma kallikrein (PK) and activated factor XII (FXIIa), functions bidirectionally with the coagulation and inflammation cascades, providing a novel target for therapeutic drug development in ischemic stroke. In this study, we identified a bat-derived oligopeptide from Myotis myotis (Borkhausen, 1797), designated LE6 (Leu-Ser-Glu-Glu-Pro-Glu, 702 Da), with considerable potential in stroke therapy due to its effects on the contact kinin pathway. Notably, LE6 demonstrated significant inhibitory effects on PK and FXIIa, with inhibition constants of 43.97 μmol/L and 6.37 μmol/L, respectively. In vitro analyses revealed that LE6 prolonged plasma recalcification time and activated partial thromboplastin time. In murine models, LE6 effectively inhibited carrageenan-induced mouse tail thrombosis, FeCl 3-induced carotid artery thrombosis, and photochemically induced intracerebral thrombosis. Furthermore, LE6 significantly decreased inflammation and stroke injury in transient middle cerebral artery occlusion models. Notably, the low toxicity, hemolytic activity, and bleeding risk of LE6, along with its synthetic simplicity, underscore its clinical applicability. In conclusion, as an inhibitor of FXIIa and PK, LE6 offers potential therapeutic benefits in stroke treatment by mitigating inflammation and preventing thrombus formation.
    血栓形成和炎症是缺血性脑卒中的主要病因。由于血浆激肽释放酶(PK)和凝血因子XII(FXIIa)启动的接触-激肽通路与凝血和炎症级联反应具有双向作用,因此,为缺血性脑卒中治疗药物的开发提供了方向。该研究发现蝙蝠( Myotis myotis)源蛋白序列的寡肽 LE6(Leu-Ser-Glu-Glu-Pro-Glu,702 Da)能高效抑制PK 和 FXIIa 的活性,抑制常数分别为 43.97 μmol/L和 6.37 μmol/L。这是首次探究的PK和FXIIa双靶点活性抑制的寡肽与缺血性脑卒中治疗的关系。在体外,LE6 可延长血浆复钙和活化部分凝血活酶时间。在小鼠模型中,LE6能抑制卡拉胶诱导的小鼠尾部血栓形成、氯化铁诱导的颈动脉血栓形成和光化学诱导的脑内血栓形成。此外,LE6 还能明显减轻缺血性脑卒中小鼠模型中的炎症和脑缺血损伤。重要的是,LE6 的低毒性、低溶血性和低出血潜能,以及其合成的简易性,都凸显了其潜在的临床应用前景。该研究显示,蝙蝠源寡肽LE6作为FXIIa和PK的抑制剂,通过减少炎症和抑制血栓形成,对中风治疗有益。.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    巨噬细胞在糖尿病溃疡的愈合中起关键作用。葡萄糖水平的持续升高会损害巨噬细胞的胰岛素信号通路,导致功能失调的巨噬细胞难以从促炎(M1)过渡到修复(M2)状态。因此,通过胰岛素途径调节巨噬细胞炎症反应有望治疗糖尿病性溃疡。此外,生物膜的存在阻碍了药物的渗透,所产生的免疫抑制微环境加剧了促炎M1巨噬细胞的持续浸润。因此,我们设计了一系列可溶解的微针(表示为NPF@MN),装载有自组装纳米粒子,可以提供NPF纳米粒子,酸敏感性NPF释放原儿茶醛(PA),具有降血糖和胰岛素样作用,调节巨噬细胞极化为抗炎M2表型。此外,这项研究广泛研究了NPF@MN通过激活胰岛素信号通路加速糖尿病溃疡愈合的机制。通过RNA-seq和GSEA分析,我们发现途径相关因子如IR的表达减少,IRS-1、IRS-2和SHC。我们的工作提出了一种针对糖尿病溃疡胰岛素途径的创新治疗方法,并强调了其在临床管理中的转化潜力。
    Macrophages play a pivotal role in the healing of diabetic ulcers. The sustained elevation of glucose levels damages the insulin signaling pathway in macrophages, leading to dysfunctional macrophages that struggle to transition from pro-inflammatory (M1) to reparative (M2) states. Therefore, modulating macrophage inflammatory responses via the insulin pathway holds promise for diabetic ulcer treatment. Additionally, the presence of biofilm impedes drug penetration, and the resulting immunosuppressive microenvironment exacerbates the persistent infiltration of pro-inflammatory M1 macrophages. Therefore, we designed an array of dissolvable microneedle (denoted as NPF@MN) loaded with self-assembled nanoparticles that could deliver NPF nanoparticles, acid-sensitive NPF-releasing Protocatechualdehyde (PA) with hypoglycemic and insulin-like effects, regulating macrophage polarization to an anti-inflammatory M2 phenotype. Additionally, this study extensively examined the mechanism by which NPF@MN accelerates the healing of diabetic ulcers through the activation of the insulin signaling pathway. Through RNA-seq and GSEA analysis, we identified a reduction in the expression of pathway-related factors such as IR, IRS-1, IRS-2, and SHC. Our work presents an innovative therapeutic approach targeting the insulin pathway in diabetic ulcers and underscores its translational potential for clinical management.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    Eriodictyol,一种分布在柑橘类水果中的类黄酮,已知显示抗炎活性。在这项研究中,采用去稳定的内侧半月板(DMM)诱导的OA模型,研究麦片醇对OA的保护作用。同时,我们使用IL-1β刺激的人骨关节炎软骨细胞模型来研究灯盏细辛醇对OA的抗炎机制。通过Griess反应检测一氧化氮的产生。用ELISA法检测MMP1、MMP3和PGE2的产生。LXRα的表达,ABCA1,PI3K,AKT,通过蛋白质印迹分析测量NF-κB。结果表明,吴茱萸醇可以减轻DMM诱导的小鼠OA。体外,厄尼替醇抑制IL-1β诱导的NO,人骨关节炎软骨细胞中PGE2、MMP1和MMP3的产生。雌二醇还抑制PI3K的磷酸化,AKT,IL-1β诱导NF-κBp65和IκBα。同时,灯盏醇显著增加LXRα和ABCA1的表达。此外,欧迪克醇通过降低胆固醇含量破坏脂筏的形成。胆固醇补充实验表明,添加水溶性胆固醇可以逆转艾氏醇的抗炎作用。总之,结果表明,艾替多醇通过抑制脂筏的形成抑制IL-1β诱导的人骨关节炎软骨细胞炎症,随后抑制PI3K/AKT/NF-κB信号通路。
    Eriodictyol, a flavonoid distributed in citrus fruits, has been known to exhibit anti-inflammatory activity. In this study, destabilized medial meniscus (DMM)-induced OA model was used to investigate the protective role of eriodictyol on OA. Meanwhile, we used an IL-1β-stimulated human osteoarthritis chondrocytes model to investigate the anti-inflammatory mechanism of eriodictyol on OA. The production of nitric oxide was detected by Griess reaction. The productions of MMP1, MMP3, and PGE2 were detected by ELISA. The expression of LXRα, ABCA1, PI3K, AKT, and NF-κB were measured by western blot analysis. The results demonstrated that eriodictyol could alleviate DMM-induced OA in mice. In vitro, eriodictyol inhibited IL-1β-induced NO, PGE2, MMP1, and MMP3 production in human osteoarthritis chondrocytes. Eriodictyol also suppressed the phosphorylation of PI3K, AKT, NF-κB p65, and IκBα induced by IL-1β. Meanwhile, eriodictyol significantly increased the expression of LXRα and ABCA1. Furthermore, eriodictyol disrupted lipid rafts formation through reducing the cholesterol content. And cholesterol replenishment experiment showed that adding water-soluble cholesterol could reverse the anti-inflammatory effect of eriodictyol. In conclusion, the results indicated eriodictyol inhibited IL-1β-induced inflammation in human osteoarthritis chondrocytes through suppressing lipid rafts formation, which subsequently inhibiting PI3K/AKT/NF-κB signaling pathway.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    痛风是仅次于糖尿病的全球第二大代谢性疾病,以急性痛风性关节炎为最常见症状。黄嘌呤氧化酶(XOD)和NOD样受体-3(NLRP3)炎性体是急性痛风治疗的关键靶点。据报道,绿原酸具有良好的抗炎活性,和芹菜素在XOD抑制中显示出优异的潜力。因此,设计并合成了一系列具有不同接头的绿原酸-芹菜素(CA)缀合物,作为XOD/NLRP3双重抑制剂,并评估了它们在XOD和NLRP3抑制中的活性。XOD抑制活性的体外研究表明,大多数CA缀合物表现出有利的XOD抑制活性。特别是,化合物10c和10d的作用,在芹菜素部分上有一个烷基接头,比别嘌醇强。所选择的CA缀合物在RAW264.7细胞中也显示出有利的抗炎活性。此外,化合物10d,在XOD抑制和抗炎方面均显示出最佳活性,选择并进一步测试其对NLRP3和相关促炎细胞因子的抑制能力。化合物10d有效地减少了NLRP3的表达以及白细胞介素-1β(IL-1β)和肿瘤坏死因子-α(TNF-α)的分泌,其活性强于阳性对照异甘草素(ISL)。基于这些发现,化合物10d具有双重XOD/NLRP3抑制活性,因此,对急性痛风的治疗效果值得进一步研究。
    Gout is the second largest metabolic disease worldwide after diabetes, with acute gouty arthritis as most common symptom. Xanthine oxidase (XOD) and the NOD like receptor-3 (NLRP3) inflammasome are the key targets for acute gout treatment. Chlorogenic acid has been reported with a good anti-inflammatory activity, and Apigenin showed an excellent potential in XOD inhibition. Therefore, a series of chlorogenic acid-apigenin (CA) conjugates with varying linkers were designed and synthesized as dual XOD/NLRP3 inhibitors, and their activities both in XOD and NLRP3 inhibition were evaluated. An in vitro study of XOD inhibitory activity revealed that the majority of CA conjugates exhibited favorable XOD inhibitory activity. Particularly, the effects of compounds 10c and 10d, with an alkyl linker on the apigenin moiety, were stronger than that of allopurinol. The selected CA conjugates also demonstrated a favorable anti-inflammatory activity in RAW264.7 cells. Furthermore, compound 10d, which showed the optimal activity both in XOD inhibition and anti-inflammatory, was chosen and its inhibitory ability on NLRP3 and related proinflammatory cytokines was further tested. Compound 10d effectively reduced NLRP3 expression and the secretion of interluekin-1β (IL-1β) and tumor necrosis factor-α (TNF-α) with an activity stronger than the positive control isoliquiritigenin (ISL). Based on these findings, compound 10d exhibits dual XOD/NLRP3 inhibitory activity and, therefore, the therapeutic effects on acute gout is worthy of further study.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:帕金森病(PD)是一种以氧化应激和神经炎症为特征的进行性神经退行性疾病。Sofalcone(SFC),一种以其抗氧化和抗炎特性而闻名的查尔酮衍生物,临床上广泛用作胃粘膜保护剂。然而,其在PD中的治疗潜力仍有待充分探索。在这项研究中,我们研究了SFC在1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)诱导的PD小鼠模型中的神经保护作用。
    结果:我们发现SFC改善了MPTP诱导的小鼠运动障碍,通过旋转杆和导线测试评估。此外,SFC给药可防止MPTP诱导的多巴胺能神经元的丢失和纹状体变性。随后的研究表明,SFC逆转了MPTP诱导的NRF2下调,降低了活性氧(ROS)和丙二醛(MDA)水平的升高,并增加总抗氧化能力(TAOC)。此外,SFC抑制MPTP诱导的小胶质细胞和星形胶质细胞的活化,下调促炎细胞因子TNF-α,并上调抗炎细胞因子IL-4。此外,SFC改善了MPTP诱导的Ser473处Akt磷酸化的下调。
    结论:这项研究为SFC的神经保护作用提供了证据,强调其抗氧化和抗炎特性及其在PD模型中Akt激活中的作用。这些发现强调了SFC作为PD有希望的治疗候选药物的潜力,保证进一步的临床研究。
    BACKGROUND: Parkinson\'s disease (PD) is a progressive neurodegenerative disorder characterized by oxidative stress and neuroinflammation. Sofalcone (SFC), a chalcone derivative known for its antioxidative and anti-inflammatory properties, is widely used clinically as a gastric mucosa protective agent. However, its therapeutic potential in PD remains to be fully explored. In this study, we investigated the neuroprotective effects of SFC in a 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced PD mouse model.
    RESULTS: We found that SFC ameliorated MPTP-induced motor impairments in mice, as assessed by the rotarod and wire tests. Moreover, SFC administration prevented the loss of dopaminergic neurons and striatal degeneration induced by MPTP. Subsequent investigations revealed that SFC reversed MPTP-induced downregulation of NRF2, reduced elevated levels of reactive oxygen species (ROS) and malondialdehyde (MDA), and increased total antioxidant capacity (TAOC). Furthermore, SFC suppressed MPTP-induced activation of microglia and astrocytes, downregulated the pro-inflammatory cytokine TNF-α, and upregulated the anti-inflammatory cytokine IL-4. Additionally, SFC ameliorated the MPTP-induced downregulation of phosphorylation of Akt at Ser473.
    CONCLUSIONS: This study provides evidence for the neuroprotective effects of SFC, highlighting its antioxidative and anti-inflammatory properties and its role in Akt activation in the PD model. These findings underscore SFC\'s potential as a promising therapeutic candidate for PD, warranting further clinical investigation.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    目的:本研究分析,使用雨伞评论,现有关于预防和控制牙髓术后疼痛的药物的系统评价,以指导专业人员选择最有效的药物。
    方法:在PubMed(MEDLINE)中进行电子搜索,LILACS,SciELO,EMBASE,Scopus,WebofScience,Cochrane评论,数据归档和网络服务(DANS)数据库检索了17项系统评价。该研究仅包括有或没有荟萃分析的临床试验的系统评价,评估药物在非手术牙髓治疗后减轻疼痛的有效性。
    结果:证据表明,类固醇和非甾体抗炎药和阿片类药物可在6至24小时内有效控制疼痛。
    结论:地塞米松,泼尼松龙,扑热息痛,主要是布洛芬提供了更高的术后疼痛缓解。审查的证据质量从很低到很高,偏见的风险从低到高,这表明需要精心设计的临床试验来提供确证的证据。
    结论:本综述强调制定牙髓治疗后疼痛控制方案的有效性。
    OBJECTIVE: This study analyzed, using an umbrella review, existing systematic reviews on medications to prevent and control postoperative endodontic pain to guide professionals in choosing the most effective drug.
    METHODS: An electronic search in the PubMed (MEDLINE), LILACS, SciELO, EMBASE, Scopus, Web of Science, Cochrane Reviews, and Data Archiving and Networked Services (DANS) databases retrieved 17 systematic reviews. The study included only systematic reviews of clinical trials with or without meta-analyses evaluating effectiveness of medications in reducing pain after non-surgical endodontic treatment.
    RESULTS: The evidence showed that steroidal and non-steroidal anti-inflammatory drugs and opioids effectively controlled pain within six to 24 h.
    CONCLUSIONS: Dexamethasone, prednisolone, paracetamol, and mainly ibuprofen provided higher postoperative pain relief. The quality of evidence of the reviews ranged from very low to high, and the risk of bias from low to high, suggesting the need for well-designed clinical trials to provide confirmatory evidence.
    CONCLUSIONS: This review emphasizes the efficacy of developing protocols for pain control after endodontic therapy.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    本研究旨在探讨槲皮素对关节炎大鼠回肠肠神经系统细胞成分的抗氧化和抗炎作用。大鼠分为5组:对照组(C),关节炎(AIA),用布洛芬(AI)治疗关节炎,用槲皮素(AQ)治疗关节炎,用布洛芬和槲皮素(AIQ)治疗关节炎。回肠被处理用于HuC/D的免疫组织化学技术,降钙素基因相关肽,和血管活性肠多肽。组织学切片的测量,化学发光测定,和总抗氧化能力也被执行。类风湿性关节炎导致神经元密度降低,然而,通过观察到的静脉曲张大小和神经元面积的变化,与对照组相比,神经可塑性机制是明显的。在两个神经丛中主要注意到减少的爪水肿和神经保护作用,AIQ组中HuC/D-IR神经元的密度保存增加证明了这一点。与关节炎相比,AQ组的脂质过氧化水平和爪水肿体积增加,而AIQ组主要显示与对照组相似的结果。与关节炎相关的肠病在胃肠病学领域被证明是重要的,槲皮素和布洛芬的组合显示出有希望的抗炎和神经保护作用。
    This study aimed to investigate the antioxidant and anti-inflammatory properties of quercetin on the cellular components of the Enteric Nervous System in the ileum of rats with arthritis. Rats were distributed into five groups: control (C), arthritic (AIA), arthritic treated with ibuprofen (AI), arthritic treated with quercetin (AQ) and arthritic treated with both ibuprofen and quercetin (AIQ). The ileum was processed for immunohistochemical techniques for HuC/D, calcitonin gene-related peptide, and vasoactive intestinal polypeptide. Measurements in histological sections, chemiluminescence assays, and total antioxidant capacity were also performed. Rheumatoid arthritis resulted in a decrease in neuronal density, yet neuroplasticity mechanisms were evident through observed changes in varicosities size and neuronal area compared to the control group. Reduced paw edema and neuroprotective effects were predominantly noted in both plexuses, as evidenced by the increased density preservation of HuC/D-IR neurons in the AIQ group. The increase of lipoperoxidation levels and paw edema volume in the AQ group was observed compared to the arthritic, whereas the AIQ group mainly showed similar results to those observed in the control. The enteropathy associated with arthritis proved to be significant in the field of gastroenterology, and the combination of quercetin and ibuprofen demonstrated promising anti-inflammatory and neuroprotective effects.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号