therapeutic applications

治疗应用
  • 文章类型: Journal Article
    植物正在被研究作为新药的潜在来源,这导致了最近加速发现新的生物活性化合物。植物化合物合成和加工的组织培养技术的研究迅速发展,超越所有的期望。这些植物可以买到原料或提取物,一些化学物质是通过将植物在水中捣碎来提取的,酒精,或另一种溶剂。草药的使用可能为减少感染的发作和治疗包括癌症在内的不同疾病开辟新的机会。一种在冬天开花的多年生植物,仙客来,是许多国家使用最广泛的盆栽花卉之一。生物碱,黄酮类化合物,酚类物质,单宁,皂苷,固醇,和糖苷是仙客来的主要活性成分。镇痛,细胞毒性,抗氧化剂,抗菌,和抗炎特性都已被证明是仙客来块茎的各种提取物的潜在作用。然而,在官方医学中使用这种药用植物将需要在药理学领域进行进一步研究。此外,有必要为原始草药创建标准的操作程序。在这方面,这篇综述旨在强调仙客来植物的关键特性,比如它的各个部分,物种,发展阶段,和地理范围;查明其有趣的生物活动,它的抗氧化剂,抗炎,及其抗癌作用;并确定其潜在的医疗用途和主要的未来前景。
    Plants are being researched as potential sources of novel drugs, which has led to a recent acceleration in the discovery of new bioactive compounds. Research on tissue culture technology for the synthesis and processing of plant compounds has skyrocketed, surpassing all expectations. These plants can be bought either raw or as extracts, where some of the chemicals are extracted by mashing the plant in water, alcohol, or another solvent. The use of herbal medicine may open new chances for reducing the onset of infections and treating different diseases including cancer. A perennial plant that blooms in the winter, Cyclamen, is one of the most widely used potted flowers in many nations. Alkaloids, flavonoids, phenols, tannins, saponins, sterols, and glycosides are the main active components of Cyclamen. Analgesic, cytotoxic, antioxidant, antimicrobial, and anti-inflammatory properties have all been demonstrated as potential effects of various extracts of Cyclamen tubers. However, the use of this medicinal plant in official medicine will require further research in the areas of pharmacology. Furthermore, it is necessary to create standard operating procedures for a crude herbal medication. In this regard, this review aims to highlight the key characteristics of the Cyclamen plant, such as its various parts, species, stages of development, and geographic range; pinpoint its intriguing bioactivities, its antioxidant, anti-inflammatory, and its anti-cancerous effects; and ascertain its potential medicinal uses and the main future perspectives.
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  • 文章类型: Journal Article
    基因组编辑是一种在细胞或生物体的DNA中进行特定改变的技术。它极大地改变了生命科学的格局,促进建立极其定制的遗传修饰。在各种基因组编辑技术中,CRISPR/Cas9系统,特定的核酸内切酶诱导双链DNA断裂,并能够对基因组进行修饰,已经成为一种强大而适应性强的工具。它的重要性怎么强调都不为过,因为它不仅允许在模型生物中操纵基因组,而且在医学上具有革命性进步的巨大潜力,特别是在治疗遗传疾病方面。这篇综述论文探讨了CRISPR/Cas9的非凡旅程,它的自然功能,机制,以及对基因组编辑的变革性影响,最后是人工智能和其他智能制造工具的使用。引言提供了基因组编辑的背景,强调CRISPR/Cas9的出现和意义。随后的章节全面阐述了它的自然功能,疾病建模,农业,和生物技术,解决治疗应用,和正在进行的临床试验,同时还讨论前景和伦理影响。我们总结了主要发现,这表明CRISPR/Cas9增强了疾病特异性动物模型的创建能力。这为致病机制提供了宝贵的见解,并为药物发现开辟了新途径,重申CRISPR/Cas9对基因组编辑的变革性影响。最后,我们讨论了继续研究和合作的重要性,以综合利用这种分子精密工具在塑造即将到来的进步中的固有能力。
    Genome editing is a technology to make specific changes in the DNA of a cell or an organism. It has significantly altered the landscape of life sciences, facilitating the establishment of exceedingly customized genetic modifications. Among various genome editing technologies, the CRISPR/Cas9 system, a specific endonuclease induces a double stranded DNA break and enabling modifications to the genome, has surfaced as a formidable and adaptable instrument. Its significance cannot be overstated, as it not only allows for the manipulation of genomes in model organisms but also holds great potential for revolutionary advances in medicine, particularly in treating genetic diseases. This review paper explores the remarkable journey of CRISPR/Cas9, its natural function, mechanisms, and transformative impact on genome editing and finally the use of artificial intelligence and other intelligent manufacturing tools used. The introduction provides the background on genome editing, emphasizing the emergence and significance of CRISPR/Cas9. Subsequent sections comprehensively elucidate its natural function, disease modeling, agriculture, and biotechnology, address therapeutic applications, and ongoing clinical trials while also discussing prospects and ethical implications. We summarized the key findings, indicating that CRISPR/Cas9 has empowered the creation of disease-specific animal models. This provides invaluable insights into pathogenic mechanisms and opens new avenues for drug discovery, reaffirming the transformative impact of CRISPR/Cas9 on genome editing. Finally we discussed the importance of continued research and collaboration for comprehensive utilization of the inherent capabilities of this molecular precision tool in shaping forthcoming advancements.
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  • 文章类型: Case Reports
    这篇综述全面概述了神经外科荧光成像的治疗和诊断意义。荧光成像已成为一种有价值的术中可视化和指导工具,促进精确的手术干预。检查了荧光的治疗作用,包括其在光动力治疗和肿瘤靶向治疗中的应用。它还探索了其在肿瘤检测中的诊断能力,保证金评估,和血脑屏障评估。根据临床和临床前研究,这篇综述强调了越来越多的证据支持荧光成像在神经外科实践中的有效性.此外,它讨论了当前的局限性和未来的方向,强调新兴技术增强荧光成像的实用性和可及性的潜力,最终改善神经外科患者的预后。
    This review provides a comprehensive overview of the therapeutic and diagnostic implications of fluorescence imaging in neurosurgery. Fluorescence imaging has become a valuable intraoperative visualization and guidance tool, facilitating precise surgical interventions. The therapeutic role of fluorescence is examined, including its application in photodynamic therapy and tumor-targeted therapy. It also explores its diagnostic capabilities in tumor detection, margin assessment, and blood-brain barrier evaluation. Drawing from clinical and preclinical studies, the review underscores the growing evidence supporting the efficacy of fluorescence imaging in neurosurgical practice. Furthermore, it discusses current limitations and future directions, emphasizing the potential for emerging technologies to enhance the utility and accessibility of fluorescence imaging, ultimately improving patient outcomes in neurosurgery.
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  • 文章类型: Journal Article
    单克隆抗体(mAb)已成为有效的治疗剂,彻底改变了现代医学的格局。这篇全面的综述追溯了单克隆抗体从成立到目前的突出地位的演变,突出其发展的关键里程碑,并探索其多样化的治疗应用。首先概述了它们的分子结构和作用机理,我们深入研究单克隆抗体的生产和工程,包括杂交瘤技术和重组DNA技术。各种医学学科的治疗应用,包括癌症治疗,自身免疫性疾病,和传染病,进行了详细的检查,展示了单克隆抗体的显著临床成功。此外,这篇综述讨论了制造可扩展性方面的挑战和机遇,成本效益,并获得治疗。展望未来,探讨了单克隆抗体在未来研究和临床实践中的意义,强调下一代单克隆抗体的潜力,个性化医疗,以及与免疫疗法和基因治疗等新兴模式的整合。总之,单克隆抗体的发展突显了它们对医疗保健的变革性影响,以及它们对推进医学前沿的持续承诺。
    Monoclonal antibodies (mAbs) have emerged as potent therapeutic agents, revolutionizing the landscape of modern medicine. This comprehensive review traces the evolution of mAbs from their inception to their current prominence, highlighting key milestones in their development and exploring their diverse therapeutic applications. Beginning with an overview of their molecular structure and mechanisms of action, we delve into the production and engineering of mAbs, including hybridoma technology and recombinant DNA techniques. Therapeutic applications across various medical disciplines, including cancer treatment, autoimmune diseases, and infectious diseases, are examined in detail, showcasing the significant clinical successes of mAbs. Furthermore, this review discusses the challenges and opportunities in manufacturing scalability, cost-effectiveness, and access to therapies. Looking ahead, the implications of mAbs in future research and clinical practice are explored, emphasizing the potential for next-generation mAbs, personalized medicine, and integration with emerging modalities such as immunotherapy and gene therapy. In conclusion, the evolution of monoclonal antibodies underscores their transformative impact on healthcare and their continued promise to advance the frontiers of medicine.
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  • 文章类型: Journal Article
    尽管在理解和应用基因沉默机制以及人类疾病的治疗方面取得了重大进展,在治疗应用中仍然存在一些障碍。第一次,ONPATTRO,2018年发明了第一种基于小干扰RNA(siRNA)的药物,用于治疗多发性神经病的hTTR。此外,另外四种基于siRNA的药物命名为吉沃西兰,Inclisiran,Lumasiran,迄今为止,Vutrisiran和Vutrisiran已被美国食品和药物管理局和欧洲药品管理局批准用于临床使用。在这次审查中,我们已经讨论了基于siRNA的药物在临床前和临床阶段的关键和有希望的进展,这些分子在细菌和病毒感染疾病中的影响,交付系统问题,管理方法的影响,siRNA应用的局限性以及如何克服它们以及对未来发展的一瞥。
    While significant progress has been made in understanding and applying gene silencing mechanisms and the treatment of human diseases, there have been still several obstacles in therapeutic use. For the first time, ONPATTRO, as the first small interfering RNA (siRNA) based drug was invented in 2018 for treatment of hTTR with polyneuropathy. Additionally, four other siRNA based drugs naming Givosiran, Inclisiran, Lumasiran, and Vutrisiran have been approved by the US Food and Drug Administration and the European Medicines Agency for clinical use by hitherto. In this review, we have discussed the key and promising advances in the development of siRNA-based drugs in preclinical and clinical stages, the impact of these molecules in bacterial and viral infection diseases, delivery system issues, the impact of administration methods, limitations of siRNA application and how to overcome them and a glimpse into future developments.
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  • 文章类型: Journal Article
    组蛋白脱乙酰酶(HDAC)是一类锌依赖性酶。它们维持乙酰化稳态,具有许多生物学功能,并与许多疾病有关。HDAC3严格需要多亚基复合物形成以获得活性。它与许多非传染性疾病的进展有关。它在疾病中的广泛参与使其成为表观遗传药物靶标。先前存在的HDAC3抑制剂有许多用途,强调需要继续研究发现HDAC3选择性抑制剂。
    这篇综述概述了2010-2023年发布的24项专利,重点是抑制HDAC3同工酶的化合物。
    HDAC3选择性抑制剂-作为单一或联合疗法的药物应用至关重要-作为摆脱充满并发症的泛HDAC抑制剂的策略,正在获得牵引力。此外,对于具有替代锌结合基团(ZBG)的HDAC3抑制剂存在未满足的需求,因为一些先前存在的ZBG具有与毒性和副作用相关的局限性.实现HDAC3选择性的困难可能是由于同种型选择性。然而,计算机辅助药物设计和HDAC33D共结晶模型的实验数据的进步可能导致发现新型HDAC3选择性抑制剂。具有对HDAC3的选择性和效力平衡的替代ZBG。
    UNASSIGNED: Histone deacetylases (HDACs) are a class of zinc-dependent enzymes. They maintain acetylation homeostasis, with numerous biological functions and are associated with many diseases. HDAC3 strictly requires multi-subunit complex formation for activity. It is associated with the progression of numerous non-communicable diseases. Its widespread involvement in diseases makes it an epigenetic drug target. Preexisting HDAC3 inhibitors have many uses, highlighting the need for continued research in the discovery of HDAC3-selective inhibitors.
    UNASSIGNED: This review provides an overview of 24 patents published from 2010 to 2023, focusing on compounds that inhibit the HDAC3 isoenzyme.
    UNASSIGNED: HDAC3-selective inhibitors - pivotal for pharmacological applications, as single or combination therapies - are gaining traction as a strategy to move away from complications laden pan-HDAC inhibitors. Moreover, there is an unmet need for HDAC3 inhibitors with alternative zinc-binding groups (ZBGs) because some preexisting ZBGs have limitations related to toxicity and side effects. Difficulties in achieving HDAC3 selectivity may be due to isoform selectivity. However, advancements in computer-aided drug design and experimental data of HDAC3 3D co-crystallized models could lead to the discovery of novel HDAC3-selective inhibitors, which bear alternative ZBGs with balanced selectivity for HDAC3 and potency.
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  • 文章类型: Journal Article
    背景药用植物作为治疗和预防疾病和疾病的丰富治疗剂资源的使用已经被认识了几千年,并且在世界范围内受到高度重视。Holarrhena抗痢疾(H.抗痢疾),也叫Kurchi,或者kutaj,从一开始就被利用了,夹竹桃科成员,也被称为毛竹,因其树皮的药用而受到赞誉,叶子,和阿育吠陀的种子。
    目的:本研究集中于关于抗痢疾H.这项研究的目的是确定从链脲佐菌素诱导的糖尿病大鼠中的抗痢疾H。
    方法:无论其广泛的生物学和可能的治疗用途,人们越来越关注使用抗痢疾H.
    结果:近年来已从抗痢疾H.hyper中提取了各种植物化学物质,并显示出典型的药理特性,包括抗菌,抗腹泻,抗糖尿病,抗氧化剂,抗尿路结石,和抗炎活性。.
    结论:这篇综述论文研究了该植物的深入描述和药理特性,这对存在的化学成分产生了重要的发现,也验证了与植物相关的传统声称的特性。
    BACKGROUND: The use of medicinal plants as a rich resource of therapeutic agents in the treatment and prevention of diseases & ailments has been recognized for millennia and is highly regarded worldwide. Holarrhena antidysenterica (H. antidysenterica), also called kurchi, or kutaj, has been utilized since the dawn of time, Apocynaceae member, also known as H. pubescens, is praised for the medicinal uses of its stem bark, leaves, and seeds in Ayurveda.
    OBJECTIVE: The study concentrated on aggregate information regarding H. antidysenterica\'s therapeutic effects. The purpose of the study was to compile pharmacological activities of H. antidysentrica seeds.
    METHODS: Regardless of its broad variety of biological and possible therapeutic uses, there has been increasing concern regarding the use of H. antidysenterica.
    RESULTS: Various phytochemicals have been extracted from H. antidysenterica in recent years and have demonstrated typical pharmacological properties, including antibacterial, anti-diarrhoeal, anti-diabetic, anti-oxidant, anti-urolithic, and anti-inflammatory activity.
    CONCLUSIONS: This review paper investigated the in-depth description and pharmacological properties of the plant, which produced significant findings on the chemical components present and also verified the traditionally claimed properties associated with the plant.
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  • 文章类型: Journal Article
    作为气态第二信使,一氧化氮(NO)在一系列信号通路中起着重要作用。NO调控对各种疾病治疗的研究已引起广泛关注。然而,缺乏准确性,可控,NO的持续释放极大地限制了NO治疗的应用。得益于先进纳米技术的蓬勃发展,已经开发了大量具有可控释放特性的纳米材料,以寻求新的有效的NO纳米递送方法。通过催化反应产生NO的纳米递送系统在NO的精确和持续释放方面表现出独特的优势。虽然具有催化活性的NO递送纳米材料已经取得了一定的成果,一些基本但关键的问题,比如设计的概念,注意力低。在这里,通过催化反应生成NO的概述以及相关纳米材料的设计原理。然后,通过催化反应产生NO的纳米材料被分类。最后,并对催化NO生成纳米材料未来发展的瓶颈和前景进行了深入探讨。
    As a gaseous second messenger, nitric oxide (NO) plays an important role in a series of signal pathways. Research on the NO regulation for various disease treatments has aroused wide concern. However, the lack of accurate, controllable, and persistent release of NO has significantly limited the application of NO therapy. Profiting from the booming development of advanced nanotechnology, a mass of nanomaterials with the properties of controllable release have been developed to seek new and effective NO nano-delivery approaches. Nano-delivery systems that generate NO through catalytic reactions exhibit unique superiority in terms of precise and persistent release of NO. Although certain achievements have been made in the catalytically active NO delivery nanomaterials, some basic but critical issues, such as the concept of design, are of low attention. Herein, an overview of the generation of NO through catalytic reactions and the design principles of related nanomaterials are summarized. Then, the nanomaterials that generate NO through catalytic reactions are classified. Finally, the bottlenecks and perspectives are also discussed in depth for the future development of catalytical NO generation nanomaterials.
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  • 文章类型: Journal Article
    除了常规治疗外,牙医在临床实践中越来越依赖物理治疗方式。这篇文献综述的目的是分析臭氧在现代牙科中的临床相关性和潜在用途。该研究问题旨在详细说明臭氧疗法在一系列牙科专业中的多种潜在应用。根据现有文献,通过PubMed访问,谷歌学者,Scopus,和EBSCO数据库,我们对2001-2022年的电子文献进行了详细的检索.根据纳入和排除标准选择符合条件的研究,使用关键词:臭氧,臭氧疗法,治疗应用,氧化剂,牙科消毒剂,口服药物,牙科的物理治疗。在834份手稿中,273项研究被策划。在最后审议中总共使用了70种出版物。在评估其质量后,对它们进行了分析,以确定臭氧在现代牙科各个方面的相关性和潜在用途。臭氧治疗主要用作主要临床或药物治疗的辅助手段。在一些口腔粘膜疾病的情况下,它已被证明是有效的主要疗法。在文献分析中,有人指出,牙科中的臭氧疗法是正在进行的研究的主题,结果并不总是一致的。文献中关于臭氧在牙科中应用的大量研究反映了对其未发现的物理治疗潜力的探索。
    Apart from conventional treatment, dentists are increasingly relying on physical therapy modalities in their clinical practice. The aim of this literature review is to analyze the clinical relevance and potential uses of ozone in modern dentistry. The research question is geared towards detailing the multiple potential applications of ozone therapy in a range of dental specialties. Based on the available literature, accessed via the PubMed, Google Scholar, Scopus, and EBSCO databases, a detailed search of the electronic literature was performed for 2001-2022. Eligible studies were chosen according to inclusion and exclusion criteria, using keywords: ozone, ozone therapy, therapeutic applications, oxidants, dental disinfectants, oral medicine, physical therapy in dentistry. Out of 834 manuscripts, 273 studies were curated. A total of 70 publications were used in the final consideration. After assessing their quality, they were analyzed to determine the relevance and potential use of ozone in the various aspects of modern dentistry. Ozone therapy is used mainly as an adjunct to the primary clinical or pharmacological treatment. In some cases of oral mucosal disease, it has proven effective as a primary therapy. During the literature analysis, it was noted that ozone therapy in dentistry is a subject of ongoing research, and the results are not always consistent. The multitude of studies in the literature on the applications of ozone in dentistry reflects the search for its undiscovered physical therapeutic potential.
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  • 文章类型: Journal Article
    影像组学越来越多地应用于诊断,管理,和各种泌尿外科条件的结果预测。尿石症是一种常见的良性疾病,发病率和复发率都很高。这次范围审查的目的是评估目前在尿石症中应用影像组学的证据,尤其是它在诊断和治疗中的效用。在PubMed上进行了有关尿石症背景下的影像组学的电子文献检索,EMBASE,和Scopus从成立到2022年3月21日。共纳入7项研究。影像组学已成功应用于尿石症领域,以区分结石和结石,并在术前对结石类型和成分进行分类。更重要的是,它还被用于预测腔内手术后的结局和并发症.尽管影像组学在尿石症中的应用仍处于起步阶段,它有可能大规模实施。其最大的潜力在于与传统的诊断和治疗因素的相关性。
    Radiomics is increasingly applied to the diagnosis, management, and outcome prediction of various urological conditions. Urolithiasis is a common benign condition with a high incidence and recurrence rate. The purpose of this scoping review is to evaluate the current evidence of the application of radiomics in urolithiasis, especially its utility in diagnostics and therapeutics. An electronic literature search on radiomics in the setting of urolithiasis was conducted on PubMed, EMBASE, and Scopus from inception to 21 March 2022. A total of 7 studies were included. Radiomics has been successfully applied in the field of urolithiasis to differentiate phleboliths from calculi and classify stone types and composition pre-operatively. More importantly, it has also been utilized to predict outcomes and complications after endourological procedures. Although radiomics in urolithiasis is still in its infancy, it has the potential for large-scale implementation. Its greatest potential lies in the correlation with conventional established diagnostic and therapeutic factors.
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