therapeutic applications

治疗应用
  • 文章类型: Journal Article
    背景:Germacrone,一种天然存在的活性化合物,存在于从姜科植物中提取的精油中,它的潜在治疗应用引起了人们的注意。广泛的研究强调了它的多目标能力,将其定位为各种慢性疾病的有希望的治疗方法,包括癌症,心血管疾病,和神经退行性疾病如阿尔茨海默病。
    目的:这篇综述旨在全面概述germacrone作为一种支架,用于开发具有针对一系列慢性疾病的治疗潜力的多靶向药物。该研究深入研究了germacrone治疗效果的分子机制,并探索了其潜在靶标,包括NF-κB,PI3K/AKT/mTOR,p53,JAK/STAT,caspase,凋亡,和自噬诱导。
    方法:对文献数据库进行了系统综述,以收集有关germacone及其治疗应用的相关研究。研究了germacrone的分子机制和潜在靶标,以阐明其多靶向能力。
    结果:Germacrone在慢性疾病的治疗中表现出巨大的潜力,已证明对各种细胞途径有影响。这篇综述强调了它对NF-κB的影响,PI3K/AKT/mTOR,p53,JAK/STAT,caspase,凋亡,和自噬诱导,展示了其在靶向与慢性病相关的多种途径方面的多功能性。Germacrone已成为治疗多种慢性疾病的有希望的候选人。对其多目标能力的理解,再加上它的自然起源,将其定位为开发治疗剂的有价值的支架。
    结论:将沙马酮作为多靶向药物的结构框架的探索提供了一个潜在的途径来提高疗效,同时最大限度地减少潜在的副作用。需要进一步的研究和临床试验来验证germacrone在不同医学环境中的治疗潜力。
    BACKGROUND: Germacrone, a naturally occurring active compound found in essential oils extracted from medicinal plants within the Zingiberaceae family, has garnered attention for its potential therapeutic applications. Extensive research has highlighted its multi-targeting capabilities, positioning it as a promising treatment for various chronic diseases, including cancer, cardiovascular conditions, and neurodegenerative disorders like Alzheimer\'s disease.
    OBJECTIVE: This review aims to provide a comprehensive overview of germacrone as a scaffold for developing multi-targeting drugs with therapeutic potential against a range of chronic disorders. The study delves into the molecular mechanisms that underlie the therapeutic effects of germacrone and explores its potential targets, including NF-κB, PI3K/AKT/mTOR, p53, JAK/STAT, caspase, apoptosis, and autophagy induction.
    METHODS: A systematic review of literature databases was conducted to gather relevant studies on germacrone and its therapeutic applications. The molecular mechanisms and potential targets of germacrone were examined to elucidate its multi-targeting capabilities.
    RESULTS: Germacrone exhibits significant potential in the management of chronic diseases, with demonstrated effects on various cellular pathways. The review highlights its impact on NF-κB, PI3K/AKT/mTOR, p53, JAK/STAT, caspase, apoptosis, and autophagy induction, showcasing its versatility in targeting multiple pathways associated with chronic conditions. Germacrone has emerged as a promising candidate for the treatment of diverse chronic diseases. The understanding of its multi-targeting capabilities, coupled with its natural origin, positions it as a valuable scaffold for developing therapeutics.
    CONCLUSIONS: The exploration of germacrone as a structural framework for multi-targeting drugs offers a potential avenue to enhance efficacy while minimizing potential side effects. Further research and clinical trials are warranted to validate the therapeutic potential of germacrone in diverse medical contexts.
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  • 文章类型: Journal Article
    我们对间充质干细胞(MSCs)及其生物学特性的了解正在稳步增长,随着越来越多的研究关注它们在免疫学领域的治疗效果,组织工程和再生医学。MSCs可能来自组织如骨髓,脂肪,脐带,以及来自牙齿组织(例如,牙胚,牙囊,脱落的乳牙和恒牙的牙髓组织,顶端乳头,牙周膜,牙龈,和牙槽骨)。牙龈间充质干细胞(GMSC)是从牙龈固有层分离的非造血成体干细胞。当与从各种牙齿和非牙齿组织纯化的MSC相比时,GMSCs来源更丰富,相对非侵入性获得,基因稳定。近年来,许多研究发现GMSCs具有自我更新的能力,多方向分化,和趋化性到炎症部位进行免疫调节。它们的分子和干细胞特性使它们非常适合临床前和临床研究。由GMSC分泌的细胞外囊泡(EV)由于其模拟GMSC自身的生物学和治疗活性的能力而具有关键兴趣。因此,本文将回顾目前关于GMSC的共识,调查它们的来源和隔离方法,它们的生物学特性,以及它们在炎症和免疫相关疾病中的治疗应用。
    Our understanding of mesenchymal stem cells (MSCs) and their biological properties is steadily increasing, with more studies focusing on their therapeutic effects in the domains of immunology, tissue engineering and regenerative medicine. MSCs may be derived from tissues such as bone marrow, adipose, the umbilical cord, as well as from dental tissues (e.g., tooth germ, dental follicle, pulp tissue of exfoliated deciduous and permanent teeth, apical papilla, periodontal ligament, gingiva, and alveolar bone). Gingival mesenchymal stem cells (GMSCs) are non-hematopoietic adult stem cells isolated from the gingival lamina propria. When compared to MSCs purified from various dental and non-dental tissues, GMSCs are more abundant in source, relatively non-invasive to obtain, and genetically stable. In recent years, many studies have found that GMSCs possess the ability of self-renewal, multi-directional differentiation, and chemotaxis to inflammatory sites for immunity regulation. Their molecular and stem-cell properties make them highly suitable for both preclinical and clinical research. Extracellular vesicles (EVs) secreted by GMSCs are of key interest due to their ability to emulate the biological and therapeutic activity of GMSCs themselves. This paper will therefore review the current consensus on GMSCs, surveying their sources and isolation methods, their biological properties, and their therapeutic applications on inflammatory and immune-related diseases.
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  • 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
    几丁质和壳聚糖主要来自甲壳类动物的外骨骼,昆虫,和真菌。几丁质是仅次于纤维素的第二丰富的生物聚合物,它是一种纤维多糖,在胃中抵抗酶降解,但在结肠中经历微生物发酵,产生有益的代谢产物。壳聚糖,在碱性小肠中更易溶,更容易受到酶的作用。两种生物聚合物都显示出有限的血液吸收,更小的颗粒表现出更好的生物利用度。健康影响包括抗炎特性,免疫系统调节的潜力,对胆固醇水平的影响,和抗菌作用,特别关注对肠道健康的影响。几丁质和壳聚糖通过与免疫细胞相互作用而表现出抗炎特性,影响细胞因子的产生,调节免疫反应,这可能有利于以慢性炎症为特征的疾病。这些生物聚合物可以通过与膳食脂肪结合并减少脂质吸收来影响胆固醇水平。此外,它们的抗菌特性通过控制有害病原体和促进有益的肠道微生物群而有助于肠道健康。本文综述了甲壳素和壳聚糖的广泛健康益处和应用。提供对其化学成分的详细检查,膳食来源,和应用,并在人类福祉的背景下批判性地评估其促进健康的影响。
    Chitin and chitosan are mostly derived from the exoskeletons of crustaceans, insects, and fungi. Chitin is the second most abundant biopolymer after cellulose, and it is a fibrous polysaccharide which resists enzymatic degradation in the stomach but undergoes microbial fermentation in the colon, producing beneficial metabolites. Chitosan, which is more soluble in the alkaline small intestine, is more susceptible to enzymatic action. Both biopolymers show limited absorption into the bloodstream, with smaller particles exhibiting better bioavailability. The health effects include anti-inflammatory properties, potential in immune system modulation, impacts on cholesterol levels, and antimicrobial effects, with a specific focus on implications for gut health. Chitin and chitosan exhibit anti-inflammatory properties by interacting with immune cells, influencing cytokine production, and modulating immune responses, which may benefit conditions characterized by chronic inflammation. These biopolymers can impact cholesterol levels by binding to dietary fats and reducing lipid absorption. Additionally, their antimicrobial properties contribute to gut health by controlling harmful pathogens and promoting beneficial gut microbiota. This review explores the extensive health benefits and applications of chitin and chitosan, providing a detailed examination of their chemical compositions, dietary sources, and applications, and critically assessing their health-promoting effects in the context of human well-being.
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  • 文章类型: Journal Article
    红细胞,也被称为红细胞(RBC),作为潜在的药物输送载体,由于其固有的特性,如生物相容性,生物降解性,延长循环半衰期。本文对红细胞在给药过程中的作用进行了全面的综述,阐明在提供各种治疗剂方面的最新进展,包括小分子,核酸,抗体,蛋白质酶,和纳米粒子。系统地讨论了将药物包封在红细胞内的两种主要策略:内部负载和表面负载。每种策略在药物稳定性和释放动力学方面都具有独特的优势。值得注意的是,红细胞膜伪装纳米载体的利用有望增强常规纳米颗粒的生物相容性并促进靶向药物递送。此外,研究了基于红细胞的药物递送系统的广泛的生物医学应用,从癌症治疗到糖尿病管理,预防血栓形成,和免疫疗法。这篇综述提供了对当前红细胞载药技术的综合评价。突出优势,弱点,以及在各种疾病背景下推进治疗干预的未来方向。
    Erythrocytes, also known as red blood cells (RBCs), have garnered considerable attention as potential carriers for drug delivery, owing to their inherent properties such as biocompatibility, biodegradability, and prolonged circulation half-life. This paper presents a comprehensive overview of the role of erythrocytes in drug delivery, elucidating recent advancements in delivering a diverse array of therapeutic agents, including small molecules, nucleic acids, antibodies, protein enzymes, and nanoparticles. Two primary strategies for encapsulating drugs within erythrocytes are systematically discussed: internal loading and surface loading. Each strategy offers distinct advantages in terms of drug stability and release kinetics. Notably, the utilization of erythrocyte membrane camouflaged nanocarriers holds promise for enhancing the biocompatibility of conventional nanoparticles and facilitating targeted drug delivery. Furthermore, the broad spectrum of biomedical applications of erythrocyte-based drug delivery systems are examined, ranging from cancer treatment to diabetes management, thrombosis prevention, and immunotherapy. This review provides a comprehensive evaluation of current technologies in erythrocyte-loaded drug delivery, highlighting the strengths, weaknesses, and future directions for advancing therapeutic interventions in various disease contexts.
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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: Journal Article
    近年来,噬菌体展示技术在临床研究中已变得至关重要。它有助于产生可以特异性结合复杂抗原的抗体,这对于识别生物标志物和改善诊断和治疗至关重要。然而,现有的综述往往忽视了它在癌症研究以外领域的重要性。这篇综述旨在通过解释噬菌体展示的基础知识及其在检测和治疗各种非癌性疾病中的应用来填补这一空白。我们特别关注它在退行性疾病中的作用,炎症和自身免疫性疾病,慢性非传染性疾病,显示它如何改变我们诊断和治疗疾病的方式。通过强调重要的发现和未来的可能性,我们希望强调噬菌体展示在现代医疗保健中的重要性。
    In recent years, phage display technology has become vital in clinical research. It helps create antibodies that can specifically bind to complex antigens, which is crucial for identifying biomarkers and improving diagnostics and treatments. However, existing reviews often overlook its importance in areas outside cancer research. This review aims to fill that gap by explaining the basics of phage display and its applications in detecting and treating various non-cancerous diseases. We focus especially on its role in degenerative diseases, inflammatory and autoimmune diseases, and chronic non-communicable diseases, showing how it is changing the way we diagnose and treat illnesses. By highlighting important discoveries and future possibilities, we hope to emphasize the significance of phage display in modern healthcare.
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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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