Paracetamol

扑热息痛
  • 文章类型: Journal Article
    背景:科学界对在绿色分析化学框架内开发创新方法以满足其分析需求的兴趣越来越大。紫外分光光度法是最有前途的环保方法之一,它与先进的化学计量学工具集成,以增强具有严重重叠信号的复杂混合物分析的选择性。
    目的:同时测定盐酸伪麻黄碱(PSE)的三重组合,马来酸氢氧嘧啶(CRX),和扑热息痛(PAR)使用人工智能系统和多变量校准方法。这种组合最近被推荐用于COVID-19家庭治疗的患者,作为对症治疗的一部分。
    方法:即,建议的模型是:人工神经网络,偏最小二乘,和主成分回归。提出的算法是在五级的帮助下进行优化和发展的,三因素实验设计。
    结果:所研究的方法适用于100-180μg/mL的浓度范围,18-16μg/mL,PSE为4-12μg/mL,CRX,和PAR,分别。模型验证结果证明了良好的回收率(约98%至102%),在常见赋形剂的存在下,所引用化合物的方法具有出色的分辨能力。将研究方法的结果与官方方法进行了统计比较,没有发现显著差异。
    结论:建议的模型被有效地用于确定其组合片剂中的所选药物,而无需任何初始分离步骤。通过绿色工具评估了这些方法对环境的影响,即国家环境方法指数,雷尼和司机的绿色评估方法,分析生态尺度,绿色分析程序索引,和分析绿色指标。
    结论:PSE的绿色化学计量学质量评估,CRX,和PAR的纯和药物剂型。既定的方法是创新的,可持续,聪明,快,选择性,和成本效益。这些模型是在质量控制实验室中对所研究混合物进行常规分析的潜在绿色被提名者。
    BACKGROUND: There is an increasing interest of scientific community in developing innovative methodologies for their analysis needs within green analytical chemistry framework. UV spectrophotometry is one of the most promising eco-friendly methods, which is integrated with advanced chemometric tools to enhance the selectivity of the analysis of complex mixtures with severe overlapped signals.
    OBJECTIVE: Simultaneous determination of a triple-combination of pseudoephedrine hydrochloride (PSE), carbinoxamine maleate (CRX), and paracetamol (PAR) using an artificial intelligence system and multivariate calibration methods. This combination is recently recommended for COVID-19 home-treated patients as part of a symptomatic treatment.
    METHODS: Namely, the suggested models are: Artificial Neural Networks, Partial Least Squares, and Principal Component Regression. The proposed algorithms were optimized and developed with the aid of a five-level, three-factor experimental design.
    RESULTS: The investigated methods were applied over the concentration range of 100-180 μg/mL, 18-16 μg/mL, and 4-12 μg/mL for PSE, CRX, and PAR, respectively. The models validation results demonstrated excellent recoveries (around 98 to 102%), signaling the approaches outstanding resolution capacity for the cited compounds in the presence of common excipients. The outcomes of the studied methods were statistically compared to the official approaches, and no significant difference was found.
    CONCLUSIONS: The suggested models were efficiently employed to determine the selected drugs in their combined tablets without any initial separation steps. The impact of these methods on the environment was evaluated via greenness tools, namely; National Environmental Method Index, Raynie and Driver\'s green assessment method, analytical Eco-Scale, Green Analytical Procedure Index, and Analytical Greenness Metric.
    CONCLUSIONS: Green chemometric quality assessment of PSE, CRX, and PAR in their pure and pharmaceutical dosage forms. The established approaches are innovative, sustainable, smart, fast, selective, and cost-effective. These models are potential green nominees for routine analysis of the investigated mixture in quality control laboratories.
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  • 文章类型: Journal Article
    这项研究使用了一种有袋动物,出生时非常不成熟,其大部分发育是产后没有胎盘保护。RNA测序(RNA-Seq)用于鉴定新生至幼年Monodelphis的大脑中流入和流出转运蛋白(ATP结合盒[ABC]和溶质载体[SLC])和代谢酶的表达。将结果与发育中的Eutherian大鼠的公开数据进行比较。为了测试这些运输者在相似年龄的功能,对乙酰氨基酚(对乙酰氨基酚)进入脑和脑脊液(CSF)的情况是在单次给药后使用液体闪烁计数及其放射性标记示踪剂[3H]测量的.药物渗透性研究发现,在Monodelphis中,对乙酰氨基酚的大脑进入在P5时已经受到限制;它在生命的第一周进一步下降,然后保持稳定,直到测试的最老年龄组(P110).Monodelphis脑的转录组学分析表明,出生后早期(P)幼崽(P0,P5和P8)中转运体及其代谢酶的表达相对相似,但是通过P109,发现了更多的转录本。当比较新生Monodelphis脑和E19大鼠脑和胎盘的转录组时,在新生的Monodelphis脑中也发现了几种存在于大鼠胎盘中的转运蛋白。这些在E19大鼠脑中不存在,但在成年大鼠脑中存在。这些数据表明,尽管它极度不成熟,新生儿Monodelphis大脑可以通过上调保护机制来补偿早期大脑发育过程中胎盘保护的缺乏,而在伊万西亚动物中却存在于胎盘中。
    This study used a marsupial Monodelphis domestica, which is born very immature and most of its development is postnatal without placental protection. RNA-sequencing (RNA-Seq) was used to identify the expression of influx and efflux transporters (ATP-binding cassettes [ABCs] and solute carriers [SLCs]) and metabolizing enzymes in brains of newborn to juvenile Monodelphis. Results were compared to published data in the developing eutherian rat. To test the functionality of these transporters at similar ages, the entry of paracetamol (acetaminophen) into the brain and cerebrospinal fluid (CSF) was measured using liquid scintillation counting following a single administration of the drug along with its radiolabelled tracer [3H]. Drug permeability studies found that in Monodelphis, brain entry of paracetamol was already restricted at P5; it decreased further in the first week of life and then remained stable until the oldest age group tested (P110). Transcriptomic analysis of Monodelphis brain showed that expression of transporters and their metabolizing enzymes in early postnatal (P) pups (P0, P5, and P8) was relatively similar, but by P109, many more transcripts were identified. When transcriptomes of newborn Monodelphis brain and E19 rat brain and placenta were compared, several transporters present in the rat placenta were also found in the newborn Monodelphis brain. These were absent from E19 rat brain but were present in the adult rat brain. These data indicate that despite its extreme immaturity, the newborn Monodelphis brain may compensate for the lack of placental protection during early brain development by upregulating protective mechanisms, which in eutherian animals are instead present in the placenta.
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  • 文章类型: Journal Article
    药物污染物的广泛使用严重威胁着环境和人类福祉。在本研究中,铁酸锌纳米颗粒(ZnFe2O4NPs)已通过共沉淀法合成,并用作光催化剂降解两种最常用的止痛药,吡罗昔康(PXM)和扑热息痛(PCM),通过太阳光下的异质芬顿过程。合成的ZnFe2O4NP显示出较窄的带隙,即1.87eV,表示在可见光范围内有效工作的能力。在光催化应用的背景下,优化操作条件以实现最大降解。PCM和PXM在优化的光催化剂量(20mgL-1)下完全降解(100%),反应时间(180分钟)初始药物浓度(10mgL-1),和pH(6.0),这是接近自然环境。TheextentofmineralizationasestimatedbythereductionofTOCwasobservedtobe~91and82%forPCMandPXMrespectively.动力学研究表明,光催化降解遵循伪一级动力学。此外,在连续五个反应循环后,ZnFe2O4NPs保留了90%的光催化活性,催化剂具有较高的可重用性和稳定性。
    The widespread occurence of pharmaceutical pollutants seriously threatens the environment and human well-being. In the present study, zinc ferrite nanoparticles (ZnFe2O4 NPs) have been synthesized by co-precipitation method and used as photocatalyst for the degradation of two most commonly prescribed painkillers, piroxicam (PXM) and paracetamol (PCM), via heterogeneous Fenton process under the solar light. The synthesized ZnFe2O4 NPs showed a narrower band gap i.e. 1.87 eV, signifying the ability to efficiently work in visible light range. In context of photocatalytic applications, the operational conditions were optimized to achieve maximum degradation. PCM and PXM were completely degraded (100%) at the optimized photocatalytic dose (20 mg L-1), reaction time (180 min), initial drug concentration (10 mg L-1), and pH (6.0), which is close to the natural environment. The extent of mineralization as estimated by the reduction of total organic carbon (TOC) was observed to be ∼91 and 82% for PCM and PXM respectively. Kinetic studies revealed that photocatalytic degradation followed pseudo-first-order kinetics. Moreover, the ZnFe2O4 NPs retained ∼90 % of photocatalytic activity after five consecutive reaction cycles, showing remarkable reusability and stability of catalyst.
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  • 文章类型: Case Reports
    成人发作性斯蒂尔病(AOSD)是一种罕见的自身炎症性疾病,其特征是发热等非特异性症状,斑丘疹,和Arthralgias.尽管医学科学取得了进步,但确切的病因和发病机制仍不清楚。诊断通常使用山口标准建立,其中包括阴性抗核抗体(ANA)测试作为次要标准之一。然而,一些AOSD患者表现出ANA阳性,甚至抗中性粒细胞胞浆抗体(ANCA)阳性,使诊断过程复杂化。我们介绍了一名19岁的雅库特族亚洲妇女的病例,该妇女最初表现出类似上呼吸道感染的症状。实验室测试显示同时存在ANA和ANCA。根据临床表现和山口标准确认AOSD的诊断。随后使用泼尼松龙进行脉冲治疗可获得显着的临床改善和一年的缓解。对文献的回顾表明,AOSD中同时存在ANCA和ANA阳性以前尚未报道。12个月的随访显示没有其他自身免疫性或自身炎症性疾病的证据,提示ANA和ANCA阳性结果可能是AOSD中的假阳性或非典型实验室表现,这应该在诊断中考虑。
    Adult-onset Still\'s disease (AOSD) is a rare autoinflammatory disease characterized by nonspecific symptoms such as fever, maculopapular rash, and arthralgias. The exact etiology and pathogenesis remain unclear despite advancements in medical science. Diagnosis is typically established using the Yamaguchi criteria, which include a negative antinuclear antibody (ANA) test as one of the minor criteria. However, some patients with AOSD exhibit positive ANA and even positive antineutrophil cytoplasmic antibodies (ANCA), complicating the diagnostic process. We present the case of a 19-year-old Asian woman of Yakut ethnicity who initially presented with symptoms resembling an upper respiratory tract infection. Laboratory tests revealed the presence of both ANA and ANCA. The diagnosis of AOSD was confirmed based on clinical presentation and the Yamaguchi criteria. Subsequent pulse therapy with prednisolone resulted in significant clinical improvement and a one-year remission. A review of the literature revealed that simultaneous ANCA and ANA positivity in AOSD has not been previously reported. Follow-up over 12 months showed no evidence of other autoimmune or autoinflammatory diseases, suggesting that the positive ANA and ANCA results may be either false positives or atypical laboratory manifestations in AOSD, which should be considered in the diagnosis.
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  • 文章类型: Journal Article
    这项研究检查了在5m穿梭试验(5mSRT)期间急性摄入对乙酰氨基酚(ACTP)对物理性能的影响,注意,情绪状态,和感知努力(RPE)的感知,疼痛(PP),恢复(PRS),以及训练有素的女运动员肌肉酸痛(DOMS)的延迟发作。在一个随机的,安慰剂对照,双盲,交叉试验,15名训练有素的女运动员(年龄21±2岁,高度165±6厘米,体重62±5kg)吞下1.5gACTP或1.5g安慰剂。摄后45分钟评估情绪状态(POMS)和数字消除(DCT)的概况,5mSRT在摄食后60分钟进行。在每30秒重复5mSRT后立即测定RPE和PP,在5mSRT后5分钟和24小时记录PRS和DOMS。对于5mSRT,ACTP摄入改善了最大距离(+10.88%,p<0.001),总距离(+11.33%,p=0.0007)和疲劳指数(+21.43%,p=0.0003)与PLA相比。同样,ACTP的DCT评分(p=0.0007)优于PLA。RPE,PP,PRS,与PLA相比,摄入ACTP后DOMS评分有所改善(所有比较p<0.01)。与PLA相比,摄入ACTP后POMS评分提高(p<0.01)。总之,这项研究表明,急性摄入对乙酰氨基酚可以改善重复高强度短期最大表现,注意,情绪状态,以及对努力的感知,疼痛,recovery,训练有素的女运动员肌肉酸痛,提示他们的整体运动表现和情绪状态的潜在好处。
    This study examined the effect of acute acetaminophen (ACTP) ingestion on physical performance during the 5 m shuttle run test (5mSRT), attention, mood states, and the perception of perceived exertion (RPE), pain (PP), recovery (PRS), and delayed onset of muscle soreness (DOMS) in well-trained female athletes. In a randomized, placebo-controlled, double-blind, crossover trial, fifteen well-trained female athletes (age 21 ± 2 years, height 165 ± 6 cm, body mass 62 ± 5 kg) swallowed either 1.5 g of ACTP or 1.5 g of placebo. The profile of mood states (POMS) and digit cancellation (DCT) were assessed 45 min postingestion, and 5mSRT was performed 60 min postingestion. The RPE and PP were determined immediately after each 30-s repetition of the 5mSRT, and the PRS and DOMS were recorded at 5 min and 24 h post-5mSRT. For the 5mSRT, ACTP ingestion improved the greatest distance (+ 10.88%, p < 0.001), total distance (+ 11.33%, p = 0.0007) and fatigue index (+ 21.43%, p = 0.0003) compared to PLA. Likewise, the DCT score was better on the ACTP (p = 0.0007) than on the PLA. RPE, PP, PRS, and DOMS scores were improved after ACTP ingestion (p < 0.01 for all comparisons) compared to PLA. POMS scores were enhanced with ACTP ingestion compared to PLA (p < 0.01). In conclusion, this study indicates that acute acetaminophen ingestion can improve repeated high intensity short-term maximal performance, attention, mood states, and perceptions of exertion, pain, recovery, and muscle soreness in well-trained female athletes, suggesting potential benefits for their overall athletic performance and mood state.
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  • 文章类型: Journal Article
    目的:探讨弥散峰度成像(DKI)在对乙酰氨基酚诱导的大鼠模型中评估肝损伤程度的潜力,同时探讨静脉注射gadoxetate对DKI参数的影响。
    方法:对乙酰氨基酚诱导39只大鼠肝毒性。将大鼠病理分为3组:正常(n=11),轻度坏死(n=18),中度坏死(n=10)。DKI之前进行过,15分钟,25分钟,和45分钟后gadoxetate给药。重复测量方差分析与Tukey的多重比较检验用于研究gadoxetate对平均扩散系数(MD)和平均扩散峰度(MK)的影响,并评估三组之间MD和MK的差异。进行受试者工作特征(ROC)曲线分析以评估区分坏死组时MD值的诊断准确性。
    结果:加多酸酯对MD或MK均无显著影响,效果很小。中度坏死组的MD明显低于其他两组(F=13.502,p<0.001;η2=0.428[95%CI:0.082-0.637]),而MK在三组间无显著差异(F=2.702,p=0.081;η2=0.131[95%CI:0.001-0.4003])。MD用于区分中度坏死或正常组与其他组的AUC分别为0.921(95%CI:0.832-1.000)和0.831(95%CI:0.701-0.961),分别。
    结论:在注射gadoxetate之前测量MD和MK会更好。MD在扑热息痛诱导的肝损伤大鼠模型中显示出评估肝坏死程度的潜力。
    To explore the potential of diffusion kurtosis imaging (DKI) for assessing the degree of liver injury in a paracetamol-induced rat model and to simultaneously investigate the effect of intravenous gadoxetate on DKI parameters.
    Paracetamol was used to induce hepatoxicity in 39 rats. The rats were pathologically classified into 3 groups: normal (n=11), mild necrosis (n=18), and moderate necrosis (n=10). DKI was performed before and, 15 min, 25 min, and 45 min after gadoxetate administration. Repeated-measures ANOVA with Tukey\'s multiple comparison test was used to investigate the effect of gadoxetate on mean diffusivity (MD) and mean diffusion kurtosis (MK) and to assess the differences in MD and MK among the three groups. A receiver operating characteristic (ROC) curve analysis was performed to evaluate the diagnostic accuracy of the MD values when discriminating between the necrotic groups.
    Gadoxetate had no significant effect on either the MD or the MK, and the effect size was small. The MD in the moderate necrosis group was significantly lower than that in the other two groups (F = 13.502, p < 0.001; η2 = 0.428 [95% CI: 0.082-0.637]), while the MK did not significantly differ among the three groups (F = 2.702, p = 0.081; η2 = 0.131 [95% CI: 0.001-0.4003]). The AUCs of MD for discriminating the moderate necrosis or normal group from the other groups were 0.921 (95% CI: 0.832-1.000) and 0.831 (95% CI: 0.701-0.961), respectively.
    It would be better to measure the MD and MK before gadoxetate injection. MD showed potential for assessing the degree of liver necrosis in a paracetamol-induced liver injury rat model.
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  • 文章类型: Journal Article
    亲水性纳米纤维为递送具有多种特征的药物提供了有希望的潜力。然而,不同药物掺入这些纳米纤维对其性能的影响仍然知之甚少。在这项研究中,我们系统地探索了模型药物,即布洛芬,卡维地洛,扑热息痛,和二甲双胍(盐酸),影响由聚环氧乙烷和泊洛沙姆188以1:1的重量比组成的亲水性纳米纤维。我们的发现表明,该药物会影响静电纺丝聚合物溶液的电导率和粘度,导致静电纺丝产品形态的明显变化。具体来说,在乙醇中溶解度低的药物,聚合物溶液制备所选择的溶剂,导致形成具有均匀直径的连续纳米纤维。此外,二甲双胍在乙醇中的溶解度较低,导致纳米纤维表面出现颗粒。此外,更亲水的药物的掺入增加了纳米纤维垫的表面亲水性。然而,药物理化性质的变化并不影响药物负载和药物包封率。我们的研究还表明,药物特性不会显著影响药物从纳米纤维中的立即释放,突出了所用亲水聚合物的主导作用。这项研究强调了考虑特定药物特性的重要性,如溶解度,亲水性,以及与用于静电纺丝的溶剂的相容性,当设计用于药物递送的亲水性纳米纤维时。这些考虑对于优化药物递送系统的特性至关重要,这对于实现治疗功效和安全性至关重要。
    Hydrophilic nanofibers offer promising potential for the delivery of drugs with diverse characteristics. Yet, the effects of different drugs incorporated into these nanofibers on their properties remain poorly understood. In this study, we systematically explored how model drugs, namely ibuprofen, carvedilol, paracetamol, and metformin (hydrochloride), affect hydrophilic nanofibers composed of polyethylene oxide and poloxamer 188 in a 1:1 weight ratio. Our findings reveal that the drug affects the conductivity and viscosity of the polymer solution for electrospinning, leading to distinct changes in the morphology of electrospun products. Specifically, drugs with low solubility in ethanol, the chosen solvent for polymer solution preparation, led to the formation of continuous nanofibers with uniform diameters. Additionally, the lower solubility of metformin in ethanol resulted in particle appearance on the nanofiber surface. Furthermore, the incorporation of more hydrophilic drugs increased the surface hydrophilicity of nanofiber mats. However, variations in the physicochemical properties of the drugs did not affect the drug loading and drug entrapment efficiency. Our research also shows that drug properties do not notably affect the immediate release of drugs from nanofibers, highlighting the dominant role of the hydrophilic polymers used. This study emphasizes the importance of considering specific drug properties, such as solubility, hydrophilicity, and compatibility with the solvent used for electrospinning, when designing hydrophilic nanofibers for drug delivery. Such considerations are crucial for optimizing the properties of the drug delivery system, which is essential for achieving therapeutic efficacy and safety.
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    植物是天然产生的抗氧化剂的丰富来源。因此,这项研究的目的是评估植物胡景天(Baill。)在Wistar大鼠对乙酰氨基酚(PCM)肝毒性的衰减中。将24只体重在200至250克之间的白化病Wistar雄性大鼠分为四组,每个有六只老鼠。第1组作为对照组,只收到蒸馏水。第2组和第3组口服250mg/kgbwt/天PCM和300mg/kgbwt/天甲醇提取物。)离开两周,分别。对于第4组,Ricinoderonheudelotii(Baill。)在接受300mg/kgbwt/天的Ricinodendronheudelotii(Baill。)叶提取物和250mg/kgbwt/天PCM,持续2周。作为肝损伤的标志,测定血清天冬氨酸转氨酶(AST)和丙氨酸转氨酶(ALT)。肝组织还原型谷胱甘肽(GSH)浓度,超氧化物歧化酶(SOD),谷胱甘肽-S-转移酶(GST),过氧化氢酶活性被用来确定抗氧化状态,而丙二醛(MDA)浓度用作脂质过氧化指标。与对照组相比,血清AST的活性,ALT,SOD,和MDA水平在PCM组中明显更高(p<0.05),尽管GSH水平和GST和过氧化氢酶活性显着降低。与PCM组相比,PCM与胡得龙(Baill。)提取物降低血清AST和ALT活性。这项研究表明,胡德龙(Baill。)通过增加抗氧化酶保护Wistar大鼠肝脏免受PCM诱导的氧化应激。
    Plants are a rich source of antioxidants that are produced naturally. Therefore, this study was aimed to evaluate the effect of the plant Ricinodendron heudelotii (Baill.) in the attenuation of paracetamol (PCM) hepatotoxicity in Wistar rats. Twenty-four male albino Wistar rats weighing between 200 and 250 g were divided into four groups, with six rats each. Group 1 served as the control group, receiving just distilled water. Groups 2 and 3 received orally 250 mg/kg bwt/day PCM and 300 mg/kg bwt/day methanol extract of Ricinodendron heudelotii (Baill.) leaves for two weeks, respectively. For group 4, the Ricinodendron heudelotii (Baill.) leaf extract was pre-administered for 1 week before receiving 300 mg/kg bwt/day Ricinodendron heudelotii (Baill.) leaves extract and 250 mg/kg bwt/day PCM for 2 weeks. As a marker of liver damage, serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT) were measured. Liver tissue reduced glutathione (GSH) concentration, superoxide dismutase (SOD), glutathione-S-transferase (GST), and catalase activities were utilized to determine antioxidant state, while malondialdehyde (MDA) concentration was employed as a lipid peroxidation indicator. When compared to the control group, the activities of serum AST, ALT, SOD, and MDA levels were considerably (p < 0.05) higher in the PCM group, although GSH level and GST and catalase activities were significantly lower. In comparison to the PCM group, co-administration of PCM with Ricinodendron heudelotii (Baill.) extract decreased serum AST and ALT activities. This study shows that the leaf extracts of Ricinodendron heudelotii (Baill.) protects Wistar rats\' livers from PCM-induced oxidative stress by increasing antioxidant enzymes.
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  • 文章类型: Journal Article
    系统性硬化症(SSc)是一种毁灭性的自身免疫性疾病,具有广泛的临床症状,包括血管异常,炎症,和持续性和进行性纤维化。这种疾病复杂的病理生理学导致难以开发有效的治疗方法,需要研究新的治疗方案。分子杂交是一种策略,可用于开发作用于两个或多个靶标的新药,并代表了一种有趣的选择,可用于治疗复杂疾病。我们旨在评估布洛芬和对乙酰氨基酚(IBPA)的混合相互前药在SSc患者外周血单核细胞(PBMC)中的作用,并且在BALB/c小鼠中通过皮内注射次氯酸(HOCl)6周诱导的SSc的体内模型中。在每天腹膜内注射IBPA(40mg/kg)的同时处理小鼠。评估肺和皮肤纤维化以及免疫反应。用植物血凝素-M(IL-2,IL-4,IL-6,IL-10,IL-13,IL-17A,TNF和IFN-γ)。在HOCl诱导的SSc中,IBPA治疗可预防皮肤和肺纤维化,除了减少CD4+T和B细胞活化和逆转脾细胞中巨噬细胞的M2极化外,并抑制脾细胞培养物中IFN-γ的分泌。这些结果表明了IBPA在SSc中的抗炎和抗纤维化作用,并突出了这种共同前药的治疗潜力,为未来的研究提供支持。
    Systemic sclerosis (SSc) is a devastating autoimmune illness with a wide range of clinical symptoms, including vascular abnormalities, inflammation, and persistent and progressive fibrosis. The disease\'s complicated pathophysiology makes it difficult to develop effective therapies, necessitating research into novel therapeutic options. Molecular hybridization is a strategy that can be used to develop new drugs that act on two or multiple targets and represents an interesting option to be explored for the treatment of complex diseases. We aimed to evaluate the effects of a hybrid mutual prodrug of ibuprofen and acetaminophen (IBPA) in peripheral blood mononuclear cells (PBMC) isolated from SSc patients, and in an in vivo model of SSc induced in BALB/c mice by intradermal injections of hypochlorous acid (HOCl) for 6 weeks. The mice were treated at the same time with daily intraperitoneal injections of IBPA (40 mg/kg). Pulmonary and skin fibrosis as well as immune responses were evaluated. IBPA significantly decreased the release of cytokines in PBMC culture supernatants from SSc patients after stimulation with phytohemagglutinin-M (IL-2, IL-4, IL-6, IL-10, IL-13, IL-17A, TNF and IFN-γ).In HOCl-induced SSc, IBPA treatment prevented dermal and pulmonary fibrosis, in addition to reducing CD4 + T and B cells activation and reversing the M2 polarization of macrophages in spleen cells, and inhibiting IFN-γ secretion in splenocyte cultures. These results show the anti-inflammatory and antifibrotic effects of IBPA in SSc and highlight the therapeutic potential of this mutual prodrug, providing support for future studies.
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