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Predictions in Clinical Efficiency of SARS-CoV-2 RNA-Dependent RNA Polymerase (RdRp) Inhibitors by Molecular Docking
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作者 Pui-Jen Tsai 《Journal of Biosciences and Medicines》 2024年第10期178-196,共19页
This study utilizes the enzyme-substrate complex theory to predict the clinical efficacy of COVID-19 treatments at the biological systems level, using molecular docking stability indicators. Experimental data from the... This study utilizes the enzyme-substrate complex theory to predict the clinical efficacy of COVID-19 treatments at the biological systems level, using molecular docking stability indicators. Experimental data from the Protein Data Bank and molecular structures generated by AlphaFold 3 were used to create macromolecular complex templates. Six templates were developed, including the holo nsp7-nsp8-nsp12 (RNA-dependent RNA polymerase) complex with dsRNA primers (holo-RdRp-RNA). The study evaluated several ligands—Favipiravir-RTP, Remdesivir, Abacavir, Ribavirin, and Oseltamivir—as potential viral RNA polymerase inhibitors. Notably, the first four of these ligands have been clinically employed in the treatment of COVID-19, allowing for comparative analysis. Molecular docking simulations were performed using AutoDock 4, and statistical differences were assessed through t-tests and Mann-Whitney U tests. A review of the literature on COVID-19 treatment outcomes and inhibitors targeting RNA polymerase enzymes was conducted, and the inhibitors were ranked according to their clinical efficacy: Remdesivir > Favipiravir-RTP > Oseltamivir. Docking results obtained from the second and third templates aligned with clinical observations. Furthermore, Abacavir demonstrated a predicted efficacy comparable to Favipiravir-RTP, while Ribavirin exhibited a predicted efficacy similar to that of Remdesivir. This research, focused on inhibitors of SARS-CoV-2 RNA-dependent RNA polymerase, establishes a framework for screening AI-generated drug templates based on clinical outcomes. Additionally, it develops a drug screening platform based on molecular docking binding energy, enabling the evaluation of novel or repurposed drugs and potentially accelerating the drug development process. 展开更多
关键词 AlphaFold 3 RNA-dependent RNA Polymerase Anti-Viral drugs Molecular Docking
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Drug dependence and its risk factors in emergency department patients:A retrospective cross-sectional study
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作者 Erdal Yavuz Kasim Turgut +2 位作者 Umut Gulacti Ugur Lok Erman Altunisik 《Journal of Acute Disease》 2021年第5期202-207,共6页
Objective:To determine the characteristics and risk factors of drug dependence among patients who were administered drugs with addictive potential(DAP)in an emergency department(ED).Methods:This retrospective cross-se... Objective:To determine the characteristics and risk factors of drug dependence among patients who were administered drugs with addictive potential(DAP)in an emergency department(ED).Methods:This retrospective cross-sectional study included patients who were administered DAP 3 or more times in the emergency room between September 1,2019 and March 1,2020.The demographic and baseline information were recorded.All the prescibed DAP,the reasons to use these drugs,secondary drug dependence,the department where DAP were first prescribed,types of doctors who preferred to prescribed DAP,and the risk factors for the development of drug dependence were determined.Results:A total of 3000 patients were screened from medical records,and among them,80 patients developed drug dependence.Drug dependence only developed for tramadol(n=57,71.3%),diazepam(n=11,13.8%),and biperiden(n=12,15.0%).Tramadol was the most frequently prescribed drug(n=57,71.3%).The most common reason for drug dependence was psychiatric disorders(n=29,36.3%).Drug dependence developed in renal colic patients due to the administration of tramadol(n=7,100%).On the contrary,dependence to biperiden were mainly developed in patients with psychiatric complaints(n=12,41.4%).The rate of secondary drug dependence was 15%(n=12).Of the Biperiden users,41.7%developed secondary drug dependence on diazepam.Most DAP were first prescribed in the ED(n=52,65%),and the specialist preferred to prescribe DAP(n=43,53.8%).For the development of dependence,the presence of renal colic(OR:3.387,95%confidence interval(CI):1.473-7.788,P=0.004)and low back pain(OR:5.778,95%CI:2.779-12.014,P<0.001)were the risk factors.Conclusions:Most DAP were first prescribed in the ED compared to other departments,and specialist are preferred to use DAP.Tramadol is the most commonly used drugs caused drug dependence.Psychiatric disorder patients are easier to develope drug dependence.Furthermore,renal colic and low back pain patients needs more attention to avert drug dependence. 展开更多
关键词 drug with addictive portential drug dependence Emergency room RISK
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Drug Use and Abuse among Orthopedic Ward Patients—A Revolving Cycle of Menace in Atbuth, Bauchi
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作者 Yusuf Stephen Shaphat Shuaibu Ibrahim +6 位作者 Timothy Emuan Buhari Abdullahi Zailani Bukar Shehu Aminu Umar Shirama Yakubu Bababa Ibrahim Babangida Hussaini Blessing Eneh Vincent 《Journal of Biosciences and Medicines》 2024年第9期13-20,共8页
Background: The use of drugs for purposes other than those for which they are meant to be used or in excess amounts. Psychoactive drugs are some of the drugs more commonly abused, also, antibiotics and other medicatio... Background: The use of drugs for purposes other than those for which they are meant to be used or in excess amounts. Psychoactive drugs are some of the drugs more commonly abused, also, antibiotics and other medications too can be misused. Drug abuse and misuse can lead to serious social, medical and emotional harm to the patients, and antibiotic resistance that makes treatment harder are also likely complications. Method: Patients in both male and female wards of the Orthoepaedics Department of ATBUTH, Bauchi were interviewed using a structured questionnaire and their responses were recorded and data were analyzed using the SPSS version 29. Results: A total of 112 patients were interviewed, 76 males and 36 females. Thirty-two (28.6%) patients had taken various kinds of unprescribed medications while on admission: 9 patients had taken unprescribed tramadol, 4 patients had taken codeine, 6 Ampiclox, 5 flagyl and about 8 patients had taken different kinds of traditional medications while on admission. Among the 32 patients, 23 (72%) are aged less than 30 years, 5 (16%) are aged between 30 and 50 years and 4 (12%) are aged above 50 years. Sixteen (50%) had such medications brought to them by relatives or friends, 10 (30%) were given by other patients on admission, 5 (15%) brought or bought the drugs by themselves while 1 (5%) were given by a non-clinical staff of the hospital. Conclusion: Drug misuse and abuse is a very serious, deleterious practice with destructive consequences in its wake, such consequences as drug dependency with all its antecedent effects, antibiotic resistance and difficulties in controlling/managing infections are but a few. So, it’s very important to both educate patients about these terrible practices and cope with the spread of them in our wards and hospitals. 展开更多
关键词 drug Abuse MISUSE dependENCY Resistance
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Association of KRAS Gene and microRNA-124-3p in Sporadic Colorectal Tumours
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作者 Ozkan Bagci 《Journal of Biosciences and Medicines》 2024年第1期150-161,共12页
Aim: To reveal the exonic and 3’UTR sequences of KRAS, TP53, APC, BRAF, PIK3CA genes in sporadic colorectal tumors and to investigate the clinical relevance of 3’UTR variations in miRNA profiles. Methods: In the stu... Aim: To reveal the exonic and 3’UTR sequences of KRAS, TP53, APC, BRAF, PIK3CA genes in sporadic colorectal tumors and to investigate the clinical relevance of 3’UTR variations in miRNA profiles. Methods: In the study, the exonic and 3’UTR sequences of five genes in 12 sporadic colorectal tumors were extracted by next generation sequencing. In tumors with variation in the 3’UTR region, the changes caused by the variation in the miRNA binding profile were detected. The expression profile of these miRNAs in colorectal and other solid tumors compared to normal tissue was determined. Pathway analysis was performed to determine which signaling pathways miRNAs affect. Results: Case-10 in our study was wild type KRAS and received cetuximab treatment and developed drug resistance. In this case, it was concluded that the expression of KRAS increased and tumorigenesis progressed due to miRNAs that do not bind to this region due to variations in the 3’UTR region. Among these miRNAs, hsa-miR-124-3p was found to have decreased expression in colorectal tumors and to be associated with the ECM-receptor interaction pathway. Conclusion: Variations in the 3’UTR regions of genes critical in the process of carsinogenesis are associated with drug resistance and the process of tumorigenesis. 展开更多
关键词 Colorectal Tumours drug Resistance Personalised Medicine microRNA-124-3p
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玛巴洛沙韦:首个靶向于Cap-依赖性核酸内切酶的抗流感药物
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作者 周姝含 胡长平 罗平 《中南药学》 CAS 2024年第7期1822-1830,共9页
玛巴洛沙韦是首个Cap-依赖性内切酶抑制剂,通过抑制流感病毒RNA聚合酶酸性蛋白亚基内切酶活性,从而抑制流感病毒的复制。玛巴洛沙韦于2022年8月通过美国食品药品监督管理局(FDA)审批,在临床上用于治疗5岁及以上、流感症状不超过48 h的... 玛巴洛沙韦是首个Cap-依赖性内切酶抑制剂,通过抑制流感病毒RNA聚合酶酸性蛋白亚基内切酶活性,从而抑制流感病毒的复制。玛巴洛沙韦于2022年8月通过美国食品药品监督管理局(FDA)审批,在临床上用于治疗5岁及以上、流感症状不超过48 h的急性无并发症流感患者,并于2023年3月获得中国国家药品监督管理局正式批准。临床试验表明,玛巴洛沙韦具有单剂量给药、安全性高等优势,将成为儿童流感患者的替代药物。 展开更多
关键词 玛巴洛沙韦 流行性感冒 Cap-依赖性核酸内切酶 抗流感药物 儿童
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钠-葡萄糖协同转运蛋白2抑制剂治疗多囊卵巢综合征的研究进展
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作者 龚关丽 朱万龙 +1 位作者 吴帆 杨旭平 《医药导报》 CAS 北大核心 2024年第5期773-777,共5页
多囊卵巢综合征(PCOS)是育龄妇女常见的异质性内分泌疾病。PCOS患者心血管疾病、糖尿病、高尿酸血症、肥胖、血脂异常及其他代谢综合征的发生风险增加。胰岛素抵抗(IR)作为PCOS代谢紊乱中心环节,其改善对于PCOS治疗意义重大。近年发现钠... 多囊卵巢综合征(PCOS)是育龄妇女常见的异质性内分泌疾病。PCOS患者心血管疾病、糖尿病、高尿酸血症、肥胖、血脂异常及其他代谢综合征的发生风险增加。胰岛素抵抗(IR)作为PCOS代谢紊乱中心环节,其改善对于PCOS治疗意义重大。近年发现钠-葡萄糖协同转运蛋白2(SGLT2)抑制剂是增加尿糖排泄的非胰岛素依赖性降血糖药,可改善PCOS患者IR与代谢,减轻患者体质量,保护多器官,降低PCOS心血管损伤、代谢综合征、血脂异常、肾病、肝脏代谢性疾病发生风险。该文就SGLT2抑制剂通过改善IR对PCOS患者代谢及心血管功能的作用及可能的机制进行综述。 展开更多
关键词 -葡萄糖协同转运蛋白2抑制剂 多囊卵巢综合征 降糖药 代谢紊乱
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运动-心理-睡眠干预联合肌肉放松在药物依赖合并焦虑患者的应用
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作者 陈惠锦 彭海云 郭丽婷 《世界睡眠医学杂志》 2024年第4期836-839,共4页
目的:探究运动-心理-睡眠干预联合肌肉放松技术对药物依赖合并焦虑症患者睡眠质量的影响。方法:选取2020年6月至2022年6月厦门市第五医院收治的药物依赖合并焦虑症患者80例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组40... 目的:探究运动-心理-睡眠干预联合肌肉放松技术对药物依赖合并焦虑症患者睡眠质量的影响。方法:选取2020年6月至2022年6月厦门市第五医院收治的药物依赖合并焦虑症患者80例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组40例。对照组患者给予运动-心理-睡眠干预,观察组患者在对照组干预基础上联合肌肉放松训练。观察2组患者干预前后复吸倾向(戒毒动机量表);焦虑情绪[激惹、抑郁和焦虑自评量表(IDA)];睡眠质量[匹兹堡睡眠质量指数量表(PSQI)];睡眠状况[睡眠状况自评量表(SRSS)]差异。结果:干预后,观察组患者戒毒动机量表分数高于对照组患者,IDA分数、PSQI分数、SRRS分数均低于对照组患者(P<0.05)。结论:运动-心理-睡眠干预联合肌肉放松技术应用于药物依赖合并焦虑症患者可增强其戒毒信念,降低焦虑、激惹水平,改善睡眠质量,建议临床推广使用。 展开更多
关键词 运动-心理-睡眠 肌肉放松技术 药物依赖 抑郁 焦虑症 睡眠质量 匹兹堡睡眠量表 戒毒信念
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Role of non-steroidal anti-inflammatory drugs on intestinal permeability and nonalcoholic fatty liver disease 被引量:12
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作者 erika utzeri paolo usai 《World Journal of Gastroenterology》 SCIE CAS 2017年第22期3954-3963,共10页
The use of non-steroidal anti-inflammatory drugs(NSAIDs) is widespread worldwide thanks to their analgesic, anti-inflammatory and antipyretic effects. However, even more attention is placed upon the recurrence of dige... The use of non-steroidal anti-inflammatory drugs(NSAIDs) is widespread worldwide thanks to their analgesic, anti-inflammatory and antipyretic effects. However, even more attention is placed upon the recurrence of digestive system complications in the course of their use. Recent data suggests that the complications of the lower gastro-intestinal tract may be as frequent and severe as those of the upper tract. NSAIDs enteropathy is due to enterohepatic recycling of the drugs resulting in a prolonged and repeated exposure of the intestinal mucosa to the compound and its metabolites. Thus leading to so-called topical effects, which, in turn, lead to an impairment of the intestinal barrier. This process determines bacterial translocation and toxic substances of intestinal origin in the portal circulation, leading to an endotoxaemia. This condition could determine a liver inflammatory response and might promote the development of nonalcoholic steatohepatitis, mostly in patients with risk factors such as obesity, metabolic syndrome and a high fat diet, which may induce a small intestinal bacterial overgrowth and dysbiosis. This alteration of gut microbiota may contribute to nonalcoholic fatty liver disease and its related disorders in two ways: firstly causing a malfunction of the tight junctions that play a critical role in the increase of intestinal permeability, and then secondly leading to the development of insulin resistance, body weight gain, lipogenesis, fibrogenesis and hepatic oxidative stress. 展开更多
关键词 Non-steroidal anti-inflammatory drugs Intestinal barrier Intestinal permeability Non-steroidal anti-inflammatory drugs - enteropathy Nonalcoholic fatty liver disease Nonalcoholic steatohepatitis MICROBIOTA Metabolic syndrome Proton pump inhibitors ENDOTOXAEMIA
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A model for retention and continuity of care and treatment for opioid dependent injection drug users in the Russian Federation
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作者 Elena Dmitrieva Sergei A. Frolov +1 位作者 Thomas F. Kresina William Slater 《Health》 2012年第8期457-463,共7页
Health and Development Foundation has worked collaboratively with the Government of the Russian Federation to develop and implement a model program of retention and continuity of care for opioid dependence and HIV inf... Health and Development Foundation has worked collaboratively with the Government of the Russian Federation to develop and implement a model program of retention and continuity of care for opioid dependence and HIV infection. The model utilizes the Narcology Detoxification Service, State AIDS Centers, Non Government Organization (NGO) managed narcology treatment and rehabilitation centers, NGO outreach programs and the community. The model program was developed and implemented as a pilot demonstration project to provide essential health services to injection drug users and retain them in care. The interventions developed and implemented comprised HIV Testing and Counseling, HIV/AIDS Narcology Post-Graduate Curriculum, Peer Support Groups (Buffer groups), Narcological Follow-up Phone Monitoring, Women’s Narcological Services and Short Messaging Services for Injection Drug Users. These services and interventions promoted the integration and utilization of HIV/AIDS health services and narcological services to form an evidence-based health service delivery model providing essential services to people who inject drugs and people living with HIV/AIDS in the Russian Federation. 展开更多
关键词 OPIOID dependence Health Services RETENTION in CARE drug Treatment
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Breast Cancer MCF-7 Cell Spheroid Culture for Drug Discovery and Development 被引量:1
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作者 Guangping Chen William Liu Bingfang Yan 《Journal of Cancer Therapy》 2022年第3期117-130,共14页
In vitro 3D cancer spheroids (tumoroids) exhibit a drug resistance profile similar to that found in solid tumors. 3D spheroid culture methods recreate more physiologically relevant microenvironments for cells. Therefo... In vitro 3D cancer spheroids (tumoroids) exhibit a drug resistance profile similar to that found in solid tumors. 3D spheroid culture methods recreate more physiologically relevant microenvironments for cells. Therefore, these models are more appropriate for cancer drug screening. We have recently developed a protocol for MCF-7 cell spheroid culture, and used this method to test the effects of different types of drugs on this estrogen-dependent breast cancer cell spheroid. Our results demonstrated that MCF-7 cells can grow spheroid in medium using a low attachment plate. We managed to grow one spheroid in each well, and the spheroid can grow over a month, the size of the spheroid can grow over a hundred times in volume. Our targeted drug experimental results suggest that estrogen sulfotransferase, steroid sulfatase, and G protein-coupled estrogen receptor may play critical roles in MCF-7 cell spheroid growth, while estrogen receptors α and β may not play an essential role in MCF-7 spheroid growth. Organoids are the miniatures of in vivo tissues and reiterate the in vivo microenvironment of a specific organ, best fit for the in vitro studies of diseases and drug development. Tumoroid, developed from cancer cell lines or patients’ tumor tissue, is the best in vitro model of in vivo tumors. 3D spheroid technology will be the best future method for drug development of cancers and other diseases. Our reported method can be developed clinically to develop personalized drugs when the patient’s tumor tissues are used to develop a spheroid culture for drug screening. 展开更多
关键词 MCF-7 Cell Spheroid Culture 3D Cell Culture Estrogen-dependent Breast Cancer Cancer drug Development Personalized Cancer drug Development
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Synthesis of (2S,4S)-2-Substituted-3- (3-Sulfanylpropanoyl)-6- Oxohexahydropyrimidine-4-Carboxylic Acids as Potential Antihypertensive Drugs
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作者 Andrei Ershov Dmitry Nasledov +1 位作者 Igor Lagoda Valery Shamanin 《Journal of Materials Science and Chemical Engineering》 2015年第6期7-12,共6页
Proceeding from natural amino acid L-asparagine and commercially available aldehydes a stereoselective synthesis was developed of (2S,4S)-2-alkyl(aryl)-3-(3-sulfanylpropanoyl)-6-oxohexahy- dropyrimidine-4-carboxylic a... Proceeding from natural amino acid L-asparagine and commercially available aldehydes a stereoselective synthesis was developed of (2S,4S)-2-alkyl(aryl)-3-(3-sulfanylpropanoyl)-6-oxohexahy- dropyrimidine-4-carboxylic acids, potential antihypertensive drugs, inhibitors of the angiotensin converting enzyme. 展开更多
关键词 Synthesis of (2S 4S)-2-Substituted-3- (3-Sulfanylpropanoyl)-6- Oxohexahydropyrimidine-4-Carboxylic ACIDS AS POTENTIAL ANTIHYPERTENSIVE drugS
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Disruption of Drug Effects (Dopamine, Nicotine, Pilocarpine, κ-Opioid) in Planarians by UV Light
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作者 Robert B. Raffa Christopher S. Tallarida +6 位作者 Aruj Choudhry Nadia Sanni-Adam Sean McGonigle Michael Baron Zhuo L. Chen Scott M. Rawls Ronald J. Tallarida 《Pharmacology & Pharmacy》 2012年第3期358-363,共6页
Based on previous work, it has been hypothesized that the energetics of ultraviolet (UV) light disrupts effects induced by receptor-binding ligands. If this hypothesis is true, then UV light should (i) disrupt a broad... Based on previous work, it has been hypothesized that the energetics of ultraviolet (UV) light disrupts effects induced by receptor-binding ligands. If this hypothesis is true, then UV light should (i) disrupt a broad variety of endpoints and (ii) disrupt effects produced by ligands that bind to diverse receptor types. This was tested directly in the present study by using ligands selective for four different receptors (one ionotropic, three metabotropic) and three different behavioral endpoints. The selective dopamine D2 receptor antagonist (–)sulpiride (0.1 uM) dose-relatedly decreased spontaneous locomotor velocity, the selective nicotinic acetylcholine receptor agonist nicotine (1, 3, 5 mM) and the selective muscarinic acetylcholine receptor agonist pilocarpine (20, 30, 50 mM) induced seizure-like activity, and the selective-opioid receptor agonist U-50,488H (10 uM) produced physical dependence (manifested as abstinence-induced withdrawal) in planarian models. Each of these diverse ligand and receptor-mediated effects were attenuated by UV light (254 nm = 7.83 × 10–19 J = 4.89 eV). These findings provide further evidence that UV light disrupts ligand-receptor mediated interactions and that UV light might provide a useful tool for examining drug-receptor interactions. 展开更多
关键词 UV Light drug-Receptor Interaction LOCOMOTOR Activity Seizure Physical dependence PLANARIAN
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Expression dynamics of periodic transcripts during cancer cell cycle progression and their correlation with anticancer drug sensitivity
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作者 Chun‑Xiao Li Jin‑Song Wang +11 位作者 Wen‑Na Wang Dong‑Kui Xu Yan‑Tong Zhou Fang‑Zhou Sun Yi‑Qun Li Feng‑Zhu Guo Jia‑Lu Ma Xue‑Yan Zhang Meng‑Jiao Chang Bing‑He Xu Fei Ma Hai‑Li Qian 《Military Medical Research》 SCIE CAS CSCD 2023年第4期444-460,共17页
Background:The cell cycle is at the center of cellular activities and is orchestrated by complex regulatory mechanisms,among which transcriptional regulation is one of the most important components.Alternative splicin... Background:The cell cycle is at the center of cellular activities and is orchestrated by complex regulatory mechanisms,among which transcriptional regulation is one of the most important components.Alternative splicing dramatically expands the regulatory network by producing transcript isoforms of genes to exquisitely control the cell cycle.However,the patterns of transcript isoform expression in the cell cycle are unclear.Therapies targeting cell cycle checkpoints are commonly used as anticancer therapies,but none of them have been designed or evaluated at the alternative splicing transcript level.The utility of these transcripts as markers of cell cycle-related drug sensitivity is still unknown,and studies on the expression patterns of cell cycle-targeting drug-related transcripts are also rare.Methods:To explore alternative splicing patterns during cell cycle progression,we performed sequential transcriptomic assays following cell cycle synchronization in colon cancer HCT116 and breast cancer MDA-MB-231 cell lines,using flow cytometry and reference cell cycle transcripts to confirm the cell cycle phases of samples,and we developed a new algorithm to describe the periodic patterns of transcripts fluctuating during the cell cycle.Genomics of Drug Sensitivity in Cancer(GDSC)drug sensitivity datasets and Cancer Cell Line Encyclopedia(CCLE)transcript datasets were used to assess the correlation of genes and their transcript isoforms with drug sensitivity.We identified transcripts associated with typical drugs targeting cell cycle by determining correlation coefficients.Cytotoxicity assays were used to confirm the effect of ENST00000257904 against cyclin dependent kinase 4/6(CDK4/6)inhibitors.Finally,alternative splicing transcripts associated with mitotic(M)phase arrest were analyzed using an RNA synthesis inhibition assay and transcriptome analysis.Results:We established high-resolution transcriptome datasets of synchronized cell cycle samples from colon cancer HCT116 and breast cancer MDA-MB-231 cells.The results of the cell cycle assessment showed that 43,326,41,578 and 29,244 transcripts were found to be periodically expressed in HeLa,HCT116 and MDA-MB-231 cells,respectively,among which 1280 transcripts showed this expression pattern in all three cancer cell lines.Drug sensitivity assessments showed that a large number of these transcripts displayed a higher correlation with drug sensitivity than their corresponding genes.Cell cycle-related drug screening showed that the level of the CDK4 transcript ENST00000547281 was more significantly associated with the resistance of cells to CDK4/6 inhibitors than the level of the CDK4 reference transcript ENST00000257904.The transcriptional inhibition assay following M phase arrest further confirmed the M-phase-specific expression of the splicing transcripts.Combined with the cell cycle-related drug screening,the results also showed that a set of periodic transcripts,for example,ENST00000314392(a dolichylphosphate mannosyltransferase polypeptide 2 isoform transcript),was more associated with drug sensitivity than the levels of their corresponding gene transcripts.Conclusions:In summary,we identified a panel of cell cycle-related periodic transcripts and found that the levels of transcripts of drug target genes showed different values for predicting drug sensitivity,providing novel insights into alternative splicing-related drug development and evaluation. 展开更多
关键词 Cell cycle Alternative splicing Transcriptome drug resistance Cyclin dependent kinase 4/6 inhibitor Dolichyl-phosphate mannosyltransferase polypeptide 2
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药源性血小板减少症的发生机制及诊断 被引量:1
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作者 聂晓璐 马静瑶 +1 位作者 孙凤 詹思延 《中国药物警戒》 2024年第7期829-835,共7页
药源性血小板减少症(drug-induced thrombocytopenia,DITP)是临床最常见的一种继发性血小板减少症。根据血小板减少症的发病机制可分为2大类:非免疫介导和药源性免疫性血小板减少症(drug-induced immune thrombocytopenia,DIIT)。后者... 药源性血小板减少症(drug-induced thrombocytopenia,DITP)是临床最常见的一种继发性血小板减少症。根据血小板减少症的发病机制可分为2大类:非免疫介导和药源性免疫性血小板减少症(drug-induced immune thrombocytopenia,DIIT)。后者进一步根据不同的免疫介导作用机制划分为4类。除经典途径由药物依赖性血小板抗体(drug-dependent platelet-reactive antibodies,DDAbs)与血小板结合引起的DIIT、肝素诱导的血小板减少(heparin-induced thrombocytopenia,HIT)、免疫抑制剂诱导的血小板减少(immune checkpoint inhibitors-induced thrombocytopenia,ICI-ITP)以外,随着新型冠状病毒感染(COVID-19)后开展广泛疫苗研发及接种,新近出现的疫苗诱导的血栓性血小板减少(vaccine-induced thrombotic thrombocytopenia,VITT)也属于DITP范畴。本研究结合近年发表的相关文献,全面综述上述各类型DITP的发生机制特点及诊断,梳理DITP相关数据库,并提出未来研究展望。 展开更多
关键词 药源性血小板减少症 免疫性 半抗原 药物依赖性 肝素 疫苗 诱导 药品不良反应
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基于FAERS数据库的周期蛋白依赖性激酶4/6抑制剂血液毒性真实世界研究 被引量:2
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作者 董俊丽 宋海斌 +1 位作者 张韶辉 郭珩 《医药导报》 CAS 北大核心 2024年第1期137-142,共6页
目的 基于美国美国食品药品管理局(FDA)的不良事件报告系统(FAERS)分析3种周期蛋白依赖性激酶4/6(CDK4/6)抑制剂上市后的不良事件(AEs)信号,为临床用药安全提供参考。方法 提取FAERS数据库2015年第一季度至2022年第一季度共29个季度AEs... 目的 基于美国美国食品药品管理局(FDA)的不良事件报告系统(FAERS)分析3种周期蛋白依赖性激酶4/6(CDK4/6)抑制剂上市后的不良事件(AEs)信号,为临床用药安全提供参考。方法 提取FAERS数据库2015年第一季度至2022年第一季度共29个季度AEs,利用报告比值比法(ROR)和比例报告比值法(PRR)对CDK4/6抑制剂AEs进行数据挖掘。结果 CDK4/6抑制剂相关性血液毒性报告共有7 872份,各抑制剂血液毒性AEs占总AEs比例依次为哌柏西利(80.31%)>瑞博西利(15.36%)>阿贝西利(4.33%)。血液毒性常见中性粒细胞减少和贫血。哌柏西利(2 982/6 322,47.17%)和瑞博西利(613/1 209,50.70%)致中性粒细胞减少的报告占比较阿贝西利(117/341,34.31%)更高,血液毒性主要发生在药物开始使用后60 d内(1 630,61.86%),哌柏西利中位时间最长,且用药90 d后仍有32.9%的患者存在血液毒性,不同CDK4/6抑制剂血液毒性临床表现及发生强度存在差异。结论 哌柏西利、阿贝西利、瑞博西利均会导致明显的血液毒性,其中阿贝西利致血液毒性报告最少,但要警惕阿贝西利致贫血后导致死亡的风险。用药后的2个月内密切监测全血细胞计数,关注中性粒细胞、血红蛋白等水平,警惕CDK4/6抑制剂相关血液AEs的发生。 展开更多
关键词 周期蛋白依赖性激酶4/6抑制剂 血液毒性 药品不良反应 真实世界研究
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艾司西酞普兰联合运动方案对苯二氮[艹卓]类药物依赖焦虑症患者睡眠质量的影响
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作者 王惠强 王哲伟 《世界睡眠医学杂志》 2024年第2期454-457,共4页
目的:探讨艾司西酞普兰联合运动方案对苯二氮[艹卓]类(BDZ)药物依赖焦虑症患者睡眠质量的影响。方法:选取2021年9月至2023年2月泉州市第三医院收治的BDZ类药物依赖焦虑症患者120例作为研究对象,按照抛掷法随机分为对照组(n=58)和观察组(... 目的:探讨艾司西酞普兰联合运动方案对苯二氮[艹卓]类(BDZ)药物依赖焦虑症患者睡眠质量的影响。方法:选取2021年9月至2023年2月泉州市第三医院收治的BDZ类药物依赖焦虑症患者120例作为研究对象,按照抛掷法随机分为对照组(n=58)和观察组(n=62)。对照组仅予以艾司西酞普兰治疗,观察组予以艾司西酞普兰联合运动方案治疗。比较2组睡眠质量、失眠程度、负性情绪以及生命质量。结果:治疗后,观察组匹兹堡睡眠质量指数(PSQI)中主观睡眠质量、入睡时间、睡眠效率、睡眠障碍、日间功能5个维度评分及总分均低于对照组,差异均有统计学意义(均P<0.05),失眠严重程度指数(ISI)评分低于对照组,差异有统计学意义(P<0.05);观察组汉密尔顿焦虑抑郁量表(HADS)评分均较对照组低,差异有统计学意义(P<0.05),健康调查简表(SF-36)评分较对照组高,差异有统计学意义(P<0.05)。结论:艾司西酞普兰联合运动方案能明显提高BDZ类药物依赖焦虑症患者的睡眠质量,改善失眠症状,缓解负性情绪,提高生命质量。 展开更多
关键词 艾司西酞普兰 运动方案 苯二氮[艹卓]类 药物依赖 睡眠质量
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高效液相色谱-离子阱质谱法测定人血浆中的头孢拉定和青霉素G 被引量:7
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作者 李晓东 尹利辉 冯玉飞 《分析测试学报》 CAS CSCD 北大核心 2004年第z1期8-11,共4页
  目前,β-内酰胺类抗生素在临床抗感染药物中占有十分突出的地位[1],但在近年来的药品不良反应报告中,抗生素类药物引起的不良反应也占据了很高的比例,其中有我国生活环境影响、感染性疾病多的客观因素,但病人用药盲目性大、医生用...   目前,β-内酰胺类抗生素在临床抗感染药物中占有十分突出的地位[1],但在近年来的药品不良反应报告中,抗生素类药物引起的不良反应也占据了很高的比例,其中有我国生活环境影响、感染性疾病多的客观因素,但病人用药盲目性大、医生用药随意性多的问题也普遍存在.…… 展开更多
关键词 HPLC - Ion trap mass spectrometry Penicillin G CEFRADINE drug concentration in plasma
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预防海洛因依赖者戒毒后复吸的以问题导向的动机-技能-脱敏-心理能量干预模式和操作流程简介 被引量:11
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作者 王增珍 肖杨 +4 位作者 彭月华 谌丁艳 余金聪 韦威全 王冬明 《中国药物依赖性杂志》 CAS CSCD 2013年第5期380-385,共6页
为了降低海洛因依赖者戒毒后复吸率,本课题组开发了动机-技能-脱敏-心理能量干预模式和操作方案。现场试验发现,患者乐意接受;随访发现,试验组操守率明显高于对照组。本文简要介绍了该干预模式、操作方案和流程,包括:动机晤谈、认知行... 为了降低海洛因依赖者戒毒后复吸率,本课题组开发了动机-技能-脱敏-心理能量干预模式和操作方案。现场试验发现,患者乐意接受;随访发现,试验组操守率明显高于对照组。本文简要介绍了该干预模式、操作方案和流程,包括:动机晤谈、认知行为疗法、神经语言模式、冥想等方法,对患者进行团体心理治疗和随访激励,对家庭成员进行心理教育与治疗。患者团体治疗包括:(1)提高操守的动机和技能,方式为以问题为导向的讨论、活动、游戏、角色扮演、提供榜样、教授知识、分享、小结和作业;(2)快速眼球移动脱敏,并同时引导患者自问吸毒时的感觉和情景;(3)提高操守的心理能量,包括个人心理成长(激发、感受和释放负面情绪,与自我和他人心理连接,认识自我价值,正面信念植入等)等内容。 展开更多
关键词 药物依赖 复吸预防 心理治疗 干预模式
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孕妇药物依赖的胎儿权益与母体自主冲突之思考
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作者 龚韩湘 李静华 +3 位作者 江慧琳 王一西 高琪佩 杨亚军 《医学与哲学》 北大核心 2024年第14期19-22,共4页
聚焦医学伦理学视角下孕妇药物依赖及其对胎儿健康的潜在影响,探索胎儿权利与母体自主权之间的伦理平衡及在医疗与社会法律层面的复杂挑战。探讨了胎儿权益与母体自主间的伦理张力,分析了药物依赖的成因,包括治疗性药物使用和药物滥用,... 聚焦医学伦理学视角下孕妇药物依赖及其对胎儿健康的潜在影响,探索胎儿权利与母体自主权之间的伦理平衡及在医疗与社会法律层面的复杂挑战。探讨了胎儿权益与母体自主间的伦理张力,分析了药物依赖的成因,包括治疗性药物使用和药物滥用,进而审视全球孕妇药物依赖现状及其影响。同时,评估了医学伦理四大原则在两种情境中的应用挑战,以及法律在定义和处理该伦理问题时的作用与临床实践中的差异。强调了公共卫生策略在解决孕妇药物依赖问题中的重要性,并提出了具体实施策略,以期为医疗从业者和政策制定者提供理论与实践指导。 展开更多
关键词 孕妇 药物依赖 胎儿权益 母体自主
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香加皮杠柳苷对人食管癌细胞TE-13生长抑制作用 被引量:19
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作者 赵连梅 单保恩 +3 位作者 艾军 任凤芝 连易水 宋小天 《肿瘤》 CAS CSCD 北大核心 2008年第3期203-206,共4页
目的:分析中药香加皮醇提物杠柳苷(periplocin from cortex periplocae,CPP)对食管癌细胞株TE-13的生长抑制作用,探讨其诱导细胞周期阻滞的机制。方法:应用MTT法检测CPP对TE-13细胞的抑制作用;Gimsa染色法分析TE-13细胞的形态学变化;FC... 目的:分析中药香加皮醇提物杠柳苷(periplocin from cortex periplocae,CPP)对食管癌细胞株TE-13的生长抑制作用,探讨其诱导细胞周期阻滞的机制。方法:应用MTT法检测CPP对TE-13细胞的抑制作用;Gimsa染色法分析TE-13细胞的形态学变化;FCM法检测细胞周期分布和凋亡率;Western印迹法检测TE-13细胞经药物处理前后细胞周期蛋白依赖性激酶CDK4、CDK2蛋白表达的变化。结果:CPP对TE-13细胞增殖具有明显的抑制作用(P<0.01),并呈时间和浓度依赖性,药物浓度越大,作用时间越长,抑制效应越强,CPP作用48h时,对TE-13细胞的半数抑制浓度(IC50)为0.61μg/mL。经2μg/mL的CPP作用48h后,TE-13细胞发生明显的凋亡形态学变化;G0/G1期细胞明显增多(P<0.01),S期细胞明显减少(P<0.01),G2/M期细胞没有明显变化(P>0.05)。不同浓度CPP作用48h后能降低TE-13细胞中CDK4蛋白的表达(P<0.01),对CDK2蛋白的表达则没有明显影响(P>0.05)。结论:CPP能显著抑制TE-13细胞的增殖,其作用机制可能与CPP诱导细胞周期阻滞和细胞凋亡有关。 展开更多
关键词 食管肿瘤 香加皮 抗肿瘤药(中药) 细胞周期蛋白质依赖激酶类 细胞生长过程
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