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Pharmacophore-guided design,synthesis and evaluation of quinazoline-arylpiperazines as newα_1-adrenoceptor antagonists 被引量:3
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作者 Hao Fang Min Yong Li Lin Xia 《Chinese Chemical Letters》 SCIE CAS CSCD 2007年第1期41-44,共4页
A series of arylpiperazinesquinazoline-2,4-diamine compounds were designed and synthesized based on pharmacophore for m-selective α1-adrenoceptor antagonists and 3D chemical database searching. The in vitro functiona... A series of arylpiperazinesquinazoline-2,4-diamine compounds were designed and synthesized based on pharmacophore for m-selective α1-adrenoceptor antagonists and 3D chemical database searching. The in vitro functional analysis showed that compounds 9 and 14 showed better and similar α1-AR antagonistic activity compared with prazosin. 展开更多
关键词 α1-Adrcnoceptor antagonists Pharmacophore-guided design
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3D-QSAR Analysis of DDPH Derivatives for α_1-Adrenoceptor Antagonist Activity
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作者 方浩 卢景芬 夏霖 《Journal of Chinese Pharmaceutical Sciences》 CAS 2005年第3期149-153,共5页
Aim and methods The study of three-dimensional quantitative structure-activity relationship (3D-QSAR) of DDPH and its derivatives has been performed using Apex-3D programme. Results The result indicates that substit... Aim and methods The study of three-dimensional quantitative structure-activity relationship (3D-QSAR) of DDPH and its derivatives has been performed using Apex-3D programme. Results The result indicates that substituents of para- and ortho-positions in phenyl ring of aryloxyalkylamine greatly influence the bioactivity. Conclusion The biophore model and 3D-QSAR equation help us not only further understand receptor-ligand interactions, but also design new compounds with better bioactivity. 展开更多
关键词 Apex-3D α^1-adrenoceptor antagonist 3D-QSAR
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Design,synthesis and biological estimation of 1-(benzoxazole-2-yl)piperazine and 4-(benzoxazole-2-yl)piperidine derivatives as potentialα_1-AR antagonists 被引量:1
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作者 Jia Bin Li Lin Xia +2 位作者 Bin Wu Tao Wang Zhen Zhou Jiang 《Chinese Chemical Letters》 SCIE CAS CSCD 2008年第10期1193-1195,共3页
Two series of 1-(benzoxazole-2-yl)piperazine (Sa-i) and 4-(benzoxazole-2-yl)piperidine compounds (10a-i) were designed, synthesized and evaluated for their α1-AR antagonistic activities. Biological assay in v... Two series of 1-(benzoxazole-2-yl)piperazine (Sa-i) and 4-(benzoxazole-2-yl)piperidine compounds (10a-i) were designed, synthesized and evaluated for their α1-AR antagonistic activities. Biological assay in vitro indicated that 10h showed slightly stronger α1-AR antagonistic activity to that of our lead compound 1. 展开更多
关键词 BPH α1-AR antagonists Benzoxazole PIPERIDINE PIPERAZINE
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Design and Synthesis of Novel Aryloxyalkyl-arylpiperazine Derivatives as α_(1A)-Adrenoceptor Antagonists
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作者 HaoFANG MinYongLI +2 位作者 LinXIA ZhenZhouJIANG ZhiZhenLU 《Chinese Chemical Letters》 SCIE CAS CSCD 2005年第4期445-448,共4页
A series of 1-[2-(substituted phenoxy)ethyl]-4-(2-methoxyphenyl)-piperazine deriva- tives have been synthesized. The radioligand receptor binding assay indicated that most of them bind with α1-adrenoceptor specific... A series of 1-[2-(substituted phenoxy)ethyl]-4-(2-methoxyphenyl)-piperazine deriva- tives have been synthesized. The radioligand receptor binding assay indicated that most of them bind with α1-adrenoceptor specifically, and one of the compound possessed subtype A selectivity. 展开更多
关键词 α1-adrenoceptor antagonist aryloxyalkyl-arylpiperazine.
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白细胞介素1受体颉颃剂抑制脂多糖促奶牛外周血单个核细胞氧化应激损伤作用的研究
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作者 郭咏梅 齐敬宇 +2 位作者 闫素梅 赵艳丽 郭晓宇 《饲料工业》 CAS 北大核心 2024年第4期100-105,共6页
试验以脂多糖(LPS)为刺激源,以细胞活力、抗氧化指标和炎症因子为判断指标,探讨白细胞介素1受体颉颃剂(IL-1Ra)通过抑制白细胞介素1β(IL-1β)的活性,对LPS诱导外周血单个核细胞(Peripheral blood mononuclear cells,PBMCs)氧化损伤的... 试验以脂多糖(LPS)为刺激源,以细胞活力、抗氧化指标和炎症因子为判断指标,探讨白细胞介素1受体颉颃剂(IL-1Ra)通过抑制白细胞介素1β(IL-1β)的活性,对LPS诱导外周血单个核细胞(Peripheral blood mononuclear cells,PBMCs)氧化损伤的缓解作用。试验采用单因子完全随机设计,PBMCs被随机分为7个组(每组6个重复),分别给予不同的处理:第1组是阴性对照组(Neg组),完全培养基培养30 h;第2组损伤组(Dam组),是在完全培养基中培养6 h后,再经10μg/mL的LPS工作液培养24 h;第3至7组(R0.25、R0.5、R1、R5组和R10组)细胞分别经浓度为0.25、0.5、1、5、10 ng/mL的IL-1Ra培养6 h,接着经10μg/mL的LPS工作液培养24 h。结果表明:与Neg组相比,Dam组的细胞活力、抗氧化相关酶[包括总抗氧化能力(T-AOC)以及总超氧化物歧化酶(T-SOD)、过氧化氢酶(CAT)、谷胱甘肽过氧化物酶(GPx)和硫氧还蛋白还原酶(TrxR)]的活性显著降低,丙二醛(MDA)浓度、炎症因子白细胞介素-6(IL-6)和IL-1β含量以及诱导型一氧化氮合酶(iNOS)活性、一氧化氮(NO)含量均显著升高(P≤0.05)。与Dam组相比,R1组显著逆转了氧化损伤引起的上述抗氧化活性的降低和炎症因子浓度的升高,其他IL-1Ra处理组对上述指标的逆转效果不同程度地低于R1组(P≤0.05)。上述结果说明,LPS通过诱发PBMCs产生大量IL-1β进而导致细胞氧化损伤,IL-1Ra剂量依赖性地缓解了LPS引起的氧化损伤,添加剂量以1 ng/mL为宜。 展开更多
关键词 奶牛外周血单个核细胞 氧化应激 剂量依赖性 白细胞介素1受体颉颃剂 预保护作用
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波塞冬1组患者重复周期应用早卵泡期长效长方案和拮抗剂方案的疗效比较及自身对照研究 被引量:1
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作者 明子琳 李婉晴 +1 位作者 唐志霞 洪名云 《生殖医学杂志》 CAS 2024年第1期8-16,共9页
目的探讨早卵泡期长效长方案和拮抗剂方案在波塞冬1组患者重复周期中的应用疗效及优化策略。方法选择2018年6月至2022年6月于安徽省妇幼保健院生殖中心行体外受精(IVF)/卵胞浆内单精子注射(ICSI)治疗、采用常规控制性促排卵(COH)方案发... 目的探讨早卵泡期长效长方案和拮抗剂方案在波塞冬1组患者重复周期中的应用疗效及优化策略。方法选择2018年6月至2022年6月于安徽省妇幼保健院生殖中心行体外受精(IVF)/卵胞浆内单精子注射(ICSI)治疗、采用常规控制性促排卵(COH)方案发生非预期卵巢低反应(uPOR)、且助孕失败后再次助孕的波塞冬1组患者286例为研究对象,根据重复周期COH方案不同分为早卵泡期长效长方案组(简称早长方案组,n=119例)和拮抗剂方案组(n=167例),比较两组实验室指标及临床妊娠结局;并将其中前后两个周期均采用相同COH方案的124例患者分为双早长方案组(n=70例)和双拮抗剂方案组(n=54例),采用自身对照研究分析两组临床资料。结果(1)再次COH周期早长方案组与拮抗剂方案组患者间基础资料比较无统计学差异(P>0.05)。早长方案组促性腺激素(Gn)总量、Gn天数、HCG日E_(2)水平、获卵数、可用胚胎数及优质胚胎数均显著高于拮抗剂方案组(P<0.05),HCG日LH水平显著低于拮抗剂方案组(P<0.05),其鲜胚种植率、鲜胚临床妊娠率及累积妊娠率较拮抗剂方案组有升高趋势,但无统计学差异(P>0.05);两组患者间周期取消率、中重度卵巢过度刺激综合征(OHSS)发生率、HCG日孕酮(P)水平、HCG日内膜厚度、再次uPOR发生率及早期流产率等比较均无统计学差异(P>0.05)。(2)双早长方案组的自身对照比较结果显示,再次早长方案组Gn启动剂量、LH添加量、HCG日E_(2)水平、获卵数、可用胚胎数、优质胚胎数、正常受精率、优质胚胎率、鲜胚种植率和临床妊娠率均显著高于首次早长方案组(P<0.05),早期流产率显著低于首次早长方案组(P<0.05)。(3)双拮抗剂方案组的自身对照比较结果显示,再次拮抗剂方案组Gn启动剂量、LH添加量、获卵数、可用胚胎数、优质胚胎数、鲜胚种植率及临床妊娠率等均显著高于首次拮抗剂方案组(P<0.05)。结论对于波塞冬1组患者来说,早卵泡期长效长方案和拮抗剂方案均可作为重复周期的促排卵方案;从获卵数及鲜胚临床妊娠结局考虑,早卵泡期长效长方案优于拮抗剂方案;从经济成本考虑,拮抗剂方案优于早卵泡期长效长方案。重复周期可根据两个方案的劣势采取优化措施来改善患者对于促排卵方案的反应性及卵母细胞质量和数量等问题,从而改善IVF/ICSI预后。 展开更多
关键词 非预期卵巢低反应 波塞冬1 早卵泡期长效长方案 拮抗剂方案 自身对照研究
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白细胞介素-1受体拮抗剂与骨关节炎及亚型的孟德尔随机化研究 被引量:1
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作者 陈继鑫 周沁心 +3 位作者 郭天赐 余伟杰 叶云天 刘爱峰 《医学研究杂志》 2024年第4期46-51,共6页
目的 采用双样本孟德尔随机化(Mendelian randomization, MR)的研究方法,评估白细胞介素-1受体拮抗剂(interleukin-1 receptor antagonist, IL-1RA)与骨关节炎及亚型骨关节炎的因果关系。方法 IL-1RA与骨关节炎、膝骨关节炎、髋骨关节... 目的 采用双样本孟德尔随机化(Mendelian randomization, MR)的研究方法,评估白细胞介素-1受体拮抗剂(interleukin-1 receptor antagonist, IL-1RA)与骨关节炎及亚型骨关节炎的因果关系。方法 IL-1RA与骨关节炎、膝骨关节炎、髋骨关节炎的单核苷酸多态性位点(single nucleotide polymorphism, SNP)来自公开的全基因组关联研究汇总数据集,选取密切相关的SNP作为工具变量(instrumental variable, IV)。筛选敏感度试验,MR多效性残差和采用离群值检验来验证所识别的IV的异质性和多效性。采用5种不同的模型,包括逆方差加权模型(inverse-variance weighted, IVW)、加权中值估计模型、基于加权模型的方法、MR-Egger回归和简单众数法进行MR分析。结果 研究不存在异质性。固定效应模型的IVW显示,IL-1RA与骨关节炎(OR=1.06,95%CI:1.01~1.11)、膝骨关节炎(OR=1.07,95%CI:1.01~1.13)之间有显著的因果关系,与髋骨关节炎之间具有相关性,因果关系不显著。敏感度分析显示,研究结果具有稳健性。结论 MR研究支持IL-1RA水平与骨关节炎、膝骨关节炎的发病风险具有因果关系。 展开更多
关键词 白细胞介素-1受体拮抗剂 骨关节炎 孟德尔随机化研究
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Constructing Biophore of Uroselective α1-Adrenoceptor antagonist 被引量:3
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作者 FANGHao LUJing-fen XIALin 《Journal of Chinese Pharmaceutical Sciences》 CAS 2003年第4期188-191,共4页
Aim The biophore of uroselective α_1-adrenoceptor antagonist was studied byusing Apex-3D software on an 02 Silicon Graphics Computer Station. Methods Five known antagonists(Indoramin, GG-818, RS100975, R-YM12167, and... Aim The biophore of uroselective α_1-adrenoceptor antagonist was studied byusing Apex-3D software on an 02 Silicon Graphics Computer Station. Methods Five known antagonists(Indoramin, GG-818, RS100975, R-YM12167, and KMD-3213), which possess both good selectivity and highaffinities to prostate and α_1-AR subtype, were chosen for building the biophore. Using anautomatic filtering software for obtaining reasonable biophores, the filter parameters wereselected: P (probability) > 0.8, active (number of active compounds) ≥ 4, and size (descriptorcenter) ≥ 3. Results Three biophores conformed to the requirements, each of whom contained a basiccenter, an aromatic ring center and H-site according to the structure-activity relationships ofknown α_1-adrenoceptor antagonist. Conclusion The biophore model developed by computer simulationwith Apex-3D software can be used to design and synthesize a new α_1-adrenoceptor antagonist withhigh activity and low side effect. 展开更多
关键词 uroselectivity α_1-adrenoceptor antagonist apex-3D biophore
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Effect of endothelin-1 receptor antagonists on histological and ultrastructural changes in the pancreas and trypsinogen activation in the early course of caerulein-induced acute pancreatitis in rats 被引量:3
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作者 Anna Andrzejewska Jan W.Dlugosz Albert Augustynowicz 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第8期1115-1121,共7页
AIM: To assess the effect of non-selective ETA/B (LU 302872)and selective ETA (LU 302146) antagonist on pancreatic histology and ultrastructure of acinar cells in connection with trypsinogen activation in early caerul... AIM: To assess the effect of non-selective ETA/B (LU 302872)and selective ETA (LU 302146) antagonist on pancreatic histology and ultrastructure of acinar cells in connection with trypsinogen activation in early caerulein-induced AP.METHODS: Male Wistar rats with caerulein-induced AP,lasting 4 h, were treated i.p. with 10 and 20 mg/kg b.w.of each antagonist. Edema, inflammatory infiltration,necrosis and vacuolization of acinar cells in the pancreas were scored at 0-3 scale. Free active trypsin (FAT), total potential trypsin (TPT) after activation with enterokinase,and index of trypsinogen activation (%FAT/TPT) were assayed in pancreatic homogenates.RESULTS: In untreated AP, the edema, inflammatory infiltration, necrosis and vacuolization increased as compared to control healthy rats (P<0.01). None of the treatment exerted any meaningful effect on the edema and inflammatory infiltration. The selective antagonist increased slightly the necrosis score to 0.82±0.06 at higher dose (P<0.05) vs 0.58±0.06 in untreated AP. The nonselective antagonist increased slightly the vacuolization score to 2.41±0.07 at higher dose (P<0.01) vs 1.88±0.08in untreated AP. The decrease in the number of zymogen granules, disorganization of endoplasmic reticulum,autophagosomes and cytoplasmic vacuoles were more prominent in treated AP than in untreated AP groups.%FAT/TPT in untreated AP increased about four times (18.4±3.8 vs4.8±1.3 in control group without AP, P<0.001).Treatment of AP with both antagonists did not affect significantly augmented trypsinogen activation.CONCLUSION: The treatment with endothelin-1 receptors (non-selective ETA/B and selective ETA) antagonists has essential effect neither on the edema and inflammatory infiltration nor on trypsinogen activation observed in the early course of caerulein-induced AP. Nevertheless a slight increase of the necrosis and vacuolization score and some of the ultrastructural data could suggest the possibility of their undesired effects in caerulein-induced AP at investigated doses. 展开更多
关键词 Acute pancreatitis CAERULEIN Endothelin-1 receptors antagonists Ultrastructure TRYPSIN
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Medical therapy for clinical benign prostatic hyperplasia:α1 Antagonists,5α reductase inhibitors and their combination 被引量:4
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作者 Cheuk Fan Shum Weida Lau Chang Peng Colin Teo 《Asian Journal of Urology》 2017年第3期185-190,共6页
Medical therapy for clinical benign prostatic hyperplasia(BPH)has advanced significantly in the last 2 decades.Many new a1 antagonists and 5a reductase inhibitors(5ARi)are now commercially available.The practicing uro... Medical therapy for clinical benign prostatic hyperplasia(BPH)has advanced significantly in the last 2 decades.Many new a1 antagonists and 5a reductase inhibitors(5ARi)are now commercially available.The practicing urologist must decide on the most appropriate medication for his patients,taking into consideration various factors like efficacy,dosing regime,adverse effects,cost,patient’s socioeconomic background,expectations,drug availability and his own clinical experience.The use of combination therapy added further to the complexity in clinical judgment when prescribing.We highlight some of the key points in prescribing a1 antagonists,5ARi and their combination,based on our viewpoints and experience as urologists in an Asian clinical setting. 展开更多
关键词 5αReductase inhibitors Adrenergicα1 receptor antagonists Drug therapy COMBINATION Prostatic hyperplasia
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Design and synthesis of 2-alkylbenzimidazole derivatives as novel non-peptide angiotensin Ⅱ AT1 receptor antagonists 被引量:1
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作者 Jin Yi Xu Qian Ran +3 位作者 Wei Yi Hua Xiao Ming Wu Qiu Juan Wang Jing Zhang 《Chinese Chemical Letters》 SCIE CAS CSCD 2007年第3期251-254,共4页
A series of 2-alkylbenzimidazole derivatives 9a-n have been designed and synthesized as a novel class of non-peptide angiotensin H AT1 receptor antagonists. The synthesized compounds were evaluated for their antagonis... A series of 2-alkylbenzimidazole derivatives 9a-n have been designed and synthesized as a novel class of non-peptide angiotensin H AT1 receptor antagonists. The synthesized compounds were evaluated for their antagonism of angiotensin H, induced contraction in the rabbit thoracic aortic ring and the results showed that compounds 9a, 9g and 9j exhibited potent antagonistic activity of AT1 receptor. 展开更多
关键词 2-Alkylbenzimidazole AT1 receptor antagonists SYNTHESIS HYPERTENSION
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SP/NK-1R系统在乳腺癌中的研究进展
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作者 邵禹铭 朱坤兵(综述) 张洁(审校) 《实用肿瘤学杂志》 CAS 2024年第4期268-272,共5页
近年来,尽管乳腺癌的治疗已取得诸多进展,但其发病率仍呈上升趋势,寻找新的药物靶点和生物标志物已成为研究热点。越来越多的临床研究开始关注肿瘤细胞与肿瘤微环境的相互作用,认为肿瘤微环境对恶性肿瘤的进展起着至关重要的作用。物质P... 近年来,尽管乳腺癌的治疗已取得诸多进展,但其发病率仍呈上升趋势,寻找新的药物靶点和生物标志物已成为研究热点。越来越多的临床研究开始关注肿瘤细胞与肿瘤微环境的相互作用,认为肿瘤微环境对恶性肿瘤的进展起着至关重要的作用。物质P(Substance P,SP)能够参与癌变过程,在维持肿瘤微环境中发挥着关键作用。NK-1受体(Neurokinin 1 receptor,NK-1R)在肿瘤细胞的细胞质中表达,与诸多肿瘤特征显著相关。SP通过其受体NK-1R诱导肿瘤细胞增殖、血管生成和迁移,并发挥抗凋亡作用。在未来的治疗方案中,能否应用NK-1R拮抗剂为乳腺癌的诊断与治疗提供更精准的靶点成为热点话题。本文就SP/NK-1R系统在乳腺癌中的研究状况进行综述。 展开更多
关键词 乳腺癌 SP/NK-1R系统 NK-1R拮抗剂 靶向治疗
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血清iNOS、TREM-1、IL-1Ra表达与细菌感染性肠炎患者病情严重程度的关系及其临床意义研究
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作者 梁丹红 梁民联 +2 位作者 黄换桂 王家华 郑一沣 《中国现代医学杂志》 CAS 2024年第11期72-77,共6页
目的探究细菌感染性肠炎患者血清诱导型一氧化氮合酶(iNOS)、髓样细胞触发受体-1(TREM-1)和白细胞介素-1受体拮抗剂(IL-1Ra)表达的临床意义。方法前瞻性选取2021年2月—2023年2月广州中医药大学东莞医院收治的120例细菌感染性肠炎患者... 目的探究细菌感染性肠炎患者血清诱导型一氧化氮合酶(iNOS)、髓样细胞触发受体-1(TREM-1)和白细胞介素-1受体拮抗剂(IL-1Ra)表达的临床意义。方法前瞻性选取2021年2月—2023年2月广州中医药大学东莞医院收治的120例细菌感染性肠炎患者为研究对象。采集患者粪便标本,分析感染病原菌的病原学特点;根据病情严重程度将患者分为轻度组28例、中度组79例和重度组13例。另选取同期本院体检的健康体检者60例为对照组。比较各组炎症因子[血清降钙素原(PCT)、C反应蛋白(CRP)]、iNOS、TREM-1、IL-1Ra水平;采用Pearson相关分析iNOS、TREM-1、IL-1Ra与炎症因子水平的相关性;采用受试者工作特征(ROC)曲线分析血清iNOS、TREM-1、IL-1Ra对重度细菌感染性肠炎的诊断价值。结果120例细菌感染性肠炎患者共检出176株病原菌,其中氏阳性菌38株(21.59%),革兰阴性菌138株(78.41%)。4组血清PCT、CRP、iNOS、TREM-1、IL-1Ra水平比较,差异均有统计学意义(P<0.05);重度组、中度组、轻度组和对照组依次降低(P<0.05)。Pearson相关性分析结果显示,iNOS、TREM-1、IL-1Ra水平与PCT、CRP水平均呈正相关(P<0.05)。ROC曲线分析结果显示,iNOS最佳截断值为50.07 ng/L,诊断重度细菌感染性肠炎的敏感性和特异性分别为76.92%(95%CI:0.462,0.950)、81.31%(95%CI:0.726,0.882);TREM-1最佳截断值为70.11 pg/mL,诊断的敏感性和特异性分别为84.62%(95%CI:0.546,0.981)、85.05%(95%CI:0.769,0.912);IL-1Ra最佳截断值为271.75 ng/L,诊断的敏感性和特异性分别为92.31%(95%CI:0.640,0.998)、66.36%(95%CI:0.566,0.752)。结论细菌感染性肠炎患者血清iNOS、TREM-1、IL-1Ra表达升高,与患者病情严重程度存在相关性;三者在诊断重度细菌感染性肠炎方面具有良好的诊断价值,或可作为临床评估细菌感染性肠炎病情的潜在指标。 展开更多
关键词 细菌感染性肠炎 诱导型一氧化氮合酶 髓样细胞触发受体-1 IL-1受体拮抗剂 预测价值
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神经激肽1受体拮抗剂替代地塞米松二联方案预防中度致吐风险化疗所致恶心呕吐的随机对照试验
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作者 聂吴仪 周娟 +2 位作者 程东海 王浩强 谢波 《海军军医大学学报》 CAS CSCD 北大核心 2024年第4期462-469,共8页
目的比较神经激肽1(NK-1)受体拮抗剂(RA)联合托烷司琼与地塞米松联合托烷司琼预防中度致吐风险化疗所致恶心呕吐(MEC-CINV)的效果。方法采用非劣效性试验设计,将中国人民解放军南部战区总医院肿瘤科2021年4月至2022年1月满足条件的拟接... 目的比较神经激肽1(NK-1)受体拮抗剂(RA)联合托烷司琼与地塞米松联合托烷司琼预防中度致吐风险化疗所致恶心呕吐(MEC-CINV)的效果。方法采用非劣效性试验设计,将中国人民解放军南部战区总医院肿瘤科2021年4月至2022年1月满足条件的拟接受中度致吐风险化疗的肿瘤患者按照随机数字表法分为NK-1 RA组和地塞米松组。NK-1 RA组患者采用NK-1 RA(阿瑞匹坦或福沙匹坦)+托烷司琼二联止吐方案,地塞米松组采用托烷司琼+地塞米松标准二联止吐方案。主要评价指标为总观察期(0~120 h)、延迟期(24~120 h)、急性期(24 h内)的呕吐完全缓解(CR)率,次要评价指标为各期恶心完全控制(CC)率及恶心呕吐总缓解(TR)率,安全性指标为止吐药物的不良反应(包括乏力、便秘、呃逆、失眠等症状指标,以及白细胞计数减少、中性粒细胞计数减少、血红蛋白下降、血小板计数减少、丙氨酸转氨酶和/或天冬氨酸转氨酶升高、血肌酐升高等实验室指标异常)。采用差异性检验(检验水准为0.05)和非劣效性检验(非劣效性界值为15%,检验水准为0.025)比较两组的干预效果。结果最终共有101例患者全程参与本研究,其中NK-1 RA组51例,地塞米松组50例。NK-1 RA组和地塞米松组总观察期呕吐CR率分别为58.8%(30/51)和56.0%(28/50),非劣效性检验无统计学意义[P_(非劣效)=0.035,率差(RD)=2.80%,95%CI-16.5%~22.1%];急性期呕吐CR率分别为80.4%(41/51)和78.0%(39/50),非劣效性检验有统计学意义(P_(非劣效)=0.016,RD=2.40%,95%CI-13.4%~18.2%);延迟期呕吐CR率分别为62.7%(32/51)和58.0%(29/50),非劣效性检验有统计学意义(P_(非劣效)=0.021,RD=4.70%,95%CI-14.4%~23.8%)。NK-1 RA组各期恶心CC率略高于地塞米松组,非劣效性检验有统计学意义(均P_(非劣效)<0.025)。两组间各安全性指标差异无统计学意义(均P>0.05)。结论在MEC-CINV患者中,NK-1 RA联合托烷司琼的二联止吐方案对恶心呕吐的控制效果非劣效于地塞米松联合托烷司琼标准二联止吐方案,且安全性良好。 展开更多
关键词 中度致吐风险化疗 恶心 呕吐 5-羟色胺3受体拮抗剂 神经激肽1受体拮抗剂 地塞米松
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Controlling Chemotherapy-Induced Nausea and Vomiting with Neurokinin-1 Receptor Antagonists in Patients on AC-Based Chemotherapy—Are We There Yet?
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作者 Kevin Yap Cassandra Leong Alexandre Chan 《Journal of Cancer Therapy》 2012年第1期90-102,共13页
Chemotherapy-induced nausea and vomiting (CINV) are distressing side effects of chemotherapy. Neurokinin-1 receptor antagonists (NK1-RAs) have been incorporated in the contemporary management of CINV. However, clinica... Chemotherapy-induced nausea and vomiting (CINV) are distressing side effects of chemotherapy. Neurokinin-1 receptor antagonists (NK1-RAs) have been incorporated in the contemporary management of CINV. However, clinical studies on NK1-RAs have shown mixed results in reducing CINV risk. Most studies focused on the use of aprepitant (APR) and casopitant (CAS) in breast cancer patients receiving AC-type (doxorubicin and cyclophosphamide) chemotherapy. In this study, we compared the study design and clinical efficacies of these NK1-RAs in reducing CINV risk. Among the selected eight studies, 4 APR Randomized Controlled Trials (RCTs), 2 APR Observational Studies (OSs) and 2 CAS RCTs were identified. Patient-related characteristics such as the proportion of females (60.0% - 100.0%), age (46.5 - 59.5 years), histories of motion (5.6% - 47.0% in NK1-RA arms) and morning sicknesses (14.2% - 45.0% in NK1-RA arms) and types of antiemetic regimens;as well as chemotherapy-related characteristics such as the proportion of patients on AC chemotherapy (15.0% - 100.0%) varied greatly. In terms of efficacies, both APR and CAS improved overall CR and vomiting in majority of the studies. None of the studies, however, demonstrated that NK1-RA could provide adequate nausea control. To conclude, NK1-RAs are effective in improving vomiting and overall CR, but not useful in controlling nausea or attaining CC, the ideal CINV endpoint. A shift in paradigm is needed for future CINV research. As healthcare providers continue to strive for optimum CINV control in their patients, we hope this review can help them make better informed clinical decisions. 展开更多
关键词 AC Anthracycline-Based CHEMOTHERAPY APREPITANT Breast Cancer CASOPITANT Chemotherapy-Induced Nausea Vomiting Neurokinin-1 Receptor antagonists (NK1-RAs)
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Novel Method for Synthesis of Diarylpyrazole Derivatives as Cannabinoid CB_1 Receptor Antagonists
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作者 WU Ying-qiu ZHENG Guo-jun +2 位作者 WANG Ya-ping WANG Xiang-jing XIANG Wen-sheng 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2011年第1期66-69,共4页
A novel and efficient method was developed for the synthesis of diarylpyrazole derivatives as cannabinoid CB1 receptor antagonist via four step reactions. The key step was the synthesis of a diarylpyrazole skeleton, w... A novel and efficient method was developed for the synthesis of diarylpyrazole derivatives as cannabinoid CB1 receptor antagonist via four step reactions. The key step was the synthesis of a diarylpyrazole skeleton, which involved initial condensation of the sodium salt of compound 12 with diazonium compounds, and further cyclization by heating at reflux in acetic acid. Eight diarylpyrazole derivatives and nine new synthesized compounds were characterized by 1H NMR, IR, MS, and elemental analysis. The reaction conditions were mild and the overall yields of the target compounds ranged from 26% to 44%. 展开更多
关键词 Cannabinoid CB1 receptor antagonist Diarylpyrazole derivative SR141716
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解淀粉芽孢杆菌GSBa-1对5种果实采后贮藏品质的影响
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作者 卢清琛 张敏 +5 位作者 刘帮迪 郭淑珍 张照香 孙静 高海娜 刘贵巧 《食品研究与开发》 CAS 2024年第10期59-68,共10页
为探究解淀粉芽孢杆菌GSBa-1(Bacillus amyloliquefaciens GSBa-1)对不同果实的成熟和腐烂抑制作用,选用冬枣、软枣猕猴桃、芒果、甜瓜和梨作为研究对象,将果实用1×10^(8)cfu/mL的解淀粉芽孢杆菌GSBa-1菌液浸泡15s,对常温贮藏期间... 为探究解淀粉芽孢杆菌GSBa-1(Bacillus amyloliquefaciens GSBa-1)对不同果实的成熟和腐烂抑制作用,选用冬枣、软枣猕猴桃、芒果、甜瓜和梨作为研究对象,将果实用1×10^(8)cfu/mL的解淀粉芽孢杆菌GSBa-1菌液浸泡15s,对常温贮藏期间5种果实病情指数、硬度、相对电导率、呼吸强度、总酚含量等指标进行测定。结果表明:解淀粉芽孢杆菌GSBa-1可以分别降低冬枣和芒果呼吸强度和乙烯释放量峰值:25.78%、10.93%和11.97%、2.92%,并将梨呼吸强度和乙烯释放量出现峰值的时间延迟5d,有效维持果实硬度,延缓可滴定酸降解速率和转色,降低果实相对电导率;与未经解淀粉芽孢杆菌GSBa-1处理的果实相比,有效诱导了芒果和冬枣总酚含量的增加,提高芒果和冬枣DPPH自由基清除能力,在第4天,将芒果和冬枣病情指数降低至0.2、0,由于贮藏时间较短,梨果实并没有出现发病。但该菌株并不能降低甜瓜和软枣猕猴桃的病情指数和相对电导率。结论:解淀粉芽孢杆菌GSBa-1可以延缓冬枣、芒果和梨的成熟衰老,抑制冬枣和芒果的腐烂,可以有效对冬枣和芒果进行保鲜,对甜瓜和软枣猕猴桃保鲜效果不理想。 展开更多
关键词 解淀粉芽孢杆菌GSBa-1 生防菌 拮抗 保鲜 贮藏品质
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Possible Mechanism of Action of Neurokinin-1 Receptors (NK1R) Antagonists
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作者 Ozum Ozturk Esin Aki-Yalcin +5 位作者 Tugba Ertan-Bolelli Kayhan Bolelli Andry Nur-Hidayat Ozlem Bingol-Ozakpinar Filiz Ozdemir Ismail Yalcin 《Journal of Pharmacy and Pharmacology》 2017年第11期787-797,共11页
Recently, NK1R (Neurokinin-1 receptors) take attention as new and promising target in anticancer drug development area. It has been proved that non-peptide NK1R antagonists L-733,060, aprepitant and L-732,138 inhibi... Recently, NK1R (Neurokinin-1 receptors) take attention as new and promising target in anticancer drug development area. It has been proved that non-peptide NK1R antagonists L-733,060, aprepitant and L-732,138 inhibited tumor growth in several cancer cell lines. For the development of novel NK1R antagonists as antitumor agents, heterocyclic compounds which were previously synthesized by our team, tested for their cytotoxic activities in several cancer cell lines in this study. Among the tested compounds, a benzothiazole derivative BSN-009 inhibited colon cancer cell lines growth by 57.53% by comparing the activity to the control drug aprepitant. Molecular modeling studies such as molecular docking and pharmacophore generation were performed with known NK1R antagonists and BSN-009 by using Discovery Studio 3.5 in order to explain their binding modes to NK1R. BSN-009 may be a good anticancer drug candidate as a possible NK1R antagonist and is worthy to carry on the anticancer studies. 展开更多
关键词 ANTICANCER APREPITANT BENZOTHIAZOLE docking NK1 receptor antagonist pharmacophore.
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非酒精性脂肪性肝病患者血清IL-1RA、CTRP13和CK-18水平变化及其临床意义探讨
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作者 高洋 张静 卢宣霖 《实用肝脏病杂志》 CAS 2024年第2期185-188,共4页
目的探讨非酒精性脂肪性肝病(NAFLD)患者血清白细胞介素-1受体拮抗剂(IL-1RA)、补体C1q肿瘤坏死因子相关蛋白13(CTRP13)和细胞角蛋白18(CK-18)水平变化及其临床意义。方法2021年1月~2023年1月我院收治的67例NAFLD患者和55例健康体检者,... 目的探讨非酒精性脂肪性肝病(NAFLD)患者血清白细胞介素-1受体拮抗剂(IL-1RA)、补体C1q肿瘤坏死因子相关蛋白13(CTRP13)和细胞角蛋白18(CK-18)水平变化及其临床意义。方法2021年1月~2023年1月我院收治的67例NAFLD患者和55例健康体检者,经肝活检诊断肝脏脂肪变性分级,采用ELISA法检测血清IL-1RA、CTRP13和CK-18水平。应用多元Logistic回归分析危险因素。结果NAFLD组血清IL-1RA和CTRP13水平分别为(328.6±54.3)pg/ml和(2634.2±397.5)pg/ml,显著低于健康人组【分别为(673.1±125.4)pg/ml和(3425.7±423.8)pg/ml,P<0.05】,而血清CK-18水平为(15.2±3.1)ng/ml,显著高于健康人组【(3.9±0.7)ng/ml,P<0.05】;17例F3级肝脂肪变性患者血清IL-1RA和CTRP13水平分别为(256.3±47.6)pg/ml和(2056.3±308.4)pg/ml,显著低于29例F1级患者【分别为(388.3±59.4)pg/ml和(3071.5±409.3)pg/ml,P<0.05】或21例F2级患者【分别为(304.7±50.1)pg/ml和(2498.1±374.2)pg/ml,P<0.05】,而血清CK-18水平为(23.4±4.7)ng/ml,显著高于F1级患者【(8.1±1.3)ng/ml,P<0.05】或F2级患者【(18.5±2.9)ng/ml,P<0.05】;F3级肝脂肪变性患者肥胖、合并糖尿病、合并高脂血症、有代谢综合征家族史、血清IL-1RA≥256.5pg/ml、CTRP13≥2056.5pg/ml和CK-18≥21.6 ng/ml占比分别为70.6%、76.5%、88.2%、70.6%、35.3%、35.3%和70.6%,与50例F1/F2级的38.0%、42.0%、40.0%、30.0%、92.0%、80.0%和10.0%比,差异显著(P<0.05);多因素Logistic回归分析表明,肥胖【OR(95%)为2.0(1.1~3.6)】、合并糖尿病【OR(95%)为2.1(1.1~4.1)】、合并高脂血症【OR(95%)为1.6(1.0~2.6)】、IL-1RA【OR(95%)为0.5(0.3~0.9)】、CTRP13【OR(95%)为0.5(0.3~0.9)】和CK-18【OR(95%)为1.7(1.2~2.5)】为影响NAFLD患者肝脏脂肪变性程度的危险因素(P<0.05)。结论NAFLD患者血清IL-1RA、CTRP13和CK-18水平异常变化可能为评估肝脏脂肪变性程度提供一定的依据。 展开更多
关键词 非酒精性脂肪性肝病 白细胞介素-1受体拮抗剂 补体C1q肿瘤坏死因子相关蛋白13 细胞角蛋白18 临床意义
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α_1-受体拮抗剂DDPH相关的芳氧烷胺类化合物的合成与降压活性 被引量:4
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作者 彭久合 夏霖 +4 位作者 倪沛洲 于更立 傅继华 陈宇飞 吉念宁 《中国药科大学学报》 CAS CSCD 北大核心 1998年第2期81-91,共11页
报道与α1-受体拮抗剂DDPH相关的芳氧烷胺类去手性碳类似物4a~4i,N-甲基化类似物5a~5j,6及构象限制化合物8~12的设计、合成和降压活性。目的物及酰胺中间体的结构经元素分析,红外光谱,核磁共振氢谱和质谱数... 报道与α1-受体拮抗剂DDPH相关的芳氧烷胺类去手性碳类似物4a~4i,N-甲基化类似物5a~5j,6及构象限制化合物8~12的设计、合成和降压活性。目的物及酰胺中间体的结构经元素分析,红外光谱,核磁共振氢谱和质谱数据确证。药理实验结果表明,去手性碳类似物的降压活性一般优于相应的同位手性碳、异位手性碳及构象限制化合物;在N-原子上引入甲基可提高化合物的降压活性(4h/5j);5j和DDPH的活性对比表明5j的活性优于DDPH。 展开更多
关键词 受体拮抗剂 DDPH 芳氧烷胺 合成 降压药
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