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[原发性退行性关节病(骨关节炎)中S-腺苷甲硫氨酸(SAMe)的药理及临床研究]

[Pharmacological and clinical aspects of S-adenosylmethionine (SAMe) in primary degenerative arthropathy (osteoarthrosis)].

作者信息

Polli E, Cortellaro M, Parrini L, Tessari L, Chériè Lignière G

出版信息

Minerva Med. 1975 Dec 5;66(83):4443-59.

PMID:1105240
Abstract

After some preliminary remarks of a biochemical and pharmacological nature, the authors have started a clinical study to test the antiinflammatory activity of the S-adenosyl-methionine (SAMe). An open trial, carried out on 90 patients with severe degenerative arthropathies has shown that 30 mg SAMe intravenously twice a day for 14 days have a marked anti-inflammatory effect a rather term and no side-effects. In a "double-crossover" investigation, SAMe was next compared to indomethacin by i.m. administrations to 15 arthropathic patients. The therapeutic responses of the two drugs proved exactly alike, whereas the side-effects following indomethacin administration were not present after SAMe. In 9 patients affected with rheumatoid arthritis administrations of SAMe have proved less effective, although some clinical parameters showed improvements.

摘要

在进行了一些生物化学和药理学方面的初步论述后,作者开展了一项临床研究,以测试S-腺苷甲硫氨酸(SAMe)的抗炎活性。一项针对90例严重退行性关节病患者的开放试验表明,每天静脉注射30毫克SAMe,共14天,具有显著的抗炎作用,且持续时间较长,并且没有副作用。在一项“双交叉”研究中,接下来将SAMe与消炎痛进行了比较,对15例关节病患者进行肌肉注射给药。结果证明两种药物的治疗反应完全相同,而消炎痛给药后出现的副作用在使用SAMe后并未出现。在9例类风湿性关节炎患者中,SAMe的给药效果较差,尽管一些临床参数有所改善。

相似文献

1
[Pharmacological and clinical aspects of S-adenosylmethionine (SAMe) in primary degenerative arthropathy (osteoarthrosis)].[原发性退行性关节病(骨关节炎)中S-腺苷甲硫氨酸(SAMe)的药理及临床研究]
Minerva Med. 1975 Dec 5;66(83):4443-59.
2
[S-adenosylmethionine (SAMe) in osteoarthrosis; a double-blind crossover peroral study].[骨关节炎中的S-腺苷甲硫氨酸(SAMe);一项双盲交叉口服研究]
G Clin Med. 1980 Aug;61(8):616-27.
3
Ketoprofen -- a new anti-rheumatic agent.酮洛芬——一种新型抗风湿药。
Scand J Rheumatol Suppl. 1976;1976(0):133-6.
4
Double-blind multicentre study of the activity of S-adenosylmethionine in hip and knee osteoarthritis.
Int J Clin Pharmacol Res. 1985;5(1):39-49.
5
Crossover comparison of benoxaprofen and indomethacin in rheumatoid arthritis and osteoarthritis.
Eur J Rheumatol Inflamm. 1982;5(2):246-57.
6
[Controlled clinical study of SAMe (S-adenosylmethionine) administered orally in degenerative osteoarticular pathology].[口服S-腺苷甲硫氨酸(SAMe)治疗退行性骨关节病的对照临床研究]
G Clin Med. 1980 Jul;61(7):553-66.
7
[Report of a controlled clinical trial of a new synthetic drug, parsalmide, in rheumatic arthropathies (inflammatory and degenerative)].
Minerva Med. 1976 Oct 31;67(52):3391-5.
8
[Open clinical study on the efficacy and tolerance of acemetacin in rheumatoid arthritis and osteoarthrosis].[阿西美辛治疗类风湿关节炎和骨关节炎的疗效及耐受性开放临床研究]
Clin Ter. 1989 Jul 31;130(2):109-13.
9
Activated osteoarthrosis (osteoarthritis) and its treatment with indomethacin and benoxaprofen: a double-blind crossover study.
Eur J Rheumatol Inflamm. 1982;5(2):224-9.
10
A controlled trial of tiaprofenic acid against indomethacin in patients with rheumatoid arthritis.替诺昔康酸与吲哚美辛治疗类风湿性关节炎患者的对照试验。
Int J Clin Pharmacol Res. 1985;5(3):157-9.

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S-adenosyl methionine regulates calcium channels and inhibits uterine smooth muscle contraction in rats with infectious premature delivery through the transient receptor protein 3/protein kinase Cβ/C-kinase-activated protein phosphatase-1 inhibitor of 17 kDa signaling pathway.S-腺苷甲硫氨酸通过瞬时受体蛋白3/蛋白激酶Cβ/17 kDa C激酶激活蛋白磷酸酶-1抑制剂信号通路调节钙通道并抑制感染性早产大鼠子宫平滑肌收缩。
Exp Ther Med. 2018 Jul;16(1):103-112. doi: 10.3892/etm.2018.6164. Epub 2018 May 14.
2
S-Adenosylmethionine for osteoarthritis of the knee or hip.用于膝或髋骨关节炎的S-腺苷甲硫氨酸
Cochrane Database Syst Rev. 2009 Oct 7;2009(4):CD007321. doi: 10.1002/14651858.CD007321.pub2.
3
S-adenosyl methionine (SAMe) versus celecoxib for the treatment of osteoarthritis symptoms: a double-blind cross-over trial. [ISRCTN36233495].
S-腺苷甲硫氨酸(SAMe)与塞来昔布治疗骨关节炎症状的比较:一项双盲交叉试验。[国际标准随机对照试验编号:ISRCTN36233495]
BMC Musculoskelet Disord. 2004 Feb 26;5:6. doi: 10.1186/1471-2474-5-6.
4
Double-blind study of S-adenosyl-methionine versus placebo in hip and knee arthrosis.
Clin Rheumatol. 1985 Dec;4(4):484-5. doi: 10.1007/BF02031907.