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从天然辣椒素类物质生产可口服应用的新型药物或药物组合,用于人类医学治疗。

Production of orally applicable new drug or drug combinations from natural origin capsaicinoids for human medical therapy.

机构信息

First Department of Medicine, Medical and Health Centre, University of Pécs, Hungary, H-7624 Ifjúság út 13, Pécs, Hungary.

出版信息

Curr Pharm Des. 2010;16(10):1197-208. doi: 10.2174/138161210790945896.

Abstract

It is well known that the capsaicin stimulates (in small doses) or impairs (in high doses) the capsaicin-sensitive afferent nerves and the final effects of capsaicin depend on its applied doses. The effects of capsaicin were analyzed on the gastrointestinal mucosal protection and injury in animal experiments and in human beings (from 1980 up to now). From 2005 to 2008 an interdisciplinary group (21 researchers) participated in the production of orally applicable drug or drug combinations from capsaicin for human medical therapy of patients suffering from cardiovascular, degenerative joint and locomotor diseases, who received in their treatments non-steroidal anti-inflammatory compounds (NSAIDs). Our studies were based on the results of the NSAIDs-induced gastrointestinal side effects could be detected by application of small doses of capsaicin. Because natural (plant origin) capsaicin is chemically does not represent a uniform entity and used in the international research, consequently the authors met a lot of unpredictable scientific problems during the time of production of new capsaicin containing (alone or in combinations) drug before receiving official permissions from the different national and international authorities to start the classical human clinical pharmacological studies. This paper summarizes the different steps from the basic physiological and pharmacological notes (in animals), plant cultivation, chemistry of substance(s), animal (general and germinative) acute and chronic toxicology, human actions, basic clinical pharmacology of natural capsaicin (capsaicinoids) to introduce and to develop a new drug (or drug combinations) in the human medical therapy.

摘要

众所周知,辣椒素(capsaicin)可刺激(小剂量时)或损伤(大剂量时)辣椒素敏感传入神经,而辣椒素的最终作用取决于其应用剂量。在动物实验和人类中(1980 年至今)分析了辣椒素对胃肠黏膜保护和损伤的作用。2005 年至 2008 年,一个跨学科小组(21 名研究人员)参与了从辣椒素中开发可口服应用的药物或药物组合,用于患有心血管疾病、退行性关节和运动疾病的患者的人类医疗治疗,这些患者在治疗中接受了非甾体抗炎化合物(NSAIDs)。我们的研究基于 NSAIDs 诱导的胃肠道副作用可通过应用小剂量辣椒素来检测的结果。由于天然(植物来源)辣椒素在化学上不是一个统一的实体,并且在国际研究中使用,因此作者在获得不同国家和国际当局的正式许可以开始经典的人类临床药理学研究之前,在生产新的含有(单独或组合)辣椒素的药物时遇到了许多不可预测的科学问题。本文总结了从基础生理学和药理学注释(在动物中)、植物栽培、物质化学、动物(一般和生殖)急性和慢性毒理学、人体作用、天然辣椒素(辣椒素类)的基础临床药理学的不同步骤,以介绍和开发人类医学治疗中的新药物(或药物组合)。

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