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异丙肌苷。对其药效学、药代动力学特性及治疗效果的初步综述。

Inosine pranobex. A preliminary review of its pharmacodynamic and pharmacokinetic properties, and therapeutic efficacy.

作者信息

Campoli-Richards D M, Sorkin E M, Heel R C

出版信息

Drugs. 1986 Nov;32(5):383-424. doi: 10.2165/00003495-198632050-00001.

DOI:10.2165/00003495-198632050-00001
PMID:2431857
Abstract

Inosine pranobex is a synthetic compound formed from the p-acetamido benzoate salt of N-N dimethylamino-2-propanol and inosine in a 3:1 molar ratio. It has been reported to exert antiviral and antitumour activities in vivo which are secondary to an immunomodulating effect, and early results suggest beneficial clinical effects in several diseases and infections including mucocutaneous Herpes simplex infections, subacute sclerosing panencephalitis, genital warts, influenza, zoster, and type B viral hepatitis, as well as in homosexual men with persistent generalised lymphadenopathy. However, many of the studies have been preliminary in nature and deficient in design or in the reporting of their results. One must therefore conclude that while inosine pranobex may prove to be a valuable and innovative therapy for a number of diseases and infections for which no satisfactory therapy exist, further long term well controlled studies in larger numbers of patients are required before definitive conclusions about the efficacy of inosine pranobex in these disorders will be possible.

摘要

异丙肌苷是一种由N - N二甲基氨基 - 2 - 丙醇的对乙酰氨基苯甲酸盐与肌苷按3:1摩尔比形成的合成化合物。据报道,它在体内具有抗病毒和抗肿瘤活性,这些活性继发于免疫调节作用,早期结果表明其对多种疾病和感染有有益的临床效果,包括皮肤黏膜单纯疱疹感染、亚急性硬化性全脑炎、尖锐湿疣、流感、带状疱疹和乙型病毒性肝炎,以及患有持续性全身性淋巴结病的同性恋男性。然而,许多研究本质上是初步的,在设计或结果报告方面存在缺陷。因此,人们必须得出这样的结论:虽然异丙肌苷可能被证明是对许多尚无满意治疗方法的疾病和感染的一种有价值且创新的疗法,但在对异丙肌苷在这些疾病中的疗效得出明确结论之前,还需要对大量患者进行进一步的长期严格对照研究。

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Inosine pranobex. A preliminary review of its pharmacodynamic and pharmacokinetic properties, and therapeutic efficacy.异丙肌苷。对其药效学、药代动力学特性及治疗效果的初步综述。
Drugs. 1986 Nov;32(5):383-424. doi: 10.2165/00003495-198632050-00001.
2
Inosine Pranobex: A Key Player in the Game Against a Wide Range of Viral Infections and Non-Infectious Diseases.肌苷普乐安:对抗多种病毒感染和非传染性疾病的关键药物。
Adv Ther. 2019 Aug;36(8):1878-1905. doi: 10.1007/s12325-019-00995-6. Epub 2019 Jun 5.
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[Therapeutic experiences with the immunostimulator inosine pranobex].[免疫刺激剂异丙肌苷的治疗经验]
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Immunotherapy of genital warts with inosine pranobex (Imunovir): preliminary study.用肌苷普拉诺贝(免疫病毒素)治疗尖锐湿疣的初步研究。
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Clinical and immunological assessment in HIV+ subjects receiving inosine-pranobex. A randomised, multicentric study.接受肌苷 pranobex 的 HIV 阳性受试者的临床和免疫学评估。一项随机、多中心研究。
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[Immunological and clinical study on therapeutic efficacy of inosine pranobex].[免疫核糖核酸治疗效果的免疫学及临床研究] (注:原文中inosine pranobex一般译为“免疫核糖核酸”,但此句中似乎不太准确,建议检查原文是否有误,这里按字面翻译为“肌苷丙胺酸盐”,但结合医学语境可能更准确的是免疫核糖核酸)
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Clinical. A new approach to combat viruses.临床应用。一种对抗病毒的新方法。
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The efficacy of inosine pranobex in preventing the acquired immunodeficiency syndrome in patients with human immunodeficiency virus infection. The Scandinavian Isoprinosine Study Group.肌苷普拉诺贝预防人类免疫缺陷病毒感染患者获得性免疫缺陷综合征的疗效。斯堪的纳维亚异嘌呤醇研究组。
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Inosine pranobex--only for use in controlled trials.异丙肌苷——仅用于对照试验。
Drug Ther Bull. 1986 Dec 1;24(24):95-6.

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本文引用的文献

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Variables influencing the in vitro susceptibilities of herpes simplex viruses to antiviral drugs.影响单纯疱疹病毒体外对抗病毒药物敏感性的变量。
Antimicrob Agents Chemother. 1974 Jul;6(1):34-8. doi: 10.1128/AAC.6.1.34.
2
Evaluation of isoprinosine in experimental human rhinovirus infection.异丙肌苷在实验性人鼻病毒感染中的评估。
Antimicrob Agents Chemother. 1974 Apr;5(4):403-8. doi: 10.1128/AAC.5.4.403.
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Resynthesis of trypsinized sheep red blood cell receptors on human lymphocytes: comparison of the effects of immunopotentiators of biological and synthetic origin in vitro.
抗亚急性硬化性全脑炎病毒治疗的进展。
Molecules. 2021 Jan 15;26(2):427. doi: 10.3390/molecules26020427.
4
Comparative Study of Immunomodulatory Agents to Induce Human T Regulatory (Treg) Cells: Preferential Treg-Stimulatory Effect of Prednisolone and Rapamycin.免疫调节剂诱导人 T 调节(Treg)细胞的比较研究:泼尼松龙和雷帕霉素对 Treg 细胞的优先刺激作用。
Arch Immunol Ther Exp (Warsz). 2020 Jun 12;68(4):20. doi: 10.1007/s00005-020-00582-6.
5
Battling COVID-19: using old weapons for a new enemy.抗击新冠疫情:用旧武器应对新敌人。
Trop Dis Travel Med Vaccines. 2020 May 20;6:6. doi: 10.1186/s40794-020-00107-1. eCollection 2020.
6
Clinical conundrum: status epilepticus culminating into acute dystonia myoclonus.临床难题:癫痫持续状态演变为急性肌张力障碍性肌阵挛。
BMJ Case Rep. 2020 Feb 28;13(2):e233397. doi: 10.1136/bcr-2019-233397.
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Inosine Pranobex: A Key Player in the Game Against a Wide Range of Viral Infections and Non-Infectious Diseases.肌苷普乐安:对抗多种病毒感染和非传染性疾病的关键药物。
Adv Ther. 2019 Aug;36(8):1878-1905. doi: 10.1007/s12325-019-00995-6. Epub 2019 Jun 5.
8
Genotoxicity and Mutagenicity of Inosine Pranobex.肌苷普拉诺贝的遗传毒性和致突变性。
J Vet Res. 2018 Oct 24;62(2):207-213. doi: 10.2478/jvetres-2018-0030. eCollection 2018 Jun.
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Pharmaceutics. 2018 May 26;10(2):64. doi: 10.3390/pharmaceutics10020064.
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Inhibition of adenovirus multiplication by inosine pranobex and interferon α in vitro.肌苷普拉诺贝和α干扰素在体外对腺病毒增殖的抑制作用。
Cent Eur J Immunol. 2015;40(4):395-9. doi: 10.5114/ceji.2015.56960. Epub 2016 Jan 15.
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J Clin Immunol. 1984 Nov;4(6):469-78. doi: 10.1007/BF00916577.
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Medical registers as historical controls: analysis of an open clinical trial of inosiplex in subacute sclerosing panencephalitis.作为历史对照的医学登记资料:对肌苷片治疗亚急性硬化性全脑炎开放临床试验的分析
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An open-label trial of immunomodulation therapy with inosiplex (Isoprinosine) in patients with alopecia totalis and cell-mediated immunodeficiency.一项关于inosiplex(异丙肌苷)免疫调节疗法治疗全秃和细胞介导免疫缺陷患者的开放标签试验。
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Immunomodulatory activity of isoprinosine on experimental viral infections in avian models.异丙肌苷对禽类模型实验性病毒感染的免疫调节活性。
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Effect of isoprinosine on interleukin 1 and 2 production and on suppressor cell activity in pokeweed mitogen stimulated cultures of B and T cells.异丙肌苷对美洲商陆丝裂原刺激的B细胞和T细胞培养物中白细胞介素1和2产生及抑制细胞活性的影响。
Int J Immunopharmacol. 1984;6(4):321-8. doi: 10.1016/0192-0561(84)90049-3.
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Effect of isoprinosine on natural killer cell activity of blood mononuclear cells in vitro and in vivo.异丙肌苷对体外及体内血液单核细胞自然杀伤细胞活性的影响。
Int J Immunopharmacol. 1984;6(4):315-20. doi: 10.1016/0192-0561(84)90048-1.
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In-vivo immunomodulation by isoprinosine in patients with the acquired immunodeficiency syndrome and related complexes.异丙肌苷对获得性免疫缺陷综合征及相关综合征患者的体内免疫调节作用。
Ann Intern Med. 1984 Aug;101(2):206-7. doi: 10.7326/0003-4819-101-2-206.