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[非甾体抗炎药致溃疡作用分子机制的计算机检索]

[Computer search for molecular mechanisms of ulcerogenic action of nonsteroidal antiinflammatory drugs].

作者信息

Ivanov S M, Lagunin A A, Zakharov A V, Filimonov D A, Poroĭkov V V

出版信息

Biomed Khim. 2014 Jan-Feb;60(1):7-16. doi: 10.18097/pbmc20146001007.

DOI:10.18097/pbmc20146001007
PMID:24749244
Abstract

"Peptic ulcers" is the most frequent side effect of non-steroidal anti-inflammatory drugs (NSAIDs). Experimental data indicate that pathogenesis of peptic ulcers cannot be explained only by the inhibition of cyclooxygenases. The knowledge about other molecular mechanisms of action of drugs related with development of peptic ulcers could be useful for design of new safe NSAIDs. However, considerable time and material resources are needed for corresponding experimental research. For simplification of experimental search, we have developed an approach for in silico identification of probable molecular mechanisms of action of drugs related with its side effects. We have created the set of NSAIDs containing 85 substances with data about structures and side effects. The computer program PASS (Prediction of Activity Spectra for Substances) predicting more than 3000 molecular mechanisms of action based on structural formula of substances was used to estimate unknown molecular mechanisms of action for these set of NSAIDs. Statistically significant relationships between predicted molecular mechanisms of action and development of peptic ulcers have been established. We have discovered twenty-six molecular mechanisms of action (two known previously and twenty-four new) which probably related with development of peptic ulcers. By analyzing of Gene Ontology data, signal and metabolic pathways, publications in Medline, we formulated hypotheses about the role of ten molecular mechanisms of action in pathogenesis of peptic ulcer.

摘要

消化性溃疡是非甾体抗炎药(NSAIDs)最常见的副作用。实验数据表明,消化性溃疡的发病机制不能仅用环氧化酶的抑制来解释。了解与消化性溃疡发生相关的药物其他分子作用机制,可能有助于设计新的安全NSAIDs。然而,相应的实验研究需要大量的时间和物力资源。为了简化实验搜索,我们开发了一种计算机模拟方法,用于识别与药物副作用相关的可能分子作用机制。我们创建了一组包含85种物质的NSAIDs,这些物质具有结构和副作用数据。使用基于物质结构式预测3000多种分子作用机制的计算机程序PASS(物质活性谱预测)来评估这组NSAIDs未知的分子作用机制。已建立预测的分子作用机制与消化性溃疡发生之间的统计学显著关系。我们发现了26种可能与消化性溃疡发生相关的分子作用机制(2种先前已知,24种新发现)。通过分析基因本体数据、信号和代谢途径以及医学文献数据库中的出版物,我们对10种分子作用机制在消化性溃疡发病机制中的作用提出了假设。

相似文献

1
[Computer search for molecular mechanisms of ulcerogenic action of nonsteroidal antiinflammatory drugs].[非甾体抗炎药致溃疡作用分子机制的计算机检索]
Biomed Khim. 2014 Jan-Feb;60(1):7-16. doi: 10.18097/pbmc20146001007.
2
Nonsteroidal anti-inflammatory drugs and peptic ulcer disease.非甾体抗炎药与消化性溃疡病
Ann Intern Med. 1991 Feb 15;114(4):307-19. doi: 10.7326/0003-4819-114-4-307.
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Mechanisms of ulcer healing and effects of nonsteroidal anti-inflammatory drugs.溃疡愈合机制及非甾体抗炎药的作用
Am J Med. 1998 Mar 30;104(3A):43S-51S; discussion 79S-80S. doi: 10.1016/s0002-9343(97)00211-8.
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Review article: cellular and molecular mechanisms of NSAID-induced peptic ulcers.综述:非甾体抗炎药致消化性溃疡的细胞及分子机制
Aliment Pharmacol Ther. 2009 Sep 15;30(6):517-31. doi: 10.1111/j.1365-2036.2009.04086.x. Epub 2009 Jul 3.
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Epidemiology of nonsteroidal anti-inflammatory drug-associated gastrointestinal injury.非甾体抗炎药相关胃肠道损伤的流行病学
Am J Med. 1998 Mar 30;104(3A):23S-29S; discussion 41S-42S. doi: 10.1016/s0002-9343(97)00207-6.
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Risk of uncomplicated peptic ulcer among users of aspirin and nonaspirin nonsteroidal antiinflammatory drugs.阿司匹林及非阿司匹林非甾体抗炎药使用者发生单纯性消化性溃疡的风险
Am J Epidemiol. 2004 Jan 1;159(1):23-31. doi: 10.1093/aje/kwh005.
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Preferential location of idiopathic peptic ulcers.特发性消化性溃疡的好发部位
Scand J Gastroenterol. 2016 Jul;51(7):782-7. doi: 10.3109/00365521.2016.1141316. Epub 2016 Feb 7.
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NSAID-induced peptic ulcer disease: a critical review of pathogenesis and management.非甾体抗炎药引起的消化性溃疡病:发病机制与管理的批判性综述
Dig Dis. 1994 Jul-Aug;12(4):210-22. doi: 10.1159/000171455.
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[NSAIDs induced gastroduodenal ulcer in the aged].
Nihon Rinsho. 2002 Aug;60(8):1527-32.
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Trends in peptic ulcer pharmacotherapy.消化性溃疡药物治疗的趋势
Fundam Clin Pharmacol. 2004 Feb;18(1):23-31. doi: 10.1111/j.1472-8206.2004.00203.x.

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