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罗氟司特,一种4型磷酸二酯酶抑制剂,在结核病小鼠模型中显示出有前景的辅助性宿主导向治疗活性。

Roflumilast, a Type 4 Phosphodiesterase Inhibitor, Shows Promising Adjunctive, Host-Directed Therapeutic Activity in a Mouse Model of Tuberculosis.

作者信息

Maiga Mariama C, Ahidjo Bintou Ahmadou, Maiga Mamoudou, Bishai William R

机构信息

Center for Tuberculosis Research, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA Howard Hughes Medical Institute, Chevy Chase, Maryland, USA.

Center for Tuberculosis Research, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA Université des Sciences, des Techniques et des Technologies de Bamako (USTTB), Bamako, Mali.

出版信息

Antimicrob Agents Chemother. 2015 Dec;59(12):7888-90. doi: 10.1128/AAC.02145-15. Epub 2015 Oct 5.

DOI:10.1128/AAC.02145-15
PMID:26438491
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4649180/
Abstract

With phosphodiesterase inhibitors (PDE-Is) showing significant promise in shortening tuberculosis treatment, we assessed the effect of roflumilast, an FDA-approved type 4 PDE-I, in both acute and chronic murine models of tuberculosis. Alone, roflumilast had no effect on lung bacillary burden and mortality. However, when roflumilast was used in combination with isoniazid, a reduction in lung bacillary burden was observed. These data suggest that roflumilast may be a good candidate for tuberculosis host-directed therapy (HDT).

摘要

随着磷酸二酯酶抑制剂(PDE-Is)在缩短结核病治疗时间方面显示出显著前景,我们评估了已获美国食品药品监督管理局(FDA)批准的4型PDE-I药物罗氟司特在急性和慢性小鼠结核病模型中的作用。单独使用时,罗氟司特对肺部细菌负荷和死亡率没有影响。然而,当罗氟司特与异烟肼联合使用时,观察到肺部细菌负荷有所降低。这些数据表明,罗氟司特可能是结核病宿主导向治疗(HDT)的一个良好候选药物。

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Roflumilast, a Type 4 Phosphodiesterase Inhibitor, Shows Promising Adjunctive, Host-Directed Therapeutic Activity in a Mouse Model of Tuberculosis.罗氟司特,一种4型磷酸二酯酶抑制剂,在结核病小鼠模型中显示出有前景的辅助性宿主导向治疗活性。
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本文引用的文献

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Advancing host-directed therapy for tuberculosis.推进结核病宿主导向治疗。
Nat Rev Immunol. 2015 Apr;15(4):255-63. doi: 10.1038/nri3813. Epub 2015 Mar 13.
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Host-directed therapy of tuberculosis based on interleukin-1 and type I interferon crosstalk.基于白细胞介素-1 和 I 型干扰素相互作用的结核病宿主导向治疗。
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The selective phosphodiesterase 4 inhibitor roflumilast and phosphodiesterase 3/4 inhibitor pumafentrine reduce clinical score and TNF expression in experimental colitis in mice.选择性磷酸二酯酶 4 抑制剂罗氟司特和磷酸二酯酶 3/4 抑制剂 pumafentrine 可降低实验性结肠炎小鼠的临床评分和 TNF 表达。
PLoS One. 2013;8(2):e56867. doi: 10.1371/journal.pone.0056867. Epub 2013 Feb 28.
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Successful shortening of tuberculosis treatment using adjuvant host-directed therapy with FDA-approved phosphodiesterase inhibitors in the mouse model.在小鼠模型中,使用经美国食品和药物管理局批准的磷酸二酯酶抑制剂作为辅助宿主导向疗法成功缩短了结核病的治疗时间。
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Phosphodiesterase-4 inhibition alters gene expression and improves isoniazid-mediated clearance of Mycobacterium tuberculosis in rabbit lungs.磷酸二酯酶-4 抑制作用改变基因表达并增强异烟肼在兔肺中对结核分枝杆菌的清除作用。
PLoS Pathog. 2011 Sep;7(9):e1002262. doi: 10.1371/journal.ppat.1002262. Epub 2011 Sep 15.
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Phosphodiesterase 4 inhibition reduces innate immunity and improves isoniazid clearance of Mycobacterium tuberculosis in the lungs of infected mice.磷酸二酯酶 4 抑制降低固有免疫并提高感染小鼠肺部结核分枝杆菌的异烟肼清除率。
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Roflumilast: first phosphodiesterase 4 inhibitor approved for treatment of COPD.罗氟司特:首个获批用于治疗慢性阻塞性肺疾病的磷酸二酯酶4抑制剂。
Drug Des Devel Ther. 2010 Jul 21;4:147-58. doi: 10.2147/dddt.s7667.