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吡非尼酮在纤维化疾病中的作用及新见解

Role and New Insights of Pirfenidone in Fibrotic Diseases.

作者信息

Lopez-de la Mora David Alejandro, Sanchez-Roque Cibeles, Montoya-Buelna Margarita, Sanchez-Enriquez Sergio, Lucano-Landeros Silvia, Macias-Barragan Jose, Armendariz-Borunda Juan

机构信息

1. Institute for Molecular Biology and Gene Therapy, Department of Molecular Biology and Genomics, University of Guadalajara, Sierra Mojada St. 950, Guadalajara (44280), Mexico.

1. Institute for Molecular Biology and Gene Therapy, Department of Molecular Biology and Genomics, University of Guadalajara, Sierra Mojada St. 950, Guadalajara (44280), Mexico. ; 2. Departamento de Ciencias de la Salud, CUValles, University of Guadalajara, Guadalajara - Ameca km. 45.5, Ameca (46600), Mexico.

出版信息

Int J Med Sci. 2015 Oct 14;12(11):840-7. doi: 10.7150/ijms.11579. eCollection 2015.

DOI:10.7150/ijms.11579
PMID:26640402
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4643073/
Abstract

Pirfenidone (PFD) is a non-peptide synthetic molecule issued as a broad-spectrum anti-fibrotic drug with the ability to decrease TGF-β1, TNF-α, PDGF and COL1A1 expression, which is highly related to prevent or remove excessive deposition of scar tissue in several organs. Basic and clinical evidence suggests that PFD may safely slow or inhibit the progressive fibrosis swelling after tissue injuries. Furthermore, a number of evidence suggests that this molecule will have positive effects in the treatment of other inflammatory diseases. This review contains current research in which PFD has been used as the treatment of several diseases, and focus mainly in the outcomes related to improve inflammation and fibrogenesis. Therefore, the main goal of this review is to focus on the novel findings of PFD efficacy rather than deepen in the chemical aspects of the molecule.

摘要

吡非尼酮(PFD)是一种非肽类合成分子,作为一种广谱抗纤维化药物,能够降低与预防或消除多个器官中瘢痕组织过度沉积高度相关的转化生长因子-β1(TGF-β1)、肿瘤坏死因子-α(TNF-α)、血小板衍生生长因子(PDGF)和I型胶原蛋白α1(COL1A1)的表达。基础和临床证据表明,PFD可能安全地减缓或抑制组织损伤后进行性纤维化肿胀。此外,大量证据表明该分子在治疗其他炎症性疾病方面将产生积极作用。本综述涵盖了目前将PFD用于治疗多种疾病的研究,主要关注与改善炎症和纤维化形成相关的结果。因此,本综述的主要目标是聚焦于PFD疗效的新发现,而非深入探讨该分子的化学方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61d2/4643073/6b2e926eb228/ijmsv12p0840g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61d2/4643073/6b2e926eb228/ijmsv12p0840g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61d2/4643073/6b2e926eb228/ijmsv12p0840g001.jpg

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2
The clinical effectiveness and cost-effectiveness of treatments for idiopathic pulmonary fibrosis: a systematic review and economic evaluation.特发性肺纤维化治疗的临床疗效与成本效益:一项系统评价与经济学评估
Health Technol Assess. 2015 Mar;19(20):i-xxiv, 1-336. doi: 10.3310/hta19200.
3
Treatment with pirfenidone for two years decreases fibrosis, cytokine levels and enhances CB2 gene expression in patients with chronic hepatitis C.
Targeting p38γ synergistically enhances sorafenib-induced cytotoxicity in hepatocellular carcinoma.
靶向p38γ可协同增强索拉非尼对肝癌细胞的细胞毒性。
Cell Biol Toxicol. 2025 Jan 28;41(1):35. doi: 10.1007/s10565-024-09979-x.
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Progress in Nanotechnology for Treating Ocular Surface Chemical Injuries: Reflecting on Advances in Ophthalmology.用于治疗眼表化学伤的纳米技术进展:眼科进展反思
Adv Sci (Weinh). 2025 Feb;12(6):e2407340. doi: 10.1002/advs.202407340. Epub 2025 Jan 4.
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Pirfenidone as a Cornerstone in the Management of Fibrotic Interstitial Lung Diseases and Its Emerging Applications: A Comprehensive Review.吡非尼酮作为纤维化间质性肺疾病管理的基石及其新应用:综述
Cureus. 2024 Sep 30;16(9):e70497. doi: 10.7759/cureus.70497. eCollection 2024 Sep.
6
affects myocardial function through TGF-β/Smad axis and pirfenidone.通过 TGF-β/Smad 轴和吡非尼酮影响心肌功能。
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