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本文引用的文献

1
Adjustment for Propensity Score in Nonrandomized Clinical Studies: Comparison of Sivelestat Versus Conventional Therapy for Acute Lung Injury in Acute Respiratory Distress Syndrome.非随机临床研究中倾向评分的调整:西维来司他与传统疗法治疗急性呼吸窘迫综合征急性肺损伤的比较
Ther Innov Regul Sci. 2017 Jan;51(1):89-99. doi: 10.1177/2168479016659103. Epub 2016 Aug 19.
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Acute Respiratory Distress Syndrome.急性呼吸窘迫综合征
N Engl J Med. 2017 Aug 10;377(6):562-572. doi: 10.1056/NEJMra1608077.
3
Novel translational approaches to the search for precision therapies for acute respiratory distress syndrome.寻找急性呼吸窘迫综合征精准治疗的新转化方法。
Lancet Respir Med. 2017 Jun;5(6):512-523. doi: 10.1016/S2213-2600(17)30187-X. Epub 2017 May 26.
4
Keratinocyte growth factor for the treatment of the acute respiratory distress syndrome (KARE): a randomised, double-blind, placebo-controlled phase 2 trial.角质细胞生长因子治疗急性呼吸窘迫综合征(KARE):一项随机、双盲、安慰剂对照的 2 期试验。
Lancet Respir Med. 2017 Jun;5(6):484-491. doi: 10.1016/S2213-2600(17)30171-6. Epub 2017 May 16.
5
Randomized Clinical Trial of a Combination of an Inhaled Corticosteroid and Beta Agonist in Patients at Risk of Developing the Acute Respiratory Distress Syndrome.吸入性糖皮质激素与β受体激动剂联合应用于急性呼吸窘迫综合征高危患者的随机临床试验
Crit Care Med. 2017 May;45(5):798-805. doi: 10.1097/CCM.0000000000002284.
6
Aspirin reduces lipopolysaccharide-induced pulmonary inflammation in human models of ARDS.阿司匹林可减轻脂多糖诱导的成人呼吸窘迫综合征人体模型中的肺部炎症。
Thorax. 2017 Nov;72(11):971-980. doi: 10.1136/thoraxjnl-2016-208571. Epub 2017 Jan 12.
7
Efficacy of early sivelestat administration on acute lung injury and acute respiratory distress syndrome.早期给予西维来司他对急性肺损伤和急性呼吸窘迫综合征的疗效。
Respirology. 2017 May;22(4):708-713. doi: 10.1111/resp.12969. Epub 2016 Dec 18.
8
A mouse model for MERS coronavirus-induced acute respiratory distress syndrome.中东呼吸综合征冠状病毒诱导的急性呼吸窘迫综合征小鼠模型。
Nat Microbiol. 2016 Nov 28;2(2):16226. doi: 10.1038/nmicrobiol.2016.226.
9
Concise Review: Mesenchymal Stem (Stromal) Cells: Biology and Preclinical Evidence for Therapeutic Potential for Organ Dysfunction Following Trauma or Sepsis.简要综述:间充质干(基质)细胞:创伤或脓毒症后器官功能障碍治疗潜力的生物学及临床前证据
Stem Cells. 2017 Feb;35(2):316-324. doi: 10.1002/stem.2551. Epub 2017 Jan 19.
10
A Missense Genetic Variant in LRRC16A/CARMIL1 Improves Acute Respiratory Distress Syndrome Survival by Attenuating Platelet Count Decline.LRRC16A/CARMIL1中的一个错义基因变异通过减轻血小板计数下降改善急性呼吸窘迫综合征的生存率。
Am J Respir Crit Care Med. 2017 May 15;195(10):1353-1361. doi: 10.1164/rccm.201605-0946OC.

急性呼吸窘迫综合征:从基础到临床的方法改进药物研发。

Acute Respiratory Distress Syndrome: Bench-to-Bedside Approaches to Improve Drug Development.

机构信息

Department of Pharmacology, Hangzhou City, 310058, China.

The Key Respiratory Drug Research Laboratory of China Food and Drug Administration, School of Medicine, Zhejiang University, Hangzhou City, 310058, China.

出版信息

Clin Pharmacol Ther. 2018 Sep;104(3):484-494. doi: 10.1002/cpt.1034. Epub 2018 Feb 27.

DOI:10.1002/cpt.1034
PMID:29484641
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7162218/
Abstract

Despite 50 years of extensive research, no definite drug is currently available to treat acute respiratory distress syndrome (ARDS), and the supportive therapies remain the mainstay of treatment. To improve drug development for ARDS, researchers need to deeply analyze the "omics" approaches, reevaluate the suitable therapeutic targets, resolve the problems of inadequate animal modeling, develop the strategies to reduce the heterogeneity, and reconsider new therapeutic and analytical approaches for better designs of clinical trials.

摘要

尽管经过了 50 年的广泛研究,但目前仍没有明确的药物可用于治疗急性呼吸窘迫综合征(ARDS),支持性治疗仍然是治疗的主要手段。为了改善 ARDS 的药物开发,研究人员需要深入分析“组学”方法,重新评估合适的治疗靶点,解决动物模型不足的问题,制定减少异质性的策略,并重新考虑新的治疗和分析方法,以更好地设计临床试验。