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治疗脊柱结核的药物化学研究现状。

Current Study of Medicinal Chemistry for Treating Spinal Tuberculosis.

机构信息

Department of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, China.

Department of Spine Surgery, Xi'an Jiaotong University, Xi'an, China.

出版信息

Curr Med Chem. 2021;28(25):5201-5212. doi: 10.2174/0929867328666201222125225.

DOI:10.2174/0929867328666201222125225
PMID:33355046
Abstract

Tuberculosis, caused by Mycobacterium tuberculosis, is one of the oldest diseases in the world and is one of the top ten causes of death in the world, ranking first mortality in infectious diseases, far beyond the frightening disease AIDS. Besides that, spinal tuberculosis is the most common form of extrapulmonary tuberculosis, accounting for approximately 1 to 3% of all tuberculosis cases, and accounting for 50% of musculoskeletal infections. However, the drug-resistant situation of spinal tuberculosis is still challenging world wide. This situation directly leads that spinal tuberculosis has a high disability rate and is difficult to treat, which causes a heavy burden to patients, families and society. Therefore, it has been one of the focuses of tuberculosis researchers and spine doctors. Considering that, in this review, we aim to overview the current studies that focused on the novel understanding of current spinal tuberculosis medicine usage and extensive explorations for treating this severe disease.

摘要

结核病是由结核分枝杆菌引起的,是世界上最古老的疾病之一,也是世界十大死因之一,在传染病中死亡率排名第一,远远超过令人恐惧的艾滋病。此外,脊柱结核是最常见的肺外结核形式,约占所有结核病病例的 1%至 3%,占肌肉骨骼感染的 50%。然而,脊柱结核的耐药情况仍然是全世界面临的挑战。这种情况直接导致脊柱结核的残疾率很高,难以治疗,给患者、家庭和社会带来沉重负担。因此,它一直是结核病研究人员和脊柱医生关注的焦点之一。有鉴于此,在本综述中,我们旨在概述当前针对脊柱结核药物使用的新认识,并对治疗这种严重疾病进行广泛探索。

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J Bone Joint Surg Am. 2025 Mar 19;107(6):e17. doi: 10.2106/JBJS.24.00453. Epub 2025 Feb 3.
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Prognostic nutritional index and naples prognostic score as biomarkers for the prognosis of incisional wound healing after thoracolumbar tuberculosis surgery.预后营养指数和那不勒斯预后评分作为胸腰椎结核手术后切口愈合预后的生物标志物。
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Development of tetracycline-modified nanoparticles for bone-targeted delivery of anti-tubercular drug.
用于抗结核药物骨靶向递送的四环素修饰纳米颗粒的研发
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Trends and prospects in spinal tuberculosis research: a future-oriented approach.脊柱结核研究的趋势与前景:一种面向未来的方法。
Eur Spine J. 2023 Dec;32(12):4246-4258. doi: 10.1007/s00586-023-07728-y. Epub 2023 Apr 28.
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Evaluation of the metagenomic next-generation sequencing performance in pathogenic detection in patients with spinal infection.评估宏基因组下一代测序在脊柱感染患者病原体检测中的性能。
Front Cell Infect Microbiol. 2022 Oct 27;12:967584. doi: 10.3389/fcimb.2022.967584. eCollection 2022.
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The Distribution Pattern of First-Line Anti-Tuberculosis Drug Concentrations between the Blood and the Vertebral Focus of Spinal Tuberculosis Patients.脊柱结核患者血液与椎体病灶中一线抗结核药物浓度的分布模式
J Clin Med. 2022 Sep 15;11(18):5409. doi: 10.3390/jcm11185409.
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