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植物甾醇类在炎症性疾病中的药理作用:作用机制和治疗潜力。

Pharmacologic activities of phytosteroids in inflammatory diseases: Mechanism of action and therapeutic potentials.

机构信息

Biological Chemistry Lab, Central Department of Chemistry, Tribhuvan University, Kirtipur, Nepal.

Meakins-Christie Laboratories, Department of Medicine, McGill University, Montreal, Canada.

出版信息

Phytother Res. 2021 Sep;35(9):5103-5124. doi: 10.1002/ptr.7138. Epub 2021 May 6.

Abstract

Natural products and their derivatives are known to be useful for treating numerous diseases since ancient times. Because of their high therapeutic potentials, the use of different medicinal plants is possible to treat varied inflammation-mediated chronic diseases. Among natural products, phytosteroids have emerged as promising compounds mostly because they have diverse pharmacological activities. Currently, available medications exert numerous systemic toxicities, including hypertension, immune suppression, osteoporosis, and metabolic abnormalities. Thus, further research on phytosteroids to subside these complications is of significant importance. In this study, the information on phytosteroids, their types, and actions against inflammation, and allergic complications was collected by a systematic survey of literature on several scientific search engines. The literature review suggested that phytosteroids exhibit antiinflammatory action via different modes through transrepression or selective COX-2 enzymes. Also, in silico ADMET analysis was carried out on available phytosteroids to uncover their pharmacokinetic properties. Our analysis has shown that eight compounds: withaferin A, stigmasterol, β-sitosterol, guggulsterone, diosgenin, sarsasapogenin, physalin A, and dioscin, -isolated from medicinal plants show similar pharmacokinetic properties as compared to dexamethasone, commercially available glucocorticoid. These phytosteroids could be useful for the treatment of inflammatory diseases, such as rheumatoid arthritis, inflammatory bowel diseases, multiple sclerosis, asthma, and cardiovascular diseases. Thus, systematic research is required to explore potent phytosteroids with lesser side effects, which might substitute the current medications.

摘要

天然产物及其衍生物自古以来就被认为可用于治疗多种疾病。由于其具有较高的治疗潜力,因此可以使用不同的药用植物来治疗各种炎症介导的慢性疾病。在天然产物中,植物甾醇已成为很有前途的化合物,主要是因为它们具有多种药理学活性。目前,现有药物会产生许多全身性毒性,包括高血压、免疫抑制、骨质疏松症和代谢异常。因此,进一步研究植物甾醇以减轻这些并发症具有重要意义。在这项研究中,通过对几个科学搜索引擎上的文献进行系统调查,收集了有关植物甾醇及其类型以及对炎症和过敏并发症的作用的信息。文献综述表明,植物甾醇通过反式抑制或选择性 COX-2 酶等不同方式发挥抗炎作用。此外,还对现有植物甾醇进行了虚拟 ADMET 分析,以揭示其药代动力学特性。我们的分析表明,从药用植物中分离出的八种化合物:醉茄素 A、豆甾醇、β-谷甾醇、古卡二醇、薯蓣皂苷元、螺旋甾烷醇、黄杞苷 A 和地奥配基,与商业上可获得的糖皮质激素地塞米松相比,具有相似的药代动力学特性。这些植物甾醇可用于治疗炎症性疾病,如类风湿性关节炎、炎症性肠病、多发性硬化症、哮喘和心血管疾病。因此,需要进行系统研究以探索具有较少副作用的有效植物甾醇,以替代现有药物。

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