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草药在脓毒症治疗中的潜在作用:一种新方法。

Potential role of herbal medicines as a novel approach in sepsis treatment.

机构信息

Department of Pharmacology, School of Pharmaceutical Sciences & Research, Jamia Hamdard, New Delhi, India.

Department of Pharmacology, Hamdard Institute of Medical Sciences & Research, Jamia Hamdard, New Delhi 110019, India.

出版信息

Biomed Pharmacother. 2021 Dec;144:112337. doi: 10.1016/j.biopha.2021.112337. Epub 2021 Oct 21.

DOI:10.1016/j.biopha.2021.112337
PMID:34688080
Abstract

The growing number of deaths related to sepsis has become a major concern for past few years. Sepsis is a complex pathological reactions that is explained by series of host response to microbial insult. The resulted systemic reactions are manifested by early appearance of proinflammatory cytokines leading to hyperinflammatory phase which is followed by septic shock and death of the patient. The present study has revealed that antibiotics are not self-sufficient to control the complex mechanism of sepsis. Moreover prolonged and unnecessary administration of antibiotics may lead to antibiotic resistance to pathogens. In addition to this, immunosuppressive medications are selective and have targeted approach to certain study population. Drugs from herbal origin have shown to possess a mammoth of immunomodulatory potential by suppressing proinflammatory and anti-inflammatory cytokines exhibiting no or minimal unwanted secondary responses. Concomitantly, herbal plants tend to modulate oxidative stress level and haematological imbalance during inflammatory diseased conditions. Natural compounds have gained much attention for the treatment of several clinical complications. Considering the promising responses of medicinal plants with less/no side effects and easy procurement, comprehensive research on herbal plants to treat sepsis should be contemplated.

摘要

近年来,与脓毒症相关的死亡人数不断增加,这已成为一个主要关注点。脓毒症是一种复杂的病理反应,可通过一系列宿主对微生物侵袭的反应来解释。由此产生的全身反应表现为早期出现促炎细胞因子,导致过度炎症期,随后出现感染性休克和患者死亡。本研究表明,抗生素本身不足以控制脓毒症的复杂机制。此外,抗生素的长期和不必要的使用可能会导致病原体对抗生素产生耐药性。除此之外,免疫抑制药物具有选择性,并且针对特定的研究人群采用靶向治疗方法。草药来源的药物已被证明具有巨大的免疫调节潜力,可抑制促炎和抗炎细胞因子,表现出无或最小的不必要的次要反应。同时,草药植物在炎症性疾病状态下倾向于调节氧化应激水平和血液学失衡。天然化合物因其治疗多种临床并发症的有希望的反应而受到关注。考虑到药用植物具有副作用少/无且易于获取的特点,应该对草药植物治疗脓毒症进行全面研究。

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