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西地那非在治疗成人和新生儿脑损伤中的作用。

The Role of Sildenafil in Treating Brain Injuries in Adults and Neonates.

作者信息

Xiong Ying, Wintermark Pia

机构信息

Department of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, China.

Research Institute of the McGill University Health Centre, Montreal, QC, Canada.

出版信息

Front Cell Neurosci. 2022 May 10;16:879649. doi: 10.3389/fncel.2022.879649. eCollection 2022.

DOI:10.3389/fncel.2022.879649
PMID:35620219
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9127063/
Abstract

Sildenafil is a recognized treatment for patients suffering from erectile dysfunction and pulmonary hypertension. However, new evidence suggests that it may have a neuroprotective and a neurorestorative role in the central nervous system of both adults and neonates. Phosphodiesterase type 5-the target of sildenafil-is distributed in many cells throughout the body, including neurons and glial cells. This study is a comprehensive review of the demonstrated effects of sildenafil on the brain with respect to its function, extent of injury, neurons, neuroinflammation, myelination, and cerebral vessels.

摘要

西地那非是治疗勃起功能障碍和肺动脉高压患者的一种公认药物。然而,新证据表明,它可能在成人和新生儿的中枢神经系统中具有神经保护和神经修复作用。5型磷酸二酯酶——西地那非的靶点——分布于全身许多细胞中,包括神经元和神经胶质细胞。本研究全面综述了西地那非在大脑功能、损伤程度、神经元、神经炎症、髓鞘形成和脑血管方面已证实的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08ad/9127063/e585fce5ac7e/fncel-16-879649-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08ad/9127063/e585fce5ac7e/fncel-16-879649-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08ad/9127063/e585fce5ac7e/fncel-16-879649-g001.jpg

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The Role of Sildenafil in Treating Brain Injuries in Adults and Neonates.西地那非在治疗成人和新生儿脑损伤中的作用。
Front Cell Neurosci. 2022 May 10;16:879649. doi: 10.3389/fncel.2022.879649. eCollection 2022.
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Repurposing of the PDE5 Inhibitor Sildenafil for the Treatment of Persistent Pulmonary Hypertension in Neonates.将 PDE5 抑制剂西地那非再用于治疗新生儿持续性肺动脉高压。
Curr Med Chem. 2021;28(12):2418-2437. doi: 10.2174/0929867327666200923151924.
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Versatile effects of sildenafil: recent pharmacological applications.西地那非的多种作用:近期的药理学应用
Pharmacol Rep. 2007 Mar-Apr;59(2):150-63.
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Pharmacokinetic investigation of sildenafil using positron emission tomography and determination of its effect on cerebrospinal fluid cGMP levels.使用正电子发射断层扫描对西地那非进行药代动力学研究,并测定其对脑脊液中环磷酸鸟苷(cGMP)水平的影响。
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The role of sildenafil in the treatment of stroke.西地那非在中风治疗中的作用。
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Sildenafil improves hippocampal brain injuries and restores neuronal development after neonatal hypoxia-ischemia in male rat pups.西地那非可改善新生雄性大鼠缺氧缺血性脑损伤并促进神经发育。
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本文引用的文献

1
Sildenafil improves hippocampal brain injuries and restores neuronal development after neonatal hypoxia-ischemia in male rat pups.西地那非可改善新生雄性大鼠缺氧缺血性脑损伤并促进神经发育。
Sci Rep. 2021 Nov 11;11(1):22046. doi: 10.1038/s41598-021-01097-6.
2
Design of a randomised, double-blind, crossover, placebo-controlled trial of effects of sildenafil on cerebrovascular function in small vessel disease: Oxford haemodynamic adaptation to reduce pulsatility trial (OxHARP).西地那非对小血管疾病脑血管功能影响的随机、双盲、交叉、安慰剂对照试验设计:牛津血流动力学适应性降低搏动性试验(OxHARP)
Eur Stroke J. 2021 Sep;6(3):283-290. doi: 10.1177/23969873211026698. Epub 2021 Jun 23.
3
西地那非联合亚低温对减轻新生大鼠缺氧缺血后小胶质细胞激活的协同作用。
J Neuroinflammation. 2024 Jan 23;21(1):31. doi: 10.1186/s12974-024-03022-w.
4
Azithromycin and Sildenafil May Have Protective Effects on Retinal Ganglion Cells via Different Pathways: Study in a Rodent Microbead Model.阿奇霉素和西地那非可能通过不同途径对视网膜神经节细胞具有保护作用:在啮齿动物微珠模型中的研究
Pharmaceuticals (Basel). 2023 Mar 24;16(4):486. doi: 10.3390/ph16040486.
5
Chitosan Nanoparticles Alleviated the Adverse Effects of Sildenafil on the Oxidative Stress Markers and Antioxidant Enzyme Activities in Rats.壳聚糖纳米粒子减轻了西地那非对大鼠氧化应激标志物和抗氧化酶活性的不良影响。
Oxid Med Cell Longev. 2023 Jan 31;2023:9944985. doi: 10.1155/2023/9944985. eCollection 2023.
Sildenafil-Mediated Neuroprotection from Adult to Neonatal Brain Injury: Evidence, Mechanisms, and Future Translation.
西地那非介导的从成人到新生儿脑损伤的神经保护:证据、机制和未来的转化。
Cells. 2021 Oct 15;10(10):2766. doi: 10.3390/cells10102766.
4
Therapies for neonatal encephalopathy: Targeting the latent, secondary and tertiary phases of evolving brain injury.新生儿脑病的治疗:针对不断发展的脑损伤的潜在、继发和三期阶段。
Semin Fetal Neonatal Med. 2021 Oct;26(5):101256. doi: 10.1016/j.siny.2021.101256. Epub 2021 Jun 12.
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Sildenafil Alleviates Murine Experimental Autoimmune Encephalomyelitis by Triggering Autophagy in the Spinal Cord.西地那非通过在脊髓中触发自噬来缓解实验性自身免疫性脑脊髓炎的小鼠模型。
Front Immunol. 2021 May 13;12:671511. doi: 10.3389/fimmu.2021.671511. eCollection 2021.
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J Pediatr. 2021 Oct;237:154-161.e3. doi: 10.1016/j.jpeds.2021.05.051. Epub 2021 May 27.
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Pediatr Pulmonol. 2021 Aug;56(8):2399-2412. doi: 10.1002/ppul.25444. Epub 2021 May 13.
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Hum Exp Toxicol. 2021 Apr;40(4):596-607. doi: 10.1177/0960327120960775. Epub 2020 Sep 22.