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稳定的胃十五肽BPC 157作为心脏疾病、心肌梗死、心力衰竭、肺动脉高压、心律失常和血栓形成治疗中有价值的细胞保护肽疗法。

Stable Gastric Pentadecapeptide BPC 157 as Useful Cytoprotective Peptide Therapy in the Heart Disturbances, Myocardial Infarction, Heart Failure, Pulmonary Hypertension, Arrhythmias, and Thrombosis Presentation.

作者信息

Sikiric Predrag, Udovicic Mario, Barisic Ivan, Balenovic Diana, Zivanovic Posilovic Gordana, Strinic Dean, Uzun Sandra, Sikiric Suncana, Krezic Ivan, Zizek Helena, Yago Haidi, Gojkovic Slaven, Smoday Ivan Maria, Kalogjera Luka, Vranes Hrvoje, Sola Marija, Strbe Sanja, Koprivanac Antun, Premuzic Mestrovic Ivica, Mestrovic Tomislav, Pavic Predrag, Skrtic Anita, Blagaic Alenka Boban, Lovric Bencic Martina, Seiwerth Sven

机构信息

Department of Pharmacology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.

Department of Internal Medicine, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.

出版信息

Biomedicines. 2022 Oct 25;10(11):2696. doi: 10.3390/biomedicines10112696.

Abstract

In heart disturbances, stable gastric pentadecapeptide BPC 157 especial therapy effects combine the therapy of myocardial infarction, heart failure, pulmonary hypertension arrhythmias, and thrombosis prevention and reversal. The shared therapy effect occurred as part of its even larger cytoprotection (cardioprotection) therapy effect (direct epithelial cell protection; direct endothelium cell protection) that BPC 157 exerts as a novel cytoprotection mediator, which is native and stable in human gastric juice, as well as easily applicable. Accordingly, there is interaction with many molecular pathways, combining maintained endothelium function and maintained thrombocytes function, which counteracted thrombocytopenia in rats that underwent major vessel occlusion and deep vein thrombosis and counteracted thrombosis in all vascular studies; the coagulation pathways were not affected. These appeared as having modulatory effects on NO-system (NO-release, NOS-inhibition, NO-over-stimulation all affected), controlling vasomotor tone and the activation of the Src-Caveolin-1-eNOS pathway and modulatory effects on the prostaglandins system (BPC 157 counteracted NSAIDs toxicity, counteracted bleeding, thrombocytopenia, and in particular, leaky gut syndrome). As an essential novelty noted in the vascular studies, there was the activation of the collateral pathways. This might be the upgrading of the minor vessel to take over the function of the disabled major vessel, competing with and counteracting the Virchow triad circumstances devastatingly present, making possible the recruitment of collateral blood vessels, compensating vessel occlusion and reestablishing the blood flow or bypassing the occluded or ruptured vessel. As a part of the counteraction of the severe vessel and multiorgan failure syndrome, counteracted were the brain, lung, liver, kidney, gastrointestinal lesions, and in particular, the counteraction of the heart arrhythmias and infarction.

摘要

在心脏疾病中,稳定的胃十五肽BPC 157具有特殊的治疗效果,可用于心肌梗死、心力衰竭、肺动脉高压、心律失常的治疗以及血栓的预防和逆转。这种共同的治疗效果是其更大的细胞保护(心脏保护)治疗效果的一部分,BPC 157作为一种新型的细胞保护介质发挥作用,它在人胃液中天然稳定且易于应用。因此,它与许多分子途径相互作用,维持内皮功能和血小板功能,在接受大血管闭塞和深静脉血栓形成的大鼠中对抗血小板减少,并在所有血管研究中对抗血栓形成;凝血途径未受影响。这些作用表现为对NO系统具有调节作用(NO释放、NOS抑制、NO过度刺激均受影响),控制血管舒缩张力和Src-Caveolin-1-eNOS途径的激活,以及对前列腺素系统具有调节作用(BPC 157对抗非甾体抗炎药毒性、对抗出血、血小板减少,尤其是对抗肠漏综合征)。在血管研究中值得注意的一个重要新发现是旁支途径的激活。这可能是小血管功能升级以接管受损大血管的功能,与严重存在的维氏三联征情况竞争并对抗,从而使侧支血管得以募集,补偿血管闭塞并重新建立血流,或绕过闭塞或破裂的血管。作为对抗严重血管和多器官功能衰竭综合征的一部分,脑、肺、肝、肾、胃肠道病变得到了缓解,尤其是心律失常和梗死也得到了缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/9687817/d3754e3ae01a/biomedicines-10-02696-g001.jpg

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