School of Pharmacy and Pharmaceutical Sciences & Institute of Materia Medica, Shandong First Medical University & Shandong Academy of Medical Sciences, NHC Key Laboratory of Biotechnology Drugs (Shandong Academy of Medical Sciences), Key Lab for Rare & Uncommon Diseases of Shandong Province, Ji'nan, China.
Arch Pharm (Weinheim). 2024 Oct;357(10):e2400192. doi: 10.1002/ardp.202400192. Epub 2024 Jul 3.
Idiopathic pulmonary fibrosis (IPF) is a chronic interstitial lung disease of unknown etiology. Currently, drugs used to treat IPF in clinical practice exhibit severe side effects and limitations. To address these issues, this paper discusses the therapeutic effects of preclinical targeted drugs (such as STAT3 and TGF-β/Smad pathway inhibitors, chitinase inhibitors, PI3K and phosphodiesterase inhibitors, etc.) and natural products on IPF. Through a summary of current research progress, it is found that natural products possess multitarget effects, stable therapeutic efficacy, low side effects, and nondrug dependence. Furthermore, we discuss the significant prospects of natural product molecules in combating fibrosis by influencing the immune system, expecting that current analytical data will aid in the development of new drugs or the investigation of active ingredients in natural products for potential IPF treatments in the future.
特发性肺纤维化(IPF)是一种病因不明的慢性间质性肺疾病。目前,临床上用于治疗 IPF 的药物存在严重的副作用和局限性。针对这些问题,本文探讨了临床前靶向药物(如 STAT3 和 TGF-β/Smad 通路抑制剂、几丁质酶抑制剂、PI3K 和磷酸二酯酶抑制剂等)和天然产物对 IPF 的治疗作用。通过总结当前的研究进展,发现天然产物具有多靶点作用、稳定的治疗效果、低副作用和非药物依赖性。此外,我们还讨论了天然产物分子通过影响免疫系统来对抗纤维化的重要前景,期望当前的分析数据将有助于未来开发新药或研究天然产物中的活性成分,以寻找潜在的 IPF 治疗方法。