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牛磺酸对药物副作用保护作用的叙述性综述及新见解。

A narrative review and new insights into the protective effects of taurine against drug side effects.

作者信息

Keshavarzi Majid, Naraki Karim, Razavi Bibi Marjan, Hosseinzadeh Hossein

机构信息

Department of Pharmacodynamics and Toxicology, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.

Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 2025 Jan;398(1):203-230. doi: 10.1007/s00210-024-03331-0. Epub 2024 Aug 14.

DOI:10.1007/s00210-024-03331-0
PMID:39141023
Abstract

Taurine, a non-essential amino acid produced from cysteine, is abundant in body tissues and blood plasma. It plays vital roles in growth, osmosis, lipid metabolism, and neurohormonal modulation. Taurine has antioxidant, anti-apoptotic, and anti-inflammatory properties, and its deficiency can lead to various diseases including cardiovascular, diabetic, renal, and liver disorders. This report provides a comprehensive review of the functional properties of taurine in counteracting pharmaceutical-induced side effects. A search across databases such as Scopus, PubMed, MEDLINE, and Web of Science yielded 109 articles, of which 75 were included in the study. These results suggest that the protective effects of taurine involve mechanisms such as influencing pathways of Nrf2/OH-1, PI3-kinase/AKT and ERK2, boosting antioxidants (SOD, GPx and CAT), and suppression of inflammatory cytokines (TNF-α, IL-1β and IL-6). Overall, supplementation with taurine along with medications with significant side effects may mitigate these effects and enhance their efficacy. Further investigation of the interactions between taurine and other nutrients or compounds may provide insights into synergistic effects and novel therapeutic approaches.

摘要

牛磺酸是一种由半胱氨酸产生的非必需氨基酸,在人体组织和血浆中含量丰富。它在生长、渗透、脂质代谢和神经激素调节中发挥着重要作用。牛磺酸具有抗氧化、抗凋亡和抗炎特性,其缺乏会导致包括心血管、糖尿病、肾脏和肝脏疾病在内的各种疾病。本报告全面综述了牛磺酸在对抗药物引起的副作用方面的功能特性。在Scopus、PubMed、MEDLINE和Web of Science等数据库中进行检索,共获得109篇文章,其中75篇被纳入本研究。这些结果表明,牛磺酸的保护作用涉及影响Nrf2/OH-1、PI3激酶/AKT和ERK2通路、增强抗氧化剂(超氧化物歧化酶、谷胱甘肽过氧化物酶和过氧化氢酶)以及抑制炎性细胞因子(肿瘤坏死因子-α、白细胞介素-1β和白细胞介素-6)等机制。总体而言,在使用有显著副作用的药物时补充牛磺酸可能会减轻这些副作用并提高其疗效。进一步研究牛磺酸与其他营养素或化合物之间的相互作用可能会为协同效应和新的治疗方法提供见解。

相似文献

1
A narrative review and new insights into the protective effects of taurine against drug side effects.牛磺酸对药物副作用保护作用的叙述性综述及新见解。
Naunyn Schmiedebergs Arch Pharmacol. 2025 Jan;398(1):203-230. doi: 10.1007/s00210-024-03331-0. Epub 2024 Aug 14.
2
The Protective Effects of Taurine, a Non-essential Amino Acid, Against Metals Toxicities: A Review Article.非必需氨基酸牛磺酸对金属毒性的保护作用:一篇综述文章。
Biol Trace Elem Res. 2025 Feb;203(2):872-890. doi: 10.1007/s12011-024-04191-8. Epub 2024 May 13.
3
A systematic review of preclinical studies on the taurine role during diabetic nephropathy: focused on anti-oxidative, anti-inflammation, and anti-apoptotic effects.糖尿病肾病中牛磺酸作用的临床前研究系统评价:重点关注抗氧化、抗炎和抗细胞凋亡作用。
Toxicol Mech Methods. 2022 Jul;32(6):420-430. doi: 10.1080/15376516.2021.2021579. Epub 2022 Jan 3.
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Free Radical-Scavenging, Anti-Inflammatory/Anti-Fibrotic and Hepatoprotective Actions of Taurine and Silymarin against CCl4 Induced Rat Liver Damage.牛磺酸和水飞蓟宾对四氯化碳诱导的大鼠肝损伤的自由基清除、抗炎/抗纤维化及肝保护作用
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Protective and therapeutic effectiveness of taurine in diabetes mellitus: a rationale for antioxidant supplementation.牛磺酸在糖尿病中的保护和治疗作用:抗氧化剂补充的理论依据。
Diabetes Metab Syndr. 2015 Jan-Mar;9(1):55-64. doi: 10.1016/j.dsx.2014.05.001. Epub 2014 Jun 3.
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A Novel Role of SIRT1/ FGF-21 in Taurine Protection Against Cafeteria Diet-Induced Steatohepatitis in Rats.SIRT1/FGF-21在牛磺酸预防大鼠自助餐饮食诱导的脂肪性肝炎中的新作用
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Oxidative and nitrosative stress and apoptosis in the liver of rats fed on high methionine diet: protective effect of taurine.高蛋氨酸饮食喂养大鼠肝脏中的氧化应激、亚硝化应激与细胞凋亡:牛磺酸的保护作用
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Regression of liver fibrosis by taurine in rats fed alcohol: effects on collagen accumulation, selected cytokines and stellate cell activation.牛磺酸通过减少胶原积累、调节某些细胞因子和抑制肝星状细胞激活对酒精喂养大鼠肝纤维化的逆转作用。
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Protective role of taurine against oxidative stress (Review).牛磺酸对氧化应激的保护作用(综述)。
Mol Med Rep. 2021 Aug;24(2). doi: 10.3892/mmr.2021.12242. Epub 2021 Jun 29.
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Taurine enhances the protective effect of Dexmedetomidine on sepsis-induced acute lung injury via balancing the immunological system.牛磺酸通过平衡免疫系统增强右美托咪定对脓毒症诱导的急性肺损伤的保护作用。
Biomed Pharmacother. 2018 Jul;103:1362-1368. doi: 10.1016/j.biopha.2018.04.150. Epub 2018 May 7.

本文引用的文献

1
Taurine Protects Doxorubicin-Induced Hepatotoxicity via Its Membrane-Stabilizing Effect in Rats.牛磺酸通过其对大鼠的膜稳定作用保护阿霉素诱导的肝毒性。
Life (Basel). 2023 Oct 9;13(10):2031. doi: 10.3390/life13102031.
2
Taurine attenuated methotrexate-induced intestinal injury by regulating NF-κB/iNOS and Keap1/Nrf2/HO-1 signals.牛磺酸通过调节 NF-κB/iNOS 和 Keap1/Nrf2/HO-1 信号减轻甲氨蝶呤诱导的肠道损伤。
Life Sci. 2022 Dec 15;311(Pt A):121180. doi: 10.1016/j.lfs.2022.121180. Epub 2022 Nov 9.
3
Taurine Treatment Alleviates Intestinal Mucositis Induced by 5-Fluorouracil in Mice.
牛磺酸治疗减轻 5-氟尿嘧啶诱导的小鼠肠道黏膜炎。
Plant Foods Hum Nutr. 2022 Sep;77(3):399-404. doi: 10.1007/s11130-022-00980-5. Epub 2022 Jul 5.
4
Taurine Has Potential Protective Effects against the Chronic Cardiotoxicity Induced by Doxorubicin in Mice.牛磺酸对阿霉素诱导的小鼠慢性心脏毒性具有潜在的保护作用。
Biol Pharm Bull. 2021;44(11):1732-1737. doi: 10.1248/bpb.b21-00462.
5
Taurine Protects C2C12 Myoblasts From Impaired Cell Proliferation and Myotube Differentiation Under Cisplatin-Induced ROS Exposure.在顺铂诱导的活性氧暴露下,牛磺酸可保护C2C12成肌细胞免受细胞增殖受损和肌管分化受影响。
Front Mol Biosci. 2021 May 26;8:685362. doi: 10.3389/fmolb.2021.685362. eCollection 2021.
6
The science of puromycin: From studies of ribosome function to applications in biotechnology.嘌呤霉素的科学:从核糖体功能研究到生物技术应用
Comput Struct Biotechnol J. 2020 Apr 24;18:1074-1083. doi: 10.1016/j.csbj.2020.04.014. eCollection 2020.
7
Protective effect of taurine against doxorubicin-induced cardiotoxicity in rats: echocardiographical and histological findings.牛磺酸对阿霉素诱导的大鼠心肌毒性的保护作用:超声心动图和组织学发现。
Amino Acids. 2019 Nov;51(10-12):1649-1655. doi: 10.1007/s00726-019-02801-7. Epub 2019 Oct 31.
8
The defensive role of taurine against gonadotoxicity and testicular apoptosis effects induced by cisplatin in rats.牛磺酸对顺铂诱导的大鼠性腺毒性和睾丸细胞凋亡作用的防御机制
J Infect Chemother. 2020 Jan;26(1):51-57. doi: 10.1016/j.jiac.2019.07.004. Epub 2019 Jul 25.
9
Management options for low-dose methotrexate-induced oral ulcers: A systematic review.低剂量甲氨蝶呤所致口腔溃疡的管理方案:一项系统评价
Med Oral Patol Oral Cir Bucal. 2019 Mar 1;24(2):e181-e189. doi: 10.4317/medoral.22851.
10
Taurine improves glucose tolerance in STZ-induced insulin-deficient diabetic mice.牛磺酸可改善链脲佐菌素诱导的胰岛素缺乏型糖尿病小鼠的葡萄糖耐量。
Diabetol Int. 2018 Mar 19;9(4):234-242. doi: 10.1007/s13340-018-0353-3. eCollection 2018 Oct.