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海洋来源的天然止痛剂:神经外科学疼痛管理的新前沿。

Natural pain killers from marine sources: a new frontier in neurosurgical pain management.

机构信息

Center for Global Health Research, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Thandalam, Chennai, Tamil Nadu, 602105, India.

出版信息

Neurosurg Rev. 2024 Aug 28;47(1):498. doi: 10.1007/s10143-024-02691-8.

DOI:10.1007/s10143-024-02691-8
PMID:39196418
Abstract

The development of new analgesics for the management of neurosurgical pain is a great opportunity in marine environments. Particular secondary metabolites with strong biological activity that have developed for defense are produced by marine bioresources. The analgesic potential of marine-derived peptides, alkaloids, terpenes and polyketides-such as discodermolide from marine sponges and ziconotide from cone snail venom-is highlighted in this letter. These substances work through novel methods that minimize the negative effects associated with conventional analgesics while focusing on particular pain pathways. Despite obstacles in sustainable sourcing and regulatory validation, the development of these marine-derived analgesics requires interdisciplinary collaboration to fulfill their potential in enhancing pain management.

摘要

开发用于神经外科疼痛管理的新型镇痛药是海洋环境中的一个巨大机遇。海洋生物资源产生了许多具有强烈生物活性的特殊次生代谢产物,用于防御。本文重点介绍了海洋来源的肽、生物碱、萜类化合物和聚酮类化合物(如海绵来源的 discodermolide 和锥蜗牛毒液来源的 ziconotide)的镇痛潜力。这些物质通过新颖的方法发挥作用,最大限度地减少了传统镇痛药相关的负面影响,同时专注于特定的疼痛途径。尽管在可持续性资源获取和监管验证方面存在障碍,但这些海洋来源的镇痛药的开发需要跨学科合作,以充分发挥其在增强疼痛管理方面的潜力。

相似文献

1
Natural pain killers from marine sources: a new frontier in neurosurgical pain management.海洋来源的天然止痛剂:神经外科学疼痛管理的新前沿。
Neurosurg Rev. 2024 Aug 28;47(1):498. doi: 10.1007/s10143-024-02691-8.
2
Marine bioactives: a new frontier in neurosurgical therapeutics.海洋生物活性物质:神经外科学治疗的新领域。
Neurosurg Rev. 2024 Oct 12;47(1):790. doi: 10.1007/s10143-024-03034-3.
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Pain therapeutics from cone snail venoms: From Ziconotide to novel non-opioid pathways.从芋螺毒液到新型非阿片类途径的疼痛治疗学。
J Proteomics. 2019 Jan 6;190:12-20. doi: 10.1016/j.jprot.2018.05.009. Epub 2018 May 16.
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Novel analgesic ω-conotoxins from the vermivorous cone snail Conus moncuri provide new insights into the evolution of conopeptides.来自食蜗牛的圆锥蜗牛 Conus moncuri 的新型镇痛 ω-芋螺毒素为芋螺肽的进化提供了新的见解。
Sci Rep. 2018 Sep 7;8(1):13397. doi: 10.1038/s41598-018-31245-4.
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Ziconotide: neuronal calcium channel blocker for treating severe chronic pain.齐考诺肽:用于治疗重度慢性疼痛的神经元钙通道阻滞剂。
Curr Med Chem. 2004 Dec;11(23):3029-40. doi: 10.2174/0929867043363884.
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[New medications; ziconotide].[新型药物;齐考诺肽]
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Ziconitide.齐考诺肽
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Ziconotide: can we use it in palliative care?齐考诺肽:我们能将其用于姑息治疗吗?
Am J Hosp Palliat Care. 2005 Sep-Oct;22(5):369-74. doi: 10.1177/104990910502200510.
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Antinociceptive effects of the marine snail peptides conantokin-G and conotoxin MVIIA alone and in combination in rat models of pain.海洋蜗牛肽芋螺毒素G(Conantokin-G)和芋螺毒素MVIIA单独及联合应用于大鼠疼痛模型的抗伤害感受作用。
Neuropharmacology. 2009 Feb;56(2):556-63. doi: 10.1016/j.neuropharm.2008.10.008. Epub 2008 Oct 26.
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Ziconotide--a novel neuron-specific calcium channel blocker for the intrathecal treatment of severe chronic pain--a short review.齐考诺肽——一种用于鞘内治疗重度慢性疼痛的新型神经元特异性钙通道阻滞剂——一篇简短综述。
Int J Clin Pharmacol Ther. 2006 Oct;44(10):478-83. doi: 10.5414/cpp44478.

本文引用的文献

1
Chronicling changes in the somatosensory neurons after peripheral nerve injury.记录外周神经损伤后躯体感觉神经元的变化。
Proc Natl Acad Sci U S A. 2020 Oct 20;117(42):26414-26421. doi: 10.1073/pnas.1922618117. Epub 2020 Oct 5.
2
Opioids and the treatment of chronic pain: controversies, current status, and future directions.阿片类药物与慢性疼痛治疗:争议、现状与未来方向。
Exp Clin Psychopharmacol. 2008 Oct;16(5):405-16. doi: 10.1037/a0013628.