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英夫利昔单抗能否作为神经精神症状的一种新疗法?

Can infliximab serve as a new therapy for neuropsychiatric symptoms?

作者信息

Rahmati-Dehkordi Fatemeh, Birang Nafiseh, Jalalian Mohammad Naser, Tamtaji Zeinab, Dadgostar Ehsan, Aschner Michael, Shafiee Ardestani Mehdi, Jafarpour Hamed, Mirzaei Hamed, Nabavizadeh Fatemeh, Tamtaji Omid Reza

机构信息

Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Electrophysiology Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 2025 Feb;398(2):1081-1097. doi: 10.1007/s00210-024-03397-w. Epub 2024 Sep 3.

DOI:10.1007/s00210-024-03397-w
PMID:39225829
Abstract

Neuropsychiatric disorders present a global challenge to public health. Mechanisms associated with neuropsychiatric disorders etiology include apoptosis, oxidative stress, and neuroinflammation. Tumor necrosis factor alpha, an inflammatory cytokine, mediates pathophysiology of neuropsychiatric disorders. Therefore, its inhibition by infliximab might afford a valuable target for intervention. Infliximab is commonly used to treat inflammatory diseases, including ulcerative colitis, Crohn's disease, and rheumatoid arthritis. Recently, it has been shown that infliximab improves cognitive dysfunction, depression, anxiety, and life quality. Here, we review contemporary knowledge supporting the need to further characterize infliximab as a potential treatment for neuropsychiatric disorders.

摘要

神经精神疾病对全球公共卫生构成挑战。与神经精神疾病病因相关的机制包括细胞凋亡、氧化应激和神经炎症。肿瘤坏死因子α作为一种炎性细胞因子,介导神经精神疾病的病理生理过程。因此,英夫利昔单抗对其的抑制作用可能成为一个有价值的干预靶点。英夫利昔单抗常用于治疗炎性疾病,包括溃疡性结肠炎、克罗恩病和类风湿关节炎。最近有研究表明,英夫利昔单抗可改善认知功能障碍、抑郁、焦虑及生活质量。在此,我们综述了当代相关知识,以支持进一步将英夫利昔单抗作为神经精神疾病潜在治疗方法进行深入研究的必要性。

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本文引用的文献

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Anti-inflammatory effects of infliximab and methotrexate on peripheral blood and synovial fluid mononuclear cells: ex vivo study.英夫利昔单抗和甲氨蝶呤对外周血和滑膜液单个核细胞的抗炎作用:体外研究。
Scand J Rheumatol. 2024 May;53(3):188-198. doi: 10.1080/03009742.2023.2300887. Epub 2024 Jan 26.
2
Efficacy and safety of infliximab in the treatment of Kawasaki disease: A systematic review and meta-analysis.英夫利昔单抗治疗川崎病的疗效和安全性:系统评价和荟萃分析。
Eur J Pediatr. 2024 Apr;183(4):1765-1776. doi: 10.1007/s00431-024-05437-2. Epub 2024 Jan 19.
3
Infliximab alleviates memory impairment in rats with chronic pain by suppressing neuroinflammation and restoring hippocampal neurogenesis.
英夫利昔单抗通过抑制神经炎症和恢复海马神经发生来缓解慢性痛大鼠的记忆损伤。
Neuropharmacology. 2024 Mar 1;245:109813. doi: 10.1016/j.neuropharm.2023.109813. Epub 2023 Dec 16.
4
Infliximab in neurosarcoidosis: a systematic review and meta-analysis.英夫利昔单抗治疗神经结节病:系统评价和荟萃分析。
Ann Clin Transl Neurol. 2024 Feb;11(2):466-476. doi: 10.1002/acn3.51968. Epub 2023 Dec 12.
5
Effect of Infliximab on Radiation-Induced Submandibular Gland Dysfunction in Rats.英夫利昔单抗对大鼠放射性下颌下腺功能障碍的影响。
Radiat Res. 2024 Jan 1;201(1):77-86. doi: 10.1667/RADE-22-00192.1.
6
Comparative efficacy and safety of combination therapy with infliximab for Crohn's disease: a systematic review and network meta-analysis.比较英夫利昔单抗联合治疗克罗恩病的疗效和安全性:系统评价和网络荟萃分析。
Int J Colorectal Dis. 2023 Mar 27;38(1):82. doi: 10.1007/s00384-023-04378-w.
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Bilirubin Prevents the TH Dopaminergic Neuron Loss in a Parkinson's Disease Model by Acting on TNF-α.胆红素通过作用于 TNF-α 预防帕金森病模型中 TH 多巴胺能神经元的丢失。
Int J Mol Sci. 2022 Nov 17;23(22):14276. doi: 10.3390/ijms232214276.
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Comparative efficacy and safety of infliximab and vedolizumab therapy in patients with inflammatory bowel disease: a systematic review and meta-analysis.英夫利昔单抗与维得利珠单抗治疗炎症性肠病患者的疗效和安全性比较:系统评价和荟萃分析。
BMC Gastroenterol. 2022 Jun 8;22(1):291. doi: 10.1186/s12876-022-02347-1.
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Infliximab and/or MESNA alleviate doxorubicin-induced Alzheimer's disease-like pathology in rats: A new insight into TNF-α/Wnt/β-catenin signaling pathway.英夫利昔单抗和/或美司钠减轻阿霉素诱导的大鼠似阿尔茨海默病病理:TNF-α/Wnt/β-连环蛋白信号通路的新见解。
Life Sci. 2022 Jul 15;301:120613. doi: 10.1016/j.lfs.2022.120613. Epub 2022 May 3.
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