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多种机制使根提取物EPs 7630对急性呼吸道感染具有广谱活性。

Multiple mechanisms enable broad-spectrum activity of the root extract EPs 7630 against acute respiratory tract infections.

作者信息

Cinatl Jindrich, Wass Mark N, Michaelis Martin

机构信息

Interdisciplinary Laboratory for Tumour and Virus Research, Dr Petra Joh Research Institute, Frankfurt am Main, Germany.

School of Biosciences, University of Kent, Canterbury, United Kingdom.

出版信息

Front Pharmacol. 2024 Oct 14;15:1455870. doi: 10.3389/fphar.2024.1455870. eCollection 2024.

Abstract

There is clinical evidence showing that the root extract EPs 7630 is a safe and effective treatment for a range of acute infectious respiratory illnesses. Moreover, EPs 7630 has been shown to reduce the use of antibiotics, which is important in the context of rising antibiotic resistance levels. A wide range of mechanisms appears to contribute to the beneficial effects of EPs 7630, e.g. antibacterial, antiviral, immunomodulatory, and epithelial barrier effects. This broad spectrum of pharmacological activities seems to enable the clinical activity of EPs 7630 against multiple respiratory infections. In particular, the combination of antiviral and immunomodulatory effects may enable EPs 7630 to tackle acute viral respiratory infections both in early stages of the disease process, which are driven by virus replication, as well as in later stages, which are caused by an overshooting immune response. Hence, EPs 7630 is a prime example of a plant extract with evidence-based clinical efficacy, including a solid understanding of the underlying mechanisms of action. The example of EPs 7630 demonstrates that plant extracts have a potential role as evidence-based clinical treatments and that they deserve pre-clinical and clinical testing and investigation in the same way as any other drug class.

摘要

有临床证据表明,根提取物EPs 7630是治疗一系列急性传染性呼吸道疾病的一种安全有效的药物。此外,EPs 7630已被证明可减少抗生素的使用,这在抗生素耐药性水平不断上升的背景下具有重要意义。多种机制似乎都对EPs 7630的有益效果有贡献,例如抗菌、抗病毒、免疫调节和上皮屏障作用。这种广泛的药理活性似乎使EPs 7630对多种呼吸道感染具有临床活性。特别是,抗病毒和免疫调节作用的结合可能使EPs 7630在疾病过程的早期阶段(由病毒复制驱动)以及后期阶段(由过度的免疫反应引起)都能应对急性病毒性呼吸道感染。因此,EPs 7630是一种具有循证临床疗效的植物提取物的典型例子,包括对其潜在作用机制有深入了解。EPs 7630的例子表明,植物提取物作为循证临床治疗方法具有潜在作用,并且它们值得像任何其他药物类别一样进行临床前和临床试验与研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f0c/11513585/0b444893e15c/fphar-15-1455870-g001.jpg

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