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前沿技术:药物筛选显示青蒿琥酯是一种有前景的抗纤维化疗法。

State of the ART: Drug Screening Reveals Artesunate as a Promising Anti-Fibrosis Therapy.

作者信息

Qiao Yujie, Liang Jiurong, Jiang Dianhua

机构信息

Division of Pulmonary, Women's Guild Lung Institute, Department of Medicine, Los Angeles, CA 90048, USA.

Department of Respiratory and Critical Care Medicine, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.

出版信息

J Respir Biol Transl Med. 2025 Mar;2(1). doi: 10.70322/jrbtm.2024.10023. Epub 2024 Dec 16.

DOI:10.70322/jrbtm.2024.10023
PMID:39925974
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11800322/
Abstract

Fibrosis is a progressive pathological process that severely impairs normal organ function. Current treatments for fibrosis are extremely limited, with no curative approaches available. In a recent article published in , Zhang and colleagues employed drug screening using ACTA2 reporter iPSC-derived cardiac fibroblasts and identified artesunate as a potent antifibrotic drug by targeting MD2/TLR4 signaling. This study provides new insights into strategies for exploiting existing drugs to treat fibrosis.

摘要

纤维化是一种进行性病理过程,会严重损害正常器官功能。目前针对纤维化的治疗方法极为有限,尚无治愈方法。在最近发表于《》的一篇文章中,张及其同事利用源自诱导多能干细胞(iPSC)的ACTA2报告基因心脏成纤维细胞进行药物筛选,并通过靶向MD2/TLR4信号通路确定青蒿琥酯为一种有效的抗纤维化药物。这项研究为开发现有药物治疗纤维化的策略提供了新的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19ee/11800322/245585f58781/nihms-2042534-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19ee/11800322/245585f58781/nihms-2042534-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19ee/11800322/245585f58781/nihms-2042534-f0001.jpg

相似文献

1
State of the ART: Drug Screening Reveals Artesunate as a Promising Anti-Fibrosis Therapy.前沿技术:药物筛选显示青蒿琥酯是一种有前景的抗纤维化疗法。
J Respir Biol Transl Med. 2025 Mar;2(1). doi: 10.70322/jrbtm.2024.10023. Epub 2024 Dec 16.
2
Multiscale drug screening for cardiac fibrosis identifies MD2 as a therapeutic target.用于心脏纤维化的多尺度药物筛选确定MD2为治疗靶点。
Cell. 2024 Dec 12;187(25):7143-7163.e22. doi: 10.1016/j.cell.2024.09.034. Epub 2024 Oct 15.
3
TLR4-dependent fibroblast activation drives persistent organ fibrosis in skin and lung.TLR4 依赖性成纤维细胞激活导致皮肤和肺部持续的器官纤维化。
JCI Insight. 2018 Jul 12;3(13):98850. doi: 10.1172/jci.insight.98850.
4
Chitosan-Artesunate nanoparticles: A dual anti-fibrotic and anti-inflammatory strategy for preventing bleb fibrosis post-glaucoma filtration surgery.壳聚糖-青蒿琥酯纳米颗粒:一种预防青光眼滤过术后滤过泡纤维化的双重抗纤维化和抗炎策略。
Drug Deliv Transl Res. 2025 Feb 28. doi: 10.1007/s13346-025-01819-7.
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Molecules. 2024 May 2;29(9):2107. doi: 10.3390/molecules29092107.
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Artesunate alleviates hepatic fibrosis induced by multiple pathogenic factors and inflammation through the inhibition of LPS/TLR4/NF-κB signaling pathway in rats.青蒿琥酯通过抑制 LPS/TLR4/NF-κB 信号通路缓解多致病因素及炎症诱导的大鼠肝纤维化。
Eur J Pharmacol. 2015 Oct 15;765:234-41. doi: 10.1016/j.ejphar.2015.08.040. Epub 2015 Aug 28.
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Artesunate protects against surgery-induced knee arthrofibrosis by activating Beclin-1-mediated autophagy via inhibition of mTOR signaling.青蒿琥酯通过抑制 mTOR 信号通路激活 Beclin-1 介导的自噬来防止手术引起的膝关节纤维性关节僵硬。
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Artesunate inhibits fibroblasts proliferation and reduces surgery-induced epidural fibrosis via the autophagy-mediated p53/p21 pathway.青蒿琥酯通过自噬介导的 p53/p21 通路抑制成纤维细胞增殖,减少手术诱导的硬膜外纤维化。
Eur J Pharmacol. 2019 Jan 5;842:197-207. doi: 10.1016/j.ejphar.2018.10.048. Epub 2018 Nov 2.
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Artesunate: attenuating TLR4/MD2 signaling to alleviate cardiac fibrosis.青蒿琥酯:减弱Toll样受体4/髓样分化蛋白2信号传导以减轻心脏纤维化。
Signal Transduct Target Ther. 2025 Jan 31;10(1):46. doi: 10.1038/s41392-025-02131-z.
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Computational Identification and Anti-Inflammatory Evaluation of T19093 as a TLR4/MD2 Inhibitor.T19093作为TLR4/MD2抑制剂的计算鉴定及抗炎评估
Curr Top Med Chem. 2025 Feb 18. doi: 10.2174/0115680266345918250212144023.

本文引用的文献

1
Multiscale drug screening for cardiac fibrosis identifies MD2 as a therapeutic target.用于心脏纤维化的多尺度药物筛选确定MD2为治疗靶点。
Cell. 2024 Dec 12;187(25):7143-7163.e22. doi: 10.1016/j.cell.2024.09.034. Epub 2024 Oct 15.
2
Logic-based mechanistic machine learning on high-content images reveals how drugs differentially regulate cardiac fibroblasts.基于逻辑的机制性机器学习在高内涵图像上揭示了药物如何差异调节心肌成纤维细胞。
Proc Natl Acad Sci U S A. 2024 Jan 30;121(5):e2303513121. doi: 10.1073/pnas.2303513121. Epub 2024 Jan 24.
3
Predicting compound activity from phenotypic profiles and chemical structures.
从表型谱和化学结构预测化合物活性。
Nat Commun. 2023 Apr 8;14(1):1967. doi: 10.1038/s41467-023-37570-1.
4
Phenotypic drug screening in a human fibrosis model identified a novel class of antifibrotic therapeutics.在人类纤维化模型中进行的表型药物筛选鉴定出了一类新型抗纤维化治疗药物。
Sci Adv. 2021 Dec 24;7(52):eabb3673. doi: 10.1126/sciadv.abb3673. Epub 2021 Dec 22.
5
Fibrosis: from mechanisms to medicines.纤维化:从机制到药物
Nature. 2020 Nov;587(7835):555-566. doi: 10.1038/s41586-020-2938-9. Epub 2020 Nov 25.
6
Enhancing the antimalarial activity of artesunate.增强青蒿琥酯的抗疟活性。
Parasitol Res. 2020 Sep;119(9):2749-2764. doi: 10.1007/s00436-020-06786-1. Epub 2020 Jul 7.
7
Artemisinin Bioactivity and Resistance in Malaria Parasites.青蒿素在疟原虫中的生物活性与抗药性。
Trends Parasitol. 2019 Dec;35(12):953-963. doi: 10.1016/j.pt.2019.09.005. Epub 2019 Nov 4.
8
Resolution of organ fibrosis.器官纤维化的解决。
J Clin Invest. 2018 Jan 2;128(1):97-107. doi: 10.1172/JCI93563.
9
Opportunities and challenges in phenotypic drug discovery: an industry perspective.表型药物发现的机遇与挑战:行业视角。
Nat Rev Drug Discov. 2017 Aug;16(8):531-543. doi: 10.1038/nrd.2017.111. Epub 2017 Jul 7.
10
Artemisinins Target GABA Receptor Signaling and Impair α Cell Identity.青蒿素靶向γ-氨基丁酸受体信号传导并损害α细胞特性。
Cell. 2017 Jan 12;168(1-2):86-100.e15. doi: 10.1016/j.cell.2016.11.010. Epub 2016 Dec 1.