Lei Haiyun, Wang Mingchun, Huang Ma, Fu Xiaoyun
Department of Critical Care Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, People's Republic of China.
Drug Des Devel Ther. 2025 Jun 12;19:5071-5084. doi: 10.2147/DDDT.S522011. eCollection 2025.
Digestive diseases represent a diverse and complex group of systemic disorders, often marked by intricate pathogenic mechanisms and substantial rates of morbidity, disability, and mortality. While effective therapies exist for certain conditions, such as peptic ulcers, gastrointestinal hemorrhage, and viral hepatitis, many others remain difficult to manage due to their limited treatment options, poor response to current therapies, and multifactorial etiologies. As a result, there is a pressing need to develop novel therapeutic agents that offer greater specificity and improved clinical outcomes. Edaravone, a free radical scavenger widely used in the management of neurological disorders, has demonstrated a favorable safety profile and minimal adverse effects. Recent research has expanded our understanding of Edaravone's pharmacological actions, revealing its broad therapeutic potential beyond the nervous system. Its capacity to neutralize reactive oxygen species, reduce oxidative stress, suppress inflammation, inhibit apoptosis, modulate immune function, and enhance tissue repair positions it as a promising candidate for treating digestive disorders. This review highlights current advances in the application of Edaravone in digestive disease models and clinical settings, to offer new perspectives for future prevention, therapeutic strategies, and scientific investigation in this field.
消化系统疾病是一组多样而复杂的全身性疾病,通常具有复杂的致病机制以及较高的发病率、致残率和死亡率。虽然对于某些病症,如消化性溃疡、胃肠道出血和病毒性肝炎,存在有效的治疗方法,但由于治疗选择有限、对现有疗法反应不佳以及病因多因素等原因,许多其他消化系统疾病仍难以治疗。因此,迫切需要开发具有更高特异性和更好临床疗效的新型治疗药物。依达拉奉是一种广泛用于治疗神经系统疾病的自由基清除剂,已显示出良好的安全性和最小的不良反应。最近的研究扩展了我们对依达拉奉药理作用的理解,揭示了其在神经系统之外的广泛治疗潜力。它具有中和活性氧、减轻氧化应激、抑制炎症、抑制细胞凋亡、调节免疫功能和促进组织修复的能力,使其成为治疗消化系统疾病的有希望的候选药物。本综述重点介绍了依达拉奉在消化系统疾病模型和临床应用中的当前进展,为该领域未来的预防、治疗策略和科学研究提供新的视角。