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强心甾体类药物作为炎症性肠病免疫调节的一种潜在新方法。

Cardiotonic Steroids as a Potential Novel Approach for Immunomodulation in Inflammatory Bowel Disease.

作者信息

Cavalcante-Silva Luiz Henrique Agra, Sales-Neto José Marreiro de, Soares Mariana Mendonça, Ferreira Davi Azevedo, Medeiros Anna Beatriz Araujo, Rodrigues-Mascarenhas Sandra

机构信息

Medical Sciences and Nursing Complex, Federal University of Alagoas, Arapiraca 57309-005, Brazil.

Biotechnology Center, Federal University of Paraíba, João Pessoa 58051-900, Brazil.

出版信息

J Clin Med. 2025 Jun 11;14(12):4132. doi: 10.3390/jcm14124132.

DOI:10.3390/jcm14124132
PMID:40565877
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12194179/
Abstract

Inflammatory bowel disease (IBD) is a chronic condition that significantly impairs the quality of life of millions of individuals. The pathogenesis of IBD is closely linked to dysbiosis of microbiota and the activation of various inflammatory pathways, which are characterized by elevated levels of activated immune cells, such as neutrophils and lymphocytes. While several therapeutic options, including corticosteroids and biologic agents, are available for the treatment of IBD, their efficacy remains limited. Consequently, the development of novel therapies is essential. In this context, cardiotonic steroids, a class of drugs traditionally known for their effects on the cardiovascular system, have gained attention due to their potential immunomodulatory properties. Thus, this review aims to explore the emerging therapeutic potential of cardiotonic steroids in the treatment of IBD.

摘要

炎症性肠病(IBD)是一种慢性疾病,严重影响着数百万患者的生活质量。IBD的发病机制与微生物群失调以及各种炎症途径的激活密切相关,其特征是活化免疫细胞(如中性粒细胞和淋巴细胞)水平升高。虽然有多种治疗选择,包括皮质类固醇和生物制剂可用于治疗IBD,但其疗效仍然有限。因此,开发新的治疗方法至关重要。在这种背景下,强心甾类药物,一类传统上因其对心血管系统的作用而闻名的药物,因其潜在的免疫调节特性而受到关注。因此,本综述旨在探讨强心甾类药物在治疗IBD方面新出现的治疗潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b7e/12194179/7b9c6211c732/jcm-14-04132-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b7e/12194179/475a3f403c9a/jcm-14-04132-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b7e/12194179/7b9c6211c732/jcm-14-04132-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b7e/12194179/475a3f403c9a/jcm-14-04132-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b7e/12194179/7b9c6211c732/jcm-14-04132-g002.jpg

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本文引用的文献

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Gut-Heart Axis: The Role of Gut Microbiota and Metabolites in Heart Failure.肠-心轴:肠道微生物群和代谢产物在心力衰竭中的作用。
Circ Res. 2025 May 23;136(11):1382-1406. doi: 10.1161/CIRCRESAHA.125.325516. Epub 2025 May 22.
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Understanding the therapeutic toolkit for inflammatory bowel disease.了解炎症性肠病的治疗方法。
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Evaluation of Anti-Inflammatory Activity of the New Cardiotonic Steroid γ-Benzylidene Digoxin 8 (BD-8) in Mice.评价新型强心甾类化合物γ-苄叉洋地黄毒苷 8(BD-8)在小鼠体内的抗炎活性。
Cells. 2024 Sep 18;13(18):1568. doi: 10.3390/cells13181568.
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"Cardiac glycosides"-quo vaditis?-past, present, and future?“强心苷”——你们了解多少?——过去、现在和未来?
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Inflammatory Bowel Disease.炎症性肠病。
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Inflammatory Bowel Diseases and Gut Microbiota.炎症性肠病与肠道微生物群。
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