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快报:脱氢紫堇碱可能是用于镇痛目的的合适候选药物:当前临床前证据综述

EXPRESS: Dehydrocorydaline can be a suitable candidate for analgesic purposes: a review on the current preclinical evidence.

作者信息

Dehghani Mehdi, Nooralishahi Behrang, Rezaee Tazangi Fatemeh

机构信息

Tehran Heart Center, Cardiovascular Diseases Research Institute, Anesthesiology, Critical Care and Pain Research Center, Tehran University of medical science, Tehran, Iran.

Tehran Heart Center, Cardiovascular Diseases Research Institute, Anesthesiology, Critical care, and Pain Research Center, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Mol Pain. 2025 Sep 5;21:17448069251380033. doi: 10.1177/17448069251380033.

DOI:10.1177/17448069251380033
PMID:40913244
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12535626/
Abstract

Pain stands as one of the main factors related to human disability and suffering, with different classifications (e.g., acute/chronic, somatic/visceral, and malignant/non-malignant). The management of this factor is of great importance during the lifespan; however, the current suggested medications have not yet reflected sufficient effectiveness with minimum side effects. Therefore, applying an ideal strategy against conditions accompanied by pain is urgent. A growing body of evidence has recently highlighted that alkaloids as bioactive compounds with analgesic capacity can be effective in these conditions. Regarding this matter, dehydrocorydaline, a bioactive alkaloid derived from the tubers of Rhizoma Corydalis, has shown promising results in pain management in diseases, including Chronic constriction injury, bone cancer, sleep deprivation, and inflammatory pain. Also, dehydrocorydaline has been shown to exert different biological and pharmacological benefits, like anti-tumor, anti-inflammatory, anti-microbial, anti-viral, anti-nociceptive, and cardioprotective. Hence, in this literature review, we aimed to explore the potential of this alkaloid agent in these conditions with a mechanistic insight.

摘要

疼痛是导致人类残疾和痛苦的主要因素之一,有不同的分类(如急性/慢性、躯体性/内脏性、恶性/非恶性)。在人的一生中,对这一因素的管理至关重要;然而,目前推荐的药物尚未充分体现出疗效显著且副作用最小的特点。因此,迫切需要针对伴有疼痛的病症应用理想的策略。最近,越来越多的证据表明,生物碱作为具有镇痛能力的生物活性化合物,在这些病症中可能有效。关于这一点,脱氢紫堇碱是一种从延胡索块茎中提取的生物活性生物碱,在包括慢性压迫性损伤、骨癌、睡眠剥夺和炎性疼痛等疾病的疼痛管理中已显示出有前景的结果。此外,脱氢紫堇碱已被证明具有不同的生物学和药理学益处,如抗肿瘤、抗炎、抗微生物、抗病毒、抗伤害感受和心脏保护作用。因此,在这篇文献综述中,我们旨在从机制角度探讨这种生物碱制剂在这些病症中的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e19/12535626/7bd4f708d7c1/10.1177_17448069251380033-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e19/12535626/cfe377e73bed/10.1177_17448069251380033-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e19/12535626/7bd4f708d7c1/10.1177_17448069251380033-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e19/12535626/cfe377e73bed/10.1177_17448069251380033-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e19/12535626/7bd4f708d7c1/10.1177_17448069251380033-fig2.jpg

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本文引用的文献

1
Editorial: Pharmacological advances to treat pathological pain.社论:治疗病理性疼痛的药理学进展
Front Pharmacol. 2025 Feb 18;16:1571059. doi: 10.3389/fphar.2025.1571059. eCollection 2025.
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Pain and the autonomic nervous system. The role of non-invasive neuromodulation with NESA microcurrents.疼痛与自主神经系统。NESA微电流无创神经调节的作用。
Front Pain Res (Lausanne). 2025 Feb 17;6:1410808. doi: 10.3389/fpain.2025.1410808. eCollection 2025.
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New generation capsaicin-diclofenac containing, silicon-based transdermal patch provides prolonged analgesic effect in acute and chronic pain models.
含新一代辣椒素 - 双氯芬酸的硅基透皮贴剂在急慢性疼痛模型中具有长效镇痛作用。
Eur J Pharm Sci. 2025 Apr 1;207:107035. doi: 10.1016/j.ejps.2025.107035. Epub 2025 Feb 7.
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Intern Med J. 2025 Feb;55(2):200-206. doi: 10.1111/imj.16589. Epub 2025 Feb 6.
5
Innovations in acute and chronic pain biomarkers: enhancing diagnosis and personalized therapy.急慢性疼痛生物标志物的创新:加强诊断与个性化治疗。
Reg Anesth Pain Med. 2025 Feb 5;50(2):110-120. doi: 10.1136/rapm-2024-106030.
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Pain management in percutaneous nephrolithotomy - an approach rooted in pathophysiology.经皮肾镜取石术中的疼痛管理——一种基于病理生理学的方法。
Nat Rev Urol. 2025 Jan 13. doi: 10.1038/s41585-024-00973-w.
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Understanding the Physiopathology of Pain Pathways for a Practical Approach of Cancer Pain Management.理解疼痛通路的生理病理学以实现癌症疼痛管理的实用方法。
Cardiovasc Intervent Radiol. 2025 Jan 9. doi: 10.1007/s00270-024-03920-9.
8
Analgesic Effect of Dehydrocorydaline on Chronic Constriction Injury-Induced Neuropathic Pain via Alleviating Neuroinflammation.脱氢紫堇碱通过减轻神经炎症对慢性缩窄性损伤诱导的神经性疼痛的镇痛作用
Chin J Integr Med. 2025 Jun;31(6):499-505. doi: 10.1007/s11655-024-3920-4. Epub 2025 Jan 7.
9
PK-PD relationship of poorly absorbable active ingredients from traditional Chinese medicines explaining by metabolic enzyme of gut microbiota: A case study of Dehydrocorydaline.中药中难吸收的活性成分的 PK-PD 关系:肠道微生物代谢酶解释:以去氢紫堇碱为例。
J Pharm Biomed Anal. 2025 Jan 1;252:116478. doi: 10.1016/j.jpba.2024.116478. Epub 2024 Sep 17.
10
Dehydrocorydaline attenuates myocardial ischemia-reperfusion injury via the FoXO signalling pathway: A multimodal study based on network pharmacology, molecular docking, and experimental study.去氢紫堇碱通过 FoXO 信号通路减轻心肌缺血再灌注损伤:基于网络药理学、分子对接和实验研究的多模式研究。
J Ethnopharmacol. 2025 Jan 30;337(Pt 1):118738. doi: 10.1016/j.jep.2024.118738. Epub 2024 Aug 31.