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奥曲肽与直接/间接肺损伤。

Octreotide and direct/indirect lung injury.

作者信息

Zarei Ghasem, Pezeshki Zahra, Choopani Samira, Nematbakhsh Mehdi

机构信息

Department of Physiology, Medical School, Isfahan University of Medical Sciences, I.R. Iran.

Water and Electrolytes Research Center, Isfahan University of Medical Sciences, I.R. Iran.

出版信息

Res Pharm Sci. 2025 Aug 25;20(4):469-484. doi: 10.4103/RPS.RPS_67_24. eCollection 2025 Aug.

DOI:10.4103/RPS.RPS_67_24
PMID:40933598
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12419580/
Abstract

BACKGROUND AND PURPOSE

Lung injury is one of the most important diseases, which is accompanied by hypoxemia, organ failure, and a high mortality rate. There are several symptoms and causes of lung injuries. In the past years, special attention has been given to investigating the pathophysiology and the treatment of this disease. Octreotide, as an anti-inflammatory, anti-secretory, tissue-repairing, and anti-fibrotic drug, has been considered and administered for the treatment of lung injury. This review article considered the pharmacological effects of octreotide on physiopathological conditions in patients or animal models that have direct or indirect lung injury.

SEARCH STRATEGY AND FINDINGS

Keywords including "octreotide" OR "sandostatin" AND "lung injury" OR "ARDS" OR "respiratory distress" OR "lung fibrosis" were searched in the database of PubMed, and 44 articles were found. According to the direct or indirect lung injury, the articles were classified.

CONCLUSION

It appears that octreotide is a protective drug for the treatment of direct and indirect lung injuries, exhibiting anti-inflammatory, anti-hypersecretory, anti-fibrotic, and anti-neutrophil permeability effects, while also increasing endogenous antioxidants. However, there is still room for extensive research to fully clarify the effectiveness of octreotide for direct or indirect lung injury.

摘要

背景与目的

肺损伤是最重要的疾病之一,常伴有低氧血症、器官衰竭及高死亡率。肺损伤有多种症状和病因。在过去几年中,对该疾病的病理生理学及治疗研究给予了特别关注。奥曲肽作为一种抗炎、抗分泌、组织修复及抗纤维化药物,已被考虑用于治疗肺损伤。这篇综述文章探讨了奥曲肽对患有直接或间接肺损伤的患者或动物模型生理病理状况的药理作用。

搜索策略与结果

在PubMed数据库中搜索了包括“奥曲肽”或“善宁”以及“肺损伤”或“急性呼吸窘迫综合征”或“呼吸窘迫”或“肺纤维化”等关键词,共找到44篇文章。根据直接或间接肺损伤对这些文章进行了分类。

结论

奥曲肽似乎是一种用于治疗直接和间接肺损伤的保护药物,具有抗炎、抗分泌过多、抗纤维化及抗中性粒细胞通透性作用,同时还能增加内源性抗氧化剂。然而,仍有大量研究空间以充分阐明奥曲肽对直接或间接肺损伤的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3908/12419580/089ee6cd1e2b/RPS-20-469-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3908/12419580/089ee6cd1e2b/RPS-20-469-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3908/12419580/089ee6cd1e2b/RPS-20-469-g001.jpg

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extract versus placebo in the treatment of COVID-19: a double-blinded randomized control trial.提取物与安慰剂治疗新型冠状病毒肺炎的双盲随机对照试验
Res Pharm Sci. 2023 Nov 23;18(6):592-603. doi: 10.4103/1735-5362.389947. eCollection 2023 Dec.
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Advances in Biomarkers for Diagnosis and Treatment of ARDS.急性呼吸窘迫综合征诊断与治疗生物标志物的进展
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Case Report of Needle Disruption of the Retroperitoneal Lymph Nodes for Refractory Chylothorax After Double Lung Transplantation.
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Cough-induced chylothorax in a two-year-old boy - case report and review of the literature.两岁男孩因咳嗽导致乳糜胸 - 病例报告及文献复习。
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Glucocorticoid Treatment in Acute Respiratory Distress Syndrome: An Overview on Mechanistic Insights and Clinical Benefit.糖皮质激素治疗急性呼吸窘迫综合征:机制见解和临床获益概述。
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Trends in research on acute lung injury/acute respiratory distress syndrome associated with viral pneumonia from 1992 to 2022: a 31-year bibliometric analysis.1992年至2022年与病毒性肺炎相关的急性肺损伤/急性呼吸窘迫综合征的研究趋势:一项31年的文献计量分析
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Cardioprotective Effects of Octreotide against Sepsis-Induced Cardiotoxicity in Mice.奥曲肽对脓毒症诱导的小鼠心肌毒性的心脏保护作用。
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