NAT COMMUN:两药联用,对毒蛇咬伤具有广泛的临床前疗效

2020-12-18 haibei MedSci原创

毒蛇咬伤是一种经常被忽视的热带疾病(NTD),在撒哈拉以南非洲、南亚和东南亚、大洋洲、中美洲和南美洲的贫困农村社区造成大量死亡(每年约138 000人)和发病(每年约400 000人)。尽管每年蛇咬伤

毒蛇咬伤是一种经常被忽视的热带疾病(NTD),在撒哈拉以南非洲、南亚和东南亚、大洋洲、中美洲和南美洲的贫困农村社区造成大量死亡(每年约138 000人)和发病(每年约400 000人)。尽管每年蛇咬伤的死亡人数相当于疟疾的四分之一,但这一NTD长期以来一直被全球卫生界忽视,导致在蛇咬伤管理、新疗法的开发或提高获得治疗的速度方面的投资很少。

2017年,世界卫生组织(WHO)将蛇咬伤重新列为优先考虑的NTD,不久后,发布了一份全球路线图,概述了到2030年将蛇咬伤相关死亡和残疾减少一半的目标。实现这一目标的关键任务包括与治疗有关的任务,特别是必须提高治疗的安全性、有效性、可负担性和最需要者的可及性。

蝮蛇是大多数毒蛇的罪魁祸首,但毒液成分的广泛种间差异决定了世界不同地区使用不同的抗蛇毒血清治疗,导致临床和经济上的蛇咬伤管理挑战。最近,研究人员发现,一些重新利用的2期批准的小分子能够通过抑制不同的酶毒素家族,在体外广泛中和不同的毒蛇毒液生物活性。

此外,利用小鼠体内毒液模型,研究人员证明了合理选择的由马利司他和伐雷司普拉迪组成的双抑制剂组合的单剂量可防止非洲、南亚和中美洲最重要的毒蛇毒液造成的小鼠死亡。

该研究结果支持将重新利用的小分子毒素抑制剂组合转化为治疗蛇咬伤的广谱疗法

 

原始出处:

Laura-Oana Albulescu et al. A therapeutic combination of two small molecule toxin inhibitors provides broad preclinical efficacy against viper snakebite. NATURE COMMUNICATIONS (2020). 

 

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    2021-03-15 liuli5079
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    2021-08-18 liye789132251
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    2020-12-20 habb
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    2020-12-18 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

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    2020-12-18 lovetcm

    马利司他和伐雷司普拉迪,可能也是很多抗#蛇毒##中药#作用机理,有名的蛇伤药七叶一枝花,半边莲,白芷+麦冬,射干,萝摩等,估计相似。成药如季德胜蛇药片,十分有名

    0