Anti-Infective Agents - Online First
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In Situ Gelling Systems for the Treatment of Ocular Pain and Inflammation: A Review
Authors: Sakshi Singh Chouhan and Ruchi Khare ShrivastavaAvailable online: 26 February 2025More LessOcular drug delivery presents significant challenges due to the intricate anatomy and protective barriers of the eye, which limit drug penetration and retention. Addressing common issues like ocular pain and inflammation, conditions that substantially impact the quality of life, requires innovative approaches. This review focuses on in situ gel systems as a promising solution for ocular drug delivery, specifically for managing pain and inflammation. In situ gels, which transition from liquid to gel upon contact with the eye, offer distinct advantages over traditional formulations, such as prolonged residence time, sustained drug release, enhanced drug retention, and minimized systemic side effects. These benefits contribute to enhanced therapeutic efficacy and increased patient comfort. It also examines various polymers and gelling mechanisms used in in situ gels, including temperature-sensitive, pH-sensitive, and ion-activated polymers. While there is significant promise in the development of in situ gel systems, several challenges must be addressed, including the optimization of viscosity, the assurance of biocompatibility, and the precise adjustment of drug release profiles. Future research is geared toward integrating novel polymers, designing stimuli-responsive systems, and advancing targeted drug delivery strategies. These innovations aim to further improve the effectiveness and patient compliance of in situ gel systems for ocular applications, offering a viable alternative for sustained and comfortable management of ocular pain and inflammation.
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Sesquiterpene Coumarins as Promising Antiviral Agents: An In-silico Study
Authors: Dara Dastan and Ahmad EbadiAvailable online: 29 January 2025More LessBackgroundSesquiterpene coumarins are a unique class of natural compounds with a wide range of biological activities. These C15 terpenes are connected by ether or carbon-carbon bonds to coumarin derivatives. Sesquiterpene coumarins that include a 7-hydroxylcoumarin (umbelliferone) moiety have significant antiviral properties. The natural flexibility of these compounds reduces the likelihood of developing resistance, which is often seen in viruses due to high mutation rates.
ObjectiveThe lessons learned from the coronavirus pandemic experience emphasize the importance of preparedness for future viral outbreaks in the medical community. Consequently, fast and reliable assessment methods, such as in silico techniques, are crucial in drug discovery.
MethodsIn this study, we used in silico studies to evaluate the potential antiviral effects of various sesquiterpene coumarins.
ResultsThe binding free energy to the spike protein of SARS-CoV-2 suggested that 5′-hydroxyumbelliprenin (2), conferol (9), 8′-acetoxy-5′-hydroxyumbelliprenin (3), and Sanandajine (1) could be promising antiviral candidates.
ConclusionThese compounds have unique physicochemical characteristics and occupy distinct chemical spaces compared to synthetic libraries; therefore, the criteria for drug-likeness need to be adjusted for this series of compounds.
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Synthesis of Novel Cyclic Imide-containing Thiazole and Benzothiazoles for Antimicrobial Evaluation and Computational Docking Studies
Authors: Smita Pawar, Amol Kale, Srushti Jadhav, Shital Shendge, Nilesh Shinde, Rushikesh Lande and Pratik KapaseAvailable online: 28 January 2025More LessBackgroundMany compounds with thiazole, benzothiazole, and cyclic imide have been found to exhibit potent antimicrobial activity, such as Cefotaxime, Moiramide, Ritonavir, etc.
AimsAs per the aim of this study, the cyclic imides with thiazole and benzothiazole moiety were designed and synthesized.
ObjectivesLiterature findings suggest the potential antimicrobial properties of thiazole and benzothiazole, which inspired us to design and synthesize imides with succinic anhydride, phthalic anhydride, and maleic anhydride.
MethodsThree series of synthetic compounds were synthesized i.e. substituted 1-(4-(p-tolyl)thiazol-2-yl)pyrrolidine-2,5-dione (SI 1-6), 2-(4-phenylthiazol-2-yl)isoindoline-1,3-dione (PI 1-6), and 1-(benzo[d]thiazol-2-ylamino)-1H-pyrrole-2,5-dione (MI 1–5) and characterized with IR, NMR, Mass spectroscopy. All synthesized derivatives were evaluated to check the antimicrobial properties against Gram +ve, Gram -ve bacteria, and fungi species by determining the zone of inhibition and minimum inhibitory concentration. Docking was carried out to check binding affinities with targets ‘DNA Gyrase and Penicillin Binding Protein 3’.
ResultsZone of inhibition showed that all the synthesized compounds are active against bacteria and fungi. Compound SI-4 showed a maximum zone of inhibition. Most of the compounds showed MIC at 6.25 and 12.5 µg/ml. A docking study revealed that compounds PI-4 and PI-2 showed good dock scores towards DNA Gyrase and Penicillin Binding Protein 3, respectively.
ConclusionAll synthesized compounds showed significant antimicrobial properties. The anti-microbial evaluation showed that compounds SI-4, PI-,2, and MI-1 possess good antimicrobial activity. Electron withdrawing substitutions may enhance the antimicrobial property.
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Anti-HIV Treatment: History, Current Advances and Targets
Authors: Apurva Wasnik, Kalyani Thombre, Krishna Radheshyam Gupta and Milind Janrao UmekarAvailable online: 27 January 2025More LessHuman Immunodeficiency Virus (HIV) is a retrovirus that is well known to be the causative agent for acquired immunodeficiency syndrome. In this review, we discussed the HIV virus, its transmission, events that lead to AIDS, the historical aspect of its emergence, current prospects in antiretroviral drugs, and its evolution up until current treatment strategies. We have also discussed the recent research related to new molecules, which showed potent anti-HIV activity and have the potential to become a key targetfor drugdevelopment. New studies have explored novel drug target sites and the benefits of using artificial intelligence and machine learning in drug discovery and design, leading to better results and advancements in treatment.
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Epidemiologic Investigation of Eye Symptoms Related to COVID-19 among Outpatient Population
Authors: Fatemeh Eslami, Salman Khazaei, Anahita Eslamighayour and Tahere MohammadiAvailable online: 24 January 2025More LessIntroductionSince 2019, with the spread of coronavirus and the emergence of new strains worldwide, various studies have identified the effects of this virus on multiple organs of the body.
ObjectiveIndividuals with COVID-19 experience various symptoms in their body systems. Some of these symptoms can affect the visual system and lead to blurry vision, dry eyes, foreign body sensations, tearing, etc. These symptoms can cause early eye fatigue and reduce the quality of academic and occupational performance.
MethodsThis study aimed to investigate the ocular symptoms and treatments in outpatients with mild to moderate COVID-19 at the Vali-e-asr Clinic in Hamadan City. The study was cross-sectional with the ethics code IR.UMSHA.REC.1401.913, and was conducted from April, 2021, until the required sample size was achieved. Patients were selected using an available non-probability sampling method.
Results and DiscussionThe findings indicated that the pandemic had a significant impact on the employment status of individuals, particularly full-time and part-time employees or workers, as well as university students. Additionally, in our study, significant increases in various eye symptoms, including blurred vision, fluctuating vision, the need to increase text size while reading, and eye irritation, were reported.
ConclusionBased on our study on the impact of COVID-19 on dry eye, we found a significant increase in dry eye symptoms among patients with a history of COVID-19. It is essential to raise awareness among individuals, healthcare professionals, and policymakers about the possible consequences of the pandemic on eye health and to implement appropriate measures to mitigate these effects.
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Exploring the Therapeutic Potential of Benzimidazole Hybrids as Antimicrobial Agents: An In-Depth Analysis
Authors: Sugat Shukla, Iqbal Azad, Mohd Akil, Mohammad Owais, Benjamin Siddiqui, Shikhar Verma, Kuldeep Singh and Arun KumarAvailable online: 23 January 2025More LessBackgroundHeterocyclic compounds play an essential role in biological systems and occur widely in nature. They are fundamental in the development of pharmaceuticals aimed at combating microbial infections and other” with “with the potential biological activities. Pharmacological evaluations have demonstrated their efficacy against diverse bacterial strains. This study investigates the antimicrobial properties of various benzimidazole hybrids. The findings highlight the significant influence of substituting nitrogenous scaffolds with various heteroatoms on the potential development of new antimicrobial agents.
ObjectiveThis review article is expected to make a substantial contribution to the advancement of antibacterial medications. The research's goal is to improve the efficacy of combating bacterial infections by utilizing the potent properties of benzimidazole-based hybrid scaffolds. In the end, this will aid in reducing the global incidence of this contagious illness.
MethodsSeveral nitrogen-containing heterocyclic compounds display substantial potential as antibacterial agents. These compounds possess fused benzene and imidazole nuclei. These nuclei could change the number of electrons they have, which in turn affects their physiochemical characteristics. The versatility of drugs arises from their capacity to interact with receptors in various modalities, which is a key factor in drug pharmacological screening. Benzimidazole-based hybrids have demonstrated a wide range of pharma cological effects, including antibacterial, anti-HIV, anticancer, antimalarial, antiviral, an tifungal, antioxidant, anti-inflammatory, and anti-tubercular activities.
ResultsPyrazole, imidazole, oxazole, thiazole, indole, and benzimidazole are examples of compounds that include nitrogen species. These nitrogen-containing compounds engage in metabolic interactions with other molecules within the cell. Nevertheless, an overabundance of reactive nitrogen species can cause cytotoxicity, causing harm to vital biological macromolecules. But benzimidazole is traditionally the most effective, with a wide range of important qualities, including antibacterial, anti-HIV, anticancer, antimalarial, antiviral, antifungal, antioxidant, anti-inflammatory, and anti-tubercular activities.
ConclusionThis study focuses on the efficacy of novel benzimidazole-based hybrid scaffolds in inhibiting microbial growth. The study primarily focuses on recent studies carried out from 2009 to 2024. The study highlights the effectiveness of different benzimidazole-based hybrids using minimum inhibitory concentration (MIC) values. More in-depth studies also show that adding electron-withdrawing groups (EWGs) to the nitrogenous framework might make them more effective. Further research is necessary to design strong, least-toxic benzimidazole-based hybrids that can either kill or inhibit multidrug-resistant (MDR) bacteria.
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A Review on Therapeutic Potential of Plumbago zeylanica Extracts and Sustainable Production Methods
Authors: Chetana Tripathi, Sachin Kumar Jain and Sudha VengurlekarAvailable online: 23 January 2025More LessHerbal medicines have earned a timeless place in healthcare, valued for their biocompatibility and widespread use in treating cancer and related conditions. Plumbago zeylanica, widely recognized as white leadwort or doctorbush, holds a prominent place in traditional medicine systems worldwide, revered for its diverse therapeutic properties. This widespread use, however, coupled with unsustainable harvesting practices, has raised concerns about the plant's long-term survival in its natural habitat. Their enduring presence is particularly evident in countries like India, Pakistan, Bangladesh, Sri Lanka, and Australia, where they are deeply rooted in ethnomedical traditions. P. zeylanica stands out as a rich source of bioactive compounds, including naphthoquinones, flavonoids, alkaloids, and terpenoids, with plumbagin identified as a key driver of its medicinal properties. Plumbagin exhibits a remarkable pharmacological profile, demonstrating significant efficacy as an anticancer, antidiabetic, antimalarial, and antimicrobial agent, making it a promising candidate for drug development. The literature reveals that the root and root bark also have a wider claim in traditional medicines against various diseases as a memory enhancer, anti-inflammatory, wound healing, anti-infertility, blood coagulation, and anti-oxidant activities. This review provides a comprehensive overview of P. zeylanica, encompassing its traditional uses, phytochemical composition, and the pharmacological activities of its key bioactive constituents, with a particular focus on plumbagin. We delve into the scientific evidence supporting its therapeutic applications, highlighting its potential in treating a wide range of diseases. Furthermore, we discuss the progress made in developing sustainable production methods for plumbagin for medicinal purposes from P. zeylanica.
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A Review on Emerging Challenges and Innovations in the Management of Carbapenem-resistant Enterobacteriaceae Infections in Hospital Settings
Available online: 12 November 2024More LessCarbapenem-resistant Enterobacteriaceae represent a crucial global public health issue. The challenges associated with carbapenem-resistant Enterobacteriaceae are multifaceted. This review article aims to explore and comprehend the emerging challenges and the latest developments in the management of carbapenem-resistant Enterobacteriaceae infections. A comprehensive literature search was conducted using databases such as PubMed, Cochrane Library, and Embase. Studies published from database inception until May 2024 were included. Articles were selected based on relevance, study design, and quality. Data from clinical trials, observational studies, and reviews were synthesized to provide a detailed overview of the current state of knowledge on carbapenem-resistant Enterobacteriaceae. The review identifies key epidemiological trends, including geographic variations and risk factors associated with carbapenem-resistant Enterobacteriaceae. Mechanisms of resistance are elucidated, focusing on carbapenemase production and other related factors. Current treatment options are assessed, with an emphasis on newer antibiotic combinations such as ceftazidime/avibactam, meropenem/vaborbactam, ceftolozane/tazobactam, and cefepime/enmetazobactam. The review also highlights emerging therapeutic approaches, including novel antibiotics and non-traditional approaches like phage therapy, fecal microbiota transplantation, probiotics, antimicrobial peptides, vaccines, and herbal drugs. Additionally, the review also reflects on effective infection prevention and control strategies. While research efforts to explore newer combinations and alternate approaches to treat carbapenem-resistant Enterobacteriaceae infections are crucial, the importance of stringent infection prevention and control strategies cannot be overstated. This dual focus is essential to address both the immediate and long-term challenges posed by carbapenem-resistant Enterobacteriaceae
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