Current Pharmaceutical Design - Online First
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21 - 40 of 114 results
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Impact of Iron Deficiency on Patients Undergoing Cardiac Surgery
Authors: Tatjana Karadzic, Anastasia Djordjic and Petar OtasevicAvailable online: 07 January 2026More LessIron deficiency (ID), with or without anemia, is a frequent and underrecognized condition among patients undergoing cardiac surgery, and it is associated with worse perioperative outcomes, including higher mortality, longer ICU and hospital stays, and increased transfusion requirements. This review summarizes current evidence on the prognostic role of ID and the effectiveness of supplementation strategies. While intravenous iron therapy has shown potential to improve hemoglobin levels and reduce transfusion needs, study results remain inconsistent, partly due to differences in timing, dosage, and formulations used. Newer oral agents and nanotechnology-based delivery systems offer improved bioavailability and tolerability, though clinical data in cardiac surgery remain limited. Overall, routine preoperative screening for ID using ferritin and Transferrin Saturation is essential, particularly in non-anemic patients, as timely supplementation may improve perioperative recovery. Intravenous administration remains the preferred method in moderate to severe cases. However, standardized protocols and further high-quality randomized trials are required to define the optimal management of iron deficiency in this high-risk population.
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Stimuli-Responsive Porphyrin-Based Nano Drugs for Cancer Therapy
Authors: Pavan Sonnenahalli Rudramurthy and Ashwini PrabhuAvailable online: 02 January 2026More LessThe potential of nanomedicine in cancer treatment is highlighted through the development of novel carriers for delivering anticancer drugs. By using advanced drug delivery techniques, nanomedicine, a rapidly developing therapeutic strategy, aims to maximize therapeutic efficacy while reducing adverse effects on healthy tissues. With significant benefits in targetability, stability, drug loading efficiency, and safety, nanomedicine has great potential to improve treatment outcomes and reduce off-target toxicity. More effective drugs are required for the treatment of cancer, given the annual number of new cases and millions of deaths due to the disease worldwide. Traditional cancer treatments are still not very effective against advanced metastatic cancers, despite their success in treating early-stage cancers. Thus, a vital path towards enhancing patient outcomes and lowering death rates in cancer remains a promising strategy. Porphyrin-derived nanomedicines play a crucial role in cancer treatment. Because of their specific characteristics—such as higher singlet-oxygen quantum yields and precise targeting—porphyrin-based nanomaterials have attracted significant interest. Such nanomaterials have great potential to maximize therapeutic effectiveness while reducing the side effects of cancer treatment. The most recent advancements in the use of porphyrin-based nanomedicine for drug delivery, imaging, and phototherapy are analyzed in this review. Drawing on a comprehensive analysis of current research, this review offers significant insights into the prospective applications of porphyrin-based nanomedicine as a flexible and potent weapon in the fight against cancer.
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Multi-Segmental Evaluation of Intestinal Permeability of Amlodipine at Two Dose Levels
Available online: 02 December 2025More LessBackgroundIntestinal permeability plays a crucial role in drug absorption, as it varies across different gastrointestinal regions, affecting the bioavailability of orally administered drugs. This variability, combined with dose-dependent absorption, influences the overall efficacy and pharmacokinetics of the drug.
ObjectiveThis study aimed to investigate the impact of three intestinal regions (jejunum, ileum, and colon) along with two different doses of amlodipine (AML) (5 mg and 10 mg) on its permeability.
MethodsAn optimized HPLC method was developed and validated for the simultaneous quantification of AML, metoprolol (MTP), and phenol red (PR), while a modified single-pass intestinal perfusion (SPIP) was used to assess AML permeability across different intestinal segments.
ResultsNet Water Flux (NWF) showed significant fluctuations, with high positive values in the colon, indicating distinct physiological responses in this region. The effective permeability (Peff) of AML varied across different intestinal segments and doses. In the jejunum and ileum, the Peff of AML decreased with increasing doses from 5 mg to 10 mg, while in the colon, Peff remained relatively stable. Peff values ranged from 3.50 × 10−4 cm/s for the 5 mg dose to 1.80 × 10−4 cm/s for the 10 mg dose in the jejunum, from 3.30 × 10−4 cm/s (5 mg) to 2.41 × 10−4 cm/s (10 mg) in the ileum, and from 6.65 × 10−4 cm/s (5 mg) to 6.79 × 10−4 cm/s (10 mg) in the colon.
ConclusionThis study demonstrated significant segmental and dose-dependent variations in the intestinal permeability of AML using the SPIP model in rats.
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Review on Molecular Targeting, Pharmacological Action, and Advanced Biopharmaceutical Aspects for the Management of Alzheimer’s Disease
Authors: Ram Ajay Gupta, Rajni, Kamal Shah and Hitesh Kumar DewanganAvailable online: 05 November 2025More LessAlzheimer’s disease (AD) is an ongoing progressive neurodegenerative disorder that predominantly affects elderly individuals. A systematic literature search was conducted using electronic databases such as PubMed, Scopus, Web of Science, and Google Scholar. Peer-reviewed articles, clinical trial reports, and experimental studies published in English within the last 15 years were considered. The keywords used for the search included “Alzheimer’s disease,” “amyloid-beta,” “tau protein,” “neuroinflammation,” “immunotherapy,” “drug repurposing,” and “experimental treatment strategies.” It is the most common form of dementia, ultimately leading to death in advanced stages. Recent advances in AD have featured the expected role of anti-amyloid, anti-tau, and anti-inflammatory therapies. Nonetheless, these treatments are still in various stages of preclinical and clinical trials. Moreover, drug repurposing is another promising avenue to identify effective therapeutic alternatives for Alzheimer's disease. This review highlights the underlying pathophysiological mechanisms of AD along with the limits of existing treatments. It also includes two methodologies, specifically; active immunotherapy and passive immunotherapy. Active immunotherapy tactics include the administration of antigens to stimulate antibody production. Additionally, this study discusses several experimental drugs and novel pharmaceutical approaches for AD.
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Molecular Dynamics and Energetic Insights into Novel PARP15 Inhibitors: A Structural Approach for Targeting BRCA-Mutated Breast Cancer
Authors: Badriyah Shadid Alotaibi, Vivek Dhar Dwivedi and Mohammad Amjad KamalAvailable online: 04 November 2025More LessIntroductionBreast cancer remains a critical global health issue, particularly in patients with BRCA1/2 mutations, which lead to genomic instability and increased cancer susceptibility. While PARP inhibitors targeting PARP1 and PARP2 have shown clinical success through synthetic lethality, PARP15, a mono-ADP-ribosyltransferase involved in DNA repair and tumour progression, remains largely understudied.
MethodsA structure-based virtual screening approach was applied to identify potential PARP15 inhibitors. The screening was performed on a Bioactive Screening Compound Library consisting of over 12,200 drug-like small molecules. Using the MTiOpenScreen platform, 1,500 candidate compounds were initially shortlisted. Molecular docking was then conducted to identify top-binding compounds, followed by 500-nanosecond molecular dynamics simulations to assess complex stability. Principal component analysis (PCA), free energy landscape (FEL) evaluation, and absorption, distribution, metabolism, and excretion (ADME) profiling were also performed to characterise compound behaviour and drug-likeness.
ResultsThree compounds, F2002-0551, F2028-0309, and F1495-1822, emerged with docking scores surpassing the known PARP15 inhibitor, Niraparib. Molecular dynamics simulations confirmed their structural stability with low RMSD values and favourable FELs. PCA revealed consistent ligand dynamics, and ADME analysis showed high gastrointestinal absorption and other drug-like characteristics. Superimposition analysis demonstrated minimal deviation in docked poses, indicating strong and stable interactions with PARP15.
DiscussionThese results highlight the therapeutic potential of the selected compounds as novel PARP15 inhibitors. Their favourable binding stability and pharmacokinetic profiles support their candidacy for further development against BRCA-mutated breast cancer.
ConclusionF2002-0551, F2028-0309, and F1495-1822 represent promising leads for PARP15 inhibition. This study offers a computational foundation for future experimental validation and therapeutic exploration in BRCA-associated breast cancer.
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Doxorubicin-Induced Cardiotoxicity: Exploration of Molecular Pathogenesis and Phytocompound-Based Therapeutic Strategies
Authors: Harshal D. Pawar, Sanskruti Dusane, Tanisha Sharma, Kartik T. Nakhate and Sameer N. GoyalAvailable online: 03 November 2025More LessIntroductionDoxorubicin (DOX), a widely used chemotherapeutic agent, is effective against various malignancies, but its clinical application is limited by cumulative dose-dependent cardiotoxicity. The objective of this review is to systematically explore the molecular mechanisms involved in DOX-induced cardiotoxicity (DIC) and evaluate the cardioprotective potential of plant-derived bioactive compounds.
MethodsA comprehensive literature search was conducted using databases, such as PubMed, Scopus, and Web of Science, focusing on studies published in the last two decades. Emphasis was placed on experimental and preclinical models that investigated molecular pathways of DIC and the therapeutic role of phytochemicals.
ResultsDOX-induced cardiotoxicity is mediated through a cascade of molecular events, including excessive oxidative and nitrosative stress, mitochondrial damage, apoptosis, impaired autophagy, and altered activity of signaling pathways, such as AMPK, Nrf2, TGF-β1/Smad2, and HIF-1α. Epigenetic dysregulation also contributes to myocardial injury. Phytochemicals, such as flavonoids, polyphenols, and alkaloids, have shown significant cardioprotective effects. These compounds exert their actions by modulating redox homeostasis, preserving mitochondrial function, regulating apoptotic markers, and restoring signaling imbalances.
DiscussionThe pleiotropic nature of phytocompounds enables them to target multiple pathological mechanisms associated with DIC. Despite promising in vitro and in vivo evidence, limitations, such as poor bioavailability, lack of standardized dosing, and inadequate clinical data, hinder their translational potential. Novel delivery systems and well-controlled clinical trials are necessary to overcome these challenges.
ConclusionPlant-derived bioactive compounds show potential in mitigating doxorubicin-induced cardiotoxicity, as supported by preclinical evidence. However, further translational studies are warranted to validate these findings, optimize pharmacokinetics, and evaluate their feasibility in clinical oncology settings.
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Triptonide Mediates Apoptosis and Autophagy via ROS/p38 MAPK Activation and mTOR/NF-κB Inhibition in Nasopharyngeal Carcinoma: Insights from Network Pharmacology, Molecular Docking, and Experimental Validation
Authors: Shikai Geng, Xingyu Liu, Fangzhu Wan, Li Chen, Wanzun Lin, Wei Hu, Ziyu Le, Huaiyuan Chen, Qingting Huang, Fengtao Su, Chunlin Shao, Jiade J. Lu and Lin KongAvailable online: 31 October 2025More LessIntroductionDespite significant advances in the comprehensive treatment of nasopharyngeal carcinoma (NPC), local recurrence or distant metastasis still occurs in a considerable proportion of patients, leading to poor outcomes and posing a significant clinical challenge. The current therapeutic agent, Triptonide (TN), has shown potential efficacy in modulating cellular autophagy, suggesting its therapeutic promise for treating NPC. However, the precise molecular targets and mechanisms underlying TN’s role in NPC remain to be elucidated.
MethodsInitially, relevant targets for TN in the treatment of NPC were identified through public databases. Next, network pharmacology and bioinformatics analyses were employed to pinpoint the top 15 hub targets and critical signaling pathways involved in TN’s therapeutic action. Finally, experimental validation, including a range of molecular assays, was conducted to investigate the cellular effects of TN treatment, such as apoptosis induction, migration inhibition, Caspase-3 activation, mitochondrial dysfunction, autophagy-related gene expression, and TFAM level detection, thereby confirming the essential genes and pathways.
ResultsA total of 31 potential molecular targets for TN in NPC were identified, with 27 genes confirmed through autophagy-related gene analysis. Among these, the top 15 hub genes included RELA, CASP8, NFKBIA, PPARG, PTGS2, MAPK14, MAPK8, HDAC1, ERBB2, CASP1, TERT, AR, CDK1, PGR, and HDAC6. TN was found to activate the MAPK signaling pathway. In vitro, TN induced NPC cell apoptosis via increased ROS, MAPK14 activation, and Caspase-3 cleavage. It disrupted mitochondrial function (reduced membrane potential, decreased copy number, enhanced fission), inhibited mTOR and RELA phosphorylation, and promoted autophagy. TN also caused S-phase arrest, reduced CDH3, and increased CDH1. Lipoic acid partially reversed TN-induced cytotoxicity.
DiscussionTN exerts anti-NPC effects primarily through MAPK pathway activation and autophagy induction. Key targets mediating these effects include RELA, CASP8, PPARG, MAPK14, MAPK8, HDAC1, ERBB2, and CASP1. The reversal by lipoic acid implicates ROS in TN's mechanism. The disruption of mitochondrial function represents a critical facet of its action.
ConclusionTN demonstrates potential as a therapeutic agent for NPC, primarily through activation of the MAPK signaling pathway and autophagy. Key targets, including RELA, CASP8, PPARG, MAPK14, MAPK8, HDAC1, ERBB2, and CASP1, have been identified as critical mediators of TN’s effects, highlighting its role in promoting autophagy and enhancing NPC treatment.
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Novel Targets and Nanotechnology Approaches in Treating Vulvovaginal Candidiasis: Insights into Host-Microbe Interactions and Immunotherapy
Available online: 30 October 2025More LessThe aim of this article is to study recent developments in the management of vulvovaginal candidiasis (VVC) with emphasis on overcoming antifungal resistance and recurrent VVC by examining host-microbe interaction, new molecular targets, immunotherapeutic interventions, and nanotechnology-based strategies. This review integrates recent VVC pathogenesis, immune response, and therapeutic development literature with a focus on immunomodulation, vaccine development, and nanotechnology interventions. Literature on immunotherapy and nanoparticle-based drug delivery systems was comprehensively reviewed. Immunotherapeutic concepts, such as cytokine modulation and vaccine therapy candidates, hold promise to substitute or supplement current antifungals. Nanoparticles exhibit efficacy in advancing drug solubility, reaching fungal cells, and minimizing unwanted effects. The synergy between nanotechnology and immunotherapy provides combined advantages over the multiple drawbacks of current therapies. Although novel methodologies have shown strong promise, aspects of safety, clinical relevance, and regulatory issues continue to remain key challenges. Nanotechnology-based host-targeted immunotherapy is most probably going to transform the scenario of VVC treatment, especially in drug-resistant cases. Additional research is needed to elucidate molecular host-fungal interaction mechanisms, validate vaccine efficacy in the clinic, and design standardized, reproducible nanotherapeutic platforms. Personalized regimens of treatment through immunological and microbiome profiling can enhance long-term outcomes in VVC treatment.
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VLP-based Cancer Therapy: Past, Present, and Future Prospects
Available online: 30 October 2025More LessThe emergence of virus-like particles (VLPs) in cancer represents a promising research avenue for effective targeted therapies. VLPs structurally resemble viruses but lack genetic material and offer distinct advantages in cancer therapy, including targeting specific cancer cells, inducing immune responses, and delivering therapeutic payloads. Conventionally, VLPs can trigger apoptosis, stimulate immune-mediated cytotoxicity, or transport anticancer agents. Viral and non-viral-based VLPs have shown potential for cancer treatment, exhibiting preclinical efficacy which is observed in animal models. Furthermore, early-phase clinical trials have demonstrated the safety and feasibility of VLP-based therapies, with limited efficacy in some cases. Despite these advancements, challenges such as immunogenicity, scalability, and delivery issues persist, necessitating further research to optimize VLP-based cancer therapies. Future directions encompass innovative strategies such as combination therapies and personalized medicine approaches to enhance the efficacy and clinical utility of VLPs. This review provides a comprehensive overview of the status of VLP-based cancer therapy, elucidating its mechanisms of action, types of VLPs utilized, preclinical and clinical studies, and challenges and future directions in this field. In conclusion, VLP-based cancer therapy has immense potential as a novel therapeutic modality, offering hope for improved outcomes and enhanced quality of life for patients with cancer in the future.
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Ni-Fe Nanoparticles from Eugenia jambolana Extract Show Enhanced Anti-Biofilm, Anti-Inflammatory, and Antioxidant Effects
Available online: 29 October 2025More LessIntroductionMetallic nanoparticles are of interest for their potent bactericidal and anti-biofilm effects within a favorable therapeutic index. This study reports the green synthesis of bimetallic nickel-iron (Ni-Fe) nanoparticles using Eugenia jambolana extract and evaluates their antimicrobial, anti-biofilm, anti-inflammatory, and antioxidant activities.
MethodsNi-Fe nanoparticles were synthesized using E. jambolana extract and characterized for crystalline structure, size, stability, zeta potential, and functional groups. Antimicrobial activity was tested against Gram-positive (Bacillus subtilis, Staphylococcus aureus), Gram-negative (Escherichia coli, Pseudomonas aeruginosa), and Candida albicans. Anti-biofilm potential was assessed via inhibition and dispersion assays, EPS quantification, and in situ visualization. Anti-inflammatory activity was measured through protein denaturation and nitric oxide scavenging assays, while antioxidant capacity was determined using DPPH and H2O2 scavenging tests.
ResultsCrystalline, stable Ni-Fe nanoparticles with favorable functional groups were obtained. At 200 µg/mL, they showed broad-spectrum antimicrobial activity. Biofilm formation was reduced by 50% at 250 µg/mL, and dispersion occurred at 10-50 µg/mL, with S. aureus most susceptible. EPS inhibition at 50 µg/mL was 78% (E. coli), 70% (P. aeruginosa), 73% (B. subtilis), and 91% (S. aureus). Visualization confirmed strong adherence to biofilms. At 250 µg/mL, protein denaturation inhibition reached 45%, nitric oxide scavenging 42.6%, DPPH scavenging 44%, and H2O2 scavenging 49%.
DiscussionNi-Fe nanoparticles exhibit strong antimicrobial, anti-biofilm, anti-inflammatory, and antioxidant activities, notably against S. aureus. High EPS inhibition and biofilm dispersion suggest potential against biofilm-associated, drug-resistant infections.
ConclusionGreen-synthesized Ni-Fe nanoparticles from E. jambolana show multifunctional bioactivities, offering promise for therapeutic applications targeting resistant and biofilm-related infections.
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Association of Exposure to Brominated Flame Retardants with Hyperuricemia: A Mediation Analysis of Inflammatory Factors
Authors: Xiangdong Wen, Senbo An, Tao Yuan, Shilei Zhang, Shilong Lv, Laibo Zhang and Shui SunAvailable online: 29 October 2025More LessBackgroundThere is increasing evidence that environmental factors play an important role in the pathogenesis of hyperuricemia. However, the relationship between Brominated Flame Retardants (BFRs) and serum uric acid and hyperuricemia remains unclear.
MethodsThis study used data from 7996 National Health and Nutrition Examination Survey (NHANES) participants from 2005 to 2016. Ten BFRs, including PBB153 and PBDE28, were included in the analysis. Multivariate logistic regression, subgroup analysis, Spearman correlation analysis, Weighted Quantile Sum (WQS), and Bayesian Kernel Machine Regression (BKMR) were used to assess the association between BFRs and hyperuricemia. We also evaluated the mediating role of the Systemic Immunoinflammatory Index (SII) in the relationship between BFRs and hyperuricemia.
ResultsResults show that, after adjusting for all covariates, PBDE47, PBDE99, PBDE100, and PBDE154 were significantly associated with hyperuricemia risk. The results of the WQS regression and BKMR model showed a significant positive correlation between exposure to mixed BFRs and hyperuricemia risk. PBDE183 (weight: 38%) was found to have the highest weight in the mixture. Further mediating analysis showed that the relationship between PBDE28 and PBDE183 exposure and hyperuricemia risk was mediated by SII.
DiscussionExposure to BFRs increases the risk of hyperuricemia, which may be mediated by inflammation. Therefore, future research should further explore the potential mechanisms underlying the association between BFR exposure and hyperuricemia risk.
ConclusionExposure to BFRs may increase the risk of hyperuricemia. Large-scale prospective cohort studies and experimental research are needed to confirm the relationship between BFRs and hyperuricemia.
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Technological Advancements in Drug Formulation and Delivery: Revolutionizing Therapeutic Outcomes
Authors: Tavleen Kaur, Dushyant, Twinkle Sharma and Ashwani K. DhingraAvailable online: 28 October 2025More LessIntegrating the most advanced technologies in drug formulation and delivery systems is revolutionizing modern healthcare, leading to improved treatment efficacy and patient outcomes. This study explains how new technologies are transforming the way drugs are manufactured and delivered. They include the use of advanced materials, nanotechnology, and biotechnology. Nanotechnology has also enabled the fabrication of targeted drug-delivery particles. Such particles would guarantee that drugs reach a specific tissue or cell, with notable minimization of side effects. The precise targeting of drugs is found to significantly enhance the effectiveness of treatment in fields, such as oncology and personalized medicine, among others. Breakthroughs can also be observed in the design of biologics, gene therapies, and monoclonal antibodies, resulting in highly targeted treatments for a wide range of diseases. Besides novel drug formulations, smart delivery devices have also been designed that not only control the location and rate of drug release, but also the timing of drug release. These include implantable pumps, which ensure more controlled and sustained drug release, bio-responsive hydrogels, medication-eluting stents, which ensure controlled and sustained drug release, and many more devices. This reduces the number of readjustments and increases the likelihood of patient compliance with the treatment plan. This study also discusses the role of digital technologies, such as wearables and AI-driven drug delivery systems, which continue to track patient responses and dosages to improve the outcomes of therapy. Such developments have marked a significant paradigm shift in pharmaceutical research, bringing highly personalized, secure, and effective treatment options to patients worldwide.
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Chondroitinase ABC in Neural Regeneration: Advances in CNS and Peripheral Nerve Repair
Available online: 28 October 2025More LessChondroitinase ABC (ChABC) is a bacterial enzyme that can potentially address the inhibitory effects of Chondroitin Sulfate Proteoglycans (CSPGs) in various neurological disorders and injuries. CSPGs are key components of the extracellular matrix that, when accumulated after Central Nervous System (CNS) injury or neurodegenerative diseases, inhibit axonal growth and tissue repair. This review explores the therapeutic potential of ChABC in Spinal Cord Injury (SCI), Traumatic Brain Injury (TBI), stroke, Parkinson’s Disease (PD), Alzheimer’s Disease (AD), and peripheral nerve regeneration. ChABC’s mechanism of action involves the degradation of CSPGs, promoting neural plasticity, axonal regeneration, and functional recovery in SCI and other CNS injuries. In stroke and TBI, ChABC treatment has been shown to enhance neurogenesis, reduce glial scar formation, and support neuronal survival. In neurodegenerative conditions like PD and AD, ChABC's ability to modify the inhibitory extracellular environment offers novel strategies for promoting neuronal repair and cognitive function. Additionally, ChABC has been explored in cancer therapy, where its ability to degrade the tumor extracellular matrix facilitates improved drug delivery and tumor infiltration. While ChABC holds promise, challenges remain in its clinical application, particularly regarding stability, targeted delivery, and long-term effects. This review discusses the mechanism of action of ChABC and various delivery strategies, including viral vectors and localized infusion, and emphasizes the need for further research to optimize ChABC's potential. The future of ChABC in regenerative medicine depends on overcoming these barriers, improving delivery methods, and exploring synergistic treatments for enhanced recovery outcomes.
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Analysis of Chemical Constituents of Jiaotai Pill Based on UPLC-Q-Exactive Orbitrap-HRMS Technology and Its Antidiabetic Type 2 Mechanism in Network Pharmacology
Authors: Tingting Liu, Xu Wang, Jing Liu, Saisai Yang, Qiyao Li, Jubin Zhang and Xiuhong WuAvailable online: 28 October 2025More LessIntroductionJiaotai Pill (JTP) is a Traditional Chinese Medicine (TCM) prescription that has demonstrated therapeutic effects against Type 2 Diabetes Mellitus (T2DM). However, its active antidiabetic components and underlying mechanism of action remain unclear. This study aimed to identify the bioactive components in JTP and elucidate their molecular targets and therapeutic pathways in T2DM.
MethodsChemical components of JTP were identified using ultra-high performance liquid chromatography coupled with Q-Exactive Orbitrap high-resolution mass spectrometer (UHPLC-Q-Exactive Orbitrap-HRMS) in both positive and negative ion modes. Data were processed with Compound Discoverer 3.2 (CD 3.2) data software and validated using literature sources. Network pharmacology analysis was performed via multiple databases, including the Traditional Chinese Medicine Systems Pharmacology Database, Uniport, PubChem, GenCards, String, and Cytoscape, to predict potential bioactive compounds and therapeutic targets. Key interactions were validated using molecular docking and molecular dynamics simulations.
ResultsA total of 104 compounds were identified in JTP. Network pharmacology analysis revealed 5 key antidiabetic components and 5 core targets. These targets are involved in biological processes including apoptosis regulation, cell proliferation, and protein phosphorylation, and are enriched in pathways such as neuroactive ligand-receptor interaction, PI3K-AKT signaling, and AGE-RAGE signaling. Molecular docking indicated strong binding affinity between dihydrochelerythrine and AKT1(-9.0 kcal/mol) and TNF-α (-6.7 kcal/mol). Molecular dynamics simulation demonstrated stable and sustained hydrogen bonding between dihydrochelerythrine and AKT1.
DiscussionDihydrochelerythrine, as an active ingredient in JTP, may exert its antidiabetic mechanism by binding with AKT1, but it needs to be verified by subsequent animal or cell experiments.
ConclusionDihydrochelerythrine, a key active component of JTP, may exert antidiabetic effects in T2DM through stable interaction with AKT1, highlighting a potential therapeutic mechanism.
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Nephrotoxicity Evaluation of Green and Chemically Synthesized Copper Oxide Nanoparticles in Rats: A Biochemical and Genotoxic Approach
Authors: Sania Naz, Hussain Ali, Tajamul Hussain, Salman Alrokayan, Muhammad Zia, Ankita Acharya and Muhammad LatifAvailable online: 28 October 2025More LessIntroductionThis study aimed to synthesize and characterize copper oxide nanoparticles (CuO NPs) using Rhus punjabensis extract and chemical methodologies. The comparative nephrotoxicity of green-synthesized CuO NPs (G-CuO-NPs) and chemically synthesized CuO NPs (C-CuO NPs) were examined in Sprague-Dawley rats and their offspring following oral administration during pregnancy and lactation.
MethodsFourier Transform Infrared Spectroscopy (FT-IR), Scanning Electron Microscopy (SEM), Transmission Electron Microscopy (TEM), and X-ray Diffraction (XRD) were employed to examine the morphology, dimensions, and functional groups of the fabricated CuO NPs. To assess the relative nephrotoxicity of G-CuO-NPs and C-CuO-NPs at doses of 50 and 100 mg/kg, twenty-five rats were randomly allocated to five groups (designated as G1, G2, G3, G4, and G5), with each group comprising one male and four female animals for mating purposes. Nephrotoxicity of both parental and offspring animals was evaluated by examining their antioxidant status, total protein content, lipid peroxidation, genotoxicity, serum biochemistry, and histopathology.
ResultsFT-IR confirmed the synthesis of CuO NPs, while TEM and SEM revealed that G-CuO NPs were spherical and C-CuO NPs were oval. The XRD analysis showed that both NPs had a monoclinic structure. The crystalline dimensions of G-CuO NPs were 36.6 nm, and 32.85 nm for C-CuO NPs. C-CuO NPs showed dose-dependent toxicity in both parents and pups, causing a disturbance in the antioxidant balance, reducing protein content, and inducing lipid peroxidation and genotoxicity in the renal tissues. The morphological architecture of the parents’ kidneys and renal function were evaluated. G-CuO NPs, on the other hand, showed mild toxicity only in the parents.
DiscussionThe findings indicate that G-CuO NPs exhibit biocompatibility and are suitable for biological applications. This study underscores the compatibility of plant-derived metallic nanoparticles with living systems and paves the way for investigating their potential applications in contexts where toxicity limits the use of nanoparticles.
ConclusionBased on these findings, the biocompatibility of green-synthesized CuO NPs was determined, and they did not induce nephrotoxicity in both parents and their offspring. In contrast, chemically synthesized CuO NPs, when administered at higher concentrations, were found to cause nephrotoxicity, which may also be transmitted to the offspring through lactation.
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Nanocarrier-Based Therapies: A Breakthrough in Parkinson’s Disease Management
Authors: Abhishek Chauhan, Thakur Gurjeet Singh, Rohit Bhatia and Ankit AwasthiAvailable online: 28 October 2025More LessParkinson’s disease (PD) is one of the severe neurodegenerative disorders characterized by a deficiency of dopamine in the substantia nigra. The implicated factors for this include mitochondrial dysfunction, gut dysbiosis, and alteration in the signaling pathways. Overall, these events lead to the generation and aggregation of misfolding proteins, i.e., Lewy bodies. These aggregates contribute to the production of oxidative stress, inflammation, and neurotransmission imbalance. Hence, impaired cognition and body movements in the PD patients. There are several conventional treatments, such as synthetic drugs and herbal drugs, used to mitigate PD. Despite having enormous potential, their use is limited due to their low permeability, low solubility, and complexation in standardization. However, with the advancement in technology, different NDDS (Novel drug delivery systems) such as vesicular drug delivery systems, SNEDDS (Self-Nanoemulsifying Drug Delivery System), NPs (Nanoparticles), NLCs (Nano-structure lipid carrier), SLN (Solid lipid nanoparticles), quantum dots, and dendrimers have been explored to overcome the limitations of conventional treatments. Hence, the present review emphasizes a brief introduction to PD, pathogenesis of PD, signaling pathways, biomarkers, conventional treatments, need for NDDS, and Applications of NDDS in PD. Additionally, patents, clinical trials, and ongoing clinical trials are also covered in the present manuscript.
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Design and Synthesis of Novel Spiropyridine Derivatives as Promising Anti-inflammatory and Gene-targeting Agents Against COVID-19
Authors: Rita M. Borik, Mohammed A. Hussein, Hanan A.A. Farrag and Enas A. TahaAvailable online: 27 October 2025More LessBackgroundThe COVID-19 pandemic, caused by SARS-CoV-2, has highlighted the urgent need for effective antiviral and anti-inflammatory therapies. Spiropyridine derivatives containing a chalcone moiety have shown potential in targeting key enzymes involved in viral replication and inflammation.
ObjectiveTo evaluate the inhibitory effects of synthesized spiropyridine derivatives on SARS-CoV-2 main protease (Mpro), secreted phospholipase A2 (sPLA2), and cytosolic phospholipase A2 (cPLA2), and to assess their impact on inflammatory and oxidative stress markers in LPS-treated lung cells.
AimTo develop novel therapeutic agents that can effectively manage COVID-19 and related inflammatory conditions.
MethodsThe synthesized compounds (1-3) were tested for their inhibitory activity against SARS-CoV-2 Mpro, sPLA2, and cPLA2 using in vitro assays to determine IC50 values. Inflammatory markers (COX-2, IL-2, IL-4, TGF-1β, TNF-α) and oxidative stress markers (GSH, SOD, GR, MDA) were measured in LPS-treated lung cells. Gene expression levels of sPLA2 and cPLA2 were also assessed. Molecular docking studies were conducted to analyze the binding affinities and interactions of the compounds with the target enzymes.
ResultsCompounds 1-3 showed significant inhibitory activity against SARS-CoV-2 Mpro with IC50 values of 19.85 µM, 7.31 µM, and 3.73 µM, respectively. For comparison, baicalein's IC50 value was 13.63 µM. Additionally, these compounds inhibited sPLA2 with IC50 values of 8.36 µM, 7.31 µM, and 3.73 µM, and cPLA2 with IC50 values of 20.44 µM, 6.02 µM, and 4.61 µM, respectively. Baicalein's IC50 values for sPLA2 and cPLA2 were 11.73 µM and 5.89 µM, respectively. In LPS-treated lung cells, compounds 1-3 significantly reduced COX-2 by up to 90.12%, IL-2 by 74.19%, IL-4 by 79.51%, TGF-1β by 44.57%, and TNF-α by 68.49%. They enhanced GSH by up to 194%, SOD by 357.19%, and GR by 445.87%, while reducing MDA by 77.90%. Gene expression of sPLA2 and cPLA2 was significantly downregulated by up to 82.31% and 64.59%, respectively. Molecular docking studies revealed binding affinities of -28.20, -28.20, and -28.07 kcal/mol for SARS-CoV-2 Mpro; -16.72, -17.21, and -15.89 kcal/mol for sPLA2; and -65.66, -66.95, and -79.24 kcal/mol for cPLA2, respectively.
DiscussionThe results demonstrate that the structural integration of a spiropyridine core with a chalcone moiety yields compounds with superior multi-target inhibitory activity. The potent antiviral, anti-inflammatory, and antioxidant effects are significantly correlated with their strong binding interactions with the active sites of Mpro, sPLA2, and cPLA2, as validated by molecular docking. These findings align with and extend current research on targeting host-inflammatory pathways alongside viral replication for COVID-19 management.
ConclusionThe synthesized spiropyridine derivatives containing a chalcone moiety exhibit potent antiviral, anti-inflammatory, and antioxidant properties. These findings suggest that these compounds could be promising therapeutic agents for managing COVID-19 and related inflammatory conditions. Future studies should focus on in vivo experiments, clinical trials, and structural optimization to further develop these compounds for clinical use.
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Gender-Based Disparities in Knowledge, Attitudes, and Practices Among Type-II Diabetes Patients in Punjab, India: Insights for Tailored Interventions
Authors: Sandeep Kaur, Sidharth Mehan and Ghanshyam Das GuptaAvailable online: 24 October 2025More LessIntroductionManaging Type II Diabetes Mellitus (T2DM) can be extremely difficult, especially in diverse populations where patient outcomes may be impacted by gender differences. Understanding patients' knowledge, attitudes, and practices (KAP) is essential for creating focused interventions. This study aims to evaluate the KAP of T2DM patients attending outpatient clinics in Moga, Punjab, India, with a focus on gender disparities.
MethodsA cross-sectional study was conducted among 500 T2DM patients (197 females and 303 males). Inclusion criteria were T2DM patients aged above 18 years, while pregnant and breastfeeding women were excluded. Data were analyzed using SPSS version 25, applying the Mann-Whitney U, Kruskal-Wallis, Chi-square, and Spearman’s correlation tests.
ResultsPoor knowledge and attitude scores were observed in 32.8% and 37.4% of patients, respectively, while 51.7% displayed fair practice scores. A gender-wise analysis revealed that males had higher proportions of good knowledge (33.7%) and attitude scores (50.2%) compared to females (20.8% and 36.0%, respectively). In terms of practice, both genders reported similar poor scores (31%).
DiscussionMales had significantly higher knowledge and attitude scores, with better awareness of T2DM risk factors, complications, and management strategies, likely due to higher educational attainment and greater access to healthcare resources, but both genders faced challenges in translating knowledge into self-care practices. Correlation analysis revealed a positive association between KAP scores and clinical parameters.
ConclusionThe study underscores the need for tailored educational programs that incorporate socio-cultural considerations and improved access to healthcare resources, which are crucial for bridging gender gaps in diabetes self-management.
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Emerging Vector-Borne Nipah Virus Infection: Unexplored Hazards, Diagnostic Challenges, and the Potential of Phytomedicine-Based Therapeutics
Available online: 23 October 2025More LessIntroductionMillions of people have died from zoonotic illnesses, like COVID-19 and Nipahvirus infection (NiV), throughout history. Fruit bats (Pteropus sp.) are the main reservoir host for NiV, an RNA virus belonging to the Henipavirus group, which causes extremely infectious illnesses, such as COVID-19. NiV outbreaks have posed significant public health concerns, especially in South and Southeast Asia. The Nipah virus (NiV) infection is caused by a virus that belongs to the Paramyxoviridae family's Henipavirus genus. It is the source of zoonosis, which causes respiratory and neurological symptoms.
MethodsThis study has reviewed the epidemiology, pathophysiology, genetic diversity, and phylogenetics of NiV. It has explored NiV’s clinical features, cellular monitoring, infection factors, and the virus’ reservoir host.
ResultsPhylogenetic analysis has identified two circulating NiV lineages. Additionally, the study has examined the role of phytochemicals in combating viral infections. Despite the absence of a focused therapy for COVID-19, phytochemicals have been investigated for their potential antiviral properties. Evidence suggests that plants and their components may possess resistance against NiV by modulating the immune system and inhibiting viral replication.
DiscussionThe investigation into plant-derived compounds has offered a novel direction for NiV treatment, potentially enhancing viral resistance through immune modulation. Continued research on natural antivirals could bridge current gaps in therapeutic options for emerging zoonotic diseases.
ConclusionThe study has highlighted the transmission risk, detection challenges, and the potential of phytochemicals in managing NiV infections. The therapeutic potential of plants and their antiviral properties offer promising insights into future treatments for serious viral diseases, like NiV.
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A Review of the Impact of Green Tea (Camellia sinensis L.) on Oral Health
Available online: 23 October 2025More LessIn recent years, green tea (Camellia sinensis) has garnered significant attention for its potential health benefits, including its benefits for oral hygiene. Green tea contains several bioactive components, including catechins, polyphenols, and fluoride, which contribute to its antibacterial, anti-inflammatory, and antioxidant properties. This review examines the bioactive components of green tea, specifically catechins, polyphenols, and fluoride, which possess numerous biological effects, including oral health benefits. As a result of its ability to neutralize volatile sulfur compounds, green tea inhibits the growth of cariogenic bacteria, such as Streptococcus mutans, reduces plaque development, and inhibits the development of halitosis. Recent evidence suggests that epigallocatechin-3-gallate (EGCG) has significant potential for oral health benefits. Furthermore, its anti-inflammatory effects help reduce gingival inflammation and oxidative stress, thereby easing the symptoms of periodontal disease. Numerous studies have shown that EGCG inhibits the growth of oral squamous cell carcinoma through mechanisms that include the induction of oxidative stress and apoptosis in cancer cells, as well as the inhibition of tumor invasion. This review discusses the potential mechanisms by which green tea promotes oral health and its therapeutic applications in dentistry. The literature review suggests that green tea may have potential as an adjunctive therapy for preventing and managing dental complications. However, more comprehensive pre-clinical and clinical studies are necessary to validate its efficacy. Furthermore, factors such as individual variability, patients' oral health conditions, long-term outcomes, and alterations in the oral microbiome require thorough investigation.
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