Current Pharmaceutical Design - Online First
Description text for Online First listing goes here...
61 - 80 of 131 results
-
-
Nanotechnology-Driven Therapeutic Potential of Raloxifene in Osteoporosis and Cancer: A Recent Review
Authors: Mohit Kumar, Anjali Pant and Syed MahmoodAvailable online: 18 August 2025More LessIntroductionOsteoporosis (OP) is a prevalent condition in postmenopausal women, marked by reduced bone density and an increased risk of fractures. Raloxifene (RLX), a selective estrogen receptor modulator (SERM), is the only drug approved for the management of OP in this patient population. RLX works by mimicking estrogen's effects on bone, reducing bone resorption and thereby increasing bone mineral density. However, despite its benefits, conventional oral RLX formulations have significant limitations. Its low bioavailability and poor aqueous solubility are compounded by extensive first-pass metabolism, which significantly reduces the drug's efficacy. Recent research has focused on nanocarriers for RLX to overcome these challenges, with lipid-based nanocarriers emerging as a promising approach to improve solubility, enhance absorption, and bypass first-pass metabolism via lymphatic uptake.
MethodsThe authors gathered information about RLX from articles published up to 2025 and listed in PubMed, Web of Science, Elsevier, Google Scholar, and similar databases. The keywords used in our search included “Osteoporosis” “Raloxifene” “nanocarriers” etc.
ResultsThe review of existing literature reveals substantial progress in developing innovative drug delivery systems for RLX, aimed at overcoming the limitations of conventional oral dosage forms in the treatment of OP and cancer. Several studies underscore the potential of novel formulations, including lipid-based nanocarriers, to improve raloxifene's pharmacokinetic profile, particularly through enhanced solubility, dissolution rate, and bioavailability.
ConclusionThe nanocarriers mediated raloxifene delivery represent promising strategies to enhance its bioavailability and therapeutic efficacy in osteoporosis treatment. By improving solubility and bypassing first-pass metabolism, these novel systems can potentially reduce dose-related side effects, offering safer and more effective long-term options for postmenopausal women with osteoporosis. This approach supports the continued exploration of both oral and non-oral delivery methods to overcome the limitations of conventional raloxifene formulations.
-
-
-
Neuro-protective Potential of Honey: A Narrative Review
Available online: 13 August 2025More LessApitherapy, the therapeutic use of bee products, has attracted attention for its potential in treating various ailments. Honey is unique among bee products because it has a high concentration of medicinal chemicals. In recent years, there has been growing concern about exploring the neuroprotective features of honey. Our article aimed to consolidate existing research on the neuroprotective potential of honey, shedding more focus on its mechanisms of action and therapeutic properties. The literature suggests that honey exhibits neuroprotective properties by attenuating oxidative stress, alleviating neuroinflammation, and enhancing neuronal survival and regeneration. Especially, honey’s potential to mitigate neurodegenerative disorders and enhance cognitive function and memory. These reports position honey as a promising candidate for neuroprotection, offering a natural and accessible therapeutic option to combat neurological disorders. Its multifaceted mechanism of action makes it a valuable asset in neurotherapy. However, more research is warranted to clarify the specific compounds responsible for their neuroprotective effects and to optimize their therapeutic application. Unlocking the full potential of honey in neuroprotection could open the door to novel therapeutic approaches for the management of neurological conditions.
-
-
-
Multi-Endogenous Nanoformulation for Endocannabinoid and Hormonal Modulation of Key Signaling Pathways in Resistant Hypertension
Available online: 13 August 2025More LessDespite notable advances in the development of synthetic antihypertensive therapies, resistant hypertension remains a complex and challenging condition. Its persistence is attributed to multifactorial resistance mechanisms involving several key signaling pathways, including Hsp70, WT1, AT1, and iNOS. A promising therapeutic strategy involves the simultaneous modulation of these pathways using endogenous bioactive compounds delivered via controlled and sustained-release nanosystems. Such nanoformulations enable the co-delivery of multiple agents, enhancing their bioavailability, stability, and therapeutic precision. This multifaceted approach allows for more effective modulation of the underlying pathophysiological processes of hypertension, including inflammation, oxidative stress, and vascular dysfunction. By integrating these compounds into a single delivery platform, nanoformulations may offer a significant advancement in the treatment of resistant hypertension and related cardiovascular disorders. Future research should prioritize the optimization of these delivery systems and the assessment of their efficacy in clinically relevant models.
-
-
-
Exploring the Neurobiological Mechanisms of Cancer Growth
Available online: 13 August 2025More LessEmerging evidence reveals that interactions between the nervous system and tumor biology significantly influence cancer progression, metastasis, and therapeutic outcomes. Here, we elucidate the neurobiological mechanisms that underpin tumor development, highlighting the dynamic role of neural components within the tumor microenvironment (TME). Neural signals and structural adaptations in the TME stimulate tumorigenesis and enable cancer cell plasticity, mimicking neurodevelopmental processes. Astrocytic glial cells release neurotrophic factors that support metastatic colonization and enhance tumor cell survival. Notably, cancer cells can establish pseudo-tripartite synapses with neurons, promoting both proliferation and invasion. We explore the cancer-neural network interplay, emphasizing how axonal remodeling, circuit reorganization, and synaptic dysfunction not only drive tumor growth but also contribute to associated symptoms like seizures and chronic pain. Molecularly, mutations such as in PIK3CA and abnormalities in neurotransmitter signaling reveal how neurotumors communicate and adapt. Furthermore, metabolic stress responses from tumor cells can activate nociceptive neurons, sustaining malignant progression. Understanding these neurobiological interactions opens avenues for novel therapeutic strategies. Precision neuro-oncology may benefit from targeting neurotrophic signaling, synaptic pathways, and neuronal differentiation programs. Advances in biomarker research from neurotumors also contribute to improved diagnostic and prognostic tools. By integrating neuroscience insights into oncological frameworks, we propose a paradigm shift toward therapies that intercept the neural circuitry sustaining malignancies. This neuro-oncological approach holds promise in addressing aggressive cancer phenotypes and improving patient outcomes.
-
-
-
CRISPR-Edited Cell Lines: A New Era in Functional Oncology Research
Available online: 13 August 2025More LessThe use of CRISPR-Cas9 to engineer cancer cell lines has made it possible to precisely examine how cancer cells react to different drugs and therapies. Some of the key improvements are in the use of Mediator Complex Subunit 12 (MED12)-knockout cells to study cell resistance to BRAF inhibitors, CRISPR models of epithelial-mesenchymal transition for breast cancer, and pharmacogenomic analysis in various cancer cell lines. CRISPR is used in immunotherapy to help Chimeric Antigen Receptor T (CAR-T) cells function better by disrupting the immune checkpoints like Programmed Cell Death Protein 1 (PD-1) and Cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) and to adapt T cells to react with various antigens. As a result of these innovations, it is now possible to track how cancers like non-small cell lung cancer (NSCLC) and ovarian cancer evolve, change their epigenetic features, and find strategies to reverse their resistance. Moving forward, integrating AI analytics, single-cell multi-omics, patient-derived organoids, and CRISPR mechanisms will help improve precision oncology and speed up effective treatment planning.
-
-
-
Formulation and in vitro Evaluation of Targeted Chemotherapy of Crizotinib-loaded polymeric Nanoparticles on Cancer Cell Lines
Authors: Faiza Naureen, Yasar Shah, Maqsood Ur Rehman and Reem M. AlnemariAvailable online: 12 August 2025More LessIntroductionCrizotinib, an inhibitor of the epidermal growth factor receptor (EGFR) tyrosine kinase, holds significant potential for the treatment of lung cancer. However, its toxicities present a major challenge to its clinical use. To enhance the targeted delivery of Crizotinib to lung tumors, polymeric-based nanoparticles were developed.
MethodsCrizotinib-loaded polymeric nanoparticles were prepared using a nano-precipitation method, incorporating stearic acid as the lipid, polyethylene glycol as the polymer, and Tween 80 as the surfactant. Key formulation parameters were optimized to achieve high-quality nanoparticles.
ResultsThe optimized formulation exhibited a mean particle size of 142 nm, a zeta potential of -31.9 mV, an entrapment efficiency of 82.35%, and an in vitro drug release of 60.69%. These nanoparticles were then tested on lung cancer cell lines to assess their cytotoxicity, apoptosis induction, and anti-proliferative effects on the cell cycle. In vitro studies confirmed that the Crizotinib-loaded nanoparticles exerted targeted effects on non-small cell lung carcinoma (NSCLC) cell lines, showing maximum inhibitory effects. One year of storage at 4°C, stability testing demonstrated that the lyophilized nanoparticles maintained their effectiveness.
Discussioncrizotinib nano-formulations were assessed for a variety of physicochemical and in vitro characterization. Five different formulations were designed and optimized on the basis of Particle size, Zeta potential, %EE, and in vitro drug release. Optimum formulation also showed maximum inhibitory effect on the cancer cell line.
ConclusionThis nanotechnology approach offers a promising targeted drug delivery system for Crizotinib, characterized by small particle size, high encapsulation efficiency (EE), and optimal in vitro drug release.
-
-
-
An Insight into Pharmaceutical Design and Pharmacokinetic Characteristics of GLP-1 RAs
Available online: 11 August 2025More LessIntrodcutionGlucagon-like peptide-1 receptor agonists (GLP-1 RAs) are among the most effective treatments for type 2 diabetes mellitus (T2DM). GLP-1 RAs stimulate pancreatic receptors, improving glycemia by boosting insulin secretion while decreasing glucagon secretion. GLP-1 receptors are present in pancreatic tissue. They are also found in extra-pancreatic tissue and have been shown to reduce body weight while also protecting the heart and endothelial cells. The most prevalent types of GLP-1 RAs can be injected twice daily (exenatide), once daily (lixisenatide and liraglutide), or once weekly (albiglutide, dulaglutide, exenatide once, semaglutide, tirzepatide). GLP-1 receptor agonists also reduce gastric emptying, preventing substantial post-meal glycaemic increases. Many publications have been written regarding GLP-1 RAs, covering various features of this family. However, the purpose of this study is to investigate the pharmacological design models and pharmacokinetic characteristics of the most regularly used members of this class, as well as to highlight contemporary developments in GLP-1 RAs. It also describes the physicochemical features, techniques of manufacture, the effects of molecular structure, and structural modifications on pharmacological activity.
MethodsThe literature review was completed using a structured approach to identify and integrate relevant literature. It involved a broad search of reputable medical databases using inclusion and exclusion criteria.
ResultsThey are classified as short-acting or long-acting based on the length of their action. Short-acting GLP-1 RAs and long-acting GLP-1 RAs have differing efficacy profiles. Furthermore, the methods of administration, mode of action, and side effects of these medications are relevant to their pharmacological design and pharmacokinetic properties.
DiscussionThe treatment of type 2 diabetes and obesity has evolved with the advent of GLP-1 RAs. These drugs have a multifaceted approach, emphasizing glycemic regulation, weight loss, and reduction of cardiovascular risk. Their unique mode of action, strong safety profile, and ability to be individualized according to each patient's needs make them a valuable therapeutic option in the management of metabolic disorders. Their pharmacological activities are also influenced by their different structural and pharmacokinetic properties.
ConclusionGLP-1 RAs have a complex strategy due to their pharmacological nature. The variations in their design have led to various members with varying pharmacodynamic and pharmacokinetic features.
-
-
-
Microemulsion Loaded Hydrogel as an Advanced Approach for Topical Delivery of Drug: A Brief Review
Authors: Nitin Singh, Charanjeet Singh, Satyam Khare, Preeti Patel, Wasim Akram, Ramakant Joshi and Balak Das KurmiAvailable online: 11 August 2025More LessTopical drug delivery has emerged as a promising alternative to conventional oral and parenteral routes, particularly for localized treatment and enhanced patient compliance. However, challenges such as poor drug solubility, low skin permeability, and instability of conventional formulations limit their effectiveness. To address these limitations, microemulsion-loaded hydrogels have gained significant attention as an advanced and efficient drug delivery system for topical applications. Microemulsions are thermodynamically stable, clear, isotropic mixtures of oil, water, surfactant, and co-surfactant that offer improved drug solubilization and skin penetration. When incorporated into hydrogels, they combine the penetration-enhancing properties of microemulsions with the viscosity and spreadability of hydrogels, resulting in a stable, non-greasy, and easily applicable formulation. This review highlights the fundamental characteristics of microemulsion-based hydrogels, including their composition and advantages over conventional topical systems. The synergistic effect of microemulsions and hydrogels enhances the drug loading capacity, prolongs drug release, and improves bioavailability, especially for hydrophobic and poorly permeable drugs. Furthermore, these systems minimize systemic side effects and improve patient adherence due to their non-invasive nature and ease of application. The review also discusses various examples of drugs successfully delivered through this platform, including antifungals, anti-inflammatories, and analgesics. Overall, microemulsion-loaded hydrogels represent a promising and innovative approach for effective topical drug delivery. With ongoing research and formulation advancements, they hold great potential for future clinical applications in dermatology and transdermal therapy.
-
-
-
Anti-cancer Drugs in Endometriosis Management: Mechanisms and Therapeutic Potential
Available online: 07 August 2025More LessIntroductionEndometriosis is a widespread estrogen-driven condition causing pelvic pain and infertility in women. This disease shares five features with cancer: Intrinsic growth signals, insensitivity to anti-proliferative signals, impaired apoptosis, induction of angiogenesis, and heightened tissue invasion, suggesting common therapeutic targets for both conditions. This article reviews studies investigating the anti-cancer drugs' protective effects and mechanisms in endometriosis treatment, providing essential insights into their efficacy and the relevant pathways in managing the disease.
MethodsA comprehensive review was conducted to assess the potential therapeutic benefits of anti-cancer drugs in endometriosis treatment. This included an extensive search of Google Scholar and PubMed, using relevant keywords without any limitations untilthe end of 2024, to ensure a thorough analysis of existing research in this field.
ResultsMany drugs used in treating estrogen-dependent and other cancers have demonstrated significant therapeutic potential for endometriosis, as supported by cellular, animal, and clinical studies.
DiscussionThough these drugs may have significant side effects, more research is necessary to determine their usefulness in endometriosis treatment. By studying various drug dosages and regimens, researchers can aim to achieve effective treatment with minimal side effects. Personalized treatment based on illness severity can be achieved by selecting the right medication and dosage.
ConclusionFuture research can include optimizing dosages in preclinical studies, comparing repurposed drugs to conventional therapies in randomized trials, and conducting longer and larger clinical trials further to assess side effects and effectiveness in endometriosis patients.
-
-
-
The Role of Artificial Intelligence in Modern Medicine: Clinical Applications, Economic Implications, and Ethical Considerations
Available online: 07 August 2025More LessArtificial Intelligence (AI) in the medical field has been receiving attention from health professionals and researchers worldwide. The complexity and challenging aspects of healthcare are transformed by AI, with the potential for improvement in patient care and quality of life. The advancements in AI can revolutionize healthcare through integration into clinical practice. These tools can analyse vast datasets and detect patterns, enabling them to exceed human performance in various aspects of healthcare. Implementing augmented medicines allows for superior autonomy and personalised treatment among patients. The increase in the inclusion of AI in medical frontiers has created the need to validate these tools with clinical trials towards the upgrade of medical curriculum with digital medicine and ethical considerations on current monitoring. The current review aimed to discuss the evolution of AI in promising avenues of healthcare such as diagnostics, medical imaging, drug development, clinical trials, surgery, and patient monitoring. The review also addresses the economic impact of AI in healthcare, followed by the efficiency and financial impact on patients and hospitals. Despite the beneficial impact, several challenges, such as ethical and regulatory concerns, also influence the integration of AI. By tackling these challenges, AI's potential can be fully realized, making healthcare more accessible to patients worldwide.
-
-
-
Crocus sativus and Neurological Health: A Review on Depression and Impaired Neurogenesis
Available online: 05 August 2025More LessCrocus sativus (saffron) is a valuable medicinal plant with a rich phytochemical profile, including bioactive carotenoids, flavonoids, and terpenoids. The key constituents of saffron, crocin, crocetin, picrocrocin, and safranal, exhibit potent neuroprotective properties, with crocin, a water-soluble carotenoid, plays a crucial role in promoting neurogenesis and mitigating depressive symptoms. Depression, affecting approximately 280 million individuals globally (WHO, 2023), is closely associated with impaired neurogenesis, highlighting the need for novel treatment strategies. Crocus sativus, particularly in its nanotherapeutic form, shows promise in the treatment of depression by effectively crossing the blood-brain barrier and modulating neurotransmitter systems. In addition to its carotenoids, saffron contains flavonoids, such as kaempferol and quercetin derivatives, which contribute to its antioxidant and anti-inflammatory activities. This review explores the phytochemical composition of Crocus sativus, its role in neurogenesis, and its potential as a therapeutic agent for depression and neurodegenerative disorders.
-
-
-
Antimicrobial Resistance: Enzymes, Proteins, and Computational Resources
Authors: Saurav Kumar Mishra, Kanchan Sharma and John J. GeorrgeAvailable online: 05 August 2025More LessAntimicrobial resistance (AMR) is an important health concern rooted in antibiotic misuse and overuse, resulting in drug-resistant bacteria. However, resistance to these antimicrobials developed as soon as they were administered. Several variables lead to the progression of antimicrobial resistance (AMR), making it a multifaceted challenge for healthcare systems worldwide, such as erroneous diagnosis, inappropriate prescription, incomplete treatment, and many more. Getting an in-depth idea about the mechanism underlying AMR development is essential to overcome this. This review aims to provide information on how various enzymes or proteins aid in the antimicrobial resistance mechanisms and also highlight the clinical perspective of AMR, emphasizing its growing impact on patient outcomes, and incorporate the latest recent data from the World Health Organisation (WHO), underscoring the global urgency of the AMR crisis, with specific attention to trends observed in recent years. Additionally, it is intended to provide ideas about inhibitors that can inhibit the mechanism of antibiotic resistance and also to provide an idea about numerous computational resources available that can be employed to predict genes and/or proteins and enzymes involved in various antibiotic resistance mechanisms.
-
-
-
FGF21 Analogues and MASLD: A Summary of Preclinical and Clinical Data
Available online: 04 August 2025More LessMetabolic dysfunction-Associated Steatotic Liver Disease (MASLD) is the most frequent chronic liver disease, which is closely associated with metabolic syndrome and obesity. Although it has now reached epidemic proportions, the treatment of this disease remains a challenge. Currently, there is only one drug approved for metabolic dysfunction-associated steatohepatitis (MASH), and various pharmaceutical agents have reached phase 3 of clinical trials and appear as potential drugs for the disease. Fibroblast Growth Factor (FGF) 21 has been gaining increasing interest as a possible therapeutic target for MASLD. FGF21 analogues, with an improved pharmacodynamic and pharmacokinetic profile, exert pleiotropic, favorable effects on liver function and histology, as well as systemic metabolism. They also appear to be effective in alleviating hepatic steatosis, steatohepatitis, and fibrosis in MASH. Among various others, efruxifermin, pegozafermin, pegbelfermin, and BOS-580 are FGF-21 analogues that have resulted in significant improvements in liver fat, fibrosis, and measures of liver function in the context of phase 2 clinical trials. This review summarizes the preclinical and clinical data from FGF21 analogues for MASLD and MASH.
-
-
-
Cholesterol-Lowering Effects of BMS-303141 Analogues via Inhibition of Adenosine Triphosphate-Citrate Lyase
Authors: In-Gyu Je, Joon-Tae Park, Hyeong Jun Lee, A-Rang Im, Jaecheol Lee and Ki-Young KimAvailable online: 04 August 2025More LessBackgroundCholesterol is considered a major factor contributing to cardiovascular diseases. Statins, the most commonly prescribed cholesterol-lowering drugs, are known to have various limitations. Inhibition of Adenosine Triphosphate-Citrate Lyase (ACLY) has been proposed as an alternative therapeutic strategy for managing hypercholesterolemia by lowering cholesterol levels. This has led to the discovery of a cell-permeable small molecule ACLY inhibitor.
MethodsACLY enzyme activity was assessed using an ACLY Assay Kit with the ADP-Glo Kinase Assay Kit. HepG2 cells were treated with test compounds to demonstrate cholesterol and fatty acid synthesis. Pharmacokinetic studies were performed on CD-1 mice following a single oral dose of the compounds. Hypercholesterolemia was induced in mice through a High-Fat and High Cholesterol Diet (HFHCD), and drugs were administered orally for six weeks. Serum and hepatic lipid profiles were subsequently analyzed.
ResultsTo increase the pharmacochemical properties, four analogues of BMS-303141, ID0018, ID0023, ID0085, and ID0106, were designed and synthesized. These compounds showed superior ACLY inhibitory activity and dose-dependent suppression of cholesterol and fatty acid synthesis in HepG2 cells. Among the analogues, ID0085 exhibited the most potent ACLY inhibition (IC50: 45 nM, 10-fold lower than BMS-303141) and achieved near-complete suppression in cholesterol and fatty acid synthesis at the highest concentration. Pharmacokinetic studies revealed improved half-lives and systemic exposures for all analogues. In hypercholesterolemic mouse models, test compounds significantly reduced serum total cholesterol (32.0-57.3%) and low-density lipoprotein cholesterol (67.5-80.2%) levels compared to the vehicle group. Notably, ID0085 also increased high-density lipoprotein cholesterol levels.
DiscussionAmong the synthesized analogues, ID0085 exhibited the most potent ACLY inhibition, superior pharmacokinetic properties, and significant improvements in both serum and hepatic cholesterol profiles compared to BMS-303141.
ConclusionBased on the results, ID0085 appears to be the most promising therapeutic candidate for the treatment of hypercholesterolemia.
-
-
-
Pathophysiological and Etiological Corroborations for the Mechanistic Design of
Authors: Pankaj Arora, Riya1, Viney Chawla, Pooja A. Chawla, Richu Singla and Honey GoelAvailable online: 01 August 2025More LessThe quintessential hallmarks of brain malignancies hinge on their acquired biological traits, which encompass mutations in the epidermal growth factor receptor (EGFR), as well as vasculogenesis and cellular energy reprogramming. Glioblastoma multiforme (GBM) remains a prominent malignant form of brain tumor in humans. GBM patients exhibit a dismal prognosis with a median survival time of only 1-2 years due to the complex pathophysiology, the development of resistance by cancer cells, and the inability of therapeutic components to pass the blood-brain barrier (BBB) and blood-tumor barrier (BTB). BBB, a network of endothelial cells surrounded by astrocyte foot processes, primarily circumvents the transit of therapeutic biomacromolecules and drugs. To address those challenges, targeted therapies to the nose via brain drug delivery have emerged as a steadfast framework for mitigating neurological disorders, bypassing the BBB. A myriad of preclinical paradigms based on intranasal drug approaches utilizing conventional drug therapeutics have been designed and tested for delivering both liquid and solid particle formulations that effectively encapsulate therapeutic biomolecules in brain tissues, especially in GBM. However, there are significant gaps in the effective translation of nose-to-brain delivery approaches for achieving higher drug concentrations of anticancer drugs at the targeted regions in pathological states, such as GBM, without causing damage to healthy tissues. Therefore, the current body of literature aims to corroborate the mechanistic understanding in non-invasive designs using intranasal therapies that efficiently penetrate the BBB and circumvent systemic adverse effects while treating GBM.
-
-
-
Exploring the Multifaceted Potential of Natural Flavonoid Diosmetin in Human Diseases
Authors: Dhirendra Singh, Randhir Singh and Inderjeet VermaAvailable online: 01 August 2025More LessFlavonoids are secondary metabolites that are closely related to polyphenols and have a diverse structure. These are present in the form of aglycones or glycosides in many fruits and vegetables. Diosmetin (DIO) is a bioactive flavonoid primarily found in the olive tree (Olea europaea L) and has been recognised for its diverse therapeutic potential in the management of many illnesses. In recent years, multiple pharmacological properties of DIO have been shown, including anti-inflammatory, antioxidant, antimicrobial, cardio-protective, hepatoprotective, renal protective, lung protective, retinal protective, neuroprotective and anticancer activity. Therefore, considering the pharmacological potential of DIO, the present work was designed to further explore its pharmacological actions in the treatment of various diseases.
-
-
-
Mechanistic Insights into Astragalus Membranaceus for Oral Submucosal Fibrosis: A Network Pharmacology and Experimental Approach
Authors: Fang Zhang, Yonglian Wu, Chen Cheng, YaHsin Cheng and Ruifang GaoAvailable online: 31 July 2025More LessBackgroundOral Submucosal Fibrosis (OSF) is a chronic progressive oral mucosal disease with a tendency to progress to cancer. Astragalus membranaceus (AST) is a traditional Chinese medicine used to invigorate Qi and strengthen the body, with anti-fibrosis properties. However, the effect and mechanism of AST on OSF remain unclear.
ObjectiveThis study aims to explore the mechanism of Astragalus membranaceus in OSF using network pharmacology and to validate its effects on oral mucosal fibroblasts through in-vitro experiments.
MethodsNetwork pharmacology was employed to construct an “AST - ingredient - target - OSF” network and perform Protein-Protein Interaction (PPI) analysis. Molecular docking was used to confirm core interactions between key targets and ingredients, and all results met the criterion of a binding energy of <- -1.2 kcal/mol. In-vitro experiments were conducted to assess the cytotoxicity of arecoline (ARE) and Astragalus membranaceus injection (ASI) on Oral Mucosal Fibroblasts (OMF).
ResultsAnalysis revealed 68 common targets between AST and OSF, and a corresponding PPI network was constructed. KEGG and GO enrichment analyses identified 138 pathways and 178 biological processes associated with these targets. Molecular docking confirmed core interactions between five key targets (EGFR, VEGFA, MAPK3, HRAS, JUN) and other ingredients. In-vitro experiments showed that ARE at concentrations of 20-40 µg/ml significantly upregulated ACTA2, EGFR, and VEGFA mRNA expression. ASI treatment at varying concentrations significantly inhibited these increases, with 100 mg/ml ASI downregulating EGFR and VEGFA mRNA, and 300-400 mg/ml ASI reducing ACTA2 expression.
DiscussionAstragalus membranaceus injection engages multiple targets and pathways to counteract OSF, aligning with previous antifibrotic evidence and underscoring the need for further in vivo and clinical validation.
ConclusionAstragalus membranaceus injection may suppress ARE-induced fibrosis by targeting EGFR and VEGFA, supporting its potential therapeutic role in the treatment of OSF.
-
-
-
Astragalus-Safflower Combination Promotes Vascular Neogenesis in a Rat Model of Ischemic Stroke via Inhibition of MAPK/NF-κB and Activation of VEGF/Notch1 Pathways
Authors: Fuyu Liu, Mimi Wang, Yonggang Feng, Kaixin Shan, Yun Han, Xiang Meng, Suxiang Feng, Mingsan Miao, Yucheng Li and Xiaoyan FangAvailable online: 31 July 2025More LessIntroductionThe combination of Astragalus membranaceus and Safflower (AS) is known for its efficacy in benefiting Qi and activating blood circulation, making it a frequently used empirical combination in traditional Chinese medicine. Numerous reports have highlighted the interventional effect of this combination in treating ischemic stroke (IS). However, the active ingredients and potential mechanisms underlying its treatment of stroke have not been fully elucidated.
MethodsUltra-performance liquid chromatography quadrupole time-of-flight mass spectrometry (UPLC-Q-TOF/MS), along with various data processing methods, were utilized to identify and assess the chemical constituents in rat serum following AS gavage administration. Chemical constituent targets were predicted using the SEA and Swiss Target Prediction databases, while IS-related targets were sourced from the GeneCards, OMIM, and TTD databases. The intersecting targets of constituents and diseases were screened, and a core target network map was constructed using the String database and Cytoscape software. KEGG pathway enrichment of core targets was analyzed using DAVID and Metascape databases. The middle cerebral artery occlusion (MCAO) rat model was established to evaluate the cerebroprotective effects of AS. The accuracy of predicted pathways was validated using immunofluorescence (IF) and Western blot (WB) analyses.
ResultsThirty-five ingredients in serum were identified, and 437 targets and 3748 IS-related targets were identified, 291 of which overlapped. Protein-protein interaction (PPI) analysis predicted 15 major targets, including TNF and MAPK3. KEGG pathway analysis indicated that the MAPK/NF-κB and VEGF/Notch1 signaling pathways may play pivotal roles in the therapeutic effects of AS in IS. Moreover, AS significantly ameliorated neurological and motor function impairments, as well as brain histopathological damage, in MCAO rats. AS treatment led to reduced levels of the inflammatory cytokines IL-6 and TNF-α, inhibited astrocyte hyperactivation, decreased nuclear translocation of NF-κB p65, reduced expression of p-MAPK (Erk1/2)/ MAPK (Erk1/2) and p-NF-κB (p65)/NF-κB (p65) proteins, increased the number of CD31+/Ki67+ and VEGF+/ Ki67+-positive vessels, and upregulated the expression of VEGF, VEGFR-2, Notch1, and DLL4 proteins.
ConclusionAS may regulate MAPK/NF-κB and VEGF/Notch1 pathways to reduce inflammation and promote post-ischemic neovascularization, providing a promising method for the treatment of ischemic stroke.
-
-
-
Gene Therapy for the Treatment of Osteoarthritis: Advances and Prospective
Authors: Anjali Rana, Rishabha Malviya, Shivam Rajput, Sathvik Belagodu Sridhar and Javedh ShareefAvailable online: 31 July 2025More LessOsteoarthritis affects some joints in the body, including the hand's distal interphalangeal joints, knees, and hips. The complex disease known as degenerative osteoarthritis affects every joint in the body. Due to its limited influence on weight-bearing joints and absence of substantial extra-articular symptoms, osteoarthritis is well-suited for targeted gene therapy within the affected joints. The article discusses the field's history, the genes utilised, the techniques of gene delivery (direct vs. indirect), and the most prevalent expression vectors (viral vs. non-viral). A comprehensive literature review was conducted using reputable databases, including Scopus, ScienceDirect, PubMed, and Google Scholar. The study focused on research published over the past decade to ensure the inclusion of recent advancements. This article explores a range of gene therapy strategies developed for the treatment of osteoarthritis. Emphasis was placed on identifying innovative and clinically relevant approaches that have emerged in recent years. By reviewing the most current data, this work aims to provide a detailed overview of the evolving landscape of gene therapy as a potential therapeutic avenue for managing and possibly reversing osteoarthritis symptoms and progression. The goal of gene therapy for osteoarthritis (OA) is to repair damaged cartilage by introducing gene-based therapeutic agents to the affected area in a regulated, site-specific, long-term manner. The synovium and cartilage are two possible intra-articular sites for gene transfer. The most advanced gene therapy method for osteoarthritis is the local gene transfer to synovium technique. IL-1 is a key modulator of cartilage loss in OA, and IL-1 receptor antagonist (IL-1Ra) gene transfer is effective in treating OA in three animal models.
-
-
-
Ginkgolide as a Promising Multi-Target Therapeutic for Alzheimer's Disease: Targeting ApoE4 and Beyond
Available online: 31 July 2025More LessIntroductionThe progressive neurodegenerative disease known as Alzheimer's disease (AD) is typified by neuroinflammation, amyloid-beta buildup, and cognitive impairment. Current pharmacological treatments merely alleviate symptoms, despite extensive research, which underscores the need for innovative, multi-target medicines. Since apolipoprotein E4 (ApoE4) is a significant genetic risk factor linked to the development of AD, it is a potentially effective treatment target. With their neuroprotective qualities, natural substances like Ginkgolide may help treat some diseases. This study investigates Ginkgolide's potential as a multi-target treatment for AD, with a particular emphasis on how it interacts with the ApoE4 N-terminal domain.
MethodsThe interaction between Ginkgolide and ApoE4 (PDB ID: 8AX8) was assessed using pharmacokinetic profiling, molecular docking, and molecular dynamics (MD) simulations. MD simulations were used to determine stability, and AutoDock Vina was used to obtain the binding affinity. To predict pharmacokinetics and toxicity, SwissADME and PkCSM were employed. The effectiveness of ginkgolide was contextualized using comparative docking with curcumin and resveratrol.
ResultsGinkgolide formed sustained hydrophobic contacts with important sites and demonstrated a substantial binding affinity (-7.1 kcal/mol) to ApoE4. MD simulations verified negligible fluctuations and complex stability over 100 ns. Pharmacokinetics showed no significant toxicity risks, good gastrointestinal absorption, and favorable blood-brain barrier permeability. In terms of binding affinity and stability, ginkgolide fared better than curcumin and resveratrol, indicating its greater therapeutic potential.
DiscussionThe results indicate that ginkgolide effectively binds and stabilizes the ApoE4 N-terminal domain, supporting its potential role in modulating a key pathological factor in Alzheimer’s disease. Its superior pharmacokinetic profile and interaction dynamics compared to curcumin and resveratrol suggest a broader therapeutic relevance. These in silico insights provide a mechanistic basis for further investigation into ginkgolide’s neuroprotective effects.
ConclusionThe results demonstrated ginkgolide as a potentially effective multi-target treatment for AD through ApoE4 regulation. It is a better option than other natural chemicals because of its potent binding affinity, stability, and pharmacokinetics. These findings highlight the value of in silico methods in the early stages of drug discovery and the need for additional experimental support before they can be used in clinical settings.
-