1.Recent development of non-steroidal anti-inflammatory drugs on the neuro-inflammation of Alzheimer's disease.
Xiao-Wei MA ; Jin-Ze LI ; Tian-Tai ZHANG ; Guan-Hua DU
Acta Pharmaceutica Sinica 2014;49(9):1211-1217
Neuropathological, clinical epidemiology and animal models studies provide clear evidence for the activation of neuroinflammation in Alzheimer's disease (AD), and long-term use of non-steroidal anti-inflammatory drugs (NSAIDs) is linked with reduced risk to develop the disease. But the clinical trials got a negative outcome with traditional NSAIDs treating AD. The therapeutic effects of NSAIDs on Alzheimer's disease are still not clear based on the present research. Profound study for anti-inflammatory mechanisms and standardized clinical trials are needed. As cause and effect relationships between neuroinflammation and AD are being worked out, the challenge is how to realize the effect of traditional NSAIDs on treating AD.
Alzheimer Disease
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drug therapy
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Animals
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Anti-Inflammatory Agents, Non-Steroidal
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therapeutic use
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Humans
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Inflammation
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drug therapy
5.Non-steroidal Anti-inflammatory Drugs in the Treatment of Acute Pancreatitis.
Acta Academiae Medicinae Sinicae 2019;41(4):562-565
Acute pancreatitis(AP)is an inflammatory condition of the pancreas following the activationt of pancreatic enzymes induced by a variety of factors,with or without other organ dysfunction.The production and release of inflammatory factors is generally considered as a key link during pathogenesis.Non-steroidal anti-inflammatory drugs(NSAIDs)are the most commonly applied agents for inflammatory diseases.Many studies have proved that indomethacin can reduce the risk of pancreatitis after endoscopic retrograde cholangiopancreatography;however,few high-quality evidences have demonstrated the roles of NSAIDs in treating,rather than preventing AP.Most animal experiments have shown that NSAIDs can protect organs,although the currently available findings remained inconsistent.Randomized controlled trials with large sample sizes are warranted to elucidate the roles of NSAIDs in treating AP.
Animals
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Anti-Inflammatory Agents, Non-Steroidal
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therapeutic use
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Cholangiopancreatography, Endoscopic Retrograde
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Humans
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Indomethacin
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therapeutic use
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Pancreatitis
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drug therapy
6.Efficacy of infliximab in treatment on inflammatory bowel disease and factors affecting the therapeutic effect.
Journal of Southern Medical University 2013;33(12):1833-1838
Infliximab has shown its superiority and safety in the treatment of inflammatory bowel disease (IBD) that failed to respond to traditional medical therapy, in refractory cases with obvious adverse reactions, and in "top-down therapy". For standardized and effective management of IBD, experts worldwide have consecutively issued the 2010 European ECCO guide, 2011 London consensus, and 2012 Chinese consensus. In this paper, based on the latest expert consensus worldwide, we reviewed the efficacy of infliximab treatment on IBD and the factors affecting its therapeutic effect.
Anti-Inflammatory Agents, Non-Steroidal
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therapeutic use
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Antibodies, Monoclonal
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therapeutic use
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Gastrointestinal Agents
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therapeutic use
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Humans
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Inflammatory Bowel Diseases
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drug therapy
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Infliximab
8.Research progress of natural non-alkaloids with analgesic activity.
Ling-Yan WANG ; Huan XIA ; Gui-Yang XIA ; Xiao-Hong WEI ; Gui-Hua TIAN ; Sheng LIN
China Journal of Chinese Materia Medica 2020;45(24):5840-5865
Pain is a complex, unpleasant feeling and emotional experience associated with actual or potential tissue damage, and manifests itself in certain autonomous psychological and behavioral responses. The commonly used opioid and non-steroidal anti-inflammatory analgesics(NSAIDs) may cause adverse reactions to the kidney, liver, cardiovascular or gastrointestinal system and cause problems of drug abuse. Therefore, it is necessary to study new analgesic drugs with less side effects and significant analgesic effects. A variety of natural products derived from terrestrial plants, microorganisms, marine organisms and fungi have been an important source of clinical medicines and provide an inexhaustible resource for the development and innovation of modern medicines. Therefore, this paper mainly reviews the natural non-alkaloids with analgesic activity in order to provide reference for the research and development of analgesic drugs derived from natural products.
Analgesics/therapeutic use*
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Analgesics, Opioid/therapeutic use*
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Anti-Inflammatory Agents, Non-Steroidal/therapeutic use*
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Biological Products/therapeutic use*
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Humans
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Pain/drug therapy*
9.Traditional Chinese medicine therapy for rheumatoid arthritis: a review.
Cen CHANG ; Run-Run ZHANG ; Yi-Ming SHI ; Dong-Yi HE
China Journal of Chinese Materia Medica 2023;48(2):329-335
Rheumatoid arthritis(RA) is an autoimmune disease that seriously affects the physical and mental health of patients, but its pathogenesis is still unclear. At present, clinical treatment drugs include conventional synthetic disease modifing anti-rheumatic drugs(csDMARDs), nonsteroid anti-inflammtory drugs(NSAIDs), hormones, small molecule targeted drugs, biological agents, etc. These drugs can relieve the clinical symptoms of most patients with RA to a certain extent, but there are still many limitations, such as drug adverse reactions and individual differences in drug efficacy. Therefore, the research on drug treatment targets and the development of low-toxicity drugs helps further improve the precise prevention, diagnosis, and treatment of RA. There is an urgent need for efficient and low-toxic treatments to delay the clinical progress of RA. As a treasure of Chinese culture, traditional Chinese medicine(TCM) is widely used as an alternative therapy in the treatment of various diseases, and has a significant clinical efficacy. TCM therapy(including monomer traditional Chinese medicine, classical compounds, and non-drug therapies) has a significant curative effect on RA. Based on the literature research in recent years, this paper reviewed the clinical and mechanism research of TCM therapy in the treatment of RA, and provided more in-depth thinking for the wide application of TCM therapy in clinical practice.
Humans
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Medicine, Chinese Traditional
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Drugs, Chinese Herbal/therapeutic use*
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Arthritis, Rheumatoid/drug therapy*
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Antirheumatic Agents/therapeutic use*
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Anti-Inflammatory Agents, Non-Steroidal/therapeutic use*
10.Effects of antibiotic and anti-inflammatory treatment on serum PSA and free PSA levels in patients with chronic prostatitis IIIA.
Wei WANG ; Wei-lie HU ; Huai YANG ; Xiao-fu QIU ; Chang-zheng ZHANG
National Journal of Andrology 2006;12(9):787-790
OBJECTIVETo investigate the effect of antibiotics and a nonsteroidal anti-inflammatory agent on the level of total prostate specific antigen (PSA) and free PSA ratio (F-PSAR) in patients with chronic prostatitis IIIA.
METHODSA total of 228 outpatients diagnosed as with chronic prostatitis III A received 4-week antibiotic and anti-inflammatory treatment. The PSA level and F-PSAR were determined before and after the treatment, and the changes analyzed.
RESULTSSignificant variations were observed in the median PSA concentrations (3.51 microg/L and 2.75 microg/L) and F-PSAR (0.25% and 0.27%) 4 weeks after the treatment. Sixty-five of the patients (28.5%) presented with serum PSA greater than 4 ng/ml, the mean PSA decreased by 32.9%, from 6.24 microg/L before the treatment to 4.58 microg/L 4 weeks after the treatment (P < 0.05), and the serum PSA was normalized in 18 of the 65 patients (27.7%). The median variation of F-PSAR (0.16% and 0.22%) was greater than that of PSA. The variation indexes obtained 4 weeks after the treatment showed no statistical difference from those observed 8 weeks after the treatment.
CONCLUSIONChronic prostatitis IIIA appears to contribute to increased serum PSA levels in some men. Antibiotic and anti-inflammatory treatment could significantly reduce the PSA level and increase F-PSAR.
Adult ; Aged ; Anti-Bacterial Agents ; therapeutic use ; Anti-Inflammatory Agents, Non-Steroidal ; therapeutic use ; Chronic Disease ; Humans ; Male ; Middle Aged ; Prostate-Specific Antigen ; blood ; Prostatitis ; blood ; drug therapy