1.Mechanism and prevention progress of receptor desensitization induced by β2-AR agonists in the treatment of asthma
Junya DUAN ; Yan ZHANG ; Guihua SONG ; Xiaosong CHEN ; Yanrong GUO ; Xuan ZHOU ; Xinying CHEN
China Pharmacy 2024;35(15):1910-1914
β2-adrenergic receptor (β2-AR) agonists are widely used as first-line drugs in the treatment of bronchial asthma (hereinafter referred to as “asthma”), but long-term use can lead to β2-AR desensitization and reduce its clinical efficacy, resulting in poor symptom control of some asthma patients. The mechanism of β2-AR desensitization induced by β2-AR agonists mainly includes slow hyposensitization (related to the decrease of β2-AR density in airway mucosa) and rapid hyposensitization (related to the mechanism of stimulatory G protein decoupling). Cyclic adenosine monophosphate(cAMP)-protein kinase A and cAMP- exchange protein activated by cAMP signaling pathways are closely related to β2-AR desensitization. Glucocorticoids, peroxisome proliferator-activated receptor-gamma agonists, ASM-024, Chinese medicine monotherapies and formulations, when combined with β2-AR agonists, can improve the sensitivity of β2-AR, so as to better control asthma symptoms.
2.Combined Treatment of Stem Cells and Vascular Endothelial Growth Factor in Ischemic Brain Injury
Junya LI ; Ben LI ; Jianwen GUO ; Xiaohong DUAN
International Journal of Cerebrovascular Diseases 2008;16(2):137-140
Recent animal experiments demonstrated that neurogenesis mad angiogenesis involxed in mechanisms of stroke recovery.Transplanted stem cells can improve the neurological function after stroke.Vascular endothelial growth factor can also improve the neurological function after stroke via enhenceing angiogenesis.This article reviews the advances in combined treatment of stem cells and vascular endothelial growth factor in ischemic brain injury.
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