Recent advances on signaling pathways and their inhibitors in spinal cord injury DOI Open Access
Yi Ding, Qin Chen

Biomedicine & Pharmacotherapy, Journal Year: 2024, Volume and Issue: 176, P. 116938 - 116938

Published: June 14, 2024

Spinal cord injury (SCI) is a serious and disabling central nervous system injury. Its complex pathological mechanism can lead to sensory motor dysfunction. It has been reported that signaling pathway plays key role in the process neuronal recovery of SCI. Such as PI3K/Akt, MAPK, NF-κB, Wnt/β-catenin pathways. According reports, various stimuli cytokines activate these pathways related SCI pathology, thereby participating regulation processes such inflammation response, cell apoptosis, oxidative stress, glial scar formation after Activation or inhibition relevant delay inflammatory reduce prevent formation, improve microenvironment SCI, promote neural function recovery. Based on they may be potential targets for treatment Therefore, understanding its inhibitors beneficial development therapeutic new drugs. This paper mainly summarizes pathophysiological involved pathogenesis, specific inhibitors/activators treatment. In addition, this review also discusses deficiencies defects research. hoped study provide reference future research pathogenesis theoretical basis biotherapy.

Language: Английский

Application and pharmacological mechanism of methotrexate in rheumatoid arthritis DOI Open Access
Zixuan Zhao,

Zhenglai Hua,

Xinyi Luo

et al.

Biomedicine & Pharmacotherapy, Journal Year: 2022, Volume and Issue: 150, P. 113074 - 113074

Published: May 5, 2022

Methotrexate (MTX) has been used for the treatment of rheumatoid arthritis (RA) about forty years and to date MTX remains part global standard RA. The efficacy in RA is result multiple mechanisms action. In order summarize possible pharmacological RA, this review will elaborate on folate antagonism, promotion adenosine accumulation, regulation inflammatory signaling pathways, bone protection maintenance immune system function.

Language: Английский

Citations

78

Rheumatoid arthritis: pathogenesis and therapeutic advances DOI Creative Commons
Ying Gao, Yunkai Zhang, Xingguang Liu

et al.

MedComm, Journal Year: 2024, Volume and Issue: 5(3)

Published: March 1, 2024

Abstract Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by the unresolved synovial inflammation for tissues‐destructive consequence, which remains one of significant causes disability and labor loss, affecting about 0.2–1% global population. Although treatments with disease‐modifying antirheumatic drugs (DMARDs) are effective to control decrease bone destruction, overall remission rates RA still stay at low level. Therefore, uncovering pathogenesis expediting clinical transformation imminently in need. Here, we summarize immunological basis, inflammatory pathways, genetic epigenetic alterations, metabolic disorders RA, highlights on abnormality immune cells atlas, epigenetics, immunometabolism. Besides an overview first‐line medications including conventional DMARDs, biologics, small molecule agents, discuss depth promising targeted therapies under or preclinical trials, especially regulators. Additionally, prospects precision medicine based biopsy RNA‐sequencing cell mesenchymal stem chimeric antigen receptor T‐cell also looked forward. The advancements innovations accelerates progress treatments.

Language: Английский

Citations

33

Shikonin suppresses rheumatoid arthritis by inducing apoptosis and autophagy via modulation of the AMPK/mTOR/ULK-1 signaling pathway DOI
Xiao Hua Wang,

Chuanpu Shen,

Tiantian Wang

et al.

Phytomedicine, Journal Year: 2024, Volume and Issue: 128, P. 155512 - 155512

Published: March 2, 2024

Language: Английский

Citations

21

Folic acid-modified ginger-derived extracellular vesicles for targeted treatment of rheumatoid arthritis by remodeling immune microenvironment via the PI3K-AKT pathway DOI Creative Commons

Ruina Han,

Dongyang Zhou,

Ning Ji

et al.

Journal of Nanobiotechnology, Journal Year: 2025, Volume and Issue: 23(1)

Published: Jan. 23, 2025

Rheumatoid arthritis (RA), a form of autoimmune inflammation, is marked by enduring synovial inflammation and the subsequent impairment joint function. Despite availability conventional treatments, they are often marred significant side effects associated high costs. Plant-derived extracellular vesicles (PEVs) offer compelling alternative, owing to their abundant availability, affordability, low immunogenicity, biocompatibility, feasibility for large-scale production. These enhance intercellular communication transferring intrinsic bioactive molecules. In our research, we delve into capacity PEVs treat RA, highlighting role ginger-derived (GDEVs). By conjugating GDEVs with folic acid (FA), have developed FA-GDEVs that maintain inherent immunomodulatory properties. designed selectively target M1 macrophages in inflamed joints via folate receptors (FRs). Our vitro findings indicate promote polarization towards reparative M2 macrophage phenotype modulating PI3K-AKT pathway. Further corroboration comes from vivo studies, which demonstrate not only concentrate efficiently affected but also markedly reduce manifestations RA. Synthesizing these findings, it evident emerge as hopeful candidate RA treatment, offering benefits such safety, therapeutic efficacy.

Language: Английский

Citations

6

Natural medicines of targeted rheumatoid arthritis and its action mechanism DOI Creative Commons
Xueling Liu, Zhiguo Wang, Hua Qian

et al.

Frontiers in Immunology, Journal Year: 2022, Volume and Issue: 13

Published: Aug. 1, 2022

Rheumatoid arthritis (RA) is an autoimmune disease involving joints, with clinical manifestations of joint inflammation, bone damage and cartilage destruction, dysfunction deformity, extra-articular organ damage. As important source new drug molecules, natural medicines have many advantages, such as a wide range biological effects small toxic side effects. They become hot spot for the vast number researchers to study various diseases develop therapeutic drugs. In recent years, research in treatment RA has made remarkable achievements. These mainly include flavonoids, polyphenols, alkaloids, glycosides terpenes. Among them, resveratrol, icariin, epigallocatechin-3-gallate, ginsenoside, sinomenine, paeoniflorin, triptolide paeoniflorin are star RA. Its mechanism treating involves these aspects: anti-inflammation, anti-oxidation, immune regulation, pro-apoptosis, inhibition angiogenesis, osteoclastogenesis, fibroblast-like synovial cell proliferation, migration invasion. This review summarizes potential on briefly discusses their mechanisms action against

Language: Английский

Citations

66

Cartilage-Related Collagens in Osteoarthritis and Rheumatoid Arthritis: From Pathogenesis to Therapeutics DOI Open Access
Ziwei Ouyang,

Lei Dong,

Yao Feng

et al.

International Journal of Molecular Sciences, Journal Year: 2023, Volume and Issue: 24(12), P. 9841 - 9841

Published: June 7, 2023

Collagens serve essential mechanical functions throughout the body, particularly in connective tissues. In articular cartilage, collagens provide most of biomechanical properties extracellular matrix for its function. Collagen plays a very important role maintaining cartilage and stability ECM. Noteworthily, many pathogenic factors course osteoarthritis rheumatoid arthritis, such as injury, inflammation, senescence, are involved irreversible degradation collagen, leading to progressive destruction cartilage. The collagen can generate new biochemical markers with ability monitor disease progression facilitate drug development. addition, also be used biomaterial excellent low immunogenicity, biodegradability, biocompatibility, hydrophilicity. This review not only provides systematic description analyzes structural characteristics mechanisms damage states but detailed characterization biomarkers production repair, providing ideas techniques clinical diagnosis treatment.

Language: Английский

Citations

43

A multifunctional nanoaggregate‐based system for detection of rheumatoid arthritis via Optoacoustic/NIR‐II fluorescent imaging and therapy via inhibiting JAK‐STAT/NF‐κB/NLRP3 pathways DOI Creative Commons
Junjie Chen, Longqi Chen,

Zunpan She

et al.

Aggregate, Journal Year: 2023, Volume and Issue: 5(1)

Published: Sept. 11, 2023

Abstract Rheumatoid arthritis (RA) is a debilitating autoimmune disease that causes chronic pain and serious complications, presenting significant challenge to treat. Promising approaches for treating RA involve signaling pathways modulation targeted therapy. To this end, multifunctional nanosystem, TPC‐U@HAT, has been designed therapy, featuring multitargeting, dual‐stimuli response, on‐demand drug release capabilities. TPC‐U@HAT composed of probe/prodrug TPC, JAK1 kinase inhibitor upadacitinib, the carrier HAT. TPC an aggregation‐induced emission (AIE)‐active NIR‐II chromophore TPY NF‐κB/NLRP3 caffeic acid phenethyl ester (CAPE), connected via boronic bond which serves as reactive‐oxygen‐species‐responsive linker. The carrier, HAT, created by grafting bone‐targeting alendronate hydrophobic tocopheryl succinate onto hyaluronic chains, can encapsulate upadacitinib form TPC‐U@HAT. Upon intravenous injection into mice, accumulates at inflamed lesions through both active passive targeting, overexpressed hyaluronidase H 2 O therein cleave polymer chains boronate bonds, respectively. This generates AIE‐active detection therapeutic evaluation optoacoustic imaging fluorescent concomitantly releases CAPE exert efficacious therapy inhibiting JAK‐STAT pathways.

Language: Английский

Citations

30

Galangin: A food‐derived flavonoid with therapeutic potential against a wide spectrum of diseases DOI Creative Commons
Daibo Wang, Junren Chen,

Lin Pu

et al.

Phytotherapy Research, Journal Year: 2023, Volume and Issue: 37(12), P. 5700 - 5723

Published: Sept. 25, 2023

Abstract Galangin is an important flavonoid with natural activity, that abundant in galangal and propolis. Currently, various biological activities of galangin have been disclosed, including anti‐inflammation, antibacterial effect, anti‐oxidative stress aging, anti‐fibrosis, antihypertensive effect. Based on the above bioactivities, more attention has paid to role neurodegenerative diseases, rheumatoid arthritis, osteoarthritis, osteoporosis, skin cancer. In this paper, sources, pharmacokinetics, therapeutic potential against diseases were systematically reviewed by collecting summarizing relevant literature. addition, molecular mechanism new preparation treatment related are also discussed, broaden application prospect provide reference for its clinical application. Furthermore, it should be noted current toxicity studies insufficient, evidence needed support possibility as a functional food.

Language: Английский

Citations

27

Baricitinib ameliorates inflammatory and neuropathic pain in collagen antibody-induced arthritis mice by modulating the IL-6/JAK/STAT3 pathway and CSF-1 expression in dorsal root ganglion neurons DOI Creative Commons

Kenta Makabe,

Hiroyuki Okada, Naohiro Tachibana

et al.

Arthritis Research & Therapy, Journal Year: 2024, Volume and Issue: 26(1)

Published: June 15, 2024

Janus kinase (JAK) inhibitors, such as baricitinib, are widely used to treat rheumatoid arthritis (RA). Clinical studies show that baricitinib is more effective at reducing pain than other similar drugs. Here, we aimed elucidate the molecular mechanisms underlying relief conferred by using a mouse model of arthritis.

Language: Английский

Citations

15

Wogonin inhibits the migration and invasion of fibroblast-like synoviocytes by targeting PI3K/AKT/NF-κB pathway in rheumatoid arthritis DOI

Haixin Yang,

Cuizhen Liu,

Xiujuan Lin

et al.

Archives of Biochemistry and Biophysics, Journal Year: 2024, Volume and Issue: 755, P. 109965 - 109965

Published: March 27, 2024

Language: Английский

Citations

13