Psihoaktivne
učinkovine
so
snovi,
ki
delujejo
na
možgane
in
povzročajo
spremembe
zaznavanja,
razpoloženja,
zavesti
vedenja.
Številne
psihoaktivne
terapevtsko
uporabne
za
zdravljenje
vedenjskih
motenj,
druge
imajo
velik
klinični
potencial.
V
prispevku
obravnavamo
mehanizme
delovanja
učinke
psihoaktivnih
učinkovin
s
poudarkom
učinkovinah,
se
pogosto
zlorabljajo.
Učinkovine
smo
zaradi
priročnosti
razvrstili
v
psihomotorične
stimulanse,
psihedelike,
kanabinoide
depresorje.
sprva
podrobneje
predstavili
tolerance,
fizične
psihološke
odvisnosti.
Pri
mehanizmih
odvisnosti
raziskali
pojav
desenzitizacije
vodita
do
Posebno
pozornost
namenili
tudi
mehanizmom
nadaljevanju
definirali
farmakodinamiko
psihomotoričnih
stimulansov,
kot
sta
kokain
MDMA,
vplivata
razpoloženje
ter
zaznavanje.
razdelku
o
psihedelikih,
LSD
psilocibin,
njun
vpliv
mišljenje,
zaznavanje
razpoloženje.
poglavju
kanabinoidih
je
poudarek
farmakodinamiki
THC
njegovih
učinkih
centralni
živčni
sistem.
Omenjeni
sintetični
kanabinoidi,
bolj
škodljivi
od
rastlinskih
analogov.
Zadnji
del
prispevka
obravnava
depresorje,
etanol,
njegovo
delovanje
sistem,
pri
čemer
lahko
povzroča
močno
fizično
psihološko
odvisnost.
Prispevek
sklenili
pregledom
farmakoloških
pristopov
k
zdravljenju
učinkovin.
PubMed,
Journal Year:
2024,
Volume and Issue:
39(6), P. 671 - 690
Published: June 1, 2024
Infertility
is
a
growing
challenge
globally
with
emerging
risk
factors.
There
are
effective
laboratory
tests
to
evaluate
infertility
in
humans,
nevertheless,
some
measures,
especially
histopathological
evaluations,
invasive
due
the
pain
inflicted
when
accessing
reproductive
organs
and
obtaining
samples;
hence,
their
relevance
may
be
limited
humans.
However,
these
evaluations
provide
essential
information
on
etiopathogenesis
of
likely
mechanisms
action
potential
therapeutic
candidates.
Also,
non-invasive
methods
available,
such
as
assay
testosterone
blood
semen
analysis,
both
which
predictors
testicular
functions.
This
review
provides
detailed
available
investigations
infertility,
qualitative
quantitative
assessments
gonadal
tissues,
specific
cell
counts,
sperm
morphology
characterization,
focus
procedures,
interpretation,
pathophysiological
basis.
Data
from
literature
revealed
that
examinations
organs,
well
spermatozoa,
useful
understanding
pathogenesis
incident
infertility.
Histopathological
evaluation
range
basic
hematoxylin
eosin
stains
special
stains.
findings
(such
spermatogenic
cells
planimetric
variables,
like
seminiferous
tubule
diameter
theca
corpus
luteum
thickness)
quantified
analyzed
for
comparison.
Some
skill
required
investigations,
limiting
factor;
however,
they
important
tools
translational
medicine.
Basic and Clinical Andrology,
Journal Year:
2025,
Volume and Issue:
35(1)
Published: April 17, 2025
Abstract
Background
Ureaplasma
urealyticum
belongs
to
the
class
Mollicutes
and
causes
non-gonococcal
urethritis,
an
inflammation
of
urethra
that
is
linked
with
impaired
semen
quality.
However,
some
reports
are
contradictory,
reported
effect
U.
on
specific
sperm
variables
not
consistent.
Thus,
this
study
synthesized
findings
from
published
primary
data
provides
a
robust
reliable
inference
impact
associated
mechanisms
Methods
A
systematic
search
was
conducted
until
31st
May,
2024,
Cochrane,
Google
Scholar,
Pubmed.
The
Population,
Exposure,
Comparator/Comparison,
Outcomes,
Study
Design
(PECOS)
model
adopted.
populations
were
male
in
their
reproductive
ages
who
infected
confirmed
positive
versus
control
age-matched
non-infected
or
treated,
while
outcomes
included
conventional
parameters,
seminal
fluid
leucocyte
count,
interleukin-6
(IL-6)
concentrations,
studies
either
cross-sectional
longitudinal.
Results
When
compared
control,
quantitative
analysis
demonstrated
significantly
reduced
ejaculate
volume
(SMD
0.33
[95%
CI:
0.15,
0.52]
p
=
0.0004),
concentration
0.47
0.31,
0.64]
<
0.00001),
total
motility
0.73
0.43,
1.02]
motile
count
0.21
0.17,
0.26]
normal
morphology
0.88
0.42,
1.35]
0.0002),
but
increased
leukocyte
-0.82
-1.61,
-0.02]
0.04).
In
addition,
qualitative
revealed
urealyticum-
subjects
had
higher
levels
IL-1β,
IL-6,
IL-8,
TNF-α,
peroxidase,
leukocytes
,
neutrophils,
CD4
+
T
cells,
CD8
cells
when
control.
Furthermore,
DNA
fragmentation
apoptotic
observed
Conclusions
These
lowers
quality
via
upregulation
leukocytes,
elastase,
pro-inflammatory
cytokines,
fragmentation.
further
required
elucidate
underlying
association
between
decline
develop
effective
therapies
for
condition.
Andrology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Aug. 9, 2024
Abstract
Background
The
escalating
prevalence
of
fertility
problems
in
the
aging
population
necessitates
a
comprehensive
exploration
contributing
factors,
extending
beyond
environmental
concerns,
work‐related
stress,
and
unhealthy
lifestyles.
Among
these,
rising
incidence
testicular
disorders
emerges
as
pivotal
determinant
issues.
Current
treatment
challenges
are
underscored
by
limitations
high‐dose
frequent
drug
administration,
coupled
with
substantial
side
effects
irreversible
trauma
inflicted
surgical
interventions
on
tissue.
Material
methods
formidable
barrier
posed
blood–testis
compounds
complexities
treating
diseases,
presenting
significant
therapeutic
obstacle.
advent
nanocarriers,
their
distinctive
attributes,
holds
promise
overcoming
this
impediment.
These
nanocarriers
exhibit
exceptional
biocompatibility,
membrane
penetration
capabilities,
can
strategically
target
through
surface
ligand
modification,
thereby
augmenting
bioavailability
enhancing
efficacy.
Results
discussion
This
review
concentrates
transformative
potential
delivery
agents
to
By
summarizing
key
applications,
we
illuminate
strides
made
utilizing
novel
avenue
effectively
treat
diseases.
Conclusions
Nanocarriers
critical
delivering
Frontiers in Pharmacology,
Journal Year:
2025,
Volume and Issue:
15
Published: Jan. 3, 2025
Seminal
oxidative
stress
has
been
shown
to
be
a
key
factor
in
the
development
of
male
infertility.
However,
benefits
infertility
treatments
with
antioxidants
such
as
coenzyme
Q10
(CoQ10)
remains
controversial.
The
aim
present
study
was
assess
effects
CoQ10
supplementation
on
semen
quality,
i.e.,
volume,
total
sperm
number,
concentration,
motility,
percentage
progressive
motility
and
morphology.
In
addition,
circulating
testosterone,
luteinizing
hormone
(LH),
follicle-stimulating
(FSH),
inhibin
B
levels
were
evaluated.
A
systematic
review
meta-analysis
randomized
controlled
trials
(RCTs)
performed
quality
serum
reproductive
hormones.
We
conducted
strategic
literature
search
Cochrane,
EMBASE,
PubMed/MEDLINE,
Scopus,
Web
Science
databases
collected
only
RCTs.
data
RCTs
then
meta-analyzed
according
PRISMA
guidelines.
Out
2,144
studies,
eight
classified
eligible.
studies
included
877
subjects;
462
CoQ10-treated
415
untreated/placebo-treated.
found
significantly
higher
counts
(SMD
-13.38
[95%
CI:
-16.33,
-10.43]
P<
0.0001),
-7.26
-10.15,
-4.36]
0.00001)
-6.386
-10.04,
-2.73]
P=
0.0006),
normally
formed
-1.96
-3.29,
-0.62]
0.004)
subjects
compared
untreated/placebo-treated
subjects.
Nonetheless,
there
significant
inter-study
heterogeneity
these
studies.
Moreover,
testosterone
-0.59
-0.79,
-0.40]
-0.92
-1.47,
-0.37]
0.001)
recorded
lowered
LH
1.77
1.26,
2.28]
FSH
concentrations
1.60
1.38,
1.81]
0.00001).
Interestingly,
no
hormonal
had
effect
volume
0.12
-0.13,
0.37]
0.34)
concentration
-6.69
-16.28,
2.90]
0.17).
Our
shows
that
increases
count,
proportion
association
levels.
therefore
supports
view
beneficial
use
treatment.
further
well-designed
sufficiently
large
numbers
are
required
reach
final
conclusion.
Journal of Xenobiotics,
Journal Year:
2025,
Volume and Issue:
15(1), P. 33 - 33
Published: Feb. 18, 2025
Drug
abuse
presents
a
significant
global
health
challenge
as
the
illicit
drug
market
progresses
from
classic
drugs
to
growing
prevalence
of
New
Psychoactive
Substances
(NPS),
particularly
synthetic
cathinones,
which,
although
illegal,
are
often
falsely
marketed
safe
and
legal
alternatives.
The
rapid
increase
in
use
these
complicates
assessment
their
safety
effects
on
human
health.
However,
they
pose
unique
toxicological
concerns
that
remain
largely
uncharacterized.
This
study
investigated
toxic
three
namely,
methylone,
pentedrone,
4-methylethcathinone
(4-MEC),
using
model
organism
C.
elegans.
We
assessed
impact
substances
animal
survival,
development,
reproductive
behavior,
longevity.
Our
results
showed
short-term
exposure
(24
h)
concentrations
5.0
mM
or
higher
significantly
reduced
survival
rates,
while
prolonged
(72
led
more
pronounced
toxicity,
reducing
rates
at
low
1.0
mM.
Moreover,
sublethal
resulted
developmental
arrest.
Additionally,
pentedrone
impaired
capacity,
4-MEC
shortened
elegans
lifespan.
These
findings
highlight
urgent
need
for
further
investigation
into
implications
cathinone
through
vivo
models
continues
rise.
Drug and Chemical Toxicology,
Journal Year:
2025,
Volume and Issue:
unknown, P. 1 - 11
Published: March 4, 2025
Methamphetamine
(Meth),
a
psychoactive
drug,
has
been
shown
to
reduce
testicular
weight
and
decrease
sperm
count,
indicating
its
potential
role
in
contributing
male
infertility.
We
therefore
assessed
Meth's
effects
(0.1–100
μM)
on
TM4
Sertoli
cell
viability,
toxicity,
proliferation
(trypan
blue
exclusion
assay),
mitochondrial
activity
(MA)
(XTT
while
transepithelial
electrical
resistance
(TEER)
was
used
examine
monolayer
permeability.
The
acute
study
(only
24-hour
Meth
exposure)
mimics
recreational
users
the
chronic
study,
addicts
who
require
daily
doses
(24–96
hours).
Acute
treatment
had
minimal
impact
viability
exposure
resulted
reduced
increased
toxicity
dose-related
manner.
suppressed
division
at
72
hours,
both
96
hours.
Long-term
suppression
of
MA
observed
for
(20
µM
100
µM).
Both
affected
permeability
across
blood–testis
barrier
(BTB),
which
persisted
up
Given
pivotal
cells
spermatogenesis,
our
findings
provide
two-pronged
mechanism
Meth-induced
infertility
indicate
that
short-term
may
have
long-term
germinal
epithelium.