Journal of Pharmaceutical Policy and Practice,
Journal Year:
2024,
Volume and Issue:
17(1)
Published: Feb. 7, 2024
This
consensus
guidance
is
for
community
pharmacists
in
diabetic
peripheral
neuropathy
(DPN)
management
with
a
combination
of
neurotropic
B
vitamins.
A
multidisciplinary
team
including
endocrinology,
neurology,
and
pharmacy
from
Thailand
discussed
aligned
the
practical
scheme
DPN
setting,
using
literature
review
having
face-to-face
meeting.
Five
major
statements
have
been
endorsed
as
recommendations
care
strong
acknowledgment.
The
aims
included
reducing
symptoms
risk
complications,
minimising
adverse
reactions
treatment
regimens,
improving
patients'
knowledge
adherence
to
strategies.
An
initial
screening
process
7
items
interview
Douleur
Neuropathique
4
(DN4)
questionnaire
should
be
implemented
identify
patients
at
developing
DPN.
Subsequently,
pharmacologic,
non-pharmacologic
employed
based
on
patient-centered
care.
interesting
approach
vitamins,
which
may
used
monotherapy
or
therapy
control
symptoms.
combined
potentially
exhibits
synergistic
effect
improves
patient
adherence.
would
further
considered
context
harmonisation
routine
practice
country
requirements.
Signal Transduction and Targeted Therapy,
Journal Year:
2024,
Volume and Issue:
9(1)
Published: April 7, 2024
During
spaceflight,
the
cardiovascular
system
undergoes
remarkable
adaptation
to
microgravity
and
faces
risk
of
cardiac
remodeling.
Therefore,
effects
mechanisms
on
morphology,
physiology,
metabolism,
cellular
biology
need
be
further
investigated.
Since
China
started
constructing
Space
Station
(CSS)
in
2021,
we
have
taken
advantage
Shenzhou-13
capsule
send
human
pluripotent
stem
cell-derived
cardiomyocytes
(hPSC-CMs)
Tianhe
core
module
CSS.
In
this
study,
hPSC-CMs
subjected
space
showed
decreased
beating
rate
abnormal
intracellular
calcium
cycling.
Metabolomic
transcriptomic
analyses
revealed
a
battery
metabolic
remodeling
especially
thiamine
metabolism.
The
condition
blocked
intake
hPSC-CMs.
decline
utilization
under
or
by
its
antagonistic
analog
amprolium
affected
process
tricarboxylic
acid
cycle.
It
ATP
production,
which
led
cytoskeletal
homeostasis
imbalance
More
importantly,
vitro
vivo
studies
suggest
that
supplementation
could
reverse
adaptive
changes
induced
simulated
microgravity.
This
study
represents
first
astrobiological
lays
solid
foundation
for
aerospace
biomedical
research.
These
data
indicate
intervention
thiamine-modified
reprogramming
during
spaceflight
might
feasible
countermeasure
against
Advanced Biology,
Journal Year:
2023,
Volume and Issue:
7(7)
Published: May 2, 2023
Abstract
Certain
metabolic
interventions
such
as
caloric
restriction,
fasting,
exercise,
and
a
ketogenic
diet
extend
lifespan
and/or
health
span.
However,
their
benefits
are
limited
connections
to
the
underlying
mechanisms
of
aging
not
fully
clear.
Here,
these
explored
in
terms
tricarboxylic
acid
(TCA)
cycle
(Krebs
cycle,
citric
cycle)
suggest
reasons
for
loss
effectiveness
ways
overcoming
it.
Specifically,
deplete
acetate
likely
reduce
conversion
oxaloacetate
aspartate,
thereby
inhibiting
mammalian
target
rapamycin
(mTOR)
upregulating
autophagy.
Synthesis
glutathione
may
provide
high‐capacity
sink
amine
groups,
facilitating
autophagy,
prevent
buildup
alpha‐ketoglutarate,
supporting
stem
cell
maintenance.
Metabolic
also
accumulation
succinate,
slowing
DNA
hypermethylation,
repair
double‐strand
breaks,
reducing
inflammatory
hypoxic
signaling,
lowering
reliance
on
glycolysis.
In
part
through
mechanisms,
decelerate
aging,
extending
lifespan.
Conversely,
with
overnutrition
or
oxidative
stress,
processes
function
reverse,
accelerating
impairing
longevity.
Progressive
damage
aconitase,
inhibition
succinate
dehydrogenase,
downregulation
hypoxia‐inducible
factor‐1
α
,
phosphoenolpyruvate
carboxykinase
(PEPCK)
emerge
potentially
modifiable
interventions.
Antioxidants,
Journal Year:
2024,
Volume and Issue:
13(12), P. 1508 - 1508
Published: Dec. 10, 2024
Healthcare
professionals
frequently
experience
significant
work
overload,
which
often
leads
to
substantial
physical
and
psychological
stress.
This
stress
is
closely
linked
increased
oxidative
a
corresponding
decline
in
energy
levels.
scoping
review
investigates
the
potential
impact
of
dietary
antioxidants
food
supplements
conjunction
with
diet
controlling
these
negative
effects.
Through
an
analysis
biochemical
pathways
involved
metabolism,
paper
emphasizes
effectiveness
targeted
interventions.
Key
antioxidants,
such
as
vitamins
C
E,
polyphenols,
carotenoids,
are
evaluated
for
their
ability
counteract
enhance
Additionally,
assesses
various
supplements,
including
omega-3
fatty
acids,
coenzyme
Q10,
ginseng,
mechanisms
action
enhancement.
Practical
guidelines
incorporating
energy-boost
strategies
into
routine
healthcare
provided,
emphasizing
importance
modifications
reducing
improving
overall
well-being
performance
high-stress
environments.
The
concludes
by
suggesting
directions
future
research
validate
findings
explore
new
interventions
that
may
further
support
under
overload.
Obesity,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 21, 2025
Abstract
Introduction
Thiamine
deficiency
is
common
after
bariatric
surgery,
but
patients
with
obesity
may
be
deficient
in
thiamine
even
before
surgery.
The
purpose
of
this
research
was
to
determine
the
prevalence
at
a
medical
weight‐management
clinic
and
assess
relationship
between
recent
weight
loss
deficiency.
Methods
For
observational
study,
records
were
reviewed
for
(
n
=
146)
nonsurgical
medicine
preoperative
surgery
Veterans
Affairs
Medical
Center
January
1,
2012,
31,
2019.
defined
as
value
less
than
test
reference
range.
χ
2
tests
used
differences
by
race,
gender,
type
diabetes
status.
Logistic
regression
evaluate
Results
found
32.2%
patients.
There
no
or
Weight
associated
increased
risk
deficiency,
although
not
statistically
significant
(odds
ratio
2.04,
95%
CI:
0.79–5.27).
Conclusions
Approximately
one‐third
evaluated
had
result
indicating
All
people
benefit
from
additional
nutritional
screening.
INTERNATIONAL NEUROLOGICAL JOURNAL,
Journal Year:
2025,
Volume and Issue:
21(1), P. 96 - 107
Published: March 20, 2025
A
person
with
post-traumatic
stress
disorder
(PTSD)
is
more
likely
to
develop
metabolic
syndrome
(MetS),
depression,
and
diabetic
distress.
It
also
raises
the
risk
of
cardiometabolic
neurodegenerative
diseases
(NDD).
At
same
time,
type
2
diabetes
mellitus
MetS
can
cause
development
core
neurosis-like
psychiatric
symptoms
characteristic
PTSD.
Chronic
associated
cardiovascular
diseases,
diabetes,
NDD.
More
people
think
that
mitochondrial
dysfunction,
peripheral/central
chronic
low-grade
inflammation
(CLGI),
oxidative
are
main
causes
these
diseases.
Pathophysiological
processes
link
them
together.
To
make
things
better
for
patients,
interventions
aim
control
CLGI
may
be
better,
following
ideas
precision
medicine.
Deficiency
certain
biofactors,
in
particular,
vitamin
B1,
an
increased
MetS,
Targeted
effects
on
CLGI,
stress,
metabolism
disorders
suggest
use
antioxidants,
particularly
B1/benfotiamine
(BFT),
have
a
positive
effect
not
only
course
comorbid
but
manifestations
Exogenous
or
BFT,
corrects
thiamine
status
disorders.
BFT
exhibits
potent
animal
models
NDD,
stress-induced
anxiety,
aggression,
depression.
Thus,
considered
potentially
safe
cost-effective
drug
treatment
many
central
nervous
system
Despite
its
aspects,
therapeutic
potential
remains
limited,
as
beneficial
require
high
doses
over
long
period
time.
Dibenzoylthiamine,
lipophilic
form
has
been
shown
anti-inflammatory
antioxidant
at
much
lower
than
both
vitro
vivo.
However,
preclinical
clinical
studies
needed
sure
viability
dibenzoylthiamine.
This
review
pays
extra
attention
analysis
features
biological
role
mechanism
action,
especially
impact
glucose
function,
state
neuroinflammation,
how
dibenzoylthiamine
protect
neurons.
We
conducted
search
Scopus,
Science
Direct
(from
Elsevier),
PubMed,
MEDLINE
databases.
The
keywords
used
were
“thiamine”,
“benfotiamine”,
“dibenzoylthiamine”,
“post-traumatic
disorder”,
“metabolic
syndrome”,
“diabetic
distress”,
“diabetes
mellitus”.
manual
bibliography
publications
pinpoint
research
results
eluded
online
search.
International Journal of Molecular Sciences,
Journal Year:
2025,
Volume and Issue:
26(7), P. 3090 - 3090
Published: March 27, 2025
The
isolation,
structural
elucidation,
and
synthesis
of
pure
thiamin
were
achieved
in
1936,
marking
a
milestone
vitamin
research.
As
an
organic
compound
soluble
water,
is
essential
for
carbohydrate
metabolism
plants
animals,
its
active
form-as
part
the
pyrophosphate
coenzyme-performs
these
functions.
Thereby,
represents
to
human
health
involved
several
pathways
that
regulate
pathophysiological
mechanisms.
Cardiovascular
disease
significantly
impacted
by
thiamine
imbalance
supplementation
offers
substantial
improvements
associated
conditions.
In
this
comprehensive
review,
we
aimed
examine
dual
role
deficiency
accumulation,
focusing
on
analysis
causes
deficiency.
We
detailed
effects
cardiovascular
risk
heart
failure,
explaining
molecular
mechanisms
metabolic
dysfunction,
highlighting
B1
diabetes
mellitus
management
atherosclerosis
development
progression.
Indeed,
counteracts
oxidative
stress
inflammation,
ameliorating
glycemic
lipemic
profiles.
Additionally,
reported
beneficial
counteracting
cardiotoxicity
induced
cancer
therapy.
Although
preclinical
data
strongly
support
benefits
thiamine,
clinical
trial
findings
are
contrast
contradictory,
hampered
limitations
such
as
small
sample
sizes
inadequate
follow-up.
Further
research
needed
investigate
thiamine's
potential
benefits,
overcoming
current
study
evaluating
use
supplemental
therapy
alongside
standard
treatments
different
high-cardiovascular-risk
Clinical Chemistry,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 9, 2025
Abstract
Background
Thiamine
diphosphate
(TDP),
the
active
form
of
vitamin
B1,
plays
an
essential
role
in
energy
metabolism.
TDP
is
analyzed
clinical
laboratory
to
assess
nutritional
status
individuals
at
risk
deficiency.
In
recent
years,
demand
for
B1
testing
has
increased
dramatically,
prompting
implementation
a
high-throughput
assay.
We
developed
method
using
rapid
sample
preparation
and
multiplex
electrospray
LC-MS/MS
analysis.
Methods
Whole
blood
samples
were
deproteinized
trichloroacetic
acid
after
addition
isotope-labeled
analyte
(TDP-d3).
was
separated
by
reversed-phase
chromatography
on
extended
pH,
trifunctional
silane-bonded
C18
columns
positive
ionization
multiple
reaction
monitoring
mass
spectrometry.
The
system
consisted
4
LC
instruments
plumbed
single
spectrometer.
eluted
3.15
±
0.08
min
with
run
time
9.0
stream;
results
streams
produced
every
2.25
min.
Passivation
required
optimize
sensitivity
peak
quality.
Results
linear
from
20
1000
nmol/L.
Spike-recovery
experiments
showed
accuracy
±15%.
intra-
inter-day
assay
imprecision
≤3%.
Repeated
injections
calibrators
QC
materials
across
four
excellent
parity
(<2%
imprecision).
No
carryover
detected.
Each
plate
81
4.5
h.
Conclusions
An
accurate,
specific,
validated
measure
whole
blood.
Simple,
fast
employed
adaptation
staggered
injection,
LC-stream
platform,
which
minimized
spectrometer
idle
significantly
improved
efficiency.