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Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists01:29

Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists

Dopamine receptor antagonists, also known as antipsychotic agents, are critical in managing chemotherapy-induced vomiting. These antiemetic agents block dopamine receptors in the chemoreceptor trigger zone (CTZ), inhibiting signal transmission to the vomiting center. Antipsychotic agents encompass phenothiazines (PTZ), butyrophenones, benzamides, and thienobenzodiazepines (Zyprexa), which are utilized for their antiemetic and sedative properties.
Phenothiazines, such as prochlorperazine...
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Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists

Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy.  SP binds and activates these...
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Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists

5-HT3 receptor antagonists, such as dolasetron, granisetron (Kytril), ondansetron (Zofran), and palonosetron (Axoli), are crucial in managing chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea. These drugs selectively block 5-HT3 receptors in the visceral vagal and spinal afferent nerves, chemoreceptor trigger zone, and the vomiting center. They have a rapid onset of action and can be given as a single dose before chemotherapy. Ondansetron and granisetron, in particular,...
Antiviral Nucleoside Inhibitors01:22

Antiviral Nucleoside Inhibitors

Antiviral Nucleoside InhibitorsAntiviral nucleoside inhibitors are structural analogs of natural nucleosides that interfere with viral DNA or RNA synthesis. These compounds selectively target viral polymerases due to their resemblance to host nucleosides, thereby disrupting viral genome replication.Mechanism of Acyclovir ActionAcyclovir is a guanosine analog with a three-carbon acyclic side chain. It selectively targets herpes simplex virus type 1 (HSV-1), herpes simplex virus type 2 (HSV-2),...
Inhibitors of Viral Protein Synthesis01:30

Inhibitors of Viral Protein Synthesis

Protein synthesis is indispensable for viral replication, as viruses lack the cellular machinery required for this process and must hijack the host's translational apparatus. In response, host cells deploy a critical innate immune defense involving interferons, specialized cytokines that play a central role in inhibiting viral propagation.Upon viral detection, infected cells release interferons that bind to receptors on adjacent uninfected cells, activating the JAK-STAT signaling pathway and...
Anticholinesterase Agents: Poisoning and Treatment01:26

Anticholinesterase Agents: Poisoning and Treatment

Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.     
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Combined Genetic and Chemical Capsid Modifications of Adenovirus-Based Gene Transfer Vectors for Shielding and Targeting
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Chlorpromazine and apigenin reduce adenovirus replication and decrease replication associated toxicity.

Anna Kanerva1, Mari Raki, Tuuli Ranki

  • 1Cancer Gene Therapy Group, Rational Drug Design Program and Haartman Institute, University of Helsinki, Finland.

The Journal of Gene Medicine
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PubMed
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Chlorpromazine and apigenin reduce adenovirus replication and toxicity in vitro and in vivo. These compounds may serve as a safety switch for oncolytic adenovirus therapy and treat systemic adenoviral infections.

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Area of Science:

  • Oncolytic virotherapy
  • Pharmacology

Background:

  • Adenoviruses can cause severe toxicity, particularly in immunocompromised individuals.
  • While oncolytic adenoviruses show promise for cancer treatment, managing potential toxicity is crucial.

Purpose of the Study:

  • To investigate the effects of chlorpromazine and apigenin on adenovirus replication and toxicity.
  • To evaluate these agents as potential safety mechanisms for oncolytic adenovirus therapy.

Main Methods:

  • Assessed in vitro replication of oncolytic and wild-type adenoviruses in various cell types and liver samples.
  • Evaluated in vitro cell killing efficacy and in vivo efficacy, replication, and liver toxicity in the presence of chlorpromazine and apigenin.

Main Results:

  • Both chlorpromazine and apigenin demonstrated significant reduction in adenovirus replication and associated toxicity, both in vitro and in vivo.
  • Effective doses were found to be within predicted safe levels for human use.

Conclusions:

  • Chlorpromazine and apigenin may act as a safety switch to mitigate adenovirus replication-associated side effects during oncolytic therapy.
  • These compounds show potential for treating systemic adenoviral infections in immunosuppressed patients.