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Pharmaceutical Poisoning: Treatment Strategies

Treatment strategies for poisoning are a critical aspect of emergency medicine, focusing on preventing the absorption of toxins and enhancing their elimination. When a poisoning incident occurs, the first response is to halt exposure and decontaminate the patient, particularly through gastrointestinal (GI) methods if the poison was ingested.Gastrointestinal Decontamination Techniques:Activated charcoal is the cornerstone of GI decontamination. It works through adsorption, binding the toxin to...
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An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
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Covalent organic framework based cytoprotective therapy after ischemic stroke.

Yuqin Peng1, Qingfan Ren2, Huanrong Ma3

  • 1Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.

Redox Biology
|March 5, 2024
PubMed
Summary

This study developed a novel drug delivery system using covalent organic frameworks (COFs) to improve cytoprotection for acute ischemic stroke (AIS). The S/G@COF therapy effectively reduced brain damage by targeting reactive oxygen species (ROS) and SUR1-TRPM4 channels.

Keywords:
Covalent organic frameworkCytoprotective therapyGlyburideIschemic strokeSulfonylurea receptor 1-transient receptor potential M4

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Area of Science:

  • Neuroscience
  • Biomaterials Science
  • Pharmacology

Background:

  • Acute ischemic stroke (AIS) causes significant brain injury, often exacerbated by reactive oxygen species (ROS) and the SUR1-TRPM4 channel.
  • Current treatments face limitations due to low bioavailability of drugs like glyburide (GLB).

Purpose of the Study:

  • To develop a novel drug delivery system to enhance cytoprotection for AIS.
  • To overcome the bioavailability issues of GLB and mitigate ROS-induced damage.

Main Methods:

  • Glyburide (GLB) and superoxide dismutase (SOD) were encapsulated within a stable, porous covalent organic framework (COF), creating S/G@COF.
  • The therapeutic efficacy of S/G@COF was evaluated in models of AIS, assessing neurological function, brain edema, neuroinflammation, and BBB integrity.

Main Results:

  • S/G@COF significantly improved survival rates and neurological functions in AIS models.
  • The treatment effectively eliminated ROS, reduced neuronal loss and apoptosis, suppressed neuroinflammation, modulated microglia activation, and ameliorated blood-brain barrier disruption.
  • Mechanistic studies showed S/G@COF activated the Wnt/β-catenin pathway while downregulating SUR1-TRPM4.

Conclusions:

  • Drug modification using COFs offers a promising strategy for enhancing cytoprotection in AIS.
  • S/G@COF demonstrates multi-target therapeutic potential for ischemic stroke treatment.