重新发现细胞素:为什么世卫组织的决定对全球公共卫生很重要
Riccardo Polosa1,2,3, Gal Cohen4
1Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
iScience
|February 25, 2026
概括
低成本的戒烟辅助剂西提辛 (Cytisine) 现在被列入世界卫生组织的基本药物清单. 这一认可是在几十年的研究证明其在戒烟方面的有效性之后获得的.
科学领域:
- 药理学和全球健康
背景情况:
- 素是一种植物性类化合物,在戒烟方面已有很长的使用历史.
- 尽管早期有证据表明其有效性,但50多年来,细胞素在全球范围内尚未得到广泛认可或使用.
研究的目的:
- 审查历史和科学证据,支持细胞素在戒烟方面的疗效.
- 检查延迟其全球认可的因素,并讨论其最近被列入世卫组织基本药物示范清单 (EML) 的重要性.
主要方法:
- 关于cytisine的发展和临床试验的历史审查.
- 对监管批准和公共卫生政策的分析.
- 讨论采用经济和科学障碍.
主要成果:
- 锡提辛在戒烟方面已经证明了显著的疗效和良好的耐受性概况.
- 它的低成本使其成为全球公共卫生倡议的高度可访问的选择.
- 最近的监管里程碑包括英国MHRA批准和美国FDA正在进行的审查,最终导致WHOEML的纳入.
结论:
- 在世卫组织的EML中包含cytisine是迈向全球健康公平的重要一步.
- 它强调需要克服政治,经济和科学惯性,使有效的,负担得起的治疗方法更容易获得.
- 锡提辛是一种至关重要的,具有成本效益的工具,可以对抗全球吸烟相关疾病的负担.
相关概念视频
International Nursing Organizations II
1.4K
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
1.4K
Antidepressant Drugs: Overview
1.7K
Antidepressant drugs are a class of medications primarily used for treating various mood disorders, including major depression, anxiety disorders, and other related conditions. These medicines work by modulating the neurotransmitter balance within the brain, alleviating depressive symptoms. Antidepressants can be broadly categorized into several groups according to their mechanism of action and chemical structure: Selective Serotonin Reuptake Inhibitors (SSRIs), Serotonin-Norepinephrine...
1.7K
Drug Regulation
3.2K
Drug regulation encompasses the management of drug usage by evaluating its safety and efficacy through assessments conducted by regulatory authorities. Regrettably, the history of drug regulation is marred by several catastrophic events. One such incident is the Elixir Sulfanilamide tragedy, in which the toxic compound diethyl glycol was included in a sweet-tasting medication, leading to numerous fatalities. This event prompted the enactment of the Food, Drug, and Cosmetic Act in 1938. Under...
3.2K
Pharmacogenomics: Identification of New Drug Targets
49
Advances in genomics have profoundly influenced drug discovery by increasing both the speed and accuracy of pharmaceutical development. Pharmacogenomics, which examines how genetic variation influences drug response, facilitates the identification of novel therapeutic targets and enables patient stratification for personalized treatment. These strategies contribute to improved drug efficacy, minimized adverse effects, and more efficient clinical trial design.Mapping genetic differences...
49
Impact of Pharmacokinetic–Pharmacodynamic Models: Regulatory Decisions
52
PK–PD modeling has significantly influenced FDA regulatory decisions, particularly drug approval, dosage optimization, and labeling. These models integrate pharmacokinetics (PK) and pharmacodynamics (PD) to predict drug behavior and effects, aiding in optimizing dosing regimens and enhancing the probability of clinical trial success.One notable example is Nesiritide (Natrecor®), a recombinant human brain natriuretic peptide for treating acute decompensated congestive heart failure...
52
Drug Discovery: Overview
12.3K
Drug discovery is a multifaceted process involving extensive screening, testing, and optimization of lead compounds to identify potential new drugs for therapeutic use. It combines several approaches, including screening large numbers of natural products, chemical modification of known active molecules, identification of new drug targets, and rational design based on biological mechanisms and drug-receptor structure. These approaches are carried out in both academic research laboratories and...
12.3K


