Оценка фармакологической эффективности и потенциала применения нитазоксанида — препарата тиазолидного ряда широкого спектра действия
- Авторы: Русановский В.В.1, Савельева А.А.1, Тадтаева З.Г.1, Астудин Е.С.1, Кривошеин А.Е.1, Акимов А.А.1, Курицына Н.А.1
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Учреждения:
- Санкт-Петербургский педиатрический медицинский университет
- Выпуск: Том 22, № 1 (2024)
- Страницы: 81-96
- Раздел: Клиническая фармакология
- URL: https://journal-vniispk.ru/RCF/article/view/258603
- DOI: https://doi.org/10.17816/RCF624703
- ID: 258603
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Аннотация
Статья посвящена возможности и перспективе применения нитазоксанида при широком спектре болезней. На основании литературных данных авторы оценивают фармакологическую эффективность и обосновывают потенциал применения нитазоксанида при бактериальных, гельминтных, протейных, вирусных и онкологческих заболеваниях. Эта информация представляет интерес и может быть использована для принятия решения о необходимости проведения клинических испытаний нитазоксанида на территории России. Cистематический поиск актуальной информации в четырех базах данных: PubMed, EMBASE, Web of Science и Cochrane Library проводили до 1 декабря 2023 г. Работы включали доклинические исследования in vitro и in vivo, а также рандомизированные клиническими исследования, сравнивавшие фармакологическую эффективность нитазоксанида и плацебо. Препарат тиазолидного ряда широкого спектра действия нитазоксанид обладает антибактериальной, противопротозойной, антигельминтной, противовирусной и противоопухолевой активностью. Это достигается посредством его фармакологических свойств: регуляции клеточного цикла, апоптоза, пролиферации и миграции клеток; активирования звеньев врожденного иммунитета; влияиния на синтез и активацию белков клетки, часть которых — звенья клеточных сигнальных путей; связывания с белками вирусов, бактерий, простейших и гельминтов с нарушением их жизнедеятельности; иммуномоделирующего действия путем регуляции активности про- и противовоспалительных цитокинов. В статье систематизированы и обобщены актуальная информация о фармакодинамике нитазоксанида, а также результаты доклинических и клинических исследований препарата, рассмотрены дальнейшие перспективы.
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Владимир Васильевич Русановский
Санкт-Петербургский педиатрический медицинский университет
Email: rusvv2058@mail.ru
ORCID iD: 0000-0002-0432-7946
SPIN-код: 7010-4530
Scopus Author ID: 57444102200
д-р мед. наук
Россия, Санкт-ПетербургАнастасия Алексеевна Савельева
Санкт-Петербургский педиатрический медицинский университет
Email: a.a.savel1999@gmail.ru
ORCID iD: 0009-0009-4997-4045
Россия, Санкт-Петербург
Зара Григорьевна Тадтаева
Санкт-Петербургский педиатрический медицинский университет
Email: tadtaeva2003@mail.ru
ORCID iD: 0000-0002-5809-1457
SPIN-код: 6086-0169
Scopus Author ID: 57222536682
д-р мед. наук
Россия, Санкт-ПетербургЕгор Сергеевич Астудин
Санкт-Петербургский педиатрический медицинский университет
Email: astudin-egor.ru@yandex.ru
ORCID iD: 0009-0002-6890-5634
Россия, Санкт-Петербург
Александр Евгеньевич Кривошеин
Санкт-Петербургский педиатрический медицинский университет
Автор, ответственный за переписку.
Email: krivoshein20@mail.ru
ORCID iD: 0000-0002-4714-1180
Россия, Санкт-Петербург
Александр Анатольевич Акимов
Санкт-Петербургский педиатрический медицинский университет
Email: laboremus_07@mail.ru
SPIN-код: 4176-2536
канд. мед. наук
Россия, Санкт-ПетербургНаталья Андреевна Курицына
Санкт-Петербургский педиатрический медицинский университет
Email: bely25193@yandex.ru
ORCID iD: 0000-0002-0200-5097
SPIN-код: 4361-7365
Scopus Author ID: 57202789667
канд. биол. наук
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