A Review of Hypoxen Pharmacology and Potential to Enhance Sports Performance.

IF 2.6 3区 医学 Q2 BIOCHEMICAL RESEARCH METHODS
Karol Jędrejko, Oliver Catlin, Raphael Faiss, Andrzej Pokrywka
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Abstract

Pharmacological potential of Hypoxen, previously registered as Olifen is evaluated herein. Hypoxen is categorized as antihypoxic agent. The active substance is polydihydroxyphenylene thiosulfonate sodium. Human studies are limited and no clinical trials following international standards is available. There is however a developed body of knowledge emerging from original studies conducted by the Russian Military Medical Academy in 1980s and 1990s despite limited online access. Hypoxen is promoted to improve oxygen supply or reduce oxygen consumption under hypoxic conditions and physical load. It is thought to support faster recovery, and can be used in complex treatments of diseases accompanied by hypoxia like myocardial ischemia. From clinical perspective, it may enhance cellular respiration by improving coupling in the respiratory chain/accelerating oxidative phosphorylation, but also inhibit succinate dehydrogenase (SDH), and activate mitochondrial ATP-sensitive potassium channels (mitoKATP) in skeletal muscles and myocardium. In 2023, the World Anti-Doping Agency (WADA) added Hypoxen to the Monitoring Program as there had been documented evidence of its use by athletes. On in vitro experiments compared the influence of Hypoxen on oxidative phosphorylation with mitochondrial uncoupling agent 2,4-dinitrophenol (DNP) a unique metabolic modulator that strongly accelerates the metabolism rate, prohibited since 2024 by WADA. Most studies focus on exercise performance, and may provide some evidence that Hypoxen has the potential to enhance performance, the first criteria considered for addition of substance to the WADA Prohibited List. Pharmacodynamics and ergogenic effects of Hypoxen suggests potential as metabolic modulator.

低氧的药理学和潜力,以提高运动成绩的综述。
Hypoxen(以前注册为Olifen)的药理潜力在此进行评估。氧被归类为抗氧剂。活性物质为聚二羟基苯基硫代磺酸钠。人体研究有限,没有符合国际标准的临床试验。然而,俄罗斯军事医学院在20世纪80年代和90年代进行的原始研究产生了一个发达的知识体系,尽管在线访问有限。在低氧条件和身体负荷下,促进低氧以改善供氧或减少耗氧量。它被认为可以支持更快的恢复,并可用于复杂的治疗伴有缺氧的疾病,如心肌缺血。从临床角度来看,它可能通过改善呼吸链偶联/加速氧化磷酸化来增强细胞呼吸,但也可能抑制琥珀酸脱氢酶(SDH),激活骨骼肌和心肌线粒体atp敏感钾通道(mitoKATP)。2023年,世界反兴奋剂机构(WADA)将Hypoxen加入了监测计划,因为有证据表明运动员使用过它。体外实验比较了Hypoxen与线粒体解偶联剂2,4-二硝基苯酚(DNP)对氧化磷酸化的影响,DNP是一种独特的代谢调节剂,可显著加速代谢速率,自2024年起被WADA禁止使用。大多数研究都集中在运动表现上,并可能提供一些证据表明Hypoxen有可能提高运动表现,这是将物质添加到WADA禁用清单的第一个标准。Hypoxen的药效学和人体作用提示其作为代谢调节剂的潜力。
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来源期刊
Drug Testing and Analysis
Drug Testing and Analysis BIOCHEMICAL RESEARCH METHODS-CHEMISTRY, ANALYTICAL
CiteScore
5.90
自引率
24.10%
发文量
191
审稿时长
2.3 months
期刊介绍: As the incidence of drugs escalates in 21st century living, their detection and analysis have become increasingly important. Sport, the workplace, crime investigation, homeland security, the pharmaceutical industry and the environment are just some of the high profile arenas in which analytical testing has provided an important investigative tool for uncovering the presence of extraneous substances. In addition to the usual publishing fare of primary research articles, case reports and letters, Drug Testing and Analysis offers a unique combination of; ‘How to’ material such as ‘Tutorials’ and ‘Reviews’, Speculative pieces (‘Commentaries’ and ‘Perspectives'', providing a broader scientific and social context to the aspects of analytical testing), ‘Annual banned substance reviews’ (delivering a critical evaluation of the methods used in the characterization of established and newly outlawed compounds). Rather than focus on the application of a single technique, Drug Testing and Analysis employs a unique multidisciplinary approach to the field of controversial compound determination. Papers discussing chromatography, mass spectrometry, immunological approaches, 1D/2D gel electrophoresis, to name just a few select methods, are welcomed where their application is related to any of the six key topics listed below.
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