Journal of Basic and Clinical Physiology and Pharmacology最新文献

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Pharmacist-directed Sputnik V (GAM-COVID-VAC) surveillance program: a prospective observational study in Southern India. 药剂师指导的Sputnik V (GAM-COVID-VAC)监测项目:印度南部的一项前瞻性观察研究。
Journal of Basic and Clinical Physiology and Pharmacology Pub Date : 2023-07-01 DOI: 10.1515/jbcpp-2021-0345
Mohammed Salim Karattuthodi, Dilip Chandrasekher, Linu Mohan Panakkal, Shinu C, Mohammed Salman, Megha, Muhammad Swabeeh E, Mohamed Fasil, Mohammad A M, Monika Reji
{"title":"Pharmacist-directed Sputnik V (GAM-COVID-VAC) surveillance program: a prospective observational study in Southern India.","authors":"Mohammed Salim Karattuthodi,&nbsp;Dilip Chandrasekher,&nbsp;Linu Mohan Panakkal,&nbsp;Shinu C,&nbsp;Mohammed Salman,&nbsp;Megha,&nbsp;Muhammad Swabeeh E,&nbsp;Mohamed Fasil,&nbsp;Mohammad A M,&nbsp;Monika Reji","doi":"10.1515/jbcpp-2021-0345","DOIUrl":"https://doi.org/10.1515/jbcpp-2021-0345","url":null,"abstract":"<p><strong>Objectives: </strong>The study underwent to evaluate the adverse events, the incidence of COVID-19 and the participant's attitude and perception towards the vaccine following Sputnik V administration through an active surveillance program.</p><p><strong>Methods: </strong>The prospective observational study was conducted four months in the Sputnik V vaccination center that enrolled 700 participants. Sociodemographic details, medical histories, COVID-19 incidences and adverse events following immunization (AEFI) of each sample were collected through face-to-face interviews and a telephonic feedback system. A self-prepared and validated questionnaire addressed their acceptances and perceptions towards the vaccination drive.</p><p><strong>Results: </strong>Our study reported 42.1% of AEFIs after the first dose and 9.1% after the second. Fever, pain at the injection site, body pain, headache and fatigue were predominant, while dizziness and diarrhoea were rare. However, AEFIs were not influenced by the presence of comorbidities (p > 0.05). On the other hand, there were limited post immunization (1.8%) COVID-19 patients and that too with minor severity (p < 0.01). Our participants were overall satisfied with the Sputnik V immunization. However, those presented with AEFIs on the consecutive three days depicted slightly declined gratification (p < 0.05).</p><p><strong>Conclusions: </strong>Our pharmacist-directed surveillance program on Sputnik V showed fewer events of AEFIs and negligible occurrence of COVID19 following immunization. Moreover, the population had appreciable attitude and positive perceptions towards Sputnik V vaccination.</p>","PeriodicalId":15352,"journal":{"name":"Journal of Basic and Clinical Physiology and Pharmacology","volume":"34 4","pages":"509-517"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10275169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The effects of Berberis vulgaris L. root extract on the opiate withdrawal syndrome and psychological factors: a randomized double-blind clinical trial. 小檗根提取物对阿片戒断综合征及心理因素的影响:随机双盲临床试验。
Journal of Basic and Clinical Physiology and Pharmacology Pub Date : 2023-07-01 DOI: 10.1515/jbcpp-2020-0327
Fatemeh Dabaghzadeh, Fariba Sharififar, Amir-Mohammad Ahmadzadeh, Somayyeh Karami-Mohajeri
{"title":"The effects of <i>Berberis vulgaris</i> L. root extract on the opiate withdrawal syndrome and psychological factors: a randomized double-blind clinical trial.","authors":"Fatemeh Dabaghzadeh,&nbsp;Fariba Sharififar,&nbsp;Amir-Mohammad Ahmadzadeh,&nbsp;Somayyeh Karami-Mohajeri","doi":"10.1515/jbcpp-2020-0327","DOIUrl":"https://doi.org/10.1515/jbcpp-2020-0327","url":null,"abstract":"<p><strong>Objectives: </strong>In this clinical trial, the effect of aqueous extract of <i>Berberis vulgaris</i> L. was investigated on opiate withdrawal syndrome, depression, anxiety, stress, and sleep quality in opioid addicts which were under methadone maintenance therapy.</p><p><strong>Methods: </strong>For this purpose, 52 opiate addicts were randomly selected of whom 28 received 500 mg capsules of <i>B. vulgaris</i> extract (treatment) and the rest received 500 mg of starch capsules (placebo), twice daily for 4 weeks. Signs and symptoms of opiate withdrawal syndrome, depression, anxiety, stress, and sleep quality were assessed through Clinical Opiate Withdrawal Scale (COWS), Pittsburgh Sleep Quality Inventory (PSQI) and Depression Anxiety Stress Scales-21 (DASS-21) questionnaires at baseline and after 7, 14, and 28 days of receiving intervention.</p><p><strong>Results: </strong>Signs and symptoms of opiate withdrawal syndrome were significantly improved in those who received the extract for 1 month compared to the placebo group. However, there were no significant differences in depression, anxiety, stress, and sleep quality scores in the treatment group compared to those in the placebo group.</p><p><strong>Conclusions: </strong>The extract of <i>B. vulgaris</i> root as a traditional herbal product in combination with methadone could improve the symptoms and signs of opiate withdrawal.</p>","PeriodicalId":15352,"journal":{"name":"Journal of Basic and Clinical Physiology and Pharmacology","volume":"34 4","pages":"465-472"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9887168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Correlation among Poincare plot and traditional heart rate variability indices in adults with different risk levels of metabolic syndrome: a cross-sectional approach from Southern India. 不同危险水平代谢综合征成人庞加莱图和传统心率变异性指数的相关性:来自印度南部的横断面方法
Journal of Basic and Clinical Physiology and Pharmacology Pub Date : 2023-07-01 DOI: 10.1515/jbcpp-2022-0208
Chiranjeevi Kumar Endukuru, Girwar Singh Gaur, Dhanalakshmi Yerrabelli, Jayaprakash Sahoo, Balasubramaniyan Vairappan, Alladi Charanraj Goud
{"title":"Correlation among Poincare plot and traditional heart rate variability indices in adults with different risk levels of metabolic syndrome: a cross-sectional approach from Southern India.","authors":"Chiranjeevi Kumar Endukuru,&nbsp;Girwar Singh Gaur,&nbsp;Dhanalakshmi Yerrabelli,&nbsp;Jayaprakash Sahoo,&nbsp;Balasubramaniyan Vairappan,&nbsp;Alladi Charanraj Goud","doi":"10.1515/jbcpp-2022-0208","DOIUrl":"https://doi.org/10.1515/jbcpp-2022-0208","url":null,"abstract":"<p><strong>Objectives: </strong>Heart rate variability (HRV) is an important marker of cardiac autonomic modulation. Metabolic syndrome (MetS) can alter cardiac autonomic modulation, raising the risk of cardiovascular disease (CVD). Poincaré plot analysis (PPA) is a robust scatter plot-based depiction of HRV and carries similar information to the traditional HRV measures. However, no prior studies have examined the relationship between PPA and traditional HRV measures among different risk levels of MetS. We evaluated the association between the Poincare plot and traditional heart rate variability indices among adults with different risk levels of MetS.</p><p><strong>Methods: </strong>We measured anthropometric data and collected fasting blood samples to diagnose MetS. The MetS risk was assessed in 223 participants based on the number of MetS components and was classified as control (n=64), pre-MetS (n=49), MetS (n=56), and severe MetS (n=54). We calculated the Poincaré plot (PP) and traditional HRV measures from a 5 min HRV recording.</p><p><strong>Results: </strong>Besides the traditional HRV measures, we found that various HRV indices of PPA showed significant differences among the groups. The severe MetS group had significantly lower S (total HRV), SD1 (short-term HRV), SD2 (long-term HRV), and higher SD2/SD1. The values of S, SD1, SD2, and SD2/SD1 were significantly correlated with most traditional HRV measures.</p><p><strong>Conclusions: </strong>We found gradual changes in HRV patterns as lower parasympathetic and higher sympathetic activity alongside the rising number of MetS components. The HRV indices of PPA integrating the benefits of traditional HRV indices distinguish successfully between different risk levels of MetS and control subjects.</p>","PeriodicalId":15352,"journal":{"name":"Journal of Basic and Clinical Physiology and Pharmacology","volume":"34 4","pages":"519-530"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10257735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intermittent exposure to green and white light-at-night activates hepatic glycogenolytic and gluconeogenetic activities in male Wistar rats. 夜间间歇性暴露于绿光和白光下可激活雄性Wistar大鼠肝糖原分解和糖异生活动。
Journal of Basic and Clinical Physiology and Pharmacology Pub Date : 2023-07-01 DOI: 10.1515/jbcpp-2020-0251
Abayomi O Ige, Olubori S Adekanye, Elsie O Adewoye
{"title":"Intermittent exposure to green and white light-at-night activates hepatic glycogenolytic and gluconeogenetic activities in male Wistar rats.","authors":"Abayomi O Ige,&nbsp;Olubori S Adekanye,&nbsp;Elsie O Adewoye","doi":"10.1515/jbcpp-2020-0251","DOIUrl":"https://doi.org/10.1515/jbcpp-2020-0251","url":null,"abstract":"Abstract Objectives Exposure to light-at-night (LAN) has been reported to impair blood glucose regulation. The liver modulates blood glucose through mechanisms influenced by several factors that include peroxisome proliferator-activated receptor gamma coactivator-1alpha (PGC-1α) and glucose-6-phosphatase (G6Pase). This study investigated the effect of intermittent exposure to green and white LAN on some hepatic glucose regulatory factors in male Wistar rats. Methods Animals were divided into three equal groups. Group I (control) was exposed to normal housing conditions. Groups II and III were each daily exposed to either green or white LAN for 2 h (7–9 pm) for 14 days. Body weight and blood glucose was monitored on days 0, 7, and 14. Thereafter, retro-orbital sinus blood was obtained after light thiopental anaesthesia and serum insulin was determined. Liver samples were also obtained and evaluated for glycogen, PGC-1α, and G6Pase activity. Insulin resistance was estimated using the HOMA-IR equation. Results Body weight and blood glucose on days 7 and 14 increased in groups II and III compared to control. Hepatic PGC-1α and G6Pase increased in group II (2.33 ± 0.31; 2.07 ± 0.22) and III (2.31 ± 0.20; 0.98 ± 0.23) compared to control (1.73 ± 0.21; 0.47 ± 0.11). Hepatic glycogen was 71.8 and 82.4% reduced in groups II and III compared to control. Insulin in group II increased (63.6%) whiles group III values reduced (27.3%) compared to control. Insulin resistance increased in group II (0.29 ± 0.09) compared to control (0.12 ± 0.03) and group III (0.11 ± 0.03), respectively. Conclusions Exposure to 2 h green and white LAN in the early dark phase increases hepatic glycogenolysis and gluconeogenetic activities resulting in increased blood glucose. In male Wistar rats, exposure to green but not white LAN may predispose to insulin resistance.","PeriodicalId":15352,"journal":{"name":"Journal of Basic and Clinical Physiology and Pharmacology","volume":"34 4","pages":"451-458"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9887169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Antimicrobials in COVID-19: strategies for treating a COVID-19 pandemic. COVID-19中的抗微生物药物:治疗COVID-19大流行的战略。
Journal of Basic and Clinical Physiology and Pharmacology Pub Date : 2023-07-01 DOI: 10.1515/jbcpp-2022-0061
Ajay Kumar Shukla, Saurav Misra
{"title":"Antimicrobials in COVID-19: strategies for treating a COVID-19 pandemic.","authors":"Ajay Kumar Shukla,&nbsp;Saurav Misra","doi":"10.1515/jbcpp-2022-0061","DOIUrl":"https://doi.org/10.1515/jbcpp-2022-0061","url":null,"abstract":"<p><p>The COVID-19 pandemic continues to pose a serious global challenge, with the world engulfed in fighting second, third and fourth waves of the disease, which is reaching scary proportions in terms of cases and mortality in countries like India. Despite the urgent need of proven management protocols, there is still confusion about the best practices for treating COVID-19 with different pharmaceutical interventions. Antimicrobials are empirically used in COVID-19 patients. During the initial phase of this pandemic, hydroxychloroquine, ivermectin, azithromycin and doxycycline were widely suggested for possible prophylaxis or treatment for COVID-19 in outpatient as well as hospitalized settings. Various national and international guidelines recommended its use. However, cumulative evidence from subsequent clinical trials has revealed no significant clinical benefits in any setting, with the risk of adverse effects being high particularly in combination with azithromycin. Yet, there is continued use of antimicrobials particularly in outpatient settings which should be avoided because there is no justifiable rationale for doing so. Antimicrobial resistance (AMR) was one of the top problems for global public health before the coronavirus 2019 (COVID-19) pandemic began. AMR, which is already a difficult problem, must now be handled in the context of a changing healthcare sector.</p>","PeriodicalId":15352,"journal":{"name":"Journal of Basic and Clinical Physiology and Pharmacology","volume":"34 4","pages":"429-444"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9953400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Frontmatter 头版头条
Journal of Basic and Clinical Physiology and Pharmacology Pub Date : 2023-07-01 DOI: 10.1515/jbcpp-2023-frontmatter4
{"title":"Frontmatter","authors":"","doi":"10.1515/jbcpp-2023-frontmatter4","DOIUrl":"https://doi.org/10.1515/jbcpp-2023-frontmatter4","url":null,"abstract":"","PeriodicalId":15352,"journal":{"name":"Journal of Basic and Clinical Physiology and Pharmacology","volume":"59 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134983380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The prospective record-breaking obesity drug tirzepatide raises concerns about affordability. 有望破纪录的肥胖药物替西帕肽引发了人们对其可负担性的担忧。
Journal of Basic and Clinical Physiology and Pharmacology Pub Date : 2023-06-19 eCollection Date: 2023-07-01 DOI: 10.1515/jbcpp-2023-0129
Rajmohan Seetharaman, Swarnima Pandit, Shirish Shashikant Joshi
{"title":"The prospective record-breaking obesity drug tirzepatide raises concerns about affordability.","authors":"Rajmohan Seetharaman, Swarnima Pandit, Shirish Shashikant Joshi","doi":"10.1515/jbcpp-2023-0129","DOIUrl":"10.1515/jbcpp-2023-0129","url":null,"abstract":"","PeriodicalId":15352,"journal":{"name":"Journal of Basic and Clinical Physiology and Pharmacology","volume":"34 4","pages":"549-550"},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9889363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A drug utilisation pattern in non-dialysis patients of diabetic nephropathy in a government-run tertiary care hospital in South-Asia. 南亚一家政府三级医院非透析糖尿病肾病患者的药物使用模式
Journal of Basic and Clinical Physiology and Pharmacology Pub Date : 2023-05-01 DOI: 10.1515/jbcpp-2023-0003
Rajmohan Seetharaman, Manjari Advani, Smita Mali, Sudhir Pawar
{"title":"A drug utilisation pattern in non-dialysis patients of diabetic nephropathy in a government-run tertiary care hospital in South-Asia.","authors":"Rajmohan Seetharaman,&nbsp;Manjari Advani,&nbsp;Smita Mali,&nbsp;Sudhir Pawar","doi":"10.1515/jbcpp-2023-0003","DOIUrl":"https://doi.org/10.1515/jbcpp-2023-0003","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of the present study was to evaluate the Drug utilisation pattern in patients of diabetic nephropathy (stage 1-4) in a tertiary care hospital in South-Asia.</p><p><strong>Methods: </strong>A cross-sectional observational study was conducted in the nephrology out-patient-department of a tertiary care hospital in South-Asia. WHO core prescribing, dispensing, and patient care indicators were evaluated, and adverse drug reactions (ADRs) encountered by the patients were analysed for causality, severity, preventability, and outcome.</p><p><strong>Results: </strong>The most commonly prescribed antidiabetics in diabetic nephropathy patients were insulin (17.42%), followed by metformin (4.66%). Current drugs of choice SGLT-2 inhibitors were prescribed in a lesser frequency than expected. Loop diuretics and calcium channel blockers (CCBs) were the preferred antihypertensives. The use of ACE inhibitors (1.26%) and ARBs (3.45%) for hypertension was restricted to Stage 1 and 2 nephropathy. The patients were on 6.47 drugs on average. 30.70% of drugs were prescribed by generic names, 59.07% of the drugs were prescribed from the national essential drugs list and 34.03% of the prescribed drugs were supplied by the hospital. CTCAE grade 1 (68.60%) and grade 2 (22.09%) ADR severity was the highest.</p><p><strong>Conclusions: </strong>Prescribing patterns in patients of diabetic nephropathy were adapted from relevant medical evidence, affordability and availability of the drugs. Generic prescribing, availability of drugs and ADR preventability in the hospital have a broad scope for improvement.</p>","PeriodicalId":15352,"journal":{"name":"Journal of Basic and Clinical Physiology and Pharmacology","volume":"34 3","pages":"371-381"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9826553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Pathophysiological effects of cadmium(II) on human health-a critical review. 镉(II)对人体健康的病理生理影响——综述
Journal of Basic and Clinical Physiology and Pharmacology Pub Date : 2023-05-01 DOI: 10.1515/jbcpp-2021-0173
Kaustav Bhattacharyya, Debrup Sen, Payel Laskar, Tania Saha, Gautam Kundu, Alok Ghosh Chaudhuri, Subhadeep Ganguly
{"title":"Pathophysiological effects of cadmium(II) on human health-a critical review.","authors":"Kaustav Bhattacharyya,&nbsp;Debrup Sen,&nbsp;Payel Laskar,&nbsp;Tania Saha,&nbsp;Gautam Kundu,&nbsp;Alok Ghosh Chaudhuri,&nbsp;Subhadeep Ganguly","doi":"10.1515/jbcpp-2021-0173","DOIUrl":"https://doi.org/10.1515/jbcpp-2021-0173","url":null,"abstract":"<p><p>Cadmium(II) is an omnipresent environmental toxicant emitted from various industrial sources and by anthropogenic sources such as smoking. Cadmium(II) enters our body through various sources including contaminated food and drinks and from active or passive smoking. It spares no organs in our body and the calamities it invites include primarily nephrotoxicity, osteotoxicity, teratogenicity, endocrine disruption, hepatotoxicity and carcinogenicity above all. It brings about a bolt from the blue in the cellular biochemistry by generating reactive oxygen species (ROS), disrupting the factors involved in the repair of DNA lesions and many other toxic nuisances otherwise by modulating the cell signalling machinery and acting as a potent carcinogen above all. In this review, we have tried to decipher some of the mechanisms played by cadmium(II) in exhibiting its toxic effects on various system of our body.</p>","PeriodicalId":15352,"journal":{"name":"Journal of Basic and Clinical Physiology and Pharmacology","volume":"34 3","pages":"249-261"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9833951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
The role of Bruton's kinase inhibitors (BTKi) in accelerated Chronic Lymphocytic Leukemia (a-CLL): a case of successful response to acalabrutinib. 布鲁顿激酶抑制剂(BTKi)在加速慢性淋巴细胞白血病(a- cll)中的作用:阿卡拉布替尼成功应答的一例
Journal of Basic and Clinical Physiology and Pharmacology Pub Date : 2023-05-01 DOI: 10.1515/jbcpp-2023-0051
Gioacchino Catania, Rita Tavarozzi, Giacomo Maria Pini, Tiziana Borra, Carolina Gandolfo, Giulia Zacchi, Daniela Pietrasanta, Federico Monaco, Manuela Zanni, Maddalena Lettieri, Paolo Rivela, Francesco Zallio, Marco Ladetto
{"title":"The role of Bruton's kinase inhibitors (BTKi) in accelerated Chronic Lymphocytic Leukemia (a-CLL): a case of successful response to acalabrutinib.","authors":"Gioacchino Catania,&nbsp;Rita Tavarozzi,&nbsp;Giacomo Maria Pini,&nbsp;Tiziana Borra,&nbsp;Carolina Gandolfo,&nbsp;Giulia Zacchi,&nbsp;Daniela Pietrasanta,&nbsp;Federico Monaco,&nbsp;Manuela Zanni,&nbsp;Maddalena Lettieri,&nbsp;Paolo Rivela,&nbsp;Francesco Zallio,&nbsp;Marco Ladetto","doi":"10.1515/jbcpp-2023-0051","DOIUrl":"https://doi.org/10.1515/jbcpp-2023-0051","url":null,"abstract":"<p><strong>Objectives: </strong>The use of Bruton's tyrosine kinase (BTK) inhibitors has changed the clinical history of patients with chronic lymphocytic leukemia (CLL) in both naïve and relapsed/refractory settings. \"Accelerated\" chronic lymphocytic leukemia (a-CLL) is a relatively rare form of CLL representing less than 1 % of all CLL cases. a-CLL patients usually have a more aggressive course and a reduced overall survival was reported with conventional chemo-immunotherapy approaches.</p><p><strong>Methods: </strong>The role of Bruton Tyrosine Kinase-inhibitor, ibrutinib, in a-CLL is well established with encouraging preliminary results.</p><p><strong>Results: </strong>We report a case of a-CLL-treated first-line with second-generation BTKi, acalabrutinib with a prompt clinical response. As known, it is the first literature report on acalabrutinib in a-CLL highlighting the role of second-generation BTKi also in this high-risk setting.</p><p><strong>Conclusions: </strong>Target therapies (Bruton Kinase inhibitors and Bcl2 inhibitors) have improved the therapeutic landscape of CLL. The availability of therapeutic targets requires greater diagnostic accuracy to choose the most appropriate therapy for each patient.</p>","PeriodicalId":15352,"journal":{"name":"Journal of Basic and Clinical Physiology and Pharmacology","volume":"34 3","pages":"401-404"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9472880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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