余苗, 郭颖. 抗感染药物的毒物兴奋效应浅析J. 药学学报, 2016,51(3): 332-337. doi: 10.16438/j.0513-4870.2015-0229
引用本文: 余苗, 郭颖. 抗感染药物的毒物兴奋效应浅析J. 药学学报, 2016,51(3): 332-337. doi: 10.16438/j.0513-4870.2015-0229
YU Miao, GUO Ying. Hormesis of drugs for infectious diseasesJ. Acta Pharmaceutica Sinica, 2016,51(3): 332-337. doi: 10.16438/j.0513-4870.2015-0229
Citation: YU Miao, GUO Ying. Hormesis of drugs for infectious diseasesJ. Acta Pharmaceutica Sinica, 2016,51(3): 332-337. doi: 10.16438/j.0513-4870.2015-0229

抗感染药物的毒物兴奋效应浅析

Hormesis of drugs for infectious diseases

  • 摘要: 毒物、药物、辐射、热等刺激因素低剂量时发挥激动作用,高剂量时发挥抑制作用的现象称为毒物兴奋效应(hormesis)。其中,药物的毒物兴奋效应通常表现为高剂量时发挥药物拟定效应,而低剂量时则发挥相反效应,其量效曲线表现为双相曲线,该现象广泛存在但易被忽视。了解药物毒物兴奋效应的剂量区间是合理用药的前提,细致研究药物量效关系,特别是药物低剂量时的效应对发现和确认毒物兴奋效应至关重要。本文以抗感染药物的毒物兴奋效应为例,阐述了该效应的表现形式、可能的产生机制、以及基于该现象的药物研发或临床用药需要考量的因素。

     

    Abstract: Hormesis, a biphasic dose-response phenomenon characterized by low-dose stimulation and high-dose inhibition, is a common feature of medicines but neglected sometime. Understanding of hormesis is essential for drug discovery and clinical application. Assessing hormetic range needs a proper experiment design including the number of doses and dose spacing, especially in the low dose zone. This article provides the shapes of hormetic dose-response curves, underlying mechanisms and the significance of hormesis for drugs of infectious diseases to facilitate drugs development and clinical applications.

     

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