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Table of Content

    29 August 2025, Volume 34 Issue 8
    Reviews
    Innovative trends in RNA interference drugs: a comprehensive patent analysis
    Xing Li, Lu Ma, Yali Zhao, Xiaoxia Zhang, Zijia Li
    2025, 34(8):  701-714.  DOI: 10.5246/jcps.2025.08.052
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    Nucleic acid drugs represent the third wave of innovation in drug research and development, succeeding small-molecule and antibody drugs. These drugs, particularly RNA interference (RNAi) therapies, have become a pivotal focus in the pharmaceutical industry. RNAi drugs are extensively utilized in the treatment of chronic and rare diseases due to their exceptional gene-silencing efficiency, manageable side effects, and straightforward synthesis process. This study undertook a thorough analysis of the global landscape of RNAi drug patents, highlighting the latest technological advancements and trends. We meticulously identified and cataloged the key technologies that dominated this patent landscape. The goal was to provide valuable insights and references for researchers involved in the development of RNAi drugs within the domestic pharmaceutical sector.

    Advances in drug design and discovery using bioinformatics tools
    Sara S. Hassan, Amjad I. Oraibi, Ali Majeed Ali Almukram, Hany Aqeel Al-Hussainy, Ahmed Hamza Al-Shammari, Ahmed Mohammed Zheoat
    2025, 34(8):  715-731.  DOI: 10.5246/jcps.2025.08.053
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    Bioinformatics, an interdisciplinary field that integrates computer science, biology, information technology, and statistics, plays a pivotal role in analyzing and interpreting biological data. It has become an indispensable tool in the design and discovery of novel drugs by facilitating the analysis of biological datasets and aiding in the identification of potential therapeutic targets. With the rise of antibiotic resistance among bacterial species, the demand for new drug development has intensified. However, the process of drug discovery remains labor-intensive, costly, and time-consuming. The identification of new drugs involves multiple critical stages, including target identification, structural analysis of the target protein, selection of potential drug candidates, safety and efficacy assessments, drug optimization, and ultimately, validation. Bioinformatics contributes significantly to each of these phases. For instance, through the analysis of protein sequences and genetic data, researchers can pinpoint potential drug targets. Once a target protein is identified, bioinformatics tools enable detailed structural analysis of the protein. Upon locating the potential ligand-binding site, large compound databases can be screened to discover viable drug candidates. Simulations further aid in examining the interaction between the target protein and biomolecules, providing valuable insights into the drug’s safety and efficacy. Moreover, bioinformatics-driven drug optimization helps improve both safety and effectiveness. Recent advances, such as pharmacophore modeling and molecular docking techniques, have accelerated the screening process, narrowing thousands of candidate molecules down to a select few with promising therapeutic potential. In this study, bioinformatics was leveraged within the framework of network pharmacology to design and discover new drugs.

    Original articles
    Pharmacovigilance study on cardiac involvement associated with calcineurin inhibitors: focus on ventricular hypertrophy
    Xin Yu, Xinrui Wang, Zhuoling An, Xin Feng, Hui Yang
    2025, 34(8):  732-740.  DOI: 10.5246/jcps.2025.08.054
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    Calcineurin inhibitors (CNIs) have significantly enhanced both organ and patient survival rates following transplantation. However, their safety profile remains a concern due to the heightened risk of ventricular hypertrophy, a condition that can be life-threatening. This study aimed to evaluate the clinical characteristics, population-specific risks, and contributing factors to fatal outcomes associated with CNI-induced ventricular hypertrophy. We conducted an observational, retrospective pharmacovigilance analysis utilizing real-world data from the U.S. Food and Drug Administration (FDA) Adverse Event Reporting System (FAERS) database, spanning from its inception until the third quarter of 2023. A total of 131 cases of CNI-related ventricular hypertrophy were identified, with our findings demonstrating a significant correlation between CNIs and ventricular hypertrophy [ROR = 3.03 (2.54–3.61), IC = 1.55 (1.29–1.81)]. Male patients were found to have an increased risk of fatal outcomes in CNI-associated ventricular hypertrophy (P = 0.005). Given these findings, clinicians are urged to maintain heightened vigilance regarding this severe complication. Regular and comprehensive cardiac function assessments, including both global and regional cardiac evaluations, are particularly recommended for patients on long-term CNI therapy, with a specific focus on older male individuals.

    Mechanistic insights into Smilax Glabra and Semen Coicis for gout and hyperuricemia treatment: a network pharmacology and molecular docking approach
    Yi Wang, Yuyao Xiong
    2025, 34(8):  741-754.  DOI: 10.5246/jcps.2025.08.055
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    To elucidate the mechanisms underlying the therapeutic effects of the herbal medicine pair Smilax Glabra and Semen Coicis in treating gout and hyperuricemia, a comprehensive analysis was conducted using network pharmacology and molecular docking methods. Disease-associated targets for gout and hyperuricemia were identified from the GeneCards, OMIM, Disgenet, and TTD databases, while the key active components and their corresponding targets for Smilax Glabra and Semen Coicis were obtained from the TCSMP database. The intersection of these targets enabled the construction of a protein-protein interaction (PPI) network, which was subsequently visualized and analyzed. Core targets were further subjected to Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analyses to elucidate the biological processes and pathways involved. Molecular docking was then employed to validate the reliability of the interactions between the active components and the identified targets. The analysis revealed that Smilax Glabra and Semen Coicis contained 15 bioactive components that interacted with 393 potential targets, while gout and hyperuricemia were associated with 660 targets in total. The primary active compounds implicated in treating these conditions included diosgenin, quercetin, and naringenin, which were found to interact with crucial hub targets such as BCL2, CASP3, and MAPK3. These interactions suggested that the herbal medicine pair modulated several biological processes, including gland development and the regulation of body fluid levels, through pathways involving membrane rafts, membrane microdomains, and nuclear receptor activities. Enrichment analyses highlighted their involvement in multiple signaling pathways, such as EGFR tyrosine kinase inhibitor resistance, phospholipase D signaling, and platelet activation. Molecular docking confirmed the strong binding affinities between the hub genes and the major active components, supporting their potential role in therapeutic efficacy. This study demonstrated that Smilax Glabra and Semen Coicis might offer a promising therapeutic strategy for gout and hyperuricemia by targeting multiple molecular components, biological functions, and pathways. The findings underscored the unique potential of traditional Chinese medicine (TCM) in managing complex diseases by leveraging synergistic effects across diverse biological mechanisms.

    Efficacy and safety of thalidomide in the treatment of recurrent aphthous stomatitis: A systematic review
    Jiao Yue, Jia Ju, Xinwen Wang, Yao Lin, Jing Huang, Yanfei Ma, Shuibing Liu, Bin Feng, Lifei Cheng
    2025, 34(8):  755-766.  DOI: 10.5246/jcps.2025.08.056
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    Thalidomide, an immunomodulatory drug, is widely recommended for the treatment of recurrent aphthous stomatitis (RAS). This review aimed to assess the reliability of thalidomide for managing RAS, oro-genital ulcers associated with Behçet’s disease (BD), and RAS in individuals with HIV infection. A systematic review was conducted following PICOS (Patient, Intervention, Control, Outcome, Study design) principles. Given the heterogeneity across studies, a qualitative analysis was performed in place of a meta-analysis. Eight randomized controlled trials (RCTs) were deemed eligible for inclusion. In three RCTs focused on RAS, a dosage of thalidomide at 100 mg/d demonstrated efficacy, while a lower dose of 25 mg/d helped prolong the recurrence interval of RAS. For oro-genital ulcers of BD, two RCTs indicated that both 300 mg/d for 24 weeks and 200 mg/d for 28 d, preceded by an initial dose of 400 mg/d for 5 d, were effective. In three RCTs investigating RAS in HIV-infected patients, thalidomide at 200 mg/d for either 4 or 7 weeks, with an initial dose of 400 mg/d for the first week, proved effective. However, a regimen of 100 mg three times per week failed to prevent the recurrence of oral ulcers. Adverse reactions to thalidomide were generally tolerable within the dosage ranges used in these studies. Overall, thalidomide showed promising efficacy for treating RAS, oro-genital ulcers in BD, and RAS in HIV-infected individuals. However, the variability in trial designs, dosages, and treatment durations makes it challenging to recommend an optimal dose and course of therapy. Further high-quality RCTs are necessary to establish more definitive guidelines.

    Comparative study of Baloxavir Marboxil and Oseltamivir for treating influenza in children aged 12–18 years
    Yingyan Yan, Longhui Shen, Peizhi Mao, Zhuoer Zhu, Chaohui Ye, Yi Chen
    2025, 34(8):  767-774.  DOI: 10.5246/jcps.2025.08.057
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    This study analyzed case and prescription data of children aged 12 to 18 years diagnosed with influenza A from the outpatient and emergency departments at the Women and Children’s Hospital of Ningbo University during the influenza epidemic period between February and April 2023. Patients were categorized into two groups based on their medication: the Baloxavir Marboxil group (196 cases) and the Oseltamivir group (126 cases). SPSS Statistics 24.0 software was utilized to compare variables between the two groups, including age, sex, weight, first visit department, number of visits, average prescription cost per patient, drug varieties used, hospitalization rate, and the combined medication usage, to evaluate the relative advantages and disadvantages of the two treatments. The results indicated that the number of visits in the Baloxavir Marboxil group was significantly lower than in the Oseltamivir group, whereas the average prescription cost per patient was higher (P < 0.05). There were no significant differences between the two groups regarding age, sex, weight, first visit department, number of drug types used, hospitalization rate, or combined medication usage (P > 0.05). When comparing the use of single-class combined drugs, only the quantity of antiviral drugs differed significantly (P < 0.05). The Oseltamivir group required more adjuvant treatment with both Chinese and Western antiviral medications. The distribution of the number of combined drug types was concentrated around three and two types in both groups (Baloxavir Marboxil group: 41.34% and 39.66%; Oseltamivir group: 44.54% and 36.97%). This study highlighted that the new drug, Baloxavir Marboxil, offered certain therapeutic benefits over Oseltamivir in treating influenza among children aged 12 to 18 years, including advantages in single-dose administration, oral compliance, and specific treatment outcomes. The higher unit cost associated with Baloxavir Marboxil might be a factor for further consideration. These findings provided a new reference point for the clinical selection of anti-influenza medications.

    Evaluating the impact of refined drug control on orthopedic medication use in the DRGs system: An interrupted time series analysis
    Tiantian Xu, Yingqiu Tu, Shengtao Zhang, Jun Xiao, Bin Zhang, Fuchong Lai
    2025, 34(8):  775-783.  DOI: 10.5246/jcps.2025.08.058
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    In the context of the Diagnosis Related Groups (DRGs) system, the orthopedic hospital implemented refined drug control to provide a pharmacological reference for promoting rational clinical drug use. A statistical analysis was conducted on the hospital’s data from January to December 2021 (prior to the implementation of control), focusing on the types of unreasonable prescriptions. A multi-dimensional analysis was also conducted to identify the underlying causes of inappropriate medication practices. Following this, refined drug control measures were introduced, and data from January to December 2022 (post-control) were compared, examining factors such as the average drug cost, drug expenses for the IC29 diagnosis group, and the drug cost ratio. An interrupted time-series analysis was employed to evaluate the effects of these interventions. The results showed that after the implementation of refined drug control in the orthopedic department, significant reductions were observed in the average cost per patient, average drug cost per patient, drug cost ratio, cost consumption index, average length of hospital stay, and allocation ratio (P < 0.05). In particular, the first month of control (January 2022) saw a marked decrease in average drug costs per patient by 1272.90 yuan (P < 0.01), a reduction in the drug cost ratio by 0.98%, and a decline in drug costs for the IC29 diagnosis group by 616.79 yuan (P > 0.05). Moreover, the rate of unreasonable inappropriate prescribing dropped dramatically from 40.48% in 2021 to 3.57% by December 2022. The refined control of drug use within the orthopedic hospital significantly improved the rationality of clinical prescribing practices, reduced the occurrence of adverse drug reactions, and enhanced patient adherence to prescribed treatments. These findings demonstrated considerable clinical value in promoting efficient and safe drug use.

    News
    The research group of Prof. Suwei Dong has made progress in the research on the self-assembly mechanism and application of glycopeptides
    State Key Laboratory of Natural and Biomimetic Drugs, School of Pharmaceutical Sciences, Peking University Health Science Center
    2025, 34(8):  784-786. 
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    The research group of Prof. Suwei Dong has made progress in the research on the self-assembly mechanism and application of glycopeptides.
    The research groups of Prof. Miao Lei and Prof. Mi Deng developed cardiolipin-mimic lipid for in vivo CAR-T therapy for inflamm-aging
    State Key Laboratory of Natural and Biomimetic Drugs, School of Pharmaceutical Sciences, Peking University Health Science Center
    2025, 34(8):  787-795. 
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    The research groups of Prof. Miao Lei and Prof. Mi Deng developed cardiolipin-mimic lipid for in vivo CAR-T therapy for inflamm-aging.
    The research group of Prof. Yiguang Wang has developed a new strategy for multiplex pH-interval imaging
    State Key Laboratory of Natural and Biomimetic Drugs, School of Pharmaceutical Sciences, Peking University Health Science Center
    2025, 34(8):  796-797. 
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    The research group of Prof. Yiguang Wang has developed a new strategy for multiplex pH-interval imaging.
    The research teams of Prof. Qi Sun and Prof. Zhuo Huang have made new progress in the research of positive allosteric modulators targeting β+/α–subunit interface as GABAAR positive allosteric modulator for the treatment of status epilepticus in mouse
    State Key Laboratory of Natural and Biomimetic Drugs, School of Pharmaceutical Sciences, Peking University Health Science Center
    2025, 34(8):  798-800. 
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    The research teams of Prof. Qi Sun and Prof. Zhuo Huang have made new progress in the research of positive allosteric modulators targeting β+/α–subunit interface as GABAAR positive allosteric modulator for the treatment of status epilepticus in mouse.