Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=29077727
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29077727
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2017 ; 12
(10
): e0187034
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Biological substantiation of antipsychotic-associated pneumonia: Systematic
literature review and computational analyses
#MMPMID29077727
Sultana J
; Calabró M
; Garcia-Serna R
; Ferrajolo C
; Crisafulli C
; Mestres J
; Trifirò' G
PLoS One
2017[]; 12
(10
): e0187034
PMID29077727
show ga
INTRODUCTION: Antipsychotic (AP) safety has been widely investigated. However,
mechanisms underlying AP-associated pneumonia are not well-defined. AIM: The aim
of this study was to investigate the known mechanisms of AP-associated pneumonia
through a systematic literature review, confirm these mechanisms using an
independent data source on drug targets and attempt to identify novel AP drug
targets potentially linked to pneumonia. METHODS: A search was conducted in
Medline and Web of Science to identify studies exploring the association between
pneumonia and antipsychotic use, from which information on hypothesized mechanism
of action was extracted. All studies had to be in English and had to concern AP
use as an intervention in persons of any age and for any indication, provided
that the outcome was pneumonia. Information on the study design, population,
exposure, outcome, risk estimate and mechanism of action was tabulated. Public
repositories of pharmacology and drug safety data were used to identify the
receptor binding profile and AP safety events. Cytoscape was then used to map
biological pathways that could link AP targets and off-targets to pneumonia.
RESULTS: The literature search yielded 200 articles; 41 were included in the
review. Thirty studies reported a hypothesized mechanism of action, most commonly
activation/inhibition of cholinergic, histaminergic and dopaminergic receptors.
In vitro pharmacology data confirmed receptor affinities identified in the
literature review. Two targets, thromboxane A2 receptor (TBXA2R) and platelet
activating factor receptor (PTAFR) were found to be novel AP target receptors
potentially associated with pneumonia. Biological pathways constructed using
Cytoscape identified plausible biological links potentially leading to pneumonia
downstream of TBXA2R and PTAFR. CONCLUSION: Innovative approaches for biological
substantiation of drug-adverse event associations may strengthen evidence on drug
safety profiles and help to tailor pharmacological therapies to patient risk
factors.