Инфекционные заболевания: профилактика и контроль

Natural products research: A potential source of innovative new drug discovery and development

Festus M Tolo

Enabling innovation and access to health technologies remains a key strategy in combating infectious diseases in low and middle income countries. In such countries, infectious disease are a leading cause of death and are difficult to control if the infectious agents evolve resistance to commonly used drugs. Modern medicine needs new kinds of antibiotics and antivirals to treat drug-resistant infections. One source of such drugs lies in medicinal plants, an available resource still abundant in Africa. Both herbal and traditional medicines of plant origin have provided templates that have served as scaffolds for rational drug design. We have presented a new management therapy being developed for herpes infection in human from a medicinal plant with activity for both acyclovir resistant and sensitive strains of Herpes Simplex Virus. Herpes is a viral infection affecting over 60% of the Sub-Saharan Africa young adult population. The herbal product, Zedupex has been evaluated for preclinical safety and efficacy in suitable in vitro and in vivo systems of herpes infections. Cytotoxic concentrations of the product in mammalian cell lines have indicated a wide therapeutic index (CC50≥58.5±4.6 μg/ml). In vivo, an EC50 of ≤14.7±3.7 μg/ml for both wild type and resistant strains of HSV has been realized in plaque and viral yield assays. Oral (250 mg/kg) and topical (10% cream) administrations exhibits a significant delay in onset of infections, hindered progression of infection to lethal forms with increased mean survival times and low mortality with no acute toxicity at therapeutic concentrations. Financial constrains has slowed down the progression of clinical trial stages in human of this product but results so far obtained exemplify the potential that still exists from medicinal plants.

Plant-based frameworks keep on assuming a fundamental job in human services, and their utilization by various societies has been widely recorded. The World Health Organization (WHO) assessed in 1985 that roughly 65% of the number of inhabitants on the planet predominately depended on plant-determined customary prescriptions for their essential social insurance, while plant items additionally play a significant, however increasingly aberrant job in the human services frameworks of the rest of the populace who mostly live in created nations . An overview of plant-inferred unadulterated mixes utilized as medications in nations facilitating WHO-Traditional Medicine Centers demonstrated that, of 122 mixes recognized, 80% were utilized for the equivalent or related ethnomedical purposes and were gotten from just 94 plant species . Some pertinent models are khellin, from Ammivisnaga (L) Lamk., which prompted the advancement of chromolyn (as sodium chromoglycate) as a bronchodilator; galegine, from Galegaofficinalis L., which was the model for the combination of metformin and other bisguanidine-type antidiabetic drugs ; and papaverine from Papaversomniferum which shaped the reason for verapamil utilized in the treatment of hypertension . The last plant is otherwise called being the wellspring of painkillers, for example, morphine and codeine, however most likely the best case of ethnomedicine's job in managing drug revelation and advancement is that of the antimalarial drugs, especially quinine and artemisinin.

The helpful properties of plants have been perceived since days of yore. Numerous neurotic conditions have been dealt with utilizing plant-determined medications. These drugs are utilized as inventions or concentrated plant removes without separation of dynamic mixes. Present day medication nonetheless, requires the segregation and cleansing of a couple of dynamic mixes. There are anyway a great deal of worldwide wellbeing challenges with illnesses, for example, malignant growth, degenerative maladies, HIV/AIDS and diabetes, of which present day medication is attempting to give fixes. Commonly the confinement of "dynamic compound" has made the compound incapable. Medication revelation is a multidimensional issue requiring a few boundaries of both regular and manufactured mixes, for example, wellbeing, pharmacokinetics and viability to be assessed during drug applicant choice. The appearance of most recent advances that improve medicate structure theories, for example, Artificial Intelligence, the utilization of 'organ-on chip' and microfluidics innovations, implies that computerization has become some portion of medication revelation. This has brought about sped up in tranquilize revelation and assessment of the security, pharmacokinetics and viability of competitor mixes while permitting novel methods of medication structure and blend dependent on normal mixes. Ongoing advances in explanatory and computational procedures have opened new roads to process complex normal items and to utilize their structures to infer new and imaginative medications. To be sure, we are in the period of computational sub-atomic plan, as applied to normal items. Prescient computational programming projects have added to the revelation of atomic focuses of normal items and their subsidiaries. In future the utilization of quantum processing, computational virtual products and databases in demonstrating atomic communications and anticipating highlights and boundaries required for sedate turn of events, for example, pharmacokinetic and pharmacodynamics, will bring about hardly any bogus positive leads in medicate advancement. This survey talks about plant-based normal item tranquilize disclosure and how inventive advances assume a job in cutting edge sedate revelation.

 

The scourge of transmittable and non-transferable infections and the difficulties of discovering drug up-and-comers that can treat these ailments with next to zero symptoms is a colossal test. In spite of the advancement of medications for rewarding and overseeing sicknesses, for example, HIV/AIDS, jungle fever, hypertension, diabetes and malignant growth, these ailments keep on plagueing different populaces worldwide with noteworthy related mortalities. There is requirement for inventive medication revelation systems that slant from the current "blockbuster" Pharma R&D procedures. Presently, a suitable methodology will be to return to "nature" for answers since it has worked for tranquilize disclosure previously. Anticancer medications, for example, Taxol (Taxusbrevifolia), Vinblastine (Catharanthusroseus) and antimalarial medications, for example, quinine (Cinchona spp.) and Artemisinin (Artemisia annua) were completely found from common items and are compelling in rewarding these ailments. Even with worldwide general wellbeing challenges, regular items innovative work (R&D) conceivably assumes a urgent job in creative medication disclosure. Plants are found in each livable condition with generally found ashore. Confronted with numerous burdens and difficulties, combined with being stationary, plants have created numerous particles to avert assaults from creatures and natural abuse . These equivalent atoms give plants their capacity to radiate scents, hues and without a doubt harmfulness. Numerous recorded discoveries report on early utilization of plants for therapeutic purposes .The disclosure of restorative plants by early people more likely than not been an experimentation practice required by the need to ease sickness indications. Prior to the approach of composing and recording of history, such information was gone through ages through verbal. Numerous plants were recorded in the early long stretches of having therapeutic properties and were utilized to treat numerous obsessive conditions . Normal items from plants and creatures have been the go-to wellspring of medications particularly for anticancer and antimicrobial specialists . Conventional medication has been eclipsed by present day medication as the methods for treatment for human sicknesses .