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(S)-amlodipine + (S)-atenolol

✓ Approved

Emcure Pharmaceuticals · ADRB1 · 小分子

什么是 (S)-amlodipine + (S)-atenolol?

(S)-amlodipine + (S)-atenolol 是一种小分子,由Emcure Pharmaceuticals研发。该药已获批,用于治疗相关适应症,给药途径:Oral (PO)。

药物档案

公司Emcure Pharmaceuticals
药物类别小分子
分子靶点ADRB1, CACNA1C
给药途径Oral (PO)
状态Approved

作用机制

分子靶点

(S)-amlodipine + (S)-atenolol 作用于 2 个分子靶点:

ADRB1adrenoceptor beta 1 (B1AR, RHR)
CACNA1Ccalcium voltage-gated channel subunit alpha1 C (CaV1.2, CACNL1A1)
需要更深入的分析?Noah AI 可解释复杂机制并与同类药物比较。

治疗适应症

(S)-amlodipine + (S)-atenolol 针对 2 个适应症,涉及 2 个治疗领域。

治疗领域疾病/病症分期
Cardiac disordersAngina pectoris✓ Approved
Vascular disordersHypertension✓ Approved

相关研究文献

PubMedInternational journal of biological macromolecules2026-07-27

Functional role of the diadenylate cyclase gene cdaA in stress responses of the dairy starter Streptococcus thermophilus.

Fan Yizhou Y, Liu Xinxin X, Song Xin X, Wang Guangqiang G et al.

Streptococcus thermophilus is a key dairy starter culture widely used in the production of yogurt and cheese, where its robustness in stress adaptation and growth performance is critical for industrial fermentation efficiency. Cyclic di-AMP (c-di-AMP) is a key second messenger involved in regulating osmotic homeostasis and stress adaptation in bacteria. However, the role of c-di-AMP in S. thermophilus remains unexplored. Here, cdaA, encoding a diadenylate cyclase containing a conserved DisA_N domain responsible for c-di-AMP synthesis, was identified in S. thermophilus S-3 through bioinformatic analysis and validated by LC-MS/MS. The cdaA gene knockout strain, S-3ΔcdaA, was unable to synthesize c-di-AMP and exhibited a markedly shortened lag phase. Stress response assays revealed that S-3ΔcdaA was sensitive to osmotic and ethanol stress, indicating that cdaA is essential for stress tolerance. Specifically, S-3ΔcdaA showed almost no growth in chemically defined medium (CDM) supplemented with 300 mM potassium or sodium chloride, whereas the wild-type S-3 reached OD600 values of 0.72 and 0.52, respectively. Under 5% ethanol stress, the specific growth rate of S-3ΔcdaA dropped significantly to 0.35 relative to S-3 compared to 1.10 in CDM medium alone. Interestingly, S-3ΔcdaA retained the ability to grow under 0.01% oxgall stress, reaching an OD600 of 0.83, while growth of S-3 was completely abolished. It suggested that absence of cdaA confers a survival advantage under bile salt stress. Taken together, these results showed that cdaA is critical for osmotic and ethanol tolerance but negatively modulates bile salt resistance in S. thermophilus.

PMID 42503376
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PubMedDentistry journal2026-07-27

Quantitative Assessment of Primary Colonizer Adhesion on Different Resin-Based Restorative Materials Using SYBR Green qPCR.

Schmitz Lea Aylin LA, Parkhoo Kamelia K, Heitkamp Stefan S, Romanos Georgios E GE et al.

Background/Objectives: The aim of this study was to investigate primary colonizers adhering to the oral biofilm on five adhesive restorative materials. Methods: For each material (Admira Fusion, Clearfil AP-X, Durafill VS, Filtek Supreme XTE, and Venus Diamond), sixteen test specimens were prepared according to a standardized protocol. For pellicle formation, the specimens were incubated for two hours at 37 °C with sterile-filtered inactivated human saliva. The bacteria (Streptococcus oralis (S. oralis), Streptococcus gordonii (S. gordonii), Streptococcus sanguinis (S. sanguinis), Streptococcus mitis (S. mitis), and Actinomyces naeslundii (A. naeslundii)) were cultivated and suspended. A bacteria mix was prepared from the suspensions. The specimens with pellicles were wetted with the bacterial mix and incubated at 37 °C for 8 h. The total genomic DNA of the adhered bacteria was isolated and subsequently quantified using SYBR Green qPCR. Results: For S. gordonii, S. oralis, and A. spp., no significant differences in the amount of adhered bacterial DNA were found between the different materials. S. mitis DNA concentration was significantly higher on Filtek Supreme XTE compared to the other materials. Significantly higher DNA concentrations of S. sanguinis could also be detected on Filtek Supreme XTE compared to Clearfil AP-AX and Durafill VS. Conclusions: The investigated restorative materials showed species-specific differences in bacterial adhesion, with Filtek Supreme XTE exhibiting higher adhesion of S. mitis and S. sanguinis, whereas no differences were observed for the other tested species.

PMID 42505696
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PubMedMikrochimica acta2026-07-27

DNA tetrahedrons based DNA microcapsules for sensitive fluorescence sensing of Staphylococcus aureus.

Li Zongbing Z, Cui Yanyang Y, Pan Zhouqi Z, Feng Qiumei Q et al.

A sensitive fluorescence (FL) biosensor was developed for the detection of Staphylococcus aureus (S. aureus) using DNA tetrahedrons (DTNs) based stimuli-responsive DNA microcapsules. FAM-labeled DTNs were initially encapsulated within the inner pores of DNA microcapsules. Owing to the physical shielding effect of the DNA shell, no FL signal was detected, maintaining the biosensor in a "fluorescence off" state. Upon exposure to S. aureus, the aptamer specifically bound to the target bacteria, triggering the disassembly of the DTN-loaded DNA microcapsules. This led to the controlled release of FAM-labeled DTNs and the subsequent recovery of the FL signal. Based on this, sensitive and specific detection of S. aureus was achieved with a detection limit of 0.36 CFU∙mL- 1. Moreover, satisfactory results were obtained for S. aureus detection in spinach leaves, milk and human serum, demonstrating that the proposed sensing system held promising application prospects for the detection of S. aureus in food and related complex matrices.

PMID 42506997
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PubMedPlant physiology2026-07-27

Methionine overaccumulation reinforces heterochromatic non-CG hypermethylation and transposon silencing in Arabidopsis.

Yerushalmy Yonatan Y, Lieberman-Lazarovich Michal M, Mohanty Devasantosh D, Mittler Ron R et al.

Methionine is a key sulfur-containing amino acid and the precursor of S-adenosylmethionine, the universal methyl donor for DNA and histone methylation. While reduced S-adenosylmethionine availability is known to cause DNA hypomethylation, the effects of elevated methionine/S-adenosylmethionine remain poorly understood. Here, we addressed the effect of elevated methionine using the mto1 mutant of Arabidopsis thaliana, which over-accumulates methionine and S-adenosylmethionine due to a mutation in cystathionine γ-synthase, the first committed enzyme of methionine biosynthesis. Whole-genome bisulfite sequencing analysis revealed widespread hypermethylation in mto1, particularly in non-CG contexts (CHG and CHH), with the strongest changes found in pericentromeric heterochromatin. Hypermethylation was concentrated within transposable elements (TEs), especially from the Gypsy and Copia superfamilies. Transcriptome profiling showed that TE-genes were broadly downregulated, consistent with reinforced TE silencing due to hypermethylation. When the expression level of ONSEN (copia 78) was examined under heat stress, it was found to be significantly lower than in the wild type. In addition, compared to wild type, mto1 showed significantly greater reactive oxygen species accumulation. These findings suggest a link between elevated methionine levels and altered stress responses. Despite the observed epigenetic changes, the expression of core DNA methyltransferases and demethylases genes was essentially unchanged, suggesting that increased S-adenosylmethionine availability enhances enzymatic activity rather than gene expression. Together, these findings demonstrate that an excess of methionine/S-adenosylmethionine reinforces heterochromatic DNA methylation and transposon silencing, providing new insights into the connection between amino acid metabolism and epigenetic regulation in plants.

PMID 42506985
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PubMedJournal of clinical microbiology2026-07-27

Clinical implications of a single Staphylococcus lugdunensis-positive blood culture: true bacteremia vs. contamination.

Yogo A A, Krishnan J J, Lewin G R GR, Hojat L S LS et al.

Staphylococcus lugdunensis is a common skin commensal. However, S. lugdunensis found in multiple blood culture sets is concerning for life-threatening bacteremia. When a single set is positive, the National Healthcare Safety Network classifies S. lugdunensis as a common commensal (contaminant), while multiple publications found bacteremia and suggested an Infectious Diseases (ID) consultation. Here, a retrospective review spanning 9 years at a large health system evaluated the clinical significance of a single-positive S. lugdunensis blood culture when multiple cultures were collected. S. lugdunensis was found in blood cultures from 137 patients, who were stratified into single (n = 46) and multiple (n = 91) set-positive groups. The single-positive group was more likely to be deemed contaminants by clinicians, less likely to have a diagnosis of endocarditis or catheter-related bloodstream infection, and less likely to have an intravascular device (P < 0.01). Treatment occurrence and duration were also statistically different (P < 0.01). Single-positive cultures were statistically more likely to be polymicrobial (P = 0.04). Additionally, each case was reclassified as significant bacteremia, indeterminate bacteremia, or contamination using the Souvenir criteria. In single-positive cultures, significant bacteremia occurred less often (12.1% vs. 43.5%, P < 0.01), while contamination was more common (81.3% vs. 32.6%, P < 0.01). Of note, nearly all significant bacteremia cases involved an intravascular device (96.8%). Taken together, these findings suggest single-positive S. lugdunensis blood cultures are often contaminants, but certain clinical features, including intravascular devices, strongly predict bacteremia. A single-positive blood culture set with Staphylococcus lugdunensis can be difficult to distinguish between contamination and bacteremia. Conflicting clinical guidance has added to the confusion and emphasizes the need for additional studies. Our results suggest a single-positive S. lugdunensis blood culture set often reflects contamination and polymicrobial cultures, whereas multiple-positive sets strongly predict significant bacteremia. We also identified predictors of significant bacteremia, such as the presence of an intravascular device, emphasizing the need to incorporate additional metrics into clinical decision-making algorithms. Our findings underscore the role of clinical judgment when S. lugdunensis is recovered from a blood culture. Taken together, the proposed practice for the microbiology laboratory is to include a contamination comment on the report of a single-positive S. lugdunensis blood culture set and to recommend an infectious disease consultation for clinical adjudication.

PMID 42506932
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PubMedJournal of medical virology2026-07-27

SARS-CoV-2 mRNA Vaccination Induces Neutralizing Antibodies and Type I IFN Changes in People Living With HIV.

Frasca Federica F, Maddaloni Luca L, D'Auria Alessandra A, Fracella Matteo M et al.

This study examined changes in anti-Spike (anti-S) antibodies (Abs) and type I interferon (IFN-I) following the BNT162b2 vaccine in people living with HIV (PLWH) and analyzed the impact of demographic and immunological factors. In total, 75 PLWH and 28 healthy donors were followed at baseline (T0), at the second dose (T1), after the second dose (T2), and more than 1 year later (T3). Anti-S Abs were assessed by chemiluminescence and vesicular stomatitis virus (VSV)-based pseudo virus-neutralization assay, while IFN-α2, IFN-β, and IFN-ω mRNA levels were measured by RT-Real Time PCR. PLWH showed an increase in anti-S Immunoglobulin G (IgG) levels comparable to healthy donors (p < 0.001) and an induction of anti-S neutralizing Abs (p < 0.014 for T2 vs. T3). Age, gender, CD4+ T cell count, exposure to combined antiretroviral therapy (cART) and IFN-I levels at T0 did not affect the anti-S IgG production. IFN-I gene expression showed temporal changes, with a decrease at T2 (p < 0.01) and a subsequent increase at T3 (p < 0.001, for IFN-α2 and IFN-ω). A multivariable model revealed no overall change in the IFN-I response over time, except for IFN-β, which was lower at T3 than at T1 (p = 0.032). CD4+ T cell count was positively correlated with the IFN-I response (p < 0.05). These results suggest that mRNA vaccination can elicit an effective anti-S response and modulate the IFN-β gene expression in PLWH, with CD4+ T cell count being a key determinant of vaccine-induced changes in IFN.

PMID 42504161
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