Drug Database
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zolpidem tartrate (Stilnox CR / FK199B / Stilnoxium)

✓ Approved

Astellas Pharma · GABRA1 · 小分子

什么是 zolpidem tartrate?

zolpidem tartrate 是一种小分子,由Astellas Pharma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

商品名Stilnox CR, FK199B, Stilnoxium
公司Astellas Pharma
药物类别小分子
分子靶点GABRA1
给药途径Oral (PO)
状态Approved

作用机制

分子靶点

zolpidem tartrate 作用于 1 个分子靶点:

GABRA1gamma-aminobutyric acid type A receptor alpha1 subunit (DEE19, ECA4)
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

zolpidem tartrate 针对 1 个适应症,涉及 1 个治疗领域。

治疗领域疾病/病症分期
Psychiatric disordersInsomnia✓ Approved

相关研究文献

PubMedImmunology2026-07-27

Methionine Regulates Antitumour Function of CD8+ T Cells Through Polyamine Synthesis.

Zhao Tian T, Carleton Gillian A GA, Preshaw Sam S, MacPherson Sarah S et al.

Methionine is an essential amino acid critical for T cell activation. While methionine restriction (MR) combined with immune checkpoint blockade has been shown to enhance T cell function, the impact of methionine on adoptive T cell therapies remains unknown. Here, we examined the functionality of T cells under MR and pharmaceutical inhibition of the methionine cycle (MAT2Ai), using primary T cells and a murine adoptive T cell therapy model. In vitro, transient MR or MAT2Ai treatment increased interferon gamma (IFNγ) expression in CD8+ T cells, whereas sustained MR led to the upregulation of T cell exhaustion-associated markers. Mechanistically, transient MR suppressed the polyamine synthesis pathway, and supplementation with polyamines reversed MR-induced IFNγ expression. Genetic ablation of S-adenosylmethionine decarboxylase, an enzyme involved in the polyamine synthesis pathway, recapitulated the effect of MR, indicating that transient MR enhances T cell function by inhibiting polyamine synthesis. Despite this, transient MR treatment of ovalbumin (OVA)-specific (OT-I) CD8+ T cells prior to adoptive transfer did not improve antitumour efficacy against EG7-OVA tumours in vivo. In contrast, sustained dietary MR accelerated EG7-OVA tumour growth in mice treated with OT-I T cells, demonstrating that methionine availability is essential for the activity of donor T cells. Importantly, sustained dietary MR promoted terminally exhausted phenotype in tumour-infiltrating donor CD8+ T cells, but not in host T cells. These findings suggest that enhancing methionine availability in the tumour microenvironment may improve the efficacy of adoptive T cell therapies.

PMID 42503479
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PubMedBiomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia2026-07-27

Independent causal effect of α, β, and γ crystallin on cataract: A Mendelian randomization study.

Li Xin X, Xu Ling-Li LL, Cheng Jian J, Hu Qi-Di QD

This study aimed to explore the independent causal relationship between three types of crystallin proteins (α, β, and γ) and risk of cataract, using single nucleotide polymorphisms (SNPs) as instrumental variables for α, β, γ crystallin through Mendelian randomization (MR) analysis. Genetic instruments associated with α, β, γ crystallin levels and cataract were obtained from the IEU Open GWAS Project (GWAS IDs: prot-a-673, prot-a-674, prot-a-675, and ukb-d-20002_1278). Two-sample MR analyses were conducted using five different MR algorithms containing MR-Egger, inverse variance weighted (IVW), Weighted median, Simple mode, and MR-PRESSO. The MR analysis revealed a significant causal relationship between α crystallin level and the risk of cataract [odds ratio (OR)IVW = 0.9989, 95% CI 0.9978~0.9999; ORMR-PRESSO= 0.9988, 95% CI 0.9978~0.9999]. Conversely, no significant causal relationship was found between β or γ crystallin and the risk of cataract. The occurrence of cataract may be potentially linked to abnormal levels of α crystallin, suggesting that monitoring and managing these levels could be crucial in understanding and potentially mitigating the risk of cataract.

PMID 42503628
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PubMedThe Journal of asthma : official journal of the Association for the Care of Asthma2026-07-27

Genetically predicted gut microbiota and risk of pediatric asthma and food allergy in East Asian populations: a two-sample Mendelian randomization study.

Han Zaimeng Z, Zang Caihong C, Zhang Chunjuan C, Di Wanpeng W et al.

To investigate the genetically predicted associations between gut microbiota composition and the risk of pediatric asthma and food allergy in East Asian populations using a bidirectional two-sample Mendelian randomization (MR) approach. We performed bidirectional two-sample MR analyses using summary-level genome-wide association study (GWAS) data. Genetic instruments for 500 gut microbial taxa were obtained from the 4D-SZ cohort, which included 3,432 Chinese individuals who underwent whole-metagenome shotgun sequencing. Outcome GWAS summary statistics for pediatric asthma (547 cases and 161,803 controls; GCST90018675) and food allergy (3,777 cases and 165,939 controls; GCST90018625) were derived from the Biobank Japan project. All participants were of East Asian ancestry. The primary MR analysis was conducted using the inverse-variance weighted (IVW) method, with MR-Egger, weighted median, and weighted mode analyses used as complementary approaches. Sensitivity analyses included Cochran's Q test for heterogeneity, the MR-Egger intercept test for horizontal pleiotropy, and MR-PRESSO for outlier detection. The IVW analysis identified nine gut microbial taxa with nominally significant associations with pediatric asthma risk (p < 0.05). Among them, Subdoligranulum showed a suggestive protective association (OR = 0.91, 95% CI: 0.83-0.99), whereas Solobacterium showed a suggestive risk association (OR = 1.08, 95% CI: 1.00-1.16). For food allergy, eighteen taxa were nominally associated with disease risk (p < 0.05). Bacteroides helcogenes showed a suggestive protective association (OR = 0.96, 95% CI: 0.94-0.98), whereas Alistipes shahii showed a suggestive risk association (OR = 1.03, 95% CI: 1.00-1.05). Sensitivity analyses yielded generally consistent results. Reverse MR analyses did not identify significant genetically predicted effects of pediatric asthma or food allergy on gut microbiota composition. This exploratory MR study provides suggestive evidence that specific gut microbial taxa may be associated with pediatric asthma and food allergy in East Asian populations. These findings offer preliminary support for the role of the gut microbiota in allergic diseases and underscore the importance of population-specific research. Further large-scale studies with stricter multiple-testing correction are needed to validate these associations.

PMID 42506917
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PubMedBehavioural brain research2026-07-27

Decoding Anxiety: Plasma Lipids and Proteins as Causal Agents.

He Jiahui J, Zhang Zehan Z, Wang Yanan Y, Chen Simin S et al.

Anxiety disorders represent a major psychiatric burden, yet their molecular underpinnings remain poorly understood. While observational studies have linked circulating lipids and proteins to mental health, causal inference is hampered by confounding and reverse causation. Here, we leveraged two-sample Mendelian randomization (MR) to systematically evaluate the causal effects of 179 plasma lipid species and 4,907 plasma proteins on anxiety disorders, using two large-scale independent GWAS datasets for replication. Significant findings from the primary inverse variance weighted analysis were validated using Bayesian Weighted MR and MR Robust Adjusted Profile Score methods to mitigate potential pleiotropy. Sensitivity analyses and reverse MR assessed robustness and directionality. Mediation analyses further explored whether protein signatures mediate lipid-anxiety associations. We identified three lipids with robust causal effects, with sterol ester (27:1/20:5) consistently conferring a protective effect across both cohorts. Additionally, 31 proteins showed significant causal links to anxiety. Notably, the protective effect of sterol ester (27:1/20:5) was partially mediated by the upregulation of SERPINA4 and ICT1, both of which exhibited protective associations. Our findings provide genetic evidence for causal roles of the plasma lipidome and proteome in anxiety disorders, and unveil a specific lipid-protein-anxiety pathway that may offer novel biomarkers and therapeutic targets. These results underscore the value of integrating multi-omic MR to dissect psychiatric disease mechanisms.

PMID 42503400
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PubMedCurrent oncology (Toronto, Ont.)2026-07-27

Transition from Oncologist- to Therapist-Led MRI-Guided Ultra-Hypofractionated Adaptive Prostate Radiation Therapy: Evaluation of Early Clinical Outcomes.

Moreira Amanda A, Rosewall Tara T, Dang Jennifer J, Kim Aran A et al.

MR-guided adaptive radiotherapy (ART) enables daily plan optimization for prostate cancer but is resource-intensive. This study evaluated dosimetric and clinical outcomes following transition from radiation oncologist (RO)-led to radiation therapist (RTT)-led MR-guided ART. All prostate cancer patients treated with MR-guided ART on a 1.5T MR-linac were retrospectively reviewed. Consecutive RO-led (September 2019-November 2021) and RTT-led (April 2022-October 2023) cohorts were compared, excluding the actual transition period. Toxicities (CTCAE v5.0), dose-volume metrics from daily adapted plans, target volume variation, and biochemical recurrence-free survival (BRFS) were analyzed. A total of 166 patients were included (78 RO-led, 88 RTT-led; median follow-up 40 and 35 months). Dosimetric differences between the cohorts were statistically small (<1%). Rates of G2+ GI adverse events were similar across all timepoints. An increase in on-treatment GU events was observed in the RTT-led cohort (G2+ 27% vs. 9%, G3 incidence n = 2 vs. n = 0), likely reflecting higher baseline urinary dysfunction; no post-treatment differences persisted. Early biochemical outcomes were comparable, with 36-month BRFS of 93.5% (RO-led) and 95.0% (RTT-led). RTT-led MR-guided ART achieved comparable dosimetric quality and early biochemical outcomes to RO-led workflows with adverse advents that resolved in the long term. With structured training and a mature practice setting, RTT-led ART represents a scalable model to support future adaptive radiotherapy practice.

PMID 42505200
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PubMedAngewandte Chemie (International ed. in English)2026-07-27

One Molecular Platform, Three Distinct Narrowband Organoboron TADF Emitters: A Divergent One-Pot Strategy From Green to Red.

Lee Jun Hyeon JH, Yang Minlang M, Yasuda Takuma T

Multi-resonance thermally activated delayed fluorescence (MR-TADF) emitters enable narrowband electroluminescence with exceptional color purity in organic light-emitting diodes (OLEDs). However, extending emission to longer wavelengths, particularly into the red region, while preserving spectral sharpness remains challenging. Here, we report a divergent one-pot borylation strategy that transforms a single 5,11-dihydroindolo[3,2-b]carbazole platform into three structurally distinct organoboron MR-TADF emitters spanning green to red. This approach harnesses competing mono- and double-borylation pathways that coexist under the reaction conditions to generate multiple emitters in a single operation. The resulting MR-TADF emitters (BN-G, BN-Y, and BN-R) exhibit ultranarrow green, yellow, and red photoluminescence with full widths at half maximum below 25 nm and near-unity quantum yields (96%-100%) in doped films. OLEDs based on these emitters achieve maximum external quantum efficiencies of up to 35.3%, with emission maxima spanning 516-601 nm. This study establishes a unified design strategy for generating multiple high-performance MR-TADF emitters from a single precursor, providing a versatile platform for the development of color-tunable narrowband optoelectronic materials.

PMID 42504959
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