|
1
|
Woodfin S, Hall S, Ramerth A, Chapple B, Fausnacht D, Moore W, Alkhalidy H, Liu D. Potential Application of Plant-Derived Compounds in Multiple Sclerosis Management. Nutrients 2024; 16:2996. [PMID: 39275311 PMCID: PMC11397714 DOI: 10.3390/nu16172996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2024] [Revised: 08/23/2024] [Accepted: 08/29/2024] [Indexed: 09/16/2024] Open
Abstract
Multiple sclerosis (MS) is a chronic autoimmune disorder characterized by inflammation, demyelination, and neurodegeneration, resulting in significant disability and reduced quality of life. Current therapeutic strategies primarily target immune dysregulation, but limitations in efficacy and tolerability highlight the need for alternative treatments. Plant-derived compounds, including alkaloids, phenylpropanoids, and terpenoids, have demonstrated anti-inflammatory effects in both preclinical and clinical studies. By modulating immune responses and promoting neuroregeneration, these compounds offer potential as novel adjunctive therapies for MS. This review provides insights into the molecular and cellular basis of MS pathogenesis, emphasizing the role of inflammation in disease progression. It critically evaluates emerging evidence supporting the use of plant-derived compounds to attenuate inflammation and MS symptomology. In addition, we provide a comprehensive source of information detailing the known mechanisms of action and assessing the clinical potential of plant-derived compounds in the context of MS pathogenesis, with a focus on their anti-inflammatory and neuroprotective properties.
Collapse
Affiliation(s)
- Seth Woodfin
- Department of Biology and Chemistry, School of Health Sciences, Liberty University, Lynchburg, VA 24515, USA
| | - Sierra Hall
- Department of Biology and Chemistry, School of Health Sciences, Liberty University, Lynchburg, VA 24515, USA
| | - Alexis Ramerth
- Department of Biology and Chemistry, School of Health Sciences, Liberty University, Lynchburg, VA 24515, USA
| | - Brooke Chapple
- Department of Biology and Chemistry, School of Health Sciences, Liberty University, Lynchburg, VA 24515, USA
| | - Dane Fausnacht
- Department of Biology, School of Sciences and Agriculture, Ferrum College, Ferrum, VA 24088, USA
| | - William Moore
- Department of Biology and Chemistry, School of Health Sciences, Liberty University, Lynchburg, VA 24515, USA
| | - Hana Alkhalidy
- Department of Human Nutrition, Foods and Exercise, College of Agriculture and Life Sciences, Virginia Tech, Blacksburg, VA 24061, USA
- Department of Nutrition and Food Technology, Faculty of Agriculture, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan
| | - Dongmin Liu
- Department of Human Nutrition, Foods and Exercise, College of Agriculture and Life Sciences, Virginia Tech, Blacksburg, VA 24061, USA
| |
Collapse
|
|
2
|
Yadav SK, Hussein G, Liu B, Vojjala N, Warsame M, El Labban M, Rauf I, Hassan M, Zareen T, Usama SM, Zhang Y, Jain SM, Surani SR, Devulapally P, Bartlett B, Khan SA, Jain NK. A Contemporary Review of Blood Transfusion in Critically Ill Patients. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:1247. [PMID: 39202529 PMCID: PMC11356114 DOI: 10.3390/medicina60081247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/20/2024] [Revised: 07/10/2024] [Accepted: 07/25/2024] [Indexed: 09/03/2024]
Abstract
Blood transfusion is a common therapeutic intervention in hospitalized patients. There are numerous indications for transfusion, including anemia and coagulopathy with deficiency of single or multiple coagulation components such as platelets or coagulation factors. Nevertheless, the practice of transfusion in critically ill patients has been controversial mainly due to a lack of evidence and the need to consider the appropriate clinical context for transfusion. Further, transfusion carries many risk factors that must be balanced with benefits. Therefore, transfusion practice in ICU patients has constantly evolved, and we endeavor to present a contemporary review of transfusion practices in this population guided by clinical trials and expert guidelines.
Collapse
Affiliation(s)
- Sumeet K. Yadav
- Department of Hospital Internal Medicine, Mayo Clinic Health System, 1025 Marsh Street, Mankato, MN 56001, USA; (S.K.Y.); (G.H.); (B.L.); (M.W.); (M.H.)
| | - Guleid Hussein
- Department of Hospital Internal Medicine, Mayo Clinic Health System, 1025 Marsh Street, Mankato, MN 56001, USA; (S.K.Y.); (G.H.); (B.L.); (M.W.); (M.H.)
| | - Bolun Liu
- Department of Hospital Internal Medicine, Mayo Clinic Health System, 1025 Marsh Street, Mankato, MN 56001, USA; (S.K.Y.); (G.H.); (B.L.); (M.W.); (M.H.)
| | - Nikhil Vojjala
- Department of Internal Medicine, Trinity Health Oakland/Wayne State University, Pontiac, MI 48341, USA;
| | - Mohamed Warsame
- Department of Hospital Internal Medicine, Mayo Clinic Health System, 1025 Marsh Street, Mankato, MN 56001, USA; (S.K.Y.); (G.H.); (B.L.); (M.W.); (M.H.)
| | - Mohamad El Labban
- Department of Internal Medicine, Mayo Clinic Health System, 1025 Marsh Street, Mankato, MN 56001, USA;
| | - Ibtisam Rauf
- St. George’s University School of Medicine, St. George SW17 0RE, Grenada; (I.R.); (T.Z.)
| | - Mohamed Hassan
- Department of Hospital Internal Medicine, Mayo Clinic Health System, 1025 Marsh Street, Mankato, MN 56001, USA; (S.K.Y.); (G.H.); (B.L.); (M.W.); (M.H.)
| | - Tashfia Zareen
- St. George’s University School of Medicine, St. George SW17 0RE, Grenada; (I.R.); (T.Z.)
| | - Syed Muhammad Usama
- Department of Internal Medicine, Nazareth Hospital, Philadelphia, PA 19152, USA;
| | - Yaqi Zhang
- Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA;
| | - Shika M. Jain
- Department of Internal Medicine, MVJ Medical College and Research Hospital, Bengaluru 562 114, India;
| | - Salim R. Surani
- Department of Medicine and Pharmacology, Texas A&M University, College Station, TX 79016, USA
| | - Pavan Devulapally
- South Texas Renal Care Group, Department of Nephrology, Christus Santa Rosa, Methodist Hospital, San Antonio, TX 78229, USA;
| | - Brian Bartlett
- Department of Emergency Medicine, Mayo Clinic health System, 1025 Marsh Street, MN 56001, USA;
| | - Syed Anjum Khan
- Department of Critical Care Medicine, Mayo Clinic Health System, 1025 Marsh Street, Mankato, MN 56001, USA;
| | - Nitesh Kumar Jain
- Department of Critical Care Medicine, Mayo Clinic Health System, 1025 Marsh Street, Mankato, MN 56001, USA;
| |
Collapse
|