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A novel series of 1,3,5‑trioxazatriquinane with multiple effective residues (TriMER) derivatives with amino-methylene side chains was designed and synthesized based on the docking-simulation results between orexin receptors (OXRs) and TriMER-type OXR antagonists. In vitro screening against orexin receptors identified six TriMER derivatives with a cis side-chain configuration, and, among these, 20d and 28d showed full agonist activity against OXR at a concentration of 10 µM. To determine the absolute stereochemistry of these hit compounds, we also conducted the first asymmetric synthesis of a 1,3,5‑trioxazatriquinane skeleton using a Katsuki-Sharpless asymmetric epoxidation as the key reaction and obtained a set of the individual stereoisomers. After evaluating their activity, (+)-20d (EC = 3.87 μM for OXR) and (+)-28d (EC = 1.62 μM for OXR) were determined as eutomers for OXR agonist activity. Our results provide a new class of skeleton consisting of an (R)-1,3,5‑trioxazatriquinane core with flexible methylene linkers and hydrophobic substituents at the terminals of the side chains via carbamates/sulfonamides as OXR agonists.
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http://dx.doi.org/10.1016/j.bmcl.2023.129151 | DOI Listing |
JBJS Rev
September 2025
Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, Illinois.
» Posterior shoulder instability (PSI) constitutes approximately 10% of all shoulder instability cases and is prevalent among contact sport athletes because of recurrent blunt trauma to the shoulder.» PSI presents as persistent pain and can be diagnosed using clinical tests such as the Kim test and the Jerk test.» Surgical intervention is recommended for athletes who have exhausted nonoperative treatment.
View Article and Find Full Text PDFJBJS Rev
September 2025
Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri.
» Kim's lesion of the shoulder is characterized by incomplete tearing of the junction between the posteroinferior labrum and the glenoid, with the superficial labral tissue remaining intact, and generally requires arthroscopic evaluation for accurate confirmation.» Kim's lesion represents an under-reported subtype of posterior labral injury and a source of activity-related posterior shoulder discomfort and instability.» Kim's lesions are frequently observed in young, active individuals involved in overhead and contact sports, often resulting from traumatic mechanisms with the shoulder in flexion and adduction, as well as from repetitive microtrauma and overuse.
View Article and Find Full Text PDFPLoS One
September 2025
Orthopaedics, Hebei Medical University Third Hospital, Shijiazhuang, China.
Enoxaparin sodium (ES), a low molecular weight heparin derivative, has recently been recognized for its diverse biological activities. In particular, the ability of heparin to modulate inflammation has been utilized to enhance the biocompatibility of bone implant materials. In this study, we utilized poly (methyl methacrylate) (PMMA), a drug loading bone implant material, as a matrix and combined this with enoxaparin sodium (ES) to create enoxaparin sodium PMMA cement (ES-PMMA) to investigate the regulatory effects of ES on inflammatory responses in bone tissue from an animal model.
View Article and Find Full Text PDFPLoS One
September 2025
Sports and Exercise Medicine, Queen Mary University London, London, United Kingdom.
Background: Single-leg stance requires pelvic stability, largely supported by the hip abductors. Differences in hip abductor activation between sexes and individuals with or without musculoskeletal conditions may relate to abductor weakness. However, the relationship between hip abduction strength and muscle activation during stance, and whether this is moderated by sex, remains unclear.
View Article and Find Full Text PDFJ Vis Exp
August 2025
Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University;
Posterior lumbar screw fixation is the most common surgical method for lumbar disc herniation, but patients often face multiple complications postoperatively. The occurrence of screw track loosening can lead to fusion failure and even life-threatening screw track extrusion. However, there is currently a lack of animal models specifically targeting changes in the screw track following lumbar screw fixation.
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