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is acknowledged as an essential contributor to global disease burden, particularly with the emergence of methicillin-resistant (MRSA) and vancomycin-resistant (VRSA) strains. This study employs a systematic computational and experimental strategy to screen and validate FDA-approved drugs to target Sortase A, an essential enzyme involved in MRSA virulence. Herein, we have identified six molecules exhibiting antimicrobial potency against MRSA and reduced biofilm formation. Among the hits obtained, prochlorperazine dimaleate showed potent activity against MRSA while proving non-cytotoxic to hepatocellular Carcinoma (HepG2) cells at inhibitory concentration. Further, it also disrupts the membrane potential and creates pores inside the membrane of MRSA. thigh infection studies in mice showed that prochlorperazine dimaleate successfully reduced the MRSA infection load. Taken together, we herein report that prochlorperazine dimaleate attenuated the pathogenicity of thus reducing MRSA infection by directly targeting Sortase A. Therefore, prochlorperazine dimaleate can be utilized as an adjuvant therapy for treating MRSA infection.
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http://dx.doi.org/10.1039/d5ra01781e | DOI Listing |
J Appl Toxicol
August 2025
Department of Toxicology, Hoshi University School of Pharmacy and Pharmaceutical Sciences, Tokyo, Japan.
Typical prescribed opioids are known to inhibit intestinal transit and induce emesis-like behaviors in animals via distinct mechanisms and varying magnitudes. However, there is limited evidence regarding whether atypical opioids also produce these adverse effects in animals. This study was designed to investigate whether tramadol, its active metabolite O-desmethyltramadol (M1), and methadone cause such side effects and to elucidate their underlying mechanisms.
View Article and Find Full Text PDFCardiovasc Drugs Ther
August 2025
Department of Cardiology, Detroit Medical Center, Detroit, MI, USA.
Selective 5-hydroxytryptamine type 3 (5-HT3) receptor antagonists are widely used for managing chemotherapy-induced, post-operative, and radiation-induced nausea and vomiting. The 5-HT3 receptor, a ligand-gated ion channel in the nervous system, regulates vomiting and gastrointestinal motility. Selective antagonists like ondansetron, granisetron, and tropisetron treat chemotherapy and post-surgical nausea, while non-selective antagonists include metoclopramide and prochlorperazine.
View Article and Find Full Text PDFPLoS One
August 2025
Lentis Research, Lentis Mental Health Institute, Groningen, The Netherlands.
Introduction: Sexual dysfunctions are a challenging side effect associated with antipsychotic treatment. This protocol outlines a systematic review and meta-analysis to assess the prevalence of overall sexual dysfunction, as well as the specific phases of sexual function affected by antipsychotic medications. Additionally, the analysis will explore the relationship between prolactin levels and sexual dysfunction.
View Article and Find Full Text PDFAnn Emerg Med
August 2025
Department of Emergency Medicine, Stony Brook University, Stony Brook, NY.
Objectives: We conducted a systematic review and Bayesian network meta-analysis to identify the most effective and safest therapies for nausea/emesis in adult patients presenting to the emergency department (ED).
Methods: We searched PubMed, Embase, Cumulated Index to Nursing and Allied Health Literature, and Web of Science from inception to November 22, 2023. Eligible studies were randomized controlled trials in adult participants presenting to ED with nausea or emesis and compared one pharmacologic therapy with another or placebo.
Front Pediatr
July 2025
Institute for Maternal and Child Health, IRCCS Burlo Garofolo, Trieste, Italy.
Migraine is a prevalent condition in children and adolescents, often presenting with severe symptoms that prompt visits to the emergency department (ED). This study aim was to evaluate which is the best approach for treating acute severe migraine in a pediatric ED setting by reviewing randomized controlled trials (RCTs). A systematic literature search was performed and identified 169 articles, of which six met the inclusion criteria, focusing on pediatric patients treated in the ED.
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