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State of art in chelating agents for the clinical treatment of metal poisoning

机译:金属中毒临床治疗螯合剂的艺术状态

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Metal chelators have been largely used since the fifties of last century in the therapy of acute and chronic metalintoxication. In recent years their use has been extended to the treatment of social relevant diseases as cancer,diabetes, and neurodegeneration. This increase of new indications for chelating agents contrasts with the inadequacyof number and kind of existing drugs: the availability of a variety of chelators for a given toxic metal iongives to the clinicians the possibility of properly modulating the therapy according to the problems of the patientas well as to the severity of intoxication. Till nowadays the considerable effort of the scientific community has insome instance given limited and poor results. This failure can be ascribed to difficulties inherent to the biological,chemical and clinical restraints, and above all to two main causes: the low incidence of some kind of intoxicationsprevents expensive researches by pharma-industries, and the scarce interaction between chemical and biomedicalresearchers leads to a wasting of efforts and resources. The present trend of sharing different expertises will leadto achieve the target of ameliorating the pertinent treatment for any metal intoxication.
机译:自上世纪五十年代以来,金属螯合剂已在很大程度上使用了急性和慢性金属膜的治疗。近年来,他们的使用已经扩展到癌症,糖尿病和神经变性的社会相关疾病的治疗。这种螯合剂的新适应症的增加与现有药物的数量和种类的不足:各种螯合剂的可用性用于给定的有毒金属离子,对临床医生进行适当调节治疗的可能性良好的问题关于醉酒的严重程度。直到现在,科学界的相当大努力具有有限且结果差的案例。这种失败可以归因于生物学,化学和临床限制的困难,最重要的是两个主要原因:某种毒理的低发生率,药物行业的昂贵研究,化学和生物医学的研究人员之间的稀缺相互作用导致浪费努力和资源。共享不同专业的目前的趋势将导致实现改善任何金属中毒相关治疗的目标。

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