Drug Database
RA

rat nerve growth factor (Nobex)

✓ Approved

Sinobioway Biomedicine · NGFR

What is rat nerve growth factor?

rat nerve growth factor is a therapeutic agent developed by Sinobioway Biomedicine. It is approved for therapeutic indications via injectable (others).

Drug Profile

Brand NamesNobex
CompanySinobioway Biomedicine
Molecular TargetNGFR
RouteInjectable (Others)
StatusApproved

Mechanism of Action

Molecular Targets

rat nerve growth factor acts on 1 molecular target:

NGFRnerve growth factor receptor (Gp80-LNGFR, TNFRSF16)
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Therapeutic Indications

rat nerve growth factor is developed for 1 unique indication across 1 therapeutic area.

Therapeutic AreaConditionPhase
Injury, poisoning and procedural complicationsCranial nerve injury✓ Approved

Related Research Articles

PubMedUgeskrift for laeger2026-10-22

[Sacral nerve modulation for urinary disorders].

Aria Sheida Anvari SA, Andersen Margrethe M, Seifert Rie R, Georgopoulos Petros P et al.

Overactive bladder and non-obstructive urinary retention are highly prevalent urological conditions with substantial impact on patients' quality of life. Following comprehensive clinical evaluation, sacral nerve modulation (SNM) may be considered in patients with insufficient response to first- and second-line therapies. SNM is a minimally invasive, reversible therapy which modulates signaling in the sacral nerve roots restoring bladder and pelvic floor function. The therapy has demonstrated durable efficacy and safety. Optimal outcomes with SNM depend on careful patient selection in a multidisciplinary setting, as argued in this review.

PubMedCancer medicine2026-10-22

Cyclopiane Suppresses Gastric Cancer Invasion and Angiogenesis via the CYR61/αvβ3 Integrin/NF-κB Pathway.

Zhang Yingfeng Y, Tian Hongjun H, Wang Song S, Lin Feng F et al.

Cysteine-rich angiogenic inducer 61 (CYR61), a matricellular protein, has been implicated in gastric cancer aggressiveness through activation of integrin-mediated NF-κB signaling; however, effective pharmacological strategies targeting this axis remain limited. Cyclopiane, a bioactive small-molecule compound, has shown potential anti-tumor activity, but its role and underlying mechanisms in gastric cancer have not been fully elucidated. This study aimed to investigate whether Cyclopiane suppresses gastric cancer invasion and angiogenesis via modulation of the CYR61/αvβ3 integrin/NF-κB signaling pathway. Human gastric cancer cell lines AGS and MKN45 were treated with increasing concentrations of Cyclopiane. Cell viability was assessed using MTT assays, while invasive capacity was evaluated using Matrigel-coated Transwell assays. TUNEL staining was used to assess changes in apoptosis in tumor cells. The expression of invasion-, angiogenesis-, and inflammation-related proteins was analyzed by Western blot (WB) and enzyme-linked immunosorbent assay (ELISA). Transcriptomic profiling of AGS cells treated with Cyclopiane versus vehicle control was performed to identify differentially expressed genes and enriched signaling pathways. CYR61 overexpression was achieved via adeno-associated virus (AAV-CYR61), with its pathway involvement further validated using integrin αvβ3 antagonists. The conventional anticancer drug 5-fluorouracil (5-FU) was employed to compare Cyclopiane's therapeutic effects. In vivo experiments utilized a nude mouse xenograft model to evaluate changes in tumor growth, angiogenesis, and inflammatory responses following Cyclopiane treatment. We found that Cyclopiane significantly reduced cell viability, invasive capacity of AGS and MKN45 cells and promoted apoptosis in a dose-dependent manner, with its high-dose effects comparable to those of 5-FU. Transcriptomic analysis revealed that Cyclopiane downregulated CCN1/CYR61, ITGAV and ITGB3 expression, with pathway enrichment identifying integrin signaling, ECM-receptor interaction, focal adhesion and NF-κB pathways as the top modulated terms. In vivo experiments demonstrated that Cyclopiane significantly inhibited tumor growth and progression. Both in vivo and in vitro studies showed Cyclopiane significantly downregulated vascular endothelial growth factor (VEGF), matrix metalloproteinase-2 (MMP-2), and MMP-9 expression while inhibiting integrin αvβ3 expression and NF-κB activation, as evidenced by reduced phosphorylation levels of p65 and IκBα. Overexpression of CYR61 partially reversed the inhibition of invasion, angiogenic factor production, and NF-κB signaling mediated by Cyclopiane. The αvβ3/αvβ5 integrin antagonist Cilengitide also exhibited tumor-suppressive effects, and the co-treatment of Cyclopiane with Cilengitide achieved the strongest tumor-suppressive effect. These findings suggest that modulation of the CYR61/integrin/NF-κB signaling axis contributes, at least in part, to the anti-invasive and anti-angiogenic effects of Cyclopiane in preclinical gastric cancer models. Further studies are required to establish its molecular target specificity, safety, selectivity, and translational potential.

PubMedCNS neuroscience & therapeutics2026-10-22

Trigeminal Nerve Stimulation for Disorders of Consciousness: A Narrative Review of Potential Mechanisms, Clinical Evidence, and Future Perspectives.

Niu Haodong H, Zhang Yilin Y, Wang Nan N, Chai Xiaoke X et al.

Disorders of consciousness (DoC), including the vegetative state/unresponsive wakefulness syndrome (VS/UWS) and the minimally conscious state (MCS), present a major clinical challenge due to limited therapeutic options. Trigeminal nerve stimulation (TNS) has recently emerged as a promising neuromodulatory intervention. The trigeminal nuclei send efferent fibers to the thalamus and the ascending reticular system, which then broadly innervate multiple brain areas via the ascending reticular activating system (ARAS) through both direct and indirect pathways. Capitalizing on the trigeminal nerve's distinctive anatomy, TNS has been hypothesized to potentially promote consciousness recovery in preclinical models by activating specific pathways, modulating the release of key neurotransmitters (e.g., hypocretin, dopamine, and norepinephrine), and influencing cerebral hemodynamics. Furthermore, randomized controlled trials (RCTs) involving both external TNS (eTNS) and acoustic-electric TNS have highlighted a possible direction for its application as a novel therapy for DoC; the findings appear to suggest potential clinical relevance, although current evidence remains constrained by small samples, patient heterogeneity, variable stimulation protocols, and limited long-term follow-up. The clinical translation of TNS, however, faces pressing obstacles, including uncertainty regarding optimal stimulation targets and parameters, insufficient long-term safety and efficacy data, incompletely elucidated mechanisms of action, and a lack of suitable preclinical models. TNS may represent a promising therapeutic approach for DoC, but further high-quality studies are needed to establish its mechanisms, safety, efficacy, and optimal stimulation strategies.

PubMedBJU international2026-10-22

Intraoperative performance errors predict patient outcomes in robot-assisted radical prostatectomy.

Graefen Markus M, Wiklund Peter P, Brancelli Claudio C, Bunting Brendan P BP et al.

To evaluate the association between objectively assessed intraoperative surgical performance and postoperative functional outcomes following robot-assisted radical prostatectomy (RARP). Prospectively collected data from 100 patients undergoing bilateral nerve-sparing RARP by seven experienced robotic surgeons were analysed. To control for age-related confounding, a subgroup of 66 subjects was selected from the initial cohort using age-matching. These patients, all of whom were preoperatively potent, were identified from an audited outcomes registry with complete video recordings. In all, 14 trained surgeons trained to score the recordings using validated RARP-specific metrics for procedure steps, errors, critical errors, and nerve-sparing phase errors. There were no significant pre- or postoperative differences in demographic or clinical variables between patients with good or poor outcomes. The mean inter-rater reliability of video assessments was high (0.91). There were no significant differences in the number of steps completed or critical errors made. Intraoperative performance in cases resulting in erectile dysfunction at 12 months was characterised by 43% more total errors and 67% more neurovascular bundle (NVB) dissection errors (P < 0.001) compared to cases with good functional outcomes. Age-matched analysis confirmed differences of 31-54% (P < 0.001). The number of intraoperative errors, particularly during NVB dissection, was strongly associated with clinical outcomes (P = 0.01-0.008). The objectively assessed intraoperative performance of the surgeon strongly predicted the clinical outcome of the procedure at 1 year. The more errors the surgeon made the more likely the patient was to have erectile dysfunction at 12 months.

PubMedThe Journal of the Association of Physicians of India2026-10-22

Etiological Spectrum of Hyponatremia in Tuberculous Meningitis: Insights from Referral Institute in Northern India.

Singla Neeraj N, Nc Meiherishankar M, Sharma Kusum K, Modi Manish M et al.

Tuberculous meningitis (TBM) causes death or severe disability in 50% of afflicted patients. Among the various complications, such as hydrocephalus, hyponatremia, cranial nerve palsies, seizures, and myeloradiculopathy, hyponatremia occurs more frequently, affecting 35-65% of patients with central nervous system (CNS) tuberculosis. To study the prevalence of hyponatremia in patients with TBM and its correlation with the clinical profile, severity of illness, and outcome. In suspected TBM patients with low sodium levels, serum and urine osmolality were measured by an osmometer [Advanced Instruments, Inc. (2020)] to evaluate the possible causes. Patients underwent brain imaging to look for hydrocephalus, vasculitic infarcts, and basal exudates. They were followed up with serum sodium levels until the completion of treatment and repeat brain imaging during follow-up to assess radiological recovery. A total of 100 suspected TBM patients with a mean age of 32.6 years and predominantly female (57%) were included. The most common symptoms were fever, headache, altered sensorium, and seizures. The VI cranial nerve was most frequently involved. A total of 31% of patients presented in stage III, with a significant association with mortality (p = 0.002). Hyponatremia was seen in 57% of patients. The GeneXpert Ultra-based polymerase chain reaction (PCR) test for tuberculosis was positive in 41% of patients. Basal exudates (p = 0.001) and tuberculomas (p = 0.004) on brain imaging had a significant association with mortality. On follow-up, 41% of patients had improvement, 35% expired, and 10% had a static condition. Repeat sodium levels along with brain imaging were assessed (p = 0.001). There was a high prevalence of hyponatremia in TBM patients, as seen in 57% of patients, which occurred most frequently due to syndrome of inappropriate antidiuretic hormone secretion (SIADH), followed by cerebral salt-wasting syndrome (CSWS), and was related to the severity of TBM.

PubMedAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2026-10-22

VCP-Regulated LMF2 Stabilizes the Cholesterol Biosynthesis Enzyme HMGCS1 to Drive Cancer Progression and Confer Capecitabine Resistance in Triple-Negative Breast Cancer.

Zhao Qian Q, Andriani Lisa L, Zhang Yin-Ling YL, Yang Shao-Ying SY et al.

Triple-negative breast cancer (TNBC) is the most therapeutically challenging breast cancer subtype owing to its aggressive nature and lack of effective targeted therapies. Here, we identify lipase maturation factor 2 (LMF2), a previously uncharacterized gene in human cancer, as a novel oncogenic driver that promotes tumor growth, metastasis, and resistance to capecitabine in TNBC both in vitro and in vivo. Mechanistically, LMF2 localizes predominantly to the endoplasmic reticulum membrane and is targeted for autophagic degradation mediated by the autophagy receptor NBR1. Valosin-containing protein (VCP) counteracts this process to stabilize LMF2 by impeding the LMF2-NBR1 interaction, and pharmacological inhibition of VCP effectively suppressed LMF2-driven TNBC progression and capecitabine resistance. LMF2, in turn, disrupts the interaction between the autophagy receptor NDP52 and HMGCS1, the rate-limiting enzyme in cholesterol biosynthesis, thereby shielding HMGCS1 from autophagic degradation and enhancing cholesterol production. Importantly, re-expression of HMGCS1 or exogenous cholesterol supplementation partially rescued the malignant and chemoresistant phenotypes impaired by LMF2 depletion. Clinically, the VCP-LMF2-HMGCS1 axis is significantly co-upregulated in TNBC patient specimens. Collectively, these findings unveil a previously unrecognized VCP-LMF2-HMGCS1 regulatory axis that drives TNBC progression and chemoresistance, and identify LMF2 as a promising therapeutic target for this recalcitrant disease.

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