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Table 4 Drugs targeting sepsis and complications by down-regulation of HIF-1α

From: Unraveling the role of HIF-1α in sepsis: from pathophysiology to potential therapeutics—a narrative review

Drug Names

The role of HIF-1α

Modulation of HIF-1α

Model

References

Lidocaine

Inhibiting glycolysis to attenuate inflammatory response

Down (indirectly through NF-κB pathway)

LPS-induced sepsis mouse

[115]

HCP

Reduce intestinal damage in H1N1 virus-infected individuals

Down (indirectly through TLR4 pathway)

H1N1 virus infected mouse mice

[116]

XJDHT

Participation in aerobic glycolysis in sepsis

Down (indirectly through TLR4 pathway)

CLP-induced sepsis rats

[117]

Cynaroside

Attenuates liver injury

Down (indirectly through PKM2 pathway)

CLP-induced sepsis mouse

[118]

Norisoboldine

Mitigates sepsis-induced acute lung injury

Down (indirectly through PKM2 pathway)

LPS-induced sepsis mouse

[119]

LBP

Altering glycolysis and the M1 differentiation of macrophages

Down (indirectly through PKM2 pathway)

LPS-induced macrophages model

[120]

Cya

Affects B cell Migration

Down (stimulate PHD activity)

Human and mouse B cell

[121]

AV

Promoting inflammatory responses

Down (stimulate PHD2 activity)

CLP-induced sepsis mouse

[122]

TIIA

Promoting inflammatory responses

Down (indirectly through PI3K and MAPK pathway)

LPS-induced lung injury mouse

[123]

Propofol

Promoting inflammatory responses

Down (indirectly through MAPK pathway)

Mouse model of endotoxemia

[124]

Resveratrol

Improvement of vasodilatory function in a septic shock model

Down (not given)

CLP-induced septic shock rats

[125]

Chicoric acid

Mediated glycolysis and mitochondrial oxidative burst

Down (reducing ROS production)

LPS-induced sepsis mouse

[126]

TASE

Leading to endotoxin tolerance in sepsis monocytes

Down (indirectly through IRAK-M pathway)

Monocytes in patients with sepsis

[127]

AmB

Regulation of EPO expression

Down (reinforcing FIH-mediated repression)

Hypoxia and anemia rats

[128]

Rosmarinic acid

Regulation of LPS-induced microglial M1 polarization

Down (indirectly through RACK1 pathway)

CLP-induced sepsis mouse

[129]

2ME2

Promoting inflammatory responses

Down (reduced HIF-1α activity)

CLP- and LPS-induced sepsis mouse

[130]

Emodin

Modulates intestinal barrier injury

Down (inhibits the expression of HIF-1α)

LPS-induced intestinal epithelial cells model

[131]

N5P

Promoting inflammatory responses

Down (inhibits the expression of HIF-1α)

ALI rat model

[132]

Valproic acid

Participation in burn-induced gut barrier dysfunction

Down (inhibits HIF-1α accumulation)

Rat burn model

[133]

DHMF

Promoting inflammatory responses

Down (inhibits HIF-1α accumulation)

LPS-induced lung injury mouse

[134]

Eriocitrin

Regulation of glycolysis in sepsis

Down (inhibition of HIF-1α mRNA)

LPS-induced sepsis-associated ALI mouse

[135]

Metformin

Promoting inflammatory responses

Down (inhibition of HIF-1α mRNA)

LPS-induced sepsis-associated liver injury mouse

[136]

Landiolol

Involved in sepsis-related AKI

Down (inhibition of HIF-1α mRNA)

Mouse model of endotoxaemia

[137]

Enoxaparin

Causes diaphragm damage

Down (inhibition of HIF-1α mRNA and Protein)

LPS-induced sepsis mouse

[138]

Dexmedetomidine

Participation in aerobic glycolysis in sepsis

Down (inhibition of HIF-1α mRNA and Protein)

LPS-treated macrophages

[139]

  1. AKI acute kidney injury, ALI acute liver injury, AmB Amphotericin B, AV Adhatoda Vasica, CLP Cecal ligation and puncture, Cya Cyclosporine A, DHMF 5,7-dihydroxy-8-methoxyflavone, LBP Lycium barbarum polysaccharide, LPS Lipopolysaccharide, N5P N-phenethyl-5-phenylpicolinamide, Ref. reference, ROS reactive oxygen species, TASE Thiosulfinate-enriched Allium sativum extract, TIIA tanshinone IIA, XJDHT Xijiao Dihuang decoction, 2ME2 2-Methoxyestradiol