3 research outputs found
DataSheet1_Comparative Efficacy of Different Drugs for Lower Urinary Tract Symptoms due to Benign Prostatic Hyperplasia: A Bayesian Network Meta-Analysis.docx
Background: Lower urinary tract symptoms (LUTS) caused by benign prostatic hyperplasia (BPH) are common in middle-aged and elderly men. The current drugs for treating this disease include α1-adrenoceptor antagonists (ABs), muscarinic receptor antagonists (MRAs), phosphodiesterase five inhibitors (PDE5-Is), and β3-adrenoceptor agonists (B3As). However, direct comparative studies analyzing different therapies are limited; therefore, we conducted a network meta-analysis (NMA) to evaluate the efficacy of different drug regimens for treating BPH/LUTS.Methods: The PubMed, EMbase, Web of Science, and Cochrane Library databases were searched to collect randomized controlled trials (RCTs) of different drug treatments for BPH/LUTS from January 2000 to April 2021. The NMA was performed using R 4.1 software.Results: Fifty-five RCTs were included among a total of 1639 trials. ① ABs + PDE5-Is, ABs + B3As, ABs + MRAs, ABs, and PDE5-IS were superior to the placebo in improving the total International Prostate Symptom Score (IPSS), IPSS-Voiding, and IPSS-storage. ② For increasing the maximum flow rate (Qmax), ABs + PDE5-Is, ABs + MRAs, and ABs were more effective than the placebo. ③ Regarding reducing post-void residual urine (PVR), none of the six treatment plans had significant effects.Conclusion: Combination therapy showed greater efficacy than monotherapy, and ABs + PDE5-Is was the most successful treatment for improving the overall IPSS score. ABs are a primary therapeutic measure to increase Qmax, and ABs + PDE5-I may be a more suitable choice for enhancing Qmax. The combination of MRA and AB+ MRA may lead to an increase in PVR.Systematic Review Registration: [website], identifier [registration number].</p
Nickel-Catalyzed Regio- and Enantioselective Borylative Coupling of Terminal Alkenes with Alkyl Halides Enabled by an Anionic Bisoxazoline Ligand
Chiral boronic esters are a class of versatile building blocks.
We describe herein an asymmetric nickel-catalyzed borylative coupling
of terminal alkenes with nonactivated alkyl halides. The success of
this asymmetric reaction is ascribed to the application of a chiral
anionic bisoxazoline ligand. This study provides a three-component
strategy to access α- and β-stereogenic boronic esters
from easily accessible starting materials. This protocol is characterized
by mild reaction conditions, wide substrate scope and high regio-
and enantioselectivity. We also showcase the value of this method
in simplifying the synthesis of several drug molecules. Mechanistic
studies suggest that the generation of enantioenriched boronic esters
bearing an α-stereogenic center results from a stereoconvergent
process, while the enantioselectivity-controlling step in the generation
of boronic esters with a β-stereocenter is switched to the olefin
migratory insertion step due to coordination of an ester group
