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Background: Thiadiazines are heterocyclic compounds that contain two nitrogen atoms and one sulfur atom in their structure. These synthetic molecules have several relevant pharmacological activities, such as antifungal, antibacterial, and antiparasitic.

Objectives: The present study aimed to evaluate the possible in vitro and in silico interactions of compounds derived from thiadiazines.

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Cirrhosis and Portal Hypertension: How Do We Deal with Ascites and Its Consequences.

Med Clin North Am

May 2023

Unit of Internal Medicine and Hepatology, Department of Medicine, University of Padova, Padova, Italy. Electronic address:

Ascites is the most common complication of cirrhosis, with 5-year mortality reaching 30%. Complications of ascites (ie, spontaneous bacterial peritonitis, hepatorenal syndrome, recurrent/refractory ascites, and hepatic hydrothorax) further worsen survival. The development of ascites is driven by portal hypertension, systemic inflammation, and splanchnic arterial vasodilation.

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Article Synopsis
  • - The research focuses on the synthesis of two new non-toxic copper complexes (C1 and C2) with potential biological activity, characterized by their five-coordinated structure and unique ligands.
  • - Both complexes were found to cleave DNA, demonstrate SOD mimetic activity, and exhibit cytotoxic effects on tumor (HeLa, WM35) and normal (HFL1) cell lines, with C2 showing greater biological activity.
  • - The C2 complex showed no in vivo toxicity in mice during hepatic, renal, and hematological studies, and displayed antibacterial activity against various bacteria, outperforming standard antibiotics like Amoxicillin and Norfloxacin.
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Background: Spontaneous bacterial peritonitis (SBP) heralds increased mortality in cirrhosis, mandating strategies for prophylaxis. Norfloxacin has been the recommended choice for SBP prevention. However, its use has raised concerns about antibiotic resistance.

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Effect of poorly absorbable antibiotics on hepatic venous pressure gradient in cirrhosis: A systematic review and meta-analysis.

Dig Liver Dis

September 2020

UVCM, Inselspital, Bern University Hospital, Department of Biomedical Research, University of Bern, Switzerland. Electronic address:

Background: The effects of poorly/non-absorbable antibiotics on hepatic venous pressure gradient (HVPG) are debated.

Aim: To analyze the effects of rifaximin or norfloxacin on HVPG and on markers of bacterial translocation and proinflammatory cytokines.

Methods: We performed a systematic search of randomized clinical trials (RCTs) involving patients with cirrhosis and portal hypertension, assessing the effect of rifaximin or norfloxacin vs control on HVPG.

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