Current pharmacophore based approaches for the development of new anti-Alzheimer’s agents

IF 3.3 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Bioorganic & Medicinal Chemistry Pub Date : 2024-09-13 DOI:10.1016/j.bmc.2024.117926
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Abstract

Amyloid beta peptide (Aβ) and hyperphosphorylated neuronal tau proteins accumulate in neurofibrillary tangles in Alzheimer’s disease (AD), a chronic neurodegenerative illness. Chronic inflammation in the brain, which promotes disease progression, is another feature of the Alzheimer’s disease pathogenesis. Approximately 60–70 % of dementia cases are caused by AD. The development of effective therapies for the treatment of AD is urgently needed given the severity of the condition and its rapidly rising prevalence. Cholinesterase inhibitors, beta-amyloid (A-beta), tau inhibitors, and many other medications are currently used as preventive medicine for AD. These medications can temporarily suppress dementia symptoms but cannot halt or reverse the disease’s progression. Many international pharmaceutical companies have tried numerous times to develop an amyloid clearing medication based on the amyloid hypothesis, but without success. Therefore, the amyloid theory may not be entirely plausible. This review mainly covers the recent and important reported pharmacophores as the starting point to discuss already known targets like tau, butyrylcholinesterase, amyloid beta, and acetylcholinesterase and covers the literature between years 2019–2024.

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目前开发新型抗阿尔茨海默病药物的药理基础方法
淀粉样β肽(Aβ)和高磷酸化神经元 tau 蛋白在阿尔茨海默病(AD)这种慢性神经退行性疾病的神经纤维缠结中积聚。大脑中的慢性炎症会促进疾病的发展,这是阿尔茨海默病发病机制的另一个特征。大约 60-70% 的痴呆症病例是由阿兹海默症引起的。鉴于阿兹海默症的严重性及其发病率的迅速上升,开发治疗阿兹海默症的有效疗法迫在眉睫。目前,胆碱酯酶抑制剂、β-淀粉样蛋白(A-β)、tau 抑制剂和许多其他药物都被用作阿氏症的预防药物。这些药物可以暂时抑制痴呆症状,但无法阻止或逆转疾病的发展。许多国际制药公司曾多次尝试根据淀粉样蛋白假说开发清除淀粉样蛋白的药物,但都没有成功。因此,淀粉样蛋白理论未必完全可信。本综述主要以近期报道的重要药理作用为切入点,讨论tau、丁酰胆碱酯酶、淀粉样蛋白β、乙酰胆碱酯酶等已知靶点,并涵盖2019-2024年间的文献。
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来源期刊
Bioorganic & Medicinal Chemistry
Bioorganic & Medicinal Chemistry 医学-生化与分子生物学
CiteScore
6.80
自引率
2.90%
发文量
413
审稿时长
17 days
期刊介绍: Bioorganic & Medicinal Chemistry provides an international forum for the publication of full original research papers and critical reviews on molecular interactions in key biological targets such as receptors, channels, enzymes, nucleotides, lipids and saccharides. The aim of the journal is to promote a better understanding at the molecular level of life processes, and living organisms, as well as the interaction of these with chemical agents. A special feature will be that colour illustrations will be reproduced at no charge to the author, provided that the Editor agrees that colour is essential to the information content of the illustration in question.
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