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CNS Axon Regeneration and Nogo 中枢神经系统轴突再生与Nogo
Pub Date : 2006-06-07 DOI: 10.1111/J.1527-3458.2000.TB00176.X
S. Strittmatter
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引用次数: 0
Effects of Azaindolizindone Derivatives ZSET845 and ZSET1446 on Acetylcholine Release in the Cortex and Learning Impairments in the Rat Azaindolizindone衍生物ZSET845和ZSET1446对大鼠皮质乙酰胆碱释放和学习障碍的影响
Pub Date : 2006-06-07 DOI: 10.1111/J.1527-3458.2004.TB00018.X
Y. Yamaguchi, M. Takano, K. Saitoh, T. Matsuno, S. Kawashima
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引用次数: 1
Pitrazepin: Interactions with Transmitter Receptors of the Central and Peripheral Nervous Systems 吡拉西平:与中枢和外周神经系统递质受体的相互作用
Pub Date : 2006-06-07 DOI: 10.1111/J.1527-3458.2000.TB00154.X
A. Demuro, R. Miledi
Pitrazepin [3-(piperazinyl-1)-9H-dibenz(c.f)triazolo(4,5-a)azepin], is an N-aryl-piperazine derivative, whose heterocyclic structure is similar to that of atypical antipsychotics like clozapine. This paper is an overview of the pharmacological actions of pitrazepin, with an emphasis on its actions on GABAA and glycine neurotransmitter receptors. Recent results on the antagonist actions of pitrazepin on acetylcholine (ACh) currents in oocytes expressing either rat neuronal or mouse muscle nicotinic acetylcholine receptors are presented. Many of the pharmacological features of the new-generation antipsychotics have been derived from studies of structurally treated drugs. A detailed understanding of the ineractions of these drugs with neurotransmitter receptor is necessary to develop more effective antipsychotics.
吡拉西平[3-(哌嗪基-1)- 9h -二苯并(c.f)三唑(4,5-a)氮平]是一种n -芳基哌嗪衍生物,其杂环结构与氯氮平等非典型抗精神病药物相似。本文综述了吡拉西平的药理作用,重点介绍了其对GABAA和甘氨酸神经递质受体的作用。本文介绍了吡拉西平对表达大鼠神经元或小鼠肌肉烟碱胆碱受体的卵母细胞中乙酰胆碱(ACh)电流的拮抗作用的最新结果。新一代抗精神病药物的许多药理学特征都是从结构治疗药物的研究中得来的。详细了解这些药物与神经递质受体的相互作用是开发更有效的抗精神病药物的必要条件。
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引用次数: 0
Role of Chaperones in Neurodegeneration 伴侣在神经退行性变中的作用
Pub Date : 2006-06-07 DOI: 10.1111/J.1527-3458.2000.TB00174.X
A. Horwich
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引用次数: 0
Olanzapine: Preclinical and Clinical Profiles of a Novel Antipsychotic Agent 奥氮平:一种新型抗精神病药物的临床前和临床研究
Pub Date : 2006-06-07 DOI: 10.1111/J.1527-3458.2000.TB00155.X
G. Tollefson, C. C. Taylor
The novel antipsychotic agent olanzapine (Zyprexa, Eli Lilly and Company) is a thienobenzodiazepine analog marketed for the treatment of schizophrenia. Olanzapine's diverse receptor binding profile and greater affinity for serotonin receptors over dopamine receptors is thought to impart antipsychotic efficacy with a low incidence of serious extrapyramidal symptoms (EPS). With once daily dosing steady-state plasma concentrations reached within approximately 1 week. Olanzapine is extensively metabolized by the liver, is mostly excreted in the urine, and has few drug intractions. In clinical trials, the efficacy of olanzapine for treating schizophrenia is better than placebo and haloperidol and comparable to risperidone. Olanzapine may also ameliorate some comorbid symptoms including negative symptoms, depression, anxiety, substance abuse, and cognitive dysfunction, and it is effective in the long-term maintenance of response, treatment-resistance, and improving quality of life. The overall direct costs are lower with olanzapine treatment compared with haloperidol or risperidone treatment. In clinical trials, olanzapine demonstrates a favorable safety profile. The most frequently reported treatment-emergent adverse events are somnolence, schizophrenic reaction, insomnia, headache, agitation, rhinitis, and weight gain. Significantly fewer EPS (based on formal rating scales) and incidences of tardive dyskinesia have been reported for olanzapine compared with haloperidol. Olanzapine has not been associated with persistent elevations of prolactin above the upper limit of normal nor has it been associated with clinically significant changes in cardiac QTc interval. Fewer incidences of suicide attempts have been reported with olanzapine compared with placebo, haloperidol, or risperidone treatments. There is evidence that olanzapine may be effective in the treatment of mood disorders, psychosis associated with Alzheimer's disease, obsessive-compulsive disorder, pervasive developmental disorders, and delirium. Patients with schizophrenia have been successfully switched from other antipsychotics to olanzapine. In conclusion, olanzapine offers a significantly improved risk-to-benefit profile compared with haloperidol and possibly risperidone, and thus should be considered an important treatment option for schizophrenia and related disorders. SUMMARY Olanzapine is an innovative pharmaceutical product that has been prescribed to more than four million individuals worldwide. Olanzapine has a diverse neurotransmitter receptor binding profile that is similar to clozapine, with selective affinity for the serotonin receptors over the dopamine receptors. In vitro and in vivo preclinical experimentation has provided evidence for the antipsychotic efficacy of olanzapine with a low incidence of serious EPS. In addition, olanzapine has a pharmacokinetic profile that allows for single daily dosing and has minimal metabolic interactions with commonly coadminister
新型抗精神病药物奥氮平(再普乐,礼来公司)是一种噻吩苯二氮卓类药物类似物,用于治疗精神分裂症。奥氮平不同的受体结合谱和对血清素受体比多巴胺受体更强的亲和力被认为具有抗精神病疗效,严重锥体外系症状(EPS)的发生率较低。每日给药一次,约1周内达到稳态血药浓度。奥氮平被肝脏广泛代谢,大部分随尿液排出,很少有药物内陷。在临床试验中,奥氮平治疗精神分裂症的疗效优于安慰剂和氟哌啶醇,与利培酮相当。奥氮平也可以改善一些共病症状,包括阴性症状、抑郁、焦虑、药物滥用和认知功能障碍,并且在长期维持反应、治疗抵抗和改善生活质量方面是有效的。与氟哌啶醇或利培酮治疗相比,奥氮平治疗的总直接成本较低。在临床试验中,奥氮平显示出良好的安全性。最常见的治疗不良事件是嗜睡、精神分裂症反应、失眠、头痛、躁动、鼻炎和体重增加。据报道,与氟哌啶醇相比,奥氮平的EPS(基于正式评定量表)和迟发性运动障碍发生率显著降低。奥氮平与催乳素持续高于正常上限无关,也与心脏QTc间期的临床显著改变无关。据报道,与安慰剂、氟哌啶醇或利培酮治疗相比,奥氮平治疗的自杀企图发生率更低。有证据表明,奥氮平可能有效治疗情绪障碍、与阿尔茨海默病相关的精神病、强迫症、广泛性发育障碍和谵妄。精神分裂症患者已经成功地从其他抗精神病药物转向奥氮平。总之,与氟哌啶醇和可能的利培酮相比,奥氮平提供了显著改善的风险-获益状况,因此应考虑将其作为精神分裂症和相关疾病的重要治疗选择。奥氮平是一种创新的药物产品,全球已有超过400万人使用。奥氮平具有与氯氮平相似的多种神经递质受体结合谱,对血清素受体比多巴胺受体具有选择性亲和力。体外和体内临床前实验证明,奥氮平在严重EPS发生率低的情况下具有抗精神病作用。此外,奥氮平具有药代动力学特征,允许每日一次给药,并且与常用的共给药药物的代谢相互作用最小。通过其独特的药理学,奥氮平为患者提供了显著改善的风险-收益概况。在本综述中讨论的不同系列的临床研究中,奥氮平帮助重新定义了精神分裂症药物治疗的期望。奥氮平(5 - 20mg /天)已证明对总精神病理有改善,这明显大于安慰剂或活性比较物氟哌啶醇。这种效果包括对阳性精神病症状至少与氟哌啶醇相当的益处,以及对阴性、并发焦虑、抑郁和认知症状等更慢性和致残特征的更好效果。这种治疗反应性症状范围的扩大也与更深入的临床反应相辅相成。考虑到老抗精神病药物依从性的历史挑战,同样值得注意的是,这些结果是在不良事件停药率与安慰剂相似的情况下实现的。与传统抗精神病药物相比,麻烦的EPS或高泌乳素血症的发生率较低。对特殊人群(即老年患者)的研究似乎证实了这种安全性。由于精神分裂症是一种慢性疾病,对照和盲法维持研究显示奥氮平优于安慰剂或活性比较物(氟哌啶醇、利培酮)也令人放心,特别是在奥氮平长期安全性的背景下。特别是,数据表明,潜在的不可逆运动障碍,如迟发性运动障碍的发病率较低,这是惊人的,对治疗决策者很重要。此外,这些优势似乎转化为患者生活质量的提高,功能健康的增加(即,重返工作岗位),以及管理精神分裂症的总直接成本的总体降低。 虽然进一步的研究仍在进行中,但奥氮平治疗与阿尔茨海默病相关的情绪障碍和精神病的数据令人鼓舞。其他评估奥氮平在非精神分裂症疾病中的作用的研究正在等待中。随着越来越多的“非典型”药物进入市场,人们鼓励进行正面比较,以正确评估每种化合物的相对优点。迄今为止的经验告诉我们,治疗精神病的新药并不都是一样的。根据本文的临床综述,奥氮平似乎代表了一种新的和令人信服的治疗精神障碍的一线选择。
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引用次数: 7
Highlights from the Sixth International Stockholm/Springfield Meeting on Advances in Alzheimer Therapy Stockholm, Sweden, April 5–8, 2000 2000年4月5日至8日,瑞典斯德哥尔摩,第六届国际阿尔茨海默病治疗进展斯德哥尔摩/春田会议的亮点
Pub Date : 2006-06-07 DOI: 10.1111/J.1527-3458.2000.TB00156.X
E. Giacobini
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引用次数: 0
Galanin: neurobiologic mechanisms and therapeutic potential for Alzheimer's disease. 丙氨酸:阿尔茨海默病的神经生物学机制和治疗潜力。
Pub Date : 2006-06-07 DOI: 10.1111/J.1527-3458.2001.TB00210.X
S. Counts, S. Perez, Ulrika Kahl, Tamas Bartfai, Robert Bowser, Darlene C. Deecher, Deborah C. Mash, Jacqueline N. Crawley, E. Mufson
The neuropeptide galanin (GAL) is widely distributed in the mammalian CNS. Several lines of evidence suggest that GAL may play a critical role in cognitive processes such as memory and attention through an inhibitory modulation of cholinergic basal forebrain activity. Furthermore, GAL fibers hyperinnervate remaining cholinergic basal forebrain neurons in Alzheimer's disease (AD). This suggests that GAL activity impacts cholinergic dysfunction in advanced AD. Pharmacological and in vitro autoradiographic studies indicate the presence of heterogeneous populations of GAL receptor (GALR) sites in the basal forebrain which bind GAL with both high and low affinity. Interestingly, we have recently observed that GALR binding sites increase in the anterior basal forebrain in late-stage AD. Three G protein-coupled GALRs have been identified to date that signal through a diverse array of effector pathways in vitro, including adenylyl cyclase inhibition and phospholipase C activation. The repertoire and distribution of GALR expression in the basal forebrain remains unknown, as does the nature of GAL and GALR plasticity in the AD basal forebrain. Recently, GAL knockout and overexpressing transgenic mice have been generated to facilitate our understanding of GAL activity in basal forebrain function. GAL knockout mice result in fewer cholinergic basal forebrain neurons and memory deficits. On the other hand, mice overexpressing GAL display hyperinnervation of basal forebrain and memory deficits. These data highlight the need to explore further the putative mechanisms by which GAL signaling might be beneficial or deleterious for cholinergic cell survival and activity within basal forebrain. This information will be critical to understanding whether pharmacological manipulation of GALRs would be effective for the amelioration of cognitive deficits in AD.
哺乳动物中枢神经系统中广泛分布着神经肽甘丙氨酸(GAL)。几条线索的证据表明,GAL可能在认知过程中发挥关键作用,如记忆和注意力通过抑制调节胆碱能基底前脑活动。此外,GAL纤维在阿尔茨海默病(AD)中过度支配剩余的胆碱能基底前脑神经元。这表明GAL活性影响晚期AD的胆碱能功能障碍。药理学和体外放射自显影研究表明,在基底前脑中存在高亲和力和低亲和力的GAL受体(GALR)位点。有趣的是,我们最近观察到晚期AD患者基底前脑前部GALR结合位点增加。迄今为止,已经确定了三种G蛋白偶联的galr,它们通过多种体外效应途径发出信号,包括腺苷酸环化酶抑制和磷脂酶C激活。GALR在基底前脑中的表达范围和分布尚不清楚,AD基底前脑中GALR的性质和GALR的可塑性也不清楚。最近,GAL基因敲除和过表达转基因小鼠的产生有助于我们了解GAL活性在基底前脑功能中的作用。GAL敲除小鼠导致胆碱能基底前脑神经元减少和记忆缺陷。另一方面,过表达GAL的小鼠表现为基底前脑神经支配亢进和记忆缺陷。这些数据强调需要进一步探索GAL信号可能对基底前脑内胆碱能细胞存活和活动有益或有害的假定机制。这一信息对于理解galr的药理学操作是否能有效改善AD患者的认知缺陷至关重要。
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引用次数: 41
Donitriptan, a Unique High-Efficacy 5-HT1B/1D Agonist: Key Features and Acute Antimigraine Potential 多尼曲坦,一种独特的高效5-HT1B/1D激动剂:主要特征和急性抗偏头痛潜力
Pub Date : 2006-06-07 DOI: 10.1111/J.1527-3458.2000.TB00153.X
G. John, Michel Perez, P. Pauwels, B. Grand, Y. Verscheure, F. Colpaert
We hypothesized that the limited acute therapeutic effectiveness of tryptamine derivatives in alleviating migraine headache could be explained by the relatively low intrinsic activity of these agents at 5-HT1B/1D receptors. Donitriptan is a novel arylpiperazide 5-hydroxytryptamine (5-HT) derivative which was designed to exploit the higher potency and efficacy properties of 5-HT compared to tryptamine at 5-HT1B/1D receptors. In vitro, donitriptan has subnanomolar affinity for nonhuman and human 5-HT1B/1D receptors and micromolar affinity for the 5-HTip subtype. Donitritpan potently inhibited forskolin-induced cAMP formation and enhanced specific GTP35γS specific binding to a greater extent than tryptamine derivatives and equivalent to 5-HT in C6 cells expressing human 5-HT1B or 5-HT1D receptors. Donitriptan produced more potent and larger amplitude increases in hyperpolarizing Ca2+-dependent K+ current than sumatriptan in guinea pig isolated trigeminal ganglion neurons, and was more potent than tryptamine derivatives in eliciting contractile responses in rabbit isolated saphenous vein rings. In vivo, donitriptan evoked more potent, longer-lasting and greater amplitude carotid vasoconstrictor responses than tryptamine derivatives in anesthetized pigs; and in contrast to sumatriptan, naratriptan or zolmitriptan, produced long-lasting, dose-dependent decreases in unilateral carotid blood flow in conscious dogs at doses from 0.63 mg/kg p.o. without affecting heart rate or behavior. Oral donitriptan also evoked hypothermic responses in guinea pigs suggesting that the compound gains access to the brain. Donitriptan is thus a selective, potent 5-HT1B/1D receptor agonist which can be distinguished from tryptamine derivatives in consistently exerting high intrinsic activity at these receptors in a series of vascular and neuronal models relevant to migraine. Advantages in terms of therapeutic effectiveness in the acute relief of migraine headache over currently available triptans can be expected to include greater response rates and consistency of pain relief, a lower incidence of migraine recurrence and better tolerability. The acute anti-migraine potential of the first high efficacy 5-HT1B/1D agonist of its kind, donitriptan, is currently being investigated in man.
我们假设,色胺衍生物在缓解偏头痛方面有限的急性治疗效果可以通过这些药物在5-HT1B/1D受体上相对较低的内在活性来解释。Donitriptan是一种新的芳基哌嗪类5-羟色胺(5-HT)衍生物,其设计目的是利用5-HT在5-HT1B/1D受体上比5-羟色胺更高的效力和功效。在体外,多尼曲坦对非人和人5-HT1B/1D受体具有亚纳摩尔亲和力,对5-HT1B/1D亚型具有微摩尔亲和力。在表达人5-HT1B或5-HT1D受体的C6细胞中,多硝立泮能有效抑制福斯克林诱导的cAMP形成,并增强GTP35γS特异性结合,其程度大于色胺衍生物,相当于5-HT。在豚鼠离体三叉神经节神经元中,多尼曲坦比苏马曲坦产生更强、更大幅度的Ca2+依赖性K+超极化电流增加,在兔离体隐静脉环中,多尼曲坦比色胺衍生物更能引起收缩反应。在体内,与色胺衍生物相比,多尼曲坦在麻醉猪体内引起的颈动脉血管收缩反应更有效、持续时间更长、幅度更大;与舒马曲坦相比,纳曲普利坦或唑米曲坦在0.63 mg/kg的剂量下,对有意识的狗的单侧颈动脉血流量产生持久的剂量依赖性减少,而不影响心率或行为。口服多尼曲坦也能引起豚鼠的低温反应,这表明这种化合物可以进入大脑。因此,多尼曲坦是一种选择性的、有效的5-HT1B/1D受体激动剂,在与偏头痛相关的一系列血管和神经元模型中,多尼曲坦与色胺衍生物在这些受体上持续发挥高的内在活性。与目前可用的曲坦类药物相比,该药在急性偏头痛缓解方面的治疗效果优势包括更高的缓解率和疼痛缓解的一致性,更低的偏头痛复发发生率和更好的耐受性。首个高效5-HT1B/1D激动剂多尼曲坦的急性抗偏头痛潜力目前正在研究中。
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引用次数: 6
Central Nervous System Effects of Celastrol, a Potent Antioxidant and Antiinflammatory Agent 一种有效的抗氧化剂和抗炎剂Celastrol对中枢神经系统的影响
Pub Date : 2006-06-07 DOI: 10.1111/J.1527-3458.2000.TB00137.X
A. Allison, R. Cacabelos, V. Lombardi, X. A. Alvarez, C. Vigo
Evidence is accumulating that neuronal degeneration in the brains of patients with Alzheimer’s disease (AD) is accompanied by markers of chronic inflammation. These markers include the activation of microglia and the production of the proinflammatory cytokines TNFand IL-1 . Activated microglia release superoxide, which generate reactive oxygen species in the presence of redox-active metals. These, in turn, oxidize lipids to produce 4-hydroxynonenal and other reactive products. Lipid peroxidation adducts as well as other oxidative modifications, including advanced glycation end products and free carbonyls, are observed in the brains of people with AD. In macrophage-lineage cells and in endothelial cells, proinflammatory cytokines induce the expression of an inducible isoform of nitric oxide synthase, which releases relatively high levels of nitric oxide over a long period of time. Nitric oxide and superoxide combine to form peroxynitrite, which damages neurons and other cell types. A marker of peroxynitrite generation is nitrotyrosine, which has been used to demonstrate widespread peroxynitrite-mediated damage in AD brains. If each of the processes described above contributes to the pathogenesis of AD, an effective treatment should: (1) suppress microglial activation; (2) inhibit the production of proinflammatory cytokines; (3) display antioxidant activity; and (4) selectively inhibit the production of NO by the inducible form of NO synthase. The compound should not inhibit constitutive NO synthases in neuronal or endothelial cells, which are required to maintain neuronal function and vascular perfusion. CNS Drug Reviews Vol. 6, No. 1, pp. 45–62 © 2000 Neva Press, Branford, Connecticut This review describes a plant-derived small molecule, celastrol, which in low concentrations displays all the required activities. Furthermore, when administered to rats in low doses, celastrol significantly improves their performance in memory, learning and psychomotor activity tests. The potent antioxidant and antiinflammatory activities of celastrol and its effects on cognitive functions suggest that the drug may be useful to treat neurodegenerative diseases accompanied by inflammation and oxidation, such as AD and Parkinson’s disease.
越来越多的证据表明,阿尔茨海默病(AD)患者大脑中的神经元变性伴随着慢性炎症标志物。这些标记包括小胶质细胞的激活和促炎细胞因子tnf和IL-1的产生。激活的小胶质细胞释放超氧化物,在氧化还原活性金属存在的情况下产生活性氧。这些,反过来,氧化脂质产生4-羟基壬烯醛和其他反应产物。脂质过氧化加合物以及其他氧化修饰,包括晚期糖基化终产物和游离羰基,在AD患者的大脑中被观察到。在巨噬细胞谱系细胞和内皮细胞中,促炎细胞因子诱导一氧化氮合酶的诱导异构体的表达,该异构体在很长一段时间内释放相对高水平的一氧化氮。一氧化氮和超氧化物结合形成过氧亚硝酸盐,会损害神经元和其他类型的细胞。过氧亚硝酸盐生成的一个标志是硝基酪氨酸,它已被用于证明过氧亚硝酸盐在AD大脑中广泛介导的损伤。如果上述过程都与阿尔茨海默病的发病机制有关,那么有效的治疗应该:(1)抑制小胶质细胞的激活;(2)抑制促炎细胞因子的产生;(3)显示抗氧化活性;(4)通过诱导形式的NO合成酶选择性抑制NO的产生。该化合物不应抑制神经元或内皮细胞中维持神经元功能和血管灌注所必需的组成性NO合成酶。CNS Drug Reviews Vol. 6, No. 1, pp. 45-62©2000 Neva Press, Branford, Connecticut .这篇综述描述了一种植物衍生的小分子,celastrol,在低浓度下显示所有必需的活性。此外,当给大鼠低剂量服用时,celastrol显著改善了它们在记忆、学习和精神运动活动测试中的表现。雷公藤红素的抗氧化和抗炎活性及其对认知功能的影响表明,该药物可能有助于治疗伴有炎症和氧化的神经退行性疾病,如阿尔茨海默病和帕金森病。
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引用次数: 11
SNX‐482: A Novel Class E Calcium Channel Antagonist from Tarantula Venom 来自狼蛛毒液的新型E类钙通道拮抗剂SNX‐482
Pub Date : 2006-06-07 DOI: 10.1111/J.1527-3458.2000.TB00143.X
R. Newcomb, Xiao-hua Chen, Robin Dean, G. Dayanithi, Cong Ruth, B. Szoke, J. Lemos, S. Bowersox, G. Miljanich
Calcium channels are represented by at least 9 distinct genes (calcium channel classes A-I), corresponding to at least 5 functional and pharmacological “types” (L, N, P/Q, R and T). Selective L-, N-, and T-type channel antagonists are either in clinical use or in late stage clinical trials, while antagonists of P/Q channels are known to be toxic. No selective ligand has been identified for the R-type (class E), and its function and pharmacology are consequently, poorly understood. We review recent work on the discovery and initial characterization of SNX-482, the first known selective antagonist of R-type calcium channels. SNX-482 is a 41 residue acidic peptide with three disulfide bonds that has been isolated from the venom of the African tarantula, Hysterocrates gigas. In cell-based assays, it is a potent and selective inhibitor of the class E or R-type calcium channel. SNX-482 blocks some but not all native R-type currents: it blocks an R-type current in vertebrate neurohypophysis, but it does not block an R-type current in cerebellar granule cells. The peptide blocks oxytocin but not vasopressin release, suggesting a possible utility for SNX-482 as a neuroendocrine modulator. The peptide possesses antiseizure activity in several animal models of epilepsy, suggesting that class E antagonists may have pharmacological use in seizure disorders.
钙通道由至少9个不同的基因(钙通道A-I类)代表,对应至少5种功能和药理“类型”(L、N、P/Q、R和T)。选择性L-、N-和T型通道拮抗剂要么在临床使用,要么在后期临床试验中,而P/Q通道拮抗剂已知是有毒的。尚未发现r型(E类)的选择性配体,因此对其功能和药理学知之甚少。我们回顾了最近关于SNX-482的发现和初步表征的工作,SNX-482是第一个已知的r型钙通道选择性拮抗剂。SNX-482是从非洲狼蛛(Hysterocrates gigas)的毒液中分离出来的含有3个二硫键的41个残基酸性肽。在基于细胞的实验中,它是E类或r型钙通道的有效和选择性抑制剂。SNX-482阻断部分但不是全部的天然r型电流:它阻断脊椎动物神经垂体中的r型电流,但不阻断小脑颗粒细胞中的r型电流。肽阻断催产素而非抗利尿激素的释放,提示SNX-482可能作为神经内分泌调节剂。该肽在几种癫痫动物模型中具有抗癫痫活性,提示E类拮抗剂可能在癫痫疾病中具有药理作用。
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引用次数: 8
期刊
CNS drug reviews
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