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Novel therapeutic strategies and drugs for idiopathic pulmonary fibrosis 特发性肺纤维化的新型治疗策略和药物。
IF 4.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-07-03 DOI: 10.1002/ardp.202400192
Zezhou Shi, Min Zhou, Jingfang Zhai, Jie Sun, Xiaojing Wang

Idiopathic pulmonary fibrosis (IPF) is a chronic interstitial lung disease of unknown etiology. Currently, drugs used to treat IPF in clinical practice exhibit severe side effects and limitations. To address these issues, this paper discusses the therapeutic effects of preclinical targeted drugs (such as STAT3 and TGF-β/Smad pathway inhibitors, chitinase inhibitors, PI3K and phosphodiesterase inhibitors, etc.) and natural products on IPF. Through a summary of current research progress, it is found that natural products possess multitarget effects, stable therapeutic efficacy, low side effects, and nondrug dependence. Furthermore, we discuss the significant prospects of natural product molecules in combating fibrosis by influencing the immune system, expecting that current analytical data will aid in the development of new drugs or the investigation of active ingredients in natural products for potential IPF treatments in the future.

特发性肺纤维化(IPF)是一种病因不明的慢性间质性肺病。目前,临床上用于治疗 IPF 的药物具有严重的副作用和局限性。针对这些问题,本文探讨了临床前靶向药物(如 STAT3 和 TGF-β/Smad 通路抑制剂、几丁质酶抑制剂、PI3K 和磷酸二酯酶抑制剂等)和天然产物对 IPF 的治疗效果。通过总结目前的研究进展,我们发现天然产物具有多靶点效应、疗效稳定、副作用小、无药物依赖性等特点。此外,我们还讨论了天然产物分子通过影响免疫系统来抗击纤维化的重要前景,并期待当前的分析数据将有助于开发新药物或研究天然产物中的活性成分,从而在未来用于潜在的 IPF 治疗。
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引用次数: 0
Discovery and optimization of 3-(indolin-5-yloxy)pyridin-2-amine derivatives as potent necroptosis inhibitors 发现并优化 3-(吲哚啉-5-氧基)吡啶-2-胺衍生物作为强效坏死抑制剂。
IF 4.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-07-02 DOI: 10.1002/ardp.202400302
Yaohan Lan, Yinchun Ji, Xia Peng, Wenhu Duan, Meiyu Geng, Jing Ai, Hefeng Zhang

Necroptosis is a form of regulated necrotic cell death and has been confirmed to play pivotal roles in the pathogenesis of multiple autoimmune diseases such as rheumatoid arthritis (RA) and psoriasis. The development of necroptosis inhibitors may offer a promising therapeutic strategy for the treatment of these autoimmune diseases. Herein, starting from the in-house hit compound 1, we systematically performed structural optimization to discover potent necroptosis inhibitors with good pharmacokinetic profiles. The resulting compound 33 was a potent necroptosis inhibitor for both human I2.1 cells (IC50 < 0.2 nM) and murine Hepa1-6 cells (IC50 < 5 nM). Further target identification revealed that compound 33 was an inhibitor of receptor interacting protein kinase 1 (RIPK1) with favorable selectivity. In addition, compound 33 also exhibited favorable pharmacokinetic profiles (T1/2 = 1.32 h, AUC = 1157 ng·h/mL) in Sprague-Dawley rats. Molecular docking and molecular dynamics simulations confirmed that compound 33 could bind to RIPK1 with high affinity. In silico ADMET analysis demonstrated that compound 33 possesses good drug-likeness profiles. Collectively, compound 33 is a promising candidate for antinecroptotic drug discovery.

坏死突变是一种受调控的坏死细胞死亡形式,已被证实在类风湿性关节炎(RA)和银屑病等多种自身免疫性疾病的发病机制中起着关键作用。开发坏死蛋白酶抑制剂可能为治疗这些自身免疫性疾病提供一种前景广阔的治疗策略。在本文中,我们从内部命中化合物 1 开始,系统地进行了结构优化,以发现具有良好药代动力学特征的强效坏死抑制剂。最终得到的化合物 33 在 Sprague-Dawley 大鼠体内对人类 I2.1 细胞都是一种强效的坏死抑制剂(IC50 50 1/2 = 1.32 h,AUC = 1157 ng-h/mL)。分子对接和分子动力学模拟证实,化合物 33 能以高亲和力与 RIPK1 结合。硅学 ADMET 分析表明,化合物 33 具有良好的药物相似性。总之,化合物 33 是一种很有希望的抗突眼药物候选化合物。
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引用次数: 0
An overview of the latest outlook of sulfamate derivatives as anticancer candidates (2020–2024) 作为抗癌候选药物的氨基磺酸盐衍生物的最新前景概览(2020-2024 年)。
IF 4.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-06-29 DOI: 10.1002/ardp.202400331
Esra M. Mustafa, Afnan I. Shahin, Aishah S. Alrashed, Aesheh H. Bahaaddin, Aljawhra A. Alajmi, Omar Hashem, Hanan S. Anbar, Mohammed I. El-Gamal

Considering the emergence of new anticancer drugs, in this review we emphasized and highlighted the recent reports and advances related to sulfamate-incorporating compounds with potential anticancer activity during the last 5 years (2020–2024). Additionally, we discussed their structure–activity relationship, clarifying their potent bioactivity as anticancer agents. Sulfamate derivatives hold promise as effective therapeutic candidates against cancer. By targeting biological targets associated with the development of cancer, such as steroid sulfatases (STS), carbonic anhydrases (CAs), microtubules, NEDD8-activating enzyme, small ubiquitin-like modifiers (SUMO)-activating enzyme (SAE), cyclin-dependent kinases (CDKs), breast cancer susceptibility gene 1 (BRCA1), and so on, this can furnish small molecules as anticancer lead candidates serving the drug discovery field. For example, compound 2, an STS inhibitor, demonstrated superior activity compared to its reference, irosustat, by fivefold. In addition, compound 21, an SAE, is under phase I clinical trials. Continued research into sulfamate derivatives holds potential for the development of novel therapeutic agents targeting various diseases.

考虑到新型抗癌药物的出现,我们在这篇综述中强调并重点介绍了过去五年(2020-2024 年)中与具有潜在抗癌活性的氨基甲酸酯结合化合物有关的最新报道和进展。此外,我们还讨论了它们的结构-活性关系,阐明了它们作为抗癌剂的强大生物活性。氨基磺酸盐衍生物有望成为有效的抗癌候选疗法。通过靶向与癌症发展相关的生物靶点,如类固醇硫酸酯酶(STS)、碳酸酐酶(CAs)、微管、NEDD8-激活酶、小泛素样修饰物(SUMO)-激活酶(SAE)、细胞周期蛋白依赖性激酶(CDK)、乳腺癌易感基因 1(BRCA1)等,可以为药物研发领域提供抗癌小分子先导候选药物。例如,化合物 2 是一种 STS 抑制剂,其活性比参照物依罗司他高出五倍。此外,SAE 化合物 21 正在进行 I 期临床试验。对氨基磺酸盐衍生物的持续研究有望开发出针对各种疾病的新型治疗药物。
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引用次数: 0
Current scenario of pyrazole hybrids with anti-breast cancer therapeutic applications 吡唑混合物在抗乳腺癌治疗中的应用现状。
IF 4.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-06-29 DOI: 10.1002/ardp.202400344
Mengyu Ma

Breast cancer stands as the leading cause of cancer-related deaths among women globally, but current therapy is restricted to the serious adverse effects and multidrug resistance, necessitating the exploration of novel, safe, and efficient anti-breast cancer chemotherapeutic agents. Pyrazoles exhibit excellent potential for utilization as effective anti-breast cancer agents due to their ability to act on various biological targets. Particularly, pyrazole hybrids demonstrated the advantage of targeting multiple pathways, and some of them, which are exemplified by larotrectinib (pyrazolo[1,5-a]pyrimidine hybrid), can be applied for breast cancer therapy. Thus, pyrazole hybrids hold great promise as useful therapeutic interventions for breast cancer. The aim of this review is to summarize the current scenario of pyrazole hybrids with in vitro and/or in vivo anti-breast cancer potential, along with the modes of action and structure–activity relationships, covering articles published from 2020 to the present, to streamline the development of rational, effective and safe anti-breast cancer candidates.

乳腺癌是全球妇女因癌症死亡的主要原因,但目前的治疗方法受限于严重的不良反应和多药耐药性,因此有必要探索新型、安全、高效的抗乳腺癌化疗药物。吡唑类化合物能够作用于各种生物靶点,因此具有作为有效抗乳腺癌药物的巨大潜力。尤其是吡唑类杂交化合物,具有靶向多种途径的优势,其中一些可用于乳腺癌治疗,拉罗替尼(吡唑并[1,5-a]嘧啶杂交化合物)就是一个例子。因此,吡唑类杂交化合物有望成为乳腺癌的有效治疗手段。本综述旨在总结目前具有体外和/或体内抗乳腺癌潜力的吡唑类杂交化合物的情况,以及其作用模式和结构-活性关系,涵盖从 2020 年至今发表的文章,以促进合理、有效和安全的抗乳腺癌候选药物的开发。
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引用次数: 0
Evaluation of thiopyrano[2,3-d]thiazole derivatives as potential anticonvulsant agents 评估作为潜在抗惊厥药物的硫代吡喃并[2,3-d]噻唑衍生物。
IF 4.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-06-29 DOI: 10.1002/ardp.202400357
Eduard Davydov, Mykhailo Hoidyk, Sergiy Shtrygol', Andriy Karkhut, Svyatoslav Polovkovych, Olga Klyuchivska, Olexandr Karpenko, Roman Lesyk, Serhii Holota

Anticonvulsant drug discovery has achieved significant progress; however, pharmacotherapy of epilepsy continues to be a challenge for modern medicine and pharmacy. To expand the chemical space of heterocycles as potential antiepileptic agents, herein we report on the synthesis and evaluation of anticonvulsant properties of a series of thiopyrano[2,3-d]thiazoles. The studied heterocycles are characterized by satisfactory drug-likeness and pharmacokinetics properties, calculated in silico using SwissADME. The anticonvulsant activity of thiopyrano[2,3-d]thiazole derivatives was evaluated in vivo using the subcutaneous pentylenetetrazole test. Three hits, that is, compounds 12, 14, and 16, that caused a pronounced anticonvulsant effect were identified. Derivatives 12, 14, and 16 positively affected the latent period of onset of clonic seizures, number of seizures, mortality rate, and duration of the seizure period of animals under experimental conditions. The anticonvulsant properties of compound 14 were equivalent to the effect of the reference drug, sodium valproate. All hit compounds are characterized by satisfying toxicity properties in the human lymphocytes and HEK293 cell line. The most active hit 14 possesses a potential affinity with the GABAA receptor in the molecular docking study and forms a stable complex in the molecular dynamics experiments equal to diazepam. Preliminary SAR results were obtained and discussed based on screening data.

抗惊厥药物的发现已经取得了重大进展;然而,癫痫的药物治疗仍然是现代医学和药学面临的挑战。为了拓展杂环化合物作为潜在抗癫痫药物的化学空间,我们在本文中报告了一系列噻并吡喃并[2,3-d]噻唑的合成和抗惊厥特性评估。所研究的杂环化合物具有令人满意的药物相似性和药代动力学特性,这些特性是通过 SwissADME 进行硅计算得出的。利用皮下戊四唑试验评估了噻并吡喃并[2,3-d]噻唑衍生物的体内抗惊厥活性。结果发现了三种具有明显抗惊厥作用的化合物,即化合物 12、14 和 16。在实验条件下,12、14 和 16 号衍生物对动物阵挛发作的潜伏期、发作次数、死亡率和发作期的持续时间均有积极影响。化合物 14 的抗惊厥特性与参考药物丙戊酸钠的效果相当。所有命中化合物在人类淋巴细胞和 HEK293 细胞系中都具有令人满意的毒性特性。在分子对接研究中,活性最强的化合物 14 与 GABAA 受体具有潜在的亲和力,并在分子动力学实验中形成了与地西泮相当的稳定复合物。根据筛选数据得出了初步的 SAR 结果并进行了讨论。
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引用次数: 0
Whiteness and greenness assessments of a sensitive HPLC method with fluorimetric detection for dapagliflozin quantitation in human plasma: Application to a healthy human volunteer 采用荧光检测法对人血浆中达帕格列净进行定量的灵敏高效液相色谱法的白度和绿度评估:在健康志愿者身上的应用。
IF 4.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-06-29 DOI: 10.1002/ardp.202400313
Maha R. Habeeb, Samir M. Morshedy, Hoda G. Daabees, Sohila M. Elonsy

The evident ecological impact of human actions, like air pollution, global warming, and ozone depletion, underscores the need for environmentally friendly approaches across various domains, including analytical chemistry. This study aimed to establish a validated, eco-friendly, and sustainable approach utilizing a fluorescence detector coupled with high-performance liquid chromatography for quantifying the antihyperglycemic agent dapagliflozin (DAPA), in human plasma. This method employed a C18 Microsorb MV (4.5 × 250 mm, 5 μm [particle size]) column at 40°C, with 40:60% v/v isocratic elution of acetonitrile and (0.1%) orthophosphoric acid as the mobile phase at 1 mL/min flow rate. DAPA and the internal standard demonstrated their greatest response by performing excitation at 225 nm (λex) and recording chromatograms at an emission wavelength (λem) equal to 305 nm. The presented approach demonstrated high linearity between 50 and 2000 ng/mL and full adherence to the guidelines of the US Food and Drug Administration regarding the validation of bioanalytical methods. The described technique was effectively used for quantification of DAPA in human plasma samples from a healthy male participant who received a tablet of 10 mg DAPA. Analytical Eco-Scale, Analytical GREEnness metric, and the recently created ChlorTox Scale were utilized for greenness assessment. Additionally, the “Red, Green, and Blue 12” model was used in whiteness evaluation.

人类行为对生态环境的影响显而易见,如空气污染、全球变暖和臭氧消耗,这突出表明需要在包括分析化学在内的各个领域采用环保方法。本研究旨在利用荧光检测器和高效液相色谱法建立一种有效、环保和可持续的方法,用于定量检测人体血浆中的降糖药达帕格列净(DAPA)。该方法采用C18 Microsorb MV(4.5 × 250 mm,5 μm[粒径])色谱柱,在40°C条件下,以40:60% v/v乙腈和(0.1%)正磷酸为流动相进行等度洗脱,流速为1 mL/min。在 225 nm (λex) 处激发,在等于 305 nm 的发射波长 (λem)处记录色谱图,DAPA 和内标物显示出最大响应。该方法在 50 至 2000 毫微克/毫升之间具有很高的线性度,完全符合美国食品和药物管理局关于生物分析方法验证的指导方针。所描述的技术被有效地用于定量检测人体血浆样品中的 DAPA 含量,该血浆样品来自一名接受了 10 毫克 DAPA 药片的健康男性参试者。分析生态尺度、分析 GREEnness 指标和最近创建的 ChlorTox 尺度被用于绿色评估。此外,"红绿蓝 12 "模型也被用于白度评估。
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引用次数: 0
Functional combination of resveratrol and tamoxifen to overcome tamoxifen-resistance in breast cancer cells 白藜芦醇和他莫昔芬的功能性组合克服了乳腺癌细胞对他莫昔芬的抗药性。
IF 4.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-06-29 DOI: 10.1002/ardp.202400261
Aliaa M. Radwan, Hamed A. Abosharaf, Marwa Sharaky, Rehab Abdelmonem, Heba Effat

Researchers are encountering challenges in addressing the issue of cancer cells becoming unresponsive to various chemotherapy treatments due to drug resistance. This study was designed to study the influence of antioxidant resveratrol (RSV) to sensitize resistant breast cancer (BC) cells toward tamoxifen (TAM). The cytotoxic effects of RSV and TAM against TAM-resistant LCC2 cells and their parental michigan cancer foundation-7 BC cells were determined by sulphorhodamine B assay. Further, the expression levels of multidrug resistance (MDR) genes including ABCB1, ABCC2, ABCG2, and MRP1 using quantitative polymerase chain reaction, apoptosis induction, and reactive oxygen species (ROS) content using flow cytometry were evaluated in either LCC2 cells treated with RSV, TAM, or their combination. The obtained results showed that resistant cells have a magnificent level of MDR genes. This elevated expression dramatically lowered upon receiving the combined therapy of RSV and TAM. Additionally, our work assessed the possible role of RSV in modulating the expression of MDR genes by controlling the expression of certain microRNAs (miRNAs) that target ATP-binding cassette (ABC) transporters. According to the obtained data, the TAM and RSV combination increased the expression of tumor inhibitor miRNAs such miR-10b-3p, miR-195-3p, and miR-223-3p, which made LCC2 cells more sensitive to TAM. Furthermore, this combination showed an elevation in apoptotic levels and total ROS content. The combination between RSV and TAM could be a functional therapy in the fight against TAM-resistant BC cells via modulating miRNA and ABC transporters.

研究人员在解决癌细胞因耐药性而对各种化疗失去反应这一问题时遇到了挑战。本研究旨在研究抗氧化剂白藜芦醇(RSV)对抗药性乳腺癌(BC)细胞对他莫昔芬(TAM)敏感性的影响。RSV 和 TAM 对 TAM 耐药的 LCC2 细胞及其亲本密歇根癌症基金会-7 BC 细胞的细胞毒性作用是通过磺胺多巴胺 B 检测法确定的。此外,还利用定量聚合酶链反应评估了经 RSV、TAM 或它们的组合处理的 LCC2 细胞中多药耐药(MDR)基因(包括 ABCB1、ABCC2、ABCG2 和 MRP1)的表达水平,利用流式细胞术评估了细胞凋亡诱导和活性氧(ROS)含量。结果显示,耐药细胞的 MDR 基因水平很高。在接受 RSV 和 TAM 的联合治疗后,这种表达的升高显著降低。此外,我们的工作还评估了 RSV 通过控制某些靶向 ATP 结合盒(ABC)转运体的微小核糖核酸(miRNA)的表达来调节 MDR 基因表达的可能作用。根据获得的数据,TAM 和 RSV 的组合增加了肿瘤抑制剂 miRNA 的表达,如 miR-10b-3p、miR-195-3p 和 miR-223-3p,从而使 LCC2 细胞对 TAM 更为敏感。此外,这种组合还提高了细胞凋亡水平和总 ROS 含量。RSV和TAM的组合可通过调节miRNA和ABC转运体成为对抗TAM耐药BC细胞的功能性疗法。
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引用次数: 0
New biologically active sulfonamides as potential drugs for Alzheimer's disease 新的生物活性磺酰胺类药物作为治疗阿尔茨海默病的潜在药物。
IF 4.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-06-28 DOI: 10.1002/ardp.202400191
Marie Nevyhoštěná, Alena Komersová, Vladimír Pejchal, Šárka Štěpánková, Petr Česla, Kevin Matzick, Jana Macháčková, Roman Svoboda

A family of new compounds with sulfonamide and amide functional groups as potential Alzheimer's disease drugs were prepared by multistep synthesis. Thermal stability measurements recorded the initial decomposition in the range of 200–220°C, close above the melting point. The final compounds were tested for their ability to inhibit acetylcholinesterase and butyrylcholinesterase, and the in vitro dissolution behavior of selected compounds was studied through both lipophilic and hydrophilic matrix tablets. All nine tested derivatives were even more active in inhibiting acetylcholinesterase than the clinically used rivastigmine. Regression analysis of the obtained dissolution profiles was performed, and the effects of the pH and the release mechanism were determined. Some substances showed remarkable biological activity and became a subject of interest for further extensive study.

通过多步合成法制备了一系列具有磺酰胺和酰胺官能团的新化合物,可作为潜在的阿尔茨海默病药物。热稳定性测量结果表明,化合物在接近熔点的 200-220°C 范围内发生了初步分解。测试了最终化合物抑制乙酰胆碱酯酶和丁酰胆碱酯酶的能力,并通过亲脂和亲水基质片剂研究了所选化合物的体外溶解行为。所测试的九种衍生物在抑制乙酰胆碱酯酶方面的活性甚至高于临床常用的利伐斯的明。对获得的溶出曲线进行了回归分析,并确定了 pH 值和释放机制的影响。其中一些物质显示出显著的生物活性,成为进一步广泛研究的兴趣所在。
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引用次数: 0
Discovery of 2-phenylquinazolines as potent Mycobacterium avium efflux pump inhibitors able to synergize with clarithromycin against clinical isolate 发现 2-苯基喹唑啉类药物是有效的分枝杆菌外排泵抑制剂,能与克拉霉素协同作用,对抗临床分离株。
IF 4.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-06-26 DOI: 10.1002/ardp.202400296
Giada Cernicchi, Elisa Rampacci, Serena Massari, Giuseppe Manfroni, Maria Letizia Barreca, Oriana Tabarrini, Violetta Cecchetti, Tommaso Felicetti, Mariagrazia Di Luca, Noemi Violeta Poma, Arianna Tavanti, Fabrizio Passamonti, Laura Rindi, Stefano Sabatini

Nontuberculous mycobacteria (NTM), which include the Mycobacterium avium complex, are classified as difficult-to-treat pathogens due to their ability to quickly develop drug resistance against the most common antibiotics used to treat NTM infections. The overexpression of efflux pumps (EPs) was demonstrated to be a key mechanism of clarithromycin (CLA) resistance in NTM. Therefore, in this work, 24 compounds from an in-house library, characterized by chemical diversity, were tested as potential NTM EP inhibitors (EPIs) against Mycobacterium smegmatis mc155 and M. avium clinical isolates. Based on the acquired results, 12 novel analogs of the best derivatives 1b and 7b were designed and synthesized to improve the NTM EP inhibition activity. Among the second set of compounds, 13b emerged as the most potent NTM EPI. At a concentration of 4 µg/mL, it reduced the CLA minimum inhibitory concentration by 16-fold against the clinical isolate M. avium 2373 overexpressing EPs as primary mechanism of CLA resistance.

非结核分枝杆菌(NTM)包括分枝杆菌复合体,由于它们能够对治疗非结核分枝杆菌感染的最常用抗生素迅速产生耐药性,因此被归类为难以治疗的病原体。事实证明,外排泵(EPs)的过度表达是导致NTM对克拉霉素(CLA)产生耐药性的关键机制。因此,在这项工作中,对来自内部化合物库的 24 种化合物进行了测试,这些化合物具有化学多样性的特点,可作为潜在的非结核分枝杆菌外排泵抑制剂(EPIs)来对抗烟草分枝杆菌 mc2 155 和阿维菌素分枝杆菌临床分离株。根据所获得的结果,设计并合成了最佳衍生物 1b 和 7b 的 12 种新型类似物,以提高其对非结核分枝杆菌 EP 的抑制活性。在第二组化合物中,13b 成为最有效的 NTM EPI。当浓度为 4 µg/mL 时,它对临床分离的 M. avium 2373 的 CLA 最小抑制浓度降低了 16 倍,而临床分离的 M. avium 2373 过度表达 EPs 是 CLA 抗性的主要机制。
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引用次数: 0
The therapeutic potential of indole hybrids, dimers, and trimers against drug-resistant ESKAPE pathogens 吲哚混合物、二聚体和三聚体对耐药性 ESKAPE 病原体的治疗潜力。
IF 4.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-06-26 DOI: 10.1002/ardp.202400295
Ye Qiongxian, Deng Jun, Zhang Zhenfeng, Luo Tongyou, Tan Zhicong, Tan Zhenyou

Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, and Enterobacter (ESKAPE) species as causative agents are characterized by increased levels of resistance toward multiple classes of first-line as well as last-resort antibiotics and represent serious global health concerns, creating a critical need for the development of novel antibacterials with therapeutic potential against drug-resistant ESKAPE species. Indole derivatives with structural and mechanistic diversity demonstrated broad-spectrum antibacterial activity against various clinically important pathogens including drug-resistant ESKAPE. Moreover, several indole-based agents that are exemplified by creatmycin have already been used in clinics or under clinical trials for the treatment of bacterial infections, demonstrating that indole derivatives hold great promise for the development of novel antibacterials. This review is an endeavor to highlight the current scenario of indole hybrids, dimers, and trimers with therapeutic potential against drug-resistant ESKAPE pathogens, covering articles published from 2020 to the present, to open new avenues for the exploration of novel antidrug-resistant ESKAPE candidates.

粪肠球菌、金黄色葡萄球菌、肺炎克雷伯氏菌、鲍曼不动杆菌、铜绿假单胞菌和肠杆菌(ESKAPE)作为致病菌,对多类一线抗生素和最后手段抗生素的耐药性不断增加,是严重的全球健康问题,因此亟需开发具有治疗潜力的新型抗菌药物来对付耐药 ESKAPE 物种。具有结构和机理多样性的吲哚衍生物对包括耐药 ESKAPE 在内的各种临床重要病原体具有广谱抗菌活性。此外,以 creatmycin 为代表的几种吲哚类药物已经用于临床或正在进行临床试验,用于治疗细菌感染,这表明吲哚衍生物在开发新型抗菌药物方面大有可为。本综述旨在重点介绍具有抗耐药性 ESKAPE 病原体治疗潜力的吲哚杂化物、二聚体和三聚体的现状,涵盖 2020 年至今发表的文章,为探索新型抗耐药性 ESKAPE 候选药物开辟新途径。
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