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Pregnenolone Carbamate Derivatives as Selective Cholinesterase Inhibitors: Multimodal Evaluation Including DNA and HSA Interactions 孕烯醇酮氨基甲酸酯衍生物作为选择性胆碱酯酶抑制剂:包括DNA和HSA相互作用的多模式评价。
IF 3.6 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-11-05 DOI: 10.1002/ardp.70140
Sura Akca, Sevinc Ilkar Erdagi, Duygu Inci Ozbagci

Pregnenolone-carbamate derivatives were synthesized and evaluated as potential multifunctional agents with cholinesterase inhibitory and neuroprotective properties. Among them, P3, P5, and P9 exhibited the most promising profiles and were subjected to integrated spectroscopic, biochemical, and computational analyses. Inhibition assays revealed selective acetylcholinesterase (AChE) inhibition by P3 (IC50 = 0.11 μM), butyrylcholinesterase inhibition (BuChE) selectivity for P5 (IC50 = 0.47 μM), and dual inhibition by P9. Fluorescence and UV–vis studies indicated minor groove binding to DNA with log Kapp values around 5.85, while static quenching with human serum albumin (HSA) was observed, with log KA values up to 2.25. Docking studies supported these findings, showing favorable binding energies for DNA (–8.6 kcal/mol) and HSA (–9.7 kcal/mol), and predicted localization within the DNA minor groove and Sudlow sites on HSA. Cytotoxicity assays on HT22 cells indicated high viability (> 75% at 40 µM), suggesting a favorable safety margin. These results offer a molecular-level understanding of the pharmacodynamic and pharmacokinetic properties of these compounds and support their potential for further in vivo evaluation.

合成了孕烯醇酮-氨基甲酸酯衍生物,并评价其作为具有胆碱酯酶抑制和神经保护作用的潜在多功能药物。其中,P3、P5和P9表现出最有前途的谱线,并进行了综合光谱、生化和计算分析。P3对乙酰胆碱酯酶(AChE)有选择性抑制(IC50 = 0.11 μM), P5对丁基胆碱酯酶(BuChE)有选择性抑制(IC50 = 0.47 μM), P9对乙酰胆碱酯酶(AChE)有双重抑制。荧光和UV-vis研究表明,与DNA有轻微的凹槽结合,log Kapp值约为5.85,而与人血清白蛋白(HSA)静态猝灭,log KA值高达2.25。对接研究支持了这些发现,显示了DNA (-8.6 kcal/mol)和HSA (-9.7 kcal/mol)的有利结合能,并预测了HSA上DNA小槽和Sudlow位点的定位。HT22细胞的细胞毒性实验显示,在40µM条件下,HT22细胞具有较高的活力(> 75%),表明其具有良好的安全边际。这些结果提供了对这些化合物的药效学和药代动力学特性的分子水平的理解,并支持它们进一步在体内评价的潜力。
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引用次数: 0
Characterization of the Systemic Effects of Casiopeina III-Ia Using an In Vivo Glioma Model: Antitumoral, Pharmacokinetics, and Immune Responses 使用体内胶质瘤模型表征Casiopeina III-Ia的全身作用:抗肿瘤,药代动力学和免疫反应
IF 3.6 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-11-03 DOI: 10.1002/ardp.70132
Cristina Trejo-Solís, Inés Fuentes-Noriega, Alma Ortiz-Plata, Benjamín Pineda, Alejandro Macario-Hernández, Rosa Angelica Castillo-Rodriguez, Francisca Palomares-Alonso, Antonio Romo-Mancillas, Daniela Silva Adaya, Lena Ruiz-Azuara, Dolores Jiménez-Farfán, Juan Carlos García-Ramos

The antineoplastic properties of the Cu(II) coordination compound Casiopeina III-ia (Cas III-ia) are revealed using an in vivo glioma model, and its biopharmaceutical properties are predicted through an in silico analysis. C6 cells of the murine glioma allograft model were implanted in rats to form glioma tumors and treated with Cas III-ia at doses of 0.75 and 1.5 mg/kg/day for 21 days. The mean tumor volume of treated rats was reduced by 73% and 88% compared with the control, respectively. Moreover, the mitotic and proliferation indexes decreased with a simultaneous increase in the apoptotic index. We observed the generation of reactive oxygen species, lipoperoxidation, increased p21WAF/CIP, Bax, cleaved caspase 3, and decreased Cyclin D and Bcl-2. The pharmacokinetic study reveals a half-life of 12.4 h, depuration of 5.3 mL/h, and a volume of distribution of Cas III-ia of 20.3 L. In silico analysis revealed that Cas III-ia possesses potential oral bioavailability, high gastrointestinal absorption, the capacity to penetrate the blood–brain barrier, and is a potential target of glycoproteins, but not a substrate of CYP1A2, CYP2C19, CYP2C9, CYP2D6, and CYP3A4. Our findings strongly suggest that Cas III-ia holds excellent promise as a potential compound for treating human malignant glioma.

利用体内胶质瘤模型揭示了Cu(II)配位化合物Casiopeina III-ia (Cas III-ia)的抗肿瘤特性,并通过硅分析预测了其生物制药特性。将同种异体小鼠胶质瘤移植模型的C6细胞植入大鼠体内形成胶质瘤,并以0.75和1.5 mg/kg/d剂量的Cas III-ia治疗21 d。与对照组相比,实验组大鼠的平均肿瘤体积分别减少73%和88%。细胞有丝分裂和增殖指数下降,细胞凋亡指数升高。我们观察到活性氧的产生,脂质过氧化,p21WAF/CIP, Bax,裂解caspase 3, Cyclin D和Bcl-2的降低。药代动力学研究表明,casiii -ia的半衰期为12.4 h,去除率为5.3 mL/h,分布体积为20.3 L。计算机分析显示,Cas III-ia具有潜在的口服生物利用度、高胃肠道吸收、穿透血脑屏障的能力,是糖蛋白的潜在靶点,但不是CYP1A2、CYP2C19、CYP2C9、CYP2D6和CYP3A4的底物。我们的研究结果强烈表明,Cas III-ia作为治疗人类恶性胶质瘤的潜在化合物具有良好的前景。
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引用次数: 0
Structural Modification of Heterocyclic Scaffolds: A Strategy for Antibacterial Drug Discovery 杂环支架的结构修饰:一种抗菌药物发现策略
IF 3.6 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-11-03 DOI: 10.1002/ardp.70131
Raksha Gupta, Anubhuti Koshle, Santosh Kumar Verma,  Kamal, Shekhar Verma, Yogesh Vaishnav, Rameshwari Verma, Hongxia Zhang, Kadalipura P. Rakesh

Multidrug-resistant (MDR) bacterial infections are on the rise worldwide, and there are fewer clinically available medications to treat them. Methicillin-resistant Staphylococcus aureus (MRSA) is one of the most compelling and harmful bacteria. MRSA has surfaced, spread widely, and gained recognition as a leading source of bacterial infections in both community and clinical settings. The most dangerous feature of MRSA is its quick evolution of resistance to all known antibiotics, including vancomycin. Finding novel, powerful, and less hazardous antibiotic moieties is essential to combating MRSA isolates. In medicinal chemistry, the electron-withdrawing groups—primarily the –Cl, NO2, F, and Br groups—can play an important role. A curative or diagnostic small molecule aspirant's pharmacokinetic and physicochemical characteristics, such as increased membrane permeability for MRSA and better metabolic stability, can be improved by the selective setup of EWGs. In this study, we reviewed the benefits of using EWGs to boost antibacterial effectiveness against different types of bacterial pathogens and talked about how it might be used in antibacterial drug discovery.

耐多药(MDR)细菌感染在世界范围内呈上升趋势,临床可用的治疗药物较少。耐甲氧西林金黄色葡萄球菌(MRSA)是最引人注目和有害的细菌之一。MRSA已经浮出水面,广泛传播,并被认为是社区和临床环境中细菌感染的主要来源。耐甲氧西林金黄色葡萄球菌最危险的特征是它对包括万古霉素在内的所有已知抗生素的耐药性迅速进化。寻找新的、强效的、危害更小的抗生素对对抗MRSA分离株至关重要。在药物化学中,吸电子基团——主要是-Cl、NO2、F和Br基团——可以发挥重要作用。治疗性或诊断性小分子吸入剂的药代动力学和理化特性,如增加MRSA的膜通透性和更好的代谢稳定性,可以通过选择性设置ewg来改善。在本研究中,我们回顾了使用EWGs提高对不同类型细菌病原体的抗菌效果的好处,并讨论了如何将其用于抗菌药物的发现。
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引用次数: 0
Targeted Metabolomics and Network Pharmacology to Screen Endogenous Biomarkers Indicating Dose-Dependent Liver Injury Induced by Genipin and the Mechanism Uncovered 靶向代谢组学和网络药理学筛选指示剂量依赖性肝损伤的内源性生物标志物及其机制揭示
IF 3.6 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-11-03 DOI: 10.1002/ardp.70134
Dongxia Lyu, Fan Zhang, Jiaqi Qin, Xin Gao, Hangxing Zhang, Yuhui Wei

Genipin is the primary active pharmacological component of several commonly used traditional Chinese medicines, and it has a variety of applications. In addition to medical uses, it has applications in food and biomaterials. However, because genipin causes dose-dependent hepatotoxicity, it is critical to identify sensitive indicators of genipin-induced dose-dependent hepatotoxicity and explain its mechanism to prevent and treat hepatotoxicity caused by genipin and similar traditional Chinese medicines. This article uses targeted metabolomics, network pharmacology, and molecular docking to screen highly relevant early diagnostic markers of genipin-induced dose-dependent liver injury and then analyzes its toxicological targets to elucidate the mechanism of genipin-induced dose-dependent liver injury. The findings demonstrated that genipin's impact on the associated liver injury targets (GSR, AKR1B1, PTGS1, MAOB, CA2, HSP90AA1, CDK1, LGALS3, HTR2C, LCK, and CASP1) was primarily linked to its disturbance of the metabolic homeostasis of the endogenous metabolites 2-phenylpropionate, 4-hydroxybenzoic acid, propionylcarnitine, and N-acetylaspartic acid. This study serves as a foundation for the early detection and prevention of liver damage brought on by genipin and associated traditional Chinese medicines. It also serves as a guide for further in-depth research into the mechanism underlying genipin-induced liver injury.

Genipin是几种常用中药的主要活性药理成分,具有多种用途。除了医疗用途外,它还应用于食品和生物材料。然而,由于吉尼平引起剂量依赖性肝毒性,确定吉尼平引起的剂量依赖性肝毒性的敏感指标,并解释其预防和治疗吉尼平及同类中药引起的肝毒性的机制至关重要。本文采用靶向代谢组学、网络药理学、分子对接等方法筛选格尼平诱导剂量依赖性肝损伤的高相关性早期诊断标志物,并分析其毒理学靶点,阐明格尼平诱导剂量依赖性肝损伤的机制。研究结果表明,genipin对相关肝损伤靶点(GSR、AKR1B1、PTGS1、MAOB、CA2、HSP90AA1、CDK1、LGALS3、HTR2C、LCK和CASP1)的影响主要与其对内源性代谢物2-苯基丙酸、4-羟基苯甲酸、丙酰基肉碱和n -乙酰天冬氨酸的代谢稳态的干扰有关。本研究为吉尼平及相关中药引起的肝损害的早期发现和预防奠定了基础。为进一步深入研究吉尼平所致肝损伤的机制提供指导。
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引用次数: 0
Current Landscape of Novel Therapeutic Agents and Drug Targets in Irritable Bowel Syndrome 肠易激综合征新治疗药物和药物靶点的现状
IF 3.6 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-11-03 DOI: 10.1002/ardp.70133
Deepak Chandra Joshi, Neha Raina, Nirmal Joshi, Kajal Gurow, Jyoti Gwasakoti, Abhilasha Sood, Arpit Mehrotra, Hardeep Singh Tuli, Keshav Raj Paudel, Madhu Gupta

Irritable bowel disease or syndrome (IBD/IBS) is a prevalent gastrointestinal tract problem affecting approximately 4% of the total population of the world. Choosing effective pharmacological treatments for IBS is still challenging due to the existence of a heterogeneous type of patient population, diverse expectations, limited availability of effective drugs, and incompletely understood pathophysiology of the disease. Recent advancements in pharmacological research have increasingly focused on neurotransmitter dysfunctions, particularly targeting serotonin and GABA pathways. Therapeutic approaches include the use of 5-HT3 receptor antagonists and 5-HT4 receptor agonists to regulate gastrointestinal motility and sensitivity. Meanwhile, GABA-analogous medications remain underutilized despite their potential to alleviate visceral pain. This study briefly overviews IBS, highlighting its symptoms, potential causes, and chronic nature. Despite its significant societal burden, IBS often lacks attention, necessitating further research to understand its actual costs. The significance of identifying novel therapeutic agents and drug targets in IBS is underscored, offering improved treatment efficacy, reduced side effects, and the potential for personalized medicine. This article aims to explore neuro-immune interactions, evaluate new treatments, and enhance the understanding of IBS to improve treatment outcomes. It emphasizes the importance of identifying innovative therapeutic approaches and drug targets.

肠易激病或综合征(IBD/IBS)是一种普遍的胃肠道问题,影响到世界总人口的约4%。选择有效的IBS药物治疗仍然具有挑战性,因为存在异质的患者群体,不同的期望,有效药物的有限可用性,以及不完全了解该疾病的病理生理。近年来,药理学研究越来越多地关注神经递质功能障碍,特别是针对血清素和GABA通路。治疗方法包括使用5-HT3受体拮抗剂和5-HT4受体激动剂来调节胃肠道运动和敏感性。与此同时,类似gaba的药物尽管有减轻内脏疼痛的潜力,但仍未得到充分利用。本研究简要概述肠易激综合征,强调其症状、潜在原因和慢性性质。尽管肠易激综合症是一种重大的社会负担,但它往往缺乏关注,因此需要进一步研究以了解其实际成本。在IBS中发现新的治疗药物和药物靶点的重要性被强调,提供更好的治疗效果,减少副作用,以及个性化医疗的潜力。本文旨在探讨神经免疫相互作用,评估新的治疗方法,提高对肠易激综合征的认识,以改善治疗效果。它强调了确定创新治疗方法和药物靶点的重要性。
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引用次数: 0
Issue Information: Arch Pharm (11/2025) 发行资料:Arch pharma (11/2025)
IF 3.6 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-11-03 DOI: 10.1002/ardp.70143
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引用次数: 0
A Review on Curcumin: Pharmacological Promises and Biomedical Activities 姜黄素的药理前景及其生物医学活性研究进展
IF 3.6 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-11-03 DOI: 10.1002/ardp.70129
Huda M. Younis, Amal A. Mohamed

Turmeric is a common spice obtained from the rhizomes of the Curcuma longa plant. It belongs to the Zingiberaceae (ginger family). The rhizome is a horizontally growing stem that sends roots and shoots from below ground. Turmeric has many uses, including spice, food preservation, flavor enhancement, and coloring. Also, it is used in conventional medicine as a home treatment for many diseases. Turmeric obtains its yellow color from curcuminoids, polyphenolic pigments that dissolve in fat. The primary curcuminoid form in turmeric is curcumin or diferuloylmethane (1,7-bis (4-hydroxy-3-methoxyphenyl)-1,6-heptadiene-3,5-dione). It is the most active element and is responsible for its biological characteristics. Curcumin exhibits significant benefits in many human disease treatments. Generally, curcumin is beneficial to human health due to its therapeutic characteristics. These involve antioxidant, anti-inflammatory, anticancer, antiangiogenic, hepatoprotective, neuroprotective, antidiabetic, immunomodulatory, antimicrobial, wound healing, and cardiovascular diseases. Although comprehensive studies have been conducted on curcumin's ability to treat many human diseases, major challenges remain, especially regarding its therapeutic efficacy and bioavailability. This review presents an overview of curcumin's therapeutic applications, its benefits for human health, and the challenges to its broad use. It also highlighted existing solutions and approaches to enhance curcumin's therapeutic potential.

姜黄是一种从姜黄植物的根茎中提取的常见香料。它属于姜科(姜科)。根茎是一种水平生长的茎,从地下长出根和芽。姜黄有很多用途,包括香料、食品保鲜、增强风味和着色。此外,它在传统医学中被用作许多疾病的家庭治疗。姜黄的黄色来自于姜黄素,一种溶解在脂肪中的多酚色素。姜黄中主要的类姜黄素形式是姜黄素或二磺基甲烷(1,7-二(4-羟基-3-甲氧基苯基)-1,6-庚二烯-3,5-二酮)。它是最活跃的元素,并负责其生物学特性。姜黄素在许多人类疾病治疗中显示出显著的益处。一般来说,姜黄素因其治疗特性对人体健康有益。这些包括抗氧化、抗炎、抗癌、抗血管生成、肝保护、神经保护、抗糖尿病、免疫调节、抗菌、伤口愈合和心血管疾病。虽然对姜黄素治疗许多人类疾病的能力进行了全面的研究,但主要的挑战仍然存在,特别是在其治疗功效和生物利用度方面。本文综述了姜黄素的治疗应用、对人体健康的益处以及其广泛应用面临的挑战。它还强调了现有的解决方案和方法,以提高姜黄素的治疗潜力。
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引用次数: 0
Discovery and Structure-Activity Relationship Study of Pyrazolyl Indolenine Derivatives as Staphylococcus aureus Biofilm Inhibitors 吡唑基吲哚胺衍生物作为金黄色葡萄球菌生物膜抑制剂的发现及构效关系研究。
IF 3.6 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-10-24 DOI: 10.1002/ardp.70126
Jason Jonah James, Cheng Hong Yap, Neni Frimayanti, Nurshamimi Nor Rashid, Sun Tee Tay, Chin Fei Chee

Staphylococcus aureus-associated infections pose a significant clinical challenge due to biofilm formation, which contributes to antibiotic resistance and persistent infections. The prevalence of methicillin-resistant S. aureus (MRSA) further exacerbates this issue, underscoring the urgent need for effective therapeutic strategies. In this study, we report a potent and selective second-generation MRSA biofilm inhibitor (4ad), which showed a minimum biofilm inhibition concentration (MBIC50) of 0.78 µg/mL and demonstrated ≥ 128-fold selectivity for biofilm inhibition over planktonic growth. Through structural optimisation and fragmentation, we further identified a truncated analogue (5a) that effectively eradicated a preformed MRSA biofilm, with a minimum biofilm eradication concentration (MBEC50) of 0.78 µg/mL—outperforming both the first-generation hit (4e) and the clinically used antibiotics oxacillin and vancomycin. Notably, both 4ad and 5a exhibited no significant impact on planktonic bacterial viability or Vero cell cytotoxicity. Given the broad-spectrum antibiofilm activity of 4e against S. aureus, we investigated its combinatorial effects with antibiotics. 4e demonstrated additive effects in combination with vancomycin, erythromycin, and amoxicillin. Importantly, both structure–activity relationship (SAR) and quantitative structure–activity relationship (QSAR) analyses identified key structural features associated with antibiofilm activity. Collectively, these findings support further development of pyrazolyl indolenine derivatives and mechanistic studies aimed at combating antibiotic-resistant S. aureus biofilm.

由于生物膜的形成,金黄色葡萄球菌相关感染构成了重大的临床挑战,这有助于抗生素耐药性和持续感染。耐甲氧西林金黄色葡萄球菌(MRSA)的流行进一步加剧了这一问题,强调了迫切需要有效的治疗策略。在这项研究中,我们报道了一种有效的、选择性的第二代MRSA生物膜抑制剂(4ad),其最低生物膜抑制浓度(MBIC50)为0.78µg/mL,对生物膜抑制浮游生物生长的选择性≥128倍。通过结构优化和碎片化,我们进一步确定了一种截断的类似物(5a),它有效地根除了预先形成的MRSA生物膜,其最低生物膜根除浓度(MBEC50)为0.78 μ g/ ml,优于第一代hit (4e)和临床使用的抗生素oxacillin和万古霉素。值得注意的是,4ad和5a对浮游细菌活力和Vero细胞毒性没有显著影响。鉴于4e对金黄色葡萄球菌的广谱抗菌膜活性,我们研究了其与抗生素的联合作用。4e与万古霉素、红霉素和阿莫西林联合使用显示出附加效应。重要的是,构效关系(SAR)和定量构效关系(QSAR)分析都确定了与抗生素膜活性相关的关键结构特征。总的来说,这些发现支持进一步发展吡唑啉吲哚啉衍生物和旨在对抗耐抗生素金黄色葡萄球菌生物膜的机制研究。
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引用次数: 0
Ultra-Fast UPLC-MS/MS Method for the Ripretinib Quantification in the HLMs Matrix With Metabolic Stability Assessment: In-Silico Study for Toxic Alerts and the Metabolic Lability 超快速超高效液相色谱-质谱联用法测定利普雷替尼在HLMs基质中的代谢稳定性:毒性警报和代谢不稳定性的计算机研究。
IF 3.6 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-10-24 DOI: 10.1002/ardp.70130
Mohamed W. Attwa, Adnan A. Kadi

Ripretinib (QINLOCK) is a broad-spectrum, orally-administered, switch-controlled kinase inhibitor that got FDA approval in May 2020 for the treatment of advanced gastrointestinal stromal tumors (GIST) in adult patients who have formerly had treatment with three or more kinase inhibitors, comprising imatinib. This study sought to develop a precise, rapid, dependable, and sustainable UPLC-MS/MS approach for measuring ripretinib (RPB) in the human liver microsomes (HLMs) matrix, utilized for assessing the metabolic stability of RPB. The validation processes for the UPLC-MS/MS system adhered to US-FDA rules for bioanalytical technique validation. The validated method utilized HLMs matrix throughout a level range of 1–4000 ng/mL with a duration of 1 min. The precision (%RSD) and accuracy (%E) rates for intraday and interday measurements varied from –0.6% to 9.3% and –2.5% to 15.3%, respectively. The StarDrop software employed P450 and DEREK modules to evaluate metabolic lability and to characterize RPB structural warnings, respectively. The in-vitro t1/2 was calculated to be 47.4 min, and the intrinsic clearance (Clint) of RPB was computed to be 17.1 mL/min/kg. In-silico assessments indicate that slight structural changes to the methyl amino group (97%) and the phenylurea moiety (3%) in drug design could increase the metabolic stability of RPB. The evaluation of in-silico RPB ADME characteristics and metabolic stability is fundamental for progressing innovative drug research focused on augmenting metabolic stability.

Ripretinib (QINLOCK)是一种广谱、口服、开关控制的激酶抑制剂,于2020年5月获得FDA批准,用于治疗以前接受过三种或更多种激酶抑制剂(包括伊马替尼)治疗的成年患者的晚期胃肠道间质瘤(GIST)。本研究旨在建立一种精确、快速、可靠和可持续的UPLC-MS/MS方法来测量人肝微粒体(HLMs)基质中的利普雷替尼(RPB),用于评估RPB的代谢稳定性。UPLC-MS/MS系统的验证过程符合美国fda生物分析技术验证规则。经过验证的方法在1-4000 ng/mL的水平范围内使用HLMs基质,持续时间为1分钟。日内和日间测量的精密度(%RSD)和准确度(%E)率分别为-0.6% ~ 9.3%和-2.5% ~ 15.3%。StarDrop软件采用P450和DEREK模块分别评估代谢不稳定性和表征RPB结构警告。体外t1/2为47.4 min, RPB的内在清除率(Clint)为17.1 mL/min/kg。计算机评价表明,在药物设计中对甲基氨基(97%)和苯脲部分(3%)进行轻微的结构改变可以提高RPB的代谢稳定性。计算机评价RPB ADME特性和代谢稳定性是推进以增强代谢稳定性为重点的创新药物研究的基础。
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引用次数: 0
An Insight Into Commercially Available SGLT2 Inhibitors and Their Structure–Activity Relationship Studies 对市售SGLT2抑制剂及其构效关系的研究
IF 3.6 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-10-24 DOI: 10.1002/ardp.70127
Asiya Parveen, Shazia Parveen, Nisha Vats, Mohd. Shafeeque, Akram Choudhary, Syed Ali Hasnain Zaidi, M. Shahar Yar

A serious, rapidly growing global health issue is diabetes mellitus (Type 2) caused by insulin deficiency or insulin resistance. This is a chronic condition that demands ongoing care and management. Although a variety of anti-hyperglycaemic medications are available, the need for safer, more effective, and affordable antidiabetic treatments remains crucial due to the undesirable side effects associated with existing options. This review primarily highlights the innovative sodium-glucose co-transporter 2 (SGLT-2) inhibitors and explores their various characteristics. Gliflozins represent an important class of medications used to manage type II diabetes by targeting the SGLT2. By inhibiting SGLT2, they effectively reduce blood glucose levels by preventing the kidneys from reabsorbing glucose. This review offers a comprehensive overview of gliflozins approved by leading regulatory authorities such as the Food and Drug Administration (FDA), European Medicines Agency (EMA), and Pharmaceuticals and Medical Devices Agency (PMDA). It explores the design and development of sodium-glucose co-transporter (SGLT) inhibitors, their mechanisms of action, structure–activity relationships, and additional therapeutic applications.

由胰岛素缺乏或胰岛素抵抗引起的糖尿病(2型)是一个严重的、迅速增长的全球健康问题。这是一种需要持续护理和管理的慢性疾病。尽管有各种各样的抗高血糖药物可供选择,但由于现有选择的不良副作用,对更安全、更有效和负担得起的抗糖尿病治疗方法的需求仍然至关重要。本文主要介绍了新型的钠-葡萄糖共转运蛋白2 (SGLT-2)抑制剂,并探讨了它们的各种特性。格列净是一类通过靶向SGLT2来治疗II型糖尿病的重要药物。通过抑制SGLT2,它们通过阻止肾脏重新吸收葡萄糖有效地降低血糖水平。本综述提供了格列净获主要监管机构批准的全面概述,如食品和药物管理局(FDA)、欧洲药品管理局(EMA)和药品和医疗器械管理局(PMDA)。它探讨了钠-葡萄糖共转运体(SGLT)抑制剂的设计和开发,它们的作用机制,结构-活性关系,以及其他治疗应用。
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