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Development of Mycobacterium tuberculosis Enoyl Acyl Reductase (InhA) Inhibitors: A Mini-Review. 结核分枝杆菌烯酰乙酰还原酶 (InhA) 抑制剂的开发:微型综述。
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-09-19 DOI: 10.2174/0113895575309785240902102421
Navin Kumar Tailor, Geeta Deswal, Kumar Guarve, Ajmer Singh Grewal

This review article delves into the critical role of Enoyl acyl carrier protein Reductase (InhA; ENR), a vital enzyme in the NADH-dependent acyl carrier protein reductase family, emphasizing its significance in fatty acid synthesis and, more specifically, the biosynthesis of mycolic acid. The primary objective of this literature review is to elucidate diverse scaffolds and their developmental progression targeting InhA inhibition, thereby disrupting mycolic acid biosynthesis. Various scaffolds, including thiourea, piperazine, thiadiazole, triazole, quinazoline, benzamide, rhodanine, benzoxazole, and pyridine, have been systematically explored for their potential as InhA inhibitors. Noteworthy findings highlight thiadiazole and triazole derivatives, demonstrating promising IC50 values within the nanomolar concentration range. The review offers comprehensive insights into InhA's structure, structure-activity relationships, and a detailed overview of distinct scaffolds as effective inhibitors of InhA.

这篇综述文章深入探讨了乙酰酰基载体蛋白还原酶(InhA;ENR)的关键作用,它是依赖 NADH 的酰基载体蛋白还原酶家族中的一种重要酶,强调了它在脂肪酸合成中的重要作用,更具体地说,是在霉菌酸的生物合成中的重要作用。本文献综述的主要目的是阐明以抑制 InhA 为目标的各种支架及其发展过程,从而破坏霉菌酸的生物合成。我们系统地探讨了硫脲、哌嗪、噻二唑、三唑、喹唑啉、苯甲酰胺、罗丹宁、苯并恶唑和吡啶等各种支架作为 InhA 抑制剂的潜力。值得注意的是,噻二唑和三唑衍生物在纳摩尔浓度范围内显示出良好的 IC50 值。该综述对 InhA 的结构、结构-活性关系提供了全面的见解,并详细概述了作为 InhA 有效抑制剂的不同支架。
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引用次数: 0
Phytochemicals and Nanotechnology: A Powerful Combination against Breast Cancer. 植物化学物质与纳米技术:抗击乳腺癌的强大组合。
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-09-13 DOI: 10.2174/0113895575297312240903055926
Sadat Shafi, Faraha Ahmed, Ayesha Waheed, Syed Sufiyan Ahmad, Sana Khan, Mohammad Ahmed Khan, Faheem Hyder Pottoo, Syed Arman Rabbani, Shailja Singh, Abul Kalam Najmi

Considerable advancements have been made in breast cancer therapeutics in the past few decades. However, the advent of chemo-resistance and adverse drug reactions coupled with tumor metastasis and recurrence posed a serious threat to combat this lethal disease. Novel anti-cancer agents, as well as new therapeutic strategies, are needed to complement conventional breast cancer therapies. The quest for developing novel anti-cancer drugs caused an upsurge in exploring and harnessing natural compounds, especially phytochemicals. Various research groups have explored and documented the anti-cancer potential of wide variety of phytochemical groups including flavonoids (curcumin, kaempferol, myricetin, quercetin, naringenin, apigenin, genistein epigallocatechin gallate), stilbenes (resveratrol), carotenoids (crocin, lycopene, lutein), and anthraquinone (Emodin). However, low chemical stability, poor water solubility, and short systemic half-life impede their clinical utility. The implication of nano-technological approaches to decode the pharmacokinetic challenges associated with phytochemical usage, as well as selective drug targeting, have markedly enhanced the pre-clinical anti-cancer activity, thus aiding in their clinical translation. This review documented the recent advances in utilizing phytochemicals for breast cancer prevention and lipidbased nanotechnological approaches for circumventing their pharmacokinetic concerns to enhance their systemic availability, cytotoxicity, and targeted delivery against breast cancer alone as well as in combination with conventional therapeutic agents.

过去几十年来,乳腺癌疗法取得了长足的进步。然而,化疗耐药性和药物不良反应的出现,以及肿瘤转移和复发,对抗击这一致命疾病构成了严重威胁。我们需要新型抗癌药物和新的治疗策略来补充传统的乳腺癌疗法。为开发新型抗癌药物,对天然化合物,尤其是植物化学物质的探索和利用急剧增加。不同的研究小组已经探索并记录了多种植物化学物质的抗癌潜力,包括类黄酮(姜黄素、山柰酚、杨梅素、槲皮素、柚皮素、芹菜素、表没食子儿茶素没食子酸酯)、二苯乙烯类(白藜芦醇)、类胡萝卜素(黄霉素、番茄红素、叶黄素)和蒽醌(大黄素)。然而,它们的化学稳定性低、水溶性差、体内半衰期短,阻碍了它们在临床上的应用。利用纳米技术破解与植物化学物质使用相关的药代动力学难题,以及选择性药物靶向,显著提高了临床前抗癌活性,从而有助于其临床转化。本综述记录了利用植物化学物预防乳腺癌的最新进展,以及规避其药代动力学问题的脂基纳米技术方法,从而提高其全身可用性、细胞毒性,以及单独或与传统治疗药物联合靶向输送乳腺癌药物的情况。
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引用次数: 0
The Role of Essential Oils on Sleep Quality and Other Sleep-related Issues: Evidence from Clinical Trials. 精油对睡眠质量和其他睡眠相关问题的作用:来自临床试验的证据
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-09-02 DOI: 10.2174/0113895575315700240821054716
Bhagavathi Sundaram Sivamaruthi, Periyanaina Kesika, Natarajan Sisubalan, Chaiyavat Chaiyasut

Essential oils (EOs) are a volatile mixture of bioactive compounds extracted from aromatic plants. The composition of EOs varies, which majorly depends on the extraction methods and plant parts. Aromatherapy using EOs has been reported for its several beneficial effects in humans. Aromatherapy is considered a complementary and/ or adjuvant therapeutic approach for treating several illnesses, especially to improve mental health and well-being. The incidence of sleep disorders, specifically insomnia, is nowadays increased, possibly due to urbanization and lifestyle. The studies showed that EOs-based treatments using lavender EO, bergamot EO, cinnamon EO, and rosemary EO (alone or in combinations) could improve sleep quality, duration, and deprivation in healthy subjects and patients, those who suffer from sleep-related issues. The current manuscript details the outcomes of EO-based treatments on the sleep quality of humans and the possible mechanisms associated with the health-promoting properties of EOs. Also, the toxicity and adverse effects of EOs have been discussed. The study indicated that EOs are potent adjuvant therapeutic candidates to manage mood-associated complications in humans. Moreover, the aromatherapeutic field requires detailed studies on toxicity and dose determination, which could provide safe and effective therapeutic results.

精油(EOs)是从芳香植物中提取的生物活性化合物的挥发性混合物。精油的成分各不相同,主要取决于提取方法和植物部位。据报道,使用环氧乙烷进行芳香疗法对人体有多种益处。芳香疗法被认为是治疗多种疾病的补充和/或辅助治疗方法,尤其是在改善心理健康和幸福感方面。可能由于城市化和生活方式的原因,睡眠障碍,特别是失眠症的发病率如今越来越高。研究表明,使用薰衣草环氧乙烷、佛手柑环氧乙烷、肉桂环氧乙烷和迷迭香环氧乙烷(单独或组合使用)进行环氧乙烷治疗,可以改善健康受试者和睡眠相关问题患者的睡眠质量、持续时间和剥夺程度。本手稿详细介绍了基于环氧乙烷的疗法对人类睡眠质量的影响,以及与环氧乙烷促进健康特性相关的可能机制。此外,还讨论了环氧乙烷的毒性和不良影响。研究表明,环氧乙烷是控制人类情绪相关并发症的有效辅助疗法。此外,芳香疗法领域需要对毒性和剂量确定进行详细研究,这样才能提供安全有效的治疗效果。
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引用次数: 0
Cinnamic Acid Derivatives: Recent Discoveries and Development Strategies for Alzheimer's Disease. 肉桂酸衍生物:治疗阿尔茨海默病的最新发现和发展战略》。
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-08-30 DOI: 10.2174/0113895575330648240819112435
Yuan Liu, Zhixian Zhang, Zeyu Zhu, Yang Yang, Weijia Peng, Qiuhe Chen, Shinghung Mak, Karl Wahkeung Tism, Rongbiao Pi

Alzheimer's Disease (AD) is a progressive neurodegenerative disorder that leads to cognitive decline and memory impairment. It is characterized by the accumulation of Amyloid-beta (Aβ) plaques, the abnormal phosphorylation of tau protein forming neurofibrillary tangles, and is often accompanied by neuroinflammation and oxidative stress, which contribute to neuronal loss and brain atrophy. At present, clinical anti-AD drugs are mostly single-target, improving the cognitive ability of AD patients, but failing to effectively slow down the progression of AD. Therefore, research on effective multi-target drugs for AD has become an urgent problem to address. The main derivatives of hydroxycinnamic acid, caffeic acid, and ferulic acid, are widely present in nature and have many pharmacological activities, such as antimicrobial, antioxidant, anti-inflammatory, neuroprotective, anti-Aβ deposition, and so on. The occurrence and development of AD are often accompanied by pathologies, such as oxidative stress, neuroinflammation, and Aβ deposition, suggesting that caffeic acid and ferulic acid can be used in the research on anti-AD drugs. Therefore, in this article, we have summarized the multi-target anti-AD derivatives based on caffeic acid and ferulic acid in recent years, and discussed the new design direction of cinnamic acid derivatives as backbone compounds. It is hoped that this review will provide some useful strategies for anti-AD drugs based on cinnamic acid derivatives.

阿尔茨海默病(AD)是一种进行性神经退行性疾病,会导致认知能力下降和记忆障碍。其特征是淀粉样β(Aβ)斑块堆积、tau蛋白异常磷酸化形成神经纤维缠结,并常伴有神经炎症和氧化应激,从而导致神经元丢失和脑萎缩。目前,临床上的抗AD药物多为单靶点药物,虽能改善AD患者的认知能力,但无法有效延缓AD的进展。因此,研究治疗AD的有效多靶点药物已成为亟待解决的问题。羟基肉桂酸的主要衍生物咖啡酸和阿魏酸广泛存在于自然界中,具有抗菌、抗氧化、抗炎、神经保护、抗Aβ沉积等多种药理活性。AD的发生和发展往往伴随着氧化应激、神经炎症和Aβ沉积等病理变化,这表明咖啡酸和阿魏酸可用于抗AD药物的研究。因此,本文总结了近年来基于咖啡酸和阿魏酸的多靶点抗AD衍生物,并探讨了肉桂酸衍生物作为骨架化合物的新设计方向。希望这篇综述能为基于肉桂酸衍生物的抗逆转录酶药物提供一些有益的策略。
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引用次数: 0
From Traditional Use to Modern Evidence: The Medicinal Chemistry of Antimalarials from Genus Artemisia. 从传统用途到现代证据:蒿属抗疟药物的药物化学》。
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-08-26 DOI: 10.2174/0113895575320559240820113540
Abdur Rauf, Ahmed Olatunde, Nabia Hafeez, Hassan A Hemeg, Abdullah S M Aljohani, Waleed Al Abdulmonem, Giovanni Ribaudo

While the use of plants in traditional medicine dates back to 1500 B.C., modern advancements led to the development of innovative therapeutic techniques. On the other hand, in the field of anti-infective agents, lack of efficacy and the onset of resistance stimulate the search for novel agents. Genus Artemisia is one of the most diverse among perennial plants with a variety of species, properties, and chemical components. The genus is known for its therapeutic values and, in particular, for its role in the origin of antimalarial agents derived from artemisinin. In this review, we aim to provide an updated overview of the evolution of natural and natureinspired compounds related to the genus Artemisia that have been proven, in vitro and in vivo, to possess antimalarial properties. An overview of the chemical composition and a description of the ethnopharmacological aspects will be presented, as well as an updated report on in vitro and in vivo evidence that allowed the translation of artemisinin and its derivatives from traditional chemistry into modern medicinal chemistry. The biological and structural properties will be discussed, also dedicating attention to the challenging tasks that still are open, such as the identification of optimal combination strategies, the routes of administration, and the full assessment of the mechanism of action.

虽然植物在传统医学中的应用可以追溯到公元前 1500 年,但现代医学的进步促进了创新治疗技术的发展。另一方面,在抗感染药物领域,疗效不佳和抗药性的出现也促使人们寻找新的药物。青蒿属是多年生植物中最多样化的植物之一,其种类、特性和化学成分多种多样。该属植物因其治疗价值而闻名,特别是在青蒿素抗疟药物的起源中扮演着重要角色。在这篇综述中,我们旨在提供与青蒿属有关的天然和受自然启发的化合物的最新演化概况,这些化合物已在体外和体内被证实具有抗疟特性。报告将概述青蒿素及其衍生物的化学成分和民族药理学方面的描述,以及体外和体内证据的最新报告,这些证据使得青蒿素及其衍生物从传统化学转化为现代药物化学。此外,还将讨论青蒿素及其衍生物的生物和结构特性,并关注仍有待完成的挑战性任务,如确定最佳组合策略、给药途径和对作用机制的全面评估。
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引用次数: 0
Repurposing of CDK Inhibitors as Host Targeting Antivirals: A Mini-Review. 将 CDK 抑制剂重新用作宿主靶向抗病毒药物:微型综述。
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-08-23 DOI: 10.2174/0113895575311618240820103549
Miao Liu, Wei Peng, Xingyue Ji

Most of the antiviral drugs in the market are designed to target viral proteins directly. They are generally considered safe for human use. However, they also suffer from several inherent limitations, in particular, narrow-spectrum antiviral profiles and liability to drug resistance. The other strategy for antiviral drug development is targeting host factors, which are highly involved at different stages in the viral life cycle. In contrast to direct-acting antiviral agents, host-targeting antiviral ones normally exhibit broad-spectrum antiviral properties along with a much higher genetic barrier to drug resistance. Cyclin-dependent kinases (CDKs) represent one such host factor. In this review, we summarized a number of CDK inhibitors (CDKIs) of varied chemical scaffolds with demonstrated antiviral activity. Challenges and issues associated with the repurposing of CDKIs as antiviral agents were also discussed.

市场上的大多数抗病毒药物都是直接针对病毒蛋白设计的。一般认为,这些药物对人类使用是安全的。然而,它们也存在一些固有的局限性,特别是抗病毒谱狭窄和容易产生耐药性。抗病毒药物开发的另一种策略是针对病毒生命周期不同阶段高度参与的宿主因素。与直接作用的抗病毒药物相比,以宿主为靶点的抗病毒药物通常具有广谱抗病毒的特性,而且抗药性的基因屏障要高得多。细胞周期蛋白依赖性激酶(CDK)就是这样一种宿主因子。在这篇综述中,我们总结了一些具有不同化学架构并已证明具有抗病毒活性的 CDK 抑制剂(CDKIs)。我们还讨论了将 CDKIs 重新用作抗病毒药物所面临的挑战和问题。
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引用次数: 0
Recent Progress and Perspectives in Sodium-Glucose Co-transporter 1/2 Inhibitors. 钠-葡萄糖共转运体 1/2抑制剂的最新进展和前景。
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-08-19 DOI: 10.2174/0113895575325210240805092741
Cahit Demirkiran, Seniz Demiryürek, Abdullah Tuncay Demiryürek

Sodium-Glucose Co-transporter-1/2 (SGLT1/2) inhibitors (also called glifozins) are a class of glucose-decreasing drugs in adults with Type 2 Diabetes (T2D). SGLT2 inhibitors diminish sodium and glucose reabsorption in the renal proximal convoluted tubule. Recent clinical trials have revealed that SGLT2 inhibitors might be beneficial for treating diseases other than diabetes, including chronic renal disease and Heart Failure (HF). Currently, SGLT2 inhibitors are recommended not only for the glycemic management of T2D but also for cardiovascular protection. SGLT2 inhibitors have become one of the foundational drugs for HF with reduced Ejection Fraction (HFrEF) treatment and the first medications with proven prognostic benefit in HF with preserved Ejection Fraction (HFpEF). At present, 11 SGLT1/2 inhibitors have been approved for clinical use in different countries. Beyond their anti-hyperglycemic effect, these inhibitors have shown clear cardio- and nephroprotective properties. A growing body of research studies suggests that SGLT1/2 inhibitors may provide potential clinical benefits in metabolic as well as oncological, hematological, and neurological disorders.

钠-葡萄糖协同转运体-1/2(SGLT1/2)抑制剂(又称格列酮嗪)是一类用于治疗成人 2 型糖尿病(T2D)的降糖药物。SGLT2 抑制剂可减少肾近曲小管对钠和葡萄糖的重吸收。最近的临床试验显示,SGLT2 抑制剂可能有益于治疗糖尿病以外的疾病,包括慢性肾病和心力衰竭(HF)。目前,SGLT2 抑制剂不仅被推荐用于 T2D 的血糖管理,还被推荐用于心血管保护。SGLT2 抑制剂已成为治疗射血分数降低型心力衰竭(HFrEF)的基础药物之一,也是首批被证实对射血分数保留型心力衰竭(HFpEF)的预后有益的药物。目前,已有 11 种 SGLT1/2 抑制剂在不同国家获准用于临床。除了降糖作用外,这些抑制剂还具有明显的心血管和肾脏保护作用。越来越多的研究表明,SGLT1/2 抑制剂可为代谢性疾病、肿瘤、血液病和神经系统疾病带来潜在的临床益处。
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引用次数: 0
The Development History, Structural Composition, and Functions of Influenza Viruses and the Progress of Influenza Virus Inhibitors in Clinics and Clinical Trials. 流感病毒的发展历史、结构组成和功能以及流感病毒抑制剂在临床和临床试验中的进展。
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-08-07 DOI: 10.2174/0113895575316416240724043949
Jianping Yong, Shaoji Lu, Canzhong Lu, Ruiwen Huang

Flu is an acute respiratory disease caused by influenza viruses. The influenza viruses are classified as Alphainfluenzavirus (influenza A virus, IAV), Betainfluenzavirus (influenza B virus, IBV), Gammainfluenzavirus (influenza C virus, ICV), and Deltainfluenzavirus (influenza D virus, IDV) according to the antigenicity of nucleoproteins (NPs) and matrix (M) proteins in vivo. It is estimated that the seasonal influenza epidemics will cause about 3-5 million cases of serious illness and 290,000-650,000 deaths in the world every year, while influenza A virus is the leading cause of infection and death. Neuraminidase (NA) is one of the most critical targets for the development of anti-influenza virus drugs, and the main drugs clinically applied for the treatment of flu are neuraminidase inhibitors. However, various mutant strains have developed resistance to these inhibitors (For example, the substrains of H274Y in H1N1, H5N1, and E119V in H3N2 have developed resistance to Oseltamivir). Influenza viruses mutate frequently, and new substrains emerge constantly, and the pandemics caused by the new substrains will break out at any time. Therefore, it is urgent to develop new and wide-spectrum influenza virus inhibitors for overcoming the emerging influenza pandemic. Here, we focus on describing the progress of influenza virus inhibitors in clinics and clinical trials to provide a comprehensive reference for the researchers.

流感是由流感病毒引起的一种急性呼吸道疾病。根据核蛋白(NPs)和基质蛋白(M)在体内的抗原性,流感病毒可分为甲型流感病毒(Alphainfluenzavirus,IAV)、乙型流感病毒(Betainfluenzavirus,IBV)、丙型流感病毒(Gammainfluenzavirus,ICV)和丁型流感病毒(Deltainfluenzavirus,IDV)。据估计,季节性流感流行每年将在全球造成约 300-500 万例重症病例和 29 万-65 万人死亡,而甲型流感病毒是感染和死亡的主要原因。神经氨酸酶(NA)是开发抗流感病毒药物的最关键靶点之一,临床上应用于治疗流感的主要药物是神经氨酸酶抑制剂。然而,各种变异株对这些抑制剂产生了抗药性(例如,H1N1、H5N1 中的 H274Y 子株和 H3N2 中的 E119V 子株对奥司他韦产生了抗药性)。流感病毒变异频繁,新的亚型不断出现,新亚型引起的大流行随时会爆发。因此,开发新型广谱流感病毒抑制剂以应对新出现的流感大流行迫在眉睫。在此,我们重点介绍流感病毒抑制剂在临床和临床试验方面的进展,为研究人员提供全面的参考。
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引用次数: 0
Microbial Metabolites-Induced Epigenetic Modifications for Inhibition of Colorectal Cancer: Current Status and Future Perspectives. 微生物代谢物诱导的表观遗传修饰对结直肠癌的抑制作用:现状与未来展望》。
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-07-05 DOI: 10.2174/0113895575320344240625080555
Vaibhav Singh, Ekta Shirbhate, Rakesh Kore, Subham Vishwakarma, Shadiya Parveen, Ravichandran Veerasamy, Amit K Tiwari, Harish Rajak

Globally, one of the most prevalent cancers is colorectal cancer (CRC). Chemotherapy and surgery are two common conventional CRC therapies that are frequently ineffective and have serious adverse effects. Thus, there is a need for complementary and different therapeutic approaches. The use of microbial metabolites to trigger epigenetic alterations as a way of preventing CRC is one newly emerging field of inquiry. Small chemicals called microbial metabolites, which are made by microbes and capable of altering host cell behaviour, are created. Recent research has demonstrated that these metabolites can lead to epigenetic modifications such as histone modifications, DNA methylation, and non-coding RNA regulation, which can control gene expression and affect cellular behaviour. This review highlights the current knowledge on the epigenetic modification for cancer treatment, immunomodulatory and anti-carcinogenic attributes of microbial metabolites, gut epigenetic targeting system, and the role of dietary fibre and gut microbiota in cancer treatment. It also focuses on short-chain fatty acids, especially butyrates (which are generated by microbes), and their cancer treatment perspective, challenges, and limitations, as well as state-of-the-art research on microbial metabolites-induced epigenetic changes for CRC inhibition. In conclusion, the present work highlights the potential of microbial metabolites-induced epigenetic modifications as a novel therapeutic strategy for CRC suppression and guides future research directions in this dynamic field.

全球最常见的癌症之一是结直肠癌(CRC)。化疗和手术是两种常见的传统 CRC 治疗方法,但往往效果不佳,且有严重的不良反应。因此,有必要采取互补和不同的治疗方法。利用微生物代谢物引发表观遗传学改变来预防 CRC 是一个新兴的研究领域。由微生物制造并能改变宿主细胞行为的小分子化学物质被称为微生物代谢物。最新研究表明,这些代谢物可导致表观遗传学修饰,如组蛋白修饰、DNA甲基化和非编码RNA调控,从而控制基因表达并影响细胞行为。本综述重点介绍了目前有关表观遗传修饰治疗癌症、微生物代谢物的免疫调节和抗癌特性、肠道表观遗传靶向系统以及膳食纤维和肠道微生物群在癌症治疗中的作用的知识。本研究还重点探讨了短链脂肪酸,尤其是丁酸盐(由微生物产生)及其癌症治疗的前景、挑战和局限性,以及微生物代谢物诱导表观遗传学变化以抑制 CRC 的最新研究成果。总之,本研究强调了微生物代谢物诱导的表观遗传修饰作为抑制 CRC 的新型治疗策略的潜力,并为这一动态领域的未来研究方向提供了指导。
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引用次数: 0
A Review on Therapeutic Strategies against Parkinson's Disease: Current Trends and Future Perspectives. 帕金森病治疗策略综述:当前趋势与未来展望。
IF 3.3 3区 医学 Q2 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2024-06-24 DOI: 10.2174/0113895575303788240606054620
Georgios Papagiouvannis, Panagiotis Theodosis-Nobelos, Eleni A Rekka

Parkinson's Disease (PD) is the most common neurodegenerative disorder after Alzheimer's Disease and is clinically expressed by movement disorders, such as tremor, bradykinesia, and rigidity. It occurs mainly in the extrapyramidal system of the brain and is characterized by dopaminergic neuron degeneration. L-DOPA, dopaminergic agonists, anticholinergic drugs, and MAO-B inhibitors are currently used as therapeutic agents against PD, however, they have only symptomatic efficacy, mainly due to the complex pathophysiology of the disease. This review summarizes the main aspects of PD pathology, as well as, discusses the most important biochemical dysfunctions during PD, and presents novel multi-targeting compounds, which have been tested for their activity against various targets related to PD. This review selects various research articles from main databases concerning multi-targeting compounds against PD. Molecules targeting more than one biochemical pathway involved in PD, expected to be more effective than the current treatment options, are discussed. A great number of research groups have designed novel compounds following the multi-targeting drug approach. They include structures combining antioxidant, antiinflammatory, and metal-chelating properties. These compounds could be proven useful for effective multi-targeted PD treatment. Multi-targeting drugs could be a useful tool for the design of effective antiparkinson agents. Their efficacy towards various targets implicated in PD could be the key to the radical treatment of this neurodegenerative disorder.

帕金森病(PD)是继阿尔茨海默病之后最常见的神经退行性疾病,临床表现为运动障碍,如震颤、运动迟缓和僵直。它主要发生在大脑锥体外系,以多巴胺能神经元变性为特征。目前,左旋多巴酸、多巴胺能激动剂、抗胆碱能药物和 MAO-B 抑制剂被用作治疗帕金森氏症的药物,但它们仅具有对症疗效,这主要是由于该疾病的病理生理学十分复杂。这篇综述总结了帕金森病病理的主要方面,讨论了帕金森病最重要的生化功能障碍,并介绍了新型多靶点化合物,这些化合物已针对与帕金森病相关的各种靶点进行了活性测试。本综述从主要数据库中选取了有关针对帕金森病的多靶点化合物的各种研究文章。文章讨论了针对与帕金森病有关的一个以上生化途径的分子,这些分子有望比目前的治疗方案更有效。许多研究小组采用多靶点药物方法设计了新型化合物。其中包括结合了抗氧化、抗炎和金属螯合特性的结构。事实证明,这些化合物可用于有效的多靶点帕金森病治疗。多靶点药物是设计有效抗帕金森药物的有用工具。它们对与帕金森病有关的各种靶点的疗效可能是彻底治疗这种神经退行性疾病的关键。
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