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The Role of Renin-Angiotensin System in Diabetic Nephropathy: An Update.
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-02-06 DOI: 10.2174/0113895575344980250130062547
André Sanglard, Bárbara Castello Branco Miranda, Ana Luiza França Vieira, Marcus Vinicius Miranda Macedo, Rodrigo Lara Santos, Aléxia Stenner Rodrigues Radicchi Campos, Amanda Campos Piva, Ana Cristina Simões E Silva

Background and aims: Diabetic nephropathy (DN) is an important complication of diabetes, leading to end-stage renal disease (ESRD) worldwide. This review aimed to explore the role of the renin-angiotensin system (RAS) in DN, highlighting current treatments and emerging therapeutic perspectives.

Methods: We conducted a narrative review of the literature up to March 2024, focusing on the classical and alternative RAS axes, their implications in DN, and novel therapeutic approaches. Data were sourced from Scopus, PubMed, Scielo, and Cochrane databases.

Results: The classical RAS axis, involving angiotensin-converting enzyme (ACE), Angiotensin II (Ang II), and the AT1 receptor, promotes vasoconstriction, sodium retention, and fibrosis in DN. Hyperglycemia-induced Ang II increases oxidative stress, contributing to glomerular hyperfiltration and kidney damage. Current treatments include ACE inhibitors and angiotensin receptor blockers (ARBs), which reduce blood pressure and proteinuria, delaying DN progression. In contrast, the alternative RAS axis, featuring ACE2, Ang-(1-7), and the Mas receptor, offers renoprotective effects by counteracting Ang II actions. Ang-(1-7) reduces inflammation, fibrosis, and podocyte apoptosis. ACE2 activators, Ang-(1-7), and Mas receptor agonists show promise in preclinical studies, reducing glomerular fibrosis and improving renal function. Ang-(1-9) and alamandine may also hold potential in future treatments. Emerging therapies, such as the SGLT2 inhibitors, also demonstrate benefits in reducing DN progression.

Conclusion: While ACE inhibitors, ARBs, and SGLT2 inhibitors remain central to DN management, the ACE2-Ang-(1-7)-Mas axis presents a promising therapeutic target. Future research should focus on translating preclinical findings into clinical applications, potentially improving DN treatment.

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引用次数: 0
Smart Applications of Lanthanide Chelates-based Luminescent Probes in Bio-Imaging.
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-01-29 DOI: 10.2174/0113895575350677250101060606
Maria Chiara Santangelo, Leonardo Lucchesi, Leonardo Papa, Annachiara Rossi, Gaia Egizzo, Giusy Laura Fratello, Lucilla Favero, Mauro Pineschi, Valeria Di Bussolo, Sebastiano Di Pietro

Luminescent Lanthanide (III) (Ln(III)) bioprobes (LLBs) have been extensively used in the last two decades as intracellular molecular probes in bio-imaging for the efficient revelation of analytes, to signal intracellular events (enzymes/protein activity, antigen-antibody interaction), target specific organelles, and determine parameters of particular biophysical interest, to gain important insights on pathologies or diseases. The choice of using a luminescent Ln(III) coordination compound with respect to a common organic fluorophore is intimately connected to how their photophysical sensitization (antenna effect) can be finely tuned and especially triggered to respond (even quantitatively) to a certain biophysical event, condition or analyte. While there are other reviews focused on how to design chromophoric ligands for an efficient sensitization of Ln(III) ions, both in the visible and NIR region, this review is application-driven: it is a small collection of particularly interesting examples where the LLB's emissive information is acquired by imaging the emission intensity and/or the fluorescence lifetime (fluorescence lifetime imaging microscopy, FLIM).

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引用次数: 0
The Application of the Pyrazole Structure in the Structural Modification of Natural Products.
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-01-23 DOI: 10.2174/0113895575359419241211092252
Fu-Qun Sun, Ya-Lan Wang, Ke Sun, Fei-Xia Yue, Yun-Xia Sun, Jia-Hong Ju, Zhan-Hui Jin, Qing-Kun Shen, Hong-Yan Guo, Mei-Hui Liu, Zhe-Shan Quan

Most natural products in nature have broad but not exceedingly good biological activities. The pyrazole structure has been introduced into natural products due to its suitability for various synthetic methods and its broad pharmacological activities. This article provides a detailed introduction to the anti-inflammatory, antibacterial, antifungal, antiviral, and anti-Alzheimer disease activities of pyrazole-modified natural product derivatives, particularly their anti-tumor activity. It is worth noting that compared to lead compounds, most natural product derivatives modified with pyrazole exhibit excellent pharmacological activity. Some of these derivatives exhibit outstanding anti-tumor activity, with IC50 values reaching nanomolar levels. This review provides more research directions and choices for future studies on natural products.

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引用次数: 0
Drug Repurposing: A Conduit to Unravelling Metabolic Reprogramming for Cancer Treatment. 药物再利用:揭示癌症治疗中代谢重编程的途径。
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-01-17 DOI: 10.2174/0113895575339660250106093738
Shristy Chaudhary, Abhilash Rana, Seema Bhatnagar

Metabolic reprogramming is a hallmark of cancer. Distinct and unusual metabolic aberrations occur during tumor development that lead to the growth and development of tumors. Oncogenic signaling pathways eventually converge to regulate three major metabolic pathways in tumor cells i.e., glucose, lipid, and amino acid metabolism. Therefore, identifying and targeting the metabolic nodes of cancer cells can be a promising intervention and therapeutic strategy for patients with malignancies. The long road of new drug discovery for cancer therapy has necessitated relooking alternative strategies such as drug repurposing. Advanced genomic and proteomic technologies for the assessment of cancer-specific biological pathways have led to the discovery of new drug targets, which provide excellent opportunities for drug repurposing. The development of effective, safe, cheaper, and readily available anticancer agents is the need of the hour, and drug repurposing has the potential to break the current drug shortage bottleneck. This review will accordingly cover various metabolic pathways that are aberrant in cancer, and strategies for targeting metabolic reprogramming by using repurposed drugs.

代谢重编程是癌症的一个标志。在肿瘤发育过程中,不同寻常的代谢异常导致肿瘤的生长和发展。致瘤信号通路最终汇聚调节肿瘤细胞中葡萄糖、脂质和氨基酸代谢三大代谢途径。因此,识别和靶向癌细胞的代谢节点可能是一种很有希望的恶性肿瘤患者的干预和治疗策略。癌症治疗新药发现的漫长道路已经需要重新审视替代策略,如药物再利用。用于评估癌症特异性生物学途径的先进基因组学和蛋白质组学技术已经导致新的药物靶点的发现,这为药物再利用提供了极好的机会。开发有效、安全、廉价、易得的抗癌药物是当务之急,药物再利用有可能打破目前药物短缺的瓶颈。这篇综述将涵盖癌症中各种异常的代谢途径,以及通过使用重组药物靶向代谢重编程的策略。
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引用次数: 0
Sustainable Synthesis of Medicinally Important Heterocycles. 药用重要杂环化合物的可持续合成。
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-01-16 DOI: 10.2174/0113895575341409241201171848
Dripta De Joardar, Rajarshi Sarkar, Dilip K Maiti

Sustainable chemistry and nature-friendly protocols are not only luxury but has become essential requirement for the modern society as it progresses towards a more responsible future. To match the current needs of the community, industries and in particular chemical industry is looking for novel and cheap strategies that have less adverse effects on the environment. Heterocyclic compounds are one particular motif, which is prevalent in nature. It is found in a wide range of synthetic and natural compounds, both established and in development as potent therapeutic candidates. According to the US retail market in 2014-2015, heterocyclic moieties constitute the basic skeletons for 80% of marketed pharmaceuticals. However, majority of the synthetic methodologies still uses classical approaches with toxic solvents, stoichiometric reagents, reactions with less atom economy etc. Thus, there is an urgent need for green, sustainable alternatives of the classical reactions. In recent years, an array of diverse approaches and technologies have been discovered by the scientific community to address the issue of eco-friendly manufacture of various pharmaceutically and medicinally important heterocyclic molecules. In this context, the current review will summarize various reported green pathways to the heterocyclic architecture, particularly O, N, and S-heterocyclic compounds. The methods highlighted in this article includes reaction in environment friendly nonconventional media, solvent-free approaches, heterogeneous catalysis, organocatalysis, electrochemical reactions, microwave-mediated reactions, ultrasound-based reactions, enzymatic reactions, biocatalysis, and others.

可持续化学和自然友好型协议不仅是奢侈品,而且已经成为现代社会的基本要求,因为它朝着更负责任的未来发展。为了配合社会目前的需要,工业,特别是化学工业正在寻找对环境不利影响较小的新颖和廉价的战略。杂环化合物是自然界中普遍存在的一种特殊基序。它存在于广泛的合成和天然化合物中,无论是已经建立的还是正在开发的强有力的治疗候选者。根据2014-2015年美国零售市场的数据,杂环部分构成了80%上市药品的基本骨架。然而,大多数的合成方法仍然采用经典的方法,使用有毒溶剂、化学计量试剂、原子经济性差的反应等。因此,迫切需要绿色,可持续的替代经典反应。近年来,科学界已经发现了一系列不同的方法和技术来解决各种具有重要药用价值的杂环分子的生态制造问题。在此背景下,本综述将总结各种报道的绿色途径,特别是O, N和s杂环化合物。本文重点介绍的方法包括在环境友好型非常规介质中的反应、无溶剂方法、多相催化、有机催化、电化学反应、微波介导反应、超声反应、酶促反应、生物催化等。
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引用次数: 0
Topical Application onto the Eyelid Skin: Is it a Feasible Delivery Route of Ophthalmic Drugs? 眼睑皮肤外用:眼科药物的一种可行的给药途径吗?
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-01-13 DOI: 10.2174/0113895575358373241220043138
Larysa Grygor'yeva, Manuela Colla Carvalheiro, Sandra Simões

Topical application of ophthalmic drugs remains to be the preferred delivery method. Eye drops lead the pharmaceutical forms due to ease of application. Despite the poor bioavailability of drugs administered topically, especially related to the dilution and excretion by tear fluid, the absence of controlled drug delivery, and the poor compliance within pediatric and senior populations, eye drops and ointments are still the first choices in eye--related disorders management. Only a few studies have explored the eyelid skin as a site for drug application and transdermal delivery as an alternative route of administration of ophthalmic drugs. Such works have validated the delivery of drugs into the ocular tissues through the eyelid barrier. The eyelid represents a differentiated skin barrier concerning the thickness, the structure of the stratum corneum, the vasculature, and the amount of lipids. This work intends to question why the eyelid, being an accessible, non-invasive, comfortable route of administration is not considered a feasible route for ophthalmic drugs. The eyelid structure is presented, and the anatomical and physiological distinctive characteristics are presented. The work also presents the research work on topical drug application to the eyelid skin that has been published so far.

眼用药物外用仍是首选的给药方式。眼药水由于易于使用而领先于药物形式。尽管局部给药的生物利用度较差,特别是与泪液的稀释和排泄有关,缺乏控制的药物输送,以及儿童和老年人依从性差,但眼药水和软膏仍然是眼相关疾病管理的首选。只有少数研究探索了眼睑皮肤作为药物施用部位和经皮给药作为眼科药物给药的替代途径。这些工作已经证实了通过眼睑屏障将药物输送到眼部组织。眼睑代表了一种与厚度、角质层结构、脉管系统和脂质含量有关的分化的皮肤屏障。这项工作旨在质疑为什么眼睑,作为一个可接近的,非侵入性的,舒适的给药途径不被认为是一个可行的途径眼科药物。提出了眼睑的结构,并提出了解剖和生理上的鲜明特征。并介绍了迄今为止已发表的关于眼睑皮肤外用药物的研究工作。
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引用次数: 0
Bioactive Sulfonamides Derived from Amino Acids: Their Synthesis and Pharmacological Activities. 从氨基酸中提取的生物活性磺胺:它们的合成和药理活性。
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-01-13 DOI: 10.2174/0113895575353663241129064820
Melford Chuka Egbujor, Paolo Tucci, Luciano Saso

Currently, the synthesis of bioactive sulfonamides using amino acid as a starting reagent has become an area of research interest in organic chemistry. Over the years, an amine-sulfonyl chloride reaction has been adopted as a common step in traditional sulfonamide synthetic methods. However, recent developments have shown amino acids to be better precursors than amines in the synthesis of sulfonamides. Although amines and amino acids have some structural similarities, using amino acids rather than amines in the synthesis of sulfonamides minimizes several drawbacks. Comparatively, amino acids are preferred to amines as starting reagents in sulfonamide synthesis due to their biological relevance, chirality, stereochemistry, diversity of side chains, orthogonality in functional group manipulation, the potential for peptide and protein synthesis, mild reaction conditions, alignment with green chemistry principles, diverse synthetic applications, easy availability, and economic viability. Amino acids, having the aforementioned properties, offer a versatile platform for the synthesis of sulfonamides with tailored structures. The reaction mechanism of the synthesis of amino acid-derived sulfonamides involves a nucleophilic attack by the amino group on the activated sulfonyl species to produce a sulfonamide functional group. Amino acid-based sulfonamides have numerous pharmacological activities, including antibacterial, antiviral, anticancer, antioxidant, anti-inflammatory, anti-plasmodial, antimalarial, anti-trypanosomal, and insect growth regulatory properties. This review discusses several synthetic processes, emphasizing established ways, cutting- edge techniques, and novel approaches that emphasize the significance of amino acids in the synthesis of sulfonamides. The structure-activity relationship of amino acid-derived sulfonamides and their pharmacological activities are also highlighted.

目前,以氨基酸为起始试剂合成具有生物活性的磺胺类化合物已成为有机化学领域的研究热点。多年来,胺-磺酰氯反应一直是传统磺胺合成方法的常见步骤。然而,最近的发展表明,在合成磺胺时,氨基酸是比胺更好的前体。虽然胺和氨基酸在结构上有一些相似之处,但在合成磺胺时使用氨基酸而不是胺可以最大限度地减少一些缺点。相比之下,由于氨基酸具有生物相关性、手性、立体化学、侧链多样性、官能团操纵的正交性、肽和蛋白质合成的潜力、温和的反应条件、符合绿色化学原则、多种合成应用、易于获得和经济可行性,因此在磺胺合成中,氨基酸比胺更适合作为起始试剂。氨基酸具有上述性质,为合成具有定制结构的磺胺类化合物提供了一个多功能平台。合成氨基酸衍生的磺胺类化合物的反应机理包括氨基对活性的磺酰基进行亲核攻击,从而产生磺酰胺官能团。氨基酸基磺胺具有多种药理活性,包括抗菌、抗病毒、抗癌、抗氧化、抗炎、抗疟原虫、抗疟疾、抗锥虫和调节昆虫生长特性。本文综述了几种磺胺类化合物的合成方法,强调了已建立的方法、前沿技术和强调氨基酸在磺胺类化合物合成中的重要性的新方法。重点介绍了氨基酸衍生磺胺类化合物的构效关系及其药理活性。
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引用次数: 0
Exploring the Versatility of Azine Derivatives: A Comprehensive Review on Synthesis and Biological Applications. 探索Azine衍生物的多功能性:综合综述合成和生物应用。
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-01-10 DOI: 10.2174/0113895575363243241129100845
Aftab Alam, Fayaz Ur Rahman, Ahmed A Elhenawy, Abid Ali, Manzoor Ahmad, Momin Khan

Organic compounds containing azines, di-imines, or bis-Schiff-bases have two azomethine (-CH=N-) functional groups associated with a bridging component. These constituents have attracted attention from a diversity of disciplines, comprising coordination, medicinal, agriculture chemistry, and organic synthesis, because of their comprehensive chemical reactivity and nature. This study determines common synthetic approaches and various biological and pharmacological activities of several substituted bis-Schiff byproducts. The usefulness of bis-Schiff bases in synthetic chemistry and their potential as inhibitors of a number of enzymes have attracted research attention. We have examined different biological activities and common synthetic methods used to make bis- Schiff bases that have been published in the literature. A systematic search of the literature has been performed, and studies fitting the prearranged inclusion standards have been inspected. This review can open up new potentials for upcoming research in this area and advance our information on bis- Schiff bases.

含有azines,二亚胺或双希夫碱的有机化合物具有两个与桥接组分相连接的亚甲基(- ch =N-)官能团。由于其综合的化学反应性和性质,这些成分已经引起了包括配位、药物、农业化学和有机合成在内的多种学科的关注。本研究确定了几种取代双希夫副产物的常用合成方法和各种生物药理活性。双希夫碱在合成化学中的用途及其作为多种酶抑制剂的潜力引起了研究的关注。我们研究了不同的生物活性和常用的合成方法,用于制造已发表在文献中的他-希夫碱。对文献进行了系统的检索,并对符合预先安排的纳入标准的研究进行了检查。本文的综述可以为今后的研究开辟新的潜力,并促进我们对其希夫基地的了解。
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引用次数: 0
Recent Development in Hydantoins, Thiohydantoins, and Selenohydantoins as Anticancer Agents: Structure-activity Relationship and Design Strategies. 抗癌药物氢酰脲、硫代氢酰脲和硒代氢酰脲的研究进展:构效关系和设计策略。
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-01-10 DOI: 10.2174/0113895575329643241206101210
Ajay Kumar Gupta, Gajendra Singh Thakur, Sanmati Kumar Jain

Hydantoin, a five-membered heterocyclic scaffold, is regarded as a crucial scaffold in medicinal chemistry. Hydantoins have been useful in synthesizing medicines like nilutamide, enzalutamide, and apalutamide. Thiohydantoin and selenohydantoin have been discovered as two separate types of hydantoin. There are two hydrogen bond donors, two hydrogen bond acceptors, and four substitution sites. These characteristics have led to the design, synthesis, and expansion of hydantoin derivatives' biological and pharmacological effects against numerous types of malignancies. This study reviews the recent contributions of hydantoin and its isosteric variants to medicinal chemistry. To emphasize their significance, certain significant compounds based on hydantoins and their structure activity relationships (SAR) are briefly discussed. We thoroughly analyzed each scaffolds' structural characteristics and SAR, and these scaffolds may one day show potential anticancer activities.

海因蛋白是一种五元杂环支架,被认为是药物化学中至关重要的支架。在合成尼卢他胺、恩杂鲁他胺和阿帕鲁他胺等药物中,海因妥英是有用的。硫代氢妥英和硒代氢妥英已被发现为两种不同类型的氢妥英。有两个氢键给体,两个氢键受体,和四个取代位。这些特点导致了设计、合成和扩展了氢妥英衍生物对多种类型恶性肿瘤的生物学和药理作用。本文综述了近年来海因及其等构变体在药物化学中的作用。为了强调它们的重要性,本文简要地讨论了一些重要的氢酰脲类化合物及其构效关系。我们深入分析了每种支架的结构特征和SAR,这些支架可能有一天会显示出潜在的抗癌活性。
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引用次数: 0
Implications of Biomaterials for Chronic Wounds. 生物材料对慢性伤口的影响。
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2025-01-07 DOI: 10.2174/0113895575314580241121080256
Virginia-Silviana Barbu Becherescu, Madalina-Diana Gaboreanu, Ioana-Cristina Marinas, Andra-Maria Paun, Ileana Paula Ionel, Speranta Avram

The use of biomaterials in treating and managing chronic wounds represents a significant challenge in global healthcare due to the complex nature of these wounds, which are slow to heal and can lead to complications such as frequent infections and diminished quality of life for patients. Chronic wounds, which can arise from conditions like diabetes, poor circulation, and pressure sores, pose distinct challenges in wound care, necessitating the development of specialized dressings. The pathophysiology of chronic wounds is thoroughly examined in this article, with particular attention paid to the cellular and molecular defects at work and the therapeutic guidelines. It also identifies key issues in the field, such as biocompatibility, cost-effectiveness, immune reactions, and regulatory obstacles, while suggesting future research focuses on improving biocompatibility, integrating drug delivery systems, and exploring cellular treatments. Ethical implications, such as patient safety, informed consent, and equitable access to technology, are also discussed. Finally, this review highlights the transformative potential of biomaterials in chronic wound management, urging for continued research and clinical integration to fully harness their capabilities in improving patient care.

使用生物材料治疗和管理慢性伤口是全球医疗保健面临的一项重大挑战,因为这些伤口的性质复杂,愈合缓慢,并可能导致诸如频繁感染和患者生活质量下降等并发症。慢性伤口可能由糖尿病、血液循环不良和压疮等疾病引起,对伤口护理构成了独特的挑战,需要开发专门的敷料。本文对慢性伤口的病理生理进行了全面的研究,特别关注了细胞和分子缺陷的作用和治疗指南。它还确定了该领域的关键问题,如生物相容性、成本效益、免疫反应和监管障碍,同时建议未来的研究重点是提高生物相容性、整合药物输送系统和探索细胞治疗。伦理影响,如患者安全,知情同意和公平获取技术,也进行了讨论。最后,本综述强调了生物材料在慢性伤口管理中的变革潜力,敦促继续研究和临床整合,以充分利用其改善患者护理的能力。
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引用次数: 0
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