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Use of Chitosan as a Precursor for Multiple Applications in Medicinal Chemistry: Recent Significant Contributions. 壳聚糖作为前体在药物化学中的多种应用:最近的重大贡献。
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-01-01 DOI: 10.2174/0113895575275799240306105615
Diego Quiroga, Carlos Coy-Barrera

Chitosan (CS) is a polymer made up of mainly deacetylated β-1,4 D-glucosamine units, which is part of a large group of D-glucosamine oligomers known as chitooligosaccharides, which can be obtained from chitin, most abundant natural polymer after cellulose and central component of the shrimp exoskeleton. It is known that it can be used for the development of materials, among which its use stands out in wastewater treatment (removal of metal ions, dyes, and as a membrane in purification processes), food industry (anti-cholesterol and fat, packaging material, preservative, and food additive), agriculture (seed and fertilizer coating, controlled release agrochemicals), pulp and paper industry (surface treatment, adhesive paper), cosmetics (body creams, lotions, etc.), in the engineering of tissues, wound healing, as excipients for drug administration, gels, membranes, nanofibers, beads, microparticles, nanoparticles, scaffolds, sponges, and diverse biological ones, specifically antibacterial and antifungal activities. This article reviews the main contributions published in the last ten years regarding the use and application of CS in medical chemistry. The applications exposed here involve regenerative medicine in the design of bioprocesses and tissue engineering, Pharmaceutical sciences to obtain biomaterials, polymers, biomedicine, and the use of nanomaterials and nanotechnology, toxicology, and Clinical Pharmaceuticals, emphasizing the perspectives and the direction that can take research in this area.

壳聚糖(CS)是一种主要由脱乙酰化的 β-1,4-D-氨基葡萄糖单元组成的聚合物,属于一大类被称为壳寡糖的 D-氨基葡萄糖低聚物的一部分,可从甲壳素中获得,甲壳素是仅次于纤维素的最丰富的天然聚合物,也是虾外骨骼的核心成分。甲壳素是继纤维素之后最丰富的天然聚合物,也是对虾外骨骼的核心成分。众所周知,甲壳素可用于材料开发,其中最突出的用途是用于废水处理(去除金属离子、染料,以及作为净化过程中的薄膜)、食品工业(抗胆固醇和脂肪、包装材料、防腐剂和食品添加剂)、农业(种子和肥料包衣、控释农用化学品)、纸浆和造纸工业(表面处理、胶粘纸)、化妆品(护肤霜、乳液等)、组织工程中(如酵母、淀粉等)。在组织工程、伤口愈合、给药辅料、凝胶、膜、纳米纤维、珠子、微粒、纳米颗粒、支架、海绵以及各种生物领域,特别是抗菌和抗真菌领域,都有应用。本文回顾了近十年来发表的有关希尔思在医学化学中的使用和应用的主要文章。文章所涉及的应用领域包括生物工艺和组织工程设计中的再生医学、获取生物材料的制药科学、聚合物、生物医学、纳米材料和纳米技术的使用、毒理学和临床制药,强调了这一领域的研究前景和方向。
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引用次数: 0
Significance of Vitamin Supplementation in Reducing the Severity of COVID-19. 补充维生素对减轻 COVID-19 严重程度的意义。
IF 3.8 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-01-01 DOI: 10.2174/1389557523666230324081713
Myia Aiges, Kota V Ramana

Coronavirus disease-19 (COVID-19), a serious pandemic due to the SARS-CoV-2 virus infection, caused significant lockdowns, healthcare shortages, and deaths worldwide. The infection leads to an uncontrolled systemic inflammatory response causing severe respiratory distress and multiple-organ failure. Quick development of several vaccines efficiently controlled the spread of COVID-19. However, the rise of various new subvariants of COVID-19 demonstrated some concerns over the efficacy of existing vaccines. Currently, better vaccines to control these variants are still under development as several new subvariants of COVID-19, such as omicron BA-4, BA-5, and BF-7 are still impacting the world. Few antiviral treatments have been shown to control COVID-19 symptoms. Further, control of COVID-19 symptoms has been explored with many natural and synthetic adjuvant compounds in hopes of treating the deadly and contagious disease. Vitamins have been shown to modulate the immune system, function as antioxidants, and reduce the inflammatory response. Recent studies have investigated the potential role of vitamins, specifically vitamins A, B, C, D, and E, in reducing the immune and inflammatory responses and severity of the complication. In this brief article, we discussed our current understanding of the role of vitamins in controlling COVID-19 symptoms and their potential use as adjuvant therapy.

冠状病毒病-19(COVID-19)是一种由 SARS-CoV-2 病毒感染引起的严重流行病,它在全球范围内造成了严重的封锁、医疗短缺和死亡。感染会导致不受控制的全身炎症反应,引起严重的呼吸困难和多器官衰竭。几种疫苗的快速开发有效控制了 COVID-19 的传播。然而,COVID-19 各种新的亚变种的出现表明,人们对现有疫苗的效力感到担忧。目前,控制这些变种的更好疫苗仍在开发中,因为 COVID-19 的几个新的亚变种,如 omicron BA-4、BA-5 和 BF-7 仍在影响全球。很少有抗病毒治疗能够控制 COVID-19 的症状。此外,人们还探索了许多天然和合成辅助化合物来控制 COVID-19 症状,希望能治疗这种致命的传染性疾病。维生素具有调节免疫系统、抗氧化和减轻炎症反应的作用。最近的研究调查了维生素,特别是维生素 A、B、C、D 和 E 在减轻免疫和炎症反应以及并发症严重程度方面的潜在作用。在这篇简短的文章中,我们讨论了我们目前对维生素在控制 COVID-19 症状中的作用及其作为辅助疗法的潜在用途的理解。
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引用次数: 0
Structure-property Relationships Reported for the New Drugs Approved in 2022. 2022 年获批新药的结构-性质关系报告。
IF 3.8 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-01-01 DOI: 10.2174/1389557523666230519162803
Kihang Choi

Background: The structure-property relationship illustrates how modifying the chemical structure of a pharmaceutical compound influences its absorption, distribution, metabolism, excretion, and other related properties. Understanding structure-property relationships of clinically approved drugs could provide useful information for drug design and optimization strategies.

Method: Among new drugs approved around the world in 2022, including 37 in the US, structure- property relationships of seven drugs were compiled from medicinal chemistry literature, in which detailed pharmacokinetic and/or physicochemical properties were disclosed not only for the final drug but also for its key analogues generated during drug development.

Results: The discovery campaigns for these seven drugs demonstrate extensive design and optimization efforts to identify suitable candidates for clinical development. Several strategies have been successfully employed, such as attaching a solubilizing group, bioisosteric replacement, and deuterium incorporation, resulting in new compounds with enhanced physicochemical and pharmacokinetic properties.

Conclusion: The structure-property relationships hereby summarized illustrate how proper structural modifications could successfully improve the overall drug-like properties. The structure-property relationships of clinically approved drugs are expected to continue to provide valuable references and guides for the development of future drugs.

背景:结构-性质关系说明了改变药物化合物的化学结构如何影响其吸收、分布、代谢、排泄及其他相关性质。了解临床批准药物的结构-性质关系可为药物设计和优化策略提供有用信息:方法:在 2022 年全球批准的新药中(包括美国的 37 种新药),从药物化学文献中整理出 7 种药物的结构-性质关系,其中不仅披露了最终药物的详细药代动力学和/或理化性质,还披露了药物开发过程中产生的关键类似物的详细药代动力学和/或理化性质:结果:这七种药物的发现活动表明,为确定适合临床开发的候选药物,进行了大量的设计和优化工作。结果:这七种药物的发现活动表明,在寻找适合临床开发的候选药物方面,进行了大量的设计和优化工作。成功采用了几种策略,如附加增溶基团、生物异构取代和掺氘,从而产生了具有更强理化和药代动力学特性的新化合物:结论:本文总结的结构-性能关系说明了适当的结构改造如何能成功地改善药物的整体性能。预计临床批准药物的结构-性质关系将继续为未来药物的开发提供有价值的参考和指导。
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引用次数: 0
Anticancer Drug Discovery By Structure-Based Repositioning Approach. 通过基于结构的重新定位方法发现抗癌药物
IF 3.8 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-01-01 DOI: 10.2174/1389557523666230509123036
Dharti H Modh, Vithal M Kulkarni

Despite the tremendous progress that has occurred in recent years in cell biology and oncology, in chemical, physical and computer sciences, the disease cancer has continued as the major cause of death globally. Research organizations, academic institutions and pharmaceutical companies invest huge amounts of money in the discovery and development of new anticancer drugs. Though much effort is continuing and whatever available approaches are being attempted, the success of bringing one effective drug into the market has been uncertain. To overcome problems associated with drug discovery, several approaches are being attempted. One such approach has been the use of known, approved and marketed drugs to screen these for new indications, which have gained considerable interest. This approach is known in different terms as "drug repositioning or drug repurposing." Drug repositioning refers to the structure modification of the active molecule by synthesis, in vitro/ in vivo screening and in silico computational applications where macromolecular structure-based drug design (SBDD) is employed. In this perspective, we aimed to focus on the application of repositioning or repurposing of essential drug moieties present in drugs that are already used for the treatment of some diseases such as diabetes, human immunodeficiency virus (HIV) infection and inflammation as anticancer agents. This review thus covers the available literature where molecular modeling of drugs/enzyme inhibitors through SBDD is reported for antidiabetics, anti-HIV and inflammatory diseases, which are structurally modified and screened for anticancer activity using respective cell lines.

尽管近年来细胞生物学和肿瘤学以及化学、物理和计算机科学取得了巨大进步,但癌症仍然是全球死亡的主要原因。研究组织、学术机构和制药公司为发现和开发新的抗癌药物投入了巨额资金。尽管人们仍在不断努力,尝试各种可用的方法,但能否成功地将一种有效的药物推向市场一直是个未知数。为了克服与药物发现有关的问题,人们正在尝试几种方法。其中一种方法是利用已知的、已获批准和上市的药物来筛选新的适应症,这已引起了人们的极大兴趣。这种方法被称为 "药物再定位或药物再利用"。药物重新定位是指通过合成、体外/体内筛选以及采用基于大分子结构的药物设计(SBDD)的硅计算应用,对活性分子进行结构改造。在这一视角下,我们的目标是关注对已用于治疗某些疾病(如糖尿病、人类免疫缺陷病毒(HIV)感染和炎症)的药物中的基本药物分子进行重新定位或重新使用的抗癌剂应用。因此,本综述涵盖了通过 SBDD 对药物/酶抑制剂进行分子建模的现有文献,这些药物/酶抑制剂用于抗糖尿病、抗 HIV 和炎症性疾病,这些药物/酶抑制剂经过结构修饰后,利用相应的细胞系进行抗癌活性筛选。
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引用次数: 0
Cinnamaldehyde as a Promising Dietary Phytochemical Against Metabolic Syndrome: A Systematic Review. 肉桂醛是一种有希望防治代谢综合征的膳食植物化学物质:系统综述。
IF 3.8 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-01-01 DOI: 10.2174/1389557523666230725113446
Mohaddeseh Khaafi, Zahra Tayarani-Najaran, Behjat Javadi

Background: Metabolic syndrome (METS) is a set of unhealthy medical conditions considered essential health problems today. Cinnamaldehyde (CA) is the major phytochemical present in the essential oil of cinnamon and possesses antioxidant, anti-inflammatory, hypoglycemic, and antihyperlipidemic activities.

Aim: We aim to systematically review the effects of CA in preventing and attenuating METS components. Moreover, the cellular and molecular mechanisms of actions of CA, its pharmacokinetics features, and potential structure-activity relationship (SAR) were also surveyed.

Methods: PubMed, Science Direct, Scopus, and Google Scholar were searched to retrieve the relevant papers.

Results: CA possesses various anti-METS activities, including anti-inflammatory, antioxidant, antidiabetic, antidyslipidemia, antiobesity, and antihypertensive properties. Various molecular mechanisms such as stimulating pancreatic insulin release, exerting an insulinotropic effect, lowering lipid peroxidation as well as pancreatic islet oxidant and inflammatory toxicity, increasing the activities of pancreatic antioxidant enzymes, suppressing pro-inflammatory cytokines production, regulating the molecular signaling pathways of the PPAR-γ and AMPK in preadipocytes and preventing adipocyte differentiation and adipogenesis are involved in these activities.

Conclusions: CA would effectively hinder METS; however, no robust clinical data supporting these effects in humans is currently available. Accordingly, conducting clinical trials to evaluate the efficacy, safe dosage, pharmacokinetics characteristics, and possible unwanted effects of CA in humans would be of great importance.

背景:代谢综合征(METS代谢综合征(METS)是一系列不健康的病症,被认为是当今必不可少的健康问题。肉桂醛(Cinnamaldehyde,CA)是肉桂精油中的主要植物化学物质,具有抗氧化、抗炎、降血糖和降血脂活性。此外,我们还调查了 CA 的细胞和分子作用机制、药代动力学特征以及潜在的结构-活性关系(SAR):方法:检索PubMed、Science Direct、Scopus和Google Scholar上的相关论文:结果:CA具有多种抗METS活性,包括抗炎、抗氧化、抗糖尿病、抗血脂异常、抗肥胖和抗高血压特性。这些活性涉及多种分子机制,如刺激胰岛素释放,发挥促胰岛素作用;降低脂质过氧化以及胰岛氧化和炎症毒性;提高胰岛抗氧化酶的活性;抑制促炎细胞因子的产生;调节前脂肪细胞中 PPAR-γ 和 AMPK 的分子信号通路;防止脂肪细胞分化和脂肪生成等:结论:CA 可有效阻止 METS,但目前还没有可靠的临床数据支持其在人体中的作用。因此,开展临床试验以评估 CA 在人体中的疗效、安全剂量、药代动力学特征以及可能出现的不良反应具有重要意义。
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引用次数: 0
Synthetic and Clinical Perspectives of Evotaz: An Overview. 伊沃塔兹的合成与临床前景:概述。
IF 3.8 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-01-01 DOI: 10.2174/1389557523666230707151553
Sachin Puri, Tanuja T Yadav, Mangilal Chouhan, Kapil Kumar

Viruses cause a variety of diseases in the human body. Antiviral agents are used to prevent the production of disease-causing viruses. These agents obstruct and kill the virus's translation and replication. Because viruses share the metabolic processes of the majority of host cells, finding targeted medicines for the virus is difficult. In the ongoing search for better antiviral agents, the USFDA approved EVOTAZ, a new drug discovered for the treatment of Human Immunodeficiency Virus (HIV). It is a once-daily (OD) fixed-dose combination of Cobicistat, a cytochrome P450 (CYP) enzyme inhibitor, and Atazanavir, a protease inhibitor. The combination drug was created in such a way that it can inhibit both CYP enzymes and proteases at the same time, resulting in the virus's death. The drug is not effective in children under the age of 18; however, it is still being studied for various parameters. This review article focuses on EVOTAZ's preclinical and clinical aspects, as well as its efficacy and safety profiles.

病毒会导致人体出现各种疾病。抗病毒剂用于防止致病病毒的产生。这些药物会阻碍和杀死病毒的翻译和复制。由于病毒与大多数宿主细胞的代谢过程相同,因此很难找到针对病毒的靶向药物。在不断寻找更好的抗病毒药物的过程中,美国食品和药物管理局批准了 EVOTAZ,这是一种用于治疗人类免疫缺陷病毒(HIV)的新药。它是由细胞色素 P450(CYP)酶抑制剂 Cobicistat 和蛋白酶抑制剂 Atazanavir 组成的每日一次(OD)固定剂量复方制剂。这种复方制剂可以同时抑制细胞色素 P450(CYP)酶和蛋白酶,导致病毒死亡。该药物对 18 岁以下儿童无效,但仍在针对各种参数进行研究。这篇综述文章重点介绍了 EVOTAZ 的临床前和临床方面及其疗效和安全性。
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引用次数: 0
MiRNAs: Emerging Agents for Therapeutic Effects of Polyphenols on Ovarian Cancer. MiRNAs:多酚对卵巢癌治疗作用的新药物。
IF 3.8 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-01-01 DOI: 10.2174/1389557523666230816090138
Bita Badehnoosh, Nesa Rajabpoor Nikoo, Reza Asemi, Rana Shafabakhsh, Zatollah Asemi

In terms of female reproductive tract cancers, ovarian cancer remains the principal reason for mortality globally and is notably difficult to identify in its early stages. This fact highlights the critical need to establish prevention strategies for patients with ovarian cancer, look for new robust diagnostic and prognostic markers, and identify potential targets of response to treatment. MicroRNAs (miRNAs) are one of the novel treatment targets in cancer treatment. Thus, understanding the part of miRNAs in the pathogenesis and metastasis of ovarian cancer is at the center of researchers' attention. MiRNAs are suggested to play a role in modulating many essential cancer processes, like cell proliferation, apoptosis, differentiation, adhesion, epithelial-mesenchymal transition (EMT), and invasion. In two recent decades, natural polyphenols' anti-cancer features have been a focal point of research. Meanwhile, polyphenols are good research subjects for developing new cancer treatments. Polyphenols can modify miRNA expression and impact the function of transcription factors when used as dietary supplements. Multiple works have indicated the impact of polyphenols, including quercetin, genistein, curcumin, and resveratrol, on miRNA expression in vitro and in vivo. Here, we provide an in-depth description of four polyphenols used as dietary supplements: quercetin, genistein, curcumin, and resveratrol, and we summarize what is currently known about their regulatory abilities on influencing the miRNA functions in ovarian tumors to achieve therapeutic approaches.

在女性生殖道癌症中,卵巢癌仍然是全球死亡的主要原因,而且在早期阶段很难发现。这一事实突出表明,亟需为卵巢癌患者制定预防策略,寻找新的可靠诊断和预后标志物,并确定潜在的治疗反应靶点。微小核糖核酸(miRNA)是癌症治疗的新靶点之一。因此,了解 miRNA 在卵巢癌发病和转移中的作用成为研究人员关注的焦点。miRNAs被认为在细胞增殖、凋亡、分化、粘附、上皮-间质转化(EMT)和侵袭等许多重要的癌症过程中起着调节作用。近二十年来,天然多酚的抗癌功能一直是研究的焦点。同时,多酚也是开发癌症新疗法的良好研究对象。多酚作为膳食补充剂可以改变 miRNA 的表达,影响转录因子的功能。多项研究表明,多酚(包括槲皮素、染料木素、姜黄素和白藜芦醇)对体外和体内 miRNA 的表达有影响。在此,我们深入介绍了作为膳食补充剂的四种多酚:槲皮素、染料木素、姜黄素和白藜芦醇,并总结了目前已知的它们对影响卵巢肿瘤 miRNA 功能的调控能力,以实现治疗方法。
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引用次数: 0
The Use of Nanocarriers to Enhance the Anti-neuroinflammatory Potential of Dietary Flavonoids in Animal Models of Neurodegenerative Diseases: A Systematic Review. 使用纳米载体增强膳食类黄酮在神经退行性疾病动物模型中的抗神经炎症潜力:系统综述
IF 3.3 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-01-01 DOI: 10.2174/1389557523666230907093441
Gopalsamy Rajiv Gandhi, Varghese Edwin Hillary, Kumaraswamy Athesh, Maria Letícia Carvalho da Cruz Ramos, Gabriela Peres de Oliveira Krauss, Gnanasekaran Jothi, Gurunagarajan Sridharan, Rengaraju Sivasubramanian, Govindasamy Hariharan, Alan Bruno Silva Vasconcelos, Monalisa Martins Montalvão, Stanislaus Antony Ceasar, Valdete Kaliane da Silva Calisto, Ricardo Queiroz Gurgel

Background: Neurodegenerative diseases (NDs) have become a common and growing cause of mortality and morbidity worldwide, especially in older adults. The natural flavonoids found in fruits and vegetables have been shown to have therapeutic effects against many diseases, including NDs; however, in general, flavonoids have limited bioavailability to the target cells. One promising strategy to increase bioavailability is to entrap them in nanocarriers.

Objective: This article aims to review the potential role of nanocarriers in enhancing the antineuroinflammatory efficacy of flavonoids in experimentally induced ND.

Methods: A literature search was conducted in the scientific databases using the keywords "neurodegenerative", "anti-neuroinflammatory", "dietary flavonoids," "nanoparticles", and "therapeutic mechanisms".

Results: A total of 289 articles were initially identified, of which 45 articles reported on flavonoids. After completion of the selection process, five articles that met the criteria of the review were selected for analysis. Preclinical studies identified in this review showed that nanoencapsulated flavonoids attenuated cognitive impairment and seizure, improved behavioral patterns, and reduced levels of astrocytes. Importantly, they exhibited strong antioxidant properties, increasing the levels of antioxidant enzymes and reducing oxidative stress (OS) biomarkers. Moreover, nanocarrier-complexed flavonoids decreased the levels of the pro-inflammatory cytokines, interleukin 6 (IL-6) and tumor necrosis factor alpha (TNF-α), by inhibiting nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) and nod-like receptor protein 3 inflammasome activation (NLRP3). They also had remarkable effects on important ND-related neurotransmitters, improved cognitive function via cholinergic neurotransmission, and increased prefrontal cortical and hippocampal norepinephrine (NE) and 5-hydroxytryptamine (5-HT).

Conclusion: Nanoencapsulated flavonoids should, therefore, be considered a novel therapeutic approach for the treatment of NDs.

背景:神经退行性疾病(NDs)已成为全球常见的死亡率和发病率不断上升的原因,尤其是在老年人中。水果和蔬菜中的天然类黄酮已被证明对包括 NDs 在内的多种疾病具有治疗作用;然而,一般来说,类黄酮在靶细胞中的生物利用度有限。提高生物利用率的一个有前途的策略是将黄酮类化合物包裹在纳米载体中:本文旨在综述纳米载体在提高黄酮类化合物在实验诱导的 ND 中抗神经炎症功效方面的潜在作用:以 "神经退行性疾病"、"抗神经炎"、"膳食类黄酮"、"纳米颗粒 "和 "治疗机制 "为关键词在科学数据库中进行文献检索:结果:共初步筛选出 289 篇文章,其中 45 篇报道了类黄酮。在完成筛选过程后,我们选择了五篇符合综述标准的文章进行分析。综述中确定的临床前研究表明,纳米胶囊黄酮类化合物可减轻认知障碍和癫痫发作,改善行为模式,并降低星形胶质细胞的水平。重要的是,它们具有很强的抗氧化性,能提高抗氧化酶的水平,减少氧化应激(OS)生物标志物。此外,纳米载体络合类黄酮通过抑制活化B细胞的核因子卡帕-轻链-增强因子(NF-κB)和类结节受体蛋白3炎性体激活(NLRP3),降低了促炎细胞因子白细胞介素6(IL-6)和肿瘤坏死因子α(TNF-α)的水平。它们对重要的 ND 相关神经递质也有显著影响,通过胆碱能神经递质改善了认知功能,并增加了前额叶皮质和海马的去甲肾上腺素(NE)和 5-羟色胺(5-HT):因此,纳米胶囊黄酮应被视为治疗 NDs 的一种新型疗法。
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引用次数: 0
Purinergic Signaling and its Role in the Stem Cell Differentiation. 嘌呤能信号传导及其在干细胞分化中的作用。
IF 3.8 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-01-01 DOI: 10.2174/0113895575261206231003151416
Sumera Zaib, Areeba, Imtiaz Khan

Purinergic signaling is a mechanism in which extracellular purines and pyrimidines interact with specialized cell surface receptors known as purinergic receptors. These receptors are divided into two families of P1 and P2 receptors, each responding to different nucleosides and nucleotides. P1 receptors are activated by adenosine, while P2 receptors are activated by pyrimidine and purines. P2X receptors are ligand-gated ion channels, including seven subunits (P2X1-7). However, P2Y receptors are the G-protein coupled receptors comprising eight subtypes (P2Y1/2/4/6/11/12/13/14). The disorder in purinergic signaling leads to various health-related issues and diseases. In various aspects, it influences the activity of non-neuronal cells and neurons. The molecular mechanism of purinergic signaling provides insight into treating various human diseases. On the contrary, stem cells have been investigated for therapeutic applications. Purinergic signaling has shown promising effect in stem cell engraftment. The immune system promotes the autocrine and paracrine mechanisms and releases the significant factors essential for successful stem cell therapy. Each subtype of purinergic receptor exerts a beneficial effect on the damaged tissue. The most common effect caused by purinergic signaling is the proliferation and differentiation that treat different health-related conditions.

嘌呤能信号传导是细胞外嘌呤和嘧啶与被称为嘌呤能受体的特殊细胞表面受体相互作用的一种机制。这些受体分为P1和P2受体的两个家族,每个家族对不同的核苷和核苷酸有反应。P1受体被腺苷激活,而P2受体被嘧啶和嘌呤激活。P2X受体是配体门控的离子通道,包括七个亚基(P2X1-7)。然而,P2Y受体是包含八种亚型(P2Y1/2/4/6/11/12/13/14)的G蛋白偶联受体。嘌呤能信号的紊乱会导致各种与健康相关的问题和疾病。在各个方面,它影响非神经元细胞和神经元的活动。嘌呤能信号传导的分子机制为治疗各种人类疾病提供了见解。相反,干细胞已被研究用于治疗应用。嘌呤能信号在干细胞移植中显示出良好的效果。免疫系统促进自分泌和旁分泌机制,并释放干细胞治疗成功所必需的重要因素。嘌呤能受体的每种亚型都对受损组织产生有益作用。嘌呤能信号传导引起的最常见影响是治疗不同健康状况的增殖和分化。
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引用次数: 0
The Progress of Small Molecule Targeting BCR-ABL in the Treatment of Chronic Myeloid Leukemia. 小分子靶向BCR-ABL治疗慢性粒细胞白血病的研究进展。
IF 3.8 3区 医学 Q2 CHEMISTRY, MEDICINAL Pub Date : 2024-01-01 DOI: 10.2174/0113895575218335230926070130
Yuan Zhang, Xin Wu, Xueyan Sun, Jun Yang, Chang Liu, Guotao Tang, Xiaoyong Lei, Honglin Huang, Junmei Peng

Chronic myelogenous leukemia (CML) is a malignant myeloproliferative disease. According to the American Cancer Society's 2021 cancer data report, new cases of CML account for about 15% of all leukemias. CML is generally divided into three stages: chronic phase, accelerated phase, and blast phase. Nearly 90% of patients are diagnosed as a chronic phase. Allogeneic stem cell transplantation and chemotherapeutic drugs, such as interferon IFN-α were used as the earliest treatments for CML. However, they could generate obvious side effects, and scientists had to seek new treatments for CML. A new era of targeted therapy for CML began with the introduction of imatinib, the first-generation BCR-ABL kinase inhibitor. However, the ensuing drug resistance and mutant strains led by T315I limited the further use of imatinib. With the continuous advancement of research, tyrosine kinase inhibitors (TKI) and BCR-ABL protein degraders with novel structures and therapeutic mechanisms have been discovered. From biological macromolecules to classical target protein inhibitors, a growing number of compounds are being developed to treat chronic myelogenous leukemia. In this review, we focus on summarizing the current situation of a series of candidate small-molecule drugs in CML therapy, including TKIs and BCR-ABL protein degrader. The examples provided herein describe the pharmacology activity of small-molecule drugs. These drugs will provide new enlightenment for future treatment directions.

慢性粒细胞白血病(CML)是一种恶性骨髓增生性疾病。根据美国癌症协会2021年癌症数据报告,CML新病例约占所有白血病的15%。慢性粒细胞白血病通常分为三个阶段:慢性期、加速期和爆发期。近90%的患者被诊断为慢性期。异基因干细胞移植和化疗药物,如干扰素IFN-α,被用作CML的最早治疗方法。然而,它们可能会产生明显的副作用,科学家们不得不寻求治疗慢性粒细胞白血病的新方法。CML靶向治疗的新时代始于第一代BCR-ABL激酶抑制剂伊马替尼的引入。然而,随之而来的耐药性和由T315I引起的突变菌株限制了伊马替尼的进一步使用。随着研究的不断深入,酪氨酸激酶抑制剂(TKI)和BCR-ABL蛋白降解物已被发现具有新的结构和治疗机制。从生物大分子到经典的靶蛋白抑制剂,越来越多的化合物正在被开发用于治疗慢性粒细胞白血病。在这篇综述中,我们重点总结了一系列候选小分子药物在CML治疗中的现状,包括TKIs和BCR-ABL蛋白降解剂。本文提供的实施例描述了小分子药物的药理学活性。这些药物将为未来的治疗方向提供新的启示。
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Mini reviews in medicinal chemistry
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