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Olefinic side chain modification of fusidic acid enhances anti-MRSA activity and mitigates resistance development 氟西地酸的烯烃侧链修饰增强了抗mrsa活性,减轻了耐药性的发展。
IF 3.6 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-09-04 DOI: 10.1039/D5MD00652J
Wu-He Wu, Li-Juan Song, Kai-Yuan Bai, Fu-Huan Luo, Ya-Xin Li, Jing Luo, Xing-Fu Liu, Shang-Gao Liao, Jun-Li Ao and Guo-Bo Xu

The escalating prevalence of antibiotic resistance underscores the urgent need for innovative antimicrobial agents. Fusidic acid (FA), a fungal-derived tetracyclic triterpene clinically employed against methicillin-resistant Staphylococcus aureus (MRSA), is limited by rapid resistance development and elevated MIC values in resistant strains. While previous olefinic side chain (Δ24,25) modifications yielded FA derivatives with retained anti-MRSA activity, most analogs exhibited compromised efficacy against Gram-positive bacteria. To address this limitation, we systematically engineered the olefinic side chain through Wittig and olefin metathesis reactions, synthesizing 26 novel FA derivatives. Compound 10a emerged as a standout candidate, demonstrating MIC value lower than FA against MRSA (0.125 μg mL−1) as well as low resistance. It also exhibited biofilm disruption capability of reducing MRSA biofilm formation by 61.4% at 0.5 × MIC, along with downregulation of biofilm-related regulators (e.g. clfA, cna, agrA, agrC). In a murine skin infection model, compound 10a significantly inhibited bacterial growth and accelerated wound healing at 2 mg kg−1. Given these advantages, compound 10a represents a promising candidate molecule for combating multidrug-resistant Gram-positive infections.

抗生素耐药性的不断上升突出表明迫切需要创新的抗微生物药物。氟西地酸(FA)是一种真菌衍生的四环三萜,临床用于治疗耐甲氧西林金黄色葡萄球菌(MRSA),但由于耐药菌株的快速耐药发展和MIC值升高而受到限制。虽然先前的烯烃侧链(Δ24,25)修饰产生的FA衍生物具有保留的抗mrsa活性,但大多数类似物对革兰氏阳性细菌的功效有所降低。为了解决这一限制,我们通过Wittig反应和烯烃复分解反应系统地设计了烯烃侧链,合成了26种新的FA衍生物。化合物10a对MRSA的MIC值低于FA (0.125 μg mL-1),耐药低,是一个突出的候选药物。它还表现出生物膜破坏能力,在0.5 × MIC下减少MRSA生物膜形成61.4%,同时下调生物膜相关调节因子(如clfA, cna, agrA, agrC)。在小鼠皮肤感染模型中,化合物10a在2 mg kg-1时显著抑制细菌生长并加速伤口愈合。鉴于这些优势,化合物10a代表了对抗多重耐药革兰氏阳性感染的有希望的候选分子。
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引用次数: 0
How to spare gut microbiota from antibiotic effects? PK-PD based innovative strategies, target specificity, and molecule-to-medicinal properties 如何使肠道微生物群免受抗生素的影响?基于PK-PD的创新策略,靶标特异性和分子-药物特性。
IF 3.6 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-09-03 DOI: 10.1039/D5MD00591D
Abhishek Rai, Vaishnavi Newaskar, Nibedita Roy and Sankar K. Guchhait

Conventional broad-spectrum antibiotics often disrupt gut microbiota, causing a range of health issues like inflammatory bowel disease (IBD), secondary infections, colorectal cancer, liver disease, cognitive impairment, diabetes, and obesity. While the ‘one drug treats all’ strategy offers convenience, the long-term consequences of microbiota imbalance caused by such antibiotics can no longer be ignored. Modern antibiotic discovery and development programs must consider the strategies that minimize microbiota disruption to prevent long-term dysbiosis. This article presents, for the first time, a critical analysis of emerging microbiota-sparing pharmacokinetic-pharmacodynamic (PK-PD) based innovative antibacterial therapeutic strategies, such as transporter (BmpD)-mediated selective uptake, selective accumulation driven by efflux deficiency, pathogen-specific and pH-dependent selective cellular absorption, adjuvant facilitated therapy, β-lactamase-directed selectivity, microbiota-conserving immunotherapy, and CRISPR-based phage therapy. It highlights target-specific antibacterial approaches aimed at distinct bacterial pathways, such as lipoprotein transport, fatty acid biosynthesis, protein biosynthesis via methionyl-tRNA synthetase (MetRS), and DNA replication through DNA polymerase IIIC, which can minimize microbiota disruption and antibiotic-associated dysbiosis. Additionally, the discovery of antibacterial clinical candidates, such as afabicin, lolamicin, hygromycin A, cadazolid, and ribaxamase, that exhibit pathogen-specific efficacy with limited gut exposure, has been discussed with an in-depth analysis of their mechanism of actions (MoAs) and specific bacterial targets, molecular structure-to-medicinal insights, and strategic innovations. Collectively, this article provides a perspective for next generation antibacterial drug design and discovery, focusing on innovative strategies, specific biological pathways, and key molecular features that spare gut microbiota while maximizing antibacterial treatment efficacy.

传统的广谱抗生素通常会破坏肠道微生物群,导致一系列健康问题,如炎症性肠病(IBD)、继发性感染、结直肠癌、肝脏疾病、认知障碍、糖尿病和肥胖。虽然“一种药物治疗所有人”的策略提供了便利,但这种抗生素引起的微生物群失衡的长期后果不能再被忽视。现代抗生素的发现和开发计划必须考虑最小化微生物群破坏的策略,以防止长期的生态失调。本文首次提出了一项基于新出现的保留微生物群药代动力学-药效学(PK-PD)的创新抗菌治疗策略的批判性分析,如转运体(BmpD)介导的选择性摄取、外排缺乏驱动的选择性积累、病原体特异性和ph依赖性的选择性细胞吸收、辅助促进治疗、β-内酰胺酶定向选择性、保留微生物群免疫治疗和基于crispr的噬菌体治疗。它强调了针对不同细菌途径的靶向性抗菌方法,如脂蛋白转运、脂肪酸生物合成、通过甲硫基trna合成酶(MetRS)进行的蛋白质生物合成以及通过DNA聚合酶IIIC进行的DNA复制,这些方法可以最大限度地减少微生物群的破坏和抗生素相关的生态失调。此外,抗菌药物临床候选药物的发现,如阿法比星、洛拉霉素、潮霉素A、卡达唑胺和利巴沙酶,在肠道暴露有限的情况下表现出病原体特异性疗效,并深入分析了它们的作用机制(MoAs)和特定的细菌靶点,分子结构到药物的见解,以及战略创新。总之,本文为下一代抗菌药物的设计和发现提供了一个视角,重点关注创新策略,特定的生物学途径和关键的分子特征,以节省肠道微生物群,同时最大限度地提高抗菌治疗效果。
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引用次数: 0
Noscapine-bile acid hybrids as novel anticancer agents 诺斯卡平-胆汁酸复合物作为新型抗癌药物。
IF 3.6 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-29 DOI: 10.1039/D5MD00570A
Kosar Babanezhad Harikandei, Peyman Salehi, Zahra Hasanpour, Morteza Bararjanian, Wonghee Kim, S. Mohsen Asghari and Adil Mardinoglu

Twenty novel noscapinoid–triterpene conjugate derivatives were designed and synthesized. Four noscapine derivatives (as secondary amine) and five bile acids were applied for the synthesis of a diverse library. The synthetic compounds were evaluated for their antiproliferative activity against PC3, A549, HepG2, Caki-1, U138MG, and MRC5. This study identified eight potent cytotoxic agents (7e–7i, 7k, 7m, and 7o) possessing more than 80% cell viability. Compounds 7e and 7f exhibited the highest cytotoxic activity against Caki-1 with IC50 values of 260 nM and 350 nM, respectively. Western blot analysis results indicated that the eight hit compounds decreased the α-tubulin and β-actin levels in A549 cells, and further cellular assays on A549 demonstrated that 7e and 7f significantly inhibited cell migration, induced pronounced G1 cell-cycle arrest (with 7f also showing a minor G2/M increase) and triggered marked apoptosis, with 7e showing the strongest pro-apoptotic effect.

设计并合成了20种新型的异花碱-三萜共轭衍生物。四种诺斯卡平衍生物(作为仲胺)和五种胆汁酸被用于合成一个多样化的文库。合成的化合物对PC3、A549、HepG2、Caki-1、U138MG和MRC5的抗增殖活性进行了评价。本研究确定了8种有效的细胞毒性药物(7e-7i, 7k, 7m和70)具有超过80%的细胞存活率。化合物7e和7f对Caki-1的细胞毒活性最高,IC50值分别为260 nM和350 nM。Western blot分析结果显示,8种hit化合物均能降低A549细胞中α-微管蛋白和β-肌动蛋白的水平,进一步对A549进行细胞实验表明,7e和7f显著抑制细胞迁移,诱导G1细胞周期阻滞(7f也有轻微的G2/M升高),并引发明显的凋亡,其中7e的促凋亡作用最强。
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引用次数: 0
Novel lithocholic acid-diindolylmethane hybrids as potent sialyltransferase inhibitors targeting triple-negative breast cancer: a molecular hybridization approach 新型石胆酸-二吲哚基甲烷杂合体作为有效的唾液转移酶抑制剂靶向三阴性乳腺癌:分子杂交方法。
IF 3.6 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-28 DOI: 10.1039/D5MD00390C
Christian Angelo P. Concio, Ser John Lynon P. Perez, Tzu-Ting Chang, Chia-Ling Chen, Yi-Ting He, Susan D. Arco and Wen-Shan Li

Molecular hybridization, an emerging strategy for the discovery of new anticancer therapeutics, shows promise as a powerful tool for the development of new sialyltransferase (ST) inhibitors for cancer treatment. This concept inspired the design of novel ST inhibitors through the hybridization of lithocholic acid and diindolylmethane, leading to the discovery of LCA-DIM hybrids as potential chemical entities targeting STs. Preliminary screening revealed the significance of the DIM moiety and incorporation of Asp linker on enhancing the inhibitory activity and selectivity of the hybrids towards ST6GAL1, inhibiting up to 100% of ST6GAL1 activity at 25 μM with no ST3GAL1 inhibition even at 500 μM. Incorporation of various 5,5′-substituents enhanced the inherent antimigration properties of the hybrids, with IAN-5B (R = Cl) and IAN-15B (R = N3) presenting the highest antimigration activity across several triple-negative breast cancer (TNBC) cell lines (MDA-MB-231, BT549, Hs578T) and considerable antiangiogenetic effect by suppressing HUVEC tube formation. This could be attributed to the excellent ST6GAL1 inhibitory activities of the two hybrids with IC50 values of 6.6 ± 0.2 μM and 3.3 ± 0.1 μM, respectively. Overall, this study highlights LCA-DIM hybrids as novel, potent, and N-glycan-selective ST inhibitors with promising antimigration properties against aggressive TNBC.

分子杂交是发现新的抗癌疗法的一种新兴策略,有望成为开发新的唾液基转移酶(ST)抑制剂用于癌症治疗的有力工具。这一概念启发了通过石胆酸和二吲哚基甲烷杂交设计新型ST抑制剂的灵感,从而发现了LCA-DIM杂交体作为靶向ST的潜在化学实体。初步筛选发现,DIM片段和Asp连接体的掺入对提高杂交体对ST6GAL1的抑制活性和选择性具有重要意义,在25 μM下可抑制高达100%的ST6GAL1活性,即使在500 μM下也没有抑制ST3GAL1。不同的5,5'-取代基的掺入增强了杂交体固有的抗迁移特性,其中IAN-5B (R = Cl)和IAN-15B (R = N3)在几种三阴性乳腺癌(TNBC)细胞系(MDA-MB-231、BT549、Hs578T)中表现出最高的抗迁移活性,并通过抑制HUVEC管的形成而具有显著的抗血管生成作用。这可能是由于两个杂种具有良好的ST6GAL1抑制活性,IC50值分别为6.6±0.2 μM和3.3±0.1 μM。总的来说,本研究强调LCA-DIM杂交体是一种新型的、有效的、n-聚糖选择性ST抑制剂,具有抗侵袭性TNBC的抗迁移特性。
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引用次数: 0
Targeting tumor-associated hypoxia with bioreductively activatable prodrug conjugates derived from dihydronaphthalene, benzosuberene, and indole-based inhibitors of tubulin polymerization 由二氢萘、苯并亚苯和吲哚基微管蛋白聚合抑制剂衍生的可生物还原激活的前药偶联物靶向肿瘤相关缺氧。
IF 3.6 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-28 DOI: 10.1039/D5MD00564G
Zhe Shi, Rajsekhar Guddneppanavar, Blake A. Winn, Matthew T. MacDonough, Clinton S. George, Yifan Wang, Mark Zimmer, Jeni Gerberich, Alex Winters, Elisa Lin, Casey J. Maguire, Jacob Ford, Ernest Hamel, Ralph P. Mason, Mary Lynn Trawick and Kevin G. Pinney

A strategy for targeting tumor-associated hypoxia utilizes reductase enzyme-mediated cleavage to convert biologically inert prodrugs to their corresponding biologically active parent therapeutic agents selectively in areas of pronounced hypoxia. Small-molecule inhibitors of tubulin polymerization represent unique therapeutic agents for this approach, with the most promising functioning as both antiproliferative agents (cytotoxins) and as vascular disrupting agents (VDAs). VDAs selectively and effectively disrupt tumor-associated microvessels, which are typically fragile and chaotic in nature. VDA treatment may augment existing tumor-associated hypoxia, thus enhancing the efficacy of hypoxia-selective prodrugs. Structure activity relationship-guided studies in our laboratories led to the discovery of promising lead molecules (OXi6196, KGP05, KGP18, and OXi8006) that bind to the colchicine site on the tubulin heterodimer. A series of bioreductively activatable prodrug conjugates (BAPCs) based on these molecules was synthesized utilizing ether-linked heteroaromatic hypoxia-selective triggers bearing a nitro group. Biological evaluation against the A549 human lung carcinoma cell line (under normoxic versus anoxic conditions) revealed several BAPCs with positive hypoxia cytotoxicity ratios. Preliminary in vivo evaluation of a representative BAPC (KGP291) demonstrated vascular shutdown in nude mice bearing orthotopic 4T1 breast tumors studied by bioluminescence imaging.

一种靶向肿瘤相关缺氧的策略利用还原酶介导的裂解,在明显缺氧的区域选择性地将生物惰性前药转化为相应的生物活性母体治疗剂。小分子微管蛋白聚合抑制剂代表了这种方法的独特治疗剂,最有希望的功能是作为抗增殖剂(细胞毒素)和血管破坏剂(vda)。vda选择性和有效地破坏肿瘤相关微血管,这些微血管通常是脆弱和混乱的。VDA治疗可能增加现有的肿瘤相关缺氧,从而增强低氧选择性前药的疗效。在我们实验室的结构活性关系指导研究中,发现了有前途的铅分子(ox6196, KGP05, KGP18和ox8006),它们与微管蛋白异源二聚体上的秋水仙碱位点结合。以这些分子为基础,利用带有硝基的醚连接杂芳香低氧选择性触发器合成了一系列生物还原活化的前药偶联物(BAPCs)。对A549人肺癌细胞系(常氧和缺氧条件下)的生物学评价显示,几个BAPCs具有阳性的缺氧细胞毒性比率。通过生物发光成像研究,具有代表性的BAPC (KGP291)在携带原位4T1乳腺肿瘤的裸鼠体内初步评估显示血管关闭。
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引用次数: 0
Synthesis and anti-cancer biological evaluation of a novel protoapigenone analogue, WYC-241 新型原芹菜素类似物WYC-241的合成及抗癌生物学评价
IF 3.6 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-28 DOI: 10.1039/D5MD00349K
Pei-Yi Chu, Yi-Cheng Pan, Wei-Yu Hsu, Da-Wei Chuang, Juan-Cheng Yang, Guan-Yu Chen, Yeong-Jiunn Jang and Yang-Chang Wu

Natural products are an important source for developing anti-cancer agents. Previously, we identified the anti-cancer flavonoid protoapigenone from Thelypteris torresiana (Gaud.) and synthesized its derivative, WYC-0209, with improved anti-cancer properties. In this study, to further optimize this protoapigenone derivative for better therapeutic efficacy, various functional groups were introduced onto its naphthalene ring, and their anti-cancer properties were evaluated. A total of eighteen WYC-0209 derivatives were synthesized, among which the derivative containing two units of the isopentyl-substituted side chain exhibited superior cytotoxicity against cancer cells and was named WYC-241. Further investigation in A549 lung cancer cells showed that WYC-241 significantly inhibited colony formation (proliferation) and suppressed cell migration (mobility). Additionally, WYC-241 induced both necrosis and apoptosis, potentially through a substantial increase in intracellular reactive oxygen species (ROS) levels and inhibition of the PI3K/AKT pathway. In vivo studies showed that weekly intravenous (i.v.) injection of WYC-241 significantly suppressed tumor growth in mice. In silico ADMET analysis further indicated that WYC-241 possesses drug-like properties. Collectively, this study suggests that WYC-241 is a promising candidate for further development as a novel anti-cancer therapy and provides a foundation for future drug design and optimization.

天然产物是开发抗癌药物的重要来源。在此基础上,研究人员从鸭肉中鉴定出具有抗癌活性的黄酮类化合物原芹菜素酮,并合成了其衍生物WYC-0209。本研究为进一步优化该原芹菜酮衍生物以获得更好的治疗效果,在其萘环上引入了不同的官能团,并对其抗癌性能进行了评价。共合成了18个WYC-0209衍生物,其中含有2个异戊基取代侧链的衍生物对癌细胞具有较强的细胞毒性,命名为WYC-241。在A549肺癌细胞中的进一步研究表明,WYC-241显著抑制了集落形成(增殖)和细胞迁移(迁移)。此外,WYC-241可能通过显著增加细胞内活性氧(ROS)水平和抑制PI3K/AKT通路诱导坏死和凋亡。体内研究表明,每周静脉注射WYC-241可显著抑制小鼠肿瘤生长。ADMET分析进一步表明WYC-241具有类似药物的性质。综上所述,该研究表明WYC-241作为一种新型抗癌药物具有进一步开发的潜力,并为未来的药物设计和优化提供了基础。
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引用次数: 0
β-Carboline: a privileged scaffold from nature for potential antimalarial activity β-碳碱:来自大自然的一种具有潜在抗疟疾活性的特殊支架。
IF 3.6 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-27 DOI: 10.1039/D5MD00299K
Amisha Punmiya, Alka Raj Pandey and Amisha Vora

Malaria is one of the most prevalent infectious diseases in the world. Despite the implementation of malaria prophylaxis by the WHO, the mortality rate has been rising. Owing to the development of resistance to presently prescribed antimalarial medication regimes in humans and insecticides in malaria vectors, the prevention and treatment of these illnesses are severely hindered. β-Carbolines are a class of naturally occurring alkaloids that have garnered attention because of their unique structures and diverse biological activities. This review consolidates various methods for synthesizing diverse β-carbolines and highlights their potential as antimalarial agents, emphasizing the molecular targets of Plasmodium falciparum. Based on various research findings, we underscore the potential of β-carbolines to overcome therapeutic challenges and develop effective antimalarials. This review also highlights the structure–activity relationships (SARs) of various β-carboline derivatives to enhance their antimalarial efficacy. With thorough compilation of recent advancements, this review aims to inform and inspire further research and innovation in the quest to combat malaria.

疟疾是世界上最流行的传染病之一。尽管世界卫生组织实施了疟疾预防措施,但死亡率一直在上升。由于人类对目前规定的抗疟疾药物制度和疟疾病媒对杀虫剂产生耐药性,这些疾病的预防和治疗受到严重阻碍。β-碳碱是一类天然存在的生物碱,因其独特的结构和多样的生物活性而备受关注。本文综述了各种合成β-卡罗啉的方法,强调了它们作为抗疟药物的潜力,重点介绍了恶性疟原虫的分子靶点。基于各种研究结果,我们强调β-碳胺在克服治疗挑战和开发有效抗疟药物方面的潜力。本文还重点介绍了各种β-碳碱衍生物的构效关系,以提高其抗疟疾功效。通过对最近进展的全面汇编,本综述旨在为进一步研究和创新提供信息和启发,以抗击疟疾。
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引用次数: 0
Development of heterocyclic derivatives as P-glycoprotein inhibitors against multidrug resistance: pharmacological activities, structure–activity relationship and target (2020–2024) 多药耐药p糖蛋白抑制剂杂环衍生物的研究进展:药理活性、构效关系和靶点(2020-2024)
IF 3.6 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-26 DOI: 10.1039/D5MD00609K
Zhikun Yang, Yanhong Yang, Zimeng Huang, Yi Hua, Mahmoud Emam Abd El-Salam Hassaan and Hong Wang

The overexpression of P-glycoprotein (P-gp) has been recognized as a pivotal factor contributing to the emergence of multidrug resistance (MDR), a phenomenon that frequently limits the efficacy of chemotherapy and profoundly impacts patient prognosis. Consequently, the inhibition of P-gp's efflux function has become a critical therapeutic strategy for overcoming drug resistance and enhancing chemotherapeutic efficacy. In recent years, the development of P-gp inhibitors has garnered significant attention, particularly with the frequent incorporation of heterocyclic derivatives, which exhibit exceptional biological activity and favorable chemical properties, into drug design. In this paper, we reviewed the latest research progress of pharmacological activities, structure–activity relationships and molecular targets of heterocyclic derivatives as P-gp inhibitors in the past five years (2020–2024). Through this comprehensive analysis, the potential of heterocyclic derivatives in modulating P-gp inhibition is highlighted, positioning them as promising candidates for the development of novel anti-resistance therapeutics. Meanwhile, the review offers a solid theoretical foundation and experimental guidance for the future design of more efficacious P-gp inhibitors.

p -糖蛋白(P-gp)的过度表达被认为是导致多药耐药(MDR)出现的关键因素,这种现象经常限制化疗的疗效并深刻影响患者的预后。因此,抑制P-gp外排功能已成为克服耐药和提高化疗疗效的关键治疗策略。近年来,P-gp抑制剂的发展引起了极大的关注,特别是随着杂环衍生物的频繁掺入,它们具有特殊的生物活性和良好的化学性质,用于药物设计。本文综述了近5年(2020-2024年)杂环衍生物作为P-gp抑制剂在药理活性、构效关系和分子靶点等方面的最新研究进展。通过这一综合分析,杂环衍生物在调节P-gp抑制方面的潜力得到了强调,将它们定位为开发新型抗耐药疗法的有希望的候选者。同时为今后设计更有效的P-gp抑制剂提供坚实的理论基础和实验指导。
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引用次数: 0
Delivery strategies to improve the pharmacological efficacy of NRF2 modulators: a review 提高NRF2调节剂药理功效的给药策略综述
IF 3.6 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-22 DOI: 10.1039/D5MD00571J
Zerrin Sezgin Bayindir, Matej Sova, Nilufer Yuksel and Luciano Saso

The NRF2/KEAP1 signaling pathway regulates the gene expression of numerous cytoprotective and detoxifying enzymes and is therefore essential for maintaining cellular redox homeostasis. Despite the increasing knowledge of NRF2 signaling complexity, dimethyl fumarate remains the sole NRF2-targeting therapy in clinical practice, used for multiple sclerosis. Ongoing research exploring the role of NRF2 in cancer, neurodegeneration, diabetes, and cardiovascular, renal, and liver diseases holds significant promise for future therapeutic innovation. The therapeutic potential of NRF2 modulators, while supported by positive research and clinical data, is often restricted due to factors including low solubility, poor stability, poor pharmacokinetic parameters, and a lack of specificity that results in off-target effects. Therefore, designing an effective pharmaceutical formulation is one of the significant barriers to their clinical translation. This article addresses these challenges by reviewing various drug delivery strategies with a particular emphasis on polymeric nanoparticles, liposomes, polymeric micelles, carbon nanotubes, micro/nano-emulsions, and biomimetic nanoparticles. The potential of these systems to enhance the pharmacological activities of NRF2 modulators—driven by their small particle size and customizable properties—is discussed on a disease-by-disease basis, focusing on cancer, neurodegenerative, and inflammatory diseases. While these systems have shown considerable success in preclinical studies, their clinical application is constrained by hurdles in safety, scalability, stability and regulatory compliance. This transition has not yet been achieved for NRF2 modulators, but intensive research is ongoing. Therefore, the overall aim of this article is to provide a comprehensive understanding of delivery strategies for NRF2 modulators, ultimately guiding the development of more effective therapies and improving their clinical applications.

NRF2/KEAP1信号通路调节多种细胞保护和解毒酶的基因表达,因此对维持细胞氧化还原稳态至关重要。尽管对NRF2信号复杂性的认识不断增加,富马酸二甲酯仍然是临床实践中唯一的NRF2靶向治疗,用于多发性硬化症。正在进行的研究探索NRF2在癌症、神经退行性疾病、糖尿病、心血管、肾脏和肝脏疾病中的作用,为未来的治疗创新带来了重大希望。NRF2调节剂的治疗潜力虽然得到了积极研究和临床数据的支持,但由于溶解度低、稳定性差、药代动力学参数差以及缺乏特异性导致脱靶效应等因素,往往受到限制。因此,设计有效的药物配方是其临床转化的重要障碍之一。本文通过回顾各种药物递送策略来解决这些挑战,特别强调了聚合物纳米颗粒、脂质体、聚合物胶束、碳纳米管、微/纳米乳液和仿生纳米颗粒。这些系统增强NRF2调节剂药理活性的潜力-由其小颗粒大小和可定制特性驱动-在疾病的基础上进行了讨论,重点是癌症,神经退行性和炎症性疾病。虽然这些系统在临床前研究中取得了相当大的成功,但它们的临床应用受到安全性、可扩展性、稳定性和法规遵从性方面的障碍的限制。NRF2调制器尚未实现这种转变,但深入的研究正在进行中。因此,本文的总体目标是全面了解NRF2调节剂的给药策略,最终指导开发更有效的治疗方法并改善其临床应用。
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引用次数: 0
Tailored SirReal-type inhibitors enhance SIRT2 inhibition through ligand stabilization and disruption of NAD+ co-factor binding 量身定制的sirreal型抑制剂通过稳定配体和破坏NAD+辅因子结合来增强SIRT2的抑制作用。
IF 3.6 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-19 DOI: 10.1039/D5MD00144G
Ricky Wirawan, Matthias Frei, Anna Heider, Niklas Papenkordt, Florian Friedrich, Thomas Wein, Manfred Jung, Michael Groll, Eva M. Huber and Franz Bracher

Human sirtuin 2 (SIRT2) is an NAD+ dependant enzyme that has been linked to the pathogenesis of various diseases, making it a promising target for pharmaceutical intervention. This study presents a systematic investigation on the inhibitory effects of SIRT2 inhibitors functionalized with diverse electrophilic functional groups. Guided by initial docking studies, we designed and synthesised 14 derivatives of two published potent lead structures 24a and SirReal2. The most potent and subtype selective SIRT2 inhibitor 29 (RW-78) exhibits an IC50 of 26 nM, which outperforms its lead structure 24a (IC50 = 79 nM) by a factor of 3. The increased potency of 29 is explained by halogen–π interactions with SIRT2 residues as visualized by X-ray crystallography. Furthermore, 29 interferes with NAD+ binding, highlighting co-factor displacement as a valid strategy to inhibit SIRT2. Additionally, we showed cellular target engagement via NanoBRET assays in HEK293T cells (EC50 = 15 nM). Altogether our findings provide a deeper insight into the structure–activity relationships of these SirReal-type inhibitors and offer new avenues for optimisation of SIRT2 inhibitors.

人类sirtuin 2 (SIRT2)是一种依赖NAD+的酶,与多种疾病的发病机制有关,使其成为药物干预的一个有希望的靶点。本研究对不同亲电官能团功能化的SIRT2抑制剂的抑制作用进行了系统的研究。在最初对接研究的指导下,我们设计并合成了两个已发表的有效先导结构24a和SirReal2的14个衍生物。最有效的SIRT2亚型选择性抑制剂29 (RW-78)的IC50为26 nM,比其先导结构24a (IC50 = 79 nM)高出3倍。x射线晶体学显示,29的效力增加是由卤素π与SIRT2残基相互作用引起的。此外,29干扰NAD+结合,强调辅助因子置换是抑制SIRT2的有效策略。此外,我们在HEK293T细胞(EC50 = 15 nM)中通过NanoBRET检测发现了细胞靶向性。总之,我们的研究结果为这些sirreal型抑制剂的结构-活性关系提供了更深入的了解,并为SIRT2抑制剂的优化提供了新的途径。
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RSC medicinal chemistry
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