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Discovery of Potent and Selective Factor XIa Inhibitors Incorporating Triazole-Based Benzoic Acid as Novel P2’ Fragments: Molecular Dynamics Simulations and Anticoagulant Activity 发现以三唑基苯甲酸为新型 P2'片段的强效和选择性因子 XIa 抑制剂:分子动力学模拟与抗凝活性
IF 6.7 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-19 DOI: 10.1016/j.ejmech.2024.117067
Linjun Dai, Yanqing Qiu, Qingrui Xu, Feng Yang, Boquan Ren, Xinyu Zhuang, Ruixin Li, Junhao Xing, Yan-Jun Xu, Qing Li
Factor XIa (FXIa) has emerged as a novel anticoagulant target with a reduced risk of bleeding. However, due to the nearly identical residues it shares with its closest homologue, plasma kallikrein (PKa), only a few selective FXIa inhibitors have been reported. Herein, we describe the discovery of novel triazole-based pyridone derivatives as potent and selective FXIa inhibitors. Structural optimization identified triazole-based benzoic acids as optimal P2’ fragments. The representative compound (S)-10h (IC50 = 0.38 nM for FXIa) was approximately 3-fold more potent than asundexian for FXIa, along with up to 150-fold selectivity over PKa (13-fold for asundexian) and up to 100,000-fold selectivity over FXa and thrombin (5,000-fold for asundexian). Extensive molecular dynamics simulations and free energy calculations revealed that electrostatic interactions with varied residues near the binding site, particularly the loop at the bottom of the S2’ pocket (IP-loop), are critical factors contributing to the improved selectivity over PKa. Calculations of electrostatic potential (ESP) surfaces illustrated that FXIa forms a more positive ESP than PKa, thrombin, and FXa, which attracts the carboxylic acid group of the designed compounds, enhancing both potency and selectivity. Moreover, compound (S)-10h demonstrated potent in vitro anticoagulant activity with an EC1.5X value of 0.55 μM for aPTT, without interfering with PT up to 100 μM. Thus, compound (S)-10h represents a promising lead for further optimization as a novel anticoagulant agent.
因子 XIa(FXIa)已成为一种可降低出血风险的新型抗凝血靶点。然而,由于它与其最接近的同源物血浆钙激酶(PKa)具有几乎相同的残基,目前只报道了少数几种选择性 FXIa 抑制剂。在此,我们介绍了新型三唑基吡啶酮衍生物作为强效选择性 FXIa 抑制剂的发现。结构优化确定三唑基苯甲酸为最佳 P2'片段。代表性化合物 (S)-10h(对 FXIa 的 IC50 = 0.38 nM)对 FXIa 的作用比 asundexian 强约 3 倍,对 PKa 的选择性高达 150 倍(asundexian 为 13 倍),对 FXa 和凝血酶的选择性高达 100,000 倍(asundexian 为 5,000 倍)。广泛的分子动力学模拟和自由能计算显示,与结合位点附近不同残基的静电相互作用,尤其是 S2' 口袋底部的环路(IP-loop),是提高对 PKa 选择性的关键因素。静电位(ESP)表面的计算结果表明,FXIa 形成的 ESP 比 PKa、凝血酶和 FXa 更正,从而吸引了所设计化合物的羧基,提高了药效和选择性。此外,(S)-10h 化合物显示出了强大的体外抗凝活性,对 aPTT 的 EC1.5X 值为 0.55 μM,而对 PT 的干扰不超过 100 μM。因此,(S)-10h 化合物是一种有望进一步优化的新型抗凝剂。
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引用次数: 0
Design, synthesis, and biological evaluation of novel highly potent FXR agonists bearing piperidine scaffold 带有哌啶支架的新型强效 FXR 激动剂的设计、合成和生物学评价
IF 6.7 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-19 DOI: 10.1016/j.ejmech.2024.117082
Wenxin Wang, Zongyu Cai, Zhilin Liang, Zibin Liao, Yuxia Liu, Xinqian Geng, Yuanqian Yang, Yisi Chen, Zibin Huang, Ying Yang, Zheng Li
Metabolic dysfunction-associated steatohepatitis (MASH) has become a serious threat to human health, which exhibited an increasing prevalence globally. Recently, the farnesoid X receptor (FXR) has been identified as a promising strategy for the treatment of MASH by regulating multiple pathogenesis. In this study, a new series of FXR agonists bearing piperidine scaffold was designed to reduce the high lipophilicity of the existing FXR agonists. After comprehensive multiparameter optimization, LZ-007 was discovered as a highly potent FXR agonist with suitable stability in liver microsomes of multiple species. LZ-007 exhibited highly oral bioavailability and targeted tissue exposure in the liver and ileum, while the plasma exposure is low, which might minimize the systemic side effects. Moreover, LZ-007 was significantly up-regulated the expressions of FXR and its downstream genes in the liver and ileum. In MASH model, LZ-007 exerted potent anti-MASH effects by regulating the multiple signal pathways related to lipid metabolism, oxidative stress, inflammation and fibrosis. In a 30-day toxicity study, no apparent adverse effects were observed in LZ-007 treated groups, even at the high doses of 250 and 500 mg/kg. With the positive pharmacodynamics and safety profiles, LZ-007 is worthy of further evaluation as a new anti-MASH agent.
代谢功能障碍相关性脂肪性肝炎(MASH)已成为严重威胁人类健康的疾病,其发病率在全球呈上升趋势。最近,法尼类固醇 X 受体(FXR)通过调节多种发病机制被认为是治疗 MASH 的一种有前途的策略。本研究设计了一系列带有哌啶支架的新型 FXR 激动剂,以降低现有 FXR 激动剂的高亲脂性。经过全面的多参数优化,LZ-007 被发现是一种高效的 FXR 激动剂,在多个物种的肝脏微粒体中具有合适的稳定性。LZ-007具有很高的口服生物利用度,在肝脏和回肠中的目标组织暴露量较高,而血浆暴露量较低,这可能会将全身副作用降至最低。此外,LZ-007还能显著上调肝脏和回肠中FXR及其下游基因的表达。在MASH模型中,LZ-007通过调节与脂质代谢、氧化应激、炎症和纤维化相关的多种信号通路,发挥了强有力的抗MASH作用。在为期30天的毒性研究中,LZ-007治疗组未观察到明显的不良反应,即使是250毫克/千克和500毫克/千克的高剂量也是如此。LZ-007具有良好的药效学和安全性,值得作为一种新型抗MASH药物进行进一步评估。
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引用次数: 0
Design, synthesis and anti-tumor evaluation of novel pyrimidine and quinazoline analogues 新型嘧啶和喹唑啉类似物的设计、合成和抗肿瘤评价
IF 6.7 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-18 DOI: 10.1016/j.ejmech.2024.117057
Ren-Jie Lin, Lin Xie, Tian-Yu Gao, Yi-Zhou Yang, Lan Huang, Kui Cheng, Zhi-Peng Chen
Disrupting microtubule dynamics has emerged as a promising strategy for cancer therapy. Novel trimethoxyanilino-substituted pyrimidine and quinazoline derivatives were designed and synthesized to serve as potent microtubule-inhibiting agents with anti-proliferative activity. Compound 2k demonstrates high efficacy against B16–F10 cancer cells at low nanomolar concentrations, with an IC50 of 0.098 ± 0.006 μM, which is comparable to colchicine. Mechanistic studies have revealed that 2k has the ability to inhibit microtubule protein polymerization in vitro, resulting in cell cycle arrest and apoptosis. Furthermore, 2k inhibits tumor cell migration and exhibits significant anti-tumor efficacy in a melanoma tumor model without causing obvious toxicity. In summary, the pyrimidine derivative 2k exhibits excellent anticancer activity and provides a new scaffold for the development of novel microtubule inhibitors, which deserves further in-depth research.
破坏微管动力学已成为一种很有前景的癌症治疗策略。我们设计并合成了新型三甲氧基苯胺基取代嘧啶和喹唑啉衍生物,作为具有抗增殖活性的强效微管抑制剂。化合物 2k 在低纳摩尔浓度下对 B16-F10 癌细胞具有很高的疗效,其 IC50 为 0.098 ± 0.006 μM,与秋水仙碱相当。机理研究发现,2k 能够在体外抑制微管蛋白聚合,导致细胞周期停滞和细胞凋亡。此外,2k 还能抑制肿瘤细胞的迁移,并在黑色素瘤模型中显示出显著的抗肿瘤功效,且无明显毒性。总之,嘧啶衍生物 2k 具有优异的抗癌活性,为新型微管抑制剂的开发提供了新的支架,值得进一步深入研究。
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引用次数: 0
Optimization of SHP2 Allosteric Inhibitors with Novel Tail Heterocycles and Their Potential as Antitumor Therapeutics 优化具有新型尾部杂环的 SHP2 异源抑制剂及其作为抗肿瘤治疗药物的潜力
IF 6.7 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-18 DOI: 10.1016/j.ejmech.2024.117078
Chengchun Zhu, Leilei Li, Yan Yu, Xiao Wang, Ying Shi, Yiping Gao, Kai Chen, Xiaoyu Liu, Yuqian Cui, Tao Zhang, Zhiyi Yu
SHP2, a non-receptor protein tyrosine phosphatase involved in cancers, plays a pivotal role in numerous cellular signaling cascades, including the MAPK and PD-L1/PD-1 pathways. Although several SHP2 allosteric inhibitors have already entered clinical trials, none have been approved to date. Therefore, the development of new SHP2 allosteric inhibitors with improved efficacy is urgently required. Herein, we report the optimization of tail heterocycles in SHP2 allosteric inhibitors using a structure-based drug design strategy. Four series of compounds with different tail skeletons were synthesized, among which D13 showed notable inhibitory activity (IC50 = 1.2 μM) against SHP2. Molecular docking and binding studies indicated that the newly synthesized compounds exerted enzymatic inhibitory effects by directly binding to SHP2 with relatively slow dissociation rates. At the cellular level, Huh7 cells demonstrated heightened sensitivity to the novel SHP2 inhibitors, and D13 exhibited superior antiproliferative activity (IC50 = 38 μM) by arresting G0/G1 cell cycle, facilitating cell apoptosis and suppressing the MAPK signaling pathway. In the in vivo study, D13 displayed significant antitumor activity in a Huh7 xenograft model and possessed favorable druggability with acceptable oral bioavailability (F = 54%) and half-life (t1/2 = 10.57 h). Collectively, this study lays a robust foundation for further optimization of the tail heterocycle skeleton in SHP2 allosteric inhibitors.
SHP2是一种与癌症有关的非受体蛋白酪氨酸磷酸酶,在许多细胞信号级联中发挥着关键作用,包括MAPK和PD-L1/PD-1途径。虽然已有几种 SHP2 异位抑制剂进入临床试验阶段,但迄今为止还没有一种获得批准。因此,迫切需要开发新的、疗效更好的 SHP2 异构抑制剂。在此,我们报告了采用基于结构的药物设计策略优化 SHP2 异构抑制剂尾部杂环的情况。我们合成了四个具有不同尾部骨架的化合物系列,其中 D13 对 SHP2 具有显著的抑制活性(IC50 = 1.2 μM)。分子对接和结合研究表明,新合成的化合物通过直接与 SHP2 结合,以相对较慢的解离速率发挥酶抑制作用。在细胞水平上,Huh7 细胞对新型 SHP2 抑制剂表现出更高的敏感性,其中 D13 通过阻滞 G0/G1 细胞周期、促进细胞凋亡和抑制 MAPK 信号通路,表现出卓越的抗增殖活性(IC50 = 38 μM)。在体内研究中,D13 在 Huh7 异种移植模型中显示出显著的抗肿瘤活性,并具有良好的可药性,口服生物利用度(F = 54%)和半衰期(t1/2 = 10.57 h)均可接受。总之,这项研究为进一步优化 SHP2 异位抑制剂的尾杂环骨架奠定了坚实的基础。
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引用次数: 0
Discovery of a Highly Potent, N-terminal Domain-targeting degrader of AR-FL/AR-V7 for the treatment of Prostate Cancer 发现一种用于治疗前列腺癌的强效 N 端域靶向 AR-FL/AR-V7 降解剂
IF 6.7 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-18 DOI: 10.1016/j.ejmech.2024.117079
Si Ha, Chenxuan Ji, Jiaqi Yang, Maoxu Xiao, Ziyi Xu, Wei-Wei Pan, Hua Xiang, Guoshun Luo
The clinical development of PROTACs targeting the androgen receptor (AR) for degradation has made significant progress. However, effective treatments for metastatic prostate cancers containing the androgen receptor splice variant 7 (AR-V7), a constitutively active mutant without the ligand-binding domain (LBD), are still lacking. Here, we reported the identification of a highly potent, noncovalent PROTAC targeting the N-terminal domain (NTD) of AR, NP18, which is developed from the covalent AR-NTD antagonist EPI-002, and effectively degrades both AR-FL and AR-V7 in 22Rv1 cells (DC50: 18 and 26 nM respectively). Mechanistically, NP18 interacts with the N-terminal domain (NTD) of both full-length AR (AR-FL) and splice variant 7 (AR-V7), leading to their selective and proteasomal degradation. Importantly, NP18 exhibited remarkably superior antitumor activity in both 22Rv1 xenograft and patient-derived xenograft (PDX) models than EPI-002. Taken together, these findings highlight NP18 as a promising candidate to counteract AR splice variant-driven resistance.
以降解雄激素受体(AR)为靶点的 PROTACs 临床开发取得了重大进展。然而,对于含有雄激素受体剪接变体7(AR-V7)(一种没有配体结合域(LBD)的组成性活性突变体)的转移性前列腺癌,仍然缺乏有效的治疗方法。在此,我们报告了一种靶向 AR N-末端结构域(NTD)的高效力非共价 PROTAC NP18 的鉴定结果,NP18 由共价 AR-NTD 拮抗剂 EPI-002 发展而来,能有效降解 22Rv1 细胞中的 AR-FL 和 AR-V7(DC50 分别为 18 和 26 nM)。从机理上讲,NP18 与全长 AR(AR-FL)和剪接变体 7(AR-V7)的 N 端结构域(NTD)相互作用,导致它们被蛋白酶体选择性降解。重要的是,与 EPI-002 相比,NP18 在 22Rv1 异种移植和患者来源异种移植 (PDX) 模型中均表现出明显更强的抗肿瘤活性。综上所述,这些发现凸显了NP18是一种有希望对抗AR剪接变体驱动的耐药性的候选药物。
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引用次数: 0
DNA or Not DNA —That is the Question Determining the Design of Platinum Anticancer Drugs DNA 与否--这是一个决定铂类抗癌药物设计的问题
IF 6.7 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-17 DOI: 10.1016/j.ejmech.2024.117077
Suxing Jin, Chenyao Feng, Xiaoyong Wang
Platinum drugs are the most widely used chemotherapeutics to treat various tumors. Their primary mode of action is supposed to be inducing apoptosis of cancer cells via covalent binding to DNA. This mechanism has shackled the design of new platinum drugs for many years. Mounting evidence shows that many platinum complexes form non-covalent adducts with DNA or interact with proteins to exhibit significant antitumor activity, thus implying some distinct mechanisms from that of traditional platinum drugs. These unconventional examples indicate that covalent DNA binding is not the precondition for the antitumor activity of platinum complexes, and diversified reactions or interactions with biomolecules, organelles, signal pathways, or immune system could lead to the antitumor activity of platinum complexes. The atypical mechanisms break the classical DNA-only paradigm and structure−activity relationships, thus opening a wide avenue for the design of innovative platinum anticancer drugs.
铂类药物是治疗各种肿瘤最广泛使用的化疗药物。它们的主要作用方式是通过与 DNA 的共价结合诱导癌细胞凋亡。这种机制多年来一直束缚着新铂类药物的设计。越来越多的证据表明,许多铂复合物与 DNA 形成非共价加合物,或与蛋白质相互作用,从而表现出显著的抗肿瘤活性,这意味着与传统铂类药物的机制不同。这些非传统的例子表明,DNA共价结合并不是铂复合物抗肿瘤活性的前提条件,与生物大分子、细胞器、信号通路或免疫系统的多样化反应或相互作用可能导致铂复合物的抗肿瘤活性。非典型机制打破了经典的纯 DNA 范式和结构-活性关系,从而为设计创新的铂类抗癌药物开辟了一条广阔的道路。
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引用次数: 0
Discovery of a potent PARP1 PROTAC as a chemosensitizer for the treatment of colorectal cancer 发现强效 PARP1 PROTAC 作为治疗结直肠癌的化疗增敏剂
IF 6.7 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-17 DOI: 10.1016/j.ejmech.2024.117062
Mingfei Wu, Yiming Jiang, Daoming Zhang, Yiquan Wu, Yuyuan Jin, Tao Liu, Xinfei Mao, Hengyuan Yu, Tengfei Xu, Yong Chen, Wenhai Huang, Jinxin Che, Bo Zhang, Tao Liu, Nengming Lin, Xiaowu Dong
Given the vulnerability of colorectal cancer (CRC) patients could not obtain a sustained benefit from chemotherapy, combination therapy is frequently employed as a treatment strategy. Targeting PARP1 blockade exhibit specific toxicity towards tumor cells with BRCA1 or BRCA2 mutations through synthetic lethality. This study focuses on developing a series of potent PROTACs targeting PARP1 in order to enhance the sensitivity of CRC cells with BRCA1 or BRCA2 mutations to chemotherapy. Compound C6, obtained based on precise structural optimization of the linker, has been shown to effectively degrade PARP1 with a DC50 value of 58.14 nM. Furthermore, C6 significantly increased the cytotoxic efficacy of SN-38, an active metabolite of Irinotecan, in BRCA-mutated CRC cells, achieving a favorable combination index (CI) of 0.487. In conclusion, this research underscores the potential benefits of employing a combination therapy that utilizes PAPRP1 degrader C6 alongside Irinotecan for CRC patients harboring BRCA mutations in CRC.
鉴于结直肠癌(CRC)患者很容易无法从化疗中持续获益,联合疗法经常被用作一种治疗策略。靶向 PARP1 阻断剂通过合成致死性对 BRCA1 或 BRCA2 突变的肿瘤细胞具有特异性毒性。本研究的重点是开发一系列靶向 PARP1 的强效 PROTACs,以提高具有 BRCA1 或 BRCA2 突变的 CRC 细胞对化疗的敏感性。通过对连接体进行精确的结构优化而得到的化合物 C6 能有效降解 PARP1,其 DC50 值为 58.14 nM。此外,C6 还大大提高了伊立替康的活性代谢物 SN-38 对 BRCA 基因突变的 CRC 细胞的细胞毒性,其有利的联合指数 (CI) 为 0.487。总之,这项研究强调了利用PAPRP1降解剂C6与伊立替康联合治疗携带BRCA突变的CRC患者的潜在益处。
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引用次数: 0
Novel potent SOS1 inhibitors containing a tricyclic quinazoline scaffold: a joint view of experiments and simulations 含有三环喹唑啉支架的新型强效 SOS1 抑制剂:实验与模拟的共同视角
IF 6.7 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-17 DOI: 10.1016/j.ejmech.2024.117065
Luolong Qing, Zhengzai Cheng, Juan Xu, Ziwei Wang, Yuanyuan Li, Mario Gauthier, Silong Zhang, Huan He
Small molecules that possess the ability to regulate the interactions between Son of Sevenless 1 (SOS1) and Kristen rat sarcoma (KRAS) offer immense potential in the realm of cancer therapy. In this study, we present a novel series of SOS1 inhibitors featuring a tricyclic quinazoline scaffold. Notably, we have identified compound 8d, which demonstrates the highest potency with an IC50 value of 5.1 nM for disrupting the KRAS:SOS1 interaction. Compound 8d exhibits a promising pharmacokinetic profile and achieves a remarkable 70.5% inhibition of tumor growth in pancreas tumor xenograft models. Furthermore, molecular dynamic simulations have unveiled that the tricyclic quinazoline derivatives exhibit extensive interaction with Tyr884, a crucial residue for the recognition between SOS1 and KRAS. Our findings provide fresh insights into the design of future SOS1 inhibitors, paving the way for innovative therapeutic strategies.
具有调节七无之子 1(SOS1)和克里斯汀大鼠肉瘤(KRAS)之间相互作用能力的小分子在癌症治疗领域具有巨大的潜力。在这项研究中,我们提出了一系列新型 SOS1 抑制剂,它们具有三环喹唑啉支架。值得注意的是,我们发现了化合物 8d,它在破坏 KRAS:SOS1 相互作用方面表现出最高的效力,IC50 值为 5.1 nM。化合物 8d 具有良好的药代动力学特征,在胰腺肿瘤异种移植模型中对肿瘤生长的抑制率高达 70.5%。此外,分子动力学模拟揭示了三环喹唑啉衍生物与 Tyr884 的广泛相互作用,Tyr884 是 SOS1 与 KRAS 之间识别的关键残基。我们的发现为未来 SOS1 抑制剂的设计提供了新的见解,为创新治疗策略铺平了道路。
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引用次数: 0
Discovery of novel KSP-targeting PROTACs with potent antitumor effects in Vitro and in Vivo 发现新型 KSP 靶向 PROTACs,其体外和体内抗肿瘤效果显著
IF 6.7 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-16 DOI: 10.1016/j.ejmech.2024.117052
Deng-Gao Zhao, JieYing Liu, Zhengxi Su, Wenbo Zou, Qianwei Zhou, Ting Yin, Tan Jiyao, Yan-Yan Ma
Kinesin spindle protein (KSP) plays a crucial role during mitosis, making it an attractive target for cancer treatment. Herein, we report the design, synthesis, and evaluation of the first series of KSP degraders by using the utilization of the proteolysis-targeting chimera (PROTAC) technology. Compound 21 was identified as a potent KSP degrader with a DC50 (concentration causing 50% of protein degradation) value of 114.8 nM and a Dmax (maximum degradation) of 90% in the HCT-116 cells. Compound 21 showed strong antiproliferative activity against HCT-116 cells with an IC50 values of 10 nM. Mechanistic investigations revealed that 21 causes the cell arrest at the G2/M phase and subsequent cell apoptosis. In addition, 21 demonstrated more significant inhibition of tumor growth in an HCT-116 xenograft model compared to its parent compound 1. Our findings suggest that 21 may become the promising leads for further development.
驱动蛋白纺锤体蛋白(KSP)在有丝分裂过程中起着至关重要的作用,因此成为治疗癌症的一个有吸引力的靶点。在此,我们报告了利用蛋白水解-靶向嵌合体(PROTAC)技术设计、合成和评估的第一个 KSP 降解剂系列。化合物 21 被鉴定为一种强效 KSP 降解剂,在 HCT-116 细胞中的 DC50(导致 50%蛋白质降解的浓度)值为 114.8 nM,Dmax(最大降解量)为 90%。化合物 21 对 HCT-116 细胞具有很强的抗增殖活性,其 IC50 值为 10 nM。机理研究表明,21 会导致细胞停滞在 G2/M 期,随后细胞凋亡。我们的研究结果表明,与母体化合物 1 相比,21 在 HCT-116 异种移植模型中对肿瘤生长的抑制作用更为显著。
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引用次数: 0
Promising Breakthroughs in Amyotrophic Lateral Sclerosis Treatment through Nanotechnology's Unexplored Frontier 通过纳米技术这一尚未开发的前沿领域,肌萎缩侧索硬化症的治疗有望取得突破性进展
IF 6.7 2区 医学 Q1 CHEMISTRY, MEDICINAL Pub Date : 2024-11-16 DOI: 10.1016/j.ejmech.2024.117080
Soheil Sojdeh, Moein Safarkhani, Hossein Daneshgar, Abdullah Aldhaher, Golnaz Heidari, Ehsan Nazarzadeh Zare, Siavash Iravani, Ali Zarrabi, Navid Rabiee
This article explores the transformative potential of nanotechnology in the treatment and diagnosis of amyotrophic lateral sclerosis (ALS), a progressive neurodegenerative disorder characterized by motor neuron degeneration, muscle weakness, and eventual paralysis. Nanotechnology offers innovative solutions across various domains, including targeted drug delivery, neuroprotection, gene therapy and editing, biomarker detection, advanced imaging techniques, and tissue engineering. By enhancing the precision and efficacy of therapeutic interventions, nanotechnology facilitates key advancements such as crossing the blood-brain barrier, targeting specific cell types, achieving sustained therapeutic release, and enabling combination therapies tailored to the complex pathophysiology of ALS. Despite its immense promise, the clinical translation of these approaches faces challenges, including potential cytotoxicity, biocompatibility, and regulatory compliance, which must be addressed through rigorous research and testing. This review emphasizes the application of nanotechnology in targeted drug delivery and gene therapy/editing for ALS, drawing on the author’s prior work with various nanotechnological platforms to illustrate strategies for overcoming similar obstacles in drug and gene delivery. By bridging the gap between cutting-edge technology and clinical application, this article aims to highlight the vital role of nanotechnology in shaping the future of ALS treatment.
肌萎缩性脊髓侧索硬化症(ALS)是一种以运动神经元变性、肌肉无力和最终瘫痪为特征的进行性神经退行性疾病,本文探讨了纳米技术在肌萎缩性脊髓侧索硬化症(ALS)的治疗和诊断中的变革潜力。纳米技术可在多个领域提供创新解决方案,包括靶向给药、神经保护、基因治疗和编辑、生物标记检测、先进成像技术和组织工程。通过提高治疗干预的精确性和有效性,纳米技术促进了一些关键的进步,如穿越血脑屏障、靶向特定细胞类型、实现持续治疗释放,以及针对 ALS 复杂的病理生理学实现组合疗法。尽管前景广阔,但这些方法的临床转化仍面临挑战,包括潜在的细胞毒性、生物相容性和监管合规性,这些都必须通过严格的研究和测试来解决。这篇综述强调了纳米技术在 ALS 靶向给药和基因治疗/编辑中的应用,并借鉴了作者之前在各种纳米技术平台上的研究成果,说明了克服药物和基因给药中类似障碍的策略。通过缩小前沿技术与临床应用之间的差距,本文旨在强调纳米技术在塑造 ALS 治疗未来方面的重要作用。
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引用次数: 0
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European Journal of Medicinal Chemistry
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