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Predictive cavity and binding site identification: Techniques and applications. 预测空腔和结合位点识别:技术和应用。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2025-01-01 Epub Date: 2025-02-28 DOI: 10.1016/bs.apha.2025.02.006
Shilpa Chandel, Bharat Parashar, Syed Atif Ali, Shailesh Sharma

Strategies for recognizing predictive cavities and binding site identification are decisive for drug discovery, molecular docking, and tracing protein-ligand interactions. The two major approaches experimental and computational strive for prognosticating and distinguishing protein's binding sites. Profuse diminutive molecules are associated with the binding sites and influence normal biological functioning. The various structure-based strategies such as molecular dynamics, docking simulations, algorithms for pocket identification, and homology modeling are covered under computational techniques, where they propound the exhaustive comprehension of possible binding pockets hinge on the structure of protein and its physiochemical properties. The various sequence-based approaches rely on the homogeneousness of the sequence and machine learning replicas edified on already known protein and ligand composites to anticipate the interactive sites of novel proteins. The high-resolution structural identification and foot printing of protein to map the confirmational changes attributable to ligand and binding sites can be identified through diverse experimental methods such as NMR spectroscopy, mass spectrometry, and x-ray crystallography. These techniques are pivotal for drug discovery and designing, as the efficiency and specificity of ligands can be amplified through virtual screening and structural-based drug designing. Moreover, the ongoing developments in this domain promise to drive the revolution and efficiency in drug discovery and research in molecular biology.

识别预测空腔和结合位点识别的策略对于药物发现、分子对接和追踪蛋白质-配体相互作用具有决定性作用。两种主要的方法实验和计算努力预测和区分蛋白质的结合位点。大量的小分子与结合位点相关,影响正常的生物功能。计算技术涵盖了各种基于结构的策略,如分子动力学、对接模拟、口袋识别算法和同源性建模,它们提出了对可能的结合口袋的详尽理解,这些口袋取决于蛋白质的结构及其物理化学性质。各种基于序列的方法依赖于序列的同质性和基于已知蛋白质和配体复合材料的机器学习副本来预测新蛋白质的相互作用位点。通过核磁共振波谱、质谱、x射线晶体学等多种实验方法,可以对蛋白质进行高分辨率的结构鉴定和足印,绘制配体和结合位点的确证变化。这些技术是药物发现和设计的关键,因为配体的效率和特异性可以通过虚拟筛选和基于结构的药物设计来放大。此外,该领域的持续发展有望推动分子生物学中药物发现和研究的革命和效率。
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引用次数: 0
Challenges and limitations of computer-aided drug design. 计算机辅助药物设计的挑战与局限。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2025-01-01 Epub Date: 2025-02-19 DOI: 10.1016/bs.apha.2025.02.002
Souvik Sur, Hemlata Nimesh

Molecular Modelling in Drug Designing or Computer Aided Drug Designing (CADD) plays a significant role in new drug identification in the current world. However, it has sensitivity challenges and limitation because theoretical models involve assumption and approximations Computational models are not very accurate, some of the major challenges that face these models include the following. These include, for instance, molecular-docking or molecular-dynamics-simulation models which may not represent an accurate biological system and thus the predictions will be wrong. CADD depends on the availability of accurate, high-quality structural information for target proteins and ligand. Unfortunately, there are instances when experimental structures are not available, and homology models are employed, which can be imprecise. The computational cost is another drawback; only high accuracy simulations call for huge amounts of computational power and time well-suited for screening a multitude of agents. Moreover, they have weaknesses in determining pharmacokinetic and toxicity patterns of compounds that influence drug performance and effectiveness. In other words, even though CADD greatly helps drug discovery, it is still constrained by experimental validation to solve its drawbacks and optimize its foretelling.

药物设计中的分子模型或计算机辅助药物设计(CADD)在当今世界的新药鉴定中发挥着重要作用。然而,由于理论模型涉及假设和近似,因此具有灵敏度方面的挑战和局限性。例如,分子对接或分子动力学模拟模型可能无法代表准确的生物系统,因此预测结果可能是错误的。CADD 依赖于目标蛋白质和配体准确、高质量的结构信息。遗憾的是,有时无法获得实验结构,只能使用同源模型,而同源模型可能并不精确。计算成本是另一个缺点;只有高精度模拟才需要大量的计算能力和时间,非常适合筛选大量药物。此外,它们在确定影响药物性能和有效性的化合物药代动力学和毒性模式方面也存在弱点。换句话说,尽管 CADD 对药物发现有很大帮助,但要解决其缺点并优化其预测效果,它仍然受到实验验证的限制。
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引用次数: 0
Preface. 前言。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2025-01-01 DOI: 10.1016/S1054-3589(25)00026-2
Takashi Tsukamoto
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引用次数: 0
Mitochondria-associated membranes (MAMs) in age-related heart diseases, role of endoplasmic reticulum stress. 线粒体相关膜(MAMs)在老年性心脏病中的作用,内质网应激。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2025-01-01 Epub Date: 2025-02-25 DOI: 10.1016/bs.apha.2025.01.018
Alejandro Silva-Palacios, Zeltzin Alejandra Ceja-Galicia, Alejandra María Zúñiga-Muñoz, Cecilia Zazueta

The study of interoganellar contactology represents a substantial advance in conceiving cells and their organelles. This presents a great challenge in terms of understanding their function and response to aging and in the development of different pathologies. This chapter will address changes in mitochondria-associated membranes (MAMs) in aging-related heart diseases, such as acute myocardial infarction and heart failure, emphasizing the role of endoplasmic reticulum stress (ERS). We also discuss the role of MAMs as possible markers of cardiovascular disease progression in geriatrician clinics, with a view to personalized therapy. Finally, we will contemplate the use of naturally occurring drugs that have been used in the experimental setting for the regulation of mitochondrial-ER communication. (119 words).

细胞间接触学的研究代表了细胞及其细胞器概念的重大进展。这在理解它们的功能和对衰老的反应以及不同病理的发展方面提出了巨大的挑战。本章将讨论线粒体相关膜(MAMs)在衰老相关心脏病(如急性心肌梗死和心力衰竭)中的变化,强调内质网应激(ERS)的作用。我们还讨论了MAMs作为老年医学诊所心血管疾病进展的可能标记物的作用,以期进行个性化治疗。最后,我们将考虑在实验环境中用于调节线粒体-内质网通讯的天然药物的使用。(119字)。
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引用次数: 0
Cellular senescence and senotherapeutics in cardiovascular diseases. 心血管疾病的细胞衰老和衰老疗法。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2025-01-01 Epub Date: 2025-02-24 DOI: 10.1016/bs.apha.2025.01.019
Arttatrana Pal

Cellular senescence (CS) is characterized by stable cell cycle arrest and is resistant to growth-promoting stimuli allied with aging. Cardiac senescent cells (SCs) are highly heterogeneous cells that can regulate the pathophysiology of cardiovascular diseases (CVDs). SCs accumulate in the cardiovascular system, leading to typical age-related cardiovascular conditions. Such conditions advance in cardiovascular pathologies, including heart failure, coronary artery disease, cardiac fibrosis, etc., by evocating the production of proinflammatory mediators and profibrotic senescence-associated secretory phenotype (SASP). SCs release different factors depending on the cell type that became senescent. Many factors are responsible for CS with the aging process. The primary senescence causes are oxidative stress, metabolic dysfunction, telomere shortening, and epigenetic deregulation. However, it isn't easy to understand the molecular mechanisms that lead to CS and the consequences of CS in developing new strategies and therapeutic approaches to treat CVDs. Among all, senotherapies are an emerging approach for intervening against CS mechanisms in CVDs to potentially prevent and treat CVDS. Senotherapies allow targeting the underlying causes of aging rather than treating disorders and could reduce polypharmacy. Essentially, senotherapeutics represent an emerging anti-SC treatment and comprise three therapeutic approaches such as molecules to selectively kill SCs that are defined senolytics, compounds able to reduce evocated SC SASP, acting hence as SASP suppressors, called senomorphics, and inhibition of increase of the number of SCs in the cardiovascular tissues. Senotherapies might delay or prevent the CVDs in the elderly. Therefore, senotherapeutics represent the potential clinical application in CVDs, stressing benefits and signifying potential solutions for applying them as soon as effective anti-CVD treatments.

细胞衰老(CS)的特征是稳定的细胞周期停滞,并且抵抗与衰老相关的促进生长的刺激。心脏衰老细胞(SCs)是一种高度异质性的细胞,可以调节心血管疾病(cvd)的病理生理。SCs在心血管系统中积累,导致典型的与年龄相关的心血管疾病。这些疾病通过诱导促炎介质和促纤维化衰老相关分泌表型(SASP)的产生,在心血管疾病中发展,包括心力衰竭、冠状动脉疾病、心脏纤维化等。SCs根据衰老的细胞类型释放不同的因子。许多因素导致CS与老化过程。衰老的主要原因是氧化应激、代谢功能障碍、端粒缩短和表观遗传失调。然而,人们并不容易理解导致CS的分子机制以及CS在开发治疗心血管疾病的新策略和治疗方法中的作用。其中,老年治疗是一种干预心血管疾病CS机制以预防和治疗心血管疾病的新兴方法。老年疗法可以针对衰老的根本原因,而不是治疗疾病,并可以减少多种药物。从本质上讲,衰老疗法代表了一种新兴的抗SC治疗方法,包括三种治疗方法,如选择性杀死被定义为衰老剂的SC的分子,能够减少SC SASP的化合物,因此作为SASP抑制剂,称为senomorphics,以及抑制心血管组织中SC数量的增加。老年治疗可以延缓或预防老年人心血管疾病的发生。因此,老年治疗药物代表了cvd的潜在临床应用,强调了其益处,并指出了将其应用于有效的抗cvd治疗的潜在解决方案。
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引用次数: 0
Drug discovery strategy for TAK-418, a specific inhibitor of LSD1 enzyme activity, as a novel therapy for autism. 将 LSD1 酶活性特异性抑制剂 TAK-418 作为自闭症新疗法的药物研发战略。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2025-01-01 Epub Date: 2024-10-29 DOI: 10.1016/bs.apha.2024.10.017
Satoru Matsuda, Yasushi Hattori, Haruhide Kimura

The pathophysiology of neurodevelopmental disorders is associated with multiple genetic and environmental risk factors. Epigenetics, owing to its potential to recover global gene expression changes associated with disease conditions, is a crucial target to address neurodevelopmental disorders influenced by genetic and environmental factors. Here, we discuss the discovery of selective inhibitors of lysine-specific demethylase 1 (LSD1) enzyme activity and their therapeutic potential for neurodevelopmental disorders through epigenetic regulation in the brain. Conventional LSD1 inhibitors not only inhibit LSD1 enzymatic activity but also interfere with LSD1-cofactor complex formation, thus leading to hematological side effects. Notably, investigations on the structure-activity relationship have revealed (aminocyclopropyl)benzamide and (aminocyclopropyl)thiophene carboxamide derivatives as novel series of LSD1 inhibitors with fewer hematological side effects. Subsequently, we discovered T-448 and TAK-418 (clinical candidate) that selectively and potently inhibit LSD1 enzymatic activity without disrupting the LSD1-cofactor complex, resulting in potent epigenetic modulation without significant hematological toxicity risks in rodents. T-448 and TAK-418, at doses that achieved almost complete LSD1 occupancy in the brain, improved behavioral abnormalities in multiple rodent models of neurodevelopmental disorders. Furthermore, comprehensive RNA expression analyses revealed that, although gene expression abnormalities exhibited limited commonality across disease models, TAK-418 normalized each aberrant gene expression pattern in these rodent models. A positron emission tomography tracer was discovered to potentially measure the occupancy of TAK-418 at the LSD1 active site in the brain to improve the translatability of its preclinical efficacy to therapeutic effects in humans. TAK-418-type LSD1 inhibitors may offer novel treatment options for neurodevelopmental disorders.

神经发育障碍的病理生理与多种遗传和环境危险因素有关。由于表观遗传学有可能恢复与疾病状况相关的整体基因表达变化,因此是解决受遗传和环境因素影响的神经发育障碍的关键目标。在这里,我们讨论了赖氨酸特异性去甲基酶1 (LSD1)酶活性的选择性抑制剂的发现及其通过脑表观遗传调控治疗神经发育障碍的潜力。传统的LSD1抑制剂不仅抑制LSD1酶活性,还会干扰LSD1辅因子复合物的形成,从而导致血液学副作用。值得注意的是,对结构-活性关系的研究表明(氨基环丙基)苯酰胺和(氨基环丙基)噻吩羧酰胺衍生物是一系列新的LSD1抑制剂,具有较少的血液学副作用。随后,我们发现T-448和TAK-418(临床候选药物)可以选择性和有效地抑制LSD1酶活性,而不会破坏LSD1辅助因子复合物,从而导致有效的表观遗传调节,而不会对啮齿动物产生明显的血液学毒性风险。T-448和TAK-418在几乎完全占据大脑LSD1的剂量下,改善了多种神经发育障碍啮齿动物模型的行为异常。此外,综合RNA表达分析显示,尽管基因表达异常在疾病模型中表现出有限的共性,但TAK-418使这些啮齿动物模型中的每种异常基因表达模式正常化。一种正电子发射断层扫描示踪剂被发现可能测量TAK-418在大脑中LSD1活性位点的占用,以提高其临床前疗效对人类治疗效果的可翻译性。tak -418型LSD1抑制剂可能为神经发育障碍提供新的治疗选择。
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引用次数: 0
Soluble epoxide hydrolase: Mechanisms and therapeutic potential in psychiatric and neurological disorders. 可溶性环氧化物水解酶:精神和神经疾病的机制和治疗潜力。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2025-01-01 Epub Date: 2024-10-15 DOI: 10.1016/bs.apha.2024.10.007
Ming-Ming Zhao, Jian-Jun Yang, Kenji Hashimoto

Soluble epoxide hydrolase (sEH), encoded by the EPHX2 gene, is a critical enzyme involved in the metabolism of polyunsaturated fatty acids, specifically anti-inflammatory epoxy fatty acids (EpFAs). By converting EpFAs into less active forms, sEH promotes inflammation. Preclinical data using knock-out and overexpression of the Ephx2 gene have demonstrated its key role in the development and progression of symptoms in various disease models. Inhibition of sEH increases EpFAs, thereby enhancing their anti-inflammatory effects and reducing the levels of pro-inflammatory mediators. Numerous preclinical studies suggest that sEH inhibitors show promise in reducing inflammation and its related symptoms across various diseases, highlighting their therapeutic potential. This chapter reviews the role of sEH in the development and progression of various disorders including psychiatric disorders (depression, schizophrenia, autism spectrum disorder), neurological disorders (Alzheimer's disease, Parkinson's disease, brain injury), and pain.

可溶性环氧化物水解酶(Soluble epoxide hydrolase, sEH)由EPHX2基因编码,是参与多不饱和脂肪酸,特别是抗炎环氧脂肪酸(EpFAs)代谢的关键酶。通过将epfa转化为活性较低的形式,sEH促进炎症。使用敲除和过表达Ephx2基因的临床前数据已经证明了它在各种疾病模型中症状的发生和进展中的关键作用。抑制sEH可增加EpFAs,从而增强其抗炎作用并降低促炎介质的水平。许多临床前研究表明,sEH抑制剂在减轻各种疾病的炎症及其相关症状方面表现出希望,突出了它们的治疗潜力。本章回顾了sEH在各种疾病的发生和发展中的作用,包括精神疾病(抑郁症、精神分裂症、自闭症谱系障碍)、神经疾病(阿尔茨海默病、帕金森病、脑损伤)和疼痛。
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引用次数: 0
Innovative computational approaches in drug discovery and design. 药物发现和设计中的创新计算方法。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2025-01-01 Epub Date: 2025-02-13 DOI: 10.1016/bs.apha.2025.01.006
Itishree Jogamaya Das, Kalpita Bhatta, Itisam Sarangi, Himansu Bhusan Samal

In the current scenario of pandemics, drug discovery and design have undergone a significant transformation due to the integration of advanced computational methodologies. These methodologies utilize sophisticated algorithms, machine learning, artificial intelligence, and high-performance computing to expedite the drug development process, enhances accuracy, and reduces costs. Machine learning and AI have revolutionized predictive modeling, virtual screening, and de novo drug design, allowing for the identification and optimization of novel compounds with desirable properties. Molecular dynamics simulations provide a detailed insight into protein-ligand interactions and conformational changes, facilitating an understanding of drug efficacy at the atomic level. Quantum mechanics/molecular mechanics methods offer precise predictions of binding energies and reaction mechanisms, while structure-based drug design employs docking studies and fragment-based design to improve drug-receptor binding affinities. Network pharmacology and systems biology approaches analyze polypharmacology and biological networks to identify novel drug targets and understand complex interactions. Cheminformatics explores vast chemical spaces and employs data mining to find patterns in large datasets. Computational toxicology predicts adverse effects early in development, reducing reliance on animal testing. Bioinformatics integrates genomic, proteomic, and metabolomics data to discover biomarkers and understand genetic variations affecting drug response. Lastly, cloud computing and big data technologies facilitate high-throughput screening and comprehensive data analysis. Collectively, these computational innovations are driving a paradigm shift in drug discovery and design, making it more efficient, accurate, and cost-effective.

在当前大流行病的情况下,由于采用了先进的计算方法,药物的发现和设计已经发生了重大转变。这些方法利用复杂的算法、机器学习、人工智能和高性能计算来加快药物开发过程,提高准确性并降低成本。机器学习和人工智能已经彻底改变了预测建模、虚拟筛选和新药物设计,允许识别和优化具有理想特性的新化合物。分子动力学模拟提供了对蛋白质-配体相互作用和构象变化的详细了解,有助于在原子水平上理解药物疗效。量子力学/分子力学方法可以精确预测结合能和反应机制,而基于结构的药物设计采用对接研究和基于片段的设计来提高药物受体的结合亲和力。网络药理学和系统生物学方法分析多药理学和生物网络,以确定新的药物靶点和理解复杂的相互作用。化学信息学探索广阔的化学空间,并利用数据挖掘在大型数据集中发现模式。计算毒理学预测在发展早期的不利影响,减少对动物试验的依赖。生物信息学整合了基因组学、蛋白质组学和代谢组学数据,以发现生物标志物并了解影响药物反应的遗传变异。最后,云计算和大数据技术为高通量筛选和综合数据分析提供了便利。总的来说,这些计算创新正在推动药物发现和设计的范式转变,使其更加高效、准确和具有成本效益。
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引用次数: 0
Molecular and structure-based drug design: From theory to practice. 基于分子和结构的药物设计:从理论到实践。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2025-01-01 Epub Date: 2025-02-27 DOI: 10.1016/bs.apha.2025.02.004
Manasvi Saini, Nisha Mehra, Gaurav Kumar, Rohit Paul, Béla Kovács

Structure-based drug design (SBDD) and molecular docking have revolutionized drug discovery by providing effective strategies for identifying and optimizing therapeutic agents. This review highlights the principles and methodologies of SBDD, which uses high-resolution structural data of biological targets to design drugs with enhanced selectivity and efficacy. Techniques like nuclear magnetic resonance (NMR) spectroscopy, cryo-electron microscopy (cryo-EM), and X-ray crystallography are key in providing the structural information necessary for SBDD. Molecular docking, a crucial component of modern drug discovery, simulates interactions between drug candidates and biological targets. By predicting how a ligand fits into a receptor's binding site, researchers can assess the strength and nature of these interactions, guiding compound selection. Advances in molecular docking have incorporated machine learning to improve scoring functions and prediction accuracy. Docking studies include search algorithms, scoring functions, and binding site identification to predict the optimal orientation of a ligand when bound to a protein. Despite its widespread use, molecular docking has limitations, such as challenges in achieving high prediction accuracy, modeling protein flexibility, and accounting for solvation effects. Improvements in computational power and the integration of machine learning techniques are addressing these issues. This review emphasizes the importance of ongoing innovation and interdisciplinary collaboration in enhancing molecular docking and its role in discovering novel therapies.

基于结构的药物设计(SBDD)和分子对接为识别和优化治疗药物提供了有效的策略,从而彻底改变了药物发现。本文综述了SBDD的原理和方法,该方法利用生物靶点的高分辨率结构数据来设计具有更高选择性和有效性的药物。核磁共振(NMR)光谱、低温电子显微镜(cryo-EM)和x射线晶体学等技术是提供SBDD所需结构信息的关键。分子对接模拟候选药物与生物靶点之间的相互作用,是现代药物发现的重要组成部分。通过预测配体如何适应受体的结合位点,研究人员可以评估这些相互作用的强度和性质,指导化合物的选择。分子对接的进步已经结合了机器学习来提高评分功能和预测精度。对接研究包括搜索算法、评分函数和结合位点识别,以预测配体与蛋白质结合时的最佳方向。尽管分子对接被广泛使用,但它仍有局限性,例如在实现高预测精度、建模蛋白质灵活性和考虑溶剂化效应方面存在挑战。计算能力的提高和机器学习技术的集成正在解决这些问题。这篇综述强调了持续创新和跨学科合作在加强分子对接及其在发现新疗法中的作用的重要性。
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引用次数: 0
Biological and therapeutic significance of targeting NLRP3 inflammasome in the brain and the current efforts to develop brain-penetrant inhibitors. 靶向NLRP3炎性体在脑中的生物学和治疗意义以及目前开发脑渗透抑制剂的努力。
Q1 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2025-01-01 Epub Date: 2024-11-08 DOI: 10.1016/bs.apha.2024.10.004
Baljit Kaur, Savannah Biby, Jannatun N Namme, Sayaji More, Yiming Xu, Shijun Zhang

NOD-like receptor family pyrin domain containing 3 (NLRP3) inflammasome, a pivotal regulator of the innate immune system, orchestrates inflammatory responses implicated in neurodegenerative and inflammatory diseases. Over the past 20 years, the exploration of NLRP3 activation pathways has advanced significantly. Upon NLRP3 activation, it initiates the formation of a cytosolic multiprotein complex known as the inflammasome. This complex activates caspase-1, which then processes proinflammatory cytokines IL-1β and IL-18 and leads to gasdermin-mediated cell death, pyroptosis. Structural insights into NLRP3 inflammasome assembly and caspase-1 activation have spurred development of novel small molecule inhibitors targeting this pathway, aiming to mitigate excessive inflammation without compromising immune surveillance. The initial NLRP3 inhibitor reported was glyburide, an FDA-approved antidiabetic drug of the sulfonylurea class, which was found to inhibit the release of IL-1β induced by stimuli in human monocytes and murine macrophages. Subsequently, MCC950 (also known as CRID3), a direct NLRP3 inhibitor, was discovered. While showing promising results in preclinical and clinical trials for treating diseases, higher doses of MCC950 led to elevated transaminase levels and hepatotoxicity concerns. Recent studies using MCC950 as a research tool have prompted the development of safer and more effective NLRP3 inhibitors, including a series of compounds currently undergoing clinical trials, highlighting the potential of NLRP3 inhibitors in attenuating disease progression and improving therapeutic outcomes. In this chapter, we delve into the latest progress in understanding the mechanism of NLRP3 inflammasome activation and its roles in the pathophysiology of neurological diseases. We also summarize recent development of small molecule NLRP3 inhibitors along with the associated obstacles and concerns.

nod样受体家族pyrin结构域含有3 (NLRP3)炎性小体,是先天免疫系统的关键调节因子,协调涉及神经退行性和炎症性疾病的炎症反应。在过去的20年里,对NLRP3激活途径的探索取得了显著进展。当NLRP3被激活时,它启动了称为炎性体的细胞质多蛋白复合物的形成。该复合物激活caspase-1, caspase-1随后加工促炎细胞因子IL-1β和IL-18,并导致气真皮蛋白介导的细胞死亡,即焦亡。对NLRP3炎症小体组装和caspase-1激活的结构洞察刺激了针对该途径的新型小分子抑制剂的开发,旨在减轻过度炎症而不影响免疫监视。最初报道的NLRP3抑制剂是格列本脲,一种fda批准的磺脲类降糖药物,被发现可以抑制刺激诱导的人单核细胞和小鼠巨噬细胞IL-1β的释放。随后,发现了一种直接的NLRP3抑制剂MCC950(也称为CRID3)。虽然在治疗疾病的临床前和临床试验中显示出令人鼓舞的结果,但高剂量的MCC950会导致转氨酶水平升高和肝毒性问题。最近使用MCC950作为研究工具的研究促进了更安全、更有效的NLRP3抑制剂的开发,包括一系列正在进行临床试验的化合物,突出了NLRP3抑制剂在减缓疾病进展和改善治疗结果方面的潜力。在本章中,我们将深入探讨NLRP3炎性体激活机制及其在神经系统疾病病理生理中的作用的最新进展。我们还总结了小分子NLRP3抑制剂的最新发展以及相关的障碍和问题。
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引用次数: 0
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