作为精神分裂症潜在治疗方法的 M1/M4 受体:综合研究

IF 3.3 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Bioorganic & Medicinal Chemistry Pub Date : 2024-04-16 DOI:10.1016/j.bmc.2024.117728
Lingsheng Fu , Yi Luo , Longyan Niu, Ying Lin, Xingru Chen, Junhao Zhang, Weifang Tang, Yadong Chen, Yu Jiao
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摘要

肌卡因乙酰胆碱受体(mAChRs)在精神分裂症的病理生理学中起着重要作用。虽然激活 mAChRs 有可能解决精神分裂症的各种症状,但由于外周副作用(胃肠道紊乱和心血管影响)和剂量限制,许多非选择性 mAChR 激动剂在认知障碍、阳性和阴性症状方面的临床应用受到阻碍。与 mAChRs(尤其是 M1 和 M4 亚型)的异构位点结合的配体在改善认知功能、改善与精神分裂症相关的阳性和阴性症状方面表现出活性,加深了我们对精神分裂症的了解。文章旨在批判性地审视当前合成和设计靶向 M1/M4 小分子的设计理念和临床进展,为这一领域的未来研究提供理论见解和经验支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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M1/M4 receptors as potential therapeutic treatments for schizophrenia: A comprehensive study

Muscarinic acetylcholine receptors (mAChRs) play a significant role in the pathophysiology of schizophrenia. Although activating mAChRs holds potential in addressing the full range of schizophrenia symptoms, clinical application of many non-selective mAChR agonists in cognitive deficits, positive and negative symptoms is hindered by peripheral side effects (gastrointestinal disturbances and cardiovascular effects) and dosage restrictions. Ligands binding to the allosteric sites of mAChRs, particularly the M1 and M4 subtypes, demonstrate activity in improving cognitive function and amelioration of positive and negative symptoms associated with schizophrenia, enhancing our understanding of schizophrenia. The article aims to critically examine current design concepts and clinical advancements in synthesizing and designing small molecules targeting M1/M4, providing theoretical insights and empirical support for future research in this field.

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来源期刊
Bioorganic & Medicinal Chemistry
Bioorganic & Medicinal Chemistry 医学-生化与分子生物学
CiteScore
6.80
自引率
2.90%
发文量
413
审稿时长
17 days
期刊介绍: Bioorganic & Medicinal Chemistry provides an international forum for the publication of full original research papers and critical reviews on molecular interactions in key biological targets such as receptors, channels, enzymes, nucleotides, lipids and saccharides. The aim of the journal is to promote a better understanding at the molecular level of life processes, and living organisms, as well as the interaction of these with chemical agents. A special feature will be that colour illustrations will be reproduced at no charge to the author, provided that the Editor agrees that colour is essential to the information content of the illustration in question.
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