School of Pharmaceutical Sciences, Shandong University, No. 44 WenhuaXi Road, Ji'nan, 250012, Shandong Province, P.R. China.
Recent Pat Anticancer Drug Discov. 2010 Jun;5(2):109-41. doi: 10.2174/157489210790936234.
Matrix metalloproteinases (MMPs) belong to a family of closely related calcium- and zinc-dependent endopeptidases involved in the degradation and remodeling of extracellular matrix (ECM) proteins that are associated with the tumorigenic processes. MMPs promote tumor invasion and metastasis, regulating host defense mechanisms and normal cell function. Thus, MMP inhibitors (MMPIs) are expected to be useful chemotherapeutic agents for the treatment of malignant cancer, osteoarthritis, and rheumatoid arthritis. A vast number of small molecular MMPIs have been developed in recent years. Although there have been considerable preclinical and clinical studies on these inhibitors, most of the effective candidates in clinical trials, however, have yielded unsatisfactory results, thus they are as yet unavailable for use as therapeutic drugs. Currently, more efforts have been directed to the design of specific inhibitors towards certain MMP family members for selective usage. This review will focus primarily on an analysis of recent developed MMPIs that have entered preclinical or clinical trials, and recently registered patents with regard to new highly selective MMPIs in USA or patent applications related to the specific inhibitors of MMPs. We also analyze the clinical failure and discuss the possible strategies to best optimize the development of these novel agents.
基质金属蛋白酶(MMPs)属于一类密切相关的钙和锌依赖性内肽酶,参与细胞外基质(ECM)蛋白的降解和重塑,这些蛋白与肿瘤发生过程有关。MMPs 促进肿瘤侵袭和转移,调节宿主防御机制和正常细胞功能。因此,基质金属蛋白酶抑制剂(MMPIs)有望成为治疗恶性癌症、骨关节炎和类风湿性关节炎的有用化疗药物。近年来,已经开发了大量的小分子 MMPIs。尽管对这些抑制剂进行了大量的临床前和临床研究,但临床试验中大多数有效的候选药物的效果并不令人满意,因此尚未用作治疗药物。目前,更多的研究致力于设计针对特定 MMP 家族成员的特异性抑制剂,以进行选择性使用。本综述将主要分析已进入临床前或临床试验阶段的最新开发的 MMPIs,以及最近在美国注册的与 MMP 特异性抑制剂相关的新高度选择性 MMPIs 专利或专利申请。我们还分析了临床失败,并讨论了优化这些新型药物开发的可能策略。