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[离子通道阻滞机制的多样性作为设计新型药理剂的途径]

[The diversity of mechanisms of the ion channels blockade as a way towards designing new pharmacological agents].

作者信息

Tikhonov D B, Magazanik L G

出版信息

Ross Fiziol Zh Im I M Sechenova. 2010 Jul;96(7):726-39.

Abstract

Dysfunctions of glutamatergic synaptic neurotransmission often accompany various CNS disorders. Action of excessive glutamate, which causes excitotoxic effects by neuron depolarization and massive calcium influx can lead to cell death. Despite obvious importance of development of anti-glutamic neuroprotectors, among great number of known antagonists of ionotropic glutamate receptors only memantine is used in medicinal practice. One of the sources of numerous side effects caused by glutamate receptor antagonists is that the drugs usually inhibit receptors, which mediate both normal and pathological CNS processes. A possible approach to overcoming the problem is to develop the drugs whose action is enhanced in potentially pathological conditions such as high-frequency activation, high glutamate concentration, depolarized membrane, etc. Action of many classes of antagonists depends on pattern of receptor activation and on membrane voltage. In the present work, we discuss several peculiarities of channel blocking mechanisms from the viewpoint of neuroprotector development. In particular, we compare channel blockers which demonstrate different types of interaction with the channel gating machinery, we consider different types of voltage dependence and consider action of channel blockers, which can permeate through the channel. We conclude that meticulous analysis of the mechanism of action of the glutamate receptor channel antagonists could help to approach predicting of in vivo action using in vitro data.

摘要

谷氨酸能突触神经传递功能障碍常伴随各种中枢神经系统疾病。过量谷氨酸的作用会通过神经元去极化和大量钙内流导致兴奋毒性效应,进而可导致细胞死亡。尽管开发抗谷氨酸神经保护剂具有明显的重要性,但在众多已知的离子型谷氨酸受体拮抗剂中,只有美金刚在医学实践中使用。谷氨酸受体拮抗剂引起众多副作用的原因之一是,这些药物通常会抑制介导正常和病理中枢神经系统过程的受体。克服这一问题的一种可能方法是开发在潜在病理条件下(如高频激活、高谷氨酸浓度、去极化膜等)作用增强的药物。许多类拮抗剂的作用取决于受体激活模式和膜电压。在本工作中,我们从神经保护剂开发的角度讨论通道阻断机制的几个特点。特别是,我们比较了与通道门控机制表现出不同类型相互作用的通道阻断剂,考虑了不同类型的电压依赖性,并考虑了可透过通道的通道阻断剂的作用。我们得出结论,对谷氨酸受体通道拮抗剂作用机制的细致分析有助于利用体外数据预测体内作用。

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