AstraZeneca R&D Mölndal, Mölndal, Sweden.
Expert Opin Ther Pat. 2011 Jun;21(6):905-25. doi: 10.1517/13543776.2011.575063. Epub 2011 Apr 14.
The appetite stimulating effects of melanin-concentrating hormone (MCH) continues to be of high interest, and there is substantial support to investigate the use of MCH 1-receptor antagonists for the treatment of obesity. Other areas of potential use for MCH 1-receptor antagonists include depression and anxiety. There are, to date, no clinical proof of concept data, and efforts are ongoing for the discovery of novel MCH 1-receptor antagonists, as evidenced by the number of patent applications published over the last 5 years.
This review covers the patent literature on MCH 1-receptor antagonists from January 2006 to November 2010. The emphasis is on disclosed biological data, especially in vivo data, of exemplified compounds. Wherever possible, selectivity towards undesired pharmacology is analysed.
Over the years, different approaches have been taken to overcome the undesired effects of MCH 1-receptor antagonists, such as interactions with the hERG channel. Many programmes have faced difficulties and, to date, only a few compounds have progressed into humans. From this point of view, the MCH 1-receptor is regarded as a difficult target, and whether newer programmes will be successful depends, to a large extent, on their selectivity.
黑色素浓缩激素(MCH)的食欲刺激作用仍然备受关注,有大量证据支持研究 MCH1 受体拮抗剂用于肥胖症的治疗。MCH1 受体拮抗剂的其他潜在用途还包括抑郁症和焦虑症。迄今为止,尚无临床概念验证数据,为了发现新型 MCH1 受体拮抗剂,人们正在进行各种努力,这一点从过去 5 年公布的专利申请数量就可以看出。
本综述涵盖了 2006 年 1 月至 2010 年 11 月期间 MCH1 受体拮抗剂的专利文献。重点是所举例证化合物的披露的生物学数据,特别是体内数据。只要有可能,就会分析对非预期药理学的选择性。
多年来,人们采取了不同的方法来克服 MCH1 受体拮抗剂的不良作用,例如与 hERG 通道的相互作用。许多项目都遇到了困难,迄今为止,只有少数几种化合物进入了人体试验阶段。从这个角度来看,MCH1 受体被认为是一个难以攻克的靶点,新的项目是否会成功在很大程度上取决于它们的选择性。