Centre for Cancer and Inflammation Research, School of Chinese Medicine, Hong Kong Baptist University, Hong Kong SAR, China.
Chin J Integr Med. 2012 Jul;18(7):539-42. doi: 10.1007/s11655-011-0900-2. Epub 2012 Apr 11.
In the past century, as medical research has become increasingly precise, it has become clear that the incidence and progression of many diseases involve multiple factors and pathologies; this is particularly true for the degenerative and metabolic diseases facing industrialized societies. At the same time, it becomes increasingly clear that single-target action drugs cannot effectively treat these diseases. Researchers are looking toward the chemical industry as well as traditional herbal medicines to find multi-target interventions. Thus, a new era in drug discovery has begun. Specifically, three approaches have proven effective in seeking multi-target drugs. These are: (1) designing drugs with multiple components; (2) discovering drugs through the study of synergistic compound-compound interactions in medicinal herbs or among chemical drugs and herbal components; and (3) developing drugs to tackle complex multi-component diseases. The authors conclude that there is an increasing need for multi-component remedies to treat the complex chronic diseases afflicting modern populations. Given this situation and the growing body of evidence that these new approaches are effective, multi-target intervention appears to have great potential for discovering, designing, and developing effective new drugs for today's diseases.
在过去的一个世纪中,随着医学研究变得越来越精确,越来越明显的是,许多疾病的发生和发展涉及多种因素和病理;对于工业化社会面临的退行性和代谢性疾病尤其如此。与此同时,越来越明显的是,单一作用靶点的药物不能有效地治疗这些疾病。研究人员正在向化学工业以及传统草药寻求多靶点干预措施。因此,药物发现的新时代已经开始。具体而言,有三种方法已被证明在寻找多靶点药物方面是有效的。这些方法是:(1)设计具有多种成分的药物;(2)通过研究草药中化合物-化合物的协同相互作用或化学药物和草药成分之间的协同相互作用来发现药物;(3)开发药物来解决复杂的多成分疾病。作者得出结论,越来越需要多成分药物来治疗现代人群中复杂的慢性疾病。鉴于这种情况以及越来越多的证据表明这些新方法是有效的,多靶点干预似乎在发现、设计和开发当今疾病的有效新药方面具有巨大的潜力。