University of Oxford, Structural Genomics Consortium (SGC), Department of Clinical Medicine, Old Road Campus Research Building, Oxford OX3 7DQ, UK + 44 1865 617584 ; + 44 1865 617575 ;
Expert Opin Drug Discov. 2010 Sep;5(9):867-81. doi: 10.1517/17460441.2010.504203. Epub 2010 Jul 15.
Inflammatory diseases are one of the major health issues and have become a major focus in the pharmaceutical and biotech industries. To date, drugs prescribed for treatment of these diseases target enzymes that are not specific to the immune system resulting in adverse effects. The main challenge of this research field is, therefore, identifying targets that act specifically on the diseased tissue.
This review summarizes drug discovery efforts on kinases that have been identified as key players mediating inflammation and autoimmune disorders. In particular, we discuss recent developments on well-established targets such as mammalian target of rapamycin, JAK3, spleen tyrosine kinase, p38α and lymphocyte specific kinase but provide also a perspective on emerging targets.
The reader will obtain an overview of drug discovery efforts on kinases in inflammation, recent clinical and preclinical data and developed inhibitor scaffolds. In addition, the reader will be updated on issues in target validation of current drug targets and the potential of selected novel kinase targets in this important disease area.
Cellular signaling networks that regulate inflammatory response are still poorly understood making rational selection of targets challenging. Recent data suggest that kinase targets that are specific to the immune system and mediate signals immediately downstream of surface receptors are most efficacious in the clinic.
炎症性疾病是主要的健康问题之一,已成为制药和生物技术行业的主要关注点。迄今为止,针对这些疾病开具的治疗药物的靶点是针对免疫系统的非特异性酶,从而导致不良反应。因此,这一研究领域的主要挑战是确定专门作用于病变组织的靶点。
这篇综述总结了已被确定为介导炎症和自身免疫性疾病的关键介质的激酶的药物发现工作。特别是,我们讨论了哺乳动物雷帕霉素靶蛋白、JAK3、脾酪氨酸激酶、p38α 和淋巴细胞特异性激酶等成熟靶点的最新进展,但也提供了新兴靶点的视角。
读者将获得有关炎症中激酶的药物发现工作、最近的临床前和临床数据以及开发的抑制剂支架的概述。此外,读者将了解当前药物靶点的靶标验证问题以及该重要疾病领域中选定新型激酶靶标的潜力。
调节炎症反应的细胞信号网络仍知之甚少,使得目标的合理选择具有挑战性。最近的数据表明,针对免疫系统且专门针对细胞表面受体下游信号转导的激酶靶标在临床上最有效。