Department of Pharmaceutical Sciences, University of Kentucky, 789 South Limestone Street, Lexington, KY, 40536-0596, United States ; Life Sciences Institute and Department of Medicinal Chemistry, University of Michigan, 210 Washtenaw Ave, Ann Arbor, MI, 48109-2216, United States.
Beilstein J Org Chem. 2013 May 28;9:1012-44. doi: 10.3762/bjoc.9.116. Print 2013.
The number of people suffering from Alzheimer's disease (AD) is expected to increase dramatically in the coming years, placing a huge burden on society. Current treatments for AD leave much to be desired, and numerous research efforts around the globe are focused on developing improved therapeutics. In addition, current diagnostic tools for AD rely largely on subjective cognitive assessment rather than on identification of pathophysiological changes associated with disease onset and progression. These facts have led to numerous efforts to develop chemical probes to detect pathophysiological hallmarks of AD, such as amyloid-β plaques, for diagnosis and monitoring of therapeutic efficacy. This review provides a survey of chemical probes developed to date for AD with emphasis on synthetic methodologies and structure-activity relationships with regards to affinity for target and brain kinetics. Several probes discussed herein show particularly promising results and will be of immense value moving forward in the fight against AD.
预计在未来几年,患有阿尔茨海默病(AD)的人数将大幅增加,这给社会带来了巨大的负担。目前 AD 的治疗方法仍有很大的改进空间,全球范围内有许多研究都致力于开发更有效的治疗方法。此外,目前 AD 的诊断工具主要依赖于主观认知评估,而不是识别与疾病发生和进展相关的病理生理变化。这些事实导致了大量开发化学探针的努力,以检测 AD 的病理生理标志物,如淀粉样β斑块,用于诊断和监测治疗效果。本综述提供了迄今为止用于 AD 的化学探针的调查,重点介绍了与目标亲和力和脑内动力学有关的合成方法和结构活性关系。本文讨论的一些探针显示出特别有希望的结果,并且在对抗 AD 的斗争中具有巨大的价值。