Del E. Webb Center for Neuroscience, Aging, and Stem Cell Research, Sanford-Burnham Medical Research Institute, 10901 North Torrey Pines Road, La Jolla, CA, USA; Department of Welfare Engineering, Faculty of Engineering, Iwate University, Morioka, Iwate 020-8551, Japan.
Del E. Webb Center for Neuroscience, Aging, and Stem Cell Research, Sanford-Burnham Medical Research Institute, 10901 North Torrey Pines Road, La Jolla, CA, USA.
Free Radic Biol Med. 2014 Jan;66:45-57. doi: 10.1016/j.freeradbiomed.2013.11.002. Epub 2013 Nov 18.
Living cells maintain a balance between oxidation and reduction, and perturbations of this redox balance are thought to contribute to various diseases. Recent attempts to regulate redox state have focused on electrophiles (EPs), which activate potent cellular defense systems against oxidative stress. One example of this approach is exemplified by carnosic acid (CA) and carnosol (CS), compounds that are found in the herb rosemary (Rosmarinus officinalis). Importantly, CA and CS themselves are not electrophilic, but in response to oxidation, become electrophilic, and then activate the Keap1/Nrf2/ARE (antioxidant-response element) transcription pathway to synthesize endogenous antioxidant "phase 2"enzymes. As a result of our efforts to develop these compounds as therapeutics for brain health, we have formulated two innovative criteria for drug development: the first concept is the use of pro-electrophilic drugs (PEDs) that are innocuous in and of themselves; and the second concept involves the use of compounds that are pathologically activated therapeutics (PATs); i.e., these small molecules are chemically converted to their active form by the very oxidative stress that they are designed to then combat. The chemical basis for PED and PAT drugs is embodied in the ortho- and para-hydroquinone electrophilic cores of the molecules, which are oxidized by the Cu(2+)/Cu(+) cycling system (or potentially by other transition metals). Importantly, this cycling pathway is under stringent regulation by the cell redox state. We propose that redox-dependent quinone formation is the predominant mechanism for formation of PED and PAT drugs from their precursor compounds. In fact, redox-dependent generation of the active form of drug from the "pro-form" distinguishes this therapeutic approach from traditional EPs such as curcumin, and results in a decrease in clinical side effects at therapeutic concentrations, e.g., lack of reaction with other thiols such as glutathione (GSH), which can result in lowering GSH and inducing oxidative stress in normal cells. We consider this pro-drug quality of PED/PAT compounds to be a key factor for generating drugs to be used to combat neurodegenerative diseases that will be clinically tolerated. Given the contribution of oxidative stress to the pathology of multiple neurodegenerative diseases, the Keap1/Nrf2/ARE pathway represents a promising drug target for these PED/PAT agents.
活细胞维持氧化还原平衡,这种氧化还原平衡的干扰被认为是导致各种疾病的原因。最近,人们试图调节氧化还原状态,将重点放在亲电试剂 (EPs) 上,这些亲电试剂激活了针对氧化应激的强大细胞防御系统。这种方法的一个例子是来自迷迭香(Rosmarinus officinalis)中的鼠尾草酸 (CA) 和鼠尾草酚 (CS)。重要的是,CA 和 CS 本身不是亲电的,但在氧化反应后,它们会变得亲电,并激活 Keap1/Nrf2/ARE(抗氧化反应元件)转录途径,合成内源性抗氧化“二期”酶。由于我们努力将这些化合物开发为大脑健康的治疗药物,我们制定了两个药物开发的创新标准:第一个概念是使用本身无害的亲电前体药物(PEDs);第二个概念涉及使用病理激活治疗药物(PATs),即这些小分子通过它们旨在对抗的氧化应激被化学转化为其活性形式。PED 和 PAT 药物的化学基础体现在分子的邻位和对位对羟醌亲电核心中,这些核心被 Cu(2+)/Cu(+) 循环系统(或可能是其他过渡金属)氧化。重要的是,这种循环途径受到细胞氧化还原状态的严格调节。我们提出,氧化还原依赖的醌形成是 PED 和 PAT 药物从其前体化合物形成的主要机制。事实上,氧化还原依赖的前体药物活性形式的生成将这种治疗方法与传统的 EPs(如姜黄素)区分开来,并且在治疗浓度下降低了临床副作用,例如缺乏与其他硫醇(如谷胱甘肽 (GSH))的反应,这可能导致 GSH 减少并在正常细胞中诱导氧化应激。我们认为 PED/PAT 化合物的这种前药质量是产生用于治疗临床耐受的神经退行性疾病的药物的关键因素。鉴于氧化应激对多种神经退行性疾病病理的贡献,Keap1/Nrf2/ARE 途径代表了这些 PED/PAT 药物的有前途的药物靶点。