Szalai Katalin K, Beke Gyula, Éles János, Kitka Tamás, Kovács Péter, Nagy József, Farkas Sándor, Boros András
Gyomroi u. 24, 1103 Budapest, Hungary.
Recent Pat CNS Drug Discov. 2014;9(2):122-40. doi: 10.2174/1574889809666140613115426.
Today, the 'obesity pandemic' is one of the biggest health issues around the world. Melanin-concentrating hormone (MCH), a hypothalamic neuropeptide, is one of the most potent, central stimulators of feeding and it also attenuates energy expenditure. Inhibitions of the MCH receptor, the melanin-concentrating hormone receptor-1 (MCHR1), has attracted considerable attention as a potential anti-obesity drug, during the last decade. Now, there are a large number of MCHR1 antagonists, pharmacological tools and clinical drug candidates that can provide clues to develop new structures with high potency and good pharmacokinetic profile. The function of MCHR1 in energy homeostasis, obesity, metabolic syndrome, mood disorders and inflammatory bowel disease is discussed. Relevant clinical trials and patent background information of the MCHR1 antagonists over the last 4 years are also reviewed.
如今,“肥胖大流行”是全球最大的健康问题之一。促黑素(MCH)是一种下丘脑神经肽,是最有效的中枢性进食刺激因子之一,它还会降低能量消耗。在过去十年中,抑制促黑素受体,即促黑素受体-1(MCHR1),作为一种潜在的抗肥胖药物引起了相当大的关注。现在,有大量的MCHR1拮抗剂、药理学工具和临床候选药物,它们可以为开发具有高效能和良好药代动力学特征的新结构提供线索。本文讨论了MCHR1在能量稳态、肥胖、代谢综合征、情绪障碍和炎症性肠病中的作用。还回顾了过去4年中MCHR1拮抗剂的相关临床试验和专利背景信息。