Stotani Silvia, Giordanetto Fabrizio, Medda Federico
Medicinal Chemistry, Taros Chemicals GmbH & Co. KG, Emil-Figge-Str. 76a, 44227 Dortmund, Germany.
DE Shaw Research, 120W 45th Street, New York, NY 10036, USA.
Future Med Chem. 2016 Apr;8(6):681-96. doi: 10.4155/fmc-2016-0013. Epub 2016 Apr 13.
In total, 47,500,000 people worldwide are affected by dementia and this number is estimated to double by 2030 and triple within 2050 resulting in a huge burden on public health. Alzheimer's disease (AD), a progressive neurodegenerative disorder, is the most common cause of dementia, accounting for 60-70% of all the cases. The cause of AD is still poorly understood but several brain abnormalities (e.g., loss of neuronal connections and neuronal death) have been identified in affected patients. In addition to the accumulation of β-amyloid plaques in the brain tissue, aberrant phosphorylation of tau proteins has proved to increase neuronal death. DYRK1A phosphorylates tau on 11 different Ser/Thr residues, resulting in the formation of aggregates called 'neurofibrillary tangles' which, together with amyloid plaques, could be responsible for dementia, neuronal degeneration and cell death. Small molecule inhibition of DYRK1A could thus represent an interesting approach toward the treatment of Alzheimer's and other neurodegenerative diseases. Herein we review the current progress in the identification and development of DYRK1A inhibitors.
全球共有4750万人受痴呆症影响,预计到2030年这一数字将翻倍,到2050年将增至三倍,给公共卫生带来巨大负担。阿尔茨海默病(AD)是一种进行性神经退行性疾病,是痴呆症最常见的病因,占所有病例的60%-70%。AD的病因仍知之甚少,但已在受影响患者中发现了几种脑部异常情况(如神经元连接丧失和神经元死亡)。除了脑组织中β-淀粉样蛋白斑块的积累外,tau蛋白的异常磷酸化已被证明会增加神经元死亡。双特异性酪氨酸磷酸化调节激酶1A(DYRK1A)可使tau蛋白在11个不同的丝氨酸/苏氨酸残基上磷酸化,导致形成称为“神经原纤维缠结”的聚集体,这些聚集体与淀粉样蛋白斑块一起,可能是痴呆症、神经元变性和细胞死亡的原因。因此,小分子抑制DYRK1A可能是治疗阿尔茨海默病和其他神经退行性疾病的一种有趣方法。在此,我们综述了DYRK1A抑制剂鉴定和开发的当前进展。