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一系列用于帕金森病的金属卟啉的临床前治疗开发

Pre-clinical therapeutic development of a series of metalloporphyrins for Parkinson's disease.

作者信息

Liang Li-Ping, Huang Jie, Fulton Ruth, Pearson-Smith Jennifer N, Day Brian J, Patel Manisha

机构信息

Department of Pharmaceutical Sciences, University of Colorado Denver, Aurora, CO, United States.

Department of Medicine, National Jewish Health, Denver, CO, United States.

出版信息

Toxicol Appl Pharmacol. 2017 Jul 1;326:34-42. doi: 10.1016/j.taap.2017.04.004. Epub 2017 Apr 8.

Abstract

Reactive oxygen species are a well-defined therapeutic target for Parkinson's disease (PD) and pharmacological agents that catalytically scavenge reactive species are promising neuroprotective strategies for treatment. Metalloporphyrins are synthetic catalytic antioxidants that mimic the body's own antioxidant enzymes i.e. superoxide dismutases and catalase. The goal of this study was to determine if newly designed metalloporphyrins have enhanced pharmacodynamics including oral bioavailability, longer plasma elimination half-lives, penetrate the blood brain barrier, and show promise for PD treatment. Three metalloporphyrins (AEOL 11216, AEOL 11203 and AEOL 11114) were identified in this study as potential candidates for further pre-clinical development. Each of these compounds demonstrated blood brain barrier permeability by the i.p. route and two of three compounds (AEOL 11203 and AEOL 11114) were orally bioavailable. All of these compounds protected against 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced neurotoxicity, including dopamine depletion in the striatum, dopaminergic neuronal loss in the substantial nigra, and increased oxidative/nitrative stress indices (glutathione disulfide and 3-nitrotyrosine) in the ventral midbrain of the mice without inhibiting MPTP metabolism. Daily therapeutic dosing of these metalloporphyrins were well tolerated without accumulation of brain manganese levels or behavioral alterations assessed by open field and rotarod tests. The study identified two orally active metalloporphyrins and one injectable metalloporphyrin as clinical candidates for further development in PD.

摘要

活性氧是帕金森病(PD)明确的治疗靶点,催化清除活性物质的药物制剂是有前景的神经保护治疗策略。金属卟啉是模拟人体自身抗氧化酶(即超氧化物歧化酶和过氧化氢酶)的合成催化抗氧化剂。本研究的目的是确定新设计的金属卟啉是否具有增强的药效学特性,包括口服生物利用度、更长的血浆消除半衰期、穿透血脑屏障,并显示出治疗PD的前景。本研究确定了三种金属卟啉(AEOL 11216、AEOL 11203和AEOL 11114)作为进一步临床前开发的潜在候选物。这些化合物经腹腔注射途径均表现出血脑屏障通透性,且三种化合物中的两种(AEOL 11203和AEOL 11114)具有口服生物利用度。所有这些化合物均能保护小鼠免受1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)诱导的神经毒性,包括纹状体中的多巴胺耗竭、黑质中的多巴胺能神经元损失以及腹侧中脑中氧化/硝化应激指标(谷胱甘肽二硫化物和3-硝基酪氨酸)增加,且不抑制MPTP代谢。这些金属卟啉的每日治疗剂量耐受性良好,通过旷场试验和转棒试验评估,未出现脑锰水平蓄积或行为改变。该研究确定了两种口服活性金属卟啉和一种注射用金属卟啉作为PD进一步开发的临床候选物。

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