Department of Medicine, Division of Allergy and Infectious Disease, Center for Emerging and Reemerging Infectious Disease (CERID), University of Washington, Seattle, WA 98109, USA.
School of Animal and Comparative Biomedical Sciences, College of Agriculture and Life Sciences, University of Arizona, Tucson, AZ 85721, USA.
Int J Parasitol. 2017 Oct;47(12):753-763. doi: 10.1016/j.ijpara.2017.08.006. Epub 2017 Sep 9.
Improvements have been made to the safety and efficacy of bumped kinase inhibitors, and they are advancing toward human and animal use for treatment of cryptosporidiosis. As the understanding of bumped kinase inhibitor pharmacodynamics for cryptosporidiosis therapy has increased, it has become clear that better compounds for efficacy do not necessarily require substantial systemic exposure. We now have a bumped kinase inhibitor with reduced systemic exposure, acceptable safety parameters, and efficacy in both the mouse and newborn calf models of cryptosporidiosis. Potential cardiotoxicity is the limiting safety parameter to monitor for this bumped kinase inhibitor. This compound is a promising pre-clinical lead for cryptosporidiosis therapy in animals and humans.
bumped 激酶抑制剂的安全性和有效性得到了提高,它们正在朝着用于治疗隐孢子虫病的人类和动物用途推进。随着对 bumped 激酶抑制剂治疗隐孢子虫病的药效学理解的增加,很明显,更好的化合物不一定需要大量的全身暴露。我们现在有一种 bumped 激酶抑制剂,它具有较低的全身暴露量、可接受的安全参数,并且在隐孢子虫病的小鼠和新生小牛模型中都具有疗效。潜在的心脏毒性是监测这种 bumped 激酶抑制剂的限制安全参数。这种化合物是治疗动物和人类隐孢子虫病的很有前途的临床前先导化合物。