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具有糖原合成酶激酶 3 抑制活性的多功能配体——阿尔茨海默病药物研究的新方向。

Multifunctional Ligands with Glycogen Synthase Kinase 3 Inhibitory Activity as a New Direction in Drug Research for Alzheimer's Disease.

机构信息

Jagiellonian University Medical College, Faculty of Pharmacy, Department of Medicinal Chemistry, 9 Medyczna Street, 30-688 Krakow, Poland.

Department of Medicinal Chemistry, Maj Institute of Pharmacology, Polish Academy of Sciences, 12 Smetna Street, 31-343 Krakow, Poland.

出版信息

Curr Med Chem. 2021;28(9):1731-1745. doi: 10.2174/0929867327666200427100453.

Abstract

Alzheimer's disease (AD) belongs to the most common forms of dementia that causes a progressive loss of brain cells and leads to memory impairment and decline of other thinking skills. There is yet no effective treatment for AD; hence, the search for new drugs that could improve memory and other cognitive functions is one of the hot research topics worldwide. Scientific efforts are also directed toward combating behavioral and psychological symptoms of dementia, which are an integral part of the disease. Several studies have indicated that glycogen synthase kinase 3 beta (GSK3β) plays a crucial role in the pathogenesis of AD. Moreover, GSK3β inhibition provided beneficial effects on memory improvement in multiple animal models of AD. The present review aimed to update the most recent reports on the discovery of novel multifunctional ligands with GSK3β inhibitory activity as potential drugs for the symptomatic and disease-modifying therapy of AD. Compounds with GSK3β inhibitory activity seem to be an effective pharmacological approach for treating the causes and symptoms of AD as they reduced neuroinflammation and pathological hallmarks in animal models of AD and provided relief from cognitive and neuropsychiatric symptoms. These compounds have the potential to be used as drugs for the treatment of AD, but their precise pharmacological, pharmacokinetic, toxicological and clinical profiles need to be defined.

摘要

阿尔茨海默病(AD)属于最常见的痴呆症形式之一,它会导致脑细胞逐渐丧失,进而导致记忆力减退和其他思维技能下降。目前尚无针对 AD 的有效治疗方法;因此,寻找能够改善记忆力和其他认知功能的新药是全球热门研究课题之一。科学研究也致力于对抗痴呆症的行为和心理症状,这些症状是该疾病的一个组成部分。多项研究表明,糖原合酶激酶 3β(GSK3β)在 AD 的发病机制中起着至关重要的作用。此外,GSK3β 抑制剂对多种 AD 动物模型的记忆力改善具有有益作用。本综述旨在更新关于发现具有 GSK3β 抑制活性的新型多功能配体作为 AD 症状改善和疾病修饰治疗的潜在药物的最新报道。具有 GSK3β 抑制活性的化合物似乎是一种有效的治疗 AD 病因和症状的药理学方法,因为它们可以减轻 AD 动物模型中的神经炎症和病理特征,并缓解认知和神经精神症状。这些化合物有可能被用作 AD 的治疗药物,但需要确定其确切的药理学、药代动力学、毒理学和临床特征。

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