Amity Institute of Pharmacy, Amity University Uttar Pradesh, Lucknow Campus, India.
Poona College of Pharmacy, Bharati Vidyapeeth University, Pune, India.
Curr Drug Res Rev. 2021;13(2):101-119. doi: 10.2174/2589977513666210211163711.
Drug repositioning or repurposing is a revolutionary breakthrough in drug development that focuses on rediscovering new uses for old therapeutic agents. Drug repositioning can be defined more precisely as the process of exploring new indications for an already approved drug while drug repurposing includes overall re-development approaches grounded in the identical chemical structure of the active drug moiety as in the original product. The repositioning approach accelerates the drug development process, curtails the cost and risk inherent to drug development. The strategy focuses on the polypharmacology of drugs to unlocks novel opportunities for logically designing more efficient therapeutic agents for unmet medical disorders. Drug repositioning also expresses certain regulatory challenges that hamper its further utilization. The review outlines the eminent role of drug repositioning in new drug discovery, methods to predict the molecular targets of a drug molecule, advantages that the strategy offers to the pharmaceutical industries, explaining how the industrial collaborations with academics can assist in the discovering more repositioning opportunities. The focus of the review is to highlight the latest applications of drug repositioning in various disorders. The review also includes a comparison of old and new therapeutic uses of repurposed drugs, assessing their novel mechanisms of action and pharmacological effects in the management of various disorders. Various restrictions and challenges that repurposed drugs come across during their development and regulatory phases are also highlighted.
药物重定位或再利用是药物开发领域的一项革命性突破,专注于重新发现旧治疗剂的新用途。药物重定位可以更准确地定义为探索已批准药物新适应症的过程,而药物再利用包括基于活性药物部分与原产品相同化学结构的整体重新开发方法。这种重新定位的方法加速了药物开发过程,减少了药物开发固有的成本和风险。该策略侧重于药物的多药理学,为设计用于治疗未满足医疗需求的更有效的治疗剂提供了新的机会。药物重定位还表达了某些监管挑战,阻碍了其进一步利用。本文概述了药物重定位在新药发现中的重要作用、预测药物分子的分子靶点的方法、该策略为制药行业提供的优势,解释了与学术界的工业合作如何有助于发现更多的再定位机会。本文的重点是强调药物重定位在各种疾病中的最新应用。本文还包括对重新定位药物的新旧治疗用途的比较,评估它们在治疗各种疾病中的新作用机制和药理作用。还强调了重新定位药物在开发和监管阶段遇到的各种限制和挑战。
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