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一种 TRPA1 抑制剂可抑制神经源性炎症和气道收缩,用于哮喘治疗。

A TRPA1 inhibitor suppresses neurogenic inflammation and airway contraction for asthma treatment.

机构信息

Department of Immunology Discovery, Genentech, Inc., South San Francisco, CA.

Department of Biomedical Imaging, Genentech, Inc., South San Francisco, CA.

出版信息

J Exp Med. 2021 Apr 5;218(4). doi: 10.1084/jem.20201637.

Abstract

Despite the development of effective therapies, a substantial proportion of asthmatics continue to have uncontrolled symptoms, airflow limitation, and exacerbations. Transient receptor potential cation channel member A1 (TRPA1) agonists are elevated in human asthmatic airways, and in rodents, TRPA1 is involved in the induction of airway inflammation and hyperreactivity. Here, the discovery and early clinical development of GDC-0334, a highly potent, selective, and orally bioavailable TRPA1 antagonist, is described. GDC-0334 inhibited TRPA1 function on airway smooth muscle and sensory neurons, decreasing edema, dermal blood flow (DBF), cough, and allergic airway inflammation in several preclinical species. In a healthy volunteer Phase 1 study, treatment with GDC-0334 reduced TRPA1 agonist-induced DBF, pain, and itch, demonstrating GDC-0334 target engagement in humans. These data provide therapeutic rationale for evaluating TRPA1 inhibition as a clinical therapy for asthma.

摘要

尽管有了有效的治疗方法,但仍有相当一部分哮喘患者的症状、气流受限和恶化仍未得到控制。瞬时受体电位阳离子通道成员 A1(TRPA1)激动剂在人类哮喘气道中升高,在啮齿动物中,TRPA1 参与气道炎症和高反应性的诱导。本文描述了高度有效、选择性和口服生物利用的 TRPA1 拮抗剂 GDC-0334 的发现和早期临床开发。GDC-0334 抑制气道平滑肌和感觉神经元上的 TRPA1 功能,减少几种临床前物种的水肿、皮肤血流(DBF)、咳嗽和过敏性气道炎症。在一项健康志愿者的 1 期研究中,GDC-0334 治疗可降低 TRPA1 激动剂引起的 DBF、疼痛和瘙痒,证明 GDC-0334 在人体中具有靶标结合。这些数据为评估 TRPA1 抑制作为哮喘临床治疗提供了治疗依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2b2/7918756/a12ce602eec3/JEM_20201637_GA.jpg

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