Bacci Andrea, Runfola Massimiliano, Sestito Simona, Rapposelli Simona
Department of Pharmacy, University of Pisa, Via Bonanno 6, 56126 Pisa, Italy.
Department of Chemistry and Pharmacy, University of Sassari, Via Vienna 2, 07100 Sassari, Italy.
Antioxidants (Basel). 2021 Feb 28;10(3):367. doi: 10.3390/antiox10030367.
The complex network of malfunctioning pathways occurring in the pathogenesis of neurodegenerative diseases (NDDs) represents a huge hurdle in the development of new effective drugs to be used in therapy. In this context, redox reactions act as crucial regulators in the maintenance of neuronal microenvironment homeostasis. Particularly, their imbalance results in the severe compromising of organism's natural defense systems and subsequently, in the instauration of deleterious OS, that plays a fundamental role in the insurgence and progress of NDDs. Despite the huge efforts in drug discovery programs, the identification process of new therapeutic agents able to counteract the relentless progress of neurodegenerative processes has produced low or no effective therapies. Consequently, a paradigm-shift in the drug discovery approach for these diseases is gradually occurring, paving the way for innovative therapeutical approaches, such as polypharmacology. The aim of this review is to provide an overview of the main pharmacological features of most promising nature-based scaffolds for a possible application in drug discovery, especially for NDDs, highlighting their multifaceted effects against OS and neuronal disorders.
神经退行性疾病(NDDs)发病机制中出现的复杂功能失调途径网络,是开发用于治疗的新型有效药物的巨大障碍。在这种情况下,氧化还原反应在维持神经元微环境稳态中起着关键调节作用。特别是,它们的失衡会导致机体自然防御系统严重受损,随后引发有害的氧化应激(OS),而氧化应激在NDDs的发生和发展中起着重要作用。尽管在药物发现计划中付出了巨大努力,但能够对抗神经退行性过程持续进展的新型治疗药物的识别过程却产生了低效或无效的治疗方法。因此,针对这些疾病的药物发现方法正在逐渐发生范式转变,为多药理学等创新治疗方法铺平了道路。本综述的目的是概述最有前途的基于天然产物的支架在药物发现中,特别是在NDDs中的主要药理学特征,强调它们对氧化应激和神经元疾病的多方面作用。