Ahmad Varish
Health Information Technology Department, Faculty of Applied Studies, King Abdulaziz University, Jeddah 21589, Kingdom of Saudi Arabia.
Asian J Pharm Sci. 2021 Mar;16(2):147-160. doi: 10.1016/j.ajps.2020.06.007. Epub 2020 Aug 30.
The extracellular matrix (ECM) comprises of many structural molecules that constitute the extracellular environment. ECM molecules are characterized by specific features like diversity, complexity and signaling, which are also results of improvement or development of disease mediated by some physiological changes. Several drugs have also been used to manage diseases and they have been reported to modulate ECM assembly, including physiological changes, beyond their primary targets and ECM metabolism. This review highlights the alteration of ECM environment for diseases and effect of different classes of drugs like nonsteroidal anti-inflammatory drugs, immune suppressant drug, steroids on ECM or its components. Thus, it is summarized from previously conducted researches that diseases can be managed by targeting specific components of ECM which are involved in the pathophysiology of diseases. Moreover, the drug delivery focused on targeting the ECM components also has the potential for the discovery of targeted and site specific release of drugs. Therefore, ECM or its components could be future targets for the development of new drugs for controlling various disease conditions including neurodegenerative diseases and cancers.
细胞外基质(ECM)由许多构成细胞外环境的结构分子组成。ECM分子具有多样性、复杂性和信号传导等特定特征,这些也是由某些生理变化介导的疾病改善或发展的结果。几种药物也已被用于治疗疾病,据报道它们可调节ECM组装,包括生理变化,超出其主要靶点和ECM代谢。本综述强调了疾病中ECM环境的改变以及不同类别的药物(如非甾体抗炎药、免疫抑制药、类固醇)对ECM或其成分的影响。因此,从先前进行的研究中总结出,通过靶向参与疾病病理生理学的ECM特定成分可以治疗疾病。此外,专注于靶向ECM成分的药物递送也具有发现靶向和位点特异性药物释放的潜力。因此,ECM或其成分可能成为开发用于控制包括神经退行性疾病和癌症在内的各种疾病状况的新药的未来靶点。