Divya T C, Muddappa Sapna Chandira, Singh Prabath, Rajan Rakesh R, Remya M, Sreehari Deepthy
Department of Conservative Dentistry and Endodontics, Amrita School of Dentistry, Thrissur, Kerala, India.
Department of Conservative Dentistry and Endodontics, Amrita Vishwa Vidhyapeetham, Kochi, Kerala, India.
J Pharm Bioallied Sci. 2021 Nov;13(Suppl 2):S957-S959. doi: 10.4103/jpbs.jpbs_67_21. Epub 2021 Nov 10.
Drug repurposing which identifies new therapeutic use(s) for drugs currently in use is a brand-new avenue of research interest worldwide. It circumvents the high-end monetary and time investment usually associated with contemporary drug discoveries. In the field of dentistry, recent studies in drug repurposing focuses in attaining dentin repair or reduction of bone resorption associated with apical periodontitis. Metformin, an anti-diabetic drug has shown pro-osteogenic properties. Aspirin a known anti-inflammatory agent with anticoagulant action is found to modulate the differentiation of dental pulp cells. The significant role of glycogen synthase kinase-3 inhibitors in activating the Wnt/-beta cat signaling pathway of mesenchymal pulp stem cells may pave the way to the pharmacological treatment of dental caries in near future. It is to be noted here that further preclinical and clinical studies are warranted for the regular therapeutic use of these potential drugs in clinical dentistry.
药物重新利用,即确定现有药物的新治疗用途,是全球范围内一个全新的研究热点领域。它规避了通常与当代药物研发相关的高额资金和时间投入。在牙科领域,近期关于药物重新利用的研究集中在实现牙本质修复或减少与根尖周炎相关的骨吸收。二甲双胍,一种抗糖尿病药物,已显示出促骨生成特性。阿司匹林,一种已知具有抗炎和抗凝作用的药物,被发现可调节牙髓细胞的分化。糖原合酶激酶-3抑制剂在激活间充质牙髓干细胞的Wnt/β-cat信号通路中的重要作用,可能在不久的将来为龋齿的药物治疗铺平道路。在此需要注意的是,对于这些潜在药物在临床牙科中的常规治疗应用,还需要进一步的临床前和临床研究。