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药物重定位:各种疾病药物发现中的进展和挑战。

Drug repositioning: Progress and challenges in drug discovery for various diseases.

机构信息

Laboratory of Molecular Design and Drug Discovery, School of Science, China Pharmaceutical University, 639 Longmian Avenue, Nanjing, 211198, China.

Laboratory of Molecular Design and Drug Discovery, School of Science, China Pharmaceutical University, 639 Longmian Avenue, Nanjing, 211198, China; State Key Laboratory of Natural Medicines, China Pharmaceutical University, 24 Tongjiaxiang, Nanjing, 210009, China.

出版信息

Eur J Med Chem. 2022 Apr 15;234:114239. doi: 10.1016/j.ejmech.2022.114239. Epub 2022 Feb 28.

Abstract

Compared with traditional de novo drug discovery, drug repurposing has become an attractive drug discovery strategy due to its low-cost and high efficiency. Through a comprehensive analysis of the candidates that have been identified with drug repositioning potentials, it is found that although some drugs do not show obvious advantages in the original indications, they may exert more obvious effects in other diseases. In addition, some drugs have a synergistic effect to exert better clinical efficacy if used in combination. Particularly, it has been confirmed that drug repositioning has benefits and values on the current public health emergency such as the COVID-19 pandemic, which proved the great potential of drug repositioning. In this review, we systematically reviewed a series of representative drugs that have been repositioned for different diseases and illustrated successful cases in each disease. Especially, the mechanism of action for the representative drugs in new indications were explicitly explored for each disease, we hope this review can provide important insights for follow-up research.

摘要

与传统的从头药物发现相比,药物重定位由于其低成本和高效率已成为一种有吸引力的药物发现策略。通过对已确定具有药物重定位潜力的候选药物进行全面分析,发现尽管某些药物在原始适应症中没有明显优势,但它们在其他疾病中可能会发挥更明显的作用。此外,一些药物具有协同作用,如果联合使用,可以发挥更好的临床疗效。特别是,药物重定位已被证明对当前的公共卫生紧急情况(如 COVID-19 大流行)具有益处和价值,这证明了药物重定位的巨大潜力。在这篇综述中,我们系统地回顾了一系列已用于治疗不同疾病的代表性药物,并在每种疾病中说明了成功案例。特别是,我们明确探讨了每种疾病中代表性药物在新适应症中的作用机制,希望这篇综述能为后续研究提供重要的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b79f/8883737/840d9c0ebc53/ga1_lrg.jpg

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