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靶向晚期糖基化终产物受体(RAGE)的小分子抑制剂的治疗潜力。

Therapeutic potential of targeting the receptor for advanced glycation end products (RAGE) by small molecule inhibitors.

机构信息

Department of Translational Research, College of Osteopathic Medicine of the Pacific Western University of Health Sciences, Pomona, California, USA.

出版信息

Drug Dev Res. 2022 Sep;83(6):1257-1269. doi: 10.1002/ddr.21971. Epub 2022 Jul 4.

Abstract

Receptor for advanced glycation end products (RAGE) is a 45 kDa transmembrane receptor of immunoglobulin family that can bind to various endogenous and exogenous ligands and initiate the inflammatory downstream signaling pathways. RAGE is involved in various disorders including cardiovascular and neurodegenerative diseases, cancer, and diabetes. This review summarizes the structural features of RAGE and its various isoforms along with their pathological effects. Mainly, the article emphasized on the translational significance of antagonizing the interactions of RAGE with its ligands using small molecules reported in the last 5 years and discusses future approaches that could be employed to block the interactions in the treatment of chronic inflammatory ailments. The RAGE inhibitors described in this article could prove as a powerful approach in the management of immune-inflammatory diseases. A critical review of the literature suggests that there is a dire need to dive deeper into the molecular mechanism of action to resolve critical issues that must be addressed to understand RAGE-targeting therapy and long-term blockade of RAGE in human diseases.

摘要

晚期糖基化终产物受体(RAGE)是免疫球蛋白家族的 45kDa 跨膜受体,可与各种内源性和外源性配体结合,并启动炎症下游信号通路。RAGE 参与多种疾病,包括心血管和神经退行性疾病、癌症和糖尿病。本文综述了 RAGE 及其各种异构体的结构特征及其病理作用。本文主要强调了在过去 5 年中报道的使用小分子拮抗 RAGE 与其配体相互作用的转化意义,并讨论了在治疗慢性炎症性疾病中可采用的未来方法来阻断相互作用。本文中描述的 RAGE 抑制剂可能是治疗免疫炎症性疾病的有效方法。对文献的批判性回顾表明,迫切需要深入研究作用的分子机制,以解决必须解决的关键问题,以了解 RAGE 靶向治疗和在人类疾病中对 RAGE 的长期阻断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a1a/9542951/6afcc8f46c68/DDR-83-1257-g001.jpg

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