Faculty of Pharmaceutical Sciences, PCTE Group of Institute, Baddowal, Ludhiana India.
Department of Pharmaceutical Chemistry, University Institute of Pharmaceutical Sciences, Panjab University, Chandigarh, India.
Curr Top Med Chem. 2023;23(13):1260-1276. doi: 10.2174/1568026623666230203141543.
Alzheimer's disease (AD) is drawing scientists' consideration, being one of the gravest diseases mankind will have to battle against in the near future. The number of people with AD is expected to triple in the next 40 years. It is a most common age-related multifactorial neurodegenerative disease and characterized by two histopathological hallmarks; the formation of senile plaques composed of the amyloid-β (Aβ) peptide and neurofibrillary tangles composed of hyperphosphorylated tau protein. Discovery and development of rationally designed multi-targeted ligands for the management of AD could be more beneficial than classical single targeted molecules. Acridine, a heterocyclic nucleus is a sole moiety in various existing drug molecules such as quinacrine (antimalarial), acriflavine and proflavine (antiseptics), ethacridine (abortifacient), amsacrine and nitracine (anticancer) and tacrine (anti-Alzheimer). It is proposed that acridine may combat the AD by acting on several targets like acetylcholinesterase (AChE), butyrylcholinesterase (BuChE), dual specificity tyrosine kinase 1A (Dyrk 1A), amyloid and prion protein (PrPC) etc. involved in its pathogenesis. The main aim of this compilation is to review the most promising therapeutic developments within the vast research area dealing with acridine derivatives. Further research is required to evaluate the effectiveness of the acridine derivatives with various substitutions in the treatment of AD. In conclusion, our review will suggest the potentiality of the versatile acridine framework for drug designing and developing novel multi-target inhibitors for the Alzheimer's disease.
阿尔茨海默病(AD)正引起科学家的关注,是人类在不久的将来必须与之抗争的最严重疾病之一。预计在未来 40 年内,AD 患者人数将增加两倍。这是一种最常见的与年龄相关的多因素神经退行性疾病,其特征是两种组织病理学标志:由淀粉样β(Aβ)肽组成的老年斑和由过度磷酸化的tau 蛋白组成的神经原纤维缠结。发现和开发合理设计的多靶点配体来治疗 AD 可能比经典的单靶点分子更有益。吖啶是一种杂环核,是各种现有药物分子(如氯喹啉(抗疟药)、吖啶黄和普罗黄素(防腐剂)、依沙吖啶(堕胎药)、阿糖胞苷和硝卡嗪(抗癌药)和他克林(抗阿尔茨海默病)中的单一基团。据推测,吖啶可能通过作用于几个靶点来对抗 AD,如乙酰胆碱酯酶(AChE)、丁酰胆碱酯酶(BuChE)、双特异性酪氨酸激酶 1A(Dyrk 1A)、淀粉样蛋白和朊病毒蛋白(PrPC)等,这些靶点都与 AD 的发病机制有关。本综述的主要目的是回顾在涉及吖啶衍生物的广泛研究领域中最有前途的治疗进展。需要进一步研究来评估具有各种取代基的吖啶衍生物在治疗 AD 中的有效性。总之,我们的综述将表明多功能吖啶框架在药物设计和开发新型多靶点 AD 抑制剂方面的潜力。