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靶向 mGluR 第三组受体治疗神经退行性疾病。

Targeting mGluR group III for the treatment of neurodegenerative diseases.

机构信息

Department of Physiology and Immunology, College of Medicine and Health Sciences, Khalifa University, Abu Dhabi 127788, United Arab Emirates; Department of Anesthesiology, Pharmacology and Therapeutics, and Djavad Mowafaghian Center for Brain Health, University of British Columbia, Vancouver, British Columbia V6T 1Z3, Canada.

Department of Physiology and Immunology, College of Medicine and Health Sciences, Khalifa University, Abu Dhabi 127788, United Arab Emirates.

出版信息

Biomed Pharmacother. 2023 Dec;168:115733. doi: 10.1016/j.biopha.2023.115733. Epub 2023 Oct 18.

Abstract

Glutamate, an excitatory neurotransmitter, is essential for neuronal function, and it acts on ionotropic or metabotropic glutamate receptors (mGluRs). A disturbance in glutamatergic signaling is a hallmark of many neurodegenerative diseases. Developing disease-modifying treatments for neurodegenerative diseases targeting glutamate receptors is a promising avenue. The understudied group III mGluR 4, 6-8 are commonly found in the presynaptic membrane, and their activation inhibits glutamate release. Thus, targeted mGluRs therapies could aid in treating neurodegenerative diseases. This review describes group III mGluRs and their pharmacological ligands in the context of amyotrophic lateral sclerosis, Parkinson's, Alzheimer's, and Huntington's diseases. Attempts to evaluate the efficacy of these drugs in clinical trials are also discussed. Despite a growing list of group III mGluR-specific pharmacological ligands, research on the use of these drugs in neurodegenerative diseases is limited, except for Parkinson's disease. Future efforts should focus on delineating the contribution of group III mGluR to neurodegeneration and developing novel ligands with superior efficacy and a favorable side effect profile for the treatment of neurodegenerative diseases.

摘要

谷氨酸是一种兴奋性神经递质,对神经元功能至关重要,它作用于离子型或代谢型谷氨酸受体(mGluRs)。谷氨酸能信号传递的紊乱是许多神经退行性疾病的标志。针对谷氨酸受体开发治疗神经退行性疾病的疾病修饰疗法是一条很有前途的途径。研究较少的第三组 mGluR4、6-8 通常存在于突触前膜,其激活可抑制谷氨酸释放。因此,靶向 mGluRs 的治疗方法可能有助于治疗神经退行性疾病。本文描述了第三组 mGluR 及其在肌萎缩侧索硬化症、帕金森病、阿尔茨海默病和亨廷顿病中的药理学配体。还讨论了在临床试验中评估这些药物疗效的尝试。尽管有越来越多的第三组 mGluR 特异性药理学配体,但除了帕金森病之外,这些药物在神经退行性疾病中的应用研究有限。未来的研究应集中于阐明第三组 mGluR 对神经退行性变的贡献,并开发具有更好疗效和更有利的副作用特征的新型配体,用于治疗神经退行性疾病。

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