Department of Pharmaceutical Chemistry, Institute of Pharmacy, Nirma University, Ahmedabad, India.
Expert Opin Ther Pat. 2023 Jul-Dec;33(9):579-596. doi: 10.1080/13543776.2023.2280596. Epub 2023 Nov 28.
Pyrimidine nucleotides are essential for the parasite's growth and replication. Parasites have only a pathway for the biosynthesis of pyrimidine nucleotides. Dihydroorotate dehydrogenase (DHODH) enzyme is involved in the rate-limiting step of the pyrimidine biosynthesis pathway. DHODH is a biochemical target for the discovery of new antimalarial agents.
This review discussed the development of patented DHODH inhibitors published between 2007 and 2023 along with their chemical structures and activities.
DHODH enzyme is involved in the rate-limiting fourth step of the pyrimidine biosynthesis pathway. Thus, inhibition of DHODH using species-selective inhibitors has drawn much attention for treating malaria because they inhibit parasite growth without affecting normal human functions. Looking at the current scenario of antimalarial drug resistance with most of the available antimalarial drugs, there is a huge need for targeted newer agents. Newer agents with unique mechanisms of action may be devoid of drug toxicity, adverse effects, and the ability of parasites to quickly gain resistance, and DHODH inhibitors can be those newer agents. Many DHODH inhibitors were patented in the past, and the dependency of on pyrimidine provided a new approach for the development of novel antimalarial agents.
嘧啶核苷酸是寄生虫生长和复制所必需的。寄生虫只有一条嘧啶核苷酸生物合成途径。二氢乳清酸脱氢酶(DHODH)酶参与嘧啶生物合成途径的限速步骤。DHODH 是发现新抗疟药物的生化靶标。
本综述讨论了 2007 年至 2023 年间发表的专利 DHODH 抑制剂的开发情况,以及它们的化学结构和活性。
DHODH 酶参与嘧啶生物合成途径的限速第四步。因此,使用种属选择性抑制剂抑制 DHODH 引起了人们的极大关注,因为它们可以抑制寄生虫的生长,而不会影响正常的人体功能。鉴于目前抗疟药物耐药性的现状,大多数现有抗疟药物都需要有针对性的新型药物。具有独特作用机制的新型药物可能没有药物毒性、不良反应以及寄生虫快速获得耐药性的能力,DHODH 抑制剂可以成为这些新型药物。过去有许多 DHODH 抑制剂获得了专利,而寄生虫对嘧啶的依赖性为开发新型抗疟药物提供了新方法。