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针对 NMDA 受体的拮抗剂是治疗神经紊乱的一种有前途的治疗策略。

Targeting NMDA receptors with an antagonist is a promising therapeutic strategy for treating neurological disorders.

机构信息

Department of Neuroscience, City University of Hong Kong, Kowloon, Hong Kong SAR, China; Department of Pharmacy, Jagannath University, Dhaka 1100, Bangladesh.

Department of Pharmacy, Jagannath University, Dhaka 1100, Bangladesh.

出版信息

Behav Brain Res. 2024 Aug 24;472:115173. doi: 10.1016/j.bbr.2024.115173. Epub 2024 Aug 3.


DOI:10.1016/j.bbr.2024.115173
PMID:39097148
Abstract

Glutamate activates the NMDARs, significantly affecting multiple processes such as learning, memory, synaptic integration, and excitatory transmission in the central nervous system. Uncontrolled activation of NMDARs is a significant contributor to synaptic dysfunction. Having a properly functioning NMDAR and synapse is crucial for maintaining neuronal communication. In addition, the dysfunction of NMDAR and synapse function could contribute to the development of neurological disorders at the neuronal level; hence, targeting NMDARs with antagonists in the fight against neurological disorders is a promising route. Recently published results from the animal study on different kinds of brain diseases like stroke, epilepsy, tinnitus, ataxia, Alzheimer's disease, Parkinson's disease, and spinal cord injury have demonstrated promising therapeutic scopes. Several NMDA receptor antagonists, such as memantine, MK801, ketamine, ifenprodil, gacyclidine, amantadine, agmatine, etc., showed encouraging results against different brain disease mouse models. Given the unique expression of different subunits of the well-organized NMDA receptor system by neurons. It could potentially lead to the development of medications specifically targeting certain receptor subtypes. For a future researcher, conducting more targeted research and trials is crucial to fully understand and develop highly specific medications with good clinical effects and potential neuroprotective properties.

摘要

谷氨酸激活 NMDAR,显著影响中枢神经系统中的学习、记忆、突触整合和兴奋性传递等多种过程。NMDAR 的不受控制的激活是突触功能障碍的一个重要贡献者。拥有正常功能的 NMDAR 和突触对于维持神经元通讯至关重要。此外,NMDAR 和突触功能的功能障碍可能导致神经元水平的神经紊乱的发展;因此,用拮抗剂靶向 NMDAR 来对抗神经紊乱是一个很有前途的途径。最近在动物研究中风、癫痫、耳鸣、共济失调、阿尔茨海默病、帕金森病和脊髓损伤等不同种类的脑疾病中发表的结果表明了有希望的治疗范围。几种 NMDA 受体拮抗剂,如美金刚、MK801、氯胺酮、ifenprodil、右苯环己哌啶、金刚烷胺、胍丁胺等,在针对不同的脑疾病小鼠模型的研究中显示出令人鼓舞的结果。鉴于神经元中 NMDA 受体系统的不同亚基的独特表达,这可能导致专门针对某些受体亚型的药物的开发。对于未来的研究人员来说,进行更有针对性的研究和试验对于充分理解和开发具有良好临床效果和潜在神经保护特性的高度特异性药物至关重要。

相似文献

[1]
Targeting NMDA receptors with an antagonist is a promising therapeutic strategy for treating neurological disorders.

Behav Brain Res. 2024-8-24

[2]
The chemical biology of clinically tolerated NMDA receptor antagonists.

J Neurochem. 2006-6

[3]
The molecular basis of memantine action in Alzheimer's disease and other neurologic disorders: low-affinity, uncompetitive antagonism.

Curr Alzheimer Res. 2005-4

[4]
Agmatine preferentially antagonizes GluN2B-containing N-methyl-d-aspartate receptors in spinal cord.

J Neurophysiol. 2018-11-14

[5]
Memantine and Ketamine Differentially Alter NMDA Receptor Desensitization.

J Neurosci. 2017-10-4

[6]
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J Vasc Surg. 2005-10

[7]
In developing hippocampal neurons, NR2B-containing N-methyl-D-aspartate receptors (NMDARs) can mediate signaling to neuronal survival and synaptic potentiation, as well as neuronal death.

Neuroscience. 2009-1-12

[8]
Paradigm shift in NMDA receptor antagonist drug development: molecular mechanism of uncompetitive inhibition by memantine in the treatment of Alzheimer's disease and other neurologic disorders.

J Alzheimers Dis. 2004-12

[9]
Identification of tetracyclic lactams as NMDA receptor antagonists with potential application in neurological disorders.

Eur J Med Chem. 2020-3-23

[10]
Amantadine and memantine are NMDA receptor antagonists with neuroprotective properties.

J Neural Transm Suppl. 1994

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