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NLRP3 炎性体抑制剂治疗痛风的最新进展。

Recent advances in the treatment of gout with NLRP3 inflammasome inhibitors.

机构信息

School of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu 610072, China.

Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610072, China.

出版信息

Bioorg Med Chem. 2024 Oct 1;112:117874. doi: 10.1016/j.bmc.2024.117874. Epub 2024 Aug 16.

DOI:10.1016/j.bmc.2024.117874
PMID:39167977
Abstract

Gout is an autoinflammatory disorder characterized by the accumulation of monosodium urate crystals in joints and other tissues, representing the predominant type of inflammatory arthritis with a notable prevalence and propensity for severe outcomes. The NLRP3 inflammasome, a member of the pyrin domain-containing NOD-like receptor family, exerts a substantial impact on both innate and adaptive immune responses and serves as a pivotal factor in the pathogenesis of gout. In recent years, there has been significant academic and industrial interest in the development of NLRP3-targeted small molecule inhibitors as a promising therapeutic approach for gout. To assess the advancements in NLRP3 inflammasome inhibitors for gout treatment, this review offers a comprehensive analysis and evaluation of current clinical candidates and other inhibitors targeting NLRP3 inflammasome from a chemical structure standpoint, with the goal of identifying more efficacious options for clinical management of gout.

摘要

痛风是一种自身炎症性疾病,其特征是单钠尿酸盐晶体在关节和其他组织中的积累,代表了一种主要的炎症性关节炎类型,具有显著的流行率和严重后果的倾向。NLRP3 炎性体是 pyrin 结构域包含的 NOD 样受体家族的成员,对先天和适应性免疫反应都有很大的影响,是痛风发病机制中的关键因素。近年来,人们对 NLRP3 靶向小分子抑制剂的开发产生了浓厚的学术和工业兴趣,认为这是一种治疗痛风的有前途的治疗方法。为了评估 NLRP3 炎性体抑制剂在痛风治疗中的进展,本综述从化学结构的角度对目前的临床候选物和其他靶向 NLRP3 炎性体的抑制剂进行了全面的分析和评价,旨在为痛风的临床治疗找到更有效的方法。

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