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作为帕金森病新型治疗药物的富含亮氨酸重复激酶2(LRRK2)抑制剂的设计与开发。

The design and development of LRRK2 inhibitors as novel therapeutics for Parkinson's disease.

作者信息

Bai Xiaoxue, Zhu Jiawei, Chen Yao, Sun Haopeng

机构信息

School of Pharmacy, China Pharmaceutical University, Nanjing, People's Republic of China.

School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing, People's Republic of China.

出版信息

Future Med Chem. 2025 Jan;17(2):221-236. doi: 10.1080/17568919.2024.2444875. Epub 2024 Dec 24.

DOI:10.1080/17568919.2024.2444875
PMID:39717965
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11749465/
Abstract

Parkinson's disease (PD) is a common neurodegenerative disease affecting nearly 10 million people worldwide and placing a heavy medical burden on both society and families. However, due to the complexity of its pathological mechanisms, current treatments for PD can only alleviate patients' symptoms. Therefore, novel therapeutic strategies are urgently sought in clinical practice. Leucine-rich repeat kinase 2 (LRRK2) has emerged as a highly promising target for PD therapy. Missense mutations within the structural domain of LRRK2, the most common genetic risk factor for PD, lead to abnormally elevated kinase activity and increase the risk of developing PD. In this article, we provide a comprehensive overview of the structure, biological function, and pathogenic mutations of LRRK2, and examine recent advances in the development of LRRK2 inhibitors. We hope that this article will provide a reference for the design of novel LRRK2 inhibitors based on summarizing the facts and elucidating the viewpoints.

摘要

帕金森病(PD)是一种常见的神经退行性疾病,全球近1000万人受其影响,给社会和家庭带来了沉重的医疗负担。然而,由于其病理机制的复杂性,目前针对帕金森病的治疗只能缓解患者症状。因此,临床实践中迫切需要新的治疗策略。富含亮氨酸重复激酶2(LRRK2)已成为帕金森病治疗极具前景的靶点。LRRK2结构域内的错义突变是帕金森病最常见的遗传风险因素,可导致激酶活性异常升高,增加患帕金森病的风险。在本文中,我们全面概述了LRRK2的结构、生物学功能和致病突变,并探讨了LRRK2抑制剂开发的最新进展。我们希望本文能在总结事实、阐明观点的基础上,为新型LRRK2抑制剂的设计提供参考。

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引用本文的文献

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Cell Biochem Biophys. 2025 Sep 1. doi: 10.1007/s12013-025-01877-1.

本文引用的文献

1
Pharmacology of LRRK2 with type I and II kinase inhibitors revealed by cryo-EM.冷冻电镜揭示的LRRK2与I型和II型激酶抑制剂的药理学
Cell Discov. 2024 Jan 23;10(1):10. doi: 10.1038/s41421-023-00639-8.
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The pathogenesis of Parkinson's disease.帕金森病的发病机制。
Lancet. 2024 Jan 20;403(10423):293-304. doi: 10.1016/S0140-6736(23)01478-2.
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Rab29-dependent asymmetrical activation of leucine-rich repeat kinase 2.Rab29 依赖性富亮氨酸重复激酶 2 的不对称激活
Science. 2023 Dec 22;382(6677):1404-1411. doi: 10.1126/science.adi9926. Epub 2023 Dec 21.
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Inhibition of Parkinson's disease-related LRRK2 by type I and type II kinase inhibitors: Activity and structures.I 型和 II 型激酶抑制剂对帕金森病相关 LRRK2 的抑制作用:活性和结构。
Sci Adv. 2023 Dec;9(48):eadk6191. doi: 10.1126/sciadv.adk6191. Epub 2023 Dec 1.
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Catalyzing a Cure: Discovery and development of LRRK2 inhibitors for the treatment of Parkinson's disease.催化治愈:用于治疗帕金森病的LRRK2抑制剂的发现与开发
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Genome-wide screen reveals Rab12 GTPase as a critical activator of Parkinson's disease-linked LRRK2 kinase.全基因组筛选揭示Rab12 GTP酶是帕金森病相关LRRK2激酶的关键激活因子。
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Discovery of MK-1468: A Potent, Kinome-Selective, Brain-Penetrant Amidoisoquinoline LRRK2 Inhibitor for the Potential Treatment of Parkinson's Disease.MK-1468 的发现:一种强效、激酶选择性、可穿透血脑屏障的酰胺异喹啉 LRRK2 抑制剂,有望用于治疗帕金森病。
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Recent advances in targeting leucine-rich repeat kinase 2 as a potential strategy for the treatment of Parkinson's disease.靶向富含亮氨酸重复激酶 2 作为治疗帕金森病的潜在策略的最新进展。
Bioorg Chem. 2023 Dec;141:106906. doi: 10.1016/j.bioorg.2023.106906. Epub 2023 Oct 7.
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Parkinson's disease therapy: what lies ahead?帕金森病的治疗:未来的方向?
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