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变革阿尔茨海默病治疗:通过药物重新利用策略揭示新潜力。

Transforming Alzheimer's Treatment: Unveiling New Potential with Drug Repurposing Strategies.

作者信息

Mishra Ashish Sriram, Vasantham Manimaran, Ghosh Bhavna, Malliappan Sivakumar Ponnurengam

机构信息

Department of Pharmaceutics, SRM College of Pharmacy, SRM Institute of Science and Technology, Kattankulathur, 603203, Tamil Nadu, India.

Department of Pharmaceutical Analysis, Sri Jayadev College of Pharmaceutical Sciences, Bhubaneswar. Odisha, India.

出版信息

Curr Med Chem. 2025 Jan 23. doi: 10.2174/0109298673341391241231054936.

Abstract

Alzheimer's disease (AD) remains a significant challenge in neurology, marked by progressive cognitive decline and neurodegeneration. Despite extensive research efforts, effective treatments are still lacking. Traditional drug discovery is often slow and costly, frequently resulting in limited success. Drug repurposing, which identifies new therapeutic uses for existing medications, has emerged as a promising approach to expedite AD treatment development. This review examines the potential of drug repurposing to transform AD therapy by utilizing the established safety profiles and known mechanisms of current drugs. We explore various repurposed drugs under investigation for AD, originally intended for cardiovascular, metabolic, and psychiatric conditions. Detailed discussions include how these drugs provide neuroprotective benefits by inhibiting amyloid-beta aggregation, reducing tau phosphorylation, and modulating neuroinflammation. Additionally, we emphasize the benefits of drug repurposing, such as shortened development timelines, lower costs, and increased chances of clinical success. By integrating current research findings, this review offers a thorough overview of the most promising repurposed drug candidates and their potential impact on AD treatment strategies. It stresses the importance of innovative approaches in AD research and calls for greater investment in drug repurposing initiatives. Through these strategies, we aim to accelerate the availability of effective treatments, providing renewed hope and a brighter future for those affected by this devastating disease.

摘要

阿尔茨海默病(AD)仍然是神经病学领域的一项重大挑战,其特征为进行性认知衰退和神经退行性变。尽管进行了广泛的研究,但仍缺乏有效的治疗方法。传统的药物研发往往缓慢且成本高昂,成功率常常有限。药物重新利用,即确定现有药物的新治疗用途,已成为加速AD治疗开发的一种有前景的方法。本综述探讨了通过利用现有药物已确立的安全性概况和已知机制,药物重新利用在改变AD治疗方面的潜力。我们探索了正在研究用于AD的各种重新利用药物,这些药物最初用于心血管、代谢和精神疾病。详细讨论包括这些药物如何通过抑制β-淀粉样蛋白聚集、减少tau蛋白磷酸化和调节神经炎症来提供神经保护益处。此外,我们强调了药物重新利用的益处,如缩短开发时间、降低成本以及提高临床成功的几率。通过整合当前的研究结果,本综述全面概述了最有前景的重新利用药物候选物及其对AD治疗策略的潜在影响。它强调了AD研究中创新方法的重要性,并呼吁加大对药物重新利用计划的投资。通过这些策略,我们旨在加速有效治疗方法的可用性,为受这种毁灭性疾病影响的人们带来新的希望和更光明的未来。

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