The emergence of designed multiple ligands for neurodegenerative disorders

Werner J Geldenhuys1, Moussa B H Youdim, Richard T Carroll

  • 1Department of Pharmaceutical Sciences, Northeast Ohio Medical University (NEOMED), 4209 State Route 44, Rootstown, OH 44272, USA.

Insights

Multifunctional drugs targeting complex neurodegenerative diseases show promise. These designed multiple ligands (DMLs) offer better outcomes than single-target drugs in preclinical studies for conditions like Alzheimer's and Parkinson's disease.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Drug Discovery

Background:

  • Neurodegenerative diseases are increasing globally due to longer life expectancy.
  • Current treatments are limited, with few disease-modifying therapies available.
  • The complex and heterogeneous nature of these diseases makes single-target drugs less effective.

Purpose of the Study:

  • To review the rationale for developing multifunctional drugs (designed multiple ligands or DMLs).
  • To discuss why DMLs may offer better outcomes than single-target drugs for neurodegenerative diseases.
  • To highlight examples of DMLs in preclinical and clinical development.

Main Methods:

  • Literature review of peer-reviewed articles on drug design and discovery for neurodegenerative diseases.
  • Analysis of preclinical and clinical data for single-targeted versus multifunctional drug candidates.
  • Discussion of the complex pathophysiology of neurodegenerative diseases.

Main Results:

  • Multifunctional drugs (DMLs) are emerging as a promising strategy for complex diseases.
  • Preclinical studies suggest DMLs may outperform single-targeted drugs for Alzheimer's and Parkinson's disease.
  • The review covers successful, unsuccessful, and pipeline DML candidates.

Conclusions:

  • The complexity of neurodegenerative diseases necessitates a move towards multifunctional drug development.
  • Designed multiple ligands (DMLs) represent a rational approach to address multiple targets in disease pathways.
  • Further research and development of DMLs are crucial for advancing treatment options for neurodegenerative disorders.

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