Related Experiment Videos
Multitarget antithrombotic drugs
Miloš Ilić1, Danijel Kikelj, Janez Ilaš
1Faculty of Pharmacy, University of Ljubljana, Aškerčeva 7, SI-1000 Ljubljana, Slovenia.
Abstract:
Thromboembolic disorders are still the leading causes of morbidity and mortality in developed societies. Therefore, prophylaxis and treatment of arterial and venous thrombosis are among the main therapeutic challenges nowadays. Simultaneous action on several targets involved in pathology of thrombosis offers potential advantages compared to existing drugs which were developed as selective modulators of single targets. The review focuses on dual inhibitors of coagulation enzymes, dual antiaggregatory compounds exerting their action on different combinations of platelet targets, as well as on anticoagulant/antiaggregatory compounds which interfere with at least one target involved in blood coagulation and at least one target engaged in the process leading to platelet aggregation.
Insights
Dual-acting drugs targeting multiple pathways offer improved prophylaxis and treatment for thromboembolic disorders, addressing a major health challenge. These innovative therapies aim to overcome limitations of single-target treatments for thrombosis.
Area of Science:
- Pharmacology
- Cardiovascular Medicine
- Hematology
Background:
- Thromboembolic disorders represent a leading cause of morbidity and mortality globally.
- Effective prophylaxis and treatment of arterial and venous thrombosis remain significant therapeutic challenges.
- Current therapies often target single pathways, presenting opportunities for multi-target approaches.
Purpose of the Study:
- To review dual-acting compounds for thrombosis treatment.
- To explore inhibitors targeting coagulation enzymes and platelet aggregation.
- To highlight advantages of simultaneous multi-target intervention.
Main Methods:
- Literature review of dual inhibitors.
- Analysis of compounds acting on coagulation and platelet aggregation.
- Focus on dual anti-coagulant and anti-aggregatory agents.
Main Results:
- Dual inhibitors of coagulation enzymes show promise.
- Dual anti-aggregatory compounds offer novel mechanisms.
- Combined anticoagulant/anti-aggregatory agents present a strategic advantage.
Conclusions:
- Simultaneous multi-target intervention in thrombosis is a promising therapeutic strategy.
- Dual-acting drugs may offer enhanced efficacy over single-target agents.
- Further research into these compounds is warranted for clinical application.
Related Concept Videos
Anticoagulant Drugs: Vitamin K Antagonists and Direct Oral Anticoagulants
Warfarin, a prominent vitamin K antagonist family member, exerts its effect by inhibiting the enzyme VKORC1 (vitamin K epoxide reductase complex 1). By hindering this enzyme, warfarin...
Anticoagulant Drugs: Low-Molecular-Weight Heparins
Venous Thrombosis III: Interprofessional Care
Antiplatelet Drugs: Prostaglandin Synthesis, P2Y12 and Glycoprotein IIb/IIIa Inhibitors
Prostaglandin synthesis inhibitors, exemplified by the widely known aspirin, wield their power by irreversibly acetylating...
Peripheral Artery Disease III: Interprofessional Care
Targets for Drug Action: Overview
Receptors are either membrane-spanning or intracellular proteins, which upon binding a ligand, get activated and transmit the signal downstream to elicit a response. Drugs bind receptors, either mimicking the action of endogenous ligands or blocking the receptor activity to bring about a modified response. Nearly 35% of approved drugs target the G...