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Published on: August 6, 2020
Aldose reductase inhibitors: 2013-present
Luca Quattrini1, Concettina La Motta1
1a Dipartimento di Farmacia , Università di Pisa , Pisa , Italy.
Introduction:
Aldose reductase (ALR2) is both the key enzyme of the polyol pathway, whose activation under hyperglycemic conditions leads to the development of chronic diabetic complications, and the crucial promoter of inflammatory and cytotoxic conditions, even under a normoglycemic status. Accordingly, it represents an excellent drug target and a huge effort is being done to disclose novel compounds able to inhibit it.
Areas Covered:
This literature survey summarizes patents and patent applications published over the last 5 years and filed for natural, semi-synthetic and synthetic ALR2 inhibitors. Compounds described have been discussed and analyzed from both chemical and functional angles.
Expert Opinion:
Several ALR2 inhibitors with a promising pre-clinical ability to address diabetic complications and inflammatory diseases are being developed during the observed timeframe. Natural compounds and plant extracts are the prevalent ones, thus confirming the use of phytopharmaceuticals as an increasingly pursued therapeutic trend also in the ALR2 inhibitors field. Intriguing hints may be taken from synthetic derivatives, the most significant ones being represented by the differential inhibitors ARDIs. Differently from classical ARIs, these compounds should fire up the therapeutic efficacy of the class while minimizing its side effects, thus overcoming the existing limits of this kind of inhibitors.
Insights
Aldose reductase (ALR2) inhibitors are crucial for treating diabetic complications and inflammatory diseases. Recent research highlights natural compounds and novel synthetic derivatives like ARDIs as promising therapeutic agents.
Area of Science:
- Biochemistry
- Pharmacology
- Medicinal Chemistry
Background:
- Aldose reductase (ALR2) is implicated in diabetic complications and inflammatory conditions.
- ALR2's role in the polyol pathway under hyperglycemia makes it a significant drug target.
- Inhibition of ALR2 is pursued for therapeutic interventions in both diabetic and inflammatory diseases.
Purpose of the Study:
- To review patents and applications for aldose reductase inhibitors over the past five years.
- To analyze natural, semi-synthetic, and synthetic ALR2 inhibitors from chemical and functional perspectives.
- To identify emerging trends and promising candidates in ALR2 inhibitor development.
Main Methods:
- Literature survey of patents and patent applications.
- Analysis of chemical structures and functional properties of ALR2 inhibitors.
- Review of preclinical data for efficacy and safety.
Main Results:
- Numerous ALR2 inhibitors show preclinical promise for diabetic and inflammatory diseases.
- Natural compounds and plant extracts are prevalent, indicating a trend towards phytopharmaceuticals.
- Synthetic differential inhibitors (ARDIs) show potential to improve efficacy and reduce side effects compared to classical inhibitors.
Conclusions:
- The field of aldose reductase inhibitors is active, with significant preclinical development.
- Natural products remain a key focus, alongside innovative synthetic approaches like ARDIs.
- Novel ALR2 inhibitors, particularly ARDIs, offer a promising strategy to overcome limitations of existing treatments.
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