Repurposing of Drugs for Cardiometabolic Disorders: An Out and Out Cumulation

Rufaida Wasim1, Tarique Mahmood Ansari2, Mohammed Haris Siddiqui3

  • 1Pharmacology, Integral University, Lucknow, India.

Hormone and Metabolic Research = Hormon- Und Stoffwechselforschung = Hormones Et Metabolisme
|January 4, 2023
PubMed

Insights

Drug repositioning offers a promising strategy for developing new treatments for cardiometabolic disorders (CMD). This approach leverages existing drugs with known safety profiles, reducing costs and timelines compared to new drug development (NDD).

Area of Science:

  • Cardiology
  • Metabolic Disorders
  • Pharmacology

Background:

  • Cardiometabolic disorders (CMD) are a leading cause of global mortality, encompassing conditions like insulin resistance, diabetes mellitus, hypertension, obesity, and dyslipidemia.
  • These diseases contribute significantly to deaths from cardiovascular events such as myocardial infarction and heart failure.
  • Developing new drugs for CMDs faces challenges including high costs and low success rates.

Purpose of the Study:

  • To explore the potential of drug repositioning as a viable strategy for addressing cardiometabolic disorders.
  • To highlight the advantages of drug repositioning over traditional new drug development (NDD).
  • To provide examples of repositioned medications for cardiometabolic disorders.

Main Methods:

  • Review of existing literature on drug repositioning strategies.
  • Analysis of the benefits of drug repositioning, including cost-effectiveness and reduced timelines.
  • Identification and discussion of successful examples of drug repositioning in the context of CMDs.

Main Results:

  • Drug repositioning presents a cost-effective and time-efficient alternative to NDD for cardiometabolic disorders.
  • The established safety profiles of existing drugs minimize risks associated with repositioning.
  • Pharmaceutical companies are increasingly adopting drug repositioning due to its favorable economics and success rates.

Conclusions:

  • Drug repositioning is a promising avenue for developing novel therapeutic indications for existing medications in cardiometabolic disorders.
  • This strategy can accelerate the availability of effective treatments for a major global health burden.
  • Further research and investment in drug repositioning for CMDs are warranted.

Related Concept Videos

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
481
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
19
Drug Biotransformation: Overview01:16

Drug Biotransformation: Overview

Pharmaceutical substances known as xenobiotics are predominantly lipophilic and nonionized. This enables them to permeate lipid bilayers, such as cell membranes, and interact with intracellular target receptors. Lipophilic drugs have an advantage in crossing biological barriers and reaching their intended sites of action. However, lipophilic drugs often have a restricted capacity for renal expulsion or elimination from the body. When these drugs enter the kidneys and undergo glomerular...
2.5K
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
25
Cardiovascular Drugs: Classification based on Therapeutic Indications01:18

Cardiovascular Drugs: Classification based on Therapeutic Indications

Cardiovascular diseases, encompassing a range of conditions, can significantly affect the heart's operations and the overall circulatory system. These conditions impair the heart's ability to pump blood, leading to a deficit in oxygen supply to crucial organs. Anomalies in the heart's electrical system, known as arrhythmias, can cause heartbeats to accelerate or slow down. Usually, heart rates increase during physical activity and decrease while resting or sleeping. However,...
3.0K
Prodrugs01:30

Prodrugs

Prodrugs are a class of pharmaceutical compounds that undergo a biotransformation process within the body to be converted into a pharmacologically active drug. Prodrugs are designed to improve the therapeutic properties of the parent drug, such as enhancing bioavailability, increasing stability, or reducing toxicity. The concept of prodrugs revolves around modifying the chemical structure of the original drug to make it more effective or convenient for administration.
Prodrugs help overcome...
2.7K