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Dual targeting carbonic anhydrase inhibitors as promising therapeutic approach: a structural overview
Katia D'Ambrosio1, Anna Di Fiore1, Emma Langella1
1Institute of Biostructures and Bioimaging - CNR, Napoli, Italy.
Abstract:
The dual-target inhibitor strategy is an evolving approach that holds great potential for treating complex diseases by addressing their multifactorial nature. It can enhance therapeutic outcomes, reduce side effects and avoid the emergence of drug resistance, particularly in conditions like cancer, inflammation and neurological disorders, where multiple pathways contribute to disease progression. Identifying suitable targets for a dual inhibitor approach requires a deep understanding of disease biology, knowledge of critical pathways, and selection of complementary or synergistic targets. Human carbonic anhydrases (hCAs) have been recognized as suitable drug targets for this therapeutic approach. These enzymes play a key role in maintaining pH balance, ion transport, and fluid regulation across various tissues and organs and their dysregulation has been associated to a variety of human pathologies. Consequently, the inhibition of hCAs combined to the possibility to modulate the activity of a second molecular target represents a promising way for developing more effective drugs. In this mini-review, we aim to present an overview of the most significant structural results related to the development of novel therapeutics employing hCA inhibitors as dual-targeting compounds for the treatment of complex diseases.
Insights
Dual-target inhibitors offer a promising strategy for complex diseases by targeting multiple pathways. Human carbonic anhydrase inhibitors are explored for dual-targeting to enhance drug efficacy and combat resistance.
Area of Science:
- Biochemistry
- Pharmacology
- Medicinal Chemistry
Background:
- Dual-target inhibitor strategies address multifactorial diseases like cancer, inflammation, and neurological disorders.
- These strategies enhance therapeutic outcomes, minimize side effects, and prevent drug resistance by targeting multiple disease pathways.
- Human carbonic anhydrases (hCAs) are validated targets due to their roles in pH balance, ion transport, and fluid regulation, with dysregulation linked to various pathologies.
Purpose of the Study:
- To review structural findings in the development of novel therapeutics using dual-targeting strategies.
- To highlight the potential of human carbonic anhydrase inhibitors in dual-targeting drug development for complex diseases.
Main Methods:
- Literature review focusing on structural biology and medicinal chemistry of dual-target inhibitors.
- Analysis of studies involving human carbonic anhydrases as a component of dual-targeting approaches.
Main Results:
- Identification of human carbonic anhydrases as suitable targets for dual-inhibitor design.
- Exploration of structural insights for developing novel therapeutics that combine hCA inhibition with modulation of a second target.
Conclusions:
- Dual-targeting inhibitors, particularly those involving hCAs, represent a promising therapeutic avenue for complex diseases.
- Further structural studies are crucial for designing effective dual-targeting drugs with improved efficacy and reduced resistance.
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