选择性/偏向性/多目标性μ/δ/κ阿片类受体的小分子配体的历史观点和最近的进展 (2019-2022)
Ye He1, Qian Su2, Liyun Zhao1
1Department of Pharmacy, Personalized Drug Therapy Key Laboratory of Sichuan Province, Sichuan Academy of Medical Science & Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, 610072, China.
研究人员正在开发新的阿片类止痛药,以减少呼吸系统抑郁和成等副作用. 本综述侧重于针对阿片类受体 (MOR/DOR/KOR) 的新型选择性,偏向性和多向性连接体,以改善疼痛管理.
科学领域:
- 药理学 药理学是指药理学的学科.
- 药用化学 医学化学
- 神经科学是一个神经科学.
背景情况:
- 阿片类药物广泛用于疼痛,但会引起严重的副作用,如呼吸系统抑郁和成.
- 开发更安全的止痛药是药理学研究中的一个关键挑战.
- 目前的策略包括去阿片类药物,药物基因组学和新型阿片类药物开发.
研究的目的:
- 审查新型阿片类止痛药的最新进展,以改善安全性和有效性.
- 专注于针对mu,delta和kappa阿片类受体 (MOR/DOR/KOR) 的选择性,偏向性和多目标性连接体.
- 探索基于结构的方法和对新型阿片类配体的临床研究.
主要方法:
- 从2019-2022年对研究的文献综述.
- 对阿片类受体的选择性,偏向性和多目标小分子配体的分析.
- 包括冷电子显微镜 (cryoEM) 和基于结构的药物设计方法.
- 审查体外和体内活动,以及临床研究.
主要成果:
- 在开发具有潜在减少副作用的新型阿片类受体配体方面取得了重大进展.
- 探索偏向激烈和多目标策略,以增强镇痛和安全.
- 应用先进的技术,如冷EM用于基于结构的连接体设计.
结论:
- 针对MOR/DOR/KOR的新型阿片类止痛药为传统阿片类药物提供了有希望的替代品.
- 选择性,偏向性和多目标联体代表了未来药物开发的关键领域.
- 在这个领域进行持续的研究对于解决对更安全,更有效的疼痛管理疗法的未满足需求至关重要.
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