共查询到20条相似文献,搜索用时 531 毫秒
1.
Localized delivery, comparing to systemic drug administration, offers a unique alternative to enhance efficacy, lower dosage, and minimize systemic tissue toxicity by releasing therapeutics locally and specifically to the site of interests. Herein, a localized drug delivery platform (“plum‒pudding” structure) with controlled release and long-acting features is developed through an injectable hydrogel (“pudding”) crosslinked via self-assembled triblock polymeric micelles (“plum”) to help reduce renal interstitial fibrosis. This strategy achieves controlled and prolonged release of model therapeutics in the kidney for up to three weeks in mice. Following a single injection, local treatments containing either anti-inflammatory small molecule celastrol or anti-TGFβ antibody effectively minimize inflammation while alleviating fibrosis via inhibiting NF-κB signaling pathway or neutralizing TGF-β1 locally. Importantly, the micelle-hydrogel hybrid based localized therapy shows enhanced efficacy without local or systemic toxicity, which may represent a clinically relevant delivery platform in the management of renal interstitial fibrosis.KEY WORDS: Hydrogel, “Plum‒pudding” structure, Localized therapy, Controlled release, Renal fibrosis, Inflammation, Celastrol, Anti-TGFβ antibody 相似文献
2.
R. L. Chandler 《British journal of pharmacology》1957,12(1):44-46
Studies have been made on the use of the chloride salt of “528” against cattle trypanosomiasis in Nigeria. Toxic effects, terminating in death, were produced in cattle receiving the drug at 5 mg./kg. and above. The maximum permissible dose for field use in Nigeria was found to be 2 mg./kg. The drug had an appreciable curative action against a syringe-transmitted strain of T. congolense, but had no curative effect against two strains of T. vivax. It is concluded that “528” would be of very limited value in the treatment of cattle in West Africa, where T. vivax is the more important cause of cattle trypanosomiasis. 相似文献
3.
Yan Fang Jianxiu Xue Shan Gao Anqi Lu Dongjuan Yang Hong Jiang Yang He Kai Shi 《Drug delivery》2017,24(2):22
To prolong the circulation time of drug, PEGylation has been widely used via the enhanced permeability and retention (EPR) effect, thereby providing new hope for better treatment. However, PEGylation also brings the "PEG dilemma", which is difficult for the cellular absorption of drugs and subsequent endosomal escape. As a result, the activity of drugs is inevitably lost after PEG modification. To achieve successful drug delivery for effective treatment, the crucial issue associated with the use of PEG-lipids, that is, “PEG dilemma” must be addressed. In this paper, we introduced the development and application of nanocarriers with cleavable PEGylation, and discussed various strategies for overcoming the PEG dilemma. Compared to the traditional ones, the vehicle systems with different environmental-sensitive PEG-lipids were discussed, which cleavage can be achieved in response to the intracellular as well as the tumor microenvironment. This smart cleavable PEGylation provides us an efficient strategy to overcome “PEG dilemma”, thereby may be a good candidate for the cancer treatment in future. 相似文献
4.
Ming-cheng Yu Feng Yang Xiao-yu Ding Nan-nan Sun Zheng-yuan Jiang Ya-fei Huang Yu-rong Yan Chen Zhu Qiong Xie Zhi-feng Chen Si-qi Guo Hua-liang Jiang Kai-xian Chen Cheng Luo Xiao-min Luo Shi-jie Chen Yong-hui Wang 《Acta pharmacologica Sinica》2021,42(9):1524
A series of 6-substituted carbazole-based retinoic acid-related orphan receptor gamma-t (RORγt) modulators were discovered through 6-position modification guided by insights from the crystallographic profiles of the “short” inverse agonist 6. With the increase in the size of the 6-position substituents, the “short” inverse agonist 6 first reversed its function to agonists and then to “long” inverse agonists. The cocrystal structures of RORγt complexed with the representative “short” inverse agonist 6 (PDB: 6LOB), the agonist 7d (PDB: 6LOA) and the “long” inverse agonist 7h (PDB: 6LO9) were revealed by X-ray analysis. However, minor differences were found in the binding modes of “short” inverse agonist 6 and “long” inverse agonist 7h. To further reveal the molecular mechanisms of different RORγt inverse agonists, we performed molecular dynamics simulations and found that “short” or “long” inverse agonists led to different behaviors of helixes H11, H11’, and H12 of RORγt. The “short” inverse agonist 6 destabilizes H11’ and dislocates H12, while the “long” inverse agonist 7h separates H11 and unwinds H12. The results indicate that the two types of inverse agonists may behave differently in downstream signaling, which may help identify novel inverse agonists with different regulatory mechanisms. 相似文献
5.
6.
Ting Zhang James Zhenggui Tang Xiaofan Fei Yanping Li Yi Song Zhiyong Qian Qiang Peng 《药学学报(英文版)》2021,11(3):651
Insulin therapy plays an essential role in the treatment of diabetes mellitus. However, frequent injections required to effectively control the glycemic levels lead to substantial inconvenience and low patient compliance. In order to improve insulin delivery, many efforts have been made, such as developing the nanoparticles (NPs)-based release systems and oral insulin. Although some improvements have been achieved, the ultimate results are still unsatisfying and none of insulin-loaded NPs systems have been approved for clinical use so far. Recently, nano‒protein interactions and protein corona formation have drawn much attention due to their negative influence on the in vivo fate of NPs systems. As the other side of a coin, such interactions can also be used for constructing advanced drug delivery systems. Herein, we aim to provide an insight into the advance and flaws of various NPs-based insulin delivery systems. Particularly, an interesting discussion on nano‒protein interactions and its potentials for developing novel insulin delivery systems is initiated.KEY WORDS: Insulin, Diabetic, Nanomaterials, Absorption, Controlled release, Protein adsorption 相似文献
7.
8.
Context: Polymeric nanoparticles (NPs) have been used frequently as drug delivery vehicles. Surface modification of polymeric NPs with specific ligands defines a new biological identity, which assists in targeting of the nanocarriers to specific cancers cells.Objective: The aim of this study is to develop a kind of modified vector which could target the cancer cells through receptor-mediated pathways to increase the uptake of doxorubicin (DOX).Methods: Folate (FA)-conjugated PEG–PE (FA–PEG–PE) ligands were used to modify the polymeric NPs. The modification rate was optimized and the physical–chemical characteristics, in vitro release, and cytotoxicity of the vehicle were evaluated. The in vivo therapeutic effect of the vectors was evaluated in human nasopharyngeal carcinoma KB cells baring mice by giving each mouse 100?µl of 10?mg/kg different solutions.Results: FA–PEG–PE-modified NPs/DOX (FA-NPs/DOX) have a particle size of 229?nm, and 86% of drug loading quantity. FA-NPs/DOX displayed remarkably higher cytotoxicity (812?mm3 tumor volume after 13?d of injection) than non-modified NPs/DOX (1290?mm3) and free DOX solution (1832?mm3) in vivo.Conclusion: The results demonstrate that the modified drug delivery system (DDS) could function comprehensively to improve the efficacy of cancer therapy. Consequently, the system was shown to be a promising carrier for delivery of DOX, leading to the efficiency of antitumor therapy. 相似文献
9.
Aihua Wu Yingzhi Chen Hairui Wang Ya Chang Meng Zhang Pengfei Zhao Yisi Tang Qin Xu Zhuangzhi Zhu Yang Cao Yongzhuo Huang 《药学学报(英文版)》2021,11(11):3622
An essential step for cancer vaccination is to break the immunosuppression and elicit a tumor-specific immunity. A major hurdle against cancer therapeutic vaccination is the insufficient immune stimulation of the cancer vaccines and lack of a safe and efficient adjuvant for human use. We discovered a novel cancer immunostimulant, trichosanthin (TCS), that is a clinically used protein drug in China, and developed a well-adaptable protein-engineering method for making recombinant protein vaccines by fusion of an antigenic peptide, TCS, and a cell-penetrating peptide (CPP), termed an “all-in-one” vaccine, for transcutaneous cancer immunization. The TCS adjuvant effect on antigen presentation was investigated and the antitumor immunity of the vaccines was investigated using the different tumor models. The vaccines were prepared via a facile recombinant method. The vaccines induced the maturation of DCs that subsequently primed CD8+ T cells. The TCS-based immunostimulation was associated with the STING pathway. The general applicability of this genetic engineering strategy was demonstrated with various tumor antigens (i.e., legumain and TRP2 antigenic peptides) and tumor models (i.e., colon tumor and melanoma). These findings represent a useful protocol for developing cancer vaccines at low cost and time-saving, and demonstrates the adjuvant application of TCS—an old drug for a new application.KEY WORDS: Trichosanthin, Legumain, TRP2, Transcutaneous immunization, Adjuvant, Cancer vaccine, Protein engineering 相似文献
10.
Chan Zhang LiangQi Zhao YueFeng Dong XiaoYan Zhang Ji Lin Zhang Chen 《European journal of pharmaceutics and biopharmaceutics》2010,76(1):10-16
A novel targeting drug delivery system (TDDS) has been developed. Such a TDDS was prepared by W1/O/W2 solvent extraction/evaporation method, adopting poly(3-hydroxybutyrate-co-3-hydroxyoctanoate) [P(HB-HO)] as the drug carrier, folic acid (FA) as the targeting ligand, and doxorubicin (DOX) as the model anticancer drug. The average size, drug loading capacity and encapsulation efficiency of the prepared DOX-loaded, folate-mediated P(HB-HO) nanoparticles (DOX/FA–PEG–P(HB-HO) NPs) were found to be around 240 nm, 29.6% and 83.5%. The in vitro release profile displayed that nearly 50% DOX was released in the first 5 days. The intracellular uptake tests of the nanoparticles (NPs) in vitro showed that the DOX/FA–PEG–P(HB-HO) NPs were more efficiently taken up by HeLa cells compared to non-folate-mediated P(HB-HO) NPs. In addition, DOX/FA–PEG–P(HB-HO) NPs (IC50 = 0.87 μM) showed greater cytotoxicity to HeLa cells than other treated groups. In vivo anti-tumor activity of the DOX/FA–PEG–P(HB-HO) NPs showed a much better therapeutic efficacy in inhibiting tumor growth, and the final mean tumor volume was 178.91 ± 17.43 mm3, significantly smaller than normal saline control group (542.58 ± 45.19 mm3). All these results have illustrated that our techniques for the preparing of DOX/FA–PEG–P(HB-HO) NPs developed in present work are feasible and these NPs are effective in selective delivery of anticancer drug to the folate receptor-overexpressed cancer cells. The new TDDS may be a competent candidate in application in targeting treatment of cancers. 相似文献
11.
Despite considerable progresses in cancer treatment, tumor metastasis is still a thorny issue, which leads to majority of cancer-related deaths. In hematogenous metastasis, the concept of “seed and soil” suggests that the crosstalk between cancer cells (seeds) and premetastatic niche (soil) facilitates tumor metastasis. Considerable efforts have been dedicated to inhibit the tumor metastatic cascade, which is a highly complicated process involving various pathways and biological events. Nonetheless, satisfactory therapeutic outcomes are rarely observed, since it is a great challenge to thwart this multi-phase process. Recent advances in nanotechnology-based drug delivery systems have shown great potential in the field of anti-metastasis, especially compared with conventional treatment methods, which are limited by serious side effects and poor efficacy. In this review, we summarized various factors involved in each phase of the metastatic cascade ranging from the metastasis initiation to colonization. Then we reviewed current approaches of targeting these factors to stifle the metastatic cascade, including modulating primary tumor microenvironment, targeting circulating tumor cells, regulating premetastatic niche and eliminating established metastasis. Additionally, we highlighted the multi-phase targeted drug delivery systems, which hold a better chance to inhibit metastasis. Besides, we demonstrated the limitation and future perspectives of nanomedicine-based anti-metastasis strategies.KEY WORDS: Tumor metastasis, Drug delivery systems, Nanomedicine, Metastatic cascade, Seed and soil, Tumor microenvironment, Circulating tumor cells, Premetastatic niche 相似文献
12.
目的 将聚水杨酸(poly-salicylic acid,PSA)连接到羧甲基壳聚糖上,使其形成自组装纳米粒(nanoparticles,NPs),并进行表征和体外评价。方法 以O-羧甲基壳聚糖(O-carboxymethyl chitosan,OCMC)作为亲水骨链,通过二硫键将PSA连接在羧甲基壳聚糖上。利用核磁共振氢谱(1H-NMR)、红外光谱(IR)确证聚合物的结构;采用超声法制备自组装NPs,并对其粒径、Zeta电位进行表征;采用芘荧光探针法测定NPs的临界聚集浓度(critical aggregation concentration,CAC);测定载DOX NPs包封率和载药量;MTT试验考察载药NPs的体外抗肿瘤活性。结果 OCMC二硫键连接PSA NPs(OCMC-SS-PSA NPs)的粒径为(148.5±2.3)nm;CAC值为(0.069 3±0.001 3)mg·mL-1;还原响应性和pH敏感性良好。DOX/OCMC-SS-PSA NPs的粒径为(160.5±1.7)nm,载药量为(17.43±0.56)%,包封率为(89.67±1.23)%。MTT试验表明OCMC-SS-PSA NPs具有良好的生物安全性;细胞摄取试验表明DOX/OCMC-SS-PSA NPs在细胞内滞留时间更长。结论 OCMC-SS-PSA NPs粒径较小,具有良好的还原响应性、pH敏感性和生物安全性。OCMC-SS-PSA NPs可作为兼具还原响应性和pH敏感性的纳米给药系统。 相似文献
13.
Next generation nanomedicine will rely on innovative
nanomaterials
capable of unprecedented performance. Which ones are the most promising
candidates for a medicinal chemist?The expectations are high for
the next generation of nanomedicines: a personalized and efficient
therapy with lower side effects. In tissue engineering, nanomaterial-based
scaffolds will offer a biodegradable support for cell growth and infiltration
to be naturally replaced with time by new biological tissue. In drug
delivery, smart nanodevices will target the disease site; there, an
external trigger will prompt the controlled release of multiple agents
for sensing, high-resolution imaging, and therapy. How can we conceive
such a level of advanced performance without using innovative components?
What are the nanomaterials of the future, and which ones are the most
appealing for a medicinal chemist?The nanomaterial landscape
is vast (Figure (Figure1).1). The medicinal chemist that
looks close-by for familiar chemistry
will see all of the well-characterized polymers, lipids, peptides
and proteins, sugars, and surfactants that can be engineered into
novel nanoformulations. Liposomes, dendrimers, and nanogels have been
used for both controlled drug delivery and cell growth scaffolds.
They are present in many nanomedicines that made it to the clinic,
and most likely, they will appear to some extent also in the nanomedicines
of the future.1 However, if we look a bit
further and stretch our eyes toward the horizon, we will see how the
landscape changes as we encounter the less-explored nanomaterials.
Nanoparticles (NPs), quantum dots (QDs), and carbon nanotubes (CNTs),
in one form or another, are all there. Which way does a medicinal
chemist have to go for the best ingredients for the next generation
nanomedicines?Open in a separate windowFigure 1The medicinal chemist looks at the vast landscape of nanomaterials.Many chemists would make their bet on mesoporous
silica NPs. These
are among the best-characterized NPs in vivo and indeed offer a number
of advantages. Their synthesis can be fine-tuned to a variety of shapes
and sizes (down to a few nanometers). The use of silane mixtures in
their preparation allows for convenient incorporation of functional
groups of choice (e.g., amino, carboxylic, thiol, etc.) for incorporation
of therapeutic or imaging agents. Their porosity allows for high drug
loading (up to 35 wt %).2 Remarkably, the
“Cornell dots” are the first silica-based multimodal
(optical/PET) diagnostic NPs recently approved for human clinical
trials; their PEG coating and small size (<10 nm) allow for good
biodistribution in a melanoma model, and fluorescent dye encapsulation
in the NP core gives them notable brightness.3,4 However,
despite these very encouraging advances, concerns still exist on the
nanomaterial landscape about the coating stability of mesoporous silica
NPs, since it has been shown that uncoated silica NPs are hemolytic.5Magnetic NPs offer different advantages.
They are well-known in
medicine as MRI agents; in addition, their ability to respond to external
magnetic fields gives an opportunity to develop cutting edge applications
in protein and cell manipulation.6 In particular,
superparamagnetic iron oxide NPs (SPIONs) have attracted a lot of
attention for drug delivery applications in theranostics (i.e., combined
therapy and diagnosis). One of the promises of SPIONs is targeted
delivery to the disease site following an external magnetic force.
In fact, their directional movement is usually hampered by blood flow,
and their sensitivity to magnets can be notably reduced by the presence
of a polymer coating (e.g., dextran). However, this organic “shell”
is essential to reduce NPs undesired interaction with proteins and
their subsequent opsonization. Therefore, SPIONs design needs careful
fine-tuning of the “shell” for optimal performance.
To date, opportunities exist to improve SPIONs colloidal stability
in biological fluids (i.e., loss of the polymer coating) and to control
drug delivery, avoiding undesired burst release from the polymer component.7Another class that is drawing a lot of
attention is gold NPs (AuNPs).
Besides spherical NPs, the literature is rich with nanorods, nanocages,
nanostars, and gold shells used to coat other NPs (e.g., SPION cores).
Gold has been known in medicine for a very long time, but the attentive
reader will note that the behavior of nanosized gold objects is a
different matter, due to the high surface area and unique physicochemical
properties. The shape of AuNPs has a big impact on their properties:
spheres absorb visible light, and rods, cages, and shells absorb light
in the near-infrared (NIR) region, where the human body is mostly
transparent. NIR absorption is very useful, since it is employed in
photothermal therapy (i.e., for heat generation to damage diseased
tissue) and in high-resolution photoacustic imaging (i.e., for the
generation of ultrasound waves). AuNPs, modified with both a strong
Raman scatterer and an antibody, enhance the Raman response (surface
enhanced Raman scattering, SERS), whereas the antibody imparts antigenic
specificity.8There is an increasing
number of studies on the matter, but the
heterogeneity of gold NP formulations makes it difficult to generalize
important aspects such as biosafety assessments.9 In addition, despite the vast number of studies on gold
nanomaterials, the functionalization chemistry of gold NPs usually
revolves around the use of either thiols or amines, somewhat limiting
the choice of triggers for drug loading and release. Nevertheless,
imaginative variations have been found, such as the photothermal release
of DNA cargos upon laser irradiation.10QDs are yet another class of which we hear more and more in
nanomedicine,
especially in applications of multimodal imaging. The battle against
cancer needs weapons of increasing sophistication, including tools
to locate micrometastasis with exquisite spatiotemporal resolution.
To this end, we may rely on multimodal imaging, because it is only
with the combination of different techniques that we can go beyond
the limitations of each modality, especially for imaging of deep tissues.11 QDs could be useful components of sophisticated
nanodevices due to their very small size (typically of only a few
nanometers), remarkable brightness, photostability, and ample offering
of emission light colors for optical detection. Nevertheless, major
limitations are posed by their chemical nature, since they are typically
composed of heavy metals (e.g., cadmium, lead), for which QDs stability
and safe excretion from the human body is a must.12In the field of theranostics, CNTs are excellent
candidates, as
they exhibit many properties relevant to these objectives. For instance,
CNTs possess relatively strong NIR absorption, which can be used for
both high-resolution imaging (e.g., photoacustic modality) and photothermal
therapy.11 Although biocompatibility and
safety of CNTs are still an open issue, it is important to note that
CNTs comprise a highly heterogeneous class of materials, for which
biocompatibility data cannot, and should not, be generalized. There
is a growing body of work that shows that CNT fate in vivo is highly
dependent on their purity, physical properties (i.e., length, diameter,
etc.), and chemical nature (i.e., functionalization). Importantly,
there is increasing evidence that biodegradation of CNTs can be achieved
by appropriate chemical modification.13 Derivatization of CNTs offers a variety of options for the imaginative
medicinal chemist, who can covalently attach the polymer of choice
for favorable interactions with biological entities. In addition to
their high external surface, their hollow nature might permit loading
with drugs or other bioactive cargoes, for their safe delivery in
a cellular environment bypassing biological barriers otherwise encountered
by other vectors.14 For instance, data
exist on the ability of certain tubes to act as “cell membrane
needles” and avoid the endocytic pathway.15,16 Another unique property is their ability to boost electrical activity
of multilayered neuronal networks and cultured cardiac myocytes: the
mechanisms of this phenomenon are still unclear and obviously deserve
further investigation.17,18 Clearly, mastering such properties
would pave the way to innovative tissue engineering that, until a
few years back, was simply unthinkable. In our point of view, their
unique properties offer ample opportunity for unprecedented performance
in the field of “smart” nanomedicines; however, their
application in the field is still in its infancy.19In conclusion, the landscape of nanomaterials for
medicines of
the next generation is rich with options, and innovative solutions
will likely be found in the wise combination of different components.
It is clear that the examples reported in this viewpoint are only
a few, representative of a class of materials that is continuously
expanding and that includes an exceedingly high number of examples
and ideas. The medicinal chemists who venture into this field should
not impose limits on their imagination; instead, they should reach
out to and partner with physicists, biologists, and clinicians to
find creative solutions to these complex, multidisciplinary problems.
We believe that hybrid, multifunctional nanomaterials will be the
key components of the next generation of nanomedicines, and the brave
medicinal chemists shall venture into the field to make them a reality. 相似文献
14.
Jeffrey Aubé 《ACS medicinal chemistry letters》2012,3(6):442-444
Drug repurposing is an approach to finding new uses for
older drugs
and has been gaining popularity in recent years. The role of traditional
medicinal chemistry in the context of these efforts is considered.Every practicing medicinal chemist
labors under an assumption that is almost never stated out loud: not
all potentially useful drugs for human use have yet been found. It
certainly seems like a reasonable viewpoint, given the number of medical
conditions either for which there is no pharmacotherapy available
or for which existing treatments leave much to be desired. However,
another way of addressing this need has gained steam in recent years.
“Drug repurposing” is the practice of looking for new
clinical uses of existing drugs, which contrasts sharply from de novo
drug discovery approaches to therapeutics. The purpose of this essay
will be to consider this approach, contrast it to traditional medicinal
chemistry, and consider how the two approaches could positively complement
each other.The primary concern of all who engage in applied
biomedical research
should be helping patients in the absence of disciplinary bias. For
the medicinal chemist, this means that the goal is to identify the
best drug regardless of provenance or commercial concerns (including
the recognition that drug therapy itself is not always the best course
of action). Of course, pragmatic compromises must usually be considered,
whether scientific or economic in nature. “Best” has
a temporal connotation as well: the “best” drug today
can change as new agents are introduced or as new information is obtained
in and beyond clinical trials. For example, there are numerous conditions
for which patients would gladly accept an imperfect cure, especially
if one does not presently exist. In such cases, the lives of those
who suffer improve to some degree, immediately. The state-of-the-art
therapies in such areas as Alzheimer’s or Parkinson’s
disease, as well as many types of cancer, can very much be viewed
in this way. Attaining such a status quo does not mean that all research
toward better treatments will stop. To the contrary, this is one area
where the self-correcting nature of science flowers best, as scientists
and clinicians work together to build a better tomorrow on top of
yesterday’s achievements.One of the hardest parts of
a de novo drug discovery campaign is
starting out, in part due to the challenges of selecting and establishing
initial structure–activity relationships on a given chemical
series to explore. The short-term assessment of chemical series may
be relatively easy to uncover through the selection of appropriate
assays and biological models selection, but selecting the right series—i.e., one able to surmount all of the
hurdles between discovery chemistry and the clinic—is much harder for the nonclairvoyant. Conventional wisdom
has deemed most of the innovations meant to increase passage from
early- to late-stage drug discovery wanting, especially the coupling
of combinatorial chemistry with high-throughput screening.1 Although the idea that combinatorial chemistry
or any other individual approach has failed is debatable, one thing
that everyone can agree on is that it is harder than ever to develop
a new drug and that these challenges have negatively impacted the
global pharmaceutical enterprise.Enter drug repurposing.Generically, drug repurposing is a collection of approaches that
collectively seek to adapt the current pharmacopeia for new uses.2−4 Included in the complicated taxonomy that is being developed for
such approaches5 is “drug rescue”,
in which promising compounds that have been developed for one indication
but have failed to reach the clinic are redirected toward another.
For the purposes of this discussion, I will not attempt to differentiate
between different flavors of drug repurposing but consider the concept
in broad strokes.The proponents of drug repurposing cite numerous
scientific advantages
of the idea. To my mind, foremost among these is related to a prime
challenge in moving a molecule discovered by target-centric biology
forward, namely establishing the validity of a new biological target
in the treatment of disease. In this view, a considerable amount of
time may be saved, as clinical trials would have been facilitated
by the fact that the fictional repurposed candidate would have already
been approved for use in humans. Other advantages attributed to repurposed
drugs accrue from the fact that so much is known about them relative
to newly synthesized molecules. As a class, they have at least tolerable
safety and pharmacokinetic profiles, or they would not have been approved
in the first place; minimally, one knows what one is dealing with
(although it must be noted that, for drug rescue programs, one also
knows that one is dealing with drug candidates that have, in fact,
failed to reach the clinic). There are no hidden issues with respect
to manufacturing or stability issues, and indeed, many drugs are off
patent and may provide relatively inexpensive solutions for new problems.
And they are available. Pragmatically, one can dovetail a repurposing
effort with screening by the modest expedient of replacing a traditional
screening library, which often contains hundreds of thousands of compounds,
with a much smaller library of approved drug candidates. Such a library
is a key component of one important approach to drug repurposing/rescue
being carried out under the banner of the newly formed National Center
for Advancing Translational Science.6−9 Careful combinatorialization
of the screening effort
might uncover novel combinations of agents that are superior to single
compounds, an approach that would be harder to apply to larger numbers
of relatively unknown compound streams that would still require optimization
(as might the repurposed drugs as well, but more about that shortly).Other, nonscience-based factors have been partly responsible for
the uptick in drug repurposing efforts, especially in academic- or
foundation-based drug discovery efforts, many of which do not have
at their beck and call a team of highly skilled medicinal chemists.
For universities and research institutes seeking to establish themselves
as bona fide players in drug discovery, a significant milestone is
entry of a compound into clinical trials. The attractiveness of the
repurposing approach for that milestone is obvious, even if the validity
of entry into clinical trials as the primary measure of success (as
opposed to successful passage through clinical trials into
the clinic) is subject for discussion. Moreover, when confronted
with the recognized difficulties and crushing expense of bringing
a molecule all the way from discovery/design/optimization and into
the clinic, the allure of a repurposing approach is understandable.What does all of this say about the role of the medicinal chemist
in the twenty-first century? Some are quick to point out the downsides
of repurposing, ranging from the lack of understanding of how the
molecules are working (i.e., when the repurposed drug arose from a
phenotypic or alternative assay lacking resolution vis-à-vis
target) to the challenges of formulating a workable business model
for patenting and employing a treatment that someone already owns.
However, to defend traditional drug discovery by pointing to these
concerns would be a cop-out. If real cures are to be found through
drug repurposing of any ilk, creative solutions to its problems will
not be far behind. And we owe it to patients to provide help regardless
from which scientific approach the help arises or who benefits. (Remember
that stuff about “identifying the best drug regardless of provenance”?
I meant it.)It is always dangerous to make predictions and
doubly so to do
it in print, but here goes. I suspect that drug repurposing, from
a strictly scientific perspective, will grow in popularity as its
potential is demonstrated and successes are seen. But like combinatorial
chemistry and nearly every other “new” technology or
approach, it is likely to reach a point where limits become more and
more clear. At this point, discovery tools tend to reach their appropriate
equilibrium and become accepted, warts and all, for what they are.
Unless, in the process, it becomes clear that every useful drug molecule
has indeed already been discovered (which is so unlikely,
given the vastness of chemical space and the diversity of both target-
and nontarget-based challenges in negotiating the biological milieu),
de novo and repurposing approaches to drug therapy discovery will
coexist.While giving drug repurposing its chance to succeed
or fail on
its own merits, I’d like to advocate for maintaining a strong
pipeline of drugs discovered and developed through de novo medicinal
chemistry. This is due to the unique ability of synthetic medicinal
chemistry to provide and optimize novel chemical matter and my strong
sense that the need for such compounds is not going to end anytime
soon. Drug repurposing’s or, especially, drug rescue’s
reliance on finding a molecule in just the right chemical spot to
cross the goal line is analogous to scoring in American football via
pass interception or fumble recovery near the goal line. It is great
when it happens, but successful football teams need a diversified
strategy that also includes the long game, as tough as it can be.
To this point, a case can be made that the additional time needed
to optimize a given agent through SAR may not be the overwhelming
cost driver in current drug development when compared to the cost
of clinical studies.Moreover, far from feeling threatened by
drug purposing as a competing
strategy, the medicinal chemist should use this tool when it makes
sense to do so. Two limiting conditions can be envisioned for a successful
repurposing project. In one, the drug acts at the same single target
but with different outcomes that depend on the physical site of biological
action. Even if the same drug were to be useful in both contexts,
one can easily envision different distribution or metabolism issues
that would require additional structural tweaking of the compound.
Taking advantage of such a situation does require that the medicinal
chemist come ready to ply her or his trade in the service of manipulating
pharmaceutic properties—which I would argue ought to be part
of every discovery scientist’s personal toolbox in any circumstance.The opposite end of the spectrum leads to even more clear-cut conclusions.
If the “old” purpose of the drug and the “new”
one have different biochemical targets, it is extremely unlikely that
the repurposed drug has been preoptimized for the latter situation.
In other words, there is no reason to suppose that a structure–activity
relationship campaign carried out to optimize a compound for target
A would be identical to that needed for compound B. This leads to
the familiar situation, described above, where the repurposed drug,
even if first-in-class to the clinic, represents a tentative solution
that would eventually be rendered obsolete by a subsequent drug that
would be even better. Medicinal chemists should feel enabled to tackle
such a “fast follow-on” approach to new chemical matter,
but to do so, they will have to come to grips with the understanding
that the best way forward may not allow them to have the satisfaction
of having invented the whole scaffold from the project’s inception
(IP attorneys will have to deal with the business and legal aspects
of the same realization as well). Some solace may be taken from the
fact that, if the repurposed drug is a member of a privileged class
of chemical matter, many of the synthetic analogues needed may well
already exist in the physical universe and be available at relatively
modest expense.As long as the field has existed, medicinal
chemistry has sought
to incorporate new tools and approaches to accomplish its mission
of providing society with new and better drugs. Drug resourcing need
not deter us from this path, even if it means that the mission statement
will sometimes be edited to read “providing society with better
drugs that are not necessarily so new”. So long as the field
of medicinal chemistry continues to demonstrate its worth by providing
novel solutions to important problems, and so long as these efforts
are supported by the business and academic research communities, we
will earn our place in the global biomedical research community. 相似文献
15.
Bingchen Zhang Jiali Jiang Pengyu Wu Junjie Zou Jingqing Le Juanfang Lin Chao Li Bangyue Luo Yongjie Zhang Rui Huang Jingwei Shao 《药学学报(英文版)》2021,11(1):246-257
Nanotechnology has emerged as an ideal approach for achieving the efficient chemo agent delivery. However, the potential toxicity and unclear internal metabolism of most nano-carriers was still a major obstacle for the clinical application. Herein, a novel “core‒shell” co-assembly carrier-free nanosystem was constructed based on natural sources of ursolic acid (UA) and polyphenol (EGCG) with the EpCAM-aptamer modification for hepatocellular carcinoma (HCC) synergistic treatment. As the nature products derived from food-plant, UA and EGCG had good anticancer activities and low toxicity. With the simple and “green” method, the nanodrugs had the advantages of good stability, pH-responsive and strong penetration of tumor tissues, which was expected to increase tumor cellular uptake, long circulation and effectively avoid the potential defects of traditional carriers. The nanocomplex exhibited the low cytotoxicity in the normal cells in vitro, good biosafety of organic tissues and efficient tumor accumulation in vivo. Importantly, UA combined with EGCG showed the immunotherapy by activating the innate immunity and acquired immunity resulting in significant synergistic therapeutic effect. The research could provide new ideas for the research and development of self-assembly delivery system in the future, and offer effective intervention strategies for clinical HCC treatment.KEY WORDS: Natural product, Ursolic acid, EGCG, Aptamer, Co-assembly, Nanodrug, HCC, Synergistic treatment, Immunotherapy 相似文献
16.
M. H. Evans 《British journal of pharmacology》1964,22(3):478-485
A purified extract of toxic lamellibranchs, Saxidomus giganteus (Deshayes), containing “paralytic shellfish poison,” has been tested for its effects on conduction and contraction in frog nerve and muscle. The poison was very toxic and concentrations within the range 0.025 to 0.1 μg/ml. paralysed isolated muscle preparations, with abolition of the muscle action potential. The poison did not readily penetrate the perineurium, but in desheathed sciatic nerves the conduction of nerve impulses was rapidly blocked by concentrations of 0.05 to 0.1 μg/ml. There was no evidence that the poison had any specific curarizing action at the neuromuscular junction, and the paralysis was not accompanied by any appreciable depolarization of the muscle membrane. 相似文献
17.
Thiruganesh Ramasamy Tuan Hiep Tran Hyuk Jun Cho Jeong Hwan Kim Yong Il Kim Jae Yoon Jeon Han-Gon Choi Chul Soon Yong Jong Oh Kim 《Pharmaceutical research》2014,31(5):1302-1314
Purpose
To investigate the effect of polyelectrolytes on the formation and physicochemical properties of chitosan nanoparticles (CS-NPs) used for the delivery of an anticancer drug, doxorubicin (DOX).Method
Three DOX-loaded CS-NPs were formulated with tripolyphosphate (CS-TP/DOX NPs), dextran sulfate (CS-DS/DOX NPs), and hyaluronic acid (CS-HA/DOX NPs) by using ionotropic gelation or complex coacervation.Results
CS-TP/DOX NPs were the smallest, with an average size of ~100 nm and a narrow size distribution, while CS-DS/DOX and CS-HA/DOX NPs were ~200 nm in size. Transmission electron microscopy clearly showed a spherical shape for all the NPs. The strong binding affinity of DOX for the multiple sulfate groups in DS resulted in a sustained release profile from CS-DS/DOX NPs at pH 7.4, while CS-HA/DOX NPs exhibited faster DOX release. This trend was also present under acidic conditions, where release of DOX was significantly augmented because of polymer protonation. Compared to CS-TP/DOX or CS-DS/DOX NPs, CS-HA/DOX NPs showed superior cellular uptake and cytotoxicity in MCF-7 and A-549 cells, because of their ability to undergo CD44-mediated endocytosis. Pharmacokinetic studies clearly showed that all CS-NPs tested significantly improved DOX plasma circulation time and decreased its elimination rate constant. Consistent with the in vitro release data, CS-DS/DOX NPs exhibited a relatively better DOX plasma profile and enhanced blood circulation, compared to CS-HA/DOX or CS-TP/DOX NPs. Overall, these results demonstrated how NP design can influence their function.Conclusions
Taken together, CS-based polyelectrolyte complexes could provide a versatile delivery system with enormous potential in the pharmaceutical and biomedical sectors. 相似文献18.
Chondroitin sulfate A-deoxycholic acid (CSA-DOCA)-based nanoparticles (NPs) were produced for tumor-targeted delivery of doxorubicin (DOX). The hydrophobic deoxycholic acid (DOCA) derivative was conjugated to the hydrophilic chondroitin sulfate A (CSA) backbone via amide bond formation, and the structure was confirmed by 1H-nuclear magnetic resonance (NMR) analysis. Loading the DOX to the CSA-DOCA NPs resulted in NPs with an approximately 230 nm mean diameter, narrow size distribution, negative zeta potential, and relatively high drug encapsulation efficiency (up to 85%). The release of DOX from the NPs exhibited sustained and pH-dependent release profiles. The cellular uptake of DOX from the CSA-DOCA NPs in CD44 receptor-positive human breast adenocarcinoma MDA-MB-231 cells was reduced when co-treated with free CSA, indicating the interaction between CSA and the CD44 receptor. The lower IC50 value of DOX from the CSA-DOCA NPs compared to the DOX solution was also probably due to this interaction. Moreover, the ability of the developed NPs to target tumors could be inferred from the in vivo and ex vivo near-infrared fluorescence (NIRF) imaging results in the MDA-MB-231 tumor-xenografted mouse model. Both passive and active strategies appear to have contributed to the in vivo tumor targetability of the CSA-DOCA NPs. Therefore, these CSA-DOCA NPs could further be developed into a theranostic nanoplatform for CD44 receptor-positive cancers. 相似文献
19.
Junyang Qi Yue Xiong Ke Cheng Qi Huang Jingxiu Cao Fumei He Lin Mei Gan Liu Wenbin Deng 《Asian Journal of Pharmaceutical Sciences》2021,16(2):222
Black phosphorus (BP) nano-materials, especially BP quantum dots (BPQDs), performs outstanding photothermal antitumor effects, excellent biocompatibility and biodegradability. However, there are several challenges to overcome before offering real benefits, such as poor stability, poor dispersibility as well as difficulty in tailoring other functions. Here, a “three-in-one” mitochondria-targeted BP nano-platform, called as BPQD-PEG-TPP, was designed. In this nano-platform, BPQDs were covalently grafted with a heterobifunctional PEG, in which one end was an aryl diazo group capable of reacting with BPQDs to form a covalent bond and the other end was a mitochondria-targeted triphenylphosphine (TPP) group. In addition to its excellent near-infrared photothermal properties, BPQD-PEG-TPP had much enhanced stability and dispersibility under physiological conditions, efficient mitochondria targeting and promoted ROS production through a photothermal effect. Both in vitro and in vivo experiments demonstrated that BPQD-PEG-TPP performed much superior photothermal cytotoxicity than BPQDs and BPQD-PEG as the mitochondria targeted PTT. Thus this “three-in-one” nanoplatform fabricated through polymer grafting, with excellent stability, dispersibility and negligible side effects, might be a promising strategy for mitochondria-targeted photothermal cancer therapy. 相似文献