Antagonists

拮抗剂
  • 文章类型: Journal Article
    趋化因子受体4(CXCR4)是GPCR家族的一种亚型受体蛋白,具有七跨膜结构,广泛分布于人体组织中。CXCR4与疾病有关(例如,HIV-1感染),癌症增殖和转移,炎症信号通路,和白血病,使其成为有希望的药物靶标。关于CXCR4拮抗剂的临床试验主要集中在肽和抗体,有一些小分子化合物,如AMD11070(2)和MSX-122(3),在癌症治疗中显示出希望。本文讨论了CXCR4的构效关系(SAR)及其在疾病中的作用,主要关注CXCR4拮抗剂的SAR。它还探讨了不同疾病类别中CXCR4结合的标准结构特征和靶标相互作用。此外,它研究了各种修饰策略,以提出CXCR4药物有效性的潜在改善.
    Chemokine receptor 4 (CXCR4) is a subtype receptor protein of the GPCR family with a seven-transmembrane structure widely distributed in human tissues. CXCR4 is involved in diseases (e.g., HIV-1 infection), cancer proliferation and metastasis, inflammation signaling pathways, and leukemia, making it a promising drug target. Clinical trials on CXCR4 antagonists mainly focused on peptides and antibodies, with a few small molecule compounds, such as AMD11070 (2) and MSX-122 (3), showing promise in cancer treatment. This perspective discusses the structure-activity relationship (SAR) of CXCR4 and its role in diseases, mainly focusing on the SAR of CXCR4 antagonists. It also explores the standard structural features and target interactions of CXCR4 binding in different disease categories. Furthermore, it investigates various modification strategies to propose potential improvements in the effectiveness of CXCR4 drugs.
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  • 文章类型: Journal Article
    TRPA1是一种非选择性钙通道,瞬时受体电位(TRP)超家族的成员,也称为“刺激物”受体,被刺激性和有害的外源性化学物质以及内源性的藻类刺激激活,引发疼痛,瘙痒和炎症条件。出于这个原因,它被认为是一个有吸引力的治疗目标,以治疗广泛的疾病,包括急性和慢性疼痛,痒,和炎症性气道疾病。
    本综述涵盖了从2020年至今公开的TRPA1拮抗剂的专利,属于以下主要类别:i)已知或已经公开的拮抗剂的新治疗应用,ii)来自天然来源的TRPA1拮抗剂的鉴定和表征,和iii)新化合物的合成和评价。
    尽管临床试验中TRPA1拮抗剂的数量有限,人们对这种受体通道作为治疗靶标的兴趣越来越大,主要是由于基础研究的相关成果,揭示了新的生理病理机制的鉴定,其中TRPA1被认为起着关键作用,例如阿尔茨海默病或眼病,扩大TRPA1调节剂的潜在治疗应用小组。
    UNASSIGNED: TRPA1 is a nonselective calcium channel, a member of the transient receptor potential (TRP) superfamily, also referred to as the \'irritant\' receptor, being activated by pungent and noxious exogenous chemicals as well as by endogenous algogenic stimuli, to elicit pain, itching, and inflammatory conditions. For this reason, it is considered an attractive therapeutic target to treat a wide range of diseases including acute and chronic pain, itching, and inflammatory airway diseases.
    UNASSIGNED: The present review covers patents on TRPA1 antagonists disclosed from 2020 to present, falling in the following main classes: i) novel therapeutic applications for known or already disclosed antagonists, ii) identification and characterization of TRPA1 antagonists from natural sources, and iii) synthesis and evaluation of novel compounds.
    UNASSIGNED: Despite the limited number of TRPA1 antagonists in clinical trials, there is an ever-growing interest on this receptor-channel as therapeutic target, mainly due to the relevant outcomes from basic research, which unveiled novel physio-pathological mechanisms where TRPA1 is believed to play a pivotal role, for example the Alzheimer\'s disease or ocular diseases, expanding the panel of potential therapeutic applications for TRPA1 modulators.
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  • 文章类型: Journal Article
    神经退行性疾病(ND)包括一系列以进行性神经元丢失为特征的慢性疾病,导致认知,电机,和行为障碍。常见的例子包括阿尔茨海默病(AD)和帕金森病(PD)。NDS的全球患病率正在上升,造成重大的经济和社会负担。尽管进行了广泛的研究,NDS的潜在机制仍未完全理解,阻碍有效治疗方法的发展。兴奋毒性,特别是谷氨酸介导的兴奋性毒性,是与ND有关的关键病理过程。靶向N-甲基-D-天冬氨酸(NMDA)受体,在兴奋性毒性中起着核心作用,拥有治疗的希望。然而,挑战,如血脑屏障穿透和副作用,如锥体外系效应,阻碍了许多NMDA受体拮抗剂在临床试验中的成功。本文就NMDA受体拮抗剂的分子机制进行综述,强调他们的结构,函数,类型,挑战,以及治疗NDS的未来前景。尽管对竞争性和非竞争性NMDA受体拮抗剂进行了广泛的研究,寻求有效治疗仍然面临重大障碍。这部分是因为在病理条件下需要阻断的相同NMDA受体也负责NMDA受体的正常生理功能。NMDA受体的变构调制提出了一种潜在的替代方案,GluN2B亚基由于其在突触前和突触外NMDA受体中的富集而成为特别有吸引力的靶标,它们是兴奋性毒性诱导的神经元细胞死亡的主要贡献者。尽管它们的副作用很低,选择性GluN2B拮抗剂如艾芬普地尔和radiprodil在临床试验中遇到了诸如生物利用度差的障碍。此外,这些拮抗剂的选择性通常是相对的,因为它们已经被证明与其他GluN2亚基结合,尽管最低限度。在开发菲咯酸和萘甲酸衍生物方面的最新进展为增强的GluN2B提供了希望,GluN2A或GluN2C/GluN2D选择性和改善的药效学性质。NMDA受体拮抗剂开发的其他挑战包括相互矛盾的临床前和临床结果。以及神经退行性疾病的复杂性和定义不清的NMDA受体亚型。尽管针对多个变性过程的多功能药物也在探索中,临床数据有限。设计和开发具有多环部分和多靶标性质的选择性GluN2B拮抗剂/调节剂在解决神经退行性疾病方面将是重要的。然而,理解NMDA受体结构和功能的进展,加上药物设计方面的合作努力,对于实现这些NMDA受体拮抗剂/调节剂的治疗潜力是必要的。
    Neurodegenerative disorders (NDs) include a range of chronic conditions characterized by progressive neuronal loss, leading to cognitive, motor, and behavioral impairments. Common examples include Alzheimer\'s disease (AD) and Parkinson\'s disease (PD). The global prevalence of NDs is on the rise, imposing significant economic and social burdens. Despite extensive research, the mechanisms underlying NDs remain incompletely understood, hampering the development of effective treatments. Excitotoxicity, particularly glutamate-mediated excitotoxicity, is a key pathological process implicated in NDs. Targeting the N-methyl-D-aspartate (NMDA) receptor, which plays a central role in excitotoxicity, holds therapeutic promise. However, challenges, such as blood-brain barrier penetration and adverse effects, such as extrapyramidal effects, have hindered the success of many NMDA receptor antagonists in clinical trials. This review explores the molecular mechanisms of NMDA receptor antagonists, emphasizing their structure, function, types, challenges, and future prospects in treating NDs. Despite extensive research on competitive and noncompetitive NMDA receptor antagonists, the quest for effective treatments still faces significant hurdles. This is partly because the same NMDA receptor that necessitates blockage under pathological conditions is also responsible for the normal physiological function of NMDA receptors. Allosteric modulation of NMDA receptors presents a potential alternative, with the GluN2B subunit emerging as a particularly attractive target due to its enrichment in presynaptic and extrasynaptic NMDA receptors, which are major contributors to excitotoxic-induced neuronal cell death. Despite their low side-effect profiles, selective GluN2B antagonists like ifenprodil and radiprodil have encountered obstacles such as poor bioavailability in clinical trials. Moreover, the selectivity of these antagonists is often relative, as they have been shown to bind to other GluN2 subunits, albeit minimally. Recent advancements in developing phenanthroic and naphthoic acid derivatives offer promise for enhanced GluN2B, GluN2A or GluN2C/GluN2D selectivity and improved pharmacodynamic properties. Additional challenges in NMDA receptor antagonist development include conflicting preclinical and clinical results, as well as the complexity of neurodegenerative disorders and poorly defined NMDA receptor subtypes. Although multifunctional agents targeting multiple degenerative processes are also being explored, clinical data are limited. Designing and developing selective GluN2B antagonists/modulators with polycyclic moieties and multitarget properties would be significant in addressing neurodegenerative disorders. However, advancements in understanding NMDA receptor structure and function, coupled with collaborative efforts in drug design, are imperative for realizing the therapeutic potential of these NMDA receptor antagonists/modulators.
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  • 文章类型: Journal Article
    P2X7是参与促炎反应的ATP激活的嘌呤能受体。它与几种疾病的发展有关,包括炎症和神经退行性疾病。尽管最近文献中报道了几种P2X7受体拮抗剂,它们都没有被批准用于临床。然而,已知拮抗剂的结构可以作为支架用于在临床治疗中发现有效的化合物。本研究旨在提出一种改进的虚拟筛选方法,通过基于形状和对接方法的组合,从天然产物中鉴定新型潜在的P2X7受体拮抗剂。首先,基于P2X7拮抗剂JNJ-47965567的结构进行了基于形状的筛选,使用两个天然产物化合物数据库,MEGx(~5.8×103化合物)和NATx(~32×103化合物)。然后,所提出的基于形状的模型选择的化合物,Shape-Tanimoto得分值在0.624和0.799之间,对药物样特性进行过滤。最后,符合药物样过滤标准的化合物停靠在P2X7变构结合位点,使用对接程序GOLD和DockThor。将具有最佳评分值的对接姿势提交给P2X7变构结合位点的仔细视觉检查。根据我们既定的目视检查标准,来自MEGx数据库的四个化合物和来自NATx数据库的四个化合物最终被选作潜在的P2X7受体拮抗剂。所选化合物在结构上不同于已知的P2X7拮抗剂,具有类似药物的特性,并预测与关键的P2X7变构结合口袋残基相互作用,包括F88、F92、F95、F103、M105、F108、Y295、Y298和I310。因此,我们研究中提出的基于形状的筛选和对接方法的组合已被证明可用于从天然产物衍生的化合物数据库中选择潜在的新型P2X7拮抗剂候选物.该方法还可用于选择其他受体和/或生物靶标的潜在抑制剂/拮抗剂。
    P2X7 is an ATP-activated purinergic receptor implicated in pro-inflammatory responses. It is associated with the development of several diseases, including inflammatory and neurodegenerative conditions. Although several P2X7 receptor antagonists have recently been reported in the literature, none of them is approved for clinical use. However, the structure of the known antagonists can serve as a scaffold for discovering effective compounds in clinical therapy. This study aimed to propose an improved virtual screening methodology for the identification of novel potential P2X7 receptor antagonists from natural products through the combination of shape-based and docking approaches. First, a shape-based screening was performed based on the structure of JNJ-47965567, a P2X7 antagonist, using two natural product compound databases, MEGx (~5.8 × 103 compounds) and NATx (~32 × 103 compounds). Then, the compounds selected by the proposed shape-based model, with Shape-Tanimoto score values ranging between 0.624 and 0.799, were filtered for drug-like properties. Finally, the compounds that met the drug-like filter criteria were docked into the P2X7 allosteric binding site, using the docking programs GOLD and DockThor. The docking poses with the best score values were submitted to careful visual inspection of the P2X7 allosteric binding site. Based on our established visual inspection criteria, four compounds from the MEGx database and four from the NATx database were finally selected as potential P2X7 receptor antagonists. The selected compounds are structurally different from known P2X7 antagonists, have drug-like properties, and are predicted to interact with key P2X7 allosteric binding pocket residues, including F88, F92, F95, F103, M105, F108, Y295, Y298, and I310. Therefore, the combination of shape-based screening and docking approaches proposed in our study has proven useful in selecting potential novel P2X7 antagonist candidates from natural-product-derived compounds databases. This approach could also be useful for selecting potential inhibitors/antagonists of other receptors and/or biological targets.
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  • 文章类型: Journal Article
    镇痛和血糖控制被认为是糖尿病相关神经性疼痛患者的两个主要未满足的临床需求。瞬时受体电位香草素1型(TRPV1)通道是疼痛感知的高度验证目标,而由于热疗副作用,没有TRPV1拮抗剂被批准。在这里,通过基于结构的药物设计(SBDD)策略,设计了两个具有类黄酮骨架的新型TRPV1拮抗剂系列。经过综合评价,化合物CX-3被鉴定为有希望的TRPV1拮抗剂。CX-3在体外表现出与经典TRPV1拮抗剂BCTC相当的TRPV1拮抗活性,在福尔马林诱导的无高热风险的炎性疼痛模型中,体内镇痛活性优于BCTC。此外,CX-3表现出强大的降糖作用,并显示出对其他离子通道的高选择性。总的来说,这些发现确定了一流的高选择性TRPV1拮抗剂CX-3,它是靶向糖尿病相关神经性疼痛发病机制的有希望的候选者.
    Analgesia and blood sugar control are considered as two main unmet clinical needs for diabetes related neuropathic pain patients. Transient receptor potential vanilloid type-1 (TRPV1) channel is a highly validated target for pain perception, while no TRPV1 antagonists have been approved due to hyperthermia side effects. Herein, two series of new TRPV1 antagonists with flavonoid skeleton were designed by the structure-based drug design (SBDD) strategy. After comprehensive evaluation, compound CX-3 was identified as a promising TRPV1 antagonist. CX-3 exhibited equivalent TRPV1 antagonistic activity with classical TRPV1 antagonist BCTC in vitro, and exerted better analgesic activity in vivo than that of BCTC in the formalin induced inflammatory pain model without hyperthermia risk. Moreover, CX-3 exhibited robust glucose-lowering effects and showed high selectivity over other ion channels. Overall, these findings identified a first-in-class highly selective TRPV1 antagonist CX-3, which is a promising candidate to target the pathogenesis of diabetes related neuropathic pain.
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  • 文章类型: Journal Article
    L型钙通道(LTCC),电压门控钙通道(VGCC)的最大亚族,是细胞外激发过程中Ca2流入的主要通道。LTCC广泛存在于可兴奋细胞中,尤其是心脏和心血管平滑肌细胞,并参与各种依赖Ca2的过程。LTCC被认为是心血管疾病的有价值的药物靶标,几十年来神经和心理疾病。中药天然产物已显示出作为治疗LTCCs相关疾病的新药的潜力。在这次审查中,基本结构,LTCC的功能,以及由LTCC的结构或功能异常引起的相关人类疾病,总结了天然LTCCs拮抗剂及其潜在用途。
    L-type calcium channels (LTCCs), the largest subfamily of voltage-gated calcium channels (VGCCs), are the main channels for Ca2+ influx during extracellular excitation. LTCCs are widely present in excitable cells, especially cardiac and cardiovascular smooth muscle cells, and participate in various Ca2+-dependent processes. LTCCs have been considered as worthy drug target for cardiovascular, neurological and psychological diseases for decades. Natural products from Traditional Chinese medicine (TCM) have shown the potential as new drugs for the treatment of LTCCs related diseases. In this review, the basic structure, function of LTCCs, and the related human diseases caused by structural or functional abnormalities of LTCCs, and the natural LTCCs antagonist and their potential usages were summarized.
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  • 文章类型: Journal Article
    大量研究表明,ATP门控离子通道嘌呤能受体2X7(P2X7R)在肿瘤进展和癌症疼痛的发病机制中起重要作用。P2X7R需要被细胞外ATP激活以执行其调节作用。在肿瘤发展或癌症引起的疼痛期间,ATP从肿瘤细胞或肿瘤微环境中的其他细胞(如肿瘤相关免疫细胞)中释放,激活P2X7R,打开细胞膜上的离子通道,影响细胞内分子代谢,并调节肿瘤细胞的活性。此外,外周器官和受体可在肿瘤进展过程中受损,和P2X7R在神经细胞(如小胶质细胞)中的表达显著上调,增强感觉传入信息,使中枢神经系统敏感,诱发或加剧疼痛。这些发现表明,ATP-P2X7R信号轴在肿瘤和癌症疼痛的发病机制中起着关键的调节作用,并且还具有治疗作用。因此,在这项研究中,我们探讨了P2X7R在肿瘤和癌症疼痛中的作用,讨论了抑制P2X7R活性(如使用拮抗剂)或阻断其表达在肿瘤和癌痛治疗中的药理特性,为今后两者的治疗提供了重要证据。
    Numerous studies have revealed that the ATP-gated ion channel purinergic 2X7 receptor (P2X7R) plays an important role in tumor progression and the pathogenesis of cancer pain. P2X7R requires activation by extracellular ATP to perform its regulatory role functions. During tumor development or cancer-induced pain, ATP is released from tumor cells or other cells in the tumor microenvironment (such as tumor-associated immune cells), which activates P2X7R, opens ion channels on the cell membrane, affects intracellular molecular metabolism, and regulates the activity of tumor cells. Furthermore, peripheral organs and receptors can be damaged during tumor progression, and P2X7R expression in nerve cells (such as microglia) is significantly upregulated, enhancing sensory afferent information, sensitizing the central nervous system, and inducing or exacerbating pain. These findings reveal that the ATP-P2X7R signaling axis plays a key regulatory role in the pathogenesis of tumors and cancer pain and also has a therapeutic role. Accordingly, in this study, we explored the role of P2X7R in tumors and cancer pain, discussed the pharmacological properties of inhibiting P2X7R activity (such as the use of antagonists) or blocking its expression in the treatment of tumor and cancer pain, and provided an important evidence for the treatment of both in the future.
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  • 文章类型: Journal Article
    视黄酸相关的孤儿受体(ROR)作为转录因子,在体内的许多生理过程中起关键作用。它们的参与延伸到赋予心脏保护作用的关键生物过程,免疫系统,神经系统,以及有助于缓解几种侵袭性癌症类型。这些保护功能归因于ROR对关键蛋白质的调节和对各种细胞过程的管理,包括自噬,线粒体自噬,炎症,氧化应激和葡萄糖代谢,强调了对调节ROR表达的药理学方法的新兴需求。因此,ROR的调节是一个快速增长的研究领域,其目的不仅在于理解这些受体,而且在于操纵它们以获得所需的生理反应。尽管存在天然ROR配体,对这些受体具有高选择性的合成激动剂的开发具有巨大的治疗潜力。此类化合物的探索和进步可以有效地针对与ROR失调相关的疾病,从而为治疗干预提供途径。在这里,我们全面检查了ROR在不同生理和病理生理条件下的多方面作用,伴随着对ROR激动剂谱的深入探索,反向激动剂和拮抗剂。
    Retinoic acid-related orphan receptors (RORs) serve as transcription factors that play a pivotal role in a myriad of physiological processes within the body. Their involvement extends to critical biological processes that confer protective effects in the heart, immune system, and nervous system, as well as contributing to the mitigation of several aggressive cancer types. These protective functions are attributed to ROR\'s regulation of key proteins and the management of various cellular processes, including autophagy, mitophagy, inflammation, oxidative stress, and glucose metabolism, highlighting the emerging need for pharmacological approaches to modulate ROR expression. Thus, the modulation of RORs is a rapidly growing area of research aimed not only at comprehending these receptors, but also at manipulating them to attain the desired physiological response. Despite the presence of natural ROR ligands, the development of synthetic agonists with high selectivity for these receptors holds substantial therapeutic potential. The exploration and advancement of such compounds can effectively target diseases associated with ROR dysregulation, thereby providing avenues for therapeutic interventions. Herein, we provide a comprehensive examination of the multifaceted role of ROR in diverse physiological and pathophysiological conditions, accompanied by an in-depth exploration of a spectrum of ROR agonists, inverse agonists, and antagonists.
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  • 文章类型: Journal Article
    鳄梨是全球最受欢迎的水果之一,也是其可持续生产的趋势,受国际标准监管,正在增加。根腐病是经济上最重要的疾病之一,由肉桂引起的。关于这个问题,由于其植物病原体控制效率,拮抗微生物的使用是一种有趣的选择。因此,肾小球门菌根真菌的相互作用,原产于秘鲁海岸(GWI)和丛林(GFI),和鳄梨根际细菌,枯草芽孢杆菌和恶臭假单胞菌,在\“Zutano\”各种鳄梨植物中对肉桂的生物防治能力进行了评估。结果表明,GWI和枯草芽孢杆菌的组合使根系勘探表面增加了466.36%。P.putida使空中生物量增加了360.44%,枯草芽孢杆菌使根系生物量增加了433.85%。同样,P.putida根瘤菌在叶面水平上显示出最高的氮(24.60mg•g-1DM)和硫(2.60mg•g-1DM)浓度。GWI和枯草芽孢杆菌的组合是钙(16.00mg·g-1DM)和镁(8.80mg·g-1DM)浓度最高的治疗方法。由于菌根和根际细菌之间的相互作用,微生物的多功能性将疾病的严重程度降低了85%至90%。总之,使用对肉桂P具有拮抗作用的促进生长的微生物代表了鳄梨种植可持续管理的潜在策略。
    Avocado is one of the most in-demand fruits worldwide and the trend towards its sustainable production, regulated by international standards, is increasing. One of the most economically important diseases is root rot, caused by Phythopthora cinnamomi. Regarding this problem, antagonistic microorganism use is an interesting alternative due to their phytopathogen control efficiency. Therefore, the interaction of arbuscular mycorrhizal fungi of the phylum Glomeromycota, native to the Peruvian coast (GWI) and jungle (GFI), and avocado rhizospheric bacteria, Bacillus subtilis and Pseudomonas putida, was evaluated in terms of their biocontrol capacity against P. cinnamomi in the \"Zutano\" variety of avocado plants. The results showed that the GWI and Bacillus subtilis combination increased the root exploration surface by 466.36%. P. putida increased aerial biomass by 360.44% and B. subtilis increased root biomass by 433.85%. Likewise, P. putida rhizobacteria showed the highest nitrogen (24.60 mg ∙ g-1 DM) and sulfur (2.60 mg ∙ g-1 DM) concentrations at a foliar level. The combination of GWI and Bacillus subtilis was the treatment that presented the highest calcium (16.00 mg ∙ g-1 DM) and magnesium (8.80 mg ∙ g-1 DM) concentrations. The microorganisms\' multifunctionality reduced disease severity by 85 to 90% due to the interaction between mycorrhizae and rhizobacteria. In conclusion, the use of growth promoting microorganisms that are antagonistic to P. cinnamomi represents a potential strategy for sustainable management of avocado cultivation.
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  • 文章类型: Journal Article
    在过去的十年里,对鞘氨醇-1-磷酸受体2(S1PR2)的研究显着增加,是一种G蛋白偶联受体.在被S1P或其他配体激活后,S1PR2启动下游信号通路,如磷酸肌醇3-激酶(PI3K),丝裂原活化蛋白激酶(MAPK),Rho/Rho相关的含卷曲螺旋激酶(ROCK),和其他人,有助于S1PR2的多种生物学功能,并在各种生理过程和疾病进展中发挥关键作用,比如多发性硬化症,纤维化,炎症,和肿瘤。由于S1PR2广泛的生物学功能,许多S1PR2调节剂,包括激动剂和拮抗剂,已由制药公司开发和发现(例如,诺华和加拉帕戈斯NV)以及用于疾病诊断和治疗的学术药物化学家。然而,很少发表全面概述S1PR2功能和监管机构的评论。在这里,我们对S1PR2及其调制器的功能进展进行了深入回顾。我们起首综述了S1PR2的构造、生物学功效及其在人类疾病中的病理感化。然后我们专注于发现方法,设计策略,发展过程,和S1PR2调节剂的生物医学应用。此外,我们概述了这一领域的主要挑战和未来方向。我们的全面审查将有助于发现和开发更有效和临床适用的S1PR2调节剂。
    Over the past decade, there has been a notable increase in research on sphingosine-1-phosphate receptor 2 (S1PR2), which is a type of G-protein-coupled receptor. Upon activation by S1P or other ligands, S1PR2 initiates downstream signaling pathways such as phosphoinositide 3-kinase (PI3K), Mitogen-activated protein kinase (MAPK), Rho/Rho-associated coiled-coil containing kinases (ROCK), and others, contributing to the diverse biological functions of S1PR2 and playing a pivotal role in various physiological processes and disease progressions, such as multiple sclerosis, fibrosis, inflammation, and tumors. Due to the extensive biological functions of S1PR2, many S1PR2 modulators, including agonists and antagonists, have been developed and discovered by pharmaceutical companies (e.g., Novartis and Galapagos NV) and academic medicinal chemists for disease diagnosis and treatment. However, few reviews have been published that comprehensively overview the functions and regulators of S1PR2. Herein, we provide an in-depth review of the advances in the function of S1PR2 and its modulators. We first summarize the structure and biological function of S1PR2 and its pathological role in human diseases. We then focus on the discovery approach, design strategy, development process, and biomedical application of S1PR2 modulators. Additionally, we outline the major challenges and future directions in this field. Our comprehensive review will aid in the discovery and development of more effective and clinically applicable S1PR2 modulators.
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