drug repositioning

药物重新定位
  • 文章类型: Journal Article
    PSMB8是一个与癌症生存相关的重要基因。然而,其在急性髓细胞性白血病(AML)中的潜在治疗作用仍未在现有文献中得到探讨.本研究的主要目的是系统地筛选一个庞大的分子实体库,从各种数据库中筛选,以鉴定对PSMB8具有亲和力的前瞻性抑制剂。通过使用PyRx中的AutoDock工具(版本0.9.9),对从ZINC15数据库获得的各种分子化合物进行了PSMB8的分子对接模拟,以阐明结合亲和力。在对接模拟之后,通过全面的ADMET(吸收,分布,新陈代谢,排泄,和毒性)采用AdmetSar和SwissADME工具进行分析。最后,RMSD,RMSF,Rg,和H键分析通过GROMACS进行以确定代表该研究的候选试剂的最佳构象动态分子。经过严格的评估,Adozelesin,Fiduxosin,和Rimegepant是基于包括生物利用度评分在内的考虑因素而被挑出来的,符合过滤标准,和急性口服毒性水平。此外,配体相互作用分析表明,Adozelesin和Fiduxosin表现出增加的氢键形成倾向,在蛋白质-配体相互作用中具有促进作用的因素。经过最后的分析,我们报道,Fiduxosin可能通过逆转AML中PSMB8高激活导致的低生存率而提供治疗可能性.这项研究代表了重新利用现成药物的战略尝试,潜在地消除了从头药物开发的需要,从而为特定疾病的治疗干预提供了有希望的途径。
    PSMB8 emerges as a prominent gene associated with cancer survival, yet its potential therapeutic role in acute myeloid leukemia (AML) remains unexplored within the existing literature. The principal aim of this study is to systematically screen an expansive library of molecular entities, curated from various databases to identify the prospective inhibitory agents with an affinity for PSMB8. A comprehensive assortment of molecular compounds obtained from the ZINC15 database was subjected to molecular docking simulations with PSMB8 by using the AutoDock tool in PyRx (version 0.9.9) to elucidate binding affinities. Following the docking simulations, a select subset of molecules underwent further investigation through comprehensive ADMET (absorption, distribution, metabolism, excretion, and toxicity) analysis employing AdmetSar and SwissADME tools. Finally, RMSD, RMSF, Rg, and H bond analyses were conducted via GROMACS to determine the best conformationally dynamic molecule that represents the candidate agent for the study. Following rigorous evaluation, Adozelesin, Fiduxosin, and Rimegepant have been singled out based on considerations encompassing bioavailability scores, compliance with filter criteria, and acute oral toxicity levels. Additionally, ligand interaction analysis indicates that Adozelesin and Fiduxosin exhibit an augmented propensity for hydrogen bond formation, a factor recognized for its facilitative role in protein-ligand interactions. After final analyses, we report that Fiduxosin may offer a treatment possibility by reversing the low survival rates caused by PSMB8 high activation in AML. This study represents a strategic attempt to repurpose readily available pharmaceutical agents, potentially obviating the need for de novo drug development, and thereby offering promising avenues for therapeutic intervention in specific diseases.
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  • 文章类型: Journal Article
    由于成本上升和新药开发速度较慢,研究人员对现有药物的药物再利用或药物再定位感兴趣。授权这些治疗的其他调查使用了实验研究和标签外药物使用的数据。对抑郁症原因的更多研究可能会导致更有效的药物再利用努力。除了神经递质如血清素和肾上腺素的损失,炎症,血流不足,和神经毒素现在被认为是合理的机制。由于这些其他机制,重新利用药物导致了难治性抑郁症。本章重点介绍治疗替代方案及其在药物重新定位中的有效性。非典型抗精神病药,中枢神经系统兴奋剂,和神经递质拮抗剂已经研究了可能的再利用。尽管如此,需要进行广泛的研究以确保其制定,有效性,和法规遵从性。
    Researchers are interested in drug repurposing or drug repositioning of existing pharmaceuticals because of rising costs and slower rates of new medication development. Other investigations that authorized these treatments used data from experimental research and off-label drug use. More research into the causes of depression could lead to more effective pharmaceutical repurposing efforts. In addition to the loss of neurotransmitters like serotonin and adrenaline, inflammation, inadequate blood flow, and neurotoxins are now thought to be plausible mechanisms. Because of these other mechanisms, repurposing drugs has resulted for treatment-resistant depression. This chapter focuses on therapeutic alternatives and their effectiveness in drug repositioning. Atypical antipsychotics, central nervous system stimulants, and neurotransmitter antagonists have investigated for possible repurposing. Nonetheless, extensive research is required to ensure their formulation, effectiveness, and regulatory compliance.
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  • 文章类型: Journal Article
    多重耐药细菌的上升是公认的对世界健康的威胁,需要实施有效的治疗。这一问题已被世界卫生组织确定为全球议程上的最高优先事项。某些菌株,如光滑念珠菌,克鲁斯念珠菌,念珠菌,耳念珠菌,选择隐球菌物种,和机会性曲霉或镰刀菌,对许多抗真菌药物有显著的内在耐药性。这种固有的耐药性和随后的次优临床结果强调了增强治疗替代方案和管理方案的关键必要性。有效治疗真菌感染的挑战,加上研发新药的时间过长,强调了探索替代治疗途径的迫切需要。其中,药物再利用成为一种特别有希望和迅速的解决方案,提供具有成本效益的解决方案和安全利益。在对抗危及生命的耐药性真菌感染的斗争中,重新利用现有药物的想法鼓励了对已建立和新化合物作为最后手段的研究。本章旨在提供当代抗真菌药物的全面概述,以及它们的主要抵抗机制。此外,它旨在深入了解非传统药物的抗菌特性,从而为抗真菌疗法的发展提供了一个整体的视角。
    The rise of multidrug-resistant bacteria is a well-recognized threat to world health, necessitating the implementation of effective treatments. This issue has been identified as a top priority on the global agenda by the World Health Organization. Certain strains, such as Candida glabrata, Candida krusei, Candida lusitaniae, Candida auris, select cryptococcal species, and opportunistic Aspergillus or Fusarium species, have significant intrinsic resistance to numerous antifungal medicines. This inherent resistance and subsequent suboptimal clinical outcomes underscore the critical imperative for enhanced therapeutic alternatives and management protocols. The challenge of effectively treating fungal infections, compounded by the protracted timelines involved in developing novel drugs, underscores the pressing need to explore alternative therapeutic avenues. Among these, drug repurposing emerges as a particularly promising and expeditious solution, providing cost-effective solutions and safety benefits. In the fight against life-threatening resistant fungal infections, the idea of repurposing existing medications has encouraged research into both established and new compounds as a last-resort therapy. This chapter seeks to provide a comprehensive overview of contemporary antifungal drugs, as well as their key resistance mechanisms. Additionally, it seeks to provide insight into the antimicrobial properties of non-traditional drugs, thereby offering a holistic perspective on the evolving landscape of antifungal therapeutics.
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  • 文章类型: Journal Article
    女性癌症,其中包括乳腺癌和妇科癌症,对妇女来说是一个巨大的全球健康负担。尽管在发掘这些癌症的关键病理特征方面取得了进展,在发现潜在的治疗策略方面仍然存在挑战。与从头药物发现和临床复杂性(如耐药性和转移的发展)相关的经济负担进一步加剧了这一点。药物再利用,一种创新的方法,利用现有的FDA批准的药物用于新的适应症,提出了加快治疗发展的有希望的途径。计算技术,包括药物-目标-疾病关系的虚拟筛查和分析,能够识别潜在的候选药物。不同数据类型的集成,例如组学和临床信息,提高药物再利用策略的精确性和有效性。实验方法,包括高通量筛选试验,在体外,和体内模型,补充计算方法,促进再利用药物的验证。这篇综述强调了基于差异基因表达分析的各种目标挖掘策略,加权基因共表达,蛋白质-蛋白质相互作用网络,和宿主-病原体相互作用,在其他人中。为了挖掘候选药物,利用来自DrugBank等数据库的信息的技术性,STITCH,LINCS,和ChEMBL,其中有讨论。进一步的模拟验证技术,包括分子对接,药效团建模,分子动力学模拟,并对ADMET分析进行了阐述。总的来说,这篇综述深入探讨了个别案例研究的探索,为不断发展的药物再利用领域提供了广泛的视角,强调用于对抗女性癌症的多方面方法和方法。
    Female cancers, which include breast and gynaecological cancers, represent a significant global health burden for women. Despite advancements in research pertinent to unearthing crucial pathological characteristics of these cancers, challenges persist in discovering potential therapeutic strategies. This is further exacerbated by economic burdens associated with de novo drug discovery and clinical intricacies such as development of drug resistance and metastasis. Drug repurposing, an innovative approach leveraging existing FDA-approved drugs for new indications, presents a promising avenue to expedite therapeutic development. Computational techniques, including virtual screening and analysis of drug-target-disease relationships, enable the identification of potential candidate drugs. Integration of diverse data types, such as omics and clinical information, enhances the precision and efficacy of drug repurposing strategies. Experimental approaches, including high-throughput screening assays, in vitro, and in vivo models, complement computational methods, facilitating the validation of repurposed drugs. This review highlights various target mining strategies based on analysis of differential gene expression, weighted gene co-expression, protein-protein interaction network, and host-pathogen interaction, among others. To unearth drug candidates, the technicalities of leveraging information from databases such as DrugBank, STITCH, LINCS, and ChEMBL, among others are discussed. Further in silico validation techniques encompassing molecular docking, pharmacophore modelling, molecular dynamic simulations, and ADMET analysis are elaborated. Overall, this review delves into the exploration of individual case studies to offer a wide perspective of the ever-evolving field of drug repurposing, emphasizing the multifaceted approaches and methodologies employed for the same to confront female cancers.
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  • 文章类型: Journal Article
    再生医学和化妆品目前是药物发现的两个突出领域。尽管许多用于再生医学和化妆品的药品已获得官方机构的批准,仍然需要克服一些挑战,尤其是财务和时间问题。因此,药物重新定位,这是以前批准的药物用于新的治疗,作为解决这些问题的一种有希望的方法。最近,收集了越来越多的科学证据来证明这种新方法在再生医学和化妆品领域的适用性。药物开发专家还利用新技术发现新的候选物,用于按照计算方法进行重新定位。药物重新定位的两种主要方法之一。因此,许多重新利用的候选人已经获得批准进入市场,并见证了财务上的成功,如米诺地尔和芬戈莫德。药物重新定位的好处对于再生医学和化妆品是不可否认的。然而,关于这种方法的某些方面仍然需要仔细考虑,包括临床试验期间的实际有效性,专利条例,数据集成和分析,公开不可用的数据库以及环境问题和更多的努力需要克服这些障碍。
    Regenerative medicine and cosmetics are currently two outstanding fields for drug discovery. Although many pharmaceutical products for regenerative medicine and cosmetics have received approval by official agencies, several challenges are still needed to overcome, especially financial and time issues. As a result, drug repositioning, which is the usage of previously approved drugs for new treatment, stands out as a promising approach to tackle these problems. Recently, increasing scientific evidence is collected to demonstrate the applicability of this novel method in the field of regenerative medicine and cosmetics. Experts in drug development have also taken advantage of novel technologies to discover new candidates for repositioning purposes following computational approach, one of two main approaches of drug repositioning. Therefore, numerous repurposed candidates have obtained approval to enter the market and have witnessed financial success such as minoxidil and fingolimod. The benefits of drug repositioning are undeniable for regenerative medicine and cosmetics. However, some aspects still need to be carefully considered regarding this method including actual effectiveness during clinical trials, patent regulations, data integration and analysis, publicly unavailable databases as well as environmental concerns and more effort are required to overcome these obstacles.
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  • 文章类型: Journal Article
    肥胖,糖尿病,和其他代谢紊乱给社区的身体健康和财务状况带来了巨大的负担。虽然对有效治疗代谢紊乱的需求仍然紧迫,但现实是传统药物开发涉及高成本和很长的时间,有许多临床前和临床试验,药物再利用的需求已经成为一种潜在的替代方案。科学证据显示老药的抗糖尿病和抗肥胖作用,最初用于治疗炎症,抑郁症,感染,甚至癌症。药物库采用现代技术手段进行药物筛选。计算分子对接,全基因组关联研究,或组学数据挖掘是药物再利用的有利和不可避免的方法。药物再利用为医疗保健的经济效率提供了一个有希望的途径,特别是对于不太常见的代谢性疾病,尽管需要严格的研究和验证。在这一章中,我们的目标是探索科学,技术,以及围绕药物重新用于代谢紊乱的经济问题。我们希望阐明这种方法的潜力以及需要解决的挑战,以使其成为治疗代谢紊乱的可行选择,尤其是在未来与代谢紊乱的斗争中。
    Obesity, diabetes, and other metabolic disorders place a huge burden on both the physical health and financial well-being of the community. While the need for effective treatment of metabolic disorders remains urgent and the reality is that traditional drug development involves high costs and a very long time with many pre-clinical and clinical trials, the need for drug repurposing has emerged as a potential alternative. Scientific evidence has shown the anti-diabetic and anti-obesity effects of old drugs, which were initially utilized for the treatment of inflammation, depression, infections, and even cancers. The drug library used modern technological methods to conduct drug screening. Computational molecular docking, genome-wide association studies, or omics data mining are advantageous and unavoidable methods for drug repurposing. Drug repurposing offers a promising avenue for economic efficiency in healthcare, especially for less common metabolic diseases, despite the need for rigorous research and validation. In this chapter, we aim to explore the scientific, technological, and economic issues surrounding drug repurposing for metabolic disorders. We hope to shed light on the potential of this approach and the challenges that need to be addressed to make it a viable option in the treatment of metabolic disorders, especially in the future fight against metabolic disorders.
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  • 文章类型: Journal Article
    神经退行性疾病(NDD)是包括脑和脊髓并导致感觉和运动功能障碍丧失的神经元问题。常见的NDD包括阿尔茨海默病(AD),帕金森病(PD),亨廷顿病(HD),多发性硬化(MS),和肌萎缩侧索硬化症(ALS)等。这些疾病的发生随着年龄的增长而增加,并且是老年人中具有挑战性的问题之一。不过,几项科学研究表明,与NDDs相关的关键病理机制和分子细节仍未得到很好的理解,需要进行探索,这导致NDDs缺乏有效的治疗方法.一些证据表明,NDD的患病率很高,影响全球超过10亿人,但是,研究人员需要进一步确定NDD的最佳治疗靶点。因此,一些研究人员正在努力寻找潜在的治疗靶点,以改变疾病病理和治疗疾病。已经采取了几个步骤来确定疾病的早期检测和用于有效治疗NDD的药物再利用。此外,合乎逻辑的是,目前的药物正在评估其治疗这类疾病的疗效;因此,药物再利用将是有效的,安全,以及寻找更好的药物的成本效益方法。在当前的手稿中,我们讨论了已重新用于治疗AD的药物的利用,PD,HD,MS,和ALS。
    Neurodegenerative diseases (NDDs) are neuronal problems that include the brain and spinal cord and result in loss of sensory and motor dysfunction. Common NDDs include Alzheimer\'s disease (AD), Parkinson\'s disease (PD), Huntington\'s disease (HD), Multiple Sclerosis (MS), and Amyotrophic Lateral Sclerosis (ALS) etc. The occurrence of these diseases increases with age and is one of the challenging problems among elderly people. Though, several scientific research has demonstrated the key pathologies associated with NDDs still the underlying mechanisms and molecular details are not well understood and need to be explored and this poses a lack of effective treatments for NDDs. Several lines of evidence have shown that NDDs have a high prevalence and affect more than a billion individuals globally but still, researchers need to work forward in identifying the best therapeutic target for NDDs. Thus, several researchers are working in the directions to find potential therapeutic targets to alter the disease pathology and treat the diseases. Several steps have been taken to identify the early detection of the disease and drug repurposing for effective treatment of NDDs. Moreover, it is logical that current medications are being evaluated for their efficacy in treating such disorders; therefore, drug repurposing would be an efficient, safe, and cost-effective way in finding out better medication. In the current manuscript we discussed the utilization of drugs that have been repurposed for the treatment of AD, PD, HD, MS, and ALS.
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  • 文章类型: Journal Article
    为罕见疾病重新使用药物是一种创造性且具有成本效益的方法,可以为某些疾病创造新的治疗选择。该技术需要通过利用有关药理学特征的既定信息,将现有药物重新用于新用途。操作模式,安全概况,以及与生物系统的相互作用。由于包括小患者群体在内的因素,为罕见疾病创造新的治疗方法通常很困难。疾病错综复杂,和疾病病理生物学知识不足。与从头开始开发新药物相比,药物再利用是一种更有效和更具成本效益的方法。它通常需要学术界之间的合作,制药公司,和患者倡导团体。
    Repurposing drugs for rare diseases is a creative and cost-efficient method for creating new treatment options for certain conditions. This technique entails repurposing existing pharmaceuticals for new uses by utilizing established information regarding pharmacological characteristics, modes of operation, safety profiles, and interactions with biological systems. Creating new treatments for uncommon diseases is frequently difficult because of factors including small patient groups, disease intricacy, and insufficient knowledge of disease pathobiology. Drug repurposing is a more efficient and cost-effective approach compared to developing new drugs from scratch. It typically requires collaboration among academia, pharmaceutical firms, and patient advocacy groups.
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  • 文章类型: Journal Article
    原生动物寄生虫是危害人类健康的主要生物,社会,和经济,尤其是在全球赤道地区。寄生虫病,包括利什曼病,疟疾,和其他人,有助于大多数发病率和死亡率。每年约有110万人死于这些疾病。缺乏许可的疫苗接种使这些疾病的全球影响恶化,强调安全有效药物对预防和治疗的重要性。然而,寄生虫耐药性的出现持续影响药物的可用性。对新药的需求推动了全球抗寄生虫药物发现研究,需要实施许多创新方法来维持有前途的分子的连续供应。药物再利用已经成为药物开发的一个引人注目的工具,为标准的从头方法提供具有成本效益和效率的替代方案。对药物重新定位候选药物的彻底检查显示,某些药物可能不会从其原始适应症中获益。尽管如此,它们可能在其他疾病中表现出更明显的效果。此外,某些药物可以产生协同作用,一起给药时可提高治疗效果。在这一章中,我们概述了药物再利用(有时称为药物再定位)中采用的方法,提出新的策略来克服这些障碍,并充分利用药物再利用的前景。我们重点介绍了几种主要的人类原生动物疾病和一系列用于各种原生动物感染的示例性药物,为每种疾病提供出色的结果。
    Protozoan parasites are major hazards to human health, society, and the economy, especially in equatorial regions of the globe. Parasitic diseases, including leishmaniasis, malaria, and others, contribute towards majority of morbidity and mortality. Around 1.1 million people die from these diseases annually. The lack of licensed vaccinations worsens the worldwide impact of these diseases, highlighting the importance of safe and effective medications for their prevention and treatment. However, the appearance of drug resistance in parasites continuously affects the availability of medications. The demand for novel drugs motivates global antiparasitic drug discovery research, necessitating the implementation of many innovative ways to maintain a continuous supply of promising molecules. Drug repurposing has come out as a compelling tool for drug development, offering a cost-effective and efficient alternative to standard de novo approaches. A thorough examination of drug repositioning candidates revealed that certain drugs may not benefit significantly from their original indications. Still, they may exhibit more pronounced effects in other disorders. Furthermore, certain medications can produce a synergistic effect, resulting in enhanced therapeutic effectiveness when given together. In this chapter, we outline the approaches employed in drug repurposing (sometimes referred to as drug repositioning), propose novel strategies to overcome these hurdles and fully exploit the promise of drug repurposing. We highlight a few major human protozoan diseases and a range of exemplary drugs repurposed for various protozoan infections, providing excellent outcomes for each disease.
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  • 文章类型: Journal Article
    2019年冠状病毒病等呼吸道感染是一项重大的全球健康挑战,经常导致严重的疾病和死亡,特别是在易感人群中。呼吸道感染的常规药物开发面临着诸如延长时间尺度等障碍,大量费用,以及对当前治疗的抵抗力上升。药物再利用是一种潜在的方法,已经发展到快速找到和重复使用现有的药物来治疗呼吸道感染。药物再利用利用先前批准用于不同目的的药物,提供具有成本效益和时间效率的方法来解决紧迫的医疗需求。本章总结了目前在重新利用药物治疗呼吸道感染方面的进展和障碍,专注于重新利用的药物及其可能的作用方式的显著例子。本文还探讨了计算方法的意义,高通量筛选,和临床前调查,以确定重新利用的潜在候选人。本文深入研究了调节因素的意义,临床试验结构,和实际数据,以确认重新使用的药物治疗呼吸道感染的有效性和安全性。药物再利用是一种快速增加呼吸道感染治疗范围的有价值的技术,导致更好的患者预后和降低全球疾病负担。
    Respiratory infections such as Coronavirus disease 2019 are a substantial worldwide health challenge, frequently resulting in severe sickness and death, especially in susceptible groups. Conventional drug development for respiratory infections faces obstacles such as extended timescales, substantial expenses, and the rise of resistance to current treatments. Drug repurposing is a potential method that has evolved to quickly find and reuse existing medications for treating respiratory infections. Drug repurposing utilizes medications previously approved for different purposes, providing a cost-effective and time-efficient method to tackle pressing medical needs. This chapter summarizes current progress and obstacles in repurposing medications for respiratory infections, focusing on notable examples of repurposed pharmaceuticals and their probable modes of action. The text also explores the significance of computational approaches, high-throughput screening, and preclinical investigations in identifying potential candidates for repurposing. The text delves into the significance of regulatory factors, clinical trial structure, and actual data in confirming the effectiveness and safety of repurposed medications for respiratory infections. Drug repurposing is a valuable technique for quickly increasing the range of treatments for respiratory infections, leading to better patient outcomes and decreasing the worldwide disease burden.
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