摘要
阿尔茨海默氏病(AD)是一种神经退行性疾病,对社会的影响越来越大。 由于目前可用的疗法仅具有短期作用,因此,利用AD病理生理学各个方面的知识,每年都会开发出大量新型化合物。 为了更好地解决AD的病理复杂性,药物化学家最广泛采用的策略之一是基于多目标定向配体(MTDL)。 多奈哌齐是目前公认的用于AD治疗的药物之一,可作为乙酰胆碱酯酶抑制剂。 在这篇综述中,我们进行了广泛的文献调查,重点研究了多奈哌齐衍生的MTDL杂种,主要针对不同水平的胆碱酯酶和淀粉样β(Aβ)肽。 靶向作用包括化合物与Aβ的直接相互作用,AChE诱导的Aβ聚集,BACE-1酶的抑制和生物金属平衡的调节,从而阻碍Aβ的组装。
关键词: 乙酰胆碱酯酶,阿尔茨海默氏病,淀粉样β蛋白,生物金属,β-分泌酶1,丁酰胆碱酯酶,多靶标定向配体,神经保护作用。
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