摘要
阿尔茨海默氏病(AD)是一种慢性神经退行性疾病,其特征是认知障碍,例如记忆力丧失,语言能力下降和迷失方向,影响全球4600万人。 AD患者还患有痴呆症的行为和心理症状,这会降低其生活质量并导致过早死亡。目前可用的药物可减轻症状,但不能减轻病理特征(老年斑和神经原纤维缠结)和神经炎症,这两者都是痴呆症的组成部分。大量证据表明,环3'',5''-单磷酸腺苷(cAMP)和环3'',5''-单磷酸鸟苷(cGMP)的信号通路受损可能有助于AD的发展和进程。另外,发现磷酸二酯酶(PDE)抑制剂通常被称为cAMP和/或cGMP调节剂,与tau的磷酸化有关。淀粉样β的聚集;神经发炎;以及对认知,情绪和情感处理的调节。这篇综述的目的是更新有关靶向PDE的新型多功能配体的开发的最新报道,所述PDE作为AD的症状和疾病缓解疗法的潜在药物。这篇综述收集了代表性多功能配体的化学结构,体外和体内药理实验的结果以及有关这些化合物用于AD全面治疗的潜在效用的最新见解。最后,计算并讨论了代表性化合物的可塑性的多参数预测。
关键词: 阿尔茨海默氏病,痴呆的行为和心理症状,认知障碍,神经炎症,病理特征,磷酸二酯酶,PDE抑制剂,多功能配体。
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