摘要
本文旨在回顾塞来昔布作为治疗炎症性疾病的潜在抑制剂。环加氧酶(COX)主要具有两种亚型,称为环加氧酶1(COX-1)和环加氧酶2(COX-2)。前者在肾脏和血小板中起与稳态效应相关的构成作用,而后者主要负责炎症作用的诱导。由于COX-2在炎症性疾病的发病机制中起重要作用,因此它已被指示为抗炎中间体规划的目标。许多开发和计划用于COX-2抑制的抑制剂对人体有副作用,主要是在胃肠道和/或心血管。因此,有必要设计新的潜在的COX-2抑制剂,这些抑制剂相对安全且无副作用。从这个意义上说,塞来昔布是唯一有效的选择性COX-2抑制剂,仍然在商业上可用(在“coxib”家族中)。因此,塞来昔布成为开发COX-2酶抗炎剂的商业化原型抑制剂。该评价提供了抑制重点,应为设计有前途的新型非甾体抗炎药(NSAIDs)提供结构基础,这些药物作为COX-2抑制剂,对人体的副作用较小。
关键词: 炎症,环氧合酶-2,非甾体抗炎药,塞来昔布,ADME,毒性。
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