摘要
内源性核苷腺苷通过与P1嘌呤能受体的相互作用调节许多生理效应。它们都是G蛋白偶联受体,迄今为止,已经表征了四种亚型,并命名为A1,A2A,A2B和A3。近年来,腺苷受体,特别是A2A亚型,已成为治疗几种神经退行性疾病的有吸引力的靶标,已知涉及神经炎症,如帕金森氏症和阿尔茨海默病,多发性硬化症和神经精神疾病。事实上,已经证明抑制A2腺苷受体发挥神经保护作用,抵消神经炎症过程和星形胶质和小胶质细胞的激活。由协和八公麒麟公司开发的A2A腺苷受体拮抗剂十四苯林在日本被批准用于治疗帕金森病的辅助疗法,最近还被美国食品药品监督管理局批准。这些发现为新的治疗机会铺平了道路,因此,在本综述中,将总结最相关和最有希望的A2腺苷受体拮抗剂及其在神经炎症相关疾病中的临床前和临床研究。
关键词: A2A腺苷受体,A2A腺苷受体拮抗剂,神经炎症,神经保护,帕金森病,腺苷受体,黄嘌呤衍生物,非黄嘌呤衍生物。
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