摘要
本文综述了治疗帕金森氏病药物的发展历史和基于多巴胺和腺苷酸受体的新型治疗方式的前景。本文介绍了左旋多巴,一类神经递质多巴胺前体的发展进程。它是到目前为止,用于控制帕金森综合症运动神经症状最常用和最有效的药物;最近关于腺苷酸受体的报道,因为其内源性神经保护机制,其是一个有前景的治疗帕金森氏病的靶点。随着对多巴胺和腺苷酸受体形态和功能作用认知的提高,不论是在当前和还是未来,基于这两类受体的药物研发具有其优势。目前取得的一些突破,如第一个与腺苷酸A2A受体形成复合物的选择性腺苷酸A2A受体拮抗剂的配体X射线结构的发现,多巴胺D2同源二聚体、多巴胺D2-腺苷酸A2A异二聚体和更高层次的低聚物的发现等,不仅推动了技术进步,还改变了学术界和产业界的研究方向,并成为该领域这些新颖的、令人激动的发现的支柱。
关键词: 腺苷酸A2A受体拮抗剂,二价配位体,多巴胺,多巴胺D2受体拮抗剂,G蛋白偶联受体,左旋多巴,非多巴胺能药物,帕金森氏病
Current Medicinal Chemistry
Title:The Dopamine D2 and Adenosine A2A Receptors: Past, Present and Future Trends for the Treatment of Parkinson's Disease
Volume: 21 Issue: 27
Author(s): M. Jorg, P.J. Scammells and B. Capuano
Affiliation:
关键词: 腺苷酸A2A受体拮抗剂,二价配位体,多巴胺,多巴胺D2受体拮抗剂,G蛋白偶联受体,左旋多巴,非多巴胺能药物,帕金森氏病
摘要: Herein, we present an overview of the historic development of drugs for the treatment of Parkinson’s disease as well as prospective novel treatment forms based on targeting the dopamine and adenosine receptors. The review includes the development of levodopa, a precursor of the neurotransmitter dopamine, which to date is the most commonly prescribed and most effective drug for controlling the motor symptoms of Parkinson's disease, to more recent studies of the adenosine receptor; a promising target for the treatment of Parkinson’s disease due to its intrinsic neuroprotective nature. Ongoing and future drug-based research on the dopamine and adenosine receptors has the advantage of being guided by the improved understanding of receptor topography as well as their functional roles. Breakthroughs such as the first ligand-bound X-ray structure of a selective adenosine A2A receptor antagonist in complex with the adenosine A2A receptor, the discovery of the existence of dopamine D2 homodimers, dopamine D2- adenosine A2A heterodimers and higher order oligomers in addition to technological progress have changed the direction of research in academia and industry and form the pillars for novel and exciting discoveries in this field.
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Jorg M., Scammells P.J. and Capuano B., The Dopamine D2 and Adenosine A2A Receptors: Past, Present and Future Trends for the Treatment of Parkinson's Disease, Current Medicinal Chemistry 2014; 21 (27) . https://dx.doi.org/10.2174/1389200215666140217110716
DOI https://dx.doi.org/10.2174/1389200215666140217110716 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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