Therapeutic Perspective of Prodrugs of Non-Steroidal Anti-Inflammatory Drugs and Antioxidants: An Approach to Reduce Toxicity and Enhance Efficacy.

IF 2.9 4区 医学 Q3 CHEMISTRY, MEDICINAL
Manoj Kumar Sahoo, Nidhi Agrawal, S K Lanjhiyana, Sanjay Kumar Bharti, Meenakshi Jaiswal
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引用次数: 0

Abstract

Background: Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) are one of the most widely prescribed medications in the world, yet their applications as anti-inflammatory, analgesic, and anti-pyretic drugs remain principally restricted by their detrimental effects on the gastrointestinal tract (GIT) systems. The prodrug approaches have substantially combated the drawbacks of currently available marketed NSAIDs and also showed increased activity.

Objective: In the present study, an extensive literature review on mutual prodrugs of NSAIDs with natural antioxidants has been presented.

Methods: Different databases like ScienceDirect, Elsevier, PubMed, Google Scholar, etc. were used for an extensive search of articles related to NSAIDs, prodrug concepts, as well as research based on all of the NSAIDs-prodrug molecules prepared to date.

Results: Recent developments in prodrug design have been explored that utilize naturally occurring antioxidants, including Thymol, Guaiacol, Menthol, Eugenol, Sesamol, Vanillin, and Umbelliferon, for the synthesis of mutual prodrugs by esterification methods. Many studies have shown that these prodrugs have significant stability in acidic pH while hydrolyzing in neutral and alkaline pH environments. This indicates their potential as advantageous therapeutic agents with enhanced safety profiles.

Conclusion: The mutual prodrug strategy offers a chance in medicinal chemistry to enhance the therapeutic and clinical efficiency of a drug that has certain unfavorable qualities that limit its clinical utility. This review enlightens mutual prodrugs of NSAIDs and antioxidants that are less harmful and beneficial to mankind, respectively.

非甾体抗炎药和抗氧化剂前药的治疗前景:降低毒性和提高疗效的途径。
背景:非甾体抗炎药(NSAIDs)是世界上最广泛使用的药物之一,但其作为抗炎、镇痛和退热药物的应用主要受到其对胃肠道(GIT)系统的有害影响的限制。前药方法已经大大克服了目前市场上可获得的非甾体抗炎药的缺点,并且还显示出更高的活性。目的:对非甾体抗炎药与天然抗氧化剂相互作用的前药进行文献综述。方法:利用ScienceDirect、Elsevier、PubMed、谷歌Scholar等数据库广泛检索NSAIDs、前药概念相关的文章,以及基于迄今制备的所有NSAIDs-前药分子的研究。结果:利用天然抗氧化剂,包括百里香酚、愈创木酚、薄荷醇、丁香酚、芝麻酚、香兰素和伞花,通过酯化方法合成相互的前药设计的最新进展已经得到了探索。许多研究表明,这些前药在酸性环境中具有显著的稳定性,而在中性和碱性环境中水解。这表明它们作为具有增强安全性的有利治疗剂的潜力。结论:药物化学的相互前药策略为提高药物的治疗和临床效率提供了机会,而药物的某些不利品质限制了其临床应用。本文综述了非甾体抗炎药和抗氧化剂的相互前药,分别对人类的危害较小和有益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.40
自引率
2.90%
发文量
186
审稿时长
3-8 weeks
期刊介绍: Current Topics in Medicinal Chemistry is a forum for the review of areas of keen and topical interest to medicinal chemists and others in the allied disciplines. Each issue is solely devoted to a specific topic, containing six to nine reviews, which provide the reader a comprehensive survey of that area. A Guest Editor who is an expert in the topic under review, will assemble each issue. The scope of Current Topics in Medicinal Chemistry will cover all areas of medicinal chemistry, including current developments in rational drug design, synthetic chemistry, bioorganic chemistry, high-throughput screening, combinatorial chemistry, compound diversity measurements, drug absorption, drug distribution, metabolism, new and emerging drug targets, natural products, pharmacogenomics, and structure-activity relationships. Medicinal chemistry is a rapidly maturing discipline. The study of how structure and function are related is absolutely essential to understanding the molecular basis of life. Current Topics in Medicinal Chemistry aims to contribute to the growth of scientific knowledge and insight, and facilitate the discovery and development of new therapeutic agents to treat debilitating human disorders. The journal is essential for every medicinal chemist who wishes to be kept informed and up-to-date with the latest and most important advances.
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