Heterocyclic inhibitors of AChE acylation and peripheral sites

Maria Laura Bolognesi, Vincenza Andrisano, Manuela Bartolini, Andrea Cavalli, Anna Minarini, Maurizio Recanatini, Michela Rosini, Vincenzo Tumiatti, Carlo Melchiorre
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引用次数: 22

Abstract

Notwithstanding the criticism to the so called “ cholinergic hypothesis”, the therapeutic strategies for the treatment of Alzheimer's disease (AD) have been mainly centered on the restoration of cholinergic functionality and, until the last year, the only drugs licensed for the management of AD were the acetycholinesterase (AChE) inhibitors. Target enzyme AChE consists of a narrow gorge with two separate ligand binding sites: an acylation site at the bottom of the gorge containing the catalytic triad and a peripheral site located at the gorge rim, which encompasses binding sites for allosteric ligands. The aim of this short review is to update the knowledge on heterocyclic AChE inhibitors able to interact with the two sites of enzymes, structurally related to the well known inhibitors physostigmine, rivastigmine and propidium. The therapeutic potential of the dual site inhibithors in inhibiting amyloid-ß aggregatrion and deposition is also briefly summarised.

乙酰胆碱酯酰化和外周位点的杂环抑制剂
摘要尽管对所谓“胆碱能假说”的批评,但治疗阿尔茨海默病(AD)的治疗策略主要集中在恢复胆碱能功能上,直到去年,唯一获准用于治疗AD的药物是乙酰胆碱酯酶(AChE)抑制剂。靶酶AChE由一个狭窄的峡谷组成,有两个独立的配体结合位点:峡谷底部的酰基化位点包含催化三联体,而位于峡谷边缘的外围位点包含变构配体的结合位点。这篇简短综述的目的是更新关于能够与酶的两个位点相互作用的杂环乙酰胆碱抑制剂的知识,这些酶的结构与已知的抑制剂药豆黄碱、利瓦斯汀和丙啶相关。双位点抑制剂在抑制淀粉样蛋白聚集和沉积方面的治疗潜力也作了简要总结。
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