评估药物开发过程中的男性生殖毒性

M. Sousa, C. Ferreira, Ana Rabaça, R. Sá
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引用次数: 9

摘要

药物开发是关注人口保健需求的关键研究领域,包括新化合物批准前的几个临床前和临床步骤。有趣的是,在药物开发过程中,缺乏疗效和毒性是已知的主要失败原因。因此,毒性筛选是药物开发过程中的一项强制性程序。肾毒性和肝毒性是新化合物开发过程中最常见的毒性问题。尽管如此,男性生殖系统也可能是药物毒性的目标。然而,在临床前和临床试验阶段很少进行发育和生殖毒理学测试。因此,假定的有毒化合物给人类生育能力带来了一些风险。由于在药物开发的早期阶段发现生殖和睾丸毒性(TT)的发生率较低,一些公司将大部分研究投资投入到更频繁发生的领域。这种优先次序导致缺乏旨在改进检测方法以了解TT病因的严格努力。制药公司在开发新药物时应纳入全面的研究和更精确的TT评价方法,并应关注新化合物对男性生殖功能的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing Male Reproductive Toxicity during Drug Development
Pharmaceutical development is a crucial research field that attends to the population healthcare needs, comprising several preclinical and clinical steps before the approval of a new compound. Interestingly, the lack of efficacy and toxicity are known major failure causes during pharmaceutical drug development. Toxicity screening is therefore a mandatory procedure during pharmaceutical development. Renal and hepatic toxicity are the most common toxicity matters encountered during the development of new compounds. Nonetheless, the male reproductive system may also be a target for drug toxicity. However, developmental and reproductive toxicology testing is rarely performed both in pre-clinical and clinical trial phases. As a result, there are several risks for human fertility brought on by putative toxic chemical compounds. As there is a low incidence of reproductive and testicular toxicity (TT) found at the early stages of pharmaceutical development, several companies devote the majority of research investments to more frequent areas of occurrence. Such prioritization has resulted in scarce rigorous efforts aimed at improving detection methods to understand the causes of TT. Pharmaceutical companies should include comprehensive studies and more precise methods for TT evaluation when developing new pharmacological drugs, and should focus on the effects of the new chemical compound on male’s reproductive functions.
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来源期刊
Journal of andrology
Journal of andrology 医学-男科学
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5.6 months
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