神经退行性变
药物发现
化学
神经科学
机制(生物学)
氧化应激
神经保护
NMDA受体
作用机理
药品
疾病
药理学
受体
生物化学
生物
医学
体外
病理
哲学
认识论
作者
Paul C. Trippier,Kristin Jansen Labby,Dustin D. Hawker,Jan Mataka,Richard B. Silverman
摘要
The development of new therapeutics for the treatment of neurodegenerative pathophysiologies currently stands at a crossroads. This presents an opportunity to transition future drug discovery efforts to target disease modification, an area in which much still remains unknown. In this Perspective we examine recent progress in the areas of neurodegenerative drug discovery, focusing on some of the most common targets and mechanisms: N-methyl-d-aspartic acid (NMDA) receptors, voltage gated calcium channels (VGCCs), neuronal nitric oxide synthase (nNOS), oxidative stress from reactive oxygen species, and protein aggregation. These represent the key players identified in neurodegeneration and are part of a complex, intertwined signaling cascade. The synergistic delivery of two or more compounds directed against these targets, along with the design of small molecules with multiple modes of action, should be explored in pursuit of more effective clinical treatments for neurodegenerative diseases.
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