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Current Enzyme Inhibition
ISSN: 1573-4080

Current Enzyme Inhibition
Volume 2, Number 3, August 2006
Contents

Regular Papers
Proteinaceous Protease Inhibitors: Structural
Features and Multiple Functional Faces Pp. 199-217
Graziella A. Joanitti, Sonia M. Freitas and Luciano P.
Silva
[Abstract]
Nitric Oxide Synthase as a Target for the Prevention
of Hypoxic-Ischemic Newborn Brain Damage Pp. 219-229
Jose Martínez-Orgado, David Fernández-López,
Maria A. Moro and Ignacio Lizasoain
[Abstract]
Polyphenol and Carotenoid Protection in Biological
Systems Through the Modulation of Antioxidant Enzymes
Pp. 231-248
Antonio Jiménez-Escrig
[Abstract]
Cholinesterase Inhibitors: From Weapons, to Pesticides,
to Cognition Enhancing Drugs Pp. 249-259
Francesco Amenta, Maria Antonietta Di Tullio, Lucilla
Parnetti and Seyed Khosrow Tayebati
[Abstract]
Cytoprotective and Antiproliferative Effects of
HMG-CoA Reductase Inhibitors Pp. 261-280
Libor Vítek and Martin
[Abstract]
Inhibition of P450 Enzymes: An In Vitro
Approach Pp. 281-304
María T. Donato and María J. Gómez-Lechón
[Abstract]
Glucose Transporters in Normal and Diabetic Kidneys
Pp. 305-310
Charles W. Heilig and Youli Wang
[Abstract]
Abstracts

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Proteinaceous Protease Inhibitors: Structural Features
and Multiple Functional Faces
Graziella A. Joanitti, Sonia M. Freitas and Luciano P.
Silva
Protease inhibitors (PIs) are present in a wide variety
of living organisms including microorganisms, plants, and
animals. These molecules act as regulators of endogenous proteolytic
activity, as participants in many developmental processes
and as host’s defense components. Because of their important
role in living organisms, PIs have been extensively studied
in order to allow a better understanding of their structural
and functional properties. Intensive works have reported that
proteinaceous PIs are potential compounds in several distinct
economical and clinical fields. This review aims to describe
proteinaceous PIs structure and design, focusing on their
multiple potential applications in agriculture; immune system;
parasitic, bacterial, fungal, and viral infection; hemostasis;
and cancer.
[Back to top]
Nitric Oxide Synthase as a Target for the Prevention
of Hypoxic-Ischemic Newborn Brain Damage
Jose Martínez-Orgado, David Fernández-López,
Maria A. Moro and Ignacio Lizasoain
Hypoxic-ischemic brain damage remains an outstanding
cause of death and long-lasting disabilities for newborns
worldwide. Among the different constituents of the complex
cascade of events leading to neuronal death after a hypoxic-ischemic
insult in immature brain, nitric oxide (NO) plays a role of
great importance. The evidence suggests that NO can exert
both protective and deleterious effects depending on factors
such as the NOS isoform and the temporal stage after the onset
of the ischemic brain injury. Immediately after brain hypoxic-ischemic
insult, NO release from eNOS is protective mainly by promoting
vasodilation; in this regard, NO is to be of particular relevance
for autoregulatory responses of newborn cerebral vessels.
However, subsequent NO production by overactivation of nNOS
and, later, NO release by de novo expression of iNOS
contributes to the brain damage; immature brain is particularly
sensitive to this circumstance, as iNOS is more easily and
more intensively expressed in newborns after hypoxic-ischemic
insults, and newborns have less antioxidant activity, as compared
with adults. Thus, NOS emerges as a decisive target for neuroprotection
after newborn asphyxia. Toxic effects of drugs specifically
acting on NOS, however, still prevent their use in humans.
Nevertheless, recent evidences on the unspecific modulatory
effect on NOS of substances as erythropoietin or cannabinoids,
with few known adverse effects in newborns, offer promising
perspectives.
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Polyphenol and Carotenoid Protection in Biological
Systems Through the Modulation of Antioxidant Enzymes
Antonio Jiménez-Escrig
Oxidative stress can result from diminished antioxidant
protection as well as increased free radical production. A
sophisticated enzymatic [including catalase (CAT), superoxide
dismutase (SOD), and glutathione peroxidase (GPx)] and non-enzymatic
[glutathione, vitamins A, C, and E, and some minerals] antioxidant
defense system counteract and regulates overall ROS levels
to maintain physiological homeostasis. In addition to this
internal antioxidant defense system, it is important to consider
the role of exogenous antioxidants from the diet, such as
polyphenols and carotenoids, among others bioactive compounds.
A great body of evidence tries to elucidate the role of these
compounds in the protection of plant-derived foods against
degenerative diseases. Thereby, in this review recent studies
in cellular, animal and human models will be described, which
evaluate the role of polyphenols and carotenoids in the antioxidant
defense system against oxidative stress through the modulation
of the antioxidant enzymes. Studies reviewed show that the
antoxidant enzyme response to normal or oxidative stress situations
depends on the enzyme involved, the animal specie or cell
line selected, in addition to the features of the intervention
or treatment carried out (doses, length, and design of experiments).
The most abundant model in these studies has been the animal
model due to its ability of being model of induced oxidative
stress. In most of the studies when oxidative stress arises,
the treatment, supplementation or intervention done prevent
or attenuate the decrease in the antioxidant enzyme. Further
research is needed to clarify how dietary polyphenols and
carotenoids modulate cellular antioxidant enzyme concentrations
and how they contribute to regulate the molecular mechanisms
and cellular signaling pathways.
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Cholinesterase Inhibitors: From Weapons,
to Pesticides, to Cognition Enhancing Drugs
Francesco Amenta, Maria Antonietta Di Tullio, Lucilla
Parnetti and Seyed Khosrow Tayebati
Chemistry, pharmacology and applications of compounds
inhibiting enzymatic acetylcholine (ACh) degradation are reviewed.
Acetylcholinesterase (AChE) and butyrylcholinesterase (BuChE),
or non-specific cholinesterase, are members of the family
of cholinesterase (ChE), the ACh degrading enzymes. ChE inhibitors
(is) are compounds inhibiting reversibly or irreversibly enzymatic
ACh breakdown. The first ChE-is were organophosphate derivatives,
synthesized as neurotoxic agents. These compounds cause toxic
accumulation of ACh at the central and autonomic nervous system
level and induce several neurological and autonomic effects
including ataxia, seizures, coma, and respiratory depression.
This strong toxicity is the reason of their identification
as warfare agents. The subsequent main use of ChE-is was as
pesticides. ChEs are important enzymes needed for proper functioning
of insect nervous system. Although ChE-is are intended for
insect pests, in some situations they can be poisonous or
toxic to humans. The most recent and promising use of AChE/BuChE-is
was symptomatic treatment of cognitive dysfunction occurring
in Alzheimer’s disease (AD). Forebrain cholinergic system
has a key role in learning and memory and AD is characterized
by brain cholinergic impairment. AChE/BuChE-is are the first
drugs approved for symptomatic treatment of cognitive deficits
in AD. Besides cognitive relief induced in mild-to-moderate
AD, increasing evidence suggests that ChE-is may interfere
with the progression of the disease. If this hypothesis will
be supported by ongoing studies, these compounds could become
a disease-modifying strategy in the treatment of adult-onset
dementia.
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Cytoprotective and Antiproliferative Effects
of HMG-CoA Reductase Inhibitors
Libor Vítek and Martin
Inhibitors of HMG-CoA reductase (statins) are widely
used for the treatment of hypercholesterolemia. Besides this
very important action, several other effects of statins, contributing
to the general benefit of patients with coronary heart disease,
have recently been demonstrated. These include: stabilization
of atheroma plaques; inhibition of platelet aggregation; anti-inflammatory
effects; improvement of vasomotor and endothelial function;
antiproliferative effects on vascular smooth muscle cells;
and effects on fibrinolytic activity, resulting in a decreased
mortality from coronary heart disease, regardless of the influence
on the serum cholesterol levels. Other effects of statins
involve antioxidative, immunomodulatory and potential anti-tumor
activities, as has been suggested by a number of studies either
demonstrating the beneficiary activities of statins on the
rejection of transplanted organs, or the low prevalence of
cancer in patients having received statin medication. The
aim of the present survey is to summarize current knowledge
in this biomedical field and to demonstrate the enormous curative
potential of this group of drugs.
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Inhibition of P450 Enzymes: An In Vitro
Approach
María T. Donato and María J. Gómez-Lechón
Drug metabolism is a major determinant of drug clearance,
interindividual pharmacokinetic differences and, indirectly,
of the clinical efficacy and toxicity of drugs. Altered pharmacokinetics
can result in inadequate concentration of the drug at the
site of action and/or great variations in clinical response.
Therefore, the development of a new drug requires not only
an exhaustive characterisation of its pharmacological activity,
but also knowledge of major enzymes involved in metabolite
formation, and the potential enzyme inhibiting or enzyme inducing
properties of the drug. Multi-drug therapy is not uncommon
in clinical practice. Simultaneous administration of several
drugs may result in metabolic drug-drug interactions having
pharmacological and/or toxicological implications. As drugs
are metabolised by a limited number of enzymes, they can compete
each other as substrates for the same enzyme. Thus, competitive/non-competitive/irreversible
inhibition of drug-metabolising enzymes by one of the therapeutic
agents will result in elevations in plasma/tissue concentrations
of the other drugs. For compounds with a narrow therapeutic
index, this can lead to overdosage symptoms and/or toxicity.
Cytochrome P450 (P450) enzymes are major players in the oxidative
metabolism of therapeutic agents and, consequently, the most
common mechanism underlying drug-drug interactions is the
inhibition of P450 activities. Several drugs in common use
cause large increases in exposure to other drugs. As this
is an undesirable feature for a drug candidate, information
about P450 inhibition by the compound should be obtained before
a drug candidate is considered for the clinical stages of
development. A combination of biochemical advances in the
understanding of the function and regulation of drug-metabolising
enzymes, in particular P450s, and automated analytical technologies
are revolutionising drug metabolism research.
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Glucose Transporters in Normal and Diabetic
Kidneys
Charles W. Heilig and Youli Wang
In the last 12 years, data has accumulated supporting
an important role for hyperglycemia in the development of
diabetic nephropathy, and in the same period identification
and characterization of renal glucose transporters has expanded
rapidly. This new knowledge concerning glucose transporters
is now being used to determine the roles they may play in
diabetic kidney disease. Recent studies of renal glucose transporters
have characterized their responses to diabetes, and their
potential roles in the diabetic kidney. Glucose transporters
have been shown to be rate-limiting for mesangial cell glucose
uptake, glucose metabolism and extracellular matrix (ECM)
production by these cells. Furthermore, increased renal GLUT1
has been proposed to play an important role in the development
of diabetic glomerulosclerosis. Recent data suggest increased
GLUT8 in podocytes may contribute to diabetic glomerular disease
as well. Renal tubular glucose transporter expression is also
altered in diabetes, responding to the increased need for
glucose reabsorption . However, further investigation is required
to determine the potential roles of these glucose transporters
in the interstitial kidney disease associated with diabetes.
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