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Current
Medicinal Chemistry
ISSN: 0929-8673

Current Medicinal Chemistry
Volume 13, Number 17, 2006
Contents

Soluble Receptor for Advanced Glycation End Products: From
Disease Marker to Potential Therapeutic Target Pp.
1971-1978
Diego Geroldi, Colomba Falcone and Enzo Emanuele
[Abstract]
Catecholamines: Physiological Immunomodulators During
Health and Illness Pp. 1979-1989
Reiner Oberbeck
[Abstract]
Development of Ligands for the Peripheral Benzodiazepine
Receptor Pp. 1991-2001
Michelle L. James, Silvia Selleri and Michael Kassiou
[Abstract]
Antiviral Drug Discovery Against SARS-CoV
Pp. 2003-2020
Yu-Shan Wu, Wen-Hsing Lin, John T.-A. Hsu and Hsing-Pang
Hsieh
[Abstract]
Review Camptothecin: Current Perspectives
Pp. 2021-2039
Qing-Yong Li, Yuan-Gang Zu, Rong-Zhen Shi and Li-Ping
Yao
[Abstract]
Secondary Metabolites from the South China Sea Invertebrates:
Chemistry and Biological Activity Pp. 2041-2090
Wen Zhang, Yue-Wei Guo and Yucheng Gu
[Abstract]
Abstracts

[Back to top]
Soluble Receptor for Advanced Glycation End Products:
From Disease Marker to Potential Therapeutic Target
Diego Geroldi, Colomba Falcone and Enzo Emanuele
The receptor for advanced glycation end products (RAGE)
is a cell-bound receptor of the immunoglobulin superfamily
which may be activated by a variety of proinflammatory ligands
including advanced glycoxidation end products, S100/calgranulins,
high mobility group box 1, and amyloid β
-peptide. RAGE has a secretory splice isoform, soluble
RAGE (sRAGE), that lacks the transmembrane domain and therefore
circulates in plasma. By competing with cell-surface RAGE
for ligand binding, sRAGE may contribute to the removal/neutralization
of circulating ligands thus functioning as a decoy. Clinical
studies have recently shown that higher plasma levels of sRAGE
are associated with a reduced risk of coronary artery disease,
hypertension, the metabolic syndrome, arthritis and Alzheimer’s
disease. Increasing the production of plasma sRAGE is therefore
considered to be a promising therapeutic target that has the
potential to prevent vascular damage and neurodegeneration.
This review presents the state of the art in the use of sRAGE
as a disease marker and discusses the therapeutic potential
of targeting sRAGE for the treatment of inflammation-related
diseases such as atherosclerosis, arthritis and Alzheimer’s
disease.
[Back to top]
Catecholamines: Physiological Immunomodulators During
Health and Illness
Reiner Oberbeck
The existence of an immune-endocrine interaction has
been reported and the modulatory effects of the natural occurring
catecholamines epinephrine, norepinephrine and dopamine as
well as of pharmaceutically generated catecholamines like
dopexamine on a wide variety of immune functions were demonstrated.
Furthermore, it was noticed that these effects are mediated
by specific adrenergic and dopaminergic receptors expressed
on the surface of immunological target cells.
At first, the adrenergic immunomodulation was predominantly
investigated in healthy volunteers and profound immunomodulatory
effects were reported for endogenously released and exogenously
administered catecholamines. To further elucidate the physiological
significance of these interactions, investigators tried to
reveal the importance of the catecholaminergic modulation
of the immune system under pathological conditions like hemorrhagic
shock and systemic inflammation, since catecholamines and
adrenergic antagonists are frequently used drugs in the treatment
of the critically ill. Furthermore, the interaction between
catecholamines and the immune system is supposed to be an
important factor in the development of autoimmune diseases
and may influence their progress.
In addition to the effects of peripheral circulating catecholamines,
it was demonstrated that catecholamines that are released
within the central nervous system may profoundly influence
the activity of the peripheral immune system.
Starting with a short historical overview over the immunomodulatory
effects of blood catecholamines under good health conditions
during critical illness and during autoimmune disease will
be reviewed and the immunomodulatory effects of centrally
released catecholamines will be discussed.
[Back to top]
Development of Ligands for the Peripheral Benzodiazepine
Receptor
Michelle L. James, Silvia Selleri and Michael Kassiou
The peripheral benzodiazepine receptor (PBR) initially
characterised as a high affinity binding site for diazepam,
is densely distributed in most peripheral organs whilst only
moderately expressed in the healthy brain. The predominant
cell type expressing the PBR at regions of central nervous
system (CNS) pathology are activated microglial cells. Under
neuroinflammatory conditions there is an over-expression of
PBR binding sites indicating that measurements of PBR density
can act as a useful index of brain disease activity. The PBR
is now considered a significant therapeutic and diagnostic
target which has provided the impetus for PBR ligand development.
There are several classes of PBR ligands available including
benzodiazepines (Ro5-4864), isoquinoline carboxamides (PK
11195), indoleacetamides (FGIN-1-27), phenoxyphenyl-acetamides
(DAA1106) and pyrazolopyrimidines (DPA-713). Subsequent conformationally
restrained isoquinoline and indoleacetamide analogues have
been synthesised in an attempt to yield PBR ligands with superior
affinity and brain kinetics. Even though the PBR has been
linked to a number of biochemical processes, including cell
proliferation, apoptosis, steroidogenesis, porphyrin transport
and immunomodulation, its exact physiological role is yet
to be deciphered. Selective PBR ligands with favourable in
vivo binding properties and kinetics is required to gain
a more complete understanding on the normal functioning of
the PBR and the chemical pathways underlying several pathological
conditions. Novel PBR ligands with unique binding properties
and functional activity may also generate information on the
localisation of the PBR and the possibility of PBR subtypes.
This review highlights the main classes of PBR ligands to
date. In addition the biological activity and therapeutic
potential of certain PBR ligands is discussed.
[Back to top]
Antiviral Drug Discovery Against SARS-CoV
Yu-Shan Wu, Wen-Hsing Lin, John T.-A. Hsu and Hsing-Pang
Hsieh
Severe Acute Respiratory Syndrome (SARS) is a life-threatening
infectious disease caused by SARS-CoV. In the 2003 outbreak,
it infected more than 8,000 people worldwide and claimed the
lives of more than 900 victims. The high mortality rate resulted,
at least in part, from the absence of definitive treatment
protocols or therapeutic agents. Although the virus spreading
has been contained, due preparedness and planning, including
the successful development of antiviral drugs against SARS-CoV,
is necessary for possible reappearance of SARS. In this review,
we have discussed currently available strategies for antiviral
drug discovery and how these technologies have been utilized
to identify potential antiviral agents for the inhibition
of SARS-CoV replication. Moreover, progress in the drug development
based on different molecular targets is also summarized, including
1) Compounds that block the S protein-ACE2-mediated viral
entry; 2) Compounds targeting SARS-CoV Mpro; 3)
Compounds targeting papain-like protease 2 (PLP2); 4) Compounds
targeting SARS-CoV RdRp; 5) Compounds targeting SARS-CoV helicase;
6) Active compounds with unspecified targets; and 7) Research
on siRNA. This review aims to provide a comprehensive account
of drug discovery on SARS. The experiences with the SARS outbreak
and drug discovery would certainly be an important lesson
for the drug development for any new viral outbreaks that
may emerge in the future.
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Review Camptothecin: Current Perspectives
Qing-Yong Li, Yuan-Gang Zu, Rong-Zhen Shi and Li-Ping
Yao
The review provides a detailed discussion of recent advances
in the medicinal chemistry of camptothecin, a potent antitumor
agent that targets topoisomerase I. Thousands of CPT derivatives
have been synthesized. Two of them, Topotecan and Irinotecan,
are commercially approved for use in clinic as antitumor agents
while more are still in clinic trials. This review summarizes
the current status of the modern synthetic approaches to CPT,
the mechanism of action of CPT, the structure-activity relationship(SAR),
a number of novel CPT analogs and their biologic activity.
There is a systematic evaluation of A-, B- and E-ring- modified
camptothecins reported recently.
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Secondary Metabolites from the South China Sea Invertebrates:
Chemistry and Biological Activity
Wen Zhang, Yue-Wei Guo and Yucheng Gu
The increasing demand for new lead compounds in the pharmaceutical
and agrochemical industries has driven scientists to search
for new sources of bioactive natural products. Marine invertebrates
are a rich source of novel, bioactive secondary metabolites
and they have attracted a great deal of attention from scientists
in the fields of chemistry, pharmacology, ecology, and molecular
biology. During the past 25 years, many complex and structurally
unique secondary metabolites have been isolated from the invertebrates
inhabiting the South China Sea. These metabolites are responsible
for various bioactivities such as anti-tumor, anti-inflammation
and antioxidant activities, and/or they act on the cardiovascular
system. This review will focus on the marine natural product
chemistry of invertebrates from the South China Sea, aiming
to give the reader a brief view of the compounds isolated
from these invertebrates, as well as their biological activities.
The article covers the literature published during the period
from the beginning of 1980 to the end of 2005, with 340 citations
and 811 compounds from invertebrates from the South China
Sea, including sponges, coelenterates, molluscs and echinoderms.
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