Mini-Reviews in Medicinal Chemistry

ISSN: 1389-5575

Mini-Reviews in Medicinal Chemistry
Volume 6, Number 5, May 2006


Contents


ACE Inhibitor-Angiotensin Receptor Blocker Combinations: A Clinician’s Perspective
Pp. 491-497
T.W.R. Doulton
[Abstract]


Topical Imiquimod: Mechanism of Action and Clinical Applications Pp. 499-503
David Vidal
[Abstract]


Antioxidative Actions of Statins: Potential Mechanisms for Antiathersclerotic Effects
Pp. 505-508
Takanori Watanabe, Kenichi Yasunari and Munehoro Nakamura
[Abstract]


Regulatory T Cells in Cancer Biology: A Possible New Target for Biochemical Therapies Pp. 509-513
Dominik Wolf, Holger Rumpold and Anna-Maria Wolf
[Abstract]


Rational Design of Non-Hydroxamate Histone Deacetylase Inhibitors Pp. 515-526
Takayoshi Suzuki and Naoki Miyata
[Abstract]


Small Molecule and Biologic Modulators of the Immune Response to Hepatitis C Virus Pp. 527-531
M.L. Mbow, A. Eaton-Bassiri, W.G. Glass, A.M. Del Vecchio and R.T. Sarisky
[Abstract]


Ether Lipids as Anticancer Agents: Focus on Non-Phosphorus Cationic Glycerolipids Pp. 533-542
N.V. Plyavnik, A.A. Shtil and G.A. Serebrennikova
[Abstract]


Reconsideration of Japanese Traditional Herbal Medicine: New Field of Research and Clinical Medicine Pp. 543-547
Hideki Okamoto
[Abstract]


Molecular Insights into the Mechanisms of HIV-1 Reverse Transcriptase Resistance to Nucleoside Analogs Pp. 549-555
Alexandra P. Carvalho, Pedro A. Fernandes and Maria J. Ramos
[Abstract]


Novel Anti-Viral Therapy: Drugs that Block HIV Entry at Different Target Sites Pp. 557-562
Sandra Siegert, Peter Schnierle and Barbara S. Schnierle
[Abstract]


Fine Tuning of PPAR Ligands for Type 2 Diabetes and Metabolic Syndrome
Pp. 563-573
Uma Ramachandran, Rakesh Kumar and Amit Mittal
[Abstract]


Pharmacological and Clinical Studies on Purine Nucleoside Analogs- New Anticancer Agents
Pp. 575-581
E. Lech-Maranda, A. Korycka and T. Robak
[Abstract]


The Emergence of Plasma Membrane Calcium Pump as a Novel Therapeutic Target for Heart Disease
Pp. 583-588
Delvac Oceandy, Mamta H. Buch, Elizabeth J. Cartwright and Ludwig Neyses
[Abstract]


Recent Advances in Clarifying Prion Protein Functions Using Knockout Mice and Derived Cell Lines
Pp. 589-601
Akikazu Sakudo, Takashi Onodera, Yoshikazu Suganuma, Takanori Kobayashi, Keiichi Saeki and Kazuyoshi Ikuta
[Abstract]


The Therapeutic Potential of Angiotensin-(1-7) as a Novel Renin-Angiotensin System Mediator Pp. 603-609
Ana Cristina Simões e Silva, Sérgio Veloso Brant Pinheiro, Regina Maria Pereira,Anderson José Ferreira and Robson Augusto Souza Santos
[Abstract]




Abstracts

[Back to top]
ACE Inhibitor-Angiotensin Receptor Blocker Combinations: A Clinician’s Perspective
T.W.R. Doulton

ACE Inhibitors (ACEI) and angiotensin receptor blockers (ARB) inhibit the renin-angiotensin system, but ACEI may do so incompletely when administered as monotherapy at conventional doses. In theory, combining an ACEI and ARB might be beneficial, whereas clinical evidence for this approach in hypertension is lacking. An ACEI-ARB combination is likely to be useful in proteinuric renal disease, but recent experimental evidence suggests that very high dose monotherapy with an ARB may be the best approach. However, the results of large outcome studies for combinations vs. ACEI or ARB monotherapy are still awaited.


[Back to top]
Topical Imiquimod: Mechanism of Action and Clinical Applications
David Vidal

Imiquimod is a synthetic imidazoquinoline heterocyclic amine of 240.3 Da (C14H16N4). Imiquimod is a cytokine inducer and a modifier of the innate immune response, as well as acquired antiviral and antitumor immune responses. Imiquimod 5% cream has proven to be an effective treatment for external genital warts, superficial basal cell carcinoma, and actinic keratosis.


[Back to top]
Antioxidative Actions of Statins: Potential Mechanisms for Antiathersclerotic Effects
Takanori Watanabe, Kenichi Yasunari and Munehoro Nakamura

Inhibitors of 3-hydroxy-3-methylglutaryl CoA (HMG-CoA) reductase (statins) are widely used for the prevention of atherosclerotic diseases. The effects of statins on the generation of reactive oxygen species (ROS) by in vitro and in vivo were studied. Administration of statins significantly decreased ROS generation in vitro and in vivo.


[Back to top]
Regulatory T Cells in Cancer Biology: A Possible New Target for Biochemical Therapies
Dominik Wolf, Holger Rumpold and Anna-Maria Wolf

CD4+CD25+ T cells are essential for maintenance of self-tolerance and therefore have been referred to as regulatory T cells (Treg). Experimental tumor models revealed that Treg are potent inhibitors of an anti-tumor immune response. Treg are expanded in human cancer. Currently, a variety of strategies for the induction of a specific anti-tumor immune response are tested in preclinical and clinical settings. Biochemical strategies modifying and/or depleting Treg in cancer patients for an enhancement of vaccine-based therapeutic concepts will be discussed in detail in this review.


[Back to top]
Rational Design of Non-Hydroxamate Histone Deacetylase Inhibitors
Takayoshi Suzuki and Naoki Miyata

While most inhibitors of histone deacetylases (HDACs) are hydroxamic acid derivatives, several non-hydroxamates have recently been developed as inhibitors and attracted quite a deal of attention. In this review, we present the rational design, inhibitory effect and antiproliferative activity of non-hydroxamate HDAC inhibitors.


[Back to top]
Small Molecule and Biologic Modulators of the Immune Response to Hepatitis C Virus
M.L. Mbow, A. Eaton-Bassiri, W.G. Glass, A.M. Del Vecchio and R.T. Sarisky

Hepatitis C virus represents a major global health problem, with approximately 3% of the world population infected. Immune-response modifiers represent the standard of care, given the lack of approved antiviral agents having direct activity against the viral proteins. Although in recent years, improvements in therapy have been attained by combined treatment with pegylated interferon and ribavirin, the discovery and development of next-generation small molecule and biologic agents is ongoing. Several of these newer therapeutics are focused on modulating Toll-like receptors, interferon-alpha signaling, and the pro-inflammatory cytokine balance. A comprehensive account of the lead compounds in development, the bioassays used for optimization of these immune response modifiers and their clinical status is presented.


[Back to top]
Ether Lipids as Anticancer Agents: Focus on Non-Phosphorus Cationic Glycerolipids
N.V. Plyavnik, A.A. Shtil and G.A. Serebrennikova

This review focuses on the synthesis and mechanisms of antitumor activity of cationic non-phosphorus analogs of edelfosine. The role of variable length and mode of conjugation of the spacer group, the types of cationic ‘head’, and the length of the substituent at C(2) atom of the glycerol backbone are discussed, providing the basis for rational design of lipophilic anticancer drugs, in particular, for elimination of multidrug resistant cells.


[Back to top]
Reconsideration of Japanese Traditional Herbal Medicine: New Field of Research and Clinical Medicine
Hideki Okamoto

Japanese traditional herbal medicine, which is known as “Kampo”, has received increasing attention as an alternative approach to the treatment of various diseases. In order to safely and effectively apply Kampo, it is essential to understand oriental diagnostics. Herein, an outline of such diagnostics is introduced, and current trends in Kampo research are reviewed.


[Back to top]
Molecular Insights into the Mechanisms of HIV-1 Reverse Transcriptase Resistance to Nucleoside Analogs
Alexandra P. Carvalho, Pedro A. Fernandes and Maria J. Ramos

The causative agent of acquired immunodeficiency syndrome, HIV-1, depends on one of its enzymes, reverse transcriptase, to copy its single stranded RNA genome into a double stranded DNA nucleic acid suitable for integration in the host cell genome. In the last two decades, the advances in the knowledge of the kinetic mechanism of reverse transcription and in the determination of the crystallographic structures for the complexes of the enzyme with substrates and products were huge. However, all of this knowledge resulted in the design of RT inhibitors for which the virus, after a short period of exposure, becomes less susceptible, due to the development of resistance. The development of resistance is caused by the high frequency of viral mutation and the toxicity of those same drugs. Therefore, a closer look at all the available information might shed some light into this subject and help to develop new strategies to overcome the lack of long term clinical efficiency of these drugs. Here, we present a critical atomic level study of all the mutations that have been detected and reported so far, as a reaction of the enzyme to counteract the action of the inhibitors.


[Back to top]
Novel Anti-Viral Therapy: Drugs that Block HIV Entry at Different Target Sites
Sandra Siegert, Peter Schnierle and Barbara S. Schnierle

Drugs that block the entry of human immunodeficiency virus type 1 (HIV-1) into host cells abrogate the establishment of a productive infection and should ideally diminish the chances of HIV-1 developing resistance. This review will give an overview of the mechanism by which the envelope glycoprotein mediates HIV-1 entry and will summarize current drug developments.


[Back to top]
Fine Tuning of PPAR Ligands for Type 2 Diabetes and Metabolic Syndrome
Uma Ramachandran, Rakesh Kumar and Amit Mittal

Type 2 diabetes mellitus (T2DM) is highly prevalent chronic disease. Recently, many biological targets are discovered for treatment of this disease. The identification of the nuclear hormone receptor peroxisome proliferator activated receptors (PPAR) and their subtypes α, γ and δ or β as targets for controlling lipid, glucose and energy homeostasis has proved to be exciting. As hyperlipidaemia, obesity and insulin resistance are independent risk factors for coronary heart disease and macrovascular complications of diabetes; new agents that increase insulin sensitivity as well as decrease hyperlipidaemia by distinct yet complementary mechanism are being studied as they may provide improved therapy for T2DM and related disorders. In this article, we review highly potent PPARγ agonists, PPARα/γ dual agonists, PPAR pan agonists, alternative PPAR ligands like partial agonists or selective PPAR modulators (SPPARMs) and antagonists from a chemist point of view.


[Back to top]
Pharmacological and Clinical Studies on Purine Nucleoside Analogs- New Anticancer Agents
E. Lech-Maranda, A. Korycka and T. Robak

More recently, three novel purine nucleoside analogs, including clofarabine, nelarabine and immucillin H, have been introduced into clinical trials. These agents have different metabolic properties, novel mechanism of action, and are undergoing phase I-II clinical studies for the treatment of hematopoietic malignancies. Pharmacology and anticancer activity of PNA are the subjects of this review.


[Back to top]
The Emergence of Plasma Membrane Calcium Pump as a Novel Therapeutic Target for Heart Disease
Delvac Oceandy, Mamta H. Buch, Elizabeth J. Cartwright and Ludwig Neyses

The plasma membrane calcium/calmodulin dependent ATPase (PMCA) is a calcium-extruding enzymatic pump important in the control of intracellular calcium concentration. PMCA is the only system for calcium extrusion in the majority of cells. In excitable cells such as cardiomyocytes however, PMCA has been shown to play only a minor role in calcium homeostasis. In these cells the main mechanism of calcium extrusion is the sodium calcium exchanger. However, increasing evidence points to an important role for PMCA in signal transduction; in particular in the nitric oxide signalling pathway. In this review we will discuss recent advances that support a key role for PMCA in signal transduction and the potential for therapeutic targeting of this molecule in the treatment of cardiac diseases.


[Back to top]
Recent Advances in Clarifying Prion Protein Functions Using Knockout Mice and Derived Cell Lines
Akikazu Sakudo, Takashi Onodera, Yoshikazu Suganuma, Takanori Kobayashi, Keiichi Saeki and Kazuyoshi Ikuta

Considerable information on the functions of prion protein (PrP) has been accumulated. One experimental approach is the use of PrP gene-knockout mice and derived cell lines. This approach has contributed to elucidating the functions of cellular prion protein (PrPC), such as its anti-oxidative and anti-apoptotic roles. This review will introduce the recent advances in prion biology made possible by the availability of these tools.


[Back to top]
The Therapeutic Potential of Angiotensin-(1-7) as a Novel Renin-Angiotensin System Mediator
Ana Cristina Simões e Silva, Sérgio Veloso Brant Pinheiro, Regina Maria Pereira,Anderson José Ferreira and Robson Augusto Souza Santos

In this review, we show Angiotensin-(1-7) as a novel Renin Angiotensin System mediator that antagonizes cardiovascular and proliferative effects of Angiotensin II and exerts complex renal actions. We also speculate the possibility of new drugs for the treatment of cardiovascular, genitourinary and hepatic diseases by interfering with ACE2-Angiotensin-(1-7)-Mas axis.

 

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