Strong Katie L, Jing Yao, Prosser Anthony R, Traynelis Stephen F, Liotta Dennis C
Emory University, Department of Chemistry , 1521 Dickey Drive, Atlanta, GA 30322 , USA
Expert Opin Ther Pat. 2014 Dec;24(12):1349-66. doi: 10.1517/13543776.2014.972938. Epub 2014 Oct 29.
The NMDA receptor mediates a slow component of excitatory synaptic transmission, and NMDA receptor dysfunction has been implicated in numerous neurological disorders. Thus, interest in developing modulators that are capable of regulating the channel continues to be strong. Recent research has led to the discovery of a number of compounds that hold therapeutic and clinical value. Deeper insight into the NMDA intersubunit interactions and structural motifs gleaned from the recently solved crystal structures of the NMDA receptor should facilitate a deeper understanding of how these compounds modulate the receptor.
This article discusses the known pharmacology of NMDA receptors. A discussion of the patent literature since 2012 is also included, with an emphasis on those that claimed new chemical entities as regulators of the NMDA receptor.
The number of patents involving novel NMDA receptor modulators suggests a renewed interest in the NMDA receptor as a therapeutic target. Subunit-selective modulators continue to show promise, and the development of new subunit-selective NMDA receptor modulators appears poised for continued growth. Although a modest number of channel blocker patents were published, successful clinical outcomes involving ketamine have led to a resurgent interest in low-affinity channel blockers as therapeutics.
NMDA受体介导兴奋性突触传递的慢成分,且NMDA受体功能障碍与多种神经系统疾病有关。因此,开发能够调节该通道的调节剂的兴趣依然浓厚。最近的研究已发现了许多具有治疗和临床价值的化合物。从最近解析的NMDA受体晶体结构中获得的对NMDA亚基间相互作用和结构基序的更深入了解,应有助于更深入地理解这些化合物如何调节该受体。
本文讨论了NMDA受体的已知药理学。还包括对2012年以来专利文献的讨论,重点是那些声称新化学实体为NMDA受体调节剂的文献。
涉及新型NMDA受体调节剂的专利数量表明,人们对将NMDA受体作为治疗靶点重新产生了兴趣。亚基选择性调节剂继续展现出前景,新型亚基选择性NMDA受体调节剂的开发似乎准备好持续增长。尽管发表的通道阻滞剂专利数量不多,但氯胺酮的成功临床结果引发了人们对低亲和力通道阻滞剂作为治疗药物的重新关注。