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深入了解新型乳腺癌治疗化合物的构效关系。

Insight into Structure-Activity Relationship of New Compounds for Breast Cancer Treatment.

机构信息

Department of Pharmacy, NMPA Key Laboratory for Clinical Research and Evaluation of Innovative Drug, West China Hospital, Sichuan University, Chengdu, 610041, China.

Clinical Trial Center, West China Hospital, Sichuan University, Chengdu, 610041, China.

出版信息

Curr Top Med Chem. 2023;23(25):2373-2393. doi: 10.2174/0115680266253686230921054429.

Abstract

BACKGROUND

Breast cancer has always been a vicious disease that threatens female health. Although the existing surgery, radiotherapy, chemotherapy, and kinase-targeted drugs have achieved certain effects, there are still many shortcomings. Novel compounds used to treat breast cancer, particularly TNBC, are eagerly being discovered.

METHODS

More than 100 novel compounds that show anti-breast cancer growth were compiled from public databases. The compound design strategies, structure-activity relationship research, and activity evaluation methods have also been reviewed.

RESULTS

These novel anti-breast cancer compounds can be divided into mechanisms of action: kinase inhibitors, epigenetic inhibitors, dual inhibitors, degraders, metal complexes, etc. The design strategies mainly include conformational constraint, scaffold-hopping, merging key pharmacophores, etc. Structure-activity relationship studies of these new compounds mainly focus on increasing activity, improving selectivity, increasing membrane permeability, reducing toxicity, improving pharmacokinetic properties, etc. Conclusion: Through the structural optimization of kinase inhibitors, microtubule-targeted drugs, and metal complexes, it is expected to obtain more advantageous breast cancer treatment drugs. It cannot be ignored that epigenetic inhibitors, dual inhibitors and degraders may bring new breast cancer treatment strategies.

摘要

背景

乳腺癌一直是威胁女性健康的恶性疾病。尽管现有的手术、放疗、化疗和激酶靶向药物已取得一定疗效,但仍存在许多不足。目前正在急切地寻找用于治疗乳腺癌,尤其是三阴性乳腺癌的新型化合物。

方法

从公共数据库中编译了 100 多种显示抗乳腺癌生长作用的新型化合物。还回顾了化合物设计策略、构效关系研究和活性评估方法。

结果

这些新型抗乳腺癌化合物的作用机制可分为:激酶抑制剂、表观遗传抑制剂、双重抑制剂、降解剂、金属配合物等。设计策略主要包括构象限制、骨架跃迁、融合关键药效团等。这些新化合物的构效关系研究主要集中在提高活性、提高选择性、增加膜通透性、降低毒性、改善药代动力学性质等方面。

结论

通过对激酶抑制剂、微管靶向药物和金属配合物的结构优化,有望获得更具优势的乳腺癌治疗药物。不可忽视的是,表观遗传抑制剂、双重抑制剂和降解剂可能带来新的乳腺癌治疗策略。

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