摘要
背景:蛋白酶在许多生理过程的调节中发挥着重要作用,蛋白酶抑制剂已成为重要的药物类别之一。 特别是因为蛋白酶抑制剂的开发通常从基于底物的拟肽策略开始,因此许多最初的先导化合物都存在药代动力学缺陷。 目的:为了降低药物损耗率,将药物代谢和药代动力学研究充分融入现代药物发现研究,并通过构效关系阐明化学结构的修饰如何影响药物化合物的药代动力学和毒理学性质。 了解临床批准的蛋白酶抑制剂药物及其类似物的结构-性质关系可以为先导候选优化策略提供有用的信息。 方法:截至 2021 年底,约有 70 种针对人类或病原性病毒蛋白酶的抑制剂已获得批准。在本次综述中,由于详细的药理和/或理化数据已在药物化学中公开,因此选择 17 种抑制剂进行结构-性质关系分析 这些抑制剂及其类似物的文献。 结果:对汇编的数据进行分析,主要关注先导化合物中发现的药代动力学或毒理学缺陷以及用于生成候选化合物的结构修饰策略。 结论:构效关系总结了如何通过修饰蛋白酶抑制剂的结构成功地改善整体药性。 这些具体实例有望为今后开发新型蛋白酶抑制剂药物提供有益的参考和指导。
关键词: 结构-性质关系、蛋白酶抑制剂、肽模拟物、先导化合物优化、候选药物选择、药物发现。
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