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1.
J Med Chem ; 60(14): 6239-6248, 2017 07 27.
Artículo en Inglés | MEDLINE | ID: mdl-28671827

RESUMEN

Ester and carbamate prodrugs of aldehyde bisulfite adduct inhibitors were synthesized in order to improve their pharmacokinetic and pharmacodynamic properties. The inhibitory activity of the compounds against norovirus 3C-like protease in enzyme and cell-based assays was determined. The ester and carbamate prodrugs displayed equivalent potency to those of the precursor aldehyde bisulfite adducts and precursor aldehydes. Furthermore, the rate of ester cleavage was found to be dependent on alkyl chain length. The generated prodrugs exhibited low cytotoxicity and satisfactory liver microsomes stability and plasma protein binding. The methodology described herein has wide applicability and can be extended to the bisulfite adducts of common warheads employed in the design of transition state inhibitors of serine and cysteine proteases of medical relevance.


Asunto(s)
Antivirales/química , Compuestos Aza/química , Carbamatos/química , Cisteína Endopeptidasas/metabolismo , Inhibidores de Cisteína Proteinasa/química , Norovirus/efectos de los fármacos , Profármacos/química , Pirrolidinas/química , Proteínas Virales/antagonistas & inhibidores , Animales , Antivirales/síntesis química , Antivirales/farmacología , Compuestos Aza/síntesis química , Compuestos Aza/farmacología , Proteínas Sanguíneas/metabolismo , Carbamatos/síntesis química , Carbamatos/farmacología , Línea Celular , Inhibidores de Cisteína Proteinasa/síntesis química , Inhibidores de Cisteína Proteinasa/farmacología , Ésteres/síntesis química , Ésteres/química , Ésteres/farmacología , Humanos , Hidrólisis , Ratones , Microsomas Hepáticos/metabolismo , Modelos Moleculares , Profármacos/síntesis química , Profármacos/farmacología , Unión Proteica , Pirrolidinas/síntesis química , Pirrolidinas/farmacología , Estereoisomerismo , Relación Estructura-Actividad
2.
Eur J Med Chem ; 119: 300-18, 2016 Aug 25.
Artículo en Inglés | MEDLINE | ID: mdl-27235842

RESUMEN

Outbreaks of acute gastroenteritis caused by noroviruses constitute a public health concern worldwide. To date, there are no approved drugs or vaccines for the management and prophylaxis of norovirus infections. A potentially effective strategy for the development of norovirus therapeutics entails the discovery of inhibitors of norovirus 3CL protease, an enzyme essential for noroviral replication. We describe herein the structure-based design of the first class of permeable, triazole-based macrocyclic inhibitors of norovirus 3C-like protease, as well as pertinent X-ray crystallographic, biochemical, spectroscopic, and antiviral studies.


Asunto(s)
Diseño de Fármacos , Compuestos Macrocíclicos/química , Compuestos Macrocíclicos/farmacología , Norovirus/efectos de los fármacos , Péptido Hidrolasas/metabolismo , Triazoles/química , Técnicas de Química Sintética , Compuestos Macrocíclicos/metabolismo , Espectroscopía de Resonancia Magnética , Modelos Moleculares , Péptido Hidrolasas/química , Permeabilidad , Inhibidores de Proteasas/química , Inhibidores de Proteasas/metabolismo , Inhibidores de Proteasas/farmacología , Conformación Proteica
3.
J Med Chem ; 59(5): 1899-913, 2016 Mar 10.
Artículo en Inglés | MEDLINE | ID: mdl-26823007

RESUMEN

Human noroviruses are the primary causative agents of acute gastroenteritis and a pressing public health burden worldwide. There are currently no vaccines or small molecule therapeutics available for the treatment or prophylaxis of norovirus infections. Norovirus 3CL protease plays a vital role in viral replication by generating structural and nonstructural proteins via the cleavage of the viral polyprotein. Thus, molecules that inhibit the viral protease may have potential therapeutic value. We describe herein the structure-based design, synthesis, and in vitro and cell-based evaluation of the first class of oxadiazole-based, permeable macrocyclic inhibitors of norovirus 3CL protease.


Asunto(s)
Antivirales/farmacología , Permeabilidad de la Membrana Celular , Compuestos Macrocíclicos/farmacología , Norovirus/efectos de los fármacos , Norovirus/enzimología , Oxadiazoles/farmacología , Péptido Hidrolasas/metabolismo , Inhibidores de Proteasas/farmacología , Animales , Antivirales/síntesis química , Antivirales/química , Línea Celular , Permeabilidad de la Membrana Celular/efectos de los fármacos , Cristalografía por Rayos X , Relación Dosis-Respuesta a Droga , Humanos , Compuestos Macrocíclicos/síntesis química , Compuestos Macrocíclicos/química , Ratones , Modelos Moleculares , Estructura Molecular , Oxadiazoles/síntesis química , Oxadiazoles/química , Inhibidores de Proteasas/síntesis química , Inhibidores de Proteasas/química , Relación Estructura-Actividad
4.
J Med Chem ; 58(7): 3144-55, 2015 Apr 09.
Artículo en Inglés | MEDLINE | ID: mdl-25761614

RESUMEN

Norovirus infection constitutes the primary cause of acute viral gastroenteritis. There are currently no vaccines or norovirus-specific antiviral therapeutics available for the management of norovirus infection. Norovirus 3C-like protease is essential for viral replication, consequently, inhibition of this enzyme is a fruitful avenue of investigation that may lead to the emergence of antinorovirus therapeutics. We describe herein the optimization of dipeptidyl inhibitors of norovirus 3C-like protease using iterative SAR, X-ray crystallographic, and enzyme and cell-based studies. We also demonstrate herein in vivo efficacy of an inhibitor using the murine model of norovirus infection.


Asunto(s)
Norovirus/enzimología , Péptido Hidrolasas/química , Inhibidores de Proteasas/química , Inhibidores de Proteasas/farmacología , Proteínas Virales/química , Animales , Antivirales/química , Antivirales/farmacología , Línea Celular/efectos de los fármacos , Técnicas de Química Sintética , Proteasas 3C de Coronavirus , Cristalografía por Rayos X , Cisteína Endopeptidasas/química , Cisteína Endopeptidasas/metabolismo , Inhibidores de la Dipeptidil-Peptidasa IV/química , Inhibidores de la Dipeptidil-Peptidasa IV/farmacología , Relación Dosis-Respuesta a Droga , Diseño de Fármacos , Femenino , Macrófagos/efectos de los fármacos , Macrófagos/virología , Ratones Endogámicos BALB C , Modelos Moleculares , Norovirus/efectos de los fármacos , Norovirus/patogenicidad , Péptido Hidrolasas/metabolismo , Conformación Proteica , Relación Estructura-Actividad , Proteínas Virales/antagonistas & inhibidores , Proteínas Virales/metabolismo
5.
Bioorg Med Chem Lett ; 23(23): 6317-20, 2013 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-24125888

RESUMEN

A class of tripeptidyl transition state inhibitors containing a P1 glutamine surrogate, a P2 leucine, and a P3 arylalanines, was found to potently inhibit Norwalk virus replication in enzyme and cell based assays. An array of warheads, including aldehyde, α-ketoamide, bisulfite adduct, and α-hydroxyphosphonate transition state mimic, was also investigated. Tripeptidyls 2 and 6 possess antiviral activities against noroviruses, human rhinovirus, severe acute respiratory syndrome coronavirus, and coronavirus 229E, suggesting a broad range of antiviral activities.


Asunto(s)
Antivirales/síntesis química , Antivirales/farmacología , Cisteína Endopeptidasas/metabolismo , Inhibidores de Proteasas/síntesis química , Inhibidores de Proteasas/farmacología , Antivirales/química , Proteasas 3C de Coronavirus , Cisteína Endopeptidasas/química , Diseño de Fármacos , Glutamina/análogos & derivados , Glutamina/farmacología , Humanos , Modelos Moleculares , Inhibidores de Proteasas/química , Relación Estructura-Actividad
7.
Bioorg Med Chem Lett ; 23(13): 3709-12, 2013 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-23727045

RESUMEN

The design, synthesis, and in vitro evaluation of the first macrocyclic inhibitor of 3C and 3C-like proteases of picornavirus, norovirus, and coronavirus are reported. The in vitro inhibitory activity (50% effective concentration) of the macrocyclic inhibitor toward enterovirus 3C protease (CVB3 Nancy strain), and coronavirus (SARS-CoV) and norovirus 3C-like proteases, was determined to be 1.8, 15.5 and 5.1 µM, respectively.


Asunto(s)
Coronavirus/enzimología , Compuestos Macrocíclicos/farmacología , Norovirus/enzimología , Péptido Hidrolasas/metabolismo , Picornaviridae/enzimología , Inhibidores de Proteasas/farmacología , Relación Dosis-Respuesta a Droga , Diseño de Fármacos , Compuestos Macrocíclicos/síntesis química , Compuestos Macrocíclicos/química , Modelos Moleculares , Conformación Molecular , Inhibidores de Proteasas/síntesis química , Inhibidores de Proteasas/química , Relación Estructura-Actividad
8.
Bioorg Med Chem ; 21(1): 102-13, 2013 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-23211969

RESUMEN

1,2-Benzisothiazol-3(2H)-ones and 1,3,4-oxadiazoles individually have recently attracted considerable interest in drug discovery, including as antibacterial and antifungal agents. In this study, a series of functionalized 1,2-benzisothiazol-3(2H)-one-1,3,4-oxadiazole hybrid derivatives were synthesized and subsequently screened against Dengue and West Nile virus proteases. Ten out of twenty-four compounds showed greater than 50% inhibition against DENV2 and WNV proteases ([I] = 10 µM). The IC(50) values of compound 7n against DENV2 and WNV NS2B/NS3 were found to be 3.75 ± 0.06 and 4.22 ± 0.07 µM, respectively. The kinetics data support a competitive mode of inhibition by compound 7n. Molecular modeling studies were performed to delineate the putative binding mode of this series of compounds. This study reveals that the hybrid series arising from the linking of the two scaffolds provides a suitable platform for conducting a hit-to-lead optimization campaign via iterative structure-activity relationship studies, in vitro screening and X-ray crystallography.


Asunto(s)
Antivirales/química , Virus del Dengue/enzimología , Oxadiazoles/química , Péptido Hidrolasas/metabolismo , Inhibidores de Proteasas/química , Triazoles/química , Virus del Nilo Occidental/enzimología , Animales , Antivirales/farmacología , Dengue/tratamiento farmacológico , Virus del Dengue/efectos de los fármacos , Diseño de Fármacos , Humanos , Modelos Moleculares , Oxadiazoles/farmacología , Inhibidores de Proteasas/farmacología , Triazoles/farmacología , Fiebre del Nilo Occidental/tratamiento farmacológico , Virus del Nilo Occidental/efectos de los fármacos
9.
Bioorg Med Chem Lett ; 23(1): 62-5, 2013 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-23218713

RESUMEN

Noroviruses are the most common cause of acute viral gastroenteritis, accounting for >21 million cases annually in the US alone. Norovirus infections constitute an important health problem for which there are no specific antiviral therapeutics or vaccines. In this study, a series of bisulfite adducts derived from representative transition state inhibitors (dipeptidyl aldehydes and α-ketoamides) was synthesized and shown to exhibit anti-norovirus activity in a cell-based replicon system. The ED(50) of the most effective inhibitor was 60 nM. This study demonstrates for the first time the utilization of bisulfite adducts of transition state inhibitors in the inhibition of norovirus 3C-like protease in vitro and in a cell-based replicon system. The approach described herein can be extended to the synthesis of the bisulfite adducts of other classes of transition state inhibitors of serine and cysteine proteases, such as α-ketoheterocycles and α-ketoesters.


Asunto(s)
Antivirales/química , Norovirus/enzimología , Péptido Hidrolasas/química , Inhibidores de Proteasas/química , Sulfitos/química , Proteínas Virales/antagonistas & inhibidores , Animales , Antivirales/síntesis química , Antivirales/metabolismo , Células CHO , Cricetinae , Cricetulus , Péptido Hidrolasas/metabolismo , Inhibidores de Proteasas/síntesis química , Inhibidores de Proteasas/metabolismo , Unión Proteica , Sulfitos/síntesis química , Sulfitos/metabolismo , Proteínas Virales/metabolismo
10.
J Virol ; 86(21): 11754-62, 2012 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-22915796

RESUMEN

Phylogenetic analysis has demonstrated that some positive-sense RNA viruses can be classified into the picornavirus-like supercluster, which includes picornaviruses, caliciviruses, and coronaviruses. These viruses possess 3C or 3C-like proteases (3Cpro or 3CLpro, respectively), which contain a typical chymotrypsin-like fold and a catalytic triad (or dyad) with a Cys residue as a nucleophile. The conserved key sites of 3Cpro or 3CLpro may serve as attractive targets for the design of broad-spectrum antivirals for multiple viruses in the supercluster. We previously reported the structure-based design and synthesis of potent protease inhibitors of Norwalk virus (NV), a member of the Caliciviridae family. We report herein the broad-spectrum antiviral activities of three compounds possessing a common dipeptidyl residue with different warheads, i.e., an aldehyde (GC373), a bisulfite adduct (GC376), and an α-ketoamide (GC375), against viruses that belong to the supercluster. All compounds were highly effective against the majority of tested viruses, with half-maximal inhibitory concentrations in the high nanomolar or low micromolar range in enzyme- and/or cell-based assays and with high therapeutic indices. We also report the high-resolution X-ray cocrystal structures of NV 3CLpro-, poliovirus 3Cpro-, and transmissible gastroenteritis virus 3CLpro- GC376 inhibitor complexes, which show the compound covalently bound to a nucleophilic Cys residue in the catalytic site of the corresponding protease. We conclude that these compounds have the potential to be developed as antiviral therapeutics aimed at a single virus or multiple viruses in the picornavirus-like supercluster by targeting 3Cpro or 3CLpro.


Asunto(s)
Antivirales/farmacología , Coronavirus/efectos de los fármacos , Norovirus/efectos de los fármacos , Picornaviridae/efectos de los fármacos , Inhibidores de Proteasas/farmacología , Proteínas Virales/antagonistas & inhibidores , Proteasas Virales 3C , Animales , Antivirales/química , Línea Celular , Coronavirus/enzimología , Cristalografía por Rayos X , Cisteína Endopeptidasas/química , Humanos , Concentración 50 Inhibidora , Pruebas de Sensibilidad Microbiana , Modelos Moleculares , Norovirus/enzimología , Picornaviridae/enzimología , Inhibidores de Proteasas/química , Conformación Proteica , Proteínas Virales/química
11.
Bioorg Med Chem Lett ; 22(14): 4820-6, 2012 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-22698498

RESUMEN

A series of structurally-diverse α-ketoamides and α-ketoheterocycles was synthesized and subsequently investigated for inhibitory activity against norovirus 3CL protease in vitro, as well as anti-norovirus activity in a cell-based replicon system. The synthesized compounds were found to inhibit norovirus 3CL protease in vitro and to also exhibit potent anti-norovirus activity in a cell-based replicon system.


Asunto(s)
Amidas/química , Cisteína Endopeptidasas/química , Compuestos Heterocíclicos/química , Norovirus/enzimología , Péptidos/química , Inhibidores de Proteasas/química , Amidas/farmacología , Cisteína Endopeptidasas/farmacología , Compuestos Heterocíclicos/farmacología , Modelos Moleculares , Estructura Molecular , Norovirus/efectos de los fármacos , Inhibidores de Proteasas/farmacología , Relación Estructura-Actividad
12.
Bioorg Med Chem ; 20(13): 4140-8, 2012 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-22632792

RESUMEN

Dengue and West Nile viruses (WNV) are mosquito-borne members of flaviviruses that cause significant morbidity and mortality. There is no approved vaccine or antiviral drugs for human use to date. In this study, a series of functionalized meta and para aminobenzamide derivatives were synthesized and subsequently screened in vitro against Dengue virus and West Nile virus proteases. Four active compounds were identified which showed comparable activity toward the two proteases and shared in common a meta or para(phenoxy)phenyl group. The inhibition constants (K(i)) for the most potent compound 7n against Dengue and West Nile virus proteases were 8.77 and 5.55 µM, respectively. The kinetics data support a competitive mode of inhibition of both proteases by compound 7n. This conclusion is further supported by molecular modeling. This study reveals a new chemical scaffold which is amenable to further optimization to yield potent inhibitors of the viral proteases via the combined utilization of iterative medicinal chemistry/structure-activity relationship studies and in vitro screening.


Asunto(s)
Antivirales/química , Benzamidas/química , Virus del Dengue/enzimología , Péptido Hidrolasas/química , Inhibidores de Proteasas/química , Virus del Nilo Occidental/enzimología , Antivirales/síntesis química , Antivirales/farmacología , Sitios de Unión , Dominio Catalítico , Simulación por Computador , Virus del Dengue/efectos de los fármacos , Cinética , Péptido Hidrolasas/metabolismo , Compuestos de Fenilurea/síntesis química , Compuestos de Fenilurea/química , Compuestos de Fenilurea/farmacología , Inhibidores de Proteasas/síntesis química , Inhibidores de Proteasas/farmacología , Relación Estructura-Actividad , Triazoles/síntesis química , Triazoles/química , Triazoles/farmacología , Virus del Nilo Occidental/efectos de los fármacos
13.
Bioorg Med Chem ; 20(6): 2111-8, 2012 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-22356738

RESUMEN

The development of small molecule therapeutics to combat norovirus infection is of considerable interest from a public health perspective because of the highly contagious nature of noroviruses. A series of amino acid-derived acyclic sulfamide-based norovirus inhibitors has been synthesized and evaluated using a cell-based replicon system. Several compounds were found to display potent anti-norovirus activity, low toxicity, and good aqueous solubility. These compounds are suitable for further optimization of pharmacological and ADMET properties.


Asunto(s)
Aminoácidos/química , Aminoácidos/farmacología , Antivirales/química , Antivirales/farmacología , Norovirus/efectos de los fármacos , Sulfonamidas/química , Sulfonamidas/farmacología , Aminoácidos/síntesis química , Animales , Antivirales/síntesis química , Infecciones por Caliciviridae/tratamiento farmacológico , Línea Celular , Diseño de Fármacos , Humanos , Sulfonamidas/síntesis química
14.
Bioorg Med Chem ; 20(3): 1213-21, 2012 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-22249124

RESUMEN

Two click chemistry-derived focused libraries based on the benz[d]isothiazol-3(2H)-one scaffold were synthesized and screened against Dengue virus and West Nile virus NS2B-NS3 proteases. Several compounds (4l, 7j-n) displayed noteworthy inhibitory activity toward Dengue virus NS2B-NS3 protease in the absence and presence of added detergent. These compounds could potentially serve as a launching pad for a hit-to-lead optimization campaign.


Asunto(s)
Antivirales/química , Antivirales/farmacología , Virus del Dengue/enzimología , Péptido Hidrolasas/metabolismo , Inhibidores de Proteasas/química , Inhibidores de Proteasas/farmacología , Virus del Nilo Occidental/enzimología , Química Clic , Dengue/tratamiento farmacológico , Dengue/enzimología , Virus del Dengue/efectos de los fármacos , Humanos , Modelos Moleculares , Tiazoles/química , Tiazoles/farmacología , Fiebre del Nilo Occidental/tratamiento farmacológico , Fiebre del Nilo Occidental/enzimología , Virus del Nilo Occidental/efectos de los fármacos
15.
Eur J Med Chem ; 47(1): 59-64, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-22063754

RESUMEN

An optimization campaign focused on improving pharmacological activity and physicochemical properties of a recently-identified class of cyclosulfamide-based norovirus inhibitors has been carried out. Dimeric compound 4 was found to be a ∼10-fold more potent norovirus inhibitor (ED(50) 0.4 µM) compared to the original hit, however, isonipecotic acid ester derivatives 7e and 10a were shown to have superior therapeutic indices.


Asunto(s)
Amidas/química , Amidas/farmacología , Antivirales/química , Antivirales/farmacología , Norovirus/efectos de los fármacos , Amidas/síntesis química , Antivirales/síntesis química , Línea Celular , Concentración 50 Inhibidora , Piperazina , Piperazinas/química , Relación Estructura-Actividad
16.
Bioorg Med Chem ; 19(20): 5975-83, 2011 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-21925886

RESUMEN

A new class of compounds that exhibit anti-norovirus activity in a cell-based system and embody in their structure a cyclosulfamide scaffold has been identified. The structure of the initial hit (compound 2a, ED(50) 4 µM, TD(50) 50 µM) has been prospected by exploiting multiple points of diversity and generating appropriate structure-activity relationships.


Asunto(s)
Amidas/química , Amidas/farmacología , Virus Norwalk/efectos de los fármacos , Ácidos Sulfónicos/química , Ácidos Sulfónicos/farmacología , Línea Celular Tumoral , Humanos , Estructura Molecular , Virus Norwalk/química , Relación Estructura-Actividad
17.
Bioorg Med Chem ; 19(19): 5749-55, 2011 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-21893416

RESUMEN

A scaffold hopping strategy was employed to identify new chemotypes that inhibit noroviruses. The replacement of the cyclosulfamide scaffold by an array of heterocyclic scaffolds lead to the identification of additional series of compounds that possessed anti-norovirus activity in a cell-based replicon system.


Asunto(s)
Antivirales/síntesis química , Antivirales/farmacología , Norovirus/efectos de los fármacos , Amidas/síntesis química , Amidas/química , Amidas/farmacología , Antivirales/química , Línea Celular , Compuestos Heterocíclicos/química , Humanos , Relación Estructura-Actividad , Replicación Viral/efectos de los fármacos
18.
Bioorg Med Chem Lett ; 21(18): 5315-9, 2011 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-21802286

RESUMEN

The first series of peptidyl aldehyde inhibitors that incorporate in their structure a glutamine surrogate has been designed and synthesized based on the known substrate specificity of Norwalk virus 3C protease. The inhibitory activity of the compounds with the protease and with a norovirus cell-based replicon system was investigated. Members of this class of compounds exhibited noteworthy activity both in vitro and in a cell-based replicon system.


Asunto(s)
Proteasas de Cisteína/metabolismo , Inhibidores de Cisteína Proteinasa/síntesis química , Inhibidores de Cisteína Proteinasa/farmacología , Diseño de Fármacos , Virus Norwalk/enzimología , Técnicas de Química Sintética , Cristalografía por Rayos X , Inhibidores de Cisteína Proteinasa/química , Relación Dosis-Respuesta a Droga , Modelos Moleculares , Conformación Molecular , Estereoisomerismo , Relación Estructura-Actividad
19.
Bioorg Med Chem Lett ; 21(10): 3177-80, 2011 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-21511470

RESUMEN

The general strategy and rationale underlying the design of COPD therapeutics that possess protease inhibitory activity and are also capable of releasing a species that attenuates inflammation by inhibiting caspase-1, are described. The synthesis and in vitro biochemical evaluation of a dual function molecule that sequentially inhibits HNE and caspase-1 in a time-dependent manner is reported.


Asunto(s)
Inhibidores de Proteasas/metabolismo , Enfermedad Pulmonar Obstructiva Crónica/metabolismo , Dominio Catalítico , Humanos , Modelos Moleculares , Estructura Molecular , Neutrófilos/enzimología , Neutrófilos/metabolismo , Elastasa Pancreática/metabolismo , Factores de Tiempo
20.
Expert Opin Ther Pat ; 21(3): 339-54, 2011 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21235378

RESUMEN

INTRODUCTION: Chronic obstructive pulmonary disease (COPD) constitutes a worldwide health problem. There is currently an urgent and unmet need for the development of small molecule therapeutics capable of blocking and/or reversing the progression of the disorder. Recent studies have greatly illuminated our understanding of the multiple pathogenic processes associated with COPD. Of paramount importance is the key role played by proteases, oxidative stress, apoptosis and inflammation. Insights gained from these studies have made possible the exploration of new therapeutic approaches. AREAS COVERED: An overview of major developments in COPD research with emphasis on low-molecular mass neutrophil elastase inhibitors is described in this review. EXPERT OPINION: Great strides have been made toward our understanding of the biochemical and cellular events associated with COPD. However, our knowledge regarding the inter-relationships among the multiple pathogenic mechanisms and their mediators involved is still limited. The problem is further compounded by the unavailability of suitable validated biomarkers for assessing the efficacy of potential therapeutic interventions. The complexity of COPD suggests that effective therapeutic interventions may require the administration of more than one agent such as a human neutrophil elastase or MMP-12 inhibitor with an anti-inflammatory agent such as a PDE4 inhibitor or a dual function agent capable of disrupting the cycle of proteolysis, apoptosis, inflammation and oxidative stress.


Asunto(s)
Proteínas Inhibidoras de Proteinasas Secretoras/uso terapéutico , Enfermedad Pulmonar Obstructiva Crónica/tratamiento farmacológico , Animales , Humanos , Elastasa de Leucocito/fisiología , Proteínas Inhibidoras de Proteinasas Secretoras/farmacología , Enfermedad Pulmonar Obstructiva Crónica/etiología
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