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Chemistry and biology of microsomal prostaglandin E2 synthase-1 (mPGES-1) inhibitors as novel anti-inflammatory agents: recent developments and current status

机译:微粒体前列腺素E2合成酶-1(MPGES-1)抑制剂作为新型抗炎剂的化学和生物学:最近的发展和现状

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Prostaglandin (PG) E _(2) , a key mediator of inflammatory pain and fever, is biosynthesized from PGH _(2) by microsomal prostaglandin E _(2) synthase-1 (mPGES-1). During inflammation the expression of mPGES-1 increases resulting in increased PGE _(2) formation. Specific inhibition of mPGES-1 reduces the biosynthesis of PGE _(2) , sparing other physiologically important PGs such as prostacyclin (PGI _(2) ) and thromboxane A _(2) (TXA _(2) ). Inhibition of mPGES-1 might be superior over the inhibition of cyclooxygenases (COX), as the latter leads to the suppression of PGI _(2) , TXA _(2) along with the pathogenic PGE _(2) resulting in gastro-intestinal, renal and cardiovascular complications. Therefore, inhibition of mPGES-1 has been proposed as a promising approach for the development of drugs for inflammation and pain therapy, which only suppresses PGE _(2) biosynthesis, avoiding the side effects caused by nonsteroidal anti-inflammatory drugs (NSAIDs) and specific COX-2 inhibitors. The current review article includes natural and synthetic inhibitors of mPGES-1 reported since 2000 with their in vitro activity (IC _(50) values), in vivo activity, the status of clinical candidates, and critical appraisal of these reported inhibitors.
机译:前列腺素(PG)E _(2),炎症疼痛和发烧的关键介质,由微粒体前列腺素E _(2)合成酶-1(MPGES-1)生物合成。在炎症期间,MPGES-1的表达增加导致增加的PGE _(2)形成。 MPGES-1的特异性抑制减少了PGE _(2)的生物合成,使得其他生理学上重要的PG,例如前列环素(PGI _(2))和血栓素A _(2))(TXA _(2))。 MPGES-1的抑制可以在抑制环氧氢酶(COX)上优异,因为后者导致PGI _(2),TXA _(2)的抑制以及导致胃肠的致病性PGE _(2)。 ,肾和心血管并发症。因此,已经提出了对MPGES-1的抑制作为发育炎症和疼痛治疗的药物的有希望的方法,该方法仅抑制PGE _(2)生物合成,避免由非甾体类抗炎药(NSAID)和的副作用特定的COX-2抑制剂。目前的审查制品包括自2000年以来报告的MPGES-1的天然和合成抑制剂,其体外活性(IC _(50)值),体内活动,临床候选者的状况以及这些报告的抑制剂的批判性评估。

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