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Emerging therapeutic targets currently under investigation for the treatment of systemic amyloidosis

机译:目前正在调查的新兴治疗目标用于治疗全身淀粉样蛋白病

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Introduction: Systemic amyloidosis occurs when one of a growing list of circulating proteins acquires an abnormal fold, aggregates and gives rise to extracellular amyloid deposits in different body sites, leading to organ dysfunction and eventually death. Current approaches are mainly aimed at lowering the supply of the amyloidogenic precursor or at stabilizing it in a non-amyloidogenic state, thus interfering with the initial phases of amyloid formation and toxicity.Areas covered: Improved understanding of the pathophysiology is indicating novel steps and molecules that could be therapeutically targeted. Here, we will review emerging molecular targets and therapeutic approaches against the main forms of systemic amyloidosis at the early preclinical level.Expert opinion: Conspicuous efforts in drug design and drug discovery have provided an unprecedented list of potential new drugs or therapeutic strategies, from gene-based therapies to small molecules and peptides, from novel monoclonal antibodies to engineered cell-based therapies. The challenge will now be to validate and optimize the most promising candidates, cross the bridge from the preclinical phase to the clinics and identify, through innovative trials design, the safest and most effective combination therapies, striving for a better care, possibly a definitive cure for these diseases.
机译:介绍:当循环蛋白的日益增长的列表中的一个获取异常折叠,聚集并产生不同体位的细胞外淀粉样沉积物,导致器官功能障碍和最终死亡。目前的方法主要旨在降低淀粉样蛋白前体的供应或以非淀粉样蛋白产生的状态稳定,从而干扰淀粉样蛋白形成和毒性的初始相。覆盖:改善对病理生理学的理解表明新的步骤和分子这可能是治疗上的目标。在这里,我们将审查新出现的分子靶标和治疗方法在早期的临床前水平上进行全身淀粉样蛋白化的主要形式.Pert意见:药物设计和药物发现中的显着努力提供了一个前所未有的潜在新药或治疗策略列表,来自基因基于小分子和肽的疗法,从新型单克隆抗体到工程化的细胞疗法。现在的挑战现在将是验证和优化最有希望的候选人,通过创新试验设计,通过创新的试验设计,通过创新和最有效的组合疗法来跨越桥梁,识别,争取更好的护理,可能是一个明确的治疗方法对于这些疾病。

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