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Drug insight: tumor necrosis factor-converting enzyme as a pharmaceutical target for rheumatoid arthritis.

机译:药物见解:肿瘤坏死因子转换酶作为类风湿关节炎的药物靶标。

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摘要

The success of agents that inhibit tumor necrosis factor (TNF), such as infliximab, adalimumab and etanercept, has led to a desire for orally available small molecules that have a better safety profile and are less costly to produce than current agents. One target for anti-TNF therapy that is currently under investigation is TNF-converting enzyme, which promotes the release of soluble TNF from its membrane-bound precursor. Inhibitors of this enzyme with drug-like properties have been made and tested in the clinic. These inhibitors include TMI-005 and BMS-561392, both of which have entered into phase II clinical trials. This article summarizes preclinical and clinical findings regarding the use of inhibitors of TNF-converting enzyme for the treatment of rheumatoid arthritis.
机译:抑制肿瘤坏死因子(TNF)的药物(例如英夫利昔单抗,阿达木单抗和依那西普)的成功,导致了对口服可用小分子的渴望,这种小分子的安全性好,生产成本比目前的药物低。目前正在研究的一种抗TNF治疗的靶标是TNF转换酶,它可以促进可溶性TNF从膜结合前体中释放出来。具有药物样特性的这种酶的抑制剂已经在临床上制备和测试。这些抑制剂包括TMI-005和BMS-561392,它们都已进入II期临床试验。本文总结了有关使用TNF转换酶抑制剂治疗类风湿关节炎的临床前和临床发现。

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