Synthetic Retinoids Beyond Cancer Therapy.

Synthetic Retinoids Beyond Cancer Therapy.
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DOI:
10.1146/annurev-pharmtox-052120-104428
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发表时间:
2022-01-06
影响因子:
12.5
通讯作者:
--
中科院分区:
医学1区
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--
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虽然类维生素A在癌症治疗中的用途不断发展,但本综述重点关注类维生素A[视黄醇(维生素A)、全反式视黄酸(RA)和合成视黄酸受体(RAR)α-、β-和γ-选择性激动剂]正在使用的其他治疗领域,以及有希望的新研究,这些研究表明类维生素A在治疗肾脏、骨骼肌、心脏、疾病等疾病方面还有其他用途。胰腺、肝脏、神经系统、皮肤和其他器官。最成熟的领域是美国食品和药物管理局批准的RAR选择性激动剂,用于治疗各种皮肤病。合成类视黄醇激动剂比内源性 RAR 激动剂(例如 RA)具有主要优势。因为它们通过特定的 RAR 发挥作用,所以副作用可以最小化,并且合成类维生素A通常比 RA 具有更好的药物特性。基于我们对类视黄醇在发育、表观遗传调控和组织修复中多种作用的认识不断加深,其他令人兴奋的治疗领域正在出现。
While the uses of retinoids for cancer treatment continue to evolve, this review focuses on other therapeutic areas in which retinoids [retinol (vitamin A), all-trans retinoic acid (RA), and synthetic retinoic acid receptor (RAR)α-, β-, and γ-selective agonists] are being used and on promising new research that suggests additional uses for retinoids for the treatment of disorders of the kidneys, skeletal muscles, heart, pancreas, liver, nervous system, skin, and other organs. The most mature area, in terms of US Food and Drug Administration–approved, RAR-selective agonists, is for treatment of various skin diseases. Synthetic retinoid agonists have major advantages over endogenous RAR agonists such as RA. Because they act through a specific RAR, side effects may be minimized, and synthetic retinoids often have better pharmaceutical properties than does RA. Based on our increasing knowledge of the multiple roles of retinoids in development, epigenetic regulation, and tissue repair, other exciting therapeutic areas are emerging.
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