Trends in GPCR drug discovery: new agents, targets and indications.

Trends in GPCR drug discovery: new agents, targets and indications.
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DOI:
10.1038/nrd.2017.178
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发表时间:
2017-12
期刊:
Nature reviews. Drug discovery
影响因子:
--
通讯作者:
Gloriam DE
Gloriam DE
中科院分区:
其他
文献类型:
--
作者:
Hauser AS;Attwood MM;Rask-Andersen M;Schiöth HB;Gloriam DE

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G蛋白偶联受体(GPCR)是研究最深入的药物靶点,这主要是由于它们在人类病理生理学中的实质性参与和它们的药理学易处理性。在这里,我们报告了临床试验中所有GPCR药物和试剂的第一次分析。这揭示了分子类型、药物靶点和治疗适应症的当前趋势,包括显示481种药物(约占FDA批准的所有药物的34%)作用于107个独特的GPCR靶点。目前约有320种药物正在进行临床试验,其中约36%靶向64种潜在的新型GPCR靶点,而没有获得批准的药物,生物药物、变构调节剂和偏性激动剂的数量也在增加。GPCR调节剂的主要疾病适应症显示向糖尿病、肥胖症和阿尔茨海默病转变,而其他中枢神经系统疾病仍然高度代表。227个(57%)尚未在临床试验中探索的非嗅觉GPCR具有广泛的未开发的治疗潜力,特别是在遗传和免疫系统疾病中。最后,我们提供了一个互动的在线资源,以分析和推断GPCR药物发现的趋势。
G protein-coupled receptors (GPCRs) are the most intensively studied drug targets, largely due to their substantial involvement in human pathophysiology and their pharmacological tractability. Here, we report the first analysis of all GPCR drugs and agents in clinical trials. This reveals the current trends across molecule types, drug targets and therapeutic indications, including showing that 481 drugs (~34% of all drugs approved by the FDA) act at 107 unique GPCR targets. Approximately 320 agents are currently in clinical trials, of which ~36% target 64 potentially novel GPCR targets without an approved drug, and the number of biological drugs, allosteric modulators and biased agonists has grown. The major disease indications for GPCR modulators show a shift towards diabetes, obesity, and Alzheimer’s disease, while other central nervous system disorders remain highly represented. The 227 (57%) non-olfactory GPCRs that are yet to be explored in clinical trials have broad untapped therapeutic potential, particularly in genetic and immune system disorders. Finally, we provide an interactive online resource to analyse and infer trends in GPCR drug discovery.
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