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Multi-Target Ligand Design for Potential Antipsychotic

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Biophysics".

Deadline for manuscript submissions: closed (31 May 2023) | Viewed by 4963

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Department of Synthesis and Chemical Technology of Pharmaceutical Substances with Computer Modeling Laboratory, Faculty of Pharmacy, Medical University of Lublin, PL-20093 Lublin, Poland
Interests: computer-aided drug design; medicinal chemistry; molecular modeling; CNS agents; GPCRs
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Dear Colleagues, 

Schizophrenia is an important health issue, affecting almost 1% of the population, frequently with a strong social and economic impact, as patients often suffer from unemployment and are homeless. Antipsychotics used to treat schizophrenia are also prescribed in bipolar affective disorder, which has a prevalence of 2.3% in the population.

The marketed antypsychotics are ligands of aminergic G protein-coupled receptors, in particular dopamine D2 receptor. The detailed characterization of GPCR ligands has demonstrated that many drugs targeting GPCRs often display a high degree of promiscuity. The ability of GPCR drugs to interact with more than one receptor subtype at low concentrations was first considered a drawback for GPCR-oriented drug discovery. It turned out, however, that the efficacy of certain drugs targeting GPCRs is considered to be mediated by their capacity to regulate several targets at the same time—for instance, in the case of drugs related to the treatment of CNS diseases.

The modern approach to drug design and discovery for the treatment of complex diseases, such as schizophrenia, involves searching for medicinal substances which fulfil criteria of several pharmacophores, instead of acting on a single molecular target. The most commonly exploited approach to search for novel antipsychotics is designing compounds with intentional ligand promiscuity resulting in multi-target drugs. Targeting multiple receptors is a recommended approach for designing drugs for complex diseases including schizophrenia. Indeed, in complex psychiatric illnesses, including schizophrenia, selective single-target drugs have largely failed . The new paradigm in drug design and discovery is to search for compounds which modulate the activity of several molecular targets simultaneously. Efforts have been made to separate the desired targets from the off-targets.

In the light of the above in this Special Issue of International Journal of Molecular Sciences, we would like to illustrate progress in the discovery of multi-target compounds as potential antipsychotics ranging from in silico studies and elaboration of new compounds to their preclinical and clinical evaluation.

Prof. Dr. Agnieszka A. Kaczor
Guest Editor

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Keywords

  • antipsychotics
  • schizophrenia
  • multi-target compounds
  • drug design
  • CNS disorders
  • medicinal chemistry
  • in vitro studies
  • in vivo studies
  • molecular modeling
  • preclinical studies

Published Papers (2 papers)

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Research

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23 pages, 5142 KiB  
Article
Design and Synthesis of New Quinazolin-4-one Derivatives with Negative mGlu7 Receptor Modulation Activity and Antipsychotic-Like Properties
by Katarzyna Kaczorowska, Anna Stankiewicz, Ryszard Bugno, Maria H. Paluchowska, Grzegorz Burnat, Piotr Brański, Paulina Cieślik, Joanna M. Wierońska, Mariusz Milik, Mateusz Nowak, Agnieszka Przybyłowicz, Aneta Kozioł, Agata Hogendorf, Adam S. Hogendorf, Justyna Kalinowska-Tłuścik, Beata Duszyńska, Andrzej Pilc and Andrzej J. Bojarski
Int. J. Mol. Sci. 2023, 24(3), 1981; https://doi.org/10.3390/ijms24031981 - 19 Jan 2023
Cited by 6 | Viewed by 2579
Abstract
Following the glutamatergic theory of schizophrenia and based on our previous study regarding the antipsychotic-like activity of mGlu7 NAMs, we synthesized a new compound library containing 103 members, which were examined for NAM mGlu7 activity in the T-REx 293 cell line [...] Read more.
Following the glutamatergic theory of schizophrenia and based on our previous study regarding the antipsychotic-like activity of mGlu7 NAMs, we synthesized a new compound library containing 103 members, which were examined for NAM mGlu7 activity in the T-REx 293 cell line expressing a recombinant human mGlu7 receptor. Out of the twenty-two scaffolds examined, active compounds were found only within the quinazolinone chemotype. 2-(2-Chlorophenyl)-6-(2,3-dimethoxyphenyl)-3-methylquinazolin-4(3H)-one (A9-7, ALX-171, mGlu7 IC50 = 6.14 µM) was selective over other group III mGlu receptors (mGlu4 and mGlu8), exhibited satisfactory drug-like properties in preliminary DMPK profiling, and was further tested in animal models of antipsychotic-like activity, assessing the positive, negative, and cognitive symptoms. ALX-171 reversed DOI-induced head twitches and MK-801-induced disruptions of social interactions or cognition in the novel object recognition test and spatial delayed alternation test. On the other hand, the efficacy of the compound was not observed in the MK-801-induced hyperactivity test or prepulse inhibition. In summary, the observed antipsychotic activity profile of ALX-171 justifies the further development of the group of quinazolin-4-one derivatives in the search for a new drug candidate for schizophrenia treatment. Full article
(This article belongs to the Special Issue Multi-Target Ligand Design for Potential Antipsychotic)
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Review

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19 pages, 2040 KiB  
Review
Chimeric Structures in Mental Illnesses—“Magic” Molecules Specified for Complex Disorders
by Patrycja Kleczkowska
Int. J. Mol. Sci. 2022, 23(7), 3739; https://doi.org/10.3390/ijms23073739 - 29 Mar 2022
Cited by 5 | Viewed by 1915
Abstract
Mental health problems cover a wide spectrum of diseases, including mild to moderate anxiety, depression, alcohol/drug use disorders, as well as bipolar disorder and schizophrenia. Pharmacological treatment seems to be one of the most effective opportunities to recover function efficiently and satisfactorily. However, [...] Read more.
Mental health problems cover a wide spectrum of diseases, including mild to moderate anxiety, depression, alcohol/drug use disorders, as well as bipolar disorder and schizophrenia. Pharmacological treatment seems to be one of the most effective opportunities to recover function efficiently and satisfactorily. However, such disorders are complex as several target points are involved. This results in a necessity to combine different types of drugs to obtain the necessary therapeutic goals. There is a need to develop safer and more effective drugs. Considering that mental illnesses share multifactorial processes, the paradigm of one treatment with multiple modes of action rather than single-target strategies would be more effective for successful therapies. Therefore, hybrid molecules that combine two pharmacophores in one entity show promise, as they possess the desired therapeutic index with a small off-target risk. This review aims to provide information on chimeric structures designed for mental disorder therapy (i.e., schizophrenia and depression), and new types of drug candidates currently being tested. In addition, a discussion on some benefits and limitations of multifunctional, bivalent drug candidates is also given. Full article
(This article belongs to the Special Issue Multi-Target Ligand Design for Potential Antipsychotic)
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