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Tacrine Derivatives and Alzheimers Disease
Abstract
To date, the pharmacotherapy of Alzheimer's disease (AD) has relied on acetylcholinesterase (AChE) inhibitors (AChEIs) and, more recently, an N-methyl-D-aspartate receptor (NMDAR) antagonist. AD is a multifactorial syndrome with several target proteins contributing to its etiology. "Multi-target-directed ligands" (MTDLs) have great potential for treating complex diseases such as AD because they can interact with multiple targets. The design of compounds that can hit more than one specific AD target thus represents an innovative strategy for AD treatment. Tacrine was the first AChEI introduced in therapy. Recent studies have demonstrated its ability to interact with different AD targets. Furthermore, numerous tacrine homo- and heterodimers have been developed with the aim of improving and enlarging its biological profile beyond its ability to act as an AChEI. Several tacrine hybrid derivatives have been designed and synthesized with the same goal. This review will focus on and summarize the last two years of research into the development of tacrine derivatives able to hit AD targets beyond simple AChE inhibition.
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“In spite of that, thanks to its low-molecular weight and high synthetic accessibility, 16 has been widely exploited as a starting fragment of hybrids able to combine AChE inhibition with other additional effects and endowed with reduced hepatotoxicity.91”
From From combinations to multitarget-directed ligands: A continuum in Alzheimer’s disease polypharmacology (2021) · cites this paper as [91]
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Walsh, R., Rockwood, K. J., Martin, E. V., & Darvesh, S. (2011) · Biochimica et Biophysica Acta (BBA) - General Subjects · doi:10.1016/j.bbagen.2011.08.010 · Cited by 35
“This new focus on cholinesterase inhibitor efficacy has encompassed many paths, such as directed design of cholinesterase inhibiting compounds that have therapeutically active functions beyond cholinesterase inhibition [11,12], improved understanding of regional specificity effects [13], genetic determinant linkages t…”
BackgroundLi, X., Wang, H., Xu, Y., Liu, W., Gong, Q., Wang, W., Qiu, X., Zhu, J., Mao, F., Zhang, H., et al. (2017) · ACS Chemical Neuroscience · doi:10.1021/acschemneuro.7b00259 · Cited by 37
Nontoxic and Neuroprotective β-Naphthotacrines for Alzheimer’s Disease
Esquivias-Pérez, M., Maalej, E., Romero, A., Chabchoub, F., Samadi, A., Marco, J. L., & Oset‐Gasque, M. J. (2013) · Chemical Research in Toxicology · doi:10.1021/tx400138s · Cited by 34
Бачурин, С. О., Махаева, Г. Ф., Shevtsova, E. F., Boltneva, N. P., Ковалева, Н. В., Lushchekina, S. V., Рудакова, Е. В., Dubova, L. G., Vinogradova, D. V., Sokolov, V. B., et al. (2019) · Scientific Reports · doi:10.1038/s41598-019-41272-4 · Cited by 35
Tran, T., Tran, T., Tran, T., Mai, T.-T., Nguyen, N.-L., Thai, K., & Le, M.-T. (2020) · Molecules · doi:10.3390/molecules25184064 · Cited by 34
Kumaran, K. R., Yunusa, S., Perimal, E. K., Wahab, H. A., Müller, C. P., & Hassan, Z. (2022) · Journal of Alzheimer s Disease · doi:10.3233/jad-220666 · Cited by 39
“However, tacrine was with-drawn from the market due to its adverse effects and hepatotoxicity [251].”
Soukup, O., Winder, M., Killi, U. K., Wsol, V., Jun, D., Kuca, K., & Tobin, G. (2017) · Current Neuropharmacology · doi:10.2174/1570159x14666160607212615 · Cited by 34
Kandasamy, S., Kalaiarasi, C., & Kumaradhas, P. (2016) · Journal of Biomolecular Structure and Dynamics · doi:10.1080/07391102.2016.1264891 · Cited by 33
“…A (Bai, 2007; Wang et al., 2009), and rivastigmine (Michael et al., 1999) and the synthetic drugs donepezil (Jacobson & Sabbagh, 2008) and tacrine (Tumiatti et al., 2010) are the reported inhibitors of AChE, and are being used for the treatment of AD (Babitha et al., 2014; Murray, Faraoni,…”
MethodSilva, S., Marto, J. M., Gonçalves, L., Almeida, A. J., & Vale, N. (2020) · Nanomaterials · doi:10.3390/nano10102089 · Cited by 34
“In September of 1993, TAC was approved by the FDA for the treatment of Alzheimer’s disease (AD), being the first approved treatment at the time [4,5].”
MethodLotfi, S., Rahmani, T., Hatami, M., Pouramiri, B., Kermani, E. T., Rezvannejad, E., Mortazavi, M., Hafshejani, S. F., Askari, N., Pourjamali, N., et al. (2020) · Bioorganic Chemistry · doi:10.1016/j.bioorg.2020.104457 · Cited by 33
Cholinesterase as a Target for Drug Development in Alzheimer’s Disease
Sharma, P. A., Tripathi, M. K., & Shrivastava, S. K. (2019) · Methods in molecular biology · doi:10.1007/978-1-0716-0163-1_18 · Cited by 33
Metadata
- Authors
- Tumiatti, V., Minarini, A., Bolognesi, M. L., Milelli, A., Rosini, M., & Melchiorre, C.
- Affiliations
- University of Bologna (IT)
- Corresponding author
- Rosini, M.
- Melchiorre, C.
- Venue
- Current Medicinal Chemistry
- Publisher
- Bentham Science Publishers Ltd.
- Published
- 2010-06-01
- Volume
- 17
- Issue
- 17
- Pages
- 1825-1838
- ISSN
- 0929-8673 (ISSN-L)
- OpenAlex
- W2121322934
- Cited by
- 225
- References
- 0
- Citations by year
- 2026: 9 · 2025: 8 · 2024: 8 · 2023: 4 · 2022: 18 · 2021: 14 · 2020: 13 · 2019: 28 · 2018: 12 · 2017: 22 · 2016: 19 · 2015: 16 · 2014: 17 · 2013: 14 · 2012: 12
- FWCI
- 9.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Medicinal Chemistry (publishedVersion)
- PubMed (publishedVersion)
- Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Cholinesterase and Neurodegenerative Diseases
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Physical Sciences › Chemistry › Organic Chemistry › Heterocyclic Compound Synthesis and Bioactivity
- Keywords
- tacrine derivatives, Alzheimer's disease, acetylcholinesterase inhibitors, multi-target-directed ligands, NMDA receptor antagonists, drug repurposing
- MeSH terms
- Acetylcholinesterase, Alzheimer Disease, Cholinesterase Inhibitors, Humans, Models, Molecular, Structure-Activity Relationship, Tacrine, Amyloid beta-Peptides
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