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Natural Products and Nature-Inspirated Synthetic Derivatives in Parkinson's Disease Drug Discovery

A special issue of Molecules (ISSN 1420-3049). This special issue belongs to the section "Natural Products Chemistry".

Deadline for manuscript submissions: closed (31 May 2021) | Viewed by 7041

Special Issue Editor


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Guest Editor
Research Group of Chronic Diseases Pharmacology, Center for Research in Molecular Medicine and Chronic Diseases(CIMUS), Universidade de Santiago de Compostela, Avda. de Barcelona, 15782 Santiago de Compostela, A Coruña, Spain
Interests: neurodegenerative diseases; endothelial dysfunction; inflammation; oxidative stress; drug development
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Special Issue Information

Dear Colleagues,

Parkinson’s disease (PD) is the second most common neurodegenerative disease. It is known to start with the loss of dopaminergic neurons of the substance nigra pars compacta (SNc). Although PD pathogenesis is not fully known, there is evidence that several genetic and environmental factors may be involved. Oxidative stress, mitochondrial injury, inflammatory processes, abnormal α-synuclein deposition, and cell apoptosis have been reported as possible triggers of the disease.

In 2016, there were approximately 6.1 million patients worldwide affected by this disease. The prevalence of the disease reaches 41 people per 100,000 among those under 50, and this rises to 1900 people per 100,000 among those over 85 years of age. If this trend does not change, as a result of the aging of the global population, the number of people living with PD will double by 2050.

Currently, the treatment of this disease is only symptomatic. The combination of levodopa–carbidopa is the most successful treatment. However, its effectiveness in controlling symptoms is reduced with the progression of the disease. Other options are dopamine agonists, MAO inhibitors, COMT inhibitors, acetylcholinesterase inhibitors or amantadine, which is used in early stages or to relieve dyskinesias caused by levodopa–carbidopa.

To date, a disease-modifying therapy has not been developed. Different herbal extracts and isolated natural products have been described due to their anti-PD properties. Their interest is based on their anti-oxidative and anti-inflammatory properties, their inhibitory role in iron accumulation, protein misfolding and the maintenance of proteasomal degradation, as well as mitochondrial homeostasis. However, their precise neuroprotective mechanisms remain unclear.

The cell lines and animal models used in preclinical studies of PD have shown many limitations. The clinical trials performed with extracts are also inconclusive. Standardization of the chemical composition of the extracts, and improvement of the clinical studies in terms of design and outcome measures are necessary.

Therefore, this Special Issue aims to include original or review articles on herbal extracts, natural products or nature-inspired synthetic derivatives with an interest in PD. Detailed studies of their mechanisms of action, the in vitro and in vivo models used, and new therapeutic approaches are also welcome.

Dr. Dolores Viña
Guest Editor

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Keywords

  • Parkinson’s disease (PD)
  • Natural products
  • Nature-inspirated synthetic derivatives
  • Herbal extracts
  • Target in PD
  • Mechanism of action
  • Experimental models of PD
  • Clinical trials

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Published Papers (1 paper)

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Review

17 pages, 7443 KiB  
Review
Synthesis of Tetrabenazine and Its Derivatives, Pursuing Efficiency and Selectivity
by Seung-Mann Paek
Molecules 2020, 25(5), 1175; https://doi.org/10.3390/molecules25051175 - 5 Mar 2020
Cited by 7 | Viewed by 6433
Abstract
Tetrabenazine is a US Food and Drug Administration (FDA)-approved drug that exhibits a dopamine depleting effect and is used for the treatment of chorea in Huntington’s disease. Mechanistically, tetrabenazine binds and inhibits vesicular monoamine transporter type 2, which is responsible for importing neurotransmitters [...] Read more.
Tetrabenazine is a US Food and Drug Administration (FDA)-approved drug that exhibits a dopamine depleting effect and is used for the treatment of chorea in Huntington’s disease. Mechanistically, tetrabenazine binds and inhibits vesicular monoamine transporter type 2, which is responsible for importing neurotransmitters from the cytosol to the vesicles in neuronal cells. This transportation contributes to the release of neurotransmitters inside the cell to the synaptic cleft, resulting in dopaminergic signal transmission. The highly potent inhibitory activity of tetrabenazine has led to its advanced applications and in-depth investigation of prodrug design and metabolite drug discovery. In addition, the synthesis of enantiomerically pure tetrabenazine has been pursued. After a series of research studies, tetrabenazine derivatives such as valbenazine and deutetrabenazine have been approved by the US FDA. In addition, radioisotopically labeled tetrabenazine permits the early diagnosis of Parkinson’s disease, which is difficult to treat during the later stages of this disease. These applications were made possible by the synthetic efforts aimed toward the efficient and asymmetric synthesis of tetrabenazine. In this review, various syntheses of tetrabenazine and its derivatives have been summarized. Full article
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