Drug repositioning for Alzheimer's disease

被引:220
作者
Corbett, Anne [1 ]
Pickett, James [2 ]
Burns, Alistair [3 ]
Corcoran, Jonathan [1 ]
Dunnett, Stephen B. [4 ]
Edison, Paul [5 ]
Hagan, Jim J. [6 ]
Holmes, Clive [7 ]
Jones, Emma [1 ]
Katona, Cornelius [8 ]
Kearns, Ian [9 ]
Kehoe, Patrick [10 ]
Mudher, Amrit [11 ]
Passmore, Anthony [12 ]
Shepherd, Nicola [13 ]
Walsh, Frank [14 ]
Ballard, Clive [1 ]
机构
[1] Kings Coll London, Wolfson Ctr Age Related Dis, London SE1 1UL, England
[2] UK Alzheimers Soc, London E1W 1LB, England
[3] Univ Manchester, Manchester M13 9PT, Lancs, England
[4] Cardiff Univ, Brain Repair Grp, Sch Biosci, Cardiff CF10 3AX, S Glam, Wales
[5] Univ London Imperial Coll Sci Technol & Med, London W12 0NN, England
[6] Kings Coll London, Global Med Excellence Cluster GMEC, London SE1 1UL, England
[7] Univ Southampton, Southampton Gen Hosp, Southampton SO16 6YD, Hants, England
[8] UCL, Mental Hlth Sci Unit, Fac Brain Sci, London WC1E 6BT, England
[9] AstraZeneca, London W2 6BD, England
[10] Univ Bristol, John James Labs, Frenchay Hosp, Bristol BS16 1LE, Avon, England
[11] Univ Southampton, Southampton SO17 1BJ, Hants, England
[12] Queens Univ Belfast, Ctr Publ Hlth, Belfast BT9 7BL, Antrim, North Ireland
[13] Wellcome Trust Res Labs, London NW1 2BE, England
[14] Kings Coll London, Inst Psychiat, London SE1 1UL, England
关键词
GLUCAGON-LIKE PEPTIDE-1; CEREBRAL-BLOOD-FLOW; RENIN-ANGIOTENSIN SYSTEM; SIMPLEX-VIRUS TYPE-1; BETA-AMYLOID PROTEIN; NERVE GROWTH-FACTOR; RETINOIC ACID; MOUSE MODEL; COGNITIVE IMPAIRMENT; HUNTINGTONS-DISEASE;
D O I
10.1038/nrd3869
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Existing drugs for Alzheimer's disease provide symptomatic benefit for up to 12 months, but there are no approved disease-modifying therapies. Given the recent failures of various novel disease-modifying therapies in clinical trials, a complementary strategy based on repositioning drugs that are approved for other indications could be attractive. Indeed, a substantial body of preclinical work indicates that several classes of such drugs have potentially beneficial effects on Alzheimer's-like brain pathology, and for some drugs the evidence is also supported by epidemiological data or preliminary clinical trials. Here, we present a formal consensus evaluation of these opportunities, based on a systematic review of published literature. We highlight several compounds for which sufficient evidence is available to encourage further investigation to clarify an optimal dose and consider progression to clinical trials in patients with Alzheimer's disease.
引用
收藏
页码:833 / 846
页数:14
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