2021
DOI: 10.1080/13543776.2021.1874344
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Acetylcholinesterase inhibitors for the treatment of Alzheimer’s disease – a patent review (2016–present)

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Cited by 42 publications
(23 citation statements)
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“…The level of AChE in the hippocampus and cortex of AD patients is higher than that of healthy individuals; AChE can hydrolyze ACh and reduce the synaptic concentration more than expected. [29] Hence, improving the level of ACh by inhibiting AChE is a crucial method for treatment of the cognitive impairment of AD patients. [30] Thus, AChE inhibitors (AChEIs) are currently the first-line drugs approved by the FDA to treat AD (donepezil, galantamine, rivastigmine, and tacrine) (Scheme 2).…”
mentioning
confidence: 99%
“…The level of AChE in the hippocampus and cortex of AD patients is higher than that of healthy individuals; AChE can hydrolyze ACh and reduce the synaptic concentration more than expected. [29] Hence, improving the level of ACh by inhibiting AChE is a crucial method for treatment of the cognitive impairment of AD patients. [30] Thus, AChE inhibitors (AChEIs) are currently the first-line drugs approved by the FDA to treat AD (donepezil, galantamine, rivastigmine, and tacrine) (Scheme 2).…”
mentioning
confidence: 99%
“…As a result of these studies, the inhibitors, such as donepezil, rivastigmine, and galantamine have been discovered, and these inhibitors are still used in the treatment of AD. [49][50][51][52] However, it has been determined that these inhibitors have many side effects (nausea, vomiting, diarrhea, etc.). In addition, the disruption of liver metabolism by inhibitors other than rivastigmine has revealed the need to discover new enzyme inhibitors for the treatment of AD.…”
Section: Biochemical Studiesmentioning
confidence: 99%
“…Overall, ChE inhibition is likely to maintain its critical role in the therapeutic armamentarium, as well as in the drug discovery pipeline (see [ 30 ] for a recent review). It is well accepted that cholinergic impairment is an important event in AD progression and a valuable target for symptomatic therapies that can be integrated in a polypharmacological approach to improve the overall drug profile.…”
Section: Relevant Alzheimer’s Disease Pathways and Their Potential As Drug Targetsmentioning
confidence: 99%
“…Particularly, we sought to link the cardanol skeleton, which might interact with the PAS through its aromatic end, with a fragment able to fish the CAS, to obtain dual binding AChE inhibitors (Figure 7) [81]. As a CAS key molecular feature, we selected fragments bearing a cationic head, which included a protonatable amino moiety belonging to different systems: heterocyclic amines such as pyrrolidine (25), piperidine (26), morpholine (27), thiomorpholine (28), N-substituted piperazines (29)(30)(31)(32)(33), hydroxylated pyrrolidine (34) and piperidines (35)(36)(37) and their corresponding O-acetyl (38)(39)(40)(41) and O-dimethylcarbamates (42)(43)(44)(45). Since the N-ethyl-N-(2-methoxybenzyl)amino moiety has been successfully exploited by us and others to obtain powerful dual binding AChEIs [82][83][84][85][86][87], we also synthesized hybrids 46-48 (Figure 7).…”
Section: Cnsl-derived Dual Binding Ache Inhibitorsmentioning
confidence: 99%