2013
DOI: 10.1016/j.cbpa.2012.12.021
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Clawing back: broadening the notion of metal chelators in medicine

Abstract: The traditional notion of chelation therapy is the administration of a chemical agent to remove metals from the body. But formation of a metal-chelate can have biological ramifications that are much broader than metal elimination. Exploring these other possibilities could lead to pharmacological interventions that alter the concentration, distribution, or reactivity of metals in targeted ways for therapeutic benefit. This review highlights recent examples that showcase four general strategies of using principl… Show more

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Cited by 45 publications
(42 citation statements)
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“…In fact, Na 2 EDTA was withdrawn from the market in 2008 because of safety concerns. Approximately one-third of human proteins are metalloproteins, and nonspecific chelation of essential cofactors could have significant biological effects (99). While pharmaceutical companies are unlikely to select EDTA for development as an MBL inhibitor, the concept of chelator fragments with improved specificity may still be worth attention.…”
Section: The Unique Challenge Of Class B Mbls; Closer Than We Think?mentioning
confidence: 99%
“…In fact, Na 2 EDTA was withdrawn from the market in 2008 because of safety concerns. Approximately one-third of human proteins are metalloproteins, and nonspecific chelation of essential cofactors could have significant biological effects (99). While pharmaceutical companies are unlikely to select EDTA for development as an MBL inhibitor, the concept of chelator fragments with improved specificity may still be worth attention.…”
Section: The Unique Challenge Of Class B Mbls; Closer Than We Think?mentioning
confidence: 99%
“…The latter can be achieved with Fe chelators, i.e . agents that form redox-inactive complexes with Fe and block the Fe-dependent and site-specific production of hydroxyl radicals [1113]. Fe chelators have been tested in numerous cardiovascular diseases [14, 15].…”
Section: Introductionmentioning
confidence: 99%
“…The ability of such compounds to recruit metal cations in the biological milieu could not only modify on-target efficacy, but also affect intracellular metal homeostasis and introduce new reactivity (for instance, through the redox chemistry of metal complexes formed in situ). 2 These effects could lead to the repositioning of known drugs and/or to the identification of new therapeutic opportunities. Therefore, the potential for biological effects and/or polypharmacologic profiles involving metal coordination should be evaluated carefully.…”
mentioning
confidence: 99%