1. Breakthroughs in neuroactive steroid drug discovery.
- Author
-
Blanco MJ, La D, Coughlin Q, Newman CA, Griffin AM, Harrison BL, and Salituro FG
- Subjects
- Animals, Central Nervous System Diseases metabolism, Dose-Response Relationship, Drug, Humans, Molecular Conformation, Neurotransmitter Agents chemistry, Structure-Activity Relationship, Central Nervous System Diseases drug therapy, Drug Discovery, Neurotransmitter Agents pharmacology, Receptors, GABA-A metabolism, Receptors, N-Methyl-D-Aspartate metabolism
- Abstract
Endogenous and synthetic neuroactive steroids (NASs) or neurosteroids are effective modulators of multiple signaling pathways including receptors for the γ-aminobutyric acid A (GABA
A ) and glutamate, in particular N-methyl-d-aspartate (NMDA). These receptors are the major inhibitory and excitatory neurotransmitters in the central nervous system (CNS), and there is growing evidence suggesting that dysregulation of neurosteroid production plays a role in numerous neurological disorders. The significant unmet medical need for treatment of CNS disorders has increased the interest for these types of compounds. In this review, we highlight recent progress in the clinical development of NAS drug candidates, in addition to preclinical breakthroughs in the identification of novel NASs, mainly for GABAA and NMDA receptor modulation., (Copyright © 2017 Elsevier Ltd. All rights reserved.)- Published
- 2018
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