201. Progress toward a Glycoprotein VI Modulator for the Treatment of Thrombosis.
- Author
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Foster H, Wilson C, Philippou H, and Foster R
- Subjects
- Binding Sites, Biological Products chemistry, Biological Products metabolism, Humans, Ligands, Losartan analogs & derivatives, Losartan metabolism, Losartan therapeutic use, Molecular Dynamics Simulation, Platelet Aggregation Inhibitors chemistry, Platelet Aggregation Inhibitors pharmacology, Platelet Membrane Glycoproteins chemistry, Protein Kinase Inhibitors chemistry, Protein Kinase Inhibitors metabolism, Protein Kinase Inhibitors pharmacology, Protein Kinase Inhibitors therapeutic use, Signal Transduction drug effects, Small Molecule Libraries chemistry, Small Molecule Libraries metabolism, Small Molecule Libraries pharmacology, Small Molecule Libraries therapeutic use, Thrombosis pathology, Platelet Aggregation Inhibitors therapeutic use, Platelet Membrane Glycoproteins metabolism, Thrombosis drug therapy
- Abstract
Pathogenic thrombus formation accounts for the etiology of many serious conditions including myocardial infarction, stroke, deep vein thrombosis, and pulmonary embolism. Despite the development of numerous anticoagulants and antiplatelet agents, the mortality rate associated with these diseases remains high. In recent years, however, significant epidemiological evidence and clinical models have emerged to suggest that modulation of the glycoprotein VI (GPVI) platelet receptor could be harnessed as a novel antiplatelet strategy. As such, many peptidic agents have been described in the past decade, while more recent efforts have focused on the development of small molecule modulators. Herein the rationale for targeting GPVI is summarized and the published GPVI modulators are reviewed, with particular focus on small molecules. A qualitative pharmacophore hypothesis for small molecule ligands at GPVI is also presented.
- Published
- 2020
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