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科学通报  2012 

基于pathway谱对药物重定位的探讨

DOI: 10.1360/csb2012-57-7-534, PP. 534-541

Keywords: 药物重定位,pathway谱,药理功能,药物-疾病关系

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Abstract:

新药开发一直面临着高投入低产出的困境.药物重定位(drugrepositioning)是解决这一问题的有效方法,因而成为现今药物研究的热点之一.目前流行的方法主要是基于药物小分子的相似性或关联性(化学结构、副作用、表达谱和小分子-蛋白作用关系等),预测药物的新功能.由于仅仅依赖药物-药物之间的关系,这些新功能限制在现有药物的功能空间之内.本研究中提出一种以疾病为导向,基于pathway谱的药物-疾病关联性评估方法来预测药物的新功能.考虑到药物在临床应用中除了作用于预先设定的主要治疗靶点以外,还能作用于其他一些额外的靶点,而这往往是产生副作用或是新的治疗功能的原因.该方法充分利用药物的已有靶点信息,认为药物通过作用于多条疾病相关蛋白影响的pathway,达到调节疾病的病理过程的目的.以2010年全球最热销的8个药做测试,美国食品药品监督管理局(FoodandDrugAdministration,FDA)批准的主治功能排在前10的位置,超过60%的预测功能可以得到文献的直接支持.它可以作为以往方法的有效补充,为药物的重定位以及毒副作用评估提供一种新的视角.

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