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Tacrine-Based Hybrids: Past, Present, and Future

Overview
Journal Int J Mol Sci
Publisher MDPI
Date 2023 Jan 21
PMID 36675233
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Abstract

Alzheimer's disease (AD) is a neurodegenerative disorder which is characterized by β-amyloid (Aβ) aggregation, τ-hyperphosphorylation, and loss of cholinergic neurons. The other important hallmarks of AD are oxidative stress, metal dyshomeostasis, inflammation, and cell cycle dysregulation. Multiple therapeutic targets may be proposed for the development of anti-AD drugs, and the "one drug-multiple targets" strategy is of current interest. Tacrine (THA) was the first clinically approved cholinesterase (ChE) inhibitor, which was withdrawn due to high hepatotoxicity. However, its high potency in ChE inhibition, low molecular weight, and simple structure make THA a promising scaffold for developing multi-target agents. In this review, we summarized THA-based hybrids published from 2006 to 2022, thus providing an overview of strategies that have been used in drug design and approaches that have resulted in significant cognitive improvements and reduced hepatotoxicity.

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References
1.
Li W, Kan K, Carlier P, Pang Y, Han Y . East meets West in the search for Alzheimer's therapeutics - novel dimeric inhibitors from tacrine and huperzine A. Curr Alzheimer Res. 2007; 4(4):386-96. DOI: 10.2174/156720507781788918. View

2.
Wlodek S, Antosiewicz J, McCammon J, Straatsma T, Gilson M, Briggs J . Binding of tacrine and 6-chlorotacrine by acetylcholinesterase. Biopolymers. 1996; 38(1):109-17. DOI: 10.1002/(sici)1097-0282(199601)38:1<109::aid-bip9>3.0.co;2-#. View

3.
Chen X, Zenger K, Lupp A, Kling B, Heilmann J, Fleck C . Tacrine-silibinin codrug shows neuro- and hepatoprotective effects in vitro and pro-cognitive and hepatoprotective effects in vivo. J Med Chem. 2012; 55(11):5231-42. DOI: 10.1021/jm300246n. View

4.
Yao H, Uras G, Zhang P, Xu S, Yin Y, Liu J . Discovery of Novel Tacrine-Pyrimidone Hybrids as Potent Dual AChE/GSK-3 Inhibitors for the Treatment of Alzheimer's Disease. J Med Chem. 2021; 64(11):7483-7506. DOI: 10.1021/acs.jmedchem.1c00160. View

5.
Pi R, Mao X, Chao X, Cheng Z, Liu M, Duan X . Tacrine-6-ferulic acid, a novel multifunctional dimer, inhibits amyloid-β-mediated Alzheimer's disease-associated pathogenesis in vitro and in vivo. PLoS One. 2012; 7(2):e31921. PMC: 3285653. DOI: 10.1371/journal.pone.0031921. View