Therapeutic Applications of Iminosugars: Current Perspectives and Future Opportunities
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INTRODUCTION
Our understanding of the role of carbohydrates, their receptors and their handling processes in the functioning of biological systems is an area in which major advances have been made during the past 20 years. The diverse structures displayed by carbohydrates provide a substantial opportunity for the identification of new chemotherapeutic targets and the development of new therapies. This has motivated both synthetic and medicinal chemists, in the pursuit of new medicines although carbohydrates
IMINOSUGARS – CLASSIFICATION, OCCURRENCE AND HISTORICAL CONTEXT
Iminosugars are small organic compounds which mimic monosaccharides or their hydrolysis transition state equivalents but contain a nitrogen atom in place of the endocyclic oxygen, and as such fall under the definition of the polyhydroxylated alkaloids. The iminosugar motif can be recognized across many common compound classes including monocyclic and bicyclic templates. While the synthetic analogues may be represented by numerous ring forms, the naturally occurring iminosugars are classified
ADVANTAGEOUS PROPERTIES OF IMINOSUGARS
Iminosugars have a number of intrinsic properties which are positive attributes as potential drug candidates. The problem of the water solubility of lead molecules has occupied a prominent place in medicinal chemistry with many potent classical small molecules suffering from marginal water solubility. Enormous resources have been deployed to address this issue both in medicinal chemistry and in formulation. No such problem burdens the iminosugar field where adequate water solubility is a key
APPROACHES TO THE SYNTHESIS OF IMINOSUGARS
Despite the initial promise shown by these early compounds, to date, as a therapeutic class, iminosugars have failed to realize their full commercial potential. A number of chemical characteristics have impeded the rate of development and exploitation within the pharmaceutical and biotech sectors and this has undoubtedly restricted the level to which the iminosugar field has been explored by industry to date. The molecules are chirally complex, generally highly polar and generally lack a
THERAPEUTIC APPLICATIONS OF IMINOSUGARS
As would be expected for a series of polyhydroxylated glycomimetics, iminosugars have historically been of interest for their biological activity in modulating the action of carbohydrate processing enzymes and many therapeutic opportunities arise from targeting these processes [54], [55], [56], [57], [58]. The full impact of the pioneering work in exploring the importance of glycobiology is becoming increasingly apparent [59], [60], [61] with an array of new targets across different therapeutic
OUTLOOK AND FUTURE OPPORTUNITIES
The full impact of the pioneering work of Dwek, Varki and others in realizing the importance of glycobiology in health and disease is becoming increasingly apparent [59], [60], [61], [62], [63], [64], [65], [66]. The number of new druggable targets across different therapeutic areas is vast and current efforts have only just started to address what might be possible in the search for new therapeutics. Within each target class there are numerous individual targets encompassing a range of
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