Muscarinic agonists and antagonists in the treatment of Alzheimer's disease

Alzheimer's disease (AD) is a neurodegenerative disease characterized by cognitive impairment and personality changes. The development of drugs for the treatment of the cognitive deficits of AD has focused on agents which counteract loss in cholinergic activity. Although symptoms of AD have bee...

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Veröffentlicht in:Farmaco (Società chimica italiana : 1989) 2001-04, Vol.56 (4), p.247-250
Hauptverfasser: Greenlee, W, Clader, J, Asberom, T, McCombie, S, Ford, J, Guzik, H, Kozlowski, J, Li, S, Liu, C, Lowe, D, Vice, S, Zhao, H, Zhou, G, Billard, W, Binch, H, Crosby, R, Duffy, R, Lachowicz, J, Coffin, V, Watkins, R, Ruperto, V, Strader, C, Taylor, L, Cox, K
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container_end_page 250
container_issue 4
container_start_page 247
container_title Farmaco (Società chimica italiana : 1989)
container_volume 56
creator Greenlee, W
Clader, J
Asberom, T
McCombie, S
Ford, J
Guzik, H
Kozlowski, J
Li, S
Liu, C
Lowe, D
Vice, S
Zhao, H
Zhou, G
Billard, W
Binch, H
Crosby, R
Duffy, R
Lachowicz, J
Coffin, V
Watkins, R
Ruperto, V
Strader, C
Taylor, L
Cox, K
description Alzheimer's disease (AD) is a neurodegenerative disease characterized by cognitive impairment and personality changes. The development of drugs for the treatment of the cognitive deficits of AD has focused on agents which counteract loss in cholinergic activity. Although symptoms of AD have been successfully treated with acetylcholinesterase inhibitors (tacrine, donepezil, rivastigmine, galanthamine), limited success has been achieved with direct M 1 agonists, probably due to their lack of selectivity versus other muscarinic receptor subtypes. Muscarinic M 2 antagonists have been reported to increase synaptic levels of acetylcholine after oral administration to rats (e.g. BIBN-99, SCH-57790), but their selectivity versus other muscarinic receptor subtypes is modest. Exploration of a series of piperidinylpiperidines has yielded the potent and selective M 2 antagonist SCH-217443. This antagonist has excellent bioavailability in rats and dogs and shows activity in a rat model of cognition.
doi_str_mv 10.1016/S0014-827X(01)01102-8
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subjects Alzheimer Disease - drug therapy
Alzheimer's disease
Animals
Biological and medical sciences
Cholinergic
Cholinergic system
Humans
M 2 Receptors
Medical sciences
Muscarinic
Muscarinic Agonists - chemistry
Muscarinic Agonists - therapeutic use
Muscarinic Antagonists - chemistry
Muscarinic Antagonists - therapeutic use
Neuropharmacology
Neurotransmitters. Neurotransmission. Receptors
Pharmacology. Drug treatments
Structure-Activity Relationship
title Muscarinic agonists and antagonists in the treatment of Alzheimer's disease
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