The anti-inflammatory potential of p38 mitogen-activated protein kinase (MAPK) inhibitors was coincidentally expanded to a dual inhibition of p38α MAPK and phosphodiesterase 4 (PDE4), and the potential benefits arising from the blockage of both inflammation-related enzymes were thoroughly investigated. The most promising compound, CBS-3595 (1), was successively evaluated in in vitro experiments as well as in ex vivo and in vivo preclinical studies after administration of 1 to rodents, dogs, and monkeys. The resulting data clearly indicated a potent suppression of tumor necrosis factor alpha release. For reconfirming the findings of the animal studies when administering 1 to healthy human volunteers, a phase I clinical trial was conducted. Apart from further information regarding the pharmacokinetic and pharmacodynamic characteristics of 1, it was demonstrated that dual inhibition of p38α MAPK and PDE4 is able to synergistically attenuate the excessive anti-inflammatory response.

译文

:p38丝裂原活化蛋白激酶(MAPK)抑制剂的抗炎潜能同时扩展到了p38αMAPK和磷酸二酯酶4(PDE4)的双重抑制作用,并且两种炎症相关酶均被阻断产生了潜在的益处调查。给啮齿动物,狗和猴子施用1后,在体外实验以及离体和体内临床前研究中相继评估了最有前途的化合物CBS-3595(1)。所得数据清楚地表明有效抑制了肿瘤坏死因子α的释放。为了确认对健康的人类志愿者给药1时动物研究的结果,进行了I期临床试验。除了有关1的药代动力学和药效学特性的进一步信息外,还证明了对p38αMAPK和PDE4的双重抑制能够协同减弱过度的抗炎反应。

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