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A novel chemoreactive calcilytic for the potential treatment of autosomal dominant hypocalcemia
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作者 Jesse Dangerfield Aaron DeBono +5 位作者 Andrew N.Keller Tracy M.Josephs David M.Shackleford Karen J.Gregory Katie Leach Ben Capuano 《Acta Pharmaceutica Sinica B》 2025年第10期5387-5399,共13页
Autosomal dominant hypocalcemia(ADH)type 1 and 2 are disorders of calcium homeostasis caused by gain of function variants.The calcium-sensing receptor(CaSR)is a class C GPCR that responds to elevated extracellular cal... Autosomal dominant hypocalcemia(ADH)type 1 and 2 are disorders of calcium homeostasis caused by gain of function variants.The calcium-sensing receptor(CaSR)is a class C GPCR that responds to elevated extracellular calcium(Ca^(2+)o)by inhibiting parathyroid hormone(PTH)secretion and promoting renal excretion of Ca^(2+)and other salts to restore physiologically normal Ca^(2+)o concentrations.CaSR negative allosteric modulators(NAMs)transiently raise PTH levels in individuals with ADH1,restoring Ca^(2+)o concentration to a physiological normal range.Herein we disclose the discovery of a chemoreactive NAM(ATF936-NCS,4)for the CaSR that(i)is wash-resistant indicative of irreversible receptor binding and(ii)stimulates prolonged PTH release in vivo.This‘first-in-class’chemical probe will provide invaluable insight towards the development of longer acting NAMs for the treatment of ADH. 展开更多
关键词 Calcium-sensing receptor Calcilytic chemoreactive IRREVERSIBLE Autosomal dominant hypocalcemia
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