Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2007 Feb;113(2):354-68.
doi: 10.1016/j.pharmthera.2006.09.001. Epub 2006 Sep 22.

Protease inhibitors and their peptidomimetic derivatives as potential drugs

Affiliations
Review

Protease inhibitors and their peptidomimetic derivatives as potential drugs

Georgie Fear et al. Pharmacol Ther. 2007 Feb.

Abstract

Precise spatial and temporal regulation of proteolytic activity is essential to human physiology. Modulation of protease activity with synthetic peptidomimetic inhibitors has proven to be clinically useful for treating human immunodeficiency virus (HIV) and hypertension and shows potential for medicinal application in cancer, obesity, cardiovascular, inflammatory, neurodegenerative diseases, and various infectious and parasitic diseases. Exploration of natural inhibitors and synthesis of peptidomimetic molecules has provided many promising compounds performing successfully in animal studies. Several protease inhibitors are undergoing further evaluation in human clinical trials. New research strategies are now focusing on the need for improved comprehension of protease-regulated cascades, along with precise selection of targets and improved inhibitor specificity. It remains to be seen which second generation agents will evolve into approved drugs or complementary therapies.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Examples of naturally occurring and peptidomimetic protease inhibitors which have been approved or are currently in advanced clinical trials.

References

    1. Alexis N.E., Muhlebach M.S., Peden D.B., Noah T.L. Attenuation of host defense function of lung phagocytes in young cystic fibrosis patients. J Cyst Fibros. 2006;5:17–25. - PMC - PubMed
    1. Anand K., Palm G.J., Mesters J.R., Siddell S.G., Ziebuhr J., Hilgenfeld R. Structure of coronavirus main proteinase reveals combination of a chymotrypsin fold with an extra alpha-helical domain. EMBO J. 2002;21:3213–3224. - PMC - PubMed
    1. Arias C.F., Romero P., Alvarez V., Lopez S. Trypsin activation pathway of rotavirus infectivity. J Virol. 1996;70:5832–5839. - PMC - PubMed
    1. Armstrong W.B., Kennedy A.R., Wan X.S., Taylor T.H., Nguyen Q.A., Jensen J. Clinical modulation of oral leukoplakia and protease activity by Bowman-Birk inhibitor concentrate in a phase IIa chemoprevention trial. Clin Cancer Res. 2000;6:4684–4691. - PubMed
    1. Arribas J.R., Pulido F., Delgado R., Lorenzo A., Miralles P., Arranz A. Lopinavir/ritonavir as single-drug therapy for maintenance of HIV-1 viral suppression: 48-week results of a randomized, controlled, open-label, proof-of-concept pilot clinical trial (OK Study) J Acquir Immune Defic Syndr. 2005;40:280–287. - PubMed