Targeting protein kinases in central nervous system disorders

Nat Rev Drug Discov. 2009 Nov;8(11):892-909. doi: 10.1038/nrd2999.

Abstract

Protein kinases are a growing drug target class in disorders in peripheral tissues, but the development of kinase-targeted therapies for central nervous system (CNS) diseases remains a challenge, largely owing to issues associated specifically with CNS drug discovery. However, several candidate therapeutics that target CNS protein kinases are now in various stages of preclinical and clinical development. We review candidate compounds and discuss selected CNS protein kinases that are emerging as important therapeutic targets. In addition, we analyse trends in small-molecule properties that correlate with key challenges in CNS drug discovery, such as blood-brain barrier penetrance and cytochrome P450-mediated metabolism, and discuss the potential of future approaches that will integrate molecular-fragment expansion with pharmacoinformatics to address these challenges.

Publication types

  • Review

MeSH terms

  • Animals
  • Blood-Brain Barrier / metabolism
  • Central Nervous System Diseases / drug therapy*
  • Central Nervous System Diseases / enzymology
  • Central Nervous System Diseases / physiopathology
  • Clinical Trials as Topic
  • Drug Delivery Systems
  • Drug Design
  • Drug Evaluation, Preclinical
  • Humans
  • Protein Kinase Inhibitors / metabolism
  • Protein Kinase Inhibitors / pharmacokinetics
  • Protein Kinase Inhibitors / therapeutic use*
  • Protein Kinases / drug effects*
  • Protein Kinases / metabolism

Substances

  • Protein Kinase Inhibitors
  • Protein Kinases