4.7 Review

Structure and therapeutic uses of butyrylcholinesterase: Application in detoxification, Alzheimer's disease, and fat metabolism

期刊

MEDICINAL RESEARCH REVIEWS
卷 41, 期 2, 页码 858-901

出版社

WILEY
DOI: 10.1002/med.21745

关键词

Alzheimer' s disease; butyrylcholinesterase; cocaine addiction; ghrelin; organophosphorus

资金

  1. Natural Science Foundation of Jiangsu Province [BK20191411]
  2. China Pharmaceutical University [CPU2018GF11, CPU2018GY34]
  3. National Natural Science Foundation of China [81573281, 81872728, 81973207]

向作者/读者索取更多资源

This article discusses the structural information of butyrylcholinesterase (BChE) and its variants associated with several diseases, including their applications in treating organophosphorus poisoning and cocaine addiction. Recent progress has been made in developing selective BChE inhibitors and studying the BChE-ghrelin pathway, which regulates aggressive behaviors in BChE knockout mice.
Structural information of butyrylcholinesterase (BChE) and its variants associated with several diseases are discussed here. Pure human BChE has been proved safe and effective in treating organophosphorus (OPs) poisoning and has completed Phase 1 and 2 pharmacokinetic (PK) and safety studies. The introduction of specific mutations into native BChE to endow it a self-reactivating property has gained much progress in producing effective OPs hydrolases. The hydrolysis ability of native BChE on cocaine has been confirmed but was blocked to clinical application due to poor PK properties. Several BChE mutants with elevated cocaine hydrolysis activity were published, some of which have shown safety and efficiency in treating cocaine addiction of human. The increased level of BChE in progressed Alzheimer's disease patients made it a promising target to elevate acetylcholine level and attenuate cognitive status. A variety of selective BChE inhibitors with high inhibitory activity published in recent years are reviewed here. BChE could influence the weight and insulin secretion and resistance of BChE knockout (KO) mice through hydrolyzing ghrelin. The BChE-ghrelin pathway could also regulate aggressive behaviors of BChE-KO mice.

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