PMID- 33302832 OWN - NLM STAT- MEDLINE DCOM- 20211126 LR - 20211126 IS - 1873-5592 (Electronic) IS - 1389-4501 (Linking) VI - 22 IP - 6 DP - 2021 TI - Current Quest in Natural Bioactive Compounds for Alzheimer's Disease: Multi-Targeted-Designed-Ligand Based Approach with Preclinical and Clinical Based Evidence. PG - 685-720 LID - 10.2174/1389450121999201209201004 [doi] AB - Alzheimer's disease is a common and most chronic neurological disorder (NDs) associated with cognitive dysfunction. Pathologically, Alzheimer's disease (AD) is characterized by the presence of beta-amyloid (Abeta) plaques, hyper-phosphorylated tau proteins, and neurofibrillary tangles, however, persistence oxidative-nitrative stress, endoplasmic reticulum stress, mitochondrial dysfunction, inflammatory cytokines, pro-apoptotic proteins along with altered neurotransmitters level are common etiological attributes in its pathogenesis. Rivastigmine, memantine, galantamine, and donepezil are FDA approved drugs for symptomatic management of AD, whereas tacrine has been withdrawn because of hepatotoxic profile. These approved drugs only exert symptomatic relief and exhibit poor patient compliance. In the current scenario, the number of published evidence shows the neuroprotective potential of naturally occurring bioactive molecules via their antioxidant, anti-inflammatory, antiapoptotic and neurotransmitter modulatory properties. Despite their potent therapeutic implications, concerns have arisen in context to their efficacy and probable clinical outcome. Thus, to overcome these glitches, many heterocyclic and cyclic hydrocarbon compounds inspired by natural sources have been synthesized and showed improved therapeutic activity. Computational studies (molecular docking) have been used to predict the binding affinity of these natural bioactive as well as synthetic compounds derived from natural sources for the acetylcholine esterase, alpha/beta secretase Nuclear Factor kappa- light-chain-enhancer of activated B cells (NF-kB), Nuclear factor erythroid 2-related factor 2(Nrf2) and other neurological targets. Thus, in this review, we have discussed the molecular etiology of AD, focused on the pharmacotherapeutics of natural products, chemical and pharmacological aspects and multi-targeted designed ligands (MTDLs) of synthetic and semisynthetic molecules derived from the natural sources along with some important on-going clinical trials. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Iqubal, Ashif AU - Iqubal A AD - Department of Pharmacology, School of Pharmaceutical Education and Research, JamiaHamdard, New Delhi-110062, India. FAU - Rahman, Syed Obaidur AU - Rahman SO AD - Department of Pharmaceutical Medicine, School of Pharmaceutical Education and Research, JamiaHamdard, New Delhi-110062, India. FAU - Ahmed, Musheer AU - Ahmed M AD - Department of Pharmaceutics, School of Pharmaceutical Education and Research, JamiaHamdard, New Delhi-110062, India. FAU - Bansal, Pratichi AU - Bansal P AD - Department of Pharmaceutical Chemistry, School of Pharmaceutical Education and Research, JamiaHamdard, New Delhi-110062, India. FAU - Haider, Md Rafi AU - Haider MR AD - Department of Pharmaceutical Chemistry, School of Pharmaceutical Education and Research, JamiaHamdard, New Delhi-110062, India. FAU - Iqubal, Mohammad Kashif AU - Iqubal MK AD - Department of Pharmaceutics, School of Pharmaceutical Education and Research, JamiaHamdard, New Delhi-110062, India. FAU - Najmi, Abul Kalam AU - Najmi AK AD - Department of Pharmacology, School of Pharmaceutical Education and Research, JamiaHamdard, New Delhi-110062, India. FAU - Pottoo, Faheem Hyder AU - Pottoo FH AD - Department of Pharmacology, College of Clinical Pharmacy, Imam Abdulrahman Bin Faisal, University, P.O.BOX 1982, Damman, 31441, Saudi Arabia. FAU - Haque, Syed Ehtaishamul AU - Haque SE AD - Department of Pharmacology, School of Pharmaceutical Education and Research, JamiaHamdard, New Delhi-110062, India. LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Curr Drug Targets JT - Current drug targets JID - 100960531 RN - 0 (Biological Products) RN - 0 (Ligands) SB - IM MH - *Alzheimer Disease/drug therapy MH - Biological Products/*pharmacology MH - Drug Design MH - Humans MH - Ligands MH - Molecular Docking Simulation OTO - NOTNLM OT - Neurodegeneration OT - computational studies; clinical trials OT - dementia OT - molecular docking OT - natural products OT - tau proteins EDAT- 2020/12/12 06:00 MHDA- 2021/11/27 06:00 CRDT- 2020/12/11 05:34 PHST- 2020/05/29 00:00 [received] PHST- 2020/08/12 00:00 [revised] PHST- 2020/08/23 00:00 [accepted] PHST- 2020/12/12 06:00 [pubmed] PHST- 2021/11/27 06:00 [medline] PHST- 2020/12/11 05:34 [entrez] AID - CDT-EPUB-112248 [pii] AID - 10.2174/1389450121999201209201004 [doi] PST - ppublish SO - Curr Drug Targets. 2021;22(6):685-720. doi: 10.2174/1389450121999201209201004.