PMID- 36149034 OWN - NLM STAT- MEDLINE DCOM- 20230103 LR - 20230103 IS - 1521-4184 (Electronic) IS - 0365-6233 (Linking) VI - 356 IP - 1 DP - 2023 Jan TI - Development of new Alzheimer's disease drug candidates using donepezil as a key model. PG - e2200398 LID - 10.1002/ardp.202200398 [doi] AB - Alzheimer's disease (AD) is one of the most prevalent geriatric diseases and a significant cause of high mortality. This crippling disorder is becoming more prevalent at an unprecedented rate, which has led to an increase in the financial cost of caring. It is a pathologically complicated, multifactorial disease characterized by beta-amyloid precipitation, beta-amyloid oligomer production, decrease in cholinergic function, and dysregulation of other neurotransmitter systems. Due to the pathogenic complexity of AD, multitarget drugs that can simultaneously alternate multiple biological targets may enhance the therapeutic efficacy. Donepezil (DNP) is the most potent approved drug for the treatment of AD. It has a remarkable effect on a number of AD-related processes, including cholinesterase activity, anti-Abeta aggregation, oxidative stress, and more. DNP resembles an excellent scaffold to be hybridized with other pharmacophoric moieties having biological activity against AD pathological factors. There have been significant attempts made to modify the structure of DNP to create new bioactive chemical entities with novel structural patterns. In this review, we highlight recent advances in the development of multiple-target DNP-hybridized models for the treatment of AD that can be used in the future in the rational design of new potential AD therapeutics. The design and development of new drug candidates for the treatment of AD using DNP as a molecular scaffold have also been reviewed and summarized. CI - (c) 2022 Deutsche Pharmazeutische Gesellschaft. FAU - Eissa, Kholoud I AU - Eissa KI AD - Department of Pharmaceutical Organic Chemistry, Faculty of Pharmacy, Cairo University, Cairo, Egypt. FAU - Kamel, Mona M AU - Kamel MM AD - Department of Pharmaceutical Organic Chemistry, Faculty of Pharmacy, Cairo University, Cairo, Egypt. FAU - Mohamed, Lamia W AU - Mohamed LW AD - Department of Pharmaceutical Organic Chemistry, Faculty of Pharmacy, Cairo University, Cairo, Egypt. FAU - Kassab, Asmaa E AU - Kassab AE AUID- ORCID: 0000-0002-6091-829X AD - Department of Pharmaceutical Organic Chemistry, Faculty of Pharmacy, Cairo University, Cairo, Egypt. LA - eng PT - Journal Article PT - Review DEP - 20220923 PL - Germany TA - Arch Pharm (Weinheim) JT - Archiv der Pharmazie JID - 0330167 RN - 8SSC91326P (Donepezil) RN - 0 (Cholinesterase Inhibitors) RN - EC 3.1.1.7 (Acetylcholinesterase) RN - 0 (Amyloid beta-Peptides) SB - IM MH - Humans MH - Aged MH - Donepezil/pharmacology/chemistry MH - *Alzheimer Disease/drug therapy MH - Cholinesterase Inhibitors/pharmacology/chemistry MH - Structure-Activity Relationship MH - Acetylcholinesterase/metabolism MH - Amyloid beta-Peptides OTO - NOTNLM OT - Alzheimer's disease OT - donepezil OT - hybrid OT - multitarget EDAT- 2022/09/24 06:00 MHDA- 2023/01/04 06:00 CRDT- 2022/09/23 08:33 PHST- 2022/09/03 00:00 [revised] PHST- 2022/07/27 00:00 [received] PHST- 2022/09/05 00:00 [accepted] PHST- 2022/09/24 06:00 [pubmed] PHST- 2023/01/04 06:00 [medline] PHST- 2022/09/23 08:33 [entrez] AID - 10.1002/ardp.202200398 [doi] PST - ppublish SO - Arch Pharm (Weinheim). 2023 Jan;356(1):e2200398. doi: 10.1002/ardp.202200398. Epub 2022 Sep 23.