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.Protein kinases regulate diverse cellular functions through the orchestrated propagation and amplification of cellular stimuli into distinct biological responses through coordinated signal transduction cascades. With several hundred kinases encoded in the human genome, almost every signal transduction process is influenced by interconnected phosphorylation events. Deregulation of kinase activity has been implicated in various diseases, ranging from vascular disorders and inflammatory diseases to neurological disorders and cancer 1,2 . This has generated intense interest in the pursuit of protein kinases as drug targets.However, most kinase-targeted drugs and potential kinase targets that have been investigated are for non-central nervous system (CNS) disorders. CNS disease indications for kinasetargeted drugs seem to be lagging behind those for other disease areas, such as cancer (FIG. 1), and ~25% of publications related to CNS disorders are for CNS cancers. This pattern is also seen in pharmaceutical industry pipelines that are publicly disclosed. For example, Novartis, the manufacturer of the kinase inhibitor cancer therapeutics imatinib (Gleevec) and nilotinib (Tasigna), has various oncology candidates and CNS-targeted therapies in clinical development. Half of the oncology pipeline are kinase inhibitors, but none of the disclosed CNS candidates seems to target protein kinases. Nevertheless, there is increasing interest in the development of kinase-targeted therapeutics for CNS indications [3][4][5][6][7][8][9][10][11] , and the established success in other disease indications provides encouragement for the development of smallmolecule kinase modulators for CNS disorders.
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Author ManuscriptNat Rev Drug Discov. Author manuscript; available in PMC 2010 February 19.
Published in final edited form as:Nat Rev Drug Discov. 2009 November ; 8(11): 892-909. doi:10.1038/nrd2999.
NIH-PA Author ManuscriptNIH-PA Author Manuscript
NIH-PA Author ManuscriptThis Review focuses on the special challenge of targeting protein kinases for CNS disease indications. A recent review 2 provides an up-to-date overview of targeting protein kinases i...