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J Med Chem ; 65(5): 3706-3728, 2022 03 10.
Article in English | MEDLINE | ID: mdl-35192360

ABSTRACT

Glucose, the primary substrate for ATP synthesis, is catabolized during glycolysis to generate ATP and precursors for the synthesis of other vital biomolecules. Opportunistic viruses and cancer cells often hijack this metabolic machinery to obtain energy and components needed for their replication and proliferation. One way to halt such energy-dependent processes is by interfering with the glycolytic pathway. 2-Deoxy-d-glucose (2-DG) is a synthetic glucose analogue that can inhibit key enzymes in the glycolytic pathway. The efficacy of 2-DG has been reported across an array of diseases and disorders, thereby demonstrating its broad therapeutic potential. Recent approval of 2-DG in India as a therapeutic approach for the management of the COVID-19 pandemic has brought renewed attention to this molecule. The purpose of this perspective is to present updated therapeutic avenues as well as a variety of chemical synthetic strategies for this medically useful sugar derivative, 2-DG.


Subject(s)
Antiviral Agents/therapeutic use , COVID-19 Drug Treatment , Deoxyglucose/chemistry , Adenosine Triphosphate/metabolism , Antiviral Agents/chemistry , Antiviral Agents/metabolism , Antiviral Agents/pharmacology , COVID-19/diagnosis , COVID-19/virology , Deoxyglucose/metabolism , Deoxyglucose/pharmacology , Deoxyglucose/therapeutic use , Epilepsy/diagnosis , Epilepsy/drug therapy , Epilepsy/pathology , Glycolysis/drug effects , Humans , Isotope Labeling , Mitochondria/metabolism , Neoplasms/diagnosis , Neoplasms/drug therapy , Neoplasms/pathology , Positron-Emission Tomography , SARS-CoV-2/isolation & purification , SARS-CoV-2/physiology , Structure-Activity Relationship , Virus Replication/drug effects
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