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Molecules
  • Feature Paper
  • Review
  • Open Access

24 January 2019

Quercetin and Related Chromenone Derivatives as Monoamine Oxidase Inhibitors: Targeting Neurological and Mental Disorders

,
,
,
and
1
Faculty of Pharmaceutical Sciences, M. D. University, Rohtak 124001, India
2
Laboratory of Pharmaceutical Chemistry, Faculty of Pharmacy, University of Santiago de Compostela, Campus Vida, 15782 Santiago de Compostela, Spain
3
Instituto de Investigación e Innovación en Salud, Facultad de Ciencias de la Salud, Universidad Central de Chile, 8370178 Santiago, Chile
4
Departamento de Química Orgánica, Facultad de Farmacia, Universidad de Santiago de Compostela, 15782 Santiago de Compostela, Spain
This article belongs to the Section Natural Products Chemistry

Abstract

Monoamine oxidase inhibitions are considered as important targets for the treatment of depression, anxiety, and neurodegenerative disorders, including Alzheimer’s and Parkinson’s diseases. This has encouraged many medicinal chemistry research groups for the development of most promising selective monoamine oxidase (MAO) inhibitors. A large number of plant isolates also reported for significant MAO inhibition potential in recent years. Differently substituted flavonoids have been prepared and investigated as MAO-A and MAO-B inhibitors. Flavonoid scaffold showed notable antidepressant and neuroprotective properties as revealed by various and established preclinical trials. The current review made an attempt to summarizing and critically evaluating the new findings on the quercetin and related flavonoid derivatives functions as potent MAO isoform inhibitors.

1. Introduction

Depression and anxiety are estimated as incapacitating mental disorders which impose a huge health burden globally. According to the World Health Organization, major depression has now recognized as the fourth extensive cause of the worldwide in incapacity balanced life-years and could eventually turn into the second most critical cause by 2020 [1,2,3]. Treatment and therapies for mental disorder are also not economical. In the United States, the expenses of depression treatment and the costs experienced by less research work rate is estimated at more than $44 billion in 1990, which currently raised many fold [4,5]. Hence, the research for the discovery of potent and safe anti-depressant agents has attained importance due to a high mortality ratio of depressive disorders and their contribution for the destruction of other routine physiological processes.
Moreover, neurodegenerative disorders constitute the third most essential health issue in different developed countries. Alzheimer’s disease is the most widely recognized neurodegenerative disorder followed by Parkinson’s disease. Along with the aging problem of human society, Alzheimer’s disease (AD) has become one of the biggest threats to the modernize population. Alzheimer’s disease is indicated by nerve cells die in the cerebral cortex and accounts for 60 to 80 percent of dementia cases which affected more than 25 million people worldwide in 2000 and may eventually to increase to 114 million by 2050 [6,7,8,9]. General treatment of this disease is the utilization of dopaminergic agonists. Nonetheless, other medicinal options can be employed, like the utilization of specific monoamine oxidase B inhibitors, or the use of neuroprotective antioxidant agents to prevent the oxidative damage of neuronal cells. In the last few years, it has been proved that the overexpression of brain MAO-B also causes the neurodegeneration via generation hydroxyl radicals [10,11]. This certainty provokes an increase in free radical generation leads to oxidative stress, neuronal cell death and further the formation of the β-amyloid plaques [12].
The theory of MAO-B inhibitors for the prevention of neuronal damage is also accepted due to the reduction of hydrogen peroxide formation through inhibition of MAO. Clinical data suggests that patients with major depression have symptoms that are reflected changes in brain monoamine neurotransmitters, specifically serotonin (5-HT) and norepinephrine (NE) [13,14,15]. As per the most accepted hypothesis of depression, including the monoamine theory, dopamine (DA) is also implicated in the pathophysiology of various neurological disorders. Inhibitors of the enzyme monoamine oxidase were the first clinically used antidepressants; however, their utilization has reduced due to their documented serious adverse effects, their drug and food interactions, and the discovery of other target proteins [16,17,18,19]. Moreover, reports of hypertensive crises, liver toxicity, and hemorrhages and in some cases death resulted in the withdrawal of many MAO inhibitors from the market. Since then, medicinal chemists have been continuously involved in developing novel lead compounds that can selectively inhibit single isoform of MAO and can act as an effective therapeutic agent for various mental and neurological disorders [20,21,22].
Monoamine oxidase (MAO; EC 1.4.3.4) is a flavin adenine dinucleotide (FAD) dependent enzyme which is mainly localized on the outer mitochondrial membrane, responsible for the oxidative deamination of monoamines, including neurotransmitters, such as norepinephrine, dopamine, and serotonin (5-hydroxytryptamine [5-HT]) [23,24]. The two isoforms of MAO exists MAO-A and MAO-B, which differ in amino acid sequence, susceptibility to specific inhibitors, substrate specificity, and tissue distribution [25]. MAO-A preferentially deaminates noradrenaline and serotonin (5-hydroxytryptamine), whereas MAO-B preferentially deaminates β-phenyl-ethylamine and benzylamine. Inside the brain, MAO-B is mainly localized in the glial cells, while MAO-A found in the extraneuronal compartment and inside the dopaminergic, serotonergic and noradrenergic nerve terminals [26].
The oxidative deamination catalyzed through MAO leads to the formation of hydrogen peroxide (H2O2) and different reactive oxygen species has sufficient deleterious reactivity which accounts for associated health-related problems including neurological damage. The generation of H2O2 via MAOs is also reported to be a cytotoxic factor involved in oxidative stress, causes degeneration of nigral cells in Parkinson’s disease [27,28].
The modern search in the anti-MAO field is now directed toward the hybrid compounds, the latent risks in bioavailability and safety is a big concern in their further development. Despite notable progress in understanding their isoforms with respect to their 3D-structures, functionality, inhibitors, and substrates, no general rules have been formulated for the rational design of efficient, selective and reversible MAO inhibitors [29,30]. The current review made an attempt to identify the MAO inhibition property of quercetin and related derivatives and establish the rational design of new MAOIs from this investigation.

4. Conclusions

This deep exploration of the quercetin and related flavonoid derivatives highlights the enthusiasm of therapeutic science specialists towards finding new potent and selective monoamine oxidase inhibitors or useful targeting agents for neurological and mental disorders. The current review is aimed to demonstrate the tremendous pharmacological MAO inhibition profile of natural flavonoid derivatives. The experimental in vitro studies suggested that natural flavonoids showed micro- to nanomolar range IC50 values against both MAO isoforms. Furthermore, the docking studies correlated in many experiments to explore the molecular mechanism of flavonoid at the MAO receptor level. This may give the idea for the structural activity requirement of different classes of natural flavonoids for the MAO inhibition. Compilation of overall SAR studied indicated some characteristics of flavonoid moiety (Figure 19). The glycosylation with sugar reduces the hMAO inhibitory potential of flavonoid as studies by Lee and coworkers [50]. Moreover, the mono-substitution enhance the selectivity towards hMAO-A; di-substitution enhance selectivity towards hMAO-B as indicated by Chimenti and coworkers [71]. The unsturation of chromone ring is crucial for MAO inhibition. Nevertheless, Presence of OH group decrease the MAO inhibitory potential as observed by Turkmenoglu and coworkers [72]. Hence, the perditions of in vitro and in silico properties on flavonoid moiety could help to further modification and clinical exploration as flavonoid based potent MAO inhibitors.
Figure 19. Structure-activity relationships (SAR) trends inferred from the data of enzymatic and docking experiments reported above.

Acknowledgments

Authors are thankful for the Library access provided by Maharshi Dayanand University, Rohtak, India.

Conflicts of Interest

The authors declare no conflict of interest.

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