TY - JOUR A1 - Lillich, Felix A1 - Imig, John D. A1 - Proschak, Ewgenij T1 - Multi-target approaches in metabolic syndrome T2 - Frontiers in Pharmacology N2 - Metabolic syndrome (MetS) is a highly prevalent disease cluster worldwide. It requires polypharmacological treatment of the single conditions including type II diabetes, hypertension, and dyslipidemia, as well as the associated comorbidities. The complex treatment regimens with various drugs lead to drug-drug interactions and inadequate patient adherence, resulting in poor management of the disease. Multi-target approaches aim at reducing the polypharmacology and improving the efficacy. This review summarizes the medicinal chemistry efforts to develop multi-target ligands for MetS. Different combinations of pharmacological targets in context of in vivo efficacy and future perspective for multi-target drugs in MetS are discussed. KW - metabolic sydrome KW - polypharmacology KW - multi-target drug KW - peroxisome prolifer ators-activated receptor-γ KW - soluble epoxide hydrolase KW - farnesoid X receptor Y1 - 2021 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/62398 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-623988 SN - 1663-9812 N1 - EP was supported by the German Research Foundation (DFG, Heisenberg-Professur PR1405/7-1 and SFB 1039 TP A07). JI was supported by a National Institute of Health (NIH) grant (DK103616) and Ralph and Marian Falk Medical Research Trust Bank of America, N.A., Trustee grant. VL - 11 IS - art. 554961 SP - 1 EP - 18 PB - Frontiers Media CY - Lausanne ER -