From Natural Product to the First Oral Treatment for Multiple Sclerosis: The Discovery of FTY720 (Gilenya™)?

Curr Opin Chem Biol

Global Discovery Chemistry, Novartis Institutes for Biomedical Research, Cambridge, MA 02139, USA. Electronic address:

Published: June 2016

Multiple sclerosis is a devastating chronic autoimmune disease affecting women and men of all ages. Inflammation of the central nervous system causes demyelination and ultimately neuropsychological dysfunction. Myriocin, a natural product with strong immunosuppressant activity was interrogated leading to a new class of immunomodulator with a unique mode of action. In this review, we will summarize these findings, the mechanism hypothesis and discuss the data's ultimately leading to the approval of Gilenya™ as the first oral treatment for multiple sclerosis.

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http://dx.doi.org/10.1016/j.cbpa.2016.04.014DOI Listing

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