Drug Database
DO

donepezil (E 2022 / TK023 / TK 023)

✓ Approved

Eisai Co., Ltd. · ACHE · Small Molecule

What is donepezil?

donepezil is a small molecule developed by Eisai Co., Ltd.. It is approved for therapeutic indications via transdermal.

Drug Profile

Brand NamesE 2022, TK023, TK 023
CompanyEisai Co., Ltd.
Drug ClassSmall Molecule
Molecular TargetACHE
RouteTransdermal
StatusApproved

Mechanism of Action

Molecular Targets

donepezil acts on 1 molecular target:

ACHEacetylcholinesterase (Cartwright blood group) (N-ACHE, ACEE)
Want deeper analysis?Noah AI can explain complex mechanisms and compare to similar drugs.

Therapeutic Indications

donepezil is developed for 1 unique indication across 1 therapeutic area.

Therapeutic AreaConditionPhase
Nervous system disordersDementia Alzheimer's typePhase I

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Comment on "Nano-enabled targeted transdermal therapy for pain management in cervical cancer".

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Response to the Letter Regarding "Nano-enabled Targeted Transdermal Therapy for Pain Management in Cervical Cancer".

Odei-Mensah Beatrice B, Adeyemi Samson A SA, Choonara Yahya Essop YE

PubMedBioorganic chemistry2026-07-17

Rational design and synthesis of dispiroindene-pyrrolidinedione scaffolds as multi-target directed ligands: potent AChE inhibitors with antioxidant activity and favorable biocompatibility in SH-SY5Y cells.

Morsy Nagy A NA, El-Shiekh Riham A RA, Ebrahium Mohamad M MM, Srour Aladdin M AM

Addressing the urgent need for multi-target therapies in Alzheimer's disease, we report the rational design and one-pot, multi-component synthesis of novel substituted dispiroindene-pyrrolidinedione scaffolds (4a-r). Systematic biological evaluation identified five lead compounds (4g, 4j, 4k, 4m, and 4p) with potent inhibitory activity. Derivative 4k emerged as the primary lead, exhibiting an IC50 for Acetylcholinesterase (AChE) of 2.58 ± 0.11 μM and a remarkable selectivity index of 15.71, significantly exceeding that of donepezil (4.37), the reference drug. Concurrently, the series demonstrated notable affinity for Butyrylcholinesterase (BChE), with several derivatives exhibiting submicromolar to low micromolar inhibition. Furthermore, these scaffolds demonstrated superior antioxidant potential; notably, compound 4p achieved an IC50 value of 25.23 ± 1.25 μM, demonstrating an approximate 5-fold increase in radical scavenging potency relative to ascorbic acid (128.20 μM). In vitro safety assays on SH-SY5Y human neuroblastoma cells confirmed excellent biocompatibility, with compound 4m displaying an IC50 of 125.00 ± 6.91 μM, nearly four times less toxic than donepezil (32.84 μM). Molecular docking validated these results, showing robust π-π stacking and halogen-based stabilization within the catalytic anionic site. These findings, supported by ADME profiles predicting high blood-brain barrier permeability, position the dispiroindene-pyrrolidinedione framework as a highly effective, low-toxicity, multi-functional candidate for the development of Alzheimer's disease therapeutics.

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Quality-by-design-steered development of nanoemulsion-enabled dissolving microneedle patch for enhanced berberine delivery in chronic wound healing.

Zaidi Syed Amir Azam SAA, Ali Asad A, Sultana Niha N, Emad Nasr A NA et al.

Berberine (BBR) has strong antibacterial, anti-inflammatory, and wound healing effects; its efficacy is limited by poor bioavailability and low skin permeability. In this study, a nano-dressing was developed by incorporating BBR-loaded nanoemulsion (BBR-NE) into a dissolvable microneedle patch to enhance drug delivery to the wound site. The BBR-NE was formulated via the aqueous titration method and optimized using the Box-Behnken design. The optimized formulation exhibited a globule size of 97.89 ± 0.4 nm, PDI 0.277 ± 0.035, and zeta potential of -30.99 ± 0.84 mV. In vitro drug release showed a biphasic pattern, with more than 75% drug released within 24 h, while ex vivo skin permeation demonstrated nearly twofold higher skin penetration compared to suspension, which was further confirmed by CLSM analysis. Additionally, the formulation also showed enhanced antibacterial activity against both Gram-positive and Gram-negative bacteria. The optimized formulation was further incorporated into a dissolvable microneedle patch (Opt-BBR-NE-MN) via a micro-molding technique. The in-vivo evaluation demonstrated that Opt-BBR-NE-MN was non-irritant and significantly accelerated healing in STZ-induced diabetic Wistar rats compared to the control groups. This nanodressing strategy overcomes delivery barriers and improves therapeutic outcomes in chronic wound care, underscoring its clinical potential.

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"Microneedles in breast cancer therapy: navigating treatment innovation amid biological and technological challenges".

Pachipala Mokshitha M, Ruby J Joysa JJ, Puttegowda Venkatesh Dinnekere VD

Breast cancer remains a leading cause of cancer-related morbidity and mortality worldwide, with conventional treatments frequently limited by systemic toxicity, multidrug resistance, and high recurrence rates, particularly in triple-negative and metastatic subtypes. Microneedle (MN)- based drug delivery systems have emerged as a minimally invasive platform that bypasses the stratum corneum to enable targeted transdermal and intradermal delivery of chemotherapeutics, nanocarriers, and immunotherapeutics, with reduced systemic exposure. This review critically examines the design principles, fabrication materials, and functional types of microneedles (MNs) as applied to breast cancer therapy. The integration of MNs with nanocarriers, immunotherapy, and stimuli-responsive materials to improve tumor penetration, remodel the immunosuppressive tumor microenvironment, and amplify anticancer immune responses is discussed, along with key biological, safety, and regulatory challenges relevant to clinical translation. Microneedles offer great promise as a versatile platform to increase the effectiveness and safety of breast cancer therapies.

PubMedJournal of dental research2026-07-17

DAPK1 Ablation Promotes Wound Healing by Keratinocyte Modulation.

Li Y Y, Hu M M, Yin H H, Cao Y Y et al.

Death-associated protein kinase 1 (DAPK1), a Ca²+/calmodulin-regulated serine/threonine kinase, plays a pivotal role in epidermal homeostasis, tissue repair, and cutaneous wound healing. However, its role in oral mucosal repair remains unclear. In this study, we established a global Dapk1 knockout mouse model to create 1.5-mm circular palatal wounds in mice aged 8 to 12 wk. Our results demonstrated that DAPK1 deficiency significantly accelerated oral wound closure. In vitro experiments further confirmed that DAPK1 modulates the proliferation and migration of human oral keratinocytes. Mechanistic investigations through transcriptome sequencing revealed activation of the Wnt signaling pathway in Dapk1 knockout mice following injury, characterized by pronounced upregulation of Wnt3, Fosl1, and Ctnnd2, alongside downregulation of innate immune mediators, including Il7, Ccl28, Ccr2, Ccl5, and Cxcr4. These findings suggest that loss of DAPK1 enhances epithelial proliferation and migration while attenuating local inflammation. Furthermore, we developed a novel microneedle patch for drug delivery, consisting of GelMA tips encapsulating the DAPK1 inhibitor (HS-38) and a hyaluronic acid substrate. This system facilitated efficient mucosal penetration and localized delivery. Application of the microneedle patch significantly improved wound healing in both normal and diabetic mouse models. Collectively, these findings uncover a previously unrecognized role of DAPK1 in oral mucosal repair and highlight its potential as a molecular target to accelerate wound healing.

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