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Abstract For Abstract see ChemInform Abstract in Full Text.
<b>Introduction</b>: Chemokine receptors are important therapeutic targets for the treatment of many human diseases. This study will provide an overview of approved chemokine receptor antagonists and promising candidates in advanced clinical trials.<b>Areas covered</b>: We will describe clinical aspects of chemokine receptor antagonists regarding their clinical efficacy, mechanisms of action, and re-purposed applications.<b>Expert opinion</b>: Three chemokine antagonists have been approved: (i) plerixafor is a small-molecule CXCR4 antagonist that mobilizes hematopoietic stem cells; (ii) maraviroc is a small-molecule CCR5 antagonist for anti-HIV treatment; and (iii) mogamulizumab is a monoclonal-antibody CCR4 antagonist for the treatment of mycosis fungoides or Sézary syndrome. Moreover, phase 3 trials are ongoing to evaluate many potent candidates, including CCR5 antagonists (e.g. leronlimab), dual CCR2/CCR5 antagonists (e.g. cenicriviroc), and CXCR4 antagonists (e.g. balixafortide, mavorixafor, motixafortide). The success of chemokine receptor antagonists depends on the selective blockage of disease-relevant chemokine receptors which are indispensable for disease progression. Although clinical translation has been slow, antagonists targeting chemokine receptors with multifaced functions offer the potential to treat a broad spectrum of human diseases.
This paper describes the ideas and developments that lead to a new Computer Aided Process Planning (CAPP) approach : a blackboard-style, interactive CAPP system, in which the human process planner is assisted by expert modules, each capable of performing a process planning task. At all times, the human operator has full control over all planning activities. An important reasoning mechanism, that is inevitably linked with the interactive CAPP kernel, is opportunistic process planning. The implementation of this mechanism in an automatic feature based CAPP system will also be elaborated in this paper.