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Aquaporins are one of the important but challenging targets in drug discovery. They are of great interest owing to their diverse physiological roles in health and diseases and their broad tissue distribution. However, there has been little progress so far in this quest and some have started to doubt whether AQPs are druggable at all. Essential challenges in AQP drug development seem to be difficult in modeling selective inhibitors and a lack of robust and reliable in vitro and in vivo assays. Numerous studies report natural products modulating AQPs at the expression level, directly inhibiting AQPs and disturbing their interaction with other intracellular proteins. Since direct targeting of AQPs has not yielded promising results, using natural products as AQP modulators could be a new possibility.
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