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1.
J Med Chem ; 58(17): 7021-56, 2015 Sep 10.
Article in English | MEDLINE | ID: mdl-26267483

ABSTRACT

Starting from the micromolar 8-quinoline carboxamide high-throughput screening hit 1a, a systematic exploration of the structure-activity relationships (SAR) of the 4-, 6-, and 8-substituents of the quinoline ring resulted in the identification of approximately 10-100-fold more potent human CD38 inhibitors. Several of these molecules also exhibited pharmacokinetic parameters suitable for in vivo animal studies, including low clearances and decent oral bioavailability. Two of these CD38 inhibitors, 1ah and 1ai, were shown to elevate NAD tissue levels in liver and muscle in a diet-induced obese (DIO) C57BL/6 mouse model. These inhibitor tool compounds will enable further biological studies of the CD38 enzyme as well as the investigation of the therapeutic implications of NAD enhancement in disease models of abnormally low NAD.


Subject(s)
ADP-ribosyl Cyclase 1/antagonists & inhibitors , Amides/chemistry , Aminoquinolines/chemistry , NAD/metabolism , Quinolines/chemistry , Amides/chemical synthesis , Amides/pharmacology , Aminoquinolines/chemical synthesis , Aminoquinolines/pharmacology , Animals , Biological Availability , Crystallography, X-Ray , Humans , Hydrolysis , Liver/metabolism , Membranes, Artificial , Mice, Inbred C57BL , Models, Molecular , Muscle, Skeletal/metabolism , Obesity/metabolism , Permeability , Protein Conformation , Quinolines/chemical synthesis , Quinolines/pharmacology , Stereoisomerism , Structure-Activity Relationship
2.
J Med Chem ; 58(8): 3548-71, 2015 Apr 23.
Article in English | MEDLINE | ID: mdl-25828863

ABSTRACT

A series of thiazoloquin(az)olinones were synthesized and found to have potent inhibitory activity against CD38. Several of these compounds were also shown to have good pharmacokinetic properties and demonstrated the ability to elevate NAD levels in plasma, liver, and muscle tissue. In particular, compound 78c was given to diet induced obese (DIO) C57Bl6 mice, elevating NAD > 5-fold in liver and >1.2-fold in muscle versus control animals at a 2 h time point. The compounds described herein possess the most potent CD38 inhibitory activity of any small molecules described in the literature to date. The inhibitors should allow for a more detailed assessment of how NAD elevation via CD38 inhibition affects physiology in NAD deficient states.


Subject(s)
ADP-ribosyl Cyclase 1/antagonists & inhibitors , Quinolones/chemistry , Quinolones/pharmacology , Thiazoles/chemistry , Thiazoles/pharmacology , ADP-ribosyl Cyclase 1/metabolism , Animals , Cell Line , Dogs , Drug Discovery , Humans , Liver/drug effects , Liver/metabolism , Mice, Inbred C57BL , Molecular Docking Simulation , Muscles/drug effects , Muscles/metabolism , NAD/analysis , NAD/blood , NAD/metabolism , Obesity/drug therapy , Obesity/metabolism , Quinolones/chemical synthesis , Quinolones/pharmacokinetics , Thiazoles/chemical synthesis , Thiazoles/pharmacokinetics
3.
Arch Biochem Biophys ; 564: 156-63, 2014 Dec 15.
Article in English | MEDLINE | ID: mdl-25250980

ABSTRACT

hCD157 catalyzes the hydrolysis of nicotinamide riboside (NR) and nicotinic acid riboside (NAR). The release of nicotinamide or nicotinic acid from NR or NAR was confirmed by spectrophotometric, HPLC and NMR analyses. hCD157 is inactivated by a mechanism-based inhibitor, 2'-deoxy-2'-fluoro-nicotinamide arabinoside (fNR). Modification of the enzyme during the catalytic cycle by NR, NAR, or fNR increased the intrinsic protein fluorescence by approximately 50%. Pre-steady state and steady state data were used to derive a minimal kinetic scheme for the hydrolysis of NR. After initial complex formation a reversible step (360 and 30s(-1)) is followed by a slow irreversible step (0.1s(-1)) that defined the rate limiting step, or kcat. The calculated KMapp value for NR in the hydrolytic reaction is 6nM. The values of the kinetic constants suggest that one biological function of cell-surface hCD157 is to bind and slowly hydrolyze NR, possibly converting it to a ligand-activated receptor. Differences in substrate preference between hCD157 and hCD38 were rationalized through a comparison of the crystal structures of the two proteins. This comparison identified several residues in hCD157 (F108 and F173) that can potentially hinder the binding of dinucleotide substrates (NAD+).


Subject(s)
ADP-ribosyl Cyclase/chemistry , Antigens, CD/chemistry , Niacinamide/analogs & derivatives , Ribonucleosides/chemistry , ADP-ribosyl Cyclase/genetics , ADP-ribosyl Cyclase/metabolism , Animals , Antigens, CD/genetics , Antigens, CD/metabolism , CHO Cells , Catalysis , Cricetinae , Cricetulus , GPI-Linked Proteins/chemistry , GPI-Linked Proteins/genetics , GPI-Linked Proteins/metabolism , Humans , Hydrolysis , Kinetics , Niacinamide/chemistry , Niacinamide/genetics , Niacinamide/metabolism , Nuclear Magnetic Resonance, Biomolecular , Pyridinium Compounds , Ribonucleosides/genetics , Ribonucleosides/metabolism
4.
Bioorg Med Chem Lett ; 24(14): 3104-7, 2014 Jul 15.
Article in English | MEDLINE | ID: mdl-24908608

ABSTRACT

A series of N1 acetamide substituted naphthyridinone HIV-1 integrase inhibitors have been explored to understand structure-activity relationships (SAR) with various C3 amide groups. Investigations were evaluated using integrase enzyme inhibition, antiviral activity and protein binding effects to optimize the sub-structures. Lipophilicity was also incorporated to understand ligand lipophilic efficiency as a function of the structural modifications. Three representative analogs were further examined in a peripheral blood mononuclear cell (PBMC) antiviral assay as well as in vitro and in vivo drug metabolism and pharmacokinetic studies.


Subject(s)
Acetamides/chemistry , Amides/chemistry , HIV Integrase Inhibitors/pharmacology , HIV Integrase/metabolism , Naphthyridines/pharmacology , Dose-Response Relationship, Drug , HIV Integrase Inhibitors/chemical synthesis , HIV Integrase Inhibitors/chemistry , Humans , Leukocytes, Mononuclear/drug effects , Leukocytes, Mononuclear/virology , Molecular Structure , Naphthyridines/chemical synthesis , Naphthyridines/chemistry , Structure-Activity Relationship
5.
J Org Chem ; 78(24): 12726-34, 2013 Dec 20.
Article in English | MEDLINE | ID: mdl-24256447

ABSTRACT

A synthesis of the benzothiazepine phosphonic acid 3, employing both enzymatic and transition metal catalysis, is described. The quaternary chiral center of 3 was obtained by resolution of ethyl (2-ethyl)norleucinate (4) with porcine liver esterase (PLE) immobilized on Sepabeads. The resulting (R)-amino acid (5) was converted in two steps to aminosulfate 7, which was used for construction of the benzothiazepine ring. Benzophenone 15, prepared in four steps from trimethylhydroquinone 11, enabled sequential incorporation of phosphorus (Arbuzov chemistry) and sulfur (Pd(0)-catalyzed thiol coupling) leading to mercaptan intermediate 18. S-Alkylation of 18 with aminosulfate 7 followed by cyclodehydration afforded dihydrobenzothiazepine 20. Iridium-catalyzed asymmetric hydrogenation of 20 with the complex of [Ir(COD)2BArF] (26) and Taniaphos ligand P afforded the (3R,5R)-tetrahydrobenzothiazepine 30 following flash chromatography. Oxidation of 30 to sulfone 31 and phosphonate hydrolysis completed the synthesis of 3 in 12 steps and 13% overall yield.


Subject(s)
Esterases/metabolism , Iridium/chemistry , Organic Anion Transporters, Sodium-Dependent/antagonists & inhibitors , Symporters/antagonists & inhibitors , Thiazepines/pharmacology , Animals , Catalysis , Crystallography, X-Ray , Esterases/chemistry , Humans , Liver/enzymology , Models, Molecular , Molecular Structure , Structure-Activity Relationship , Swine , Thiazepines/chemistry , Thiazepines/metabolism
6.
J Med Chem ; 56(12): 5094-114, 2013 Jun 27.
Article in English | MEDLINE | ID: mdl-23678871

ABSTRACT

The apical sodium-dependent bile acid transporter (ASBT) transports bile salts from the lumen of the gastrointestinal (GI) tract to the liver via the portal vein. Multiple pharmaceutical companies have exploited the physiological link between ASBT and hepatic cholesterol metabolism, which led to the clinical investigation of ASBT inhibitors as lipid-lowering agents. While modest lipid effects were demonstrated, the potential utility of ASBT inhibitors for treatment of type 2 diabetes has been relatively unexplored. We initiated a lead optimization effort that focused on the identification of a potent, nonabsorbable ASBT inhibitor starting from the first-generation inhibitor 264W94 (1). Extensive SAR studies culminated in the discovery of GSK2330672 (56) as a highly potent, nonabsorbable ASBT inhibitor which lowers glucose in an animal model of type 2 diabetes and shows excellent developability properties for evaluating the potential therapeutic utility of a nonabsorbable ASBT inhibitor for treatment of patients with type 2 diabetes.


Subject(s)
Diabetes Mellitus, Type 2/drug therapy , Drug Discovery , Hypoglycemic Agents/chemistry , Hypoglycemic Agents/pharmacology , Methylamines/chemistry , Methylamines/pharmacology , Organic Anion Transporters, Sodium-Dependent/antagonists & inhibitors , Symporters/antagonists & inhibitors , Thiazepines/chemistry , Thiazepines/pharmacology , Animals , Bile Acids and Salts/metabolism , Dogs , Drug Stability , HEK293 Cells , Humans , Hypoglycemic Agents/metabolism , Hypoglycemic Agents/therapeutic use , Male , Methylamines/metabolism , Methylamines/therapeutic use , Mice , Rats , Solubility , Thiazepines/metabolism , Thiazepines/therapeutic use
7.
Bioorg Med Chem Lett ; 23(2): 422-5, 2013 Jan 15.
Article in English | MEDLINE | ID: mdl-23245515

ABSTRACT

Substituent effects of a series of N1 protio and methyl naphthyridinone HIV-1 integrase strand-transfer inhibitors has been explored. The effects of combinations of the N1 substituent and C3 amide groups was extensively studied to compare enzyme inhibition, antiviral activity and protein binding effects on potency. The impact of substitution on ligand efficiency was considered and several compounds were advanced into in vivo pharmacokinetic studies ultimately leading to the clinical candidate GSK364735.


Subject(s)
Amides/chemistry , Naphthyridines/chemistry , Biological Assay , Enzyme Activation/drug effects , HIV Integrase Inhibitors/chemical synthesis , HIV Integrase Inhibitors/chemistry , HIV Integrase Inhibitors/pharmacology , Humans , Inhibitory Concentration 50 , Molecular Structure , Naphthyridines/pharmacology , Structure-Activity Relationship
8.
J Med Chem ; 55(24): 10972-94, 2012 Dec 27.
Article in English | MEDLINE | ID: mdl-23214471

ABSTRACT

GPR119 is a 7-transmembrane receptor that is expressed in the enteroendocrine cells in the intestine and in the islets of Langerhans in the pancreas. Indolines and 6,7-dihydro-5H-pyrrolo[2,3-a]pyrimidines were discovered as G protein-coupled receptor 119 (GPR119) agonists, and lead optimization efforts led to the identification of 1-methylethyl 4-({7-[2-fluoro-4-(methylsulfonyl)phenyl]-6,7-dihydro-5H-pyrrolo[2,3-d]pyrimidin-4-yl}oxy)-1-piperidinecarboxylate (GSK1104252A) (3), a potent and selective GPR119 agonist. Compound 3 showed excellent pharmacokinetic properties and sufficient selectivity with in vivo studies supporting a role for GPR119 in glucose homeostasis in the rodent. Thus, 3 appeared to modulate the enteroinsular axis, improve glycemic control, and strengthen previous suggestions that GPR119 agonists may have utility in the treatment of type 2 diabetes.


Subject(s)
Hypoglycemic Agents/chemical synthesis , Piperidines/chemical synthesis , Pyrimidines/chemical synthesis , Pyrroles/chemical synthesis , Receptors, G-Protein-Coupled/agonists , Administration, Oral , Animals , Cell Line , Colon/metabolism , Glucagon-Like Peptide 1/metabolism , Glucose/metabolism , Glucose Tolerance Test , Humans , Hypoglycemic Agents/pharmacokinetics , Hypoglycemic Agents/pharmacology , Incretins/metabolism , Intestinal Mucosa/metabolism , Male , Mice , Mice, Inbred C57BL , Mice, Knockout , Piperidines/pharmacokinetics , Piperidines/pharmacology , Pyrimidines/pharmacokinetics , Pyrimidines/pharmacology , Pyrroles/pharmacokinetics , Pyrroles/pharmacology , Rats , Rats, Sprague-Dawley , Rats, Wistar , Stereoisomerism , Structure-Activity Relationship
9.
Bioorg Med Chem Lett ; 21(21): 6461-4, 2011 Nov 01.
Article in English | MEDLINE | ID: mdl-21945283

ABSTRACT

A series of naphthyridinone HIV-1 integrase strand-transfer inhibitors have been designed based on a psdeudo-C2 symmetry element present in the two-metal chelation pharmacophore. A combination of two distinct inhibitor binding modes resulted in potent inhibition of the integrase strand-transfer reaction in the low nM range. Effects of aryl and N1 substitutions are disclosed including the impact on protein binding adjusted antiviral activity.


Subject(s)
HIV Integrase Inhibitors/pharmacology , Naphthyridines/pharmacology , HIV-1 , Naphthyridines/chemistry
10.
J Org Chem ; 74(9): 3587-90, 2009 May 01.
Article in English | MEDLINE | ID: mdl-19351107

ABSTRACT

A scale-up of diazaindoline 1 was achieved in four stages and 32% overall yield. The key step involved rapid reductive amination of aldehyde 8 with aniline 5 by sodium triacetoxyborohydride (STAB-H) and TFA followed by ring closure of intermediate amine 9 to compound 1 in the same pot. These reaction conditions were also applied to facile reductive aminations with anilines known to have little reactivity under STAB-H/AcOH conditions. Spectral data supported the tris(trifluoroacetoxy)borohydride anion (16) as the active reducing agent.


Subject(s)
Aldehydes/chemistry , Aniline Compounds/chemistry , Aza Compounds/chemistry , Boranes/chemistry , Electrons , Fluorenes/chemistry , Indoles/chemistry , Amination , Oxidation-Reduction
11.
J Med Chem ; 52(9): 2754-61, 2009 May 14.
Article in English | MEDLINE | ID: mdl-19374386

ABSTRACT

The medicinal chemistry and structure-activity relationships for a novel series of 7-benzyl-4-hydroxy-1,5-naphthyridin-2(1H)-one HIV-integrase inhibitors are disclosed. Substituent effects were evaluated at the N-1, C-3, and 7-benzyl positions of the naphthyridinone ring system. Low nanomolar IC(50) values were achieved in an HIV-integrase strand transfer assay with both carboxylic ester and carboxamide groups at C-3. More importantly, several carboxamide congeners showed potent antiviral activity in cellular assays. A 7-benzyl substituent was found to be critical for potent enzyme inhibition, and an N-(2-methoxyethyl)carboxamide moiety at C-3 significantly reduced plasma protein binding effects in vitro. Pharmacokinetic data in rats for one carboxamide analogue demonstrated oral bioavailability and reasonable in vivo clearance.


Subject(s)
HIV Integrase Inhibitors/chemistry , HIV Integrase Inhibitors/pharmacology , HIV Integrase/metabolism , HIV/enzymology , Naphthyridines/chemistry , Naphthyridines/pharmacology , Animals , Antiviral Agents/chemical synthesis , Antiviral Agents/chemistry , Antiviral Agents/pharmacokinetics , Antiviral Agents/pharmacology , Carboxylic Acids/chemistry , Esters/chemistry , HIV/drug effects , HIV Integrase Inhibitors/chemical synthesis , HIV Integrase Inhibitors/pharmacokinetics , Male , Metabolic Clearance Rate , Naphthyridines/chemical synthesis , Naphthyridines/pharmacokinetics , Rats , Structure-Activity Relationship
12.
Antimicrob Agents Chemother ; 52(3): 901-8, 2008 Mar.
Article in English | MEDLINE | ID: mdl-18160521

ABSTRACT

The naphthyridinone GSK364735 potently inhibited recombinant human immunodeficiency virus type 1 (HIV-1) integrase in a strand transfer assay (mean 50% inhibitory concentration +/- standard deviation, 8 +/- 2 nM). As expected based on the structure of the drug, it bound competitively with another two-metal binding inhibitor (Kd [binding constant], 6 +/- 4 nM). In a number of different cellular assays, GSK364735 inhibited HIV replication with potency at nanomolar concentrations (e.g., in peripheral blood mononuclear cells and MT-4 cells, 50% effective concentrations were 1.2 +/- 0.4 and 5 +/- 1 nM, respectively), with selectivity indexes of antiviral activity versus in-assay cytotoxicity of at least 2,200. When human serum was added, the antiviral potency decreased (e.g., a 35-fold decrease in the presence of 100% human serum was calculated by extrapolation from the results of the MT-4 cell assay). In cellular assays, GSK364735 blocked viral DNA integration, with a concomitant increase in two-long-terminal-repeat circles. As expected, this integrase inhibitor was equally active against wild-type viruses and mutant viruses resistant to approved drugs targeting either reverse transcriptase or protease. In contrast, some but not all viruses resistant to other integrase inhibitors were resistant to GSK364735. When virus was passaged in the presence of the inhibitor, we identified resistance mutations within the integrase active site that were the same as or similar to mutations arising in response to other two-metal binding inhibitors. Finally, either additive or synergistic effects were observed when GSK364735 was tested in combination with approved antiretrovirals (i.e., no antagonistic effects were seen). Thus, based on all the data, GSK364735 exerted potent antiviral activity through the inhibition of viral DNA integration by interacting at the two-metal binding site within the catalytic center of HIV integrase.


Subject(s)
HIV Integrase Inhibitors/pharmacology , HIV Integrase/drug effects , HIV-1/drug effects , Naphthyridines/pharmacology , Anti-HIV Agents/pharmacology , Cell Line , Cells, Cultured , Drug Resistance, Viral , Drug Synergism , HIV Integrase/genetics , HIV Protease Inhibitors/pharmacology , HIV-1/enzymology , HIV-1/physiology , Humans , Leukocytes, Mononuclear/virology , Microbial Sensitivity Tests/methods , Mutation , Reverse Transcriptase Inhibitors/pharmacology , Virus Integration/drug effects , Virus Replication/drug effects
13.
Bioorg Med Chem Lett ; 16(21): 5668-72, 2006 Nov 01.
Article in English | MEDLINE | ID: mdl-16908139

ABSTRACT

An efficient synthesis of methyl 7-hydroxy[1,3]thiazolo[5,4-b]pyridin-5(4H)-one-6-carboxylates (8-10 and 16) and 6-carboxamides (17-20) is described. Sub-micromolar enzyme inhibition of HIV integrase was achieved with several carboxamide analogs which were superior to their carboxylic ester congeners.


Subject(s)
HIV Integrase Inhibitors/pharmacology , HIV Integrase , HIV/enzymology , Ketones/pharmacology , Pyridines/pharmacology , Thiazoles/pharmacology , HIV Integrase Inhibitors/chemistry , Ketones/chemistry , Pyridines/chemistry , Thiazoles/chemistry
14.
Bioorg Med Chem Lett ; 16(9): 2419-22, 2006 May 01.
Article in English | MEDLINE | ID: mdl-16483772

ABSTRACT

Anilinoalkynylpyrimidines were prepared and evaluated as dual EGFR/ErbB2 kinase inhibitors. A preference was found for substituted phenyl and heteroaromatic rings attached to the alkyne. In addition, the presence of a potential hydrogen bond donor appended to this ring was favored. Selected molecules in the series demonstrated some activity against human tumor cell lines.


Subject(s)
Alkynes/chemistry , ErbB Receptors/antagonists & inhibitors , Pyrimidines/pharmacology , Receptor, ErbB-2/antagonists & inhibitors , Cell Line, Tumor , Cell Proliferation/drug effects , Crystallography, X-Ray , Drug Screening Assays, Antitumor , Humans , Models, Molecular , Molecular Structure , Pyrimidines/chemical synthesis , Pyrimidines/chemistry , Structure-Activity Relationship
15.
J Org Chem ; 70(13): 5331-4, 2005 Jun 24.
Article in English | MEDLINE | ID: mdl-15960543

ABSTRACT

Small molecule calcitonin receptor agonists are of potential utility in the treatment and prevention of osteoporosis. Bicycloeneamine 1 was a useful intermediate in the synthesis of pyrazolopyridine calcitonin receptor partial agonists 2a-f. Dihydropyridines 10a-c were conveniently prepared by reaction of 1 with Knoevenagel adducts 9a-c, or in the case of 10d, by a three component reaction with 1, beta-ketoester 7b, and aldehyde 8c. Oxidation of 10a-d to pyridines 11a-d and subsequent amide formation afforded the title compounds.


Subject(s)
Combinatorial Chemistry Techniques , Pyrazoles/chemical synthesis , Pyridines/chemical synthesis , Receptors, Calcitonin/agonists , Catalysis , Molecular Structure , Oxidation-Reduction , Pyrazoles/chemistry , Pyrazoles/pharmacology , Pyridines/chemistry , Pyridines/pharmacology
16.
Bioorg Med Chem Lett ; 14(13): 3425-9, 2004 Jul 05.
Article in English | MEDLINE | ID: mdl-15177446

ABSTRACT

The synthesis and biological activity of a series of aldehyde inhibitors of cathepsin K are reported. Exploration of the properties of the S2 and S3 subsites with a series of carbamate derivatized norleucine aldehydes substituted at the P2 and P3 positions afforded analogs with cathepsin K IC50s between 600 nM and 130 pM.


Subject(s)
Aldehydes/chemistry , Cathepsins/antagonists & inhibitors , Protease Inhibitors/chemical synthesis , Aldehydes/pharmacology , Binding Sites/drug effects , Carbamates/chemistry , Cathepsin K , Humans , Inhibitory Concentration 50 , Norleucine/chemistry , Protease Inhibitors/pharmacology , Structure-Activity Relationship
17.
Anesthesiology ; 100(4): 835-45, 2004 Apr.
Article in English | MEDLINE | ID: mdl-15087618

ABSTRACT

BACKGROUND: No replacement for succinylcholine is yet available. GW280430A (AV430A) is a representative of a new class of nondepolarizing neuromuscular blocking drugs called asymmetric mixed-onium chlorofumarates. It undergoes rapid degradation in plasma by chemical hydrolysis and inactivation by cysteine adduction, resulting in a very short duration of effect. The neuromuscular, cardiovascular, and autonomic pharmacology of GW280430A is compared herein with that of mivacurium. METHODS: Adult male rhesus monkeys and adult male cats were anesthetized with nitrous oxide-oxygen-halothane and chloralose-pentobarbital, respectively. The neuromuscular blocking properties of GW280430A and mivacurium were compared at a stimulation rate of 0.15 Hz in the extensor digitorum of the foot (monkey) and the tibialis anterior (cat). Sympathetic responses were assayed in the cat in the nictitating membrane preparation, and vagal effects were evaluated in the cat via observation of bradycardic responses after stimulation of the cervical right vagus nerve. RESULTS: GW280430A and mivacurium were equipotent in the monkey (ED95 was 0.06 mg/kg in each case). GW280430A was half as potent as mivacurium in the cat. The total duration of action of GW280430A was less than half that of mivacurium in the monkey; recovery slopes were more than twice as rapid. The 25-75% recovery index of GW280430A did not vary significantly after various bolus doses or infusions, averaging 1.4-1.8 min in the monkey, significantly shorter than the same time interval (4.8-5.7 min) for mivacurium. Dose ratios for autonomic versus neuromuscular blocking properties in the cat were greater than 25 for both GW280430A and mivacurium. The ratio ED Hist:ED95 Neuromuscular Block in the monkey was significantly greater (approximately 53 vs. 13) for GW280430A, indicating approximately four times less relative prominence of the side effects of skin flushing and decrease of blood pressure, which are associated with release of histamine. CONCLUSIONS: These experiments show a much shorter neuromuscular blocking effect and much-reduced side effects in the case of GW280430A vis-à-vis mivacurium. These results, together with the novel chemical degradation of GW280430A, suggest further evaluation in human subjects.


Subject(s)
Isoquinolines/pharmacology , Neuromuscular Nondepolarizing Agents/pharmacology , Animals , Blood Pressure/drug effects , Cats , Dose-Response Relationship, Drug , Heart Rate/drug effects , Macaca mulatta , Male , Mivacurium , Neuromuscular Junction/drug effects , Structure-Activity Relationship , Terminology as Topic , Time Factors
18.
J Med Chem ; 46(12): 2502-15, 2003 Jun 05.
Article in English | MEDLINE | ID: mdl-12773054

ABSTRACT

Structure-activity relationships in rhesus monkeys for a novel mixed-onium class of ultra-short-acting nondepolarizing tetrahydroisoquinolinium neuromuscular blockers (NMBs) are described. Bis-onium chlorofumarate 20a with (1R,2S)-benzyltetrahydroisoquinolinium groups was a potent lead compound (ED(95) = 0.079 mg/kg) with an ultra-short duration of NMB effect (7.1 min) and a selectivity index (SI: defined as a ratio of the cardiovascular threshold dose to the ED(95)) similar to that of mivacurium (3). The mean threshold dose for cardiovascular effects with 20a was ca. 20 times its ED(95) value (SI = 20). A novel mixed-onium analogue of 20a was prepared by replacing the benzyltetrahydroisoquinolinium group distal to the fumarate chlorine atom with a (1S,2R)-phenyltetrahydroisoquinolinium moiety. The resulting mixed-onium chlorofumarate 24a displayed good NMB potency (ED(95) = 0.063 mg/kg), ultra-short duration of action (5.6 min) and an improved selectivity index (SI = 57). Several other mixed-onium derivatives containing octanedioate (25a; ED(95) = 0.103 mg/kg), difluorosuccinate (27c; ED(95) = 0.056 mg/kg), and fluorofumarate (28a; ED(95) = 0.137 mg/kg) linkers were also potent, ultra-short-acting NMBs with good to excellent selectivity index values (SI = 37-96). Octanedioate 25a was longer acting at higher doses compared to difluorosuccinate 27c and chlorofumarate 24a. Durations of NMB effect following a 0.4 mg/kg bolus dose (100% block) of 25a, 27c, and 24a were 16.9, 13.0, and 10.0 min, respectively. Recovery time for mixed-onium chlorofumarate 24a following a 1 h continuous infusion at 10-20 microg/kg/min (95-100% block) was ca. 5 min which is similar to that observed following a 0.2 mg/kg bolus dose of this compound and indicates a lack of cummulative effects. Preliminary studies with chlorofumarate 24a in whole human blood revealed that mixed-onium thiazolidine 29 was the major metabolite and that plasma cholinesterases do not play the primary role in duration of NMB effect. The NMB properties of 24a in rhesus monkeys led to its clinical evaluation as a possible alternative to succinylcholine.


Subject(s)
Anisoles/chemical synthesis , Fumarates/chemical synthesis , Isoquinolines/chemical synthesis , Neuromuscular Blocking Agents/chemical synthesis , Quaternary Ammonium Compounds/chemical synthesis , Succinates/chemical synthesis , Animals , Anisoles/blood , Anisoles/pharmacology , Blood Pressure/drug effects , Fumarates/blood , Fumarates/pharmacology , Heart Rate/drug effects , Humans , In Vitro Techniques , Isoquinolines/blood , Isoquinolines/chemistry , Isoquinolines/pharmacology , Macaca mulatta , Male , Muscle Contraction/drug effects , Muscle, Skeletal/drug effects , Muscle, Skeletal/physiology , Neuromuscular Blocking Agents/blood , Neuromuscular Blocking Agents/pharmacology , Quaternary Ammonium Compounds/chemistry , Quaternary Ammonium Compounds/pharmacology , Stereoisomerism , Structure-Activity Relationship , Succinates/blood , Succinates/pharmacology
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