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J Med Chem ; 63(11): 5865-5878, 2020 06 11.
Article in English | MEDLINE | ID: mdl-32390424

ABSTRACT

Despite the availability of more than 25 antiseizure drugs on the market, approximately 30% of patients with epilepsy still suffer from seizures. Thus, the epilepsy therapy market has a great need for a breakthrough drug that will aid pharmacoresistant patients. In our previous study, we discovered a vitamin K analogue, 2h, which displayed modest antiseizure activity in zebrafish and mouse seizure models. However, there are limitations to this compound due to its pharmacokinetic profile. In this study, we develop a new series of vitamin K analogues by modifying the structure of 2h. Among these, compound 3d shows full protection in a rodent pharmacoresistant seizure model with limited rotarod motor toxicity and favorable pharmacokinetic properties. Furthermore, the brain/plasma concentration ratio of 3d indicates its excellent permeability into the brain. The resulting data shows that 3d can be further developed as a potential antiseizure drug in the clinic.


Subject(s)
Anticonvulsants/therapeutic use , Seizures/drug therapy , Vitamin K/analogs & derivatives , Administration, Oral , Animals , Anticonvulsants/chemistry , Anticonvulsants/pharmacokinetics , Anticonvulsants/pharmacology , Brain/metabolism , Cell Line, Tumor , Cell Survival/drug effects , Cytochrome P-450 Enzyme System/chemistry , Cytochrome P-450 Enzyme System/metabolism , Disease Models, Animal , Drug Evaluation, Preclinical , Half-Life , Humans , Isoenzymes/antagonists & inhibitors , Isoenzymes/metabolism , Male , Mice , Seizures/pathology , Structure-Activity Relationship , Vitamin K/pharmacokinetics , Vitamin K/pharmacology , Vitamin K/therapeutic use , Zebrafish
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