The Lilly Research Labs, Eli Lilly and Company, Indianapolis, IN, USA.
Indiana University/Purdue University, Riley Hospital, Indianapolis, IN, USA.
Neuropharmacology. 2018 Jul 15;137:332-343. doi: 10.1016/j.neuropharm.2018.05.006. Epub 2018 May 3.
HZ-166 has previously been characterized as an α2,3-selective GABA receptor modulator with anticonvulsant, anxiolytic, and anti-nociceptive properties but reduced motor effects. We discovered a series of ester bioisosteres with reduced metabolic liabilities, leading to improved efficacy as anxiolytic-like compounds in rats. In the present study, we evaluated the anticonvulsant effects KRM-II-81 across several rodent models. In some models we also evaluated key structural analogs. KRM-II-81 suppressed hyper-excitation in a network of cultured cortical neurons without affecting the basal neuronal activity. KRM-II-81 was active against electroshock-induced convulsions in mice, pentylenetetrazole (PTZ)-induced convulsions in rats, elevations in PTZ-seizure thresholds, and amygdala-kindled seizures in rats with efficacies greater than that of diazepam. KRM-II-81 was also active in the 6 Hz seizure model in mice. Structural analogs of KRM-II-81 but not the ester, HZ-166, were active in all models in which they were evaluated. We further evaluated KRM-II-81 in human cortical epileptic tissue where it was found to significantly-attenuate picrotoxin- and AP-4-induced increases in firing rate across an electrode array. These molecules generally had a wider margin of separation in potencies to produce anticonvulsant effects vs. motor impairment on an inverted screen test than did diazepam. Ester bioisosters of HZ-166 are thus presented as novel agents for the potential treatment of epilepsy acting via selective positive allosteric amplification of GABA signaling through α2/α3-containing GABA receptors. The in vivo data from the present study can serve as a guide to dosing parameters that predict engagement of central GABA receptors.
HZ-166 先前被表征为一种 α2,3-选择性 GABA 受体调节剂,具有抗惊厥、抗焦虑和抗伤害感受特性,但运动效应降低。我们发现了一系列酯类生物等排物,降低了代谢负担,从而提高了作为大鼠抗焦虑样化合物的疗效。在本研究中,我们评估了 KRM-II-81 在几种啮齿动物模型中的抗惊厥作用。在某些模型中,我们还评估了关键的结构类似物。KRM-II-81 抑制培养皮质神经元网络中的过度兴奋,而不影响基础神经元活性。KRM-II-81 对电休克诱导的小鼠惊厥、戊四氮(PTZ)诱导的大鼠惊厥、PTZ 惊厥阈值升高以及杏仁核点燃性大鼠惊厥均有效,其疗效大于地西泮。KRM-II-81 也对小鼠 6 Hz 惊厥模型有效。KRM-II-81 的结构类似物,但不是酯类化合物 HZ-166,在所有评估的模型中均具有活性。我们进一步在人类皮质癫痫组织中评估了 KRM-II-81,发现它能显著减轻胡椒碱和 AP-4 诱导的跨电极阵列的放电频率增加。与地西泮相比,这些分子在产生抗惊厥作用与引起翻转屏幕测试中运动损伤的效力之间通常具有更大的分离度。因此,HZ-166 的酯类生物等排物被提出作为通过选择性正变构放大包含 α2/α3 的 GABA 受体的 GABA 信号来治疗癫痫的潜在新型药物。本研究的体内数据可以作为预测中央 GABA 受体参与的剂量参数的指南。