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发现一种肠道受限的 JAK 抑制剂,可用于治疗炎症性肠病。

Discovery of a Gut-Restricted JAK Inhibitor for the Treatment of Inflammatory Bowel Disease.

机构信息

Janssen Research and Development, 1400 McKean Road, Spring House, Pennsylvania 19477, United States.

Janssen Research and Development, 3210 Merryfield Row, San Diego, California 92121, United States.

出版信息

J Med Chem. 2020 Mar 26;63(6):2915-2929. doi: 10.1021/acs.jmedchem.9b01439. Epub 2020 Mar 16.

DOI:10.1021/acs.jmedchem.9b01439
PMID:32134643
Abstract

To identify Janus kinase (JAK) inhibitors that selectively target gastrointestinal tissues with limited systemic exposures, a class of imidazopyrrolopyridines with a range of physical properties was prepared and evaluated. We identified compounds with low intrinsic permeability and determined a correlation between permeability and physicochemical properties, clogP and tPSA, for a subset of compounds. This low intrinsic permeability translated into compounds displaying high colonic exposure and low systemic exposure after oral dosing at 25 mg/kg in mouse. In a mouse PK/PD model, oral dosing of lead compound demonstrated dose-dependent inhibition of pSTAT phosphorylation in colonic explants post-oral dose but low systemic exposure and no measurable systemic pharmacodynamic activity. We thus demonstrate the utility of JAK inhibitors with low intrinsic permeability as a feasible approach to develop gut-restricted, pharmacologically active molecules with a potential advantage over systemically available compounds that are limited by systemic on-target adverse events.

摘要

为了鉴定选择性靶向胃肠道组织且全身暴露有限的 Janus 激酶(JAK)抑制剂,我们合成了一系列具有不同物理性质的咪唑并吡咯吡啶类化合物,并对其进行了评估。我们发现了一些具有低内在通透性的化合物,并确定了一组化合物的通透性与理化性质(clogP 和 tPSA)之间的相关性。这种低内在通透性导致化合物在以 25mg/kg 的剂量经口给药后在小鼠中表现出高结直肠暴露和低全身暴露。在一个小鼠 PK/PD 模型中,口服给予先导化合物 后,在口服剂量后,结肠外植体中的 pSTAT 磷酸化呈剂量依赖性抑制,但全身暴露低,无可测量的全身药效学活性。因此,我们证明了具有低内在通透性的 JAK 抑制剂的实用性,这是一种开发肠道限制、具有药理活性的分子的可行方法,与受全身靶点不良反应限制的全身可用化合物相比,具有潜在优势。

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