Molecular Targets and Medications Discovery Branch, National Institute on Drug Abuse - Intramural Research Program, National Institutes of Health, 333 Cassell Drive, Baltimore, MD, 21224, United States.
Molecular Targets and Medications Discovery Branch, National Institute on Drug Abuse - Intramural Research Program, National Institutes of Health, 333 Cassell Drive, Baltimore, MD, 21224, United States; Department of Neurology, Johns Hopkins Drug Discovery, The Johns Hopkins University School of Medicine, 855 North Wolfe Street, Baltimore, MD, 21205, United States.
Eur J Med Chem. 2020 Dec 15;208:112674. doi: 10.1016/j.ejmech.2020.112674. Epub 2020 Aug 9.
Despite considerable efforts to develop medications to treat psychostimulant use disorders, none have proven effective, leaving an underserved patient population and unanswered questions as to what mechanism(s) of action should be targeted for developing pharmacotherapies. Atypical dopamine transporter (DAT) inhibitors, based on (±)modafinil, have shown therapeutic potential in preclinical models of psychostimulant abuse. However, metabolic instability among other limitations to piperazine analogues 1-3 have impeded further development. Herein, bioisosteric substitutions of the piperazine ring were explored with a series of aminopiperidines (A) and piperidine amines (B) wherein compounds with either a terminal tertiary amine or amide were synthesized. Several lead compounds showed high to moderate DAT affinities and metabolic stability in rat liver microsomes. Aminopiperidines 7 (DAT K = 50.6 nM), 21b (DAT K = 77.2 nM) and 33 (DAT K = 30.0 nM) produced only minimal stimulation of ambulatory activity in mice, compared to cocaine, suggesting an atypical DAT inhibitor profile.
尽管人们付出了相当大的努力来开发治疗精神兴奋剂使用障碍的药物,但没有一种药物被证明是有效的,这使得未得到充分治疗的患者群体和针对应针对哪些作用机制开发药物治疗的问题仍然存在。基于(±)莫达非尼的非典型多巴胺转运体(DAT)抑制剂在精神兴奋剂滥用的临床前模型中显示出了治疗潜力。然而,哌嗪类似物 1-3 的代谢不稳定性和其他限制因素阻碍了其进一步发展。在此,通过一系列氨基哌啶(A)和哌啶胺(B)对哌嗪环进行了生物等排取代,其中合成了具有末端叔胺或酰胺的化合物。几种先导化合物在大鼠肝微粒体中表现出高到中等的 DAT 亲和力和代谢稳定性。与可卡因相比,氨基哌啶 7(DAT K=50.6 nM)、21b(DAT K=77.2 nM)和 33(DAT K=30.0 nM)在小鼠中仅产生最小的自发活动刺激,表明其具有非典型的 DAT 抑制剂特征。