Roche Pharmaceutical Research and Early Development (pRED), Roche Innovation Center Basel, Medicinal Chemistry Department, 124 Grenzacherstrasse, B 92 /6.76, CH-4070 Basel, Switzerland;, Email:
Chimia (Aarau). 2021 Aug 25;75(7-8):614-619. doi: 10.2533/chimia.2021.614.
Nervous system disorders affect millions of people around the world, through a very broad range of diseases. Here we describe our contribution to find a treatment for patients suffering from three of those diseases. The first one, autism spectrum disorder (ASD), affects approximately one in every 59 children in US. The second one, spinal muscular atrophy (SMA) is a rare disease affecting 1 in 10000 live births worldwide, often leading to death if untreated. The third one, Alzheimer's disease (AD) is a very well known devastating disease with an estimated 50 million people living with AD and other dementia, a number expected to triple by 2050. Our strategy to address those diseases was directed towards the discovery of a selective vasopressin 1a (V1a) antagonist for ASD, a splicing modifier of the survival of motor neuron 2 () for SMA, and finally a γ-secretase modulator (GSM) for AD. In the frame of our GSM project, we also reported the discovery of a bridge piperidine moiety as a bioisostere for a phenyl moiety with an improved drug-like profile.
神经系统疾病通过非常广泛的疾病影响着全世界数百万人。在这里,我们描述了我们为治疗患有这三种疾病的患者所做的贡献。第一种是自闭症谱系障碍(ASD),影响了美国每 59 名儿童中的大约一名。第二种是脊髓性肌萎缩症(SMA),这是一种罕见的疾病,全球每 10000 名活产儿中就有 1 名受到影响,如果不治疗,通常会导致死亡。第三种是阿尔茨海默病(AD),这是一种非常著名的破坏性疾病,估计有 5000 万人患有 AD 和其他痴呆症,到 2050 年,这一数字预计将增加两倍。我们解决这些疾病的策略是针对 ASD 发现一种选择性血管加压素 1a(V1a)拮抗剂,针对 SMA 发现运动神经元 2(SMN)的剪接修饰物,最后针对 AD 发现γ-分泌酶调节剂(GSM)。在我们的 GSM 项目框架内,我们还报告了发现一种桥哌啶部分作为苯部分的生物等排体,具有改善的药物样特性。