Institute of Medicinal Biotechnology, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100050, China.
Hebei Medical University, Shijiazhuang, 050017, China.
Eur J Med Chem. 2023 Oct 5;258:115545. doi: 10.1016/j.ejmech.2023.115545. Epub 2023 Jun 5.
Tuberculosis (TB), caused by Mycobacterium tuberculosis (MTB) remains a major global health problem and new therapeutic antitubercular agents are urgent needed. Among the novel antituberculosis drugs in the pipeline, Benzothiazinones (BTZs) are among the most potent antituberculosis agents against both drug-susceptible and multidrug-resistant (MDR) tuberculosis. Our group has focused on structural modifications of the side chain at C-2 position of the BTZ core and WAP-2101/2102 with excellent in vitro activity were discovered in our lab. However, the severe in vivo toxicity was observed during subsequent acute toxicity evaluation. Herein, a series of novel N-(amino)piperazinyl benzothiazinone derivatives were designed and synthesized as new anti-TB agents to reduce the in vivo toxicity. Our results show that majority of them exhibit the same potent or comparable activity against both MTB HRv and MDR-MTB strains (MIC: 4.00 - <1 ng/mL) as PBTZ169. Especially, compound 2c with low cardiac toxicity, low cell cytotoxicity and acceptable oral pharmacokinetic (PK) profiles have low acute toxicity in mice (LD > 500 mg/kg), suggesting it may serve as a promising lead compound for further antitubercular drug discovery.
结核病(TB)是由结核分枝杆菌(MTB)引起的,仍然是一个主要的全球健康问题,急需新的治疗结核病的药物。在新的抗结核药物中,苯并噻嗪酮(BTZs)是最有效的抗结核药物之一,对敏感和耐多药结核病(MDR-TB)都有疗效。我们的研究小组专注于 BTZ 核心 C-2 位侧链的结构修饰,在我们实验室中发现了具有优异体外活性的 WAP-2101/2102。然而,在随后的急性毒性评价中观察到严重的体内毒性。在此,设计并合成了一系列新型的 N-(氨基)哌嗪基苯并噻嗪酮衍生物作为新型抗结核药物,以降低体内毒性。我们的结果表明,它们中的大多数对结核分枝杆菌 HRv 和 MDR-MTB 菌株均具有相同的强效或相当的活性(MIC:4.00-<1ng/mL),与 PBTZ169 相当。特别是化合物 2c 具有低心脏毒性、低细胞毒性和可接受的口服药代动力学(PK)特征,在小鼠中的急性毒性低(LD>500mg/kg),提示它可能是进一步抗结核药物发现的有前途的先导化合物。