| Literature DB >> 25148516 |
R Matthew Cross1, David L Flanigan, Andrii Monastyrskyi, Alexis N LaCrue, Fabián E Sáenz, Jordany R Maignan, Tina S Mutka, Karen L White, David M Shackleford, Ian Bathurst, Frank R Fronczek, Lukasz Wojtas, Wayne C Guida, Susan A Charman, Jeremy N Burrows, Dennis E Kyle, Roman Manetsch.
Abstract
The continued proliferation of malaria throughout temperate and tropical regions of the world has promoted a push for more efficacious treatments to combat the disease. Unfortunately, more recent remedies such as artemisinin combination therapies have been rendered less effective due to developing parasite resistance, and new drugs are required that target the parasite in the liver to support the disease elimination efforts. Research was initiated to revisit antimalarials developed in the 1940s and 1960s that were deemed unsuitable for use as therapeutic agents as a result of poor understanding of both physicochemical properties and parasitology. Structure-activity and structure-property relationship studies were conducted to generate a set of compounds with the general 6-chloro-7-methoxy-2-methyl-4(1H)-quinolone scaffold which were substituted at the 3-position with a variety of phenyl moieties possessing various properties. Extensive physicochemical evaluation of the quinolone series was carried out to downselect the most promising 4(1H)-quinolones, 7, 62, 66, and 67, which possessed low-nanomolar EC50 values against W2 and TM90-C2B as well as improved microsomal stability. Additionally, in vivo Thompson test results using Plasmodium berghei in mice showed that these 4(1H)-quinolones were efficacious for the reduction of parasitemia at >99% after 6 days.Entities:
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Year: 2014 PMID: 25148516 PMCID: PMC4234439 DOI: 10.1021/jm500942v
Source DB: PubMed Journal: J Med Chem ISSN: 0022-2623 Impact factor: 7.446
Figure 1Common antimalarials and 4(1H)-quinolone scaffolds.
Scheme 1Synthesis of 6-Chloro-7-methoxy-2-methyl-3-substituted 4(1H)-Quinolones
Reagents and conditions: (a) corresponding β-keto-ester, HOAc, PhH, reflux, 18 h, then Ph2O, reflux, 12 min.
Scheme 2Synthesis of 6-Chloro-7-methoxy-2-methyl-3-aryl-4(1H)-quinolones
Reagents and conditions: (a) I2, Na2CO3, MeOH, rt. (b) ArB(OH)2, SPHOS, K3PO4, toluene or DMF, 80–100 °C, 0.5–48 h. (c) EtI, Cs2CO3, DMF, 5 h, rt. (d) HBr, reflux, 15 min.
3-Alkylphenyl-4(1H)-quinolonesa
Dihydroartemisinin (DHA), chloroquine (CQ), and atovaquone (ATO) are internal controls for each in vitro assay: DHA, 5.5 nM W2 and 5.9 nM TM90-C2B; CQ, 229 nM for TM90-C2B and 421 nM for W2; and ATO, 1.4 nM W2 and 18.4 μM TM90-C2B.
3-Heteroaryl-4(1H)-quinolonesa
Dihydroartemisinin (DHA), chloroquine (CQ), and atovaquone (ATO) are internal controls for each in vitro assay: DHA, 5.5 nM W2 and 5.9 nM TM90-C2B; CQ, 229 nM for TM90-C2B and 421 nM for W2; and ATO, 1.4 nM W2 and 18.4 μM TM90-C2B.
3-(4-Substituted)aryl-4(1H)-quinolonesa
Dihydroartemisinin (DHA), chloroquine (CQ), and atovaquone (ATO) are internal controls for each in vitro assay: DHA, 5.5 nM W2 and 5.9 nM TM90-C2B; CQ, 229 nM for TM90-C2B and 421 nM for W2; and ATO, 1.4 nM W2 and 18.4 μM TM90-C2B.
3-Fluoroaryl-4(1H)-quinolonesa
Dihydroartemisinin (DHA), chloroquine (CQ), and atovaquone (ATO) are internal controls for each in vitro assay: DHA, 5.5 nM W2 and 5.9 nM TM90-C2B; CQ, 229 nM for TM90-C2B and 421 nM for W2; and ATO, 1.4 nM W2 and 18.4 μM TM90-C2B.
Results of the in Vivo Efficacy Screening
| inhibition
(%) | ||
|---|---|---|
| compd | day 3 PE | day 6 PE |
| 0.0 | 0.0 | |
| 9.0 | 0.0 | |
| 0.0 | 0.0 | |
| 53.6 | 26.9 | |
| 41.4 | 26.8 | |
| 85.7 | 61.0 | |
| 83.9 | 69.0 | |
| 44.3 | 29.1 | |
| 60.0 | 28.8 | |
| amodiaquine | 95.5 | 99.9 |
| artesunate | 97.0 | 81.0 |
| atovaquone | 96.3 | 99.8 |
Figure 2Quantum mechanics energy profile for 4 and 12 around the C3–C12 bond. Relaxed dihedral angle scans with a torsional angle increment of 15° were carried out employing a HF/6-31G** method using the Jaguar application in the Maestro suite (version 9.2, Schrödinger, Inc.).
Figure 3Crystal structures of compounds 4 and 12. (A) Asymmetric units, conformation, and numbering schemes. (B) Hydrogen-bonding schemes. (C) Packing schemes showing the disruption of π···π interactions through weak CH···O and CH···π interactions (dotted lines). The crystalline pocket in 12 is marked as a yellow sphere. Some of the molecules are omitted for clarity. (D) Packing schemes. Crystalline voids can be seen in the crystal structure of 12.
Optimized 3-Aryl-4(1H)-quinolonesa
Dihydroartemisinin (DHA), chloroquine (CQ), and atovaquone (ATO) are internal controls for each in vitro assay: DHA, 5.5 nM W2 and 5.9 nM TM90-C2B; CQ, 229 nM for TM90-C2B and 421 nM for W2; and ATO, 1.4 nM W2 and 18.4 μM TM90-C2B.
Standards for the solubility assay include carbamazepine and albendazole. Solubility for carbamazepine at pH 7.4, 4.0, and 2.0 is 95 μM, 100 μM, and 100 μM, respectively. Solubility for albendazole at pH 7.4, 4.0, and 2.0 is 6.1 μM, 12 μM, and 100 μM, respectively.
Standards for the permeability assay include verapamil HCl (Pe = 1405 × 10–6 cm/s at pH 7.4 and 39 × 10–6 cm/s at pH 4.0), carbamazepine (Pe = 112 ×10–6 cm/s at pH 7.4 and 108 × 10–6 cm/s at pH 4.0), and ranitidine HCl (Pe = 0.5 × 10–6 cm/s at pH 7.4 and 0 × 10–6 cm/s at pH 4.0).
Standards for the log D7.4 assay include cinnarizine (log D7.4 = 5.68), hydrocortisone-21-acetate (log D7.4 = 2.19), ketoconazole (log D7.4 = 3.83), metronidazole (log D7.4 = −0.02), nadolol (log D7.4 = 0.68), pyrene (log D7.4 = 4.88), theophyline (log D7.4 = −0.05), and tolnaftate (log D7.4 = 5.40).
C.N.C. = could not be calculated. These compounds displayed little to no observable degradation throughout the assay duration (typically 250 min). Analogue 1 was used as a control for comparing half-lives of 4(1H)-quinolones. Compound 1 possesses half-lives of 7.9 min in mouse microsomes and 10.2 min in human microsomes.
Results of Thompson Test
| efficacy | ||||
|---|---|---|---|---|
| compd | dose (mg/kg) | inhibition (%), day 6 PE | survival
(days | cure (%), |
| 50 | <1 | 0 | 0 | |
| 10 | 17 | 0 | 0 | |
| 50 | 41 | 0 | 0 | |
| 10 | <1 | 0 | 0 | |
| 50 | 22 | 0 | 0 | |
| 10 | <1 | 0 | 0 | |
| 50 | <1 | 0 | 0 | |
| 10 | <1 | 0 | 0 | |
| 50 | <1 | 0 | 0 | |
| 10 | 80 | 0 | 0 | |
| 50 | 79 | 0 | 0 | |
| 10 | 87 | 4 | 0 | |
| 50 | 70 | 4 | 0 | |
| 10 | 63 | 1 | 0 | |
| 50 | 30 | 1 | 0 | |
| 10 | 92 | 3 | 0 | |
| 50 | 97 | 4 | 0 | |
| 10 | 95 | 5 | 0 | |
| 50 | 71 | 5 | 0 | |
| 3 | 84 | 6 | 0 | |
| 10 | 80 | 6 | 0 | |
| 10 | 99 | 23 | 100 | |
| 50 | 98 | 23 | 100 | |
| 1 | 99.3 | 23 | 100 | |
| 3 | 99.3 | 23 | 100 | |
| 10 | 99.5 | 23 | 100 | |
| 50 | 99.2 | 23 | 100 | |
| 0.3 | 94.3 | 23 | 60 | |
| 1 | 94.5 | 23 | 100 | |
| 3 | 96.3 | 23 | 100 | |
| 10 | 95.2 | 23 | 100 | |
| 0.3 | 93.9 | 23 | 80 | |
| 1 | 95.8 | 23 | 100 | |
| 3 | 97.3 | 23 | 80 | |
| 10 | 97.3 | 23 | 100 | |
| amodiaquine | 30 | 99.8 | 23 | 100 |
| atovaquone | 50 | 99.1 | 23 | 100 |
Number of days animals survived beyond control, untreated animals.
Figure 4Representative survival curves for 4(1H)-quinolones 12 (A), 62 (B), and 67 (C) that demonstrate enhanced in vivo efficacy congruent with sequential improved physiological properties of the series.
Figure 5Abbreviated (three time-point) plasma exposure profiles for four frontrunner compounds in Swiss outbred mice following oral administration as PEG400 suspensions at 10 mg/kg: (●) 52, (△) 66, (■) 67, and (◇) 7.
Figure 6Plasma concentration versus time profiles for compound 7 in Sprague–Dawley rats (average of n = 2): (●) concentrations following IV administration at 0.15 mg/kg and (○) concentrations following oral administration of a PEG400 suspension at 10 mg/kg.