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Claims  |
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We claim:
1. A compound of Formula I:
##STR5##
wherein:
R.sup.1 and R.sup.3 independently represent hydrogen, or C.sub.1 -C.sub.4
alkyl;
R.sup.2 represents hydrogen, C.sub.1 -C.sub.4 alkyl, or CH.sub.2 CN;
R.sup.4 represents hydrogen, C.sub.1 -C.sub.4 alkyl, C.sub.2 -C.sub.4
alkenyl, C.sub.2 C.sub.4 alkynyl, CH.sub.2 C(W).dbd.CH.sub.2,
(CH.sub.2).sub.n Ar, CH.sub.2 CH.dbd.CHAr, CH.sub.2 COPh, CH.sub.2 CONHAr,
C(U)NH(CH.sub.2).sub.m Ar, or (CH.sub.2).sub.d Y(CH.sub.2).sub.c Ar;
U represents oxygen, or sulfur;
W represents halogen;
X and Y independently represent O, S, or NR.sup.5 ;
R.sup.5 represents hydrogen, C.sub.1 -C.sub.4 alkyl, C.sub.2 -C.sub.4
alkenyl or together R.sup.3 and R.sup.5 form a ring;
n and m independently are 0-4;
d is 1-3;
c is 0-1;
Ar represents phenyl, naphthyl or furan;
Ar is optionally substituted with one or more substituents selected from;
hydrogen, halogen, C.sub.1 -C.sub.4 alkyl, C.sub.2 -C.sub.4 alkenyl,
C.sub.2 -C.sub.4 alkynyl, CN, NO.sub.2, CF.sub.3, OR.sup.6, NR.sup.7
R.sup.8, COOR.sup.9 ;
R.sup.6, R.sup.7 and R.sup.8 are independently hydrogen, C.sub.1 -C.sub.4
alkyl, aryl, C(O)R.sup.10, C(O)NHR.sup.11, SO.sup.2 R.sup.12, where;
Q is O, S, NR.sup.13 or a bond;
j is 2-4;
k is 0-2;
R.sup.9, R.sup.10, R.sup.11, R.sup.12 and R.sup.13 are independently
hydrogen, C.sub.1 -C.sub.4 alkyl or aryl;
with the proviso that when R.sup.1, R.sup.2 and R.sup.3 are all hydrogen
and X is O, R.sup.4 is not hydrogen, methyl or propynyl; when R.sup.1 and
R.sup.3 are both hydrogen, R.sup.2 is propyl and X is O, R.sup.4 is not
methyl; when R.sup.1 and R.sup.3 are both hydrogen, R.sup.2 is CH.sub.2 CN
and X is O, R.sup.4 is not hydrogen, and when R.sup.2 and R.sup.3 are both
hydrozen, R.sup.1 is hydrogen or methyl and X is NR.sup.5, R.sup.4 and
R.sup.5, are not both hydrogen;
or an enantiomer thereof, or a pharmaceutically-acceptable salt thereof.
2. A compound according to claim 1, said compound being:
5-cinnaimyloxyindole;
5-benzyloxyindole-3-acetonitrile;
5-(2-phenoxyetlhyloxy)indole;
5-(2-naplithylmethytoxy)indole;
5-phenlylcarbamoylmethylindole, or
1-furfuryl-3-(5-indolyl)-2-thiourea;
or an enantiomer thereof, or a pharmaceutically-acceptable salt thereof.
3. A method for the treatment of Alzheimer's disease, learning deficit,
cognition deficit, attention deficit, memory loss, Attention Deficit
Hyperactivity Disorder, Lewy Body Dementia, anxiety, schizophrenia, or
mania or manic depression, Parkinson's disease, Huntington's disease,
Tourette's syndrome, jetlag, cessation of smoking, nicotine addiction
including that resulting from exposure to products containing nicotine,
pain, or ulcerative colitis, comprising administering to a subject
suffering therefrom a therapeutically-effective amount of a compound
according to claim 1.
4. A pharmaceutical composition comprising a compound according to claim 1,
in admixture with a pharmaceutically-acceptable diluent or carrier.
5. A method for the treatment of Alzheimer's disease, learning deficit,
cognition deficit, attention deficit, memory loss, Attention Deficit
Hyperactivity Disorder, Lewy Body Dementia, anxiety, schizophrenia, or
mania or manic depression, Parkinson's disease, Huntington's disease,
Tourette's syndrome, jetlag, cessation of smoking, nicotine addiction
including that resulting from exposure to products containing nicotine,
pain, or ulcerative colitis, comprising administering to a subject
suffering therefrom a therapeutically-effective amount of the
pharmaceutical composition according to claim 4.
6. A method of treatment of psychotic disorders or intellectual impairment
disorders, in which activation of the .alpha.7 nicotinic receptor is
beneficial which comprises administering a therapeutically effective
amount of a compound according to claim 1.
7. The method according to claim 6, wherein the disorder is Alzheimer's
disease, learning deficit, cognition deficit, attention deficit, memory
loss, Attention Deficit Hyperactivity Disorder, Lewy Body Dementia,
anxiety, schizophrenia, mania or manic depression, Parkinson's disease,
Huntington's disease, Tourette's syndrome, jetlag, cessation of smoking,
nicotine addiction including that resulting from exposure to products
containing nicotine, pain, or ulcerative colitis.
8. The method according to claim 7, wherein the disorder is Alzheimer's
disease. |
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Claims  |
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Description  |
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The present invention relates to novel compounds or pharmaceutically
acceptable salts thereof, processes for preparing them, pharmaceutical
compositions containing them and their use in therapy. The novel compounds
referred to are positive modulators of nicotinic receptor agonists, said
positive modulator having the capability to increase the efficacy of the
said nicotinic receptor agonists.
BACKGROUND ART
Cholinergic receptors normally bind the endogenous neurotransmitter
acetylcholine (ACh), thereby triggering the opening of ion channels. ACh
receptors in the mammalian central nervous system can be divided into
muscarinic (mAChR) and nicotinic (nAChR) subtypes based on the agonist
activities of muscarine and nicotine, respectively. The nicotinic
acetylcholine receptors are ligand-gated ion-channels containing five
subunits (for reviews, see Colquhon et al. (1997) Advances in Pharmacology
39, 191-220; Williams et al. (1994) Drug News & Perspectives 7, 205-223;
Doherty et al. (1995) Annual reports in Medicinal Chemistry 30, 41-50).
Members of the nAChR gene family have been divided into two groups based
on their sequences; members of one group are considered .beta. subunits,
while a second group are classified as c subunits (for reviews, see Karlin
& Akabas (1995) Neuron 15, 1231-1244; Sargent (1993) Annu. Rev. Neurosci.
16, 403-443). Three of the .alpha. subunits, .alpha.7, .alpha.8 and
.alpha.9, form functional receptors when expressed alone and thus
presumably form homooligomeric receptors.
An allosteric transition state model of the nAChR involves at least a
resting state, an activated state and a "desensitized" closed channel
state (Williams et al., supra; Karlin & Akabas, supra). Different nAChR
ligands can thus differentially stabilize the conformnational state to
which they preferentially bind. For example, the agonists ACh and
(-)-nicotine stabilize the active and desensitized states.
Changes of the activity of nicotinic receptors has been implicated in a
number of diseases. Some of these, e.g. myasthenia gravis and ADNFLE
(autosomal dominant nocturnal front lobe epilepsy) (Kuryatov et al. (1997)
J. Neurosci. 17(23):9035-47), are associated with reductions in the
activity of nicotinic transmission either through a decrease in receptor
number or increased desensitization, a process by which receptors become
insensitive to the agonist. Reductions in nicotinic receptors have also
been hypothesized to mediate cognitive deficits seen in diseases such as
Alzheimer's disease and schizophrenia (Williams et al., supra). The
effects of nicotine from tobacco are also mediated by nicotinic receptors.
Increased activity of nicotinic receptors may reduce the desire to smoke.
The use of compounds which bind nicotinic acetylcholine receptors in the
treatment of a range of disorders involving reduced cholinergic function
such as Alzheimer's disease, cognitive or attention disorders, attention
deficit hyperactivity disorders, anxiety, depression, smoking cessation,
neuroprotection, schizophrenia, analgesia, Tourette's syndrome, and
Parkinson's disease has been discussed in McDonald et al. (1995)
"Nicotinic Acetylcholine Receptors: Molecular Biology, Chemistry and
Pharmacology", Chapter 5 in Annual Reports in Medicinal Chemistry, vol.
30, pp. 41-50, Academic Press Inc., San Diego, Calif.; and in Williams et
al., supra.
However, treatment with nicotinic receptor agonists which act at the same
site as ACh is problematic because ACh not only activates, but also blocks
receptor activity through processes which include desensitization (for a
review, see Ochoa et al. (1989) Cellular and Molecular Neurobiology 9,
141-178) and uncompetitive blockade (open-channel block); Forman & Miller
(1988) Biophysical Journal 54(1):149-58. Furthermore, prolonged activation
appears to induce a long-lasting inactivation. Therefore agonists of ACh
can be expected to reduce activity as well as enhance it. At nicotinic
receptors in general, and, of particular note, at the .alpha.7-nicotinic
receptor, desensitization limits the duration of current during agonist
application.
DISCLOSURE OF THE INVENTION
It has surprisingly been found that certain compounds can enhance the
efficacy of agonists at nicotinic receptors. It is believed that compounds
having this type of action (hereinafter referred to as "positive
modulators") will be particularly useful for treatment of conditions
associated with reductions in nicotinic transmission. In a therapeutic
setting such compounds could restore normal interneuronal communication
without affecting the temporal profile of activation. In addition, they
would not produce long-term inactivation as prolonged application of
agonist may.
According to the invention it has been found that compounds of Formula I:
##STR2##
wherein:
R.sup.1 and R.sup.3 independently represent hydrogen, or C.sub.1 -C.sub.4
alkyl;
R.sup.2 represents hydrogen, C.sub.1 -C.sub.4 alkyl, or CH.sub.2 CN;
R.sup.4 represents hydrogen, C.sub.1 -C.sub.4 alkyl, C.sub.2 -C.sub.4
alkenyl, C.sub.2 -C.sub.4 alkynyl, CH.sub.2 C(W).dbd.CH.sub.2,
(CH.sub.2).sub.n Ar, CH.sub.2 CH.dbd.CHAr, CH.sub.2 COPh, CH.sub.2 CONHAr,
C(U)NH(CH.sub.2).sub.m Ar, or (CH.sub.2).sub.d Y(CH.sub.2).sub.e Ar;
U represents oxygen, or sulfur;
W represents halogen;
X and Y independently represent O, S, or NR.sup.5 ;
R.sup.5 represents hydrogen, C.sub.1 -C.sub.4 alkyl, C.sub.2 -C.sub.4
alkenyl; or together R.sup.3 and R.sup.5 form a ring;
n and m independently are 0-4;
d is 1-3;
e is 0-1;
Ar represents phenyl, naphthyl or 5- or 6-membered heterocyclic ring
containing zero to four nitrogens, zero to one sulfurs and zero to one
oxygens;
Ar is optionally substituted with one or more substituents selected from:
hydrogen, halogen, C.sub.1 -C.sub.4 alkyl, C.sub.2 -C.sub.4 alkenyl,
C.sub.2 -C.sub.4 alkynyl, CN, NO.sub.2, CF.sub.3, OR.sup.6, NR.sup.7
R.sup.8, COOR.sup.9 ;
R.sup.6, R.sup.7 and R.sup.8 are independently hydrogen, C.sub.1 -C.sub.4
alkyl, aryl, heteroaryl, C(O)R.sup.10, C(O)NHR.sup.11, SO.sub.2 R.sup.12,
or; R.sup.7 and R.sup.8 together may be (CH.sub.2).sub.j Q(CH.sub.2).sub.k
where;
Q is O, S, NR.sup.13 or a bond;
j is 2-4;
k is 0-2;
R.sup.9, R.sup.10, R.sup.11, R.sup.12 and R.sup.13 are independently
hydrogen, C.sub.1 -C.sub.4 alkyl, aryl or heteroaryl;
or an enantiomer thereof, and pharmaceutically acceptable salts thereof,
enhance the efficacy of agonists at nicotinic receptors.
Preferred compounds of the invention include the following:
5-Cinnamyloxyindole;
5-Benzyloxyindole-3-acetonitrile;
5-(2-Phenoxyethyloxy)indole;
5-(2-Naphthylmethyloxy)indole;
5-Phenylcarbamoylmethylindole;
1-Furfuryl-3-(5-indolyl)-2-thiourea;
or an enantiomer thereof, and pharmaceutically acceptable salts thereof
Unless otherwise indicated, the C.sub.1 -C.sub.4 alkyl groups referred to
herein, e.g., methyl, ethyl, n-propyl, n-butyl. i-propyl, i-butyl,
t-butyl, s-butyl, may be straight-chained or branched, and the C.sub.3
-C.sub.4 alkyl groups may also be cyclic, e.g., cyclopropyl, cyclobutyl.
Unless otherwise indicated, the C.sub.2 -C.sub.4 alkenyl groups referred to
herein may contain one or two double bonds, e.g., ethenyl, i-propenyl,
n-butenyl, i-butenyl, allyl, 1,3-butadienyl.
Unless otherwise indicated, the C.sub.2 -C.sub.4 alkynyl groups referred to
herein contain one triple bond, e.g., ethynyl, propynyl, 1- or 2-butynyl.
Halogen referred to herein may be fluoride, chloride, bromide, or iodide.
The compounds of the invention have the advantage that they may be less
toxic, be more efficacious, be longer acting, have a broader range of
activity, be more potent, produce fewer side effects, are more easily
absorbed or have other useful pharmacological properties.
METHODS OF PREPARATION
In the reaction schemes and text that follow, R.sup.1, R.sup.2, R.sup.3,
R.sup.4, and X unless otherwise indicated, are as defined above for
formula I. The compounds of formula I may be prepared according to the
methods outlined in Scheme 1.
##STR3##
Compounds of formula I may be prepared from compounds of formula II, which
is the same as formula I except that R.sup.4 is hydrogen, by reaction with
a compound of formula III, herein L is a suitable leaving group
representing halogen, triflate (TfO), methanesulfonate MsO), or
p-toluenesulfonate (pTsO) and R.sup.4 is as defined in formula I, in the
presence of a suitable base and solvent. Suitable bases include sodium
carbonate (Na.sub.2 CO.sub.3), cesium carbonate (Cs.sub.2 CO.sub.3),
potassium carbonate (K.sub.2 CO.sub.3), triethylarnine (TEA) or
N,N-diisopropylethylamine (DIPEA). Suitable solvents for the reaction
include N,N-dimethylformamide (DMF), N-methylpyrrolidone (NMP),
acetonitrile (ACN), dimethylsulfoxide (DMSO) or tetrahydrofuran (THF). The
reaction is preferably performed at a temperature of 0-100.degree. C. and
most preferably at ambient temperature.
Compounds of formula I may also be prepared from compounds of formula II,
which is the same as formula I except that R.sup.4 is hydrogen, by
reaction with a compound of formula III, wherein R.sup.4 is
(CH.sub.2).sub.n Ar where n is 0 and Ar is as defined in formula I and L
is a suitable leaving group representing NH.sub.2, in the presence of a
suitable acid and solvent. Suitable acids include hydrochloric acid (HCl),
acetic acid (HOAc), trifluoroacetic acid (TFA), methanesulfonic acid
(MsOH) or p-toluenesulfonic acid (pTsOH). Suitable solvents for the
reaction include DMF, NMP, DMSO or THF. The reaction is preferably
performed at a temperature of 0-200.degree. C. and most preferably at
100.degree. C. Optionally, the reaction is performed as a melt without
solvent.
Compounds of formula I may be prepared from compounds of formula II, which
is the same as formula I except that R.sup.4 is hydrogen, by condensation
with a compound of formula IV (as outlined in Scheme 2.), wherein U, n,
and Ar are as defined in formula I, in the presence of a suitable solvent.
Suitable solvents for the reaction include N,N-dimethylformamide (DMF),
N-methylpyrrolidone (NMP), acetonitrile (ACN), dimethylsulfoxide (DMSO),
tetrahydrofuran (THF), chloroform, ethyl acetate (EtOAc), ethanol (EtOH)
or methanol (MeOH). The reaction is preferably performed at a temperature
of 0-100.degree. C. and most preferably at ambient temperature.
##STR4##
Compounds of formula II are either commercially available or may be
prepared by methods known to one skilled in the art (see, for example,
`Indoles: Reactions and Synthesis` in `Heterocyclic Chemistry`, 3.sup.rd
Edition, J. A. Joule, K. Mills, and G F. Smith, (Pub.) Stanley Thornes
Ltd. (1998) and references therein).
Compounds of formula II where X represents NR.sup.5 wherein together
R.sup.3 and R.sup.5 form a ring may be prepared by methods known to one
skilled in the art (see, for example, J. E. Macor, J. T. Froman, R. J
Post, K. Ryan, Tetrahedron Lett., 38, 1673-1676, 1997).
Compounds of formula III are commercially available or may be prepared by
methods known to one skilled in the art.
Compounds of formula IV are commercially available or may be prepared by
methods known to one skilled in the art.
Where necessary, hydroxy, amino or other reactive groups may be protected
using a protecting group as described in the standard text, `Protecting
Groups in Organic Synthesis`, 3.sup.rd Edition, T. W. Greene and P. G. M.
Wuts, 1999, J Wiley & Sons, Inc.
The above-described reactions, unless otherwise noted, are usually
conducted at a pressure of about one to about three atmospheres,
preferably at ambient pressure (about one atmosphere).
Unless otherwise stated, the above-described reactions are conducted under
an inert atmosphere, preferably under a nitrogen atmosphere.
The compounds of the invention and intermediates may be isolated from their
reaction mixtures by standard techniques.
Acid addition salts of the compounds of formula I which may be mentioned
include salts of mineral acids, for example the hydrochloride and
hydrobromide salts; and salts formed with organic acids such as formate,
acetate, maleate, benzoate, tartrate, and fumarate salts. Acid addition
salts of compounds of formula I may be formed by reacting the free base or
a salt, enantiomer or protected derivative thereof, with one or more
equivalents of the appropriate acid. The reaction may be carried out in a
solvent or medium in which the salt is insoluble or in a solvent in which
the salt is soluble, e.g., water, dioxane, ethanol, tetrahydrofuran or
diethyl ether, or a mixture of solvents, which may be removed in vacuum or
by freeze drying. The reaction may be a metathetical process or it may be
carried out on an ion exchange resin.
The compounds of formula I exist in tautomeric or enantiomeric forms, all
of which are included within the scope of the invention. The various
optical isomers may be isolated by separation of a racemic mixture of the
compounds using conventional techniques, e.g. fractional crystallization,
or chiral HPLC. Alternatively the individual enantiomers may be made by
reaction of the appropriate optically active starting materials under
reaction conditions which will not cause racemization.
PHARMACEUTICAL COMPOSITIONS
A further aspect of the invention relates to a pharmaceutical composition
for treating or preventing a condition or disorder as exemplified below
arising from dysfunction of nicotinic acetylcholine receptor
neurotransmission in a mammal, preferably a human, comprising an amount of
a compound of formula I, an enantiomer thereof or a pharmaceutically
acceptable salt thereof, effective in treating or preventing such disorder
or condition and an inert pharmaceutically acceptable carrier.
For the above-mentioned uses the dosage administered will, of course, vary
with the compound employed, the mode of administration and the treatment
desired. However, in general, satisfactory results are obtained when the
compounds of the invention are administered at a daily dosage of from
about 0.1 mg to about 20 mg per kg of animal body weight, preferably given
in divided doses 1 to 4 times a day or in sustained release form. For man,
the total daily dose is in the range of from 5 mg to 1,400 mg, more
preferably from 10 mg to 100 mg, and unit dosage forms suitable for oral
administration comprise from 2 mg to 1,400 mg of the compound admixed with
a solid or liquid pharmaceutical carrier or diluent.
The compounds of formula I, or an enantiomer thereof, and pharmaceutically
acceptable salts thereof, may be used on their own or in the form of
appropriate medicinal preparations for enteral or parenteral
administration. According to a further aspect of the invention, there is
provided a pharmaceutical composition including preferably less than 80%
and more preferably less than 50% by weight of a compound of the invention
in admixture with an inert pharmaceutically acceptable diluent or carrier.
Examples of diluents and carriers are:
for tablets and dragees: lactose, starch, talc, stearic acid; for capsules:
tartaric acid or lactose;
for injectable solutions: water, alcohols, glycerin, vegetable oils; for
suppositories: natural or hardened oils or waxes.
There is also provided a process for the preparation of such a
pharmaceutical composition, which comprises mixing the ingredients.
It will be understood that a pharmaceutical composition comprising a
positive modulator of a nicotinic receptor agonist together with a
pharmaceutically acceptable carrier said positive modulator having the
capability to increase the efficacy of the said receptor agonist. For the
purposes of the present invention, the term "positive modulator" or
"positive modulator of a nicotinic receptor agonist" shall be understood
as a compound having the capability to increase the maximum efficacy of a
nicotinic receptor agonist.
It will be understood that the invention includes compositions comprising
either a positive modulator as the only active substance, thus modulating
the activity of endogenous nicotinic receptor agonists such as
acetylcholine or choline, or a positive modulator in combination with a
nicotinic receptor agonist. Thus, the said pharmaceutical compositions
containing a positive modulator of a nicotinic receptor agonist may, in
addition comprise a nicotinic receptor agonist.
In a preferred form of the invention, the said nicotinic receptor agonist
is an .alpha.7-nicotinic receptor agonist. Example of an
.alpha.7-nicotinic receptor agonist is
(-)-Spiro[1-Azabicyclo[2.2.2.]Octane-3,5*-Oxazolidine]-2*-One. Several
.alpha.7-nicotinic receptor agonists are known in the art, e.g. from WO
96/06098, WO 97/30998 and WO 99/03859.
A further aspect of the invention provides a method for the treatment of a
condition associated with reduced nicotine transmission, by administering
to a patient in need of such treatment, a medically effective amount of a
positive modulator of a nicotinic receptor agonist, said positive
modulator having the capability to increase the efficacy of the said
nicotinic receptor agonist.
It will be understood that the methods of treatment of this invention
includes either a positive modulator as the only active substance, thus
modulating the activity of endogenous nicotinic receptor agonists such as
acetylcholine or choline, or a positive modulator administered together
with a nicotinic receptor agonist.
In another preferred form of the invention, the said method of treatment
includes a nicotinic receptor agonist, which is an .alpha.7-nicotinic
receptor agonist. Example of an .alpha.7-nicotinic receptor agonist is
(-)-Spiro[1-Azabicyclo[2.2.2.]Octane-3,5*-Oxazolidine]-2*-One. Several
.alpha.7-nicotinic receptor agonists are known in the art, e.g. from WO
96/06098, WO 97/30998 and WO 99/03859.
UTILITY
A further aspect of the invention is the use of compound according to the
invention in the manufacture of a medicament for the treatment or
prophylaxis of a condition associated with reduced nicotinic receptor
transmission or a condition associated with reduced nicotinic density
which could be one of the below mentioned diseases or conditions which
comprises administering a therapeutically effective amount of compounds
according to the invention to patient.
It will be understood that the use includes compositions comprising either
a positive modulator as the only active substance, thus modulating the
activity of endogenous nicotinic receptor agonists, or a positive
modulator in combination with a nicotinic receptor agonist. Thus, the said
use of pharmaceutical compositions containing a positive modulator of a
nicotinic receptor agonist may, in addition comprise a nicotinic receptor
agonist.
In a preferred form of the invention, the use of the said nicotinic
receptor agonist is represented by an .alpha.7-nicotinic receptor agonist.
Example of an .alpha.7-nicotinic receptor agonist is
(-)-Spiro[1-Azabicyclo[2.2.2.]Octane-3,5*-Oxazolidine]-2*-One. Several
.alpha.7-nicotinic receptor agonists are known in the art, e.g. from WO
96/06098, WO 97/30998 and WO 99/03859.
Examples of diseases or conditions include schizophrenia, mania and manic
depression, anxiety, Alzheimer's disease, learning deficit, cognition
deficit, attention deficit, memory loss, Lewy Body Dementia, Attention
Deficit Hyperactivity Disorder, Parkinson's disease, Huntington's disease,
Tourette's syndrome, jetlag, and nicotine addiction (including that
resulting from exposure to products containing nicotine).
It will be understood that the said positive modulator can be administered
either with the purpose of acting on endogenous nicotine receptor agonists
such as acetylcholine or choline, or in combination with an exogenous
nicotinic receptor agonist.
A further aspect of the invention relates to a compound for treating or
preventing a condition or disorder as exemplified above arising from
dysfunction of nicotinic acetylcholine receptor neurotransmission in a
mammal, preferably a human, compositions comprising either a positive
modulator as the only active substance, thus modulating the activity of
endogenous nicotinic receptor agonists, or a positive modulator in
combination with a nicotinic receptor agonist. Thus, the said use of
pharmaceutical compositions containing a positive modulator of a nicotinic
receptor agonist may, in addition comprise a nicotinic receptor agonist,
effective in treating or preventing such disorder or condition and an
inert pharmaceutically acceptable carrier.
EXPERIMENTAL METHODS
The activity of the compounds of the invention may be measured in the tests
set out below:
(a) Xenopus oocyte current recording
The Xenopus oocyte has provided a powerful means of assessing the function
of proteins thought to be subunits of ligand-gated ion-channels. Injection
of RNA transcribed from cDNA clones encoding the appropriate receptor
subunits, or injection of cDNA in which the coding sequence is placed
downstream of a promoter, results in the appearance of functional
ligand-gated ion-channels on the surface of the oocyte (see e.g. Boulter
et al. (1987) Proc. Natl. Acad. Sci. U.S.A. 84, 7763-7767).
Consequently, one convenient technique to assess the enhancement of
nicotinic efficacy is two-electrode voltage-clamp recording from Xenopus
oocytes expressing .alpha.7-nicotinic receptors from cRNA.
Xenopus laevis frogs (Xenopus l, Kalamazoo, Mich.) were anesthetized using
0.15% tricaine. Oocytes were removed to OR2 solution (82 mM NaCl, 2.5 mM
KCl, 5 mM HEPES, 1.5 mM NaH.sub.2 PO.sub.4, 1 mM MgCl.sub.2, 0.1 mM EDTA;
pH 7.4). The oocytes were defolliculated by incubation in 25 ml OR2
containing 0.2% collagenase 1A (Sigma) two times for 60 min on a platform
vibrating at 1 Hz and stored in Leibovitz's L-15 medium (50 .mu.g/ml
gentomycin, 10 Units/ml penicillin, and 10 .mu.g/ml streptomycin).
Approximately 50 ng of cRNA was injected in each oocyte the following day.
cRNA was synthesised from cDNA using Message Machine (purchased from
Abion).
The external recording solution consisted of 90 mM NaCl, 1 mM KCl, 1 mM
MgCl.sub.2, 1 mM BaCl.sub.2, 5 mM HEPES; pH 7.4. Two-electrode
voltage-clamp recording was carried out using an Oocyte Clamp amplifier
(OC 725C; Warner Instrument, Hamden, Conn.). Oocytes were impaled with two
electrodes of 1-2 M.OMEGA. tip resistance when filled with 3M KCl.
Recordings were begun when membrane potential became stable at potentials
negative to -20 mV (resting membrane potentials are less negative when
Ba.sup.++ replaces Ca.sup.++ in bathing solutions). Membrane potential was
clamped at -80 mV. ACh was purchased from Sigma. Oocytes were continuously
perfused (5 ml/min) with recording solution with or without ACh.
Current amplitude was measured from baseline to peak. EC.sub.50 values,
maximal effect, and Hill slopes were estimated by fitting the data to the
logistic equation using GraphPad Prism (GraphPad Software, Inc., San
Diego, Calif.).
Increases in agonist efficacy elicited by a positive modulator can be
calculated in two ways:
(1) As percent potentiation of current amplitude which is defined as
100(I.sub.m -I.sub.c)/I.sub.c where I.sub.m is current amplitude in the
presence of modulator and I.sub.c is current in the absence of modulator.
(2) As percent potentiation of "area under curve" of an agonist trace,
which is the integration of net current over time. Area under the curve is
a common representation of the total ion flux through the channel.
(b) Ca.sup.2+ flux imaging
Imaging of Ca.sup.2+ flux through nAChR .alpha.7 receptors transiently
expressed in a cell line is another means of assaying modulator activity.
Cells expressing .alpha.7 receptors (for example HEK-293 cells or cell
cultured neurons) are grown to confluence in 96 well plates and loaded
with fluo-3, a fluorescent calcium indicator. To screen for .alpha.7
modulatory activity, the 96 well plate is placed in a fluorescence imaging
plate reader (FLIPR) and test compounds along with an .alpha.7 agonist are
applied simultaneously to all wells. Receptor activation is measured by
calcium influx into cells which is quantified by the increase in
fluorescence intensity of each well, recorded simultaneously by the FLIPR.
A modulatory effect is determined by the increase in fluorescence over
that of agonist alone. Similarly, to test for nAChR .alpha.7 agonist
activity, test compounds along with an .alpha.7 modulator are applied
simultaneously to all wells. Receptor activation is measured by calcium
influx into cells which is quantified by the increase in fluorescence
intensity of each well, recorded simultaneously by the FLIPR. An agonist
effect is determined by the increase in fluorescence over that of
modulator alone.
Cell-cultured neurons are prepared according to the following method:
Eighteen day old Sprague-Dawley rat fetuses (E-18) were asceptically
removed from the pregnant male, sacrificed, the frontal cortices of the
brains removed, the menniges stripped, and the cleaned cortex placed into
cold HBSS. If hippocampus was desired, the hippocampus was dissected away
from the cortex and then placed into cold HBSS. The tissues were
mechanically dispersed, washed once in HBSS (200 g for 30 min in 4.degree.
C.) resuspended in a modification of Sato's medium supplemented with
glutamine, antibiotics, potassium chloride, insulin, transferrin,
selenium, and 5% heat-inactivated fetal bovine serum (FBS; endotoxin free)
and plated into each of a 24-well plate (coated with poly-L-lysine). The
wells could contain glass coverslips which were also coated with PLL. The
plates were incubated at 37.degree. C. in a CO.sub.2 incubator. After 24
hours the medium was removed, fresh medium added, and the cells allowed to
grow for at least another 11 days, feeding when necessary.
The compounds of the invention are compounds, which causes a 100%
potentiation (2-fold increase) of baseline current (as described above),
as measured baseline to peak at low concentration of Acetylcholine (30
.mu.M), indicating that they are expected to have useful therapeutic
activity; The compounds of the invention are also compounds, which
increase the flux of Ca.sup.2+ when applied in the Ca.sup.2+ flux-imaging
assay, as described above. Any increase of Ca.sup.2+ flux, caused by a
compound of the invention, compared to the Ca.sup.2+ flux casued by an
agonist alone (as measured in Fluorescence Intensity Units) indicates that
they are expected to have useful therapeutic activity.
The use of compounds of the invention have the advantage that they may be
less toxic, be more efficacious, be longer acting, have a broader range of
activity, be more potent, produce fewer side effects, are more easily
absorbed or have other useful pharmacological properties.
GENERAL EXPERIMENTAL PROCEDURES
Commercial reagents were used without further purification. Mass spectra
were recorded using either a Hewlett Packard 5988A or a MicroMass
Quattro-1 Mass Spectrometer and are reported as m/z for the parent
molecular ion. Room temperature refers to 20-25.degree. C.
EXAMPLES
The following examples are preferred non-limiting examples embodying
preferred aspects of the invention.
Example 1
5-Cinnamyloxyindole
To a solution of 5-hydroxyindole (0.25 g) in acetonitrile (10 mL) was added
cesium carbonate (1.22 g) and cinnamyl bromide (0.37 g). The suspension
was stirred under nitrogen at ambient temperature overnight. Cesium salts
were removed by filtration and washed with acetone. The residue left on
concentrating the combined filtrate and washings was chromatographed over
silica eel with a mixture of ethyl acetate and hexanes and crystallized
from ether with hexanes to give 0.23 g of the title compound. MS CI
(MH.sup.+)=250
Example 2
5-Benzyloxyindole-3-acetonitrile
The title compound was prepared by a method analogous to that described in
Example 1 from benzyl bromide and 5-hydroxyindole-3-acetonitrile. MS ES
(MH.sup.-)=263.
Example 3
5-(2-Phenoxyethyloxy)indole
The title compound was prepared by a method analogous to that described in
Example 1 from 2-phenoxyethyl bromide and 5-hydroxyindole. MS ES
(MH.sup.+)=254.
Example 4
5-(2-Naphthylmethyloy)indole
The title compound was prepared by a method analogous to that described in
Example 1 from 2-naphthylmethyl chloride and 5-hydroxyindole. MS ES
(MH.sup.+)=274.
Example 5
5-Phenylcarbamoylmethylindole
The title compound was prepared by a method analogous to that described in
Example 1 from chloroacetanilide and 5-hydroxyindole. MS CI
(MH.sup.+)=267.
Example 6
1-Furfury-1-3-(5-indolyl)-2-thiourea
To a solution of 5-aminoindole (0.26 g) in ethanol (10 mL) was added
furfurylisothiocyanate (0.28 g). The solution was stirred at ambient
temperature overnight and evaporated to a residue which was dissolved in
warm ethanol and precipitated with water to give 0.32 g of the title
compound. MS ES (MH.sup.+)=272.
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