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1.
Angew Chem Int Ed Engl ; 58(51): 18405-18409, 2019 12 16.
Artículo en Inglés | MEDLINE | ID: mdl-31591755

RESUMEN

Cyclobutane rings are important in medicinal chemistry, yet few enantioselective methods exist to access this scaffold. In particular, cyclobutylboronates are receiving increasing attention in the literature due to the synthetic versatility of alkylboronic esters and the increasing role of boronic acids in drug discovery. Herein, a conjugate borylation of α-alkyl,ß-aryl/alkyl cyclobutenones is reported leading to the first synthesis of enantioenriched tertiary cyclobutylboronates. Cyclobutanones with two stereogenic centers are obtained in good to high yield, with high enantioselectivity and diastereoselectivity. Vital to this advance are the development of a novel approach to α,ß unsymmetrically disubstituted cyclobutenone substrates and the use of a high-throughput chiral ligand screening platform. The synthetic utility of both the boronic ester and ketone functionalities is displayed, with remarkable chemoselectivity for either group being possible in this small ring scaffold.

2.
Bioorg Med Chem Lett ; 23(17): 4870-4, 2013 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-23880538

RESUMEN

(-)-Codeine 1 was converted into previously unknown 7ß-methyl-7,8-dihydrocodeine/morphine derivatives such as 13 via classical diaxial opening of α-epoxide 3. Several analogs exhibited dual µ/δ-agonist activity.


Asunto(s)
Codeína/análogos & derivados , Codeína/farmacología , Receptores Opioides delta/agonistas , Receptores Opioides mu/agonistas , Animales , Compuestos Epoxi/química , Compuestos Epoxi/farmacología , Humanos , Ratones , Modelos Moleculares , Morfinanos/química , Morfinanos/farmacología , Receptores Opioides delta/metabolismo , Receptores Opioides mu/metabolismo
3.
Behav Pharmacol ; 22(4): 291-9, 2011 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-21566524

RESUMEN

Previous studies have suggested that treatment with antagonists or partial agonists of nicotinic acetylcholine receptors containing the ß2-subunit (ß2 nAChRs) results in antidepressant-like effects. In this study, we tested three novel compounds with different affinity and functional efficacy at α4ß2 nAChRs, which were synthesized as part of nAChR discovery projects at Pfizer, in the tail-suspension, forced-swim, and novelty-suppressed feeding tests of antidepressant efficacy. All compounds tested reduced immobility in the forced-swim test and one of the compounds also reduced immobility in the tail-suspension test. All the compounds appeared to affect food intake on their own, with two compounds reducing feeding significantly in the home cage, precluding a clear interpretation of the results in the novelty-suppressed feeding test. None of the compounds altered locomotor activity at the doses and time points used here. Therefore, a subset of these compounds has pharmacological and behavioral properties that demonstrate the potential of nicotinic compounds as a treatment of mood disorders. Further development of nicotinic-based antidepressants should focus on increasing nAChR subtype selectivity to obtain consistent antidepressant properties with an acceptable side-effect profile.


Asunto(s)
Antidepresivos , Agonistas Nicotínicos/farmacología , Receptores Nicotínicos/efectos de los fármacos , Animales , Ambiente , Conducta Alimentaria/efectos de los fármacos , Suspensión Trasera/psicología , Masculino , Ratones , Ratones Endogámicos C57BL , Actividad Motora/efectos de los fármacos , Nicotina/farmacología , Natación/psicología
4.
Bioorg Med Chem Lett ; 20(16): 4749-52, 2010 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-20663668

RESUMEN

We report the synthesis of a series of [3.2.1]azabicyclic biaryl ethers as selective agonists of alpha3- and alpha6-containing nicotinic receptors. In particular, compound 17a from this series is a potent alpha3beta4 and alpha6/4beta4 receptor agonist in terms of both binding and functional activity. Compound 17a also shows potent in vivo activity in CNS-mediated animal models that are sensitive to antipsychotic drugs. Compound 17a may thus be a useful tool for studying the role of alpha3beta4 and alpha6/4beta4 nicotinic receptors in CNS pharmacology.


Asunto(s)
Compuestos de Azabiciclo/química , Agonistas Nicotínicos/química , Receptores Nicotínicos/química , Sulfonamidas/química , Compuestos de Azabiciclo/síntesis química , Compuestos de Azabiciclo/farmacología , Agonistas Nicotínicos/síntesis química , Agonistas Nicotínicos/farmacología , Receptores Nicotínicos/metabolismo , Relación Estructura-Actividad , Sulfonamidas/síntesis química , Sulfonamidas/farmacología
5.
Trends Pharmacol Sci ; 28(7): 316-25, 2007 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-17573127

RESUMEN

Most smokers repeatedly fail in their attempts to stop smoking because of the addictive nature of the nicotine in tobacco products. Nicotine dependence is probably mediated through the activation of multiple subtypes of neuronal nicotinic acetylcholine receptor (nAChR), among which the mesolimbic alpha(4)beta(2) subtype has a pivotal role. Here, we discuss the rationale for and the design of alpha(4)beta(2) nAChR partial agonists as novel treatments for tobacco addiction. Such agents are expected to exhibit a dual action by sufficiently stimulating alpha(4)beta(2)-nAChR-mediated dopamine release to reduce craving when quitting and by inhibiting nicotine reinforcement when smoking. Potent and selective alpha(4)beta(2) nAChR partial agonists that exhibit dual agonist and antagonist activity in preclinical models can be identified. The validity of this approach is demonstrated by the clinical efficacy of the alpha(4)beta(2) nAChR partial agonist varenicline, which has significantly better quit rates than do other treatments and offers a new option for smoking cessation pharmacotherapy.


Asunto(s)
Agonistas Nicotínicos/uso terapéutico , Receptores Nicotínicos/metabolismo , Cese del Hábito de Fumar , Tabaquismo/tratamiento farmacológico , Animales , Benzazepinas/farmacología , Benzazepinas/uso terapéutico , Diseño de Fármacos , Humanos , Agonistas Nicotínicos/farmacología , Quinoxalinas/farmacología , Quinoxalinas/uso terapéutico , Resultado del Tratamiento , Vareniclina
6.
J Am Chem Soc ; 130(11): 3406-12, 2008 Mar 19.
Artículo en Inglés | MEDLINE | ID: mdl-18293971

RESUMEN

The key elimination step for the formation of 3-substituted and 3,6-disubstituted benzynes from 2-haloaryllithiums displays a pronounced solvent-dependent regioselectivity. All 2-haloaryllithiums with electron withdrawing groups in the 6 position are shown by 6Li and 13C NMR spectroscopic studies to be monomers in THF. DFT computational studies implicate trisolvates. Rate studies reveal that LiF eliminates via monomer-based pathways requiring THF dissociation whereas LiCl eliminates via nondissociative pathways. Elimination to form 3-chloro- and 3-fluorobenzyne from 2-chloro-6-fluorophenyllithium displays a pronounced solvent-dependent regioselectivity that is traced to competing solvent-dissociative and nondissociative dissociative pathways for the elimination of LiCl and LiF, respectively.


Asunto(s)
Derivados del Benceno/química , Derivados del Benceno/síntesis química , Simulación por Computador , Hidrocarburos Halogenados/química , Cinética , Litio/química , Espectroscopía de Resonancia Magnética/métodos , Modelos Químicos , Estructura Molecular , Compuestos Organometálicos/química , Solventes/química
7.
Dalton Trans ; 48(1): 133-141, 2018 Dec 18.
Artículo en Inglés | MEDLINE | ID: mdl-30484790

RESUMEN

Herein, 3,5-bicyclic aryl piperidines are derivatized to generate chiral B/N FLPs. Initially, the twofold symmetric amine C6H2F2(C5H8NiPr) 1 was converted in a series of synthetic steps to the styrene-derivative C6HF2(C5H8NiPr)(CH[double bond, length as m-dash]CH2) 4. Efforts to hydroborate the vinyl fragment proved challenging as a result of the strongly basic nitrogen, although the species C6HF2(C5H8N(H)iPr)(CH2CH2B(OH)(C6F5)2) 5 was crystallographically characterized. Modification of the system was achieved by conversion of the amine C6H2F2(C5H8NH) 6 to C6HF2(C5H8NPh)(CH[double bond, length as m-dash]CH2) 9. Hydroboration of 9 with 9-BBN or HB(C6F5)2 gave C6HF2(C5H8NPh)(CH2CH2BBN) 10 or C6HF2(C5H8NPh)(CH2CH2B(C6F5)2) 11, respectively. The latter species was derivatized by complexation of PPh3 to give C6HF2(C5H8NPh)(CH2CH2B(C6F5)2)(PPh3) 12. The Lewis acidities of 10 and 11 were assessed by the Gutman-Beckett test and by computations of the FIA and GEI. While 10 did not effect HD scrambling or hydrogenation of N-phenylbenzylimine, 11 was effective in HD scrambling. Despite this, no reduction of N-t-butylbenzylimine or N-phenylbenzylimine was achieved. These data demonstrate that 10 lacks the threshold combination of Lewis acidity and basicity to activate H2, while 11 lacks the steric demands about boron to preclude classical Lewis acid-base bond formation with imine substrates.

8.
J Med Chem ; 61(23): 10665-10699, 2018 12 13.
Artículo en Inglés | MEDLINE | ID: mdl-30423248

RESUMEN

Ongoing interest in the discovery of selective JAK3 inhibitors led us to design novel covalent inhibitors that engage the JAK3 residue Cys909 by cyanamide, a structurally and mechanistically differentiated electrophile from other cysteine reacting groups previously incorporated in JAK3 covalent inhibitors. Through crystallography, kinetic, and computational studies, interaction of cyanamide 12 with Cys909 was optimized leading to potent and selective JAK3 inhibitors as exemplified by 32. In relevant cell-based assays and in agreement with previous results from this group, 32 demonstrated that selective inhibition of JAK3 is sufficient to drive JAK1/JAK3-mediated cellular responses. The contribution from extrahepatic processes to the clearance of cyanamide-based covalent inhibitors was also characterized using metabolic and pharmacokinetic data for 12. This work also gave key insights into a productive approach to decrease glutathione/glutathione S-transferase-mediated clearance, a challenge typically encountered during the discovery of covalent kinase inhibitors.


Asunto(s)
Cianamida/química , Cianamida/farmacología , Janus Quinasa 3/antagonistas & inhibidores , Inhibidores de Proteínas Quinasas/química , Inhibidores de Proteínas Quinasas/farmacología , Animales , Cianamida/farmacocinética , Evaluación Preclínica de Medicamentos , Humanos , Concentración 50 Inhibidora , Janus Quinasa 3/química , Masculino , Modelos Moleculares , Conformación Proteica , Inhibidores de Proteínas Quinasas/farmacocinética , Ratas , Distribución Tisular
9.
J Med Chem ; 60(2): 767-786, 2017 01 26.
Artículo en Inglés | MEDLINE | ID: mdl-27983835

RESUMEN

By use of a structure-based computational method for identification of structurally novel Janus kinase (JAK) inhibitors predicted to bind beyond the ATP binding site, a potent series of indazoles was identified as selective pan-JAK inhibitors with a type 1.5 binding mode. Optimization of the series for potency and increased duration of action commensurate with inhaled or topical delivery resulted in potent pan-JAK inhibitor 2 (PF-06263276), which was advanced into clinical studies.


Asunto(s)
Antiinflamatorios/farmacología , Compuestos Heterocíclicos con 2 Anillos/farmacología , Indazoles/farmacología , Quinasas Janus/antagonistas & inhibidores , Enfermedades Pulmonares/tratamiento farmacológico , Inhibidores de Proteínas Quinasas/farmacología , Enfermedades de la Piel/tratamiento farmacológico , Administración Cutánea , Administración por Inhalación , Animales , Antiinflamatorios/administración & dosificación , Antiinflamatorios/síntesis química , Antiinflamatorios/toxicidad , Sitios de Unión , Cristalografía por Rayos X , Perros , Diseño de Fármacos , Hepatocitos/metabolismo , Compuestos Heterocíclicos con 2 Anillos/administración & dosificación , Compuestos Heterocíclicos con 2 Anillos/síntesis química , Compuestos Heterocíclicos con 2 Anillos/toxicidad , Humanos , Indazoles/administración & dosificación , Indazoles/síntesis química , Indazoles/toxicidad , Janus Quinasa 1/antagonistas & inhibidores , Janus Quinasa 2/antagonistas & inhibidores , Janus Quinasa 3/antagonistas & inhibidores , Ratones Endogámicos BALB C , Microsomas Hepáticos/metabolismo , Fosforilación , Inhibidores de Proteínas Quinasas/administración & dosificación , Inhibidores de Proteínas Quinasas/síntesis química , Inhibidores de Proteínas Quinasas/toxicidad , Ratas , Solubilidad
10.
Org Lett ; 8(26): 5947-50, 2006 Dec 21.
Artículo en Inglés | MEDLINE | ID: mdl-17165901

RESUMEN

[Structure: see text] The development of a concise enantioselective synthesis of nicotinic alkaloid 1 is presented. The route features the synthesis and use of a "stable" aliphatic triflate 21 in an alkylation step to generate Heck precursor 24 and an enantioselective cyclization to establish a compound with the key [3.2.1]-bicyclic core, 29.


Asunto(s)
Sondas Moleculares , Nicotina/análogos & derivados , Receptores Nicotínicos/química , Cristalografía por Rayos X , Modelos Moleculares , Nicotina/síntesis química , Estereoisomerismo
11.
J Med Chem ; 48(10): 3474-7, 2005 May 19.
Artículo en Inglés | MEDLINE | ID: mdl-15887955

RESUMEN

Herein we describe a novel series of compounds from which varenicline (1, 6,7,8,9-tetrahydro-6,10-methano-6H-pyrazino[2,3-h][3]benzazepine) has been identified for smoking cessation. Neuronal nicotinic acetylcholine receptors (nAChRs) mediate the dependence-producing effects of nicotine. We have pursued alpha4beta2 nicotinic receptor partial agonists to inhibit dopaminergic activation produced by smoking while simultaneously providing relief from the craving and withdrawal syndrome that accompanies cessation attempts. Varenicline displays high alpha4beta2 nAChR affinity and the desired in vivo dopaminergic profile.


Asunto(s)
Benzazepinas/síntesis química , Agonistas Nicotínicos/síntesis química , Quinoxalinas/síntesis química , Receptores Nicotínicos/efectos de los fármacos , Cese del Hábito de Fumar/métodos , Animales , Benzazepinas/química , Benzazepinas/farmacología , Línea Celular , Corteza Cerebral/efectos de los fármacos , Corteza Cerebral/metabolismo , Humanos , Técnicas In Vitro , Agonistas Nicotínicos/química , Agonistas Nicotínicos/farmacología , Oocitos/efectos de los fármacos , Oocitos/fisiología , Quinoxalinas/química , Quinoxalinas/farmacología , Ensayo de Unión Radioligante , Ratas , Receptores Nicotínicos/fisiología , Vareniclina , Xenopus laevis
12.
Org Lett ; 17(17): 4292-5, 2015 Sep 04.
Artículo en Inglés | MEDLINE | ID: mdl-26290951

RESUMEN

A versatile synthesis of 7-azaindoles from substituted 2-fluoropyridines is described. C3-metalation and 1,4-addition to nitroolefins provide substituted 2-fluoro-3-(2-nitroethyl)pyridines. A facile oxidative Nef reaction/reductive amination/intramolecular SNAr sequence furnishes 7-azaindolines. Finally, optional regioselective electrophilic C5-substitution (e.g., bromination or nitration) and subsequent in situ oxidation delivers highly functionalized 7-azaindoles in high overall efficiency.

13.
Org Lett ; 6(10): 1589-92, 2004 May 13.
Artículo en Inglés | MEDLINE | ID: mdl-15128243

RESUMEN

Noncoordinating solvents permit the halogen-metal exchange-induced formation of benzyne (aryne) from di- and trihalobenzene precursors in the presence of cyclopentadiene to give 1,4-dihydro-1,4-methano-naphthalenes. Studies with mixed halide precursors and nonacidic Diels-Alder diene traps reveal that ethereal and hydrocarbon solvents influence the halide leaving group facility, resulting in a reversal of 3-halobenzyne regioselectivity.

14.
Org Chem Front ; 1(5): 567-581, 2014 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-30221007

RESUMEN

New modes of chemical reactivity are of high value to synthetic organic chemistry. In this vein, carbon-carbon (C-C) activation is an emerging field that offers new possibilities for synthesizing valuable complex molecules. This review discusses the pioneering stoichiometric discoveries in this field up to the most recent synthetic applications that apply catalytic transformations. Specifically, the review focuses on C-C activation in relatively unstrained systems, including stoichiometric reactions, chelation-directed and chelation-free catalytic reactions. While the field of C-C activation of relatively unstrained systems is underdeveloped, we expect that this review will provide insight into new developments and pave the path for robust, practical applications.

15.
PLoS One ; 8(10): e76557, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-24098532

RESUMEN

Anti-nicotine vaccines may aid smoking cessation via the induction of anti-nicotine antibodies (Ab) which reduce nicotine entering the brain, and hence the associated reward. Ab function depends on both the quantity (titer) and the quality (affinity) of the Ab. Anti-nicotine vaccines tested previously in clinical studies had poor efficacy despite high Ab titer, and this may be due to inadequate function if Ab of low affinity were induced. In this study, we designed and synthesized a series of novel nicotine-like haptens which were all linked to diphtheria toxoid (DT) as carrier, but which differed in the site of attachment of linker to nicotine, the nature of linker used, and the handle used to attach the hapten to DT. The resulting hapten conjugates were evaluated in a mouse model, using CpG (a TLR9 agonist) and aluminum hydroxide (Al(OH)3) as adjuvants, whereby Ab titers, affinity and function were evaluated using a radiolabeled nicotine challenge model. A series of additional linkers varying in length, rigidity and polarity were used with a single hapten to generate additional DT-conjugates, which were also tested in mice. Conjugates made with different haptens resulted in various titers of anti-nicotine Ab. Several haptens gave similarly high Ab titers, but among these, Ab affinity and hence function varied considerably. Linker also influenced Ab titer, affinity and function. These results demonstrate that immune responses induced in mice by nicotine-conjugate antigens are greatly influenced by hapten design including site of attachment of linker to nicotine, the nature of linker used, and the handle used to attach the hapten to DT. While both Ab titer and affinity contributed to function, affinity was more sensitive to antigen differences.


Asunto(s)
Anticuerpos/inmunología , Antígenos/inmunología , Haptenos/inmunología , Nicotina/inmunología , Prevención del Hábito de Fumar , Vacunas/inmunología , Adyuvantes Inmunológicos/química , Hidróxido de Aluminio/química , Animales , Anticuerpos/sangre , Anticuerpos/química , Afinidad de Anticuerpos , Especificidad de Anticuerpos , Antígenos/química , Toxoide Diftérico/química , Toxoide Diftérico/inmunología , Femenino , Haptenos/química , Humanos , Inmunoconjugados/química , Ratones , Ratones Endogámicos BALB C , Imitación Molecular , Nicotina/química , Oligodesoxirribonucleótidos/química , Oligodesoxirribonucleótidos/inmunología , Ingeniería de Proteínas/métodos , Fumar/inmunología , Relación Estructura-Actividad , Vacunas/administración & dosificación , Vacunas/química
16.
Neuropsychopharmacology ; 36(3): 603-15, 2011 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-21048701

RESUMEN

Alcohol use disorders (AUDs) impact millions of individuals and there remain few effective treatment strategies. Despite evidence that neuronal nicotinic acetylcholine receptors (nAChRs) have a role in AUDs, it has not been established which subtypes of the nAChR are involved. Recent human genetic association studies have implicated the gene cluster CHRNA3-CHRNA5-CHRNB4 encoding the α3, α5, and ß4 subunits of the nAChR in susceptibility to develop nicotine and alcohol dependence; however, their role in ethanol-mediated behaviors is unknown due to the lack of suitable and selective research tools. To determine the role of the α3, and ß4 subunits of the nAChR in ethanol self-administration, we developed and characterized high-affinity partial agonists at α3ß4 nAChRs, CP-601932, and PF-4575180. Both CP-601932 and PF-4575180 selectively decrease ethanol but not sucrose consumption and operant self-administration following long-term exposure. We show that the functional potencies of CP-601932 and PF-4575180 at α3ß4 nAChRs correlate with their unbound rat brain concentrations, suggesting that the effects on ethanol self-administration are mediated via interaction with α3ß4 nAChRs. Also varenicline, an approved smoking cessation aid previously shown to decrease ethanol consumption and seeking in rats and mice, reduces ethanol intake at unbound brain concentrations that allow functional interactions with α3ß4 nAChRs. Furthermore, the selective α4ß2(*) nAChR antagonist, DHßE, did not reduce ethanol intake. Together, these data provide further support for the human genetic association studies, implicating CHRNA3 and CHRNB4 genes in ethanol-mediated behaviors. CP-601932 has been shown to be safe in humans and may represent a potential novel treatment for AUDs.


Asunto(s)
Consumo de Bebidas Alcohólicas/tratamiento farmacológico , Consumo de Bebidas Alcohólicas/psicología , Condicionamiento Operante/efectos de los fármacos , Agonistas Nicotínicos/uso terapéutico , Acetilcolina/farmacología , Animales , Compuestos de Azabiciclo/química , Compuestos de Azabiciclo/farmacología , Conducta Animal/efectos de los fármacos , Benzazepinas/química , Benzazepinas/farmacología , Encéfalo/efectos de los fármacos , Encéfalo/metabolismo , Línea Celular Transformada , Conducta de Elección/efectos de los fármacos , Modelos Animales de Enfermedad , Relación Dosis-Respuesta a Droga , Esquema de Medicación , Interacciones Farmacológicas , Etanol/administración & dosificación , Humanos , Masculino , Agonistas Nicotínicos/química , Agonistas Nicotínicos/farmacología , Unión Proteica/efectos de los fármacos , Ratas , Ratas Sprague-Dawley , Receptores Nicotínicos/genética , Receptores Nicotínicos/metabolismo , Autoadministración/métodos , Gusto/efectos de los fármacos , Factores de Tiempo , Transfección/métodos
17.
J Med Chem ; 53(3): 1222-37, 2010 Feb 11.
Artículo en Inglés | MEDLINE | ID: mdl-20043678

RESUMEN

A novel alpha 7 nAChR agonist, 4-(5-methyloxazolo[4,5-b]pyridin-2-yl)-1,4-diazabicyclo[3.2.2]nonane (24, CP-810,123), has been identified as a potential treatment for cognitive deficits associated with psychiatric or neurological conditions including schizophrenia and Alzheimer's disease. Compound 24 is a potent and selective compound with excellent pharmaceutical properties. In rodent, the compound displays high oral bioavailability and excellent brain penetration affording high levels of receptor occupancy and in vivo efficacy in auditory sensory gating and novel object recognition. The structural diversity of this compound and its preclinical in vitro and in vivo package support the hypothesis that alpha 7 nAChR agonists may have potential as a pharmacotherapy for the treatment of cognitive deficits in schizophrenia.


Asunto(s)
Compuestos de Azabiciclo/síntesis química , Compuestos de Azabiciclo/farmacología , Trastornos del Conocimiento/tratamiento farmacológico , Agonistas Nicotínicos/síntesis química , Agonistas Nicotínicos/farmacología , Nootrópicos/síntesis química , Nootrópicos/farmacología , Oxazoles/síntesis química , Oxazoles/farmacología , Receptores Nicotínicos/química , Esquizofrenia/tratamiento farmacológico , Animales , Compuestos de Azabiciclo/química , Disponibilidad Biológica , Células Cultivadas , Células Epiteliales/efectos de los fármacos , Femenino , Hipocampo/efectos de los fármacos , Humanos , Riñón/citología , Riñón/efectos de los fármacos , Microsomas Hepáticos/efectos de los fármacos , Agonistas Nicotínicos/química , Nootrópicos/química , Oocitos/efectos de los fármacos , Oxazoles/química , Ratas , Piel/citología , Piel/efectos de los fármacos , Relación Estructura-Actividad , Xenopus laevis/crecimiento & desarrollo , Receptor Nicotínico de Acetilcolina alfa 7
18.
Eur J Pharmacol ; 605(1-3): 114-6, 2009 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-19168054

RESUMEN

Varenicline, an alpha4beta2 nicotinic acetylcholine receptor partial agonist developed as a smoking cessation aid, showed antidepressant-like activity in the forced swim test in two mouse strains. In addition, a low varenicline dose significantly enhanced the effects of moderately active doses of the selective serotonin reuptake inhibitor sertraline. These findings are consistent with the notion that reducing alpha4beta2 nicotinic acetylcholine receptor activity either by antagonists or by partial agonists that can partially activate or desensitize acetylcholine receptors is associated with antidepressant-like properties. These data suggest that varenicline may have antidepressant potential and can, when combined, augment antidepressant responses of selective serotonin reuptake inhibitors.


Asunto(s)
Antidepresivos/farmacología , Benzazepinas/farmacología , Depresión/tratamiento farmacológico , Agonistas Nicotínicos/farmacología , Quinoxalinas/farmacología , Animales , Antidepresivos/administración & dosificación , Benzazepinas/administración & dosificación , Modelos Animales de Enfermedad , Relación Dosis-Respuesta a Droga , Sinergismo Farmacológico , Ratones , Ratones Endogámicos C57BL , Ratones Endogámicos ICR , Agonistas Nicotínicos/administración & dosificación , Quinoxalinas/administración & dosificación , Receptores Nicotínicos , Inhibidores Selectivos de la Recaptación de Serotonina/farmacología , Sertralina/farmacología , Natación , Vareniclina
19.
Drugs Today (Barc) ; 43(2): 65-75, 2007 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-17353944

RESUMEN

Smoking is a significant public health problem, and existing treatments have demonstrated only moderate efficacy in assisting smokers to quit. Varenicline, recently approved by the U.S. Food and Drug Administration and the European Agency for the Evaluation of Medicinal Products as an aid to smoking cessation treatment, has a novel mechanism of action, targeting the specific nicotinic acetylcholine receptor (nAChR) associated with nicotine-induced behaviors (alpha4beta2 nAChR). It has both agonistic and antagonistic properties that together are believed to account for reduction of craving and withdrawal as well as blocking the rewarding effects of smoking. The clinical efficacy and tolerability of varenicline has been demonstrated in phase III clinical trials involving more than 2,000 cigarette smokers. At the end of the treatment period in two 12-week, multicenter, randomized, double-blind, placebo-controlled studies, patients receiving varenicline (1 mg twice daily) experienced an increase in the odds of quitting smoking by nearly fourfold compared with those receiving placebo, and almost twofold compared with the odds for patients receiving 150 mg bupropion SR (sustained release) twice daily. In these two trials where patients were randomized to either varenicline or bupropion, the efficacy of varenicline was consistently superior at 12 weeks; this result sustained significance at 24 weeks in both studies and up to 52 weeks in one study. Nausea, a common adverse event reported in clinical trials, led to few treatment discontinuations. Its targeted mechanism of action, superior efficacy and excellent tolerability make varenicline a welcome and useful addition to the therapeutic options for smoking cessation.


Asunto(s)
Benzazepinas/uso terapéutico , Quinoxalinas/uso terapéutico , Cese del Hábito de Fumar/métodos , Tabaquismo/tratamiento farmacológico , Benzazepinas/efectos adversos , Benzazepinas/farmacocinética , Benzazepinas/farmacología , Ensayos Clínicos como Asunto , Interacciones Farmacológicas , Humanos , Quinoxalinas/efectos adversos , Quinoxalinas/farmacocinética , Quinoxalinas/farmacología , Vareniclina
20.
Drug Metab Dispos ; 34(1): 121-30, 2006 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-16221753

RESUMEN

The metabolism and disposition of varenicline (7,8,9,10-tetrahydro-6,10-methano-6H-pyrazino[2,3-h][3]benzazepine), a partial agonist of the nicotinic acetylcholine receptor for the treatment of tobacco addiction, was examined in rats, mice, monkeys, and humans after oral administration of [14C]varenicline. In the circulation of all species, the majority of drug-related material was composed of unchanged varenicline. In all four species, drug-related material was primarily excreted in the urine. A large percentage was excreted as unchanged parent drug (90, 84, 75, and 81% of the dose in mouse, rat, monkey, and human, respectively). Metabolites observed in excreta arose via N-carbamoyl glucuronidation and oxidation. These metabolites were also observed in the circulation, in addition to metabolites that arose via N-formylation and formation of a novel hexose conjugate. Experiments were conducted using in vitro systems to gain an understanding of the enzymes involved in the formation of the N-carbamoylglucuronide metabolite in humans. N-Carbamoyl glucuronidation was catalyzed by UGT2B7 in human liver microsomes when incubations were conducted under a CO2 atmosphere. The straightforward dispositional profile of varenicline should simplify its use in the clinic as an aid in smoking cessation.


Asunto(s)
Benzazepinas/metabolismo , Benzazepinas/farmacocinética , Quinoxalinas/metabolismo , Quinoxalinas/farmacocinética , Administración Oral , Animales , Área Bajo la Curva , Benzazepinas/química , Benzazepinas/orina , Radioisótopos de Carbono , Cromatografía Líquida de Alta Presión/métodos , Evaluación Preclínica de Medicamentos/métodos , Heces/química , Femenino , Glucurónidos/química , Glucurónidos/metabolismo , Semivida , Haplorrinos , Humanos , Masculino , Espectrometría de Masas/métodos , Ratones , Monosacáridos/química , Monosacáridos/metabolismo , Agonistas Nicotínicos/química , Agonistas Nicotínicos/metabolismo , Agonistas Nicotínicos/farmacocinética , Pentosas/metabolismo , Quinoxalinas/química , Quinoxalinas/orina , Ratas , Ratas Sprague-Dawley , Receptores Nicotínicos/metabolismo , Especificidad de la Especie , Vareniclina
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