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1.
Preprint en Portugués | SciELO Preprints | ID: pps-5566

RESUMEN

The description of the new species for Brazil, Cheilolejeunea savannae L.P. Macedo, Ilk.-Borg. & C.J. Bastos, raised the need to review many specimens previously identified as Cheilolejeunea intertexta (Lindenb.) Steph., aiming to refine the concept of this species and its real distribution in Brazil. The present study also resulted in the reinstatement of Cheilolejeunea compacta (Steph.) M.E. Reiner previously considered synonymous with C. intertexta, as a distinct taxon. It also showed that C. savannae has a wider distribution in Brazil and especially in the State of Bahia, compared to C. intertexta and C. compacta. Descriptions and a key to the separation of the three species recognized here are presented.


A descrição da nova espécie para o Brasil, Cheilolejeunea savannae L.P. Macedo, Ilk.-Borg. & C.J. Bastos, suscitou a necessidade de rever muitos espécimes identificados previamente como Cheilolejeunea intertexta (Lindenb.) Steph., objetivando o refinamento do conceito desta espécie e a sua real distribuição no Brasil. O presente estudo também resultou no restabelecimento de Cheilolejeunea compacta (Steph.) M.E. Reiner, previamente considerada como sinônimo de C. intertexta, como táxon distinto. Foi demonstrado, também, que C. savannae tem distribuição mais ampla no Brasil e especialmente no Estado da Bahia, comparativamente à C. intertexta e C. compacta. Descrições e uma chave para a separação das três espécies aqui reconhecidas são apresentadas.

2.
Pain Pract ; 23(6): 618-625, 2023 07.
Artículo en Inglés | MEDLINE | ID: mdl-37060251

RESUMEN

OBJECTIVE: To determine, using the Delphi method, standardized recommendations for the follow-up of patients undergoing an interventional procedure for the treatment of chronic pain in Spain. METHODS: First, a systematic literature review was performed to identify the literature on the management of patients with chronic pain undergoing interventional techniques; subsequently, a two-round Delphi survey with 108 questions was conducted. The questionnaire was validated by a Scientific Committee (5 experts) and sent to 47 experts specialized in chronic pain. "Consensus" or "intermediate consensus" was determined when ≥ 75% or < 75% to ≥ 65% of the experts selected the same answer for each item, respectively. Then, a face-to-face deliberation process was held with the Scientific Committee to analyze and discuss the results. RESULTS: The questionnaire was completed by 24 panelists (51%). Consensus was reached on 88.4% of the questions. The panelists identified pain, drug consumption, and quality of life as essential variables in the follow-up of patients with chronic pain. Consensus was reached on most of the scales/questionnaires to be used in measuring outcomes during follow-up, except for psychological status. Regarding the follow-up frequency, in radicular spinal chronic pain, a consensus was reached on the first visit 1-2 months after the intervention, during the first year, at 1, 3, 6, and 12 months, and then every 6 months thereafter. For non-radicular spinal chronic pain, the first visit 1-2 months after surgery was agreed upon, however, there was no consensus on follow-up during the first year. For non-spinal chronic pain, consensus was reached regarding the first visit at 1-2 months after surgery and during the first year at 1, 3, 6, and 12 months. No consensus was reached on follow-up frequency for oncological chronic pain. After receiving a permanent neurostimulator implant for chronic pain, the first visit was agreed upon at 1-3 weeks, during the first year, at 2 weeks, 1, 3, 6, and 12 months, and after, every 6 months. For intrathecal infusion, it was agreed that the first visit should occur during the first month, and thereafter whenever the pump requires a refill. CONCLUSIONS: These findings provide recommendations in relation to the frequency of follow-up and the scales to be used with chronic pain patients undergoing interventional techniques in Spain.


Asunto(s)
Dolor Crónico , Humanos , Estudios de Seguimiento , Dolor Crónico/terapia , Técnica Delphi , Calidad de Vida , España
3.
Pain Manag ; 13(2): 115-127, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36691862

RESUMEN

Aim: The availability of long-term (>2 years) safety outcomes of spinal cord stimulation (SCS) remains limited. We evaluated safety in a global SCS registry for chronic pain. Methods: Participants were prospectively enrolled globally at 79 implanting centers and followed out to 3 years after device implantation. Results: Of 1881 participants enrolled, 1289 received a permanent SCS implant (1776 completed trial). The annualized rate of device explant was 3.5% (all causes), and 1.1% due to inadequate pain relief. Total incidence of device explantation >3 years was 7.6% (n = 98). Of these, 32 subjects (2.5%) indicated inadequate pain relief as cause for removal. Implant site infection (11 events) was the most common device-related serious adverse event (<1%). Conclusion: This prospective, global, real-world study demonstrates a high-level of safety for SCS with low rate of explant/serious adverse events. Clinical Trial Registration: NCT01719055 (ClinicalTrials.gov).


Asunto(s)
Dolor Crónico , Estimulación de la Médula Espinal , Humanos , Estimulación de la Médula Espinal/efectos adversos , Estudios Prospectivos , Dolor Crónico/terapia , Complicaciones Posoperatorias , Sistema de Registros , Médula Espinal , Resultado del Tratamiento
4.
ACS Omega ; 6(35): 22997-23006, 2021 Sep 07.
Artículo en Inglés | MEDLINE | ID: mdl-34514269

RESUMEN

Glutamate hyperfunction is implicated in multiple neurological and psychiatric diseases. Activation of the mGlu2 receptor results in reduced glutamate release and decreased excitability representing a promising novel therapeutic agent for the treatment of disorders such as epilepsy, schizophrenia, mood, anxiety, and other neuropsychiatric disorders. We have previously reported substantial efforts leading to potent and selective mGlu2 PAMs from different chemical series. Herein, the discovery and optimization of a novel series of imidazopyrazinone mGlu2 PAMs are reported. This new scaffold originated from computational searching of fragment databases and comparison with our previously explored scaffolds. Optimization guided by our robust understanding of SAR from former series led to potent, selective, and brain-penetrant compounds.

5.
ACS Med Chem Lett ; 11(3): 303-308, 2020 Mar 12.
Artículo en Inglés | MEDLINE | ID: mdl-32184961

RESUMEN

Starting from two weak mGlu2 receptor positive allosteric modulator (PAM) HTS hits (4 and 5), a molecular hybridization strategy resulted in the identification of a novel spiro-oxindole piperidine series with improved activity and metabolic stability. Scaffold hopping around the spiro-oxindole core identified the 3-(azetidin-3-yl)-1H-benzimidazol-2-one as bioisoster. Medicinal chemistry optimization of these two novel chemotypes resulted in the identification of potent, selective, orally bioavailable, and brain penetrant mGluR2 PAMs.

6.
Expert Opin Ther Pat ; 29(7): 497-507, 2019 07.
Artículo en Inglés | MEDLINE | ID: mdl-31242055

RESUMEN

INTRODUCTION: Positive allosteric modulation of mGlu2 has attracted much interest as an alternative approach to classical orthosteric receptor activation. Two mGlu2 PAMS have advanced into the clinic. The results obtained in schizophrenia and MDD phase 2 clinical trials have tempered the high expectations put on selective mGlu2 receptor activation for treating these conditions; nevertheless, the search for novel therapeutic indications and novel chemotypes continues to be an active field of research. AREAS COVERED: 2013-2018 patent literature on mGlu2 receptor PAMs. EXPERT OPINION: After a decade of intensive research, the mGlu2 PAM field has seen a deceleration in the last five years. Negative phase 2 schizophrenia clinical trials with JNJ-40411813 and AZD8529 seem to have tempered the high expectations of the scientific community on the utility of mGlu2 PAMs for the treatment of schizophrenia. Nevertheless, novel therapeutic indications continue to be explored and AZD8529 is currently in a phase 2 study for smoking cessation. The advances in medicinal chemistry and in pharmacology, with novel indications such as epilepsy, have set the stage in the field of mGlu2 receptor PAMs. Ongoing preclinical and clinical studies will contribute to define their optimal therapeutic indication and potential to become novel therapeutic agents.


Asunto(s)
Indoles/uso terapéutico , Oxadiazoles/uso terapéutico , Piperidinas/uso terapéutico , Piridonas/uso terapéutico , Receptores de Glutamato Metabotrópico/efectos de los fármacos , Regulación Alostérica/efectos de los fármacos , Animales , Trastorno Depresivo Mayor/tratamiento farmacológico , Trastorno Depresivo Mayor/fisiopatología , Humanos , Indoles/farmacología , Oxadiazoles/farmacología , Patentes como Asunto , Piperidinas/farmacología , Piridonas/farmacología , Receptores de Glutamato Metabotrópico/metabolismo , Esquizofrenia/tratamiento farmacológico , Esquizofrenia/fisiopatología
7.
J Med Chem ; 62(1): 223-233, 2019 01 10.
Artículo en Inglés | MEDLINE | ID: mdl-29494768

RESUMEN

Covalent labeling of G protein-coupled receptors (GPCRs) by small molecules is a powerful approach to understand binding modes, mechanism of action, pharmacology, and even facilitate structure elucidation. We report the first covalent positive allosteric modulator (PAM) for a class C GPCR, the mGlu2 receptor. Three putatively covalent mGlu2 PAMs were designed and synthesized. Pharmacological characterization identified 2 to bind the receptor covalently. Computational modeling combined with receptor mutagenesis revealed T7917.29×30 as the likely position of covalent interaction. We show how this covalent ligand can be used to characterize the PAM binding mode and that it is a valuable tool compound in studying receptor function and binding kinetics. Our findings advance the understanding of the mGlu2 PAM interaction and suggest that 2 is a valuable probe for further structural and chemical biology approaches.


Asunto(s)
Diseño de Fármacos , Receptores de Glutamato Metabotrópico/química , Regulación Alostérica , Sitio Alostérico , Humanos , Cinética , Ligandos , Simulación del Acoplamiento Molecular , Mutagénesis , Estructura Terciaria de Proteína , Piridinas/síntesis química , Piridinas/química , Piridinas/metabolismo , Receptores de Glutamato Metabotrópico/genética , Receptores de Glutamato Metabotrópico/metabolismo
8.
ACS Chem Neurosci ; 10(3): 1043-1054, 2019 03 20.
Artículo en Inglés | MEDLINE | ID: mdl-30216043

RESUMEN

The metabotropic glutamate 7 (mGlu7) receptor belongs to the group III of mGlu receptors. Since the mGlu7 receptor can control excitatory neurotransmission in the hippocampus and cortex, modulation of the receptor may have therapeutic benefit in several CNS diseases. However, mGlu7 remains relatively unexplored among the eight known mGlu receptors partly because of the limited availability of tool compounds to interrogate its potential therapeutic utility. Here we report the discovery of a new class of mGlu7 allosteric agonists. Hits originating from virtual screening were followed up with further analogue searching and screening, leading to a novel series of mGlu7 allosteric agonists. Guided by docking into a structural model of the mGlu7 receptor the initial hit 5 was successfully optimized to analogues with comparable potencies and more attractive drug-like attributes than AMN082.


Asunto(s)
Agonistas de Aminoácidos Excitadores/química , Agonistas de Aminoácidos Excitadores/farmacología , Simulación del Acoplamiento Molecular/métodos , Receptores de Glutamato Metabotrópico/agonistas , Receptores de Glutamato Metabotrópico/química , Regulación Alostérica/efectos de los fármacos , Regulación Alostérica/fisiología , Animales , Células CHO , Cricetinae , Cricetulus , Humanos , Microsomas Hepáticos/efectos de los fármacos , Microsomas Hepáticos/metabolismo , Ratas , Receptores de Glutamato Metabotrópico/metabolismo
10.
J Vasc Bras ; 17(3): 179-183, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30643502
11.
J Med Chem ; 60(15): 6704-6720, 2017 08 10.
Artículo en Inglés | MEDLINE | ID: mdl-28704052

RESUMEN

We report the synthesis and biological evaluation of a series of 7-aryl-1,2,4-triazolo[4,3-a]pyridines with mGlu2 positive allosteric modulator (PAM) activity and affinity. Besides traditional in vitro parameters of potency and affinity, kinetic parameters kon, koff and residence time (RT) were determined. The PAMs showed various kinetic profiles; kon values ranged over 2 orders of magnitude, whereas RT values were within a 10-fold range. Association rate constant kon was linearly correlated to affinity. Evaluation of a short, medium, and long RT compound in a label-free assay indicated a correlation between RT and functional effect. The effects of long RT compound 9 on sleep-wake states indicated long RT was translated into sustained inhibition of rapid eye movement (REM) in vivo. These results show that affinity-only driven selection would have resulted in mGlu2 PAMs with high values for kon but not necessarily optimized RT, which is key to predicting optimal efficacy in vivo.


Asunto(s)
Agonistas de Aminoácidos Excitadores/farmacología , Piridinas/farmacología , Receptores de Glutamato Metabotrópico/agonistas , Triazoles/farmacología , Regulación Alostérica , Animales , Células CHO , Cricetulus , Agonistas de Aminoácidos Excitadores/síntesis química , Cinética , Piperidinas/farmacología , Piridinas/síntesis química , Ratas Sprague-Dawley , Sueño REM/efectos de los fármacos , Relación Estructura-Actividad , Triazoles/síntesis química , Tritio
12.
Rev. Fac. Med. (Guatemala) ; 1(23 Segunda Época): 42-48, Jul-Dic 2017.
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1140397

RESUMEN

Antecedentes: El bevacizumab pertenece a una familia de medicamentos que inhiben la acción de los factores endoteliales de crecimiento vascular (VEGF, por sus siglas en inglés) aprobado por la FDA para el tratamiento de varios tipos de cáncer. Es un anticuerpo monoclonal que se une a todas las isoformas del VEGF evitando que la molécula se una a su receptor y active sus vías efectoras, disminuyendo así la proliferación de nuevos vasos inestables que por medio de fugas y rupturas que causan la acumulación de líquido en el espacio subrretiniano. Se ha utilizado de manera off-label para el tratamiento de las patologías proliferativas de la retina o coroides, con resultados prometedores. Objetivo: Determinar el efecto de la administración de 3 dosis de bevacizumab intravítreo sobre el grosor macular central medido por tomografía de coherencia óptica (OCT) después de 1 mes. Establecer una base de datos de las características epidemiológicas de los pacientes ­ edad, género, indicación de tratamiento, historia de diabetes e historia familiar de ceguera ­ y la respuesta al tratamiento con bevacizumab intravítreo. Metodología: Es un estudio cuasi-experimental retrospectivo de antes y después de una intervención. Se revisaron 261 expedientes clínicos para obtener los datos generales del paciente así como la medida de grosor macular central antes y 1 mes después de la administración de bevacizumab intravítreo por cualquier indicación. Los resultados luego fueron comparados utilizando la prueba T de Student para la diferencia de dos medias. Resultados: Al analizar a toda la población del estudio, se obtuvo una reducción de grosor macular central antes y después de la administración de bevacizumab de 19% (p < 0.0001). Esta diferencia no se observó en todos los grupos de pacientes al compararlos según la indicación de tratamiento. Conclusión: Se pudo observar un cambio significativo en la reducción del grosor macular central tras la administración de 3 dosis de bevacizumab intravítreo. Palabras Clave: Retinopatía, bevacizumab, anti-VEGF, intravítreo.


Background: Bevacizumab belongs to a group of monoclonal antibodies that act by binding to all isoforms of vascular endothelial growth factors (VEGF) thus preventing the activation of effector pathways that lead to formation of new and unstable blood vessels in the retina. It has been used off-label for the treatment of proliferative pathologies of the retina, with promising results. Objective: To determine the effect of a 3 doses administration of intravitreous bevacizumab on central macular thickness measured by optical coherence tomography (OCT) 1 month after the last injection and also to establish a database of the epidemiologic characteristics of the patients and their response to treatment with intravitreous bevacizumab. Method: This is a quasi-experimental retrospective design of before and after an intervention. A population of 261 cases reviewed to obtain general data of each patient as well as the central macular thickness measured by OCT before and 1 month after treatment with intravitreous bevacizumab. Results were then compared using Student's T test for the difference of two means. Results: A reduction of 19% (p < 0.0001) in central macular thickness measured by OCT was observed in the overall population of the study. These results did not apply to all patients when classified by indication of treatment (base pathology). Conclusion: Results suggest that a 3 dose treatment of intravitreous bevacizumab is effective in the reduction of mean central macular thickness measured by OCT 1 month after intervention. Keywords: Retinopathy, bevacizumab, anti-VEGF, intravitreous

13.
Int J Offender Ther Comp Criminol ; 61(13): 1433-1454, 2017 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-26707997

RESUMEN

Desistance should be the main ground for reentry policies for imprisoned offenders. However, theories on desistance are diverse, and they disagree about the key factors related to the origin, maintenance, and failures of the desistance process. This research considers three main theories of desistance-control, cognitive transformation, and strain-social support-to explain desistance in a sample of imprisoned men in Spain. The main finding of the research is that strain-social support theory may be of primary importance for understanding desistance because of its capacity to explain processes of change that begin during imprisonment and that continue upon release.


Asunto(s)
Prisioneros/psicología , Teoría Psicológica , Reincidencia , Apoyo Social , Adolescente , Adulto , Anciano , Humanos , Acontecimientos que Cambian la Vida , Masculino , Persona de Mediana Edad , Adulto Joven
14.
J Med Chem ; 59(18): 8495-507, 2016 09 22.
Artículo en Inglés | MEDLINE | ID: mdl-27579727

RESUMEN

Positive allosteric modulators of the metabotropic glutamate 2 receptor have generated great interest in the past decade. There is mounting evidence of their potential as therapeutic agents in the treatment of multiple central nervous system disorders. We have previously reported substantial efforts leading to potent and selective mGlu2 PAMs. However, finding compounds with the optimal combination of in vitro potency and good druglike properties has remained elusive, in part because of the hydrophobic nature of the allosteric binding site. Herein, we report on the lead optimization process to overcome the poor solubility inherent to the advanced lead 6. Initial prototypes already showed significant improvements in solubility while retaining good functional activity but displayed new liabilities associated with metabolism and hERG inhibition. Subsequent subtle modifications efficiently addressed those issues leading to the identification of compound 27 (JNJ-46356479). This new lead represents a more balanced profile that offers a significant improvement on the druglike attributes compared to previously reported leads.


Asunto(s)
Piridinas/química , Piridinas/farmacología , Receptores de Glutamato Metabotrópico/agonistas , Triazoles/química , Triazoles/farmacología , Administración Oral , Regulación Alostérica/efectos de los fármacos , Animales , Células CHO , Células CACO-2 , Cricetulus , Perros , Humanos , Masculino , Modelos Moleculares , Piridinas/administración & dosificación , Piridinas/farmacocinética , Ratas , Receptores de Glutamato Metabotrópico/metabolismo , Triazoles/administración & dosificación , Triazoles/farmacocinética
15.
Br J Pharmacol ; 173(3): 588-600, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26589404

RESUMEN

BACKGROUND AND PURPOSE: Allosteric modulation of the mGlu2 receptor is a potential strategy for treatment of various neurological and psychiatric disorders. Here, we describe the in vitro characterization of the mGlu2 positive allosteric modulator (PAM) JNJ-46281222 and its radiolabelled counterpart [(3) H]-JNJ-46281222. Using this novel tool, we also describe the allosteric effect of orthosteric glutamate binding and the presence of a bound G protein on PAM binding and use computational approaches to further investigate the binding mode. EXPERIMENTAL APPROACH: We have used radioligand binding studies, functional assays, site-directed mutagenesis, homology modelling and molecular dynamics to study the binding of JNJ-46281222. KEY RESULTS: JNJ-46281222 is an mGlu2 -selective, highly potent PAM with nanomolar affinity (KD = 1.7 nM). Binding of [(3) H]-JNJ-46281222 was increased by the presence of glutamate and greatly reduced by the presence of GTP, indicating the preference for a G protein bound state of the receptor for PAM binding. Its allosteric binding site was visualized and analysed by a computational docking and molecular dynamics study. The simulations revealed amino acid movements in regions expected to be important for activation. The binding mode was supported by [(3) H]-JNJ-46281222 binding experiments on mutant receptors. CONCLUSION AND IMPLICATIONS: Our results obtained with JNJ-46281222 in unlabelled and tritiated form further contribute to our understanding of mGlu2 allosteric modulation. The computational simulations and mutagenesis provide a plausible binding mode with indications of how the ligand permits allosteric activation. This study is therefore of interest for mGlu2 and class C receptor drug discovery.


Asunto(s)
Piperidinas/farmacología , Piridinas/farmacología , Receptores de Glutamato Metabotrópico/metabolismo , Triazoles/farmacología , Regulación Alostérica/efectos de los fármacos , Animales , Células CHO , Cricetulus , Humanos , Modelos Moleculares , Receptores de Glutamato Metabotrópico/genética
16.
PLoS One ; 10(12): e0144017, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26658273

RESUMEN

G-protein-coupled receptor (GPCR) agonists are known to induce both cellular adaptations resulting in tolerance to therapeutic effects and withdrawal symptoms upon treatment discontinuation. Glutamate neurotransmission is an integral part of sleep-wake mechanisms, which processes have translational relevance for central activity and target engagement. Here, we investigated the efficacy and tolerance potential of the metabotropic glutamate receptors (mGluR2/3) agonist LY354740 versus mGluR2 positive allosteric modulator (PAM) JNJ-42153605 on sleep-wake organisation in rats. In vitro, the selectivity and potency of JNJ-42153605 were characterized. In vivo, effects on sleep measures were investigated in rats after once daily oral repeated treatment for 7 days, withdrawal and consecutive re-administration of LY354740 (1-10 mg/kg) and JNJ-42153605 (3-30 mg/kg). JNJ-42153605 showed high affinity, potency and selectivity at mGluR2. Binding site analyses and knowledge-based docking confirmed the specificity of JNJ-42153605 at the mGluR2 allosteric binding site. Acute LY354740 and JNJ-42153605 dose-dependently decreased rapid eye movement (REM) sleep time and prolonged its onset latency. Sub chronic effects of LY354740 on REM sleep measures disappeared from day 3 onwards, whereas those of JNJ-42153605 were maintained after repeated exposure. LY354740 attenuated REM sleep homeostatic recovery, while this was preserved after JNJ-42153605 administration. JNJ-42153605 enhanced sleep continuity and efficiency, suggesting its potential as an add-on medication for impaired sleep quality during early stages of treatment. Abrupt cessation of JNJ-42153605 did not induce withdrawal phenomena and sleep disturbances, while the initial drug effect was fully reinstated after re-administration. Collectively, long-term treatment with JNJ-42153605 did not induce tolerance phenomena to its primary functional effects on sleep measures, nor adverse effects at withdrawal, while it promoted homeostatic recovery sleep. From the translational perspective, the present rodent findings suggest that mGluR2 positive allosteric modulation has therapeutic potential based on its superior long term efficacy over agonists in psychiatric disorders, particularly of those commonly occurring with REM sleep overdrive.


Asunto(s)
Compuestos Bicíclicos con Puentes/efectos adversos , Tolerancia a Medicamentos , Agonistas de Aminoácidos Excitadores/efectos adversos , Piridinas/farmacología , Receptores de Glutamato Metabotrópico/agonistas , Sueño REM/efectos de los fármacos , Triazinas/farmacología , Regulación Alostérica , Sitio Alostérico/efectos de los fármacos , Animales , Unión Competitiva , Células CHO , Membrana Celular/efectos de los fármacos , Membrana Celular/metabolismo , Cricetulus , Esquema de Medicación , Expresión Génica , Humanos , Ligandos , Masculino , Simulación del Acoplamiento Molecular , Unión Proteica , Ratas , Ratas Sprague-Dawley , Receptores de Glutamato Metabotrópico/genética , Receptores de Glutamato Metabotrópico/metabolismo , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo , Sueño REM/fisiología , Homología Estructural de Proteína , Vigilia/fisiología
17.
Pain Pract ; 15(1): 12-21, 2015 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24314001

RESUMEN

BACKGROUND: Low back pain (LBP) symptoms and signs are nonspecific. If required, diagnostic blocks may find the source of pain, but indicators of suspect diagnosis must be defined to identify anatomical targets. OBJECTIVE: To reach a consensus from an expert panel on the indicators for the most common causes of LBP. MATERIAL AND METHODS: A 3-round (2 telematic and 1 face-to-face) modified Delphi survey with a questionnaire on 78 evidence-based indicators of 7 LBP etiologies was completed by 23 experts. RESULTS: 98.7% of the questionnaire was consensuated. The most accepted indicators were for zygapophysial joint pain, painful ipsilateral paravertebral palpation, worsening with trunk extension, paravertebral musculature spasm on the affected articulation, and referred pain above the knee, without radicular pattern. For sacroiliac joint pain, unilateral pain when seating, with at least 3 described provoking tests: Approximation; gapping; Patrick's; Gaenslen's; thigh thrust; Fortin finger; and Gillet's tests. For discogenic pain, midline pain that may be provoked by pressure on the spinal processes at the affected level; for quadratus lumborum muscle, painful palpation on both the L1 level paravertebral region, referred to iliac crest, and the iliac crest, referred to greater trochanter. For iliopsoas muscle, pain elicited by thigh flexion, referred to buttock, inguinal region, and anterior thigh. For pyramidal muscle, pain while sitting on the affected side and positive Freiberg's test. For radicular pain, paresthesias and positive Lassègue's test at 60°. CONCLUSION: Seventy-seven diagnostic suspect indicators of LBP conditions were consensuated. These may facilitate conservative or interventional pain management decision-making.


Asunto(s)
Artralgia/diagnóstico , Músculos de la Espalda , Degeneración del Disco Intervertebral/diagnóstico , Dolor de la Región Lumbar/diagnóstico , Mialgia/diagnóstico , Radiculopatía/diagnóstico , Articulación Sacroiliaca , Articulación Cigapofisaria , Artralgia/complicaciones , Técnica Delphi , Humanos , Degeneración del Disco Intervertebral/complicaciones , Dolor de la Región Lumbar/etiología , Vértebras Lumbares , Mialgia/complicaciones , Radiculopatía/complicaciones , Encuestas y Cuestionarios , Evaluación de Síntomas
18.
J Mol Graph Model ; 53: 82-91, 2014 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-25086773

RESUMEN

Two QSAR approaches were applied to assist the design and to prioritise the synthesis of new active mGlu2 receptor positive allosteric modulators (PAMs). With the aim to explore a particular point of substitution the models successfully prioritised molecules originating from chemistry ideas and a large virtual library. The two methods, 3D topomer CoMFA and support vector machines with 2D ECFP6 fingerprints, delivered good correlation and success in this prospective application. Fourteen molecules with different substituent decoration were identified by the in silico models and synthesised. They were found to be highly active and their mGlu2 receptor PAM activity (pEC50) was predicted within 0.3 and 0.4log units of error with the two methods. The value of the molecules and the models for the future of the project is discussed.


Asunto(s)
Piridinas/química , Receptores de Glutamato Metabotrópico/antagonistas & inhibidores , Triazoles/química , Regulación Alostérica , Diseño de Fármacos , Guanosina 5'-O-(3-Tiotrifosfato)/química , Humanos , Modelos Moleculares , Unión Proteica , Relación Estructura-Actividad Cuantitativa , Receptores de Glutamato Metabotrópico/química
19.
J Med Chem ; 57(15): 6495-512, 2014 Aug 14.
Artículo en Inglés | MEDLINE | ID: mdl-25032784

RESUMEN

We previously reported the discovery of 4-aryl-substituted pyridones with mGlu2 PAM activity starting from the HTS hit 5. In this article, we describe a different exploration from 5 that led to the discovery of a novel subseries of phenylpiperidine-substituted pyridones. The optimization strategy involved the introduction of different spacers between the pyridone core and the phenyl ring of 5. The fine tuning of metabolism and hERG followed by differentiation of advanced leads that were identified on the basis of PK profiles and in vivo potency converged on lead compound 36 (JNJ-40411813). Full in vitro and in vivo profiles indicate that 36 displayed an optimal interplay between potency, selectivity, favorable ADMET/PK and cardiovascular safety profile, and central EEG activity. Compound 36 has been investigated in the clinic for schizophrenia and anxious depression disorders.


Asunto(s)
Ansiolíticos/química , Antipsicóticos/química , Piperidinas/química , Piridonas/química , Receptores de Glutamato Metabotrópico/metabolismo , Regulación Alostérica , Animales , Ansiolíticos/síntesis química , Ansiolíticos/farmacología , Antipsicóticos/síntesis química , Antipsicóticos/farmacología , Células CHO , Cricetulus , Perros , Canal de Potasio ERG1 , Electroencefalografía , Canales de Potasio Éter-A-Go-Go/fisiología , Células HEK293 , Humanos , Masculino , Técnicas de Placa-Clamp , Piperidinas/síntesis química , Piperidinas/farmacología , Piridonas/síntesis química , Piridonas/farmacología , Ensayo de Unión Radioligante , Ratas Sprague-Dawley , Sueño/efectos de los fármacos , Relación Estructura-Actividad , Vigilia/efectos de los fármacos
20.
J Pharmacol Exp Ther ; 346(3): 514-27, 2013 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-23766542

RESUMEN

Modulation of the metabotropic glutamate type 2 (mGlu2) receptor is considered a promising target for the treatment of central nervous system diseases such as schizophrenia. Here, we describe the pharmacological properties of the novel mGlu2 receptor positive allosteric modulator (PAM) 3-cyano-1-cyclopropylmethyl-4-(4-phenyl-piperidin-1-yl)-pyridine-2(1H)-one (JNJ-40068782) and its radioligand [(3)H]JNJ-40068782. In guanosine 5'-O-(3-[(35)S]thio)triphosphate binding, JNJ-40068782 produced a leftward and upward shift in the glutamate concentration-effect curve at human recombinant mGlu2 receptors. The EC50 of JNJ-40068782 for potentiation of an EC20-equivalent concentration of glutamate was 143 nM. Although JNJ-40068782 did not affect binding of the orthosteric antagonist [(3)H]2S-2-amino-2-(1S,2S-2-carboxycyclopropyl-1-yl)-3-(xanth-9-yl)propanoic acid (LY-341495), it did potentiate the binding of the agonist [(3)H](2S,2'R,3'R)-2-(2',3'-dicarboxylcyclopropyl)glycine (DCG-IV), demonstrating that it can allosterically affect binding at the agonist recognition site. The binding of [(3)H]JNJ-40068782 to human recombinant mGlu2 receptors in Chinese hamster ovary cells and rat brain receptors was saturable with a KD of ∼10 nM. In rat brain, the anatomic distribution of [(3)H]JNJ-40068782 was consistent with mGlu2 expression previously described and was most abundant in cortex and hippocampus. The ability of structurally unrelated PAMs to displace [(3)H]JNJ-40068782 suggests that PAMs may bind to common determinants within the same site. It is noteworthy that agonists also increased the binding affinity of [(3)H]JNJ-40068782. JNJ-40068782 influenced rat sleep-wake organization by decreasing rapid eye movement sleep with a lowest active dose of 3 mg/kg PO. In mice, JNJ-40068782 reversed phencyclidine-induced hyperlocomotion with an ED50 of 5.7 mg/kg s.c. Collectively, the present data demonstrate that JNJ-40068782 has utility in investigating the potential of mGlu2 modulation for the treatment of diseases characterized by disturbed glutamatergic signaling and highlight the value of [(3)H]JNJ-40068782 in exploring allosteric binding.


Asunto(s)
Fármacos actuantes sobre Aminoácidos Excitadores/farmacología , Piperidinas/farmacología , Piridonas/farmacología , Receptores de Glutamato Metabotrópico/efectos de los fármacos , Aminoácidos/metabolismo , Animales , Autorradiografía , Unión Competitiva/efectos de los fármacos , Química Encefálica , Células CHO , Calcio/metabolismo , Membrana Celular/efectos de los fármacos , Membrana Celular/metabolismo , Corteza Cerebral/efectos de los fármacos , Corteza Cerebral/metabolismo , Cricetinae , Cricetulus , Ciclopropanos/metabolismo , Agonistas de Aminoácidos Excitadores/metabolismo , Glicina/análogos & derivados , Glicina/metabolismo , Guanosina 5'-O-(3-Tiotrifosfato)/metabolismo , Humanos , Marcaje Isotópico , Ligandos , Masculino , Ratones , Actividad Motora/efectos de los fármacos , Ratas , Ratas Sprague-Dawley , Sueño/efectos de los fármacos , Tritio , Xantenos/metabolismo
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