Optimization of novel indole-2-carboxamide inhibitors of neurotropic alphavirus replication.

Optimization of novel indole-2-carboxamide inhibitors of neurotropic alphavirus replication.
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DOI:
10.1021/jm401330r
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发表时间:
2013-11-27
影响因子:
7.3
通讯作者:
Larsen SD
Larsen SD
中科院分区:
医学1区
文献类型:
--
作者:
Sindac JA;Barraza SJ;Dobry CJ;Xiang J;Blakely PK;Irani DN;Keep RF;Miller DJ;Larsen SD

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Neurotropic alphaviruses, which include western equine encephalitis virus (WEEV) and Fort Morgan virus, are mosquito-borne pathogens that infect the central nervous system causing acute and potentially fatal encephalitis. We previously reported a novel series of indole-2-carboxamides as alphavirus replication inhibitors, one of which conferred protection against neuroadapted Sindbis virus infection in mice. We describe here further development of this series resulting in 10-fold improvement in potency in a WEEV replicon assay and up to 40-fold increases in half-lives in mouse liver microsomes. Using a rhodamine123 uptake assay in MDR1-MDCKII cells we were able to identify structural modifications that markedly reduce recognition by P-glycoprotein, the key efflux transporter at the blood brain barrier. In a preliminary mouse PK study we were able to demonstrate that two new analogs could achieve higher and/or longer plasma drug exposures than our previous lead, and that one compound achieved measurable drug levels in the brain.
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