N-(Pivaloyloxy)alkoxy-carbonyl Prodrugs of the Glutamine Antagonist 6-Diazo-5-oxo-l-norleucine (DON) as a Potential Treatment for HIV Associated Neurocognitive Disorders.

N-(Pivaloyloxy)alkoxy-carbonyl Prodrugs of the Glutamine Antagonist 6-Diazo-5-oxo-l-norleucine (DON) as a Potential Treatment for HIV Associated Neurocognitive Disorders.
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DOI:
10.1021/acs.jmedchem.7b00966
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发表时间:
2017-08-24
影响因子:
7.3
通讯作者:
Slusher BS
Slusher BS
中科院分区:
医学1区
文献类型:
--
作者:
Nedelcovych MT;Tenora L;Kim BH;Kelschenbach J;Chao W;Hadas E;Jančařík A;Prchalová E;Zimmermann SC;Dash RP;Gadiano AJ;Garrett C;Furtmüller G;Oh B;Brandacher G;Alt J;Majer P;Volsky DJ;Rais R;Slusher BS

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异常兴奋性神经传递与谷氨酸过度产生有关,与hiv相关的神经认知障碍(HAND)的发展有关。谷氨酰胺拮抗剂6-重氮-5-氧- l -去甲亮氨酸(DON, 14)减弱hiv感染的小胶质细胞/巨噬细胞中的谷氨酸合成,为HAND的治疗提供了潜力。我们发现,14可以防止嵌合ecohiv感染小鼠(HAND模型)出现空间记忆缺陷。然而,由于其发展受到外周毒性的阻碍,目前尚无临床可用的14。我们描述了几种取代的N-(戊酰氧基)烷氧羰基14的前药的合成,这些前药被设计成在血浆中惰性循环,并被吸收并在大脑中生物转化为14。前药先导异丙基6-重氮-5-氧-2-((苯基(戊氧基)甲氧基)羰基)氨基己酸酯(13d)在猪和人血浆中稳定,但在猪脑匀浆中释放。当猪全身给药时,13d提供了15倍的csf -血浆比和9倍的脑-血浆比(相对于14),为HAND的治疗开辟了可能的临床途径。
Aberrant excitatory neurotransmission associated with overproduction of glutamate has been implicated in the development of HIV-associated neurocognitive disorders (HAND). The glutamine antagonist 6-diazo-5-oxo-L-norleucine (DON, 14) attenuates glutamate synthesis in HIV-infected microglia/macrophages, offering therapeutic potential for HAND. We show that 14 prevents manifestation of spatial memory deficits in chimeric EcoHIV-infected mice, a model of HAND. 14 is not clinically available, however, because its development was hampered by peripheral toxicities. We describe the synthesis of several substituted N-(pivaloyloxy)alkoxy-carbonyl prodrugs of 14 designed to circulate inert in plasma and be taken up and biotransformed to 14 in the brain. The lead prodrug, isopropyl 6-diazo-5-oxo-2-(((phenyl(pivaloyloxy)methoxy)-carbonyl)amino)hexanoate (13d), was stable in swine and human plasma but liberated 14 in swine brain homogenate. When dosed systemically in swine, 13d provided a 15-fold enhanced CSF-to-plasma ratio and a 9-fold enhanced brain-to-plasma ratio relative to 14, opening a possible clinical path for the treatment of HAND.
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