Abstract

Inhibition of glucosylceramide synthase (GCS) is a major therapeutic strategy for Gaucher's disease and has been suggested as a potential target for treating Parkinson's disease. Herein, we report the discovery of novel brain-penetrant GCS inhibitors. Assessment of the structure-activity relationship revealed a unique pharmacophore in this series. The lipophilic ortho-substituent of aromatic ring A and the appropriate directionality of aromatic ring B were key for potency. Optimization of the absorption, distribution, metabolism, elimination, toxicity (ADMETox) profile resulted in the discovery of T-036, a potent GCS inhibitor in vivo. Pharmacophore-based scaffold hopping was performed to mitigate safety concerns associated with T-036. The ring opening of T-036 resulted in another potent GCS inhibitor with a lower toxicological risk, T-690, which reduced glucosylceramide in a dose-dependent manner in the plasma and cortex of mice. Finally, we discuss the structural aspects of the compounds that impart a unique inhibition mode and lower the cardiovascular risk.

Highlights

  • Glucosylceramide synthase (GCS), known to catalyze glucosylceramide (GlcCer) synthesis from ceramide (Cer) and uridine diphosphate-glucose (UDP-glucose), is a key enzyme in glycolipid synthesis, as GlcCer is the starting point for the synthesis of other glycolipids.[1]

  • Charged Aerosol Detector (CAD) demonstrates safety liabilities such as modulation of ion channel activity, potentially increasing the risk of cardiovascular (CV) adverse effects.[22−24] Given the interest in GCS inhibitors as a therapeutic target for Gaucher’s disease (GD) and Parkinson’s disease, we explored a brain-penetrant GCS inhibitor without a basic amine that generates a cationic structure to mitigate CV risks

  • To identify novel compounds that decrease levels of GlcCer, we conducted a highthroughput screening campaign using a cellular assay, which measured the decrease of GlcCer in fibroblasts obtained from patients with GD

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Summary

■ INTRODUCTION

Glucosylceramide synthase (GCS), known to catalyze glucosylceramide (GlcCer) synthesis from ceramide (Cer) and uridine diphosphate-glucose (UDP-glucose), is a key enzyme in glycolipid synthesis, as GlcCer is the starting point for the synthesis of other glycolipids.[1]. The potent and metabolically stable GCS inhibitor 15 exhibited moderate brain penetration (Kpuu,brain = 0.20; see Table S1 for detailed results); 15 showed human ether-a-go-go-related gene (hERG) inhibition (51.4% inhibition at 10 μM) and poor solubility (

■ CONCLUSIONS
■ ACKNOWLEDGMENTS
■ REFERENCES
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