Abstract

Tetrahydropyrazino-annelated theophylline (1,3-dimethylxanthine) derivatives have previously been shown to display increased water-solubility as compared to the parent xanthines due to their basic character. In the present study, we modified this promising scaffold by replacing the 1,3-dimethyl residues by a variety of alkyl groups including combinations of different substituents in both positions. Substituted benzyl or phenethyl residues were attached to the N8 of the resulting 1,3-dialkyl-tetrahydropyrazino[2,1-f ]purinediones with the aim to obtain multi-target drugs that block human A1 and A2A adenosine receptors (ARs) and monoaminoxidase B (MAO-B). 1,3-Diethyl-substituted derivatives showed high affinity for A1 ARs, e.g., 15d (PSB-18339, 8-m-bromobenzyl-substituted) displayed a Ki value of 13.6 nM combined with high selectivity. 1-Ethyl-3-propargyl-substituted derivatives exhibited increased A2A AR affinity. The 8-phenethyl derivative 20h was selective for the A2A AR (Ki 149 nM), while the corresponding 8-benzyl-substituted compound 20e (PSB-1869) blocked A1 and A2A ARs with equal potency (Ki A1, 180 nM; A2A, 282 nM). The 1-ethyl-3-methyl-substituted derivative 16a (PSB-18405) bearing a m,p-dichlorobenzyl residue at N8 blocked all three targets, A1 ARs (Ki 396 nM), A2A ARs (Ki 1,620 nM), and MAO-B (IC50 106 nM) with high selectivity vs. the other subtypes (A2B and A3 ARs, MAO-A), and can thus be considered as a multi-target drug. Our findings were rationalized by molecular docking studies based on previously published X-ray structures of the protein targets. The new drugs have potential for the treatment of neurodegenerative diseases, in particular Parkinson's disease.

Highlights

  • Adenosine receptors (ARs), those of the A2A subtype, have emerged as new targets for neurodegenerative diseases, in particular for Parkinson’s (PD) and Alzheimer’s disease (AD)

  • The concept of multi-target drugs interacting simultaneously with two or more pharmacological targets was proposed as a strategy for the treatment of complex diseases such as cancer, psychiatric disorders and neurodegenerative diseases (Geldenhuys and Van Der Schyf, 2013)

  • 10 μL of the substance solution was injected into a Phenomenex Luna C18 HPLC column (50 × 2.00 mm, particle size 3 μm) and elution was performed for 30 min at a flow rate of 250 μL/min with a gradient of water: methanol either containing 2 mM ammonium acetate from 90:10 up to 0:100, starting the gradient after 10 min or containing 2 mM ammonium acetate and 0.1% formic acid from 90:10 up to 0:100, starting the gradient after 10 min

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Summary

Introduction

Adenosine receptors (ARs), those of the A2A subtype, have emerged as new targets for neurodegenerative diseases, in particular for Parkinson’s (PD) and Alzheimer’s disease (AD). The 8-stryrylxanthine derivative istradefylline (Nouriast R , 1, Figure 1) was approved in Japan as adjunctive treatment of PD in combination with levodopa (Dungo and Deeks, 2013). The consumption of caffeine (2), which is a weakly potent and non-selective AR antagonist (Figure 1), was found to protect from PD and AD as demonstrated in a number of animal models as well as in large epidemiological studies in humans (Chen and Chern, 2011; Flaten et al, 2014). The concept of multi-target drugs interacting simultaneously with two or more pharmacological targets was proposed as a strategy for the treatment of complex diseases such as cancer, psychiatric disorders and neurodegenerative diseases (Geldenhuys and Van Der Schyf, 2013). Multi-target drugs may exhibit high efficacy due to synergistic effects, show a reduced risk of side effects, and result in improved compliance, especially in elderly patients, as compared to combination therapies of two or more different drugs

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