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Y. H. Kim et al. / Bioorg. Med. Chem. Lett. 18 (2008) 6279–6282
was a slight loss of PDE5 activity when compared with 15,
although the selectivity has been increased.
lacks in vivo efficacy in conscious rabbit model when dosed orally,
which was ascribed to low membrane permeability. When polar
hydroxyethyl group was incorporated at C8 (25 and 28), physico-
chemical properties such as Caco-2 permeability and protein bind-
ing were substantially improved. Compound 28 is not only more
potent (10-fold) than tadalafil and sildenafil for PDE5, but highly
selective against many PDE isozymes (selectivity ratios for
PDE6 > 470, PDE11 > 8600, PDE1 > 2000, PDE2 > 8600, and
PDE3 > 20,000). Moreover, both 25 and 28, were orally effective
in conscious rabbit model, demonstrating equal efficacy compared
to tadalafil. Thus, because of its improved PDE isozyme selectivity
profile compared with sildenafil and tadalafil, compounds 25 and
28 might be expected have fewer side effects if used for the treat-
ment of MED.
In order to evaluate the oral efficacy of a compound in induc-
ing the penile erection, conscious rabbits were used in this
study.17 Initially, 15 was evaluated in this model, but despite
excellent PDE5 potency, 15 was shown to be far less efficacious
than tadalafil (data not shown), and we hypothesized that low
membrane permeability and/or high protein binding (>99%) was
attributed to low efficacy. Therefore, we turned our attention to
the preparation of derivatives that have high membrane perme-
ability as well as relatively lower protein binding, and we believe
this could be achieved by introduction of polar functional groups
instead of simple alkyl groups at C8 position. As depicted in
Scheme 1, oxidation with OsO4/NaIO4 followed by reduction gave
C8 hydroxyethyl analogs (Table 2). Other analogs including car-
boxylic acid, amino, and 1,2-diol functionality were also prepared
and screened as PDE5 inhibitors; however, C8 hydroxyethyl ana-
logs were consistently the best moiety in terms of activity and
synthetic convenience as well as PDE5 potency. Gratifyingly, acet-
amido analog with C8 hydroxyethyl group (25) improved PDE5
activity by 2-fold relative to 17, while isozyme selectivity remains
the same. Incorporation of aromatic group in 26 resulted in dra-
matic loss of activity suggesting that there might be an optimal
steric requirement at C8 position. With isopropyl group in 27 re-
stored activity, although it is 2-fold inferior to methyl analog 25.
Of special note is the propionamide analog 28 which was 10-fold
more potent than sildenafil and tadalafil and represent the most
potent in our series. Compound 28 is not only 10-fold more po-
tent than tadalafil and sildenafil, it is significantly selective
against other PDE isozymes as indicated in Table 2 (selectivity
for PDE6 > 470 and PDE11 > 8700) and this ratios were also found
References and notes
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S. H.; Corbin, J. D. Mol. Pharm. 1999, 56, 124. Assays for other isozymes were
conducted in a similar manner..
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to be very large against PDE1, PDE2, and PDE3 (IC50 = 2.4
lM,
10.4 M, and 25.5
l
l
M, respectively).18
As mentioned before, we expected that incorporation of polar
functionality would lead to compounds that possess more prefera-
ble physicochemical properties such as solubility, membrane per-
meability, and protein binding. With highly potent derivatives in
our hands, selected compounds (25 and 28) were further assessed
for animal study. In contrast to 15 which has very low permeability
and high protein binding, both 25 and 28 were found to have excel-
lent Caco-2 permeability19 (17.3 Â 10À6 cm sÀ1 and 46.9 Â 10À6
cm sÀ1, respectively) and moderate protein binding relative to sil-
denafil (95% each, and 98% for sildenafil). Metabolic stability issue
was excluded since both 15 and 28 had fairly good microsomal sta-
bilities (>80% of parent compounds were remained after incuba-
tion for 1 h in rat and rabbit liver microsomes).
Encouraged by these results, both compounds (as hydrochloride
salts) were evaluated in conscious rabbit model as described ear-
lier17 (Fig. 2). Both compounds demonstrated equal efficacy com-
pared to tadalafil (3 mg/kg) when dosed orally and this effect
was shown to be dose-dependent (3 and 10 mg/kg) for both 25
and 28. No penile erection was observed in vehicle-treated ani-
mals, while the erectogenic effect was potentiated by SNP injection
(0.1 mg/kg), a nitric oxide donor that was used as a sexual stimu-
lant. When dosed alone at 3 mg/kg, negligible erection was ob-
served in both analogs; however, a significant penile erection
was potentiated at 10 mg/kg even in the absence of SNP injection.
It is interesting to note that Caco-2 permeability and protein bind-
ing were major predictors for oral in vivo efficacy of our quinazo-
line series as clearly demonstrated by 15 vs 25 and 28.
16. Selected data for 15: 1H NMR (400 MHz, DMSO-d6) d 8.53 (s, 1H), 8.47 (s, 1H),
8.17 (m, 1H), 7.48 (d, J = 2.1 Hz, 1H), 7.37 (dd, J = 8.5, 2.1 Hz, 1H), 7.05 (d,
J = 8.5 Hz, 1H), 4.83 (m, 2H), 3.90 (s, 3H), 3.86 (s, 3H), 3.10 (m, 2H), 1.68 (m,
2H), 0.98 (t, J = 3.8 Hz, 3H); MS (ESI) m/z 483 (M+H). For 25: 1H NMR (400 MHz,
CD3OD) d 8.51 (s, 1H), 8.43 (s, 1H), 7.40 (d, J = 2.1 Hz, 1H), 7.10 (dd, J = 8.5,
2.1 Hz, 1H), 7.01 (d, J = 8.5 Hz, 1H), 4.75 (s, 2H), 3.88–3.82 (m, 8H), 3.36 (m,
2H), 2.27 (s, 3H); MS (ESI) m/z 431 (M + H). For 28: 1H NMR (400 MHz, CD3OD)
d 8.50 (s, 1H), 8.41 (s, 1H), 7.38 (d, J = 2.0 Hz, 1H), 7.28 (dd, J = 8.5, 2.0 Hz, 1H),
6.98 (d, J = 8.5 Hz, 1H), 4.73 (s, 2H), 3.89–3.81 (m, 8H), 3.35 (t, J = 6.9 Hz, 2H),
2.54 (q, J = 7.6 Hz, 2H), 1.25 (t, J = 7.6 Hz, 3H); MS (ESI) m/z 445 (M+H).
17. (a) Bischoff, E.; Niewoehner, U.; Haning, H.; Es Sayed, M.; Schenke, T.;
Schlemmer, K. H. J. Urol. 2001, 165, 1315; b Kang, K. K.; Ahn, G. J.; Ahn, B. O.;
Yoo, M.; Kim, W. B. Eur. Urol. 2003, 43, 689. In brief, New Zealand white rabbits
weighing 3–4 kg (n = 4) were orally dosed (dissolved in distilled water) with
compounds, followed by injection of SNP (0.1 mg/0.1 ml/kg, dissolved in
saline) after 60 min, and the length of penis (covered + mucosa area) was
measured with sliding calipers, recorded in cm for total 2 or 2.5 h after
administration of test compounds.
In summary, starting from screening hit, we have identified a
series of potent PDE5 inhibitors based on 4-benzylaminoquinazo-
line scaffold. By systematic variation of C6, C7, and C8 positions
of quinazoline scaffold through unique and efficient chemistry,
we were able to obtain potent and highly selective analogs against
PDE6 and PDE11. Initial lead compound (15), albeit potent in vitro
18. Enzyme sources: PDE1, bovine heart; PDE2, bovine heart; PDE3, bovine
platelet; PDE5, bovine platelet; PDE6, bovine retina; and PDE11, human
recombinant.
19. Artursson, P.; Tavelin, S.. In Drug Bioavailability; Waterbeemd, H., Lennernas, H.,
Artursson, P., Eds.; Wiley-VCH, 2003; Vol. 18, pp 72–89 (Methods and
Principles in Medicinal Chemistry series).