Letters
Journal of Medicinal Chemistry, 2008, Vol. 51, No. 12 3359
receptor hypofunction hypothesis of schizophrenia. Arch. Gen. Psy-
chiatry 2003, 60, 572–576.
(4) Hashimoto, K.; Engberg, G.; Shimizu, E.; Nordin, C.; Lindstrom, L. H.;
Iyo, M. Reduced D-serine to total serine ratio in the cerebrospinal fluid
of drug naive schizophrenic patients. Prog. Neuropsychopharmacol.
Biol. Psychiatry 2005, 29, 767–769.
(5) Curti, B.; Ronchi, S.; Simonetta, P. M. D- and L-Amino Acid Oxidases.
In Chemistry and Biochemistry of FlaVoenzyme; Mu¨ller, F., Ed.; CRC
Press: Boca Raton, FL, 1992; Vol. 3, pp 69-94.
(6) Ganote, C. E.; Peterson, D. R.; Carone, F. A. The nature of D-serine-
induced nephrotoxicity. Am. J. Pathol. 1974, 77, 269–282.
(7) Williams, R. E.; Lock, E. A. Sodium benzoate attenuates D-serine
induced nephrotoxicity in the rat. Toxicology 2005, 207, 35–48.
(8) Cook, S. P.; Galve-Roperh, I.; Martinez del Pozo, A.; Rodriguez-
Crespo, I. Direct calcium binding results in activation of brain serine
racemase. J. Biol. Chem. 2002, 277, 27782–27792.
(9) Simultaneous to our work on this series, two patent applications were
published disclosing the same series of DAAO inhibitors. (a) Kennis,
L. E. J.; Vanhoof, G. C. P.; Bongartz, J.-P. A. M.; Luyckx, M. G. M.;
Minke, W. E. Benzisoxazoles. PCT Int. Appl. WO 2005/089753, 2005.
(b) Fang, Q. K.; Hopkins, S.; Jones, S. Benzo[d]isoxazol-3-ol DAAO
Inhibitors. U.S. Pat. Appl. 20050143434, 2005.
(10) Vanoni, M. A.; Cosma, A.; Mazzeo, D.; Mattevi, A.; Todone, F.; Curti,
B. Limited proteolysis and X-ray crystallography reveal the origin of
substrate specificity and of the rate-limiting product release during
oxidation of D-amino acids catalyzed by mammalian D-amino acid
oxidase. Biochemistry 1997, 36, 5624–5632.
(11) Mattevi, A.; Vanoni, M. A.; Todone, F.; Rizzi, M.; Teplyakov, A.;
Coda, A.; Bolognesi, M.; Curti, B. Crystal structure of D-amino acid
oxidase: a case of active site mirror-image convergent evolution with
flavocytochrome b2. Proc. Natl. Acad. Sci. U.S.A. 1996, 93, 7496–
7501.
(12) Kalkote, U. R.; Goswami, D. D. New synthesis of 1,2-benzisoxazole
derivatives. Aust. J. Chem. 1977, 30, 1847–1850.
points, the extracellular levels of D-serine following coadmin-
istration of CBIO (30 mg/kg) increased by more than 60%
compared to the basal levels.
Figure 3 also shows that oral administration of CBIO alone
did not affect the extracellular levels of D-serine. Therefore, the
enhancement of D-serine levels in the prefrontal cortex following
coadministration of D-serine and CBIO is likely due to increased
systemic D-serine levels because D-serine is capable of penetrat-
ing the blood-brain barrier.17 One could attribute CBIO’s
inability to autonomously enhance D-serine levels in the brain
to its poor blood-brain barrier (BBB) permeability.
Interestingly, a recent report from Dr. Adage’s group showed
a slight increase in D-serine levels in rat cortex and midbrain
following intravenous administration of a pyrazole-3-carboxylate
based DAAO inhibitor alone.16 This effect may be due to its
superior ability to penetrate the blood-brain barrier. It has been
reported, however, that there is little overlap in distribution of
DAAO and NMDA receptors in the brain.18 Therefore, even a
brain-penetrable DAAO inhibitor may not be able to signifi-
cantly enhance NMDA receptor-mediated neurotransmission by
itself.
Our study indicates that coadministration of D-serine and a
DAAO inhibitor represents a more effective approach for
delivering D-serine to the site of its action. Inhibition of DAAO
should also reduce oxidative stress and reduce nephrotoxicity.7
Pharmacological evaluation of D-serine/CBIO coadministration
is currently underway using animal models of schizophrenia.
(13) Geffken, D. The cyclisation of salicylamides and salicylohydroxamic
acids with 1,1′-carbonyldiimidazole. Liebigs Ann. Chem. 1981, 1513–
1514.
(14) Dixon, M.; Kleppe, K. D-Amino acid oxidase II. Specificity, competi-
tive inhibition and reaction sequence. Biochim. Biophys. Acta 1965,
96, 368–382.
Acknowledgment. We thank Yuko Fujita for conducting
in vivo experiments in rats. This work is partly supported by a
grant from the Ministry of Education, Culture, Sports, Science
and Technology of Japan (Grant 18053004 to K.H.).
(15) Fukushima, T.; Kawai, J.; Imai, K.; Toyo’oka, T. Simultaneous
determination of D- and L-serine in rat brain microdialysis sample using
a column-switching HPLC with fluorimetric detection. Biomed.
Chromatogr. 2004, 18, 813–819.
(16) Adage, T.; Trillat, A. C.; Quattropani, A.; Perrin, D.; Cavarec, L.;
Shaw, J.; Guerassimenko, O.; Giachetti, C.; Greco, B.; Chumakov,
I.; Halazy, S.; Roach, A.; Zaratin, P. In vitro and in vivo pharmaco-
logical profile of AS057278, a selective D-amino acid oxidase inhibitor
with potential anti-psychotic properties. Eur. Neuropsychopharmacol.
2008, 18, 200–214.
(17) Bauer, D.; Hamacher, K.; Broer, S.; Pauleit, D.; Palm, C.; Zilles, K.;
Coenen, H. H.; Langen, K. J. Preferred stereoselective brain uptake
of D-serine, a modulator of glutamatergic neurotransmission. Nucl.
Med. Biol. 2005, 32, 793–797.
(18) Horiike, K.; Tojo, H.; Arai, R.; Nozaki, M.; Maeda, T. D-Amino-acid
oxidase is confined to the lower brain stem and cerebellum in rat brain:
regional differentiation of astrocytes. Brain Res. 1994, 652, 297–303.
Supporting Information Available: Synthetic procedures for
CMBI and 3a-n, elemental analysis data, in vitro D-amino acid
oxidase assay method, and in vivo experimental procedures. This
material is available free of charge via the Internet at http://
pubs.acs.org.
References
(1) Millan, M. J. N-Methyl-D-aspartate receptors as a target for improved
antipsychotic agents: novel insights and clinical perspectives. Psy-
chopharmacology 2005, 179, 30–53.
(2) Tsai, G.; Yang, P.; Chung, L. C.; Lange, N.; Coyle, J. T. D-Serine
added to antipsychotics for the treatment of schizophrenia. Biol.
Psychiatry 1998, 44, 1081–1089.
(3) Hashimoto, K.; Fukushima, T.; Shimizu, E.; Komatsu, N.; Watanabe,
H.; Shinoda, N.; Nakazato, M.; Kumakiri, C.; Okada, S.; Hasegawa,
H.; Imai, K.; Iyo, M. Decreased serum levels of D-serine in patients
with schizophrenia: evidence in support of the N-methyl-D-aspartate
JM800200U