DOI: 10.1002/cmdc.200900472
Enol Carbamates as Inhibitors of Fatty Acid Amide Hydrolase (FAAH)
Endowed with High Selectivity for FAAH over the Other Targets of the
Endocannabinoid System
Sonia Gattinoni,[a] Chiara De Simone,[b, c] Sabrina Dallavalle,[a] Filomena Fezza,[b, c] Raffaella Nannei,[a]
Daniele Amadio,[b, c] Patrizia Minetti,[d] Gianandrea Quattrociocchi,[d] Antonio Caprioli,[d] Franco Borsini,[d]
Walter Cabri,[d] Sergio Penco,[d] Lucio Merlini,*[a] and Mauro Maccarrone*[c]
Fatty acid amide hydrolase (FAAH) is an enzyme bound to in-
tracellular membranes, mainly of the endoplasmic reticulum,[1]
which regulates the cellular level and activity of fatty acid
amides.[2] These substances belong to the endogenous canna-
binoids (“endocannabinoids”), a family of lipid signals that
exert several biological activities, including anticancer, anti-is-
chemic, anti-inflammatory, antidepressant, analgesic, anxiolytic,
anorectic and bone-stimulant actions, to name just a few.[3] En-
docannabinoids include the neurotransmitter N-arachidonoyl-
ethanolamine (anandamide, AEA),[4] the anti-inflammatory
factor N-palmitoylethanolamine,[5] the sleep-inducing com-
pound oleoylamide,[6] and the satiating signal N-oleoylethanol-
amine.[7] Some of the effects of endocannabinoids are mediat-
ed via the type-1 (CB1R) or type-2 (CB2R) cannabinoid recep-
tors, while others may involve additional targets like the transi-
ent receptor potential vanilloid-1 (TRPV1)[3] and peroxisome
proliferator-activated receptors (PPARs).[8]
therapeutic approach for the treatment of cancer, eating disor-
ders, inflammation, pain, anxiety, depression, sleep disturban-
ces, and other central nervous system (CNS) disorders.[12,13]
Of course, it is also important that the beneficial effects of
increasing the endogenous level of AEA through FAAH inhibi-
tion are not offset by unwanted modulation of other biological
targets that recognize this lipid, such as the cannabinoid and
vanilloid receptors, or the proteins that synthesize N-acylphos-
phatidylethanolamide-phospholipase D (NAPE-PLD) and alleg-
edly transport it (anandamide membrane transporter, AMT).
These proteins form the endocannabinoid system (ECS), which
includes other well-characterized elements, such as the en-
zymes responsible for synthesis (diacylglycerol lipase, DAGL) or
degradation (monoacylglycerol lipase, MAGL) of 2-arachido-
noylglycerol.[14] It is also noteworthy that AEA can have contra-
ry biological effects when acting at different receptors (e.g.,
CBRs vs TRPV1), and a different activity compared to that of 2-
arachidonoylglycerol.[15] Therefore, it is not surprising that in-
teraction of a drug, targeted towards a particular ECS enzyme,
with other ECS components could lead to reduced therapeutic
efficacy, for example in the treatment of cancer,[14] or of neuro-
degenerative/inflammatory diseases.[15] For instance, the thera-
peutic advantage of a popular AMT inhibitor AM404 has been
reconsidered when it was shown to also activate TRPV1 recep-
tors.[16] Similarly, the TRPV1 agonist olvanil has been shown to
inhibit AMT,[17] and the putative AMT blocker LY2183240 is
known to also inhibit FAAH and MAGL.[18] Overall, the promis-
cuity of such drugs, intended to target a single ECS compo-
nent but able to interact with others, has raised concerns
about their true efficacy as therapeutics. On this basis, a careful
evaluation of the selectivity of inhibitors for FAAH over other
targets of the ECS seems a prerequisite for effective drug
development.
Among different metabolic pathways that can modulate the
endogenous levels of endocannabinoids, and hence their bio-
logical actions,[9] FAAH has emerged as a key player. In fact,
FAAH inactivation by either genetic ablation of the faah
gene[10] or chemical inhibition[11] increases the level of fatty
acid amides, and consequently their central and peripheral ac-
tivities. However, unlike direct agonists of CB1R, FAAH inhibi-
tors do not cause classical effects triggered by this receptor
(e.g., catalepsy, hypothermia, and hyperphagia), nor are they
accompanied by undesirable side effects typically due to CB1R
activation, like impairment of cognition and motor control.
Therefore, chemical inhibition of FAAH is considered a useful
[a] Dr. S. Gattinoni,+ Dr. S. Dallavalle, Dr. R. Nannei, Prof. L. Merlini
DISMA, Universitꢀ degli Studi di Milano, Via Celoria 2, 20133 Milano (Italy)
Fax: (+39)02-50316801
[b] Dr. C. De Simone,+ Dr. F. Fezza, Dr. D. Amadio
FAAH belongs to an unusual class of serine hydrolases that
utilizes a serine–serine–lysine catalytic triad,[2] and therefore
potent electrophiles, such as fluorophosphonates and fluoro-
sulfonates, are important tools for evaluating the biochemistry
of FAAH.[19] Starting from activated ketones designed as puta-
tive active-site traps, and including chloroketones, a-keto-
amides, a-ketoesters, trifluoromethylketones and diazoke-
tones,[12] past development of FAAH inhibitors has led to the
recent discovery of several classes of a-ketoheterocycles as
potent and highly selective blockers of FAAH, compared to
other serine hydrolases.[13,20] However, the systematic study of
specificity towards FAAH over all the other well-defined ECS el-
ements has been investigated only rarely (e.g., in the case of
Dipartimento di Medicina Sperimentale e Scienze Biochimiche
Universitꢀ degli Studi di Roma “Tor Vergata”, 00133 Rome (Italy)
[c] Dr. C. De Simone,+ Dr. F. Fezza, Dr. D. Amadio, Prof. Dr. M. Maccarrone
Dipartimento di Scienze Biomediche, Universitꢀ degli Studi di Teramo
Piazza A. Moro 45, 64100 Teramo, Italy, & Centro Europeo di Ricerca sul
Cervello (CERC)/IRCCS Fondazione Santa Lucia, 00143 Rome (Italy)
Fax: (+39)0861-266877
[d] Dr. P. Minetti, Dr. G. Quattrociocchi, Dr. A. Caprioli, Dr. F. Borsini,
Dr. W. Cabri, Dr. S. Penco
Sigma-Tau R&D, 00040 Pomezia (Italy)
[+] These authors contributed equally to the study.
Supporting information for this article is available on the WWW under
ChemMedChem 2010, 5, 357 – 360
ꢀ 2010 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim
357