C. Pégurier et al. / Bioorg. Med. Chem. Lett. 20 (2010) 2542–2545
2545
Table 5
zure models, which may yield more conclusive results regarding
the anticonvulsant potential of KCC2 inhibition.
Compared in vivo rat PK profile of hit and optimized compound
Compd t1/2a (h) Cla (mL/min/kg) AUCb (ng h/mL) Cmax (ng/mL)
F
b
(%)
Acknowledgments
2
13
2.4
0.3
61
26
8.6
726
11.9
457
0.5
18
This work was financed in part by the Walloon Region (Bel-
gium) under the Convention n°5296. The authors thank Véronique
Pinilla and her team for performing chiral chromatography and Be-
noit Mathieu for measuring solubility.
Compounds dosed at a1 mg/kg iv and b6 mg/kg po in male Wistar rats.
does not display similar low clearance such as 13. Compound 13
was also tested in an extended receptogram of more than 50 CNS
receptors, channels or enzymes and no activity was observed at
References and notes
1. Song, L.; Mercado, A.; Vazquez, N.; Xie, Q.; Desai, R.; George, A. L.; Gamba, G.;
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10 lM. Enantiomers of 13 were also prepared and a 100-fold dif-
ference in potency was found as for the hit compound 2 (compare
(+)-13 and its enantiomer (À)-13).
2. Rivera, C.; Voipio, J.; Payne, J. A.; Ruusuvuori, E.; Lahtinen, H.; Lamsa, K.;
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further and the in vivo PK profile was evaluated in rat (Table 5).
Compound 13 showed in rat a lower clearance, higher plasma
exposures and an improved oral bioavailability compared to com-
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7. The rat isoform of KCC2 was cloned and transfected into the human liver
adenocarcinoma cell line SK-Hep. A stable clone was selected by a 86Rb+ influx
assay. The KCC2 assay consists in the activation of the co-transporter by the
alkylating agent N-ethylmaleimide (which induces dephosphorylation of KCC2)
in the presence of the test compound and to induce the Rb+ influx by adding
5 mM RbCl to the extracellular medium. The Rb influx is stopped after 10 min
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pound 13 reached free brain levels close to 6 lM, which was
sixfold higher than the in vitro IC50 for KCC2 and then sufficient
to be evaluated in an in vivo model of epilepsy, the audiogenic
mouse seizure test.12 Compound 13 is inactive in this test up to
75 mg/kg (ip injection 5 min before stimulation). Thus, the block-
ade of KCC2 co-transporter doesn’t protect against sound-induced
seizure in the audiogenic mouse. This observation may be consis-
tent with the fact that furosemide shows limited efficacy in this
model only at doses exceeding 100 mg/kg.14 Furthermore, furose-
mide displays anti-epileptiform activity in vitro only at mM con-
centrations13, which are much higher than its IC50s for KCC2 and
8. The NKCC1 assay was developed on a MDCK (Madin Darby Canine Kidney) cell
line expressing an endogenous canine NKCC1 isoform. The NKCC1 co-
transporter is activated by incubating the cells during 2 h in
a
ClÀ free
medium (which induces phosphorylation of the co-transporter) and Rb+ influx
is stimulated during 45 min by adding 20 mM RbCl to the extracellular
solution. The amount of intracellular Rb+ is determined by atomic absorption
spectroscopy.
9. Confalone, P. N.; Huie, E. M.; Ko, S. S.; Cole, G. M. J. Org. Chem. 1988, 53, 482.
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12. Male genetically sound-sensitive mice, weighing 18–30 g, are used. They are
submitted to a first challenge for selection of responding animals. An acoustic
stimulus (85 dB, 10–20 kHz) is delivered for 30 s. The mice are observed and
the presence of the three phases of the seizure activity (wild running, clonic
and tonic convulsions) is noted. The next day, compounds are administered
before induction of the acoustic stimulus and the proportion of animals
protected against the three phases is calculated in each group (N = 10 animals/
tested dose).
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NKCC1, 25 lM and 3 lM, respectively. Thus, anticonvulsant activ-
ity of furosemide appears to be model dependent15 and difficult to
link specifically with KCC2 inhibition.
In conclusion, we describe the discovery of a novel class of
selective submicromolar KCC2 blockers: the benzyl N-acyl 2-ben-
zylprolinate derivatives. SAR modulations allowed for the identifi-
cation of an analogue 13 with drug-like properties and good brain
exposure in mice. This compound was found inactive in an in vivo
model of seizures, which could argue against the concept of using
KCC2 blockers for the treatment of epilepsy. However, further
characterization of compound 13 will be performed in other sei-