
Bioorganic and Medicinal Chemistry p. 5000 - 5014 (2015)
Update date:2022-08-15
Topics:
Fujimori, Ikuo
Yukawa, Tomoya
Kamei, Taku
Nakada, Yoshihisa
Sakauchi, Nobuki
Yamada, Masami
Ohba, Yusuke
Takiguchi, Maiko
Kuno, Masako
Kamo, Izumi
Nakagawa, Hideyuki
Hamada, Teruki
Igari, Tomoko
Okuda, Teruaki
Yamamoto, Satoshi
Tsukamoto, Tetsuya
Ishichi, Yuji
Ueno, Hiroyuki
Centrally acting noradrenaline reuptake inhibitor (NRI) is reportedly effective for patients with stress urinary incontinence (SUI) by increasing urethral closure in the clinical Phase IIa study with esreboxetine. Noradrenaline transporters are expressed in both central and peripheral nervous systems and the contribution of each site to efficacy has not been clarified. This report describes the development of a series of peripheral-selective 7-phenyl-1,4-oxazepane NRIs to investigate the contribution of the peripheral site to increasing urethral resistance in rats. (6S,7R)-1,4-Oxazepane derivative 7 exhibited noradrenaline transporter inhibition with high selectivity against inhibitions of serotonin and dopamine transporters. A replacement of hydroxyl with acetamide group contributed to enhancement of peripheral selectivity by increasing molecular polarity. Compound 12, N-{[(6S,7R)-7-(3,4-dichlorophenyl)-1,4-oxazepan-6-yl]methyl}acetamide 0.5 fumarate, which showed effectively no brain penetration in rats, increased urethral resistance in a dose-dependent manner and exhibited a maximal effect on par with esreboxetine. These results demonstrate that the urethral resistance-increasing effects of NRI in rats are mainly caused by the inhibition of noradrenaline transporters in the peripheral sites.
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