656 Original Article
Fig. 1 Structures of fluorinated ligands: (4-[18 F]
FDP) – a, (2-[18 F]fluoro-CP-118,954) – b, 3-[1-(4-
[
18 F]fluorobenzyl)piperidin-4-yl]-1-(1-methyl-1H-
indol-3-yl)propan-1-one – c [6,9,10].
that the main enzyme responsible for ACh hydrolysis is AChE,
ion channel modulators, histamine antagonists, calcium channel
blockers, nootropics, and other [13]. Furthermore, there have
been studies conducted on novel compounds that present
cholinesterase inhibition activity. Among them there are for
example: phenserine, metrifonate and ambemonium [12].
Incorporation of fluorine atoms into drug candidate structure is
becoming a commonplace, and enables to obtain various
improved properties, such as enhanced binding interactions,
metabolic stability, changes in physical properties, and selective
reactivity [14]. Therefore, it is of vital importance to search for
highly selective and potent compounds with fluorine atoms in
their structure with AChE inhibitory properties. Bis-(6-fluoro)-
tacrines, synthesized by Hu et al. were found to be more potent
in inhibiting rat AChE than tacrine and the unsubstituted bis-
tacrine [15].
Development of new therapies for AD is extremely important,
thus in continuation of our previous study [16], we present syn-
thesis of a new series of amino derivatives of tetrahydroacridine
coupled with fluorobenzoic acid as potential multifunctional
drugs. Fluorobenzoic acid, for the first time coupled with tet-
rahydroacridine derivatives, possesses dual course of action.
Firstly, it could improve anticholinesterase activity and, after
radiolabeling, it could be regard as a potential marker for diag-
nostic imaging. Within this study all synthesized compounds
were evaluated towards inhibition of both cholinesterases, and
studies of molecular modeling were performed to estimate the
binding mode with both enzymes.
however, significant evidence pointing to the role of BChE in
physiological cholinergic function has appeared [5]. Apart from
ACh hydrolysis these both enzymes exhibit noncholinergic func-
tions which include participation in many cellular processes,
neuron development and differentiation, regional cerebral blood
flow, and in the amyloid cascade [2,3].
It has been reported that the ratio BChE/AChE gradually elevates
in AD brain, partially because of the progressive loss of the
cholinergic synapses where AChE activity is located. Thus, the
use of BChE inhibitors in treating moderate to severe forms of
AD might be favorable, and, on the other hand, AChE has become
an attractive target for the diagnosis of AD due to the significant
reduction in its activity. Two radioligand approaches: radiola-
beled substrates and inhibitors of AChE might be used in in vivo
studies of AChE. [6] Radiolabeled AChE inhibitors have been
developed as a means of visualizing the AChE density, however,
some radioligands (for example [11C]physostigmine, N-[11C]
methyltacrine) allow only nonspecific binding in the brain
regions because of their low selectivity of AChE over BChE and
mild binding properties to AChE [6–8]. There are also available
18F-labeled radioligands, such as 1-(4-[18F]fluorobenzyl)-4-
[(5,6-dimethoxy-1-oxoindan-2-yl)methyl]piperidine
FDP), [9]
3-[1-(4-[18F]fluorobenzyl)piperidin-4-yl]-1-(1-
(4-[18F]
methyl-1H-indol-3-yl)propan-1-one, its 3-[18F]fluoromethyl-
benzyl derivative [10]. A novel radioligand 5,7-dihydro-3-
[ 2 - [ 1 - ( 2 -f l u o ro b e n z yl ) - 4 - p i p e r i d i nyl ] et hyl ] - 6 H -
pyrrolo[3,2,f]-1,2-benzisoxazol-6-one (2-[18F]fluoro-CP-118,954)
in in vivo distribution studies demonstrated a high level of radio-
ligand accumulation both in the striatum and the olfactory
Materials and Methods
▶
tubercle, which are AChE-rich regions [6] ( Fig. 1) .
●
▼
E ffective treatment is as much important as early diagnosis of
AD. Nowadays the only class of drugs used in the treatment of
the cognitive and functional symptoms of AD is acetylcho-
linesterase inhibitors (AChEIs), which contribute to the retarda-
tion of AD progression. There are 4 AChEIs that are widely
approved for mild to moderate AD. These are: tacrine (now
tacrine is withdrawn), donepezil, rivastigmine and galantamine
[11,12].
Due to the fact that there has been made deep insight into the
pathological background of Alzheimer’s and understanding of
the disease, researchers have contributed to the development of
several new treatment strategies that might have the potential
to change the course of AD. There are currently in development
neuroprotective, and neuron-restorative drugs, such as agonists
of the nicotinic acetylcholine receptors (nAChRs), serotonin
antagonists, γ-aminobutyric acidB (GABAB) antagonists,
N-methyl-D-aspartate (NMDA) receptor antagonists and NMDA
Chemistry
Accomplished synthesis of all compounds comprised 3 stages.
The first part involved preparation of the heterocycle and, after-
wards, connection of it with aliphatic chain varying in number
of carbon atoms. Then, we combined obtained moiety with
4-fluorobenzoic acid which was activated by 2-chloro-4,6-dime-
thoxy-1,3,5-triazine (CDMT). As previously reported [15] we
prepared 9-chloro-1,2,3,4-tetrahydroacridine by the cyclization
of anthranilic acid with cyclohexanone in POCl3. The next step of
synthesis involved reaction between 9-chloro-1,2,3,4-tetrahy-
droacridine and the appropriate ω-diamine (2 equivalents) in
presence of phenol and sodium iodide [17,18].
Intermediates (2a–2e) were obtained according to previously
published protocols [16,19–24]. The last step of the synthesis
was to couple activated 4-fluorobenzoic acid with compounds
(2a–2e) in 2 independent steps in a one-pot synthesis. In the
first phase, the carboxylic group of fluorobenzoic acid was acti-
Szymański P et al. New derivatives of tetrahydroacridine as acetylcholinesterase inhibitors. Arzneimittelforschung 2012; 62: 655–660