Letter
Absolute Configuration and Biological Properties of Enantiomers of
CFTR Inhibitor BPO-27
David S. Snyder,†,‡ Lukmanee Tradtrantip,† Sailaja Battula,† Chenjuan Yao,† Puay-wah Phuan,†
James C. Fettinger,‡ Mark J. Kurth,‡ and A. S. Verkman*,†
†Departments of Medicine and Physiology, University of California, San Francisco, California 94143-0521, United States
‡Department of Chemistry, University of California, Davis, California 95616, United States
S
* Supporting Information
ABSTRACT: We previously reported benzopyrimido-pyrrolo-oxazine-
dione (BPO) inhibitors of the cystic fibrosis transmembrane conductance
regulator (CFTR) chloride channel and showed their efficacy in a model of
polycystic kidney disease. Here, we separated the enantiomers of lead
compound BPO-27 (1), which contains a single chiral center, and
determined their absolute configuration, activity, and metabolic stability.
Following separation by chiral supercritical fluid chromatography, the R
enantiomer, as determined by X-ray crystallography, inhibited CFTR
chloride conductance with IC50 ≈ 4 nM, while S enantiomer was inactive.
In vitro metabolic stability in hepatic microsomes showed both enantiomers as stable, with <5% metabolism in 4 h. Following
bolus interperitoneal administration in mice, serum (R)-1 decayed with t1/2 ≈ 1.6 h and gave sustained therapeutic
concentrations in kidney.
KEYWORDS: Cystic fibrosis, polycystic kidney disease, secretory diarrhea, crystallography
he cystic fibrosis transmembrane conductance regulator
(CFTR) protein is a cAMP-regulated chloride channel
chloride conductance with IC50 ≈ 4 nM, while the other
enantiomer was inactive.
T
expressed in secretory and absorptive epithelia.1 Loss of
function mutations in CFTR cause the genetic disease cystic
fibrosis (CF). Excess activation of CFTR in intestinal
enterocytes occurs in secretory diarrheas that are caused by
bacterial enterotoxins, such as cholera.2,3 CFTR is also involved
in fluid secretion into cysts in autosomal dominant polycystic
kidney disease (ADPKD).4,5 CFTR is thus an important drug
target, with CFTR activators (potentiators and correctors) for
cystic fibrosis therapy and CFTR inhibitors for therapy of
secretory diarrheas and ADPKD,6 and for CF research.
Separation of ∼1.0 g racemic ( )-1 was carried out utilizing
chiral supercritical fluid chromatography (SFC) on a RegisCell
3.0 × 25.0 cm column using a combination of CO2 and ethanol
containing 1% 2-propylamine. Two distinct peaks were
detected at 230 nm following elution (Figure 1A). Fraction 1
contained 413 mg with 99.5% e.e. (Figure 1B), and fraction 2
contained 396 mg with 98.6% e.e. (Figure 1C). As a
consequence of the separation process, the isolated material
was not the acid 1, but the 2-proplyamine carboxylic salt 2.
Optical rotation measurements revealed fraction 1 to be (+)-2
and fraction 2 to be (−)-2. When dissolved in aqueous buffer
under physiological conditions, both 2 and 1 convert to the
same carboxylate salt form.
CFTR inhibition potency was measured by short-circuit
current analysis in FRT epithelial cells expressing human CFTR
in the presence of a transepithelial chloride gradient and in
which the basolateral membrane was permeabilized with
amphotericin B. Under these conditions, short-circuit current
is proportional to CFTR chloride conductance. Figure 2A
shows no significant inhibition by (−)-2 at 100 nM, whereas
(+)-2 at 100 nM completely inhibited current. Figure 2B shows
the (+)-2 concentration-dependence, giving an IC50 ≈ 4 nM, as
compared to ∼8 nM for ( )-1 as reported previously.16
We previously identified several classes of small-molecule
CFTR inhibitors, including thiazolidinones (e.g., CFTRinh-
172),5,7−9 glycine hydrazides (e.g., GlyH-101),10−14 and
pyrimido-pyrrolo-quinoxalinediones (e.g., PPQ-102),15 and
showed their efficacy in models of polycystic kidney disease
and cholera toxin-induced secretory diarrhea. We recently
reported an analogue of PPQ-102, the benzopyrimido-pyrrolo-
oxazinedione BPO-27 (1) (Scheme 1),16 which inhibited
CFTR with IC50 ≈ 8 nM and had greatly improved in vitro
metabolic stability and aqueous solubility compared to PPQ-
102.15 Compound 1, which was synthesized and tested as a
racemic mixture (R/S 50:50), prevented and reversed renal cyst
formation in an embryonic kidney culture model of ADPKD.16
We separated 1 into its enantiomers with ≥98.6%
enantiomeric excess (e.e.), determined their absolute config-
uration by X-ray crystallography, and measured their CFTR
inhibition activity, metabolic stability, and in vivo pharmacology
in mice. A single enantiomer of 1 strongly inhibited CFTR
Received: July 31, 2012
Accepted: April 8, 2013
Published: April 8, 2013
© 2013 American Chemical Society
456
dx.doi.org/10.1021/ml400069k | ACS Med. Chem. Lett. 2013, 4, 456−459