C. Esteve et al. / Bioorg. Med. Chem. Lett. 25 (2015) 1217–1222
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Table 5
Wistar rat pharmacokinetic parameters of selected derivativesa,b
Compound
iv (1 mg/kg)
p.o (10 mg/kg)
t1/2 (h)
AUC(0–24) (ng h/mL)
Cl (mL/min/kg)
Vss (L/kg)
Cmax (ng/mL)
AUC(0–24) (ng h/mL)
F (%)
14b
14d
2.1 0.2
8.0 0.7
596 136
1824 279
24
8
0
1
4.2 0.4
153 57
807 415
2179 985
11219 3100
37 17
62 17
5
1
a
Mean values SD (n = 2).
b
Formulation: iv: 50% PEG400 + 10% ethanol (compounds 4 and 11) and 40% PEG300 + 10% ethanol (compound 9); p.o.: 0.5% methylcellulose + 0.1% Tween 80.
Compounds 9b, 14b and 14d were chosen to for further profil-
9% 68% 75% 100%
(*)
300000
250000
200000
150000
100000
50000
0
15000
12500
10000
7500
5000
2500
0
ing since they exhibited the most balanced potencies in the cal-
cium flux and IL-2 cellular assays. In terms of physicochemical
properties, the lead compounds selected displayed very low solu-
bility in water (<5 lg/mL), clogP >4 and LipE in a range of 2.2–2.4.
These compounds were profiled in further in vitro cellular
assays to determine their mechanism of action through CRAC cur-
rent inhibition, using an electrophysiology assay in HEK cells over-
expressing STIM1/Orai1 proteins,12 and the inhibition of mast cell
degranulation through the inhibition of IgE-induced hexosamini-
dase release in human LAD2 cells (human mast cell line).
(Table 3)13,14 Moreover, before testing the compounds in an
in vivo rat model, the inhibitory effect of the compounds on IL-2
secretion in rat whole blood was evaluated.15 All compounds
showed decreased potency in rat cells compared to that observed
in human Jurkat cells in IL-2 secretion (Tables 2 and 3). Compounds
g
g
e
g
k
k
kg
D
k
cl
/
/
/
g
i
g
g
g/
h
m
m
0
3
m
1
3m
0
Ve
1
a
x
e
Figure 2. Dose response effect on BALF eosinophil count and total plasma levels of
Compound 14d in OVA rat model. Results are expressed as the number of
eosinophils/mL in BALF (black dots), and total plasma levels (nM) (grey squares).
Median values with interquartile range of the 8 animals used for each group are
were not cytotoxic up to concentrations of 100 lM, indicating that
inhibitory effects observed on cellular assays are related to the
represented. Percentages reflect
% inhibition of Eosinophils vs vehicle treated
mechanism of action of the compounds.
animals. Statistical analysis was done with a one way ANOVA followed by a
Dunnett’s test (⁄p 6 0.05). Dotted line indicates plasma levels required to achieve
IC50 of IL-2 secretion from rat whole blood cells in vitro.
Very low metabolism was observed in both rat and human
microsomes in the presence of NADPH (Table 4). PAMPA perme-
ability results indicated lack of passive permeability for compound
9b and limited permeability for compounds 14b and 14d (Table 4).
Taking into consideration these results, compound 9b was dis-
carded for further characterization. All three compounds showed
rat plasma protein binding >99.9%.
The pharmacokinetic profile of compounds 14b and 14d ana-
logues was determined in rat (Table 5). Moderate clearance and vol-
ume of distribution were observed for compound 14b. Compound
14d had a significantly lower clearance, similar volume of distribu-
tion and increased terminal half-life. Both compounds displayed
good oral exposure, with bioavailabilities higher than 35%.
To assess in vivo pharmacological activity, compound 14d was
evaluated in the ovalbumin (OVA) induced model of allergic inflam-
mation in Brown Norway rats (Fig. 2).16–19 Three different doses of
compound 14d (3, 10 and 30 mg/kg) were orally administered bid,
1 h before and 6.5 h after OVA challenge. Dexamethasone was
included in the experiment as positive control. The anti-inflamma-
tory potential of compound 14d was evaluated on its ability to inhi-
bit airway cell infiltration in bronchoalveolar lavage fluid (BALF) at
the end of the experiment (24 h post OVA-challenge). A dose depen-
dent inhibition of eosinophils in BALF of 9%, 68% and 75% respec-
tively versus vehicle treated animals was observed. Plasma levels
of compound 14 at the end of the experiment proportionally
increased with dose and correlated with the inhibitory effect
observed. Total plasma levels are reported since compound free lev-
els could not be calculated due to very high plasma protein binding.
Moreover, rat whole blood IL-2 inhibition was used as surrogate
pharmacodynamic marker to contextualize the efficacy observed
in the rat OVA-challenged animals. This rat assay allows us to com-
pare efficacy of the compound in target cells of the same species of
the efficacy model. Although IL-2 inhibition is not linked with
eosinophil infiltration inhibition, it has been reported as a practical
measure of efficacy for cyclosporine A that, similar to Orai inhibi-
tors, interferes with the NFAT pathway.20 At the end of the exper-
iment, plasma levels below those required for rat whole blood IL-2
IC50 were observed in animals showing no efficacy at inhibiting
eosinophil infiltration. Animals having plasma levels >3-fold above
IC50 for rat IL-2 inhibition showed almost 70% inhibition of eosin-
ophils infiltration in BALF (Fig. 2).
In summary, we have described a series of 7-azaindole based
Orai inhibitors. The initial SAR was explored, demonstrating that
the nature and substitution of groups on both 2- and 5-positions
of the 7-azaindole ring are essential to calcium and IL-2 inhibitory
activity. Best molecules tend to be highly lipophilic, with limited
room for introduction of polar groups. After further profiling of
the most potent derivatives, compound 14d was selected as a good
tool for in vivo studies, as it is potent and displays good oral expo-
sure in rat. The efficacy observed with 14d reinforces the potential
of Orai channel inhibitors for the treatment of respiratory diseases
such as asthma. Further optimization with novel core rings to
achieve both an improvement in Orai inhibitory activity and lower
lipophilicity is essential for high quality lead compounds suitable
for oral administration.
Acknowledgements
The authors acknowledge the contribution of Dr. A. Kirshen-
baum and Dr. Y. Wu (NIH, Bethesda) and the US Public Health Ser-
vices for providing the LAD2 cell line.
References and notes