Inhibitors of Acyl-CoA:Cholesterol O-Acyltransferase
J ournal of Medicinal Chemistry, 1998, Vol. 41, No. 13 2409
Coronary Atherosclerosis. Arterioscler. Thromb. 1992, 12, 1274-
1283. (e) Burrier, R. E.; Deren, S.; McGregor, D. G.; Hoos, L.
M.; Smith, A. A.; Davis, H. R., J r. Demonstration of a Direct
Effect on Hepatic Acyl CoA:Cholesterol Acyl Transferase (ACAT)
Activity by an Orally Administered Enzyme Inhibitor in the
Hamster. Biochem. Pharmacol. 1994, 47, 1545-1551.
(7) (a) Brown, M. S.; Goldstein, J . L. Lipoprotein Metabolism in the
Macrophage: Implications for Cholesterol Deposition in Ath-
erosclerosis. Annu. Rev. Biochem. 1983, 52, 223-261. (b) Gillies,
P. J .; Robinson, C. S.; Rathgeb, K. A. Regulation of ACAT
Activity by a Cholesterol Substrate Pool During the Progression
and Regression Phases of Atherosclerosis: Implications for Drug
Discovery. Atherosclerosis 1990, 83, 177-185.
(8) Sliskovic, D. R.; White, A. D. Therapeutic Potential of ACAT
Inhibitors as Lipid Lowering and Anti-Atherosclerotic Agents.
Trends Pharmacol. Sci. 1991, 12, 194-199.
(9) For recent reviews of ACAT inhibitors, see: (a) Picard, J . A.
Patent Update: ACAT Inhibitors. Curr. Opin. Ther. Pat. 1993,
3, 151-160. (b) Matsuda, K. ACAT Inhibitors as Antiathero-
sclerotic Agents: Compounds and Mechanisms. Med. Res. Rev.
1994, 14, 271-305. (c) Sliskovic, D. R.; Trivedi, B. K. ACAT
Inhibitors: Potential Anti-atherosclerotic Agents. Curr. Med.
Chem. 1994, 1, 204-225.
(10) (a) DeVries, V. G.; Schaffer, S. A.; Largis, E. E.; Dutia, M. D.;
Wang, C.-H.; Bloom, J . D.; Katocs, A. S., J r. Potential Antiath-
erosclerotic Agents. 5. An Acyl-CoA:Cholesterol O-Acyltrans-
ferase Inhibitor with Hypocholesterolemic Activity. J . Med.
Chem. 1986, 29, 1131-1133. (b) DeVries, V. G.; Bloom, J . D.;
Dutia, M. D.; Katocs, A. S., J r.; Largis, E. E. Potential Antiath-
erosclerotic Agents. 6. Hypocholesterolemic Trisubstituted Urea
Analogues. J . Med. Chem. 1989, 32, 2318-2325.
(11) (a) Largis, E. E.; Wang, C. H.; DeVries, V. G.; Schaffer, S. A. CL
277,082: A Novel Inhibitor of ACAT-Catalyzed Cholesterol
Esterification and Cholesterol Absorption. J . Lipid Res. 1989,
30, 681-690. (b) Burrier, R. E.; Deren, S.; McGregor, D. G.; Hoos,
L. M.; Smith, A. A.; Davis, H. R., J r. Demonstration of a Direct
Effect on Hepatic Acyl CoA:Cholesterol Acyl Transferase (ACAT)
Activity by an Orally Administered Enzyme Inhibitor in the
Hamster. Biochem. Pharmacol. 1994, 47, 1545-1551. (c) Harris,
W. S.; Dujovne, C. A.; von Bergmann, K.; Neal, J .; Akester, J .;
Windsor, S. L.; Greene, D.; Look, Z. Effects of the ACAT Inhibitor
CL 277,082 on Cholesterol Metabolism in Humans. Clin. Phar-
macol. Ther. 1990, 48, 189-194.
(12) For recent results of clinical trials, see: (a) Roark, W. H.; Roth,
B. D. ACAT Inhibitors: Preclinical Profiles of Clinical Candi-
dates. Exp. Opin. Invest. Drugs 1994, 3, 1143-1152. (b) Lee, H.
T.; Picard, J . A. Recent Developments in Hypocholesterolemic
Agents. Exp. Opin. Ther. Pat. 1995, 5, 397-416 and references
therein.
(13) Tanaka, A.; Terasawa, T.; Hagihara, H.; Sakuma, Y.; Ishibe, N.;
Sawada, M.; Takasugi, H.; Tanaka, H. Inhibitors of Acyl-CoA:
Cholesterol O-Acyltransferase (ACAT). Part 1: Identification
and Structure-Activity Relationships of a Novel Series of
Substituted N-Alkyl-N-biphenylylmethyl-N′-arylureas. Bioorg.
Med. Chem. 1998, 6, 15-30.
(14) (a) Siddiqui, M. A.; Snieckus, V. The Directed Metalation
Connection to Aryl-Aryl Cross Coupling. Regiospecific Synthesis
of Phenanthridines, Phenanthridinones and the Biphenyl Al-
kaloid Ismine. Tetrahedron Lett. 1988, 29, 5463-5466 and
references therein. (b) Shieh, W.-C.; Carlson, J . A. A Simple
Asymmetric Synthesis of 4-Arylphenylalanines via Palladium-
Catalyzed Cross-Coupling Reaction of Arylboronic Acids with
Tyrosine Triflate. J . Org. Chem. 1992, 57, 379-381. (c) Koch,
K.-H.; Mu¨llen, K. Synthesis of Tetraalkyl-Substituted Oligo(1,4-
naphthylene)s and Cyclization to Soluble Oligo(peri-naphthyl-
ene)s. Chem. Ber. 1991, 124, 2091-2100.
(15) Stille, J . K. The Palladium-Catalyzed Cross-Coupling Reactions
of Organotin Reagents with Organic Electrophiles. Angew.
Chem., Int. Ed. Engl. 1986, 25, 508-524.
(16) Hansch, C.; Rockwell, S. D.; J ow, P. Y. C.; Leo, A.; Steller, E. E.
Substituent Constants for Correlation Analysis. J . Med. Chem.
1977, 20, 304-306.
(17) The structures of 23a and 24a were confirmed by X-ray
crystallographic analyses (data not shown).
(18) Hu¨ttel, R.; Wagner, H.; J ochum, P. Die Bromierung der Pyrazole.
(Bromination of Pyrazole.) Liebigs Ann. Chem. 1955, 593, 179-
200.
(19) Carlsen, P. H. J .; J ørgensen, K. B. Synthesis of Unsymmetrically
Substituted 4H-1,2,4-Triazoles. J . Heterocycl. Chem. 1994, 31,
805-807.
(20) The assignment of the regioisomers 4a d and 4a e was based on
their NMR chemical shifts compared with the known N-methyl-
5-phenyltetrazoles.33 The N-methyl protons of 2-isomer are
downfield from the 1-isomer.
(21) Ishikura, M.; Kamada, M.; Terashima, M. A Convenient Syn-
thesis of 3-Arylpyridines by the Palladium Catalyzed Coupling
Reaction of Diethyl(3-Pyridyl)Borane with Aryl Halides. Het-
erocycles 1984, 22, 265-268.
(22) Heider, J . G.; Pickens, C. E.; Kelly, L. A. Role of Acyl CoA:
Cholesterol Acyltransferase in Cholesterol Absorption and Its
Inhibition by 57-118 in the Rabbit. J . Lipid Res. 1983, 24, 1127-
1134.
(23) Sakuma, Y.; Hagihara, H.; Ohne, K.; Nagayoshi, A.; Mutoh, S.;
Ito, Y.; Notsu, Y.; Okuhara, M. Plasma Cholesterol Reducing
Effect of FR129169, A Novel Acyl-CoA:Cholesterol Acyltrans-
ferase Inhibitor, in the Rat. J pn. J . Pharmacol. 1996, 70, 35-
41.
(24) Sliskovic, D. R.; Krause, B. R.; Picard, J . A.; Anderson, M.;
Bousley, R. F.; Hamelehle, K. L.; Homan, R.; J ulian, T. N.;
Rashidbaigi, Z. A.; Stanfield, R. L. Inhibitors of Acyl-CoA:
cholesterol O-Acyl Transferase (ACAT) as Hypocholesterolemic
Agents. 6. The First Water-Soluble ACAT Inhibitor with Lipid-
Regulating Activity. J . Med. Chem. 1994, 37, 560-562.
(25) (a) Largis, E. E.; Katocs, A. S., J r. Abstracts of Papers, 10th
International Symposium on Drugs Affecting Lipid Metabolism,
Houston, 1989, p 33. (b) Wrenn, S. M., J r.; Parks, J . S.;
Immermann, F. W.; Rudel, L. L. ACAT Inhibitors CL 283,546
and CL 283,796 Reduce LDL Cholesterol without Affecting
Cholesterol Absorption in African Green Monkeys. J . Lipid Res.
1995, 36, 1199-1210.
(26) (a) Trivedi, B. K.; Purchase, T. S.; Holmes, A.; Augelli-Szafran,
C. E.; Essenburg, A. D.; Hamelehle, K. L.; Stanfield, R. L.;
Bousley, R. F.; Krause, B. R. Inhibitors of Acyl-CoA:Cholesterol
Acyltransferase (ACAT). 7. Development of a Series of Substi-
tuted N-Phenyl-N′-[(1-phenylcyclopentyl)methyl]ureas with En-
hanced Hypocholesterolemic Activity. J . Med. Chem. 1994, 37,
1652-1659. (b) Inskeep, P. B.; Davis, K. M.; Reed, A. E.
Pharmacokinetics of the Acyl Coenzyme A:Cholesterol Acyl
Transferase Inhibitor CP-105,191 in Dogs-The Effect of Food and
Sesame Oil on Systemic Exposure following Oral Dosing. J .
Pharm. Sci. 1995, 84, 131-133.
(27) (a) Chang, T. Y.; Chang, C. C. Y.; Cheng, D. Acyl-Coenzyme
A:Cholesterol Acyltransferase. Annu. Rev. Biochem. 1997, 66,
613-638. (b) Sturley, S. L. Molecular Aspects of Intracellular
Sterol Esterification: the Acyl Coenzyme A:Cholesterol Acyl-
transferase Reaction. Curr. Opin. Lipidol. 1997, 8, 167-173 and
references therein.
(28) (a) Dominick, M. A.; Bobrowski, W. A.; MacDonald, J . R.; Gough,
A. W. Morphogenesis of a Zone-Specific Adrenocortical Cytotox-
icity in Guinea Pigs Administered PD 132301-2, an Inhibitor of
Acyl-CoA:Cholesterol Acyltransferase. Toxicol. Pathol. 1993, 21,
54-62. (b) Vernetti, L. A.; MacDonald, J . R.; Wolfgang, G. H. I.;
Dominick, M. A.; Pegg, D. G. ATP Depletion is Associated with
Cytotoxicity of a Novel Lipid Regulator in Guinea Pig Adreno-
cortical Cells. Toxicol. Appl. Pharmacol. 1993, 118, 30-38. (c)
Dominick, M. A.; McGuire, E. J .; Reindel, J . F.; Bobrowski, W.
F.; Bocan, T. M. A.; Gough, A. W. Subacute Toxicity of a Novel
Inhibitor of Acyl-CoA:Cholesterol Acyltransferase in Beagle
Dogs. Fundam. Appl. Toxicol. 1993, 20, 217-224. (d) Reindel,
J . F.; Dominick, M. A.; Bocan, T. M. A.; Gough, A. W.; McGuire,
E. J . Toxicologic Effects of a Novel Acyl-CoA:Cholesterol Acyl-
transferase Inhibitor in Cynomolgus Monkeys. Toxicol. Pathol.
1994, 22, 510-518. (e) Wolfgang, G. H. I.; MacDonald, J . R.;
Vernetti, L. A.; Pegg, D. G.; Robertson, D. G. Biochemical
Alterations in Guinea Pig Adrenal Cortex Following Administra-
tion of PD 132301-2, an Inhibitor of Acyl-CoA:Cholesterol
Acyltransferase. Life Sci. 1995, 13, 1089-1093.
(29) (a) Smith, C.; Ashton, M. J .; Bush, R. C.; Facchini, V.; Harris,
N. V.; Hart, T. W.; J ordan, R.; McKenzie, R.; Riddell, D. RP
73163: A Bioavailable Alkylsulphinyl-Diphenylimidazole ACAT
Inhibitor. Bioorg. Med. Chem. Lett. 1996, 6, 47-50. (b) Sliskovic,
D. R.; Picard, J . A.; Roark, W. H.; Essenburg, A. D.; Krause, B.
R.; Minton, L. L.; Reindel, J . F.; Stanfield, R. L. Inhibitors of
Acyl-CoA:Cholesterol O-Acyl Transferase (ACAT) as Hypocho-
lesterolemic Agents. The Synthesis and Biological Activity of a
Series of Malonester Amides. Bioorg. Med. Chem. Lett. 1996, 6,
713-718. (c) O’Brien, P. M.; Sliskovic, D. R.; Picard, J . A.; Lee,
H. T.; Purchase, C. F., II; Roth, B. D.; White, A. D.; Anderson,
M.; Mueller, S. B.; Bocan, T.; Bousley, R.; Hamelehle, K. L.;
Homan, R.; Lee, P.; Krause, B. R.; Reindel, J . F.; Stanfield, R.
L.; Turluck, D. Inhibitors of Acyl-CoA:Cholesterol O-Acyltrans-
ferase. Synthesis and Pharmacological Activity of (()-2-Dodecyl-
R-phenyl-N-(2,4,6-trimethoxyphenyl)-2H-tetrazole-5-aceta-
mide and Structurally Related Tetrazole Amide Derivatives. J .
Med. Chem. 1996, 39, 2354-2366. (d) Purchase, C. F., II; White,
A. D.; Anderson, M. K.; Bocan, T. M. A.; Bousley, R. F.;
Hamelehle, K. L.; Homan, R.; Krause, B. R.; Lee, P.; Mueller,
S. B.; Speyer, C.; Stanfield, R. L.; Reindel, J . F. Tetrazole-
substituted Ureas as Inhibitors of Acyl-CoA:Cholesterol O-
Acyltransferase (ACAT). A Novel Preparation of Ureas from
Weakly Nucleophilic Amines. Bioorg. Med. Chem. Lett. 1996, 6,
1753-1758. (e) White, A. D.; Creswell, M. W.; Chucholowski,
A. W.; Blankley, C. J .; Wilson, M. W.; Bousley, R. F.; Essenburg,
A. D.; Hamelehle, K. L.; Krause, B. R.; Stanfield, R. L.; Dominick,
M. A.; Neub, M. Heterocyclic Ureas: Inhibitors of Acyl-CoA:
Cholesterol O-Acyltransferase as Hypocholesterolemic Agents.