Bioorganic & Medicinal Chemistry Letters 10 (2000) 1555±1558
1-Aminomethylisoquinoline-4-carboxylates as Novel
Dipeptidylpeptidase IV Inhibitors
Gary M. Coppola,* Y. Larry Zhang, Herbert F. Schuster, Mary E. Russell
and Thomas E. Hughes
Metabolic and Cardiovascular Diseases Research, Novartis Institute for Biomedical Research,
556 Morris Avenue, Summit, NJ 07901, USA
Received 10 March 2000; accepted 8 May 2000
AbstractÐStructure±activity relationship within a series of 1-aminoalkylisoquinoline-4-carboxylates as inhibitors of DPP-IV is described.
A primary aminomethyl group is required to maintain biological activity. Substitution of the isoquinoline at the 6- and 8-positions with
methoxy groups increases potency to 53 times that of the lead compound SDZ 029-576. # 2000 Elsevier Science Ltd. All rights reserved.
Diabetes mellitus is the sixth leading cause of death by
disease in the United States. The overall incidence of
noninsulin-dependent diabetes mellitus (Type 2 diabetes)
is approximately 20% of the United States population
over the age of 60, which translates to greater than 14
million people. Approximately 800,000 new cases are
diagnosed each year.1,2
dipeptidylpeptidase IV (DPP-IV), a highly specialized
aminopeptidase that removes dipeptides only from pro-
teins containing an N-terminal penultimate proline or
alanine.10 Therefore, agents that inhibit DPP-IV should
increase the circulation levels of endogenous GLP-1 and
ultimately lower blood glucose levels.11
As part of our high capacity screening eorts, the iso-
quinoline derivative SDZ 029-576 (1) was identi®ed as an
inhibitor of DPP-IV. It is selective when compared to
PPCE, APP, and Trypsin and possesses a mixed inhibition
kinetic pro®le, which increases Km and reduces Vmax. A
preliminary SAR study explored some replacements of the
ester moiety and selected aryl substitutions but primarily
focused on the generation of a library of 4-acetic acid
amide derivatives of 1.12 Here we wished to further
explore the eects of subtle variations to the functional
groups at the 1- and 4-positions in addition to the oxy
substitution of the benzene ring in an eort to increase
potency of the lead structure.
Type 2 diabetes is a progressive disease characterized by
impaired insulin secretion by b-cells and glucagon secre-
tion by the a-cells as well as insulin resistance in skeletal
muscle and adipose tissue. This leads to increased fatty
acid ¯ux to the liver which stimulates lipoprotein produc-
tion. The resulting dislipidemia leads to macrovascular
complications such as atherosclerosis and stroke.
Recently, it has been demonstrated that injection of glu-
cagon-like peptide-1 (GLP-1) in man shows promise as a
therapeutic approach to Type 2 diabetes by its favorable
actions on insulin and glucagon secretion, peripheral
glucose disposal, and gastric emptying.3 6 GLP-1 is a 30
amino acid peptide secreted by endocrine (L) cells of the
distal intestinal mucosa in response to oral glucose
loads or mixed meals. GLP-1 reaches peak plasma con-
centrations within 15±30 min; however, it has been
shown that human plasma degrades the active GLP-1 (7±
36) amide to the terminally truncated inactive form
GLP-1 (9±36) amide with a half-life of about 1±2 min.7 9
Chemistry
The enzyme responsible for cleaving the N-terminal
His-Ala fragment from GLP-1 has been identi®ed as
The chain-shortened analogues where the carboxylate is
attached directly to the heterocycle were prepared by
*Corresponding author. E-mail: gary.coppola@pharm.novartis.com
0960-894X/00/$ - see front matter # 2000 Elsevier Science Ltd. All rights reserved.
PII: S0960-894X(00)00286-9