Bioorganic & Medicinal Chemistry Letters
Design and synthesis of potential dual NK1/NK3 receptor antagonists
a
a,
Stephen Hanessian a, , Vincent Babonneau , Nicolas Boyer , Clotilde Mannoury la Cour b,
⇑
Mark J. Millan b, Guillaume De Nanteuil c
a Department of Chemistry, Université de Montréal, PO Box 6128, Station Centre-Ville, Montréal, Que. H3C 3J7, Canada
b Department of Psychopharmacology, Institut de Recherches Servier, 125 Chemin de Ronde, 78290 Croissy/Seine, France
c Neuroscience Chemistry Research Unit, Institut de Recherches Servier, 125 Chemin de Ronde, 78290 Croissy-sur-Seine, France
a r t i c l e i n f o
a b s t r a c t
Article history:
The tachykinin NK1 and NK3 receptors are a novel drug target for schizophrenia in order to treat not only
the positive and cognitive symptoms, but also the associated co-morbid depression and sleep
disturbances associated with the disease. A novel class of peptidomimetic derivatives based on a versatile
phenylglycine central core was synthesized and tested in vitro as dual NK1/NK3 receptor antagonists.
From this series emerged compounds with good NK1 receptor affinity, although only modest dual
NK1/NK3 receptor affinity was observed with one of these analogs.
Received 22 November 2013
Revised 4 December 2013
Accepted 9 December 2013
Available online 15 December 2013
Keywords:
Schizophrenia
Ó 2013 Elsevier Ltd. All rights reserved.
Neurokinin receptors
Peptidomimetic
NK1/NK3 receptor antagonists
Schizophrenia is a severe, lifelong, devastating mental disorder
that affects approximately 1% of the world population and is
among the world’s top ten causes of long-term disability.1 Clinical
symptoms are characterized by the presence of positive, negative
and mood symptoms, as well as cognitive impairment. Current
antipsychotic therapies (D2/5-HT2A receptor antagonists) are effec-
tive against positive symptoms but have a poor efficacy in the
treatment of negative and cognitive symptoms. Furthermore, these
drugs suffer from serious side effects and a high non-responder
rate.2
Mammalian tachykinins (also known as neurokinins, NK) are a
family of structurally related neuropeptides which are mainly
distributed in the central (CNS) and peripheral (PNS) nervous sys-
tems.3 This group of endogenous neuromodulators is characterized
by a common C-terminal sequence: Phe–X–Gly–Leu–Met–NH2
where X is either an aromatic or a branched aliphatic amino acid
residue.4 They affect a large number of biological activities5 such
as smooth muscle contraction and relaxation, immune system
function, pain transmission, and neurogenic inflammation. They
are also involved in various CNS disorders such as Parkinson’s,
Huntington’s, and Alzheimer’s diseases, depression, anxiety, and
psychosis.6 These neurotransmitters are mainly represented by
three major neuropeptides: substance P, (SP) and neurokinin A
(NKA), originating from the same gene (TAC1), and neurokinin B
(NKB) cleaved from the TAC3 gene.7 These oligopeptides are the
major endogenous ligands for the three human neurokinin recep-
tor subtypes, termed NK1R, NK2R and NK3R, belonging to the large
seven-transmembrane G protein-coupled receptor family.4,8 While
tachykinins are not specific for any individual NK receptor subtype,
they do have differing affinities (NK1R: SP > NKA > NKB; NK2R: NKA
> NKB > SP; NK3R: NKB > NKA > SP).
NK1 receptors (NK1R) are highly expressed in the CNS.9a Biolog-
ical and preclinical studies suggest that NK1R activation is closely
related to depression and anxiety, and that NK1R blockade would
therefore elicit both behavioral and physiological effects associated
with antidepressant and anxiolytic activities.9 Clinical trials in
humans indicate that selective NK1 receptor antagonists are effec-
tive in treating chemotherapy-induced emesis (Aprepitant™, 1)
(Fig. 1).10
NK3 receptors (NK3R) are almost exclusively found in the CNS
(e.g., cortical regions, amygdala, hippocampus, mild-brain).11 In
vitro and in vivo studies suggest that NK3R activation results in
the release of biogenic monoamines (i.e., dopamine, serotonine
and noradrenaline). Consequently, it has been hypothesized that
NK3R blockade with a selective antagonist could reduce the excit-
atory activation of dopaminergic, serotonergic and noradrenergic
systems and be associated with antipsychotic properties.12 Thus,
NK3R antagonism represents an alternative therapeutic approach
for the treatment of schizophrenia.
Recent data from clinical trials of Osanetant™ (2)13 (Fig. 1) and
Talnetant (3)14 as selective NK3R antagonists in schizophrenia
show significant improvement in positive symptoms (i.e., delu-
sions, hallucinations, and behavioral disorders), with no major
⇑
Corresponding author.
Current address: Ra Pharmaceuticals, Inc., One Kendall Square, Suite B14301,
Cambridge, MA 02139, United States.
0960-894X/$ - see front matter Ó 2013 Elsevier Ltd. All rights reserved.