3000
S. Lee et al. / Bioorg. Med. Chem. Lett. 15 (2005) 2998–3001
Table 2. Cardioprotective efficacy against ischemia–reperfusion injury
Compds
X
Langendorffa
In vivob IS/AAR (%)
RPP (%)
LVEDP (mmHg)
LDH (IU/g)
Control
Cariporide
13
44
1
4
55
44
34
38
19
11
2
3
2
7
3
4
28
12
nac
7.0
7.1
11
9
2
2
59
41
2
2
7
2
4
5
4
3
15
17
18
20
21
23
46
47
48
50
66
67
Br
F
55 13
47 12
66 13
46
45
3
3
2
1
3
2
1
3
2
I
NO2
49
36
73
8
Cl
CF3
61 17
81 17
25 11
48
6
38
42
38
19
64
68
4
3
9
9
6
8
9
5
45
Me
vinyl
40
4
17
13
7
nac
nac
52
51 23
43 13
Et
CN
2
4
63
19
6
6
7
1
13
nac
26
38
3,5-diCl–Ph
3-Cl–4-F–Ph
nac
nac
2
a In vitro cardioprotective effect was evaluated by measuring % RPP (LVDP · HR) to pre-ischemic value, LVEDP, and LDH release in the isolated
ischemic rat heart (10 lM). Values are means SEM, n = 3 or higher.
b In vivo cardioprotective effect was determined by measuring a ratio of myocardial infarct size to area at risk (IS/AAR) in rat myocardial infarction
model (0.1 mg/kg). Values are means SEM, n = 3 or higher.
c na: not assayed.
(Table 1). The unsubstituted analog 16 (IC50 = 12 lM)
represented far less activity than 15. The 4-iodo 18
(IC50 = 0.17 lM), chloro 21 (IC50 = 0.20 lM), and triflu-
oromethyl 23 (IC50 = 0.40 lM) compounds were highly
active, similarly to 15. While the 4-amino compound 22
was inactive, the fluoro 17, methoxy 19, nitro 20, and ni-
trile 50 compounds maintained an activity. The 4-alkyl
substituted compounds 46–49 demonstrated a good activ-
ity. The potency was increased from methyl 46, vinyl 47,
to ethyl 48, but decreased by the substitution with isopro-
pyl group 49. Presumably there may be an optimum size
for the activity. Additionally the 4-aryl substituted com-
pounds were investigated. The 4-phenyl compound 51
exhibited a moderate activity (IC50 = 8.4 lM). The meta
substituted phenyl analogs of 51 appeared to be more ac-
tive than the other substituted aryl compounds, but were
not as good as the halogen or alkyl substituted com-
pounds. The 3,5-dichlorophenyl compound 66 showed
an excellent activity (IC50 = 0.68 lM), which consistently
indicates that the meta substitution at the phenyl ring may
be beneficial to improve the activity compared with the
other substitution patterns.
tionally left ventricular end diastolic pressure (LVEDP)
as an indicator of cardiac contracture, and lactate dehy-
drogenase (LDH) released into the effluent perfusate
during reperfusion as an indicator of myocyte injury
were determined. In this model, cariporide significantly
improved the recovery of contractile function (44%
RPP), diminished LVEDP (44 mmHg), and reduced
the release of LDH (12 IU/g), compared with the vehicle
group (13% RPP, 55 mmHg LVEDP, and 28 IU/g LDH
release). Cardioprotective in vivo efficacy was deter-
mined by measuring a ratio of myocardial infarction size
to area at risk (IS/AAR), using rat myocardial infarction
model,16 which was stabilized for 20 min after a left
thoracotomy operation, subjected to 45 min coronary
artery occlusion, following 90 min reperfusion. The
compounds (0.1 mg/kg) were administered by bolus
intravenous injection at 5 min before onset of ischemia.
In this in vivo rat myocardial infarct model, cariporide
represented 41% of IS/AAR, which indicates the signif-
icant reduction of the infarct size compared with the
vehicle group (59% of IS/AAR).
The aryl substituted compounds 66, 67 did not show any
improvement of cardiac dysfunction in isolated rat heart
model regardless their strong inhibition on NHE-1.
However, the other potent analogs significantly im-
proved the cardiac function and reduced myocyte dam-
age against ischemia/reperfusion injury, which was
comparable to cariporide. Especially the iodo 18, nitro
20, chloro 21, trifluoromethyl 23, and cyano 50 com-
pounds, excellently recovered the cardiac contractility
above the 60% of basal RPP value as well as the signifi-
cant attenuation of cardiac contracture and protection of
myocyte damage in the isolated rat heart ischemia model.
Furthermore, the nitro 20 and cyano 50 compounds
Next, the compounds showing a good NHE-1 inhibitory
activity were evaluated for their cardioprotective efficacy
against ischemia/reperfusion injury both in vitro and in
vivo (Table 2). In the isolated rat heart model,15 each
isolated rat heart was treated with 10 lM concentration
of the compound for 10 min, and subjected to 30 min
global ischemia, followed by 30 min reperfusion. For
the evaluation of their cardioprotective effect, the %
recovery of rate pressure product (RPP, HR · LVDP,
heart rate · left ventricular developing pressure) at the
end of reperfusion to the pre-ischemic value was mea-
sured as an index of cardiac contractile function. Addi-