Bioorganic & Medicinal Chemistry Letters
A convenient transesterification method for synthesis of AT2 receptor
ligands with improved stability in human liver microsomes
Johan Wannberg a, Rebecka Isaksson b, Ulf Bremberg a, Maria Backlund c, Jonas Sävmarker d,
Mathias Hallberg e, Mats Larhed a,
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a Department of Medicinal Chemistry, Science for Life Laboratory, BMC, Uppsala University, P.O. Box 574, SE-751 23 Uppsala, Sweden
b Department of Medicinal Chemistry, Division of Organic Pharmaceutical Chemistry, BMC, Uppsala University, P.O. Box 574, SE-751 23 Uppsala, Sweden
c Department of Pharmacy, Uppsala University, Uppsala, Sweden and Uppsala University Drug Optimization and Pharmaceutical Profiling Platform (UDOPP), Science for Life
Laboratory, Uppsala, Sweden
d The Beijer Laboratory, Department of Medicinal Chemistry, BMC, Uppsala University, P.O. Box 574, SE-751 23 Uppsala, Sweden
e The Beijer Laboratory, Department of Pharmaceutical Biosciences, Division of Biological Research on Drug Dependence, BMC, Uppsala University, P.O. Box 591, SE-751 24
Uppsala, Sweden
a r t i c l e i n f o
a b s t r a c t
Article history:
A series of AT2R ligands have been synthesized applying a quick, simple, and safe transesterification-type
reaction whereby the sulfonyl carbamate alkyl tail of the selective AT2R antagonist C38 was varied.
Furthermore, a limited number of compounds where acyl sulfonamides and sulfonyl ureas served as car-
boxylic acid bioisosteres were synthesized and evaluated. By reducing the size of the alkyl chain of the
sulfonyl carbamates, ligands 7a and 7b were identified with significantly improved in vitro metabolic sta-
bility in both human and mouse liver microsomes as compared to C38 while retaining the AT2R binding
affinity and AT2R/AT1R selectivity. Eight of the compounds synthesized exhibit an improved stability in
human microsomes as compared to C38.
Received 12 September 2017
Revised 15 November 2017
Accepted 24 November 2017
Available online 24 November 2017
Keywords:
Angiotensin II type 2 receptor antagonists
AT2R antagonists
Sulfonyl carbamates
Transesterification
Ó 2017 Elsevier Ltd. All rights reserved.
Liver microsomes
The octapeptide hormone angiotensin II (Ang II) is the main
effector of the Renin-Angiotensin-Aldosterone system (RAAS).
Ang II mediates its effects through activation of two G-protein cou-
pled receptors (GPCRs), the angiotensin II type 1 (AT1R) and the
angiotensin II type 2 (AT2R) receptors. AT1R is involved in regula-
tion of blood pressure and electrolyte balance and is a well-estab-
lished drug target for the treatment of hypertension and heart
failure (angiotensin receptor blockers, ARBs). The first ARB, losar-
tan, was introduced into the market in 1995.1 The antihypertensive
angiotensin converting enzyme inhibitors (ACE inhibitors, e.g. cap-
topril introduced into the market 1978) act by suppressing the for-
mation of Ang II.2 In contrast to the well-investigated AT1R, less is
known about the role of the AT2R. It is abundant during fetal devel-
opment but only very low levels of AT2R can be detected in healthy
adults. However, in certain pathological conditions e.g. myocardial
infarction, heart and renal failure, and some brain injuries, a pro-
nounced upregulation of AT2R is frequently observed. Thus, the
receptor is upregulated in areas of tissue damage and it is postu-
lated that AT2R is important in tissue repair. The physiological
actions mediated by AT2R have been reviewed.3–10
The use of AT2R as a potential drug target has recently seen two
different approaches and produced compounds that have reached
clinical trials. The selective AT2R agonist C21/M024 (Vicore
Pharma) discovered by Anders Hallberg’s group at our laboratory11
has entered Phase I clinical trials for the indication idiopathic pul-
monary fibrosis. The malonic acid sulfonamide derivative MP-157,
a selective AT2R agonist from Mitsubishi Tanabe Pharma, is also in
Phase I clinical trials in Europe and aimed for the cardiovascular
system.12 The AT2R antagonist EMA401 (Spinifex/Novartis) has
completed a phase II clinical trial with positive results in patients
with postherpetic neuralgia,13 a form of chronic neuropathic
pain.14,15 AT2R antagonists as potential new chemical agents for
the treatment of peripheral neuropathic pain is based on the find-
ings that AT2R exhibits a higher expression in damaged nerve tis-
sue e.g. in the dorsal root ganglia (DRG). Furthermore, activation
of these AT2Rs by the endogenous ligand Ang II potentiates pain
signaling by increasing neurite length and density, and by nocicep-
tor sensitization by phosphorylation of nociceptor ion channels on
the DRG via AT2R secondary messenger pathways.16–20
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Corresponding author.
0960-894X/Ó 2017 Elsevier Ltd. All rights reserved.