
Journal of Medicinal Chemistry p. 5380 - 5394 (2018)
Update date:2022-08-17
Topics:
Nocentini, Alessio
Ceruso, Mariangela
Bua, Silvia
Lomelino, Carrie L.
Andring, Jacob T.
McKenna, Robert
Lanzi, Cecilia
Sgambellone, Silvia
Pecori, Riccardo
Matucci, Rosanna
Filippi, Luca
Gratteri, Paola
Carta, Fabrizio
Masini, Emanuela
Selleri, Silvia
Supuran, Claudiu T.
The combination of a β-adrenergic receptors (AR) blocker and a carbonic anhydrase (CA, EC 4.2.1.1) inhibitor in eye drops formulations is one of the most clinically used treatment for glaucoma. A novel approach consisting of single-molecule, multitargeted compounds for the treatment of glaucoma is proposed here by designing compounds which concomitantly interact with the β-adrenergic and CA targets. Most derivatives of the two series of benzenesulfonamides incorporating 2-hydroxypropylamine moieties reported here exhibited striking efficacy against the target hCA II and XII, whereas a subset of compounds also showed significant modulation of β1- and β2-ARs. X-ray crystallography studies provided rationale for the observed hCA inhibition. The best dual-agents decreased IOP more effectively than clinically used dorzolamide, timolol, and the combination of them in an animal model of glaucoma. The reported evidence supports the proof-of-concept of β-ARs blocker-CAI hybrids for antiglaucoma therapy with an innovative mechanism of action.
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