N‑(Pivaloyloxy)alkoxy-carbonyl Prodrugs of the Glutamine Antagonist 6‑Diazo-5-oxo‑l‑norleucine (DON) as a Potential Treatment for HIV Associated Neurocognitive Disorders

Aberrant excitatory neurotransmission associated with overproduction of glutamate has been implicated in the development of HIV-associated neurocognitive disorders (HAND). The glutamine antagonist 6-diazo-5-oxo-l-norleucine (DON, 14) attenuates glutamate synthesis in HIV-infected microglia/macrophag...

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Published inJournal of medicinal chemistry Vol. 60; no. 16; pp. 7186 - 7198
Main Authors Nedelcovych, Michael T, Tenora, Lukáš, Kim, Boe-Hyun, Kelschenbach, Jennifer, Chao, Wei, Hadas, Eran, Jančařík, Andrej, Prchalová, Eva, Zimmermann, Sarah C, Dash, Ranjeet P, Gadiano, Alexandra J, Garrett, Caroline, Furtmüller, Georg, Oh, Byoungchol, Brandacher, Gerald, Alt, Jesse, Majer, Pavel, Volsky, David J, Rais, Rana, Slusher, Barbara S
Format Journal Article
LanguageEnglish
Published WASHINGTON American Chemical Society 24.08.2017
Amer Chemical Soc
Subjects
Online AccessGet full text
ISSN0022-2623
1520-4804
1520-4804
DOI10.1021/acs.jmedchem.7b00966

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Abstract Aberrant excitatory neurotransmission associated with overproduction of glutamate has been implicated in the development of HIV-associated neurocognitive disorders (HAND). The glutamine antagonist 6-diazo-5-oxo-l-norleucine (DON, 14) attenuates glutamate synthesis in HIV-infected microglia/macrophages, offering therapeutic potential for HAND. We show that 14 prevents manifestation of spatial memory deficits in chimeric EcoHIV-infected mice, a model of HAND. 14 is not clinically available, however, because its development was hampered by peripheral toxicities. We describe the synthesis of several substituted N-(pivaloyloxy)­alkoxy-carbonyl prodrugs of 14 designed to circulate inert in plasma and be taken up and biotransformed to 14 in the brain. The lead prodrug, isopropyl 6-diazo-5-oxo-2-(((phenyl­(pivaloyloxy)­methoxy)­carbonyl)­amino)­hexanoate (13d), was stable in swine and human plasma but liberated 14 in swine brain homogenate. When dosed systemically in swine, 13d provided a 15-fold enhanced CSF-to-plasma ratio and a 9-fold enhanced brain-to-plasma ratio relative to 14, opening a possible clinical path for the treatment of HAND.
AbstractList Aberrant excitatory neurotransmission associated with overproduction of glutamate has been implicated in the development of HIV-associated neurocognitive disorders (HAND). The glutamine antagonist 6-diazo-5-oxo-L-norleucine (DON, 14) attenuates glutamate synthesis in HIV-infected microglia/macrophages, offering therapeutic potential for HAND. We show that 14 prevents manifestation of spatial memory deficits in chimeric EcoHIV-infected mice, a model of HAND. 14 is not clinically available, however, because its development was hampered by peripheral toxicities. We describe the synthesis of several substituted N-(pivaloyloxy)alkoxy-carbonyl prodrugs of 14 designed to circulate inert in plasma and be taken up and biotransformed to 14 in the brain. The lead prodrug, isopropyl 6-diazo-5-oxo-2-(((phenyl(pivaloyloxy)methoxy)-carbonyl)amino)hexanoate (13d), was stable in swine and human plasma but liberated 14 in swine brain homogenate. When dosed systemically in swine, 13d provided a 15-fold enhanced CSF-to-plasma ratio and a 9-fold enhanced brain-to-plasma ratio relative to 14, opening a possible clinical path for the treatment of HAND.
Aberrant excitatory neurotransmission associated with overproduction of glutamate has been implicated in the development of HIV-associated neurocognitive disorders (HAND). The glutamine antagonist 6-diazo-5-oxo-l-norleucine (DON, 14) attenuates glutamate synthesis in HIV-infected microglia/macrophages, offering therapeutic potential for HAND. We show that 14 prevents manifestation of spatial memory deficits in chimeric EcoHIV-infected mice, a model of HAND. 14 is not clinically available, however, because its development was hampered by peripheral toxicities. We describe the synthesis of several substituted N-(pivaloyloxy)alkoxy-carbonyl prodrugs of 14 designed to circulate inert in plasma and be taken up and biotransformed to 14 in the brain. The lead prodrug, isopropyl 6-diazo-5-oxo-2-(((phenyl(pivaloyloxy)methoxy)carbonyl)amino)hexanoate (13d), was stable in swine and human plasma but liberated 14 in swine brain homogenate. When dosed systemically in swine, 13d provided a 15-fold enhanced CSF-to-plasma ratio and a 9-fold enhanced brain-to-plasma ratio relative to 14, opening a possible clinical path for the treatment of HAND.Aberrant excitatory neurotransmission associated with overproduction of glutamate has been implicated in the development of HIV-associated neurocognitive disorders (HAND). The glutamine antagonist 6-diazo-5-oxo-l-norleucine (DON, 14) attenuates glutamate synthesis in HIV-infected microglia/macrophages, offering therapeutic potential for HAND. We show that 14 prevents manifestation of spatial memory deficits in chimeric EcoHIV-infected mice, a model of HAND. 14 is not clinically available, however, because its development was hampered by peripheral toxicities. We describe the synthesis of several substituted N-(pivaloyloxy)alkoxy-carbonyl prodrugs of 14 designed to circulate inert in plasma and be taken up and biotransformed to 14 in the brain. The lead prodrug, isopropyl 6-diazo-5-oxo-2-(((phenyl(pivaloyloxy)methoxy)carbonyl)amino)hexanoate (13d), was stable in swine and human plasma but liberated 14 in swine brain homogenate. When dosed systemically in swine, 13d provided a 15-fold enhanced CSF-to-plasma ratio and a 9-fold enhanced brain-to-plasma ratio relative to 14, opening a possible clinical path for the treatment of HAND.
Aberrant excitatory neurotransmission associated with overproduction of glutamate has been implicated in the development of HIV-associated neurocognitive disorders (HAND). The glutamine antagonist 6-diazo-5-oxo-l-norleucine (DON, 14) attenuates glutamate synthesis in HIV-infected microglia/macrophages, offering therapeutic potential for HAND. We show that 14 prevents manifestation of spatial memory deficits in chimeric EcoHIV-infected mice, a model of HAND. 14 is not clinically available, however, because its development was hampered by peripheral toxicities. We describe the synthesis of several substituted N-(pivaloyloxy)­alkoxy-carbonyl prodrugs of 14 designed to circulate inert in plasma and be taken up and biotransformed to 14 in the brain. The lead prodrug, isopropyl 6-diazo-5-oxo-2-(((phenyl­(pivaloyloxy)­methoxy)­carbonyl)­amino)­hexanoate (13d), was stable in swine and human plasma but liberated 14 in swine brain homogenate. When dosed systemically in swine, 13d provided a 15-fold enhanced CSF-to-plasma ratio and a 9-fold enhanced brain-to-plasma ratio relative to 14, opening a possible clinical path for the treatment of HAND.
Author Tenora, Lukás
Furtmüller, Georg
Kelschenbach, Jennifer
Kim, Boe-Hyun
Brandacher, Gerald
Jančařík, Andrej
Chao, Wei
Alt, Jesse
Hadas, Eran
Dash, Ranjeet P
Garrett, Caroline
Majer, Pavel
Rais, Rana
Gadiano, Alexandra J
Nedelcovych, Michael T
Oh, Byoungchol
Volsky, David J
Slusher, Barbara S
Zimmermann, Sarah C
Prchalová, Eva
AuthorAffiliation Medicine
Academy of Sciences of the Czech Republic vvi
Neuroscience
Molecular and Comparative Pathobiology
Institute of Organic Chemistry and Biochemistry
Johns Hopkins Drug Discovery
Oncology
Department of Medicine
Departments of Neurology
Psychiatry
Vascularized Composite Allotransplantation Laboratory, Department of Plastic and Reconstructive Surgery
Johns Hopkins School of Medicine
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Issue 16
Keywords MURINE MODEL
IN-VITRO
MAGNETIC-RESONANCE-SPECTROSCOPY
SYNAPTIC DYSFUNCTION
INDUCE NEUROTOXICITY
COGNITIVE IMPAIRMENT
LONG-TERM POTENTIATION
VIRUS TYPE-1 ENCEPHALITIS
MITOCHONDRIAL GLUTAMINASE
HIV-1-INFECTED MACROPHAGES
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M.T.N. and L.T. contributed equally
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Snippet Aberrant excitatory neurotransmission associated with overproduction of glutamate has been implicated in the development of HIV-associated neurocognitive...
Source Web of Science
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acs
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SubjectTerms Aminocaproates - administration & dosage
Aminocaproates - chemical synthesis
Aminocaproates - pharmacology
Animals
Azo Compounds - administration & dosage
Azo Compounds - chemical synthesis
Azo Compounds - pharmacology
Blood - metabolism
Brain - metabolism
Chemistry, Medicinal
Diazooxonorleucine - administration & dosage
Diazooxonorleucine - pharmacology
Drug Stability
Female
Glutamic Acid - metabolism
Glutaminase - antagonists & inhibitors
HIV Infections - complications
Humans
Life Sciences & Biomedicine
Male
Mice, Inbred C57BL
Neurocognitive Disorders - drug therapy
Neurocognitive Disorders - etiology
Nootropic Agents - administration & dosage
Nootropic Agents - chemical synthesis
Nootropic Agents - pharmacology
Pharmacology & Pharmacy
Prodrugs - administration & dosage
Prodrugs - chemical synthesis
Prodrugs - pharmacology
Science & Technology
Swine
Viral Load - drug effects
Title N‑(Pivaloyloxy)alkoxy-carbonyl Prodrugs of the Glutamine Antagonist 6‑Diazo-5-oxo‑l‑norleucine (DON) as a Potential Treatment for HIV Associated Neurocognitive Disorders
URI http://dx.doi.org/10.1021/acs.jmedchem.7b00966
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https://www.ncbi.nlm.nih.gov/pubmed/28759224
https://www.proquest.com/docview/1925281166
https://pubmed.ncbi.nlm.nih.gov/PMC5795620
Volume 60
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