The design and synthesis of novel spirocyclic heterocyclic sulfone ROMK inhibitors as diuretics

Bioorg Med Chem Lett. 2017 Feb 15;27(4):1109-1114. doi: 10.1016/j.bmcl.2016.10.032. Epub 2016 Oct 13.

Abstract

A spirocyclic class of ROMK inhibitors was developed containing a structurally diverse heterocyclic sulfone moiety and spirocyclic core starting from lead 1. These compounds not only displayed exquisite ROMK potency but significantly improved selectivity over hERG. The lead compounds were found to have favorable pharmacokinetic properties and displayed robust diuretic, natriuretic and blood pressure lowering effects in spontaneously hypertensive rats.

Keywords: Diuresis; Heart Failure; Heterocyclic sulfone; Hypertension; Natriuresis; ROMK.

MeSH terms

  • Animals
  • Diuretics / pharmacology*
  • Drug Design*
  • Enzyme Inhibitors / pharmacology*
  • Heterocyclic Compounds / chemical synthesis
  • Heterocyclic Compounds / chemistry*
  • Heterocyclic Compounds / pharmacology*
  • Potassium Channels, Inwardly Rectifying / antagonists & inhibitors*
  • Rats
  • Rats, Inbred SHR
  • Sulfones / pharmacology*

Substances

  • Diuretics
  • Enzyme Inhibitors
  • Heterocyclic Compounds
  • Kcnj1 protein, rat
  • Potassium Channels, Inwardly Rectifying
  • Sulfones