Discovery and Optimization of Chromeno[2,3-c]pyrrol-9(2H)-ones as Novel Selective and Orally Bioavailable Phosphodiesterase 5 Inhibitors for the Treatment of Pulmonary Arterial Hypertension

J Med Chem. 2017 Aug 10;60(15):6622-6637. doi: 10.1021/acs.jmedchem.7b00523. Epub 2017 Jul 25.

Abstract

Phosphodiesterase 5 (PDE5) inhibitors have been used as clinical agents to treat erectile dysfunction and pulmonary arterial hypertension (PAH). Herein, we detail the discovery of a novel series of chromeno[2,3-c]pyrrol-9(2H)-one derivatives as selective and orally bioavailable inhibitors against phosphodiesterase 5. Medicinal chemistry optimization resulted in 2, which exhibits a desirable inhibitory potency of 5.6 nM with remarkable selectivity as well as excellent pharmacokinetic properties and an oral bioavailability of 63.4%. In addition, oral administration of 2 at a dose of 5.0 mg/kg caused better pharmacodynamics effects on both mPAP (mean pulmonary artery pressure) and RVHI (index of right ventricle hypertrophy) than sildenafil citrate at a dose of 10.0 mg/kg. These activities along with its reasonable druglike properties, such as human liver microsomal stability, cytochrome inhibition, hERG inhibition, and pharmacological safety, indicate that 2 is a potential candidate for the treatment of PAH.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • CHO Cells
  • Catalytic Domain
  • Chromones / administration & dosage
  • Chromones / chemical synthesis
  • Chromones / pharmacokinetics
  • Chromones / therapeutic use*
  • Cricetulus
  • Cytochrome P-450 CYP1A2 Inhibitors / administration & dosage
  • Cytochrome P-450 CYP1A2 Inhibitors / chemical synthesis
  • Cytochrome P-450 CYP1A2 Inhibitors / pharmacokinetics
  • Cytochrome P-450 CYP1A2 Inhibitors / therapeutic use
  • Drug Stability
  • ERG1 Potassium Channel / antagonists & inhibitors
  • Female
  • Humans
  • Hypertension, Pulmonary / drug therapy*
  • Male
  • Mice
  • Microsomes, Liver / metabolism
  • Molecular Docking Simulation
  • Molecular Dynamics Simulation
  • Phosphodiesterase 5 Inhibitors / administration & dosage
  • Phosphodiesterase 5 Inhibitors / chemical synthesis
  • Phosphodiesterase 5 Inhibitors / pharmacokinetics
  • Phosphodiesterase 5 Inhibitors / therapeutic use*
  • Pyrroles / administration & dosage
  • Pyrroles / chemical synthesis
  • Pyrroles / pharmacokinetics
  • Pyrroles / therapeutic use*
  • Rats, Sprague-Dawley
  • Rats, Wistar
  • Sildenafil Citrate / pharmacology
  • Structure-Activity Relationship

Substances

  • 3-(benzo(d)(1,3)dioxol-5-ylmethyl)-1-(thiazol-2-yl)chromeno(2,3-c)pyrrol-9(2H)-one
  • Chromones
  • Cytochrome P-450 CYP1A2 Inhibitors
  • ERG1 Potassium Channel
  • KCNH2 protein, human
  • Phosphodiesterase 5 Inhibitors
  • Pyrroles
  • Sildenafil Citrate