Multitarget CFTR Modulators Endowed with Multiple Beneficial Side Effects for Cystic Fibrosis Patients : Toward a Simplified Therapeutic Approach †

Cystic fibrosis (CF) is a multiorgan disease caused by mutations of the cystic fibrosis transmembrane conductance regulator (CFTR). In addition to respiratory impairment due to mucus accumulation, viruses and bacteria trigger acute pulmonary exacerbations, accelerating disease progression and mortality rate. Treatment complexity increases with patients' age, and simplifying the therapeutic regimen represents one of the key priorities in CF. We have recently reported the discovery of multitarget compounds able to "kill two birds with one stone" by targeting F508del-CFTR and PI4KIIIβ and thus acting simultaneously as CFTR correctors and broad-spectrum enterovirus (EV) inhibitors. Starting from these preliminary results, we report herein a hit-to-lead optimization and multidimensional structure-activity relationship (SAR) study that led to compound 23a. This compound showed good antiviral and F508del-CFTR correction potency, additivity/synergy with lumacaftor, and a promising in vitro absorption, distribution, metabolism, and excretion (ADME) profile. It was well tolerated in vivo with no sign of acute toxicity and histological alterations in key biodistribution organs.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:62

Enthalten in:

Journal of medicinal chemistry - 62(2019), 23 vom: 12. Dez., Seite 10833-10847

Sprache:

Englisch

Beteiligte Personen:

Tassini, Sabrina [VerfasserIn]
Langron, Emily [VerfasserIn]
Delang, Leen [VerfasserIn]
Mirabelli, Carmen [VerfasserIn]
Lanko, Kristina [VerfasserIn]
Crespan, Emmanuele [VerfasserIn]
Kissova, Miroslava [VerfasserIn]
Tagliavini, Giulia [VerfasserIn]
Fontò, Greta [VerfasserIn]
Bertoni, Simona [VerfasserIn]
Palese, Simone [VerfasserIn]
Giorgio, Carmine [VerfasserIn]
Ravanetti, Francesca [VerfasserIn]
Ragionieri, Luisa [VerfasserIn]
Zamperini, Claudio [VerfasserIn]
Mancini, Arianna [VerfasserIn]
Dreassi, Elena [VerfasserIn]
Maga, Giovanni [VerfasserIn]
Vergani, Paola [VerfasserIn]
Neyts, Johan [VerfasserIn]
Radi, Marco [VerfasserIn]

Links:

Volltext

Themen:

126880-72-6
Antiviral Agents
CFTR protein, human
Cystic Fibrosis Transmembrane Conductance Regulator
Journal Article
Membranes, Artificial
Research Support, Non-U.S. Gov't
Serum Albumin, Human
ZIF514RVZR

Anmerkungen:

Date Completed 22.06.2020

Date Revised 22.06.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1021/acs.jmedchem.9b01416

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM303331305