Novel 4-substituted-N,N-dimethyltetrahydronaphthalen-2-amines: synthesis, affinity, and in silico docking studies at serotonin 5-HT2-type and histamine H1 G protein-coupled receptors

A new class of serotonin 5-HT2A /5-HT2C receptor inverse agonists: Synthesis, molecular modeling, in vitro and in vivo pharmacology of novel 2-aminotetralins

BACKGROUND AND PURPOSE

The 5-HT receptor (5-HTR) subtypes 5-HT_2A and 5-HT_2C are important neurotherapeutic targets, though, obtaining selectivity over 5-HT_2B and closely related histamine H₁ Rs is challenging. Here, we delineated molecular determinants of selective binding to 5-HT_2A and 5-HT_2C Rs for novel 4-phenyl-2-dimethylaminotetralins (4-PATs).

EXPERIMENTAL APPROACH

We synthesized 42 novel 4-PATs with halogen or aryl moieties at the C(4)-phenyl meta position. Affinity, function, molecular modeling, and 5-HT_2A R mutagenesis studies were undertaken to understand structure-activity relationships at 5-HT₂ -type and H₁ Rs. Lead 4-PAT-type selective 5-HT_2A /5-HT_2C R inverse agonists were compared to pimavanserin, a selective 5-HT_2A /5-HT_2C R inverse agonist approved to treat psychoses, in the mouse head twitch response, and locomotor activity assays, as models relevant to antipsychotic drug development.

KEY RESULTS

Most 4-PAT diastereomers in the (2S,4R)-configuration bound non-selectively to 5-HT_2A , 5-HT_2C, and H₁ Rs, with >100-fold selectivity over 5-HT_2B Rs, whereas, diastereomers in the (2R,4R)-configuration bound preferentially to 5-HT_2A over 5-HT_2C Rs and had >100-fold selectivity over 5-HT_2B and H₁ Rs. Results suggest that G238^5.42 and V235^5.39 in 5-HT_2A Rs (conserved in 5-HT_2C Rs) are important for high affinity binding, whereas, interactions with T194^5.42 and W158^4.56 determine H₁ R affinity. The 4-PAT (2S,4R)-2k, a potent and selective 5-HT_2A /5-HT_2C R inverse agonist, had activity like pimavanserin in the mouse head-twitch response assay, but was distinct in not suppressing locomotor activity.

CONCLUSIONS AND IMPLICATIONS

We provide evidence that the novel 4-PAT chemotype can yield selective 5-HT_2A /5-HT_2C R inverse agonists for antipsychotic drug development by optimizing ligand-receptor interactions in transmembrane domain 5. We also show that chirality can be exploited to attain selectivity over H₁ Rs which may circumvent sedative effects.

Ligand-directed serotonin 5-HT2C receptor desensitization and sensitization

Exposure of G protein-coupled receptors (GPCRs) to agonists can desensitize receptor signaling and lead to drug tolerance, whereas inverse agonists can sensitize signaling. For example, activation of serotonin 5-HT_2C GPCRs is pharmacotherapeutic for obesity, but there is tolerance to the anorectic effect of the only approved 5-HT_2C agonist, lorcaserin. We tested the hypothesis that different agonists or inverse agonists differentially desensitize or sensitize, respectively, canonical 5-HT_2C-mediated activation of phospholipase C (PLC) signaling in vitro. Lorcaserin, which displays potency and efficacy equal to 5-HT, desensitized the 5-HT_2C receptor significantly more than 5-HT (p<0.05). Agonist chemotypes such as 2-aminotetralins, with similar potency but lower efficacy than 5-HT, produced little 5-HT_2C desensitization. The piperazine agonist 1-(3-chlorophenyl)piperazine (mCPP), with lower potency but similar efficacy as 5-HT, elicited desensitization indistinguishable from 5-HT, while the piperazine agonist aripiprazole, with lower potency and efficacy, did not desensitize 5-HT_2C-PLC signaling. Several 5-HT_2C agonists also were assessed for β-arrestin recruitment-lorcaserin was a 'super-agonist', but a 2-aminotetralin and aripiprazole had nil activity, suggesting they are biased towards 5-HT_2C-PLC signaling. We observed robust positive correlations between the magnitude of 5-HT_2C desensitization and agonist efficacy to stimulate PLC or to recruit β-arrestin. In contrast, different inverse agonists caused different magnitudes of 5-HT_2C sensitization that did not correlate with efficacy (or potency) to inhibit constitutive 5-HT_2C-PLC signaling.  Assessment of the 5-HT_2C-S407A point-mutated receptor indicated this residue's involvement in ligand-dependent desensitization, but we did not observe a role for protein kinase C.These data show that ligand structure uniquely impacts 5-HT_2C desensitization and sensitization processes..

Mutagenesis Analysis Reveals Distinct Amino Acids of the Human Serotonin 5-HT2C Receptor Underlying the Pharmacology of Distinct Ligands

While exploring the structure-activity relationship of 4-phenyl-2-dimethylaminotetralins (PATs) at serotonin 5-HT_2C receptors, we discovered that relatively minor modification of PAT chemistry impacts function at 5-HT_2C receptors. In HEK293 cells expressing human 5-HT_2C-INI receptors, for example, (-)-trans-3'-Br-PAT and (-)-trans-3'-Cl-PAT are agonists regarding Gα_q-inositol phosphate signaling, whereas (-)-trans-3'-CF₃-PAT is an inverse agonist. To investigate the ligand-receptor interactions that govern this change in function, we performed site-directed mutagenesis of 14 amino acids of the 5-HT_2C receptor based on molecular modeling and reported G protein-coupled receptor crystal structures, followed by molecular pharmacology studies. We found that S3.36, T3.37, and F5.47 in the orthosteric binding pocket are critical for affinity (K_i) of all PATs tested, we also found that F6.44, M6.47, C7.45, and S7.46 are primarily involved in regulating EC/IC₅₀ functional potencies of PATs. We discovered that when residue S5.43, N6.55, or both are mutated to alanine, (-)-trans-3'-CF₃-PAT switches from inverse agonist to agonist function, and when N6.55 is mutated to leucine, (-)-trans-3'-Br-PAT switches from agonist to inverse agonist function. Notably, most point-mutations that affected PAT pharmacology did not significantly alter affinity (K_D) of the antagonist radioligand [³H]mesulergine, but every mutation tested negatively impacted serotonin binding. Also, amino acid mutations differentially affected the pharmacology of other commercially available 5-HT_2C ligands tested. Collectively, the data show that functional outcomes shared by different ligands are mediated by different amino acids and that some 5-HT_2C receptor residues important for pharmacology of one ligand are not necessarily important for another ligand.