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Liu S, Zha C, Nacro K, Hu M, Cui W, Yang YL, Bhatt U, Sambandam A, Isherwood M, Yet L, Herr MT, Ebeltoft S, Hassler C, Fleming L, Pechulis AD, Payen-Fornicola A, Holman N, Milanowski D, Cotterill I, Mozhaev V, Khmelnitsky Y, Guzzo PR, Sargent BJ, Molino BF, Olson R, King D, Lelas S, Li YW, Johnson K, Molski T, Orie A, Ng A, Haskell R, Clarke W, Bertekap R, O’Connell J, Lodge N, Sinz M, Adams S, Zaczek R, Macor JE. Design and synthesis of 4-heteroaryl 1,2,3,4-tetrahydroisoquinolines as triple reuptake inhibitors. ACS Med Chem Lett 2014; 5:760-5. [PMID: 25050161 DOI: 10.1021/ml500053b] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2014] [Accepted: 05/13/2014] [Indexed: 11/30/2022] Open
Abstract
A series of 4-bicyclic heteroaryl 1,2,3,4-tetrahydroisoquinoline inhibitors of the serotonin transporter (SERT), norepinephrine transporter (NET), and dopamine transporter (DAT) was discovered. The synthesis and structure-activity relationship (SAR) of these triple reuptake inhibitors (TRIs) will be discussed. Compound 10i (AMR-2), a very potent inhibitor of SERT, NET, and DAT, showed efficacy in the rat forced-swim and mouse tail suspension models with minimum effective doses of 0.3 and 1 mg/kg (po), respectively. At efficacious doses in these assays, 10i exhibited substantial occupancy levels at the three transporters in both rat and mouse brain. The study of the metabolism of 10i revealed the formation of a significant active metabolite, compound 13.
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Affiliation(s)
- Shuang Liu
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | - Congxiang Zha
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | - Kassoum Nacro
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | - Min Hu
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | - Wenge Cui
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | - Yuh-Lin Yang
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | - Ulhas Bhatt
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | - Aruna Sambandam
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | | | - Larry Yet
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | - Michael T. Herr
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | - Sarah Ebeltoft
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | - Carla Hassler
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | - Linda Fleming
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | | | | | - Nicholas Holman
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | | | - Ian Cotterill
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | - Vadim Mozhaev
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | - Yuri Khmelnitsky
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | - Peter R. Guzzo
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | - Bruce J. Sargent
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | - Bruce F. Molino
- AMRI, 26 Corporate Circle, Albany, New York 12212, United States
| | - Richard Olson
- Bristol Myers Squibb R&D, 5 Research Parkway, Wallingford, Connecticut 06492-7660, United States
| | - Dalton King
- Bristol Myers Squibb R&D, 5 Research Parkway, Wallingford, Connecticut 06492-7660, United States
| | - Snjezana Lelas
- Bristol Myers Squibb R&D, 5 Research Parkway, Wallingford, Connecticut 06492-7660, United States
| | - Yu-Wen Li
- Bristol Myers Squibb R&D, 5 Research Parkway, Wallingford, Connecticut 06492-7660, United States
| | - Kim Johnson
- Bristol Myers Squibb R&D, 5 Research Parkway, Wallingford, Connecticut 06492-7660, United States
| | - Thaddeus Molski
- Bristol Myers Squibb R&D, 5 Research Parkway, Wallingford, Connecticut 06492-7660, United States
| | - Anitra Orie
- Bristol Myers Squibb R&D, 5 Research Parkway, Wallingford, Connecticut 06492-7660, United States
| | - Alicia Ng
- Bristol Myers Squibb R&D, 5 Research Parkway, Wallingford, Connecticut 06492-7660, United States
| | - Roy Haskell
- Bristol Myers Squibb R&D, 5 Research Parkway, Wallingford, Connecticut 06492-7660, United States
| | - Wendy Clarke
- Bristol Myers Squibb R&D, 5 Research Parkway, Wallingford, Connecticut 06492-7660, United States
| | - Robert Bertekap
- Bristol Myers Squibb R&D, 5 Research Parkway, Wallingford, Connecticut 06492-7660, United States
| | - Jonathan O’Connell
- Bristol Myers Squibb R&D, 5 Research Parkway, Wallingford, Connecticut 06492-7660, United States
| | - Nicholas Lodge
- Bristol Myers Squibb R&D, 5 Research Parkway, Wallingford, Connecticut 06492-7660, United States
| | - Michael Sinz
- Bristol Myers Squibb R&D, 5 Research Parkway, Wallingford, Connecticut 06492-7660, United States
| | - Stephen Adams
- Bristol Myers Squibb R&D, 5 Research Parkway, Wallingford, Connecticut 06492-7660, United States
| | - Robert Zaczek
- Bristol Myers Squibb R&D, 5 Research Parkway, Wallingford, Connecticut 06492-7660, United States
| | - John E. Macor
- Bristol Myers Squibb R&D, 5 Research Parkway, Wallingford, Connecticut 06492-7660, United States
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Holman N, Lewis-Barned N, Bell R, Stephens H, Modder J, Gardosi J, Dornhorst A, Hillson R, Young B, Murphy HR. Development and evaluation of a standardized registry for diabetes in pregnancy using data from the Northern, North West and East Anglia regional audits. Diabet Med 2011; 28:797-804. [PMID: 21294773 DOI: 10.1111/j.1464-5491.2011.03259.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To develop and evaluate a standardized data set for measuring pregnancy outcomes in women with Type 1 and Type 2 diabetes and to compare recent outcomes with those of the 2002-2003 Confidential Enquiry into Maternal and Child Health. METHODS Existing regional, national and international data sets were compared for content, consistency and validity to develop a standardized data set for diabetes in pregnancy of 46 key clinical items. The data set was tested retrospectively using data from 2007-2008 pregnancies included in three regional audits (Northern, North West and East Anglia). Obstetric and neonatal outcomes of pregnancies resulting in a stillbirth or live birth were compared with those from the same regions during 2002-2003. RESULTS Details of 1381 pregnancies, 812 (58.9%) in women with Type 1 diabetes and 556 (40.3%) in women with Type 2 diabetes, were available to test the proposed standardized data set. Of the 46 data items proposed, only 16 (34.8%), predominantly the delivery and neonatal items, achieved ≥ 85% completeness. Ethnic group data were available for 746 (54.0%) pregnancies and BMI for 627 (46.5%) pregnancies. Glycaemic control data were most complete-available for 1217 pregnancies (88.1%), during the first trimester. Only 239 women (19.9%) had adequate pregnancy preparation, defined as pre-conception folic acid and first trimester HbA(1c) ≤ 7% (≤ 53 mmol/mol). Serious adverse outcome rates (major malformation and perinatal mortality) were 55/1000 and had not improved since 2002-2003. CONCLUSIONS A standardized data set for diabetes in pregnancy may improve consistency of data collection and allow for more meaningful evaluation of pregnancy outcomes in women with pregestational diabetes.
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Affiliation(s)
- N Holman
- Health Intelligence, Yorkshire and Humber Public Health Observatory, University of York, York, UK
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