Research Article
Received 31 May 2011, Revised 8 July 2011, Accepted 13 July 2011 Published online in Wiley Online Library
(wileyonlinelibrary.com) DOI: 10.1002/jlcr.1918 Synthesis of isotopically labelled [14C]ZT-1 (Debio-9902), [d3]ZT-1 and ( )-[d3]huperzine A, a new generation of acetylcholinesterase inhibitors Loïc Leman,a* Sean L Kitson,a Rodney T Brown,a Jana Cairns,a William Watters,a Austin McMordie,a Victor L Murrell,a and Judith Marfurtb
A method has been developed for the synthesis of two isotopically labelled forms of a pro-drug of the acetylcholinesterase 14 inhibitor ( )-huperzine A. These labelled compounds, [ C]ZT-1 (Debio-9902) and [d3]ZT-1, were used in clinical studies to evaluate a potential treatment for Alzheimer’s disease. The pro-drug [14C]ZT-1 was isolated with a radiochemical purity of >98% and a gravimetric specific activity of 129 mCi/mg in a seven-step synthesis starting from [U-14C]phenol in 7% yield. Subsequently, the deuterium labelled target ( )-[d3]huperzine A was achieved in six steps with an overall yield of 15% and gave an isotopic distribution of d2 (1.65% huperzine A) and d3 (97.93% huperzine A) with a chemical purity of 98.5%. Con- densation of the substrate ( )-[d3]huperzine A with 5-chloro-o-vanillin gave the Schiff base [d3]ZT-1 in a chemical yield of 80%. Reduction of the Schiff base gave reduced-[d3]ZT-1, which was converted into the hydrochloride salt with an isotopic distribution of d2 (1.60%) and d3 (98.02%).
Keywords: Alzheimer’s disease; ( )-huperzine A; acetylcholinesterase; ZT-1; Debio-9902; deuterium; carbon-14
Introduction galanthamine and donepezil, which are both used in the treat- ment of patients suffering from mild to moderate Alzheimer’s In Chinese medicine, the compound ( )-huperzine A (1), shown disease.10 The structure of the complex of ( )-huperzine A with in Figure 1, is known as Chien Tseng Ta and Shuangyiping. This acetylcholinesterase has been elucidated by X-ray naturally occurring sesquiterpene alkaloid is present only in the crystallography.11 ( )-enantiomer form. The alkaloid was originally isolated from Alzheimer’s disease is a neurodegenerative disorder asso- the Chinese club moss Huperzia serrata and is part of the Lycopo- ciated with extracellular deposits of amyloidal plaques in the 1 dium plant family. The Chinese have used this plant for over grey matter that affect the cerebral cortex, amygdale and hippo- several centuries in the treatment of various blood disorders, campus brain regions. Progression of the disease is characterised control of fever, schizophrenia and hypertension. by damage to the brain neural networks, especially within the cho- The synthesis of the alkaloid ( )-huperzine A was achieved inde- linergic (acetylcholine-producing) pre-synaptic neurons, leading to 2–4 5 pendently in 1989 by Kozikowski et al. and Qian et al. This was weak neurotransmission.12 This forms the basis of the ‘cholinergic then followed by the total synthesis of ( )-huperzine A by hypothesis’ to develop drugs such as ( )-huperzine A to increase 6 Yamada et al. in 1991. To date, the best synthesis of the racemic the levels of cerebral acetylcholine for the treatment of sympto- 7,8 product is the route published by Campiani et al. in 1993. matic Alzheimer’s disease.13 The chemical structure of ( )-huperzine A contains a bicyclo[3.3.1] carbon skeleton fused to a pyridone moiety with an exocyclic ethy- lidene and a primary amino group. The stereochemistry and che- mical structure have been assigned as (5R,9R,11E)-5-amino-11- ethylidene-5,6,9,10-tetrahydro-7-methyl-5,9-methanocycloocta- a [b]-pyridin-2[1H]-one, which contains the embedded pharma- Isotope Chemistry Laboratories, Almac, Almac House, 20 Seagoe Industrial Estate, Craigavon, BT63 5QD, UK cophore 5-substituted aminomethyl-2(1H)-pyridone.1 Pharmacological studies have shown that ( )-huperzine A diffuses bDebiopharm S.A., Forum Après-demain, Chemin Messidor 5-7, CP 5911-1002 across the blood-brain barrier and is a selective, reversible inhibitor of Lausanne, Switzerland acetylcholinesterase.9 This cholinesterase inhibitor is 38 times 6 *Correspondence to: Loïc Leman, Isotope Chemistry Laboratories, Almac, Almac more potent than the other enantiomer, (+)-huperzine A. The House, 20 Seagoe Industrial Estate, Craigavon BT63 5QD, UK. mode of action of ( )-huperzine A is similar to that of E-mail: [email protected]
J. Label Compd. Radiopharm 2011 Copyright © 2011 John Wiley & Sons, Ltd. L. Leman et al.
12 prescribed against Alzheimer’s disease, such as ( )-huperzine CH3 A, donepezil, tacrine and rivastigmine.21 7 H 8 1 The development of this implant was dependent on the chemi- 10 N 6 O cal modifications that can be carried out on ( )-huperzine A. These 9 2 14 modifications could include the exocyclic and bridge double 5 H C 3 bonds, pyridin-2-one ring and primary amine group. Various 3 11 4 NH2 13 in vitro studies have shown that when either or both the exocyc- lic and bridge double bonds are reduced, or pyridin-2-one ring is (1) substituted, the activity towards cholinesterase decreases.14 Figure 1. ( )-Huperzine A and numbering. Therefore, the primary amine of ( )-huperzine A was reacted with various aldehydes to form Schiff base derivatives.22 The reaction with the aldehyde 5-chloro-o-vanillin produced the lead compound ZT-1, and its chemical name is [5R-(5a,9b,11E)]-5- ( )-Huperzine A was found to protect neuronal and glial [[(5-chloro-2-hydroxy-3-methoxyphenyl)methylene]amino]-11- cells against the cytotoxicity of b-amyloid plaques. Various ethylidene-5,6,9,10-tetrahydro-7-methyl-5,9-methanocycloocta[b] clinical trials of ( )-huperzine A have been carried out in pyridin-2(1H)-one.23 The Schiff base ZT-1 was shown to have a China, and have shown its ability to enhance memory func- 14 degree of stability under biological conditions due to the electro- tion in young adults. Hence, these pharmacological observa- nic properties of the 5-chloro-o-vanillin moiety reducing the tions make it a suitable investigational drug in the treatment of electron density around the imine. Another key feature was the progressive neurodegenerative diseases, and it is presently mar- ’ ability to form an intramolecular six-membered ring via hydrogen keted in China as a therapeutic agent to treat Alzheimer s dis- 14 10,14 bonding, which stabilised the Schiff base. ease. In another therapeutic area, (þ)-huperzine A shows The slow release of the pro-drug ZT-1 from the implant into antagonistic behaviour towards the N-methyl-D-aspartic acid the blood stream undergoes in vivo progressive hydrolysis to receptor, which protects the brain against glutamate-induced 15 liberate the active compound ( )-huperzine A and the associated damage. 5-chloro-o-vanillin metabolite, as shown in Figure 2.24,25 The use of acetylcholinesterase inhibitors in clinical studies is limited by their short half-life and associated severe side effects 16 caused by the activation of the peripheral cholinergic system. Results and discussion For example, donepezil has adverse toxic effects on the liver.17 To circumvent problems linked to oral administration (variability The convergent syntheses of the carbon-14- and deuterium- in exposure, difficulty of compliance), an injectable and biode- labelled targets of the active metabolite ( )-huperzine A and its 14 gradable sustained-release implant formulation of ZT-1 was devel- corresponding pro-drugs [ C]ZT-1 and [d3]ZT-1 are discussed oped by Debiopharm as a potential treatment of symptomatic throughout this paper, and the chemical structures are shown Alzheimer’s disease.18,19 This implant was injected into the in Figure 3. The synthetic route to the carbon-14 ring labelled patient and, over a period of several weeks, slowly released the 5-chloro-o-vanillin will be described, followed by a description 20 pro-drug ZT-1 into the blood stream. Extensive in vitro and of the syntheses of ( )-[d3]huperzine A and [d3]ZT-1. in vivo studies have shown that ZT-1 has a good selectivity The retro-synthetic pathway for the incorporation of a carbon-14 between acetylcholinesterase and butyrylcholinesterase, higher ring label (denoted by *) in the 5-chloro-o-vanillin moiety is shown bioavailability, lower toxicity and better restorative effects on in Figure 4. The target, [14C]-7, was formed from the deprotec- cognitive impairments compared with several drugs currently tion and chlorination of A. The protected phenol A was
CH3 H N O
bicyclo[3.3.1] double bond H3C exocyclic E-double bond NH2
CH 3 active compound, (-)-huperzine A hydrogen bond CH 3 in vivo progressive hydrolysis + H H O N N R CHO MeO H O OH
pyridin-2-one ring Cl OMe Cl
Pro-drug ZT-1 inactive metabolite, 5-chloro-o-vanillin
Figure 2. Slow release of ( )-huperzine A.
www.jlcr.org Copyright © 2011 John Wiley & Sons, Ltd. J. Label Compd. Radiopharm 2011 L. Leman et al.
CH3 CH3 H H N N CH3 O O H N H C D C O 3 N 3 N
D C 3 HO HO NH2 * MeO Cl MeO Cl
(-)-[d3]Huperzine-A [14C]ZT-1 [d3]ZT-1
14 Figure 3. [ C]- and [d3]-labelled targets of ( )-huperzine A derivatives. synthesised by lithiation and formylation of B. Substrate B was pro- anhydrous conditions gave MOM-protected anisole [14C]-4,ina duced from protected phenol C, which, in turn, was derived from radiochemical yield of 45% and a radiochemical purity of 99.3%. the carbon-14-labelled phenol [14C]-1. The MOM-protected anisole [14C]-4 was ortho-lithiated, as in The pro-drug [14C]ZT-1 was prepared in seven steps with a the previous step, followed by reaction with anhydrous N,N- radiochemical yield of 7%, starting from [U-14C]phenol with a dimethylformamide to give [14C]-5 in a radiochemical yield of specific activity of 131 mCi/mmol. The final step is shown in Figure 5, 94%. The MOM protecting group was then removed under acidic where condensation of the aldehyde moiety of 5-chloro-o- conditions to give o-vanillin [14C]-6 with a radiochemical yield of [ring U-14C]vanillin with the primary amine of ( )-huperzine A 62% and a radiochemical purity of 98.4%. This was shown to be a leads to the subsequent loss of water and formation of the Schiff single regioisomer, as determined by proton-NMR spectroscopy. base [14C]ZT-1. The target was obtained with a gravimetric spe- The o-vanillin [14C]-6 was chlorinated by stirring with iodine cific activity of 129 mCi/mg. monochloride and sodium hydrogen carbonate. A small trace of an unknown impurity was observed, but this was removed by silica gel column chromatography to give pure 5-chloro-o- Synthesis of 14C-labelled compounds vanillin, [14C]-7, in a radiochemical yield of 54%. The radiochemi- cal purity by HPLC area% was 98.3% and the chemical purity was The first step in the synthesis, as illustrated in Figure 6, was 14 fi 14 99.2%. The material [ C]-7 underwent a speci c activity dilution the methoxymethyl (MOM)-ether protection of phenol [ C]-1. fi fi 14 using unlabelled 5-chloro-o-vanillin to give a nal speci c activ- Phenol [ C]-1 was reacted with sodium hydride in anhydrous 14 ity of 54.6 mCi/mmol. This material was coupled to ( )-huperzine N,N-dimethylformamide to produce the [ C]phenoxide anion. A (Figure 7), giving the pro-drug [14C]ZT-1 in a radiochemical The anion was quenched with MOM chloride to give MOM-protected yield of 66% and a radiochemical purity of 98.5%. phenol [14C]-2 in a radiochemical yield of 98% with a radioche- mical purity of >97%. Synthesis of d3-labelled compounds The MOM-protected phenol [14C]-2 was able to facilitate a directed ortho-lithiation, which was achieved using 1.2 equiva- The retro-synthetic analysis for the incorporation of deute- lents of n-butyl lithium in hexane, at 0 C.26–28 The ortho-lithiated rium in ( )-huperzine A is shown in Figure 8. The main fea- intermediate was then quenched with iodine to give the MOM- tures of this synthesis plan are the introduction of the amino protected ortho-iodophenol [14C]-3, in a radiochemical yield of moiety through a Curtius rearrangement and the generation of 84% and a radiochemical purity of 73.4%.29 This material was the exocyclic olefin using Wittig chemistry on (+)-(5S,9R)methyl used without further purification in the next step where aromatic 9,10-dihydro-2-methoxy-7-methyl-11-oxo-5,9-methanocycloocta nucleophilic substitution of the iodide with methoxide under [b]pyridine-5(6H)-carboxylate [(+)-8].30 The route for incorporation
O OH OP OP OMe lithiation H deprotection OHC OMe OMe * * * formylation halogenation Cl
[14C]-7 A B
Alkoxy- OP OH de-halogenation protection (P)
* *
C [14C]-1
Figure 4. Retro-synthetic pathway of [14C]-7.
J. Label Compd. Radiopharm 2011 Copyright © 2011 John Wiley & Sons, Ltd. www.jlcr.org L. Leman et al.
CH3 H N O CH3 Schiff base formation H O OH H C N O 3 N OMe + H * HO NH2 H3C * Cl MeO Cl
[14C]ZT-1 (-)-Huperzine A 5-Chloro-o-[ring U-14C]vanillin
Figure 5. Position of the carbon-14 labelling.
OH OMOM OMOM NaH/DMF n-BuLi I * * * MOM-Cl I2
[14C]-1 Step 1 [14C]-2 Step 2 [14C]-3
OMOM O OMOM n-BuLi CuBr/DMF OMe OMe H * * NaOMe/MeOH DMF
Step 3 [14C]-4 Step 4 [14C]-5
O OH O OH OMe ICl / CH Cl HCl/MeOH OMe 2 2 H H * * NaHCO3 Cl Step 5 [14C]-6 Step 6 [14C]-7
Figure 6. Radiosynthesis of 5-chloro-o-[phenyl U-14C]-vanillin, [14C]-7.