Design and Synthesis of New Benzothiazole Compounds As Selective Hmao-B Inhibitors

Total Page:16

File Type:pdf, Size:1020Kb

Design and Synthesis of New Benzothiazole Compounds As Selective Hmao-B Inhibitors molecules Article Design and Synthesis of New Benzothiazole Compounds as Selective hMAO-B Inhibitors Sinem Ilgın 1, Derya Osmaniye 2,3, Serkan Levent 2,3, Begüm Nurpelin Sa˘glık 2,3, Ulviye Acar Çevik 2,3, Betül Kaya Çavu¸so˘glu 2, Yusuf Özkay 2,3,* and Zafer Asım Kaplancıklı 2 ID 1 Department of Pharmaceutical Toxicology, Faculty of Pharmacy, Anadolu Universty, 26470, Eski¸sehir, Turkey; [email protected] 2 Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Anadolu Universty, 26470, Eski¸sehir, Turkey; [email protected] (D.O.); [email protected] (S.L.); [email protected] (B.N.S.); [email protected] (U.A.Ç.); [email protected] (B.K.Ç.); [email protected] (Z.A.K.) 3 Doping and Narcotic Compounds Analysis Laboratory, Faculty of Pharmacy, Anadolu Universty, 26470, Eski¸sehir, Turkey * Correspondence: [email protected]; Tel.: +90-222-335-0580 (ext. 3603) Received: 15 November 2017; Accepted: 8 December 2017; Published: 9 December 2017 Abstract: In the current work a new class of novel benzothiazole-hydrazone derivatives was designed and synthesized as hMAO-B inhibitors. Structures of the obtained compounds (3a–3j) were characterized by IR, 1H-NMR, 13C-NMR, and HRMS spectroscopic methods. The inhibitory activity of compounds (3a–3j) against hMAO-A and hMAO-B enzymes was evaluated by using an in vitro fluorometric method. According to activity results, some of the synthesized compounds displayed selective and significant hMAO-B enzyme inhibitor activity. Compound 3e was the most active derivative in the series with an IC50 value of 0.060 µM. Furthermore, cytotoxicity of compound 3e was investigated and found to be non-cytotoxic. Absorption, distribution, metabolism, and excretion (ADME) and blood-brain barrier (BBB) permeability predictions were performed for all compounds. It was determined that these compounds may have a good pharmacokinetic profiles. Bınding modes between the most active compound 3e and the hMAO-B enzyme were analyzed by docking studies. It was observed that there is a strong interaction between compound 3e and enzyme active site. Keywords: benzothiazole; hydrazone; MAO enzyme inhibition; docking study; cytotoxicity 1. Introduction Monoamine oxidase (MAO) is an important flavoenzyme existing in the outer mitochondrial membrane of neuronal, glial, and many other cells, and is responsible for the oxidative deamination of amines in the brain, as well as peripheral tissues to regulate their level. MAO exists in two isoforms: namely, MAO-A and MAO-B, which have been identified based on their amino acid sequences, three-dimensional structure, substrate preference, and inhibitor selectivity [1,2]. Monoamine oxidase enzyme inhibitors (MAOIs), in general, have inhibitory activity against both of MAO-A and MAO-B [3]. However, researchers have focused to develop a selective MAOI to avoid food–drug and drug–drug interactions of non-selective MAOIs, as well as their side effects [4,5]. Selective inhibition of MAO-A, which specifically metabolizes serotonin, norepinephrine, and tyramine is effective in the depression treatment, while selective inhibition of MAO-B, which specifically degrades dopamine, is effective in the treatment of Parkinson’s disease (PD) [5,6]. It is known that PD is a neurodegenerative disorder characterized by progressive loss of dopaminergic neurons in the substantia nigra pars compacta [7,8]. Therefore, in the treatment of PD, it has been targeted to increase dopaminergic activity through dopamine supplementation, decrease dopamine breakdown, or activate dopaminergic receptors [9,10]. MAO-B inhibitors are useful in the treatment of the early stages of PD and, later, as an adjunct to Molecules 2017, 22, 2187; doi:10.3390/molecules22122187 www.mdpi.com/journal/molecules Molecules 2017, 22, 2187 2 of 13 Molecules 2017, 22, 2187 2 of 13 activity through dopamine supplementation, decrease dopamine breakdown, or activate dopaminergic receptors [9,10]. MAO-B inhibitors are useful in the treatment of the early stages of PD andother, later drug, as therapies an adjunct [11 ,to12 other]. MAO-B drug inhibitorstherapies have[11,12 a]. good MAO safety-B inhibitors profile. have They a also good possess safety an profile. effect Theyin the also improvement possess an ofeffect motor in the symptoms improvement and, thus, of motor delay symptoms the need forand levodopa, thus, delay in the the treatment need for levodopaof PD. Furthermore, in the treatment studies of PD. have Further indicatedmore, that studies MAO-B have inhibitors indicated havethat MAO a neuroprotective-B inhibitors have effect a neuroprotectiveagainst neurodegeneration effect against [13]. Therefore,neurodegeneration the development [13]. Therefore, of novel, selective, the development and reversible of MAO-Bnovel, selective,inhibitors and with reversible fewer side MAO effects-B inhibitors is still necessary. with fewer side effects is still necessary. In terms terms of of crystal crystal structure, structure, the hhMAOMAO-B-B enzyme possesses two cavities connected by the amino amino acid ILE199. ILE199. The The entrance entrance cavity cavity has has a volume a volume of 290 of 290 Å 3 and, Å3 and, possesses possesses a hydrophobic a hydrophobic character. character. The secondThe second cavity, cavity, with with a volume a volume of 390 of 390 Å 3 Å, contains3, contains the the substrate substrate binding binding site site in in w whichhich coenzyme coenzyme FAD FAD is located. located. Crystallographic Crystallographic data data of of the the substrate substrate cavity cavity has has displayed displayed that that the the amino amino acid acid side side chains, chains, coating the cavity,cavity, areare very very hydrophobic hydrophobic and and favorable favorable to to interact interact with with an an amine amine moiety. moiety. The The FAD FAD and andtwo two closely-parallel closely-parallel tyrosyl tyrosyl residues residues (398 (398 and 435)and 435) constitute constitute an ‘aromatic an ‘aromatic cage’ cage’ [14,15 [14,15].]. The previous studies have shown that benzothiazole derivatives have potent and selective inhibitory activity activity against against the the MAO MAO-B-B enzyme enzyme [16 [16–19–19]. ].In In these these studies, studies, a similar a similar design design strategy strategy of targetof target compounds compounds has hasbeen been followed. followed. Synthesized Synthesized compounds compounds have havebeen beendesigned designed to possess to possess three essentialthree essential parts: parts: (i) a (i)2-mercapto a 2-mercapto-- or amino or amino-substituted-substituted benzothiazole benzothiazole core core;; (ii) (ii) an an aromatic aromatic or heteroaromatic ring sytem;sytem; and (iii) a linker, bearingbearing H-acceptorH-acceptor and/orand/or H H-donor-donor nitrogens, nitrogens, between the benzothiazole core and (hetero)aromatic ring system (Figure 11).). DockingDocking analysesanalyses havehave revealedrevealed that the benzothiazole core binds within the substrate cavity space, the the heteroaryl residue of the molecules is located in the en entrancetrance cavity space of MAO MAO-B-B enzyme, and nitrogen atoms of the linker are stabilizedstabilized byby hydrogen hydrogen bond bond interactions interactions with with amino amino acid acid residues residues of the of enzyme the enzyme active siteactive [16 ,site18]. [16,18In addition]. In addition to benzothiazole to benzothiazole derivatives, derivatives, hydrazine-based hydrazine compounds,-based compounds, which bear which an azomethine bear an -NHN=CH-azomethine functional-NHN=CH group,- functional have displayed group, have a selective displayed inhibitory a selective activity inhibitory against MAO-B activity [18 against,20,21]. MAOThe C=N-B [18,20,21 double]. bondThe C=N of hydrazone double bond and of thehydrazone terminal and nitrogen the terminal atom nitrogen significantly atom influence significantly the influencephysicaland the chemicalphysical and properties. chemical The properties. C-atom inThe hydrazone C-atom in has hyd bothrazone electrophilic has both electrophilic and nucleophilic and nucleophilicproperties [22 properties]. Due to MAO-B [22]. Due inhibitory to MAO potency-B inhibitory and the potency physicochemical and the physicochemical character of the character hydrazone of themoiety, hydrazone it has been moiety, preferred it has as been a linker preferred between as the a linker benzothiazole between core the andbenzothiazole the (hetero)aromatic core and ringthe (hetero)aromaticsystem in the design ring of system target in compounds the design asof outlinedtarget compounds in Figure1 .as outlined in Figure 1. In light of the above information, new benzothiazole derivatives consisting of of a hydrazone moiety were synthesized as as novel, novel, selective selective,, and and potent potent MAO MAO-B-B inhibitory inhibitory agents. agents. Additionally Additionally,, we we aimed aimed to determineto determine the in the vitroin vitro cytotoxiccytotoxic effect effectof compounds of compounds in case inthey case had they significant had significant enzyme inhibitory enzyme activity.inhibitory activity. Figure 1. 1. ExamplesExamples of structures of structures displaying displaying MAO-B MAO-B inhibitory inhibitory activity and activity the designed and the compound designeds (compounds3e–3j). (3e–3j). Molecules 2017, 22, 2187 3 of 13 Molecules 2017, 22, 2187 3 of 13 2. Results and Discussion 2. Results and Discussion 2.1. Chemistry 2.1. Chemistry The compounds 3a–3j were synthesized as summarized
Recommended publications
  • Rutamarin: Efficient Liquid–Liquid Chromatographic Isolation from Ruta Graveolens L
    molecules Article Rutamarin: Efficient Liquid–Liquid Chromatographic Isolation from Ruta graveolens L. and Evaluation of Its In Vitro and In Silico MAO-B Inhibitory Activity Ewelina Kozioł 1, Simon Vlad Luca 2,3, Hale Gamze A˘galar 4 , Begüm Nurpelin Sa˘glık 4 , Fatih Demirci 4,5, Laurence Marcourt 6 , Jean-Luc Wolfender 6 , Krzysztof Jó´zwiak 7 and Krystyna Skalicka-Wo´zniak 1,* 1 Independent Laboratory of Natural Products Chemistry, Department of Pharmacognosy, Medical University of Lublin, 20-093 Lublin, Poland; [email protected] 2 Department of Pharmacognosy, Grigore T. Popa University of Medicine and Pharmacy Iasi, 700115 Iasi, Romania; [email protected] 3 Biothermodynamics, TUM School of Life and Food Sciences Weihenstephan, Technical University of Munich, 85354 Freising, Germany 4 Department of Pharmacognosy, Faculty of Pharmacy, Anadolu University, Eskisehir 26470, Turkey; [email protected] (H.G.A.); [email protected] (B.N.S.); [email protected] (F.D.) 5 Faculty of Pharmacy, Eastern Mediterranean University, Famagusta 99628, Cyprus 6 Institute of Pharmaceutical Sciences of Western Switzerland, IPSWS, University of Geneva, CMU, 1211 Geneva 4, Switzerland; [email protected] (L.M.); [email protected] (J.-L.W.) 7 Department of Biopharmacy, Medical University of Lublin, 20-093 Lublin, Poland; [email protected] * Correspondence: [email protected] Academic Editors: Tomasz Tuzimski and James Barker Received: 29 April 2020; Accepted: 5 June 2020; Published: 9 June 2020 Abstract: Naturally occurring coumarins are a group of compounds with many documented central nervous system (CNS) activities. However, dihydrofuranocoumarins have been infrequently investigated for their bioactivities at CNS level.
    [Show full text]
  • The Antidepressant-Like Effect of Flavonoids from Trigonella Foenum-Graecum Seeds in Chronic Restraint Stress Mice Via Modulation of Monoamine Regulatory Pathways
    molecules Article The Antidepressant-like Effect of Flavonoids from Trigonella Foenum-Graecum Seeds in Chronic Restraint Stress Mice via Modulation of Monoamine Regulatory Pathways Jiancheng Wang, Cuilin Cheng *, Chao Xin and Zhenyu Wang * Harbin Institute of Technology, 92 West Dazhi Street, Nangang District, Harbin 150001, China; [email protected] (J.W.); [email protected] (C.X.) * Correspondence: [email protected] (C.C.); [email protected] (Z.W.); Tel.: +86-1884-578-1315 (C.C.); +86-1303-996-0001 (Z.W.) Academic Editor: Thomas Efferth Received: 27 February 2019; Accepted: 19 March 2019; Published: 20 March 2019 Abstract: Fenugreek (Trigonella Foenum-Graecum) seeds flavonoids (FSF) have diverse biological activities, while the antidepressant-like effect of FSF has been seldom explored. The aim of this study was to evaluate the antidepressant-like effect of FSF and to identify the potential molecular mechanisms. LC-MS/MS was used for the determination of FSF. Chronic restraint stress (CRS) was used to establish the animal model of depression. Observation of exploratory behavior in the forced swimming test (FST), tail suspension test (TST) and sucrose preference test (SPT) indicated the stress level. The serum corticosterone (CORT) level was measured. The monoamine neurotransmitters (5-HT, NE and DA) and their metabolites, as well as monoamine oxidase A (MAO-A) enzyme activity in the prefrontal cortex, hippocampus and striatum, were evaluated. The protein expression levels of KLF11, SIRT1, MAO-A were also determined by western blot analysis. The results showed that FSF treatment significantly reversed the CRS-induced behavioral abnormalities, including reduced sucrose preference and increased immobility time.
    [Show full text]
  • The Serotonin Syndrome
    The new england journal of medicine review article current concepts The Serotonin Syndrome Edward W. Boyer, M.D., Ph.D., and Michael Shannon, M.D., M.P.H. From the Division of Medical Toxicology, he serotonin syndrome is a potentially life-threatening ad- Department of Emergency Medicine, verse drug reaction that results from therapeutic drug use, intentional self-poi- University of Massachusetts, Worcester t (E.W.B.); and the Program in Medical Tox- soning, or inadvertent interactions between drugs. Three features of the sero- icology, Division of Emergency Medicine, tonin syndrome are critical to an understanding of the disorder. First, the serotonin Children’s Hospital, Boston (E.W.B., M.S.). syndrome is not an idiopathic drug reaction; it is a predictable consequence of excess Address reprint requests to Dr. Boyer at IC Smith Bldg., Children’s Hospital, 300 serotonergic agonism of central nervous system (CNS) receptors and peripheral sero- 1,2 Longwood Ave., Boston, MA 02115, or at tonergic receptors. Second, excess serotonin produces a spectrum of clinical find- [email protected]. edu. ings.3 Third, clinical manifestations of the serotonin syndrome range from barely per- This article (10.1056/NEJMra041867) was ceptible to lethal. The death of an 18-year-old patient named Libby Zion in New York updated on October 21, 2009 at NEJM.org. City more than 20 years ago, which resulted from coadminstration of meperidine and phenelzine, remains the most widely recognized and dramatic example of this prevent- N Engl J Med 2005;352:1112-20. 4 Copyright © 2005 Massachusetts Medical Society. able condition.
    [Show full text]
  • Pharmaceutical Appendix to the Harmonized Tariff Schedule
    Harmonized Tariff Schedule of the United States Basic Revision 3 (2021) Annotated for Statistical Reporting Purposes PHARMACEUTICAL APPENDIX TO THE HARMONIZED TARIFF SCHEDULE Harmonized Tariff Schedule of the United States Basic Revision 3 (2021) Annotated for Statistical Reporting Purposes PHARMACEUTICAL APPENDIX TO THE TARIFF SCHEDULE 2 Table 1. This table enumerates products described by International Non-proprietary Names INN which shall be entered free of duty under general note 13 to the tariff schedule. The Chemical Abstracts Service CAS registry numbers also set forth in this table are included to assist in the identification of the products concerned. For purposes of the tariff schedule, any references to a product enumerated in this table includes such product by whatever name known.
    [Show full text]
  • Noradrenergic Function and Clinical Outcome in Antidepressant Pharmacotherapy Helen L
    Noradrenergic Function and Clinical Outcome in Antidepressant Pharmacotherapy Helen L. Miller, M.D., R. David Ekstrom, M.A., M.P.H., George A. Mason, Ph.D., R. Bruce Lydiard, M.D., Ph.D., and Robert N. Golden, M.D. Controversy remains regarding the role of noradrenergic and at the conclusion of the treatment trial. Changes in systems in determining clinical response to antidepressant urinary excretion of 6-sulfatoxymelatonin distinguished pharmacotherapy. Pineal gland production of melatonin can antidepressant responders from nonresponders, with a serve as a physiologic index of noradrenergic function. The significant increase observed in the former group and a aim of this study was to examine the effects of significant decrease in the latter. The degree of clinical antidepressant treatment on 24-hour urinary excretion of response was correlated with the change in the principle metabolite of melatonin, 6-sulfatoxymelatonin 6-sulfatoxymelatonin excretion. These results suggest that in treatment responders and nonresponders. Twenty-four enhanced noradrenergic function may play an important outpatients meeting DSM-III-R criteria for Major role in determining clinical response to Depression received treatment with either fluvoxamine or antidepressant pharmacotherapy. imipramine for 6 weeks while participating in a placebo- [Neuropsychopharmacology 24:617–623, 2001] controlled double-blind clinical trial. Twenty-four hour © 2001 American College of Neuropsychopharmacology. excretion of 6-sulfatoxymelatonin was measured at baseline Published by Elsevier Science Inc. KEY WORDS: Antidepressants; Melatonin; Norepinephrine; a substantial minority do not, and insights regarding Pineal gland; Depression the necessary psychobiologic components of treatment response could help predict, and perhaps prevent, The introduction of effective antidepressant pharmaco- some cases of treatment failure.
    [Show full text]
  • Wo 2008/127291 A2
    (12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization International Bureau (43) International Publication Date PCT (10) International Publication Number 23 October 2008 (23.10.2008) WO 2008/127291 A2 (51) International Patent Classification: Jeffrey, J. [US/US]; 106 Glenview Drive, Los Alamos, GOlN 33/53 (2006.01) GOlN 33/68 (2006.01) NM 87544 (US). HARRIS, Michael, N. [US/US]; 295 GOlN 21/76 (2006.01) GOlN 23/223 (2006.01) Kilby Avenue, Los Alamos, NM 87544 (US). BURRELL, Anthony, K. [NZ/US]; 2431 Canyon Glen, Los Alamos, (21) International Application Number: NM 87544 (US). PCT/US2007/021888 (74) Agents: COTTRELL, Bruce, H. et al.; Los Alamos (22) International Filing Date: 10 October 2007 (10.10.2007) National Laboratory, LGTP, MS A187, Los Alamos, NM 87545 (US). (25) Filing Language: English (81) Designated States (unless otherwise indicated, for every (26) Publication Language: English kind of national protection available): AE, AG, AL, AM, AT,AU, AZ, BA, BB, BG, BH, BR, BW, BY,BZ, CA, CH, (30) Priority Data: CN, CO, CR, CU, CZ, DE, DK, DM, DO, DZ, EC, EE, EG, 60/850,594 10 October 2006 (10.10.2006) US ES, FI, GB, GD, GE, GH, GM, GT, HN, HR, HU, ID, IL, IN, IS, JP, KE, KG, KM, KN, KP, KR, KZ, LA, LC, LK, (71) Applicants (for all designated States except US): LOS LR, LS, LT, LU, LY,MA, MD, ME, MG, MK, MN, MW, ALAMOS NATIONAL SECURITY,LLC [US/US]; Los MX, MY, MZ, NA, NG, NI, NO, NZ, OM, PG, PH, PL, Alamos National Laboratory, Lc/ip, Ms A187, Los Alamos, PT, RO, RS, RU, SC, SD, SE, SG, SK, SL, SM, SV, SY, NM 87545 (US).
    [Show full text]
  • 3 Serotonin Syndrome
    PEDIATRIC PHARMACOTHERAPY A Monthly Newsletter for Health Care Professionals from the University of Virginia Children’s Hospital Volume 1 2 Number 3 March 2006 Serotoni n Syndrome: Pediatric and Neonatal Considerations Marcia L. Buck, Pharm.D., FCCP oxicity resulting from excessive serotonin is typically rapid . In a recent r eview of 41 cases T activity, referred to as serotonin syndrome, documented since 1995, 61.5% of patients was first described by Oates and Sjoerdsma in present ed within 6 hours of drug initiation, 1960. Since that time, over 100 cases have been dosage change, or overdose. 1 reported .1 Over the past decade, the diagnosis of serotonin syndrome has become more Mild cases may present with mydriasis, frequent, as the use of drugs which raise serum diaphoresis, tachycardia, shivering, clonus, serotonin concentrations has increased .1,2 The hyperreflexia, and tremor . A fever may or may syndrome may result from normal therapeutic use not be present. Clonus, hyperreflexia , and of d rugs which increase serotonin concentrations, tremor are typically more prominent in the lower but is more commonly associated with drug extremities. Moderate cases may present with overdose or interactions between two drug the symptoms previously described, as well as therapies. This issue of Pediatric hypertension, hyperthermia (a core temperature Pharmacotherapy will provide a brief review of up to 40 º C) , horizontal ocular clonus, nausea, serotonin syndrome, as well as some example s vomiting, hyperactive bowel sounds , and from the pediatric literature. diarrhea . Patients often have changes in mental status, including agitation, hypervigilance, and Mechanism pressured speech. 1-3 Serotonin (5 -hydroxytryptamine or 5 -HT) is produced in presynaptic neurons from L - Severe cases may present with profound tryptophan.
    [Show full text]
  • NCT02523690 IRB00072940 Evaluating Muscle
    NCT02523690 IRB00072940 Evaluating Muscle Weakness Improvement With Lorcaserin in ICU (EMILI) Protocol Version: February 10, 2017 (Date in header of protocol, 8/1/2016 was inadvertently not updated) Date: 1 August 2016 Principal Investigator: Dale Needham, MD PhD Application Number: IRB00072940 JHM IRB - eForm A – Protocol Use the section headings to write the JHM IRB eForm A, inserting the appropriate material in each. If a section is not applicable, leave heading in and insert N/A. When submitting JHM IRB eForm A (new or revised), enter the date submitted to the field at the top of JHM IRB eForm A. *************************************************************************************************** 1) Abstract (Provide no more than a one page research abstract briefly stating the problem, the research hypothesis, and the importance of the research.) It was recently discovery that patients recovering from sepsis/critical illness have great difficulty recruiting motor units to generate muscle force. Prior to this discovery, the primary etiology of muscle weakness in these patients was thought to be muscle disease (myopathy) and degeneration of peripheral nerve (neuropathy). However, since motor units are composed of a group of muscle fibers contacted by a single motor neuron arising from the spinal cord, these new findings suggested a problem within the spinal cord as the primary cause of weakness in affected patients. Consistent with these clinical findings in critically ill patients, there is a profound deficit in the excitability of motor neurons in the spinal cord of septic rats. Studies characterizing the impaired excitability in rat motor neurons point to a specific deficit in a slowly inactivating type of sodium current (i.e., the persistent sodium current).
    [Show full text]
  • Serotonin Syndrome Cristian Falup-Pecurariu Department of Neurology Faculty of Medicine, Transilvania University Brasov, Romania Introduction
    Serotonin Syndrome Cristian Falup-Pecurariu Department of Neurology Faculty of Medicine, Transilvania University Brasov, Romania Introduction • the Serotonin Syndrome - medication induced condition • serotoninergic hyperactivity • administration of drugs that increase serotonergic transmission • in patients treated for depression (the most common group), bipolar affective disorder, obsessive-compulsive disorder, eating disorders with depression, Parkinson’s disease, migraines, HIV/AIDS, drugs abuse. • Potentially lethal • Incidence: - rising -↑ use of serotonergic drugs - many cases go unrecognized Ables AZ, Nagubilli R. Am Fam Physician. 2010 May 1;81(9):1139-42. Gordon, M. F., & Leder, A. N. Movement Disorder Emergencies, 2012; 217–239. Signs and symptoms of serotonin toxicity Neuromuscular: Autonomic: • Tremor • Mydriasis • Hyperreflexia • Diaphoresis • Clonus • Tachycardia • Tachypnea Mental status: • Agitation • Excitement • Restlessness • Confusion • Delirium Foong AL, Grindrod KA, Patel T, Kellar J. Can Fam Physician. 2018;64(10):720-727 Boyer EW, Shannon M. N Engl J Med. 2005 Mar 17;352(11):1112-20 Boyer EW, Shannon M. N Engl J Med. 2005 Mar 17;352(11):1112-20 Sternbach Criteria Hunter Criteria Inclusion Criteria Presence of serotonergic medication Presence of serotonergic medication Exclusion Criteria Presence of other possible disease etiologies (e.g., infection, substance None abuse and withdrawal) and/or recent addition (or increase in dose) of neuroleptic medication. At least three of the following signs/symptoms: Any of the following combinations of primary (1) or secondary (2) Mental status changes (confusion, hypomania) signs/symptoms: Agitation 1: Spontaneous clonus alone Myoclonus 1: Inducible clonus AND Signs 2: Agitation or diaphoresis And Hyperreflexia 1: Ocular clonus AND Symptoms 2: Agitation or diaphoresis Diaphoresis 1: Tremor AND Shivering 2: Hyperreflexia Tremor 1: Hypertonicity AND fever (temperature >38) AND Diarrhea Incoordination 2: Ocular clonus or inducible clonus Fever Francescangeli J et al.
    [Show full text]
  • Drug Screening in Scn1a Zebrafish Mutant Identifies Clemizole As A
    ARTICLE Received 30 Apr 2013 | Accepted 6 Aug 2013 | Published 3 Sep 2013 DOI: 10.1038/ncomms3410 Drug screening in Scn1a zebrafish mutant identifies clemizole as a potential Dravet syndrome treatment Scott C. Baraban1,2, Matthew T. Dinday1 & Gabriela A. Hortopan1 Dravet syndrome is a catastrophic pediatric epilepsy with severe intellectual disability, impaired social development and persistent drug-resistant seizures. One of its primary monogenic causes are mutations in Nav1.1 (SCN1A), a voltage-gated sodium channel. Here we characterize zebrafish Nav1.1 (scn1Lab) mutants originally identified in a chemical mutagenesis screen. Mutants exhibit spontaneous abnormal electrographic activity, hyperactivity and convulsive behaviours. Although scn1Lab expression is reduced, microarray analysis is remarkable for the small fraction of differentially expressed genes (B3%) and lack of compensatory expression changes in other scn subunits. Ketogenic diet, diazepam, valproate, potassium bromide and stiripentol attenuate mutant seizure activity; seven other antiepileptic drugs have no effect. A phenotype-based screen of 320 compounds identifies a US Food and Drug Administration-approved compound (clemizole) that inhibits convulsive behaviours and electrographic seizures. This approach represents a new direction in modelling pediatric epilepsy and could be used to identify novel therapeutics for any monogenic epilepsy disorder. 1 Epilepsy Research Laboratory, Department of Neurological Surgery, University of California, San Francisco, Box 0520, 513 Parnassus Avenue San Francisco, California 94143, USA. 2 Eli and Edythe Broad Center of Regeneration Medicine and Stem Cell Research, University of California, San Francisco, San Francisco, California 94143, USA. Correspondence and requests for materials should be addressed to S.C.B. (email: [email protected]). NATURE COMMUNICATIONS | 4:2410 | DOI: 10.1038/ncomms3410 | www.nature.com/naturecommunications 1 & 2013 Macmillan Publishers Limited.
    [Show full text]
  • X-Ray Microscope Röntgenstrahlmikroskop Microscope À Rayons X
    (19) TZZ ___T (11) EP 2 511 844 B1 (12) EUROPEAN PATENT SPECIFICATION (45) Date of publication and mention (51) Int Cl.: of the grant of the patent: G06F 21/00 (2013.01) G21K 7/00 (2006.01) 12.08.2015 Bulletin 2015/33 (21) Application number: 12164870.3 (22) Date of filing: 10.10.2007 (54) X-ray microscope Röntgenstrahlmikroskop Microscope à rayons X (84) Designated Contracting States: • Stewart, Jeffrey, J. AT BE BG CH CY CZ DE DK EE ES FI FR GB GR Los Alamos, NM 87544 (US) HU IE IS IT LI LT LU LV MC MT NL PL PT RO SE • Harris, Michael, N. SI SK TR Los Alamos, NM 87544 (US) • Burrell, Anthony, K. (30) Priority: 10.10.2006 US 850594 P Los Alamos, NM 87544 (US) (43) Date of publication of application: (74) Representative: Lorente Berges, Ana 17.10.2012 Bulletin 2012/42 A2 Estudio Legal C/ Hermosilla Nº 59, bajo izq (62) Document number(s) of the earlier application(s) in 28001 Madrid (ES) accordance with Art. 76 EPC: 07874491.9 / 2 084 519 (56) References cited: WO-A1-97/25614 US-A1- 2003 023 562 (73) Proprietor: XRpro Sciences, Inc. US-A1- 2004 128 518 US-A1- 2004 235 059 Los Alamos, NM 87544 (US) US-A1- 2005 015 596 (72) Inventors: • POTTS PHILIP J ET AL: "Atomic spectrometry • Birnbaum, Eva, R. update__X-ray fluorescence spectrometry", Los Alamos, NM 87544 (US) JOURNAL OF ANALYTICAL ATOMIC • Koppisch, Andrew, T. SPECTROMETRY, ROYAL SOCIETY OF Los Alamos, NM 87544 (US) CHEMISTRY, vol. 21, no.
    [Show full text]
  • (Mdma; “Ecstasy”) on Rat Brain Mitochondria
    Ema Luís Pereira Gomes Alves NEUROTOXICITY OF METHYLENEDIOXYMETHAMPHETAMINE (MDMA; ECSTASY) ON RAT BRAIN MITOCHONDRIA Porto, 2007 Ema Luis Pereira Gomes Alves Neurotoxicity of methylenedioxymethamphetamine (MDMA;”ecstasy”) on rat brain mitochondria Porto 2007 Neurotoxicity of methylenedioxymethamphetamine (MDMA;”ecstasy”) on rat brain mitochondria Ema Luis Pereira Gomes Alves Dissertação apresentada à Faculdade de Farmácia da Universidade do Porto para obtenção do grau de doutor em toxicologia. Dissertation presented to the Faculty of Pharmacy of the University of Porto to to obtain a PhD degree in toxicology. Supervisor Professor Doutor Félix Dias Carvalho Professor Associado com Agregação da Faculdade de Farmácia da Universidade do Porto, Porto, Portugal. Co-Supervisor Doutora Maria Teresa Burnay Summavielle Instituto de Biologia Molecular e Celular (IBMC), Universidade do Porto, Porto Portugal Departamento de Ciências Biomédicas, Escola Superior de Tecnologias da Saúde (ESTSP), Instituto Politécnico do Porto (IPP), Porto, Portugal Co-Supervisor Professor Doutor José Barata Cutódio Departamento de Bioquímica, Faculade de Farmácia, Universidade de Coimbra, Coimbra, Portugal III “Para ser grande, sê inteiro: nada teu exagera ou exclui. Sê todo em cada coisa. Põe quanto és no mínimo que fazes. Assim em cada lago a lua toda brilha, porque alta vive.” Ricardo Reis Ao(s) Professore(s) Doutore(s) Félix Dias Carvalho e Maria Teresa Burnay Summavielle. Aos meus pais e irmãos. À memória da minha avó. VII O Decreto de Lei 288/70, art. 8, § 2,refere:
    [Show full text]