Pharmacological Reports Copyright © 2012 2012, 64, 834–847 by Institute of Pharmacology ISSN 1734-1140 Polish Academy of Sciences

Effectofbenzothiazole/piperazinederivatives onintracerebroventricularstreptozotocin-induced cognitivedeficits

ÜmideDemirÖzkay1,ÖzgürDevrimCan1,YusufÖzkay2,YusufÖztürk1

1 2 DepartmentofPharmacology, DepartmentofPharmaceuticalChemistry,FacultyofPharmacy, AnadoluUniversity,26470,Eskiºehir,Turkey

Correspondence: ÜmideDemirÖzkay, e-mail:[email protected]

Abstract: Background: In this study, benzothiazole-piperazine compounds were synthesized by condensing the functional groups of donepe- zil (DNP), FK-960, and sabeluzole, which are known to have therapeutic potential against Alzheimer’s disease, with the aim of ob- tainingnewandpotentanti-Alzheimeragents. Methods: Initially, acetylcholinesterase/butyrylcholinesterase enzyme inhibition activities of the synthesized test compounds were investigated by Ellman’s method. Effects of the compounds on a streptozotocin (STZ) model of Alzheimer’s disease (SMAD) were investigated in rats. SMAD was established by intracerebroventricular (icv) injection of STZ (3 mg/kg), bilaterally. The elevated plus maze, Morris water maze, and active avoidance tests were used to examine the effects of test compounds (1, 5, and 10 mg/kg) on learning and memory parameters of icv STZ-injected rats. Effects of the test compounds on spontaneous locomotor activities of rats wereexaminedwiththeactivitycagetest. Results: The compounds B2–B5 and DNP exhibited significant selective inhibitory potencies against acetylcholinesterase. Compounds B2 and B3 at 10 mg/kg doses and compounds B4 and B5 at 5 and 10 mg/kg doses, as well as the reference drug DNP (1 and 3 mg/kg), significantly improved the learning and memory parameters of animals in all cognition tests. None of the test com- poundschangedspontaneouslocomotoractivities. Conclusion: Results of the present study revealed that compounds B2–B5 repaired the parameters related to the learning and mem- orydeficitsof icv STZ-injectedrats.PotenciesofthesetestcompoundswerecomparabletotheactivityofDNP.

Keywords: Alzheimer’sdisease,streptozotocin,donepezil, acetylcholinesterase,elevatedplusmazetest,Morriswatermazetest,active avoidancetest,benzothiazole/piperazine

Abbreviations: AChE – acetylcholinesterase, AD – Alz- Introduction heimer’s disease, BChE – butyrylcholinesterase, DNP – done- pezil, DTNB – 5,5-dithiobis(2-nitrobenzoic acid), IAL – initial Alzheimer’s disease (AD) is the most common type acquisition latency, ITL – initial transfer latency, icv – in- st nd of dementia, comprising 60–70% of all cases [8]. It is tracerebroventricular, 1 RL – first retention latency, 2 RL – a chronic and irreversible neurodegenerative disorder second retention latency, 1st RTL – first retention transfer la- tency, 2nd RTL – second retention transfer latency, SEM – stan- characterized by a progressive deterioration of intel- dard error of the mean, SMAD – streptozotocin model of Alz- lectual functions, including memory, language, visio- heimer’sdisease,STZ–streptozotocin spatial skills, problem-solving ability, and abstract

834 Pharmacological Reports, 2012, 64, 834–847 Effectofcompoundson icv STZ-inducedcognitivedeficits Ümide Demir Özkay et al.

reasoning, as well as behavioral disturbances [12, 62]. rivative, ethoxzolamide, has been reported to suppress AD is a major health problem and the third largest epileptic seizures [46]. This pharmacophoric group is cause of death in the world after cardiovascular dis- also important for drug discovery studies in the AD eases and cancer [53]. Global prevalence of AD was area with several benzothiazole-bearing compounds reported as 26.6 million in 2006, and it is estimated demonstrating potential therapeutic effects against that the worldwide prevalence of this disease will AD [6, 11, 30, 38, 41]. Furthermore, another ben- reach 106.2 million by 2050. Its impact on health care zothiazole-based agent, sabeluzole, has been shown to costswaspredictedat$156billionperyear[51]. delaytheclinicalprogressionofAD[13]. Until now, several therapeutic approaches have Piperidine is another important ring for the devel- been offered, but only non-competitive N-methyl- opment of new chemical agents, demonstrating thera- D-aspartate receptor antagonist, , and ace- peutic effects against CNS disorders in particular. Nu- tylcholinesterase (AChE) inhibitors, tacrine, donepe- merous piperidine-carrying compounds have been zil (DNP), rivastigmine, and galantamine have been synthesized and investigated for their anti-Alzheimer approved by the Food and Drug Administration and potential [1, 4, 14, 24, 27, 40, 42, 49]. The chemical have been applied in the treatment of AD [3, 21, 29]. structure of DNP, an important and widely used drug However, the effectiveness of these drugs on AD is for the treatment of Alzheimer patients in neurology limited, and they only provide a palliative therapy for clinics, is also based on a piperidine ring [9, 52, 56, patients [29, 61]. Besides, treatment with these drugs 60]. Like piperidine, its bioisostere, piperazine has has several limitations such as short half-life or side- also been subjected to the development of new agents. effects like hepatotoxicity, nausea, diarrhoea, vomit- FK-960, a new anti-Alzheimer drug candidate, and ing, anorexia, weight loss, muscle cramps, dizziness, some other piperazine derivative compounds have hallucinations, confusion, and headache [21, 29]. been demonstrated to possess activities against AD Therefore, there is still great interest in the develop- [5,7,18,25,26,31–36,53,58]. mentofmorepotentandsaferagentsagainstAD. In light of the aforementioned literature and the Benzothiazole, a heterocyclic ring, is often subjected limitations of drugs currently used for the treatment of to various drug discovery studies [17]. Some clinically AD, our research group sought to design compounds available drugs carrying this ring system are used in the carrying benzothiazole and piperazine moieties on the management of several central nervous system (CNS) same chemical skeleton, with the intention of investi- diseases. For instance, riluzole, a benzothiazole deriva- gating their potential to treat cognitive defects. Con- tive, is effective in retarding the progression of amyo- densation studies were carried out according to the mo- trophic lateral sclerosis [15]. Another benzothiazole de- lecular hybridization strategy, which is an approach

Fig. 1. Designing of the compounds B1–B5 based on chemical structures ofanti-Alzheimeragents

Pharmacological Reports, 2012, 64, 834–847 835 Fig. 2. Synthesis of the compounds B1–B5

for the logical design of new compounds based on the acetamido)benzothiazole (A), which was then treated recognition of pharmacophoric sub-unities in 2 or with appropriate piperazine derivatives to obtain final more bioactive agents that form new hybrid structures products (B1–B5). The synthetic method is given in whilst preserving pre-selected characteristics of the Figure2. original templates [59]. For this purpose, DNP, FK- 960, and sabeluzole, which contain piperidine, pipera- zine, and benzothiazole groups, respectively, were se- 2-[2-(4-Phenylpiperazin-1-yl)acetylamino]ben- lected as model agents (Fig. 1). After a careful litera- zothiazole(B1) ture survey, we observed that no previous CNS- relatedstudyincludedthedesignedcompounds. M.p. 184–186°C. Yield 75%. IR (KBr, cm–1): 3350 (N-H), 1676 (C=O), 1599–1395 (C=C and C=N). 1 H-NMR (500 MHz, DMSO-d6, d, ppm): 3.47–3.64 (8H, m, piperazine), 3.92 (2H, s, COCH2), 7.34–7.58 (7H, m, Ar-H), 7.84 (H, d, J = 7.96 Hz, benzothia- MaterialsandMethods zole), 8.02 (H, d, J = 7.73 Hz, benzothiazole), 10.96 (H,s,NH-CO).MS(Es)m/z:353[M+1]. Drugsandchemicals

Purified AChE (cholinesterase, acetyl C 2888 Type 2-[2-(4-Benzylpiperazin-1-yl)acetylamino]ben- V-S: from electric eel; 1000–2000 U/mg), purified bu- zothiazole(B2) tyrylcholinesterase (BChE) (cholinesterase, butyryl C 4290 from horse serum, highly purified minimum M.p. 118–119°C. Yield 76%. IR (KBr, cm–1): 3350 500 U/mg), streptozotocin (STZ), 1-(4-methylbenzyl) (N-H), 1676 (C=O), 1599–1395 (C=C and C=N). 1 piperazine, 1-(4-methoxybenzyl)piperazine, and 1-(4- H-NMR (500 MHz, DMSO-d6, d, ppm): 2.14 (2H, s, chlorobenzyl)piperazine were purchased from Sigma- C6H5CH2), 2.37–2.66 (8H, m, piperazine), 3.62 (2H, Aldrich Chemical Co., St. Louis, MO, USA. 5,5- s, COCH2), 7.24–7.48 (7H, m, Ar-H), 7.83 (H, d, J = Dithiobis(2-nitrobenzoic acid) (DTNB), potassium 7.94 Hz, benzothiazole), 8.00 (H, d, J = 7.78 Hz, ben- dihydrogen phosphate, potassium hydroxide, sodium zothiazole), 11.56 (H, s, NH-CO). MS (Es) m/z: 367 hydrogen carbonate, acetylthiocholine iodide, and [M+1]. butyrylthiocholine iodide, used as substrates, were obtained from Fluka, Buchs, Switzerland. All other chemicals were purchased from Merck, Darmstadt, 2-[2-[4-(4-Methoxybenzyl)piperazin-1-yl]ace- Germany. DNP (Doenza®, Sanovel, Ýstanbul, Turkey), tylamino]benzothiazole(B3) (Alfamine®, Woerden, Holland), and xy- ® lazine (Alfazyne , Woerden, Holland) were of com- M.p. 114–115°C. Yield 77%. IR (KBr, cm–1): 3349 mercialgrade. (N-H), 1676 (C=O), 1599–1397 (C=C and C=N). 1 H-NMR (500 MHz, DMSO-d6, d, ppm): 2.34 (2H, s, Synthesisofcompounds C6H5CH2), 3.26–3.44 (8H, m, piperazine), 3.82 (2H, s, COCH2), 3.98 (3H, s, OCH3), 6.84–7.38 (6H, m, Target compounds were synthesized over 2 steps. Ini- Ar-H), 7.71 (H, d, J = 7.98 Hz, benzothiazole), 7.92 tially, 2-aminobenzothiazole was acetylated with (H, d, J = 7.74 Hz, benzothiazole), 11.54 (H, s, chloroacetyl chloride in to give 2-(2-chloro- NH-CO).MS(ES)m/z:397[M+1].

836 Pharmacological Reports, 2012, 64, 834–847 Effectofcompoundson icv STZ-inducedcognitivedeficits Ümide Demir Özkay et al.

2-[2-[4-(4-Methylbenzyl)piperazin-1-yl]ace- 1%) and put into a 100-ml volumetric flask. The vol- tylamino]benzothiazole(B4) ume was made up with water to 5 units/ml and further

–1 diluted to 2.5 units/ml. All solutions were freshly pre- M.p. 140–142°C. Yield 74%. IR (KBr, cm ): 3348 pared before enzymatic assays and used rapidly. Stock (N-H), 1676 (C=O), 1599–1395 (C=C and C=N). 1 solutions of the synthesized compounds were pre- H-NMR (500 MHz, DMSO-d6, d, ppm): 1.18 (3H, s, pared in 2% DMSO. Enzyme activities were deter- CH3), 2.25 (2H, s, C6H5CH2), 2.41–2.64 (8H, m, mined in the presence of 6 different concentrations of piperazine), 3.56 (2H, s, COCH2), 7.04–7.46 (6H, m, test compound. Each concentration was assayed in Ar-H), 7.78 (H, d, J = 7.93 Hz, benzothiazole), 7.98 triplicate. The samples were investigated immediately (H, d, J = 7.71 Hz, benzothiazole), 12.04 (H, s, after preparation. Enzyme solution (100 µl) and test NH-CO).MS(ES)m/z:381[M+1]. compound solution (100 µl) were added to a cuvette containing the phosphate buffer (3.0 ml, 0.1 M; pH = 2-[2-[4-(4-Chlorobenzyl)piperazin-1-yl]ace- 8.0). After 5-min incubation, the required aliquots of tylamino]benzothiazole(B5) DTNB solution (100 µl) and acetylthiocholine iodide (20 µl) or butyrylthiocholine iodide (20 µl) were –1 M.p. 131–133°C. Yield 71%. IR (KBr, cm ): 3237 added. After rapid and immediate mixing, the absorp- (N-H), 1694 (C=O), 1605–1398 (C=C and C=N). tion was measured at 412 nm. As a reference, an iden- 1 H-NMR (500 MHz, DMSO-d6, d, ppm): 2.11 (2H, s, tical solution of the enzyme without the inhibitor was C6H5CH2), 2.36–2.68 (8H, m, piperazine), 3.65 (2H, processed following the same protocol. DNP was s, COCH2), 7.25–7.44 (6H, m, Ar-H), 7.84 (H, d, J = usedasapositivecontrol[20]. 7.93 Hz, benzothiazole), 7.98 (H, d, J = 7.77 Hz, ben- zothiazole), 12.10 (H, s, NH-CO). MS (ES) m/z: 401 [M+1]. Animals

All experiments were carried out using adult Wistar ConversionofDNPHCltoDNPform rats weighing 200–250 g. The animals were housed in Ninety Doenza® tablets, including 900 mg DNP HCl, a temperature controlled (24 ± 1°C) room under were granulated and dissolved in 250 ml of distilled a 12-h light/12-h dark cycle and were acclimatized to water. The obtained suspension was stirred at room the laboratory environment at least 48 h before the ex- temperature for 30 min and filtered. The filtrate was perimental session. Rats were maintained in groups treated with 10% NaOH (10 ml) and sequentially ex- no greater than 4 per cage prior to and 1 per cage after tracted with ethyl acetate (3 × 10 ml). Ethyl acetate intracerebroventricular (icv) STZ injections. During extracts were pooled and dried over anhydrous experiments, food and tap water were allowed ad libi- tum. The experimental protocols were approved by Na2SO4; the solvent was removed under reduced pressuretogive780mgDNP. the Local Ethical Committee on Animal Experimenta- tionoftheEskiºehirOsmangaziUniversity,Turkey.

AChE/BChEactivityassay Icv administration ofSTZ The in vitro AChE/BChE activities of test compounds were evaluated prior to animal studies. Enzyme activ- Prior to surgery, rats were anesthetized immediately ity was investigated using a slightly modified color- with a combination of ketamine (100 mg/kg, ip) and imetric method of Ellman et al. [10]. The evaluation xylazine (5 mg/kg, ip). The animal’s head was fixed of enzyme activity was performed using a specific in the stereotaxic frame (Harvard Apparatus, 51650, chromogenic reagent, DTNB. DTNB solution Massachusetts, USA). The scalp was cleaned with io- (100 ml) was prepared in water containing DTNB dine solution, and a sagittal incision was made to the (0.396 g) and sodium hydrogen carbonate (0.15 g). midline of the scalp. Two holes were drilled (Harvard Solutions of acetylthiocholine iodide and butyrylthio- Apparatus, BS4 72-4951, Massachusetts, USA) in the choline iodide were prepared in 10 ml of water by ad- skull bilaterally over the lateral ventricles. According justing concentrations to 0.075 M. AChE or BChE to Paxinos and Watson’s atlas [45], the following co- (500 units) was dissolved in gelatin solution (1 ml, ordinates were used for icv injection: 0.8 mm poste-

Pharmacological Reports, 2012, 64, 834–847 837 rior to the bregma, 1.5 mm lateral to the sagittal su- Activity cage tests were performed just before (on ture, and 3.6 mm ventral from the surface of the brain. day 14) and after ‘DNP’ and ‘test compounds’ treat- STZ was dissolved in citrate buffer (pH 4.4) shortly ments (on day 21) to check the presence of possible before application. Bilateral icv injection of STZ alterations in spontaneous locomotor activities of rats (3 mg/kg, 10 µl/injection site) was applied gradually in causedbythesecompounds[44,48,57]. 2 divided doses, on days 1 and 3. The skin was su- tured after injections. The same surgical procedures 2.Elevatedplusmazemeasurements were also performed in the control group, although cit- rate buffer (10 µl/injection site) was injected instead of The acquisition and retention of memory processes STZ, on the first and third day. After surgery, rats were were evaluated using the elevated plus maze. The ap- housed individually, and special care was undertaken paratus was made of wood and comprised 2 opposite until spontaneous feeding resumed [2, 37, 44, 57]. open arms (50 × 10 cm), crossed with 2 closed arms (50 × 10 cm) with 40 cm high walls. The arms were Administrationofdrugsandtestcompounds connected by a central square (10 × 10 cm), and the maze was elevated 50 cm above the floor. The rats The animals were randomly divided into the follow- were placed individually at one end of an open arm, ing groups: the control group, which received icv facing away from the central square. The latency time citrate buffer; the STZ model of AD (SMAD) group, to enter into the closed arms was recorded as initial which received icv STZ; the DNP-injected SMAD transfer latency (ITL) and then, rats were allowed to groups; and the test compound-injected SMAD explore the maze for 30 s. The cut-off time was fixed groups. at 300 s and rats that could not find the closed arms Two weeks after injection of STZ, DNP (1 and within this period were eliminated from the experi- 3 mg/kg) was applied to the ‘DNP-injected SMAD ments. groups’, and 5 test compounds (1, 5, and 10 mg/kg) Elevated plus maze tests were performed on days were applied to the respective ‘test compound- 13, 14, and 21 after icv STZ injection. Acquisition of injected SMAD groups’ via intraperitoneal injection memory was assessed on day 13. On days 14 and 21, over 1 week. Control groups were treated with sun- latency times to enter the closed arms were measured again and recorded as first retention transfer latency flower oil, which is the solvent of the reference drug st nd DNP andtestcompounds. (1 RTL) and second retention transfer latency (2 RTL),respectively[22,57].

Behavioraltests 3.Morriswatermazemeasurements

Activity cage, elevated plus maze, and Morris water Morris water maze tests were performed to evaluate maze tests were performed in the same experimental spatial learning and memory of animals [39]. The groups. In order to avoid potential interactions be- water maze apparatus consisted of a circular water tween the tests, different experimental groups were tank (150 cm diameter × 60 cm high) which was filled usedforactiveavoidancemeasurements. up to 40 cm with water at 25 ± 1°C. The pool was divided virtually into 4 equal quadrants. A round plat- 1.Activitycagemeasurements form was placed 2 cm below the surface of water and remained in the same quadrant for the entire experi- The horizontal and vertical locomotor activities of ment[16,28,54]. rats were recorded by the activity cage apparatus, Before the training session, rats were allowed to which contains 2 pairs of 16 photocells positioned swim freely in the pool for 60 s without a platform. On 3 cm and 12 cm above the floor (UgoBasile, 7420, day 13, animals were subjected to 4 trials. The rats Varese, Italy). Interruptions of light beams to the pho- were left in the water, facing the wall of the maze from tocells during horizontal and vertical movements of the starting points, which were in the middle of each the animals were automatically recorded for 10 min. quadrant. The latency time to find the hidden platform The apparatus was placed in a sound-attenuated and was recorded as initial acquisition latency (IAL) [22, well-ventilatedroom[44,48,57]. 23]. Trials were given to rats for a maximum time of 60

838 Pharmacological Reports, 2012, 64, 834–847 Effectofcompoundson icv STZ-inducedcognitivedeficits Ümide Demir Özkay et al.

Tab. 1. AChE IC50 (µ/M) and BChE IC50 (µ/M) of synthesized com- s (cut-off time) to find the hidden platform, and rats pounds.Resultsarepresentedasthemean±SEM wereallowedtostayonitfor30s[16,19]. On days 14 and 21, latency times to attain the hid- Comp. R AChE BChEIC Selectivity* den platform were recorded as first retention latency 50 IC50 (µ/M) (µ/M) (1st RL) and second retention latency (2nd RL), respec- tively[22,23]. 22.6 104.8 4.64 B1 ±3.07 ±9.15

4.Activeavoidancemeasurements 0.52 28.9 55.6 B2 ±0.072 ±4.63 Learning-related behaviors of rats were assessed by 0.13 16.6 127.7 two-way active avoidance apparatus (UgoBasile, O-CH B3 3 7530, Varese, Italy). An auditory (70 dB, 670 Hz) and ±0.019 ±1.27 light stimulus (10 W), administered for a maximum of 0.061 8.74 143.3 CH B4 3 11 s, served as the conditioned stimulus. One second ±0.0044 ±0.36 later, a 0.4 mA electric shock was administered for a 0.086 9.27 107.8 maximum time of 10 s, which served as the uncondi- B5 tioned stimulus. The total time for each trial was 22 s; ±0.0029 ±0.41 the time between 2 consecutive trials was 4 s. Fifty 0.023 4.18 181.7 DNP trials were given every 3 consecutive days. The first ±0.0015 ±0.34 session was carried out 10 min after the accommoda- tion period. The total number of avoidances (number *BChEIC50 (µ/M)/AChEIC50 (µ/M) of crossings during unconditioned stimulus) and la- tency periods (as time before the first crossing) of ani- malswererecordedondays11,14,and21[55]. was comparable with the reference drug DNP. Moder- Statisticalanalyses ate inhibitory activity was observed with compounds B2 and B3 (Tab. 1). The data used in statistical analyses were obtained from 7 animals for each group. Experimental data of Confirmationofthecognitivedeficitswith all tests were analyzed by repeated measures ANOVA behavioraltests followed by Tukey’s HSD multiple comparison test using GraphPad Prism 4.03 (GraphPad Software, San Before administration of DNP and test compounds, Diego, CA, USA). The results were expressed as the elevated plus maze, Morris water maze, and active mean ± standard error of the mean (SEM). Differ- avoidance tests were performed on control and icv ences between data sets were considered as signifi- STZ-injected animals in order to confirm the estab- cantwhenpvaluewaslessthan0.05. lishmentofanADmodelin icv STZ-injectedrats. In the elevated plus maze test, there was a signifi- cant difference between the ITL (on day 13) and 1st RTL (on day 14) values of the icv citrate buffer- Results injected control group, reflecting the unimpaired cog- nitive ability and memory behavior of control ani- Cholinesteraseactivity mals. However, the difference between these parame- ters was not significant in the icv STZ-injected The inhibitory potencies of the test compounds against groups, indicating the establishment of SMAD in these AChE and BChE enzyme activities were evaluated by groups, as expected (Fig. 3). Similar results were ob- st Ellman’s test. The IC50 values for the inhibition of served for the IAL (on day 13) and 1 RL (on day 14) cholinesterase activity are shown in Table 1. Phenyl- parameters in Morris water maze (Fig. 4), and for la- substituted compound B1 exhibited a poor inhibitory tency times (Fig. 5) and number of avoidance (Fig. 6) activity on both AChE and BChE. However, com- parameters in active avoidance tests. Spontaneous lo- pounds B4 and B5 exhibited notable activity, which comotor activity did not differ significantly between

Pharmacological Reports, 2012, 64, 834–847 839 Fig. 3. Elevated plus maze response latencies of the animals in the experimental groups before the DNP and test compounds administrations. (A) SMAD groups which would be treated with DNP and compound B2.(B) SMAD groups which would be treated with DNP and compound B3. (C) SMAD groups which would be treated with DNP and compound B4. (D) SMAD groups which would be treated with DNP and compound B5. Significanceagainstcontrolvalues,***p<0.001.Valuesaregivenasthemean±SEM

the control and icv STZ-injected groups on day 14 Behavioraltests (data not shown). DNP and test compounds (B2, B3, B4, and B5) were STZ-injected animals (icv) were administrated 1, 5, administrated to animals just after impairments in learn- and 10 mg/kg doses of test compounds B2, B3, B4, ing and memory parameters of icv STZ-injected ani- and B5 and 1 and 3 mg/kg doses of DNP over 1 week. mals, which were confirmed by the above-mentioned After this application period, on day 21, behavioral behavioral tests. Due to the poor potency against AChE, experiments were repeated to observe the effect of compound B1 was not assessed in the in vivo tests. treatmentsonanimalswithAD.

st Fig. 4. IAL and 1 RL values of experimental groups in Morris water maze test before the DNP and test compounds administrations. (A) SMAD groups which would be treated with DNP and compound B2.(B) SMAD groups which would be treated with DNP and compound B3.(C) SMAD groups which would be treated with DNP and compound B4.(D) SMAD groups which would be treated with DNP and compound B5. Signifi- canceagainstcontrolvalues,***p<0.001.Valuesaregivenasthemean±SEM

840 Pharmacological Reports, 2012, 64, 834–847 Effectofcompoundson icv STZ-inducedcognitivedeficits Ümide Demir Özkay et al.

Fig. 5. Latency times of experimental groups in active avoidance test before the DNP and test compounds administrations. (A) SMAD groups which would be treated with DNP and compound B2. SMAD groups which would be treated with DNP and compound B3.(C) SMAD groups which would be treated with DNP and compound B4.(D) SMAD groups which would be treated with DNP and compound B5. Significance againstcontrolvalues,**p<0.01.Valuesaregivenasthemean±SEM

Fig. 6. Number of avoidances of experimental groups in active avoidance test before the DNP and test compounds administrations. (A) SMAD groups which would be treated with DNP and compound B2.(B) SMAD groups which would be treated with DNP and compound B3.(C) SMAD groups which would be treated with DNP and compound B4.(D) SMAD groups which would be treated with DNP and compound B5. Signifi- canceagainstcontrolvalues,**p<0.01.Valuesaregivenasthemean±SEM

In elevated plus maze tests, compounds B4 and B5 creased the 2nd RTL times, as expected. The effects of at 5 and 10 mg/kg doses and compounds B2 and B3 at B2, B3, B4, and B5 were comparable to that of DNP, 10 mg/kg doses significantly decreased the 2nd RTL asshowninFigure7. times of animals. B4 and B5 were significantly more In Morris water maze tests, similarly to the results effective than B2 and B3 (at 10 mg/kg doses) in terms of elevated plus maze tests, B4 and B5 at 5 and of the 2nd RTL time-shortening effects (Fig. 7). At 10 mg/kg and B2 and B3 at 10 mg/kg significantly re- 1 and 3 mg/kg doses, the reference drug DNP de- duced the 2nd RL times of animals. At 10 mg/kg

Pharmacological Reports, 2012, 64, 834–847 841 nd Fig. 7. 2 RTL values of control, SMAD, DNP-treated (1 and 3 mg/kg) SMAD and compound-treated (1, 5 and 10 mg/kg B2–B5) SMAD groups b in elevated plus maze test on day 21. Significance against control values, *** p < 0.001; significance against SMAD group values, p < 0.01, c e f p < 0.001; significance against 1 mg/kg DNP-treated group values, p < 0.01, p < 0.001; significance against 3 mg/kg DNP-treated group g h i j k l values, p < 0.05, p < 0.01, p < 0.001; significance against 1 mg/kg compound-treated group values, p < 0.05, p < 0.01, p < 0.001; signifi- m n cance against 5 mg/kg compound-treated group values, p < 0.05, p < 0.01; significance against 10 mg/kg compound B2-treated group p r t u values, p < 0.05, p < 0.01; significance against 10 mg/kg compound B3-treated group values, p < 0.01, p < 0.001. Values are given as the mean±SEM

nd Fig. 8. 2 RL values of control, SMAD, DNP-treated (1 and 3 mg/kg) SMAD and compound-treated (1, 5 and 10 mg/kg B2–B5) SMAD groups a b in Morris water maze test on day 21. Significance against control values, ***p < 0.001; significance against SMAD group values, p < 0.05, p c d e < 0.01, p < 0.001; significance against 1 mg/kg DNP-treated group values, p < 0.05, p < 0.01; significance against 3 mg/kg DNP-treated g h i j k l group values, p < 0.05, p < 0.01, p < 0.001; significance against 1 mg/kg compound-treated group values, p < 0.05, p < 0.01, p < 0.001; m n significance against 5 mg/kg compound-treated group values, p < 0.05, p < 0.01; significance against 10 mg/kg compound B2-treated p r t u group values, p < 0.05, p < 0.01, significance against 10 mg/kg compound B3-treated group values, p < 0.01, p < 0.001. Values are given asthemean±SEM

842 Pharmacological Reports, 2012, 64, 834–847 Effectofcompoundson icv STZ-inducedcognitivedeficits Ümide Demir Özkay et al.

Fig. 9. Latency time values of control, SMAD, DNP-treated (1 and 3 mg/kg) SMAD and compound-treated (1, 5 and 10 mg/kg B2–B5) SMAD a groups in avoidance test on day 21. Significance against control values, *** p < 0.001; significance against SMAD group values, p < 0.05, b c d e f p < 0.01, p < 0.001; significance against 1 mg/kg DNP-treated group values, p < 0.05, p < 0.01, p < 0.001; significance against 3 mg/kg g i j l DNP-treated group values, p < 0.05, p < 0.001; significance against 1 mg/kg compound-treated group values, p < 0.05, p < 0.001; signifi- m p cance against 5 mg/kg compound-treated group values, p < 0.05; significance against 10 mg/kg compound B2-treated group values, p < r t u 0.05, p < 0.01; significance against 10 mg/kg compound B3-treated group values, p < 0.01, p < 0.001. Values are given as the mean ± SEM

Fig. 10. Number of avoidances of control, SMAD, DNP-treated (1 and 3 mg/kg) SMAD and compound-treated (1, 5 and 10 mg/kg B2–B5) SMAD groups in avoidance test on day 21. Significance against control values, *** p < 0.001; significance against SMAD group values, a b c d e p < 0.05, p < 0.01, p < 0.001; significance against 1 mg/kg DNP-treated group values, p < 0.05, p < 0.01; significance against 3 mg/ kg g h i j DNP-treated group values, p < 0.05, p < 0.01, p < 0.001; significance against 1 mg/kg compound-treated group values, p < 0.05, k l m p < 0.01, p < 0.001; significance against 5 mg/kg compound-treated group values, p < 0.05; significance against 10 mg/kg compound p r s t B2-treated group values, p < 0.05, p < 0.01; significance against 10 mg/kg compound B3-treated group values, p < 0.05, p < 0.01. Values aregivenasthemean±SEM

Pharmacological Reports, 2012, 64, 834–847 843 doses, B4 and B5 were significantly more effective ported that DNP preferentially inhibits AChE rather than B2 and B3 (Fig. 8). DNP was effective in de- than BChE [43]. This finding was in accordance with nd creasing2 RL times,asexpected(Fig.8). the results of our enzymatic study. The results from in In active avoidance tests, latency times were signifi- vitro AChE enzyme inhibition assays encouraged us cantly decreased (Fig. 9), and avoidance numbers were to investigate the potential anti-Alzheimer effects of significantly increased (Fig. 10) by B4 and B5 (5 and compounds B2, B3, B4, and B5 in vivo, whereas com- 10 mg/kg) and B2 and B3 (10 mg/kg) treatment. B4 pound B1 was not evaluated in vivo due to its poor po- and B5 were significantly more effective than B2 and tencyagainstAChE. B3, at 10 mg/kg doses (Fig. 9 and 10). Once again, Icv injection of STZ to rats at 3 mg/kg has been ac- DNP improved the measured learning and memory cepted as an appropriate animal model for sporadic parametersinthistest(Fig.9and10). AD. The glucosamine-nitrosourea compound STZ Differences in the numbers of horizontal and verti- when applied into the brain bilaterally induces signifi- cal movements between the groups were not statisti- cant cognitive impairment in animals without affect- callysignificantonday21(datanotshown). ing peripheral blood glucose levels. SMAD is charac- terized by progressive deterioration of memory, cere- bral glucose, and energy metabolism. Desensitization of neuronal insulin receptors has been suggested as Discussion the cause of impaired cerebral glucose and energy metabolism in this animal model. Icv injection of STZ causes a cholinergic deficiency by inhibiting the syn- In the present study, benzothiazole-piperazine com- thesis of adenosine triphosphate and acetyl-CoA. pounds were synthesized by condensing the func- Cholinergic deficiency was accompanied by reduced tional groups of DNP, FK-960, and sabeluzole, which choline acetyltransferase activity in the hippocampus are known to have therapeutic potential against AD, and increased AChE activity in rat brains [37, 50]. Bi- with the aim of obtaining new and potent anti- lateral injection of STZ causes more widespread dam- Alzheimeragents. age and marked impairment in memory compared to The first step of this study was to evaluate the pos- unilateraldamage[50,57]. sible inhibitory activity of synthesized compounds on The occurrence of SMAD in rats was confirmed AChE and BChE enzymes by Ellman’s method. Fol- with behavioral tests. The elevated plus maze, Morris lowing this in vitro method, based on the relationship between inhibition of cholinesterase activities and water maze, and active avoidance tests were applied to treatment of AD, we planned to continue with in vivo the icv citrate buffer-injected control groups and indi- tests to assess the learning and memory parameters of cated that learning and memory functions of these con- theexperimentalanimals. trol groups were intact (Figs. 3–6). In contrast, learning Results from Ellman’s method revealed that some and memory parameters of icv STZ-injected animals of the tested benzothiazole-piperazine derivatives ex- were significantly impaired when compared to control hibited a remarkable AChE inhibitory potential. Com- groups (Figs. 3–6), as expected [2, 37, 44, 57]. pounds B2, B3, B4, and B5 possessed significant in- Just after these behavioral tests, DNP and test com- hibitory potencies against AChE, whereas BChE ac- pounds B2, B3, B4, and B5 were administrated to ‘icv tivity was not affected by the test compounds. DNP STZ-injected animals’ for 1 week. The rats were taken alsoselectivelyinhibitedAChE. through elevated plus maze, Morris water maze, and It is well established that acetylcholine, a neuro- active avoidance tests after all administrations were transmitter degraded by AChE in nerve synapses, is completed. In all these cognitive tests, compounds required for the proper function of cholinergic trans- B2, B3, B4, and B5 improved the impaired learning mission in the regulation of learning and memory pro- and memory parameters of icv STZ-injected animals. cesses [47]. The enhancement of cholinergic activity B4 and B5 were found to be more effective than B2 by the inhibition of AChE is the mainstay of sympto- and B3, in all performed tests. STZ-injected rats matic treatment of AD [47]. For example, the cen- treated with reference drug DNP demonstrated sig- trally acting cholinesterase inhibitor DNP is used for nificant improvement in the measured learning pa- the symptomatic treatment of AD. It has been re- rameters,asexpected(Figs.7–10).

844 Pharmacological Reports, 2012, 64, 834–847 Effectofcompoundson icv STZ-inducedcognitivedeficits Ümide Demir Özkay et al.

The locomotor activity values of reference and test proposed anti-Alzheimer activities were related, at compound-treated groups were similar to those of the least partially, to the AChE enzyme inhibitory activi- control animals. Therefore, it may be suggested that ties of the test compounds. However, probable addi- these compounds did not change the spontaneous lo- tional mechanisms need to be investigated in further, comotor activities of animals or affect the results of detailedstudies. cognitivetests. Chemical structure-pharmacological activity rela- tionships revealed that substituents on the fourth posi- Acknowledgments: tion of the piperazine ring have a substantial effect on ThisworkwasfinanciallysupportedbyAnadoluUniversity ResearchFoundation(Eskiºehir,Turkey).ProjectNo.070321. pharmacological activity. Compounds B2–B5, which TheauthorswouldliketothankDr.Erolº enerfromAnadolu bear 4-substituted benzyl piperazines, indicated sig- University,FacultyofPharmacy,DepartmentofAnalytical Chemistry,forhishelpinstereotaxicapplications. nificant pharmacological activity in vitro, compared with the phenyl-substituted piperazine compound B1. This result suggests that the benzyl moiety on the piperazine ring substantially increases the AChE in- References: hibitory activity. This may be explained by chemical differences between compounds B1 and B2–B5. In 1. ArceMP,Rodríguez-FrancoMI,González-MuñozGC, compound B1, N-phenyl substitution decreases the PérezC,LópezB,VillarroyaM,LópezMGetal.:Neu- electron density of the piperazine ring. On the other roprotectiveandcholinergicpropertiesofmultifunc- hand, a methylene group between aromatic and tionalglutamicacidderivativesforthetreatmentofAlz- piperazine rings enhances the electron density of heimer’sdisease.JMedChem,2009,52,7249–7257. 2. BaluchnejadmojaradT,RoghaniM:Effectofnaringenin piperazine in compounds B2–B5. It is well known onintracerebroventricularstreptozotocin-inducedcogni- that electron density plays an important role in biomo- tivedeficitsinrat:abehavioralanalysis.Pharmacology, lecular interactions, which is a pre-condition of phar- 2006,78,193–197. macological activity. Thus, it may be suggested that 3. BassilN,GrossbergGT:Novelregimensanddelivery varying electron density caused differences in the ac- systemsinthepharmacologicaltreatmentofAlzheimer’s disease.CNSDrugs,2009,23,293–307. tivities of B1 and B2–B5 in vitro. Lipophilicity is an- 4. BorroniB,ColciaghiF,PastorinoL,PettenatiC,Cottini other important structural feature affecting pharma- E,RozziniL,MonasteroRetal.:Amyloidprecursor cological activity. Due to the different substitution proteininplateletsofpatientswithAlzheimerdisease: patterns of compounds B2–B5, their lipophilicity var- effectofacetylcholinesteraseinhibitortreatment.Arch ies and can be ordered as B5 > B4 > B3 > B2. They Neurol,2001,58,442–446. 5. CarliM,BalducciC,MillanMJ,BonalumiP,Samanin are similarly ordered in terms of their efficacies. The RS:15535,abenzodioxopiperazineactingaspresynaptic compounds B4 and B5 possess greater pharmacologi- agonistandpostsynaptic5-HT1A receptorantagonist, cal activity than compounds B2 and B3 both in in vi- preventstheimpairmentofspatiallearningcausedbyin- tro and in vivo tests. This interesting finding suggests trahippocampalscopolamine.BrJPharmacol,1999,128, 1207–1214. that compounds B4 and B5 may pass through the 6. ChoiMM,KimEA,HahnHG,NamKD,YangSJ,Choi CNS more readily than B2 and B3 due to their more SY,KimTUetal.:Protectiveeffectofbenzothiazolede- lipophilic nature, which accounts for their improved rivativeKHG21834onamyloid b-inducedneurotoxicity pharmacologicalactivity. inPC12cellsandcorticalandmesencephalicneurons. Toxicology,2007,239,156–166. 7. CummingJ,BabuS,HuangY,CarrolC,ChenX, FavreauL,GreenleeW etal.:Piperazinesulfonamide BACE1inhibitors:design,synthesis,andinvivocharac- terization.BioorgMedChemLett,2010,20,2837–2842. Conclusion 8. DemarinV,ZavoreoI,KesVB,SimundiæAM:Bio- markersinAlzheimer’sdisease.ClinChemLabMed, 2011,49,773–778. Compounds B2–B5, which were synthesized by con- 9. Doody RS: Clinical benefits of a new piperidine-class AChE densing the functional groups of the DNP, FK-960, inhibitor. Eur Neuropsychopharmacol, 1999, 9, 69–77. 10. EllmanGL,CourtneyKD,AndresV Jr,Feather-Stone and sabeluzole, restored the impaired learning and RM:A newandrapidcolorimetricdeterminationoface- memory parameters of icv STZ-injected rats, compa- tylcholinesteraseactivity.BiochemPharmacol,1961,7, rable to the activity of DNP. The mechanisms for the 88–95.

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