Title Page CEP-26401 (Irdabisant), a Potent and Selective Histamine H3 Receptor Antagonist/ Inverse Agonist with Cognition-Enhan
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JPET Fast Forward. Published on October 14, 2011 as DOI: 10.1124/jpet.111.186585 JPET FastThis articleForward. has not Published been copyedited on and October formatted. 14,The final2011 version as DOI:10.1124/jpet.111.186585 may differ from this version. Title Page CEP-26401 (Irdabisant), a potent and selective histamine H3 receptor antagonist/ inverse agonist with cognition-enhancing and wake promoting activities Downloaded from Rita Raddatz, Robert L. Hudkins, Joanne R. Mathiasen*, John A. Gruner*, Dorothy G. Flood*, Lisa D. Aimone, Siyuan Le*, Hervé Schaffhauser*, Maciej Gasior*, Donna jpet.aspetjournals.org Bozyczko-Coyne, Michael J. Marino*, Mark A. Ator, Edward R. Bacon, John P. Mallamo and Michael Williams* at ASPET Journals on September 24, 2021 Discovery Research Cephalon, Inc. 145 Brandywine Parkway West Chester, PA 19380 USA Copyright 2011 by the American Society for Pharmacology and Experimental Therapeutics. JPET Fast Forward. Published on October 14, 2011 as DOI: 10.1124/jpet.111.186585 This article has not been copyedited and formatted. The final version may differ from this version. JPET #186585 2 Running Title H3 Receptor Antagonist CEP-26401 Corresponding author: Rita Raddatz Cephalon, Inc. 145 Brandywine Parkway West Chester, PA 19380 USA PHONE : (610) 738-6728 FAX: (610) 738-6305 Downloaded from [email protected] Text Pages: 48 Tables: 6 jpet.aspetjournals.org Figures: 7 References: 40 at ASPET Journals on September 24, 2021 Abstract (# of words): 240 Introduction (# of words): 490 Discussion (# of words): 1500 Abbreviations: H3R, histamine H3 receptor; CEP-26401, 6-{4-[3-((R)-2-methyl- pyrrolidin-1-yl)-propoxy]-phenyl}-2H-pyridazin-3-one HCl; ABT-239, 4-(2-{2-[(2R)-2- methyl-1-pyrrolidinyl]ethyl}-1-benzofuran-5-yl)benzonitrile (L) tartrate; RAMH, R-α- methylhistamine; GTPγS, guanosine 5`-(γ-thio)triphosphate; PPI, prepulse inhibition; [3H]NAMH, [3H]N-α-methylhistamine; RID, ratio of investigation duration; DTT, dithiothreitol; EEG, electroencephalographic; EMG, electromyographic; SWS, slow wave sleep; REMS, rapid eye movement sleep. Recommended section: Neuropharmacology JPET Fast Forward. Published on October 14, 2011 as DOI: 10.1124/jpet.111.186585 This article has not been copyedited and formatted. The final version may differ from this version. JPET #186585 3 Abstract CEP-26401 (Irdabisant) is a novel, potent histamine H3 receptor (H3R) antagonist/ inverse agonist with drug-like properties. High affinity of CEP-26401 for H3R was demonstrated in radioligand binding displacement assays in rat brain membranes (Ki = 2.7 ± 0.3 nM) and in recombinant rat and human H3R-expressing systems (Ki = 7.2 ± 0.4 nM, Ki = 2.0 ± 1.0 nM, respectively). CEP-26401 displayed potent antagonist and Downloaded from inverse agonist activities in [35S]GTPγS binding assays. Following oral dosing of CEP- 26401, occupancy of H3R was estimated by inhibition of ex vivo binding in rat cortical jpet.aspetjournals.org slices (OCC50 = 0.1 ± 0.003 mg/kg) and antagonism of the H3R agonist, R-α- methylhistamine (RAMH), -induced drinking response in the rat dipsogenia model was demonstrated in a similar dose range (ED50 = 0.06 mg/kg). CEP-26401 improved at ASPET Journals on September 24, 2021 performance in the rat social recognition model of short-term memory at doses of 0.01- 0.1 mg/kg p.o. and was wake-promoting at 3-30 mg/kg p.o. In DBA/2NCrl mice, CEP- 26401 at 10 and 30 mg/kg i.p. increased prepulse inhibition (PPI), while the antipsychotic risperidone was effective at 0.3 and 1 mg/kg i.p. Co-administration of CEP-26401 and risperidone at sub-efficacious doses (3 mg/kg i.p. and 0.1 mg/kg i.p., respectively) increased PPI. These results demonstrate potent behavioral effects of CEP-26401 in rodent models and suggest that this novel H3R antagonist may have therapeutic utility in the treatment of cognitive and attentional disorders. CEP-26401 may also have therapeutic utility in treating schizophrenia or as adjunctive therapy to approved antipsychotics. JPET Fast Forward. Published on October 14, 2011 as DOI: 10.1124/jpet.111.186585 This article has not been copyedited and formatted. The final version may differ from this version. JPET #186585 4 Introduction The CNS histaminergic system is involved in regulation of sleep-wake, attention and metabolic homeostasis via activation of a family of G-protein-coupled receptors (GPCRs) including H1, H2, H3 and H4 histamine receptors (Leurs et al., 2011). Of these, the H3 histamine receptor (H3R) was identified as a presynaptic autoreceptor modulating neuronal histamine release (Arrang et al., 1983). Subsequent studies demonstrated that H3R also functions as a heteroreceptor to modulate the release of other neurotransmitters Downloaded from associated with cognitive function and the regulation of sleep-wake, including acetylcholine, norepinephrine, dopamine, and serotonin (Esbenshade et al., 2008). jpet.aspetjournals.org The discovery of the H3R antagonists thioperamide and ciproxifan provided the pharmacological tools required for the exploration of the role of the H3R in CNS function. While active in multiple preclinical models, these early H3R antagonists were at ASPET Journals on September 24, 2021 limited as putative drug candidates due to poor target selectivity, lack of metabolic stability, potent hERG interactions, cytochrome P450 inhibition and poor brain penetration. Differences in pharmacology between the rodent and human H3Rs were also identified that hindered early drug discovery (Ireland-Denny et al., 2001). Considerable efforts in academia and industry resulted in the discovery of H3R antagonists / inverse agonists that have overcome many of these issues and provided tools to enhance understanding of H3R functions, with several compounds in clinical trials (Raddatz et al., 2010; Brioni et al., 2011; Berlin et al., 2011). The histaminergic system in the brain is active during wakefulness, and inhibitors of post-synaptic H1 histamine receptors are well established sedatives. The ability of H3R JPET Fast Forward. Published on October 14, 2011 as DOI: 10.1124/jpet.111.186585 This article has not been copyedited and formatted. The final version may differ from this version. JPET #186585 5 antagonists to increase activity in the brain histaminergic system and enhance vigilance and wakefulness has been demonstrated in multiple species (Parmentier et al., 2007). In addition to the effects of H3R antagonists on wake promotion in preclinical models, they are effective in decreasing episodes of cataplexy in a genetically narcoleptic Doberman Pinscher model (Bonaventure et al., 2007), suggesting the potential to treat multiple symptoms of narcolepsy. A number of H3R antagonists have also demonstrated efficacy across a broad range of preclinical models of cognitive function, including short- and Downloaded from long-term memory, working memory, spatial memory and sensorimotor gating (Esbenshade et al., 2008). H3R antagonists are currently being targeted for clinical use in jpet.aspetjournals.org the treatment of attention-deficit hyperactivity disorder (ADHD), Alzheimer’s disease (AD), schizophrenia and other disorders associated with cognitive impairment, as well as in the treatment of narcolepsy and sleep-wake disorders (Raddatz et al., 2010; Brioni et at ASPET Journals on September 24, 2021 al., 2011; Berlin et al., 2011; Leurs et al., 2011). In the present report, the pharmacological properties and behavioral effects of the novel H3R antagonist/ inverse agonist, CEP-26401 (6-{4-[3-((R)-2-methyl-pyrrolidin-1-yl)- propoxy]-phenyl}-2H-pyridazin-3-one; irdabisant; Hudkins et al., 2011) (Figure 1), are described. This selective, high affinity H3R antagonist potently enhanced short-term memory, improved PPI and demonstrated robust wake promotion in preclinical models, confirming the potential utility of H3R antagonists for the treatment of cognitive/ attentional disorders as well as sleep disorders. JPET Fast Forward. Published on October 14, 2011 as DOI: 10.1124/jpet.111.186585 This article has not been copyedited and formatted. The final version may differ from this version. JPET #186585 6 Methods Chemicals CEP-26401 and ABT-239 (Figure 1) were synthesized at Cephalon, Inc. (West Chester, PA) by methods previously described (Hudkins et al., 2011; Cowart et al., 2004). R-α- methylhistamine (RAMH), triprolidine, ranitidine hydrochloride, guanosine 5`-(γ- thio)triphosphate (GTPγS), thioperamide and ciproxifan were purchased from Sigma- Aldrich (St. Louis, MO). Clobenpropit and imetit dihydrobromide were purchased from Downloaded from Tocris (Ellisville, MO) and risperidone was purchased from Interchem (Paramus, NJ). [3H]N-α-methylhistamine ([3H]NAMH, 45-90 Ci/mmol), [3H]tiotidine (86 Ci/mmole), jpet.aspetjournals.org and [35S]GTPγS (1250 Ci/mmol) were purchased from PerkinElmer (Boston, MA). [3H]Pyrilamine (32 Ci/mmol) and [2,5-3H]histamine dihydrochloride ([3H]histamine, 30- 60 Ci/mmol) were purchased from GE Healthcare (Piscataway, NJ). at ASPET Journals on September 24, 2021 Receptor cloning and cell growth The cDNA encoding the 445-amino-acid splice variant of the rat histamine H3R (rH3R) (b.p. 338-1675 of GenBank accession no. NM_053506) was amplified from rat cDNA prepared from RNA isolated from thalamus, hypothalamus, striatum and prefrontal cortex. The sequence-verified cDNA was inserted into the pIRESneo3 vector (Clontech Laboratories, Inc., Palo Alto, CA) and the resulting construct was transfected into Chinese hamster ovary (CHO-A3) cells (cell line expressing mitochondrially