PMID- 22420844 OWN - NLM STAT- MEDLINE DCOM- 20120831 LR - 20161125 IS - 1520-4804 (Electronic) IS - 0022-2623 (Linking) VI - 55 IP - 7 DP - 2012 Apr 12 TI - First-in-class, dual-action, 3,5-disubstituted indole derivatives having human nitric oxide synthase (nNOS) and norepinephrine reuptake inhibitory (NERI) activity for the treatment of neuropathic pain. PG - 3488-501 LID - 10.1021/jm300138g [doi] AB - A family of different 3,5-disubstituted indole derivatives having 6-membered rings were designed, synthesized, and demonstrated inhibition of human nitric oxide synthase (NOS) with norepinephrine reuptake inhibitory activity (NERI). The structure-activity relationship (SAR) within the cyclohexane ring showed the cis-isomers to be more potent for neuronal NOS and selective over endothelial NOS compared to their trans-counterparts. Compounds, such as cis-(+)-37, exhibited dual nNOS and NET inhibition (IC(50) of 0.56 and 1.0 muM, respectively) and excellent selectivity (88-fold and 12-fold) over eNOS and iNOS, respectively. The lead compound (cis-(+)-37) showed lack of any direct vasoconstriction or inhibition of ACh-mediated vasorelaxation in isolated human coronary arteries. Additionally, cis-(+)-37 was effective at reversing both allodynia and thermal hyperalgesia in a standard Chung (spinal nerve ligation) rat neuropathic pain model. Overall, the data suggest that cis-(+)-37 is a promising dual action development candidate having therapeutic potential for the treatment of neuropathic pain. CI - (c) 2012 American Chemical Society FAU - Mladenova, Gabriela AU - Mladenova G AD - NeurAxon Inc., 2395 Speakman Drive, Suite 1001, Mississauga, Ontario L5K 1B3, Canada. gmladenova@neuraxon.com FAU - Annedi, Subhash C AU - Annedi SC FAU - Ramnauth, Jailall AU - Ramnauth J FAU - Maddaford, Shawn P AU - Maddaford SP FAU - Rakhit, Suman AU - Rakhit S FAU - Andrews, John S AU - Andrews JS FAU - Zhang, Dongqin AU - Zhang D FAU - Porreca, Frank AU - Porreca F LA - eng PT - Journal Article DEP - 20120404 PL - United States TA - J Med Chem JT - Journal of medicinal chemistry JID - 9716531 RN - 0 (Adrenergic Uptake Inhibitors) RN - 0 (Analgesics) RN - 0 (Cyclohexanes) RN - 0 (ERG1 Potassium Channel) RN - 0 (Ether-A-Go-Go Potassium Channels) RN - 0 (Indoles) RN - 0 (N-(3-(3-(methylamino)cyclohexyl)-1H-indol-5-yl)thiophene-2-carboximidamide) RN - 0 (Norepinephrine Plasma Membrane Transport Proteins) RN - 0 (Thiophenes) RN - EC 1.14.13.39 (Nitric Oxide Synthase Type I) SB - IM MH - Adrenergic Uptake Inhibitors/*chemical synthesis/chemistry/pharmacology MH - Analgesics/*chemical synthesis/chemistry/pharmacology MH - Animals MH - CHO Cells MH - Coronary Vessels/drug effects/physiology MH - Cricetinae MH - Cricetulus MH - Cyclohexanes/chemical synthesis/chemistry/pharmacology MH - ERG1 Potassium Channel MH - Ether-A-Go-Go Potassium Channels/antagonists & inhibitors MH - HEK293 Cells MH - High-Throughput Screening Assays MH - Humans MH - In Vitro Techniques MH - Indoles/*chemical synthesis/chemistry/pharmacology MH - Muscle Contraction MH - Muscle, Smooth, Vascular/drug effects/physiology MH - Neuralgia/*drug therapy MH - Nitric Oxide Synthase Type I/*antagonists & inhibitors MH - Norepinephrine Plasma Membrane Transport Proteins/*metabolism MH - Rats MH - Stereoisomerism MH - Structure-Activity Relationship MH - Thiophenes/*chemical synthesis/chemistry/pharmacology MH - Vascular Resistance EDAT- 2012/03/17 06:00 MHDA- 2012/09/01 06:00 CRDT- 2012/03/17 06:00 PHST- 2012/03/17 06:00 [entrez] PHST- 2012/03/17 06:00 [pubmed] PHST- 2012/09/01 06:00 [medline] AID - 10.1021/jm300138g [doi] PST - ppublish SO - J Med Chem. 2012 Apr 12;55(7):3488-501. doi: 10.1021/jm300138g. Epub 2012 Apr 4.