PMID- 28598634 OWN - NLM STAT- MEDLINE DCOM- 20170905 LR - 20190113 IS - 1520-4804 (Electronic) IS - 0022-2623 (Linking) VI - 60 IP - 15 DP - 2017 Aug 10 TI - Design and Synthesis of gamma- and delta-Lactam M(1) Positive Allosteric Modulators (PAMs): Convulsion and Cholinergic Toxicity of an M(1)-Selective PAM with Weak Agonist Activity. PG - 6649-6663 LID - 10.1021/acs.jmedchem.7b00597 [doi] AB - Recent data demonstrated that activation of the muscarinic M(1) receptor by a subtype-selective positive allosteric modulator (PAM) contributes to the gastrointestinal (GI) and cardiovascular (CV) cholinergic adverse events (AEs) previously attributed to M(2) and M(3) activation. These studies were conducted using PAMs that also exhibited allosteric agonist activity, leaving open the possibility that direct activation by allosteric agonism, rather than allosteric modulation, could be responsible for the adverse effects. This article describes the design and synthesis of lactam-derived M(1) PAMs that address this hypothesis. The lead molecule from this series, compound 1 (PF-06827443), is a potent, low-clearance, orally bioavailable, and CNS-penetrant M(1)-selective PAM with minimal agonist activity. Compound 1 was tested in dose escalation studies in rats and dogs and was found to induce cholinergic AEs and convulsion at therapeutic indices similar to previous compounds with more agonist activity. These findings provide preliminary evidence that positive allosteric modulation of M(1) is sufficient to elicit cholinergic AEs. FAU - Davoren, Jennifer E AU - Davoren JE AUID- ORCID: 0000-0002-7312-0666 FAU - Garnsey, Michelle AU - Garnsey M FAU - Pettersen, Betty AU - Pettersen B FAU - Brodney, Michael A AU - Brodney MA FAU - Edgerton, Jeremy R AU - Edgerton JR FAU - Fortin, Jean-Philippe AU - Fortin JP FAU - Grimwood, Sarah AU - Grimwood S FAU - Harris, Anthony R AU - Harris AR FAU - Jenkinson, Stephen AU - Jenkinson S AD - Drug Safety Research and Development, Pfizer Worldwide Research and Development , La Jolla, California 92121, United States. FAU - Kenakin, Terry AU - Kenakin T AD - Department of Pharmacology, University of North Carolina School of Medicine , Chapel Hill, North Carolina 27599, United States. FAU - Lazzaro, John T AU - Lazzaro JT FAU - Lee, Che-Wah AU - Lee CW FAU - Lotarski, Susan M AU - Lotarski SM FAU - Nottebaum, Lisa AU - Nottebaum L AD - Drug Safety Research and Development, Pfizer Worldwide Research and Development , La Jolla, California 92121, United States. FAU - O'Neil, Steven V AU - O'Neil SV FAU - Popiolek, Michael AU - Popiolek M AUID- ORCID: 0000-0001-7372-1982 FAU - Ramsey, Simeon AU - Ramsey S FAU - Steyn, Stefanus J AU - Steyn SJ FAU - Thorn, Catherine A AU - Thorn CA FAU - Zhang, Lei AU - Zhang L FAU - Webb, Damien AU - Webb D LA - eng PT - Journal Article DEP - 20170726 PL - United States TA - J Med Chem JT - Journal of medicinal chemistry JID - 9716531 RN - 0 (Indans) RN - 0 (Isoindoles) RN - 0 (Lactams) RN - 0 (N-(3-oxo-3-(4-(pyridin-4-yl)piperazin-1-yl)propyl)benzo(c)(1,2,5)thiadiazole-4-sulfonamide) RN - 0 (Oxazoles) RN - 0 (PF-06827443) RN - 0 (Piperidines) RN - 0 (Receptor, Muscarinic M1) RN - 0 (Sulfonamides) RN - 0 (Thiadiazoles) RN - 8SSC91326P (Donepezil) RN - CK833KGX7E (Amphetamine) RN - DL48G20X8X (Scopolamine) SB - IM MH - Allosteric Regulation MH - Amphetamine/pharmacology MH - Animals MH - Ataxia/chemically induced MH - Diarrhea/chemically induced MH - Dogs MH - Donepezil MH - Drug Design MH - Female MH - Humans MH - Indans/pharmacology MH - Isoindoles/administration & dosage/chemical synthesis/*pharmacology/toxicity MH - Lactams/administration & dosage/chemical synthesis/*pharmacology/toxicity MH - Male MH - Mice, Inbred C57BL MH - Microsomes, Liver/metabolism MH - Oxazoles/administration & dosage/chemical synthesis/*pharmacology/toxicity MH - Piperidines/pharmacology MH - Rats, Wistar MH - Receptor, Muscarinic M1/*agonists/antagonists & inhibitors MH - Scopolamine/pharmacology MH - Seizures/*chemically induced MH - Structure-Activity Relationship MH - Sulfonamides/pharmacology MH - Thiadiazoles/pharmacology MH - Vomiting/chemically induced EDAT- 2017/06/10 06:00 MHDA- 2017/09/07 06:00 CRDT- 2017/06/10 06:00 PHST- 2017/06/10 06:00 [pubmed] PHST- 2017/09/07 06:00 [medline] PHST- 2017/06/10 06:00 [entrez] AID - 10.1021/acs.jmedchem.7b00597 [doi] PST - ppublish SO - J Med Chem. 2017 Aug 10;60(15):6649-6663. doi: 10.1021/acs.jmedchem.7b00597. Epub 2017 Jul 26.