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Research ArticleNeuropharmacology

Structural Analogs of the GABAkine KRM-II-81 Are Orally Bioavailable Anticonvulsants without Sedation

Kamal P. Pandey, Branka Divović, Farjana Rashid, Lalit K. Golani, Rok Cerne, Nicolas M. Zahn, Michelle Jean Meyer, Leggy A. Arnold, Dishary Sharmin, Md Yeunus Mian, Jodi L. Smith, Xingjie Ping, Xiaoming Jin, Arnold Lippa, V.V.N. Phani Babu Tiruveedhula, James M. Cook, Miroslav M. Savić and Jeffrey M. Witkin
Journal of Pharmacology and Experimental Therapeutics April 2023, 385 (1) 50-61; DOI: https://doi.org/10.1124/jpet.122.001362
Kamal P. Pandey
Department of Chemistry and Biochemistry, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin (K.P.P., F.R., L.K.G., N.M.Z., M.J.M., L.A.A., D.S., M.Y.M., V.V.N.P.B.T., J.M.C., J.M.W.);
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Branka Divović
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Farjana Rashid
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Lalit K. Golani
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Rok Cerne
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Nicolas M. Zahn
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Michelle Jean Meyer
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Leggy A. Arnold
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Dishary Sharmin
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Md Yeunus Mian
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Jodi L. Smith
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Xingjie Ping
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Xiaoming Jin
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Arnold Lippa
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V.V.N. Phani Babu Tiruveedhula
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James M. Cook
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Miroslav M. Savić
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Jeffrey M. Witkin
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Abstract

To provide back-up compounds to support the development of the GABAA receptor (GABAAR) potentiator KRM-II-81, three novel analogs were designed: replacing the pyridinyl with 2'-Cl-phenyl (FR-II-60), changing the positions of the N and O atoms in the oxazole ring with addition of an ethyl group (KPP-III-34 and KPP-III-51), or substituting a Br atom for the ethynyl of KRM-II-81 (KPP-III-34). The compounds bound to brain GABAARs. Intraperitoneal administration of FR-II-60 and KPP-III-34 produced anticonvulsant activity in mice [maximal electroshock (MES)-induced seizures or 6 Hz-induced seizures], whereas KPP-III-51 did not. Although all compounds were orally bioavailable, structural changes reduced the plasma and brain (FR-II-60 and KPP-III-51) exposures relative to KRM-II-81. Oral administration of each compound produced dose-dependent increases in the latency for both clonic and tonic seizures and the lethality induced by pentylenetetrazol (PTZ) in mice. Since KPP-III-34 produced the highest brain area under the curve (AUC) exposures, it was selected for further profiling. Oral administration of KPP-III-34 suppressed seizures in corneal-kindled mice, hippocampal paroxysmal discharges in mesial temporal lobe epileptic mice, and PTZ-induced convulsions in rats. Only transient sensorimotor impairment was observed in mice, and doses of KPP-III-34 up to 500 mg/kg did not produce impairment in rats. Molecular docking studies demonstrated that all compounds displayed a reduced propensity for binding to α1His102 compared with the sedating compound alprazolam; the bromine-substituted KPP-III-34 achieved the least interaction. Overall, these findings document the oral bioavailability and anticonvulsant efficacy of three novel analogs of KRM-II-81 with reduced sedative effects.

SIGNIFICANCE STATEMENT A new non-sedating compound, KRM-II-81, with reduced propensity for tolerance is moving into clinical development. Three new analogs were orally bioavailable, produced anticonvulsant effects in rodents, and displayed low sensorimotor impairment. KPP-III-34 demonstrated efficacy in models of pharmacoresistant epilepsy. Docking studies demonstrated a low propensity for compound binding to the α1His102 residue implicated in sedation. Thus, three additional structures have been added to the list of non-sedating imidazodiazepine anticonvulsants that could serve as backups in the clinical development of KRM-II-81.

Footnotes

    • Received June 30, 2022.
    • Accepted January 19, 2023.
  • We are grateful to the Henry and Nellie Pence Foundation for their generous support of this research that has enabled the advancement of new potential therapeutic entities. We also acknowledge the University of Wisconsin-Milwaukee Shimadzu Laboratory for Advanced and Applied Analytical Chemistry and support from the Milwaukee Institute of Drug Discovery and the University of Wisconsin-Milwaukee Research Foundation. Additional funding was provided by National Institutes of Health National Institute on Drug Abuse [Grant DA043204] (to J.M.C.) and National Institute of Neurological Disorders and Stroke [Grant NS076517] (to J.M.C.); National Science Foundation Division of Chemistry [Grant CHE-1625735]; and Ministry of Education, Science and Technological Development, Republic of Serbia, through Grant Agreement with University of Belgrade-Faculty of Pharmacy [Grant 451-03-9/2021-14/200161].

  • The authors declare that they have no conflicts of interest with the contents of this article.

  • A.L., J.M.C., and J.M.W. are associated with RespireRx Pharmaceutics that has a license agreement to develop KRM-II-81.

  • ↵1K.P.P., B.D., F.R., and L.K.G. contributed equally to the manuscript.

  • dx.doi.org/10.1124/jpet.122.001362.

  • Copyright © 2023 by The American Society for Pharmacology and Experimental Therapeutics
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Journal of Pharmacology and Experimental Therapeutics: 385 (1)
Journal of Pharmacology and Experimental Therapeutics
Vol. 385, Issue 1
1 Apr 2023
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Research ArticleNeuropharmacology

KRM-II-81 Analogs

Kamal P. Pandey, Branka Divović, Farjana Rashid, Lalit K. Golani, Rok Cerne, Nicolas M. Zahn, Michelle Jean Meyer, Leggy A. Arnold, Dishary Sharmin, Md Yeunus Mian, Jodi L. Smith, Xingjie Ping, Xiaoming Jin, Arnold Lippa, V.V.N. Phani Babu Tiruveedhula, James M. Cook, Miroslav M. Savić and Jeffrey M. Witkin
Journal of Pharmacology and Experimental Therapeutics April 1, 2023, 385 (1) 50-61; DOI: https://doi.org/10.1124/jpet.122.001362

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Research ArticleNeuropharmacology

KRM-II-81 Analogs

Kamal P. Pandey, Branka Divović, Farjana Rashid, Lalit K. Golani, Rok Cerne, Nicolas M. Zahn, Michelle Jean Meyer, Leggy A. Arnold, Dishary Sharmin, Md Yeunus Mian, Jodi L. Smith, Xingjie Ping, Xiaoming Jin, Arnold Lippa, V.V.N. Phani Babu Tiruveedhula, James M. Cook, Miroslav M. Savić and Jeffrey M. Witkin
Journal of Pharmacology and Experimental Therapeutics April 1, 2023, 385 (1) 50-61; DOI: https://doi.org/10.1124/jpet.122.001362
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