Discovery of Methylene Thioacetal-Incorporated α-RgIA Analogues as Potent and Stable Antagonists of the Human α9α10 Nicotinic Acetylcholine Receptor for the Treatment of Neuropathic Pain

Autor: Jack J. Skalicky, Cheryl Dowell, Sean Christensen, Landa Purushottam, Danny Hung-Chieh Chou, Nan Zheng, J. Michael McIntosh
Rok vydání: 2021
Předmět:
Zdroj: J Med Chem
ISSN: 1520-4804
0022-2623
DOI: 10.1021/acs.jmedchem.1c00802
Popis: The α9-containing nicotinic acetylcholine receptors (nAChRs) are key targets for the treatment of neuropathic pain. α-Conotoxin RgIA4 is a peptide antagonist of human α9α10 nAChRs with high selectivity. However, structural rearrangement reveals a potential liability for clinical applications. We herein report our designer RgIA analogues stabilized by methylene thioacetal as non-opioid analgesic agents. We demonstrate that replacing disulfide loop I [Cys(I)-Cys(III)] with methylene thioacetal in the RgIA skeleton results in activity loss whereas substitution of loop II [Cys(II)-Cys(IV)] can be accommodated. The lead molecule, RgIA-5524, exhibits highly selective inhibition of α9α10 nAChRs with an IC(50) of 0.9 nM and much reduced degradation in human serum. In vivo studies showed that RgIA-5524 relieves chemotherapy-induced neuropathic pain in wild type but not α9 knockout mouse models, demonstrating that α9-containing nAChRs are necessary for the therapeutic effects. This work highlights the application of methylene thioacetal as disulfide surrogate in conotoxin-based, disulfide-rich peptide drugs.
Databáze: OpenAIRE