Benzodiazepine Derivatives as Potent Vasopressin V 2 Receptor Antagonists for the Treatment of Autosomal Dominant Kidney Disease

Cyst formation and enlargement in autosomal dominant kidney disease (ADPKD) is mainly driven by aberrantly increased cytosolic cAMP in renal tubule epithelial cells. Because the vasopressin V receptor (V R) regulates intracellular cAMP levels in kidneys, a series of benzodiazepine derivatives were d...

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Veröffentlicht in:Journal of medicinal chemistry 2022-07, Vol.65 (13), p.9295-9311
Hauptverfasser: Cao, Xudong, Wang, Peng, Yuan, Haoxing, Zhang, Haoran, He, Yan, Fu, Kequan, Fang, Qian, Liu, Hongli, Su, Limin, Yin, Long, Xu, Pei, Xie, Yuyang, Xiong, Xiaochun, Wang, Junqi, Zhu, Xu, Guo, Dong
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container_end_page 9311
container_issue 13
container_start_page 9295
container_title Journal of medicinal chemistry
container_volume 65
creator Cao, Xudong
Wang, Peng
Yuan, Haoxing
Zhang, Haoran
He, Yan
Fu, Kequan
Fang, Qian
Liu, Hongli
Su, Limin
Yin, Long
Xu, Pei
Xie, Yuyang
Xiong, Xiaochun
Wang, Junqi
Zhu, Xu
Guo, Dong
description Cyst formation and enlargement in autosomal dominant kidney disease (ADPKD) is mainly driven by aberrantly increased cytosolic cAMP in renal tubule epithelial cells. Because the vasopressin V receptor (V R) regulates intracellular cAMP levels in kidneys, a series of benzodiazepine derivatives were developed targeting the V R. Among these derivatives, compound exhibited potent binding affinity to the V R ( = 9.0 ± 1.5 nM) and efficacious cAMP inhibition (IC = 9.2 ± 3.0 nM). This led to the suppression of cyst formation and growth in both an MDCK cell model and an embryonic kidney cyst model. Further advancing compound in a murine model of ADPKD demonstrated a significantly improved efficacy compared with the reference compound tolvaptan. Overall, compound holds therapeutic potential for the treatment of ADPKD.
doi_str_mv 10.1021/acs.jmedchem.2c00567
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title Benzodiazepine Derivatives as Potent Vasopressin V 2 Receptor Antagonists for the Treatment of Autosomal Dominant Kidney Disease
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