ABSTRACT-Although possible usefulness of non-selective monoamine oxidase (MAO) inhibitors for Parkinson's disease therapy has been suggested in the literature, MAO inhibitors whose inhibition is reversible and have dual action to both MAO-A and -B subtypes is not available yet. Subtype selectivity and reversibility of a series of novel MAO inhibitors, 3-(2-aminoethoxy)-1,2-benzisoxazole derivatives, were studied. Several dual MAO inhibitors, which inhibit both MAO-A and -B, were obtained. When administered to mice, their effects were generally reversible. Among the derivatives, RS-1636 and RS-1653 had much longer duration of brain MAO-B inhibition than that of MAO-A. In vitro, the inhibited MAO-A activity by these compounds was partially recovered by buffer change at 4°C, while little MAO-B activity was recovered. Although it is not fully elucidated yet, the reversibility of these inhibitors is probably determined primarily by this dissociation profile. This unique differential reversibility indicates that optimization of the balance of actions can be achieved by differentiating reversibility to each target molecule.Keywords: Monoamine oxidase, Tight-binding inhibitor, Reversibility, Parkinson's disease Monoamine oxidase (MAO, EC 1.4.3.4) inhibitors were discovered by their effect on mood disorders in the 1950s (1, 2), and have been used as antidepressants since then. Two isozymes, MAO-A and MAO-B have been identified (1, 2). MAO-A is selectively inhibited by clorgyline and preferentially deaminates serotonin (5-HT) and noradrenaline (NA). MAO-B is selectively inhibited by l-deprenyl and preferentially deaminates 2-phenylethylamine (PEA) and benzylamine. Recently, marked advances have been made in the understanding of selective binding of substrates with MAO (3, 4). The old generation of MAO inhibitors, such as isocarboxazid, phenelzine and tranylcypromine, inhibit both A and B isozymes irreversibly. Several inhibitors selective to only MAO-A or MAO-B, with both reversible and irreversible characteristics, were developed later. Clorgyline, moclobemide (2), brofaromine (5), toloxatone and RS-8359 (6, 7) are some such MAO-A selective inhibitors that are strong antidepressants. lDeprenyl (selegiline) (8), rasagiline, MDL-72974 and lazabemide (9) are some such selective inhibitors to MAO-B that have a mild anti-Parkinsonian effect. However, potential usefulness of reversible MAO inhibitors that have dual action to both MAO-A and MAO-B (10) have not been verified yet.In this paper, a new family of MAO inhibitors, 3-(2-aminoethoxy)-1,2-benzisoxazole derivatives, is presented. Several reversible MAO inhibitors to both MAO-A and -B were obtained. Among the reversible dual inhibitors, RS-1636 and RS-1653 had much longer duration of MAO-B inhibition than that of MAO-A. The profile of MAO inhibition in vitro was studied to verify the mechanism of this differential reversibility.
MATERIALS AND METHODS
AnimalsMale C57BL/6 mice (5 -7 week-old, 18 -22 g body weight, from Charles River, Tokyo), which are widely used in rodent m...