The functionalized amino acid, lacosamide
((R)-2), and the α-aminoamide,
safinamide ((S)-3), are neurological
agents that have been extensively
investigated and have displayed potent anticonvulsant activities in
seizure models. Both compounds have been reported to modulate voltage-gated
sodium channel activity. We have prepared a series of chimeric compounds,
(R)-7–(R)-10, by merging key structural units in these two clinical
agents, and then compared their activities with (R)-2 and (S)-3. Compounds
were assessed for their ability to alter sodium channel kinetics for
inactivation, frequency (use)-dependence, and steady-state activation
and fast inactivation. We report that chimeric compounds (R)-7–(R)-10 in catecholamine A-differentiated (CAD) cells and embryonic rat
cortical neurons robustly enhanced sodium channel inactivation at
concentrations far lower than those required for (R)-2 and (S)-3, and that
(R)-9 and (R)-10, unlike (R)-2 and (S)-3, produce sodium channel frequency (use)-dependence
at low micromolar concentrations. We further show that (R)-7–(R)-10 displayed
excellent anticonvulsant activities and pain-attenuating properties
in the animal formalin model. Of these compounds, only (R)-7 reversed mechanical hypersensitivity in the tibial-nerve
injury model for neuropathic pain in rats.