2015
DOI: 10.1021/acs.jmedchem.5b00407
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Structure–Activity Relationships, Pharmacokinetics, and in Vivo Activity of CYP11B2 and CYP11B1 Inhibitors

Abstract: CYP11B2, the aldosterone synthase, and CYP11B1, the cortisol synthase, are two highly homologous enzymes implicated in a range of cardiovascular and metabolic diseases. We have previously reported the discovery of LCI699, a dual CYP11B2 and CYP11B1 inhibitor that has provided clinical validation for the lowering of plasma aldosterone as a viable approach to modulate blood pressure in humans, as well normalization of urinary cortisol in Cushing's disease patients. We now report novel series of aldosterone synth… Show more

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Cited by 29 publications
(7 citation statements)
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References 60 publications
(47 reference statements)
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“…Since LCI-699 (2) entered clinical studies, additional studies have reported a variety of CYP11B2 inhibitors to improve selectivity over CYP11B1. As shown in Figure 1, most of the reported inhibitors have one of two templates to coordinate the heme-iron motif: imidazole-based inhibitors 8 like FAD286 (1) and LCI-699 (2) or pyridine-based inhibitors 9 including tetrahydroisoquinoline-based inhibitors derived from substituted pyridine structures. Among a number of reported pyridine-based inhibitors, compound 3 reported by Novartis displayed high potency and selectivity over CYP11B1 and is in phase 1 clinical trials.…”
Section: ■ Introductionmentioning
confidence: 99%
“…Since LCI-699 (2) entered clinical studies, additional studies have reported a variety of CYP11B2 inhibitors to improve selectivity over CYP11B1. As shown in Figure 1, most of the reported inhibitors have one of two templates to coordinate the heme-iron motif: imidazole-based inhibitors 8 like FAD286 (1) and LCI-699 (2) or pyridine-based inhibitors 9 including tetrahydroisoquinoline-based inhibitors derived from substituted pyridine structures. Among a number of reported pyridine-based inhibitors, compound 3 reported by Novartis displayed high potency and selectivity over CYP11B1 and is in phase 1 clinical trials.…”
Section: ■ Introductionmentioning
confidence: 99%
“…Installation of a gem -dimethyl carbinol, a group frequently appearing in bioactive compounds, via nucleophilic additions to acetone is illustrated in Scheme . The quenching of the lithium anion of the benzylic carbon in 301 with acetone led to a gem -dimethyl carbinol 302 . A lithium–iodine exchange of 2-chloro-4-iodopyridine ( 303 ) using n -butyllithium followed by reaction with acetone furnished a gem -dimethyl carbinol 304 .…”
Section: Structural Role Of a Gem-dimethyl Groupmentioning
confidence: 99%
“…To demonstrate the applicability of this reaction in the synthesis of C6-alkylated piperidin-2-one derivatives which show a wide range of biological activities, further transformation was explored (Scheme a). Hydrogenation of 3a gave the corresponding piperidin-2-one 7 in 83% yield.…”
mentioning
confidence: 99%