Design and synthesis of novel alpha(1)(a) adrenoceptor-selective antagonists. 3. Approaches to eliminate opioid agonist metabolites by using substituted phenylpiperazine side chains

J Med Chem. 1999 Nov 18;42(23):4794-803. doi: 10.1021/jm990202+.

Abstract

Dihydropyrimidinones, such as 1, represent a novel class of alpha(1a) adrenoceptor antagonists with potential for the treatment of benign prostatic hyperplasia (BPH) (see part 1 of this series). Analysis of the metabolites of 1 revealed that 4-methoxycarbonyl-4-phenylpiperidine is formed as the major metabolite and is an agonist at the mu-opioid receptor. To circumvent any potential liability resulting from the metabolite, we decided to identify alternate templates devoid of agonist activity at the mu-opioid receptor to replace the 4-methoxycarbonyl-4-phenylpiperidine moiety. The present study describes the synthesis and SAR of dihydropyrimidinones linked to substituted 4-phenylpiperazine containing side chains. Compound (+)-38 was identified as a lead compound with a binding and functional profile comparable to that of 1. The putative metabolite 2-carboxamidophenylpiperazine has negligible affinity for the mu-opioid receptor.

MeSH terms

  • Adrenergic alpha-Antagonists / chemical synthesis*
  • Adrenergic alpha-Antagonists / chemistry
  • Adrenergic alpha-Antagonists / metabolism
  • Adrenergic alpha-Antagonists / pharmacology
  • Animals
  • Binding, Competitive
  • Biological Availability
  • Dogs
  • Drug Design
  • GTP-Binding Proteins / metabolism
  • Half-Life
  • Humans
  • In Vitro Techniques
  • Male
  • Piperazines / chemical synthesis*
  • Piperazines / chemistry
  • Piperazines / metabolism
  • Piperazines / pharmacology
  • Prostate / metabolism
  • Pyrimidinones / chemical synthesis*
  • Pyrimidinones / chemistry
  • Pyrimidinones / metabolism
  • Pyrimidinones / pharmacology
  • Rats
  • Receptors, Adrenergic, alpha-1 / metabolism*
  • Receptors, Opioid, mu / agonists
  • Recombinant Proteins / metabolism
  • Stereoisomerism
  • Structure-Activity Relationship

Substances

  • 1,2,3,6-tetrahydro-1-(N-((4-(2-nitrophenyl)piperazin-1-yl)propyl)carboxamido)-4-methyl-6-(3,4-difluorophenyl)-2-oxopyrimidine
  • ADRA1A protein, human
  • Adrenergic alpha-Antagonists
  • Piperazines
  • Pyrimidinones
  • Receptors, Adrenergic, alpha-1
  • Receptors, Opioid, mu
  • Recombinant Proteins
  • GTP-Binding Proteins