Identification of highly efficacious glucocorticoid receptor agonists with a potential for reduced clinical bone side effects.

Abstract:

:Synthesis and structure-activity relationship (SAR) of a series of nonsteroidal glucocorticoid receptor (GR) agonists are described. These compounds contain "diazaindole" moieties and display different transcriptional regulatory profiles in vitro and are considered "dissociated" between gene transrepression and transactivation. The lead optimization effort described in this article focused in particular on limiting the transactivation of genes which result in bone side effects and these were assessed in vitro in MG-63 osteosarcoma cells, leading to the identification of (R)-18 and (R)-21. These compounds maintained anti-inflammatory activity in vivo in collagen induced arthritis studies in mouse but had reduced effects on bone relevant parameters compared to the widely used synthetic glucocorticoid prednisolone 2 in vivo. To our knowledge, we are the first to report on selective glucocorticoid ligands with reduced bone loss in a preclinical in vivo model.

journal_name

J Med Chem

authors

Harcken C,Riether D,Kuzmich D,Liu P,Betageri R,Ralph M,Emmanuel M,Reeves JT,Berry A,Souza D,Nelson RM,Kukulka A,Fadra TN,Zuvela-Jelaska L,Dinallo R,Bentzien J,Nabozny GH,Thomson DS

doi

10.1021/jm4019178

subject

Has Abstract

pub_date

2014-02-27 00:00:00

pages

1583-98

issue

4

eissn

0022-2623

issn

1520-4804

journal_volume

57

pub_type

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