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Shirasaki 2006
Shirasaki 2006
Shirasaki 2006
ABSTRACT
Calpain-mediated proteolysis has been involved in neuronal cell death of retinal neuro-
logical degeneration. An aldehyde-based calpain inhibitor, SJA6017 (1), was effective fol-
lowing oral administration in a rat retinal ischemia model but had low oral bioavailability.
The aim of this study was to identify calpain inhibitors with good retinal penetration after
oral dosing. The orally bioavailable inhibitors, hemiacetal 3 (SNJ-1715), amphipathic ke-
toamide 5 (SNJ-1945), and pyridine ketoamide 6 (SNJ-2008), were evaluated for their retinal
pharmacokinetic (PK) profiles. The retinal drug exposure of these inhibitors was more than
tenfold higher than 1. Among these compounds, 5 exhibited the most favorable retinal PK
properties, such as good penetration and long half-life. Comparisons of 5 and the structurally
related ketoamide 6 suggested that the presence of a methoxy diethylene glycol moiety re-
sulted in the inhibitor with high penetration into the retina and the sustained high retinal
levels. Ketoamide 5 was selected as the development candidate for the treatment of retinal
diseases.
417
418 SHIRASAKI ET AL.
reported that oral administration of a highly po- We have improved the aqueous solubility of 4 by
tent inhibitor, dipeptidyl aldehyde 1 (SJA6017),21,22 incorporating a nonionic amphiphile and identi-
showed neuroprotective efficacy in the rat retinal fied a dipeptidyl -ketoamide 5 (SNJ-1945) that
ischemia model.3 However, a relatively high dose showed good plasma exposure in monkeys (Fig.
(500 mg/kg) was required, presumably owing to 1).25 In addition, introduction of a pyridine moi-
low oral bioavailability (BA), which was ascribed ety as a basic water-soluble moiety also provided
to a metabolically labile aldehyde moiety and low a potent and orally bioavailable ketoamide 6
water solubility.23 Consequently, we investigated (SNJ-2008) (Fig. 1).26
whether replacing the aldehyde warhead with Our aim was to discover orally available cal-
more chemically stable warheads, such as -ke- pain inhibitors with good retinal penetration.
toamide and cyclic hemiacetal moiety, could im- Drug penetration into the retina is restricted by
prove the oral BA (Fig. 1). The cyclic hemiacetal the inner and outer blood-retinal barriers (BRB).
derivative 2 showed a high metabolic stability Therefore, the plasma drug levels are not always
with adequate aqueous solubility. Further opti- parallel to the retinal levels.27,28 Although the in-
mization of 2 for inhibitory activity provided an hibitors 3, 5, and 6 showed good plasma expo-
oral available inhibitor 3 (SNJ-1715) with an ac- sure following oral administration, it is uncertain
ceptable potency.23,24 On the other hand, -ke- whether the inhibitors penetrate into the retina.
toamide analog 425 (Fig. 1) was equipotent to the In this study, we evaluated the inhibitory activi-
original aldehyde 1, and more membrane-per- ties, oral BA, and retinal penetration in rats of cal-
meable and metabolically stable than 1, but it pain inhibitors, original aldehyde 1, hemiacetal 3,
showed poor oral absorption in monkeys, likely amphipathic ketoamide 5, and pyridine ke-
owing to its extremely low aqueous solubility. toamide 6.
IC50 (M)a
Metab.b
Compound -calpain m-calpain (%) Mw c cLogD7d
Parameters 1 3 5 6
PK, pharmacokinetic; AUC, area under the curves; i.v., intravenous; p.o., per os.
aThe area under the curves for 0 h to infinity.
bThe terminal half-life.
cThe terminal phase elimination rate constant.
dThe steady-state volume of distribution.
eThe total clearance.
fOral bioavailability.
gThe values dose-normalized to 10 mg/kg.
Parameters 1 3 5 6
PK, pharmacokinetic; R/P, retina to plasma; AUC, areas under the curve.
aRetina-to-plasma AUC ratio.
bThe area under the curves for 0 h to infinity.
cThe terminal half-life.
dThe terminal phase elimination rate constant.
eThe retinal concentration at 8 h after administration.
fThe value dose-normalized to 10 mg/kg.
RETINAL PENETRATION OF CALPAIN INHIBITORS 423
pared to 1, owing to the presence of a more chem- nal levels exceeded 0.1 M at an oral dose of 10
ically stable warhead instead of aldehyde. Hemi- mg/kg, the effective oral dose in the ischemia
acetal 3 showed the highest retinal AUC, R/P ra- model could be an order of magnitude smaller
tio, and Cmax values, although the oral BA and than that of 1. On the other hand, the mean reti-
Vss were lower than those of 5. This is most likely nal levels of 3 and 5 were 0.06–1.8 and 0.11–0.40
the result of a smaller molecular weight and M, respectively, after oral dosing of 10 mg/kg.
lower lipophilicity, which leads to weaker plasma These indicated that the compounds would pro-
protein binding and an increase in unbound frac- vide retinal efficacy at a significantly lower oral
tions in plasma. The relatively high plasma clear- dosage, compared to 1. In fact, 3 and 5 demon-
ance of 3 may be ascribed to low plasma protein strated neuroprotective efficacy at a fivefold
bindings and metabolism by plasma esterases. lower dose (100 mg/kg) in the rat retinal ischemia
Hemiacetal 3 demonstrated a shorter retinal half- model,23,31 although these were not effective at a
life (t1/2), presumably owing to its high mem- dose of 30 mg/kg. The ketoamide 5 exhibited the
brane permeability and low lipophilic nature. longest t1/2 value and the highest concentration
Among these compounds, ketoamide 5 showed at 8 h after oral administration (C8h 0.11 M)
the most favorable PK profile. The retinal AUC among these compounds. Therefore, 5 is the most
value of 5 was approximately equal to that of favorable compound as a candidate for the treat-
hemiacetal 3. Furthermore, ketoamide 5 demon- ment of chronic retinal diseases.
strated the longest retinal half-life (t1/2) and the
highest concentration at 8 h after oral adminis-
tration (C8h). Ketoamide 5 incorporates methoxy
diethylene glycol (mDEG) moiety as a nonionic
CONCLUSIONS
amphiphile at the P3 site and exhibits adequate
In conclusion, we evaluated pharmacokinetic
lipophilicity. On the other hand, structurally re-
properties in the retina after oral administration
lated ketoamide 6 has a pyridineethanol as a ba-
of the several classes of calpain inhibitors, hemi-
sic water-soluble moiety at the P3 site and pos-
acetal 3, ketoamide 5, and ketoamide 6, to obtain
sesses a similar lipophilicity to 1. It has been
an oral drug for the treatment of retinal disorders.
reported that the introduction of a basic moiety
This study confirmed that these compounds have
led to an increase in plasma half-life and volume
remarkably higher penetration into the retina af-
of distribution through a charge-charge interac-
ter oral administration than original aldehyde 1.
tion between the protonated base and a region of
Ketoamide 5, containing an amphipathic moiety,
negative charge in the membrane phospho-
had excellent oral BA, high retinal penetration,
lipids.30 However, incorporation of basic pyri-
and a long retinal half-life. Comparisons of 5 with
dine moiety resulted in lower Vss, retinal pene-
pyridine ketoamide 6 revealed that the mDEG
tration, and larger, shorter half-life. These
moiety at the P3 provided the good PK proper-
unfavorable results may be caused by strong
ties in plasma and retinas. Ketoamide 5 would
plasma protein binding owing to its high
show the retinal efficacy in various retinal disor-
lipophilic nature, leading to active elimination
ders in lower oral dosage, compared to 1 and a
from the retina by efflux transporters in BRB,
long duration of action. In future work, we will
such as P-gp.27 Comparisons of ketoamides 5 and
assess ketoamide 5 as the candidate for further
6 revealed that mDEG moiety at the P3 site of 5
development in adequate pharmacological mod-
played a crucial role for well penetrating into the
els, which reflect retinal diseases.
retina and sustaining the high retinal drug levels
through the addition of the adequate lipophilic-
ity to the dipeptidyl ketoamide backbone.
This study disclosed that orally bioavailable in- ACKNOWLEDGMENTS
hibitors 3, 5, and 6 showed higher retinal pene-
tration than original aldehyde 1. Compound 1 The authors would like to thank Drs. Yukuo
was detected at levels 0.1–0.6 M in the retina fol- Yoshida and Mitsuyoshi Azuma for reading the
lowing an oral dose of 500 mg/kg, which is the manuscript. In addition, we thank Noriko Nada
minimum effective dose in the rat retinal is- for supporting laboratory work. Also, we would
chemia model. The potencies of these inhibitors like to thank Drs. Yutaka Kawamatsu, Jun Inoue,
were comparable to that of 1 (Table 1). If the reti- and Masayuki Nakamura for useful discussions.
424 SHIRASAKI ET AL.
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