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Drugs Drug Candidates, Volume 3, Issue 2 (June 2024) – 8 articles

Cover Story (view full-size image): Currently available on-demand medications for hereditary angioedema attacks are administered intravenously or by injection and commonly associated with delayed or withheld treatment. We describe the discovery and development of a novel, orally administered treatment, sebetralstat, a potent and selective plasma kallikrein (PKa) inhibitor. Sebetralstat is rapidly absorbed, resulting in near-complete inhibition of circulating PKa in as little as 15 minutes. In the recently completed KONFIDENT Phase 3 trial (NCT05259917) sebetralstat was administered soon after the onset of attack (median, 41 minutes) and significantly reduced the time to beginning of symptom relief compared to placebo (median, 1.6 hrs versus 6.7 hrs; p < 0.001). A New Drug Application has been submitted to the US FDA. View this paper
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27 pages, 6571 KiB  
Article
Cyclocurcumin, a Minor Curcuminoid, Is a Novel Candidate for Hypopigmentary Skin Disorders with Melanogenesis-Stimulating Capacity
by Shilpi Goenka
Drugs Drug Candidates 2024, 3(2), 410-436; https://doi.org/10.3390/ddc3020025 - 17 Jun 2024
Cited by 1 | Viewed by 1161
Abstract
Effective therapies to treat skin hypopigmentation disorders caused by diminished melanin synthesis or export are limited due to potential side effects. In this work, we explored if cyclocurcumin (CYC), a curcuminoid found in minor amounts in turmeric rhizomes, might enhance the process of [...] Read more.
Effective therapies to treat skin hypopigmentation disorders caused by diminished melanin synthesis or export are limited due to potential side effects. In this work, we explored if cyclocurcumin (CYC), a curcuminoid found in minor amounts in turmeric rhizomes, might enhance the process of melanogenesis. CYC did not demonstrate antioxidant activity as evaluated by the DPPH assay. At noncytotoxic concentrations, CYC robustly enhanced melanin synthesis and melanin export in B16F10 mouse melanoma cells, which was correlated to increased cellular tyrosinase activity. The melanogenesis-stimulating efficacy of CYC was enhanced in B16F10 cocultures with HaCaT cells. Next, our results in MNT-1 human melanoma cells confirmed that CYC is a stimulator of both melanin synthesis and melanin export and acts by upregulating microphthalmia transcription factor (MITF) protein, although CYC did not alter tyrosinase protein or tyrosinase activity in MNT-1 cells. Moreover, the examination of CYC in MNT-1:HaCaT cocultures continued to show a more potent effect on stimulating melanin synthesis, as well as its export to recipient keratinocytes. Finally, CYC was shown to demonstrate a potent capacity to stimulate melanin production in primary human melanocytes from a Caucasian donor (HEMn-LP cells), although the effects on cellular tyrosinase activity were biphasic. Taken together, this is the first study to report the novel finding that CYC is a potent promelanogenic candidate that exhibits potential utility in the therapeutic management of skin disorders arising due to hypopigmentation in humans. Future studies that examine the molecular mechanisms and elucidate the promelanogenic efficacy of CYC in vivo are necessary. Full article
(This article belongs to the Section Preclinical Research)
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<p>Chemical structures of (<b>A</b>) curcumin and (<b>B</b>) cyclocurcumin (CYC); (<b>C</b>) antioxidant activity assay of CYC at various concentrations of 0–80 µM (<span class="html-italic">n</span> = 3 per group).</p>
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<p>(<b>A</b>) Viability of B16F10 cells treated with CYC (0–80 µM) for 72 h, one-way ANOVA with Dunnett’s test; (<b>B</b>) microscopic images of B16F10 cells treated with CYC (0–80 µM) for 72 h; (<b>C</b>) extracellular melanin; and (<b>D</b>) intracellular melanin of B16F10 cells after a 72 h treatment with various CYC concentrations; negative control (KA: 500 µM) is shown in plots; analysis by Student’s <span class="html-italic">t</span>-test; * <span class="html-italic">p</span> &lt; 0.05, ** <span class="html-italic">p</span> &lt; 0.01, and # <span class="html-italic">p</span> &lt; 0.0001 vs. control. The photos of extracellular culture medium and cell pellets are also shown above the plots of (<b>C</b>,<b>D</b>); all data are averages of at least three independent experiments.</p>
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<p>(<b>A</b>) Tyrosinase activity of B16F10 cells after a 72 h treatment with various CYC concentrations; (<b>B</b>) mushroom tyrosinase activity of varying CYC concentrations, negative control (KA: 500 µM) is also shown; analysis by Students <span class="html-italic">t</span>-test; * <span class="html-italic">p</span> &lt; 0.05, ** <span class="html-italic">p</span> &lt; 0.01, and <span class="html-italic"><span>$</span> p</span> &lt; 0.001 vs. control. Data for (<b>A</b>) are averages of values combined from two of three separate experiments, while data for (<b>B</b>) are averages of triplicate determinations.</p>
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<p>(<b>A</b>) Viability of HaCaT cells after treatment with CYC concentrations (0–80 µM) for 72 h; one-way ANOVA with Dunnett’s test; (<b>B</b>) melanin contents of B16F10-HaCaT cocultures without (Ctrl) and after treatment with 80 µM CYC; Student’s <span class="html-italic">t</span>-test; * <span class="html-italic">p</span> &lt; 0.05 vs. Ctrl. The corresponding pellets of cocultures are shown above the bar plots; (<b>C</b>) phase-contrast images of B16F10-HaCaT cocultures; white arrows denote elongated dendrites in the CYC group. Data for (<b>A</b>) are averages of three separate experiments, while all other data are averages of duplicates.</p>
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<p>(<b>A</b>) Viability of MNT-1 cells after a 5-day treatment with different CYC concentrations; (<b>B</b>) representative images showing MNT-1 cells without and after a 5-day treatment with varying CYC concentrations; (<b>C</b>) melanin contents; and (<b>D</b>) Tyrosinase activity of MNT-1 cells after 5-day treatment with different concentrations of CYC; all analyses by one-way ANOVA with Dunnett’s test; ** <span class="html-italic">p</span> &lt; 0.01 and <span class="html-italic"># p</span> &lt; 0.0001 vs. CYC (0 µM). All data are mean ± SD of at least three independent experiments.</p>
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<p>(<b>A</b>) Tyrosinase and (<b>B</b>) MITF protein levels measured in MNT-1 cells after treatment with different CYC concentrations; one-way ANOVA with Dunnett’s test; * <span class="html-italic">p</span> &lt; 0.05 and <span class="html-italic"><span>$</span> p</span> &lt; 0.001 vs. CYC (0 µM). all data are mean ± SD of triplicates (<span class="html-italic">n</span> = 3 per group).</p>
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<p>(<b>A</b>) Bright-field images of MNT-1:HaCaT cocultures of untreated (Ctrl) group showing two different fields (<b>a</b>,<b>b</b>) and the group treated with CYC at 80 µM from two different fields (<b>c</b>,<b>d</b>) of the wells; white arrows denote melanin pigment granules inside keratinocytes; red arrows denote the elongated dendrites of MNT-1 cells; (<b>B</b>) photo of pellets; and (<b>C</b>) melanin contents quantitated in MNT-1 cocultures treated without and with 80 µM CYC; analysis by Student’s <span class="html-italic">t</span>-test; <span class="html-italic"><span>$</span> p</span> &lt; 0.001 vs. Ctrl. Data are mean ± SD of values combined from two independent experiments (<span class="html-italic">n</span> = 4).</p>
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<p>(<b>A</b>) Viability of HEMn-LP cells treated with CYC (0–80 µM) for 6 days; one-way ANOVA with Dunnett’s test; (<b>B</b>) photos of cell pellets after treatment with CYC (0–50 µM) for 6 days; (<b>C</b>) melanin contents; and (<b>D</b>) tyrosinase activity were determined spectrophotometrically in cells after treatment with CYC (0–50 µM); analysis by Student’s <span class="html-italic">t</span>-test; * <span class="html-italic">p</span> &lt; 0.05, ** <span class="html-italic">p</span> &lt; 0.01, and <span class="html-italic"># p</span> &lt; 0.0001 vs. CYC (0 µM). All data are average of triplicates (<span class="html-italic">n</span> = 3 per group).</p>
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<p>Scheme showing the different targets at which CYC stimulates cellular melanogenesis.</p>
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19 pages, 2433 KiB  
Review
Two-Dimensional and Spheroid-Based Three-Dimensional Cell Culture Systems: Implications for Drug Discovery in Cancer
by Anali del Milagro Bernabe Garnique, Natália Sudan Parducci, Lívia Bassani Lins de Miranda, Bruna Oliveira de Almeida, Leonardo Sanches and João Agostinho Machado-Neto
Drugs Drug Candidates 2024, 3(2), 391-409; https://doi.org/10.3390/ddc3020024 - 13 Jun 2024
Viewed by 1529
Abstract
The monolayer (two-dimensional or 2D) cell culture, while widely used, lacks fidelity in replicating vital cell interactions seen in vivo, leading to a shift toward three-dimensional (3D) models. Although monolayers offer simplicity and cost-effectiveness, spheroids mimic cellular environments better. This is due to [...] Read more.
The monolayer (two-dimensional or 2D) cell culture, while widely used, lacks fidelity in replicating vital cell interactions seen in vivo, leading to a shift toward three-dimensional (3D) models. Although monolayers offer simplicity and cost-effectiveness, spheroids mimic cellular environments better. This is due to its nutrient gradients, which influence drug penetration and provide a more accurate reflection of clinical scenarios than monolayers. Consequently, 3D models are crucial in drug development, especially for anti-cancer therapeutics, enabling the screening of cell cycle inhibitors and combination therapies vital for heterogeneous tumor populations. Inhibiting processes like migration and invasion often require drugs targeting the cytoskeleton, which can exhibit dual functionality with cell cycle inhibitors. Therapeutic approaches with promising anti-cancer potential often exhibit reduced efficacy in 3D cell culture compared to their performance in monolayer settings, primarily due to the heightened complexity inherent in this system. In the face of this scenario, this review aims to survey existing knowledge on compounds utilized in both 2D and 3D cell cultures, assessing their responses across different culture types and discerning the implications for drug screening, particularly those impacting the cell cycle and cytoskeletal dynamics. Full article
(This article belongs to the Section Preclinical Research)
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<p>Diagram illustrating the characteristics of monolayer cell culture models and 3D spheroids, highlighting the unique features of each system. Created with <a href="http://Biorender.com" target="_blank">Biorender.com</a> (accessed on 1 May 2024).</p>
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<p>Summary of the molecular pathways targeted by drugs that focus on the cell cycle and the cytoskeleton. Created with <a href="http://Biorender.com" target="_blank">Biorender.com</a> (accessed on 1 May 2024).</p>
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11 pages, 1934 KiB  
Article
Essential Oil of Psidium glaziovianum Kiaersk Alleviates the Effects of Complete Freund’s Adjuvant (CFA)-Induced Arthritis by Regulating Inflammation and Oxidative Stress
by Wêndeo Kennedy Costa, João Victor de Oliveira Alves, Beatriz Meyruze Barros Da Fonseca, Valquíria Bruna Guimarães Silva, Rafael Jardim Ferreira, Thiago Henrique Napoleão, Patrícia Maria Guedes Paiva, Maria Tereza dos Santos Correia, Alisson Macário de Oliveira and Márcia Vanusa da Silva
Drugs Drug Candidates 2024, 3(2), 380-390; https://doi.org/10.3390/ddc3020023 - 7 May 2024
Cited by 1 | Viewed by 1207
Abstract
Rheumatoid arthritis (RA) is a chronic and debilitating condition that affects a significant number of individuals worldwide. Unfortunately, the currently available therapeutic approaches often yield unsatisfactory results and may be accompanied by harmful side effects. A medicinal plant called Psidium glaziovianum Kiaersk has [...] Read more.
Rheumatoid arthritis (RA) is a chronic and debilitating condition that affects a significant number of individuals worldwide. Unfortunately, the currently available therapeutic approaches often yield unsatisfactory results and may be accompanied by harmful side effects. A medicinal plant called Psidium glaziovianum Kiaersk has potential benefits in the treatment of this condition due to its anti-inflammatory and analgesic properties. In this study, our objective was to investigate the potential therapeutic effects of P. glaziovianum essential oil (PgEO) in alleviating arthritis symptoms in mice induced by Complete Freund’s Adjuvant (CFA). The effect of P. glaziovianum essential oil was evaluated in mice with Complete Freund’s Adjuvant (CFA)-induced arthritis. Edema sizes, macroscopic and radiographic images, cytokine levels, and oxidative stress were evaluated. Administration of PgEO at dosages of 50 and 100 mg/kg effectively prevented CFA-induced osteoarticular changes in arthritic mice, resulting in a significant reduction in joint damage. Additionally, the PgEO treatment exhibited the ability to minimize edema, a common symptom associated with arthritis. Furthermore, PgEO can modulate the levels of pro-inflammatory cytokines and oxidative stress, both of which play crucial roles in the progression of the disease. In conclusion, our study suggests that PgEO holds great potential as a natural therapeutic agent for rheumatoid arthritis. Full article
(This article belongs to the Section Preclinical Research)
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<p>Effect of PgEO administration for 14 days on CFA-induced arthritic edema. Results are expressed as mean ± SEM of 6 animals per group (<span class="html-italic">p</span> &lt; 0.001). a: Indomethacin vs. control group; b: 100 mg/kg vs. control group; c: 50 mg/kg vs. control group; and d: 25 mg/kg vs. control group.</p>
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<p>Macroscopic images and radiographic images of the effect of PgEO administration for 14 days on CFA-induced arthritic edema. Effect of treatment with PgEO 25, 50, and 100 mg/kg, orally, on the joints of mice with chronic CFA-induced arthritis.</p>
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<p>Effect of 14-day administration of PgEO on TNF-α and IL-1β levels in CFA-induced arthritis. The values represent mean ± SEM. * <span class="html-italic">p</span> &lt; 0.001 compared to the control and one-way analysis of variance (ANOVA) followed by Dunnett’s test.</p>
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12 pages, 2883 KiB  
Article
Preclinical Testing of Chronic ICA-1S Exposure: A Potent Protein Kinase C-ι Inhibitor as a Potential Carcinoma Therapeutic
by Christopher A. Apostolatos, Wishrawana S. Ratnayake, Sloan Breedy, Jacqueline Kai Chin Chuah, James Alastair Miller, Daniele Zink, Marie Bourgeois and Mildred Acevedo-Duncan
Drugs Drug Candidates 2024, 3(2), 368-379; https://doi.org/10.3390/ddc3020022 - 7 May 2024
Viewed by 1202
Abstract
Protein kinase C-iota (PKC-ι) is an oncogene overexpressed in many cancer cells including prostate, breast, ovarian, melanoma, and glioma cells. Previous in vitro studies have shown that 5-amino-1-((1R,2S,3R,4R)-2-3-dihydroxy-4-(hydroxymethyl)cyclopentyl)-1H-imidazole-4-carboxamide (ICA-1S), a PKC-ι-specific inhibitor, has low toxicity in both acute and sub-acute mouse model toxicological [...] Read more.
Protein kinase C-iota (PKC-ι) is an oncogene overexpressed in many cancer cells including prostate, breast, ovarian, melanoma, and glioma cells. Previous in vitro studies have shown that 5-amino-1-((1R,2S,3R,4R)-2-3-dihydroxy-4-(hydroxymethyl)cyclopentyl)-1H-imidazole-4-carboxamide (ICA-1S), a PKC-ι-specific inhibitor, has low toxicity in both acute and sub-acute mouse model toxicological testing and is an effective therapeutic against several cancer cell lines showing significant reductions in tumor growth when treating athymic nude mice with xenografted carcinoma cell lines. To further assess ICA-1S as a possible therapeutic agent, chronic mouse model toxicological testing was performed in vivo to provide inferences concerning the long-term effects and possible health hazards from repeated exposure over a substantial part of the animal’s lifespan. Subjects survived well after 30, 60, and 90 days of doses ranging from 50 mg/kg to 100 mg/kg. Heart, liver, kidney, and brain tissues were then analyzed for accumulations of ICA-1S including the measured assessment of aspartate transaminase (AST), alkaline phosphatase (ALK-P), gamma-glutamyl transferase (GGT), troponin, and C-reactive protein (CRP) serum levels to assess organ function. Predictive in vitro/in silico methods were used to predict compound-induced direct hepatocyte toxicity or renal proximal tubular cell (PTC) toxicity in humans based on the high-content imaging (HCI) of compound-treated cells in combination with phenotypic profiling. In conclusion, ICA-1S shows low toxicity in both acute and chronic toxicology studies, and shows promise as a potential therapeutic. Full article
(This article belongs to the Section Preclinical Research)
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Figure 1
<p>The chemical structure of ICA-1S, the inhibitor studied in this report. 5-amino-1-((1R,2S,3R,4R)-2-3-dihydroxy-4-(hydroxymethyl)cyclopentyl)-1H-imidazole-4-carboxamide, (ICA-1S) a PKC-ι specific inhibitor.</p>
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<p>Mean plasma concentration of ICA-1S over time. A dose–response assessment of drug accumulation in blood serum. Animals were given an oral dose of 100 mg/kg of ICA-IS daily.</p>
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<p>Analysis of ICA-1S-induced effects and toxicity prediction. The left-hand column summarizes the results relevant for the prediction of renal PTC toxicity in humans. All results were obtained using HPTCs. The right-hand column displays the results relevant for the prediction of direct hepatocyte toxicity in humans, and the results were obtained with HepaRG cells. The panels at the top show the average cell numbers (n = 3, +/− standard deviation) normalized to vehicle controls (vehicle controls set to 100%). All results for each tested concentration of ICA-1S are shown (black dots) as well as the fitted concentration–response curves. The first data point on the left is derived from the vehicle control. In addition, the results from the positive (red triangles) and negative (green squares) controls are shown. The panels in the middle show a 1-dimensional projection of the phenotypic feature space orthogonal to the plane of the decision boundary. The positions of the phenotypes induced by ICA-1S (black dots) and the positive (red triangles) and negative (green squares) controls are shown. The position of the decision boundary is indicated. The tables at the bottom display the predictions with respect to the renal PTC and hepatocyte toxicity of ICA-1S and the control chemicals, as well as the distances to the decision boundary in the phenotypic feature space. It is also indicated whether the chemicals that induced the 5 nearest-neighbor phenotypes were annotated as toxic (T) or not toxic (N) for the respective cell types in humans. The nearest-neighbor analysis was performed with the 42 or 69 reference chemicals used for establishing the respective predictive models.</p>
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<p>High-content imaging (HCI) results for HPTCs treated with ICA-1S and control chemicals. HPTCs were treated with the highest tested concentration of ICA-1S (800 μM), or with the vehicle control (0.8% DMSO). For comparison, HPTCs treated with the positive control (cephalosporin C) are shown. The images show the DAPI-stained cell nuclei (blue), the F-actin cytoskeleton (orange) and H2AX (green) detected by immunofluorescence. In each column, the same field of HPTCs is always shown.</p>
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<p>Images of HepaRG cells treated with ICA-1S and control chemicals. HepaRG cells were treated with the highest concentration of ICA-1S (500 μM) applied to this cell type, or with the vehicle control (0.5% DMSO). For comparison, HepaRG cells treated with the positive control (puromycin) are shown. The images show the DAPI-stained cell nuclei (blue), the F-actin cytoskeleton (orange) and RELA (green) detected by immunofluorescence. In each column, the same field of HepaRG cells is always shown. Scale bar: 50 µM.</p>
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15 pages, 2369 KiB  
Article
Toxicity and Teratogenic Potential of Piplartine from Piper tuberculatum Jacq. during Embryonic Development in Mice (Mus musculus)
by Giulliano Rezende Silva, Lívia Thaís Gontijo Miranda, Shirley Aline da Costa Arteaga da Silva, Laise Rodrigues de Andrade, Natanael Carvalho de Souza, Bruno Silva Sá, Elivaldo Ribeiro de Santana, Andreanne Gomes Vasconcelos, Daniel Carneiro Moreira, Aline Pic-Taylor, Alessandra Durazzo, Massimo Lucarini, Lydia Fumiko Yamaguchi, Massuo Jorge Kato, Amilcar Sabino Damazo, Daniel Dias Rufino Arcanjo, José Roberto de Souza de Almeida Leite and José Eduardo Baroneza
Drugs Drug Candidates 2024, 3(2), 353-367; https://doi.org/10.3390/ddc3020021 - 30 Apr 2024
Viewed by 1017
Abstract
Piplartine, also known as piperlongumine, is a natural and biologically active amide alkaloid found in various Piper species within the Piperaceae family. It possesses numerous beneficial properties that can be leveraged in the development of nanotechnological and pharmaceutical products. However, information on the [...] Read more.
Piplartine, also known as piperlongumine, is a natural and biologically active amide alkaloid found in various Piper species within the Piperaceae family. It possesses numerous beneficial properties that can be leveraged in the development of nanotechnological and pharmaceutical products. However, information on the effects of piplartine on mammalian embryonic development is scarce. This study aims to assess the general toxicity and teratogenic potential of piplartine during the embryonic development of mice. Pregnant mice received daily treatments of 25, 50, or 100 mg/kg of piplartine via gavage from the sixth day of gestation (implantation) to the eighteenth. On the eighteenth day, the mice were euthanized, and whole organs, blood samples (for hematological and biochemical analyses), and bone marrow cells (for DNA fragmentation and cell cycle assays) were collected. The uterus was examined for implantation sites and embryo resorptions. Additionally, fetuses were collected to assess for fetal anomalies. Piplartine did not result in maternal or embryo-fetal toxicity, induce fetal anomalies, cause hematological and biochemical alterations, or lead to DNA fragmentation. The oral administration of piplartine is safe and does not exhibit toxicity or teratogenic effects in mice. This finding opens avenues for the development of piplartine-based biotechnological products for therapeutic interventions in disease treatment. Full article
(This article belongs to the Section Preclinical Research)
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Figure 1
<p>Mass (in grams) of maternal organs across experimental groups treated with 25, 50, and 100 mg/kg piplartine and the control group (2% DMSO). (<b>A</b>) Uterus and liver. (<b>B</b>) Placenta and heart. (<b>C</b>) Spleen and Intestine. (<b>D</b>) Kidney and lungs. (<b>E</b>) Fetus.</p>
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<p>Effect of piplartine on bone marrow cells: (<b>A</b>) percentage of DNA fragmentation and (<b>B</b>) distribution of cell population in the G0/G1, S, and G2/M phases of the cell cycle. Statistical analysis was conducted using Kruskal–Wallis and Dunn post hoc tests. * Indicates a significant difference compared to the control group (<span class="html-italic">p</span> = 0.0095).</p>
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<p>(<b>A</b>) <span class="html-italic">Piper tuberculatum</span> Jacq. (“Pimenta de Macaco”). (Photo: M. J. Kato) growing in the <span class="html-italic">Campus</span> of University of São Paulo, USP, São Paulo, Brazil. (<b>B</b>) Molecular structure of piplartine (1-[(<span class="html-italic">E</span>)-3-(3,4,5-trimethoxyphenyl)prop-2-enoyl]-2,3-dihydropyridin-6-one, IUPAC name).</p>
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<p>Representative images of biological material processed for toxicological studies: (<b>A</b>) Planes of fetal sections for visceral analysis: a. Cross section at the height of the oral cavity. b. Frontal section in the preglabellar region; c. Frontal section in the orbital region; d: Frontal section in the vertex region; e. Cross section in the cervical region; f. Cross section in the abdominal region, just below the diaphragm; g. Cross-section in the pelvic region, passing through the navel. (<b>B</b>): Right kidney with adrenal gland attached to the upper portion and enlarged left ureter (I) and left kidney with adrenal gland not attached to the upper portion (II). (<b>C</b>): Spinal cord (I); right kidney (II) and left kidney (III) with their respective adrenal glands attached to the upper portion. The left kidney is bilobed and abnormally shaped compared to the right kidney. Over the right kidney, there are two adrenals. (<b>D</b>) Absence of the adrenal gland in the right kidney (I); left kidney with normal appearance and adrenal gland attached to the upper portion (II); right (III) and left (IV) ureters; right (VII) and left (V) male gonads; bladder (6). (<b>E</b>) Alizarin-stained mouse fetus, left lateral view. (<b>F</b>) Reduced sternebra.</p>
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11 pages, 2275 KiB  
Article
Relaxant Activity of 4H-Pyran and 1,6-Dihydropyridine Derivatives on Isolated Rat Trachea
by Samuel Estrada-Soto, Soledad Alemán-Pantitlán, Emmanuel Gaona-Tovar, Fernando Hernández-Borja, Yolanda Alcaraz, Rafael Villalobos-Molina and Miguel A. Vázquez
Drugs Drug Candidates 2024, 3(2), 342-352; https://doi.org/10.3390/ddc3020020 - 11 Apr 2024
Viewed by 1079
Abstract
Derivatives of 4H-pyrans and 1,6-dihydropyridines have generated considerable attention due to their interesting biological and therapeutic values. Their pharmacological activities include vasorelaxant, anticarcinogenic, antimicrobial, and antioxidant activities. Thus, the aim of the current work is to determine the relaxant effect of synthesized 4H-pyran [...] Read more.
Derivatives of 4H-pyrans and 1,6-dihydropyridines have generated considerable attention due to their interesting biological and therapeutic values. Their pharmacological activities include vasorelaxant, anticarcinogenic, antimicrobial, and antioxidant activities. Thus, the aim of the current work is to determine the relaxant effect of synthesized 4H-pyran and 1,6-dihydropyridine derivatives with potential anti-asthmatic properties on the smooth muscle airway, with a possible Ca2+-channel blockade as a mechanism of action due to their analogy with 1,4-dihidropyridines. 4H-pyrans and 1,6-dihydropyridines were achieved using multicomponent reactions by microwave and conventional heating. Also, test samples were evaluated ex vivo to determine their relaxant effect on isolated rat tracheal rings pre-contracted with carbachol. All compounds evaluated showed a significant relaxant effect on carbachol-induced contraction in tracheal rat rings. Compounds 4b, 4e, 7a, and 8d were the most potent from the entire series and were also more potent than theophylline, used as a positive control. In conclusion, in the current work some relaxant compounds of the airway smooth muscle with potential to be developed as anti-asthmatic drugs were obtained. Full article
(This article belongs to the Section Medicinal Chemistry and Preliminary Screening)
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Figure 1
<p>Concentration–response curves of compounds <b>4a</b>–<b>c</b> (<b>A</b>) and <b>4d</b>–<b>f</b> (<b>B</b>) on rat trachea rings pre-contracted with carbachol (1 μM).</p>
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<p>Concentration–response curves of compounds <b>7a</b> (<b>A</b>), <b>8b, c</b> and <b>h</b> (<b>B</b>), and <b>8d</b> and <b>g</b> (<b>C</b>) on rat trachea rings pre-contracted with carbachol (1 μM).</p>
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<p>Synthesis of 4H-pyran analogues <b>4a</b>–<b>f.</b></p>
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<p>Synthesis of 4H-pyran analogue <b>6a</b>.</p>
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<p>Synthesis of 1,6-dihydropyridines <b>8b</b>–<b>d</b> and <b>8g</b>–<b>h</b>.</p>
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<p>General mechanisms of relaxation in the airway smooth muscle cells.</p>
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14 pages, 2596 KiB  
Review
Sebetralstat: A Rapidly Acting Oral Plasma Kallikrein Inhibitor for the On-Demand Treatment of Hereditary Angioedema
by Edward P. Feener, Rebecca L. Davie, Nivetha Murugesan, Stephen J. Pethen, Sally L. Hampton, Michael D. Smith, Paul K. Audhya and Chris M. Yea
Drugs Drug Candidates 2024, 3(2), 328-341; https://doi.org/10.3390/ddc3020019 - 7 Apr 2024
Viewed by 2071
Abstract
Sebetralstat is a novel, potent, and selective oral plasma kallikrein inhibitor drug candidate in clinical development for the on-demand treatment of hereditary angioedema (HAE). Upon binding, sebetralstat induces a conformational change in the active site of plasma kallikrein, which contributes to its high [...] Read more.
Sebetralstat is a novel, potent, and selective oral plasma kallikrein inhibitor drug candidate in clinical development for the on-demand treatment of hereditary angioedema (HAE). Upon binding, sebetralstat induces a conformational change in the active site of plasma kallikrein, which contributes to its high potency (Ki 3 nM) and selectivity (>1500 fold) against other serine proteases. Its physiochemical properties promote both rapid dissolution in the stomach and rapid absorption in the upper intestine that contribute to its fast and efficient absorption. A single oral administration of sebetralstat rapidly provides near-complete inhibition of plasma kallikrein and blockade of high-molecular-weight kininogen cleavage as early as 15 min, which drives its clinical efficacy. In a phase 2 clinical trial, sebetralstat significantly reduced the time to beginning of symptom relief (p < 0.0001) with median times of 1.6 h (95% CI: 1.5–3.0) with sebetralstat versus 9.0 h (4.0–17.2) with placebo. KONFIDENT (NCT05259917) is a phase 3 clinical trial assessing the on-demand use of sebetralstat for HAE. If successful, this trial could support the approval of sebetralstat as the first noninvasive, on-demand treatment option to rapidly halt HAE attacks and provide fast symptom relief. Full article
(This article belongs to the Special Issue Drugs of the Kallikrein-Kinin System)
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Graphical abstract

Graphical abstract
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<p>Structure of sebetralstat (KVD900).</p>
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<p>Evolution of plasma kallikrein (PKa) inhibitors with reduced basicity in the P1 group. The human PKa IC<sub>50</sub> and ligand efficiency (LE) for each compound are indicated.</p>
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<p>(<b>A</b>). Crystal structure of sebetralstat complex with PKa (PDB code 8A3Q). (<b>B</b>). Key interactions of sebetralstat with residues in the active site of PKa. Network of π-interactions observed: TYR 174/terminal pyridone (face-to-face); TRP 215/phenyl linker (face-to-face) and pyrazole core (edge-to-face); HIS 57/pyrazole core (face-to-face). Hydrogen bonds are observed: GLY 99 backbone N–H/pyridone carbonyl, SER 214 backbone carbonyl/amide N–H, and LYS 192 side chain N–H/amide carbonyl. The pyridine P1 group occupies the S1 subpocket without forming specific polar interactions with any of the amino acids, including ASP 189. (<b>C</b>). Overlays of crystal structures 8A3Q (protein shown in pink, sebetralstat in green) and 2ANW (protein in gray, benzamidine in yellow) to highlight the movement of key residues in the S4 region to enable an extended network of π-stacking interactions with sebetralstat. Images created using BioSolvIT SeeSAR v13.0.1; BioSolveIT GmbH, Sankt Augustin, Germany, 2023, <a href="http://www.biosolveit.de/SeeSAR" target="_blank">www.biosolveit.de/SeeSAR</a> (accessed on 11 December 2023).</p>
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<p>Dose–response effects of sebetralstat on PKa activity and HK cleavage in human plasma. (<b>A</b>) Representative graphs showing dose–response effects of sebetralstat in DXS-stimulated PKa activity in plasma from a healthy volunteer and a patient with HAE-C1INH. (<b>B</b>) The percentage of HK after DXS-stimulation of the plasma was determined in the presence or absence of sebetralstat. Bar graph showing the percentage of HK after DXS stimulation compared to HK in unstimulated healthy volunteer plasma (expressed as % mean ± SEM). cHK, cleaved HK; DXS, dextran sulfate; HK, high-molecular-weight kininogen; PKa, plasma kallikrein; SEM, standard error of the mean. <span class="html-italic">p</span>-values: **** &lt; 0.0001, * &lt; 0.05. Figure panels (<b>A</b>,<b>B</b>) were reprinted/adapted with permission from Ref. [<a href="#B44-ddc-03-00019" class="html-bibr">44</a>]. 2022 KalVista Pharmaceuticals, Inc. <span class="html-italic">Clin. Exp. Allergy</span> 2022, 52, 1059–1070 Duckworth et al. Pharmacological Suppression of the Kallikrein Kinin System with KVD900: An Orally Available Plasma Kallikrein Inhibitor for the On-demand Treatment of Hereditary Angioedema.</p>
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<p>Effects of sebetralstat on PKa activity and HK cleavage in healthy volunteers. Sebetralstat was administered as a single dose (600-mg tablet) to 12 healthy male volunteers under fasted conditions. Plasma was collected pre- and postdose at the times indicated. (<b>A</b>) Sebetralstat concentration in plasma (gray). PKa activity (black) in DXS-stimulated plasma postdose compared with plasma obtained before sebetralstat administration. (<b>B</b>) The relative concentration of HK after DXS stimulation as a percentage of total HK and cHK (combined) compared to reference control plasma (arithmetic mean ± SD). (<b>C</b>) Population PD data in healthy volunteers administered a single dose of sebetralstat at 160, 300, or 600 mg, and patients with HAE administered a single 600-mg dose. Data show arithmetic mean percent DXS-stimulated PKa activity in plasma samples collected. The indicated timepoints are postdose compared to predose plasma. DXS, dextran sulfate; HK, high-molecular-weight kininogen; cHK, cleaved high-molecular-weight kininogen; SD, standard deviation of the mean. Adapted with permission from Ref. [<a href="#B43-ddc-03-00019" class="html-bibr">43</a>]. 2021, Andreas Maetzel, Michael D. Smith, Edward J. Duckworth, Sally L. Hampton, Gian Marco De Donatis, Nivetha Murugesan, Louise J. Rushbrooke, Lily Li, Danielle Francombe, Edward P. Feener, and Christopher M. Yea.</p>
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<p>Pharmacokinetic and pharmacodynamic effects of a single oral administration of 600 mg of sebetralstat in a tablet formulation on plasma in participants with HAE-C1INH. Plasma was obtained predose and at the indicated times after sebetralstat administration up to 4 h, the final timepoint measured. (<b>A</b>) Mean plasma concentrations of sebetralstat for participants with HAE-C1INH (<span class="html-italic">n</span> = 68 dosed/enrolled, <span class="html-italic">n</span> = 42 with plasma samples) are shown in the gray line (ng/mL). PKa activity in DXS-stimulated plasma from a representation cohort of 26 participants with HAE-C1INH is shown in the black line. (<b>B</b>) HK and PK were quantified using a capillary-based immunoassay in DXS-stimulated whole plasma from a representative cohort of 6 individuals with HAE-C1INH. Bar graphs show percentage compared with plasma PK and HK levels in the absence of DXS stimulation (arithmetic mean ± SEM). DXS, dextran sulfate; HK, high-molecular-weight kininogen; PK, plasma prekallikrein; SD, standard deviation of the mean (modified from [<a href="#B44-ddc-03-00019" class="html-bibr">44</a>,<a href="#B54-ddc-03-00019" class="html-bibr">54</a>]). Figure panel A reprinted/adapted with permission from Ref. [<a href="#B44-ddc-03-00019" class="html-bibr">44</a>]. 2022 KalVista Pharmaceuticals, Inc. Figure panel B was published in <span class="html-italic">Lancet</span>, 401(10375), Aygören-Pürsün E, et al., An investigational oral plasma kallikrein inhibitor for on-demand treatment of hereditary angioedema: a two-part, randomised, double-blind, placebo-controlled, crossover phase 2 trial, pages 458-469, Copyright Elsevier 2023.</p>
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<p>Time to symptom relief and proportion of attacks rated at least “a little better” on the Patient Global Impression of Change (PGI-C) for two consecutive timepoints within 12 h of study drug administration. Number at risk is the count of individuals who have not yet experienced the event and have not been censored (modified from [<a href="#B54-ddc-03-00019" class="html-bibr">54</a>]). This figure was published in <span class="html-italic">Lancet</span>, 401(10375), Aygören-Pürsün E, et al., An investigational oral plasma kallikrein inhibitor for on-demand treatment of hereditary angioedema: a two-part, randomised, double-blind, placebo-controlled, crossover phase 2 trial, pages 458–469, Copyright Elsevier 2023.</p>
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<p>Schema of the effects of sebetralstat on the kallikrein kinin system (KKS). Sebetralstat inhibits plasma kallikrein (PKa)-mediated cleavage of high-molecular-weight kininogen (HK) that generates bradykinin and cleaved HK (cHK). Sebetralstat also inhibits the activation of Factor XII and the generation of PKa by the positive feedback amplification of the KKS. HAE, hereditary angioedema.</p>
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17 pages, 2357 KiB  
Review
Zilucoplan: A Newly Approved Macrocyclic Peptide for Treatment of Anti-Acetylcholine Receptor Positive Myasthenia Gravis
by Lia Costa and Carla Fernandes
Drugs Drug Candidates 2024, 3(2), 311-327; https://doi.org/10.3390/ddc3020018 - 27 Mar 2024
Cited by 1 | Viewed by 2549
Abstract
Zilucoplan is a synthetic macrocyclic peptide approved by the Food and Drug Administration (FDA), in October 2023, for the treatment of generalized myasthenia gravis. It is considered as an orphan drug that causes the inhibition of terminal complement cascade activation with a dual [...] Read more.
Zilucoplan is a synthetic macrocyclic peptide approved by the Food and Drug Administration (FDA), in October 2023, for the treatment of generalized myasthenia gravis. It is considered as an orphan drug that causes the inhibition of terminal complement cascade activation with a dual mechanism of action preventing the formation of the membrane attack complex (MAC) and the destruction of the neuromuscular junction. This drug has been demonstrated to be able to treat the generalized myasthenia gravis without significant adverse effects, with good efficacy, safety, and tolerability profile. Zilucoplan is not only innovative and promising in the therapeutics of generalized myasthenia gravis, but it could also be beneficial for the treatment of other diseases as well as a model for synthesis of analogues to improve pharmacological profile. Full article
(This article belongs to the Section Marketed Drugs)
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Figure 1

Figure 1
<p>Structure of zilucoplan.</p>
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<p>General synthetic pathway for zilucoplan. HCTU: 2-(6-chloro-l-<span class="html-italic">H</span>-benzotriazole-lyl)-1,1,3,3-tetramethylaminium hexafluorophosphate; DIEA: diisopropyl ethylamine; Fmoc: fluorenylmethyloxycarbonyl; tBu: <span class="html-italic">tert</span>-butyl; TFA: trifluoroacetic acid; TIS: triisopropylsilane.</p>
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<p>RP-HPLC chromatogram, electrospray ionization mass spectrometry (ESI–MS) spectrum and MALDI-MS spectrum of zilucoplan [<a href="#B28-ddc-03-00018" class="html-bibr">28</a>].</p>
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<p>(<b>A</b>) Activation of the antibody-dependent complement system in generalized myasthenia gravis by attack of anti-acetylcholine receptor (anti-AChR) antibodies, leading to the destruction of the post-synaptic membrane of neuromuscular junctions. (<b>B</b>) Mechanism of action of zilucoplan blocking the complement cascade and preventing the formation of membrane attack complex (MAC) and the destruction of the neuromuscular junction.</p>
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<p>Pipeline of zilucoplan. gMG: generalized myasthenia gravis.</p>
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