Skip to main content
ACS Medicinal Chemistry Letters logoLink to ACS Medicinal Chemistry Letters
editorial
. 2024 Feb 13;15(3):326–327. doi: 10.1021/acsmedchemlett.4c00046

Novel AT2R Antagonists for Treating Chronic Pain

Ram W Sabnis 1,*
PMCID: PMC10945537  PMID: 38505837

Abstract

graphic file with name ml4c00046_0004.jpg

Provided herein are novel AT2R antagonists, pharmaceutical compositions, use of such compounds in treating chronic pain, and processes for preparing such compounds.

Important Compound Classes

graphic file with name ml4c00046_0006.jpg

Title

AT2R Antagonists and Uses Thereof

Patent Publication Number

WO 2023/224853 A1

URL: https://patents.google.com/patent/WO2023224853A1/en

Publication Date

November 23, 2023

Priority Applications

US 63/342,828 and US 63/413,691

Priority Dates

May 17, 2022 and October 6, 2022

Inventors

Beauchamp, T. J.; Chen, Z.; Conner, S. E.; Erickson, J. A.; Garcia Paredes, M. C.; Lineswala, J. P.; Sher, E.; Thapa, B.; Winneroski, L. L., II

Assignee Company

Eli Lilly and Company, USA

Disease Area

Chronic pain

Biological Target

AT2R

Summary

Chronic pain is a highly prevalent condition with huge societal impact. Despite the high disease burden and impact on society, management of chronic pain is currently unsatisfactory. The angiotensin 2 receptors (AT2R) are useful in the treatment of chronic pain. Chronic pain can be divided into different categories based on the mechanism: nociceptive, neuropathic, and mixed. Nociceptive pain is caused by stimuli, including inflammation, that potentially or actually cause an injury to non-neuronal tissues. This activates nociceptive receptors in the peripheral sensory system. Pain due to osteoarthritis is a classic example of somatic nociceptive pain. Neuropathic pain is caused by injuries to or disease of the central or peripheral nervous system. Pain due to diabetic peripheral neuropathy is a classic example of peripheral neuropathic pain. Conditions that exhibit features of both nociceptive and neuropathic pain are categorized as mixed pain. Damaged nerves and painful neuromas have higher AT2R expression than normal nerves. AT2R antagonists have been proven to be useful for relieving pain in animal experiments.

The present application describes a series of novel AT2R antagonists for treating chronic pain. Further, the application discloses compounds, their preparation, use, and pharmaceutical composition, and treatment.

Definitions

R1 = C1–C6 alkyl, C3–C6 cycloalkyl, C3–C9 heterocycloalkyl, or C6–C10 aryl, wherein the C1–C6 alkyl, C3–C6 cycloalkyl, C3–C9 heterocycloalkyl, or C6–C10 aryl is optionally substituted with one or more R1a;

R2 = C1–C6 alkyl, C3–C6 cycloalkyl, C3–C9 heterocycloalkyl, or C6–C10 aryl, wherein the C1–C6 alkyl, C3–C6 cycloalkyl, C3–C9 heterocycloalkyl, or C6–C10 aryl is optionally substituted with one or more R2a;

R3 = H or C1–C6 alkyl; and

X = C5–C10 heteroaryl, C6–C10 aryl, orgraphic file with name ml4c00046_0001.jpg

Key Structures

Biological Assay

The AT2R in vitro binding affinity assay was performed. The compounds described in this application were tested for their ability to inhibit AT2R. The AT2R Ki values (μM) are shown in the following table.

Biological Data

The table below shows representative compounds that were tested for AT2R inhibition and the biological data obtained from testing representative examples.graphic file with name ml4c00046_0002.jpggraphic file with name ml4c00046_0003.jpg

Claims

Total claims: 41

Compound claims: 30

Pharmaceutical composition claims: 1

Method of treatment claims: 5

Use of compound claims: 5

Recent Review Articles

See refs (15).

The author declares no competing financial interest.

References

  1. Thouaye M.; Yalcin I. Neuropathic pain: From actual pharmacological treatments to new therapeutic horizons. Pharmacol. Ther. 2023, 251, 108546. 10.1016/j.pharmthera.2023.108546. [DOI] [PubMed] [Google Scholar]
  2. Mustafa S.; Bajic J. E.; Barry B.; Evans S.; Siemens K. R.; Hutchinson M. R.; Grace P. M. One immune system plays many parts: The dynamic role of the immune system in chronic pain and opioid pharmacology. Neuropharmacology 2023, 228, 109459. 10.1016/j.neuropharm.2023.109459. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Uniyal A.; Tiwari V.; Tsukamoto T.; Dong X.; Guan Y.; Raja S. N. Targeting sensory neuron GPCRs for peripheral neuropathic pain. Trends Pharmacol. Sci. 2023, 44, 1009–1027. 10.1016/j.tips.2023.10.003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Clark C. R.; Khalil R. A. Regulation of vascular angiotensin II type 1 and type 2 receptor and angiotensin-(1–7)/MasR signaling in normal and hypertensive pregnancy. Biochem. Pharmacol. 2024, 220, 115963. 10.1016/j.bcp.2023.115963. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Hettiarachchi S. D.; Kwon Y. M.; Omidi Y.; Speth R. C. Nanoparticle approaches for the renin-angiotensin system. Heliyon 2023, 9, e16951. 10.1016/j.heliyon.2023.e16951. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from ACS Medicinal Chemistry Letters are provided here courtesy of American Chemical Society

RESOURCES