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. Author manuscript; available in PMC: 2026 Jan 30.
Published in final edited form as: Synlett. 2025 May 23;36(16):2597–2602. doi: 10.1055/a-2586-6260

Efficient Regioselective Synthesis of Benzimidazoles and Azabenzimidazoles to Enable the Rapid Development of Structure-Activity Relationships for Activation of SLACK Potassium Channels

Paul K Peprah a,b, Brittany D Spitznagel c, Yu Du c,d, Dalena Nguyen a, C David Weaver c,d, Kyle A Emmitte a,*
PMCID: PMC12854702  NIHMSID: NIHMS2104440  PMID: 41625779

Abstract

The sodium activated potassium channel known as SLACK (KNa1.1 or Slo2.2) is widely expressed in the central nervous system and represents a potential target for the treatment of several neurological disorders. While much recent progress has been made toward the discovery of small molecule inhibitors of these channels, reports regarding small molecule activators have been scant. Having identified such compounds via a high-throughput screen, we were interested in establishing structure-activity relationships that could serve as the foundation for the design of potent activators of SLACK channels. In this Letter, we describe the implementation of an efficient synthetic approach to the regioselective synthesis of a series of benzimidazole and azabenzimidazoles based on one of our hit compounds. The key step utilizes a one-pot reduction/formylation/condensation reaction of 2-nitro-arylamines. Also presented herein is functional activity for 15 new analogs prepared by this approach and obtained via a thallium-flux assay in cells stably expressing human wild-type SLACK channels. Many of these new analogs demonstrated substantially improved potency relative to the initial hit compound and provide valuable new data that can be utilized in the design of additional derivatives.

Keywords: SLACK, KNa1.1, Slo2.2, potassium channel, benzimidazole

Graphical Abstract

graphic file with name nihms-2104440-f0001.jpg


SLACK, also known as KNa1.1 or Slo2.2, is a sodium-activated potassium (K+) channel that is widely expressed in the central nervous system (CNS) where it plays a pivotal role in the regulation of neuronal excitability.35 SLACK, which stands for Sequence Like A Calcium-activated K+ channel, is encoded by the KCNT1 gene. Numerous gain-of-function (GOF) mutations in KCNT1 have been linked to certain childhood epilepsies, most notably epilepsy of infancy with migrating focal seizures (EIMFS).613 While rare, EIMFS is a devastating and pharmacoresistant syndrome that causes severe cognitive impairment, developmental delays, and reduced life expectancy. Thus, the discovery of small molecule inhibitors of SLACK channels represents a potential avenue toward a new therapeutic strategy for these patients.1416 In fact, multiple efforts centered on the discovery of novel small molecule SLACK inhibitors have recently been reported in the peer-reviewed literature.1724

While progress toward the identification of small molecule inhibitors of SLACK channels has been notable, the discovery of activators of these channels has not been nearly as rapid. Indeed, activators of SLACK channels may also have therapeutic relevance. For example, prior work has shown that SLACK is activated by the binding of fragile X mental retardation protein 1 (FMRP).2529 Genetic silencing of FMR1, the gene that encodes FMRP, is the hallmark of fragile X syndrome (FXS), the most common cause of inherited intellectual disability (ID) and monogenic autism spectrum disorder (ASD).3035 Studies in neurons isolated from brain slices obtained from Fmr1−/y mice showed reduced sodium-activated potassium currents despite a level of SLACK expression on par with wild-type (WT) mice.29 Furthermore, behavioral studies in genetically modified mice have demonstrated the importance of SLACK activity for higher cognitive function.26 Thus, a small molecule activator of SLACK channels may be worth investigating as a mechanism to improve the cognitive deficits observed in FXS patients.

The antipsychotic loxapine (Figure 1) is a moderately potent activator of SLACK channels;36 however, it interacts with several other targets more potently. Specifically, loxapine is a potent antagonist of dopamine D2, serotonin 5-HT2A, and histamine H1 receptors.37 Still, studies in mice with loxapine have indicated a potential role for SLACK activation in the treatment of neuropathic pain.38 Additionally, a team of researchers from Goethe University Frankfurt (Germany) recently disclosed the discovery of compound 1 (Figure 1), a loxapine analog with negligible affinity for dopamine receptors D2 and D3.39 Functional potency for SLACK activation in a cell-based thallium (Tl+)-flux assay40 in HEK-293 cells stably expressing human SLACK was similar for both loxapine (EC50 = 20.7 μM; Emax = 100%) and 1 (EC50 = 30.3 μM; Emax = 96.2%). Motivated by studies finding that itch-associated subsets of sensory neurons show enriched expression of SLACK, the authors tested 1 in multiple mouse models of pruritus, observing efficacy at doses of 10–30 mg/kg.39

Figure 1.

Figure 1.

Previously reported SLACK activators loxapine and loxapine analog 1.

We became interested in the discovery of small molecule SLACK modulators several years ago and initiated a high-throughput screen (HTS) of approximately 100,000 compounds using a Tl+-flux assay41 in HEK-293 cells stably expressing WT human SLACK.23 While we have reported our efforts to optimize multiple chemically distinct inhibitor hits identified from this HTS campaign,17, 1921 we identified several validated SLACK activators as well. Recognizing the potential value of a potent and selective SLACK activator tool compound, we turned our attention to HTS hit 2 (Figure 2). Although 2 was only a weak activator of SLACK channels, synthesis of a small library in the western region of the scaffold quickly identified benzimidazole 3 as an analog with improved potency.

Figure 2.

Figure 2.

Initial SLACK activators: HTS hit 2 and benzimidazole derivative 3. Emax defined as the amplitude of response in the presence of 30 μM test compound as a percentage of the maximum response for loxapine.

Benzimidazole 3 was attractive as a launch point for additional optimization for several reasons. First, standard calculated properties (calculated via ChemDraw® Professional v. 16.0) were generally encouraging. For instance, values were consistent with Lipinski’s guidelines; molecular weight (423.45 Da), cLogP (3.49), H-bond donors (0), and H-bond acceptors (5) all satisfied criteria.42 Likewise, other parameters such as topological polar surface area (53.0 Å2) and the number of rotatable bonds (4) were in line with values associated with CNS-penetrant molecules.43, 44 Finally, the recently described blood-brain barrier (BBB) score, which defines values between 4 and 6 as indicative of good passive CNS permeability,45 was calculated and found to be 4.48.

Synthesis of analog 3 was quite straightforward, allowing access to the analog in only two steps (Scheme 1). Reaction of 4-piperidin-4-ylmethanol 4 with 3-(trifluoromethyl)benzene-sulfonyl chloride under basic conditions provided intermediate 5 in good yield. While the new sulfonamide bond was quite stable, the new sulfonate ester of 5 represented a good leaving group. Thus, treatment of 5 with benzimidazole and base under microwave irradiation provided the target analog 3 in moderate yield. Unfortunately, were this route to be used with substituted benzimidazoles or azabenzimidazoles, a mixture of regioisomers would have resulted.

Scheme 1.

Scheme 1.

Synthesis of benzimidazole 3. Reaction conditions: (a) 3-(trifluoromethyl)-benzenesulfonyl chloride, DMAP, NEt3, CH2Cl2, 74%; (b) benzimidazole, Cs2CO3, DMF, μwave, 150 °C, 30 min, 38%.

Having already generated structure-activity relationships (SAR) in the eastern sulfonamide region of the chemotype that failed to identify significant potency improvements over 3, we were eager to evaluate the western region. To do so efficiently, we envisioned use of an approach that would employ a one-pot reduction/formylation/condensation reaction of an intermediate such as 6 (Scheme 2). Such an approach would allow incorporation of a nitrogen atom at four different locations (W-Z), allowing access to azabenzimidazole analogs. Likewise, the approach would work equally well with substituted carbons at any of the same locations (W-Z). Critically, this approach would ensure regioselectivity. By utilizing a nucleophilic addition of a primary amine to a 2-halonitroarene to prepare 6, we could establish which nitrogen atom of the resultant benzimidazole or azabenzimidazole would be alkylated and avoid the regioisomers that would have resulted from using an N-alkylation approach. Our plan was to utilize a palladium-catalyzed transfer hydrogenation of 6 where formic acid served as both the source of hydrogen and the requisite formyl group. Searching of the literature revealed support for this general concept.4648

Scheme 2.

Scheme 2.

General strategy for the regioselective synthesis

Synthesis of analogs 7 began with commercial Boc-protected piperidine monomer 8 (Scheme 3). Reaction of 8 with 3-(trifluoromethyl)benzenesulfonyl chloride as before provided intermediate 9 in excellent yield. Removal of the tert-butyl carbamate protecting group was accomplished via treatment with trifluoracetic acid to afford primary amine salt 10. Reaction of 10 with the appropriate nitroaryl halide in a nucleophilic aromatic substation gave the key penultimate intermediates 6 in moderate to good yields. As expected, nitroaryl fluorides were generally more reactive than nitroaryl chlorides in this reaction. Gratifyingly, heating of 6 with 10% palladium on carbon and sodium bicarbonate in formic acid provided the desired analogs 7 in low to moderate yield with an average yield of 40 ± 11% (see Supporting Information for individual results). The reaction conditions were not optimized further. It may very well be possible to further enhance the yields through systematic screening of alternative catalysts, catalyst loading, hydrogen sources, solvents, and/or temperature. While the yields were low at times, we were pleased that all three transformations could be carried out in one-pot, allowing us to isolate sufficient quantities of pure compounds for pharmacological testing.

Scheme 3.

Scheme 3.

Regioselective synthesis of analogs 7. Reaction conditions: (a) 3-(trifluoromethyl)benzenesulfonyl chloride, DMAP, NEt3, CH2Cl2, 100%; (b) CF3CO2H, CH2Cl2, 99%; (c) Nitroaryl halide, DIEA, CH3CN, 47–85%; (d) 10% Pd/C, NaHCO3, HCO2H, 110 °C, 20–66%.

Using the approach outlined above, we were able to prepare and test 11 different substituted benzimidazoles for their ability to activate SLACK channels (Table 1). We chose to systematically target each position (4–7) on the benzimidazole with methyl, methoxy, and trifluoromethyl substituents, each common moieties in drugs and with varied electronic character. Only the 4-trifluoromethyl analog proved elusive as low conversion prevented our isolation of a sample with sufficient purity for testing. Analysis of the SAR revealed that substitution improved potency in many cases. Notably, methyl (7a-d) and methoxy (7e-h) substituents were preferred to the strong electron withdrawing trifluoromethyl group (7i-k). Perhaps this result is an indication that the N3-nitrogen of the benzimidazole makes a key hydrogen bond contact within the binding site that is weakened by an electron withdrawing group on the ring. The 4- and 6-position analogs showed similar potencies with both methyl (7a and 7c) and methoxy (7e and 7g) substituents. Potency and maximum response for 5-substituted analogs 7b (Me) and 7-f (OMe) were modestly reduced compared to 4- and 6-position analogs. While the 7-methyl analog 7d showed good potency, the maximum response was considerably reduced. On the other hand, 7-methoxy analog 7h showed reduced potency but a maximum response on par with more potent analogs. Understanding how potency and maximum response values translate to an impact on the function of SLACK in a native system would require several additional studies; however, this exercise successfully identified multiple analogs that might serve as useful tools in that regard. Investigation of whether such results are indicative of differences in binding kinetics, allosteric effects, or partial activation of the channel could prove illuminating.

Table 1.

Substituted benzimidazole analogs

graphic file with name nihms-2104440-t0002.jpg
Entry R SLACK EC50 (μM)1 SLACK Emax (%)1,2
3 H 4.3 86
7a 4-Me 1.9 90
7b 5-Me 2.4 52
7c 6-Me 1.7 67
7d 7-Me 1.3 30
7e 4-OMe 1.3 62
7f 5-OMe 2.1 59
7g 6-OMe 1.6 88
7h 7-OMe 6.2 74
7i 5-CF3 >10 <10
7j 6-CF3 3.0 82
7k 7-CF3 6.6 40
1

Concentration-response curve (CRC) from Tl+-flux assay in HEK-293 cells expressing WT human SLACK

2

Amplitude of response in the presence of 30 μM test compound as a percentage of the max response for loxapine

Reducing lipophilicity can be a viable strategy for the optimization of multiple important parameters relevant to a safe and effective drug, including the reduction of protein binding, cytochrome P450 inhibition, metabolism, and hERG inhibition.4953 Thus, we were keen to learn whether azabenzimidazole analogs were tolerated in this chemotype to evaluate its potential to allow for solving these types of common challenges down the road. Gratifyingly, we were able to prepare all four azabenzimidazole derivatives 7l-7o (Table 2). Only analog 7n demonstrated reduced potency relative to unsubstituted benzimidazole 3. Analogs 7m and 7o both exhibited potency on par with 3, and analog 7l showed a modest enhancement in activity. In theory, the introduction of another nitrogen atom creates the potential for additional binding interactions within the pocket that could lead to enhanced potency; however, we do not observe such to be the case here, with the possible exception of analog 7l. Still, such SAR may indeed prove valuable in the continued optimization of other parameters within this scaffold in the future.

Table 2.

Azabenzimidazole analogs

graphic file with name nihms-2104440-t0003.jpg
Entry SLACK EC50 (μM)1 SLACK Emax (%)1,2
7l 2.9 87
7m 4.3 90
7n 5.7 93
7o 4.0 88
1

Concentration-response curve (CRC) from Tl+-flux assay in HEK-293 cells expressing WT human SLACK

2

Amplitude of response in the presence of 30 μM test compound as a percentage of the max response for loxapine

In conclusion, we have successfully employed a one-pot reduction/formylation/condensation reaction to efficiently and regioselectively prepare 11 substituted benzimidazole and 4 azabenzimidazole analogs of SLACK activator 3. This approach allowed for the rapid development of SAR in the western region of the chemotype and represents the first report of such work in a non-loxapine scaffold. Notably, one azabenzimidazole analog and multiple substituted benzimidazole analogs exhibited enhanced potency relative to initial lead 3, and each of these are likewise substantial improvements over the original hit 2, which was only weakly active at the channel. Immediate future work for the scaffold will include synthesis of compounds that investigate additional substituents and combine optimal substituents into single analogs. We hope to identify analogs that may be used as tools for studying the potential therapeutic applications of SLACK activation in a variety of diseases and disorders. Key next steps toward that end will include assessment of ancillary pharmacology and evaluation of optimized analogs in native cell cultures.

Supplementary Material

Supplementary Material

Funding Information

This research was funded by the National Institute of Mental Health, grant number R21MH125257 (C.D.W. and K.A.E.). Funding for the WaveFront Biosciences Panoptic platform was provided by the Office of The Director (OD) of the National Institutes of Health under the award number 1S10OD021734. This instrument is housed and maintained in the Vanderbilt Institute of Chemical Biology’s High-throughput Screening Center.

Footnotes

Conflict of Interest

C.D.W. is an owner of WaveFront Biosciences and ION biosciences, makers of the Panoptic plate reader and Thallos, Tl+-sensitive fluorescent indicators, respectively and used for hit identification, validation, and pharmacological assessment of the compounds described here.

References and Notes

  • 1.Current Address: Biohaven Pharmaceuticals, Inc., 2100 Wharton Street, Suite 615, Pittsburgh, PA 15203, USA.
  • 2.Current Address: Baylor Scott & White Medical Center, 1901 N. MacArthur Blvd., Irving, TX, 75061, USA.
  • 3.Kaczmarek LK. Slack, Slick and Sodium-Activated Potassium Channels. ISRN neuroscience. 2013;2013(2013). Epub 2013/12/10. doi: 10.1155/2013/354262. [DOI] [Google Scholar]
  • 4.Yuan A, Santi CM, Wei A, Wang ZW, Pollak K, Nonet M, Kaczmarek L, Crowder CM, Salkoff L. The sodium-activated potassium channel is encoded by a member of the Slo gene family. Neuron. 2003;37(5):765–73. Epub 2003/03/12. doi: 10.1016/s0896-6273(03)00096-5. [DOI] [PubMed] [Google Scholar]
  • 5.Bhattacharjee A, Gan L, Kaczmarek LK. Localization of the Slack potassium channel in the rat central nervous system. The Journal of comparative neurology. 2002;454(3):241–54. Epub 2002/11/21. doi: 10.1002/cne.10439. [DOI] [PubMed] [Google Scholar]
  • 6.Bonardi CM, Heyne HO, Fiannacca M, Fitzgerald MP, Gardella E, Gunning B, Olofsson K, Lesca G, Verbeek N, Stamberger H, Striano P, Zara F, Mancardi MM, Nava C, Syrbe S, Buono S, Baulac S, Coppola A, Weckhuysen S, Schoonjans AS, Ceulemans B, Sarret C, Baumgartner T, Muhle H, Portes VD, Toulouse J, Nougues MC, Rossi M, Demarquay G, Ville D, Hirsch E, Maurey H, Willems M, de Bellescize J, Altuzarra CD, Villeneuve N, Bartolomei F, Picard F, Hornemann F, Koolen DA, Kroes HY, Reale C, Fenger CD, Tan WH, Dibbens L, Bearden DR, Moller RS, Rubboli G. KCNT1-related epilepsies and epileptic encephalopathies: phenotypic and mutational spectrum. Brain. 2021;144(12):3635–50. doi: 10.1093/brain/awab219. [DOI] [PubMed] [Google Scholar]
  • 7.Barcia G, Chemaly N, Kuchenbuch M, Eisermann M, Gobin-Limballe S, Ciorna V, Macaya A, Lambert L, Dubois F, Doummar D, Billette de Villemeur T, Villeneuve N, Barthez MA, Nava C, Boddaert N, Kaminska A, Bahi-Buisson N, Milh M, Auvin S, Bonnefont JP, Nabbout R. Epilepsy with migrating focal seizures: KCNT1 mutation hotspots and phenotype variability. Neurology Genetics. 2019;5(6):e363. Epub 2019/12/25. doi: 10.1212/nxg.0000000000000363. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 8.McTague A, Nair U, Malhotra S, Meyer E, Trump N, Gazina EV, Papandreou A, Ngoh A, Ackermann S, Ambegaonkar G, Appleton R, Desurkar A, Eltze C, Kneen R, Kumar AV, Lascelles K, Montgomery T, Ramesh V, Samanta R, Scott RH, Tan J, Whitehouse W, Poduri A, Scheffer IE, Chong WKK, Cross JH, Topf M, Petrou S, Kurian MA. Clinical and molecular characterization of KCNT1-related severe early-onset epilepsy. Neurology. 2018;90(1):e55–e66. Epub 2017/12/03. doi: 10.1212/wnl.0000000000004762. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 9.Barcia G, Fleming MR, Deligniere A, Gazula VR, Brown MR, Langouet M, Chen H, Kronengold J, Abhyankar A, Cilio R, Nitschke P, Kaminska A, Boddaert N, Casanova JL, Desguerre I, Munnich A, Dulac O, Kaczmarek LK, Colleaux L, Nabbout R. De novo gain-of-function KCNT1 channel mutations cause malignant migrating partial seizures of infancy. Nat Genet. 2012;44(11):1255–9. Epub 2012/10/23. doi: 10.1038/ng.2441. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 10.Rizzo F, Ambrosino P, Guacci A, Chetta M, Marchese G, Rocco T, Soldovieri MV, Manocchio L, Mosca I, Casara G, Vecchi M, Taglialatela M, Coppola G, Weisz A. Characterization of two de novoKCNT1 mutations in children with malignant migrating partial seizures in infancy. Molecular and cellular neurosciences. 2016;72:54–63. Epub 2016/01/20. doi: 10.1016/j.mcn.2016.01.004. [DOI] [PubMed] [Google Scholar]
  • 11.Tang QY, Zhang FF, Xu J, Wang R, Chen J, Logothetis DE, Zhang Z. Epilepsy-Related Slack Channel Mutants Lead to Channel Over-Activity by Two Different Mechanisms. Cell reports. 2016;14(1):129–39. Epub 2016/01/05. doi: 10.1016/j.celrep.2015.12.019. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 12.Moller RS, Heron SE, Larsen LH, Lim CX, Ricos MG, Bayly MA, van Kempen MJ, Klinkenberg S, Andrews I, Kelley K, Ronen GM, Callen D, McMahon JM, Yendle SC, Carvill GL, Mefford HC, Nabbout R, Poduri A, Striano P, Baglietto MG, Zara F, Smith NJ, Pridmore C, Gardella E, Nikanorova M, Dahl HA, Gellert P, Scheffer IE, Gunning B, Kragh-Olsen B, Dibbens LM. Mutations in KCNT1 cause a spectrum of focal epilepsies. Epilepsia. 2015;56(9):e114–20. Epub 2015/07/01. doi: 10.1111/epi.13071. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 13.Heron SE, Smith KR, Bahlo M, Nobili L, Kahana E, Licchetta L, Oliver KL, Mazarib A, Afawi Z, Korczyn A, Plazzi G, Petrou S, Berkovic SF, Scheffer IE, Dibbens LM. Missense mutations in the sodium-gated potassium channel gene KCNT1 cause severe autosomal dominant nocturnal frontal lobe epilepsy. Nature Genetics. 2012;44(11):1188–90. doi: 10.1038/ng.2440. [DOI] [PubMed] [Google Scholar]
  • 14.Di Matteo F, Mancuso F, Turcio R, Ciaglia T, Stagno C, Di Chio C, Campiglia P, Bertamino A, Giofre SV, Ostacolo C, Iraci N. KCNT1 Channel Blockers: A Medicinal Chemistry Perspective. Molecules. 2024;29(12). Epub 20240620. doi: 10.3390/molecules29122940. [DOI] [Google Scholar]
  • 15.Qunies AM, Emmitte KA. Small-molecule inhibitors of Slack potassium channels as potential therapeutics for childhood epilepsies. Pharmaceutical Patent Analyst. 2022;11(2):45–56. doi: 10.4155/ppa-2022-0002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16.Cole BA, Clapcote SJ, Muench SP, Lippiat JD. Targeting K(Na)1.1 channels in KCNT1-associated epilepsy. Trends Pharmacol Sci. 2021;42(8):700–13. Epub 2021/06/03. doi: 10.1016/j.tips.2021.05.003. [DOI] [PubMed] [Google Scholar]
  • 17.Mishra NM, Spitznagel BD, Du Y, Mohamed YK, Qin Y, Weaver CD, Emmitte KA. Structure-Activity Relationship Studies in a Series of 2-Aryloxy-N-(pyrimidin-5-yl)acetamide Inhibitors of SLACK Potassium Channels. Molecules. 2024;29(23). Epub 20241121. doi: 10.3390/molecules29235494. [DOI] [Google Scholar]
  • 18.Iraci N, Carotenuto L, Ciaglia T, Belperio G, Di Matteo F, Mosca I, Carleo G, Giovanna Basilicata M, Ambrosino P, Turcio R, Puzo D, Pepe G, Gomez-Monterrey I, Soldovieri MV, Di Sarno V, Campiglia P, Miceli F, Bertamino A, Ostacolo C, Taglialatela M. In Silico Assisted Identification, Synthesis, and In Vitro Pharmacological Characterization of Potent and Selective Blockers of the Epilepsy-Associated KCNT1 Channel. J Med Chem. 2024;67(11):9124–49. Epub 20240523. doi: 10.1021/acs.jmedchem.4c00268. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 19.Qunies AM, Spitznagel BD, Du Y, Peprah PK, Mohamed YK, Weaver CD, Emmitte KA. Structure-Activity Relationship Studies in a Series of Xanthine Inhibitors of SLACK Potassium Channels. Molecules. 2024;29(11). Epub 20240522. doi: 10.3390/molecules29112437. [DOI] [Google Scholar]
  • 20.Qunies AM, Spitznagel BD, Du Y, David Weaver C, Emmitte KA. Design, synthesis, and biological evaluation of a novel series of 1,2,4-oxadiazole inhibitors of SLACK potassium channels: Identification of in vitro tool VU0935685. Bioorg Med Chem. 2023;95:117487. Epub 20230930. doi: 10.1016/j.bmc.2023.117487. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 21.Qunies AM, Mishra NM, Spitznagel BD, Du Y, Acuna VS, David Weaver C, Emmitte KA. Structure-activity relationship studies in a new series of 2-amino-N-phenylacetamide inhibitors of Slack potassium channels. Bioorg Med Chem Lett. 2022;76:129013. Epub 20220929. doi: 10.1016/j.bmcl.2022.129013. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 22.Griffin AM, Kahlig KM, Hatch RJ, Hughes ZA, Chapman ML, Antonio B, Marron BE, Wittmann M, Martinez-Botella G. Discovery of the First Orally Available, Selective KNa1.1 Inhibitor: In Vitro and In Vivo Activity of an Oxadiazole Series. ACS Medicinal Chemistry Letters. 2021;12(4):593–602. doi: 10.1021/acsmedchemlett.0c00675. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 23.Spitznagel BD, Mishra NM, Qunies AaM, Prael FJ, Du Y, Kozek KA, Lazarenko RM, Denton JS, Emmitte KA, Weaver CD. VU0606170, a Selective Slack Channels Inhibitor, Decreases Calcium Oscillations in Cultured Cortical Neurons. ACS Chemical Neuroscience. 2020;11(21):3658–71. doi: 10.1021/acschemneuro.0c00583. [DOI] [PubMed] [Google Scholar]
  • 24.Cole BA, Johnson RM, Dejakaisaya H, Pilati N, Fishwick CWG, Muench SP, Lippiat JD. Structure-Based Identification and Characterization of Inhibitors of the Epilepsy-Associated K(Na)1.1 (KCNT1) Potassium Channel. iScience. 2020;23(5):101100-. Epub 2020/04/25. doi: 10.1016/j.isci.2020.101100. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 25.Ferron L Fragile X mental retardation protein controls ion channel expression and activity. J Physiol. 2016;594(20):5861–7. Epub 20160505. doi: 10.1113/JP270675. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 26.Bausch AE, Dieter R, Nann Y, Hausmann M, Meyerdierks N, Kaczmarek LK, Ruth P, Lukowski R. The sodium-activated potassium channel Slack is required for optimal cognitive flexibility in mice. Learn Mem. 2015;22(7):323–35. Epub 20150615. doi: 10.1101/lm.037820.114. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 27.Kim GE, Kaczmarek LK. Emerging role of the KCNT1 Slack channel in intellectual disability. Front Cell Neurosci. 2014;8:209. Epub 20140728. doi: 10.3389/fncel.2014.00209. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 28.Zhang Y, Brown MR, Hyland C, Chen Y, Kronengold J, Fleming MR, Kohn AB, Moroz LL, Kaczmarek LK. Regulation of neuronal excitability by interaction of fragile X mental retardation protein with slack potassium channels. J Neurosci. 2012;32(44):15318–27. doi: 10.1523/JNEUROSCI.2162-12.2012. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 29.Brown MR, Kronengold J, Gazula VR, Chen Y, Strumbos JG, Sigworth FJ, Navaratnam D, Kaczmarek LK. Fragile X mental retardation protein controls gating of the sodium-activated potassium channel Slack. Nature neuroscience. 2010;13(7):819–21. Epub 2010/06/01. doi: 10.1038/nn.2563. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 30.Mila M, Alvarez-Mora MI, Madrigal I, Rodriguez-Revenga L. Fragile X syndrome: An overview and update of the FMR1 gene. Clin Genet. 2018;93(2):197–205. Epub 20171001. doi: 10.1111/cge.13075. [DOI] [PubMed] [Google Scholar]
  • 31.Berry-Kravis EM, Lindemann L, Jonch AE, Apostol G, Bear MF, Carpenter RL, Crawley JN, Curie A, Des Portes V, Hossain F, Gasparini F, Gomez-Mancilla B, Hessl D, Loth E, Scharf SH, Wang PP, Von Raison F, Hagerman R, Spooren W, Jacquemont S. Drug development for neurodevelopmental disorders: lessons learned from fragile X syndrome. Nature reviews Drug discovery. 2018;17(4):280–99. Epub 20171208. doi: 10.1038/nrd.2017.221. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 32.Riley C, Mailick M, Berry-Kravis E, Bolen J. The Future of Fragile X Syndrome: CDC Stakeholder Meeting Summary. Pediatrics. 2017;139(Suppl 3):S147–S52. doi: 10.1542/peds.2016-1159B. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 33.Kaufmann WE, Kidd SA, Andrews HF, Budimirovic DB, Esler A, Haas-Givler B, Stackhouse T, Riley C, Peacock G, Sherman SL, Brown WT, Berry-Kravis E. Autism Spectrum Disorder in Fragile X Syndrome: Cooccurring Conditions and Current Treatment. Pediatrics. 2017;139(Suppl 3):S194–S206. doi: 10.1542/peds.2016-1159F. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 34.Hagerman RJ, Berry-Kravis E, Hazlett HC, Bailey DB Jr., Moine H, Kooy RF, Tassone F, Gantois I, Sonenberg N, Mandel JL, Hagerman PJ. Fragile X syndrome. Nat Rev Dis Primers. 2017;3:17065. Epub 20170929. doi: 10.1038/nrdp.2017.65. [DOI] [PubMed] [Google Scholar]
  • 35.Grigsby J The fragile X mental retardation 1 gene (FMR1): historical perspective, phenotypes, mechanism, pathology, and epidemiology. Clin Neuropsychol. 2016;30(6):815–33. Epub 20160629. doi: 10.1080/13854046.2016.1184652. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 36.Biton B, Sethuramanujam S, Picchione KE, Bhattacharjee A, Khessibi N, Chesney F, Lanneau C, Curet O, Avenet P. The antipsychotic drug loxapine is an opener of the sodium-activated potassium channel slack (Slo2.2). J Pharmacol Exp Ther. 2012;340(3):706–15. Epub 20111213. doi: 10.1124/jpet.111.184622. [DOI] [PubMed] [Google Scholar]
  • 37.Popovic D, Nuss P, Vieta E. Revisiting loxapine: a systematic review. Ann Gen Psychiatry. 2015;14:15. Epub 20150401. doi: 10.1186/s12991-015-0053-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 38.Lu R, Bausch AE, Kallenborn-Gerhardt W, Stoetzer C, Debruin N, Ruth P, Geisslinger G, Leffler A, Lukowski R, Schmidtko A. Slack channels expressed in sensory neurons control neuropathic pain in mice. J Neurosci. 2015;35(3):1125–35. doi: 10.1523/JNEUROSCI.2423-14.2015. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 39.Balzulat A, Zhu WF, Flauaus C, Hernandez-Olmos V, Heering J, Sethumadhavan S, Dubiel M, Frank A, Menge A, Hebchen M, Metzner K, Lu R, Lukowski R, Ruth P, Knapp S, Muller S, Steinhilber D, Hanelt I, Stark H, Proschak E, Schmidtko A. Discovery of a Small Molecule Activator of Slack (Kcnt1) Potassium Channels That Significantly Reduces Scratching in Mouse Models of Histamine-Independent and Chronic Itch. Adv Sci (Weinh). 2024;11(15):e2307237. Epub 20240213. doi: 10.1002/advs.202307237. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 40.Beacham DW, Blackmer T, M OG, Hanson GT. Cell-based potassium ion channel screening using the FluxOR assay. J Biomol Screen. 2010;15(4):441–6. Epub 20100305. doi: 10.1177/1087057109359807. [DOI] [PubMed] [Google Scholar]
  • 41.Weaver CD. Thallium Flux Assay for Measuring the Activity of Monovalent Cation Channels and Transporters. Methods Mol Biol. 2018;1684:105–14. doi: 10.1007/978-1-4939-7362-0_9. [DOI] [PubMed] [Google Scholar]
  • 42.Lipinski CA, Lombardo F, Dominy BW, Feeney PJ. Experimental and computational approaches to estimate solubility and permeability in drug discovery and development settings. Adv Drug Deliv Rev. 2001;46(1–3):3–26. [DOI] [PubMed] [Google Scholar]
  • 43.Kelder J, Grootenhuis PD, Bayada DM, Delbressine LP, Ploemen JP. Polar molecular surface as a dominating determinant for oral absorption and brain penetration of drugs. Pharm Res. 1999;16(10):1514–9. doi: 10.1023/a:1015040217741. [DOI] [PubMed] [Google Scholar]
  • 44.Veber DF, Johnson SR, Cheng HY, Smith BR, Ward KW, Kopple KD. Molecular properties that influence the oral bioavailability of drug candidates. J Med Chem. 2002;45(12):2615–23. [DOI] [PubMed] [Google Scholar]
  • 45.Gupta M, Lee HJ, Barden CJ, Weaver DF. The Blood-Brain Barrier (BBB) Score. J Med Chem. 2019;62(21):9824–36. Epub 20191025. doi: 10.1021/acs.jmedchem.9b01220. [DOI] [PubMed] [Google Scholar]
  • 46.Ríos N, Chavarría C, Gil C, Porcal W. Microwave-Assisted Solid-Phase Synthesis of a 1,2-Disubstituted Benzimidazole Library by Using a Phosphonium Linker. Journal of Heterocyclic Chemistry. 2013;50(3):720–6. doi: 10.1002/jhet.1619. [DOI] [Google Scholar]
  • 47.Mueller R, Reddy V, Nchinda AT, Mebrahtu F, Taylor D, Lawrence N, Tanner L, Barnabe M, Eyermann CJ, Zou B, Kondreddi RR, Lakshminarayana SB, Rottmann M, Street LJ, Chibale K. Lerisetron Analogues with Antimalarial Properties: Synthesis, Structure-Activity Relationship Studies, and Biological Assessment. ACS Omega. 2020;5(12):6967–82. Epub 20200317. doi: 10.1021/acsomega.0c00327. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 48.Brooks CA, Barton LS, Behm DJ, Eidam HS, Fox RM, Hammond M, Hoang TH, Holt DA, Hilfiker MA, Lawhorn BG, Patterson JR, Stoy P, Roethke TJ, Ye G, Zhao S, Thorneloe KS, Goodman KB, Cheung M. Discovery of GSK2798745: A Clinical Candidate for Inhibition of Transient Receptor Potential Vanilloid 4 (TRPV4). ACS Med Chem Lett. 2019;10(8):1228–33. Epub 20190715. doi: 10.1021/acsmedchemlett.9b00274. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 49.Garrido A, Lepailleur A, Mignani SM, Dallemagne P, Rochais C. hERG toxicity assessment: Useful guidelines for drug design. Eur J Med Chem. 2020;195:112290. Epub 20200403. doi: 10.1016/j.ejmech.2020.112290. [DOI] [PubMed] [Google Scholar]
  • 50.Arnott JA, Planey SL. The influence of lipophilicity in drug discovery and design. Expert Opin Drug Discov. 2012;7(10):863–75. Epub 20120919. doi: 10.1517/17460441.2012.714363. [DOI] [PubMed] [Google Scholar]
  • 51.Jamieson C, Moir EM, Rankovic Z, Wishart G. Medicinal chemistry of hERG optimizations: Highlights and hang-ups. J Med Chem. 2006;49(17):5029–46. doi: 10.1021/jm060379l. [DOI] [PubMed] [Google Scholar]
  • 52.van de Waterbeemd H, Smith DA, Jones BC. Lipophilicity in PK design: methyl, ethyl, futile. J Comput Aided Mol Des. 2001;15(3):273–86. doi: 10.1023/a:1008192010023. [DOI] [PubMed] [Google Scholar]
  • 53.Testa B, Crivori P, Reist M, Carrupt P-A. The influence of lipophilicity on the pharmacokinetic behavior of drugs: Concepts and examples. Perspectives in Drug Discovery and Design. 2000;19(1):179–211. doi: 10.1023/A:1008741731244. [DOI] [Google Scholar]

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