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editorial
. 2013 Jan 23;4(2):159–160. doi: 10.1021/ml400018h

TRPV4 Antagonists: Potential Treatment for Congestive Heart Failure, Bladder Dysfunctions, and Pain

Ahmed F Abdel-Magid 1,*
PMCID: PMC4027515  PMID: 24900649

Title: TRPV4 Antagonists
Patent Application Number: WO 2012/174342 A1 Publication Date: December 20, 2012
Priority Application: US 61/498,104 Priority Date: June 17, 2011
Inventors: Brooks, C.; Cheung, M.; Eidam, H.-S.; Goodman, K. B.; Hammond, M.; Hilfiker, M. A.; Patterson, J. R.; Stoy, P.; Ye, G.
Assignee Company: GlaxoSmithKline LLC, One Franklin Plaza, 200 North 16th Street, Philadelphia, Pennsylvania 19102, United States
Disease Area: Pain, genetic motor neuron disorders, cardiovascular disease, osteoarthritis, and other disorders modulated by TRPV4 Biological Target: Transient Receptor Potential Vanilloid-4 (TRPV4)
Summary: The invention in this patent application relates to spirocarbamate analogues represented generally by Formula (I). These compounds possess activity as TRPV4 antagonists and may potentially treat disorders modulated by this receptor such as pain, cardiovascular disease, and osteoarthritis.
Transient receptor potential vanilloid-4 (TRPV4) is a polymodal ion channel that is expressed at high levels in the kidney, liver, lung, heart, and central nervous system; it is activated by a variety of stimuli including warm temperatures and hypotonicity. TRPV4 has been shown to be involved in pulmonary edema induced by heart failure. It has also been implicated in a number of physiological and pathophysiological processes such as pain, genetic motor neuron disorders, cardiovascular disease, and osteoarthritis.
TRPV4 antagonism may potentially provide significant clinical benefits in many of these areas. It is being considered as a clinical target for the treatment of ventilator-induced lung injury, inflammatory and neuropathic pain treatment, bladder dysfunctions, congestive heart failure, motor neuron disorders, or osteoarthritis and other disorders.
Important Compound Classes: graphic file with name ml-2013-00018h_0001.jpg
Key Structures: The patent application describes 77 compounds of Formula (I); the three structures below are representative examples selected randomly:
graphic file with name ml-2013-00018h_0002.jpg
Biological Assay: • Ligand-gated assay
• Hypotonicity assay (BHK cells)
• Fluorescent imaging plate reader (FLIPR) assay
• Patch clamp experiments
Biological Data: Data from ligand-gated assay:
All of the examples described in the patent application possessed TRPV4 biological activity with IC50 values ranging from 0.001 nM to 1 μM.
Claims: Claims 1–4: Composition of matter, variations of Formula (I)
Claim 5: 77 specific compounds of Formula (I) listed by chemical names
Claim 6: Pharmaceutical composition
Claims 7–10: Methods of treating congestive heart failure, overactive bladder, pain, cardiovascular disease, motor neuron disorders, or osteoarthritis
Recent Review Articles: 1. Ferrer-Montiel A.; Fernandez-Carvajal A.; Planells-Cases R.; Fernandez-Ballester G.; Gonzalez-Ros J. M.; Messeguer A.; Gonzalez-Muniz R.. Expert. Opin. Ther. Pat. 2012, 22 (9), 999–1017.
2. Vincent F.; Duncton M. A. J.. Curr. Top. Med. Chem. (Sharjah, United Arab Emirates) 2011, 11 (17), 2216–2226.

The authors declare no competing financial interest.


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