Abstract
As additional physiological functions of hydrogen sulfide (H2S) are discovered, developing practical methods for exogenous H2S delivery is important. In particular, nonsteroidal anti-inflammatory drugs (NSAIDs) functionalized with H2S-releasing anethole dithiolethione (ADT-OH) through ester bonds are being investigated for their combined anti-inflammatory and antioxidant potential. The chemical robustness of the connection between drug and H2S-delivery components, however, is a key and controllable linkage in these compounds. Because esters are susceptible to hydrolysis, particularly under acidic conditions such as stomach acid in oral drug delivery applications, we report here a simple synthesis of amino-ADT (ADT-NH2) and provide conditions for successful ADT-NH2 derivatization with the drugs naproxen and valproic acid. Using UV-vis spectroscopy and HPLC analysis, we demonstrate that amide-functionalized ADT derivatives are significantly more resistant to hydrolysis than ester-functionalized ADT derivatives.
Keywords: sulfur, dithiolethione, ADT-OH, hydrogen sulfide, H2S donors
Graphical abstract

Hydrogen sulfide (H2S) has joined carbon monoxide (CO) and nitric oxide (NO) as the third endogenously produced gaseous signaling molecule, or gasotransmitter.1 Biosynthesized through enzymatic and nonenzymatic pathways, cellular H2S regulates critical cardiovascular, immune, nervous, respiratory, and gastrointestinal system functions and is implicated in a number of diseases.2 In addition to central nervous system diseases, such as Down syndrome,3 Alzheimer’s,4 and Parkinson’s disease,5 the role of H2S in inflammation and angiogenesis has been of particular interest.6,7 Different studies have shown H2S to exhibit either anti-inflammatory or pro-inflammatory effects depending on which model is being examined. For example, H2S-mediated activation of KATP channels limits leukocyte adherence to vascular endothelium and reduces edema formation in rats, both anti-inflammatory effects.8 In models of septic shock, however, inflammatory responses are observed in conjunction with elevated levels of H2S,9 and inhibition of enzymatic H2S production during endotoxemia mitigates both inflammation and organ injury.10 Furthermore, enhanced levels of KATP activation have been linked with LPS-induced models of hypotension and hyporeactivity.11 These observations suggest that the interactions of H2S with KATP channels during inflammation may be circumstantially either beneficial or deleterious. In addition to inflammation, signaling actions of H2S have significant effects on angiogenesis. H2S promotes endothelial cell growth through upregulation of vascular endothelial growth factor (VEGF) expression,12 and topical H2S administration to burn wounds has been shown to stimulate wound healing on rats.13 More recently, H2S treatment was shown to enhance angiogenesis after ischemic stroke though cooperation of astrocytes and endothelial cells.14 Taken together, these broad-reaching roles of H2S highlight the pharmacological potential of exogenously administered H2S.
Although a variety of H2S-delivery methods exist, different results are often observed depending upon which H2S donor is used,6 and developing new types of synthetic H2S-donating compounds is an active area of investigation.15 By contrast to the more commonly utilized inorganic sulfide sources such as Na2S and NaHS, which deliver an immediate burst of H2S into an experimental system, small-molecule donors are designed to more closely resemble continuous, endogenous H2S release. One of the most extensively studied H2S donors is 5-(4-hydroxyphenyl)-3H-1,2-dithiol-3-thione (ADT-OH), which contains the H2S-releasing dithiolethione moiety. This phenolic compound is easily functionalized via ester linkages (Scheme 1), and a number of ester-bound ADT derivatives of nonsteroidal anti-inflammatory (NSAIDs) and other drugs have been prepared and are being investigated for their synergistic anti-inflammatory and antioxidant potential. For example, an ADT-functionalized diclofenac derivative, S-diclofenac, not only exhibited greater anti-inflammatory effects than the parent diclofenac in LPS-injected rats, but also displayed reduced gastrointestinal toxicity.16 Other demonstrations of ester-functionalized ADT drugs include derivatives of naproxen,17 valproic acid,18 aspirin,19 sildenafil,20 and mesalamine.21 One practical challenge associated with implementing these ADT derivatives in drug delivery, however, is the potential for hydrolysis of the ester bond linking the two drug components. A recent report demonstrated that hydrolysis of a polymeric ester-bound ADT in phosphate-buffered saline occurred with a half-life of approximately 30 minutes.22 Therefore, stomach acid would also likely catalyze hydrolysis and component fragmentation, which would be particularly problematic in oral drug delivery systems. One logical solution to this unwanted hydrolysis is to link ADT to the drugs through amide, rather than ester, bonds.23
Scheme 1.

Esterification of ADT-OH to form H2S-releasing drugs
To better enable access to more robust ADT-functionalized NSAIDs, we report here a straightforward synthesis and purification of 5-(4-aminophenyl)-3H-1,2-dithiol-3-thione (amino-ADT, ADT-NH2) and compare the hydrolytic stability between amide- and ester-coupled ADT. We also provide conditions for coupling of ADT-NH2 with common drugs, including naproxen and valproic acid and demonstrate similar cytotoxicities for the ester- and amide-linked versions of these drug conjugates.
To access ADT-NH2, direct conversion of the phenolic group in ADT-OH to an amine would be preferred. Our attempts using a reported one-pot SNAr–Smiles rearrangement strategy (Scheme 2,A)24 or palladium-catalyzed Buchwald–Hartwig amination of triflated ADT (Scheme 2,B) were unsuccessful. We reasoned that the presence of highly metalophilic sulfur atoms in the dithiolethione moiety, combined with the sulfophilicity of palladium, makes palladium-catalyzed cross-couplings with ADT problematic. Therefore, we reasoned that ADT-NH2 would need to be constructed from an aniline precursor and that any metal-mediated steps must be incorporated prior to installation of the dithiolethione moiety (Scheme 2,C).
Scheme 2.

Potential synthetic routes to ADT-NH2
Fortunately, organotrifluoroborate salts have emerged as excellent substrates for Suzuki–Miyaura reactions due to their improved air-stability and reduced cost.25 For our purposes, they offer an attractive alternative to expensive vinyl boronic acid and boronate substrates.26 Utilizing this strategy, we found that ADT-NH2 is accessible in two steps from commercially available starting materials with 56% overall yield (Scheme 3,A). Palladium-catalyzed coupling of 4-chloro-(N-Boc)aniline with potassium trans-1-propenyltrifluoroborate installs a propenyl dithiolethione precursor onto the protected aniline to form compound 1.27 Subsequent reaction with elemental sulfur at 180 °C both forms the dithiolethione and deprotects the aniline to give ADT-NH2.28,29 Methylated ADT-NMe2 (Scheme 3,D) was synthesized with the same methodology using 4-bromo-N,N-dimethylaniline as starting material. ADT-OH and ADT-OMe were prepared using previously reported methods,16 and we report an updated purification method in the Supporting Information. Importantly, dithiolethione formation from reaction of elemental sulfur with an aryl propenyl group appears to be general, as similar reaction conditions may be used to form ADT-NH2, ADT-NMe2, and ADT-OMe from their respective propenyl starting materials.
Scheme 3.

Synthesis of ADT-containing compounds including (A) ADT-NH2, (B) ADT-OAc and ADT-NAC, (C) ADT drug conjugates, and (D) ADT-NMe2 and ADT-OMe
Having developed a facile route to access ADT-NH2, our next objective was to demonstrate effective functionalization of the amine. Acetamide (ADT-NAc) and acetate (ADT-OAc) ADT derivatives were synthesized as model compounds for hydrolysis study, both through reactions with acetyl chloride (Scheme 3,B). Ester- and amide-coupled ADT derivatives of naproxen and valproic acid (ADT-ORox, ADT-OVal, ADT-NRox, and ADT-NVal) were coupled using 1-ethyl-3-(3-dimethylaminopropyl)carbodiimide (EDC·H-Cl) and catalytic 4-dimethylaminopyridine (DMAP) as coupling agents (Scheme 3,C). Both ADT-NH2 and ADT-OH are weak nucleophiles, making substitution reactions challenging. The dithiolethione group is inductively electron-withdrawing, as reflected in the increased acidity of ADT-OH compared with phenol (pKa of 7.86 vs. 10.00), slightly more so than a nitrile group (pKa of 4-cyanophenol is 7.95).30 Resonance contributions from lone-pair electron delocalization produce partial zwitterionic character in these compounds, which further decreases their nucleophilicities (Scheme S1, Supporting Information). We found that ADT-NH2 is less reactive than ADT-OH, which suggests a higher degree of electron delocalization. For example, esterification of ADT to form esters ADT-ORox and ADT-OVal proceed at room temperature, whereas 120 °C temperatures are required for the corresponding amide couplings of ADT-NRox and ADT-NVal. Nonetheless, ADT-NH2 is readily linked through amide bonds using these standard methodologies, which can likely be extended toward coupling with other carboxylic acid containing NSAIDs.
To compare the hydrolytic stability of ester- and amide-bound ADT derivatives in an acidic environment akin to the stomach, the hydrolysis of model compounds ADT-OAc and ADT-NAc in 0.10 M HCl was investigated using UV-vis spectroscopy and HPLC. After addition of ADT-OAc (20 μM) to a cuvette containing 0.10 M HCl, a decrease in absorption at 320 nm was observed with concomitant growth of a new peak at 358 nm, which is consistent with formation of ADT-OH after ester hydrolysis (Figure 1,A). By contrast, treatment of ADT-NAc (20 μM) resulted in only minimal hydrolysis to form ADT-NH2 (λmax = 311 nm, Figure 1,B). Over the course of the 18 h experiment, 69% of the ester-bound ADT was hydrolyzed, whereas only 9% of the amide was hydrolyzed under identical conditions (Figure 1,C). ADT-OH and ADT-NH2 fragments were also identified as reaction byproducts using HPLC analysis. (Figure S1, Supporting Information). As expected, these results clearly demonstrate the enhanced chemical stability of amide linkages toward hydrolysis in ADT derivatives by contrast to ester linkages. As a preliminary demonstration of the biological activity of these amide-functionalized ADT-based donors, we also tested the cytotoxicity of the amide- and ester-linked ADT conjugates in HeLa cells using the MTT assay.31 As a whole, the amide and ester ADT derivatives generally displayed similar toxicity profiles (Figure S2, Supporting Information), suggesting that these compounds may find similar biological efficacies in future investigations.
Figure 1.

Hydrolysis of acyl ADT derivatives (20 μM) in 0.10 M HCl at 37 °C. A) UV-vis timecourse of ADT-OAc (blue = initial, black = final) over 18 h overlaid with the absorbance spectrum of ADT-OH (red); B) time course of ADT-NAc (blue = initial, black = final) over 18 h overlaid with the absorbance spectrum of ADT-NH2 (red); C) calculated percent hydrolysis of ADT-OAc and ADT-NAc.
In conclusion, amide-coupled ADT derivatives help provide a solution to challenges associated with undesired acid-catalyzed hydrolysis of ester-bound anethole dithiolethione NSAIDs in oral drug delivery applications. By utilizing advances in Suzuki–Miyaura cross-coupling using trifluoroborate salts, we successfully accessed the key intermediate 1 toward our target H2S donor, ADT-NH2. We hope that the proof of concept syntheses of ADT-NVal and ADT-NRox will assist future investigations toward unlocking the therapeutic potential of H2S-releasing drugs.
Supplementary Material
Acknowledgments
Research reported in this publication was supported by the NIH (R01GM113030) and the Sloan Foundation. The NMR facilities at the University of Oregon are supported by NSF/ARRA CHE-0923589. The Biomolecular Mass Spectrometry Core of the Environmental Health Sciences Core Center at Oregon State University is supported, in part, by the NIEHS (P30ES000210) and the NIH.
Footnotes
Supporting Information
Supporting information for this article is available online at http://dx.doi.org/10.1055/s-0035-1560603.
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