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editorial
. 2017 Apr 12;8(5):474–475. doi: 10.1021/acsmedchemlett.7b00149

Therapeutic Advantage of the Positive Allosteric Modulators of the GABA-B Receptor

Ahmed F Abdel-Magid 1,*
PMCID: PMC5430403  PMID: 28523095

Patent Application Title: Use
Summary: The invention
γ-Aminobutyric
  • two ionotropic receptors (GABA-A and GABA-C), which are ligand-gated ion channels

  • a metabotropic receptor (GABA-B), which is a member of the class C family of G-protein-coupled receptors (GPCRs)

The GABA-B
The GABA-B
The above data show that the GABA-B receptor is a viable therapeutic target, but its stimulation can be accompanied by severe side effects. Therefore, researchers were inspired to identify and develop alternatives to the classic orthosteric agonists to harness the benefits of the GABA-B receptor activation without causing the undesired severe side effects and drug tolerance.
The invention in this patent application describes the use of positive allosteric modulators (PAMs) of the GABA-B receptor as a better alternative to retain the benefits of GABA-B stimulation while potentially eliminating or minimizing the adverse effects of classic orthosteric agonists. PAMs can alter the receptor conformation and enhance the activity of the endogenous orthosteric agonist, either by increasing the affinity or the efficacy of the orthosteric ligand at the receptor.
A single receptor may possess multiple, discrete allosteric sites, each is functionally and topographically distinct with a unique subset of ligands. PAMs do not have activities of their own, but they exert their effects by binding to these allosteric sites, which are located at a distance from the orthosteric site of the receptor. When PAMs bind to the allosteric sites, they can alter the receptor conformation and enhance the activity of the endogenous orthosteric agonist, either by increasing the affinity or the efficacy of the orthosteric ligand at the receptor. PAMs pharmacological profile is spatially and temporally controlled by the normal physiological interaction between the endogenous ligand and its receptor. They rely on endogenous agonist concentrations for activity, and hence, they are thought to represent a safer and more subtle means of receptor regulation to promote fine-tuning of the GABA signal in a physiologically relevant manner. The hypothesis is that GABA-B receptor allosteric modulators, and possibly allosteric agonists, will be effective therapeutic agents while minimizing the side effects caused by typical agonist activation of the orthosteric GABA-B site. Another important finding is that GABA-B PAMs do not cause receptor desensitization, so the clinical tolerance and side effects related to receptor desensitization such as those observed with baclofen are unlikely to occur. Finally, the majority of tested GABA-B PAMs have shown excellent efficacies and greatly enhanced brain penetrance compared to baclofen in preliminary studies with minimum or no side effects.
Therefore, it is important to identify new GABA-B PAMs, such as the compounds described in this patent application, capable of stimulating the GABA-B receptor without the baclofen-like side effects, which may potentially treat many disorders mediated by this receptor.
Important Compound Classes: graphic file with name ml-2017-00149p_0002.jpg
Key Structures: The inventors described the structures and synthesis procedures for 137 examples of formula (I)graphic file with name ml-2017-00149p_0003.jpg
Biological Assay: [35S] GTPγS {Guanosine 5′-O-[gamma-thio]triphosphate} Binding Assay
Biological Data: The biological data obtained by testing the above representative examples in the [35S] GTPγS binding assay are listed in the following table:graphic file with name ml-2017-00149p_0004.jpg
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The author declares no competing financial interest.


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