Abstract
Several lines of evidence suggest that selective sigma-2 (σ2) ligands might be useful for the treatment of solid tumors. However, very few selective σ2 ligands have been identified. This study was aimed at identifying new selective σ2 receptor ligands using a previously identified agent, SYA 013 as a lead. Four groups, homopiperazine, piperazine, tropane and selected oxime analogs of the homopiperazines were identified, synthesized and subsequently screened at the σ1 and σ2 receptors. The results demonstrate that these scaffolds can be modified to obtain selective σ2 receptor ligands. 1-(5-Chloropyridin-2-yl)-4-(3-((4-fluorophenyl)thio)propyl)-1,4-diazepane, 7 and 3-(4-chlorophenyl)-8-(3-((2-fluorophenyl)thio)propyl)-8-azabicyclo[3.2.1]octan-3-ol, 21 were identified as the highest binding affinity ligands (σ2Ki=2.2 nM) and (4-(4-(5-chloropyridin-2-yl)-1,4-diazepan-1-yl)-1-(4-fluorophenyl)-butan-1-one oxime, 22 as a high affinity and the most selective ligand for the σ2 receptor (σ1Ki/σ2Ki = 41.8).
Graphical Abstract
1. Introduction
Initially, sigma (σ) receptors were designated as a subtype of the opioid receptor family,1 but were shown later to be distinctive proteins incorporated in plasma, mitochondrial and endoplasmic reticulum membranes of tissues in the brain, kidneys, endocrine system, liver, immune system, and reproductive organs.2, 3 Historically, the opioid family included the mu (µ), kappa (κ), and sigma (σ) receptors with morphine as a prototype for the µ receptor, ketocyclazocine for the κ receptor, and SKF-10,047 ((N-allylnormetazocine), for the σ receptor.1 However, Martin et al., 1976, noted that while morphine (µ) caused excessive pupil constriction, bradycardia, hypothermia and decreases in responsiveness to nerve pain, the ketocyclazocine (κ) syndrome was typified with sedation but did not significantly affect pulse rate. SKF-10,047(σ) on the other hand, produced tachycardia, dilation of pupils, tachypnea, and was insensitive to naloxone, a typical antagonist to opioid receptors. These responses were all in contrast to morphine and ketocyclazocine. The later discovery of ligands more selective to sigma sites such as 1,3-di-o-tolylguanidine (DTG) and phencyclidine, 1-(1-phenylcyclohexyl)piperidine (PCP), indicated that they were distinctive from the binding sites in the central nervous system, confirming that they were non-opioid receptors.4, 5 Based on extensive binding studies, it has now been established that σ receptors are distinct from other known neurotransmitter receptors since they have high affinity for 1,3-di(2-tolyl) guanidine (DTG), (+)-3-(3-hydroxyphenyl)-N-(1-propyl)piperidine, [(+)-3-PPP] and haloperidol and therefore, are defined as non-opioid binding sites.6 Even though biochemical and pharmacological studies proposed that there are several subtypes of sigma receptors, only two well-defined sigma receptor subtypes, sigma-1 (σ1) and sigma-2 (σ2), have been characterized.7–10
The sigma-1 receptor (σ1R) has been characterized as a 25 kDa protein, whereas the sigma-2 receptor (σ2R) has a molecular weight of 18–21 kDa.11, 12 The σ1R was cloned in 199613 and crystallized in 2016,14 while, σ2R was cloned in 2017.15 The σ2R was identified as a fundamental membrane protein residing at the endoplasmic reticulum (ER). The cloning also revealed σ2R as a four transmembrane domain protein with cytosolic N and C termini.15, 16 Until recently, attention was directed to the role of sigma receptors in the brain,12 however, pharmacological studies have revealed that both σ1 and σ2 receptors are widely expressed in various cell lines. Non-malignant cells from the same tissue displayed less sigma receptor expression than malignant cells17–19 with increased levels of σ2 receptors over the σ1 receptor subtype in general.18 In addition, several lines of evidence have suggested that the ratio of σ2 receptors in proliferating tumors is higher than in dormant cells with fast multiplying cells expressing ten times more σ2 receptors than resting cells.18, 20 For example, it was noted that σ receptors were abundant in human breast tumor biopsy tissue, but practically lacking in normal breast tissue.20 Furthermore, the cloning of σ2R confirmed its overexpression in epithelial, colorectal, ovarian, lung, and breast cancers.21–25 The σ2R has also been suggested as a possible drug target in cancer therapy26, 27 due to its association with tumor biology.28 Pharmacological targeting of the σ2 receptor in human cancer cell lines has been shown to have anti-proliferative properties.12 In addition, σ2 radiotracers have been developed for tumor imaging.15 Taken together, the σ2R offers a great potential as a target for anticancer drug development for cancers such as triple negative breast cancer (TNBC) which is without clear targets and for several tumor cell types with fast proliferation.29, 30 In this article, we report the design and synthesis of several homopiperazine, piperazine and tropane analogs and their evaluation at the sigma receptors.
2. Chemistry
Compounds 1, 5, 6, 11–15, 17–21 were synthesized in our lab and previously reported. 31–35 Compound 9 was synthesized and reported.36 Homopiperazine analogs 2, 3, 4 were synthesized as described in Scheme 1 by refluxing a mixture of 4-chloro-4’-fluoro-butyrophenone 25, homopiperazines 26a-c, KI, and NaHCO3 in isopropanol. Refluxing each of homopiperazines 2, 3 and 4 with hydroxylamine hydrochloride under basic conditions in EtOH afforded the corresponding oximes 22, 23, and 24.
Scheme 1.
Synthesis of homopiperazine analogs and their corresponding oximes. Reagents and conditions: i) KI, NaHCO3, iPrOH, reflux; ii) NH2OHHCl, KOH, EtOH, reflux.
Analog 7 was synthesized using the synthetic route we previously reported.37 1-(5-chloropyridin-2-yl)piperazine and 1-(5-chloropyridin-2-yl)-1,4-diazepane were prepared by reaction of the corresponding diamine with 2,5-dichloropyridine. Piperazine analogs 8 and 10 were synthesized via coupling reactions of halides and 1-(5-chloropyridin-2-yl)piperazine. Alkylating agent 27, which was prepared from butyrophenone 25,32 was used to prepare analog 10. The coupling reaction proceeded under basic conditions in the presence of KI as depicted in Scheme 2.
Scheme 2.
Synthesis of piperazine analogs in Group 2. Reagents and conditions: i) KI, NaHCO3, iPrOH, reflux.
3. Results and Discussion
To identify new σ2R selective ligands we reviewed our CNS database and identified the previously reported 4-(4-(4-chlorophenyl)-1,4-diazepan-1-yl)-1-(4-fluorophenyl)butan-1-one (1), a homopiperazine analog of haloperidol (SYA013, 1),31 as binding selectively to σ2 receptors (σ1Ki=24 nM and σ2Ki=5.6 nM, Ki(σ1R)/Ki(σ2R) = 4.3 nM). The aim of this research was to synthesize a limited number of SYA013 analogs, evaluate the structural elements that impact σ2 selectivity, and optimize their binding affinity to the σ2 receptor. We now report several such analogs of SYA013 that selectively bind to σ2 receptors. The structure of SYA013 and several designed analogs are shown in Fig. 1.
Fig. 1.
Homopiperazine analogs of group 1.
To obtain selective σ2 receptor ligands using SYA013 as a lead compound, four groups of analogs were identified for evaluation: homopiperazine analogs (group 1), piperazine analogs (group 2), tropane analogs (group 3), and indanone analogs (group 4). In group 1, initially, the 4-chlorophenyl moiety was replaced by 4-chloropyridine 2, pyridine 3 and pyrimidine 4 moieties. Subsequently, the ketone on the buta-1-one linker was deoxygenated to form compound 5, replaced with an oxygen to form ether 6, and the carbonyl in compound 2 was replaced with sulfur to obtain thioether 7.
Replacing the 4-chlorophenyl moiety with the chloro-pyridine to obtain 2 did not significantly diminish affinity while still retaining selectivity for the σ2 receptor. Removing the chloro from 2, led to the pyridine analog 3 with significantly diminished affinity as well as the selectivity for σ2 receptor, suggesting the chloro plays an important role in binding affinity. Introduction of an additional nitrogen to form the pyrimidine analog, 4 also decreased binding at the σ2 receptor. Thus, it would appear that decreasing lipophilicity is associated with reduction in binding to the σ2R. Deoxygenation of the carbonyl of compound 1 to form 5 or replacement of the carbonyl group with an oxygen to form 6 both improved affinity overall but led to reversal of selectivity for the σ2 receptor. However, replacement of the carbonyl in compound 2 with a sulfur atom to form thioether 7, improved affinity at both sigma receptors and also retained selectivity (Table 1).
Table 1.
Binding affinity of homopiperazine analogs of SYA013 (group 1) at the sigma receptors
Compound | (σ1R, *Ki), nM/pKi ± SEM | (σ2R, Ki), nM/pKi ± SEM | Ki(σ1R)/Ki (σ2R) |
---|---|---|---|
1 | (24)/7.63 ± 0.07 | (5.6)/8.29 ± 0.07 | 4.3 |
2 | (30)/7.52 ± 0.05 | (8.0)/8.1 ± 0.05 | 3.8 |
3 | (453)/(6.34) ± 0.06 | (32)/7.49 ± 0.09 | 14 |
4 | (63)/7.20 ± 0.09 | (44)/7.40 ± 0.10 | 1.4 |
5 | (3.6)/8.44 ± 0.05 | (8.5)/8.07 ± 0.06 | 0.4 |
6 | (2.9)/8.54 ± 0.07 | (5.9)/8.23 ± 0.08 | 0.5 |
7 | (7.2)/8.14 ± 0.05 | (2.2)/8.65 ± 0.05 | 3.3 |
Ki data are within 20% of the mean value, pKi data are recorded as the Mean ± SEM.
To evaluate the contribution of the homopiperazine ring to binding affinity and selectivity, and to identify other isosteres of the homopiperazine, we evaluated the piperazine analogs of several compounds in group 1 to form group 2 analogs as shown in Fig. 2. First, we evaluated the piperazine analog of compound 2 that is compound 8, and its deschloro equivalent 9. Consistent with the group 1 agents, compound 8 maintained binding similar to compound 2, while 9, like compound 3, resulted in significant reduction in binding affinity at both sigma receptors. Next we evaluated the deoxygenation of compound 8 to obtain 10. Compound 10 showed a 4 to 5-fold reduction of binding to both receptors. Compound 11, the piperazine analog of compound 5, also showed a diminished affinity and a reversed receptor selectivity as in 5. When the carbonyl in compound 8 was replaced with a sulfoxide to form compound 12, there was a greater than 45- and 71-fold loss of affinity at the σ1 and σ2 receptors respectively; suggesting the sulfoxide is an undesirable moiety at either of the sigma receptors. Compounds 13 – 15 are ether analogs in which the role of the chloro and fluoro were evaluated. Compound 13, is a desfluoro equivalent of compound 11 with insignificant change in binding affinity, although reversal of selectivity is noted. The deschloro equivalent, compound 14, surprisingly produced an increased binding affinity for both receptors and selectivity for the σ2 receptor. Removal of both chloro and fluoro substituents to form 15 produced a 2–5 fold decrease in binding affinity at both receptors, as expected (Table 2). Comparing the highest affinity piperazine in group 2, that is compound (σ2Ki =5.12 nM), with PB28 (σ2Ki=0.68 nM), one of the highest binding affinity ligands in the literature,38 reveals a 7.5 fold lower binding affinity to the σ2R.
Fig 2.
Piperazine analogs in Group 2.
Table 2.
Binding affinity constants of piperazine analogs (group 2 agents) at sigma receptors.
Compound | (σ1R, *Ki), nM/pKi ± SEM | (σ2R, Ki), nM/pKi ± SEM | Ki(σ1R)/Ki (σ2R) |
---|---|---|---|
8 | (25.0)/7.61 ± 0.07 | (8.4)/8.07 ± 0.06 | 3.0 |
9 | (4 0 3)/6.39 ± 0.05 | (52.0)/7.3 ± 0.1 | 7.8 |
10 | (95.0)/7.02 ± 0.07 | (43.0)/7.37 ± 0.05 | 2.2 |
11 | (36.0) | (51.5) | 0.7 |
12 | (1148)/5.94 ± 0.04 | (600)/6.2 ± 0.01 | 1.9 |
13 | (51.7) | (33.0)/7.48 ± 0.09 | 1.6 |
14 | (41.5) | (5.12) | 8.1 |
15 | (77.1) | (25.1) | 3.1 |
#PB 28 | (0.38) | (0.68) | 0.56 |
Ki data are within 20% of the mean value, pKi data are recorded as the Mean ± SEM.
From Ref. [38].
In an attempt to identify other isosteres of the homopiperazine ring, we evaluated the tropane analogs (Fig. 3) in group 3. The results of the screening are reported in Table 3.
Fig. 3.
Tropane analogs in group 3.
Table 3.
Binding affinity constants of tropane analogs of group 3 at sigma receptors.
Compound | (σ1R,* Ki), nM/pKi ± SEM | C(σ2R, Ki), nM/p Ki ± SEM | Ki(σ1R)/Ki (σ2R) |
---|---|---|---|
17 | (22.0)/7.66 ± 0.06 | (27.0)/7.60 ± 0.10 | 0.8 |
18 | (1 6 6)/6.78 ± 0.06 | (18.0)/7.70 ± 0.10 | 3.7 |
19 | (81.0)/7.09 ± 0.07 | (29.0)/7.53 ± 0.08 | 2.8 |
20 | (71.0)/7.15 ± 0.09 | (8.1)/8.09 ± 0.06 | 8.8 |
21 | (57.0)/7.24 ± 0.06 | (2.2)78.67 ± 0.09 | 25.9 |
Ki data are wihin 20% of the mean value. pKi data are recorded as the Mean ± SEM.
Compound 17 is the tropanol analog of compound 5. Compound 17 has a 6- and 3-fold lower affinity for the σ1 and σ2 receptors respectively. Compounds 18 and 19, the ether and thioether analogs of compound 17 respectively, display less affinity for the sigma receptors while compounds 20 and 21, the meta and ortho-substituted fluoro analogs show increased affinity and selectivity for the σ2 receptor. In fact, compound 21 has the strongest affinity (σ2 Ki=2.2 nM) and selectivity (σ1Ki/σ2Ki=25.9) for the σ2 receptor among all the compounds evaluated including the lead compound SYA013.
Given the literature precedent that oximes may enhance activity of a compound’s antitumor activity39 we synthesized the oximes of compounds 2, 3 and 4 and obtained compounds 22, 23 and 24 as shown in Fig 4. The results of the screening of these compounds at the sigma receptors is reported in Table 4, showing that the oximes maintain their sigma binding affinity and selectivity for the σ2 receptor.
Fig 4.
Oxime analogs of group 1 agents (Group 4).
Table 4.
Binding affinity constants of oxime analogs in group 4 at σ receptors.
Compds | (σ1R,* Ki), nM/pKi ± SEM | C(σ2R, Ki), nM/pKi ± SEM | Ki(σ1R)/Ki (σ2R) | Compds | (σ1R) * (Ki), nM/pKi ± SEM | (σ2R) Ki, nM/pKi ± SEM |
---|---|---|---|---|---|---|
22 | (113.0) | (2.7)/8.6 ± 0.1 | 41.8 | 2 | (30)77.52 ± 0.05 | (8.0)/8.1 ± 0.05 |
23 | (70) | (13.1) | 5.3 | 3 | (63)/6.34 ± 0.06 | (32)77.49 ± 0.09 |
24 | (1 4 8) | (26.0)77.6 ± 0.1 | 5.7 | 4 | (63)77.20 ± 0.09 | (44)77.40 ± 0.10 |
Ki data are wihin 20% of the mean value. pKi data are recorded as the Mean ± SEM.
As indicated in Table 4, and consistent with an overall increase in lipophilicity, all the oximes increased their binding affinities at the σ2 receptor as compared to their carbonyl counterparts in group 1. The reverse was the case for binding at the σ1 receptor. In addition, 22, the oxime of compound 2, produced the highest selectivity for the σ2 receptor (σ1Ki/σ2Ki=41.8) among all the compounds evaluated in this study.
3. Conclusions
In this article, we have evaluated four groups of compounds: homopiperazine, piperazine, tropane and oxime analogs of SYA013. Among these groups, the homopiperazine and tropane groups have the highest affinity ligands at the σ2 receptor (7 and 21; Ki = 2.2 nM), and 21 displays a high selectivity (σ1Ki/σ2Ki =25.9 nM) as well. Overall, oxime 22, displayed the highest selectivity (σ1Ki/σ2Ki=41.8) among all the compounds evaluated in this study. Compared with PB28, one of the highest affinity ligands at the σ2R (Ki = 0.68 nM),38 compound 22 compares favorably but has a higher selectivity for the σ2 receptor.
4. Experimental
4.1. General Information
Melting points were determined on a Gallenkamp (UK) apparatus and are uncorrected. All NMR spectra were obtained on either a Varian 300 MHz Mercury Spectrometer or 600 MHz Bruker Spectrometer. Elemental analyses were carried out by Atlantic Microlab, Inc., Norcross, GA, and are within 0.4% of theory unless otherwise noted. Flash chromatography was performed with Davisil grade 634 silica gel. Starting materials were obtained from Sigma–Aldrich and were used without further purification.
4.2. Preparation of 1-(5-chloropyridin-2-yl)-1,4-diazepane (26a) and 1-(5-chloropyridin-2-yl)piperazine (28)
4.2.1. 1-(5-chloropyridin-2-yl)-1,4-diazepane (26a)
A one to one mixture of homopiperazine and 2, 5-dichloropyridine in ethylene glycol was heated at 150 C for 12 hrs. After cooling to room temperature, the mixture was diluted with EtOAc (200 mL) followed by washing with saturated NaHCO3 (2×200 mL). The organic layer was dried over Na2SO4 and filtered. The filtrate was concentrated in vacuo to dryness, followed by column chromatography on silica gel to afford 1-(5-chloropyridin-2-yl)-1,4-diazepane as an oily residue in a yield of 65%. 1H NMR (300 MHz, CDCl3): δ 7.94 (1H, d, J = 2.4 Hz), 7.44 (1H, brs), 7.25 (1H, dd, J = 2.4, 9.0 Hz), 6.33 (1H, d, J = 9.0 Hz), 3.89 (2H, t, J = 5.8 Hz), 3.67 (2H, t, J = 5.8 Hz), 3.15 (2H, t, J = 5.8 Hz), 3.01 (2H, t, J = 6.0 Hz), 2.12 (2H, m).
13C (75 MHz, CD3OD): δ 156.0, 145.8, 137.2, 119.3, 106.8, 45.9, 45.7, 45.2, 43.6, 25.3.
4.2.2. 1-(5-chloropyridin-2-yl)piperazine (28)
A one to one mixture of piperazine and 2, 5-dichloropyridine in ethylene glycol was heated at 150 C for 12 hrs. After cooling to room temperature, the mixture was diluted with EtOAc (200 mL) followed by washing with saturated NaHCO3 (2×200 mL). The organic layer was dried over Na2SO4, and filtered. The filtrate was concentrated in vacuo to dryness to obtain a residue that was purified by column chromatography on silica gel to afford 1-(5-chloropyridin-2-yl)piperazine as an oily residue in a yield of 78%.
1H NMR (300 MHz, CDCl3): δ 8.10 (1H, d, J = 6.0 Hz), 7.41 (1H, dd, J = 6.0, 9.0 Hz), 6.57 (1H, d, J = 9.0 Hz), 3.46–3.49 (4H, m), 2.96–3.00 (4H, m), 2.67 (1H, brs).
13C (75 MHz, CDCl3): δ 157.6, 146.3, 137.1, 120.4, 107.8, 45.3, 44.8.
4.3. Synthesis of homopiperazine analogs 2, 3, 4 and piperazine analogs (8 and 10)
General Procedure I: A mixture of 4-chloro-1-(4-fluorophenyl)butan-1-one (1.0 g, 5.0 mmol), 1-(5-chloropyridin-2-yl)-1,4-diazepane ( 1.2 g, 5.7 mmol), KI (250 mg), NaHCO3 (1.0 g, 11.9 mmol) in iPrOH (10 mL) was heated to reflux under N2 for 12 h. After cooling to rt, the mixture was diluted with EtOAc (500 mL) and washed with water (2×300 mL). The organic layer was dried over Na2SO4, filtered and the filtrate was concentrated in vacuo to dryness to obtain a residue which was purified by column chromatography on silica gel to afford 4-(4-(5-chloropyridin-2-yl)-1,4-diazepan-1-yl)-1-(4-fluoro-phenyl)butan-1-one 2 as a free base.
4.3.1. 4-(4-(5-chloropyridin-2-yl)-1,4-diazepan-1-yl)-1-(4-fluorophenyl)butan-1-one (2·2HCl)
The free base of 2 was converted into the HCl salt by the addition of ethereal HCl and the salt was purified by recrystallization from MeOH-Et2O to afford the pure salt in a yield of 32%. Mp 185–187 °C, Calcd for C20H25Cl3FN3O. 0.4 H2O: C 52.68, H 5.70, N 9.22; Found: C 52.64, H 5.81, N 9.14.
1H NMR (300 MHz, DMSO-d6): δ 10.70 (1H, brs), 8.09 (1H, d, J = 2.4 Hz), 8.00–8.07 (2H, m), 7.63 (1H, dd, J = 2.7, 9.0 Hz), 7.31–7.38 (2H, t, J = 9.0 Hz), 6.76 (1H, d, J = 9.0 Hz), 4.26 (1H, dd, J = 4.2, 14.2 Hz), 3.75 (1H, dd, J = 8.4, 15.3 Hz), 3.47–3.61 (4H, m), 3.06–3.18 (6H, m), 2.32–2.43 (1H, m), 2.09–2.17 (1H, m), 1.96–2.06 (2H, m).
13C NMR (75 MHz, DMSO-d6): δ 197.8, 165.7 (d, J = 250.1 Hz), 155.5, 143.5, 139.0, 133.6 (d, J = 3.0 Hz), 131.3 (d, J = 9.3 Hz), 118.7, 116.2 (d, J = 21.4 Hz), 109.4, 55.9, 54.2, 53.4, 46.5, 41.8, 35.7, 23.4, 18.5.
4.3.2. 1-(4-fluorophenyl)-4-(4-(pyridin-2-yl)-1,4-diazepan-1-yl)butan-1-one (3·2HCl)
The free base was converted into the HCl salt by the addition of ethereal HCl, followed by recrystallization from MeOH-Et2O to afford the pure salt in a yield of 34.7%. Mp 198–199 °C, Calcd for C20H26Cl2FN3O.0.5 H2O: C 56.74, H 6.43, N 9.93; Found: C 56.86, H 6.36, N 9.76.
1H NMR (300 MHz, DMSO-d6): δ 11.27 (1H, s), 8.00–8.06 (3H, m), 7.94–7.99 (1H, m), 7.34 (2H, t, J 9.0 Hz), 7.25 (1H, brs), 6.91–6.95 (1H, m), 4.20–4.26 (1H, m), 4.00–4.10 (1H, m), 3.62–3.75 (2H, m), 3.53–3.61 (2H, m), 3.09–3.29 (6H, m), 2.50–2.56 (2H, m), 2.14–2.20 (1H, m), 1.96–2.02 (2H, m).
13C NMR (75 MHz, DMSO-d6): δ 197.8, 165.5 (d, J = 250.7 Hz), 152.5, 143.8, 137.7, 133.5 (d, J = 2.3 Hz), 131.3 (d, J = 9.1 Hz), 116.2 (d, J = 21.8 Hz), 113.0, 112.6, 56.2, 53.3, 52.8, 48.1, 43.3, 35.7, 23.0, 18.5.
4.3.3. 1-(4-fluorophenyl)-4-(4-(pyrimidin-2-yl)-1,4-diazepan-1-yl)butan-1-one (4·2HBr)
The free base was treated with ethereal HBr to form a salt. Recrystallization from MeOH:Et2O, afforded 1-(4-fluorophenyl)-4-(4-(pyrimidin-2-yl)-1,4-diazepan-1-yl)butan-1-one 4, dihydrobromide, in yield of 33%, Mp 225–230 °C. Calculated for C19H25Br2FN4O: C 45.26, H 5, N 11.11; Found: C 45.47, H 5.07, N 11.02.
1H NMR (600 MHz, DMSO-d6): δ 9.80 (1H, s), 8.51 (2H, d, J = 4.9 Hz), 8.21–7.92 (2H, m), 7.52–7.25 (2H, m), 6.81 (1H, t, J = 4.9 Hz), 4.49–4.21 (1H, m), 3.93–3.81 (2H, m), 3.78–3.74 (1H, m), 3.72–3.65 (1H, m), 3.62–3.52 (1H, m), 3.34–3.23 (2H, m), 3.23–3.14 (4H, m), 2.37–2.3 (1H, m), 2.25–2.13 (1H, m), 2.08–1.99 (2H, m).
13C NMR (151 MHz, DMSO-d6): δ 197.7, 165.1 (d, J = 250.0 Hz), 161.5, 157.6, 133.6, 131.4 (d, J = 9.4 Hz), 116.2 (d, J = 21.7 Hz), 110.7, 56.8, 55.4, 54.78, 4.36, 45.9, 36.0, 27.4, 22.2.
4.3.4. 4-(4-(5-chloropyridin-2-yl)piperazin-1-yl)-1-(4-fluorophenyl)butan-1-one (8·HCl)
The free base was converted into the salt by addition of ethereal HCl and the salt was purified by recrystallization from MeOH-Et2O to afford the pure salt in a yield of 25%, Mp 183–185 °C. Calcd for C19H22Cl2FN3O. 1.0 H2O: C 54.81, H 5.81, N 10.09; Found: C 54.89, H 5.47, N 10.09.
1H NMR (300 MHz, DMSO-d6): δ 10.47 (1H, brs), 8.15 (1H, d, J = 2.7 Hz), 8.06 (1H, d, J = 5.7 Hz), 8.03 (1H, d, J = 5.7 Hz), 7.68 (1H, dd, J = 2.7, 9.0 Hz), 7.36 (2H, t, J = 9.0 Hz), 6.98 (1H, d, J = 9.3 Hz), 4.33 (2H, d, J = 14.1 Hz), 3.56 (2H, d, J = 14.1 Hz), 3.21–3.32 (2H, m), 3.00–3.21 (6H, m), 1.91–2.06 (2H, m).
13C NMR (75 MHz, DMSO-d6): δ 197.7, 165.5 (d, J = 250.1 Hz), 157.0, 145.8, 138.1, 133.6, 131.3 (d, J = 9.3 Hz), 120.5, 116.2 (d, J = 21.4 Hz), 109.8, 55.5, 50.6, 42.3, 35.7, 18.1.
4.3.5. 1-(5-chloropyridin-2-yl)-4-(4-(4-fluorophenyl)butyl)piperazine (10·HCl)
The free base was converted into the salt by addition of ethereal HCl and the residue was purified by recrystallization from MeOH-Et2O to afford the pure salt in a yield of 31%, Mp 195–196 °C. Calcd for C19H24Cl2FN3: C 59.38, H 6.29, N 10.93; Found: C 59.22, H 6.04, N 10.90.
1H NMR (300 MHz, DMSO-d6): δ 10.30 (1H, brs), 8.15 (1H, d, J = 1.8 Hz), 7.68 (1H, dd, J = 2.7, 9.0 Hz), 7.21–7.26 (2H, m), 7.09 (2H, t, J = 9.0 Hz), 6.97 (1H, d, J = 8.4 Hz), 4.32 (2H, d, J = 14.2 Hz), 3.47–3.51 (2H, m), 3.17–3.26 (2H, m), 2.93–3.12 (4H, m), 2.56–2.61 (2H, m), 1.62–1.71 (2H, m), 1.52–1.60 (2H, m).
13C NMR (75 MHz, DMSO-d6): δ 161.1 (d, J = 239.5 Hz), 157.0, 146.1, 138.2, 138.0, 130.5 (d, J = 7.7 Hz), 120.5, 115.4 (d, J = 20.3 Hz), 109.6, 55.6, 50.6, 42.2, 34.1, 28.6, 23.0.
4.4. Synthesis of 1-(5-chloropyridin-2-yl)-4-(3-((4-fluorophenyl)thio)propyl)-1,4-diazepane hydrochloride (7· HCl)
The method previously reported in Sampson et al.34 was used. A mixture of 3-((4-fluorophenyl)-thio)propyl methanesulfonate (0.86 g, 3.5 mmol), 1-(5-chloropyridin-2-yl)-1,4-diazepane (0.85 g, 4.0 mmol) 26a, KI (150 mg), NaHCO3 (1.0 g, 11.9 mmol) in iPrOH (10 mL) was heated to reflux under N2 for 12 h. After cooling to rt, the mixture was diluted with EtOAc (500 mL), followed by washing with water (2×300 mL), the organic layer was separated, dried over Na2SO4, and filtered. The filtrate was concentrated in vacuo to dryness, followed by column chromatography on silica gel to afford 1-(5-chloropyridin-2-yl)-4-(3-((4-fluorophenyl)thio)propyl)-1,4-diazepane 7. The product was converted into the salt by the addition of ethereal HCl and the salt was purified by recrystallization from MeOH-Et2O to afford the HCl salt, in a yield of 42%, Mp 191–193 °C. Calcd for C19H25Cl3FN3S. 0.5 H2O: C 49.41, H 5.67, N 9.10; Found: C 49.41, H 5.65, N 9.08.
1H NMR (300 MHz, DMSO-d6): δ 10.91 (1H, brs), 8.08 (1H, d, J = 2.4 Hz), 7.63 (1H, dd, J = 3.0, 9.0 Hz), 7.38–7.45 (2H, m), 7.14–7.21 (2H, m), 6.75 (1H, d, J = 9.0 Hz), 4.20–4.27 (1H, m), 3.67–3.75 (1H, m), 3.41–3.53 (4H, m), 3.11–3.17 (2H, m), 3.03–3.07 (2H, m), 2.95–3.00 (2H, m), 2.31–2.41 (1H, m), 2.04–2.16 (1H, m), 1.90–2.00 (2H, m).
13C NMR (75 MHz, DMSO-d6): δ 161.4 (d, J = 241.7 Hz), 154.5, 141.4, 140.1, 131.9 (d, J = 7.6 Hz), 131.1 (d, J = 2.8 Hz), 118.7, 116.7 (d, J = 21.4 Hz), 110.6, 52.3, 54.0, 53.5, 47.0, 42.2, 30.9, 23.6, 23.3.
4.5. Synthesis of oximes 22–24
General Procedure II: A mixture of 4-(4-(5-chloropyridin-2-yl)-1,4-diazepan-1-yl)-1-(4-fluorophenyl)butan-1-one 2 (0.65g, 1.73 mmol), hydroxylamine hydrochloride (0.25g, 3.46 mmol), KOH (0.19g, 3.46 mmol) in EtOH (10 mL) was heated to reflux at 90˚C for 5 h. After cooling to room temperature, H2O was added to the reaction mixture to precipitate the compound. The residue was washed with water and EtOAc and the aqueous layer was extracted twice with EtOAc. The combined organic layer was dried over anhydrous Na2SO4 and filtered. The filtrate was evaporated and the residue purified by flash chromatography using (90:10% EtOAc: Hexane).
4.5.1. (4-(4-(5-chloropyridin-2-yl)-1,4-diazepan-1-yl)-1-(4-fluorophenyl)butan-1-one oxime (22)
The product was recrystallized using EtOAc/Hexane to afford (4-(4-(5-chloropyridin-2-yl)-1,4-diazepan-1-yl)-1-(4-fluorophenyl)butan-1-one oxime 22 in a yield of 37%, Mp 148–150 °C. Calculated for C20H24ClFN4O: C 61.46, H 6.19, N 14.33; Found: C 61.68, H 6.28, N 14.33. 1H NMR (600 MHz, DMSO-d6); δ 11.16 (1H, s), 8.03 (1H, d, J = 2.7 Hz), 7.83–7.58 (2H, m), 7.51 (1H, dd, J = 2.7, 9.1 Hz), 7.42–6.94 (2H, m), 6.63 (1H, d, J = 9.2 Hz), 3.71–3.59 (2H, m), 3.56 (2H, t, J 6.1 Hz), 2.72–2.65 (2H, m), 2.65–2.60 (2H, m), 2.49–2.44 (2H, m), 2.43 (2H, dd, J = 8.7, 15.6 Hz), 1.92–1.69 (2H, m), 1.69–1.49 (2H, m).
13C NMR (151 MHz, DMSO-d6): δ 162.8 (d, J = 244.3 Hz), 156.9, 156.4, 146.0, 137.3, 133.2, 128.3 (d, J = 8.3 Hz), 117.4, 115.7 (d, J = 21.6 Hz), 107.2, 57.0, 55.0, 54.5, 47.3, 46.6, 27.3, 24.4, 23.4.
4.5.2. 1-(4-fluorophenyl)-4-(4-(pyridin-2-yl)-1,4-diazepan-1-yl)butan-1-one oxime (23)
Using the general method II, 1-(4-fluorophenyl)-4-(4-(pyridin-2-yl)-1,4-diazepan-1-yl)butan-1-one, 3 was treated with hydroxylamine hydrochloride to form the product which was recrystallized from EtOAc/Hexane to afford 1-(4-fluorophenyl)-4-(4-(pyridin-2-yl)-1,4-diazepan-1-yl)butan-1-one oxime 23 in a yield of 48%, Mp 108–112 °C. Calculated for C20H25FN4O: C 67.39, H 7.07, N 15.72; Found: C 67.43, H 6.90, N 15.66.
1H NMR (600 MHz, DMSO-d6): δ 11.16 (1H, s), 8.43–7.87 (1H, m), 7.89–7.54 (2H, m), 7.46–7.43 (1H, m), 7.36–7.08 (2H, m), 6.57 (1H, d, J = 8.7 Hz), 6.54–6.46 (1H, m), 3.78–3.63 (2H, m), 3.57 (2H, t, J = 6.2 Hz), 2.76–2.66 (2H, m), 2.68–2.59 (2H, m), 2.48–2.44 (2H, m), 2.43 (2H, t, J = 7.0 Hz), 1.80 (2H, dt, J = 6.0, 11.7 Hz), 1.69–1.49 (2H, m).
13C NMR (151 MHz, DMSO-d6): δ 162.8 (d, J = 244.3 Hz), 158.3, 156.4, 148.1, 137.7, 133.2 (d, J = 2.4 Hz), 128.3 (d, J = 8.3 Hz), 115.7 (d, J = 21.4 Hz), 111.5, 105.8, 57.0, 55.3, 54.6, 46.9, 46.2, 27.5, 24.4, 23.4.
4.5.3. 1-(4-fluorophenyl)-4-(4-(pyrimidin-2-yl)-1,4-diazepan-1-yl)butan-1-one oxime (24)
Using the general method II, 1-(4-fluorophenyl)-4-(4-(pyrimidin-2-yl)-1,4-diazepan-1-yl)butan-1-one 4 was treated with hydroxylamine hydrochloride to form the product which was recrystallized from EtOAc/Hexane to afford 1-(4-fluorophenyl)-4-(4-(pyrimidin-2-yl)-1,4-diazepan-1-yl)butan-1-one oxime 24 in a yield of 20%, Mp 126–128 °C. Calculated for C19H24FN5O: C 63.85, H 6.77, N 19.59; Found: C 63.49, H 6.79, N 19.57.
1H NMR (600 MHz, CDCl3): δ 8.32 (2H, d, J = 4.7 Hz), 7.79–7.57 (2H, m), 7.17–7.00 (2H, m), 6.48 (1H, t, J = 4.7 Hz), 4.12–3.91 (2H, m), 3.84 (2H, t, J = 6.4 Hz), 2.80 (3H, dd, J = 4.5, 8.8 Hz), 2.75–2.62 (m, 2H), 2.62–2.50 (2H, m), 2.16–1.98 (2H, m), 1.98–1.74 (3H, m).
13C NMR (151 MHz, CDCl3): δ 163.3 (d, J = 247.3 Hz), 161.5, 158.3, 157.7, 132.1 (d, J = 3.2 Hz), 127.9 (d, J = 8.3 Hz), 115.3 (d, J = 21.7 Hz), 109.2, 56.8, 55.6, 54.6, 45.8, 29.7, 27.0, 23.9, 23.5.4.6.
Acknowledgements
This work was supported by the continuing financial support of the NIH/NIGMS SCORE grant number 2SC1GM116724, NIMHD RCMI grant number G12 RR 03020 and a Title III Grant to Florida A&M University. The work was also supported in part by the Pharmaceutical Research Center NIH/ NCRR 1C06-RR12512-01 Grant. Ki determinations and receptor binding profiles were generously provided by the National Institute of Mental Health’s Psychoactive Drug Screening Program, Contract # HHSN-271-2013-00017-C (NIMH PDSP). The NIMH PDSP is directed by Bryan L. Roth, MD, PhD, at the University of North Carolina at Chapel Hill and Project Officer Jamie Driscoll at NIMH, Bethesda MD, USA. One of us (LA) received financial support from the Saudi Arabian Cultural Mission for her education while conducting her research at Florida A&M University. Funding sources acknowledged had no involvement in the study design, data collection and interpretation, or article preparation and submission of this manuscript. The authors gratefully acknowledge the technical and editorial assistance provided by Mrs. Barbara Bricker during the study and the writing of this manuscript.
Footnotes
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Receptor binding studies
Binding affinities (Ki, nM) reported in Tables 1–4 were conducted by the National Institute of Mental Health Psychoactive Drug Screening Program (NIMH-PDSP) unless otherwise stated. Details of the methods and the radioligands used for the binding assays at each receptor were previously reported.40
References
- 1.Martin WR, Eades CG, Thompson JA, Huppler RE, Gilbert PE. The effects of morphine- and nalorphine- like drugs in the nondependent and morphine-dependent chronic spinal dog. J Pharmacol Exp Ther 1976;197:517–532. [PubMed] [Google Scholar]
- 2.Quirion R, Bowen WD, Itzhak Y, Junien JL, Musacchio JM, Rothman RB, et al. A proposal for the classification of sigma binding sites. Trends Pharmacol Sci 1992;13:85–86. [DOI] [PubMed] [Google Scholar]
- 3.Su TP. Sigma receptors. Putative links between nervous, endocrine and immune systems. Eur J Biochem 1991;200:633–642. [DOI] [PubMed] [Google Scholar]
- 4.Weber E, Sonders M, Quarum M, McLean S, Pou S, Keana JF. 1,3-Di(2-[5–3H]tolyl)guanidine: a selective ligand that labels sigma-type receptors for psychotomimetic opiates and antipsychotic drugs. Proc Natl Acad Sci U S A 1986;83:8784–8788. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Wong EH, Kemp JA, Priestley T, Knight AR, Woodruff GN, Iversen LL. The anticonvulsant MK-801 is a potent N-methyl-D-aspartate antagonist. Proc Natl Acad Sci U S A 1986;83:7104–7108. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Shimizu I, Kawashima K, Ishii D, Oka M. Effects of (+)-pentazocine and 1,3-di-o-tolylguanidine (DTG), sigma (sigma) ligands, on micturition in anaesthetized rats. Br J Pharmacol 2000;131:610–616. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Bowen WD, Hellewell SB, McGarry KA. Evidence for a multi-site model of the rat brain sigma receptor. Eur J Pharmacol 1989;163:309–318. [DOI] [PubMed] [Google Scholar]
- 8.Hellewell SB, Bruce A, Feinstein G, Orringer J, Williams W, Bowen WD. Rat liver and kidney contain high densities of sigma 1 and sigma 2 receptors: characterization by ligand binding and photoaffinity labeling. Eur J Pharmacol 1994;268:9–18. [DOI] [PubMed] [Google Scholar]
- 9.Hellewell SB, Bowen WD. A sigma-like binding site in rat pheochromocytoma (PC12) cells: decreased affinity for (+)-benzomorphans and lower molecular weight suggest a different sigma receptor form from that of guinea pig brain. Brain Res 1990;527:244–253. [DOI] [PubMed] [Google Scholar]
- 10.Bowen WD. Sigma receptors: recent advances and new clinical potentials. Pharm Acta Helv 2000;74:211–218. [DOI] [PubMed] [Google Scholar]
- 11.van Waarde A, Rybczynska AA, Ramakrishnan N, Ishiwata K, Elsinga PH, Dierckx RA. Sigma receptors in oncology: therapeutic and diagnostic applications of sigma ligands. Curr Pharm Des 2010;16:3519–3537. [DOI] [PubMed] [Google Scholar]
- 12.Mach RH, Zeng C, Hawkins WG. The sigma2 receptor: a novel protein for the imaging and treatment of cancer. J Med Chem 2013;56:7137–7160. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Hanner M, Moebius FF, Flandorfer A, Knaus HG, Striessnig J, Kempner E, et al. Purification, molecular cloning, and expression of the mammalian sigma1-binding site. Proc Natl Acad Sci U S A 1996;93:8072–8077. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Schmidt HR, Zheng S, Gurpinar E, Koehl A, Manglik A, Kruse AC. Crystal structure of the human sigma1 receptor. Nature 2016;532:527–530. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Alon A, Schmidt HR, Wood MD, Sahn JJ, Martin SF, Kruse AC. Identification of the gene that codes for the sigma2 receptor. Proc Natl Acad Sci U S A 2017;114:7160–7165. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Sanchez-Pulido L, Ponting CP. TM6SF2 and MAC30, new enzyme homologs in sterol metabolism and common metabolic disease. Front Genet 2014;5:439. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Aydar E, Onganer P, Perrett R, Djamgoz MB, Palmer CP. The expression and functional characterization of sigma (sigma) 1 receptors in breast cancer cell lines. Cancer Lett 2006;242:245–257. [DOI] [PubMed] [Google Scholar]
- 18.Vilner BJ, John CS, Bowen WD. Sigma-1 and sigma-2 receptors are expressed in a wide variety of human and rodent tumor cell lines. Cancer Res 1995;55:408–413. [PubMed] [Google Scholar]
- 19.Bem WT, Thomas GE, Mamone JY, Homan SM, Levy BK, Johnson FE, et al. Overexpression of sigma receptors in nonneural human tumors. Cancer Res 1991;51:6558–6562. [PubMed] [Google Scholar]
- 20.Mach RH, Smith CR, al-Nabulsi I, Whirrett BR, Childers SR, Wheeler KT. Sigma 2 receptors as potential biomarkers of proliferation in breast cancer. Cancer Res 1997;57:156–161. [PubMed] [Google Scholar]
- 21.Moparthi SB, Arbman G, Wallin A, Kayed H, Kleeff J, Zentgraf H, et al. Expression of MAC30 protein is related to survival and biological variables in primary and metastatic colorectal cancers. Int J Oncol 2007;30:91–95. [PubMed] [Google Scholar]
- 22.Yan BY, Wang DW, Zhu ZL, Yang YH, Wang MW, Cui DS, et al. Overexpression of MAC30 in the cytoplasm of oral squamous cell carcinoma predicts nodal metastasis and poor differentiation. Chemotherapy 2010;56:424–428. [DOI] [PubMed] [Google Scholar]
- 23.Wilcox CB, Feddes GO, Willett-Brozick JE, Hsu LC, DeLoia JA, Baysal BE. Coordinate up-regulation of TMEM97 and cholesterol biosynthesis genes in normal ovarian surface epithelial cells treated with progesterone: implications for pathogenesis of ovarian cancer. BMC Cancer 2007;7:223. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Zhao ZR, Zhang LJ, He XQ, Zhang ZY, Zhang F, Li F, et al. Significance of mRNA and protein expression of MAC30 in progression of colorectal cancer. Chemotherapy 2011;57:394–401. [DOI] [PubMed] [Google Scholar]
- 25.Ding H, Gui XH, Lin XB, Chen RH, Cai HR, Fen Y, et al. Prognostic Value of MAC30 Expression in Human Pure Squamous Cell Carcinomas of the Lung. Asian Pac J Cancer Prev 2016;17:2705–2710. [PubMed] [Google Scholar]
- 26.Crawford KW, Bowen WD. Sigma-2 receptor agonists activate a novel apoptotic pathway and potentiate antineoplastic drugs in breast tumor cell lines. Cancer Res 2002;62:313–322. [PubMed] [Google Scholar]
- 27.Crawford KW, Coop A, Bowen WD. sigma(2) Receptors regulate changes in sphingolipid levels in breast tumor cells. Eur J Pharmacol 2002;443:207–209. [DOI] [PubMed] [Google Scholar]
- 28.Wheeler KT, Wang LM, Wallen CA, Childers SR, Cline JM, Keng PC, et al. Sigma-2 receptors as a biomarker of proliferation in solid tumours. Br J Cancer 2000;82:1223–1232. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.John CS, Gulden ME, Li J, Bowen WD, McAfee JG, Thakur ML. Synthesis, in vitro binding, and tissue distribution of radioiodinated 2-[125I]N-(N-benzylpiperidin-4-yl)-2-iodo benzamide, 2-[125I]BP: a potential sigma receptor marker for human prostate tumors. Nucl Med Biol 1998;25:189–194. [DOI] [PubMed] [Google Scholar]
- 30.Zeng C, Vangveravong S, Jones LA, Hyrc K, Chang KC, Xu J, et al. Characterization and evaluation of two novel fluorescent sigma-2 receptor ligands as proliferation probes. Mol Imaging 2011;10:420–433. [PMC free article] [PubMed] [Google Scholar]
- 31.Ablordeppey SY, Altundas R, Bricker B, Zhu XY, Kumar EV, Jackson T, et al. Identification of a butyrophenone analog as a potential atypical antipsychotic agent: 4-[4-(4-chlorophenyl)-1,4-diazepan-1-yl]-1-(4-fluorophenyl)butan-1-one. Bioorg Med Chem 2008;16:7291–7301. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Peprah K, Zhu XY, Eyunni SV, Etukala JR, Setola V, Roth BL, et al. Structure-activity relationship studies of SYA 013, a homopiperazine analog of haloperidol. Bioorg Med Chem 2012;20:1671–1678. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33.Ablordeppey SY, Zhu XY, Identification of agents displaying functional activation of dopamine D2 and D4 receptors and methods for treatment of psychosis PCT Int. Appl patent WO 2018148529 Al 20180816 2018.
- 34.Sampson D, Bricker B, Zhu XY, Peprah K, Lamango NS, Setola V, et al. Further evaluation of the tropane analogs of haloperidol. Bioorg Med Chem Lett 2014;24:4294–4297. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Sampson D, Zhu XY, Eyunni SV, Etukala JR, Ofori E, Bricker B, et al. Identification of a new selective dopamine D4 receptor ligand. Bioorg Med Chem 2014;22:3105–3114. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Jaen JC, Caprathe BW, Pugsley TA, Wise LD, Akunne H. Evaluation of the effects of the enantiomers of reduced haloperidol, azaperol, and related 4-amino-1-arylbutanols on dopamine and sigma receptors. J Med Chem 1993;36:3929–3936. [DOI] [PubMed] [Google Scholar]
- 37.Peprah K, Zhu XY, Eyunni SV, Setola V, Roth BL, Ablordeppey SY. Multi-receptor drug design: Haloperidol as a scaffold for the design and synthesis of atypical antipsychotic agents. Bioorg Med Chem 2012;20:1291–1297. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 38.Berardi F, Abate C, Ferorelli S, Uricchio V, Colabufo NA, Niso M, Perrone R. Exploring the Importance of Piperazine N-Atoms for σ2 Receptor Affinity and Activity in a Series of Analogs of 1-Cyclohexyl-4-[3-(5-methoxy-1,2,3,4-tetrahydronaphthalen-1-yl)propyl]piperazine (PB28) J. Med. Chem 2009;52:7817–7828. [DOI] [PubMed] [Google Scholar]
- 39.Soga S, Neckers LM, Schulte TW, Shiotsu Y, Akasaka K, Narumi H, et al. KF25706, a novel oxime derivative of radicicol, exhibits in vivo antitumor activity via selective depletion of Hsp90 binding signaling molecules. Cancer Res 1999;59:2931–2938. [PubMed] [Google Scholar]
- 40.a) Frankowski KJ, Setola V, Evans JM, Neuenswander B, Roth BL, Aube J. Synthesis and receptor profiling of Stemona alkaloid analogues reveal a potent class of sigma ligands, Proc. Natl. Acad. Sci. U. S. A, 2011;108:6727–6732. [DOI] [PMC free article] [PubMed] [Google Scholar]; b) Shapiro DA, Renock S, Arrington E, Chiodo LA, Liu LX, Sibley DR, et al. Aripiprazole, a novel atypical antipsychotic drug with a unique and robust pharmacology. Neuropsychopharmacology 2003;28:1400–1411. [DOI] [PubMed] [Google Scholar]