Discovery of potent and orally available malonyl-CoA decarboxylase inhibitors as cardioprotective agents

J Med Chem. 2006 Jul 13;49(14):4055-8. doi: 10.1021/jm0605029.

Abstract

Discovery of 5-(1,1,1,3,3,3-hexafluoro-2-hydroxypropan-2-yl)-4,5-dihydroisoxazole-3-carboxamides as a new class of malonyl-coenzyme A decarboxylase (MCD) inhibitors is described. tert-Butyl 3-(5-(1,1,1,3,3,3-hexafluoro-2-hydroxypropan-2-yl)-4,5-dihydroisoxazole-3-carboxamido)butanoate (5, CBM-301940) exhibited excellent potency and in vivo PK/ADME properties. It is the most powerful stimulant of glucose oxidation reported to date in isolated working rat hearts. Compound 5 improved the cardiac efficiency and function in a rat heart global ischemia/reperfusion model, suggesting MCD inhibitors may be useful for the treatment of ischemic heart diseases.

MeSH terms

  • Administration, Oral
  • Animals
  • Biological Availability
  • Carboxy-Lyases / antagonists & inhibitors*
  • Cardiotonic Agents / chemical synthesis*
  • Cardiotonic Agents / pharmacokinetics
  • Cardiotonic Agents / pharmacology
  • Crystallography, X-Ray
  • Isoxazoles / chemical synthesis*
  • Isoxazoles / pharmacokinetics
  • Isoxazoles / pharmacology
  • Molecular Conformation
  • Myocardial Ischemia / drug therapy
  • Myocardial Ischemia / physiopathology
  • Myocardial Reperfusion
  • Rats
  • Rats, Sprague-Dawley
  • Stereoisomerism
  • Structure-Activity Relationship

Substances

  • Cardiotonic Agents
  • Isoxazoles
  • tert-butyl 3-(5-(1,1,1,3,3,3-hexafluoro-2-hydroxypropan-2-yl)-4,5-dihydroisoxazole-3-carboxamido)butanoate
  • Carboxy-Lyases
  • malonyl-CoA decarboxylase