Investigation of Janus Kinase (JAK) Inhibitors for Lung Delivery and the Importance of Aldehyde Oxidase Metabolism

J Med Chem. 2022 Jan 13;65(1):633-664. doi: 10.1021/acs.jmedchem.1c01765. Epub 2021 Dec 20.

Abstract

The Janus family of tyrosine kinases (JAK1, JAK2, JAK3, and TYK2) play an essential role in the receptor signaling of cytokines that have been implicated in the pathogenesis of severe asthma, and there is emerging interest in the development of small-molecule-inhaled JAK inhibitors as treatments. Here, we describe the optimization of a quinazoline series of JAK inhibitors and the results of mouse lung pharmacokinetic (PK) studies where only low concentrations of parent compound were observed. Subsequent investigations revealed that the low exposure was due to metabolism by aldehyde oxidase (AO), so we sought to identify quinazolines that were not metabolized by AO. We found that specific substituents at the quinazoline 2-position prevented AO metabolism and this was rationalized through computational docking studies in the AO binding site, but they compromised kinome selectivity. Results presented here highlight that AO metabolism is a potential issue in the lung.

MeSH terms

  • Administration, Intranasal
  • Administration, Intravenous
  • Aldehyde Oxidase / metabolism*
  • Animals
  • Binding Sites
  • Drug Delivery Systems
  • Female
  • Humans
  • Janus Kinase Inhibitors / administration & dosage
  • Janus Kinase Inhibitors / chemical synthesis
  • Janus Kinase Inhibitors / pharmacokinetics*
  • Liver / metabolism
  • Lung / metabolism*
  • Mice
  • Mice, Inbred BALB C
  • Models, Molecular
  • Molecular Docking Simulation
  • Quinazolines / chemical synthesis
  • Quinazolines / pharmacokinetics
  • Quinazolines / pharmacology
  • Structure-Activity Relationship

Substances

  • Janus Kinase Inhibitors
  • Quinazolines
  • Aldehyde Oxidase