Biomedical Engineering Reference
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O
O
O
O
HO
HO
O
HO
OH
N
N
NH
H 2 N
H 2 N
O
NH
H 2 N
O
N
O
O
Quisqualic acid ( 15.64 )
AMPA ( 15.65 )
( S )-Willardiine ( 15.66 )
O
O
O
O
HO
HO
HO
OH
OH
O
N
H 2 N
HN
H 2 N
Br
N
N
O
O
OH
( S )-Br-HIBO ( 15.67 )
ACPA ( 15.68 )
5-HPCA ( 15.69 )
FIGURE 15.16
Structures of AMPA ( 15.65 ) and some AMPA receptor agonists.
The isoxazole-based Glu homolog ( S )-Br-HIBO ( 15.67 ) also shows AMPA receptor subtype
selectivity, preferring GluR1 over GluR3 in receptor-binding and functional assays. Replacing
the 3-isoxazolol group of AMPA by a 3-carboxyisoxazole unit gives the Glu homolog ACPA
( 15.68 ), which is a selective AMPA receptor agonist that is more potent than AMPA. The
potent excitatory AMPA receptor activity of ACPA ( 15.68 ) has been shown to reside with the
S -enantiomer.
Conformational restriction of the skeleton of Glu has played an important role in the design of
selective GluR ligands. However, only few structurally rigid AMPA receptor-selective Glu analogs
have been reported. One such example is the cyclized analog of AMPA, 5-HPCA ( 15.69 ), which
recently has been resolved. Interestingly, the pharmacological effects of 5-HPCA ( 15.69 ) reside
exclusively with the R -enantiomer, in striking contrast to the usual stereoselectivity trend among
AMPA receptor agonists (Figure 15.16).
15.7.6 C OMPETITIVE AND N ONCOMPETITIVE AMPA R ECEPTOR A NTAGONISTS
Early pharmacological studies on AMPA and KA receptors were hampered by the lack of
selective and potent antagonists. The discovery of the quinoxaline-2,3-diones CNQX ( 15.70 )
and DNQX ( 15.71 ) was a breakthrough since these compounds are quite potent antagonists,
although nonselective. Subsequently, the more potent analog NBQX ( 15.72 ) was shown to be
n eu r o p r o t e c t ive i n c e r eb r a l i s ch em ia a nd t o h ave i m p r ove d A M PA r e c e p t o r s ele c t iv it y c om p a r e d
to CNQX ( 15.70 ). However, NBQX ( 15.72 ) failed in clinical trials because of nephrotoxicity
due to a limited aqueous solubility, but nonetheless has become a valuable tool for research.
DNQX ( 15.71 ) has played a key role in elucidating the binding mode of competitive antagonists,
as it was the i rst antagonist cocrystallized with the GluR2 ligand-binding domain. Attempts
to improve the aqueous solubility of such antagonists without losing activity at AMPA recep-
tors, by introducing appropriate polar substituents onto the quinoxaline-2,3-dione ring system
have been highly successful, and have resulted in very potent AMPA receptor antagonists, as
exemplii ed by ZK200775 ( 15.73 ).
Another series of potent and selective competitive AMPA receptor antagonists based on the
isantin oxime skeleton includes NS 1209 ( 15.74 ), which shows long-lasting neuroprotection in ani-
mal models of ischemia and an increased aqueous solubility compared to NBQX ( 15.72 ). At least
two classes of amino acid-containing compounds, based on decahydroisoquinoline-3-carboxylic
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