1. Academic Validation
  2. Discovery of novel azetidine-based imidazopyridines as selective and orally bioavailable inhibitors of phosphodiesterase 10A for the treatment of pulmonary arterial hypertension

Discovery of novel azetidine-based imidazopyridines as selective and orally bioavailable inhibitors of phosphodiesterase 10A for the treatment of pulmonary arterial hypertension

  • Eur J Med Chem. 2025 Jun 5:290:117537. doi: 10.1016/j.ejmech.2025.117537.
Hongzhe Huang 1 Huanxin Xue 1 Anqi Cai 2 Han Yuan 1 Yufen Yao 1 Runduo Liu 1 Yi Yang 1 Quan Wang 1 Zhe Li 1 Ting Liu 2 Yi-You Huang 3 Wei Dai 4 Hai-Bin Luo 3 Xiaozhou Zou 5 Xiaoying Wang 6 Lei Guo 7
Affiliations

Affiliations

  • 1 School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou, 510006, China.
  • 2 Center for Clinical Pharmacy, Department of Pharmacy, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, 310014, China.
  • 3 Key Laboratory of Tropical Biological Resources of Ministry of Education and Hainan Engineering Research Center for Drug Screening and Evaluation, School of Pharmaceutical Sciences, Hainan University, Haikou, 570228, China.
  • 4 Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China.
  • 5 Center for Clinical Pharmacy, Department of Pharmacy, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, 310014, China. Electronic address: zxzlovesci@163.com.
  • 6 Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China; Guangdong Key Laboratory of Blockchain Security, Guangzhou University, Guangzhou, 510006, China. Electronic address: wxying@mail.sysu.edu.cn.
  • 7 School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou, 510006, China. Electronic address: guolei7@mail.sysu.edu.cn.
Abstract

Pulmonary arterial hypertension (PAH) is a chronic, progressive disorder of the pulmonary vasculature characterized by associated pulmonary and cardiac remodeling. Phosphodiesterase 10A (PDE10A) plays a crucial role in regulating cAMP concentration, thereby influencing pulmonary inflammation and pulmonary vascular remodeling. However, there is a lack of ideal PDE10A selective inhibitors available for PAH treatment. Herein, we employed structure-based drug design to develop a series of azetidine-based imidazopyridines, among which A30 demonstrated an IC50 value of 3.5 nmol/L against PDE10A with high selectivity over Other PDEs, low blood-brain barrier permeability, and improved drug-like properties. Oral administration of A30 exhibited significant anti-PAH effects not only in monocrotaline-induced rats, but also in Sugen/hypoxia(Su/Hx)-induced PH mice. Our findings indicate that A30 inhibits PDE10A to suppress pulmonary vascular remodeling through the activation of cAMP-associated signaling pathways.

Keywords

Drug design; Imidazopyridine; Phosphodiesterase 10A; Pulmonary arterial hypertension; Sugen/hypoxia.

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