1. Design, Synthesis, and Pharmacological Evaluation of Fluorinated Tetrahydrouridine Derivatives as Inhibitors of Cytidine Deaminase
- Author
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Edgar Schuck, Christopher Rowbottom, Camilo Rojas, Greg Delahanty, Barbara Slusher, Dana Ferraris, Bipin Mistry, Jesse Alt, Sanjeev Redkar, Bridget Duvall, Kristen Sanders, Takashi Tsukamoto, and Kuan-Chun Huang
- Subjects
Models, Molecular ,Molecular Conformation ,Biological Availability ,Decitabine ,Pharmacology ,Structure-Activity Relationship ,Drug Stability ,Pharmacokinetics ,Cytidine Deaminase ,Drug Discovery ,Tetrahydrouridine ,medicine ,Animals ,Structure–activity relationship ,Enzyme Inhibitors ,Gastric Juice ,Chemistry ,Excitatory Postsynaptic Potentials ,Fluorine ,Cytidine deaminase ,Metabolism ,Plasma levels ,Macaca mulatta ,Design synthesis ,Biochemistry ,Drug Design ,Azacitidine ,Molecular Medicine ,medicine.drug - Abstract
Several 2'-fluorinated tetrahydrouridine derivatives were synthesized as inhibitors of cytidine deaminase (CDA). (4R)-2'-Deoxy-2',2'-difluoro-3,4,5,6-tetrahydrouridine (7a) showed enhanced acid stability over tetrahydrouridine (THU) 5 at its N-glycosyl bond. As a result, compound 7a showed an improved oral pharmacokinetic profile with a higher and more reproducible plasma exposure in rhesus monkeys compared to 5. Co-administration of 7a with decitabine, a CDA substrate, boosted the plasma levels of decitabine in rhesus monkeys. These results demonstrate that compound 7a can serve as an acid-stable alternative to 5 as a pharmacoenhancer of drugs subject to CDA-mediated metabolism.
- Published
- 2014
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