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Barreca, Marilia; Renda, Mario; Spanò, Virginia; Montalbano, Alessandra; Raimondi, Maria Valeria; Giuffrida, Stefano; Bivacqua, Roberta; Bandiera, Tiziano; Galietta, Luis J.V.; Barraja, Paola
European journal of medicinal chemistry, 10/2024, Volume: 276Journal Article
Although substantial advances have been obtained in the pharmacological treatment of cystic fibrosis (CF) with the approval of Kaftrio, a combination of two correctors (VX-661, VX-445) and one potentiator (VX-770), new modulators are still needed to rescue F508del and other CFTR mutants with trafficking defects. We have previously identified PP compounds based on a tricyclic core as correctors with high efficacy in the rescue of F508del-CFTR on native epithelial cells of CF patients, particularly in combination with class 1 correctors (VX-809, VX-661). Compound PP028 was found as a lead candidate for the high rescue of F508del-CFTR and used for mechanistic insight indicating that PP028 behaves as a class 3 corrector, similarly to VX-445. From the exploration of the chemical space around the hit structure, based on iterative cycles of chemical synthesis and functional testing, the class of 6,9-dihydro-5H-pyrrolo 3,2-hquinazolines with corrector activity was discovered. Within a series of 38 analogues, two derivatives emerged as promising candidates and used for further insight to assess the mechanism of action. Both compounds, decorated with a benzensulfonylamino group at the pyrimidine moiety, were able to generate a dose-dependent increase in CFTR function, particularly in the presence of VX-809. Half-effective concentrations (EC50) were in the single digit micromolar range and decreased in the presence of VX-809 thus indicating a synergistic interaction with class 1 correctors. Synergy was also observed with corr-4a (class 2 corrector) but not with VX-445 and PP028 (class 3 correctors) indicating that the new compounds behave as class 3 correctors. These results suggest that tricyclic pyrrolo-quinazolines interact with CFTR at a site different from that of VX-809 and represent a novel class of CFTR correctors suitable for combinatorial pharmacological treatments for the basic defect in CF. Display omitted •38 pyrrolo 3,2-hquinazolines were tested as correctors of the mutant CFTR chloride channel.•Cell treatment with SVQ18 and SVQ26 generated a dose-dependent increase in CFTR function.•SVQ18 and SVQ26 effects were additive with those of class 1 and class 2 correctors.•SVQ18 and SVQ26 behave as class 3 correctors.
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