1,4-Benzothiazepines with Cyclopropanol Groups and Their Structural Analogues Exhibit Both RyR2-Stabilizing and SERCA2a-Stimulating Activities

J Med Chem. 2023 Dec 14;66(23):15761-15775. doi: 10.1021/acs.jmedchem.3c01235. Epub 2023 Nov 22.

Abstract

To discover new multifunctional agents for the treatment of cardiovascular diseases, we designed and synthesized a series of compounds with a cyclopropyl alcohol moiety and evaluated them in biochemical assays. Biological screening identified derivatives with dual activity: preventing Ca2+ leak through ryanodine receptor 2 (RyR2) and enhancing cardiac sarco-endoplasmic reticulum (SR) Ca2+ load by activation of Ca2+-dependent ATPase 2a (SERCA2a). The compounds that stabilize RyR2 at micro- and nanomolar concentrations are either structurally related to RyR-stabilizing drugs or Rycals or have structures similar to them. The novel compounds also demonstrate a good ability to increase ATP hydrolysis mediated by SERCA2a activity in cardiac microsomes, e.g., the half-maximal effective concentration (EC50) was as low as 383 nM for compound 12a, which is 1,4-benzothiazepine with two cyclopropanol groups. Our findings indicate that these derivatives can be considered as new lead compounds to improve cardiac function in heart failure.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Calcium / metabolism
  • Calcium Channel Blockers / pharmacology
  • Myocytes, Cardiac
  • Ryanodine Receptor Calcium Release Channel* / pharmacology
  • Sarcoplasmic Reticulum Calcium-Transporting ATPases
  • Sarcoplasmic Reticulum* / metabolism
  • Thiazepines / chemistry
  • Thiazepines / pharmacology

Substances

  • Calcium
  • Calcium Channel Blockers
  • cyclopropanol
  • Ryanodine Receptor Calcium Release Channel
  • Sarcoplasmic Reticulum Calcium-Transporting ATPases
  • Thiazepines