Discovery of 2,4-diamino-5-cyanopyrimidine derivatives as protein kinase C theta inhibitors with mitigated time-dependent drug-drug interactions

Bioorg Med Chem. 2019 Mar 1;27(5):790-799. doi: 10.1016/j.bmc.2019.01.019. Epub 2019 Jan 23.

Abstract

Protein kinase C theta (PKCθ) plays a critical role in T cell signaling and has therapeutic potential for T cell-mediated diseases such as transplant rejection and rheumatoid arthritis. PKCθ inhibitors have emerged as effective immunomodulative agents for the prevention of transplant rejection. We previously reported that the 2,4-diamino-5-cyanopyrimidine derivative 2 was a potent PKCθ inhibitor; however, it exhibited CYP3A4 time-dependent inhibition (TDI). Here, we report the structural modification of compound 2 into 34 focusing on mitigating CYP3A4 TDI. Compound 34 exhibited potent in vitro activity with mitigated CYP3A4 TDI and efficacy in vivo transplant model.

Keywords: CYP3A4 time-dependent inhibition (TDI); Protein kinase C theta (PKCθ); Transplant rejection.

MeSH terms

  • Animals
  • Cytochrome P-450 CYP3A Inhibitors / chemical synthesis
  • Cytochrome P-450 CYP3A Inhibitors / pharmacokinetics
  • Cytochrome P-450 CYP3A Inhibitors / pharmacology
  • Diamines / chemical synthesis
  • Diamines / pharmacokinetics
  • Diamines / pharmacology*
  • Drug Discovery
  • Drug Interactions
  • Female
  • Graft Rejection / prevention & control
  • Haplorhini
  • Humans
  • Jurkat Cells
  • Microsomes, Liver / metabolism
  • Midazolam / pharmacology
  • Molecular Structure
  • Protein Kinase C-theta / metabolism*
  • Protein Kinase Inhibitors / chemical synthesis
  • Protein Kinase Inhibitors / pharmacokinetics
  • Protein Kinase Inhibitors / pharmacology*
  • Pyrimidines / chemical synthesis
  • Pyrimidines / pharmacokinetics
  • Pyrimidines / pharmacology*
  • Rats, Inbred ACI
  • Rats, Inbred Lew
  • Rats, Sprague-Dawley
  • Structure-Activity Relationship

Substances

  • Cytochrome P-450 CYP3A Inhibitors
  • Diamines
  • Protein Kinase Inhibitors
  • Pyrimidines
  • Protein Kinase C-theta
  • Midazolam