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.
Copyright © 2019 Elsevier Ltd. All rights reserved.
MeSH terms
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Animals
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Cytochrome P-450 CYP3A Inhibitors / chemical synthesis
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Cytochrome P-450 CYP3A Inhibitors / pharmacokinetics
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Cytochrome P-450 CYP3A Inhibitors / pharmacology
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Diamines / chemical synthesis
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Diamines / pharmacokinetics
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Diamines / pharmacology*
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Drug Discovery
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Drug Interactions
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Female
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Graft Rejection / prevention & control
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Haplorhini
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Humans
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Jurkat Cells
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Microsomes, Liver / metabolism
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Midazolam / pharmacology
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Molecular Structure
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Protein Kinase C-theta / metabolism*
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Protein Kinase Inhibitors / chemical synthesis
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Protein Kinase Inhibitors / pharmacokinetics
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Protein Kinase Inhibitors / pharmacology*
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Pyrimidines / chemical synthesis
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Pyrimidines / pharmacokinetics
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Pyrimidines / pharmacology*
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Rats, Inbred ACI
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Rats, Inbred Lew
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Rats, Sprague-Dawley
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Structure-Activity Relationship
Substances
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Cytochrome P-450 CYP3A Inhibitors
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Diamines
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Protein Kinase Inhibitors
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Pyrimidines
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Protein Kinase C-theta
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Midazolam