This article describes
the discovery of novel potent muscarinic
receptor antagonists identified during a search for more active histamine
H
3
receptor (H
3
R) ligands. The idea was to replace
the flexible seven methylene linker with a semirigid 1,4-cyclohexylene
or
p
-phenylene substituted group of the previously
described histamine H
3
R antagonists
ADS1017
and
ADS1020
. These simple structural modifications
of the histamine H
3
R antagonist led to the emergence of
additional pharmacological effects, some of which unexpectedly showed
strong antagonist potency at muscarinic receptors. This paper reports
the routes of synthesis and pharmacological characterization of guanidine
derivatives, a novel chemotype of muscarinic receptor antagonists
binding to the human muscarinic M
2
and M
4
receptors
(hM
2
R and hM
4
R, respectively) in nanomolar concentration
ranges. The affinities of the newly synthesized
ADS10227
(1-{4-{4-{[4-(phenoxymethyl)cyclohexyl]methyl}piperazin-1-yl}but-1-yl}-1-(benzyl)guanidine)
at hM
2
R and hM
4
R were 2.8 nM and 5.1 nM, respectively.