SB-3CT, a potent and selective inhibitor of matrix metalloproteinase-2 and -9, has shown efficacy in several animal models of neurological diseases. One of the greatest challenges in the development of therapeutics for neurological diseases is the inability of drugs to cross the blood-brain barrier. A sensitive bioanalytical method based on ultraperformance liquid chromatography with multiple-reaction monitoring detection was developed to measure levels of SB-3CT, its active metabolite, the α-methyl analogue, and its p-hydroxy metabolite in plasma and brain. The compounds are rapidly absorbed and are readily distributed to the brain. The pharmacokinetic properties of these gelatinase inhibitors and the efficacy shown by SB-3CT in animal models of stroke, subarachnoid hemorrhage, and spinal cord injury indicate that this class of compounds holds considerable promise in the treatment of diseases of the central nervous system. KEYWORDS: Gelatinase inhibitors, matrix metalloproteinases, brain delivery, SB-3CT S B-3CT (compound 1, Figure 1), is a thiirane-based inhibitor that is selective for matrix metalloproteinase (MMP)-2 and -9, 1 also known as gelatinases. This compound has shown efficacy in a number of neurological diseases, including blocking laminin degradation by MMP-9 and rescuing neurons from apoptosis after transient focal cerebral ischemia, 2 preventing laminin degradation after subarachnoid hemorrhage, 3 reducing cerebral vasopasm caused by subarachnoid hemorrhage, 4 reducing the infiltration of monocytes into the injured spinal cord, 5 and decreasing extravasation and apoptotic cell death after spinal cord injury. 6 The compounds of the thiirane class have a unique mechanism of action, involving ring-opening of the thiirane ring at the active site of gelatinases and generation of the thiolate, which is a picomolar and tight-binding inhibitor.
7The blood-brain barrier (BBB) forms a physical separation between circulating blood and the brain parenchyma and consists of tight junctions around endothelial cells surrounded by basement membrane. The BBB prevents pathogens and large hydrophilic molecules from entering the brain, while allowing transport of substances needed by the central nervous system (CNS) such as glucose, fatty acids, and vitamins. One of the most challenging issues in the development of therapeutics for neurological diseases is the inability of drugs to cross the BBB. In fact, greater than 98% of small-molecule drugs and 100% of large-molecule therapeutics do not cross the BBB. Only 5% of small-molecule drugs in the Comprehensive Medicinal Chemistry database treat a mere four CNS diseases: depression, schizophrenia, chronic pain, and epilepsy.9,10 The vast majority of CNS disorders, including debilitating diseases