2014
DOI: 10.1021/jm500862r
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Potent Nonimmunosuppressive Cyclophilin Inhibitors With Improved Pharmaceutical Properties and Decreased Transporter Inhibition

Abstract: Nonimmunosuppressive cyclophilin inhibitors have demonstrated efficacy for the treatment of hepatitis C infection (HCV). However, alisporivir, cyclosporin A, and most other cyclosporins are potent inhibitors of OATP1B1, MRP2, MDR1, and other important drug transporters. Reduction of the side chain hydrophobicity of the P4 residue preserves cyclophilin binding and antiviral potency while decreasing transporter inhibition. Representative inhibitor 33 (NIM258) is a less potent transporter inhibitor relative to pr… Show more

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Cited by 31 publications
(40 citation statements)
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“…Still, we cannot exclude Cyps being utilized, which are not blocked or inhibited, to a lesser extent, by the inhibitors. However, it seems more likely that the block of HAV replication by CsA and structurally related compounds is a result of inhibition of ABC transporters such as p‐glycoprotein, which are additional targets of CsA, but most likely not of SFA . Furthermore, the inhibitory effect of Reversan and Piperine, two more specific inhibitors of ABC transporters, supports the concept of a potential role of ABC transporters for HAV‐RNA replication.…”
Section: Discussionmentioning
confidence: 94%
“…Still, we cannot exclude Cyps being utilized, which are not blocked or inhibited, to a lesser extent, by the inhibitors. However, it seems more likely that the block of HAV replication by CsA and structurally related compounds is a result of inhibition of ABC transporters such as p‐glycoprotein, which are additional targets of CsA, but most likely not of SFA . Furthermore, the inhibitory effect of Reversan and Piperine, two more specific inhibitors of ABC transporters, supports the concept of a potential role of ABC transporters for HAV‐RNA replication.…”
Section: Discussionmentioning
confidence: 94%
“…Cyclosporine FR901459 was nearly 20-fold more potent than CsA but 4-fold less potent than CsH for inhibiting the FPR1-dependent response [32]. Extensive chemical modification of the cyclosporine scaffold led to the discovery of various non-immunosuppressive cyclophilin inhibitors for the treatment of hepatitis C infection and other diseases [33, 34]. However, the effects of these synthetic cyclosporine analogs on FPR functions have not been reported.…”
Section: Natural Peptides and Their Derivatives As Fpr1 Antagonistsmentioning
confidence: 99%
“…NIM258 -NIM258 (Fig. 8) is a modified cyclosporin analogue that acts as non-immunosuppressive cyclophilin A inhibitor with promising pharmacokinetic profiles against HCV infection (Fu et al, 2014). In comparison to alisporivir, NIM258 decreased transporter inhibition, but maintained comparable efficacy against cyclophilin A (Fu et al, 2014).…”
Section: Immuno-stimulators and Cellular Protein Inhibitorsmentioning
confidence: 99%