ABSTRACT:The antiparasitic activity of azole and new 4-aminopyridine derivatives has been investigated. The imidazoles 1 and 3−5 showed a potent in vitro antichagasic activity with IC 50 values in the low nanomolar concentration range. The (S)-1, (S)-3, and (S)-5 enantiomers showed (up to) a thousand-fold higher activity than the reference drug benznidazole and furthermore low cytotoxicity on rat myogenic L6 cells.
KEYWORDS:Trypanosoma cruzi, CYP51, antiparasitic activity, Chagas disease, azole, aminopyridine C hagas disease (CD) is one of the most important neglected tropical disorders, caused by the Kinetoplastid parasite Trypanosoma cruzi, 1 and approximately 10 million people worldwide are estimated to be infected. 2 CD is a complex anthropozoonosis transmitted to humans by bloodsucking insects of the Triatominae subfamily (mainly Triatoma infestans, Rhodnius prolixus, and Triatoma dimidiatae). 3 Currently, the treatment of CD is restricted to nifurtimox and benznidazole used only in the acute phase. The clinical efficacy in chronic patients is limited and controversial, and the undesirable side effects of both drugs are a major drawback in their use. 4,5 To date, posaconazole and E1224, a pro-drug of ravuconazole, are in phase 2 of clinical trials for chronic Chagas disease treatment. 6 However, the development of new effective and safe drugs is urgent because of the lack of vaccines, the inadequate chemotherapy, the large number of infected people, and their migration toward nonendemic countries.Similar to fungi and yeasts, Kinetoplastides are strictly dependent on endogenously produced sterols, essential cellular components, that modulate membrane fluidity/permeability and also play multiple regulatory functions related to cell division, growth, and developmental processes. Sterol 14α-demethylase (CYP51) is an essential enzyme in sterol biosynthesis and its inhibition causes the block of sterol production and the accumulation of toxic methylated sterol precursors followed by pathogen growth arrest and death. 7,8 For these reasons, CYP51 of T. cruzi (CYP51 Tc ) is a highly drug-targetable enzyme for the rational design of new antitrypanosomal drugs. Currently, antifungal azoles (i.e., ketoconazole, fluconazole, posaconazole, and voriconazole) are known as CYP51 Tc inhibitors due to the presence of an imidazole or triazole ring able to coordinate the heme-iron. 9,10 Moreover, recent studies demonstrated that N-heterocyclic rings can be effectively replaced by 3-pyridyl or 4-pyridyl moieties. 11−13 We have selected eight compounds available from our laboratory library: racemic 1-imidazolyl-2-phenylethanol derivatives 14