Optimization of Potent and Selective Ataxia Telangiectasia-Mutated Inhibitors Suitable for a Proof-of-Concept Study in Huntington's Disease Models

  • J Med Chem. 2019 Mar 28;62(6):2988-3008. doi: 10.1021/acs.jmedchem.8b01819.
Leticia Toledo-Sherman  1 Perla Breccia  2 Roger Cachope  1 Jennifer R Bate  2 Ivan Angulo-Herrera  2 Grant Wishart  2 Kim L Matthews  2 Sarah L Martin  2 Helen C Cox  2 George McAllister  1 Stephen D Penrose  2 Huw Vater  2 William Esmieu  2 Amanda Van de Poël  2 Rhea Van de Bospoort  3 Annelieke Strijbosch  3 Marieke Lamers  2 Philip Leonard  2 Rebecca E Jarvis  2 Wesley Blackaby  2 Karen Barnes  2 Maria Eznarriaga  2 Simon Dowler  2 Graham D Smith  2 David F Fischer  2 Ovadia Lazari  2 Dawn Yates  2 Mark Rose  1 Sung-Wook Jang  1 Ignacio Muñoz-Sanjuan  1 Celia Dominguez  1
Affiliations
  • 1. CHDI Management/CHDI Foundation , 6080 Center Drive , Los Angeles , California 90045 , United States.
  • 2. Charles River , Chesterford Research Park , Saffron Walden CB10 1XL , U.K.
  • 3. Charles River , Leiden 2333 CR , Netherlands.
Abstract

Genetic and pharmacological evidence indicates that the reduction of ataxia telangiectasia-mutated (ATM) kinase activity can ameliorate mutant Huntingtin (mHTT) toxicity in cellular and animal models of Huntington's disease (HD), suggesting that selective inhibition of ATM could provide a novel clinical intervention to treat HD. Here, we describe the development and characterization of ATM Inhibitor molecules to enable in vivo proof-of-concept studies in HD animal models. Starting from previously reported ATM inhibitors, we aimed with few modifications to increase brain exposure by decreasing P-glycoprotein liability while maintaining potency and selectivity. Here, we report brain-penetrant ATM inhibitors that have robust pharmacodynamic (PD) effects consistent with ATM kinase inhibition in the mouse brain and an understandable pharmacokinetic/PD (PK/PD) relationship. Compound 17 engages ATM kinase and shows robust dose-dependent inhibition of X-ray irradiation-induced KAP1 phosphorylation in the mouse brain. Furthermore, compound 17 protects against mHTT (Q73)-induced cytotoxicity in a cortical-striatal cell model of HD.