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Central selective acetylcholinesterase inhibitor with neurotrophic activity: structure-activity relationships of TAK-147 and related compounds.

Abstract
A series of benzylamino inhibitors of acetylcholinesterase (AChE) have been designed based on a working hypothesis of the enzyme s active site. These compounds were tested for their inhibitory activities on AChE and potent inhibitors were further evaluated in terms of central selectivity. These studies led to a discovery of 3-[1-(phenylmethyl)-4-piperidinyl]-1-(2,3,4, 5-tetrahydro-1H-1-benzazepin-8-yl)-1-propanone fumarate (TAK-147). Pharmacokinetic study has shown that the compound has high central selectivity, as demonstrated by rapid elimination from plasma and long-term existence in the brain. As a consequence, TAK-147 ameliorates impairments of learning and memory in various animal models without producing peripheral side effects. TAK-147 also activates the monoaminergic systems and energy metabolism. Furthermore, TAK-147 was revealed to have NGF-like neurotrophic activity on central cholinergic neurons at concentrations where it inhibits AChE activity. Therefore, TAK-147 is expected not only to ameliorate the clinical symptoms in Alzheimer s disease via AChE inhibition but to prevent or slow the progression of the disease via its neurotrophic action. TAK-147 is now under clinical trial as a therapeutic drug for Alzheimer s disease. This article reviews design and structure-activity relationships of TAK-147 and related compounds. Preclinical pharmacology of TAK-147 is also summarized.
AuthorsY Ishihara, G Goto, M Miyamoto
JournalCurrent medicinal chemistry (Curr Med Chem) Vol. 7 Issue 3 Pg. 341-54 (Mar 2000) ISSN: 0929-8673 [Print] United Arab Emirates
PMID10637368 (Publication Type: Journal Article, Review)
Chemical References
  • Benzazepines
  • Cholinesterase Inhibitors
  • Phthalimides
  • TAK 147
  • Choline O-Acetyltransferase
Topics
  • Alzheimer Disease (drug therapy)
  • Animals
  • Benzazepines (chemical synthesis, pharmacokinetics, therapeutic use)
  • Brain (drug effects)
  • Choline O-Acetyltransferase (drug effects)
  • Cholinesterase Inhibitors (chemical synthesis, pharmacokinetics, therapeutic use)
  • Disease Models, Animal
  • Drug Design
  • Haplorhini
  • Humans
  • Phthalimides (chemistry, pharmacology)
  • Rats
  • Rats, Inbred F344
  • Structure-Activity Relationship

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