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Discovery of 2-(4-pyridin-2-ylpiperazin-1-ylmethyl)-1H-benzimidazole (ABT-724), a dopaminergic agent with a novel mode of action for the potential treatment of erectile dysfunction.

Abstract
A new class of agents with potential utility for the treatment of erectile dysfunction has been discovered, guided by the hypothesis that selective D4 agonists are erectogenic but devoid of the side effects typically associated with dopaminergic agents. The lead agent 2-(4-pyridin-2-ylpiperazin-1-ylmethyl)-1H-benzimidazole (1, ABT-724) was discovered by optimization of a series of benzimidazole arylpiperazines. This highly selective D4 agonist was found to be very potent and efficacious in vivo, eliciting penile erections in rats at a dose of 0.03 micromol/kg, with a positive response rate of 77% erectile incidence. Even at high doses, it was devoid of side effects in animal models of central nervous system behaviors, emesis, or nausea. The structure-activity relationship of the parent benzimidazole series leading to 1 is described, with the detailed in vitro and in vivo profiles described. Distinctive structural features were discovered that are associated with D4 selective agonism in this series of analogues.
AuthorsMarlon Cowart, Steven P Latshaw, Pramila Bhatia, Jerome F Daanen, Jeffrey Rohde, Sherry L Nelson, Meena Patel, Teodozyi Kolasa, Masaki Nakane, Marie E Uchic, Loan N Miller, Marc A Terranova, Renjie Chang, Diana L Donnelly-Roberts, Marian T Namovic, Peter R Hollingsworth, Brenda R Martino, James J Lynch 3rd, James P Sullivan, Gin C Hsieh, Robert B Moreland, Jorge D Brioni, Andrew O Stewart
JournalJournal of medicinal chemistry (J Med Chem) Vol. 47 Issue 15 Pg. 3853-64 (Jul 15 2004) ISSN: 0022-2623 [Print] United States
PMID15239663 (Publication Type: Journal Article)
Chemical References
  • ABT724
  • Benzimidazoles
  • DRD4 protein, human
  • Drd4 protein, rat
  • Piperazines
  • Pyridines
  • Receptors, Dopamine D2
  • Receptors, Dopamine D4
Topics
  • Animals
  • Benzimidazoles (chemical synthesis, chemistry, pharmacology, toxicity)
  • Cell Line
  • Erectile Dysfunction (drug therapy)
  • Ferrets
  • Humans
  • Male
  • Penile Erection (drug effects)
  • Piperazines (chemical synthesis, chemistry, pharmacology, toxicity)
  • Pyridines (chemical synthesis, chemistry, pharmacology, toxicity)
  • Radioligand Assay
  • Rats
  • Rats, Wistar
  • Receptors, Dopamine D2 (agonists)
  • Receptors, Dopamine D4
  • Structure-Activity Relationship
  • Vomiting (chemically induced)

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