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The design and synthesis of novel spirocyclic heterocyclic sulfone ROMK inhibitors as diuretics
Authors:Harry R Chobanian  Yan Guo  Barbara Pio  Haifeng Tang  Nardos Teumelsan  Matthew Clements  Jessica Frie  Ronald Ferguson  Zach Guo  Brande S Thomas-Fowlkes  John P Felix  Jessica Liu  Martin Kohler  Birgit Priest  Caryn Hampton  Lee-Yuh Pai  Aaron Corona  Joseph Metzger  Alexander Pasternak
Institution:1. Department of Medicinal Chemistry, Merck & Co. Inc., Kenilworth, NJ 07033, United States;2. Department of Ion Channels, Merck & Co. Inc., Kenilworth, NJ 07033, Unites States;3. Department of Cardiometabolic Diseases, Merck & Co. Inc., Kenilworth, NJ 07033, United States;4. Department of Pharmacokinetics, Pharmacodynamics and Drug Metabolism, Merck & Co. Inc., Kenilworth, NJ 07033, United States;5. Department of Process Chemistry, Rahway, NJ 07065, United States
Abstract:A spirocyclic class of ROMK inhibitors was developed containing a structurally diverse heterocyclic sulfone moiety and spirocyclic core starting from lead 1. These compounds not only displayed exquisite ROMK potency but significantly improved selectivity over hERG. The lead compounds were found to have favorable pharmacokinetic properties and displayed robust diuretic, natriuretic and blood pressure lowering effects in spontaneously hypertensive rats.
Keywords:ROMK  Hypertension  Heart Failure  Heterocyclic sulfone  Diuresis  Natriuresis
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