文摘
纬-Secretase modulators (GSMs) are potentially disease-modifying treatments for Alzheimer鈥檚 disease. They selectively lower pathogenic A尾42 levels by shifting the enzyme cleavage sites without inhibiting 纬-secretase activity, possibly avoiding known adverse effects observed with complete inhibition of the enzyme complex. A cell-based HTS effort identified the sulfonamide 1 as a GSM lead. Lead optimization studies identified compound 25 with improved cell potency, PKDM properties, and it lowered A尾42 levels in the cerebrospinal fluid (CSF) of Sprague-Dawley rats following oral administration. Further optimization of 25 to improve cellular potency is described.