2-(4-Chlorobenzyl)-3-hydroxy-7,8,9,10-tetrahydrobenzo[H]quinoline-4-carboxylic Acid (PSI-697): Identification of a Clinical Candidate from the Quinoline Salicylic Acid Series of P-Selectin Anta
文摘
P-selectin-PSGL-1 interaction causes rolling of leukocytes on the endothelial cell surface, which subsequentlyleads to firm adherence and leukocyte transmigration through the vessel wall into the surrounding tissues.P-selectin is upregulated on the surface of both platelets and endothelium in a variety of atherosclerosis-associated conditions. Consequently, inhibition of this interaction by means of a small molecule P-selectinantagonist is an attractive strategy for the treatment of atherosclerosis. High-throughput screening andsubsequent analoging had led to the identification of compound 1 as the lead candidate. Herein, we reportthe continuation of this work and the discovery of a second-generation series, the tetrahydrobenzoquinolinesalicylic acids. These compounds have improved pharmacokinetic properties, and a number of them haveshown oral efficacy in mouse and rat models of atherogenesis and vascular injury. The lead 31 (PSI-697),is currently in clinical development for the treatment of atherothrombotic vascular events.