点击显示 收起
【关键词】 Small-Molecule
G-protein-coupled receptors (GPCRs) such as the vasopressin-2 receptor (V2R) are an important class of drug targets. We developed an efficient screen for GPCR-induced cAMP elevation using as read-out cAMP activation of cystic fibrosis transmembrane conductance regulator (CFTR) Cl- channels. Fischer rat thyroid cells expressing CFTR and a halide-sensing yellow fluorescent protein (H148Q/I152L) were transfected with V2R. Increased cell Cl- conductance after agonist-induced cAMP elevation was assayed using a plate reader from cell fluorescence after solution I- addition. The Z' factor for the assay was 0.7 with the V2R agonist [deamino-Cys1, Val4, D-Arg8]-vasopressin (1 nM) as positive control. Primary screening of 50,000 small molecules yielded a novel, 5-aryl-4-benzoyl-3-hydroxy-1-(2-arylethyl)-2H-pyrrol-2-one class of V2R antagonists that are unrelated structurally to known V2R antagonists. The most potent compound, V2Rinh-02, which was identified by screening 35 structural analogs, competitively inhibited V2R-induced cAMP elevation with Ki value of 70 nM and fully displaced radiolabeled vasopressin in binding experiments. V2Rinh-02 did not inhibit forskolin or 2-adrenergic receptor-induced cAMP production and was more than 50 times more potent for V2R than for V1aR. The favorable in vitro properties of the pyrrol-2-one antagonists suggests their potential usefulness in aquaretic applications. The CFTR-linked cAMP assay developed here is applicable for efficient, high-throughput identification of modulators of cAMP-coupled GPCRs.
G-protein-coupled receptors (GPCRs) represent the largest and most versatile group of cell surface receptors (Hill, 2006). GPCRs are an important class of targets for the identification of clinically useful agonists and antagonists, constituting 15% of the total "druggable" genome and 25% of marketed drugs (Hopkins and Groom, 2002). GPCRs are coupled to the G proteins Gs or Gi, which alter cAMP concentration, or Gq, which increases cytoplasmic calcium concentration. Of 800 GPCR genes identified in the human genome, 190 have known function (Wise et al., 2004), of which 30 are the targets of available drugs (Chalmers and Behan, 2002). The vasopressin-2 receptor (V2R) is of considerable interest because V2R antagonists have aquaretic effects in the kidney for treatment of hyponatremias associated with inappropriately high levels of the antidiuretic hormone vasopressin (Schrier et al., 2006).
Several types of functional assays of cAMP concentration have been developed for high-throughput identification of modulators of Gs- or Gi-coupled GPCRs. The three available assay strategies include the following: 1) competition assay, which is based on competition between endogenous and radiolabeled cAMP for cAMP antibody binding (Williams, 2004); 2) reporter gene assay, in which cAMP drives the expression of a reporter gene containing a cAMP response element (Hill, 2001); and 3) cAMP-dependent protein activity assay, in which the cAMP-dependent activity of a target protein is measured (Rich and Karpen, 2005). The merits and limitations of these assays are described under Discussion. For Gq-coupled GPCRs, assays of phosphatidylinositol, inositol triphosphate, and intracellular calcium have been developed (Horstman et al., 1988; Monteith and Bird, 2005).
Fig. 1. Assay and cell lines used for V2R antagonist screening. A, principle of the assay, showing increased I- influx after cAMP activation of plasma membrane CFTR Cl- channels. B, staining of nontransfected FRT cells (FRT), FRT cells stably expressing wild-type human V2R (FRT-V2R), and FRT cells stably expressing the W164S mutant of V2R (FRT-V2R-W164S). Anti-c-myc staining is shown in red, with YFP in green and nuclei (4,6-diamidino-2-phenylindole) in blue. C, immunoblot of a crude protein extract from FRT (left lane) and FRT-V2R (right lane) cells.
In this study, we report an efficient assay of GPCR activity for Gs- and Gi-coupled GPCRs in which cAMP is assayed from halide conductance of the cystic fibrosis transmembrane conductance regulator (CFTR) protein. CFTR halide conductance is increased after cAMP-dependent phosphorylation mediated by protein kinase A. The principle of the assay is diagrammed in Fig. 1A. Cell expressing wild-type CFTR and a yellow fluorescent protein-based halide sensor (YFP-H148Q/I152L) are transfected with a GPCR. In the case of the Gs-coupled GPCR V2R, agonist-induced cAMP elevation activates CFTR, which is assayed from the kinetics of I- entry into cells after solution I- addition. YFP-H148Q/I152L fluorescence is strongly quenched by I-, with 50% reduction in fluorescence at 2 to 3 mM I- (Galietta et al., 2001a). We reported previously that Fischer rat thyroid (FRT) cells express CFTR and YFP strongly and stably after transfection and have other properties suitable for high-throughput screening, including low basal halide transport, rapid growth on plastic, and high electrical resistance (Galietta et al., 2001b). FRT cells expressing YFPs and wild-type or mutant CFTRs were used by our lab to identify CFTR activators for potential treatment of cystic fibrosis (Pedemonte et al., 2005) and CFTR inhibitors for potential therapy of secretory diarrheas and polycystic kidney disease (Ma et al., 2002; Muanprasat et al., 2004). Here we validate the CFTR-linked GPCR assay as applied to the identification of V2R antagonists and report the discovery and characterization of a 5-aryl-4-benzoyl-3-hydroxy-1-(2-arylethyl)-2H-pyrrol-2-one class of V2R antagonists.
Plasmids. Plasmids encoding human wild-type and mutant (W164S) V2Rs were kindly provided by Dr. Daniel Bichet (University of Montreal, Montreal, QC, Canada). N-terminal c-myc-tagged V2Rs were created by polymerase chain reaction introduction of a c-myc sequence after the methionine initiation sequence. Polymerase chain reaction products were subcloned into plasmid pCDNA3.1Hyg+ (Invitrogen, Carlsbad, CA) at XbaI and HindIII restriction sites to give plasmids wV2R-Hyg (wild type) and mV2R-Hyg (mutant). cDNAs were confirmed by sequence analysis. The pCDNA3.1 plasmids encoding HA-tagged human -adrenergic and vasopressin V1a receptors were purchased from the University of Missouri-Rolla cDNA Resource Center.
Cell Culture and Transfection. Fisher rat thyroid cells expressing CFTR and YFP-H148Q/I152L, as described previously (Muanprasat et al., 2004), CHO-K1 cells, and Calu-3 cells were cultured in F-12 modified Coon's medium (Sigma, St. Louis, MO), F-12 Ham's Nutrient mix, and minimal essential Eagle's medium and Earle's balanced salt solution medium, respectively. Media were supplemented with 10% fetal bovine serum, 100 U/ml penicillin, and 100 µg/ml streptomycin. The medium for FRT cells was supplemented with 2 mM glutamine, 500 µg/ml Zeocin, and 500 µg/ml Geneticin. The medium for Calu-3 cells was supplemented with 2 mM glutamine, 0.11 mg/ml sodium pyruvate, 1.5 g/l NaHCO3, and nonessential amino acids. Cells were grown at 37°C in 5% CO2/95% air.
For stable transfection, cells at 80% confluence were transfected with wV2R-Hyg, HA-tagged human V1aR, or mV2R-Hyg using Lipofectamine 2000 (Invitrogen) according to manufacturer's instructions. Twenty-four hours after transfection, the cells were selected for 2 weeks with 350 µg/ml hygromycin (Roche, Indianapolis, IN) for V2R or with 750 µg/ml Geneticin (Invitrogen) for V1aR. Remaining colonies were grown at clonal density and screened for receptor expression by immunofluorescence and immunoblot analysis. Stably transfected cell lines were maintained in the same medium used for selection. Transient transfection of CHO-K1 cells with the HA-tagged human 2-adrenergic receptor was done in a manner similar to the stable transfections. Cells were used 48 h after transient transfection.
Immunofluorescence and Immunoblot Analysis. For c-myc immunostaining, nonpermeabilized cells were washed three times with phosphate-buffered saline (PBS) and incubated for 1 h with anti-c-myc antibody (1:1000; Roche) in PBS containing 1% bovine serum albumin, washed three times with PBS, and fixed for 10 min in 4% paraformaldehyde. After three washes with PBS, cells were incubated for 1 h with Cy3-conjugated anti-rabbit IgG (Zymed Laboratories, South San Francisco, CA), washed, and mounted for fluorescence microscopy. Immunostaining of permeabilized cells was done similarly, except that cells were permeabilized with 0.1% Triton X-100 in PBS before fixation and blocked for 15 min in PBS containing 1% bovine serum albumin.
For immunoblot, cells were homogenized in 250 mM sucrose, 1 mM EDTA, and 1% protease inhibitor cocktail (Sigma). The homogenate was centrifuged at 5000g for 10 min, and the supernatant was assayed for protein concentration (Bio-Rad DC kit; Bio-Rad, Hercules, CA). Proteins (20 µg/lane) were resolved by SDS-polyacrylamide gel electrophoresis (NuPAGE 4-12% Bis-Tris gel; Invitrogen) and transferred to a polyvinylidene difluoride membrane. The polyvinylidene difluoride membrane was blocked overnight in 5% skim milk in PBS containing 1% Tween 20, washed three times, and incubated for 2 h with anti-c-myc antibody (1:1000). The membrane was then washed three times, incubated for 1 h with horseradish peroxidase-conjugated anti-rabbit IgG (Cell Signaling Technology, Danvers, MA), washed, and detected by enhanced chemiluminescence (GE Healthcare, Chalfont St. Giles, Buckinghamshire, UK).
YFP Fluorescence Measurement of I- Influx. Transfected FRT cells were plated in black-walled, 96-well plates with transparent plastic bottom (Corning-Costar, Acton, MA), cultured overnight to confluence, washed three times with PBS, and treated with specified compounds in a final volume of 60 µl. YFP-H148Q/I152L fluorescence was measured using a commercial plate reader (FluoStar Optima; BMG LabTechnologies, Offenburg, Germany) equipped with custom excitation and emission filters (500 nm and 544 nm, respectively; Chroma, Brattleboro, VT). Fluorescence intensity in each well was measured for a total of 14 s. In each well, 100 µl of PBS/I- (PBS with 100 mM Cl- replaced by I-) was injected by a syringe pump at 2 s after the start of data collection.
CFTR Cl- Current Measurement. Cells were cultured on Snapwell filters (Costar 3801) until confluence (transepithelial resistance, >500 ). Apical membrane current was measured in an Ussing chamber (Vertical diffusion chamber; Costar) with Ringer's solution bathing the basolateral surface and half-Ringer's bathing the apical surface. The composition of Ringer's solution was 130 mM NaCl, 2.7 mM KCl, 1.5 mM KH2PO4, 1 mM CaCl2, 0.5 mM MgCl2, 10 mM sodium HEPES, and 10 mM glucose, pH 7.3. Half-Ringer's solution was the same, except that 65 mM NaCl was replaced with sodium gluconate, and CaCl2 was increased to 2 mM. Chambers were bubbled continuously with air. Apical membrane current was measured using a DVC-1000 voltage-clamp apparatus (World Precision Instruments, Sarasota, FL).
High-Throughput Screening. The compound library for screening contained 50,000 chemically diverse, drug-like small molecules (ChemDiv, San Diego, CA). Stock compounds were stored in 96-well plates at 2.5 mM in dimethyl sulfoxide. Compounds occupied 80 wells, with the remaining 16 wells containing only dimethyl sulfoxide (for positive and negative controls). Screening was done using an automated apparatus (Beckman Coulter, Fullerton, CA) containing a CO2 incubator, carousels for compound plates and pipette tip boxes, plate washer (Elx405; Bio-Tek Instruments, Winooski, VT), liquid handling station (Biomek FX; Beckman Coulter), and two plate readers (FluoStar Optima; BMG LabTechnologies). Robotic operations were controlled by SAMI software (version 3.3; Beckman Coulter).
For high-throughput screening, cells expressing human wild-type V2R were plated in 96-well plates using a LabSystems Multidrop Dispenser. After overnight growth to confluence, cells were washed with PBS, and dDAVP (1 nM; Ferring Pharmaceuticals, Suffern, NY) was added together with test compounds (20 µM). The first and last columns of each plate were used for positive (PBS) and negative (dDAVP, no test compound) controls. I- influx was assayed as described above after a 30-min incubation at 37°C in a CO2 incubator.
Data Analysis. I- influx (d[I-]/dt at t = 0) was computed from fluorescence time course data as described previously (Muanprasat et al., 2004). Percentage of inhibition was computed using the following equation: % inhibition = 100 x (negative control - compound)/(negative control - positive control). Positive and negative control values denote d[I-]/dt obtained from the first and last columns of each plate. Primary screening data were subjected to histogram analysis for "hit" selection.
Synthesis Procedures. To synthesize 2,4-dioxo-4-phenyl-ethylbutylate 1, a solution of anhydrous benzene (50 ml) and acetophenone (1.2 g, 0.010 mol) was added to a suspension of NaH in oil (60%; 0.8 g, 0.020 mol), and the mixture was stirred for 30 min. To a solution of diethyl oxalate (2.19 g, 0.015 mol), benzene (10 ml) was added drop-wise, and the reaction mixture was stirred for 6 h. The mixture was filtered over Celite and purified by chromatography to give 2,4-dioxo-4-phenyl-ethylbutylate 1 (1.76 g; 85% yield). To synthesize 4-benzoyl-5-(4-fluorophenyl)-3-hydroxy-1-(4-hydroxyphenylethyl)-2,5-dihydro-2-pyrrolone (V2Rinh-02), tyramine (93 mg, 0.675 mmol) and 4-fluorobenzaldehyde (84 mg, 0.675 mmol) were heated to 110°C for 10 min. Water was removed during reflux with a cotton swab. Compound 1 (135 mg, 0.614 mmol) was added drop-wise in dioxane (5 ml) and stirred overnight at 100°C. The 2-pyrrolone was purified by column chromatography and recrystallized to give V2Rinh-02 (153 mg, 60% yield). 1H NMR (400 MHz, CD3OD): 7.72 (d, J = 7.6 Hz, 2H), 7.59 (t, J = 7.2 Hz, 1H), 7.48 (d, 8.0 = Hz, 2H), 7.24 (m, 2H), 7.10 (t, J = 8.8 Hz, 1H), 7.03 (d, J = 8.6 Hz, 2H), 6.81 (d, J = 8.6 Hz, 2H), 5.26 (s, 1H), 3.91 (m, 1H), 3.36 (s, 1H), 2.97 to 2.68 (m, 2H), 2.71 (m, 1H). Liquid chromatography-mass spectrometry: m/z 418.1 [M+ H]+ (C18 column, 99%, 200-400 nm; Nova-Pak, Eatontown, NJ).
cAMP Measurement. Cells were grown in 24-well plates, treated with test compounds for 30 min, lysed by sonication, centrifuged to remove cell debris, and assayed for cAMP according to manufacturer's instructions (R&D Systems, Minneapolis, MN). For CHO-K1 cells, 24 h after transfection with 2-adrenergic receptors, cells were trypsinized and plated onto 24-well plates overnight before cAMP assay.
Receptor Binding Assay. Radiolabeled vasopressin binding was measured in intact FRT cells stably expressing human V2RorV1aR. Confluent cells in 24-well plates were washed twice with ice-cold binding buffer (PBS containing 0.1% glucose and 0.2% bovine serum albumin). Cells were incubated for 2 h at 4 °C with binding buffer containing 1 nM [3H]AVP (PerkinElmer Life and Analytical Sciences, Boston, MA) and specified concentrations of V2Rinh-02, washed twice with ice-cold PBS, and lysed in 0.1 N NaOH containing 0.2% SDS. Radioactivity was measured with a scintillation counter. Nonspecific binding, determined by radioactivity with dDAVP (for V2R) or SR 49059 (for V1aR) incubation, was subtracted. dDAVP and SR 49059 (Sanofi Aventis, Montpellier, France) bind selectively to V2R and V1a receptor, respectively (Serradeil-Le Gal et al., 1993).
Expression of the Wild-Type and the Mutant V2Rs in FRT Cells. Stably transfected FRT cell lines were generated that coexpress human wild-type CFTR, YFP-H148Q/I152L, and c-myc-tagged wild-type V2R or the mutant V2R-W164S. The c-myc-tag was inserted at the external-facing V2R N terminus. Wild-type V2R showed a plasma membrane distribution by c-myc staining (Fig. 1B), whereas no membrane staining was seen in nontransfected cells or cells expressing V2R-W164S that has a defect in cellular processing with retention at the endoplasmic reticulum (Oksche et al., 1996). Immunoblot analysis with c-myc antibody showed bands at 40 and 64 kDa, corresponding to nonglycosylated and glycosylated V2R, respectively (Innamorati et al., 1996; Sadeghi et al., 1997). These results indicate stable surface expression of wild-type V2R in FRT cells.
Forskolin, an adenylyl cyclase activator, and dDAVP, a V2R-selective vasopressin receptor agonist (Chang et al., 2005), increase cytoplasmic cAMP concentration and hence activate CFTR. CFTR activity was assayed from the kinetics of decreasing YFP-H148Q/I152L fluorescence after external I- addition. Forskolin treatment increased CFTR activity in wild-type, mutant, and nontransfected cells, whereas dDAVP increased CFTR activity only in cells expressing wild-type V2R (Fig. 2A). Increased CFTR activity in response to forskolin or dDAVP was inhibited by the CFTR blocker CFTRinh-172 (Ma et al., 2002). Inhibition of dDAVP-stimulated I- influx was found with the partial V2R agonist [1--mercapto-, -cyclopentamethylenepropionyl1, O-ET-TYR2, VAL4, ARG8]-vasopressin (Sigma) and the V2R antagonist SR 121463B (Sanofi Pharmaceutical) (Serradeil-Le Gal et al., 1996; Manning et al., 1997). Concentration-activation data are summarized in Fig. 2B. The IC50 value for CFTR activation by dDAVP of 0.1 nM is less than that observed in V2R radioligand binding experiments but is comparable with that reported in other functional assays (Saito et al., 1997). Figure 2C shows the forskolin and dDAVP concentration-dependent increase in apical membrane Cl- current in FRT cells expressing wild-type V2R, providing a direct measure of CFTR function. In each case, the current was fully inhibited by CFTRinh-172. These results confirm functional cell surface expression of wild-type V2R in the stably transfected FRT cells.
Fig. 2. Functional characterization of FRT-V2R-expressing FRT cells. A, YFP fluorescence after I- addition in FRT, FRT-V2R, and FRT-V2R-W164S cells. Cells were preincubated with 20 µM forskolin (left) or 1 nM dDAVP (right) for 20 min before I- addition. Indicated inhibitors were present before and during measurements: CFTRinh-172 (20 µM); [1--mercapto-, -cyclopentamethylenepropionyl1, O-ET-TYR2, VAL4, ARG8]-vasopressin (-ME, 10 µM); and SR 121463B (10 µM). The scale bar on the y-axis indicates the percentage of fluorescence reduction relative to baseline fluorescence (before iodide addition). Curves were displaced in the y-axis direction for clarity. B, percentage of maximal activity (from initial fluorescence slopes after I- addition) as a function of forskolin and dDAVP concentrations in FRT-V2R and FRT-V2R-W164S cells. The percentage of maximal activity was a percentage of cellular response to an agonist relative to the maximal response triggered by the same agonist. The data reflected findings in a single well experiment (C). Forskolin and dDAVP concentration-response data in FRT-V2R cells measured as apical membrane current (Iap) in short-circuit current measurements. Where indicated, 20 µM CFTRinh-172 was added.
Fig. 3. Validation of the screening assay for identification of V2R antagonists. A, time course of V2R desensitization assayed by I- influx in FRT-V2R cells exposed to indicated dDAVP concentrations. The data are shown as mean ± S.E. (n = 4). B, left, YFP fluorescence of FRT-V2R cells preincubated with 0 or 1 nM dDAVP for 30 min with I- added as indicated. Right, histogram distribution of I- influx (d[I-]/dt) determined from initial fluorescence slopes. C, left, examples of positive and negative control fluorescence data from individual wells in the primary screen and an example of an active test compound. Right, histogram distribution of the percentage of inhibition from screening of 50,000 small molecules in groups of 4.
High-Throughput Screening. To establish a screening assay using the V2R-transfected cells, we first investigated the possible effects of agonist-induced receptor desensitization/internalization, which for GPCRs depends on incubation time and agonist concentration (Robben et al., 2004). Figure 3A shows incubation time- and concentration-dependent reduction in the cellular response to dDAVP, as assayed by CFTR activation. At 1 µM dDAVP, the response was maximal but decreased rapidly with time. Similar maximal responses were found for 1 and 10 nM dDAVP but with little time-dependent desensitization. For primary screening, we used 1 nM dDAVP to maximize sensitivity for the detection of weakly active, small-molecule competitive antagonists. To prove that receptor desensitization rather than downstream processes was responsible for the time-dependent reduced response to dDAVP, a similar study was done using a high concentration of forskolin in place of dDAVP. Forskolin (100 µM) fully activated CFTR but without a measurable reduction in activity over 45 min, supporting a desensitization mechanism for dDAVP.
Fig. 4. Structure-activity of V2R antagonists. A, Structure of V2Rinh-02 shown with previously identified V2R antagonists OPC 312260 and SR 121463A. B, summary of structure-activity relationship data for 35 compounds (left) (see Table 1). Right, Predicted three-dimensional structure of V2Rinh-02. C, Synthesis of V2Rinh-02 (see text for description). D, left, concentration-dependence data for V2Rinh-02 inhibition of apical membrane CFTR Cl- current in V2R-expressing FRT cells after activation by 1 nM dDAVP. Where indicated, 20 µM forskolin was added. Center and right, inhibition of isoproterenol-stimulated short-circuit current in Calu-3 cells by indicated concentrations of propranolol and V2Rinh-02.
TABLE 1 Structure-activity relationships of active V2R antagonists
The suitability of the assay for high-throughput screening was evaluated by experimental determination of the Z' factor, a quantitative measure of assay "goodness" that depends on the difference in positive and negative control signals and their standard deviations (Seethala and Fernandes, 2001). Figure 3B (left) shows original fluorescence data from individual wells of 96-well plates incubated for 30 min with PBS or 1 nM dDAVP. The distribution of I- influx rates in individual wells, d[I-]/dt, shows well-separated positive and negative controls (Fig. 3B, right), giving a Z' factor of 0.71. A Z' factor greater than 0.5 to 0.6 is considered excellent such that a single primary screen is predicted to be informative in identifying "hits." Test compounds did not quench YFP-H148Q/I152L fluorescence directly as indicated by similar cell fluorescence before I- addition.
A primary screen of 50,000 small molecules was done using the FRT cells expressing wild-type human V2R, CFTR and YFP-H148Q/I152L. Cells were incubated with 1 nM dDAVP and test compounds (20 µM final concentration) for 30 min before fluorescence assay of I- influx. Figure 3C (left) shows representative original data for positive and negative controls, along with an example of an active test compound. Figure 3C (right) summarizes the percentage inhibition values as a frequency histogram. The majority of the compound groups (12,456 groups of 4 different compounds) did not reduce d[I-]/dt (<30% inhibition at 20 µM). Two hundred seventy-two compound groups were classified as weak inhibitors (30-90% inhibition), and 27 groups were considered strong inhibitors (> 90% inhibition). These definitions of weak versus strong inhibitors are arbitrary.
The "strong" inhibitor groups identified in the primary screen were further evaluated to confirm their inhibition activity at low micromolar concentration and to identify individual compounds responsible for activity out of the groups-of-four used in the primary screen. Approximately 70% of the hits identified in the primary screen were confirmed in subsequent secondary screening by the fluorescence plate reader assay. Three potent classes of compounds were found, one of which was a V2R antagonist (Fig. 4A), as judged by selective inhibition of dDAVP-induced cAMP production (see below). The V2R antagonist is of the 5-aryl-4-benzoyl-3-hydroxy-1-(2-arylethyl)-2H-pyrrol-2-one chemical class, which is not structurally similar to known V2R antagonists (OPC 31260 and SR 121463A structures shown in Fig. 4A). The other (non-V2R antagonist) hits identified in the screen are being characterized and are not discussed further in this article. These compound inhibited forskolin-induced cellular responses; thus, they act at downstream sites.
Analysis of Structure-Activity Relationship. Structure-activity relationship analysis was done by screening a small set of 81 commercially available 2,5-dihydro-2-pyrolone analogs. Table 1 lists V2R inhibition data of active compounds, and Fig. 4B (left) summarizes the structure-activity relationship analysis in terms of the functional groups conferring V2R antagonist activity. At position R1, phenyl and 4-substituted phenyl conferred greatest inhibition; inhibition was lost when R1 was methyl or furanyl. It is noteworthy that V2Rinh-13, which contains a thiophenyl ring at R1, was also active. The greatest diversity in the collection of 2-pyrrolone analogs was in R2. Activity was seen primarily for 4-halogen- or 4-nitro-substituted phenyl. Exceptions to this were the two 2-fluorophenyl derivatives [V2Rinh-04 and V2Rinh-11] and the 3-nitrophenyl derivative [V2Rinh-08]. Phenyl substitutions at R2 that led to inactive compounds were generally electron-donating substituents, including methoxy, hydroxy, and alkyl; exceptions to this were the two 4-methoxyphenyl derivatives [V2Rinh-03 and V2Rinh-07]. Methyl formate esters and other heterocycles were not tolerated at R2, including furyl, thiophenyl, and 3-pyridinyl rings. R3 as phenyl and 4-hydroxy phenyl gave active compounds; 3,4-dimethoxyphenyl and 4-hydroxy-3-methoxyphenyl analogs were inactive. The 4-hydroxylphenyl derivative gave the greatest inhibition potency, with the most potent compound being V2Rinh-02. This compound was synthesized in pure form on a large scale and further characterized.
Synthesis and Characterization of V2Rinh-02. The synthesis of V2Rinh-02 was accomplished in two steps. The dioxoethyl butylate 1 was synthesized by reaction of the enolate of acetophenone with diethyloxylate to give 2,4-dioxo-4-phenyl-ethylbutylate 1 (Fig. 4C). After reaction of 4-bromo-benzaldehyde and tyramine to form the imine, the addition of 2,4-dioxo-4-phenyl-ethylbutylate 1 in dioxane gave V2Rinh-02 (Fig. 4C), which was purified by crystallization. Its pKa value was 4.76, as measured by spectrophotometric titration (absorbance 346 nm) of 100 µMV2Rinh-02 in aqueous solution containing citric acid, sodium acetate, HEPES, sodium borate, Tris, and sodium carbonate (each 5 mM) titrated to indicated pH using HCl and NaOH. Deprotonation of the hydroxyl group on the pyrrolone ring occurs at low pH, such that V2Rinh-02 contains a single negative charge at physiological pH. The aqueous solubility of V2Rinh-02 in PBS was 377 µM as measured by optical absorbance of a saturated solution after appropriate dilution. The high aqueous solubility of V2Rinh-02 is a consequence of its polarity and charge.
V2Rinh-02 identity was confirmed by 1H NMR and mass spectrometry. Purity was determined to be 99% by liquid chromatography. Figure 4B (right) shows the predicted three-dimensional structure of V2Rinh-02 based on energy minimization computations. An interesting finding from 1H NMR spectra was the magnetic nonequivalence of the two CH2 groups of the 1-(4-hydroxyphenethyl) fragment. From the computed structure, we conclude that this magnetic nonequivalence is due to the proximal 4-fluorophenyl group interacting with the hydrogen on the -CH2-N group, accounting for the AA'BB' splitting pattern and the downfield chemical shift 3.9 ppm of the proximal proton. This interpretation is supported by published structure data for 5-aryl-1-benzyl-2,5-dihydro-2-pyrrolones (Aliev et al., 2003).
V2Rinh-02 was first tested for its inhibitory potency in apical membrane current measurements of CFTR Cl- channel activity. Figure 4D, which is representative of three separate experiments, shows V2Rinh-02 concentration-dependent inhibition of Cl- current induced by 1 nM dDAVP, with an IC50 value of 0.5 ± 0.1 µM (mean ± S.D., n = 3).
Several possible steps in the signal transduction cascade for CFTR activation could be modulated by V2Rinh-02, including the following: 1) V2R; 2) G-proteins, Gs or Gi; 3) adenylyl cyclase; 4) phosphodiesterase; 5) protein kinase A; and 6) CFTR. The failure of V2Rinh-02 to inhibit forskolin-induced Cl- current, as seen in Fig. 4D (left), indicates that V2Rinh-02 is unlikely to act on Gi, adenylyl cyclase, or more distal components of the signal transduction cascade. To distinguish the action of V2Rinh-02 as a V2R antagonist versus a Gs inhibitor, short-circuit current was measured in Calu-3 cells, which natively express the 2-adrenergic Gs-coupled receptor. Figure 4D (center) shows inhibition of isoproterenol-induced short-circuit current in Calu-3 cells by the 2 antagonist propranolol. V2Rinh-02 did not inhibit the isoproterenol-induced response in Calu-3 cells (Fig. 4D, right). Together, these findings suggest that V2Rinh-02 is a V2R antagonist.
Measurements of cAMP concentration were made in the V2R-expressing FRT cells to verify the action of V2Rinh-02 at the vasopressin-2 receptor. Figure 5A (left) shows dDAVP concentration-response data for the elevation of cAMP concentration. V2Rinh-02 inhibition of cAMP concentration after stimulation by 1 nM dDAVP is shown in Fig. 5A (right). The IC50 value was 60 nM. To verify the action of V2Rinh-02 on the V2R, cAMP concentration was measured in 2 receptor-transfected CHO cells (Fig. 5B). Cellular cAMP was increased by isoproterenol, as expected. The increased cAMP concentration was inhibited by propranolol but not by SR 121463B or V2Rinh-02, supporting V2R inhibition by V2Rinh-02.
Fig. 5. Effects of V2Rinh-02 on cAMP concentration. A, left, cAMP concentration in FRT-V2R cells after 20-min incubation with various concentrations of dDAVP. Right, reduced cAMP after V2Rinh-02. Cells were incubated for 20 min with 1 nM dDAVP and various concentrations of V2Rinh-02 (mean ± S.E., n = 3). B, cAMP concentration in CHO cells transiently transfected with human 2-adrenergic receptor. Cells were incubated for 20 min with 0.01 µM isoproterenol in the presence of 20 µM SR 121463A, V2Rinh-02, or propranolol. The data are shown as mean ± S.E., n = 3.
V2Rinh-02 Is a Competitive V2R Antagonist. Figure 6A shows a functional "competition study" in which V2Rinh-02 reduction of cAMP concentration was measured in V2R-expressing FRT cells after stimulation by different concentrations of dDAVP. The dDAVP dose-response curves shifted in a parallel manner to the right with increasing V2Rinh-02 concentration, indicative of a competitive binding mechanism. A Schild plot is shown in the inset to Fig. 6A, in which [V2Rinh-02] is plotted against the dDAVP dose ratio (Kenakin, 1997). The slope of 1.3 of the fitted line supports a competitive inhibition mechanism with a Ki value of 70 nM.
Fig. 6. Competitive binding and vasopressin receptor subtype selectivity of V2Rinh-02. A, competition study showing cAMP concentration in FRT-V2R cells as a function of dDAVP concentration in the presence of indicated concentrations of V2Rinh-02 (mean ± S.E., n = 3). Inset, Schild plot with slope of 1.3 and extrapolated Ki value of 70 nM. B, [3H]AVP binding displacement assays were done in intact FRT cells stably expressing V2RorV1aR. Cells were incubated for 2 h with 1 nM [3H]AVP in the presence of different concentration of V2Rinh-02. Cell-associated radioactivity after incubation and washing (mean ± S.E., n = 3). Nonspecific binding was subtracted. See Materials and Methods for details.
Binding displacement assays were done to prove V2Rinh-02 competition with vasopressin at the V2R. Cell-associated radiolabeled vasopressin was measured after binding to V2R-expressing FRT cells. The V2R-selective binding component was determined by subtracting cell-associated radioactivity in the presence of a high concentration of nonradioactive dDAVP. As summarized in Fig. 6B, V2Rinh-02 at 1 µM reduced cell-associated radioactivity to near 0 with 50% competition at 70 nM, supporting a competitive V2Rinh-02 binding mechanism. To investigate V2R versus V1aR binding selectivity, similar binding displacements experiments were done in FRT cells stably expressing V1aR. Fifty percent competition of V2Rinh-02 to [3H]AVP was seen at 5 µM (Fig. 6B), indicating 70 times greater affinity of V2Rinh-02 to V2R than V1aR.
We report a novel, cell-based functional assay of Gs-or Gi-coupled GPCR modulators based on cAMP-dependent activation of CFTR Cl- channels. The assay is technically simple, inexpensive, and readily adaptable to fluorescence-based, high-throughput screening formats. The assay used an epithelial cell line suitable for both fluorescence and electrophysiological measurements. The cells have low basal halide conductance and cAMP concentration, excellent transfection efficiency, and rapid growth on uncoated plastic. The Z' factor for the assay was 0.7, indicating very good sensitivity and specificity in a single primary screen. The assay was applied to identify V2R antagonists in a screen of 50,000 small molecules in a 96-well plate format. Our assay was designed as a "pathway screen," so that compounds inhibiting CFTR I- influx could function as V2R antagonists, Gs inhibitors, Gi activators, adenylyl cyclase inhibitors, phosphodiesterase activators, protein kinase A inhibitors, or CFTR inhibitors. Such a pathway screen has the advantage of identifying small-molecule modulators of multiple targets in a single screen, with target identification done in small-scale secondary assays.
Functional assays of cell responses are widely used in high-throughput screening, in part because they are technically easier than radioligand binding assays. Binding assays are unable to distinguish between agonists and antagonists and have low sensitivity for the detection of allosteric modulators. Several functional assays have been developed based on cAMP measurement, as mentioned in the Introduction. An advantage of the standard cAMP antibody competitive assay is that it does not require the generation of a stable cell line if cells are available with endogenous expression of the GPCR of interest. Disadvantages of this assay include the long incubations with cAMP antibody, the need for multiple washing steps, and the relatively high cost. Reporter gene assays, using green fluorescent protein, luciferase, or -lactamase, are generally more sensitive than competition assays, in part because reporter transcription is downstream from cAMP, which can produce effective signal amplification. However, disadvantages of reporter gene assays include the requirement of a stable cell line expressing a reporter gene driven by a cAMP response element and long incubation time for transcription, in which receptor down-regulation can occur. In addition, for some reporter assays cell lysis is required, and costly signal-producing reagents are needed. The functional assay described here is suitable for discovery of modulators of Gs-orGi-coupled GPCRs. Our assay is homogeneous and very sensitive and requires only three handling steps before measurement. The assay does not require lysis or reagent addition steps. The total cost of medium, reagents, and disposable supplies is $4 (U.S.) per 96-well plate. However, our assay does require a specialized cell line expressing CFTR, YFP, and the GPCR of interest. To our knowledge, the only assay of this general type was developed by Atto Bioscience (Rich and Karpen, 2005), in which calcium influx was used as a readout of cyclic nucleotide-sensitive ion channels.
Our study applied the GPCR pathway screen to identify inhibitors of vasopressin-stimulated cAMP acting through the V2R. Clinical indications of V2R antagonists include the treatment of hyponatremias associated with increased or normal total body water, such as congestive heart failure, cirrhosis, and the syndrome of an inappropriate antidiuretic hormone secretion (Paranjape and Thibonnier, 2001). Water retention is a common clinical problem that increases the mortality and morbidity of underlying cardiovascular and hepatic diseases. The current main strategy in treating water retention is the use of diuretics, which increase excretion of both electrolytes and water. V2R antagonism causes an increase in water excretion without significant electrolyte loss and so is a superior treatment strategy. Early attempts to develop V2R antagonists focused on peptide analogs of vasopressin (Allison et al., 1988), although they had very low bioavailability. The first small-molecule V2R antagonist, OPC 31260, was a derivative of the vasopressin V1a receptor antagonist OPC 21268 (Thibonnier et al., 2001). A second V2R antagonist was SR 121463 (Serradeil-Le Gal et al., 1996). These V2R antagonists were originally identified by Otsuka Pharmaceutical Co. (Tokushima, Japan) and Sanofi, respectively. Both V2R antagonists have a diuretic effect in humans (Ohnishi et al., 1995; Serradeil-Le Gal, 2001), with IC50 values in the nanomolar range. Then several pharmaceutical companies modified the structures of the original V2R antagonists to obtain more potent V2R antagonists (Yamamura et al., 1998; Gunnet et al., 2006), a dual V2R/V1aR antagonist (Tahara et al., 1997), and a V1bR antagonist (Serradeil-Le Gal et al., 2002). Only conivaptan (YM 087), a dual V2R/V1aR antagonist, has been approved for the treatment of euvolemic hyponatremia (Lemmens-Gruber and Kamyar, 2006). SR 121463, tolvaptan (OPC 41061), and lixivaptan (VPA 985) are in phase 3 clinical trials (Wong et al., 2003; Ghali et al., 2006; Schrier et al., 2006). However, the tricyclic antagonists are quite hydrophobic (logP >4) and have limited aqueous solubility (< 1 mg/ml) (Matthews et al., 2004), which are potentially problematic in further development for therapeutic purposes. New classes of V2R antagonists could provide useful lead compounds that might overcome these concerns.
Our small-molecule screen of 50,000 compounds identified a novel chemical class of V2R antagonists that are unrelated to known V2R antagonists. Seventy percent of the compounds identified by the primary screening were confirmed in the secondary screening. The failure to add dDAVP by the robotic system because of the clogged pipette tips might account for these false positives. After confirming the class of 5-aryl-4-benzoyl-3-hydroxy-1-(2-arylethyl)-2H-pyrrol-2-one were bona fide V2R antagonists, a small screen of commercially available structural analogs was done, identifying V2Rinh-02 as the most potent compound of the 3-hydroxy-2-pyrrolones. Comparing the structure of the active and inactive compounds gave insight to the structural determinants of compound activity. In general, R1 tolerated various substituted phenyl rings, R2 was more limited in the fact that primarily 4-halophenyl and 4-nitrophenyl derivatives gave active compounds, and R3 tolerated phenyl and 4-hydroxyphenyl substitution. A more focused 3-hydroxy-2-pyrrolone library incorporating the functional groups of the most active V2Rinh-02 antagonists and having more diversity in R1 and R3 should yield more potent V2R antagonists and compounds with different V2R versus V1R selectivities.
Although the displacement assay of radiolabeled vasopressin cannot distinguish between competitive and allosteric antagonists, it did confirm that V2Rinh-02 was a V2R antagonist. V2Rinh-02 was found to be a competitive antagonist of dDAVP/vasopressin binding to the V2R, as demonstrated in cAMP measurements after cell incubations with different V2Rinh-02/dDAVP concentrations. The existing, chemically unrelated V2R antagonists OPC 31260 and SR 121463 are also competitive antagonists (Serradeil-Le Gal et al., 1996; Thibonnier et al., 2001). The Ki value of V2Rinh-02 was 70 nM, as estimated from competition data. V2Rinh-02 was 70 times more selective for V2R than V1a, as demonstrated by radioactive binding assay.
In conclusion, we have established a novel high-throughput screening pathway assay for the identification of modulators of Gs or Gi-coupled GPCRs. The assay is very sensitive, technically simple, and inexpensive compared with existing cell-based GPCR assays. The 5-aryl-4-benzoyl-3-hydroxy-1-(2-arylethyl)-2H-pyrrol-2-one V2R antagonists discovered in a small-molecule screen using the assay have favorable properties to support their further evaluation for aquaretic therapy.
Acknowledgements
We thank Baoxue Yang, Chatchai Muanprasat, Samira Saadoun, and Mariko Hara Chikuma for advice and technical support.
ABBREVIATIONS: GPCR, G-protein-coupled receptor; CFTR, cystic fibrosis transmembrane conductance regulator; YFP, yellow fluorescent protein; AVP, arginine vasopressin; dDAVP, [deamino-Cys1, Val4, D-Arg8]-vasopressin; V1aR, vasopressin-1a receptor; V2R, vasopressin-2 receptor; V1bR, vasopressin-1b receptor; FST, Fischer rat thyroid; HA, hemagglutinin; CHO, Chinese hamster ovary; PBS, phosphate-buffered saline; w, wild type; m, mutant; SR 49059, (2S)-1-(((2R,3S)-5-chloro-3-(o-chlorophenyl)-1-((3,4-dimethoxyphenyl)sulfonyl)-3-hydroxy-2-indolinyl)carbonyl)-2-pyrrolidinecarboxamide; SR 121463B, benzamide, N-(1,1-dimethylethyl)-4-((cis-5'-ethoxy-4-(2-(4-morpholinyl)ethoxy)-2'-oxospiro(cyclohexane-1,3'-(3H)indol)-1' (2'H)-yl)sulfonyl)-3-methoxy-, phosphate; OPC 21268, 1-(1-(4-(3-acetylaminopropoxy)benzoyl)-4-piperidyl)-3,4-dihydro-2(1H)-quinolinone; YM 087, (1,1'-biphenyl)-2-carboxamide, N-(4-((4,5-dihydro-2-methylimidazo(4,5-d)(1)benzazepin-6(1H)-yl)carbonyl)-phenyl)-, monohydrochloride; OPC 41061, (-)-4'-((7-chloro-2,3,4,5-tetrahydro-5-hydroxy-1H-1-benzazepin-1-yl)carbonyl)-o-tolu-m-toluidide; VPA 985, N-(3-chloro-4-(5H-pyrrolo(2,1-c)(1,4)benzodiazepin-10(11H)-ylcarbonyl)phenyl)-5-fluoro-2-methyl-benzamide.
【参考文献】
Aliev ZG, Maslivets AN, Bannikova YN, and Atovmyan LO (2003) Interaction of 1-benzyl-4-benzoyl-5-phenyl-2,3-dihydro-2,3-pyrroledione with ketene diethylacetal: synthesis and crystal and molecular structure of 1-benzyl-4-benzoyl-3-hydroxy-5-phenyl-5-ethoxycarbonylmethyl-2,5-dihydro-2-pyrrolone. J Struct Chem 44: 707-710.
Allison NL, Albrightson-Winslow CR, Brooks DP, Stassen FL, Huffman WF, Stote RM, and Kinter LB (1988) Species heterogeneity and antidiuretic hormone antagonists: what are the predictors? in Vasopressin: Cellular and Integrative Functions (Cowley AW, Liard J-F, and Ausiello DA eds) pp 207-214, Raven Press Ltd., New York.
Chalmers DT and Behan DP (2002) The use of constitutively active GPCRs in drug discovery and functional genomics. Nat Rev Drug Discov 1: 599-608.
Chang CT, Bens M, Hummler E, Boulkroun S, Schild L, Teulon J, Rossier BC, and Vandewalle A (2005) Vasopressin stimulated CFTR chloride currents are increased in the renal collecting duct cells of a mouse model of Liddle's syndrome. J Physiol 562: 271-284.[Abstract/Free Full Text]
Galietta LJ, Haggie PM, and Verkman AS (2001a) Green fluorescent protein-based halide indicators with improved chloride and iodide affinities. FEBS Lett 499: 220-224.
Galietta LJ, Jayarama S, and Verkman AS (2001b) Cell based assay for high throughput quantitative screening of CFTR chloride transport agonists. Am J Physiol Cell Physiol 281: C1734-C1742.[Abstract/Free Full Text]
Ghali JK, Koren MJ, Taylor JR, Brooks-Asplund E, Fan K, Long WA, and Smith N (2006) Efficacy and safety of oral Conivaptan: a V1a/V2 vasopressin receptor antagonist, assessed in a randomized, placebo-controlled trial in patients with euvolemic or hypervolemic hyponatremia. J Clin Endocrinol Metab 91: 2145-2152.[Abstract/Free Full Text]
Gunnet JW, Matthews JM, Maryanoff BE, Garavilla LD, Andrade-Gordon P, Damiano B, Hageman W, Look R, Stahle P, Streeter AJ, et al. (2006) Characterization of RWJ-351647, a novel, nonpeptide vasopressin V2 receptor antagonist. Clin Exp Pharmacol Physiol 33: 320-326.
Hill SJ (2001) Reporter-gene systems for the study of GPCRs. Curr Opin Pharmacol 1: 526-532.
Hill SJ (2006) G-protein-coupled receptors: past, present and future. Br J Pharmacol 147: S27-S37.
Hopkins AL and Groom CR (2002) The druggable genome. Nat Rev Drug Discov 1: 727-730.
Horstman DA, Takemura H, and Putney JW Jr (1988) Formation and metabolism of [3H]inositolphosphates in AR42J pancreatoma cells. Substance P-induced Ca2+ mobilization in the apparent absence of inositol 1,4,5-triphosphate 3-kinase activity. J Biol Chem 263: 15297-15303.[Abstract/Free Full Text]
Innamorati G, Sadeghi H, and Birnbaumer M (1996) A fully active non glycosylated V2 vasopressin receptor. Mol Pharmacol 50: 467-473.
Kenakin T (1997) Competitive antagonism, in Pharmacologic Analysis of Drug Receptor Interaction, 3rd ed, pp 331-373, Lippincott-Raven, Philadelphia.
Lemmens-Gruber R and Kamyar M (2006) Vasopressin antagonists. Cell Mol Life Sci 63: 1766-1779.
Ma T, Thiagarajah JR, Yang H, Sonawane ND, Folli C, Galietta LJ, and Verkman AS (2002) Thiazolidinone CFTR inhibitor identified by high throughput screening blocks cholera toxin-induced intestinal fluid secretion. J Clin Invest 110: 1651-1658.
Manning M, Cheng LL, Stoev S, Klis W, Nawracka E, Olma A, Sawyer WH, Wo NC, and Chan WY (1997) Position three in vasopressin antagonist tolerates conformationally restricted and aromatic amino acid substitutions: a striking contrast with vasopressin agonists. J Pept Sci 3: 31-46.
Matthews JM, Hoekstra WJ, Dyatkin AB, Hecker LR, Hlasta DJ, Poulter BL, Andrade-Gordon P, Gsravilla L, Demarest KT, Ericson E, et al. (2004) Potent nonpeptide vasopressin receptor antagonists based on oxazino- and thiazinobenzodiazepine templates. Bioorg Med Chem Lett 14: 2747-2752.
Monteith GR and Bird GS (2005) Techniques: high-throughput measurement of intracellular Ca2+ back to basics. Trends Pharmacol Sci 26: 218-223.
Muanprasat C, Sonawane ND, Salinas D, Taddei A, Galietta LJ, and Verkman AS (2004) Discovery of glycine hydrazide pore occluding CFTR inhibitors: mechanism, structure-activity analysis, and in vivo efficacy. J Gen Physiol 124: 125-137.[Abstract/Free Full Text]
Ohnishi A, Orita Y, Takagi N, Fujita T, Toyoki T, Ihara Y, Yamamura Y, Inoue T, and Tanaka T (1995) Aquaretic effect of a potent, orally active, non-peptide V2 antagonist in man. J Pharmacol Exp Ther 272: 546-551.[Abstract/Free Full Text]
Oksche A, Schulein R, and Rutz C (1996) Vasopressin V2 receptor mutants that cause x-linked nephrogenic diabetes insipidus: analysis of expression, processing, and function. Mol Pharmacol 50: 820-828.
Paranjape SB and Thibonnier M (2001) Development and therapeutic indications of orally active non-peptide vasopressin receptor antagonists. Expert Opin Investig Drugs 10: 825-834.
Pedemonte N, Lukacs GL, Du K, Caci E, Zegarra-Moran O, Galietta LJ, and Verkman AS (2005) Small molecule correctors of defective F508-CFTR cellular processing identified by high-throughput screening. J Clin Invest 115: 2564-2571.
Rich TC and Karpen JW (2005) High-throughput screening of phosphodiesterase activity in living cells. Methods Mol Biol 307: 45-61.
Robben JH, Knoers NV, and Deen PM (2004) Regulation of the vasopressin V2 receptor by vasopressin in polarized renal collecting duct cells. Mol Biol Cell 15: 5693-5699.[Abstract/Free Full Text]
Sadeghi HM, Innamorati G, Dagarag M, and Birnbaumer M (1997) Palmitoylation of the V2 vasopressin receptor. Mol Pharmacol 52: 21-29.[Abstract/Free Full Text]
Saito M, Tahara A, and Sugimoto T (1997) 1-desamino-8-D-arginine vasopressin (dDAVP) as an agonist on V1b vasopressin receptor. Biochem Pharmacol 53: 1711-1717.
Schrier RW, Gross P, Gheorghiade M, Berl T, Verbalis JG, Czerwiec FS, Orlandi C, and SALT Investigators (2006) Tolvaptan, a selective oral vasopressin V2-receptor antagonist, for hyponatremia. N Engl J Med 355: 2099-2112.[Abstract/Free Full Text]
Seethala R and Fernandes B (2001) Assay miniaturization: developing technologies and assay formats, in Handbook of Drug Screening, pp 550-553, Marcel Dekker, New York.
Serradeil-Le Gal C (2001) An overview of SR121463, a selective non-peptide vasopressin V2 receptor antagonist. Cardiovasc Drug Rev 19: 201-214.
Serradeil-Le Gal C, Lacour C, Valette G, Garcia G, Foulon L, Galindo G, Bankir L, Pouzet B, Guillon G, Barberis C, et al. (1996) Characterization of SR 121463A, a highly potent and selective, orally active vasopressin V2 receptor antagonist. J Clin Invest 98: 2729-2738.
Serradeil-Le Gal C, Wagnon J, Garcia C, Lacour C, Guiraudou P, Christophe B, Villanova G, Nisato D, Maffrand JP, and Le Fur G (1993) Biochemical and pharmacological properties of SR 49059, a new, potent, non peptide antagonist of rat and human V1a receptors. J Clin Invest 92: 224-231.
Serradeil-Le Gal C, Wagnon J, Simiand J, Griebel G, Lacour C, Guillon G, Barberis C, Brossard G, Soubrie P, Nisato D, et al. (2002) Characterization of (2S,4R)-1-[5-chloro-1-[(2,4-dimethoxyphenyl)sulfonyl]-3-(2-methoxy-phenyl)-2-oxo-2,3-dihydro-1H-indol-3-yl]-4-hydroxy-N,N-dimethyl-2-pyrrolidinecarboxamide (SSR149415), a selective and orally active vasopressin V1b receptor antagonist. J Pharmacol Exp Ther 300: 1122-1130.[Abstract/Free Full Text]
Tahara A, Tomura Y, Wada KI, Kusayama T, Tsukada J, Takanashi M, Yatsu T, Uchida W, and Tanaka A (1997) Pharmacological profile of YM087, a novel potent non-peptide vasopressin V1a and V2 receptor antagonist, in vitro and in vivo. J Pharmacol Exp Ther 282: 301-308.[Abstract/Free Full Text]
Thibonnier M, Coles P, Thibonnier A, and Shoham M (2001) The basic and clinical pharmacology of non-peptide vasopressin receptor antagonists. Annu Rev Pharmacol Toxicol 41: 175-202.
Williams C (2004) cAMP detection methods in high throughput screening: selecting the best from the rest. Nat Rev Drug Discov 3: 125-135.
Wise A, Jupe SC, and Rees S (2004) The identification of ligands at orphan G protein coupled receptors. Annu Rev Pharmacol Toxicol 44: 43-66.
Wong F, Blei AT, Blendis LM, and Thuluvath PJ (2003) A vasopressin receptor antagonist (VPA-985) improves serum sodium concentration in patients with hyponatremia: a multicenter, randomized, placebo-controlled trial. Hepatology 37: 182-191.
Yamamura Y, Nakamura S, Itoh S, Hirano T, Onogawa T, Yamashita T, Yamada Y, Tsujimae K, Aoyama M, Kotosai K, et al. (1998) OPC-41061, a highly potent human vasopressin V2 receptor antagonist: pharmacological profile and aquaretic effect by single and multiple oral dosing in rats. J Pharmacol Exp Ther 287: 860-867.[Abstract/Free Full Text]
作者单位:Departments of Medicine and Physiology, Cardiovascular Research Institute, University of California, San Francisco, California (B.Y., A.M., L.T., A.S.V.); and Department of Physiology, Faculty of Science, Mahidol University, Bangkok, Thailand (B.Y., V.C.)