Dual Metalloprotease Inhibitors: Mercaptoacetyl-Based Fused Heterocyclic Dipeptide Mimetics as Inhibitors of Angiotensin-Converting Enzyme and Neutral Endopeptidase
作者:Jeffrey A. Robl、Chong-Qing Sun、Jay Stevenson、Denis E. Ryono、Ligaya M. Simpkins、Maria P. Cimarusti、Tamara Dejneka、William A. Slusarchyk、Sam Chao、Leslie Stratton、Raj N. Misra、Mark S. Bednarz、Magdi M. Asaad、Hong Son Cheung、Benoni E. Abboa-Offei、Patricia L. Smith、Parker D. Mathers、Maxine Fox、Thomas R. Schaeffer、Andrea A. Seymour、Nick C. Trippodo
DOI:10.1021/jm970041e
日期:1997.5.1
A series of 7,6- and 7,5-fused bicyclic thiazepinones and oxazepinones were generated and incorporated as conformationally restricted dipeptide surrogates in mercaptoacyl dipeptides. These compounds are potent inhibitors of angiotensin-converting enzyme (ACE) and neutral endopeptidase (NEP) both in vitro and in vivo. Compound 1a, a 7,6-fused bicyclic thiazepinone, demonstrated excellent blood pressure lowering in a variety of animal models characterized by various levels of plasma renin activity and significantly potentiated urinary sodium, ANP, and cGMP excretion in a cynomolgus monkey assay. On the basis of its potency and duration of action, compound 1a (BMS-186716) was advanced into clinical development for the treatment of hypertension and congestive heart failure.