TRPV4: A Promising Therapeutic Target Ion Channel─Discovery of Ultrapotent Selective Antagonists

Magnus Nilsson1, Sara J Bonvini2, Emelyne Diers1

  • 1Medicinal Chemistry, Discovery Sciences, BioPharmaceuticals R&D, AstraZeneca, Gothenburg SE-431 83, Sweden.

Insights

A novel small-molecule TRPV4 antagonist, compound 39, shows promise for treating conditions linked to the TRPV4 channel. It offers improved drug-like properties and demonstrated efficacy in a preclinical cough model.

Area of Science:

  • Molecular Biology
  • Pharmacology
  • Drug Discovery

Background:

  • Transient Receptor Potential Vanilloid 4 (TRPV4) is a calcium-permeable channel crucial for cellular signaling in epithelia.
  • TRPV4 antagonism is a therapeutic target, but previous attempts faced pharmacokinetic challenges, limiting clinical efficacy.

Purpose of the Study:

  • To discover and optimize novel small-molecule TRPV4 antagonists.
  • To evaluate the pharmacokinetic and safety profile of lead compound 39.
  • To assess the in vivo efficacy of compound 39 in a relevant disease model.

Main Methods:

  • High-throughput screening was employed to identify initial TRPV4 antagonist hits.
  • Lead optimization focused on enhancing potency, selectivity, and drug-like properties.
  • Preclinical in vivo studies, including a cough model, were used to assess efficacy and safety.

Main Results:

  • A novel series of TRPV4 antagonists was developed, with compound 39 emerging as the lead candidate.
  • Compound 39 exhibited favorable absorption and elimination, suggesting a potential for once-daily oral dosing.
  • Early safety studies indicated robust margins to off-target effects, and compound 39 demonstrated functional efficacy in a preclinical cough model.

Conclusions:

  • Compound 39 represents a differentiated preclinical TRPV4 antagonist with promising drug-like pharmacokinetics.
  • The favorable nonclinical safety profile and demonstrated efficacy support further development of compound 39 for therapeutic applications.

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