Michalska_2024_ACS.Chem.Neurosci__

This study examines the properties of a novel series of 4-oxypiperidines designed and synthesized as histamine H(3)R antagonists/inverse agonists based on the structural modification of two lead compounds, viz., ADS003 and ADS009. The products are intended to maintain a high affinity for H(3)R while simultaneously inhibiting AChE or/and BuChE enzymes. Selected compounds were subjected to hH(3)R radioligand displacement and gpH(3)R functional assays. Some of the compounds showed nanomolar affinity. The most promising compound in the naphthalene series was ADS031, which contained a benzyl moiety at position 1 of the piperidine ring and displayed 12.5 nM affinity at the hH(3)R and the highest inhibitory activity against AChE (IC(50) = 1.537 microM). Eight compounds showed over 60% eqBuChE inhibition and hence were qualified for the determination of the IC(50) value at eqBuChE; their values ranged from 0.559 to 2.655 microM. Therapy based on a multitarget-directed ligand combining H(3)R antagonism with additional AChE/BuChE inhibitory properties might improve cognitive functions in multifactorial Alzheimer's disease.