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Dual Piperidine-Based Histamine H<sub>3</sub> and Sigma‑1 Receptor Ligands in the Treatment of Nociceptive and Neuropathic Pain

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posted on 2023-07-07, 16:05 authored by Katarzyna Szczepańska, Tadeusz Karcz, Maria Dichiara, Szczepan Mogilski, Justyna Kalinowska-Tłuścik, Bogusław Pilarski, Arkadiusz Leniak, Wojciech Pietruś, Sabina Podlewska, Katarzyna Popiołek-Barczyk, Laura J. Humphrys, M. Carmen Ruiz-Cantero, David Reiner-Link, Luisa Leitzbach, Dorota Łażewska, Steffen Pockes, Michał Górka, Adam Zmysłowski, Thierry Calmels, Enrique J. Cobos, Agostino Marrazzo, Holger Stark, Andrzej J. Bojarski, Emanuele Amata, Katarzyna Kieć-Kononowicz
In search of new dual-acting histamine H<sub>3</sub>/sigma-1 receptor ligands, we designed a series of compounds structurally based on highly active <i>in vivo</i> ligands previously studied and described by our team. However, we kept in mind that within the previous series, a pair of closely related compounds, <b>KSK67</b> and <b>KSK68</b>, differing only in the piperazine/piperidine moiety in the structural core showed a significantly different affinity at sigma-1 receptors (σ<sub>1</sub>Rs). Therefore, we first focused on an in-depth analysis of the protonation states of piperazine and piperidine derivatives in the studied compounds. In a series of 16 new ligands, mainly based on the piperidine core, we selected three lead structures (<b>3</b>, <b>7</b>, and <b>12</b>) for further biological evaluation. Compound <b>12</b> showed a broad spectrum of analgesic activity in both nociceptive and neuropathic pain models based on the novel molecular mechanism.

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