Modulators of the
serotonin 5-HT6 receptor (5-HT6R) offer a promising strategy for the treatment of the cognitive deficits that are associated with
dementia and
Alzheimer's disease. Herein, we report the design, synthesis, and characterization of a novel class of 5-HT6R antagonists that is based on the 1H-pyrrolo[3,2-c]
quinoline core. The most active compounds exhibited comparable binding affinity to the reference compound,
SB-742457, and markedly improved selectivity. Lead optimization led to the identification of (S)-1-[(3-chlorophenyl)sulfonyl]-4-(
pyrrolidine-3-yl-amino)-1H-pyrrolo[3,2-c]
quinoline (14) (Ki = 3 nM and Kb = 0.41 nM). Pharmacological characterization of the 5-HT6R's constitutive activity at Gs signaling revealed that 14 behaved as a neutral antagonist, while
SB-742457 was classified as an inverse agonist. Both compounds 14 and
SB-742457 reversed
phencyclidine-induced
memory deficits and displayed distinct procognitive properties in cognitively unimpaired animals (3 mg/kg) in NOR tasks. Compounds 14 and
SB-742457 were also active in the Vogel test, yet the
anxiolytic effect of 14 was 2-fold higher (MED = 3 mg/kg). Moreover, 14 produced, in a 3-fold higher dose (MED = 10 mg/kg),
antidepressant-like effects that were similar to those produced by
SB-742457 (MED = 3 mg/kg). Together, these data suggest that the 4-(
pyrrolidine-3-yl-amino)-1H-pyrrolo[3,2-c]
quinoline scaffold is an attractive molecular framework for the development of
procognitive agents. The results are promising enough to warrant further detailed mechanistic studies on the therapeutic potential of 5-HT6R antagonists and inverse agonists for the treatment of
cognitive decline and depression/anxiety symptoms that are comorbidities of
Alzheimer's disease.