Novel Dopamine D4 Receptor-Selective Antagonists For Neuropsychiatric Disorders.

The neurotransmitter dopamine signals through G protein-coupled receptors that regulate a variety of neurophysiological functions, including movement, emotional regulation, motivation, and cognition. Dopamine D4 receptors (D Rs) are enriched in the prefrontal cortical regions critical to attention, cognition, decision-making, and executive function. The physiological relevance of D R signaling in the brain is not well understood and but a variety of evidence indicates its importance in neuropsychiatric disorders related to cognition and behavioral control, including Alzheimer's disease, ADHD, and substance use disorders (SUDs). Preclinical studies indicate that D R-selective ligands can improve outcomes in animal models of these disorders, but the field is limited by the availability of highly selective ligands with suitable pharmacological characterization. Herein we report the development and structure-activity relationships of a novel class of highly D R-selective ligands, primarily full antagonists, based on a phenylpiperazine (PP) scaffold and benzothiazole secondary pharmacophore. Following comprehensive in vitro binding and functional analyses, selected ligands were evaluated for pharmacokinetics in rat and human liver microsomes, followed by preliminary in vivo behavioral analysis. Overall, we identified several novel compounds with high binding affinity and D R selectivity (K ≤ 100 nM and >100-fold vs. other D -like receptors). Lead compound CAB-01-019, one of the most selective and high-affinity D4R antagonists in this set, has favorable in vivo pharmacokinetics in rats, and inhibited cocaine self-administration in rats. This new class of compounds represents a new set of tools to enhance medications development at D R and to better understand the role of D R signaling in complex behaviors.