We synthesized eleven new amiridine-piperazine hybrids 5a-j and 7 as potential multifunctional agents for Alzheimer's disease (AD) treatment by reacting N-chloroacetylamiridine with piperazines. The compounds displayed mixed-type reversible inhibition of acetylcholinesterase (AChE) and butyrylcholinesterase (BChE). Conjugates were moderate inhibitors of equine and human BChE with negligible fluctuation in anti-BChE activity, whereas anti-AChE activity was substantially dependent on N4-substitution of the piperazine ring. Compounds with para-substituted aromatic moieties (5g, 5h, and bis-amiridine 7) had the highest anti-AChE activity in the low micromolar range. Top-ranked compound 5h, N-(2,3,5,6,7,8-hexahydro-1H-cyclopenta[b]quinolin-9-yl)-2-[4-(4-nitro-phenyl)-piperazin-1-yl]-acetamide, had an IC50 for AChE = 1.83 ± 0.03 μM (Ki = 1.50 ± 0.12 and αKi = 2.58 ± 0.23 μM). The conjugates possessed low activity against carboxylesterase, indicating a likely absence of unwanted drug-drug interactions in clinical use. In agreement with analysis of inhibition kinetics and molecular modeling studies, the lead compounds were found to bind effectively to the peripheral anionic site of AChE and displace propidium, indicating their potential to block AChE-induced β-amyloid aggregation. Similar propidium displacement activity was first shown for amiridine. Two compounds, 5c (R = cyclohexyl) and 5e (R = 2-MeO-Ph), exhibited appreciable antioxidant capability with Trolox equivalent antioxidant capacity values of 0.47 ± 0.03 and 0.39 ± 0.02, respectively. Molecular docking and molecular dynamics simulations provided insights into the structure-activity relationships for AChE and BChE inhibition, including the observation that inhibitory potencies and computed pKa values of hybrids were generally lower than those of the parent molecules. Predicted ADMET and physicochemical properties of conjugates indicated good CNS bioavailability and safety parameters comparable to those of amiridine and therefore acceptable for potential lead compounds at the early stages of anti-AD drug development.

1 M Sechenov 1st Moscow State Medical University Moscow 119881 Russia

Biomedical Research Centre University Hospital Hradec Kralove 500 05 Hradec Kralove Czech Republic

Department of Chemistry Lomonosov Moscow State University Moscow 119991 Russia

Department of Environmental Health Sciences University of Michigan Ann Arbor MI 48109 USA; Department of Neurology University of Michigan Ann Arbor MI 48109 USA; Center of Computational Medicine and Bioinformatics University of Michigan Ann Arbor MI 48109 USA

Emanuel Institute of Biochemical Physics Russian Academy of Sciences Moscow 119334 Russia

Institute of Physiologically Active Compounds Russian Academy of Sciences Chernogolovka 142432 Russia

Institute of Physiologically Active Compounds Russian Academy of Sciences Chernogolovka 142432 Russia; Department of Chemistry Lomonosov Moscow State University Moscow 119991 Russia

Institute of Physiologically Active Compounds Russian Academy of Sciences Chernogolovka 142432 Russia; Emanuel Institute of Biochemical Physics Russian Academy of Sciences Moscow 119334 Russia

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