Orexins are a family of neuropeptides that regulate sleep/wakefulness and feeding behavior, acting on two G-protein-coupled receptors, orexin receptors 1 (OX1R) and 2 (OX2R). Genetic and pharmacologic evidence suggests that orexin receptor agonists, especially OX2R agonist, will be useful for mechanistic therapy of the sleep disorder narcolepsy/cataplexy, diabetes, and obesity. While a large number of orexin receptor antagonists have been developed, there was no report of a potent non-peptidic agonist, which showed in vivo efficacy. Motivated by these observations, we initiated an effort to discover and optimize non-peptide orexin receptor agonists. High throughput screening (HTS) of the chemical library at University of Texas Southwestern identified hit sulfonamide compounds and our efforts to optimize the hit compounds to some lead compounds led to a potent OX2R-selective agonist YNT-185 (OX2R: EC50 = 28 nM, OX1R/OX2R= 100). Intracerebroventricular (icv) and interperitoneal (ip) administation of YNT-185 · 2HCl in the light phase showed elongation of period alertness in C57BL/6J mice in a dose-dependent manner. Also, the icv and ip injection of the compound attenuated the SOREM (Sleep Onset Rapid Eye Movement) of narcoleptic symptoms in narcolepsy murine model mice.
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