Development of a Highly Potent Neurokinin‑3 Receptor Inhibitor: Design, Synthesis, and Evaluation.

ACS Med Chem Lett

School of Pharmacy, Key Laboratory of Molecular Pharmacology and Drug Evaluation (Yantai University), Ministry of Education, Collaborative Innovation Center of Advanced Drug Delivery System and Biotech Drugs in Universities of Shandong, Yantai University, Yantai 264005, China.

Published: July 2025


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Article Abstract

The neurokinin-3 receptor (NK3R) has emerged as a promising therapeutic target. Recent evidence indicates that oral administration of an NK3R antagonist to block neurokinin B signaling significantly alleviates hot flash symptoms. Despite this potential, only one NK3R ligand (ESN-364) has been clinically approved to date. To address this gap, we developed a series of imidazole-piperazine derivatives (-, -, and -) through rational design and synthesis. Molecular docking validated the structural rationale, with compound demonstrating superior target binding potency and robust NK3R inhibitory activity. Notably, exhibited an enhanced membrane permeability and high oral bioavailability. efficacy studies revealed that oral effectively suppressed luteinizing hormone levels, supporting its potential for further optimization.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257392PMC
http://dx.doi.org/10.1021/acsmedchemlett.5c00230DOI Listing

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