Exploring the DS2 Scaffold for GABAA Receptor Modulation: Progress toward the Development of a GABAA δ-Subunit Preferring Negative Allosteric Modulator.

Extrasynaptic δ-containing γ-aminobutyric acid type A receptors (GABAARs) are potential drug targets in the treatment of several neurological disorders with altered tonic inhibition. Only a few compounds exhibit δ-GABAAR selectivity, among which the imidazo[1,2-a]pyridine compound DS2 constitutes a valuable tool compound. Guided by the recently identified molecular determinants responsible for the positive allosteric modulation by DS2 in the TMD α(+)β(-) interface of the α4β1δ GABAAR, a series of DS2 analogues were synthesized. Replacement of a thienyl moiety with an N-methylated pyrrolyl ring (1e) converted the pharmacological profile from positive to negative allosteric modulation. Compound 1e exhibited no activity at selected γ2-containing GABAAR subtypes, indicating δ-GABAAR selectivity. The ability of 1e to reduce the GABA currents of recombinant receptors carrying α4- and δ-subunit gain-of-function mutations found in patients with neurodevelopmental disorders and epilepsy, as well as being brain-permeable, identifies 1e as a lead compound for reducing pathophysiologically excessive tonic inhibition.