Synthesis and pharmacological evaluation of 4H-1,4-benzothiazine-2-carbonitrile 1,1-dioxide and N-(2-cyanomethylsulfonylphenyl)acylamide derivatives as potential activators of ATP sensitive potassium channels

Abstract 1,2,4-Thiadiazine derivatives, like 3-methyl-7-chlorobenzo-4 H -1,2,4-thiadiazine 1,1-dioxide, diazoxide and 7-chloro-3-isopropylamino-4 H -benzo-1,2,4-thiadiazine 1,1-dioxide, BPDZ 73, are potent openers of Kir6.2/SUR1 K ATP channels. To explore the structure–activity relationship of this series of K ATP openers, 4 H -1,4-benzothiazine-2-carbonitrile 1,1-dioxide and N -(2-cyanomethylsulfonylphenyl)acylamide derivatives were synthesized from 2-acetylamino-5-chloro-benzenesulfonic acid pyridinium salt or 2-aminobenzenethiols. The 4 H -1,4-benzothiazine-2-carbonitrile 1,1-dioxide derivatives (e.g., 7-chloro-3-isopropylamino-4 H -1,4-benzothiazine-2-carbonitrile 1,1-dioxide, 3f ) were found to activate K ATP channels as indicated by their ability to hyperpolarize beta cell membrane potential, to inhibit glucose-stimulated insulin release in vitro and to increase ion currents through Kir6.2/SUR1 channel as measured by patch clamp. The potency and efficacy of, for example, 3f is however significantly reduced compared to the corresponding 4 H -1,2,4-benzothiadiazine 1,1-dioxide derivatives. Opening of the 4 H -1,2,4-thiadiazine ring to get (e.g., 2-cyanomethylsulfonyl-4-fluorophenyl) carbamic acid isopropyl ester ( 4c ) gives rise to compounds, which are able to open K ATP channels but with considerable reduced potency compared to, for example, diazoxide. Compound 3a , 7-chloro-3-methyl-4 H -1,4-benzothiazine-2-carbonitrile 1,1-dioxide, which inhibits insulin release in vitro from beta cells and rat islets, reduces plasma insulin levels and blood pressure in anaesthetized rats upon intravenous administration.