2-Phenyl-1H-pyrrole-3-carboxamide as a New Scaffold for Developing 5-HT6 Receptor Inverse Agonists with Cognition-Enhancing Activity

Serotonin type 6 receptor (5-HT6R) has gained particular interest as a promising target for treating cognitive deficits, given the positive effects of its antagonists in a wide range of memory impairment paradigms. Herein, we report on degradation of the 1H-pyrrolo[3,2-c]quinoline scaffold to provide the 2-phenyl-1H-pyrrole-3-carboxamide, which is devoid of canonical indole-like skeleton and retains recognition of 5-HT6R. This modification has changed the compound’s activity at 5-HT6R-operated signaling pathways from neutral antagonism to inverse agonism. The study identified compound 27 that behaves as an inverse agonist of the 5-HT6R at the Gs and Cdk5 signaling pathways. Compound 27 showed high selectivity and metabolic stability and was brain penetrant. Finally, 27 reversed scopolamine-induced memory decline in the novel object recognition test and exhibited procognitive properties in the attentional set-shifting task in rats. In light of these findings, 27 might be considered for further evaluation as a new cognition-enhancing agent, while 2-phenyl-1H-pyrrole-3-carboxamide might be used as a template for designing 5-HT6R inverse agonists.


INTRODUCTION
Cognitive decline and mental retardation are associated with several neurological and psychiatric disorders such as Alzheimer's disease, Parkinson's disease, schizophrenia, depression, Down syndrome, and autism spectrum disorders. 1,2 The complexity and progressive nature of these diseases and the limited efficacy of the currently used drugs indicate the paramount need to develop novel therapeutic approaches. Among the different molecular targets, the 5-HT 6 receptor (5-HT 6 R) has emerged as a particularly promising target to alleviate cognitive impairments. 3,4 The 5-HT 6 R belongs to the family of G-protein-coupled receptors (GPCRs), which are canonically coupled to the adenylyl cyclase pathway. 5 Recent studies have identified 125 candidate receptor partners, making the 5-HT 6 R one of the GPCRs with the most extensively characterized interactome. 6,7 In addition to the canonical Gs-adenylyl cyclase signaling pathway, the 5-HT 6 R has been linked to cellular signaling cascades involved in cognitive processes and neurogenesis, such as mammalian target of rapamycin (mTOR) and cyclindependent kinase 5 (Cdk5) pathways. Indeed, enhanced mTOR activity under the control of the 5-HT 6 R contributes to cognitive deficits associated with schizophrenia 8 and cannabis abuse during adolescence. 9 Activation of Cdk5 signaling by the 5-HT 6 R plays a crucial role in the migration of cortical neurons and the initiation of neurite growth. 10 Another important feature of the 5-HT 6 R is represented by a high level of constitutive activity. This particular property corresponds to the ability of the receptor to be spontaneously active in the absence of an agonist. 11 The 5-HT 6 R constitutive activity was established for recombinant receptors expressed in cell lines 12 and subsequently confirmed for native receptors in primary cultured neurons and mouse brain. 13 The highest expression of 5-HT 6 Rs is found in the central nervous system regions involved in mnemonic functions such as the hippocampus, striatum, nucleus accumbens, and prefrontal cortex. Further lines of evidence demonstrated the expression of the 5-HT 6 R in the primary cilium, highlighting the involvement of the 5-HT 6 R in neuronal morphology. 14,15 The cognitiveenhancing properties result from the blockade of 5-HT 6 Rs located on GABAergic neurons and promotion of corticolimbic release of acetylcholine and glutamate. 16 Our recent interest in 5-HT 6 R ligands has culminated in the identification of (S)-1-[(3-chlorophenyl)sulfonyl]-4-(pyrrolidine-3-yl-amino)-1H-pyrrolo [3,2-c]quinoline (CPPQ), a pyrroloquinoline-derived potent and selective 5-HT 6 R neutral antagonist. 17,18 Inspired by the activity of CPPQ, 9,13 we applied the scaffold-hopping approach to replace the planar 1Hpyrrolo [3,2-c]quinoline skeleton with a more flexible 2phenyl-1H-pyrrole-3-carboxamide in order to investigate the effect of a central core retraction on 5-HT 6 R affinity and functional activity. The chemical diversity around the new framework involved (i) introduction of a fluorine atom at the 2phenyl fragment (R 1 ), (ii) functionalization of N 1 pyrrole with aryl-or heteroarylsulfonyl moieties (R 2 ), and (iii) changing configuration at the 3-aminopyrrolidinyl moiety at the 3carboxamide fragment (Figure 1).
The present manuscript reports on the identification of a promising arylsulfonamide of 2-phenylpyrrole-3-carboxamide analogue (27) which displays inverse agonist properties at 5-HT 6 R-operated Gs and Cdk5 signaling pathways. We also examined whether 27 is distributed to the brain and could reverse cognitive impairments in the novel object recognition (NOR) test under scopolamine-induced memory decline conditions and whether it could facilitate cognitive flexibility in the attentional set-shifting task (ASST) in rats.

RESULTS AND DISCUSSION
3.1. Structure−Activity Relationship (SAR) Studies. To reveal common pharmacophore features for 5-HT 6 R antagonists, 21 2-phenyl-1H-pyrrole-3-carboxamide was used as an aromatic ring hydrophobic site instead of the previously used 1H-pyrrolo [3,2-c]quinoline scaffold. The applied new framework opened the possibility of introducing the second hydrophobic site linked to the central core by a sulfonyl group at the N 1 position of pyrrole as a hydrogen bond acceptor and an alicyclic amine in the 3-carboxamide fragment providing a positively ionizable atom.
Final compounds were evaluated in the [ 3 H]-LSD binding assay using HEK293 cells with stable expression of human 5-HT 6 R. The SAR studies initially revealed that the degradation of the 1H-pyrrolo [3,2-c]quinoline central core to 2-phenyl-1Hpyrrole-3-carboxamide significantly decreased the affinity of new derivatives 7 and 8 for 5-HT 6 R (I, K i = 10 nM vs 7, K i = 208 nM; 8, K i = 106 nM) ( Figure 1). Because the fluorine atom might affect the affinity at target protein as well as physicochemical and pharmacokinetic properties of compound, 22 fluorine substitution at the 2-phenyl ring was applied. The introduction of fluorine in the C 4 position (R 1 ) maintained (17 vs 27; 18 vs 28) or slightly increased (7 vs 24; 12 vs 26) the affinity for 5-HT 6 R, while the C 3 position was less preferable (21 vs 17 and 27). The analysis of the binding mode of 18 and 28 ( Figure 2A) confirmed that the 2-phenyl moiety is placed in the hydrophobic cavity between transmembrane domains (TMs) 4−6.
Considering our previously reported data, 17,23,24 which indicate that structural functionalization of the arylsulfonamide fragment (R 2 ) highly impacts the affinity for the 5-HT 6 R, diverse substitution, i.e., halogen atom, alkyl, or alkoxyl moieties, was investigated. Generally, substitution in the C 3 position at the phenylsulfonyl ring was beneficial for interaction with the 5-HT 6 R. Introduction of electron-withdrawing substituents such as fluorine, chlorine, trifluoromethyl, or the bulky trifluoromethoxy group significantly increased the affinity for 5-HT 6 R (24 vs 26; 8 vs 18; 8 vs 14; 8 vs 16; respectively). Among electron-withdrawing substituents, chlorine was the most privileged one, increasing the affinity for the 5-HT 6 R up to 6-fold (7 vs 17; 8 vs 18). This may result from the fact that halogen atoms stabilize the ligand−receptor complex by forming additional interactions and thus improve the affinity for 5-HT 6 Rs. 25 Indeed, the analysis of the binding modes ( Figure 2B) revealed that chlorine atom in C 3 position at the phenylsulfonyl ring may form halogen bonding contacts with the carbonyl oxygen of A4.56 and S4.57, which were not detected for unsubstituted derivatives (27 vs 24). Interestingly, these amino acids were also indicated as halogen bonding hot spots in other classes of 5-HT 6 R ligands. 26,27 On the other hand, the introduction of electron-donating substituents was less favorable for interaction with the 5-HT 6 R (24 vs 25), while a small methyl substituent was tolerated (11, K i = 96 nM). The shifting of a chlorine atom or a methyl group from the C 3 to C 2 position decreased the affinity for the 5-HT 6 R (10 vs 17; 9 vs 11).
Surprisingly, a loss of affinity for the 5-HT 6 R was observed when the fluorine atom was moved from the C 3 to C 4 position (26 vs 29). Finally, the replacement of the phenyl fragment with fivemembered heterocyclic moieties, namely, thien-2-yl (19) and 1methyl-1H-pyrazol-4-yl (20) or bicyclic naphth-1-yl (31) and quinol-8-yl (32), was not suitable for interaction with the 5-HT 6 R (Table 1). Because the stereochemical properties of compounds might modify the affinity for the 5-HT 6 R, both enantiomers of the pyrrolidin-3-yl fragment were investigated. With regard to their binding with target protein, a preference for the S enantiomers over its R counterparts was observed (Table 1). A comparison of the binding mode of 27 and 28 ( Figure 2B) demonstrated modest differences in the orientation of the basic group, while both enantiomers created a strong salt bridge with D3.32.
Molecular docking was also used to study the binding mode of newly synthesized 2-phenyl-1H-pyrrole-3-carboxamides using CPPQ as a reference compound. 17 Generally, the binding mode was coherent and showed a similar interaction pattern to CPPQ; i.e., the protonated fragment containing basic nitrogen formed a salt bridge with D3.32, the aromatic scaffold created CH−π interaction with F6.52/F6.51, and the terminal substituted phenyl ring expanded into a hydrophobic cavity formed by TMs 3, 4, and 5 and the extracellular loop 2 (ECL2). Comparison of the binding modes of 18 and 28 with CPPQ ( Figure 2A) indicates that the phenyl moiety of the central core is twisted compared to the pyrroloquinoline system of CPPQ so that interaction with the aromatic cluster F6.52/F6.51 is further stabilized.
3.2. Selectivity Profiles of Selected Compounds. The most potent compounds (K i ≤ 30 nM) exhibiting structural (18,22,28) and enantiomeric (27,28) diversity were further evaluated for their selectivity over serotonin receptors (5-HT 1A R, 5-HT 2A R, 5-HT 7 R) and dopamine D 2 receptor (D 2 R) in radioligand binding assays. The tested compounds displayed high selectivity over 5-HT 1A , 5-HT 2A , 5-HT 7 , and D 2 receptors (Table 2). In contrast to the reference, intepirdine, the selected compounds did not show any significant affinity for 5-HT 2A R. Thus, they might be devoid of the side effects associated with the modulation of 5-HT 2A R, such as hallucinations, psychosis, fear, hypotension, headache, and dizziness. 28,29 3.3. Functional Profiles of Selected Compounds. The effect of compounds 18, 22, 27, and 28 on adenylate cyclase was examined in 1321N1 cells expressing the 5-HT 6 R. Regardless of the type of substituent at the 2-phenyl-1H-pyrrole moiety and spatial isomerism, all of the tested compounds inhibited the 5carboxamidotryptamine (5-CT)-stimulated cAMP accumulation and thus were classified as 5-HT 6 R antagonists (K b = 6−35 nM) ( Table 3).
As the high level of 5-HT 6 R constitutive activity was observed in in vitro and in vivo settings, 12,13 we subsequently evaluated whether the representatives of 2-phenyl-1H-pyrrole-3-carboxamides (18, 22, 27, 28) modulate agonist-independent 5-HT 6 R-operated Gs signaling. Experiments were performed in NG108-15 cells transiently expressing recombinant receptors, a cellular model exhibiting constitutively active 5-HT 6 R. In contrast to CPPQ, a reference neutral antagonist, 13,17,32 all the tested compounds decreased basal cAMP level in a concentrationdependent manner and behaved as 5-HT 6 R inverse agonists ( Figure 3). Additionally, the evaluated compounds showed potency similar to that of SB-271046, the reference 5-HT 6 R inverse agonist (Table 3). Thus, it may be concluded that the replacement of the 1H-pyrrolo[3,2-c]quinoline scaffold with the 2-phenyl-1H-pyrrole-3-carboxamide moiety shifted the functional activity of compounds at the Gs signaling pathway from neutral antagonism to inverse agonism and allowed us to target different active states of the 5-HT 6 R.
In addition to the canonical Gs-adenylyl cyclase pathway, the 5-HT 6 R activates Cdk5 signaling in an agonist-independent manner. Preventing this activation with inverse agonists inhibits neurite growth. 10 Compound 28 which possesses the most potent inverse agonist properties at Gs signaling and its enantiomer 27 were examined to assess their effect on Cdk5dependent neurite growth. As shown in Figure 4, transfection of the 5-HT 6 R in NG108-15 cells results in a significant increase in neurite length as compared to green fluorescent protein (GFP) transfected cells. Both compounds 27 and 28, applied at a concentration of 10 nM, significantly reduced neurite length in NG108-15 cells in the same way as our reference SB-271046 (with decreases of 36.9%, 57.5%, and 49.6%, respectively). Thus,   these compounds might be regarded as full inverse agonists at agonist-independent 5-HT 6 R-mediated Cdk5 signaling. Of note, compound 27 displayed more significant impact on Cdk5 signaling compared to 28 and SB-271046 ( Figure 4).
3.4. Pharmacokinetics Evaluation. Preliminary ADME and pharmacokinetics assessment play a crucial role in the optimization process of a preclinical lead compound. Thus, compounds 27 and 28 were further subjected to biotransformation studies using rat liver microsomes (RLMs). The tested compounds showed a low value of intrinsic clearance (0.82 μL/ min/mg and 1.03 μL/min/mg for 27 and 28, respectively), indicating high metabolic stability.
Subsequently, the pharmacokinetic profile of 27 and 28 was assessed in male Wistar rats after single intragastric administration at the dose of 10 mg/kg. The studied compounds were rapidly absorbed and crossed the blood−brain barrier, reaching the C max in 5 min in both plasma and brain. Compound 27 showed higher distribution in the systemic circulation, with the brain/plasma ratio of 0.63 (Table 4). Although 28, the S enantiomer of 27, showed slightly higher affinity and antagonism at Gs signaling for the 5-HT 6 R in in vitro assays, the in vivo pharmacokinetic profile precluded its further development.
Considering a potential drug−drug interaction, 27 was further evaluated for its inhibitory activity on human cytochrome P450 (CYP450). Although compound 27 decreased the activity of CYP3A4 subtype (IC 50 = 69 nM), it did not significantly influence CYP2D6. Since drug-induced liver injuries constitute a clinical issue, compound 27 was tested in the human hepatocellular carcinoma (HepG2) model to exclude its hepatotoxicity. Compound 27 did not impair the metabolic activity of cells assessed in the MTT test and did not affect the cell membrane integrity as determined in the LDH test in a wide range of concentrations (0.1−25 μM) ( Figure 5). Finally, compound 27 was subjected to the Ames test to assess its potential to induce mutation in genes involved in histidine synthesis. Compound 27 was found to be non-mutagenic using Salmonella typhimurium TA10.
3.6. Behavioral Evaluation of the Procognitive Effects of Compound 27. 5-HT 6 R antagonists, which behave as neutral antagonists or inverse agonists, enhanced cognitive performance in animal models. 17,33,34 Thus, the effect of Figure 4. Impact of compounds 27 and 28 on Cdk5 signaling pathway. NG108-15 cells were transfected with a plasmid encoding a GFPtagged 5-HT 6 receptor or GFP alone. Cells expressing the receptor were exposed to DMSO (control), compounds 27 and 28, and SB-271046 (10 −8 M) for 24 h. The histogram shows the mean ± SEM of neurite length for each experimental condition measured from three independent experiments: ***P < 0.001 vs cells expressing GFP; ANOVA followed by Student−Newman−Keuls test.   compound 27 on short-term memory was investigated in the NOR test in rats treated with scopolamine. 35−37 As expected, scopolamine-treated but not vehicle-treated rats spent significantly less time exploring the novel object than the familiar one, indicating that scopolamine abolished the ability to discriminate novel and familiar objects. Administration of scopolamine blocks muscarinic acetylcholine receptors and thus serves as a pharmacological model of cognitive decline. Compound 27 given p.o. at the dose of 6, but not 3 mg/kg, prevented scopolamine-induced cognitive deficits in the NOR test ( Figure  6).
Neuropsychiatric and neurodegenerative disorders are associated with cognitive impairments, including cognitive inflexibility, resulting in deficient adaptation to the changing conditions. These impairments are often reported in schizophrenic patients and in subjects with lesions of the prefrontal cortex. 38 The effects of compound 27 were further examined in the ASST. This test consists of a series of two-choice discriminations, in which one of the two stimulus dimensions (e.g., the material covering the bait) is relevant and the other dimension (e.g., an odor applied to the bait container) is irrelevant for successful discrimination. The animals are required to learn the currently relevant rule and must maintain the application of that specific rule to a novel set of stimuli. This, in turn, leads to the formation of an attentional set that can be seen as "locking" the subject within an initially relevant dimension. In the crucial extra-dimensional (ED) stage, the animals must switch their attention to previously irrelevant stimulus dimension; for instance, they have to discriminate between the odors instead of the materials covering the food reward. The animal's performance during the ED stage is regarded as an index of cognitive flexibility. Additionally, reversal learning stages examine rats' ability to adjust responses following a change in the stimuli signifying food reward. Reduction in the number of trials to criterion at the reversal trials and at the ED stage in particular suggests an improvement in cognitive flexibility. 39 Compound 27 administered at the dose of 9 mg/ kg p.o. enhanced cognitive flexibility as indicated by a decreased number of trials to criterion during the ED and three reversal stages (Rev1, Rev2, and Rev3). The lower dose of compound 27 (6 mg/kg) was effective only during the Rev2 phase (Figure 7, upper panel). Additionally, compound 27 did not affect the mean time to complete the trial during any of the discrimination stages ( Figure 7, lower panel).

CONCLUSIONS
The scaffold-hopping approach around pyrroloquinoline derivatives was applied to design 2-phenyl-1H-pyrrole-3carboxamides as a new structural framework for developing 5-HT 6 R antagonists. SAR studies revealed the subsequent structural requirements for high affinity for the 5-HT 6 R, i.e., a fluorine atom in the C 4 position at the 2-phenylpyrrole fragment, a 3-chlorophenylsulfonyl moiety in position N 1 , and pyrrolidine as a basic center. The in vitro functional activity evaluation for 5-HT 6 R-operated Gs and Cdk5 signaling allowed classification of the identified compounds as 5-HT 6 R inverse agonists. This observation is in sharp contrast to the prototypic pyrroloquinoline-based compound CPPQ, which behaved as a neutral antagonist. Selected compound 27 showed good brain distribution, no cytotoxicity, and no mutagenic activity. Therefore, it might be placed in low-risk safety space. The cognition-enhancing properties of 27 were subsequently  demonstrated in the NOR test (6 mg/kg, p.o.) in scopolamineinduced memory decline conditions. Compound 27 also increased the cognitive flexibility mediated by the prefrontal cortex in the ASST in rats (9 mg/kg, p.o.). In view of the above findings, compound 27 might be regarded as a probe to study the contribution of agonist-independent 5-HT 6 R activity to neurological and neurodegenerative disorders.
The synthesis was carried out at ambient temperature unless indicated otherwise. Organic solvents (from Aldrich and Chempur) were of reagent grade and were used without purification. All reagents (Sigma-Aldrich, Fluorochem, Across, and TCI) were of the highest purity. Column chromatography was performed using silica gel Merck 60 (70−230 mesh ASTM).
Mass spectra were recorded on a UPLC−MS/MS system consisting of a Waters ACQUITY UPLC (Waters Corporation, Milford, MA, USA) coupled to a Waters TQD mass spectrometer. All the analyses were carried out using an Acquity UPLC BEH C18 100 × 2.1 mm 2 column at 40°C. A flow rate of 0.3 mL/min and a gradient of (0− 100)% B over 10 min was used: eluent A, water/0.1% HCOOH; eluent B, acetonitrile/0.1% HCOOH. Retention times, t R , were given in minutes. The UPLC/MS purity of all the test compounds and key intermediates was determined to be >98%. HRMS analyses were performed on an UPLC Acquity H-class from Waters hyphenated to a Synapt G2-S mass spectrometer with a dual ESI source from Waters. 1  The synthetic procedures for intermediates 5 and 6 and final compounds (7−32) as well as characterization data for selected final compounds (18,22,27,28) are presented below. The synthesis of intermediates 1−4 was performed according to the previously described procedures 19,20 and is reported in the Supporting Information together with spectroscopic data for all intermediates and remaining final compounds.
5.1.2. General Procedure for Ester Hydrolysis (5a−c). The appropriate methyl ester derivative 4 (1 equiv) was heated under reflux with the excess of 10% aqueous solution of NaOH for 3h. Then, 10% aqueous solution of HCl was added portionwise to acidic pH. The mixture was diluted with EtOAc and washed three times with water and once with brine. The organic layer was dried with Na 2 SO 4 , evaporated, and dried under vacuum. 5.1.3. General Procedure for Amide Coupling (6a−f). The carboxylic acid 5 (1 equiv) was added to a solution of 1hydroxybenzotriazole (HOBT) (1.2 equiv) and benzotriazole-1-yloxy-tris(dimethylamino)phosphonium hexafluorophosphate (BOP) (1.2 equiv) in DMF, and the mixture was stirred for 30 min with triethylamine (3 equiv). Then, (R) or (S) enantiomer of 1-Boc-3aminopyrrolidine (1.2 equiv) was added and left to react overnight. The mixture was diluted with EtOAc and washed with H 2 O and brine, dried (Na 2 SO 4 ), concentrated, and purified over silica gel.
5.1.4. General Procedure for the Synthesis of Final Compounds 7−32. The synthesized amide 6 (1 equiv) was dissolved in CH 2 Cl 2 , and phosphazene base P 1 -t-Bu-tris(tetramethylene) (BTPP) (1.2 equiv) was added. The mixture was cooled down (ice bath), appropriate sulfonyl chloride (1.2 equiv) was added, and the reaction mixture was stirred for 3 h. Subsequently, the mixture was evaporated and the remaining crude product was purified on silica gel. Then, the free bases were dissolved in anhydrous ethanol and treated with 1.25 M methanolic HCl to give the final products as hydrochloride salts after evaporation.  5.2. Molecular Docking. The 5-HT 6 R homology models were obtained according to the procedure described before on the β 2 receptor template (PDB code 4LDE) and successfully used in our earlier studies of different groups of 5-HT 6 R ligands simulations. 24,40 The three-dimensional structures of the ligands were prepared using LigPrep version 3.6 [Schrodinger Release 2020-4: LigPrep, Schrodinger, LLC, New York, NY, 2020], and the appropriate ionization states at pH = 7.0 ± 0.5 were assigned using Epik version 3.4 [Schrodinger Release 2020-4: Epik, Schrodinger, LLC, New York, NY, 2020]. Protein Preparation Wizard was used to assign bond orders and appropriate amino acid ionization states and to check for steric clashes. The receptor grid was generated by centering the grid box with a size of 12 Å on D3.32. Automated flexible docking was performed using Glide version 7.0 at the SP level [Schrodinger Release 2020-4: Glide, Schrodinger, LLC, New York, NY, 2020].
5.3. In Vitro Pharmacological Evaluation. 5.3.1. Radioligand Binding Assays. All experiments were carried out according to the previously published procedures. 41−43 HEK293 cells stably expressing human 5-HT 1A , 5-HT 6 , 5-HT 7b , and D 2L receptors (prepared with the use of Lipofectamine 2000) or CHO-K1 cells with plasmid containing the sequence coding for the human serotonin 5-HT 2A receptor (PerkinElmer) were maintained at 37°C in a humidified atmosphere containing 5% CO 2 and grown in Dulbecco's modified Eagle's medium containing 10% dialyzed fetal bovine serum and 500 μg/mL G418 sulfate. For membrane preparation, cells were cultured in 150 cm 2 flasks, grown to 90% confluence, washed twice with prewarmed to 37°C phosphate buffered saline (PBS), and centrifuged (200g) in PBS containing 0.1 mM EDTA and 1 mM dithiothreitol. Prior to membrane preparation, pellets were stored at −80°C. Cell pellets were thawed and homogenized in 10 volumes of assay buffer using an Ultra Turrax tissue homogenizer and centrifuged twice at 35 000g for 15 min at 4°C, with incubation for 15 min at 37°C between the centrifugations. The composition of the assay buffers was experimentally selected to achieve the maximum signal window (more details in Supporting Information). All assays were carried out in a total volume of 200 μL in 96-well plates for 1 h at 37°C except 5-HT 1A R and 5-HT 2A R which were incubated at room temperature and 27°C, respectively. The process of equilibration was terminated by rapid filtration through Unifilter plates with a 96-well cell harvester, and radioactivity retained on the filters was quantified on a Microbeta plate reader (PerkinElmer, USA). For displacement studies the assay samples contained the following as radioligands  44 Additionally, the affinity of compound 27 at the adrenergic α 1A , muscarinic M 1 , histaminergic H 1 , dopaminergic D 3 , serotoninergic 5-HT 2C , 5-HT 3 receptors, serotonin transporter (SERT), and the human ether-a-go-go-related gene (hERG) channel were evaluated in Eurofins Cerep. The results were expressed as the % inhibition at 1 μM according to experimental protocols described online at https://www.eurofins. com/.

Determination of cAMP Production in 1321N1
Cells. The properties of compounds 18, 22, 27, 28 to inhibit cAMP production induced by 5-CT (1000 nM), a 5-HT 6 R agonist, were evaluated. Compounds were tested in triplicate at eight concentrations (10 −11 − 10 −4 M). The level of cAMP was measured using frozen recombinant 1321N1 cells expressing the human serotonin 5-HT 6 R (PerkinElmer). Total cAMP was measured using the LANCE cAMP detection kit (PerkinElmer), according to the manufacturer's recommendations. For quantification of cAMP levels, 2000 cells/well (5 μL) were incubated with a mixture of compounds (5 μL) for 30 min at room temperature in 384-well white opaque microtiter plate. After incubation, the reaction was stopped and cells were lysed by the addition of 10 μL of working solution (5 μL of Eu-cAMP and 5 μL of ULight-anti-cAMP) for 1 h at room temperature. Time-resolved fluorescence resonance energy transfer (TR-FRET) was detected by an Infinite M1000 Pro (Tecan) using instrument settings from LANCE cAMP detection kit manual. K b values were calculated from Cheng−Prusoff equation specific for the analysis of functional inhibition curves: K b = IC 50 /(1 + A/EC 50 ) where A represents agonist concentration, IC 50 the concentration of antagonist producing a 50% reduction in the response to agonist, and EC 50 the agonist concentration which causes a half of the maximal response. 44 5.3.3. Determination of cAMP Production in NG108-15 Cells. NG108-15 cells were grown in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% dialyzed fetal calf serum, 2% hypoxanthine/aminopterin/thymidine (Life Technologies), and antibiotics. cAMP measurement was performed in cells transiently expressing 5-HT 6 R using the bioluminescence resonance energy transfer (BRET) sensor for cAMP, CAMYEL (cAMP sensor using YFP-Epac-RLuc). 45  PFA fluorescence was quenched by incubating the cells in PBS containing 0.1 M glycine, prior to mounting in Prolong Gold antifade reagent (Thermo Fisher Scientific). Cells were imaged using an AxioImagerZ1 microscope equipped with epifluorescence (Zeiss), using a 20× objective for cultured cells, and neurite length was assessed using the Neuron J plugin of the ImageJ software (NIH).
5.4. Pharmacokinetics Evaluation. 5.4.1. In Vitro Metabolic Stability Study. Metabolic stability of compounds 27 and 28 was analyzed using incubation systems composed of tested compound (10 μM), rat liver microsomes (RLMs, microsomes from rat male liver, pooled; 0.4 mg/mL; Sigma-Aldrich), NADPH-regenerating system (NADP+, glucose-6-phosphate, and glucose-6-phosphate dehydrogenase in 100 mM potassium buffer, pH 7.4; all from Sigma-Aldrich) and potassium buffer, pH 7.4. Stock solution of tested compounds was prepared in methanol (the final methanol concentration in incubation mixture does not exceed 0,1%). First, all samples containing incubation mixture (without NADPH-regenerating system) were preincubated in thermoblock at 37°C for 10 min. Then reaction was initiated by the addition of NADPH-regenerating system. In control samples NADPHregenerating system was replaced with potassium buffer. Probes were incubated for 30 and 60 min at 37°C. After addition of internal standard (pentoxifylline, 10 μM) biotransformation process was stopped by addition of perchloric acid. Next, samples were centrifuged and supernatants were analyzed using UPLC/MS (Waters Corporation, Milford, MA). All experiments were run in duplicates. Half-life time was evaluated using nonlinear regression model using GraphPad (v/v) formic acid, and eluent B, HPLC grade water with 0.1% (v/v) formic acid. The elution gradient started with 90% of eluent B, increasing to 90% of eluent A over 5 min, returned to 90% of eluent B over 5 min, and maintained at 90% of eluent B for 5 min. The mobile phase flow rate was set at 400 μL/min. The injection volume was 20 μL, and the total time of analysis was 15 min. The temperatures of the column thermostat and the autosampler were set at 40 and 10°C, respectively.
For increased sensitivity and selectivity, the MS/MS data acquisition was performed in the selected reaction monitoring (SRM) mode. The ions measured were m/z 585.1 (Q1) and m/z 516.2 (Q3) for compounds 27 and 28 and m/z 305 (Q1) and m/z 248 (Q3) for IS. The quantification was done via peak area ratio.
The developed method was validated according to validation procedures, parameters, and acceptance criteria based on FDA and EMA guidelines for bioanalytical method validation. 47,48 5.4.2.3. Sample Preparation. Protein precipitation with acetonitrile was used for purification of plasma and brain homogenates. The whole brain was homogenized using an electric tissue homogenizer in an appropriate amount of phosphate buffer (pH 7.4) in 1:2.5 ratio. Thereafter, a volume of 100 μL of plasma or brain homogenate was transferred to 2 mL Eppendorf tubes, and a 5 μL aliquot of the internal standard (IS, PH002437, Merck, Darmstadt, Germany) in working solution (5 μg/mL) was added and vortex-mixed for 10 s. Thereafter, 200 μL of acetonitrile was added and mixed for 20 min, followed by centrifugation (28 672g) for 10 min at 4°C. The supernatant was transferred to chromatographic vials, and 20 μL was injected into the analytical column.

Animals and Ethical Statement.
A group of 64 male, 8week-old, Wistar strain outbred rats weighing between 200 and 220 g each were purchased from the Animal House at the Faculty of Pharmacy, Jagiellonian University Medical College, Krakow (Poland) and housed in standard polycarbonate cages, in groups of four animals per cage. Environmental conditions during the study were constant: relative humidity 50−60%, temperature 22 ± 2°C, normal 12 h light− dark cycle (7 a.m. to 7 p.m. light). Standard rodent chow and water were available ad libitum. Compounds 27 and 28 were dissolved in saline and administered by intragastric gavage at a dose of 10 mg/kg, and the animals were sacrificed at specific time-points: 0 min, predose (n = 4), 5 min (n = 4), 15 min (n = 4), 30 min (n = 4), 60 min (n = 4), 120 min (n = 4), 240 min (n = 4), and 480 min (n = 4) after administration. Animals were deeply anaesthetized by ip injections of 50 mg/kg ketamine plus 8 mg/kg xylazine before sacrifice. First, the blood was collected into heparinized tubes, and the blood samples were centrifuged at 1000g for 10 min to obtain plasma. Following the animals' euthanasia, the whole brain was collected. The plasma and brain samples were immediately frozen at −80°C for future analysis. All experimental procedures were carried out in accordance with EU Directive 2010/63/EU and approved by the I Local Ethics Committee for Experiments on Animals of the Jagiellonian University in Krakow, Poland (No. 83/2018).

Extended in Vitro
Off-Target Selectivity and Safety Profile Assessment for Compound 27. 5.5.1. Inhibition of Cytochrome P450: CYP3A4 and CYP2D6. The luminescent CYP3A4 P450-Glo and CYP2D6 P450-Glo assays and protocols were provided by Promega (Madison, WI, USA). The P450-Glo systems based on the conversion proluciferins, derivatives of beetle luciferin [(4S)-4,5dihydro-2-(6′-hydroxy-2′-benzothiazolyl)-4-thiazolecarboxylic acid] into D-luciferin were catalyzed by respective CYP isoform. D-Luciferin is formed and detected in a second reaction with the luciferin detection reagent (LDR). The amount of light produced in the second reaction is proportional to CYP activity.
The stock solutions (10 mM) of the references ketoconazole (KE), quinidine (QD), and examined compounds were performed in DMSO. The 4× concentrated dilutions were prepared before the assays. The enzymatic reactions were conducted in white polystyrene, flat-bottom Nunc MicroWell 96-well microplates (Thermo Scientific, Waltham, MA USA).
The CYPs, proluciferin, and examined compounds (25 μL/well) were preincubated first for 5 min, and next the NADPH regeneration system was added (25 μL) to start the reaction. The final concentrations of KE and examined compounds were in range from 0.01 μM to 25 μM. The final concentrations of QD were from 0.001 to 10 μM. The control reactions for measuring the 100% of CYPs activity and minus-CYP negative control reactions for measure background luminescence were also prepared. The microplate was incubated in room temperature for 30 min (CYP3A4) or 45 min (CYP2D6). Finally, LDR was added (50 μL/well), and after 20 min of incubation in room temperature the luminescence signal was measured with a microplate reader (EnSpire, PerkinElmer) in luminescence mode. The signal produced by CYPs without the presence of compounds was considered as 100% of CYP activity. The IC 50 values and were calculated using GraphPad Prism 5 software.
5.5.2.2. LDH Assay. Cells were seeded at density 2 × 10 4 cells/per well in 95-well plates. After 24 h, compound 27 and reference standard DOX (highly cytotoxic agent) were added to final concentrations of 0.1−150 μM. After 24 h incubation, plates were centrifuged (200g, 2 min) and 50 μL of the supernatant was transferred into the corresponding 96-well plate. Subsequently, 50 μL of LDH-reaction mixture prepared according to the manufacturer's instructions (Invitrogen) was added to each well. Incubation was conducted in darkness for 30 min at room temperature. Next, stop solution was added and absorbance was measured at 490 nm (A490) using a plate reader (Spectra Max iD3, Molecular Devices). Cytotoxicity was determined as follows: cytotoxicity (%) = [(compound LDH activity − spontaneous LDH activity)/(maximum LDH activity − spontaneous LDH activity)] × 100. The maximum LDH activity was prepared by treating cells with lysis buffer. The medium used in the LDH assay contained 1% FBS. Two independent experiments were performed for each condition. 5.5.2.3. MTT Assay. The MTT assay was used to determine the viability of HepG2 cells incubated in the presence of compound 27 and DOX. Cells were seeded at a density of 2 × 10 4 in 96-well plates. Following overnight culture, the cells were treated with with 27 and DOX in concentration range 0.1−150 μM for 24 h. Following cell exposure to each compound 10 μL of MTT reagent (Sigma-Aldrich) was added to each well. After 4 h of incubation (37°C, 5% CO 2 ) the culture medium was aspirated and formazan crystals were dissolved in 100 μL of DMSO. Then, optical density (OD) at 570 nm was determined on a plate reader (Spectra Max iD3, Molecular Devices). Each individual experiment was repeated at least three times. 5.5.3. Evaluation of the Mutagenic Potential: AMES Test. Ames microplate fluctuation protocol (MPF) assay was performed with Salmonella typhimurium strain TA100, enabling the detection base substitution mutations. Bacterial strain and exposure and indicator medium were purchased from Xenometrix AG (Allschwil, Switzerland). The mutagenic potential of tested structures was evaluated by incubation of bacteria, incapable of producing histidine, with particular concentration of test compounds for 90 min in exposure medium, containing limited amount of histidine. The occurrence of reversion events to histidine prototrophy was observed as a growth of bacteria in the indicator medium without histidine after 48 h of incubation in room temperature. Bacterial growth in 384-well plates was visualized by color change of medium from violet to yellow due to addition of pH indicator dye. Compound was classified as mutagenic, if the fold increase in number of positive wells over the medium control baseline was greater than 2.0. The solvent control baseline was defined as the mean number of positive wells in the negative control sample, increased by one standard deviation. 1% DMSO in media was used as a negative and 4nitroquinoline N-oxide (NQNO) as positive control. The experiment was performed in triplicate. Fraction S9 was not added.
5.6. In Vivo Pharmacological Evaluation of the Cognitive Effects of the Compound 27: Animals and the Ethical Statement. The experiments were conducted in accordance with the NIH Guide for the Care and Use of Laboratory Animals and were approved by the II Local Ethics Committee for Animal Experiments, Maj Institute of Pharmacology. Male inbred Sprague-Dawley rats (Charles River, Germany) weighing ∼250 g at the arrival were housed in the standard laboratory cages, under standard colony A/C controlled conditions: room temperature 21 ± 2°C, humidity (40−50%), 12 h light/dark cycle (lights on, 06:00) with ad libitum access to food (unless stated otherwise) and water. Rats were allowed to acclimatize for at least 7 days before the start of the experimental procedure. During this week animals were handled at least 3 times. Behavioral testing was carried out during the light phase of the light/dark cycle. At least 1 h before the start of the experiment, rats were transferred to the experimental room for acclimation.
5.6.1. Novel Object Recognition (NOR) Test under Scopolamine-Induced Memory Decline. The experiments were performed according to the previously reported procedures. 35−37 Twenty-eight rats were tested in a dimly lit (25 Lx) "open field" apparatus made of a dull gray plastic measuring (66 cm × 56 cm × 30 cm). After each measurement, the floor was cleaned and dried. 5.6.1.1. Drug Treatment in the NOR Test. Scopolamine hydrobromide used to attenuate learning was purchased from Sigma-Aldrich (Germany). Scopolamine and the compound 27 were solubilized in distilled water and then administered at the dose of 1.25 mg/kg (ip) and 3−6 mg/kg (po) 30 and 120 min before familiarization phase (T1), respectively. The choice of scopolamine dose was based on our earlier report; 37 the doses of the 27 compound were selected based on the PK study.
5.6.1.2. NOR Test Experimental Procedure and Statistics. The procedure consisted of habituation to the arena (without any objects) for 5 min, 24 h before the test, and test session comprised two trials separated by an inter trial interval (ITI). For scopolamine-induced memory impairment paradigm, 1 h ITI was chosen. During the first trial (familiarization, T1) two identical objects (A1 and A2) were presented in opposite corners, approximately 10 cm from the walls of the open field. In the second trial (recognition, T2) one of the objects was replaced by a novel one (A = familiar and B = novel). Both trials lasted 3 min, and animals were returned to their home cage after T1. The objects used were the glass beakers filled with the gravel and the plastic bottles filled with the sand. The heights of the objects were comparable (∼12 cm), and the objects were heavy enough not to be displaced by the animals. The sequence of presentations and the location of the objects were randomly assigned to each rat. The animals explored the objects by looking, licking, sniffing, or touching the object while sniffing but not when leaning against, standing, or sitting on the object. Any rat spending less than 5 s exploring the two objects within 3 min of T1 or T2 was eliminated from the study. Exploration time of the objects and the distance traveled were measured using the Any-maze video tracking system. On the basis of exploration time (E) of two objects during T2, discrimination index (DI) was calculated according to the formula: DI = (EB − EA)/(EA + AB).
Data were analyzed using one-way ANOVA with treatment as between-subject factor. As a post-hoc, we used Tukey's multiple comparisons post-hoc test. Statistical significance was set at P < 0.05. Statistics was performed with Prism 9.0 for Mac. 5.6.2. Attentional Set Shifting Task (ASST). Thirty-two male Sprague-Dawley rats were group housed with a mild food restriction (17 g of food pellets per day) for at least 1 week prior to training. 5.6.2.1. ASST Apparatus. Testing was conducted in a Plexiglas apparatus (length × width × height: 38 cm × 38 cm × 17 cm) with the grid floor and wall dividing half of the length of the cage into two sections. During testing, one ceramic digging pot (internal diameter of 10.5 cm and a depth of 4 cm) was placed in each section. Each pot was defined by a pair of cues along with two stimulus dimensions. To mark each pot with a distinct odor, 5 μL of a flavoring essence (Dr Oetker, Poland, or The Body Shop, U.K.) was applied to a piece of blotting paper fixed to the external rim of the pot immediately prior to use. A different pot was used for each combination of digging medium and odor; only one odor was ever applied to a given pot. The bait (one-half of a Honey Nut Cheerios, Nestle) was placed at the bottom of the "positive" pot and buried in the digging medium. A small amount of powdered Cheerios was added to the digging media to prevent the rat from trying to detect the buried reward by its smell. 5.6.2.2. ASST Procedure. As described previously, 49 the procedure lasted 3 days for each rat.
Day 1, Habituation. Rats were habituated to the testing area and trained to dig in the pots filled with sawdust to retrieve the food reward. Rats were transported from the housing facility to the testing room where they were presented with one unscented pot (filled with several pieces of Cheerios) in their home cages. After the rats had eaten the Cheerios from the home cage pot, they were placed in the apparatus and given three trials to retrieve the reward from both of the sawdust-filled baited pots. With each exposure, the bait was covered with an increasing amount of sawdust. Animals that did not dig for a food reward were subjected again to the training on the next day. If a rat did not start to dig in three daily sessions, it was excluded from an experiment. Day 2, Training. Rats were trained on a series of simple discriminations (SDs) to a criterion of six consecutive correct trials. For these trials, rats had to learn to associate the food reward with an odor cue (e.g., arrack vs orange, both pots filled with sawdust) and/or a digging medium (e.g., plastic balls vs pebbles, no odor). All rats were trained using the same pairs of stimuli. The positive and negative cues for each rat were presented randomly and equally. These training stimuli were not used again in later testing trials. Day 3, Testing. Rats performed a series of discriminations in a single test session. An incorrect choice was recorded as an error. Digging was defined as any distinct displacement of the digging media with either the paw or the nose; the rat could investigate a digging pot by sniffing or touching without displacing material. Experiments were performed by an experimenter blinded to the treatment group. Testing was continued at each phase until the rat reached the criterion of six consecutive correct trials, after which testing proceeded to the next phase. If a rat does not make either a correct or an incorrect response during any trials of the ASST within 5 min, the trial was reinitiated after a 10 min break. If the rat was still not responding, the test was discontinued and the rat was excluded from the data analysis.
In the simple discrimination involving only one stimulus dimension, the pots differed along one of two dimensions (e.g., digging medium). For the compound discrimination (CD), the second (irrelevant) dimension (i.e., odor) was introduced but the correct and incorrect exemplars of the relevant dimension remained constant. For the reversal of this discrimination (Rev1), the exemplars and relevant dimension were unchanged, but the previously correct exemplar was now incorrect and vice versa. The ID shift was then presented, comprising new exemplars of both the relevant and irrelevant dimensions with the relevant dimension remaining the same as previously. The ID discrimination was then reversed (Rev2) so that the formerly positive exemplar became the negative one. For the ED shift, a new pair of exemplars was again introduced, but this time a relevant dimension was also changed. Finally, the last phase was the reversal (Rev3) of the ED discrimination.
The exemplars were always presented in pairs and varied so that only one animal within each treatment group received the same combination. The assignment of each exemplar in a pair as being positive or negative at a given phase, and the left−right positioning of the pots in the test apparatus on each trial were randomized. 5.6.2.3. Drugs for ASST. Compound 27 was dissolved in distilled water and was given 120 min before ED phase (i.e., 90 min before first stage of ASST test at the doses of 0, 6, and 9 mg/kg, po). The choice of 27 compound doses was based on the PK study. The drug or vehicle (distilled water) was administered at a volume of 1 mL/kg of body weight.
5.6.2.4. Statistics for ASST. As the main cognitive measure, the number of trials required to achieve the criterion of six consecutive correct responses (i.e., trials to criterion, TTC) was recorded for each rat and for each discrimination phase of the ASST. Additionally, we analyzed the mean time to complete a single trial in a given discrimination stage to examine nonspecific effects of the compound 27.
Data were analyzed using mixed design ANOVAs with treatment as between-subject factor and discrimination phase (SD, CD, Rev1, etc.) as a repeated measure. As a post-hoc, we used Newman−Keuls test. Statistical significance was set at P < 0.05. The statistical analyses were performed using Statistica 12.0 for Windows. 5.6.2.5. Study Limitations. In the experiments examining the cognitive effects of 27 compound, we used only two doses (3 and 6 mg/ kg in the NOR test and 6 and 9 mg/kg in the ASST test).