Studies on the metabolism and pharmacology of ADD17014, a novel triazoline anticonvulsant, have led to the discovery of the aminoalkyl heterocycles as a unique class of anticonvulsant agents. Initial work on aminoalkylpyridines indicate that they are nontoxic, and highly effective by the oral route, with protective indices greater than 20. They impair presynaptic release of L-glutamate and also function as noncompetitive NMDA antagonists that inhibit with great selectivity and specificity, the sigma receptor, but show no affinity for PCP receptors. NMDA receptor overstimulation by glutamate is implicated in epileptogenesis and epilepsy. Thus NMDA antagonists will provide prophylaxis and seizure protection. There is a definite need for safer, orally active NMDA antagonists, to afford effective therapies for the epilepsies. Our long-term objectives are to develop clinically useful, nontoxic antiepileptic drugs from anticonvulsant aminoalkyl heterocycles by rational analogue synthesis of "active leads" using various basic structural modifications. We will initiate analogue synthesis of lead aminoalkyl-4-pyridines, which will include two basic structural variations. Resulting data will be used to guide further analogue synthesis in Phase II. Synthetic procedures have been developed. Excessive levels of glutamate are suspected not only in epilepsy, but in several other neurological disorders, e. g. stroke. Thus, nontoxic, orally active NMDA antagonists developed from aminoalkyl heterocycles, have good potential for commercial application as clinically useful anti-epileptic drugs and also as neuroprotective agents in other neurological disorders.Awardee's statement of the potential commercial applications of the research:The aminoalkylpyridine heterocycles are non neurotoxic, orally active antiepileptic agents. They act by impairing glutamate release and function as noncompetitive NMDA antagonists that selectively inhibit the sigma receptors with no affinity for PCP receptors. They have commercial potential as safer, nontoxic, clinically useful antiepileptic drugs, and also as neuroprotective agents in other neurological disorders, such as stroke and Alzheimer's disease, where excessive glutamate is implicated.National Institute of Neurological Disorders and Stroke (NINDS)