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Research Paper

Antihistamines, phenothiazine-based antipsychotics, and tricyclic antidepressants potently activate pharmacologically relevant human carbonic anhydrase isoforms II and VII

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Article: 2188147 | Received 23 Jan 2023, Accepted 01 Mar 2023, Published online: 13 Mar 2023
 

Abstract

Carbonic anhydrases (CAs) are important regulators of pH homeostasis and participate in many physiological and pathological processes. CA activators (CAAs) are becoming increasingly important in the biomedical field since enhancing CA activity may have beneficial effects at neurological level. Here, we investigate selected antihistamines, phenothiazine-based antipsychotics, and tricyclic antidepressants (TCAs) as potential activators of human CAs I, II, IV, and VII. Our findings indicate that these compounds are more effective at activating hCA II and VII compared to hCA I and IV. Overall, hCA VII was the most efficiently activated isoform, particularly by phenothiazines and TCAs. This is especially relevant since hCA VII is the most abundant isoform in the central nervous system (CNS) and is implicated in neuronal signalling and bicarbonate balance regulation. This study offers additional insights into the pharmacological profiles of clinically employed drugs and sets the ground for the development of novel optimised CAAs.

Disclosure statement

No potential conflict of interest was reported by all authors except CTS. CT Supuran is Editor-in-Chief of the Journal of Enzyme Inhibition and Medicinal Chemistry. He was not involved in the assessment, peer review, or decision-making process of this paper. The authors have no relevant affiliations of financial involvement with any organisation or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

Additional information

Funding

This work was supported by Italian Ministry of University FISR2019_00374 MeDyCa (A.M.), Progetto di Ateneo Sapienza 2021 no. RM12117A61C811CE (D.R.), and Regione Lazio PROGETTI DI GRUPPI DI RICERCA 2020-A0375-2020–36597 (D.R.). C.T.S thanks the Italian Ministry for Education and Science (MIUR), for the grant PRIN: rot. 2017XYBP2R and Ente Cassa di Risparmio di Firenze (ECRF), for the grant CRF2020.1395.