No mention of Anavex, but very interesting paper. Thank you for posting.
Here is the conclusions:
CONCLUSIONS In the present work, we report on the design, synthesis, and evaluation of novel bitopic sigma 1 modulators as valuable pharmacological tools to investigate S1R oligomerization and ligand recognition processes at the molecular level. The series of S1R modulators herein described is based on our in-house developed sigma 1 agonist (R)-RC-3350,65 and comprises one acetamide derivative, seven homo-bitopic derivatives characterized by different types of linkers, and one hetero-bitopic ligand. The synthetic procedure to obtain the target molecules has been successfully adapted and optimized, affording the desired homochiral products in a suitable amount and purity. The binding assays revealed that compound 7 exhibits a high affinity toward the receptor, comparable to that of monomeric model compound (R)-RC- 33. Notably, molecule 7 is considerably bulkier than the typical S1R ligands, possibly the largest ligand endowed with low nanomolar affinity identified so far. In silico studies showed that 7 is able to stabilize the open conformation of the receptor, placing one pharmacophoric unit into the primary binding site and the other giving favorable interactions with residues Q135 and H154 on the cytosol-exposed surface of the receptor. This region seems to constitute a “recognition” binding site with which S1R ligands may interact at first, before reaching the occluded binding pocket identified by Schimdt in cocrystals. 45,46 This model is consistent with the one proposed for metastable binding sites recently identified for other proteins,3,25,28,29 and it could be exploited to develop novel bitopic ligands with enhanced activity and/or selectivity toward the S1R. Moreover, the results obtained may add a piece to the complex puzzle of elusive S1R allosteric binding sites: although some allosteric S1R modulators are known, their binding sites have not been identified yet, nor the binding dynamics of such compounds are fully characterized and understood, but it is likely that activation of this site triggers a conformational rearrangement that disrupts inactive high-order oligomeric states of the S1R, favoring the biologically active dimers and monomers.48,66 Finally, bitopic compound 7 was compared to monovalent ligands 2 and (R)-RC-33 in a preliminary biological evaluation. The tested compounds resulted in S1R agonists in the neurite outgrowth assay,63 and 7 was as effective as the model compound (R)-RC-33 in promoting cell differentiation even at the lowest concentration tested (0.005 µM).
To the best of our knowledge, this represents the first report on a bitopic sigma 1 ligand endowed with low nanomolar affinity and agonist profile in a well-defined cellular model of neuronal differentiation. Accordingly, our work paves the way for the use of bitopic ligands as useful chemical tools for deepening our understanding of the still enigmatic S1R and the molecular mechanisms underpinning its important biological functions.
I will leave further interpretation to Oh Say or some other poster with at least as thorough insights.