PT - JOURNAL ARTICLE AU - Ricardo De La Fuente AU - Wan Namkung AU - Aaron Mills AU - A. S. Verkman TI - Small-Molecule Screen Identifies Inhibitors of a Human Intestinal Calcium-Activated Chloride Channel AID - 10.1124/mol.107.043208 DP - 2008 Mar 01 TA - Molecular Pharmacology PG - 758--768 VI - 73 IP - 3 4099 - http://molpharm.aspetjournals.org/content/73/3/758.short 4100 - http://molpharm.aspetjournals.org/content/73/3/758.full SO - Mol Pharmacol2008 Mar 01; 73 AB - Calcium-activated chloride channels (CaCCs) are widely expressed in mammalian tissues, including intestinal epithelia, where they facilitate fluid secretion. Potent, selective CaCC inhibitors have not been available. We established a high-throughput screen for identification of inhibitors of a human intestinal CaCC based on inhibition of ATP/carbachol-stimulated iodide influx in HT-29 cells after lentiviral infection with the yellow fluorescent halide-sensing protein YFP-H148Q/I152L. Screening of 50,000 diverse, drug-like compounds yielded six classes of putative CaCC inhibitors, two of which, 3-acyl-2-aminothiophenes and 5-aryl-2-aminothiazoles, inhibited by >95% iodide influx in HT-29 cells in response to multiple calcium-elevating agonists, including thapsigargin, without inhibition of calcium elevation, calcium-calmodulin kinase II activation, or cystic fibrosis transmembrane conductance regulator chloride channels. These compounds also inhibited calcium-dependent chloride secretion in T84 human intestinal epithelial cells. Patch-clamp analysis indicated inhibition of CaCC gating, which, together with the calcium-calmodulin data, suggests that the inhibitors target the CaCC directly. Structure-activity relationships were established from analysis of more than 1800 analogs, with IC50 values of the best analogs down to ∼1 μM. Small-molecule CaCC inhibitors may be useful in pharmacological dissection of CaCC functions and in reducing intestinal fluid losses in CaCC-mediated secretory diarrheas. The American Society for Pharmacology and Experimental Therapeutics