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. • Screening by Using Nuclear Magnetic Resonance

d
e
. Fig. 7.9 In the SAR by NMR method, ligands with weak afnity
to aprotein, in this case stromelysin, are sought from alarge com­plex mixture. 15N-labeled protein is used and so-called 1H–15NHSQC spectra are measured. If a ligand such as acetohydroxamic acid7.1 becomes apparent through ashift in the resonance of specic ami­no acids that protrude into the binding pocket, the binding geometry can be deduced(a,d). Later the binding site is saturated with these ligands. Further NMR measurements are carried out to identify li­gands for neighboring binding positions. These are revealed by the shift in the resonances of neighboring amino acids. That is how 4-cya-
amount of time. The magnetic signal is then transferred from the protein to the bound ligands. Upon dissocia­tion, the changed magnetic properties of the temporarily bound ligands can be detected spectroscopically because the relaxation time of the transferred magnetization is now faster in the uncomplexed state. The solution is mea­sured with and without the magnetized protein. The dif­ference between the spectra is evaluated. Only ligands that have been bound to the protein in the interim and, thus, have undergone magnetization transfer will show signals. The so-called saturation transfer difference (STD) spec- trum can be used to screen for potentially active ligands (. Fig.7.8). Many different variations and elaborate ex-
no-4-hydroxybiphenyl7.2 was discovered(b,d). Achemical coupling of both hits 7.1 and 7.2 with a –CH2CH2O– linker produced7.3, which is a nanomolar inhibitor of the protease stromelysin (c, e). (7 https://sn.pub/zqmC0T)
perimental protocols have been developed for the magne­tization transfer principle described above. Even the use of so-called reporter or spy ligands, which have an easily measurable NMR signal, can be used. The resonance of uorine atoms is particularly well suited. The 19Fnucleus is very sensitive to NMR detection and has awide range of chemical shifts (see Sect.13.7). In addition, there are usually only afew uorine atoms present in the systems under investigation. This requires auorine-containing reporter ligand that binds to the protein, but the binding should not be too strong. The ligand should be easily re­leased from the protein by the test ligand. This release is detectable as achange in the uorine NMR spectrum and,
Chapter  • Screening Technologies for Lead Structure Discovery
7
thus, reveals the binding of the test ligand. As explained in detail in Sect.13.7, the spatial structure of proteins can be determined by isotopic labeling and the measurement of mutually coupled NMR spectra (so-called multidimen­sional spectra). In this way, where atest ligand binds to aprotein can be accurately determined by evaluating the specic resonance shifts of the labeled protein. However, this requires that all resonances be assigned to the atoms of the protein before the experiment begins. This is usu­ally arather time-consuming task. If the assignment is not yet available, it is still possible to qualitatively infer ligand binding from the observation of some signal shifts.
In the best case, it is even possible to see two ligands binding at the same time, or two different ligands bind­ing at different non-overlapping positions in the binding pocket. Steven Fesik’s research group at Abbott, USA, developed this method. It is known as SAR by NMR (SAR stands for structure–activity relationship) and is used for lead structure identication and optimization. This method was used to nd ananomolar inhibitor of the matrix metalloproteinase stromelysin (Sect. 25.6). First, apotent head group was sought that could bind to the zinc ion in the catalytic center of this protease. Such amolecule, acetohydroxamic acid7.1, was found with an admittedly weak but specic binding of Kd = 17 mM
(. Fig.7.9). After the discovery of this ligand, the zinc binding site was saturated with this compound. Further NMR measurements focused on the search for aligand
capable of lling the adjacent 0 binding pocket. Asmall library of heteroarylphenyl and biphenyl derivatives was used for this purpose. 4-Cyano-4′-hydroxybiphenyl7.2 was identied as ahit. The right side of . Fig. 7.9e shows both ligands in the binding pocket. Evaluation of the structural data indicated that the hydroxylated phenyl ring binds near the methyl group of the aceto­hydroxamic acid. Therefore, linking the fragments was the next obvious step. An ethylenoxy group was used as abridge and coupled to the cyanobiphenyl moiety. NMR spectroscopy conrmed this structural hypothesis and an inhibitor, 7.3, with an afnity of 25 nM was produced.
7.9 Crystallographic Screening for Small
Molecular Fragments
Crystal structure analysis provides the exact spatial po­sition of amolecule in the binding pocket of aprotein. Even the geometry of small, very weakly binding mole­cules is easily recognized. In structures that have aresolu­tion better than 2–2.5 Å (Sect.13.5), water molecules are usually still visible as discrete density maxima. Often, they indicate sites in the binding pocket that can be equally well occupied by polar functional groups of ligands (. Fig.7.10). In the early 1990s, Dagmar Ringe in the re­search group of Greg Petzko at Brandeis University, USA, intentionally exposed protein crystals to solvent molecules
to allow the solvent to diffuse into the crystals. The solvent molecules can act as probes by populating binding regions of the protein pockets. As an example, the regions where isopropanol, acetonitrile, or acetone are encountered in thermolysin, azinc protease, are shown in . Fig.7.10.
Even phenol, asmall organic molecule, manages to diffuse into the binding pocket. Phenylsuccinic acid, alead structure with atypical fragment size, binds to the zinc protease. Its binding position has been determined by crystallography. The phenyl ring of this molecule is in the same position as that explored by phenol. One of the acid groups of the succinic acid is in the position that was indi­cated by the carbonyl carbon of acetone. The second acid group coordinates to the zinc ion and occupies positions where water molecules resided in the uncomplexed state (. Fig.7.10). There are many protein–ligand complexes in which small molecules from the crystallization solution or cryobuffer have been absorbed. These can be used as probes to map out abinding pocket. Acreative scientist will directly exploit their positions for the design of new drug candidates. From there, it was obvious to use crystal structure analysis as amethod to screen for the binding of small molecules or “fragments” (MW < 250 Da).
Crystal structure determination has become in­creasingly faster in recent years due to data acquisition at powerful synchrotrons, and data evaluation can be largely automated. As aresult, crystallographic screening of fragment collections with up to 1000 test compounds has become standard practice. However, this requires the preparation of avery large number of protein crystals into which the small probe molecules are allowed to dif­fuse (the so-called “soaking” process, Sect.13.9). Initially, attempts were made to soak the crystals with a“cocktail” of several test ligands at the same time in order to speed up the screening process. However, since this procedure leads to a large number of problematic artifacts and hardly interpretable electron density maps (Sect.13.5), soaking with single compounds has been resumed. Often very high concentrations of fragments are used, and or­ganic solvents such as dimethyl sulfoxide (DMSO), iso­propanol, or dioxane are added to increase the solubility of the test compounds. Such conditions are often incom­patible with the stability of the protein crystals, which are quite fragile. Under the very harsh conditions, they lose their diffraction power. It is, therefore, all the more important to develop strategies that make the protein crys- tals more robust against the highly concentrated fragment solutions containing additional organic solvents.
The hits discovered with the initial crystallographic fragment screening are often only very weak binders in the millimolar to weak micromolar afnity range. How­ever, they can be optimized very effectively because the subsequent design process starts from very well-charac­terized binding modes (Sect.20.7). This is also acrucial difference compared to hits from, for example, the HTS or the SPR methods. Whereas the latter methods require hit
. • Tethered Ligands Explore Protein Surfaces

. Fig. 7.10 It was possible to soak small probe molecules (so-called
“fragments”) into crystals of the protease thermolysin. Left Superpo­sition of multiple structures in which water (red spheres), isopropa­nol (C-atoms are gray), acetone (C-atoms are light blue), acetonitrile (C-atoms are green), and phenol (C-atoms are violet) had penetrated the crystals. They describe potential positions for functional groups of putative ligands. The structure of benzylsuccinic acid, aweakly bind­ing inhibitor of thermolysin, is also shown on the right side. This mol­ecule coordinates with one of its acid groups to the catalytic zinc ion. Both oxygen atoms of the acid group displace two water molecules that are present in the noncomplexed structure. The other carboxylate
validation to verify that the binding really interferes with the mechanism and function of the target, crystallogra­phy directly shows where and how the hits have bound. One approach is to chemically merge two hits found in different regions of the binding pocket via achemical linker, analogous to the SAR by NMR method presented in Sect.7.6. Another, generally more successful, approach is to chemically extend fragment hits. This involves adding additional substituents to the original hit molecule based on the known crystal structure. After such adesign candi­date has been synthesized, anew crystal structure is deter­mined. In this way, original hits that serve as seeds can be grown into enlarged ligands that bind more tightly to the protein in the binding pocket (Sect.20.7 and . Fig.02,
7 https://sn.pub/4NppHn).
Binding of low afnity fragments by biophysical
methods is often difcult to characterize and reliably
conrm. Different methods often result in conicting hit
rates. Therefore, an alternative strategy using crystal- lography as the primary screening method has been pro-
posed. Since it reliably determines the binding geometries of fragments, hits are no longer selected according to their binding constants, which are very hard to determine
group forms asalt bridge with the neighboring Arg 203. The oxygen of an acetone molecule was found at almost the same position. The phe­nyl ring of benzylsuccinic acid was found to occupy almost the same position as the phenol molecule in the fragment structure. Benzylsuc­cinic acid can be used as astarting structure for further optimization. (7 https://sn.pub/7djPkK)
with the necessary condence. Rather, the binding poses found are evaluated for their relevance to interfering with protein function and for the possibility of synthetically extending the placed fragments using well-established chemistry. If promising candidate fragments emerge ac­cording to these criteria, they are chemically enlarged in acomputer design session. They will then reach asize that allows reliable assay data to be collected. This ap­proach typically results in high hit rates. If astructure is then determined from the best follow-up hits of this second round, single-digit micromolar compounds will usually be obtained. Since their binding mode is exper­imentally characterized, they can easily be further opti­mized in subsequent design cycles.
7.10 Tethered Ligands Explore Protein
Surfaces
Ligands typically bind with very low afnity to at pock­ets that are open to the surrounding solvent. Therefore, it
is extremely difcult to detect their binding or even to ob­tain acrystal structure with aligand bound to such asite.
7
Chapter  • Screening Technologies for Lead Structure Discovery
. Fig. 7.11 The thiol group of the exposed cysteine is used as an anchor group for the formation of disulde bonds with ligand candidates
from acompound library. There, suitable ligands react that are also able to interact with the surface region in the vicinity of the cysteine thiol. Acrystal structure was determined from just such acovalently linked complex (. Fig.7.13). After optimization of the initially discovered hit, the disulde anchor can be discarded and anoncovalent inhibitor can be developed
. Fig. 7.12 From alibrary of 1200 disuldes, the compounds on the side 7.4–7.7 (left) proved to be binders although structurally similar de-
rivatives 7.87.11 (right) were synthesized but did not bind to the protein
James Wells and his colleagues at Sunesis in San Fran­cisco, USA, came up with the idea of attaching ligands to the surface of proteins in order to record their binding to such pockets. Chemically, this means reacting with the ex­posed thiol group of acysteine residue on the protein sur- face. Such acysteine must be present in the native protein or can be introduced by mutagenesis (Sect.12.2). Under appropriate reaction conditions, the ligand is anchored by adisulde bond formed through the thiol group of the exposed cysteine (. Fig.7.11). Only those test candidates from the library that are able to interact with the surface and position themselves with ageometry near the cysteine thiol group that allows them to react with the sulfur atom will be bound. In essence, they explore the surrounding region, react with the cysteine, and remain coupled to the surface through the disulde bridge. Successfully formed
complexes are then detected by mass spectrometry. James Wells and Robert Strout chose thymidylate synthase as their rst target. This enzyme plays an important role in the de novo synthesis of thymidine, an essential building block of DNA. Cells with ahigh division rate need this building block, and thus inhibition of this enzyme could be apotent anti-infective or antitumor agent (Sect.27.2).
Thymidylate synthase has acysteine residue at posi­tion 146, near the catalytic site. From alibrary of 1200 disuldes, compounds 7.4–7.7 proved to be binders, whereas the very similar derivatives 7.8–7.11 were not selected (. Fig.7.12). Accordingly, the phenylsulfon­amide together with the proline moiety seemed to be essential for binding. Next, the disulde anchor was removed, and the binding constant for N-tosyl-d-pro- line 7.12 was measured to be 1.1 mM (. Fig. 7.13).
. • Tethered Ligands Explore Protein Surfaces

. Fig. 7.13 The millimolar N-tosyl-D-proline 7.12 was optimized in two steps to the nanomolar inhibitor 7.15 by transferring the side chain
from the natural cofactor methylenetetrahydrofolic acid 7.13
. Fig. 7.14 Superpositioning of crystal structures of the enzyme
thymidylate synthase with two tethered ligands, one bound to Cys 143 (C-atoms of ligand7.4 are green) and the other to Cys 146 (C-atoms of ligand7.4 are violet), both of which are N-tosyl-d-proline deriva­tives and which are covalently anchored through an S–S bridge. Upon cleavage of the disulde anchor, the free N-tosyl-d-proline (C-atoms are gray, 7.12) proved to be aligand with an afnity of 1.1 mM. Its
To further test the concept, Cys 146 was replaced with aserine residue (. Fig.7.14). Since no binding could be detected with this mutant, the neighboring His 147 was mutated to cysteine. However, this mutant was unable to sh out the N-tosylprolyl residue. In contrast, the mu-
binding geometry is very similar to both of the covalently anchored derivatives. (7 https://sn.pub/mhW8EO)
tant at position 143 was successful (. Fig.7.14). Here, aleucine is replaced by acysteine. The subsequently determined crystal structures showed that the N-tosyl- prolyl moiety is accommodated almost identically in the two complexes with the covalent disulde anchor,
Chapter  • Screening Technologies for Lead Structure Discovery
7
as it is bound in the complex without the S–S anchor (. Fig.7.14). This is convincing evidence that the cova­lent attachment does not enforce the binding geometry. Rather, the method allows small, initially weakly bind­ing ligands to be shed out of alarge library. Anano­molar inhibitor 7.15 was developed from the initial millimolar hit 7.12 by transferring the side chain of the natural cofactor methylenetetrahydrofolic acid 7.13 in two steps (. Fig.7.13).
The tethering method can be applied quite gener­ally. It has been particularly successful in the search for ligands that disrupt the formation of protein–protein surface contacts (Sect.29.8). Amajor advantage of this technique is that it does not require the development of an additional biochemical binding assay. Weakly binding ligands are covalently “tethered” and cannot be washed away as in the case of simple complex formation. In ad­dition, the covalently bound chemical probes allow the adaptive capacity of the surface region to be explored.

7.11 Synopsis

Large substance libraries are screened for biological
-
effects to lter out active molecules and assess their
value for agiven indication.
Three phases are distinguished: abroad automatic in-
-
troductory screening for hits, amore detailed screen-
ing of chemical analogues around ahit to establish
arst structure–activity relationship, and lead opti-
mization to nd candidates for clinical testing.
A prerequisite for high-throughput screening was
-
the development of in vitro test systems using pure
proteins produced by gene technology along with the
entire arsenal of biochemical methods in the test tube
so that the function of single-gene products can be
recorded.
As adisadvantage, high-throughput screening does
-
not assess the entire effect spectrum and ignores ef-
fects such as transport, distribution, metabolism, and
excretion.
Screening libraries are frequently assembled of mole-
-
cules from other drug development projects; as such,
they are rather inefcient with regard to their molec-
ular size and their modest screening hit activity in the
micromolar range. Small substances with high ligand
efciency and sufcient space for structural optimiza-
tion are particularly promising.
Enzymatic function and its inhibition can be recorded
-
by the production of chromophoric reaction products.
Radioactively labeled compounds or enzyme-linked
-
immunosorbent assays are versatile techniques to re-
cord protein function on the molecular level.
Progress in assay miniaturization calls for sophisti-
-
cated robotic systems, ever-improving sensitivity of
the read-out, including uorescence measuring tech-
niques, and reliable logistics to handle the enormous data ow.
Aggregate formation of hydrophobic test compounds
-
can exert signicant inuence on the assay read-out or even cause false-positive or -negative hits.
Testing on cell-based assays is performed to study
-
changes in cellular- or organism-related function beyond pure binding of atest compound to agiven protein target.
Primary animal testing in vertebrates has been abol-
-
ished today for ethical reasons, but it is being increas­ingly replaced by whole-animal screening using nema­todes as the simplest multicellular organism to record synergistic and side effects.
As acomplementary and alternative method, virtual
-
computer screening has been developed to screen large compound libraries by docking ligand candi­dates into the known spatial structure of atarget pro­tein.
Binding events are recorded by biophysical methods
-
such as surface plasmon resonance, thermal stability shifting, mass spectrometry, uorescence methods, microscale thermophoresis, or microcalorimetry. They are used to detect ligands as potential binders.
NMR spectroscopy can be used to detect ligand bind-
-
ing by magnetization transfer. Multiple binders can be chemically linked to more strongly binding ligands according to the SAR by NMR technique.
Exposure of small molecular probes and fragments to
-
protein crystals allows for structural characterization of the binding modes of weakly binding fragments as aversatile starting point to lead optimization.
Small-molecule fragments tethered to a protein
-
through covalent attachment to the exposed thiol group of acysteine residue allow the exploration of the binding properties of at, solvent-exposed surface depressions and serve as astarting point to develop antagonists to perturb the protein–protein interface in complex formation.

Bibliography and Further Reading

General Literature
M.T.S. Stubbs and G. Klebe, in Die Pharmaindustrie, Eds. D. Fischer,
J. Breitenbach, Spektrum Akademischer Verlag, Heidelberg, Berlin (2005)
L.M. Mayr and P. Fürst, The Future of High-Throughput Screening,
J. Biomol. Screening, 13, 443–448 (2008)
M. Vogtherr and K. Fiebig, NMR-Based Screening Methods for Lead
Discovery pp. 183–202, in Modern Methods of Drug Discovery, Ed. A. Hillisch und R. Hilgenfeld, Birkhäusen Verlag (2003) ISBN: 376436081X
G. Klebe, Virtual Ligand Screening: Strategies, Perspectives and Lim-
itations, Drug Discov. Today, 11, 580–592 (2006)
T. L. Blundell, H. Jhoti and C. Abell, High-Throughput Crystallogra-
phy for Lead Discovery in Drug Design, Nat. Rev. Drug Discov., 1, 45–54 (2002)
Bibliography and Further Reading
P. J. Hajduk and J. Greer, A Decade of Fragment-based Drug Design:
Strategic Advances and Lessons Learned. Nat. Rev. Drug Discov.,
6, 211–219 (2007) M. M. Siegel, Early Discovery Drug Screening Using Mass Spectrome-
try, Current Topics in Medicinal Chemistry, 2, 13–33 (2002)
A. K. Jones, S. D. Buckingham and D. B. Sattelle, Chemistry-to-Gene
Screens in Caenorhabitis Elegans, Nat. Rev. Drug Discov., 4, 321–
330 (2005) S. Löfås, Optimizing the Hit-to-Lead Process Using SPR Analysis. As-
say Drug Dev. Technol., 2, 407–415 (2004)
W. Jahnke and D. A. Erlanson, Fragment-based Approaches in Drug
Discovery, Vol. 34 in Methods and Principles in Medicinal Chem-
istry, R. Mannhold, H. Kubinyi und G. Folkers, Eds., Wiley-VCH,
Weinheim (2006)
D. A. Erlanson, S. W. Fesik, R. E. Hubbard, W. Jahnke and H. Jhoti,
Twenty years on: the impact of fragments on drug discovery, Nat.
Rev. Drug Discov., 15, 605–619 (2016)
Special Literature
D. Cubrilovic, A. Biela, F. Sielaff, T. Steinmetzer, G. Klebe, R. Zenobi,
Quantifying protein–ligand binding constants using electrospray
ionization mass spectrometry: A systematic binding afnity study
of a series of hydrophobically modied trypsin inhibitors, J. Am.
Soc. Mass. Spectr., 10, 1768–77 (2012) L. Piersimoni, P. L. Kastritis, C. Arlt, A. Sinz, Cross-Linking Mass
Spectrometry for Investigating Protein Conformations and Pro-
tein−Protein Interactions − A Method for All Seasons, Chem.
Rev., 122, 7500–7531 (2022)
P. Dumas etal., Extending ITC to Kinetics with kinITC, Methods in
Enzymology, Vol. 567, Chap. 7, A. Feig Ed. (2016)
M. Jerabek-Willemsen, T. Andre, R. Wanner, H. M. Roth, S. Duhr, P.
Baaske, D. Breisrecher, MicroScale Thermophoresis: Interaction
analysis and beyond. J. Mol. Struct., 1007, 101–113 (2014) A. J. Gupta, S. Duhr, and P. Baaske, Microscale Thermophoresis
(MST). In Encyclopedia of Biophysics, G. Roberts and A. Watts,
Eds. (Berlin, Heidelberg: Springer Berlin Heidelberg), pp. 1–5
(2018). J. Niemax, R. Strasser, P. Hampel, U. Rant, Analyse von Biomolekülen
mit aktiv bewegten Nano-Oberächen, Laborwelt, 11, 21–22 (2010) P. J. Hajduk, G. Sheppard, D. G. Nettesheim, E. T. Olejniczak, S. B.
Shuker, R. P. Meadows, D.H. Steinman, G. M. Carrera, Jr., P. A.
Marcotte, J. Severin, K. Walter, H. Smith, E. Gubbins, R. Simmer,
T. F. Holzman, D. W. Morgan, S. K. Davidsen, J. B. Summers and
S. W. Fesik, Discovery of Potent Nonpeptide Inhibitors of Stro-
melysin Using SAR by NMR, J. Am. Chem. Soc.,119, 5818–5827
(1997) C. Mattos and D. Ringe, Locating and characterizing binding sites on
proteins, Nat. Biotechn., 14, 595–599 (1996) D. A. Erlanson, A. C. Braisted, D. R. Raphael, M. Randal, R. M.
Stroud, E. M. Gordon and J. A. Wells, Site-directed Ligand Dis-
covery, Proc. Natl. Acad. Sci. U.S.A., 97, 9367–9372 (2000)
J. Müller etal., Magnet for the Needle in Haystack: “Crystal Structure
First” Fragment Hits Unlock Active Chemical Matter Using Tar-
geted Exploration of Vast Chemical Spaces, J. Med. Chem., 65,
15663–15678 (2022)

Optimization of Lead
Structures
Contents
8.1 Strategies for Drug Optimization – 116
8.2 Isosteric Replacement of Atoms and Functional Groups – 117
8.3 Systematic Variation of Aromatic Substituents: The Topliss Trees – 118
8.4 Optimizing the Activity and Selectivity Prole – 118
8.5 From Agonists to Antagonists – 119

8.6 Optimizing Bioavailability and Duration of Action – 120
8.7 Variations of the Spatial Pharmacophore – 121
8.8 Optimizing Anity, Enthalpy, and Entropy of Binding and Binding Kinetics – 122
8.9 Synopsis – 125
Bibliography and Further Reading – 125
© The Author(s), under exclusive license to Springer-Verlag GmbH, DE, part of Springer Nature 2024 G. Klebe, Drug Design, https://doi.org/10.1007/978-3-662-68998-1_8
Chapter  • Optimization of Lead Structures
8
A lead structure is the starting point on the way to adrug. The potency, specicity, and duration of effect must be optimized, and the side effects and toxicity must be minimized in ausually elaborate, iterative process. Ev­ery change in the chemical structure modulates the 3D structure of the molecule, its physicochemical properties, and the activity spectrum. The isosteric replacement of atoms or groups, the introduction of hydrophobic build­ing blocks, the dissection of rings or the restriction of exible molecular portions into cyclic structures, and the optimization of the substitution pattern are all possibili­ties to purposefully modify aputative lead structure.
Creativity and luck are always important prerequi­sites for success in pharmaceutical research. Nonetheless, there is atreasure chest of decades of accumulated expe rience that can be exceedingly supportive to the rational optimization process. Computer-aided methods can con­tribute to their full capability in this eld in particular. Several general considerations and approaches to lead optimization are presented in the sections of this chapter. Adiscussion of the structure-based and computer-aided optimization of lead structures is presented in Chaps.17 and20. Examples for its application to different thera­peutic areas are presented in Chaps.21, 23–32.

8.1 Strategies for Drug Optimization

The optimization of active substances follows aprocess that is best characterized by the words of the philosopher Sir Karl Popper:
“The truth is objective and absolute. But we can never be
»
sure that we have found it. Our knowledge is always an
assumed knowledge. Our theories are hypotheses. We test
for the truth in that we exclude what is false.” (Objective
Knowledge, 1972)
Accordingly, the optimization of acompound’s potency follows aworking hypothesis, while an iterative process of trial and error renes the hypothesis. The accumulated data on the relationship between chemical structure and biological activity is used to design new structures. These are synthesized and tested, and anew working hypothesis is modied as appropriate. In negative cases, the hypoth­esis is discarded and anew one is formulated that better ts the biological data.
The following qualities are distinguished in the struc­ture of the compound:
The actual pharmacophore (Sects.8.7 and17.1) that
-
is responsible for the specic binding and upon which
only limited chemical modication can be carried out,
The additional groups (adhesion groups) that improve
-
afnity and biological activity,
Further groups that do not inuence the binding but
-
rather the lipophilicity of the molecule and with it the transport and distribution in biological systems (Chap.19), and
The groups that must be cleaved or modied in the
-
organism to release the actual active form (Chap.9).
The most important steps in the optimization of lead structures are the systematic changes in the shape and form, that is, the three-dimensional structure, and/or the physicochemical properties. Single steps along this route are
Changes in the lipophilicity and the electronic prop-
-
erties through the introduction or removal of hydro-
-
phobic or hydrophilic groups,
Variations of substituents at aromatic or heteroaro-
-
matic rings,
Introduction or elimination of heteroatoms in chains
-
or rings,
Changes in chain length of aliphatic groups or linkers,
-
Introduction of space-lling substituents to stabilize
-
aparticular conformation,
Changes in the ring size of alicyclic or heterocyclic
-
rings,
Incorporation of exible partial structures in rings,
-
Incorporation of branches or attachments to rings
-
(rigidifying),
Opening of rings,
-
Elimination of chiral centers to simplify astructure,
-
Addition of chiral centers to increase the selectivity,
-
or
Shifts of the thermodynamic binding prole and the
-
drug’s residence time at the target protein.
These processes are usually unidirectional in classical drug optimization, that is, the optimization takes place on one position of the molecule at atime, in one single direction. In the past, such unidirectional optimization has led to many disappointments because interdependent inuences of the structural changes were neglected, or the optimal lipophilicity was exceeded. John Topliss de­veloped ascheme for the variation of aromatic substitu­ents that allows the biological activity to be optimized in aminimum number of steps (Sect.8.3). The application of experimental design, simultaneously changing multi­ple parts of amolecule, and the evaluation of the results by using quantitative structure–activity relationships (Chap.18) usually allows fast and effective optimization. In structure-based and computer-aided optimization, the 3D structure of the target protein and its complexes leads to directed structural variations of the active substances. Here again, the aspects of total lipophilicity and metab­olism should not be neglected.
. • Isosteric Replacement of Atoms and Functional Groups
8.2 Isosteric Replacement of Atoms
and Functional Groups
Isosteric replacement is the exchange of particular groups in a molecule for sterically and electronically related groups. If the biological effect is essentially maintained, the term bioisosteric replacement (. Fig. 8.1) can be used. In the simplest case, asingle atom is exchanged, for instance, aCl (lipophilic, weakly electron withdrawing) is replaced by aBr (same characteristics as Cl) or methyl (lipophilic, weakly electron donating), or an –O– (po­lar, H-bond acceptor) is exchanged for an –NH– (polar, H-bond donor) or a–CH2– (lipophilic, unable to form H-bonds) group. Furthermore, bioisosteric replacement also means the exchange of entire groups. For example, –COOH, an H-bond acceptor and donor, can be re­placed with other groups that have the same or modied properties, for instance, with the similarly acidic tetra­zole. Another example can be found in the exchange of aphenyl ring for athiophene or afuran building block (. Fig.8.1). The potential of isosteric replacement is illustrated in the exchange of all three iodine atoms of triiodothyronine T3 8.1 for alkyl groups to give 3,5-di­methyl-3-isopropylthyronine8.2, which in turn retains impressive afnity and agonistic activity on the thyroid hormone receptor. In contrast to triiodothyronine, which is both iodinated and metabolized by adeiodinase, the alkyl groups of8.2 are no longer metabolically cleavable.
Bioisosteric replacement is one of the most important strategies in pharmaceutical drug optimization. None­theless, surprises sometimes occur. The replacement of an ester for an amide group in local anesthetics (Sect.3.4)
. Fig. 8.1 A few possibilities for the isosteric replacement of atoms
and/or groups

. Fig.
8.2 Isosteric replacement with retention, loss, and reversal of
the biological activity. All three iodine atoms of the thyroid hormone thyroxine8.1 can be replaced with alkyl groups and compound8.2 is still active. In the case of acetylsalicylic acid8.3, the exchange of the –OCOCH3 for an NHCOCH3 group led to the loss of the acylating ability and, therefore, anearly complete loss of the biological activity. The antimetabolite sulfanilamide8.4 (R = SO2NH2) is derived from p-aminobenzoic acid8.4 (R = COOH), which is acritical intermediate in the bacterial dihydrofolate synthesis; 8.4 (R = SO2NH2) is the result of the exchange of acarboxyl group for an isosteric sulfonamide group
expectedly improved the metabolic stability. In the case of acetylsalicylic acid 8.3 (. Fig. 8.2), this exchange cannot be made. An analogous exchange of the –COO– group for a–CONH– group results in acomplete loss of activity because the amide can no longer acylate the cyclooxygenase enzyme (Sect.27.9). In the case of p-am- inobenzoic acid (R = –COOH, . Fig.8.2) the exchange of acarboxyl group for asulfonamide group gives sulfa­nilamide8.4 (R = –SO2NH2), which is an antimetabolite of p-aminobenzoic acid (Sect.2.3).
Alead structure is rarely studied exclusively by one research group. Other companies adopt successful ex­amples, at the very latest after the economic success of anew medicine. The goal of this so-called “me-toore- search is to modify the competitor’s lead structure to arrive at patent-free analogues that are more efcacious, more selective, or better tolerated. It must be accepted that even this form of competition has led to the thera­peutically most valuable compounds in many therapeutic areas. On the one hand, aplentitude of duplicate work has been performed, while on the other hand, new ana­logues with improved properties have been produced and introduced to therapy which turned out to be successful in the long run. Penicillins of the third and fourth gener­ation with broad-spectrum activity and metabolic stabil-
β
-blockers with improved selectivity, and many other
ity,
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