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Chapter  • Peptidomimetics
10
Peptides are open-chain polymers made up of amino acids (. Fig.10.1). The main chain is constructed of
alternating amide groups –CONH– and aliphatic car­bon atoms, which are labeled Cα. The side chains branch from the main chain at the Cα atom. The amide group is barely exible (Sect.14.1). In contrast, rotation around the Cα–Cβ bond is possible. The side chains are exible as well. Because of this, each amino acid can take on multiple conformations. As aconsequence, peptides are very exible molecules with many rotatable bonds and a multitude of possibilities to adopt different spatial congurations. Formally, there is no difference between the construction of peptides and proteins. Nonetheless, oligomers of amino acids up to asize of 30–50 monomer building blocks are called peptides, and the term protein is preferred for any members of this substance class that are above this limit.

10.1 Therapeutic Relevance of Peptides

Peptides are responsible for numerous biological func­tions in humans, e.g., enzyme substrates and hormones. A few important examples are summarized in . Ta­ble10.1. Accordingly, peptides are interesting for thera­peutic purposes, and in fact, several important drugs are peptides (. Fig.10.2).
The use of peptides as drugs is signicantly limited
by several factors:
Peptides are poorly absorbed after oral administra-
-
tion; this is mostly because of their high molecular weight and pronounced polarity.
Peptides are easily degraded by proteases in the gas-
-
trointestinal tract and are, therefore, metabolically unstable.
The body is able to very quickly excrete peptides via
-
the liver and kidneys.
. Table 10.1 Several important peptide hormones
Peptide Function
Leu-Enkephalin, Met-En­kephalin
Fibrinogen Platelet aggregation
AngiotensinII Increases blood pressure
Endothelin Increases blood pressure
NeuropeptideY Increases blood pressure
SubstanceP Bronchoconstriction and pain
Opiate receptor ligands, analgesics
(among other actions)
(among other actions)
mediation
. Fig. 10.1 The pentapeptide Leu-enkephalin as an example of
apeptide structure. The left side with the free NH2 group is the N-ter- minus, and the other is the C-terminus. Each amino acid contributes three nonhydrogen atoms to the peptide chain. Nature almost exclu­sively uses the 20proteinogenic l-amino acids for the construction of peptides (see pageIX). Depending on the functional groups in the side chains, the distinction is made between hydrophilic acidic and basic amino acids and those with hydrophobic aliphatic and aromatic side chains. The amino acids are abbreviated with three letter codes. Aone letter code is also used. The denition of the torsion anglesω, φ, ψ, andχ is shown in the example of the amino acid phenylalanine. The angleω is practically always close to 180°. The spatial course of the
peptide backbone is determined by the φ and ψangles (see Sect.14.2).
The tetrahedral carbon atom in the chain is called Cα, the rst atom in the side chain is named Cβ, and the following atom is given the indexγ
. Fig. 10.2 Peptides applied as drugs: Oxytocin is used to induce
and strengthen contractions during labor. The immunosuppressive cyclosporine prevents organ rejection after transplantation. Leupro­lide (pGlu =pyro-glutamate) is an analogue of luteinizing hormone releasing hormone (LHRH), one of the hypothalamic hormones that, via luteinizing hormone (LH), controls the synthesis of male and fe­male sexual hormones. Leuprolide is used to treat advanced-stage prostate cancer
. • Designing Peptidomimetics


Because peptides are involved in so many biological func­tions in our bodies, there is tremendous interest in nding active substances that do not have the above-mentioned detrimental properties, but that bind to the same recep­tors analogously to peptides or block enzymes that trans­form peptide substrates. Astepwise approach is taken in the search for such compounds. Peptide structures are replaced with isosteric building blocks so that the mo­lecular recognition properties of the peptide remain, but the undesirable characteristics are reduced. Such peptid- omimetics should have the following qualities:
Few or no cleavable amide bonds to improve meta-
-
bolic stability,
Reduced molecular weight to improve oral bioavail-
-
ability, and
The same spatial orientation of groups responsible
-
for strong binding to the receptor or enzyme as in the peptide.
Bacteria are the true masters of constructing peptide structures that frequently achieve the desired metabolic stability. They incorporate amino acids that do not belong to the typical 20residues that are usually used for the con­struction of proteins. Stereochemically inverted amino ac­ids are also employed, and many of these structures have acyclic architecture. Due to an exceptional spatial struc­ture, as e.g. in the lasso peptides, these peptides achieve very good proteolytic stability. Microorganisms have even evolved adedicated synthesis machinery for this: the non- ribosomal peptide synthesis (Sect.32.7). This system of modular, coupled enzymes works like an assembly line. Depending on the desired product, different enzymatic functional units are lined up, one after the other, to suc­cessively assemble the amino acids cyclizing the product in the nal step. The exchange of an enzymatic synthesis unit causes other amino acids to be incorporated into the otherwise unchanged peptide. Even ester bonds can be constructed with avery similar multienzyme complex. Many lead structures all the way to complete drugs can be derived from these original bacterial peptides, such as cyclosporine in . Fig.10.1, which is avery important immunosuppressant. Alarge number of macrolide anti­biotics (Sect.32.7) are also synthesized in this way.
Recently, a so-called chemoenzymatic synthetic strategy was developed for the construction of such macrolides. As discussed in Sect.11.6, linear oligopep­tides can easily be synthesized by using the Merrield synthesis. Nonproteinogenic amino acids with l- and d-congurations can also be used to generate high com­binatorial diversity. It is very difcult to cyclize these linear oligopeptides to the desired macrocycle by using synthetic chemistry methods. Here, the nonribosomal peptide synthetic machinery is of service. The synthet­ically prepared peptides are then funneled into the en­zymatic process chain and the cyclization domain from the bacteria catalyzes the ring closure of the peptide:
aperfect symbiosis between synthetic chemistry and enzyme biology!

10.2 Designing Peptidomimetics

In the beginning of the 1980s, there was only one gener­ally accepted example for alow-molecular-weight active substance that takes over the function of an endogenous peptide: the opiate. It is assumed that morphine 10.1 is amimetic of the endogenous peptide β-endorphin 10.2 (. Fig.10.3). Acomparison of both structures makes it immediately clear that morphine cannot possibly sim­ulate all of the functional groups of the peptide. Ob­viously not all are necessary for the biological activity. This underscores the suspicion that other peptides also bind to receptors with only afew functional groups. If this hypothesis is true, it should be possible to identify the essential functional groups and nd asmall organic molecule that has the necessary functional groups in the correct relative orientation.
The starting point for the design of peptidomimet­ics is the identication of the biologically active peptide, the function of which is to be imitated. In the rst step, single amino acids are excluded to determine whether aportion of the peptide retains sufcient activity. Next the importance of the individual side chains is investi­gated. In aso-called alanine scan (Sect.10.7), each amino acid is successively replaced with alanine. Asevere loss of activity is an indication that the removed side chain is important. Until now only peptides made up of the 20amino acids found in proteins have been investigated. In the next step, structural elements are introduced that do not occur in the 20proteinogenic amino acids. In prin­ciple, the following are possibilities for peptide structure modication:
The use of d- instead of l-amino acids,
-
Modications of the side chain of amino acids,
-
Changes on the peptide main chain,
-
Cyclization to stabilize the conformation, and
-
The use of templates that enforce aparticular sec-
-
ondary structure, or that allow the attachment of side
chains in adened spatial orientation.
. Fig. 10.3 Morphine 10.1 is a peptidomimetic for the endogenous
peptide β-endorphin 10.2 and the enkephalins (Sect.1.4). It binds as an agonist to the opiate receptor
Chapter  • Peptidomimetics
10
10.3 First Step to Variation: Modifying
Side Chains
An improvement in apeptide’s binding properties can of­ten be achieved by using other side chains. For instance, in . Fig.10.4 afew analogues of the amino acid phenyl- alanine are shown that could be used as possible replace­ments. An increase in the binding afnity can be achieved if nonproteinogenic amino acids ll the binding pocket more completely. Rigid analogues will lead to improved binding if the biologically active conformation, the one that is adopted in or at the receptor site, is immobilized.
The introduction of nonproteinogenic amino acids can increase the metabolic stability. The hydroxylation of aromatic side chains can be suppressed by using asubstitu ent, for example, auorine atom or amethoxy group, especially in the para-position. Stability to cleavage by the digestive enzyme chymotrypsin can be improved by adding substituents to the Cβ-atom because the modied side chain no longer ts into the active site of this prote­ase. Apeptide’s proteolytic stability can also be improved by exchanging l- for d-amino acids. As described above, bacteria have already recognized this trick. Distributing
d
-amino acids randomly in the peptide can furnish active
substances with astonishing metabolic stability.
10.4 A More Courageous Step: Modifying
the Main Chain
An important step in the design of peptidomimetics is the replacement of amide bonds in the main chain. Afew commonly used groups are summarized in . Fig.10.5. It can be difcult or even impossible to nd replacements for amide bonds, which form hydrogen bonds to the pro­tein with both the CO and NH groups, that do not signicantly reduce binding afnity. If the amides only bridge functional groups to one another and do not form hydrogen bonds to the protein, then a large palette of different replacement groups is available. Substitution at the amide nitrogen atom leads to metabolic stabilization because proteases can hardly cleave N-methylated amide bonds. If N-methylation of an amide group of the main chain leads to aloss of afnity, several explanations are possible. One is that the N-methylated compound can no longer form hydrogen bonds, and an essential H-bond involving the NH group is lost. It is also possible that an undesired conformational change may have occurred as aresult of the additional methyl group, or that the methyl group may sterically block binding to the protein. On the other hand, an improvement in binding as aresult of N-methylation may indicate that the biologically ac­tive conformation is stabilized. At room temperature, an amide bond is almost exclusively in the trans-geometry. Therefore, it can be substituted by an ester bond that assumes the same geometry. However, the H-bond-do­nating properties of the amide group are lost.
. Fig. 10.4 Sterically demanding,
conformationally xed, or metabol­ically stable analogues of the amino acid phenylalanine; the structural enhancements are indicated in red
. • Rigidifying the Backbone by Fixing Conformations
. Fig. 10.5 Different functional
groups that can serve as areplace­ment for amide bonds in peptidomi­metics


An N-methyl substitution improves the stability of the 180°-rotated conformation of the amide. In the case of proline, the only proteinogenic amino acid with an N-alkyl substitution, both the cis and trans amide con­guration can be found. The exchange for a1,5-disubsti­tuted tetrazole can replace the cis-orientation of apro­line. In addition, trans-congured double bonds imitate the geometry of an amide bond well. The polar charac­teristics, however, are lost. To acertain extent, this can be compensated if the double bond is substituted with uorine. The reduction of an amide or an isosteric ester bond means the loss of the carbonyl group and leads to increased exibility. If the carbonyl group is exchanged for an –SO, –SO2, or –PO2 group, the H-bond-accept­ing characteristics will be amplied; however, ageom­etry change comes with the bargain. The exchange of an amide for athioamide results in aweakening of the H-bond-accepting properties and can serve as atest of the possible importance of H-bonds to carbonyl groups in the peptide backbone. Nonetheless, a measure of caution is warranted because the desolvation of athio­carbonyl group is less difcult than that of acarbonyl group. This overlaps with the observed afnity and can mask the effect of the loss of the H-bond. The retro–in- verso exchange of an amide bond can lead to marked improvement in the proteolytic stability without losing the binding qualities (Sect.5.5).
An entirely different concept is the incorporation of
β-amino acids (Sect.31.7). In contrast to the proteino-
genic α-amino acids, these residues have four chain mem­bers per monomer unit. The amide bonds are separated by two aliphatic carbon atoms. Peptides that are made from these amino acids also show secondary structural characteristics (Sects.10.5 and14.2). They have already
successfully been incorporated into naturally occurring
peptides as mimetics and can simulate peptide–protein interactions. Because of the altered sequence of amide bonds, they are stable to proteolytic degradation (for an example, see . Fig.31.23).
If the cleavable bond of aprotease substrate is re­placed with an isosteric, noncleavable group, asubstrate
can be converted to an inhibitor (Sect.6.6). If the newly introduced group forms particularly favorable interac­tions with the active site of an enzyme, an exceedingly potent enzyme inhibitor can result. An example is found in the ketomethylene group in serine and cysteine pro­tease inhibitors as apossible replacement for the am­ide bond that is destined for cleavage (Chap.23). The hydroxyethylene group is especially suitable for aspartic protease inhibitors (Chap.24). Phosphonamides, phos­phonates, and phosphinates are often strong inhibitors of metalloproteases (Chap.25).
10.5 Rigidifying the Backbone by Fixing
Conformations
An important aspect in the design of peptidomimetics is the peptide conformation. Peptides are exible molecules and can take on different conformations. It is known, however, that certain conformations are preferably ad­opted in proteins and in some peptides. Among these are the two most important secondary structural elements: the α-helix and the β-sheet (Sect.14.2). Furthermore, there are loops and turns at the ends of these secondary structural elements that also adopt preferred patterns, particularly the β-turn (. Fig.10.6).
Aβ-turn is formed when ahydrogen bond exists be­tween the carbonyl group of the amino acidi and the NH group of the amino acid i + 3. It is obvious that such hy­drogen bonds can only form for certain combinations of the torsion anglesφ andψ, which are determined by the amino acids in the i + 1 and i + 2positions (. Fig.14.6, Sect.14.2).
β-Turns are especially interesting because many pep-
tides bind to proteins in aβ-turn conformation. Let us assume that the backbone of the peptide only serves to position the side chains for optimal receptor interactions. Then it should be possible to replace the peptide chain with acompletely different scaffold to which functional groups are attached that assume the same spatial orien­tation as the amino acid side chains.
10
Chapter  • Peptidomimetics
. Fig. 10.6 Aβ-turn is apeptide conformation in which ahydrogen
bond is formed between the amino acidsi and i + 3. Particular ranges for the values of the torsion angles φ acteristic for the β-turn
i+1
, ψ
i+1
, φ
i+2
, and ψ
are char-
i+2
If aβ-turn-congured peptide binds to areceptor, then arigid analogue that “freezes” the β-turn confor­mation should lead to improved binding. The simplest way to x aβ-turn is the incorporation of the necessary sequence in asmall cyclic peptide. It is known from ex­perimental structure determination that cyclic penta- and hexapeptides almost always contain aβ-turn. The con­formation of these peptides were investigated at length in the research group of Horst Kessler at the Universities of Frankfurt and Munich, Germany. It could be shown that the position of aβ-turn in asequence can be controlled. Proline as well as d-amino acids prefer the i + 1 posi­tion in these loops. The introduction of d-amino acids
supports the formation of aβ-turn above other possible conformations (cf. Sect.31.2).
Aβ-turn can also be forced by anonpeptide template. Numerous β-turn mimetics have been proposed for this (. Fig.10.7). Apart of the structures serves as atem­plate on which two peptide chains can be forced in an an­tiparallel orientation. However, substitution by introduc­tion of the R2 and R3 side chains is synthetically difcult. Benzodiazepines are interesting scaffolds onto which all four side chains R1–R4 can be coupled. Other peptide conformations can also be xed by the introduction of rigid groups. Afew examples of conformation-stabilizing ring systems are displayed in . Fig.10.8.
An especially convincing example of a scaffold mimic is the design of athyrotropin-releasing hormone (TRH) mimetic by Gary Olson and his colleagues at Roche in Nutley, New Jersey, USA. TRH is the tripep­tide pGlu–His–Pro–NH2 10.3. The approach is shown in . Fig.10.9. After deducing apharmacophore hy­pothesis, arigid scaffold molecule was sought upon which the side chains could be appended in the correct relative orientation. Cyclohexane was chosen as ascaf­fold. Compound 10.4 is apotent TRH receptor ligand. The substance acts as an agonist and elicits the same effects as TRH. An improvement in cognitive function could be seen in animal experiments after the adminis­tration of 10.4.
. Fig. 10.7 Typical β-turn mimics. The
amino acids are added onto the template at the red-colored positions
. Fig. 10.8 The illustrated rings replace
one or two amino acids and force aparti­cular conformation
. • Peptidomimetics to Interfere with Protein–Protein Interactions
. Fig. 10.9 By starting with the structure of tripeptide TRH 10.3
and ahypothesis for the functional groups that are essential for bind­ing, the nonpeptidic molecule 10.4 was designed, which also binds to the TRH receptor
10.6 Peptidomimetics to Interfere with
Protein–Protein Interactions
Proteins communicate with one another and transmit information and signals by forming complexes with each other via commonly shared surfaces. The area of the shared contact surface usually extends over more than athousand square Ångstroms (Å2). This is alarge value when compared to the surface that asmall organic molecule of typical drug size occupies upon binding. Furthermore, the contact area between two proteins is, as ageneral rule, not very jagged. It hardly resembles the deep binding pockets in enzymes that can host small ligands. Nevertheless, it would open entirely new perspectives for drug therapy if such protein–protein contact surfaces could be blocked with low molecu lar weight compounds. At rst glance, this task seems almost impossible. How can asmall molecule bind to aat, barely structured protein surface with an interac­tion that is strong enough not to be “washed away” when the protein–protein contact forms? Furthermore, there is the problem that amino acid residues on the convex surface of aprotein have in general much more space to exibly adapt their conformation. Astatistical anal­ysis of the amino acid composition across the contact surfaces in protein complexes showed apreference for aromatic residues, aspartate, arginine and the aliphatic residues proline and isoleucine. The selective exchange of amino acids in the contact surface also showed that there are afew protruding residues that dominate the in­teraction (so-called “hot spots,” Sect.17.10). The search for possible binding sites of asmall molecule that can

compete with the formation of the protein–protein inter­face starts with adetailed analysis of the complementary geometry to the contacting surfaces. Are there clustered areas with charged residues or does astructural element such as aβ-turn or α-helix penetrate alittle more deeply into the opposite contact surface? Next, the peptide se­quence that corresponds to the contact surface is syn­thesized. This can be portions that preferably adopt ahelical structure or that can be xed in aturn pattern such as acyclopeptide. If an active peptide is found, it must be structurally characterized in complex with the opposite contact surface.
The complex of the BCL-XL (B-cell lymphoma) protein with a16-residue peptide that was cut from the BAK protein is shown in . Fig.10.10. BCL-XL belongs to the proteins that prevent programmed cell death (apoptosis). Its function is regulated by binding to pro- and antiapoptotic factors such as BAK. Inhibitors of this contact formation might, therefore, deliver po­tential drugs for an anticancer therapy. The binding of the helical peptide takes place in astretched-out groove. Small molecules have been discovered that ll this crev­ice (. Fig.10.11). The group of Andrew Hamilton at Yale University, New Haven, USA has been searching for abasic scaffold that can imitate the characteristics of ahelix and simultaneously hold the side chains on one side. Terphenyl derivatives 10.5–10.7 were found that can arrange the side chains in astaggered conformation analogous to ahelix. An alanine scan along the BAK peptide showed that four hydrophobic residues (Val74, Leu78, Ile81, and Ile85) are essential for binding. In addition, Asp83 forms asalt bridge to BCL-XL. The ter­phenyl scaffold was, therefore, furnished with an acidic group at the end and decorated with alkyl and aryl resi­dues in the ortho-positions. Compound 10.6 binds to the BCL-XL protein with an afnity of 114 nM.
Adifferent approach was taken at AbbVie. Small molecules that interact with the BCL protein were sought by NMR spectroscopy (Sect.7.8). The millimo-
-
lar inhibitors para-uorobiphenylcarboxylic acid 10.8 (. Fig.10.11) and 1-hydroxytetraline 10.9 were discov­ered. Both bind to distinct but neighboring positions. They replace Asp83 and Leu78 of the binding domain of the BAK peptide, and 10.9 occupies the Ile85 po­sition. From the two discovered fragments, the scien­tists at AbbVie developed compound 10.10, which had two-digit nanomolar afnity for the protein. Further optimization led to 10.11, ahighly potent antagonist that blocks the entire family of antiapoptotic BCL-2 proteins. The synergistic effect of ABT-737 together with radiation and chemotherapy was demonstrated in animal experiments. Unfortunately, the bioavailability of ABT-737 was insufcient. Nevertheless, the clinical trials were also discontinued for the structurally similar follow-up compound navitoclax (ABT-263) due to se­vere side effects.

Chapter  • Peptidomimetics
10
. Fig. 10.10 The NMR spectroscopic structure of the BCL-XL pro-
tein with the α-helical, 16-membered peptide fragment from the BAK protein (blue–gray). The peptide binds in adeep groove with the amino acids Ile85, Ile81, Leu78, Val74 (from left to right, side chains are in magenta). The surface of the BCL protein is shown in white, the
An analogous case was studied with the MDM2 pro­tein at Roche. MDM2 is overexpressed in many tumors. It binds to the tumor-suppressor protein p53, which protects cells from converting to amalignant state. It is, therefore, the protein that is most often inactivated during carcinogenesis. Inhibition of complex formation between the overexpressed MDM2 protein and p53 could, thus, represent an approach to apossible can­cer therapy. Here too, an α-helical p53 peptide stretch binds to ahydrophobic groove on the MDM2 protein. Acis-imidazoline with an afnity of 100–300 nM was found in screening. The cocrystal structure was accom­plished with 10.12 (. Fig.10.11). The imidazoline scaf­fold imitates the side of an α-helix of the peptide from
contact surface of the hydrophobic amino acids of the peptide all pro­trude into the cleft. (7 https://sn.pub/ooSzpg)
the p53 protein. The two p-bromophenyl rings replace aTrp and aLeu. The ethyl ether group on the third aro­matic ring orients in the pocket that is lled with aphe­nylalanine in the peptide. The MDM2 protein is blocked through this competitive binding, and the level of free p53 increases. Through this, the p53 pathway in cancer cells is activated, and the cell cycle comes to acomplete stop. The cell may go into programmed cell death. The tumor growth inhibition has already been demonstrated in animal models.
Another large class of proteins that is controlled by contacts with other proteins is the integrins. Numerous low molecular weight inhibitors have been discovered for this class. An example for the successful design of
. • Tracing Selective NK Receptor Antagonists by Ala Scan


. Fig. 10.11 Different inhibitors of protein–protein contacts that
imitate the α-helical structural building blocks in the contact surface.
The terphenyl derivatives 10.5–10.7 bind to the BCL-XL protein in
apronounced crevice and block the binding site of ahelix. The small
antagonists by starting from cyclic peptides is pre­sented in Sect.31.2. Many G-protein-coupled receptors (Sect.29.1) are controlled by endogenous peptides or proteins. For this, the peptide or protein bind to the receptor. The replacement of the peptide sequences with an organic molecule that imitates the binding of the natural ligand has also been attempted. An example of the design of such an active compound is given in Sects.29.5 and29.6. An example of how small frag­ments can lead the way to ligands that interfere with the formation of protein–protein interfaces is shown in Sect.21.15.
fragments 10.8 and 10.9, which led to the development of inhibitors
10.10 and 10.11 were discovered in the same area during NMR spec­troscopic screening. Compound 10.12 is adifferent helix mimetic that prevents the interaction between the MDM2 and p53 proteins
10.7 Tracing Selective NK Receptor
Antagonists by Ala Scan
Tachykinins are neuropeptides that all contain the same lipophilic C-terminus: –Phe–X–Gly–Leu–Met–NH2. A well-investigated representative of the tachykinins is substanceP, Arg–Pro–Lys–Pro–Gln–Gln–Phe–Phe– Gly–Leu–Met–NH2 (10.13, . Table10.2). Tachykinins bind to at least three different tachykinin receptors, the NK1, NK2, and NK3 receptors. All three belong to the class of G-protein-coupled receptors (Sect.29.1). They mediate avariety of biological effects, for example, bron-
Chapter  • Peptidomimetics
. Table 10.2 The rational design of NK2 receptor ligands
No. Structure
10
SubstanceP 10.13 Arg–Pro–Lys–Pro–Gln–Gln–Phe–Phe–Gly–Leu–Met–NH
Minimal fragment 10.14 Leu–Gln–Met–Trp–Phe–Gly–NH
Ala scan 10.15 Ala–Gln–Met–Trp–Phe–Gly–NH
10.16 Leu–Ala–Met–Trp–Phe–Gly–NH
10.17 Leu–Gln–Ala–Trp–Phe–Gly–NH
10.18 Leu–Gln–Met–Ala–Phe–Gly–NH
10.19 Leu–Gln–Met–Trp–Ala–Gly–NH
10.20 Leu–Gln–Met–Trp–Phe–Ala–NH
10.21 Leu–Gln–Met–Trp–Phe–NH
Dipeptide 10.22 Z–Trp–Phe–NH
Immobilization of the bio­logically active conformation
N-Terminal optimization 10.24
Stereochemical optimization 10.25
Addition of amino acid 10.27
Z=benzyloxycarbonyl group
10.23
10.26
Z–Trp–(R,S)–(α–Me)Phe–NH
(2,3-di-OCH3)C6H3CH2OCO-Trp-(R,S)-(α-Me)Phe-NH
(2,3-di-OCH3)C6H3CH2OCO-Trp-(R)-(α-Me)Phe-NH
(2,3-di-OCH3)C6H3CH2OCO-Trp-(S)-(α-Me)Phe-NH
(2,3-di-OCH3)C6H3CH2OCO-Trp-(S)-(α-Me)Phe-Gly-NH
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
295
11.7
40
138
156
> 10,000
8300
28
200
2700
327
37.6
10,000
17.2
1.4
. Fig. 10.12 Important in-
termediates on the way from the dipeptide 10.22 to the po­tent NK2 receptor antagonists
10.27
choconstriction or pain transmission. Consequently, areceptor antagonist could be helpful for the treatment of asthma as well as to ght pain.
The study conducted at Parke-Davis in Cambridge, UK, to develop an NK2 receptor antagonist is aclassic example of the conversion of apeptide into apeptido mimetic (. Table10.2 and. Fig.10.12). Acompound was sought that would bind to the same receptor as sub­stanceP. The starting point of the work was ahexapep­tide, Leu–Gln–Met–Trp–Phe–Gly–NH
(10.14), known
2
from the literature to bind to the NK2 receptor with an afnity of 11.7 nM. In arst step, each amino acid
was systematically replaced by alanine (10.15–10.20). At a few positions, alanine substitution resulted in only asmall decrease in binding afnity. For example, the N-terminal leucine could be replaced by an alanine (10.15). It was concluded that the Leu side chain may be
-
of minor importance for receptor binding. However, the compound in which tryptophan or phenylalanine was re­placed by alanine showed very little afnity for the NK2 receptor. This was clear evidence that these two amino acids are essential for binding. Removal of the C-ter- minal amino acid glycine (10.21) decreased the afnity by afactor of 7. Apparently, this amino acid also has
. • CAVEAT: Idea Generator for the Design of Peptidomimetics
. Fig. 10.13 The optimization of lead structure
10.28, which was found by screening, to selective NK1 receptor antagonists 10.32 and 10.33. In contrast to the metabolically labile benzyl esters
10.2810.32, ketone 10.33 is also active in animal experiments. The rst NK1 receptor antagonist aprepitant 10.34 was successfully brought to the market by MSD for the prevention of acute emesis


some importance for receptor binding. Testing of several N-terminal protected dipeptides led to Z–Trp–Phe–NH2 (10.22, Ki = 2700 nM, Z = benzyloxycarbonyl-) as the lead structure for further work. This completed the rst phase of the project. As adipeptide, 10.22 was an inter-
esting lead structure for subsequent work.
In the next step, additional methyl groups were in­troduced at different positions of the molecule. This restricted the number of possible conformations. Ade­crease in binding afnity was observed for many of the conformationally restricted compounds. Amethyl group on the Cα-atom of phenylalanine increased the binding afnity by afactor of8 (10.23, Ki = 327 nM). Apossible explanation for this nding is that the con­formation adopted at the receptor site is stabilized by the additional methyl group. The N-terminal part of the molecule was then varied. Replacement of the ter­minal phenyl ring with a2,3-dimethoxyphenyl group further increased the binding afnity by afactor of10 (10.24, Ki = 37.6 nM). This value corresponds to race­mic α-methylphenylalanine. The enantiomerically pure compound 10.26 with this moiety in the S-conguration binds with aKi of 17.2 nM. The reintroduction of the
C-terminal glycine nally led to the highly potent com-
pound 10.27 (Ki = 1.4 nM).
Independent of the work at Parke-Davis, lead struc­ture 10.28 was optimized to the NK1-specic receptor antagonists 10.32 and 10.33 at Merck Sharp & Dohme (MSD). Although 10.2810.32 were only effective in vitro, 10.33 is also active in vivo because of its higher metabolic stability (. Fig.10.13). MSD was nally suc­cessful with the structurally related aprepitant 10.34. The compound was introduced as amedicine to prevent acute emesis (vomiting) during highly nausea-inducing chemotherapy.
10.8 CAVEAT: Idea Generator for the
Design of Peptidomimetics
In the previous sections, it was often highlighted that the side chains of the amino acids are responsible for the binding to receptors. Usually the main chain merely plays the role of ascaffold that serves to bring the side chains into the necessary spatial alignment for binding. Thus, arigid, nonpeptidic scaffold to which the side chains could be attached in the same spatial orientation should be suitable for designing molecules with prop­erties similar to those of peptides. This idea has been implemented in acomputer program in Paul Bartlett’s group at the University of California at Berkeley, USA. The program, CAVEAT, allows the search for rigid mol- ecules that mimic aparticular segment of apeptide back­bone. To do this, the bonds on the peptide backbone are described by vectors (. Fig.10.14). The 3D structure of the peptide for the peptidomimetic being sought must be known as aprerequisite. The orientation of the side chains is determined by the binding vectors Cα–Cβ. The relative orientation of, for instance, three amino acid side chains is found by the position of the relevant Cα–Cβ binding vectors. This spatial pattern of vectors is used to search a3D database of molecular scaffolds contain­ing three substitutable bonds oriented analogously to the three Cα–Cβ vectors. The result is alist of rigid, usually cyclic molecular scaffolds, the free positions of which can be coupled to the amino acid side chains.
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