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Chapter  • Inhibitors of Hydrolases with an Acyl–Enzyme Intermediate
previr 23.51 and telaprevir 23.52, were approved in 2011
(. Fig.23.25). They were followed by avast number of
other inhibitors (such as simeprevir, sofosbuvir, asuna­previr, danoprevir, simeprevir, paritaprevir, vaniprevir, and grazoprevir), some of which block the target enzyme covalently and others as noncovalent peptidomimetics.
The assemblins, another group of serine peptidases, have been found in herpes viruses. The enzyme from cy­tomegalovirus belongs to this group, as do those from varicella-zoster virus and herpes simplex virus. These proteases also use one serine and one histidine. An addi­tional histidine forms the third amino acid in the triad. Despite adifferent folding pattern, their triad ts very well with the trypsin triad. Even the oxyanion hole is present in these viral proteases.
The carboxy-serine peptidases (sedolisins) are an­other group folded analogously to subtilisin (Sect.14.7). They have atriad of serine, glutamate, and aspartate. Amember of this family was recently discovered on the human cnl2 gene. Mutations in this gene cause severe neurodegenerative diseases. This enzyme also contains an oxyanion hole to which, interestingly, an aspartate contributes. However, it is only in the protonated state that this residue can act as ahydrogen bond donor and negative charge stabilizer in the transition state. Since the enzymes of this family are active in apH range of 3–5, the requirement for protonation is met.
There may be many more cleavage enzymes that use acatalytic serine to be discovered. It remains to be seen which of the discovered peptidases will be selected for pharmaceutical development. Their catalytic machin­ery shares the same spatial architecture in all examples. Therefore, the general principles can be transferred be­tween the individual members of the family.
23.8 Triads in All Variations:
Threonine as aNucleophile
In addition to serine, another amino acid carries an al­iphatic OH group: threonine. This amino acid can also be catalytically active in aprotease. The proteasome is the cell’s central protein-shredding machine and cleaves ubiquitin-labeled proteins into small oligopeptides of 3–20 amino acids. The ubiquitin tag itself is ahighly conserved protein with 76amino acids. As acellular shredding machine, the proteasome plays acentral role in protein metabolism, cell growth, and cell death. It is, therefore, an important target for the treatment of can- cer. It is amultiprotease complex composed of more than 30 proteins and is found in both the cytoplasm and the nucleus (. Fig.23.26). The proteasome is con­structed like alarge barrel with two lid regions that have regulatory functions; these regions control the entry of
. Fig. 23.25 β-Lactamase-resistant
antibiotics of the penem and carbapenem type. Imipenem 23.48 and meropenem
23.49 are derived from the carbapenem type. The natural product clavulanic acid 23.50 opens its lactam ring and forms an acyl–enzyme complex with the serine residue. Ahydrolysis-resistant vinyl urethane analogue is formed by arearrangement. Boceprevir 23.51 and telaprevir 23.52 were the rst two drugs approved as inhibitors of the hepatitisC virus (HCV) NS3/4A serine protease
23
. • Triads in All Variations: Threonine as aNucleophile


. Fig. 23.26 The proteasome, acellular shredding machine, proteo-
lytically cleaves ubiquitinylated proteins selectively into small oligo­peptides that have between 3 and 20amino acids. The crystal structure of the 20S proteasome from yeast (subunits are shown in different col­ors) is shown on the left. Six of these units are inhibited by bortezomib (yellow). The boronic acid derivative bortezomib 23.53 (right, gray)
substrates into the shredder. The catalytic sites of the proteases, which have chymotrypsin-like, trypsin-like, and peptidyl-glutamyl-peptide-like substrate specicity, contain the threonine. The OH group of this threonine acts as the nucleophile. An adjacent positively charged lysine and abalancing aspartate enhance its nucleophilic strength. Since the threonine is the rst amino acid at the N-terminus, it also carries afree amino group. This group serves as aproton acceptor in the mechanism. The nuc­leophilic center is complemented by two serine and one aspartate residues, which contribute to the stabilization of the transition state.
Millenium Pharmaceuticals, founded as an aca­demic research institute, introduced bortezomib 23.53 (Velcade®) in 2006, the rst agent to block the threonine protease function of the proteasome. Chemically, borte­zomib is aboronic acid derivative (. Fig.23.26). The in­hibitor reacts with the threonine of the catalytic triad to form acovalent bond. In addition to this reactive group, the molecule has adistinct peptide-like character. These features allow the molecule to interact with the substrate binding site in the proteasome.
reacts with the N-terminal Thr1 and forms a covalent boronic acid ester complex. (7 https://sn.pub/eYXznx)
Another peptide analog, carlzomib, is in clinical tri­als. It carries aterminal α′β′-epoxy ketone. Upon inhibi­tion, the threonine OH group nucleophilically attacks the keto function of the inhibitor. The adjacent N-terminal amino group then opens the epoxide ring. This results in an irreversible covalent bond. Although the epoxy ke­tone is highly reactive, carlzomib is a highly selective proteasome inhibitor. The proximity of the nucleophilic Thr–OH of the rst residue in the sequence and the N-terminal amino group is an unusual and exceptional combination. However, it is an essential prerequisite for the activation of this inhibitor.
The proteasome is an important target structure that appears suitable for cancer treatment. More than 20dif­ferent inhibitors are currently being developed. Bortezo­mib is used for the treatment of multiple myeloma, atype of bone marrow cancer. This cancer is based on the ma­lignant transformation of plasma cells, the physiological function of which is to produce antibodies for immune defense. Even though bortezomib cannot heal multi­ple myeloma, its use can extend the life of patients for whom other therapies have failed. In multiple myeloma, the plasma cells produce massive amounts of misfolded
Chapter  • Inhibitors of Hydrolases with an Acyl–Enzyme Intermediate
proteins that must be digested by the proteasome. There­fore, these cells need a proteasome that functions cor­rectly, otherwise apoptosis would be induced. However, it is desirable to block the function of the proteasome in order to utilize this mechanism for the degradation of de­generated cells. Such cells are signicantly more sensitive to bortezomib therapy than normal cells. Some tumor cells also activate atranscription factor, NF-κB, which controls the proliferation and survival of the tumor cells. The proteasome is critical for the activation of NF-κB because it degrades an inhibitor of this transcription factor that acts as akind of emergency brake on NF-κB. Therefore, the inhibition of the proteasome serves to keep NF-κB in its benign form, because its inhibiting binding partner is no longer being degraded. Bortezomib may also induce apoptosis of tumor cells by stabilizing cyclin-dependent kinase inhibitors (Sect.26.2) and the tumor suppressor p53.
Interestingly, aprotease has been discovered in bacte­ria that exists as a14mer and has aspatial structure rem­iniscent of the proteasome. The ClpP protein is aserine protease involved in the degradation of cellular proteins in bacteria. Treatment with amacrolide antibiotic can cause its function to go out of control and degrade pro­teins in an unregulated manner. This leads to cell death in the bacteria. The company Bayer recognized this prin­ciple and used it for an antibiotic therapy. The goal was not to block the protease function of the ClpP protein, but rather to promote its uncontrolled effects through synthetic antibiotics.
. Table 23.4 Cysteine proteases with physiological impor-
tance (X=arbitrary amino acid). The 3D structures of all of the listed enzymes are known
Enzyme Cleavage site Function or therapeutic
use
Papain –Val–X–X– Model botanical enzyme
from papaya
CathepsinsB, L, K,M
Calpains –Lys–Ser– Stroke
Falcipain –Arg–Lys– Malaria
Cruzipain –Lys/Arg– Sleeping sickness
Caspases –Asp–X– Rheumatoid arthritis,
Picornavirus 3C-proteinase
SARS-main proteinase
–Arg–X– Inammation
–Gly–X– Tumor metastasis
–Ser–X– Muscular dystrophy
–Tyr–X– Myocardial infarction
–Arg–Thr– Neuroprotection
–Tyr–Ala– Cataract
–Lys–X–
–Phe/Ala–
apoptosis, sepsis
–Gln–X– Viral infection
–Gln– Viral infection
Ser/Ala
23
23.9 Cysteine Proteases: Sulfur,
the Big Brother of Oxygen as aNucleophile in the Triad
In addition to the OH group of serine and threonine, the thiol group of cysteine is also capable of nucleophilic hydrolytic attack on amide bonds. Enzymes using such acysteine possess acatalytic triad analogous to serine proteases and are called cysteine proteases. The rst pro- tease of this family to be structurally studied in detail was papain, which was isolated from the latex of papaya, the fruit of the papaya tree (Carica papaya). Its triad consists of anucleophilic cysteine, ahistidine, and an asparagine. The asparagine assumes the role of aspartate in serine protease. The catalytic mechanism is similar to that of serine proteases. Even the oxyanion hole (Cys25 and Gln19) is found in proteases of the papain family. There is evidence that the transition state is structurally similar to the acyl–enzyme intermediate. Attempts have been made to replace serine with cysteine in trypsin. The substrate binding properties (K same, but the catalytic rate of the reaction decreased by ve orders of magnitude. Although the structures are geometrically almost unchanged, the experiment shows
) remained virtually the
m
that the difference between serine and cysteine proteases is more complicated than asimple exchange of sulfur for oxygen. The ne-tuning of structural and electronic properties is the key. Unlike the trypsin-like serine pro­teases, the nucleophilic cysteine exists as apreformed ion pair with its neighbor histidine.
Three families of cysteine proteases that are import-
ant targets for drug therapy have been characterized (. Table23.4). The rst group is derived from papain and includes the cathepsins. They are proteases involved in the degradation of extracellular matrix proteins and the basal membrane. Inhibiting their function opens up awide range of therapeutic possibilities, for example, in inammation, tumor metastasis, bone resorption, muscle atrophy, or myocardial infarction. Another group is the calcium-dependent calpains, whose hydrolytic domain is folded very similar to that of papain. They are found in many cells and have different functions. Calpains occur in higher concentrations at sites of cell damage, such as after traumatic brain injury, stroke, or during the for­mation of cataracts in the eye. Calpains appear to be regulatory enzymes. For example, they reduce blood ow through blood vessels after injury to limit blood loss. Unfortunately, this natural protective function leads to the contrary situation during astroke: activation of cal-
0
4
. • Cysteine Proteases: Sulfur, the Big Brother of Oxygen as aNucleophile in the Triad


pains reduces blood ow and parts of the brain become ischemic. Destruction of affected brain cells is the result. Specic inhibitors could counteract the over-functioning of calpains. Cysteine proteases of the papain family have also been discovered in parasites. Inhibition of cruzipain could be aconcept for the treatment of sleeping sickness. Falcipain, which is used by the malaria parasite to digest hemoglobin, is apromising target enzyme for malaria therapy.
The second large family of cysteine proteases are the caspases. These are involved in the control of apoptosis, or programmed cell death. When acell is damaged be­yond the ability of natural cellular repair mechanisms to restore it to its normal state, caspases are activated to induce apoptosis. Dysregulation of apoptosis leads to various pathological conditions associated with cancer, immune dysregulation, or neurodegenerative disorders. Inhibitors of different caspases have potential as neuro­protective agents, as active substances for cancer treat­ment or for the treatment of rheumatoid arthritis.
The third family includes the viral 3C proteases found in picornaviruses (human rhinovirus, poliomyelitis, or hepatitis viruses) or coronaviruses (SARS). These viral proteases process the primary polypeptide chain and pro­duce the specic viral proteins during maturation. Inhib­itors of these proteases represent aconcept for antiviral chemotherapy.
Aspecial feature of papain-type proteases is the ste­reochemistry of the nucleophilic attack. In contrast to other serine and cysteine proteases, the attack occurs from the opposite side, the so-called Si face. The S1 pocket in papain is not prominent and the P1 group of the substrate is oriented away from the protein. In con­trast, all neighboring pockets are much more prominent. Interestingly, some of the pockets on the C-terminal side (the primed side, 0– structured. This can be exploited in the design of po­tential inhibitors. Papain prefers substrates with hydro­phobic P2 and P3 groups. An aspartate is recognized as aP1 group by caspases of the second folding family. For these reasons, many inhibitors developed for caspases carry afunctional group with acarboxylic acid group or acorresponding mimetic at this position. The interaction with the thiol group of the catalytic cysteine is crucial for the binding of cysteine protease inhibitors to their target enzyme. Interestingly, many of the inhibitors de­veloped attempt to involve the sulfur atom in acovalent bond. Reversible and irreversible head groups have been developed for this purpose. The inhibitor leupeptin 23.54 (. Fig.23.27) is anatural product that has aterminal aldehyde function. This group reacts with the thiol group of cysteine to form ahemithioacetal. Leupeptin binds with high afnity to many members of the papain fam­ily. In addition to the aldehyde head group, many other functionalities (so-called warheads) that can be used to inhibit cysteine proteases (. Fig.23.27) are known. Such
) of cysteine proteases are highly
irreversible inhibitors have been developed for viral pro­teases and have aMichael acceptor group (e.g., 23.55). This reactive group forms an irreversible bond with cys­teine and permanently shuts down the enzyme. Attempts have been made to develop inhibitors for cathepsins, cal­pains, and caspases that can form areversible bond to the thiol group. Most of these structures are derived from al­dehydes or ketones (23.56–23.59). From achemical point of view, Vertex’s caspase inhibitor 23.58 is interesting. It combines in acyclic structure an aspartate-like side chain for the S1 pocket of the enzyme and acapped aldehyde function in the form of acyclic acetal. The aldehyde is released as the active compound from this prodrug.
An example of the successful development of acysteine protease inhibitor in record time is the new COVID-19 inhibitor nirmatrelvir (Paxlovid®). When the coronavirus pandemic hit the world in late 2019, there was no drug or vaccine available to protect against the virus. With lightning speed, many concepts were brought to market, shattering all previously predicted drug development timelines. In less than ayear, the rst vector-based or mRNA vaccines (Sect.32.4) were avail­able. Just one year later, the rst orally available SARS- CoV-2 inhibitor, nirmatrelvir, developed at Pzer, was approved. Like many viruses, SARS-CoV-2 possesses alarge protease (SARS-CoV-2 M the cleavage of mature peptide chains into virus-specic proteins. It belongs to the class of cysteine proteases. It specically cleaves the polypeptide chain at 11sites fol­lowing aP1-Gln residue. No human cysteine protease cuts after this amino acid. The perspective to develop asufciently selective inhibitor was, therefore, promis­ing. The Pzer team was fortunate that they did not to have to start from scratch. In 2002, when the rst SARS virus infection shocked the world, Pzer had already de­veloped the potent but still very substrate-like inhibitor
23.60 (. Fig.23.28). This inhibitor binds covalently to the substrate by forming acovalent bond to the catalytic cysteine (green) via an α-hydroxymethyl ketone. By the time Pzer had the compound in hand, however, the 2002 SARS outbreak had largely subsided. The compound was not pursued further. Since the main protease of the new 2019 SARS-CoV-2 virus is virtually identical in the catalytic center, 23.60 also inhibits this protease. This set the stage for optimization into an orally available com­pound in March 2020. The peptidic nature of 23.60 had to be removed, as did the excessive polarity of the many H-bond donors. Pzer initially used anitrile and aben­zothiazole-2-yl ketone in parallel as covalent anchors (. Fig.23.27, groupsd andh). The nitrile group even­tually prevailed (circled in green). A6,6-dimethyl-3-az­abicyclohexane was used as amimetic for the central P2-leucine (red). The P3 indole moiety was replaced by branched acyclic groups, with amethanesulfonamide and atriuoroacetamide being the favorites. In the end, the uorinated substituent proved superior (blue). Less than
pro
) that is required for
a
b
c
d
e
f
g
h
i
Chapter  • Inhibitors of Hydrolases with an Acyl–Enzyme Intermediate
. Fig. 23.27 In addition to the aldehyde head group(a), as found in
the natural product leupeptin 23.54, many other functionalities(b–i) have been developed. They bind reversibly or irreversibly to the cata­lytic cysteine (reactive site is shown in red), thereby, blocking cysteine proteases. Irreversible inhibitors such as 23.55 that have aMichael ac­ceptor group are available for viral proteases. The two aldehydes 23.56
six months after optimization began, 23.61 was ready for toxicological testing and in-depth clinical trials as ananomolar inhibitor with good oral bioavailability and antiviral activity. By the end of 2021, 23.61 could be in­troduced into therapy under the trade name Paxlovid®.
. Fig.23.28 shows the crystal structure of 23.61 with
the protease.
and 23.57 are development substances for the inhibition of calpains;
23.58 and 23.59 are caspase inhibitors. Compound 23.58 is aprodrug that releases an aspartate-like P1 side chain upon ring opening and forms ahemithioacetal with the protein through its newly generated aldehyde function
Another group of enzymes that actually belong to the transferase family, but follow acysteine protease-like mechanism, are the transglutaminases. Nine isozymes have been discovered in our genome. They are com­posed of four domains and contain acatalytic domain consisting of aCys–His–Asp triad. Their function is the posttranslational modication of proteins (Chap. 26),
23
. • Cysteine Proteases: Sulfur, the Big Brother of Oxygen as aNucleophile in the Triad


. Fig. 23.28 Crystallographically determined binding mode of nir-
matrelvir 23.61 to the SARS-Cov-2 M molar inhibitor was optimized for stability and oral bioavailability from apreviously discovered peptide analog 23.60 via several design steps. Nirmatrelvir binds covalently via its nitrile group to the catalytic Cys 145 and occupies the specicity pockets S1, S2, and S3 with its side
pro
major protease. The nano-
meaning they modify proteins after they have been syn­thesized in the ribosome. For example, they can deami­nate glutamine residues to glutamate. In addition, they catalyze the cross-linking of chain strands on proteins by the transaminase reaction. For this purpose, the terminal amino group of alysine is coupled to aglutamate resi­due to form an isopeptide bond. This results in aproteo­lytically stable cross-linking, so that transglutaminases can be compared to a“biological glue.” The reaction is analogous to that of cysteine proteases. Anucleophilic cysteine rst forms an acyl enzyme with the glutamine of the substrate with loss of ammonia, which is cleaved in the next step by the reactive lysine. Aprotein cross­link is formed. Transaminases have many functions in the body, the most important of which is to stabilize tissue proteins. In the blood coagulation cascade, the transglu-
chains. The oxyanion hole is formed by the NH groups of Gly 143 and Cys 145. (7 https://sn.pub/hNPere)
taminase factorXIII stabilizes the initially formed clot by cross-linking (Sect.23.4). Therefore, factorXIII inhibi­tors may be potent anticoagulants. Other transglutami­nases are also being investigated as potential targets for drug development. Transglutaminase-2 (TG2) plays an important role in celiac disease, aform of gluten intol­erance. Patients with this disease are sensitive to gluten, an adhesive protein found in many grain products. They develop inammation in the mucous membranes of the small intestine, leading to the destruction of intestinal epithelial cells and severely limiting their ability to absorb nutrients from food. TG2 inhibitors may be atherapeu­tic approach. Inhibitors for transglutaminases can be developed using analogous principles to those used for cysteine protease inhibitors.
Chapter  • Inhibitors of Hydrolases with an Acyl–Enzyme Intermediate
23

23.10 Synopsis

Serine proteases belong to the class of hydrolyzing en-
-
zymes that cleave amide or ester bonds. Depending on where they cleave apeptide chain, they are classied as amino-, carboxy-, or endopeptidases.
Three amino acids, aserine, ahistidine, and an as-
-
partic acid that reside at quite distant positions in the sequence, are folded in characteristic proximity to one another. The hydroxyl oxygen atom of the serine nuc­leophilically attacks the carbonyl carbon atom of the scissile peptide bond. Its nucleophilicity is enhanced by an H-bond to an adjacent imidazole moiety of ahistidine.
The histidine accepts aproton from the nucleophilic
-
serine OH group and is, thereby, transposed into apositively charged state. The neighboring aspartate residue compensates for the positive charge. The si­multaneously created negative charge on the former carbonyl oxygen is stabilized by NH functions in the H-bond-donating oxyanion hole. Simultaneously, the carbon atom of the cleaving amide bond rearranges to atetrahedral geometry.
Upon release of the N-terminal part of the peptide
-
substrate, the C-terminal part remains covalently bound as an acyl–enzyme complex. This is nally degraded via asimilar mechanism that uses awater molecule as anucleophile.
The residues involved can be different; in particular,
-
the nucleophilic serine can be replaced by athreonine or cysteine. The corresponding enzymes are named threonine and cysteine proteases.
The peptide chain to be cleaved is primarily recog-
-
nized in small binding pockets on the protease surface that accommodate the amino acid side chains on the C-terminal end adjacent to the cleavage site. Their composition determines the chemical building blocks required for inhibitor design to develop highly potent ligands for the protease.
Anumber of warhead groups are known to either
-
reversibly or irreversibly block the catalytic serine, threonine, or cysteine residue.
The major contribution to binding afnity and li-
-
gand specicity is achieved through binding to the S1 pocket next to the cleavage site.
Blood coagulation is ahighly regulated cascade of
-
serine proteases. Potent inhibitors for antithrombotic therapy have been developed for thrombin and fac­torXa, which participate in the last steps of the cas­cade.
Whereas thrombin and factorXa exhibit deep and
-
well-structured S1 pockets, elastase exhibits aat S1 pocket. Binding to this pocket contributes much less to the overall afnity of an inhibitor for this protease and the developed compounds all involve the catalytic serine in areversible covalent attachment.
To block lipases or transpeptidases, irreversible inhi-
-
bition is achieved by covalent bond formation with
the catalytic serine. The covalent bond is formed by
ring opening of areactive highly strained lactone or
lactam ring. The latter principle is used by the peni-
cillins and cephalosporins. Astable acyl form of the
enzyme, which does not allow further conversions in
the catalytic center, results. Penicillins and cephalo-
sporins use this principle of inhibition.
The β-lactamases, which are structurally closely re-
-
lated to the transpeptidases, hydrolyze the acyl–en-
zyme form produced by the penicillins and cephalo-
sporins. They orient apolar glutamate residue into
the catalytic center, thereby, stabilizing awater mol-
ecule in an optimal position for nucleophilic attack.
In transpeptidases, this site is inaccessible to water
molecules due to hydrophobic residues. Lactamase
inhibitors break this resistance by blocking the water
position with apolar side chain.
Many cysteine proteases are found in bacteria, para-
-
sites, and viruses. By replacing the OH group with an
SH group, the transition state in cysteine proteases
appears to be closer to the acyl–enzyme form and the
thiol group is presumably present in adeprotonated
state. Typically, ahead group that is reversibly or ir-
reversibly covalently bound to the sulfur is used as
astrategy to inhibit these enzymes.
The transglutaminases follow avery similar enzyme
-
mechanism as the cysteine proteases. However, in-
stead of cleaving apeptide bond in the main chain,
they form an isopeptide bond between the terminal
amino group of alysine and the carboxylate group of
aglutamate. Because these bonds cause across-link-
ing between different segments of the polypeptide
chain, they can be compared to biological glue that
make proteins more stable.

Bibliography and Further Reading

General Literature
C. Branden and J. Tooze, Introduction to Protein Structure, Garland
Publ. Inc., New York (1991) L. Polgár, The catalytic triad of serine peptidases, Cell. Mol. Life Sci.
62, 2161–2172 (2005) P. R. E. Mittl, M. G. Grütter, Opportunities for structure-based design
of protease-directed drugs, Curr. Opin. Struct. Biol., 16, 769–775
(2006) L. J. Berliner, Ed., Thrombin: Structure and Function, Plenum Press,
New York (1992) S. D. Kimball, Challenges in the Development of Orally Bioavailable
Thrombin Active Site Inhibitors, Blood Coagulation & Fibrinoly-
sis 6, 511–519 (1995) J. A. Shafer, R. J. Gould, Eds., Design of Antithrombotic Agents,
Persp. Drug Discov. Design 1, 419–550 (1994) R. E. Babine and S. L. Bender, Molecular Recognition of Protein–Li-
gand Complexes: Applications to Drug Design, Chem. Rev., 97,
1359–1472 (1997)
• Bibliography and Further Reading


T. Steinmetzer and J. Stürzebecher, Progress in the Development of
Synthetic Thrombin Inhibitors as New Orally Active Anticoagu­lants. Curr. Med. Chem. 11, 2297–2321 (2004)
B. Türk, Targeting Proteases: Successes, Failures and Future Prospects,
Nature Reviews Drug Discov., 5, 785–799 (2006)
G. Abbenante and D. P. Fairlie, Protease Inhibitors in the Clinic, Med.
Chem., 1, 71–104 (2005)
D. Gustafsson, R. Bylund etal., A New Oral Anticoagulant: The 50-
Year Challenge, Nat. Rev. Drug Discov., 3, 649–659 (2004)
A. Straub, S. Roehrig, A. Hillisch, Oral, direct thrombin and factorXa
inhibitors: the replacement for warfarin, leeches, and pig intestines? Angew. Chem. Int. Ed. Engl., 50, 4574–4590 (2011)
Special Literature
B. W. Matthews, P. B. Sigler, R. Henderson, D. M. Blow, Three-dimen-
sional structure of tosyl-alpha-chymotrypsin, Nature 214, 652–656 (1967)
P. Carter and J. A. Wells, Dissecting the catalytic triad of a serine pro-
tease, Nature 332, 564–568 (1988)
A. Sandner, K. Ngo, J. Schiebel, A. I. M. Pizarroso, L. Schmidt, B.
Wenzel, T. Steinmetzer, A. Ostermann, A. Heine, G. Klebe, How a Fragment Draws Attention to Selectivity Discriminating Features between the Related Proteases Trypsin and Thrombin, J. Med. Chem., 64 1611–1625 (2021)
M. Mares-Guia and E. Shaw, The Specic Inactivation of Trypsin by
Ethyl p-Guanidinobenzoate, J. Biol. Chem., 242, 5782–5788 (1967)
H. Umezawa, Enzyme inhibitors of microbial origin, Univ. of Tokyo
Press (1972)
S. Bajusz, E. Barabas, P. Tolnay, E. Szell, D. Bagdy, Inhibition of
thrombin and trypsin by tripeptide aldehydes. Int. J. Pept. Protein Res. 12, 217–221 (1978)
M. T. Stubbs, H. Oschkinat, I. Mayr, R. Huber, H. Angliker, S. R.
Stone, W. Bode, The interaction of thrombin with brinogen: A structural basis for its specicity, Europ. J. Biochem., 206, 187–195 (1992)
J. Stürzebecher, F. Markwardt, B. Voigt, G. Wagner, P. Walsmann, Cy-
clic amides of N-alpha-arylsulfonylaminoacylated 4-amidinophe­nylalanine—tight binding inhibitors of thrombin, Thromb. Res. 29, 635–642 (1983)
W. Bode, D. Turk, J. Stürzebecher, Geometry of binding of the ben-
zamidine- and arginine-based inhibitors NAPAP and MQPA to human alpha-thrombin. X-ray crystallographic determination of the NAPAP-trypsin complex and modeling of NAPAP-thrombin and MQPA-thrombin, Eur. J. Biochem. 193, 175–182 (1990)
K. Hilpert, J. Ackermann, D. W. Banner, A. Gast, K. Gubernator, P.
Hadvary, L. Labler, K. Müller, G. Schmid, T. B. Tschopp and H. van de Waterbeemd, Design and Synthesis of Potent and Highly Selective Thrombin Inhibitors, J. Med. Chem. 37, 3889–3901 (1994)
D. Gustafsson etal. The direct thrombin inhibitor melagatran and its
oral prodrug H 376/95: intestinal absorption properties, biochem­ical and pharmacodynamic effects, Thromb. Res., 101, 171–181 (2001)
B. Clement, K. Lopian, Characterization of in vitro biotransformation
of new, orally active, direct thrombin inhibitor ximelagatran, an amidoxime and ester prodrug, Drug Metab. Dispos. 31, 645–651 (2003)
U. Obst, V. Gramlich, F. Diederich, L. Weber, D. W. Banner, Design
of Novel, Nonpeptidic Thrombin Inhibitors and Structure of a Thrombin–Inhibitor Complex, Angew. Chem., Int. Ed. Engl., 34, 1739–1742 (1995)
C. A. Veale, P. R. Bernstein, C. Bryant etal., Nonpeptidic Inhibitors
of Human Leukocyte Elastase. 5. Design, Synthesis, and X-Ray Crystallography of a Series of Orally Active 5-Aminopyrimi­din-6-one-Containing Triuorormethyl Ketones, J. Med. Chem. 38, 98–108 (1995)
E. Perzborn, S. Roehrig, A. Straub, D. Kubitza, W. Mueck, V. Laux, Ri-
varoxaban: A New Oral Factor Xa Inhibitor. Arterioscler. Thromb.
Vasc. Biol., 30, 376–381 (2010) L. E. J. Douglas etal., A highly selective, cell-permeable furin inhibitor
BOS-318 rescues key features of cystic brosis airway disease, Cell
Chem. Biol., 29, 1–11 (2022) M. S. Helfand and R. A. Bonomo, β-Lactamases: A Survey of Pro-
tein Diversity, Curr. Drug Targets—Infectious Disorders, 3, 9–23
(2003) M. Peimbert and L. Segovia, Evolutionary engineering of a beta-Lact-
amase activity on a D-Ala D-Ala transpeptidase fold, Prot. Engin.,
16, 27–35 (2003) P. S. Langan, B. Sullivan, K. L. Weiss, L. Coates, Probing the role of
the conserved residue Glu166 in a class A β-lactamase using neu-
tron and X-ray protein crystallography, Acta Cryst. D76, 118–123
(2020) I. Sánchez-Serrano, Success in translational research: lessons from the
development of bortezomib, Nat. Rev. Drug Discov., 5, 107–114
(2005) J. Kirstein etal., The antibiotic ADEP reprogrammes ClpP, switching
it from a regulated to an uncontrolled protease, EMBO Mol. Med.
1, 37–49 (2009) D. R. Owen, etal., An oral SARS-CoV-2 Mpro inhibitor clinical can-
didate for the treatment of COVID-19, Science 274, 1586–1593
(2021) M. Stieler, J. Weber, M. Hils, P. Kolb, A. Heine, C. Büchold, R. Paster-
nack, G. Klebe, Structure of Active Coagulation Factor XIII Trig-
gered by Calcium Binding: Basis for the Design of Next-Genera-
tion Anticoagulants, Angew. Chem. Int. Ed. 52, 11930–34 (2013)

Aspartic Protease Inhibitors

Contents
24.1 Structure and Function of Aspartic Proteases – 404
24.2 Design of Renin Inhibitors – 405
24.3 Design of Substrate Analogue HIV Protease Inhibitors – 411
24.4 Structure-Based Design of Nonpeptidic HIV Protease Inhibitors – 413
24.5 The Development of Resistance Against HIV Protease Inhibitors – 416
24.6 A Basic Nitrogen as aPartner for the Aspartic Acids of the Catalytic Dyad – 418


24.7 Other Targets from the Family of Aspartic Proteases – 423
24.8 Synopsis – 423
Bibliography and Further Reading – 424
© 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_24
Chapter  • Aspartic Protease Inhibitors
24
Aspartic (also aspartyl) proteases also cleave peptide bonds, but by adifferent mechanism. They owe their name to the presence of two aspartates, which determine the catalytic mechanism. To attack the peptide bond to be cleaved, they use awater molecule as anucleophile, which they polarize in asuitable manner with the two as­partate residues. At the same time, these groups stabilize the transition state, balance the charges, and transfer pro­tons. The digestive enzyme pepsin was the rst member of this class of enzymes to be intensively studied. It is ac­tive at strongly acidic pH conditions between values of1 and5. The rst 3D structure of this aspartic protease was determined in the early 1970s in the group of Alexander Fedorov. The aspartic protease family is relatively small in the human genome; it contains 15members. Some important aspartic proteases are listed in . Table24.1.
24.1 Structure and Function of Aspartic
Proteases
Pepsin preferentially cleaves peptides containing hydro­phobic residues to the right and left of the cleavage site. Its spatial structure shows that two catalytically active aspartic acid residues are located side by side with ashort distance to each other. One of these residues has an un­usually low pKa of1.5. The other aspartic acid residue has ahigher pKa of4.7. Thus, under the low pH condi­tions in the stomach, one of the side chains in the cata­lytic site is apparently protonated, while the other is not. This difference is crucial for the catalytic mechanism. In other aspartic proteases that function at higher pH val­ues, acomparable difference is observed between the two groups. It is the local environment that determines the
pKa values (Sect.4.4). On the other hand, the two aspar­tic acid residues are so close to each other that they can no longer be considered independent. The two aspartates behave like acoupled system, similar to adicarboxylic acid; they are practically adiprotic acid (. Table24.2). Here, the relative distance between the two acid groups determines the magnitude of the pKa difference.
The mechanism of peptide cleavage by aspartic prote-
ases is shown in . Fig.24.1. The cleavage of the amide bond occurs by nucleophilic attack of awater molecule on the carbonyl carbon atom. The deprotonated aspar­tate polarizes this water molecule. At the same time, the protonated aspartate forms an H-bond to the carbonyl group of the amide bond to be cleaved. This polarizes the C=O bond and facilitates nucleophilic attack on the carbon atom. The reaction proceeds through atetrahe­dral transition state in which the oxygen atom of the nucleophilic water forms abond to the carbonyl atom. At the same time, the proton is transferred from the water to the deprotonated aspartate. One approach to developing aspartate protease inhibitors is to mimic the transient, un- stable geminal diol transition state with astable molecule. Hydroxyl compounds (. Fig.24.2), but also α-ketoam­ides and phosphinates can be used for this purpose.
To gain access to the substrate, the protease must
open amobile ap along the conversion pathway. In
. Fig.24.3, the upper part of these tunnels is clipped
off. The blue areas on the surface indicate the regions into which the protein directs hydrogen bond-forming groups. In the center, the two catalytic aspartate residues are hidden beneath the blue region. Adjacent are regions
. Table 24.2 pKa values of afew dicarboxylic acids
a
. Table 24.1 A few aspartic proteases and the preferred site
for enzymatic cleavage
Enzyme Cleavage site Function
Pepsin Phe–Phe, Leu–Phe,
etc.
Renin Leu–Val, Leu–Leu Blood pressure regu-
CathepsinD Phe–Phe, Leu–
Leu, etc.
β-Secretase
Chymosin Phe–Met Milk curdling
HIV pro­tease
Plasmepsin Phe–Leu Hemoglobin digestion
Met–Asp, Leu– Asp
Phe–Pro, Tyr–Pro, Phe–Tyr, Leu–Phe, Phe–Leu, Met– Met, Leu–Ala
Digestion
lation
Tissue degradation
Proteolytic degrada­tion of membrane proteins
Virus replication
Dicarboxylic acid HOOC–(CH2)n– COOH
n = 0 1.46 4.40 1.40
n = 1 2.83 5.85 2.60
n = 2 4.17 5.64 3.82
n = 3 4.33 5.52 4.95
n = 8 4.55 5.52 10.00
Z-HOOC– CH=CH–COOH
E-HOOC– CH=CH–COOH
1,2-C
1,3-C6H4(COOH)23.62 4.60 4.93
1,4-C
a
pKa = 4.76; C6H5COOH pKa = 4.22
(COOH)22.96 5.40 3.14
6H4
(COOH)23.54 4.46 5.71
6H4
Reference values: HCOOH pKa = 3.77; CH3COOH
pKa1 pKa2 HOOC–
COOH distance(Å)
1.90 6.50 3.14
3.00 4.50 3.80
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