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10.2 O-GlcNAc Transferase (OGT) and O-GlcNAc Hydrolase (OGA) in Neurodegeneration
86
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Table10.2 (Continued)
311
O-GlcNAc
protein
Compound Nr/Structure hOGA Ki (nM)
7.9 2.06 2.17 0.219 0.088 1.84
86
a) Fold increase in O-GlcNAc protein in treated rats compared to vehicle-dosed rats;
b) Brain/plasma ratio=brain concentration (nmol g1)/plasma concentration (μM). The lower
limit values 18.7, 7.9, and 20.5 result from plasma exposure below the limit of detection. Source:
Adapted from Selnick etal.[67].
8 h 24 h 8 h 24 h 8 h 24 h
a
Brain exposure
(nmol g−1)
Brain/Plasma
b
ratio
>20.5
In summary, some GlcNAcstatins are, indeed, promising candidates for further
studies toward hOGA inhibitor’s therapeutics. Nonetheless, the challenge seems to
also involve the search for synthetic approaches with less reaction steps to easily
access this family of compounds, facilitating an eventual industrial production.
10.2.2.3 Thiazoline Inhibitors
The discovered mechanism of hOGA inhibition inspired Vocadlo’s group to develop
new transition state mimics by replacing the oxazoline by a thiazoline ring containing a side chain. Linear side chains varying in size and branched chains were investigated, aiming at selectivity for hOGA over lysosomal β-hexosaminidase[39]. For
the purpose, a facile synthetic route was envisioned to access compounds 62a–62g
in good overall yields, in only three steps: N-acylation with RCOCl of peracetylated
2-amino-2-deoxy-β--glucopyranose hydrochloride 59; treatment with Lawesson’s
reagent to afford the thiazoline-fused ring; final deprotection of the acetyl groups
with sodium methoxide in methanol, and neutralization with glacial acetic acid in
methanol (Scheme10.8). This procedure led to the generation of potent inhibitors,
some of them with a remarkable selectivity of hOGA over β-hexosaminidase
(Table10.3). Indeed, the most selective inhibitors are 62c (NButGT) and 62d with
their thiazoline ring containing a propyl group and a butyl group, respectively
(Scheme10.8, Table10.3), but NButGT is the most active and selective inhibitor.
The activity and selectivity of this series were compared to that of PUGNAc
(Figure10.4), a natural product and one of the first cell-permeable hOGA inhibitors
with K
β-hexosaminidase with K
= 46 nM. Unfortunately, PUGNAc also inhibited the human lysosomal
i
=36 nM[39, 60].
i
The disadvantage of these thiazoline-based inhibitors is their limited chemical
stability in solution over periods of days to weeks. Aiming to overcome this issue,
Vocadlo’s group designed and synthesized Thiamet-G starting by N-acylation of

10 Carbohydrates and Carbohydrate-Based Therapeutics in Alzheimer’s Disease
312
Scheme 10.8 Synthesis of thiazoline-based OGA inhibitors 62a–62g as reported by
Macauley etal.[39] Reagents/solvent: (a) RCOCl, NEt
, DCM (b) Lawesson’s reagent, toluene
3
(c) 1. NaOMe, MeOH; 2. AcOH, MeOH. Source: Adapted from Macauley etal.[39].
compound 59with ethyl isothiocyanate to afford the thiourea derivative 63in very
high yield. After titanium tetrachloride promoted cyclization, the protected bicyclic
compound 64was obtained in 90% isolated yield (Scheme10.9)[61]. Acetyl group
cleavage catalyzed by potassium carbonate gave Thiamet-G 7in 74% overall yield.
Thiamet-G is highly selective for hOGA being able to remove GlcNAc from
O-GlcNAc-modified proteins with K
= 21 nM for hOGA as determined using the
i
Michaelis–Menten method [43]. It crosses the blood-brain barrier and is orally
available. In addition, the authors demonstrated that this inhibitor blocks Tau
Table10.3 Inhibition constants of compounds 62a–62g for hOGA and lysosomal
β-hexosaminidase, and selectivity.
Compound nr.
hOGA Ki
(μM)
β-hexosaminidase Ki
(μM)
β-hexosaminidase Ki/
hOGA K
i
62a (NAG-thiazoline) 0.070 0.070 1
62b 0.12 32 270
62c (NbutGT) 0.23 340 1500
62d 1.5 4600 3100
62e 57 11 000 100
62f 1.6 720 700
62g 5.7 4000 190
PUGNAc 0.046 0.036 0.8
Source: Adapted from Macauley etal.[39].

10.2 O-GlcNAc Transferase (OGT) and O-GlcNAc Hydrolase (OGA) in Neurodegeneration
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Scheme 10.9 Synthesis of Thiamet-G developed by Yuzwa etal.[61] Reagents/solvent: (a)
CH
N=C=S, Et3N, CH3CN (b) SnCl4, DCM (c) K2CO3, MeOH.
3CH2
phosphorylation in cultured neuron-like cells and decreases phosphorylation of Tau
invivo, thus becoming an interesting compound for further investigation of its functional role in AD pathology. In 2014, Yuzwa et al. [62] investigated the role of
O-GlcNAc on APP and β-amyloid production in mice exhibiting both Tau and
β-amyloid pathologies, using Thiamet-G to increase the global levels of O-GlcNAc
in bigenic Tau/APP mutant mice (TAPP mice)[62], and concluded that pharmacological inhibition of OGA prevents cognitive decline and amyloid plaque formation
in the studied mutant mice. They showed that Thiamet-G increases O-GlcNAc levels in TAPP mouse brain, leading to reduction of neuritic plaques and amyloidogenic β-amyloid peptides levels, and blocking the onset of cognitive impairment.
Intrigued by the role of this inhibitor, in 2016, Cekic etal.[40] explored substitution
of the amino group to promote activity and selectivity for hOGA inhibition. They
designed and synthesized a series of Thiamet-G derivatives by modifying
N-substitution, aiming to understand the role of the alkyl side chain size, the influence of altered electronic properties on the binding, and the effect of inhibitor pK
The series comprises compounds type 66 (Scheme10.10), in which the amino group
is either free or substituted with methyl, allyl, ethyl (Thiamet-G), propyl, and butyl
groups, with 2-fluoroethyl, 2,2-difluoroethyl and 2,2,2-trifluoroethyl groups. The
synthetic approach (Scheme 10.10) is inspired by that applied for Thiamet-G
(Scheme10.9). Briefly, reaction of salt 59 either with N-fluorenylmethyloxycarbonyl
(Fmoc) protected or N-allyl protected isothiocyanate afforded intermediates 67a
and 67b, respectively. Cyclization of 67a was accomplished by reaction with titanium tetrachloride, while that of the N-allyl intermediate was possible with
TFA. Deprotection to 66a was carried out as for Thiamet-G, while deacetylation of
68b succeeded with potassium carbonate in methanol. The series 66c–66i and
Thiamet-G (65) were prepared starting from the isothiocyanate 69, which reacted
313
.
a

10 Carbohydrates and Carbohydrate-Based Therapeutics in Alzheimer’s Disease
314
Scheme 10.10 Preparation of Thiamet-G-based thiazoline inhibitors 65 and 66a–66i as
described by Cekic etal.[40] Reagents/solvent: (a) 1. NEt
SnCl
, py, NEt3; (c) 1. NaOMe, MeOH; 2. AcOH; 3. Piperidine, DMF; (d) allyl-NCS, NEt3, MeCN;
4
(e) TFA, DCM; (f) K
, MeOH; (g) NHR1R2·HCl, NEt3, CH3CN.
2CO3
, DCM; 2. Fmoc-NCS, py, NEt3; (b)
3
with the respective ammonium chloride in acetonitrile in the presence of triethylamine to afford the thiourea intermediate. After cyclization promoted by TFA and
deacetylation with potassium carbonate in methanol, compounds 65 and 66c–66i
were obtained in good yields.
With compounds in hand, Vocadlo and coworkers determined K
values for the
i
inhibition of hOGA and for that of human lysosomal hexosaminidases (Table10.4),
which are the products of HEXA and HEXB genes. They used Michaelis–Menten
kinetics for the less potent inhibitors[40], while for the most potent ones, they
applied the Copeland modified Morrison method[63–65], which can be used when

65 Thiamet-G
66a
66b
66c
66d
66e
66f
66g
10.2 O-GlcNAc Transferase (OGT) and O-GlcNAc Hydrolase (OGA) in Neurodegeneration
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Table10.4 Ki values for hOGA and βHexB, Ki selectivity ratios of inhibitors 65, 66a–66i for
hOGA over hHexB, and pK
values for Thiamet-G and inhibitors 66g–66i.
a
315
Inhibitor
pK
a
Fraction
protonated
at pH 7.4
hOGA K
(nM)
a
hHexB K
i
(μM)
b
hHexB/
i
hOGA
c
2.1 ± 0.3 740 ± 60[40] 350 000 7.68 0.66
4.7 ± 0.3 5.0 ± 0.6
d
1100
3.2 ± 0.4 2850 ± 570 950 000
2.4 ± 0.2 13.0 ± 3.8 5400
0.51 ± 0.05 1.70 ± 0.19
d
3300
2.0 ± 0.2 3700 ± 670 1 850 000
350 ± 90d4800 ± 763 13 700
d
15 ± 5
180 ± 44 12 000 6.92 0.2
(Continued)

10 Carbohydrates and Carbohydrate-Based Therapeutics in Alzheimer’s Disease
66h
66i
316
Table10.4 (Continued)
Inhibitor
hOGA K
(nM)
60 ± 10
a
hHexB K
i
(μM)
d
b
hHexB/
i
hOGA
150 ± 50 2500 6.18 0.06
c
pK
a
Fraction
protonated
at pH 7.4
1000 ± 200d4200 ± 1525 4200 5.33 0.01
a) Determined with the Morrison Ki fit if values are below 5 mM;
b) Determined using Dixon plot analysis;
c) Selectivity ratios indicating favored selectivity for hOGA over hHexB;
d) Determined using Michaelis–Menten inhibition analysis. Source: Adapted from Cekic etal.[40].
Ki values are comparable to the enzyme concentration being studied, and reached
some remarkable results. The first one is related to Thiamet-G, in which K
value is
i
2.1 nM instead of the 21 nM given previously when evaluated by the Michaelis–
Menten method[43]. The first picomolar hOGA inhibitor discovered is LSO, exhibit-
= 510 ± 50 pM and a selectivity of 3300 for hOGA over β-hexosaminidase. The
ing K
i
size of the chain is also important for binding. Compounds embodying N-methyl,
N-ethyl, N-propyl, or N-allyl groups have K
compound with the N-butyl group suffered 100-fold decrease of activity (K
in the range of 2.0–3.2 nM, while the
i
= 350 nM).
i
The side chains with two and three carbon atoms are, indeed, the most important to
increase selectivity for hOGA inhibition over β-hexosaminidase inhibition, as clearly
deduced from selectivity values given in Table10.5. Interestingly, compounds 8a
Table10.5 Inhibition data of hOGA and lysosomal hexosaminidases (HexA/B) by
GlcNAcstatins A-G, PUGNAC, Thiamet-G, and selectivity for hOGA[53, 54].
Compound hOGA (Ki nM) HexA/B(GH20) (Ki) Selectivity GH20/hOGA References
GlcNAcstatin 4.4 ± 0.1 550 ± 10 nM 164 [58]
GlcNAcstatin A 4.3 ± 0.2 0.55 ± 0.05 nM Not selective [58]
GlcNAcstatin B 0.42 ± 0.06 0.17 ± 0.05 nM Not selective [58]
GlcNAcstatin D 0.74 ± 0.09 2.7 ± 0.4 nM 4 [58]
GlcNAcstatin E 8500 ± 300 1100 ± 100 nM Not selective [58]
GlcNAcstatin F 11.2 ± 1.4 11.0 ± 0.6 μM 1000 [59]
GlcNAcstatin G 4.1 ± 0.7 >3700 >900 000 [59]
GlcNAcstatin H 2.6 ± 0.3 100±30 35 000 [59]
PUGNAc 35 ± 6 25 ± 2.5 Not selective [59]
Thiamet-G 21 750 35 000 [43, 59]

10.2 O-GlcNAc Transferase (OGT) and O-GlcNAc Hydrolase (OGA) in Neurodegeneration
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and 8d have some selectivity for hOGA, which is not the case for NAG-thiazoline 4a,
a molecule with a similar size[39, 40]. This result reinforces the key role of the amino
group in improving inhibitor selectivity over human β-hexosaminidase.
The contribution of inhibitor pK
the results obtained for the fluorinated inhibitors. pK
13
determined by
C nuclear magnetic resonance (NMR) titration[40, 66]. The correla-
tion obtained by plotting pK
for the potency of the inhibition stood out from
a
of their conjugate acids was
a
with the corresponding logKi value suggested that pKa
a
dominates the effect of inhibitor binding to the active site, as compared to the steric
effect resulting from increased fluor substitution. The key role of pK
in binding may
a
be due to optimization of hydrogen bond strength or favoring inhibitor protonated
form. Quantitative methods carried out by Cekic et al. [40] demonstrated that,
through their formal positive charge at physiological pH, these compounds have
favorable interactions with the active site, only partly carried out within the transition state for the natural 2-acyl substrates, showing that Thiamet-G and analogs
embodying an alkylamino group are tight-binding transition state analogs for
hOGA. This work gave, in 2016, a new insight into the catalytic mechanism of hOGA
and provided a new picomolar inhibitor representative of this compound series[40].
More recently, in 2019, further studies on this family of compounds were reported,
inspired by Thiamet-G, which is well tolerated over extended treatment periods.
However, it was found that it has a high polar surface (105 Å), resulting in a low diffusion rate into and out of the CNS from systemic circulation[67]. Aiming to obtain
better clinical candidates, the collaboration of the companies Alectos Therapeutics
Inc, Merck, and Pharmaron Beijing resulted in the generation of MK8719 (86, see
Table10.6, Figure10.7), the Thiamet G analog, which is a highly potent (K
= 7.9 nM
i
for hOGA) and selective OGA inhibitor with excellent CNS penetration, and has
been advanced to phase I clinical trials[68]. It stood out of a small library of 49
Thiamet G analogs generated by hypothesizing that modification of molecule polar
substituents would result in a reduced topological polar surface area (TPSA) and
consequently in a greater and faster distribution of the compound into CNS[67].
Focusing on the carbohydrate moiety hydroxy groups and the thiazolinesubstituted amino group, a series of analogs with structure type A (Figure10.7) was
synthesized and tested[67]. Regioselective methylation of hydroxy groups or its
replacement by hydrogen or by fluor atoms afforded compounds with lower
TPSA. However, the potency of hOGA inhibition varied according to inhibitor structure and stereochemistry (Table 10.3). No inhibition occurred when OH-4′ was
absent, as shown for compounds 70, 74, and 77, indicating that this group is important for activity. Nonetheless, some structural changes are tolerated without complete loss of activity, e.g. the replacement of the primary hydroxyl group by hydrogen
(compound 73) or by fluor (compound 76), and that of OH-3′ by fluor (compounds
78 and 79). The absolute configuration was shown to be important for hOGA inhibition, together with the replacement of the N-ethyl group by the N-methyl group. By
combining monofluorination of the primary alcohol with a 7-fluoro substituent in
compound 82, the pharmacokinetic properties were improved when compared to
the monofluorinated compound 81, as well as the selectivity over hexosaminidase
inhibition, the TPSA value and the apparent permeability.
317

10 Carbohydrates and Carbohydrate-Based Therapeutics in Alzheimer’s Disease
65 (Thiamet-G)
69
70
71
72
73
74
75
76
318
Table10.6 Data obtained in assays to determine the inhibition of hOGA, the
concentration required for EC
values for elevation of all protein O-GlcNAc levels, the
50
selectivity over hexosaminidases, calculated TPSA, and apparent permeability.
Compound Nr/Structure
hOGA Ki
(nM)
rOGA cell EC50
(nM)
hHEX Ki
(nM) TPSA (Å)
Papp (10−6
cm s−1)
0.41 13.5 >10 000 105 <1.0
190 — — 94 —
>3000 — — 91 —
270 — >10 000 91 —
5.5 36.7 3600 93 1.1
69 — — 84 —
>3000 — — 86 7.0
44 364 — 84 2.6
20 176 — 84 6.1
(Continued)

10.2 O-GlcNAc Transferase (OGT) and O-GlcNAc Hydrolase (OGA) in Neurodegeneration
77
78
79
80
81
82
83
84
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Table10.6 (Continued)
319
Compound Nr/Structure
a
hOGA Ki
(nM)
rOGA cell EC50
(nM)
hHEX Ki
(nM) TPSA (Å)
Papp (10−6
cm s−1)
>3000 — >10 000 84 —
29 443 >10 000 84 2.7
0.53 10.6 >10 000 84 —
9.0 177 1600 69 6.8
0.55 34.4 790 83 5.3
35 328 >10 000 61 26
>3000 — >10 000 47 31
28 — >10 000 47 31
(Continued)

10 Carbohydrates and Carbohydrate-Based Therapeutics in Alzheimer’s Disease
85
86 (MK8719)
(a) (b)
320
Table10.6 (Continued)
Compound Nr/Structure
hOGA Ki
(nM)
rOGA cell EC50
(nM)
hHEX Ki
(nM) TPSA (Å)
Papp (10−6
cm s−1)
5.3 — >10 000 61 24
7.9 52.7 >10 000 80 6.4
a) Absolute configuration at position 6was not assigned. Source: Adapted from Selnick etal.[67].
The high permeability found for the difluorinated compound 82 inspired further
research with structures type B (Figure10.7) and this scaffold was investigated for
modifications of the amino group substituent. Compound 83, bearing a dimethylamino group, does not inhibit hOGA, while compounds 84–86, with a monosubstituted amino group, have restored this activity. Nonetheless, compound 86
(MK8719) is the one showing a good balance of hOGA potency, apparent permeability, and selectivity vs. hHEX.
The collection of Papp data for 49 compounds tested was compared to the calculated TPSA values and a reasonable correlation was found, corroborating the
hypothesis based on reducing TPSA to obtain compounds with higher permeability
Figure10.7 Structure of 5-substituted methyl tetrahydropyranothiazole compounds
type (a) and of 5-difluoromethyl tetrahydropyranothiazoles type (b) studied by Selnick
etal.[67] to illustrate TPSA/permeability and structure/activity relationships. Source:
Adapted from Selnick etal.[67].
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