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H. Wang et al. / Bioorg. Med. Chem. Lett. 26 (2016) 4334–4339
Acknowledgments
We are grateful to Matthew J. Cukierski, Mary E. Carsillo, Ron
Eydelloth and Vic Kadambi for their work on toxicology studies.
References and notes
Figure 3. Model of compound 18 in the active site of Alk5.
Table 5
Rat toxicity study of compound 18
Group Test article and dosagey Hearts evaluated Incidence Severity**
1
2
3
4
0.5%MC
6
6
6
6
0
0
6
6
—
vehicle control
Compound 18
50 mg/kg/day
Compound 18
150 mg/kg/day
Compound 18
500 mg/kg/day
12. Enzymatic activity assay summary: Inhibition of ALK5 activity was tested by the
—
use of
a
LanthaScreenTM activity assay. TGFBR1 ALK5, fluorescein-labeled
Peptide substrate, and ATP were allowed to react for 90 minutes at room
temperature with a concentration gradient of test compounds. Then EDTA (to
stop the reaction) and terbium-labeled phospho-specific antibody (to detect
phosphorylated peptide product) were added. The antibody association with
the phosphorylated fluorescein labeled substrate resulted in an increased TR-
FRET value. ALK5 activity was quantified by measuring an increase in TR-FRET
on a BMG LABTECH PHERAstar plus instrument.
Minimal
Moderate
**
Severity grade represents an average grade of all lesions from all affected valves
13. Cell assay summary: Alk5 inhibitor activity was tested in CellSensorÒ SBE-bla
HEK 293T (Thermo Fisher Scientific) cells contain a beta-lactamase reporter
gene under control of the Smad binding element (SBE) which was stably
integrated into HEK 293T cells. Cells were plated and treated with compounds
and stimulated with TGFb1. Cells were then incubated with LiveBLAzer FRET B/
G CCF4-AM (Thermo Fisher Scientific) and read in Spectramax.
14. MS metabolic soft spot analysis of compound 13 in rat liver microsome
samples was conducted. The poor metabolic stability of compound 13 (high
clearance in rat, 160 mL/min/kg) was attributed to formation of the oxidation
product as below.
per animal. There was no apparent valve predilection.
y
All rats treated with compound 18 daily for 5 consecutive days groups 3 and 4
developed discernable heart valve lesions.
that compound 18 maintains the hinge and back hydrophobic
pocket interactions of compound 1 (Fig. 3). The addition of an
acetamide group does generate a hydrogen bond to the backbone
NH of Ser-287. It is not surprising that potency is not increased
(relative to compound 17) as it is solvent exposed.
At this point we were apprised of a potential cardiac toxicity
associated with modulating Alk5.16 The team wanted to determine
if compound 18 had such liability. In mice, dosing of compound 18
at the 50 and 200 mg/kg modulated pSMAD for up to 8 hours trig-
gering our decision to advance the compound into rat toxicity
studies. The oral administration of our lead molecule (18) in a fully
empowered exploratory toxicology study revealed an induced car-
diovalvulopathy in all study rats at both the medium and high dose
animal groups (Table 5). The observed cardiovascular toxicity was
characterized by valvular interstitial cell proliferation, neutrophil
presence, hemorrhage and fibrin deposition in the heart valves of
the treated animals.17
This toxicity was deemed to have severe functional implications
resulting in potential permanent structural and functional changes
to heart valves. The toxicity was also fast onset and irreversible.
These findings in conjunction with literature reports16 led the pro-
ject team to terminate the program and disclose our findings to the
scientific community.
OH
N
N
O
N
NH
N
F
F
15. Compound 18 at 1
lM concn was profiled against the following kinase panel:
ABL1, AKT1 (PKB alpha), AURKA (Aurora A), BRAF, CDK1/cyclin B, CDK2/cyclin
A, CDK5/p25, CHEK1 (CHK1), CHEK2 (CHK2), CLK1, CLK2, CSK, EGFR (ErbB1),
ERBB2 (HER2), GSK3B (GSK3 beta), IGF1R, IKBKB (IKK beta), INSR, IRAK1, JAK2,
KDR (VEGFR2), LCK, LIMK2, LYN A, MAP2K1 (MEK1), MAP2K2 (MEK2), MAP2K6
(MKK6), MAP3K10 (MLK2), MAP3K2 (MEKK2), MAP3K3 (MEKK3), MAP3K5
(ASK1), MAP3K9 (MLK1), MAPK1 (ERK2), MAPK10 (JNK3), MAPK12 (p38
gamma), MAPK14 (p38 alpha), MAPK3 (ERK1), MAPK8 (JNK1), MAPK9 (JNK2),
MAPKAPK2, MAPKAPK5 (PRAK), MET (cMet), PAK1, PAK4, PAK6, PDK1 Direct,
PRKACA (PKA), PRKCA (PKC alpha), PRKCB1 (PKC beta I), PRKCD (PKC delta),
PRKCG (PKC gamma), RPS6KB1 (p70S6K), SGK (SGK1), SRC, STK3 (MST2), STK4
(MST1). Compound 18 was inactive against all (showing 616% inhibition (est.
In summary, a novel series of Alk5 inhibitors has been identified
and developed. Starting from screening hit 1, by using SBDD and
medicinal chemistry knowledge, metabolic stability and bioavail-
ability were successfully optimized, culminating in the identifica-
tion of lead compound 18. However, inhibition of Alk5 with
compound 18 produced significant cardiac toxicity and led to the
program’s termination.
IC50 P5
l
M) except MAP3K2 (MEKK2) showing 31% inhibition at 1
lM (est.
IC50 = 2.2
l
M).
Compound 18 ALK5 family isozyme profiling selectivity: ALK4 is 43-fold, ALK2
and ALK3 (BMPR1a) are each >200-fold, based on 2pt screening done at 10 and
1 lM, and compared to the in-house determined of ALK5 IC50 value.