
Journal of Medicinal Chemistry p. 4656 - 4668 (2019)
Update date:2022-08-15
Topics:
Karki, Rajeshri G.
Powers, James
Mainolfi, Nello
Anderson, Karen
Belanger, David B.
Liu, Donglei
Ji, Nan
Jendza, Keith
Gelin, Christine F.
Mac Sweeney, Aengus
Solovay, Catherine
Delgado, Omar
Crowley, Maura
Liao, Sha-Mei
Argikar, Upendra A.
Flohr, Stefanie
La Bonte, Laura R.
Lorthiois, Edwige L.
Vulpetti, Anna
Brown, Ann
Long, Debby
Prentiss, Melissa
Gradoux, Nathalie
De Erkenez, Andrea
Cumin, Frederic
Adams, Christopher
Jaffee, Bruce
Mogi, Muneto
Complement factor D (FD), a highly specific S1 serine protease, plays a central role in the amplification of the alternative complement pathway (AP) of the innate immune system. Dysregulation of AP activity predisposes individuals to diverse disorders such as age-related macular degeneration, atypical hemolytic uremic syndrome, membranoproliferative glomerulonephritis type II, and paroxysmal nocturnal hemoglobinuria. Previously, we have reported the screening efforts and identification of reversible benzylamine-based FD inhibitors (1 and 2) binding to the open active conformation of FD. In continuation of our drug discovery program, we designed compounds applying structure-based approaches to improve interactions with FD and gain selectivity against S1 serine proteases. We report herein the design, synthesis, and medicinal chemistry optimization of the benzylamine series culminating in the discovery of 12, an orally bioavailable and selective FD inhibitor. 12 demonstrated systemic suppression of AP activation in a lipopolysaccharide-induced AP activation model as well as local ocular suppression in intravitreal injection-induced AP activation model in mice expressing human FD.
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