
Journal of Medicinal Chemistry p. 5879 - 5955 (2020)
Update date:2022-08-15
Topics:
Ernst, Justin T.
Thompson, Peggy A.
Nilewski, Christian
Sprengeler, Paul A.
Sperry, Samuel
Packard, Garrick
Michels, Theodore
Xiang, Alan
Tran, Chinh
Wegerski, Christopher J.
Eam, Boreth
Young, Nathan P.
Fish, Sarah
Chen, Joan
Howard, Haleigh
Staunton, Jocelyn
Molter, Jolene
Clarine, Jeff
Nevarez, Andres
Chiang, Gary G.
Appleman, Jim R.
Webster, Kevin R.
Reich, Siegfried H.
Dysregulation of protein translation is a key driver for the pathogenesis of many cancers. Eukaryotic initiation factor 4A (eIF4A), an ATP-dependent DEAD-box RNA helicase, is a critical component of the eIF4F complex, which regulates cap-dependent protein synthesis. The flavagline class of natural products (i.e., rocaglamide A) has been shown to inhibit protein synthesis by stabilizing a translation-incompetent complex for select messenger RNAs (mRNAs) with eIF4A. Despite showing promising anticancer phenotypes, the development of flavagline derivatives as therapeutic agents has been hampered because of poor drug-like properties as well as synthetic complexity. A focused effort was undertaken utilizing a ligand-based design strategy to identify a chemotype with optimized physicochemical properties. Also, detailed mechanistic studies were undertaken to further elucidate mRNA sequence selectivity, key regulated target genes, and the associated antitumor phenotype. This work led to the design of eFT226 (Zotatifin), a compound with excellent physicochemical properties and significant antitumor activity that supports clinical development.
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