
Journal of Medicinal Chemistry (2019)
Update date:2022-08-15
Topics:
Watterson, Scott H.
Liu, Qingjie
Beaudoin Bertrand, Myra
Batt, Douglas G.
Li, Ling
Pattoli, Mark A.
Skala, Stacey
Cheng, Lihong
Obermeier, Mary T.
Moore, Robin
Yang, Zheng
Vickery, Rodney
Elzinga, Paul A.
Discenza, Lorell
D'Arienzo, Celia
Gillooly, Kathleen M.
Taylor, Tracy L.
Pulicicchio, Claudine
Zhang, Yifan
Heimrich, Elizabeth
McIntyre, Kim W.
Ruan, Qian
Westhouse, Richard A.
Catlett, Ian M.
Zheng, Naiyu
Chaudhry, Charu
Dai, Jun
Galella, Michael A.
Tebben, Andrew J.
Pokross, Matt
Li, Jianqing
Zhao, Rulin
Smith, Daniel
Rampulla, Richard
Allentoff, Alban
Wallace, Michael A.
Mathur, Arvind
Salter-Cid, Luisa
Macor, John E.
Carter, Percy H.
Fura, Aberra
Burke, James R.
Tino, Joseph A.
Bruton's tyrosine kinase (BTK), a non-receptor tyrosine kinase, is a member of the Tec family of kinases and is essential for B cell receptor (BCR) mediated signaling. BTK also plays a critical role in the downstream signaling pathways for the Fcγ receptor in monocytes, the Fc receptor in granulocytes, and the RANK receptor in osteoclasts. As a result, pharmacological inhibition of BTK is anticipated to provide an effective strategy for the clinical treatment of autoimmune diseases such as rheumatoid arthritis and lupus. This article will outline the evolution of our strategy to identify a covalent, irreversible inhibitor of BTK that has the intrinsic potency, selectivity, and pharmacokinetic properties necessary to provide a rapid rate of inactivation systemically following a very low dose. With excellent in vivo efficacy and a very desirable tolerability profile, 5a (branebrutinib, BMS-986195) has advanced into clinical studies.
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