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Discovery of a Novel Series of Potent, Selective, Orally Available, and Brain-Penetrable C1s Inhibitors for Modulation of the Complement Pathway.


ABSTRACT: A novel series of non-amidine-based C1s inhibitors have been explored. Starting from high-throughput screening hit 3, isoquinoline was replaced with 1-aminophthalazine to enhance C1s inhibitory activity while exhibiting good selectivity against other serine proteases. We first disclose a crystal structure of a complex of C1s and a small-molecule inhibitor (4e), which guided structure-based optimization around the S2 and S3 sites to further enhance C1s inhibitory activity by over 300-fold. Improvement of membrane permeability by incorporation of fluorine at the 8-position of 1-aminophthalazine led to identification of (R)-8 as a potent, selective, orally available, and brain-penetrable C1s inhibitor. (R)-8 significantly inhibited membrane attack complex formation induced by human serum in a dose-dependent manner in an in vitro assay system, proving that selective C1s inhibition blocked the classical complement pathway effectively. As a result, (R)-8 emerged as a valuable tool compound for both in vitro and in vivo assessment.

SUBMITTER: Ikeda Z 

PROVIDER: S-EPMC10184130 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature

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Discovery of a Novel Series of Potent, Selective, Orally Available, and Brain-Penetrable C1s Inhibitors for Modulation of the Complement Pathway.

Ikeda Zenichi Z   Kamei Taku T   Sasaki Yusuke Y   Reynolds Matthew M   Sakai Nozomu N   Yoshikawa Masato M   Tawada Michiko M   Morishita Nao N   Dougan Douglas R DR   Chen Chien-Hung CH   Levin Irena I   Zou Hua H   Kuno Masako M   Arimura Naoto N   Kikukawa Yusuke Y   Kondo Mitsuyo M   Tohyama Kimio K   Sato Kenjiro K  

Journal of medicinal chemistry 20230425 9


A novel series of non-amidine-based C1s inhibitors have been explored. Starting from high-throughput screening hit <b>3</b>, isoquinoline was replaced with 1-aminophthalazine to enhance C1s inhibitory activity while exhibiting good selectivity against other serine proteases. We first disclose a crystal structure of a complex of C1s and a small-molecule inhibitor (<b>4e</b>), which guided structure-based optimization around the S2 and S3 sites to further enhance C1s inhibitory activity by over 30  ...[more]

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