Potent and Selective Human Neutrophil Elastase Inhibitors with Novel Equatorial Ring Topology: in vivo Efficacy of the Polar Pyrimidopyridazine BAY-8040 in a Pulmonary Arterial Hypertension Rat Model

ChemMedChem
Franz von NussbaumJens Schamberger

Abstract

Human neutrophil elastase (HNE) is a key driver of inflammation in many cardiopulmonary and systemic inflammatory and autoimmune conditions. Overshooting high HNE activity is the consequence of a disrupted protease-antiprotease balance. Accordingly, there has been an intensive search for potent and selective HNE inhibitors with suitable pharmacokinetics that would allowing oral administration in patients. Based on the chemical probe BAY-678 and the clinical candidate BAY 85-8501 we explored further ring topologies along the equator of the parent pyrimidinone lead series. Novel ring systems were annulated in the east, yielding imidazolo-, triazolo-, and tetrazolopyrimidines in order to ensure additional inhibitor-HNE contacts beyond the S1 and the S2 pocket of HNE. The western annulation of pyridazines led to the polar pyrimidopyridazine BAY-8040, which combines excellent potency and selectivity with a promising pharmacokinetic profile. In vivo efficacy with regard to decreasing cardiac remodeling and amelioration of cardiac function was shown in a monocrotaline-induced rat model for pulmonary arterial hypertension. This demonstrated in vivo proof of concept in animals.

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Citations

Aug 8, 2018·Acta Crystallographica. Section F, Structural Biology Communications·Jennifer HochscherfKarsten Niefind
Aug 22, 2018·Expert Review of Respiratory Medicine·Oliver J McElvaneyNoel G McElvaney
Apr 20, 2019·Drug Development Research·Maria P GiovannoniMark T Quinn
Nov 25, 2017·Expert Opinion on Therapeutic Patents·Feryel Soualmia, Chahrazade El Amri
Oct 28, 2020·Cells·Yijie HuNeil M Goldenberg
Nov 6, 2018·Bioorganic & Medicinal Chemistry·Letizia CrocettiClaudia Vergelli
Dec 21, 2019·Journal of Medicinal Chemistry·Julien LefrancAntje Margret Wengner

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