Small molecule and macrocyclic pyrazole derived inhibitors of myeloperoxidase (MPO)

Carol H Hu1, Meriah W Neissel Valente1, O Scott Halpern1

  • 1Research and Development, Bristol-Myers Squibb Company, P. O. Box 5400, Princeton, NJ 08543, United States.

Insights

Researchers designed novel myeloperoxidase (MPO) inhibitors for cardiovascular disease treatment. Compound 30, a potent macrocyclic MPO inhibitor, demonstrated significant selectivity against thyroid peroxidase (TPO).

Area of Science:

  • Medicinal Chemistry
  • Enzyme Inhibition
  • Cardiovascular Pharmacology

Background:

  • Myeloperoxidase (MPO) is an enzyme crucial for antimicrobial defense.
  • MPO is implicated in the pathogenesis of chronic inflammatory conditions, including coronary artery disease.

Purpose of the Study:

  • To design and evaluate novel inhibitors of myeloperoxidase (MPO) for potential cardiovascular disease treatment.
  • To explore structure-activity relationships (SAR) for MPO inhibition using substituted pyrazoles and macrocyclic structures.

Main Methods:

  • Utilized the crystal structure of MPO and triazolopyridine 3 for structure-based inhibitor design.
  • Synthesized novel inhibitors incorporating substituted pyrazoles to target active site hydrophobic and hydrophilic regions.
  • Optimized alkylation chemistry and macrocyclization strategies to develop potent MPO inhibitors.

Main Results:

  • Identified piperidine 17, inhibiting HOCl production from neutrophils with an IC50 of 2.4 μM and showing selectivity over thyroid peroxidase (TPO).
  • Developed potent macrocyclic MPO inhibitors, such as compound 30, through optimized synthesis and macrocyclization.
  • Achieved significant MPO inhibition with selectivity against TPO in optimized analogs.

Conclusions:

  • Novel substituted pyrazole and macrocyclic compounds effectively inhibit myeloperoxidase (MPO) activity.
  • The developed inhibitors show promise for treating MPO-related chronic inflammatory diseases, particularly cardiovascular conditions.
  • Compound 30 represents a potent and selective MPO inhibitor with therapeutic potential.