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Quantitative Structure-Activity Relationship, Activity Prediction, and Molecular Dynamics of Non-nucleotide Reverse Transcriptase Inhibitors
Published on: May 9, 2025
4th generation nonsteroidal aromatase inhibitors: An iterative SAR-guided design, synthesis, and biological
Ahmed G Eissa1, Denise Barrow1, Julia Gee1
1School of Pharmacy and Pharmaceutical Sciences, Cardiff University, King Edward VII Avenue, Cardiff, CF10 3NB, UK.
Abstract:
One in every eight women will be diagnosed with breast cancer during their lifetime and approximately 70% of all patients are oestrogen receptor (ER) positive depending upon oestrogen for their growth accounting for third generation aromatase (CYP19A1) inhibitors being the mainstay in the treatment of ER-positive breast cancer. Despite the success of current aromatase inhibitors, acquired resistance occurs after prolonged therapy. Although the precise mechanisms of resistance are not known, lack of cross resistance among aromatase inhibitors drives the need for a newer generation of inhibitors to overcome this resistance alongside minimising toxicity and adverse effects. Novel triazole-based inhibitors were designed based on previously published parent compound 5a, making use of the now available crystal structure of CYP19A1 (PDB 3S79), to make modifications at specific sites to explore the potential of dual binding at both the active site and the access channel. Modifications included adding long chain substituents e.g. but-2-ynyloxy and pent-2-ynyloxy at different positions including the most active compound 13h with IC50 value in the low picomolar range (0.09 nM). Aromatase inhibition results paired with molecular dynamics studies provided a clear structure activity relationship and favourable dual binding mode was verified. Toxicity assays and CYP selectivity profile studies for some example compounds were performed to assess the safety profile of the prepared inhibitors providing the basis for the 4th generation nonsteroidal aromatase inhibitors.
Insights
Novel triazole-based compounds show promise as fourth-generation aromatase inhibitors for estrogen receptor-positive breast cancer, offering improved efficacy and reduced toxicity to overcome treatment resistance.
Area of Science:
- Medicinal Chemistry
- Oncology
- Biochemistry
Background:
- Estrogen receptor-positive breast cancer relies on estrogen for growth, making aromatase inhibitors a primary treatment.
- Current aromatase inhibitors face challenges due to acquired resistance and potential toxicities.
- Developing novel inhibitors is crucial to overcome resistance and improve patient outcomes.
Purpose of the Study:
- To design and synthesize novel triazole-based compounds as potential fourth-generation aromatase inhibitors.
- To explore dual binding mechanisms at both the active site and access channel of aromatase (CYP19A1).
- To establish structure-activity relationships and assess the safety profile of new inhibitors.
Main Methods:
- Design of novel triazole-based inhibitors based on a parent compound and CYP19A1 crystal structure.
- Synthesis of modified compounds with long-chain substituents.
- Evaluation of aromatase inhibition (IC50 values) and molecular dynamics studies.
- Toxicity assays and CYP selectivity profiling.
Main Results:
- Compound 13h demonstrated high potency with an IC50 value in the low picomolar range (0.09 nM).
- Molecular dynamics studies confirmed a favorable dual binding mode, elucidating structure-activity relationships.
- Initial toxicity and selectivity studies indicated a potentially favorable safety profile for some compounds.
Conclusions:
- Novel triazole-based compounds exhibit potent aromatase inhibition and a dual binding mechanism.
- These findings provide a strong foundation for the development of fourth-generation nonsteroidal aromatase inhibitors.
- The new inhibitors may offer a strategy to overcome resistance and minimize adverse effects in breast cancer treatment.
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