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.

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.