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Area of Science:

  • Biochemistry and Medicinal Chemistry
  • Cardiovascular Disease Research
  • Drug Discovery and Development

Background:

  • ADAMTS7, a matrix metalloprotease, is implicated in coronary artery disease (CAD) development via genome-wide association studies.
  • The enzyme's proteolytic activity is crucial in atherogenesis and restenosis following vascular injury.

Purpose of the Study:

  • To design and optimize novel inhibitors targeting the catalytic domain of ADAMTS7.
  • To develop an orally bioavailable ADAMTS7 inhibitor for potential therapeutic applications in cardiovascular diseases.

Main Methods:

  • In silico design of ADAMTS7 inhibitors based on existing ADAMTS4/ADAMTS5 inhibitors.
  • Structure-guided optimization using X-ray crystallography to enhance selectivity against MMP12.
  • Chemical modification, including the incorporation of 5-membered heteroaromatic groups, to improve potency.
  • Pharmacokinetic (DMPK) property fine-tuning to achieve oral bioavailability.

Main Results:

  • Initial inhibitors showed limited selectivity against MMP12.
  • Exploiting binding site differences between ADAMTS7 and MMP12 significantly improved selectivity.
  • Optimization led to potent ADAMTS7 inhibition and favorable DMPK properties.
  • BAY-9835 was identified as the first orally bioavailable ADAMTS7 inhibitor.

Conclusions:

  • BAY-9835 represents a significant advancement as the first orally bioavailable ADAMTS7 inhibitor.
  • The study demonstrates a successful structure-based drug design strategy for targeting ADAMTS7.
  • Further optimization for selectivity against ADAMTS12 is feasible, indicating continued therapeutic potential.