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A general chemical principle for creating closure-stabilizing integrin inhibitors.


ABSTRACT: Integrins are validated drug targets with six approved therapeutics. However, small-molecule inhibitors to three integrins failed in late-stage clinical trials for chronic indications. Such unfavorable outcomes may in part be caused by partial agonism, i.e., the stabilization of the high-affinity, extended-open integrin conformation. Here, we show that the failed, small-molecule inhibitors of integrins αIIbβ3 and α4β1 stabilize the high-affinity conformation. Furthermore, we discovered a simple chemical feature present in multiple αIIbβ3 antagonists that stabilizes integrins in their bent-closed conformation. Closing inhibitors contain a polar nitrogen atom that stabilizes, via hydrogen bonds, a water molecule that intervenes between a serine residue and the metal in the metal-ion-dependent adhesion site (MIDAS). Expulsion of this water is a requisite for transition to the open conformation. This change in metal coordination is general to integrins, suggesting broad applicability of the drug-design principle to the integrin family, as validated with a distantly related integrin, α4β1.

SUBMITTER: Lin FY 

PROVIDER: S-EPMC9494814 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

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A general chemical principle for creating closure-stabilizing integrin inhibitors.

Lin Fu-Yang FY   Li Jing J   Xie Yonghua Y   Zhu Jianghai J   Huong Nguyen Thi Thu TT   Zhang Yonghui Y   Zhu Jieqing J   Springer Timothy A TA  

Cell 20220901 19


Integrins are validated drug targets with six approved therapeutics. However, small-molecule inhibitors to three integrins failed in late-stage clinical trials for chronic indications. Such unfavorable outcomes may in part be caused by partial agonism, i.e., the stabilization of the high-affinity, extended-open integrin conformation. Here, we show that the failed, small-molecule inhibitors of integrins αIIbβ3 and α4β1 stabilize the high-affinity conformation. Furthermore, we discovered a simple  ...[more]

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