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Why Do Drugs Look the Way they Do? By Wolfgang K.-D. Brill The 27 th Summer School of Organic Synthesis at Gargnano, Italy 2002

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Why Do Drugs Look the Way they Do?

By Wolfgang K.-D. Brill

The 27th Summer School of Organic Synthesis at Gargnano, Italy 2002

Brill, May 2002

The Blockbusters in 2000

MeO NH

NS

O

N

OMe

Prilosec

NH

NS

O

N

OCF3

Prevacid

F

N

PhNHO

Ph

i-PrOHOH

HO2C

Lipidor

O

O OH

HO

O

Zocor

NH

O

CF3Ph

Prozac

SOO

NNNH2

Celebrex

ClCl

NH

Zoloft

N

NH S

N

N

Zyprexa

AAAAAAS APPRLICDSR VLERYLLEAK EAENITTGCA EHCSLNENIT VPDTKVNFYA AAAAAAAAAA AAAAAAAAAA AAAAAAAASA AAS WKRMEVGQQA VEVWQGLALL SEAVLRGQAL LVNSSQPWEP LQLHVDKAVS GLRSLTTLLR ALGAQKEAIS PPDAASAAPL RTITADTFRK LFRVYSNFLR GKLKLYTGEA CRTGD AAAAAAAAAA S

Epogen, Procrit:

Brill, May 2002

The Blockbusters 2000: Mostly Small Molecules

MeO NH

NS

O

N

OMe

Prilosec

NH

NS

O

N

OCF3

Prevacid

F

N

PhNHO

Ph

i-PrOHOH

HO2C

Lipidor

O

O OH

HO

O

Zocor

NH

O

CF3Ph

Prozac

SOO

NNNH2

Celebrex

ClCl

NH

Zoloft

N

NH S

N

N

Zyprexa

AAAAAAS APPRLICDSR VLERYLLEAK EAENITTGCA EHCSLNENIT VPDTKVNFYA AAAAAAAAAA AAAAAAAAAA AAAAAAAASA AAS WKRMEVGQQA VEVWQGLALL SEAVLRGQAL LVNSSQPWEP LQLHVDKAVS GLRSLTTLLR ALGAQKEAIS PPDAASAAPL RTITADTFRK LFRVYSNFLR GKLKLYTGEA CRTGD AAAAAAAAAA S

Epogen, Procrit:

Why Do Drugs Look the Way they Do?

Lets look at the Targets!

Brill, May 2002

Drug Target Selection

• Genomics helps to identify “disease genes” Disease genes are genes whose products are directly or indirectly responsible for a disease

• When products of a “disease gene” are not suitable

targets other proteins linked via physiological or pathophysiological pathways may be.

• About 5000-10000 targets my be suitable for drug intervention

Drews, J. Science (Washington, D. C.) 287 (2000) 1960-1963.

Brill, May 2002

Brill, May 2002

L. S. Goodman et al., Eds., Goodman and Gilman's The Pharmacological Basis of Therapeutics (McGraw-Hill, New York, ed. 9, 1996).

Brill, May 2002

DNA 2%Unknown 7%

Proteins 91%

Most Drugs Bind to ProteinsMost Drugs Bind to Proteins

Drug Target Selection

• Biological relevance (often the only factor considered but can be difficult to estimate without a drug)

• Kinetics for the endogenous process

• Selectivity of action

• The structure of the drug target and its suitability for interaction with low M. Wt. ligands

Brill, May 2002

Why Do Drugs Look the Way they Do?

How do Drugs get to their Targets!

Brill, May 2002

Brill, May 2002

Drugs can be administerd in many ways

They have to penetrate organ barriers and cell membranes to reach their target

Brill, May 2002

Since many targets are intracellular, cellular membranes present a severe obstacle

1 outside the cell 2 inside the cell3 freeze fracture passes through the middle bilayer protein 4,5,7,8, 9 integral membrane proteins6,11 peripheral membrane proteins10 carbohydrate residuesSinger, S. J.; Nicolson, G. L. Science (Washington, D. C.) 175 (1972) 723

Brill, May 2002

Passive diffusionrule of 5 obligatory

Active transportdrugs use systems for:amino acidsL-DOPA basic polypeptides amino glycosides

Receptor mediated transport1,2: binding to receptor3: adaptin addition4: accumulation of receptors5: formation of vesicle6-8: formation of endosome and recycling of receptor9: intracellular distribution via endosome

vesicular transport

out outin

Lüllmann, H.; Mohr, K.; Ziegler, A. Taschenatlas der Pharmakologie, 3rd ed. Georg Thieme Verlag Stuttgart, New York 1996

Transport of drugs

Statistical analysis of drugs, which are orally available revealed similarities of in

physicochemical properties!

Brill, May 2002

• Number of H-bond donors (NH and OH): 0 - 5• Number of H-acceptors (N: and O:): 5 - 10• LogP: -2 - 5• Molecular weight: 200 - 500• No of rotatable bonds:• Formal charge: -2 - 2• Number of non-hydrogens: 20 - 50• Polar surface area: < 99original Lipinski rule or rule-of-5

Distribution of “rule-of-5 properties” among drugs in phase II development

Brill, May 2002

NH, OH N:, O: C logP MW

0%10%20%30%40%50%60%70%80%90%

100%

not conformrule-of-5

Lipinski C. A. et al. Adv. Drug Delivery Rev. 23 (1997) 3-25

Brill, May 2002

All compoundsRule-of-5

compounds

Drugs

Bioavailability imposes stringent restrictions upon the chemical and physical properties of drugs

How can the drug-like compounds interact with proteins?

Brill, May 2002

Daq + Raq DRaq + mH2O

aqaq

maq

RDOHDRRTGG

2ln

Drug-Target Interactions

aKRTGG ln

Brill, May 2002

H-bonds ?

HOH........OH2 - 6.4 Kcal mol-1H2O........HSCH3 - 3.2 Kcal mol-1HOH........S(H)CH3 - 3.1 Kcal mol-1Imidazolinium/water - 14.0 Kcal mol-1CH3CO2

- .......HOH - 19.0 Kcal mol-1

Sint

HDWSrt

Svib

HDR

RW

SW

+ +

Brill, May 2002

H-bonds cannot lead to high binding constants because:

• Drugs are solvated prior to entering the target• The water binding to the drug has to be replaced by the target• The hydrogen bond on the target has to be significantly stronger than that of the drug with water• In order to obtain high binding many H-bonds are necessary• A compound with that many H-bonds is too polar for

passive uptake

Brill, May 2002

Hydrophobic interactions?

drug poorly solvated by

water

alignment with target surfacewater does not bind

well to target site:can readily be

displaced

Brill, May 2002Mostly Hydrophobic Interactions: ATP complements its binding site in CDK2

Eksterowicz, John E. et al. J. Mol. Graphics & Modelling 20 (2002) 469-477.

Example for hydrophobic interactions in nature:Brill, May 2002

Multiple -stacking of aromatics in a telomerase complex

Horvath, M. P. et al. Cell 95 (1998) 963-974

Brill, May 2002

Mostly hydrophobic interactions: Staurosporine binds CDK2

Noble, M. E. M. et al. Pharmacol. Ther. 82 (1999) 269-278

Brill, May 2002

DOF -0.7 -0.7- -1.0C(sp2) 0.7 0.6- 0.8C(sp3) 0.8 0.1- 1.0N+ 11.5 11.4- 15.0N 1.2 0.8- 1.8CO2

- 8.2 7.3- 10.3OPO3

- 10.0 7.7- 10.6OH 2.5 2.5- 4.0C=O 3.4 3.2- 4.0O,S 1.1 0.7- 2.0 halogen 1.3 0.2- 2.0

Group Energy range over (Kcalmol-1) 200 cpds.

DOF: degrees of freedom

Contributions of functional groups to binding

Andrews, P. R. et al. J. Med. Chem. 27 (1984) 1648-1657

Brill, May 2002

X

R

R

Fixation of functional groups in space

HAlignment with target

surface

C

- Interactions

H

H-bond

The greater the surface of a drug involved in interactions with its target, the greater the binding!

Brill, May 2002

The interactions of a kinase inhibitor with the interior of a binding pocket

Gray, N. S. et al. Science (Washington, D. C.) 281 (1998) 533-538

Brill, May 2002

•Large drug molecule•Difficult to synthesize•Poor passive uptake•Hydrophilic (for solubility)

+

•Flat, hydrophillic protein surface

Only large molecules can bind to shallow surface !

•Small drug molecule•Easy to synthesize•bioavailable

+

Protein surface•Poorly hydrated•Stressed due to hydrophobic collaps

Small molecule can bind to deep fold!

How drugs bind to proteins

Drug Target Selection

Only proteins with deep hydrophobic pockets are suitable for low MWt. Ligands...

Brill, May 2002

...such as proteins binding nucleotide cofactors

Brill, May 2002

One type of protein requiring the nucleotide cofactor

ATPare protein tyrosine kinases

They are• involved in the regulation of cellular processes via substrate phosphorylation• Dysfunction of those processes lead to many diseases such as

cancer• Cofactors can readily diffuse in and out of binding sites!• Binding sites are not optimized toward very tight binding:

competitive inhibition possible!• There are many different binding pockets for cofactors:

selective binding possible!

Brill, May 2002

Blume-Jensen, P. et al.Nature (London, U. K.) (2001) 411, 355-365

Various receptors with kinase-domainsintracellular

extracellular kinase domain

Brill, May 2002

OOPO

OO P

O

OP OO O

OHOH

N

NN

NO

NH2OH

Protein

OOPO

OP OO O

OHOH

N

NN

NO

NH2O

OPO

O

Protein

+ kinaseMg2+

+

Kinase mechanism

Brill, May 2002

Hydrophobic pockets within ATP-binding domains

Traxler, P. et. al. Pharmacol. Ther. 82 (1999) 195-206

Why Do Drugs Look the Way they Do?

Heterocycles provide opportunities for designing functional group isosteres

Brill, May 2002

•Improve bioavailability•Improve activity•Reduce side effects•Reduce toxicity•Circumvent patents•Design new chemical entities

Brill, May 2002

N

OH NH

OHOH N

NH

Y

OOH N

OOH

N

OH

Y: OY: NH

Bioisosteres for phenyl and phenol residues• To improve solubility • To reduce toxicity

Brill, May 2002

OH

O

NN

NNH

NO

NHO

NHN

O

O

R

YN R

O

OO

N

O

R

OR' Y

NN

R

YN

R

YN

OR

YNN

O R NN

NY

RO

R

NH

NYOR

N

NOOR

N

NYOH

NO

O

OR

NH2

O

ON

N

NNH

N

NN

O

N

NH

NO

Y: OY: S

Y: OY: S

Y: OY: S

Y: OY: S

Y: OY: CH2Y: NHY: NR'

Y: OY: S

Y: OY: S

Y: CHY: N

Bioisosters for carboxylic acid derivatives

Brill, May 2002

Why are many drugs aromatics?Comparison of two compounds C8H8:

Which has the greater surface?

Why Do Drugs Look the Way they Do?

Brill, May 2002

• Drugs are small molecules with some hydrophobicity to be bioavailable.• Small molecules can only bind to proteins with deep hydrophobic pockets or folds.• To bind to such folds a drug must complement the inner surface of the hydrophobic pocket or fold.• This requires the highest possible density of functionality per drug surface preoriented in space. • This can best be achieved with heterocycles being aromatic or with heterocycles in conjunction with other aromatic systems.• Heterocycles provide many facile and rapid ways for derivatizations.

Why Do Drugs Look the Way they Do?

Brill, May 2002

• Drugs are small molecules with some hydrophobicity to be bioavailable.• Small molecules can only bind to proteins with deep hydrophobic pockets or folds.• To bind to such folds a drug must complement the inner surface of the hydrophobic pocket or fold.• This requires the highest possible density of functionality per drug surface preoriented in space. • This can best be achieved with heterocycles being aromatic or with heterocycles in conjunction with other aromatic systems.• Heterocycles provide many facile and rapid ways for derivatizations.

AcknowledgementBrill, May 2002

Dr. Eduard FelderDr. Jean-Yves Trosset