Review
Recent advances in the synthesis, design and selection of cysteine protease inhibitors

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Abstract

Inhibition of cysteine proteases is emerging as an important strategy for the treatment of a variety of human diseases. Intense efforts involving structure-based inhibitor design have been directed toward several cysteine proteases, including cathepsin K, calpain, human rhinovirus 3C protease and several parasitic cysteine protease targets. Other successful recent efforts have involved combinatorial synthesis and screening for identification of new inhibitor templates.

Introduction

The cysteine proteases are a large group of enzymes that play roles in a broad range of biological processes 1., 2.. However, imbalances in the normal expression of human cysteine proteases or involvement of parasitic or viral cysteine proteases are associated with a variety of pathological conditions.

Inhibition of cysteine proteases represents a potential strategy for chemotherapy in such cases. Three structurally different classes of cysteine proteases are current targets for drug design: the papain family, the caspases and the picornaviridae family.

Many cysteine protease targets belong to the papain superfamily, including the cysteinyl cathepsins, calpains [3] and parasitic cysteine proteases that are critical to the life cycle or pathogenicity of parasitic protozoans. The caspases are effectors of apoptosis, or programmed cell death [4]. Cells that undergo apoptosis are activated by a series of caspases that cleave critical cellular substrates. The caspases are topologically different from the papain-family cysteine proteases and are characterized by an almost absolute specificity for aspartic acid in the P1 position next to the cleavage site. Picornaviruses are involved in diseases such as the common cold, poliomyelitis and hepatitis. During maturation of infectious virions, a single polyprotein precursor is cleaved at specific points by cysteine proteases that also originate from this precursor protein. Accordingly, inhibition of picornaviral proteases is regarded as a promising approach to antiviral chemotherapy 5., 6..

This review focuses on the development of low-molecular-weight inhibitors of cysteine proteases reported in 2001 and early 2002. A few papers from late 2000 that have not been previously reviewed have also been included in this brief review.

Section snippets

Cysteine protease inhibitors deriving from library synthesis

Several cysteine protease inhibitors have resulted from efforts involving combinatorial syntheses (Fig. 1). Michael acceptor 1 was developed from a library generated by copper-(II)-catalyzed transamination of solid-supported peptides with glyoxylate. The resulting library of α-ketoamide peptide isosteres was further elaborated by oxime formation, hydride reduction, reductive amination and addition of appropriate acylating agents. Importantly, use of novel oxirane and oxetane-modified

Structure- or mechanism-based design of papain-family cysteine protease inhibitors

Many recent reports focus on the design of inhibitors of specific papain-family cysteine proteases (Fig. 2). These efforts are often guided by X-ray structural information and/or insights deriving from the mechanism and substrate specificities of the enzyme targets. Dipeptidyl dipeptidase is an exopeptidase that is highly expressed in cytotoxic lymphocytes and activates granzymes involved in apoptosis. Peptidyl vinyl sulfone derivatives were found to be irreversible inhibitors of dipeptidyl

Calpain Inhibitors

The peptidyl α-hydroxamate scaffold has been employed for the design of reversible inhibitors of calpain I (Fig. 4). Two groups identified hydroxamate 21 as the most potent compound in the series (IC50 = 6 nM). The N-alkoxy substituent increases the potency by strengthening the hydrogen bonding between the hydroxamate NH of the inhibitor and the S′1 site of calpain 34., 35.. Peptidyl methyl ketone inhibitors bearing leaving groups derived from HOBT (1-hydroxybenzotriazole) and other

Caspase inhibitors

The Pfizer–BASF group reported structure-based design of reversible, non-peptidic inhibitors of caspase-1. Caspase-1 has a role in peripheral inflammatory disorders and apoptosis. The required P1 aspartic residue was maintained in a series of biphenyl sulfonamides such as 27, which is a low-micromolar-level inhibitor (Fig. 6). Replacement of the biphenyl sulfonamide for the biphenyl ether sulfonamide in 28 (Ki = 0.11 μM) provided a 20-fold increase in activity because of improved hydrophobic

Inhibitors of picornaviral cysteine proteases

Scientists at Merck reported the discovery of 2-methoxystypandrone 30 (Fig. 7) as a time-dependent inhibitor of human rhinovirus (HRV) 3C protease (IC50 = 4.6 μM) [44]. The synthesis and structure–activity relationships of naphtoquinone analogs were also reported.

The Agouron–Pfizer groups have reported their latest efforts in the design and optimization of tripeptidyl C-terminal α,β-unsaturated esters as irreversible inhibitors of HRV 3C protease. Michael acceptor inhibitors 31 with an ester

Conclusions

Cysteine proteases are the focus of numerous efforts to develop new chemotherapeutic strategies for a variety of diseases. The potential of the design of inhibitor libraries suitable for on-bead screening in identification of new leads and the intense activity on development of potent peptidomimetic inhibitors of cathepsin K, calpain I and HRV 3C protease augur well for significant future advances in this field. The identification of new non-peptidic inhibitor templates has allowed the

Acknowledgements

We gratefully acknowledge research support provided by the National Institutes of Health (Program Project Grant AI 35707).

References and recommended reading

Papers of particular interest, published within the annual period of review, have been highlighted as:

  • • of special interest

  • •• of outstanding interest

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