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Ethionamide Boosters. 2. Combining Bioisosteric Replacement and Structure-Based Drug Design To Solve Pharmacokinetic Issues in a Series of Potent 1,2,4-Oxadiazole EthR Inhibitors

  作者 FLIPO MARION; DESROSES MATTHIEU; LECATGUILLET NATHALIE; VILLEMAGNE BAPTISTE; BLONDIAUX NICOLAS; LEROUX FLORENCE; PIVETEAU CATHERINE; MATHYS VANESSA; FLAMENT MARIEPIERRE; SIEPMANN JUERGEN; VILLERET VINCENT; WOHLKONIG ALEXANDRE; WINTJENS RENE; SOROR SAMEH H; CHRISTOPHE THIERRY; JEON HEE KYOUNG; LOCHT CAMILLE; BRODIN PRISCILLE; DEPREZ BENOIT; BAULARD ALAIN R; WILLAND NICOLAS  
  选自 期刊  Journal of Medicinal Chemistry;  卷期  2012年55-1;  页码  68-83  
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[摘要]Mycobacterial transcriptional repressor EthR controls the expression of EthA, the bacterial monooxygenase activating ethionamide, and is thus largely responsible for the low sensitivity of the human pathogen Mycobacterium tuberculosis to this antibiotic. We recently reported structure-activity relationships of a series of 1,2,4-oxadiazole EthR inhibitors leading to the discovery of potent ethionamide boosters. Despite high metabolic stability, pharmacokinetic evaluation revealed poor mice exposure; therefore, a second phase of optimization was required. Herein a structure-property relationship study is reported according to the replacement of the two aromatic heterocycles: 2-thienyl and 1,2,4-oxadiazolyl moieties. This work was done using a combination of structure-based drug design and in vitro/ex vivo evaluations of ethionamide boosters on the targeted protein EthR and on the human pathogen Mycobacterium tuberculosis. Thanks to this process, we identified compound 42 (BDM41906), which displays improved efficacy in addition to high exposure to mice after oral administration.

 
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