Fragments vs KEAP1: Fragment growing this time

Kelch-like ECH-associated protein 1 (KEAP1) binds to nuclear factor erythroid 2-related factor 2 (NRF2), targeting it for degradation. Blocking this interaction has anti-inflammatory effects, and indeed the approved drugs dimethyl fumarate and omaveloxolone are believed to act in part through this mechanism. But those drugs hit a lot of other targets, and more specific molecules have long been sought; we wrote about one in 2016 and another in 2021. In an open-access paper just published in Angew. Chem. Int. Ed., Anders Bach and an international team of collaborators at University of Copenhagen and elsewhere describe a new chemical series.

 

As in the 2016 paper, the researchers started with a crystallographic screen, in this case using the 768-member DSI-poised library, which we wrote about here. This resulted in 80 hits, all binding in the so-called Kelch pocket, which has previously been targeted. Thirteen of these bound in the central region, and compound 1 showed modest but measurable affinity by SPR.

 

All previously reported non-covalent high-affinity KEAP1 ligands contain at least one acidic moiety to interact with arginine residues in the protein, so the researchers used structure-based design to add carboxylic acids, resulting in compound 4, with low micromolar affinity. This molecule, unlike the initial fragment, could also block the KEAP1-NRF2 interaction in a fluorescence polarization assay.

 

Building into a hydrophobic sub-pocket yielded compound 12, and adding strategically placed hydrogen-bond acceptors led to further improvements in affinity, ultimately leading to compound 28, with low nanomolar activity. Crystallography revealed that these molecules bound in a similar fashion as the initial fragment.

 

Compound 28 and related molecules were tested in a variety of assays. They were selective for KEAP1 over 15 other human Kelch domains in a thermal shift assay. Compound 28 activated NRF-2 regulated cytoprotective genes and decreased inflammatory markers in multiple cell lines. It also displayed RNA expression profiles similar to those of other reported non-covalent KEAP1 inhibitors. Cellular potency in some of these assays was as good as 60 nM.

 

This is a nice fragment-to-lead story, though no ADME or DMPK data are reported, and the combination of relatively high molecular weight, negative charge, and lipophilicity suggest that permeability and oral bioavailability may be challenging. Indeed, the researchers note that no non-covalent KEAP1-NRF2 inhibitors have entered the clinic. Perhaps this target is better suited for covalent inhibitors, preferably ones more selective than dimethyl fumarate. More on those later.