24 November 2025

FTO revisited: fragment linking this time

Four years ago we highlighted a fragment-merging approach targeting fat mass and obesity-associated protein (FTO), an RNA demethylase implicated in acute myeloid leukemia (AML). In a new J. Med. Chem. paper, Ze Dong, Cai-Guang Yang, and collaborators at University of Chinese Academy of Sciences Beijing describe a fragment linking approach that arrives at a similar outcome.
 
As we noted in 2021, previous research had revealed that meclofenamic acid (MA) binds in the substrate-binding site, near the binding site for the 2-oxoglutarate (2-OG) cofactor. In the new paper, the researchers synthesized an analog of MA which they then linked to analogs of 2-OG through a variety of linkers. Among the best of these was compound 8a, with low micromolar activity in an assay using PAGE (polyacrylamide gel electrophoresis) as well as mid-nanomolar activity in a different type of assay. This is an improvement over the MA analog itself (which was only tested in the PAGE-based assay, results shown in the figure). Compound 8a was also selective for FTO over two related proteins.
 
 
As is often seen in fragment linking, the SAR is quite sharp. The two-carbon linker was critical; lengthening the linker by one methylene or adding a methyl group abolished activity. The double bond in the 2-OG mimetic was also important; the saturated version of this molecule was inactive.
 
Surprisingly, a crystal structure of FTO bound to a molecule closely related to 8a revealed that while the MA moiety bound as expected, the 2-OG analog adopted a different conformation. But inexplicably, according to the experimental section, 2-OG was added to the crystallization solution, which would compete with compound 8a. Indeed, the structure deposited in the protein data bank shows the 2-OG analog N-oxalylglycine bound to the catalytic metal ion.
 
With two carboxylic acid moieties, it is no surprise that compound 8a showed no antiproliferative activity in AML cell lines. However, ester prodrugs did show low micromolar activity. Further characterization of one of these showed changes in protein levels consistent with FTO inhibition. This molecule also caused tumor growth inhibition after intraperitoneal dosing in a mouse xenograft model.
 
Superficially, compound 8a resembles compound 11b from the 2021 paper. Like that molecule it is probably too weak to serve as an ideal chemical probe. That said, with one fewer aromatic ring, compound 8a may be better suited for further optimization.

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