Pub Date : 2026-10-08Epub Date: 2026-09-09DOI: 10.1021/acsmedchemlett.6c00455
Tahereh Damghani, Shenghan Song, Kaly S. Lin, Jianing Li, David E. Heppner
{"title":"Correction to “Structural Studies of Fourth-Generation EGFR Inhibitors Reveal Insights into Selective T790M and C797S Targeting”","authors":"Tahereh Damghani, Shenghan Song, Kaly S. Lin, Jianing Li, David E. Heppner","doi":"10.1021/acsmedchemlett.6c00455","DOIUrl":"https://doi.org/10.1021/acsmedchemlett.6c00455","url":null,"abstract":"","PeriodicalId":20,"journal":{"name":"ACS Medicinal Chemistry Letters","volume":"17 10","pages":"2269–2269"},"PeriodicalIF":3.9,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149124782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-10-08Epub Date: 2026-09-27DOI: 10.1021/acsmedchemlett.6c00429
Thomas D. Beckler, David Crich
Despite the ever-increasinginterest in isoxazole-based compounds,benzo-fused isoxazolidines, or 1,3-dihydro-2,1-benzisoxazoles, arevery rare. Seeking to fill this gap, we present a method for the synthesisof 1,3-dihydro-2,1-benzisoxazoles by intramolecular Cu-mediated orPd-catalyzed C–N coupling of bromoaryl benzylic hydroxylaminederivatives, which can be further derivatized through a simple reductiveamination sequence. This approach overcomes the limitations of previousmethods and provides access to multiple novel heterocyclic scaffolds.As a proof of concept, we apply the method to the synthesis of a benzisoxazolineanalogue of the metabolically labile chiral indane-based MT1/MT2 receptoragonist ramelteon, ultimately furnishing a compound with a >10-foldimprovement in metabolic stability in human hepatocytes. Support forthe bioisosteric nature of the 1,3-dihydro-2,1-benzisoxazole and indanecores was provided in the context of the ramelteon analogue by DFTcalculations.
{"title":"Synthesis of 1,3-Dihydro-2,1-benzisoxazoles by Intramolecular C–N Coupling: Evaluation as an Indane Bioisostere","authors":"Thomas D. Beckler, David Crich","doi":"10.1021/acsmedchemlett.6c00429","DOIUrl":"https://doi.org/10.1021/acsmedchemlett.6c00429","url":null,"abstract":"<p>Despite the ever-increasinginterest in isoxazole-based compounds,benzo-fused isoxazolidines, or 1,3-dihydro-2,1-benzisoxazoles, arevery rare. Seeking to fill this gap, we present a method for the synthesisof 1,3-dihydro-2,1-benzisoxazoles by intramolecular Cu-mediated orPd-catalyzed C–N coupling of bromoaryl benzylic hydroxylaminederivatives, which can be further derivatized through a simple reductiveamination sequence. This approach overcomes the limitations of previousmethods and provides access to multiple novel heterocyclic scaffolds.As a proof of concept, we apply the method to the synthesis of a benzisoxazolineanalogue of the metabolically labile chiral indane-based MT1/MT2 receptoragonist ramelteon, ultimately furnishing a compound with a >10-foldimprovement in metabolic stability in human hepatocytes. Support forthe bioisosteric nature of the 1,3-dihydro-2,1-benzisoxazole and indanecores was provided in the context of the ramelteon analogue by DFTcalculations.</p>","PeriodicalId":20,"journal":{"name":"ACS Medicinal Chemistry Letters","volume":"17 10","pages":"2260–2268"},"PeriodicalIF":3.9,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149124990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-10-08Epub Date: 2026-09-04DOI: 10.1021/acsmedchemlett.6c00358
Jae Ho Shim, Ji Yeon Lee, Jihye Han, Hyeon Soo Kim
Skeletal muscle atrophy is driven in part by unrestrainedmyostatin(MSTN) signaling. We designed all-d tripeptide prodrug mimeticsof the MSTN prodomain minimum active 23-mer fragment. Compounds 1 (H-d-Arg-d-Leu-d-Ala-OiPr) and 2 (H-d-Arg-d-Abu-d-Ala-OiPr) inhibitedMSTN-induced myotube atrophy with sub-micromolar potency, while free-acidanalogues (3, 4) and scrambled control (scr) were less active. All-d configuration conferredproteolytic stability exceeding 24 h. In vivo, compound 1 increased soleus mass and grip strength in mice. This work establishescompound 1 as a lead prodrug for MSTN antagonism in muscleatrophy.
{"title":"Minimalist d-Tripeptide Prodrug Mimetics of the Myostatin Prodomain as Selective Inhibitors of Skeletal Muscle Atrophy Signaling","authors":"Jae Ho Shim, Ji Yeon Lee, Jihye Han, Hyeon Soo Kim","doi":"10.1021/acsmedchemlett.6c00358","DOIUrl":"https://doi.org/10.1021/acsmedchemlett.6c00358","url":null,"abstract":"<p>Skeletal muscle atrophy is driven in part by unrestrainedmyostatin(MSTN) signaling. We designed all-<span>d</span> tripeptide prodrug mimeticsof the MSTN prodomain minimum active 23-mer fragment. Compounds <strong>1</strong> (H-<span>d</span>-Arg-<span>d</span>-Leu-<span>d</span>-Ala-OiPr) and <strong>2</strong> (H-<span>d</span>-Arg-<span>d</span>-Abu-<span>d</span>-Ala-OiPr) inhibitedMSTN-induced myotube atrophy with sub-micromolar potency, while free-acidanalogues (<strong>3</strong>, <strong>4</strong>) and scrambled control (<strong>scr</strong>) were less active. All-<span>d</span> configuration conferredproteolytic stability exceeding 24 h. In vivo, compound <strong>1</strong> increased soleus mass and grip strength in mice. This work establishescompound <strong>1</strong> as a lead prodrug for MSTN antagonism in muscleatrophy.</p>","PeriodicalId":20,"journal":{"name":"ACS Medicinal Chemistry Letters","volume":"17 10","pages":"2238–2244"},"PeriodicalIF":3.9,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149124871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to “Discovery of a Colon-Targeted Prodrug As an Escherichia coli Biofilm Inhibitor for Treating Inflammatory Bowel Disease”","authors":"Takahisa Shimizu, Keiko Tago, Miki Yokoyama, Koichi Nakamura, Sumika Tokieda-Tanoue, Akemi Kita, Shojiro Miyazaki","doi":"10.1021/acsmedchemlett.6c00463","DOIUrl":"https://doi.org/10.1021/acsmedchemlett.6c00463","url":null,"abstract":"","PeriodicalId":20,"journal":{"name":"ACS Medicinal Chemistry Letters","volume":"17 10","pages":"2270–2271"},"PeriodicalIF":3.9,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149130638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-10-08Epub Date: 2026-09-10DOI: 10.1021/acsmedchemlett.6c00324
Sigal Saphier, Ada Wenger, Alexander Pevzner, Dina Yeffet, Boris Smolkin, Naama Lifshin-Karton, Shlomi Elias, Yoav Eichen, Galit Parvari, Shahaf Katalan, Yossi Zafrani
Naloxone, naltrexone and nalmefene are closely relatedmorphinanantagonists with comparable affinities to the μ-opioid receptor(MOR) but markedly different pharmacokinetics (PK) and metabolic fate.In this study, we evaluated their pharmacologically-relevant molecular/physicochemicalproperties, PAMPA-BBB (Parallel Artificial Membrane Permeability Assayfor the Blood-Brain Barrier) permeability and in vitro metabolic stabilityto determine how subtle structural differences influence ADME-relevantproperties. Moreover, the pharmacologically-relevant properties ofthese three antagonists were compared with those of the best-knownsynthetic opioid agonist, fentanyl. We found that the methyl-cyclopropylversus allyl head group, as well as the C6-carbonyl versus C6-ethenylgroup, dramatically influence all the above-mentioned properties andhelp explain the in vivo observed differences between these antagonists.These results may support the rational design of new and improvedopioid antagonists with optimized PK properties.
{"title":"How Subtle Molecular Differences in the Morphinan Opioid Antagonists Affect Their Physicochemical and In Vitro ADME Properties","authors":"Sigal Saphier, Ada Wenger, Alexander Pevzner, Dina Yeffet, Boris Smolkin, Naama Lifshin-Karton, Shlomi Elias, Yoav Eichen, Galit Parvari, Shahaf Katalan, Yossi Zafrani","doi":"10.1021/acsmedchemlett.6c00324","DOIUrl":"https://doi.org/10.1021/acsmedchemlett.6c00324","url":null,"abstract":"<p>Naloxone, naltrexone and nalmefene are closely relatedmorphinanantagonists with comparable affinities to the μ-opioid receptor(MOR) but markedly different pharmacokinetics (PK) and metabolic fate.In this study, we evaluated their pharmacologically-relevant molecular/physicochemicalproperties, PAMPA-BBB (Parallel Artificial Membrane Permeability Assayfor the Blood-Brain Barrier) permeability and in vitro metabolic stabilityto determine how subtle structural differences influence ADME-relevantproperties. Moreover, the pharmacologically-relevant properties ofthese three antagonists were compared with those of the best-knownsynthetic opioid agonist, fentanyl. We found that the methyl-cyclopropylversus allyl head group, as well as the C6-carbonyl versus C6-ethenylgroup, dramatically influence all the above-mentioned properties andhelp explain the in vivo observed differences between these antagonists.These results may support the rational design of new and improvedopioid antagonists with optimized PK properties.</p>","PeriodicalId":20,"journal":{"name":"ACS Medicinal Chemistry Letters","volume":"17 10","pages":"2197–2205"},"PeriodicalIF":3.9,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149124689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oxidative stress and xenobiotic exposure disrupt redoxhomeostasisand contribute to neurodegenerative disease progression. The Keap1-Nrf2-AREpathway is a key antioxidant defense mechanism, in which Nrf2 activatescytoprotective gene expression. Because disrupting the Keap1-Nrf2interaction can enhance antioxidant responses, we assessed modifiedCannabis sativa cannabinoids bearing C- and O-β-d-glucosidesas potential Keap1 inhibitors. Building on our earlier fractionationand derivatization work, these compounds were evaluated for bindingto the Keap1 BTB and KDC domains and for activation of Nrf2-mediatedresponses using in vitro and in silico methods. In a Parkinson’s disease model, CS-11 (4a) showed the strongest neuroprotective effect, with an EC50 of 100 nM. Treatment significantly increased cytoprotective geneexpression, indicating enhanced Nrf2 transcriptional activity. CS-11(4a) also restored tyrosine hydroxylase levels and protected dopaminergicneurons from cell death. Computational analyses supported its Keap1-targetingactivity, identifying CS-11 (4a) as a promising Parkinson’sdisease therapeutic candidate.
{"title":"Cannabinol β-O-Glucoside Inhibitors of the Keap1-Nrf2 Interaction: A Novel Therapeutic Strategy for Parkinson’s Disease","authors":"Prashant Deshmukh, Snehal Aouti, Ashok Sridhar, Padmini Kommu, Amrutha K, Sarika Singh, Yedukondalu Nalli, Aneeza Noor, Bharath M. M. Srinivas, Asif Ali, Balasundaram Padmanabhan","doi":"10.1021/acsmedchemlett.6c00156","DOIUrl":"https://doi.org/10.1021/acsmedchemlett.6c00156","url":null,"abstract":"<p>Oxidative stress and xenobiotic exposure disrupt redoxhomeostasisand contribute to neurodegenerative disease progression. The Keap1-Nrf2-AREpathway is a key antioxidant defense mechanism, in which Nrf2 activatescytoprotective gene expression. Because disrupting the Keap1-Nrf2interaction can enhance antioxidant responses, we assessed modifiedCannabis sativa cannabinoids bearing C- and O-β-<span>d</span>-glucosidesas potential Keap1 inhibitors. Building on our earlier fractionationand derivatization work, these compounds were evaluated for bindingto the Keap1 BTB and KDC domains and for activation of Nrf2-mediatedresponses using <em>in vitro</em> and <em>in silico</em> methods. In a Parkinson’s disease model, CS-11 (<strong>4a</strong>) showed the strongest neuroprotective effect, with an EC<sub>50</sub> of 100 nM. Treatment significantly increased cytoprotective geneexpression, indicating enhanced Nrf2 transcriptional activity. CS-11(4a) also restored tyrosine hydroxylase levels and protected dopaminergicneurons from cell death. Computational analyses supported its Keap1-targetingactivity, identifying CS-11 (<strong>4a</strong>) as a promising Parkinson’sdisease therapeutic candidate.</p>","PeriodicalId":20,"journal":{"name":"ACS Medicinal Chemistry Letters","volume":"17 10","pages":"2127–2139"},"PeriodicalIF":3.9,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149124734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-10-08Epub Date: 2026-09-12DOI: 10.1021/acsmedchemlett.6c00407
Ivo E. Sampaio-Dias, Sara C. Silva-Reis, Xavier C. Correia, Hugo F. Costa-Almeida, Maria B. Igreja-Cardoso, Gabriel M. Azevedo, Vera M. Costa, Damijan Knez, Stanislav Gobec, José E. Rodríguez-Borges
Rasagiline is a monoamineoxidase B (MAO-B) inhibitorwith neuroprotectiveeffects, whose dependence on MAO-B inhibition remains unclear. Here, indane-to-azaindane rasagiline isosteres (rac-2a and rac-2b) were developedto investigate whether neuroprotection can be decoupled from MAO-Binhibition. Direct regioselective oxidation of 4-azaindane catalyzedby Mn(OAc)2/tBuOOH affordedthe key 4-azaindan-1-one intermediate (6a). In paraquat-insulteddopaminergic differentiated SH-SY5Y cells, both analogs showed neuroprotectionat 10 and 100 μM, with rac-2b outperformingrasagiline. The azaindane analogs displayed markedly reduced MAO-Binhibition and no time-dependent inhibition. These findings demonstratethat rasagiline neuroprotection can be dissociated from MAO-B inhibition,supporting azaindane bioisosterism for exploring MAO-independent neuroprotection.
{"title":"Decoupling Neuroprotection from MAO Inhibition via Indane-to-Azaindane Bioisosteric Replacement of Rasagiline","authors":"Ivo E. Sampaio-Dias, Sara C. Silva-Reis, Xavier C. Correia, Hugo F. Costa-Almeida, Maria B. Igreja-Cardoso, Gabriel M. Azevedo, Vera M. Costa, Damijan Knez, Stanislav Gobec, José E. Rodríguez-Borges","doi":"10.1021/acsmedchemlett.6c00407","DOIUrl":"https://doi.org/10.1021/acsmedchemlett.6c00407","url":null,"abstract":"<p>Rasagiline is a monoamineoxidase B (MAO-B) inhibitorwith neuroprotectiveeffects, whose dependence on MAO-B inhibition remains unclear. Here, indane-to-azaindane rasagiline isosteres (<em>rac</em>-<strong>2a</strong> and <em>rac</em>-<strong>2b</strong>) were developedto investigate whether neuroprotection can be decoupled from MAO-Binhibition. Direct regioselective oxidation of 4-azaindane catalyzedby Mn(OAc)<sub>2</sub>/<sup><em>t</em></sup>BuOOH affordedthe key 4-azaindan-1-one intermediate (<strong>6a</strong>). In paraquat-insulteddopaminergic differentiated SH-SY5Y cells, both analogs showed neuroprotectionat 10 and 100 μM, with <em>rac</em>-<strong>2b</strong> outperformingrasagiline. The azaindane analogs displayed markedly reduced MAO-Binhibition and no time-dependent inhibition. These findings demonstratethat rasagiline neuroprotection can be dissociated from MAO-B inhibition,supporting azaindane bioisosterism for exploring MAO-independent neuroprotection.</p>","PeriodicalId":20,"journal":{"name":"ACS Medicinal Chemistry Letters","volume":"17 10","pages":"2251–2259"},"PeriodicalIF":3.9,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149124863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-10-08Epub Date: 2026-09-26DOI: 10.1021/acsmedchemlett.6c00489
Ram W. Sabnis
Provided herein are novel compounds as SMARCA2 inhibitors,pharmaceuticalcompositions, use of such compounds in treating non-small cell lungcancer (NSCLE), and processes for preparing such compounds.
{"title":"Novel Compounds as SMARCA2 Inhibitors for Treating Non-Small Cell Lung Cancer","authors":"Ram W. Sabnis","doi":"10.1021/acsmedchemlett.6c00489","DOIUrl":"https://doi.org/10.1021/acsmedchemlett.6c00489","url":null,"abstract":"<p>Provided herein are novel compounds as SMARCA2 inhibitors,pharmaceuticalcompositions, use of such compounds in treating non-small cell lungcancer (NSCLE), and processes for preparing such compounds.</p>","PeriodicalId":20,"journal":{"name":"ACS Medicinal Chemistry Letters","volume":"17 10","pages":"2119–2120"},"PeriodicalIF":3.9,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149124942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-10-08DOI: 10.1021/acsmedchemlett.6c00476
Kelly Chibale, Craig W. Lindsley
{"title":"Scope and Differences between ACS Medicinal Chemistry Letters and Journal of Medicinal Chemistry","authors":"Kelly Chibale, Craig W. Lindsley","doi":"10.1021/acsmedchemlett.6c00476","DOIUrl":"https://doi.org/10.1021/acsmedchemlett.6c00476","url":null,"abstract":"","PeriodicalId":20,"journal":{"name":"ACS Medicinal Chemistry Letters","volume":"17 10","pages":"2095–2096"},"PeriodicalIF":3.9,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149124728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-10-08Epub Date: 2026-09-18DOI: 10.1021/acsmedchemlett.6c00310
Qiao Qin, Zhuoheng Liu, Chen-Yi Cheung, Jinxu Xu, Sadaf Kalsum, Hang Yu, Maria Lerm, Hongri Gong, Matthew McNeil, Gregory M. Cook, Susanna Brighenti, Yang Zhou, Xiaoyun Lu
Drug-resistant Mycobacterium tuberculosis (Mtb) poses a growing threat, necessitating newtherapeuticstrategies. The cytochrome bcc-aa3 oxidase (Cyt-bcc) is an attractivetarget, yet single-agent inhibition fails owing to compensation bythe alternative cytochrome bd terminal oxidase (Cyt-bd). Herein, we describe a structure–activity relationship(SAR) study starting from the previously identified Cyt-bd inhibitor 12, leading to the discovery of 17aa (YH-685). YH-685 potently inhibits Cyt-bcc deficient Mycobacterium smegmatis (Δbcc) with a MIC of 0.8 μM and suppresses Cyt-bd dependent oxygen consumption in inverted membrane vesicleswith an IC50 of 0.45 μM. When combined with the Cyt-bcc inhibitor TB47, YH-685 enhanced inhibitionof virulent Mtb H37Rv, reducing both planktonic growthand intracellular bacterial burdens in human macrophages, as assessedby high-content imaging. Under the tested in vitro conditions, this combination achieved growth inhibition comparableto standard regimens rifampicin–isoniazid and bedaquiline.Our study supports co-targeting Cyt-bd and Cyt-bcc as a therapeutic strategy for drug-resistant tuberculosis.
{"title":"Design, Synthesis, and Antimicrobial Activity of Novel Cyt-bd Inhibitors Targeting Energy Compensation in Mycobacterium tuberculosis","authors":"Qiao Qin, Zhuoheng Liu, Chen-Yi Cheung, Jinxu Xu, Sadaf Kalsum, Hang Yu, Maria Lerm, Hongri Gong, Matthew McNeil, Gregory M. Cook, Susanna Brighenti, Yang Zhou, Xiaoyun Lu","doi":"10.1021/acsmedchemlett.6c00310","DOIUrl":"https://doi.org/10.1021/acsmedchemlett.6c00310","url":null,"abstract":"<p>Drug-resistant <em>Mycobacterium tuberculosis</em> (<em>Mtb</em>) poses a growing threat, necessitating newtherapeuticstrategies. The cytochrome <em>bcc</em>-<em>aa</em><sub>3</sub> oxidase (Cyt-<em>bcc</em>) is an attractivetarget, yet single-agent inhibition fails owing to compensation bythe alternative cytochrome <em>bd</em> terminal oxidase (Cyt-<em>bd</em>). Herein, we describe a structure–activity relationship(SAR) study starting from the previously identified Cyt-<em>bd</em> inhibitor <strong>12</strong>, leading to the discovery of <strong>17aa</strong> (<strong>YH-685</strong>). <strong>YH-685</strong> potently inhibits Cyt-<em>bcc</em> deficient <em>Mycobacterium smegmatis</em> (<em>Δbcc</em>) with a MIC of 0.8 μM and suppresses Cyt-<em>bd</em> dependent oxygen consumption in inverted membrane vesicleswith an IC<sub>50</sub> of 0.45 μM. When combined with the Cyt-<em>bcc</em> inhibitor TB47, <strong>YH-685</strong> enhanced inhibitionof virulent <em>Mtb</em> H37Rv, reducing both planktonic growthand intracellular bacterial burdens in human macrophages, as assessedby high-content imaging. Under the tested <em>in vitro</em> conditions, this combination achieved growth inhibition comparableto standard regimens rifampicin–isoniazid and bedaquiline.Our study supports co-targeting Cyt-<em>bd</em> and Cyt-<em>bcc</em> as a therapeutic strategy for drug-resistant tuberculosis.</p>","PeriodicalId":20,"journal":{"name":"ACS Medicinal Chemistry Letters","volume":"17 10","pages":"2182–2190"},"PeriodicalIF":3.9,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149124664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}