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  • Structure-based discovery o...
    Fink, Elissa A; Xu, Jun; Hübner, Harald; Braz, Joao M; Seemann, Philipp; Avet, Charlotte; Craik, Veronica; Weikert, Dorothee; Schmidt, Maximilian F; Webb, Chase M; Tolmachova, Nataliya A; Moroz, Yurii S; Huang, Xi-Ping; Kalyanaraman, Chakrapani; Gahbauer, Stefan; Chen, Geng; Liu, Zheng; Jacobson, Matthew P; Irwin, John J; Bouvier, Michel; Du, Yang; Shoichet, Brian K; Basbaum, Allan I; Gmeiner, Peter

    Science (American Association for the Advancement of Science), 09/2022, Letnik: 377, Številka: 6614
    Journal Article

    Because nonopioid analgesics are much sought after, we computationally docked more than 301 million virtual molecules against a validated pain target, the α -adrenergic receptor (α AR), seeking new α AR agonists chemotypes that lack the sedation conferred by known α AR drugs, such as dexmedetomidine. We identified 17 ligands with potencies as low as 12 nanomolar, many with partial agonism and preferential G and G signaling. Experimental structures of α AR complexed with two of these agonists confirmed the docking predictions and templated further optimization. Several compounds, including the initial docking hit '9087 mean effective concentration (EC ) of 52 nanomolar and two analogs, '7075 and PS75 (EC 4.1 and 4.8 nanomolar), exerted on-target analgesic activity in multiple in vivo pain models without sedation. These newly discovered agonists are interesting as therapeutic leads that lack the liabilities of opioids and the sedation of dexmedetomidine.