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ACS Medicinal Chemistry Letters logoLink to ACS Medicinal Chemistry Letters
editorial
. 2023 Jul 26;14(8):1043–1044. doi: 10.1021/acsmedchemlett.3c00299

Novel Dihydroorotate Dehydrogenase Inhibitors for Treating Acute Myelogenous Leukemia

Ram W Sabnis 1,*
PMCID: PMC10424321  PMID: 37583831

Abstract

graphic file with name ml3c00299_0005.jpg

Provided herein are novel dihydroorotate dehydrogenase (DHODH) inhibitors, pharmaceutical compositions, use of such compounds in treating acute myelogenous leukemia (AML), and processes for preparing such compounds.

Important Compound Classes

graphic file with name ml3c00299_0001.jpg

Title

Dihydroorotate Dehydrogenase Inhibitors

Patent Publication Number

WO 2022/070068 A1

URL: https://patents.google.com/patent/WO2022070068A1/en

Publication Date

April 7, 2022

Priority Application

US 63/085,313

Priority Date

September 30, 2020

Inventors

Deratt, L.; Kuduk, S.; Zhang, Z.

Assignee Company

Janssen Biotech Inc., USA

Disease Area

Acute myelogenous leukemia (AML)

Biological Target

Dihydroorotate dehydrogenase

Summary

Acute myelogenous leukemia (AML) is a clonal disease of the blood and bone marrow resulting from mutations that occur in normal hematopoietic stem cells. AML is a heterogeneous disease in that it presents with a range of cytogenetic, morphological, and immunophenotypic features and is characterized by an accumulation of clonal, abnormal myeloid progenitor cells, known as myeloblasts. These cells demonstrate disruption of normal myeloid differentiation and excessive proliferation, resulting in the decreased formation of hematopoietic cells.

Dihydroorotate dehydrogenase (DHODH) is a flavin mononucleotide (FMN) flavoprotein located in the inner mitochondrial membrane that catalyzes the oxidation of dihydroorotate to orotate, the fourth step in the de novo pyrimidine biosynthesis pathway. Inhibition of DHODH decreases the synthesis of pyrimidines, important precursors for not only nucleotide synthesis but also glycoprotein and phospholipid biosynthesis. DHODH inhibition drives AML differentiation in vitro and results in dose-dependent antileukemic effects, decreased leukemic stem cells, and prolonged survival in vivo. Small-molecule DHODH inhibitors mediate antiproliferative activity against AML cells with concomitant cell cycle arrest and induction of apoptosis.

The present application describes a series of novel DHODH inhibitors which are useful for treatment of cancer, autoimmune, and inflammatory diseases, particularly for the treatment of acute myelogenous leukemia (AML). Further, the application discloses compounds, their preparation, use, and pharmaceutical composition, and treatment.

Definitions

X = CH or N; Y = CH or N, wherein when X is N, then Y is CH;graphic file with name ml3c00299_0002.jpg

Key Structures

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Biological Assay

In vitro DHODH enzymatic assay and in vitro MOLM-13 cellular assay were performed. The compounds described in this application were tested for their ability to inhibit DHODH and MOLM-13. The DHODH IC50 (nM) and MOLM-13 IC50 (nM) values are shown in the table below .

Biological Data

The following table shows representative compounds that were tested for DHODH and MOLM-13 inhibition and the biological data obtained from testing representative examples.graphic file with name ml3c00299_0004.jpg

Claims

Total claims: 32

Compound claims: 23

Pharmaceutical composition claims: 2

Method of treatment claims: 7

Recent Review Articles

See refs (16).

The author declares no competing financial interest.

References

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