Abstract
Modulating peptidase neurolysin (Nln) has been identified as a potential cerebroprotective target for the development of therapeutics for ischemic stroke. Continued structure-activity relationship studies on peptidomimetic small molecule activators of Nln bearing electron-donating and electron-withdrawing functionalized phenyls are explored. Incorporation of fluorine or trifluoromethyl groups produces Nln activators with enhanced A50, while methoxy substitution produces derivatives with enhanced Amax. Selected activators containing methoxy or trifluoromethyl substitution are selective for Nln over related peptidases and possess increased blood-brain barrier penetrability than initial hits.
Keywords: Neurolysin activators, electron-donating, electron-withdrawing, blood-brain barrier, peptidases
Stroke is a cerebrovascular disease that is caused by interruption of the blood flow to the brain, with resultant ischemia can result in mild to severe disability and/or eventually death. Stroke is classified as either hemorrhagic stroke or ischemic stroke, with the latter being the most common form (87% of presentations).1,2 Globally stroke is a leading cause of death and disability accounting for 11% of all deaths.3,4 Recent data on mortality in the U.S. place stroke as the fifth leading cause of death.5 Evidence is emerging that COVID-19 infection increases both morbidity and mortality of ischemic stroke.6 Only one pharmacological treatment option is currently available to treat ischemic stroke which is tissue plasminogen activator (tPA). This agent suffers from the major drawback of a limited window of opportunity with a requirement to administer tPA within three to four hours of suffering a stroke. In many cases of ischemic stroke, the patient, or relatives, are not aware they have suffered a stroke until hours later.7,8,9 Thus, the search for new therapeutic modalities to treat ischemic stroke remains an unmet clinical need.
Recent in vitro and in vivo experimental studies have identified peptidase neurolysin (Nln) as a compensatory cerebroprotective mechanism in the post-ischemic brain.10 This function of Nln is primarily explained by its ability to inactivate several cerebrotoxic and generate a few other cerebroprotective neuropeptides and by that reduce excitotoxicity, oxidative stress, edema formation, blood brain barrier (BBB) hyper-permeability, and neuroinflammation.11,12
Previously we reported the screening of a small molecule library that identified several dipeptide hit compounds, including His-Phe (1) that possessed the ability to activate Nln.13 Subsequent hit-to-lead optimization led to the discovery of the first lead compounds with enhanced activation activity, selectivity, brain penetration and stability (Figure 1).14 Several compounds, represented by 2, 3 and 4 (Figure 1) provided significant increase in potency, as measured by A50, the concentration required to activate Nln by 50%, over 1. However, maximum percent activation (Amax) was limited to approximately half that of the hit compound. Unfunctionalized phenyl derivative 5 was observed to have one of the highest Amax values of compounds synthesized (467%), above that of the original hit compound 1 (442%), but with limiting A50 (252 μM). Our prior structure-activity relationship (SAR) studies showed that aromatic functionalization with electron-donating and -withdrawing groups successfully modulated both the A50 and Amax values of Nln activators. Herein, we report expansion of SAR studies focused on the Eastern aromatic moiety fragment of histidine-based peptidomimetics to enhance A50 and Amax activity towards Nln. Two compounds were identified that possess enhanced activation profiles while maintaining peptidase selectivity and BBB penetration.
Figure 1.

Structures, A50 and Amax activity of previously identified Nln activators.
Target compounds were synthesized in moderate to good yields (40–70%) by amide coupling reaction of commercially available Boc-L or Boc-D histidine with an appropriately substituted aniline using the benzotriazol-1-yloxytris(dimethylamino)phosphonium hexafluorophosphate (BOP) coupling agent. Subsequent trifluoroacetic acid (TFA)-mediated deprotection of the tert-butoxycarbonyl protecting group afforded the desired peptidomimetics without racemization of the chiral starting material as previously reported (Scheme 1).14
Scheme 1:

Reagents and conditions: a) BOP, DIPEA, DMF, 50 °C, 1h b) Substituted aniline, DIPEA, DMF, r.t., 30 min (compounds 5–24) or NaH, 0 °C, 30 min (compounds 25–28); then 0–50 °C, overnight; c) 20% TFA in DCM, r.t., 3h.
A focused library of substituted phenyl peptidomimetics bearing electron-donating (EDG) or electron-withdrawing groups (EWG) were obtained to determine effect to activate Nln. Our prior studies indicated that addition of a methoxy EDG resulted in increased Amax, and to this end we synthesized L and D ortho, meta and para-methoxy derivatives 7–12 (Table 1). Gratifyingly, this modification resulted in both increased potency and maximum activation activity over the parent (5; A50 = 252 μM, Amax = 467%). Activity was found to be dependent on substituent position for A50 with a pattern of increasing activity of ortho > meta > para wherein the A50 of compounds 7, 9, and 11 were 45.1, 105.4 and 241.4 μM respectively. Compounds with unnatural D amino acid stereochemistry followed the same pattern of activity wherein A50 values of 8, 10 and 12 were 53.5, 120.8 and 214.2 μM respectively. When Amax is considered, the same activity pattern is preserved with compounds 7, 9, and 11 possessing 426%, 454% and 582% respectively for the natural L amino acid and compounds 8, 10 and 12 possessing 428%, 478% and 540% respectively, for the D amino acid. Overall derivatives with ortho-OMe substitution possessed an activity profile greater than the unsubstituted parent compound, with up to 5.5-fold lower A50 and retained or increased Amax.
Table 1:
Structure, A50, Amax, MPO score and LLE profile of functionalized phenyl histidine-containing peptidomimetics.
| Compd # | Structure | A501 (μM; 95% CI) | Amax2 (%; 95% CI) | MPO3 Score | LLE4 | |
|---|---|---|---|---|---|---|
| L/D-His | R | |||||
| His-Phe (1) | L | N/A | 74.5 (56.2 to 98.8) | 442.3 (418.8 to 467.6) | 4.1 | 6.78 |
| 5 | L | H | 252 (170.6 to 406.6) | 466.6 (402.3 to 579.7) | 5 | 4.02 |
| 6 | D | H | 113.6 (92.8 to 140.5) | 440.3 (414.9 to 470.4) | 5 | 4.37 |
| 7 | L | 2-OMe | 45.1 (34.5 to 59.2) | 426 (401.5 to 453.5) | 5 | 5.28 |
| 8 | D | 2-OMe | 53.5 (42.5 to 67.8) | 427.6 (405.7 to 452.1) | 5 | 5.21 |
| 9 | L | 3-OMe | 105.4 (82.5 to 136.3) | 453.5 (423.2 to 490.5) | 5 | 4.91 |
| 10 | D | 3-OMe | 120.8 (95.5 to 154.9) | 477.6 (445.6.6 to 517.2) | 5 | 4.85 |
| 11 | L | 4-OMe | 241.4 (182.4 to 332.5) | 581.6 (520.8 to 670.3) | 5 | 4.55 |
| 12 | D | 4-OMe | 214.2 *(151.2 to 321.9) | 540.2 (475.4 to 641.6) | 5 | 4.61 |
| 13 | L | 3,5-OMe | 52.1 (43.8 to 62.2) | 462.8 (444.6 to 482.6) | 4.73 | 4.60 |
| 14 | L | 3,4,5-OMe | 117 (93 to 149) | 436 (407.6 to 470.8) | 4.4 | 4.99 |
| 15 | L | 2-F | 37.5 (14.6 to 88.4) | 268.2 (231.1 to 310.9) | 5 | 4.45 |
| 16 | D | 2-F | 78.2 (61.1 to 101.1) | 330.9 (312.6 to 352.4) | 5 | 4.13 |
| 17 | L | 3-F | 24.8 (15.2 to 40.3) | 382.1 (351.6 to 417.2) | 5 | 4.63 |
| 18 | D | 3-F | 30.9 (25.8 to 37.2) | 396.5 (383 to 410.9) | 5 | 4.53 |
| 19 | L | 4-F | 136 (112.8 to 166.5) | 487.9 (485.4 to 523.4) | 5 | 3.89 |
| 20 | D | 4-F | 36.1 (26.4 to 49.7) | 403.3 (378.5 to 431.2) | 5 | 4.46 |
| 21 | L | 3-CF3 | 28.6 (22.5 to 36.3) | 311.8 (299.2 to 325.4) | 5 | 3.63 |
| 22 | D | 3-CF3 | 22.8 (18.3 to 28.4) | 362.4 (348.6 to 377) | 5 | 3.73 |
| 23 | L | 4-CF3 | 32.2 (27 to 38.4) | 4335.2 (325.1 to 346) | 5 | 3.58 |
| 24 | D | 4-CF3 | 15.6 (10.7 to 22.7) | 324.8 (306.1 to 345.1) | 5 | 3.89 |
| 25 | L | 3,5-F | 90.6 (66.9 to 125) | 431.2 (397 to 474) | 5 | 3.83 |
| 26 | L | 2,6-F,4-Br | 26.7 (23.2 to 30.7) | 370 (361 to 379) | 5 | 4.67 |
| 27 | L | 3,5-CF3 | 279 (161 to 596) | 633.2 (505.2 to 946.4) | 4.96 | 3.05 |
| 28 | L | 2,4-CF3 | 25.2 (20.1 to 31.6) | 368 (354 to 384) | 4.96 | 4.09 |
Concentration required to activate Nln by 50%.
Maximum % activation achieved.
Multi-Parameter Optimization.
Ligand-lipophilicity efficiency.
We next investigated multiple substitution on the phenyl ring with 3,5-dimethoxy (13) and 3,4,5-trimethoxy (14) derivatives. The natural amino acid L stereocenter was retained since no eutomer was evident from the previous derivatives. Disubstituted compound 13 possessed an A50 of 52.1 μM, approximately 2-fold greater than the respective mono-meta-methoxy substituted compound 9, but equipotent with mono-ortho-methoxy 7. Maximum activation activity (463%) was equipotent with both 7 and 9 within confidence levels. Trimethoxy 14 suffered an approximate 2-fold loss of A50 (117 μM) compared with 13 and a slight suppression of Amax. This can be rationalized by the apparent deactivating effect of the 4-OMe substituent (as seen in 11) which is more than two-fold less active than other methoxy substituted compounds and its contribution to combined effects in the trimethoxy substituted compound would be anticipated to be deleterious to overall activity.
Along with activation activity in silico central nervous system (CNS) penetration by multiparameter optimization (MPO),15 and ligand-lipophilicity efficiency (LLE),16 were calculated to predict the ‘drug-likeness’ of compounds that would need to penetrate the BBB.17 All compounds were calculated to have MPO scores between 4.4–5, predictive of suitable BBB penetration. All compounds were found to reduce LLE compared with the His-Phe hit (1), however all EDG substituted compounds improved LLE above that of the unsubstituted parents 5 and 6, exemplified by compounds 7 and 8 with LLE values of 5.3 and 5.2 indicating greater ‘drug-likeness’.
We next investigated the effects of EWGs with fluorine and trifluoromethyl substituted derivatives. The substitution activity pattern was changed upon the addition of a fluorine with meta > ortho > para for the natural L amino acid-containing compounds 15, 17 and 19 with A50 of 37.5, 24.8 and 136 μM, respectively. Interestingly for the unnatural D amino acid-containing compounds 16, 18 and 20 (A50 of 78.2, 30.9 and 36.1 μM respectively) the substitution pattern to activity correlation was again changed to meta > para >> ortho. Further, differences in stereochemistry presented themselves within the ortho and para compounds with L-15 being twice as potent as D-16 yet L-19 was approximately 4-fold less potent than D-20. The meta derivatives L-17 and D-18 were equipotent within confidence levels. When maximum activation activity was analyzed, both sets of amino acids shared a common substitution pattern to activity correlation with para > meta > ortho (Table 1). In general Amax values for all fluorine substituted derivatives were substantially lower than both the non-substituted parent and the original hit compound His-Phe. The para-F compound 19 was the only derivative with an increased Amax (488%).
To explore the effect of greater electronegative groups we synthesized meta- and para-substituted trifluoromethyl derivatives (21–24) as ortho derivatives which proved less active and were not considered further. All four compounds proved highly active compared with both the unsubstituted parent and initial hit compound. In the L amino acid-based compounds both meta- and para-CF3 substituted derivatives 21 and 23 were equipotent within confidence levels with A50 of 28.6 and 32.2 μM and Amax of 312% and 335% respectively. Within the D amino acid-based compounds, derivative 24 with para-CF3 was the most potent of all compounds synthesized with A50 of 15.6 μM compared with meta-CF3 22 with A50 of 22.8 μM. All trifluoromethyl substituted compounds possessed reduced Amax compared to both initial hit and unsubstituted parent. Due to the increased lipophilicity of the CF3 group compounds 21–24 possessed much lower LLE than their monofluoride counterparts with values as low as 3.58.
Combinations of EWG substituents were investigated with 3,5-difluoro compound 25 (A50 = 91 μM) >3-fold less active than the mono-meta-CF3 derivative 17 but with slightly increased Amax, albeit lower than the unsubstituted parent. Compound 26 possessing a 2,6-difluoro, 4-bromo substitution pattern possessed an A50 of 26.7 μM, equipotent with the monofluoro derivatives 21, 22 and 23 with only slightly increased Amax. The 3,5-CF3 derivative 27 was the most inactive compound for A50 (279 μM) of the entire series but possess the highest Amax of 633%. The 2,4-CF3 derivative 28 (A50 = 25.2 μM, Amax = 368%) was 10-fold more potent in A50 than 27 but had overall lower activity than the para-CF3 derivative 24 but with only marginally better Amax.
To determine the effects of fluorine and methoxy substitution on the ‘drug-like’ profile of Nln activators beyond potency the 3,5-dimethoxy derivative 13 and para-fluoro derivative 24 were evaluated for selectivity to related peptidases (Figure 2) and for BBB penetration (Figure 3).
Figure 2.

The effect of compounds 13 and 24 on activity of peptidases closely related to Nln. All panels document concentration-dependent effect of the indicated compounds on hydrolysis of a respective quenched fluorescent substrate (n = 4, mean ± SD): Mca-Pro-Leu-Gly-Pro-D-Lys(DNP)-OH at 15 μM for TOP, Mca-Arg-Pro-Pro-Gly-Phe-Ser-Ala-Phe-Lys(Dnp)-OH at 10 μM for NEP and ACE, and Mca-Ala-Pro-Lys- (Dnp)-OH at 10 μM for ACE2. V0 %, represents the initial velocity of QFS hydrolysis by the peptidases. In all panels, the initial velocity of the hydrolysis in the absence of either compound corresponds to 100% on the vertical axis.
Figure 3.

Apical to basolateral transport of Nln activators at 10 μg/mL across an in vitro co-culture model of the BBB at 37 °C illustrates good brain permeability of peptidomimetic compounds 13 and 24. The permeability coefficient (Pe) was calculated from the cleared volume of each compound versus time. Values represent the mean ± SEM of 3–4 measurements. ns: non-statistically significant.
Both EDG and EWG-containing compounds 13 and 24 respectively, retained a high degree of selectivity for Nln over the closely related peptidases thimet oligopeptidase (TOP), neprilysin (NEP), angiotensin-converting enzyme 2 (ACE2), and ACE, which together with Nln, belong to the same family of enzymes (Figure 2). Interestingly the selectivity of derivative 24 for Nln represents the first such report for an unnatural D amino acid. Derivatives 2, 3, 4 and 13 which all show similar selectivity,14 are all L-histidine based, thus, stereochemistry does not impact selectivity.
Derivatives 13 and 24 were evaluated for their ability to penetrate the BBB using an in vitro co-culture model system comprised of primary astrocytes and bEnd3 cells to ensure that the additional substituents were not deleterious to this property (Figure 3). Both compounds which are in good correlation with MPO predictive data, trended to have improved BBB penetration compared to positive control compound 4, which itself showed significantly improved permeability over initial hits.14
In conclusion, a series of 22 EDG or EWG functionalized phenyl histidine-containing peptidomimetics have been synthesized and evaluated for their ability to activate Nln. In total, 21 derivatives possess increased A50 over the unsubstituted parent, while 13 derivatives were more potent than the initial hit compound 1. Five compounds possessed greater maximum activation activity over the unsubstituted parent and six possessed greater Amax than the initial hit. Overall EWG incorporation produces more potent Nln activators based on A50 than does EDG substitution. However, EDG incorporation produces derivatives with greater Amax. The greater electronegativity of CF3 results in reduced Amax and LLE compared with the less electronegative fluorine substituent but greater A50. Selectivity for related peptidases is retained in both methoxy and trifluoromethyl derivatives as is BBB penetration. Importantly the nature of the stereochemistry of the histidine amine is not important for peptidase selectivity, potentially leading to synthesis of more stable unnatural amino acid analogues. This study provides further information on the SAR required to modulate A50 and Amax at the Eastern fragment of the peptidomimetic scaffold and will inform strategic modifications to enhance one or both metrics as needed in future studies directed towards the Western fragment which will be reported in due course.
Supplementary Material
Acknowledgments
This project was supported by NIH grant R01NS106879 to P.C.T., V.T.K. and T.J.A. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH. Additional support was provided by the University of Nebraska Medical Center and Texas Tech University Health Sciences Center School of Pharmacy.
Footnotes
The authors declare the following competing financial interest(s): Compounds described herein are the subject of published patent applications; PCT Int. Appl. (2020) WO2020047185 and U.S. Pat. Appl. Publ. (2021), US 20210198647 A1.
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