1. Discovery of Tirasemtiv, the First Direct Fast Skeletal Muscle Troponin Activator
- Author
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A Kennedy, Aaron C. Hinken, William F. Browne, Kwan Leung, Matthew Tomlinson, Bradley P Morgan, James J. Hartman, Pu-Ping Lu, Gustave Bergnes, Fady I. Malik, David J. Morgans, Alexander Muci, David Marquez, Marc Garard, Ion Suehiro, Scott Collibee, Kenneth Lee, Donghong Xu, Alan J. Russell, Julia Schaletzky, Raja Kawas, and Darren Hwee
- Subjects
0301 basic medicine ,Letter ,Tirasemtiv ,tirasemtiv ,Pharmacology ,Biochemistry ,03 medical and health sciences ,0302 clinical medicine ,Troponin complex ,Drug Discovery ,medicine ,Amyotrophic lateral sclerosis (ALS) ,Amyotrophic lateral sclerosis ,biology ,Activator (genetics) ,Chemistry ,troponin ,Organic Chemistry ,Skeletal muscle ,Metabolic stability ,medicine.disease ,Troponin ,skeletal muscle activator ,030104 developmental biology ,medicine.anatomical_structure ,imidazo[4,5-b]pyrazin-2-one ,biology.protein ,030217 neurology & neurosurgery - Abstract
The identification and optimization of the first activators of fast skeletal muscle are reported. Compound 1 was identified from high-throughput screening (HTS) and subsequently found to improve muscle function via interaction with the troponin complex. Optimization of 1 for potency, metabolic stability, and physical properties led to the discovery of tirasemtiv (25), which has been extensively characterized in clinical trials for the treatment of amyotrophic lateral sclerosis.
- Published
- 2018