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Review For reprint orders, please contact [email protected] Macrocycles in new drug discovery The use of drug-like macrocycles is emerging as an exciting area of medicinal chemistry, with several recent examples highlighting the favorable changes in biological and physicochemical properties that macrocyclization can afford. Natural product macrocycles and their synthetic derivatives have long been clinically useful and attention is now being focused on the wider use of macrocyclic scaffolds in medicinal chemistry in the search for new drugs for increasingly challenging targets. With the increasing awareness of concepts of drug-likeness and the dangers of ‘molecular obesity’, functionalized macrocyclic scaffolds could provide a way to generate ligand-efficient molecules with enhanced properties. In this review we will separately discuss the effects of macrocyclization upon potency, selectivity and physicochemical properties, concentrating on recent case histories in oncology drug discovery. Additionally, we will highlight selected advances in the synthesis of macrocycles and provide an outlook on the future use of macrocyclic scaffolds in medicinal chemistry. Over the past several years, the prevalence of biologically active macrocycles in medici nal chemistry literature has been increasing. Numerous recent review articles have dis cussed the role that macrocycles can play in medicinal chemistry, in particular looking beyond the established importance of natural product macrocycles in drug discovery [1–3] . Driggers et al. have argued that macrocyclic structures are underexploited in drug discov ery, and presented different classes of natural product macrocycles and their applications to highlight the suitability of the structural class for further development [1] . Oyelere has collated a selection of specialist articles with a particular focus upon some of the challeng ing molecular targets that macrocycles might be suited towards within the context of drug development [2,4–9] . Marsault and Peterson pro vided a comprehensive overview of the use of macrocycles in many therapeutic areas within drug discovery, along with some of the strate gies used to synthesize these molecules [3] . In the current review, we will focus on recent stud ies that aid the understanding of the effects of macrocyclization upon target potency, selectiv ity and compound physicochemical properties. The majority of examples presented here have been taken from literature sources from the past 5 years and are largely focused on applications within oncology drug discovery. Wherever pos sible, a comparison of the macrocycles to rel evant acyclic molecules has been highlighted, as such pairwise comparisons are the most direct means of determining the effects and potential benefits of macrocyclization. Macrocycles in drug discovery have been defined as a ring system consisting of 12 or more atoms [1] . Opinions differ on the definition of macrocycles based on ring size, but this option usefully captures the qualitative differences in behavior between large macrocyclic rings (≥12 atoms) and medium rings (8–11 atoms). The accessible conformations for these medium rings are dominated by transannular interactions and conformational strains that are not present in the larger macrocycles [10] . Macrocycles have a structure that affords a degree of conform ational pre-organization due to restricted rota tion. Many natural products have a macrocyclic core, suggesting that an evolutionary advantage may be associated with the production of second ary metabolites based upon these scaffolds [1,11] . There are different classes that macrocycles could fall into, including peptidic and nonpeptidic nat ural products, non-natural (synthetic) peptides and non-natural (synthetic) macroc ycles. This review will primarily focus upon the last class, since considerable scope exists for the greater application of synthetic macrocycles to medicinal chemistry. The potential for macrocycles as drugs is already evident. Exploitation of natural product macro cycles has yielded several oncology drugs that are either approved for clinical use or have reached late-stage clinical development (Table 1) , such as the mTOR inhibitor Torisel® (temsirolimus) [12,13] , the microtubulin stabilizer Ixempra® (ixabepilone) [14–16] and the Hsp90 inhibitor 17-allylamino-geldanamycin [17] . A number of synthetic macrocycles have entered clinical development, such as the dual JAK2/FLT3 Jamie Mallinson & Ian Collins* 10.4155/FMC.12.93 © 2012 Future Science Ltd Future Med. Chem. (2012) 4(11), 1409–1438 ISSN 1756-8919 Cancer Research UK Cancer Therapeutics Unit, Institute of Cancer Research, 15 Cotswold Road, Sutton, Surrey SM2 5NG, UK *Author for correspondence: Tel.: +44 2087224317 E-mail: [email protected] 1409 Review | Mallinson & Collins Table 1. Examples of natural and non-natural macrocyclic oncology drugs and drug candidates. Name and class Structure Target Torisel (temsirolimus) Natural product analogue (rapamycin) ® OH Me O N O Me O HO mTOR inhibitor Microtubulin stabilizer [14–16] OH O H Ref. [12,13] O Me OMe O O O Me OH Me Me MeO O MeO Me Me Ixempra® (ixabepilone) Natural product analogue (epothilone B) Me O S Me Me Me Me Me N HN Me OH O 17-allylamino-geldanamycin Natural product analogue (benzoquinone ansamycin) OH O [17,99] Hsp90 inhibitor O H N O Me N O Me OH MeO Me MeO NH2 Me O O Pacritinib (SB1518) Synthetic macrocycle O JAK2/FLT3 kinase inhibitor [18] CDK2/JAK2/FLT3 kinase inhibitor [20] O O N N N N H SB1317/TG02 Synthetic macrocycle O NMe N N Key Term Macrocycle: Molecule with a ring size of 12 or more atoms. 1410 N H inhibitor pacritinib, now in advanced Phase II trials [18,19] , the CDK2/JAK2/FLT3 inhibitor SB1317 in Phase I trial [20] and cilengitide, a syn thetic cyclic peptide in Phase III investigations Future Med. Chem. (2012) 4(11) for the treatment of glioblastoma [21,22] . The pan-CDK inhibitor Compound M is a further example of a synthetic macrocycle proposed as a development candidate [23] . future science group Macrocycles in new drug discovery | Review Table 1. Examples of natural and non-natural macrocyclic oncology drugs and drug candidates (cont.). Name and class Structure Cilengitide Synthetic macrocycle (cyclic peptide) Target Ref. Anti-angiogenic O [21,22] O OH N NH H O HN NH Me N N H2N O NH2 Compound M Synthetic macrocycle O O N O Pan-CDK kinase inhibitor Me [23] N NH O N O It has been proposed that one possible barrier to the wider adoption of macrocyclic scaffolds in medicinal chemistry has been the percep tion that the structural class may be un-drug like [1] . It is often assumed that natural prod uct macrocycles will tend to violate the recom mended ranges in Lipinski’s rule-of-five and other guidelines for balancing aqueous solubility and lipid-membrane permeability to achieve oral absorption [24–29] . However, this is not the case for many natural products in clinical develop ment [30] . Furthermore, synthetic macrocycles in the medicinal chemistry context that are struc turally unrelated to natural products tend to fol low the standard rule-of-five guidelines in terms of their molecular descriptors [1] . The examples presented in this review have been selected to N H show how macrocyclic scaffolds, rather than pre senting an intrinsic liability, can serve as useful platforms for the engineering of favorable new properties into biologically active compounds. The effect of restricting internal degrees of free dom upon target affinity and thermodynam ics, and how macrocyclization strategies have improved target potency will be discussed in the first section of this review, followed by analyses of the effect of macrocyclization upon target select ivity, and changes in physicochemical properties afforded through macrocycle functionalization. We will briefly survey common linker motifs and synthetic strategies used in the preparation of biologically active macrocycles and conclude with future perspectives on the further potential for this approach in drug discovery. Table 2. Isothermal titration calorimetry data for 1 and 2 , binding to the Grb2 SH2 domain. HN (HO)2OPO NH O N O O O H N H O HN HN N (HO)2OPO O O HN NH NH HN CONH2 O 1 Compound Ka (M ) 1 (6.5 ± 0.13) × 10 (1.0 ± 0. 20) × 107 2 CONH2 2 DG (kJ mol ) DH (kJ mol ) DS (J mol-1 K-1) -TDS (kJ mol-1) -38.9 ± 0.04 -40.2 ± 0.78 -26.4 ± 1.59 -18.0 ± 2.38 41.59 ± 0.71 74.1 ± 5.02 -12.6 ± 0.25 -22.2 ± 1.51 -1 6 O O O -1 N O -1 T = 298 K. Data from [36]. future science group www.future-science.com 1411 Review | Mallinson & Collins Key Term A Entropy–enthalpy compensation: Off-setting of the effect on the Gibbs free energy (DG) for binding of changes in entropy terms by opposing changes in enthalpic contributions. For example, reduction in the overall motion of a receptor, although an unfavorable entropic change, may increase the strength of intermolecular interactions to a ligand, such as hydrogen bonds, thus, increasing the favorable enthalpic contribution. Cl C H N O N NH Cl C6' O C2 O H N O N NH N N O C2 O C6' N 4 3 D B Figure 1. Acyclic and macrocyclic CHK1 inhibitors. (A) Acyclic CHK1 inhibitor (3) and macrocyclic CHK1 inhibitor formed by linking (C) C2 and C6’(4) . X-ray co-crystal structures of inhibitors in CHK1: (B) acyclic inhibitor 3 (PDB: 2E9P); (D) macrocyclic inhibitor 4 (PDB: 2E9U). Polar interactions within the pocket have been highlighted with dashed lines. Improving potency through macrocyclization Conformational restriction, including cycliza tion of drug-like molecules, is commonly used to improve potency towards a target [31] . To successfully bind to a protein, a molecule has to adopt a bioactive conformation, and by limit ing the number of conformations available to the unbound molecule, there is a lower entro pic cost when the molecule binds. Macrocycles have restricted internal bond rotations and are, thus, conformationally constrained, although not completely rigid. They are potentially adaptive molecules with enough flexibility to efficiently interact with flexible binding sites in proteins, at the same time minimizing the internal entropy penalty associated with the change from the unbound to the bound state of the ligand. Table 3. Effect of macrocycle size on potency for CHK1 inhibition. H N O Cl NH N N CN O O n Compound Ring size (n) CHK1 IC50 (nM) 5 6 7 1412 14 (1) 15 (2) 16 (3) 6 7 28 Future Med. Chem. (2012) 4(11) Entropy is related to other thermodynamic parameters for reversible binding by the Gibbs free energy equations (Equation 1) : DG = DH - TDS = -RTlnK Equation 1 where DG is Gibbs free energy change on binding; DH is enthalpy change; T is temp erature, DS is entropy change, R is gas constant (8.13 Jmol-1K-1); and K is binding constant. A more negative free energy for binding (DG) results in improved binding affinity (lnK ), but the individual enthalpic and entropic contribu tions to the binding event may compensate [32] and assignment of the energetics of the binding event into these two terms is often complex [33] . While the decrease in ligand entropy on binding may be unfavorable, the displacement of ordered water molecules from within an otherwise unoc cupied binding site into bulk solvent is generally assumed to provide a favorable entropic contri bution (classical hydrophobic effect) [34] , so consideration of changes in ligand entropy must be considered against this background. Prior macroc yclization of a molecule may minimize the unfavorable reduction in internal degrees of freedom experienced when a ligand binds, com pared with an uncyclized analogue. It is also possible that ligand conformational restrictions, such as macrocyclization, may result in reduced overall motion in the bound complex when com pared with uncyclized analogues, due to this future science group Macrocycles in new drug discovery | Review Table 4. SARs of 2,4-diaminopyrimidine CDK and VEGFR inhibitors Br N Br Br H N N N HN H N H N N N N N O HN HN S 9 Compound 8 9 10 11 12 13 H N H N N N HN S O O HN O 8 Br Br NH2 Br S N N HN O S O O 10 11 Biochemical target potency N HN HN S O O NH2 O 12 13 Inhibition of cell growth CDK1 IC50 (nM) CDK2 IC50 (nM) VEGF-R IC50 (nM) MCF7 IC50 (nM) 100 NR 19 20 80 < 10 100 2400 40 140 130 <10 NR NR NR 40 140 <10 4000 4000 450 200 1300 500 NR: Not reported. intrinsic rigidification. Thus, macroc yclization could be unfavorable in terms of the reduced entropy of the bound state of the complex. However, through entropy–enthalpy compensation, there may be increased enthalpic contri butions to binding in a less flexible complex, as a result of reduced overall motion that increases the strength of intermolecular interactions, such hydrogen bonds [35] . An example of the com plexity of analyzing the energetics of macro cyclization was reported by DeLorbe et al., who carried out a study into the effect of macro cyclization of a Grb2 SH2 protein–protein interaction (PPI) inhibitor on the enthalpic and entropic components of binding using isother mal titration calorimetry [36] . Through pair wise comparison of acyclic (1) and macrocyclic (2) ligands (Table 2) , they found that 2 had a greater favorable entropic contribution to the free energy of binding (74.1 ± 5.02 Jmol-1K-1) over 1 (41.4 ± 0.71 Jmol-1K-1), but had a smaller enthalpic contribution (-18.0 ± 2.38 vs -26.4 ± 1.59 kJmol-1). From analysis of x-ray cocrystal structures of 1 and 2 , the authors found that the bound linear peptide 1 in fact formed an intramolecular hydrogen bond between the carbonyl oxygen of the phosphotyrosine residue and the NH of the valine residue, while the corresponding interaction was missing in the macrocycle 2 . The absence of the intramolecular interaction suggested that 2 might bind in a higher energy conformation than the pseudocycle 1, which could explain the observed dif ferences in enthalpic contributions. In this case, future science group macrocyclization did not necessarily result in the most favorable constrained conformation, but as a result of the high positive entropic contri bution to binding made by macrocycle 2 , this ligand was nevertheless the most potent of all those evaluated. During the development of a urea-based inhibitor (3) of CHK1, Tao et al. found from an x-ray crystal structure that the C2 vector of the phenyl ring and C6´ vector of the pyrazine ring were both pointing into the ribose pocket of the kinase (Figure 1) [37] . In particular, the C6´ terminal dimethylamine group was close in space to the C2 methoxy group on the phenyl ring. The authors hypothesized that macrocy clization of the molecule between these posi tions would improve the potency of the inhibi tor. Compound 3 had an IC50 value of 22 nM, Figure 2. An x-ray crystal structure of macrocycle 11 bound to CDK2 (PDB: 2J9M). Hydrogen bonds indicated as dashed lines. www.future-science.com 1413 Review | Mallinson & Collins Table 5. Enzyme and cellular activity data for acyclic and macrocyclic CK2 inhibitors. Compound Target affinity Cancer cell growth inhibition CK2 Ki (nM) HCT116 IC50 (µM) PC3 IC50 (µM) 14 0.26 2.3 5.1 15 24 0.29 0.88 while macrocycle 4 had an IC50 value of 10 nM, representing retention of activity with respect to the acyclic parent compound. However, com pound 3 was observed to form an ionic inter action between the tertiary amine and the acid Glu91 within the ribose pocket, while 4 has an undecorated alkyl chain and so cannot make this interaction. This could suggest that an enthal pic contribution to affinity has been lost from 4 that must be compensated for, presumably by an entropic gain attributed to macrocyclization. An alternative rationale could be that the protein is less ordered (thus the entropy is increased) when 4 is bound, due to the loss of the ionic interac tion that is seen with 3, hence compensating for the loss of the enthalpic contribution to bind ing. The cyclization reinforces the pyrazine-urea intramolecular hydrogen bond that holds the cis–trans urea hinge-binding motif in the correct conformation for binding. It is important to note that macrocyclization in itself does not guarantee to give the desired bioactive conformation. It is often the case that an investigation into macrocycle size is carried out prior to the synthesis of macrocycles with more complex functionalization. This is to ensure that N A O N C O N HN N HN the initial macrocyclic scaffold is of a correct size and conformation to be compatible with binding. For example, a thorough investigation into the effect of changing ring size was carried out in the discovery of Hsp90 inhibitors based on the mac rocyclic natural product radicicol [38] . Analogues of radicicol with different ring sizes were synthe sized, showing that Hsp90 could accommodate macrocycles of differing size, which led to the discovery of a potent inhibitor with a ring size larger than that of the natural product. The effect of macrocycle size upon CHK1 potency was investigated on a close analogue of 4, comparing 14- to 16-membered rings (Table 3) [37] . Computational analysis of the macrocycles suggested that a ring size of 14–16 atoms would be ideal – large enough not to be strained and small enough to avoid clashes with the protein. The macrocycles synthesized had broadly simi lar inhibitory activity, but the larger 16-mem bered ring (6) showed slightly less affinity, which the authors suggested was due to the increased flexibility of the molecule with more rotatable bonds in the linker. The result of this flexibility could be a greater entropic penalty upon bind ing that would not be expected of the more conformationally defined smaller macrocycles. The reduction in inhibitory activity could also be due to increased steric clashes with the pro tein occurring as a larger alkyl linker has to be accommodated in the binding cleft. The activities of the 14- and 16-membered macrocycles were compared with those of the acyclic, ring-closing metathesis (RCM) N NH N N HN N H N N N H 15 14 D B Key Term Macrocyclic linker: Structural motif within a macrocycle that links proximal regions of the binding pharmacophore. 1414 Figure 3. Acyclic and macrocyclic CK2 inhibitors. Structures of (A) acyclic (14) and (C) macrocyclic (15) CK2 inhibitors. X-ray crystal structures in corn CK2: (B) acyclic compound 14 (PDB: 2PVN); (D) macrocyclic compound 15 (PDB: 3BE9). Hydrogen bonds are indicated as dashed lines. Future Med. Chem. (2012) 4(11) future science group Macrocycles in new drug discovery O O O Me NH2 N N N N | Review O N 16 N NH2 17 Me O N O O N N 19 O N NH2 N NH2 N 18 Figure 4. Acyclic and macrocyclic b-secretase inhibitors. 3D structure of acyclic inhibitor 18 showing the hair-pin conformation on binding b-secretase (PDB: 2Q15). precursors, with the conclusion that the macro cycles showed significantly more CHK1 inhibi tion. This is perhaps unsurprising, as the bioac tive conformation for the uncyclized compounds would require the restriction of the motion of the flexible chains, with a larger entropic penalty. In addition, the long chains could potentially intro duce steric clashes with the protein. Comparison to a truncated acyclic analogue would be useful to assess the contribution of the flexible chains to binding. Lücking et al. described the discovery of macrocyclic inhibitors of CDKs and VEGF-R tyrosine kinase, starting from the acyclic 2,4-diaminopyrimidine 8 found through a highthroughput screening (HTS) campaign [39] . A crystal structure of compound 8 bound to CDK2 suggested that macrocyclization could stabilize the bioactive conformation, thus increasing binding affinity (Table 4) . Macrocyclization was achieved by linking the terminal ethyl ene to the phenyl ring with a saturated chain to form 9 ; however, the biological activity was much lower than the initial hit. Incorporation of a sulfonamide substituent to 8 gave improved CDK2 potency in the acyclic molecule 10 due to the formation of additional hydrogen bonds to the protein, demonstrated by crystallogra phy. Incorporation of either endo- (11) and exosulfonamide (12) groups into the macrocycle improved potency when compared with the initial hit 8 and macrocycle 9. Both macrocycles future science group 11 and 12 were active against VEGF-R, while the acyclic comparator 8 was not. Lead optimiza tion resulted in macrocycle 13 with high potency against CDK1, CDK2 and VEGF-R. The only change between macrocycles 11 and 13 is the exchange of an amino group for a sulfur. The x-ray crystal structure of 11 (Figure 2) confirmed that the endo-sulfonamide formed a hydrogen bond with the protein, contributing to an enthal pic gain in potency. The 4-amino substituent of 11 is located within a highly lipophilic region of the pocket, which might better accommo date a more lipophilic sulfur and may account for the increase in potency of macrocycle 13. Interestingly, macrocycles 11 and 13, which both contain an endo-sulfonamide, were more potent in the cell-proliferation assay than 8, 9 & 12 . This may be due to a change in solubility or increase in membrane permeability, but data on physico chemical properties of these compounds were not reported. We suggest that macrocycle 11 may be an example where a macrocyclic linker, both increases enthalpic contributions to affinity by Table 6. BACE inhibition of compounds 16–19. Compound BACE Ki (nM) 16 900 60 11 5 17 18 19 www.future-science.com 1415 Review | Mallinson & Collins Table 7. SARs for BACE macrocycles. R1 n N O O N NH2 N Compound R1 n BACE Ki (nM) 19 Cyclohexyl Cyclohexyl 1 2 1 5 31 17 1 20 1 >1000 20 21 O 22 O 23 O OH OH Table 8. BACE-1 inhibition data for acyclic (24) and macrocyclic (25) compounds. O O S NMe Me O O S NMe Me O O HN NHMe O OH O NH HN O MeO 24 25 Compound BACE-1 IC50 (µM) 24 >100 2.9 25 O O S Me NMe O O HN NH OH 26 Figure 5. Structure and conformation of acyclic inhibitor 26 as bound to BACE-1 (PDB: 2B8V). 1416 Future Med. Chem. (2012) 4(11) OH forming specific hydrogen bonding interactions and also reduces the entropic penalty through conformational restriction; although deter mination of thermodynamic parameters would be required to test this. The compound showed oral efficacy in vivo in a human HeLa-MaTu breast cancer xenograft model. An interesting observation was made during the discovery of macrocyclic pyrazolo[1,5-a] [1,3,5]triazine inhibitors of CK2, where the macrocyclized form 15 was 100-fold less potent in the enzyme assay when compared with the acyclic compound 14 , but was tenfold more potent in a cell-viability assay (Table 5) [40] . The authors did not speculate as to whether this was an on-target effect or due to off-target cytotoxicity, but suggested that it was likely due to increased cell permeability of the lessplanar conformation brought about by the macroc yclic structure, although the membrane permeability was not experimentally measured. An increase in the nonplanarity of a molecule could improve aqueous solubility, as has been discussed by Ishikawa and Hashimoto [41] and Lovering et al., who suggested that an improve ment in solubility can be achieved by increasing the number of sp3 over sp2 hybridized atoms within a molecule [42] . Crystal structures of compounds 14 & 15 were obtained bound to corn CK2 (Figure 3) . The two points of connection to form the macroc ycle were proximal, as seen in the struc ture of the acyclic inhibitor 14. The structure of macrocycle 15 showed key hydrogen bond ing interactions to Asp-175, Lys-68, Val-116 and Arg-43 in the ATP-binding site, while the alkyl chain occupied a hydrophobic area deeper within the pocket. Two recent examples of macrocyclization in a non-oncology context are provided by the discovery of inhibitors of the aspartyl prote ase, b-secretase (BACE). From an analysis of the crystal structure of bound BACE inhibi tor 16, Huang et al. found that the molecule adopted a hair-pin-like bioactive conformation (F igure 4) [43] . They reasoned that formation of a macrocycle would improve binding affin ity to BACE through conformational restric tion. Following in silico evaluation of several macrocycles, compound 17 was synthesized and found to be 150-fold more potent than its acyclic progenitor (Table 6) . Previous work had revealed that an (s)-cyclohexyl group improved potency through occupancy of the hydrophobic S1´ pocket of the enzyme, as in future science group Macrocycles in new drug discovery compound 18 [44] , and macrocyclization of this molecule to 19 slightly increased the potency of BACE inhibition. There are as yet no published crystal structures of the macrocycles in BACE to confirm the binding mode predicted in silico. An investigation into the size and functional ization of macrocycle 19 was carried out, with selected examples shown in Table 7. The smaller macroc ycle size was optimal (n = 1), with the lipophilic cyclohexyl group of 19 the best toler ated amide substituent (R1). Compound 19 was a potent inhibitor of amyloid-b (Ab) protein secretion from engineered CHO cells, an activ ity assigned, in part, to the presence of the two lipophilic substituents conferring high cellular permeability. Compounds from this macro cyclic series reduced Ab levels in plasma when tested in vivo, but only trace levels were detected in mouse brain, and no effect was seen on brain Ab production. Preliminary data suggested the compounds were P-glycoprotein transporter substrates, accounting for the low brain pen etrance. This perhaps indicates a potential chal lenge with macrocyclic scaffolds, as with other ligand classes when the compounds have a high degree of lipophilic substitution. Stachel et al. have also reported an example of dramatically improved potency on macro cyclization of an acyclic BACE-1 inhibitor 24 (Table 8) [45] . A crystal structure of 26, an ana logue of the lead acyclic compound 24, clearly showed that the phenyl rings were proximal and in an orientation appropriate for macrocycliza tion (Figure 5) . The prototype macrocycle 25 was shown to have a 34-fold higher inhibitory activity against BACE-1 than the acyclic ana logue, with a simple ethyl bridge forming the linker. This is an example of a well-matched acyclic and macrocyclic pair, where both compounds have the same number of heavy atoms, with minimal structural rearrange ment between them, and comparison shows that macroc yclization has a significant impact upon the inhibition of BACE-1. The further progression of this series is discussed in the sec tion devoted to the effects of macrocyclization on physicochemical properties. As shown above, the potency of inhibitors can be retained or improved upon appropri ate macrocyclization. In the example of the CHK1 macrocycle, inhibition was retained at the same level as the acyclic analogue even with the removal of a potentially important ionic interaction to a protonated tertiary amine. The CDK inhibitor macrocycles reported by future science group | Review Table 9. Basic selectivity data for bisindolylmaleimide macrocycles. Structure Target Pan-kinase H N O Staurosporine (27) N Me N O H MeO NHMe N H Cl Pan-kinase H N O HO O Rebeccamycin (28) N H Cl OH O OH MeO H N O PKCb IC50 = 5 nM O Ruboxistaurine (29) N N O NMe2 H N O O H anti-conformer (30) GSK3b 98% at 10 uM Ki = 200 nM (estimated) n = 4 H N N n = 2– 4 H N O PKCb Ki = 45 nM n = 6 O H N syn-conformer (31) H N n = 5–6 H N O O H N 32 H N N www.future-science.com GSK3b IC50 = 7 nM PKCb IC50 = 2400 nM NMe2 1417 Review | Mallinson & Collins Table 10. Structure–activity data for 2,4-diaminopyrimidine macrocyclic inhibitors of CDK1, CDK2 and VEGFR. Br Br N H N H N N N HN S O O HN Br N N HN O S O 11 Compound Br H N N N N HN NH2 S O O 12 Me H N N O S 33 Biochemical target potency HN HN S O O 34 Inhibition of cell growth CDK1 IC50 (nM) CDK2 IC50 (nM) VEGF-R IC50 (nM) MCF7 IC50 (nM) 11 20 140 40 200 12 80 130 140 1300 33 NR 1000 970 6000 34 15 28 540 300 NR: Not reported. Lücking et al. show that the macrocyclic linker can both provide conformational restriction and additional enthalpic contributions through the integrated sulfonamide hydrogen bonding to the kinase [39] . There are arguably still limited examples where the manipulation of a macro cyclic linker is used to introduce new enthalpic binding elements not present in the acyclic pre cursor, rather than acting solely to reduce entro pic penalties. Such scaffolds would likely have higher ligand efficiencies, favorable for further elaboration [46] . In all these examples, the avail ability of structural information on the bound conformation of acyclic precursors was critical in establishing the macrocyclization strategies. Modulating selectivity through macrocyclization Staurosporine (27) and rebeccamycin (28) are highly potent pan-kinase inhibitors, with the planar indolocarbazole lactam ring system mimicking the adenine ring found in ATP (Table 9) . Breaking the link between the fused indoles to form a macrocycle disrupted the pla narity, resulting in ruboxistaurin (29) , a selective inhibitor for the b-isoform of PKCb [47] . The kinase selectivity could be further modulated by changing the length of the tether. Shorter chains caused a conformational change of the bisindoles to prefer the anti-conformer 30, pro viding some selectivity towards GSK3b inhibi tion. Longer chains preferred a syn-conformer 31, resulting in enhanced PKCb inhibition [48] . 1418 Future Med. Chem. (2012) 4(11) The 2-dimethylaminopyridine analogue 32 also showed a syn-conformation, but now with high selectivity towards GSK3b over PKCb. These examples show how macrocycle formation can modulate the selectivity of a promiscuous kinase inhibitor scaffold. As described previously, Lücking et al. demon strated the use of macrocyclic aminopyrimidines as multi-targeted CDK and VEGF-R inhibitors, with cyclization resulting in potent inhibitors. They also showed that subtle changes in selec tivity could be achieved upon modification of the connectivity of the macrocyclic scaffold [39] , through positioning of the potency-enhancing sulfonamide group (Table 10) . Moving from an exo-sulfonamide 12 to the tertiary methyl sulfonamide 33 gave a large reduction in affinity. Although the authors did not comment on this result, the fall in activity could be due to losing a hydrogen bond to a sulfonamide oxygen, which was observed in the crystal structure of macro cycle 11 (Figure 5) [39] . Exchange of the disub stituted phenyl group within the macroc yclic framework for a thiophene generated macrocycle 34, which brought modest selectivity towards CDK1 and CDK2 over VEGF-R, while remain ing potent in the cellular assay ( 34 compared with 11). It is worth noting that macrocycle 34 is one atom larger than all others within the 2,4-diaminopyrimidine series described. Small differences in macrocycle size have been shown to affect enzyme inhibition potency, as seen with CHK1 macrocyclic ureas [37] . future science group Macrocycles in new drug discovery | Review Michael acceptor OH Me O O OH Cl OH O O O HO Me O O MeO O OH OH O Radicicol 35 Selective HSP90 inhibitor R3 X RO X n R2 R1 General scaffold Cysteine-containing kinase inhibitor LL-Z1640-2 36 Selective kinase inhibitor (TAK1) Figure 6. Transformation of Hsp90 inhibitor radicicol to an irreversible kinase inhibitor through incorporation of a Michael acceptor. The kinase selectivity profiles of resorcylic acid lactone analogues have been described, showing that the ATPase-selective inhibi tor scaffold based upon radicicol (35) can be modified to irreversibly inhibit protein kinases instead (36) [49,50] . The ATP-conformation adopted within the ATPase active site is distinct from that of a protein kinase, thus high crossreactivity between synthetic small-molecule reversible, ATP-competitive inhibitors of ATPases and kinases is uncommon. Resorcylic macrolides with changes in functionalization of the macrocycle to incorporate a Michael accep tor showed that the scaffold could be modified to inhibit kinases (Figure 6) . Irreversible inhibi tion of selected protein kinases arises by reaction with an appropriately placed cysteine residue in the ATP-binding site to form a covalent adduct. Selectivity screening against a panel of kinases revealed that most of the resorcinol analogues inhibited kinases containing a cysteine residue. Similarly, 84 analogues of the natural prod uct pochonin A (37) , also an Hsp90 inhibitor [51] , were prepared and evaluated for kinase selectivity [52] . The authors found that 12 of these analogues showed >50% inhibition of the kinases evaluated at 10 µM, while show ing no inhibition of Hsp90. For example, ana logue 38 inhibited 16 out of 24 kinases with an IC50 <40 µM (Figure 7) . This exemplifies how macrocycle functionalization can not only direct kinase selectivity, but also selectivity between target classes. During the discovery of antihypertensive agents that target the renin–angiotensin– aldosterone system, Sund et al. proposed that a suitable agent should have desirable physico chemical properties and be a potent inhibitor of the renin aspartyl protease, with good select ivity over cathepsin-D (Cat-D) and BACE-1 [53] . The group had already synthesized and future science group tested the linear peptidomimetic 39 [54] that had good activity against renin, but also against Cat-D and BACE-1, along with poor DMPK properties, namely low permeability and high human liver microsome metabolism, which are typically associated with linear peptide inhibi tors [54,55] . The important areas contributing to binding interactions were known for the renin binding-site and linear peptide inhibitors, so computational methods were used to determine the ideal macrocycle size. Although details of the modeling were not reported, a number of 15- or 16-membered macrocycles were synthe sized and tested; selected data are summarized in Table 11. Direct macrocyclization with an amide linker to form macrocycle 40 reduced potency, with no change in selectivity. Upon addition of the N-benzylvaline group at R 2, with phenyl sub stitution restored at R1, 41 became a picomolar inhibitor of Cat-D and a potent inhibitor of renin, while selectivity over BACE was intro duced. Truncation of the valine residue at R 2 to a methyl group (42) introduced selectivity for renin over both anti-targets by more significantly reducing Cat-D and BACE-1 inhibition than renin inhibition. When the amide macrocyclic OH Me O O HO OH O O HO Cl O pochonin A (37) Hsp90 inhibitor O OMe Cl O 38 Kinase inhibitor Figure 7. Natural product Hsp90 inhibitor pochonin A that was transformed into a kinase inhibitor by changing macrocycle functionalization. www.future-science.com 1419 Review | Mallinson & Collins Table 11. Structure–activity data for acyclic and macrocyclic renin inhibitors. O Me N S Me Me H N Me O O OH H N O O H N S O Me O N H O O N OH H N X O Y H N R2 O O R1 39 Compound 40-44 X Y R R C=O C=O C=O CH2CH2 CH2 NH NH NH CH2 CH2 Me Ph Ph MeO(CH2)2O MeO(CH2)2O N-benzylvaline N-benzylvaline Me Iso-butyl Iso-butyl 1 Renin Ki (nM) Cat-D Ki (nM) BACE-1 Ki (nM) 2 39 40 41 42 43 44 21 3.3 30 94 3.3 340 940 >5000 13 0.75 1700 >5000 >5000 50 240 >10000 >10000 >10000 linker was replaced with an alkyl chain (43) , Cat-D and BACE-1 activity was removed com pletely; however, this was also at the cost of potent renin inhibition. The smaller macro cycle 44 was inactive towards all three enzymes. In this example, while macrocyclization of 39 modulated the selectivity profile of the scaffold (compare 39 & 41), this was mainly sensitive to modification of pendant groups outside the macrocyclic linker, particularly at R1. Since BACE and Cat-D appeared to be less tolerant than renin of the lipophilic alkyl linker of 43, Table 12. Initial acyclic ALK inhibitor (45) and general structures for subsequent analogues (46–54) , with structure–activity data for ALK inhibition and selectivity over insulin receptors. Cl N HN N NH MeO Cl N HN N NH HN R OMe Cl N 2 N NH 2 1 R R X N MeO N N N O N Me N Me 45 Compound X 46–47 48–54 R R H H OMe H OMe H OMe H OMe H OMe H N(Me)SO2Me N(Me)SO2Me OMe N(Me)SO2Me 1 2 45 46 47 48 CH2CH2 CH2CH2 CH2CH2 CH2CH2 CH2CH2 CH=CH CH=CH 49 50 51 52 53 54 ALK IC50 (nM) IR/ALK (-fold selectivity) 7 67 22 92 3.1 5 3.4 0.51 259 7 1.3 3.6 2.8 67 58 75 173 >11 >140 IR: Insulin receptor. 1420 Future Med. Chem. (2012) 4(11) future science group Macrocycles in new drug discovery | Review Table 13. Kinase inhibition data for macrocyclic inhibitors of CDK2/JAK2/FLT3 O O HN NH O NMe NMe N N H N N N H 55 N H N 56 N H N 57 O 58 O N N N CF3 O N N NMe NMe N N N O N H O N N N 59 N N H 60 Compound CDK2 IC50 (nM) JAK2 IC50 (nM) FLT3 IC50 (nM) 55 4600 >10,000 13 660 >10,000 310 >10,000 >10,000 73 1700 220 150 2750 >10,000 56 210 110 29 56 57 58 59 60 it is possible that further modification of the macrocyclic linker itself could also modulate the selectivity within this group of targets. Breslin et al. have discussed the discov ery of new anaplastic lymphoma kinase (ALK) inhibitors based upon the acyclic 2,4-diaminopyrimidine inhibitor 45 (Table 12) [56,57] . X-ray crystallography showed that the conformation of 45 adopted a U-shape on bind ing to ALK, so it was suggested that macro cyclization would improve potency by locking the molecule in this bioactive conformation. In silico modeling was performed to find the optimum macrocycle size for the simplified scaffolds 46 and 47. By overlaying energy-mini mized structures of potential macrocycles with the acyclic molecules, it was determined that an ethylene linker between the two phenyl rings provided the optimum macrocycle size. Selectivity for ALK over the insulin receptor tyrosine kinase was of importance for this class of inhibitors. As shown in Table 12 , the direct macrocyclic analogue 48 of the undecorated scaffold 46 was of equal potency, with slightly improved selectivity. The effect of macro cyclization on selectivity was more significantly demonstrated by comparison of the more potent future science group methoxy-substituted acyclic analogue 47 to the macrocycle 49, where a 20-fold improvement in selectivity was attained. The authors sug gested that this confirmed that macrocyclization restrained the molecule preferentially in a con formation for ALK binding. Further gains in potency and selectivity were achieved by optimi zation of peripheral substituents. Thus, addition of a methyl sulfonamide group greatly improved potency into the picomolar range (52) , with high selectivity over insulin receptor. Macrocycles 53 and 54 contained a double-bond linker, which, generally, decreased potency but increased selectivity. In this example, macrocyclization clearly allowed an improvement in selectivity between two specific targets, although to gain insight into the effect of the macrocyclization on the most potent inhibitors in the series, data for an acyclic example corresponding to 51 would be desirable. As the authors point out, the addition of the methyl sulfonamide substituent could be the main factor driving increased potency and the macrocyclization provides additional control over selectivity. William et al. showed that subtle linker variation in a series of macrocycles can lead to www.future-science.com 1421 Review | Mallinson & Collins Table 14. Selected SARs for acyclic (61) and macrocyclic (62–68) Hsp90 inhibitors, with varying ring size and linker functionalization. NH2 H N O N Me Me Me O O Me Me NH N O NH2 H N Me Me Me Me Me Me O Me O NH O O 65 Me O O 67 66 N Me Me Me Me NH2 H N N N Me Me N Me O NH2 H N Me N NH 64 R N Me O O NH2 H N Me N Me Me NH 63 62 O N Me Me O Me O 61 Me Me Me Me O N NH2 H N H N H N Me O NH2 NH2 68 Compound Ring size Target activity Cell growth Aqueous Hsp90 IC50 (µM) inhibition solubility HCT116 EC50 (µM) (µg/ml) Rat liver cLog P microsomal stability t1/2 (min) 62 11 12 13 12 12 12 12 12.44 0.14 0.29 0.15 0.11 0.082 0.096 15 15 3 11 9 >30 6 63 64 65 66 67 68 >100 52 6 31 19 >100 2324 0.08 0.21 0.08 0.15 0.056 0.032 3.1 4.4 4.7 4.4 2.8 3.5 4.3 Table 15. Biological and physicochemical profile of two optimized macrocyclic Hsp90 inhibitors. O NH2 H N Me O Me O N N Me H N Me Me O NH2 N N Me Me NH2 H N Me Me Me O Me O 69 70 Compound Hsp90 IC50 (µM) HCT116 EC50 (µM) Aqueous Microsomal solubility (µg/ml) stability t1/2 (min) Cyp inhibition (% at 3 µM) cLog P 69 0.068 0.037 >100 4.1 70 0.083 0.063 10 2 (2C9) 0 (2D6) 56 (3A4) 6 (2C9) 0 (2D6) 68 (3A4) 1422 Future Med. Chem. (2012) 4(11) >30 (Human) >30 (Mouse) >30 (Rat) >30 (Human) >30 (Mouse) >30 (Rat) 3.4 future science group Macrocycles in new drug discovery significant changes in kinase inhibitor selectiv ity profile [20] . While investigating macrocyclic multi-targeted CDK2/JAK2/FLT3 inhibi tors (Table 13) such as 55, the authors found that reversing the amide connectivity within the linker removed activity against all three kinases tested (56) . The phenolic linker 57 conferred much increased potency at all three targets with some CDK2 selectivity. Selectivity over JAK2 could be achieved by replacing the phenolic ether 57 with a benzylic ether linker 58, although with a general decrease in potency. Docking experiments were conducted to com pare 57 and 58 within CDK2, leading to the suggestion that the drop in activity of 58 against CDK2 was due to the ether oxygen clashing with a backbone carbonyl. Exploration of a wide range of linker amine substitutions was carried out, described in more detail in the section of this review devoted to physicochemical properties, but no significant changes in selectivity were observed. Larger N-alkyl and N-aryl groups tend to be better tolerated by CDK2, whereas these same groups resulted in a slight loss of activity for JAK2 and FLT3. When the aniline ring was substituted with a pyrrolidinyl side chain, as in 59 and 60, variation of the group appended to the nitro gen in the macrocyclic linker then provided selectivity over CDK2, with the trifluoroethyl group (59) removing all CDK2 inhibition, while 60 had tenfold selectivity for JAK2 over both CDK2 and FLT3. Optimization of this series for in vivo properties led to the selection of 57 (SB1317/TGO2, see Table 1) as a clinical candidate for the treatment of leukemia. The examples above show that macrocycle size can modulate selectivity, as seen with the renin inhibitors. Subtle differences in the macroc yclic linker will affect selectivity profiles; for example, by introducing changes in the preferred ligand | Review Tyr-138 Lys-58 Asn-51 Asp-54 Thr-183 Figure 8. An x-ray crystal structure of macrocyclic Hsp90 inhibitor 70, showing that the macrocyclic linker orientates the exocyclic amide to interact with an extensive water-mediated hydrogen bonding network. (PDB: 3RKZ). conformation or introducing clashes with spe cific targets. There are as yet relatively few examples detailing how macrocyclization may directly affect the intrinsic selectivity profiles of inhibitor scaffolds, as demonstrated for the ALK inhibitors above. Tao et al. provided selectivity data across a panel of kinases for three macro cyclic CHK1 inhibitors [37] , but no comparison to acyclic analogues was included. More gen erally, comparison of matched pairs of acyclic and macroc yclic compounds screened against a larger number of targets, such as a kinase panel or a broader pharmacology screen, would be Table 16. Solubility and activity data for macrocyclic CDK inhibitors. O N X N Me O N O N H Compound X Solubility in saline Target activity (µg/ml) CDK4 IC50 (nM) Cellular activity E2F reporter IC50 (nM) cLogP 71 S NH 20 990 13 77 2.30 0.96 72 future science group 11 13 www.future-science.com 1423 Review | Mallinson & Collins Table 17. Inhibitory and solubility data for macrocyclic JAK2/FLT3 inhibitor analogues. O O R1 N N Compound 73 R1 N N Me 74 O N H Solubility (µg/ml) cLogP CDK2 IC50 (nM) JAK2 IC50 (nM) FLT3 IC50 (nM) 26 3.8 >10 41 30 150 3.2 3700 84 70 171 4.0 88 77 31 147 4.5 4700 24 29 >150 4.1 3900 23 22 OH 75 Me N 76 O 77 O NMe2 Me N Me N useful to assess if systematic changes in selec tivity can be brought about by macrocyclic incorporation of pharmacophores. Modulation of physicochemical & ADMET properties A recent series of publications from Zapf et al. described the discovery of macrocyclic inhibi tors of the ATP-dependent molecular chap erone Hsp90, a well-established target in oncology [58–61] . The authors described the effect of varying a macrocyclic linker (Table 14) in the previously disclosed [62] acyclic scaffold 61 upon several properties, including compre hensive data on Hsp90 inhibition, cell-growth inhibition, aqueous solubility and microsomal stability. Initial investigations to find the opti mum linker length were carried out by syn thesizing macrocycles of 11–13 atoms that incorporated an amine within the linker, as Table 18. Solubility and kinase inhibition data for N-substituted macrocycles. O N R1 N N Compound R1 Solubility (µg/ml) † CDK2 IC50 (nM) JAK2 IC50 (nM) FLT3 IC50 (nM) 78 14.7 71.8 13.2 21 13 200 150 73 1500 110 56 190 105.1 530 120 140 79 H Me 80 81 † 1424 N H O H N Solubility in phosphate buffered saline +20% dimethylsulfoxide. Future Med. Chem. (2012) 4(11) future science group Macrocycles in new drug discovery shown in Table 14. Structural information on the binding of the acyclic scaffold to Hsp90 informed the design the macrocycles, and crys tal structures of the compounds confirmed the tether was oriented toward solvent, with the basic nitrogen atom participating in watermediated hydrogen bonding to the protein [58,59] . A wide range of potencies, aqueous solu bilities (from <10 to >100 µg/ml) and meta bolic stabilities were observed depending on the length, constitution and substitution of the macrocyclic tether. Although SARs appeared complex, potency was sensitive to the degree and chirality of alkyl substitution in the linker, sug gesting changing conformational preferences, as well as steric clashes could drive affinity within the series. Twelve-membered macrocycles were determined as the most favorable platform for multiparameter optimization. Interestingly, the aqueous solubility and rat liver microsome sta bility of this series decreased as the macrocycle size increased, exemplified by compounds 62–64 (Table 14) . Although, in part, reflecting increas ing lipophilicity with increasing ring size and substitution, this may also indicate the smaller macrocycle forcing the biaryl system to twist and disrupt planarity, which has been shown to improve solubility [41] . The larger macrocycles should allow a more planar biaryl system. The authors found that increasing the rigidity of the macrocycle increased cell growth inhibi tion, so focused their attention upon incorpo rating rigidifying elements into the macrocyclic linker. This may suggest that decreased rotational degrees of freedom favored cell permeability, as suggested in a previous analysis of the factors affecting oral absorption of drug molecules [28] . Despite the observation of a water-mediated contact to the protein, substitution of the linker | Review Table 19. Calculated ligand efficiencies for macrocyclic CDK2/JAK2/FLT3 inhibitors. Compound Solubility (µg/ml) CDK2 LE† JAK2 LE FLT3 LE 78 14.7 71.8 105.1 171 147 <150 0.40 0.39 0.26 0.29 0.21 0.22 0.35 0.36 0.28 0.29 0.30 0.31 0.36 0.36 0.28 0.31 0.30 0.31 79 81 75 76 77 LE: Ligand efficiency = (-1.4*(logIC50 (M)/Heavy atoms) [46]. † Me Me N N O O N Me Me O Me H N N O O H N Me N O O N Me O Me O N H HO Me O N H N Me O 82 Figure 9. Immunosuppressive natural product drug cyclosporin A. Table 20. PAMPA data for linear and cyclic peptides. Compound Sequence 82 (Cyclosporin A) -6.6 83 (Cyclic) Cyclo[d-Leu- d-Leu-Leu- d-Leu-Pro-Tyr] Ac- d-Leu- d-Leu-Leu- d-Leu-Pro-Tyr-OAllyl 84 (Linear) † Log P E -6.2 <-8.1† Outside assay range (-8.1 assay limit). Table 21. Human liver microsome stability data for resorcylic macrolactone analogues. OH O O HO Cl OH Me Radicicol 35 OH O O O N HO Me HO Cl O O Cl O O 86 85 Compound HLM% metabolized after 15 min HLM% metabolized after 30 min 35 (Radicicol) 85 83.7 97.0 42.5 83.4 90.0 66.5 86 HLM: Human liver microsome. future science group www.future-science.com 1425 Review | Mallinson & Collins Me O S Me N OH Me Me Me O Me Me N Me Me Me HN Me OH O Me O S Me O Me O 87 Epothilone B (Patupilone) OH O OH 88 Aza-epothilone B (Ixabepilone, lxempra®) Figure 10. Structures of epothilone B (patupilone, 87) and aza-epothilone B (ixabepilone, 88 ). nitrogen allowed the modulation of hydrogen bonding capability and basicity without reduc ing enzyme or cell-growth inhibition as seen for compound 66. This was important, as unsub stituted basic amines tend to show unacceptable inhibition of the human ether-a-go-go related gene (hERG) potassium ion channel. Formation of lactams such as 67 further improved enzyme and cell-growth inhibition, while also increasing microsome stability, aqueous solubility and Table 22. Inhibition and parallel artificial membrane permeability assay (apparent permeability, Papp) data for BACE-1 macrocycles. O O S NMe Me O O S NMe Me NH O O O O HN OH NH HN N H O O 89 H N O 90 O O S NMe Me O O S N Me Me Me O HN O N H H N HN O Compound BACE-1 IC50 (nM) 89 2900 90 32 90 4 92 1426 H N O 92 91 91 N H Cell IC50 (µM) Papp (10 -6 cm s-1) 5.4 1.1 0.076 0.5 19 13 Future Med. Chem. (2012) 4(11) reducing hERG activity ( 67, hERG IC50 >33 µM). The decreased hERG inhibition is likely to be the result of removing the basic ity of the amine. However, it has been shown in other studies that conformational restric tion can also alter ion channel activity profiles [63,64] . Additional rigidification of the linker was achieved by incorporating a pyrrolidine or piperidine ring into the tether; however, in general, Hsp90 inhibition remained the same, along with a decrease in aqueous solubility and microsomal stability. Pyrrolidine 68 showed high cell-growth inhibition and demonstrated in vivo efficacy in a xenograft model, suppressing tumor growth at 100 mg/kg IV when dosed twice per week. The proline amide 69 (Table 15) displayed a highly desirable biological and physicochemical profile, with high enzyme and cell growth inhibition, high aqueous solubility and high microsomal stability. Interestingly however, the alanine analogue 70, which had a similar profile but with substantially reduced aqueous solubility, was progressed to in vivo studies and showed significant tumor growth suppression at 12.5 mg/kg intravenously, with once-weekly dosing. This thorough investigation showed that the physicochemical and metabolic properties of the inhibitors could be significantly altered with subtle variation of the macrocyclic linker, without detriment to enzyme or cell growth inhibition. However, as acknowledged by the authors, it is not straightforward to rational ize why the physicochemical properties change with varying macrocycle functionalizations. Additional comparison to acyclic analogues (e.g., the initial core scaffold 61) would fur ther aid in highlighting the benefits that the macrocyclic scaffolding provided across the multiple parameters measured. In the original amine-containing compounds, it is likely that macrocyclization improved Hsp90 inhibitory activity through conformational restriction and by orienting the amine within the macrocyclic tether to interact with the protein through a water-mediated hydrogen bond. In the lactamand amide-substituted tethers, although this interaction is removed, affinity is retained as the amide instead participates in other interactions to the complex water-mediated hydrogen bonding networks in the protein, as seen in the crystal structure of 70 (Figure 8) . Kawanishi et al. showed how standard strategies for improving solubility could be future science group Macrocycles in new drug discovery incorporated into the elaboration of macrocy clic CDK1,2,4,6 inhibitors [65] . Exchanging sulfur for nitrogen in 71 improved the solu bility of the macrocycle 72 in saline by nearly 50-fold (Table 16) . The authors suggested that this improvement was due to the increased hydrophilic nature of the compound, which is supported by the calculated LogP of the com pounds. A consequence of the reduced lipophi licity can also be seen in the cellular potency, with nearly a sixfold loss of activity, despite maintained CDK4 inhibition in vitro, suggest ing that, in this case, the increased polarity also compromised cell permeability. William et al. reported the discovery and development of macrocycles to inhibit JAK2 and FLT3, kinases that are implicated in myelo fibrosis and lymphoma [66] . The core macrocyclic scaffold was established by macrocyclization of an HTS hit. During the lead optimization of this macrocycle, selected compounds were evaluated for their physicochemical properties, which included solubility, passive membrane permeability, microsomal stability and CYP450 inhibitory activity (Table 17) . All of these ana logues, except 73, have good solubility profiles. In this case, the only change in the structure was the pendant solubilizing group and not the core macrocyclic scaffold, highlighting that wellestablished medicinal chemistry strategies can be productively applied to macrocyclic compounds. Notably, the structure of the solubilizing group also affected CYP450 interactions such that, for example, 77 showed no CYP450 inhibition (>5 µM) while 76 inhibited the 3A4 isoform (IC50 = 2.8 µM). Orally bioavailable compound 77 was selected as a candidate for further develop ment, under the name pacritinib (SB1518), and is currently in Phase II trials (Table 1) . A further publication from the same authors presented the optimization of the scaffold towards the inhibi tion of JAK2, FLT3 and CDKs [20] , as discussed above in the section, ‘Modulating selectivity through macrocyclization’. A small modification was made to the macrocyclic scaffold, exchang ing the ether for a basic amine. This change was rationalized by in silico docking to be favorable for CDK inhibition, through establishing an important charge-assisted hydrogen bonding interaction between the basic amine and Asp86 in the ATP site of CDK2. Following optimi zation of the linker, further substitution of the amine was investigated, with a small selec tion of compounds undergoing solubility ana lysis (Table 18) . The macrocycles with highest future science group | Review Table 23. Common linking motifs in the examples highlighted in this review. Linker motif Y X Pharmacophore Linker motif Ref. [37] [37,57] [60] Me Me [60] Me Me [39] HO * [38,83] O [60,65] R N R = H, Me, Ac [40,61] O N H H N H N O H N O [39] S O [58,65] X H N * [60] N X = CH2, NH, CH(CH3) solubility were either a simple tertiary amine, or an amide with a secondary amine substitu tion. Larger lipophilic groups reduced solubility and, in most cases, also reduced target potency. Compound 79 (SB1317/TG02) was selected for development. Comparing the two sets of compounds above, in Table 19 the authors have calculated the ligand efficiencies [46] for several of the most soluble macrocycles in each class, showing that the inhibitors with the nitrogen integral to the linker have generally higher ligand efficiencies than the macrocycles with appended solubilizing groups. This suggests the potential benefit of a pharma ceutically and pharmacologically functional www.future-science.com 1427 Review | Mallinson & Collins macrocyclic linker when converting linear precursors to their macrocyclic equivalents. Rezai et al. investigated the prediction and experimental determination of the membrane permeability of cyclic peptides [67,68] , with the most commonly used molecular descriptors in predictive models of membrane permeability being molecular weight and solvent-exposed polar surface area. The authors suggested that most cyclic peptides have poor membrane per meability, but there are notable exceptions, including the orally active immunosuppressive drug cyclosporin A (82; Figure 9) , which binds to intracellular proteins. Cyclosporin A is a very large molecule, violating the rule-of-five condi tions for high passive permeability [24–29] , yet it is still an orally bioavailable drug. The backbone of the macrocycle is highly N-methylated and NMR studies have shown that in chloroform, cyclosporine A adopts a conformation where the remaining N–H bonds are involved in intramolecular hydrogen bonding. In aqueous solution, the molecule changes its conformation to allow the N–H bonds to interact with the solvent [69–71] . It is this conformational switch ing to bury the N–H bonds when in a hydro phobic environment that permits such a large compound to become membrane permeable, transiently reducing the total polar surface area. A small set of cyclic peptides was synthesized and passive permeability was evaluated using PAMPA (Table 20) [68] . As hypothesized, the lin ear peptide 84 was the least permeable, while its cyclized form 83 was the most permeable of all those tested, comparable to that of cyclosporin A (82) . The NMR solution structure of 83 showed extensive intramolecular hydrogen bonding by the amide NH groups, and only one NH exchanged rapidly in D2O, indicating that the permeability of 83 was associated with masking of the polar functionality. Further investigation of the effect of macro cyclization upon membrane permeability was carried out by first evaluating a virtual library of cyclic peptides to determine a calculated DG for transferring a low-energy conformation from water to a hydrophobic environment, correlated with the number of internal hydrogen bonds [67] . The results were compared with experimental PAMPA data, finding a strong linear correlation. The authors identified caveats associated with this study, in particular that the calculations do not consider entropic losses of the peptides moving into the hydrophobic environment. There is the possibility of extending this hypothesis that mac rocyclization improves membrane permeability further to include more drug-like macrocyclic molecules, which could be used as a strategy for improving cellular permeability. Terrett et al. have demonstrated that this is a potentially viable approach in drug discovery [72] . Their macro cyclic peptides, or ‘ensemblins’, contravene the rule-of-five, yet are potent and cell membranepermeable compounds. Bogdan et al. have shown that NMR-determined diffusion rates of druglike macrocycles were consistently higher than for the corresponding matched acyclic molecules in both low (CDCl 3 ) and high (d 6 -DMSO) dielectric and viscosity solvents, across a range of molecular weights (300–730 Da) [73] . Day et al. investigated the in vitro microsomal stability of selected Hsp90 macrocycles, com paring them to the natural product macrocyclic inhibitor radicicol (35; Table 21) [74] . The data showed that the macrolactones radicicol (35) and 85 were both highly metabolized after 15 min, Table 24. Ring-closing metathesis macrocyclization yields and isomer ratio of CHK1 inhibitors, followed by hydrogenation. Cl Cl Cl O O m N H O NH Grubbs II CH2Cl2, reflux N nO 93 N O m O NH N H N 94a–c N nO CN NH N H O m N nO CN Pd/C (10%), H2 MeOH-THF (3:1), RT 95 N CN Compound m n Yield (%) cis:trans 94a 1 1 2 1 2 2 85 76 62 cis† cis† 4:1 94b 94c Ratio not given; however, the authors reported that the trans isomer was a trace component of the reaction [79]. † 1428 Future Med. Chem. (2012) 4(11) future science group Macrocycles in new drug discovery O O O TBDMSO Grubbs II catalyst S S O O S S OTBDPS 97 96 O Cl O OH OTBDPS mCPBA NaHCO3 CH2Cl2 O HO TBDMSO CH2Cl2 37–99% | Review 98 O O HO Cl 36% O OH 99 Figure 11. Macrocyclization and subsequent alkene expoxidation to generate Hsp90 inhibitors. whereas macrolactam 86, the amide analogue of 85, was more stable to metabolism. This provides an example of incorporating a standard strategy for the replacement of suboptimal functional groups into the context of macrocycles. A similar strategy was used in the develop ment of the microtubule-stabilizing cancer drug ixabepilone (88, Ixempra, Bristol-Myers Squibb), which is the direct amide analogue of the natural product macrocycle epothilone B (87, patupilone; Figure 10 ) [15,75] . Ixapebilone displayed higher free-drug concentrations and maintained cyto toxicity for a longer duration than the macro lactone natural product, suggesting that amide cleavage was not occurring. Stachel et al. showed that macroc yclization of an acyclic BACE-1 compound not only significantly improved potency, but after fur ther optimization, also increased membrane permeability (Table 22) [45] . Substituents were added to 89 to enhance the interactions with the enzyme, leading to the potent inhibitor 90. However, 90 showed poor cellular activity. The amide bond in the macrocycle linker was removed in an attempt to reduce the peptidic character of the compounds, leading ultimately to the ring-contracted, alkyl-linked macrocycle 91. The apparent permeability increased sig nificantly and corresponded with an increased cellular potency. Further modification led to Table 25. Ring-closing metathesis yields for ring-size variation. Boc Me Me PMBO N Me O N O2N PMBO O Me Ring-closing O N 2 metathesis O R Me N O Grubbs I Toluene, 65 °C n Me N O Boc O R 100 n 101a–f Compound Ring size (n) R Conversion (%) Product:dimer† Yield (%) 101a 13 (0) 14 (1) 15 (2) 16 (3) 17 (4) 18 (5) H Me Me H H H 88 100 100 99 98 100 55 85‡ 73 88 83 69 101b 101c 101d 101e 101f 81:19 100:0 98:2 98:2 98:2 98:2 UV ratio from LC-MS analysis. Hoveyda–Grubbs II catalyst. † ‡ future science group www.future-science.com 1429 Review | Mallinson & Collins (Z) H Cl H O 5 mol% W cat. N Toluene, 0.001 M 22°C, 1 torr, 8 h N O N N N 63%, 94% Z 102 Cl Nakadomarin A (103) N W O Ar Ar Ar = 2,4,6-(i-Pr)3C6H2 Figure 12. Synthesis of nakadomarin A using a Z isomer-selective ring-closing metathesis, catalyzed by the tungsten catalyst shown. compound 92 , which was brain penetrant and active in vivo. The examples in this section show that mod ulation of physicochemical properties can be achieved by changing macrocycle functional ization. Zapf et al. have shown that multiple physicochemical and ADMET properties can be modulated through variation of the rigid ity, preferred conformation and basicity of a macrocyclic scaffold. Kawanishi et al. showed that a single atom substitution within a macro cycle can significantly improve aqueous solu bility [65] , which can also apply to improving metabolic stability, as seen with the synthesis of the microtubulin inhibitor ixabepilone [75] . The development of SB1317/TG02 by William et al. has exemplified how a macrocyclic linker can simulta neously restrict conformation, improve solubility and provide enthalpic inter actions to the protein target to enhance ligand performance [20] . Common linking motifs & synthetic strategies The synthesis of macrocycles can be challenging and, thus, a common design strategy is to join the functionalized termini of otherwise linear pharmacophores with simple linkers (Table 23) . Br H N Br HN N N Cl O S O 4 M HCl MeCN, H2O 0.008 M 85% N H N N HN HN S O O H2N 104 11 Figure 13. SNAr macrocyclization of CDK inhibitor. 1430 Future Med. Chem. (2012) 4(11) Often, the linker motif will be an unfunctional ized alkyl chain of varying length, linking two proximal points of the uncyclized molecule. This can give an idea of an optimal macrocycle size, and a useful assessment of the effect of macro cyclic conformational constraint on the activity of a compound series. The simple linkers provide a platform from which further elaboration can take place. This section gives examples of the different methods of macroc yclic ring-closure used in a medicinal chemistry context, concen trating on the reports that are highlighted else where in this review. A comprehensive recent review by Marsault and Peterson [3] contains further examples of available macrocyclization strategies. A more general overview of macro cyclization chemistry has been provided by Wessjohann and Ruijter [76] . Ring-closing metathesis (RCM) is a common method of forming a macroc ycle, providing a double bond that can be further functional ized [77] . However, surprisingly there are only a few examples in the literature to date where this opportunity to introduce additional func tionality has been exploited in the context of medicinal chemistry. Most often, the unsaturated RCM products are subsequently reduced to give the unfunctionalized alkyl chain. For example, Tao et al. synthesized macrocycles of varying size (94a–c) using a ruthenium-catalyzed RCM, as shown in Table 24 [78] . Shorter olefin chains resulted in an almost exclusive formation of the cis isomer, as presumably a trans isomer would result in a strained ring. As the chain length increased, the formation of the trans isomer also increased. The authors [78] suggested that the high yields could be attributed to the molecule being held in a favorable conformation for ring-closure, due to the intramolecular hydrogen bond between the urea NH and the pyrazine nitrogen. RCM was future science group Macrocycles in new drug discovery OH HO O BnO OEt l I2, PPh3 Imidazole O HO OEt O K2CO3 18-crown-6 Benzene 93% OBn | Review OBn 0.01 M DMF 64% OBn BnO OBn 105 OEt O BnO OBn OBn 107 106 Figure 14. Synthesis of ether-linked macrocycle using an intramolecular SN2 reaction of a phenoxide and an iodide. followed by hydrogenation of the double bond to form macrocycles of varying size. An example of derivatization of a double bond following macrocyclization by RCM is found in work from Proisy et al. to synthesize Hsp90 inhibitors of varying ring size, where the double bond was epoxidized ( F igure 11, 98 & 99 ) [38] . Similarly, Moulin et al. synthe sized functionalized pochonins, a class of resorcylic acid lactone, initially forming the macrocycle by RCM, followed by epoxidation or dihydroxylation [52] . Dandapani et al. have demonstrated the use of RCM for the generation of a skeletally diverse library by diversity-oriented synthesis (Table 25) [79] . Several different catalyst and solvent systems were evaluated to find conditions that reduced the formation of dimers, and, for all but the smallest of macrocycles synthesized, the choice of catalyst had little effect. For the smallest macrocycle (101a) , a lower conversion to prod uct and a higher proportion of dimerization was observed. The cis:trans ratio of the RCM prod ucts was not discussed and final characterization was carried out after hydrogenation of the alkene and nitro groups. The development of RCM reactions is still ongoing, with much success. Yu et al. recently OH Me showed that RCM can be used to synthesize complex natural product macrocycles with pref erence for the Z isomer in high yields [80] . The late-stage cyclization of pentacycle 102 using a tungsten catalyst resulted in the synthesis of the natural product nakadomarin A (103) with high Z isomer selectivity (Figure 12) . When the reaction was performed using Grubbs I catalyst, the yield was equivalent (62%), but formed a mixture of isomers (Z:E 63:37). SNAr chemistry has been used to form macro cycles, as exemplified by Lücking et al. in the synthesis of 2,4-diaminopyrimidines (Figure 13) [39] . The synthesis was achieved by syringe pump addition of the acyclic precursor 104 to a large volume of acidified acetonitrile, which main tained high-dilution conditions to favor the intramolecular SNAr reaction over competing intermolecular reaction. Of note in this exam ple, the macrocyclization took place within the pharmacophore of the inhibitors, allowing for flexibility in the composition of the tethering linker. Kim et al. synthesized potential antidiabetic agents, with the ring-closure carried out using an SN2 reaction (Figure 14) [81] . From the diol 105, an Appel reaction was performed to generate iodide 106, followed by an intramolecular SN2 reaction OMs Me N O N i) MsCl, DIPEA ii) TFA, H2O N NH OMOM N MeO Me O N 108 O N NH N MeO N NH K2CO3, DMF OH 85% N O N 74% MeO N N 109 110 Figure 15. Synthesis of ether-linked macrocycle using an SN2 reaction of a phenoxide and a mesylate. future science group www.future-science.com 1431 Review | Mallinson & Collins A EOMO EOMO Me O HO OBz OH Me O O PPh3, DIAD Toluene, 0.05 M 23°C, 12 h OMOE S OMOE OBz O S Me O Me 111 B Me OMe O Me OMe O MeO O Cl Me O RF-Ph3P, RF-DIAD HO OEOM OH Toluene, 0.01 M 23°C, 2 h 80% O Me MeO Cl OEOM O Me O Me 112 Figure 16. Synthesis of resorcylic acid lactone analogues using the Mitsunobu reaction. (A) solid-supported synthesis; (B) fluorous-tagged reagent synthesis. to form macrocycle 107, using potassium carbon ate and a crown ether to form the phenoxide ion. Similarly, Kawanishi et al. formed kinase inhibi tors using an intramolecular SN2 reaction, first by transforming secondary alcohol 108 into a mesyl ate leaving group 109, followed by ring closure with inversion of stereochemistry, again using a phenoxide as the nucleophile (Figure 15) [65] . Lactonization has been used extensively in natural product synthesis, with Yamaguchi, Mukaiyama and Mitsunobu conditions regularly employed in the early synthesis of resorcylic acid lactones related to the natural product Hsp90 inhibitor, radicicol, as reviewed by Winssinger and Barlugena [82] . Dakas et al. showed that Mitsunobu conditions can generate resor cylic acid lactones 111 and 112 on both a solidsupported resin [83] and using fluorous-tagged coupling reagents (Figure 16) [49] . The Mitsunobu reaction was also used by Lücking et al. to form O OH N HN O NH2 N 1) HATU, i-Pr2NEt2 NMP, sonicate N N H N N HN N N N 2) HATU, R R NH NMP 1 NH 2 N H NR1R2 OH O O 113 114 Figure 17. One-pot, two-step macrolactam formation followed by amide formation. 1432 Future Med. Chem. (2012) 4(11) a macrocyclic ether, although with a low and unoptimized yield [39] . Macrolactam synthesis was performed by Nie et al. during the synthesis of CK2 inhibi tors, using standard amide formation conditions (Figure 17) [40] . This method was also used to selectively form the macrocycle 114 in the pres ence of two carboxylic acids (113) , allowing a one-pot, two-step diamide formation. Zapf et al. [58–61] and Balraju et al. [84] have used Buchwald–Hartwig couplings to synthesize macrocycles (Figure 18) . The yields of the Hsp90 inhibitor macrocycle 115 showed large variation (15–93%) depending upon substitution of the linker [58–61] . The Buchwald–Hartwig coupling in this case was versatile enough to generate macrocycles of varying size and substitution. Similarly, Balraju et al. also presented many variations on the peptide scaffold 116 shown here, varying amino acid substitution and chain length, with the cyclization giving a moderate yield of the cyclic peptide [84] . Breslin et al. demonstrated the use of a Heck coupling of an aryl bromide and a vinyl group to form macrocyclic ALK inhibitors 117 (Figure 19) , which provided a double bond that was hydro genated [57] . It is interesting to note that the palladium-mediated cyclization proceeded with modest yields, given the conformationally rigid nature of the triaryl substrates used. Flow chemistry has been used to synthesize libraries of drug-like macrocycles such as 118, employing copper-catalyzed azide-alkyne cyclo addition (Figure 20) [85,86] . This technique has the aim of avoiding the very high dilution conditions future science group Macrocycles in new drug discovery typically associated with macrocyclization chem istry. This would facilitate the synthesis of macro cycles on a larger scale, which is one of the goals of continuous flow chemistry [87] . Bogdan and James also demonstrated that a new reaction centre could be installed with this chemistry, allowing rapid further functionalization through Suzuki coupling, as with 119 [85] . Conventional strategies for the synthesis of cyclic peptides are improving, as reviewed by White and Yudin [88] , but there is an increasing trend for the generation of large libraries of cyclic peptides inspired by biosynthetic methods. Terrett has reviewed the various emerging combinations of chemical and biological techniques to synth esize very large libraries of macrocycles, includ ing the generation of macrocyclic peptide librar ies using DNA-programmed chemistry [72] . For example, Tse et al. described the design and synth esis of a library of 13,842 macrocycles [89] . The reactions were carried out on a small scale using 36 amino acid building blocks on eight different scaffolds, with each scaffold containing three of the building block amino acids. Such libraries are intended for screening as mixtures against a target of interest, followed by deconvolution to determine the active components. Future perspective Macrocyclic scaffolds have already shown them selves to be exciting scaffolds for drug discovery, with several macrocyclic molecules based on natural products approved as drugs and others, including purely synthetic macrocyclic structures, in the advanced stages of drug development [18,23,90,91] . Macrocyclic inhibitors have shown improvements in potency over uncyclized counterparts through conformational restriction [37,40,43,45] . There is evi dence that macrocyclization intrinsically varies the selectivity profiles of acyclic precursor pharmaco phores [20,39,47,48,52,53,57] . Modulation of permeabil ity through the formation of internal hydrogen bonding networks was observed in the case of peptidic macrocycles [67,68] . Generally, improved solubility and decreased ADMET liabilities have been achieved without detriment to target bio logical activity in multiparameter optimizations, by strategic functionalization of the macrocyclic scaffolds [20,58–61,66] . A fruitful area for further research would be to achieve more efficient macrocyclic ligands, through addressing multiple properties by craft ing of functionality within the scaffold itself. For example, a macrocycle could improve target potency through conformational restriction, future science group | Review N A N Br H2N R N H N Pd2(dba)3 BINAP, NaOtBu 1,4-dioxane, toluene 110°C N H N R = H, 11% R = Me, 50% Me O R N H 115 O B Me Ph H N HN O O Me Me Me O HN O NH H N Ph HN Pd(OAc)2, BINAP t-BuOK, MeCN 100°C, 15 h 45% Me O O NH O N H Br NH2 O HN Me 116 Figure 18. Buchwald–Hartwig macrocyclization. The reaction was used in the synthesis of (A) substituted Hsp90 inhibitor macrocycles and (B) cyclic peptides. while also incorporating polar functionality within the core cycle, which could improve physicochemical properties such as solubility and also directly interact with the protein target through hydrogen bonding or charge–charge interactions. With strategic positioning of this additional functionality, which could be con trolled through spatial organization using a fixed macrocyclic scaffold, changes in selectivity against related targets could also be achieved. This should lead to more efficient molecules, of current interest given concerns over ‘molecular obesity’ within drug discovery and the atten dant risks for development [92] . It is important to note that in many of the cases highlighted in this review, macrocyclization was applied at a late stage to established non-macrocyclic pharmaco phores. Driggers et al. have proposed the concept of ‘domains’ within macrocycles, corresponding to discrete structural segments of the molecules making separate contributions to the overall Cl N HN N NH Br Pd(OAc)2, P(o-MePh)3 Cl N HN N NEt3, MeCN, Microwave heating, 120°C 65% NH 117 Figure 19. Macrocycle formation using the Heck reaction. www.future-science.com 1433 Review | Mallinson & Collins O N3 Me I 10 mol% TTTA i-PrNEt2, MeCN Me Cu, Flow reactor, 10 min 100 °C 80% HN O I O HN O N N N 118 CF3 (HO)2B 10 mol% Pd(OAc)2 NBu4OAc, PPh3, K2CO3 THF, 80 °C 68% CF3 Me O HN O N N N 119 Figure 20. Copper-catalyzed azide-alkyne cycloaddition cyclization followed by Suzuki coupling to generate substituted macrocycles. properties, for example, a binding domain or a domain dominating the physicochemical or ADME properties [1] . Interestingly, as noted here, many current synthetic approaches to macrocycles tend to enforce the dissection of the molecules in this way, with large-ring formation taking place at a site remote from the (preformed) pharmacophore. The wider adoption of macrocyclic scaffolds could open up a new area of chemical space that might be suited to finding new therapeutic agents for targets that are currently challenging to modu late with small-molecule drugs. For example, it has been noted that many natural macrocyclic prod ucts modulate PPIs [1] , such as rapamycin [93,94] and the epothilones [95,96] . Access to new chemical space also allows for the expansion of intellectual property possibilities in otherwise crowded areas, for example heteroaromatic inhibitor scaffolds for ATP-binding sites. To further advance the field of macrocycles in medicinal chemistry, the progress in synthetic methods available to generate macrocycles needs to be continued. The application of RCM has rapidly improved the accessibility of the struc tural class, but overall macrocyclization often remains a challenge. Another current synthetic limitation to the application of macrocycles in a medicinal chemistry context is the need for rapid generation of analogues with greater complexity in the linker portions of the molecules. Several effective ring-closing reactions are available, as surveyed earlier, but these do not always lead easily to highly functionalized or readily varied linker regions. In addition, to incorporate highly 1434 Future Med. Chem. (2012) 4(11) functionalized linkers there is a general require ment for chemical functionality with orthogonal reactivity at either end of the macrocyclic pre cursors. Thus the preparation of the large rings may often require more complex protecting group strategies than are required for the synthesis of the acyclic analogues. Many of the initial chemical scaffolds used in drug-discovery programs come from the HTS of large libraries of compounds, with a propor tion of the library content originating from in-house drug-discovery programs. With the popularity of sp2 C–C bond forming reactions, hundreds of analogues can be synthesized rapidly, which begins to reduce the diversity of those screening libraries [97] . Several authors have commented on the need for increasing scaffold diversity and sp3 hybridized atom content (i.e., increased 3D, non-aromatic character in molecules) to improve long-term drug-development outcomes [42,98] . To this end, it would be beneficial if macroc yclic scaffolds had a greater representation in HTS libraries to allow future drug-development programs to exploit the unique properties that such mol ecules can provide. One example of a step towards this is the creation of a commercially available macrocycle HTS library, consisting of 5000 compounds, designed to be screened against PPIs, antibacterial and antiviral targets [101] . The identification of drug-like macrocyclic scaffolds as primary hit matter from screening would also circumvent the current reliance on structural biology information on the binding of acyclic molecules to guide the adoption of macrocyclization strategies. To make best use of this structural class in the future, some changes in the mindset of mol ecule design within medicinal chemistry may be needed; to consider generating macrocyclic molecules earlier in the design process and to consider the macrocycle as a functional scaffold, rather than a nonfunctional conformational restraint. It is clear that further systematic inves tigation of the behavior of macrocycles as poten tial drug molecules is needed, with perhaps the most important factor to include comparisons to acyclic analogues at regular stages. This will aid in the understanding of the effect of macro cyclization upon the properties of the molecules, and, thus, illuminate where macrocyclic scaffolds can be most usefully applied in drug discovery. Methods for the in silico prediction of the biologi cally relevant conformations of macrocycles have only recently been investigated. While a number future science group Macrocycles in new drug discovery of methods are now available, more work in this area is required. Often, significant prior x-ray crystallographic data are still needed to guide modeling of specific macrocyclic templates. In the next 10 years, we would anticipate that the use of macrocycles in drug discovery will become routine and a significant number of non-natural macrocyclic molecules would be found in late-stage clinical trials. There are sev eral cases of this occurring, for example, pacri tinib (SB1518) is completing Phase II evalua tion. It is reasonable to expect that one or more non-natural macrocycles will come into clinical use in the next decade. We suggest that in the future the in silico prediction of macrocyclic conformations and their interactions with pro teins will become more robust, reducing the bar rier to incorporation of these scaffolds earlier in the drug-discovery process. We also predict that the distinctive space-filling properties of macro cyclic scaffolds will see their utility realized in the modulation of more challenging drug tar gets, such as PPIs, for which effective medicinal chemistry strategies are needed. An improved | Review understanding of how to control the physico chemical properties of macrocyclic scaffolds and direct their biological activity profiles, will lead to the incorporation of macrocycles into a new generation of efficient drug molecules. Financial & competing interests disclosure I Collins is an employee of the Institute of Cancer Research, which has a financial interest in CHK1 inhibitors. This work was supported by Cancer Research UK [CUK] grants C309/A8274 and C19524/A10795 (studentship to J Mallinson), and by the Institute of Cancer Research. I Collins has been involved in a research collaboration on CHK1 inhibitors with Sareum Ltd. Please note that all authors who are employed by The Institute of Cancer Research are subject to a ‘Rewards to Inventors Scheme’, which may reward contributors to a programme that is subsequently licensed. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. No writing assistance was utilized in the production of this manuscript. Executive summary Macrocycles have clinical relevance Many macrocyclic natural products or their synthetic derivatives have become clinically useful drugs. An increasing number of non-natural, synthetic macrocycles are being reported in the discovery of new therapeutic agents. Macrocyclization changes biological & physicochemical properties Macrocyclization can provide a method of improving target potency and modulating selectivity. Physicochemical and ADME properties, such as aqueous solubility, membrane permeability and microsomal stability, can be modulated by macrocyclization. Synthetic routes to macrocycles remain challenging The synthetic routes to generate macrocycles have improved with the advent of specialist reactions. Further advances are needed in the efficient generation of complex, functionalized macrocycles, especially in a medicinal chemistry context. Macrocycles need to be incorporated earlier into the drug-discovery process This could be achieved by increased inclusion of drug-like macrocyclic templates within high-throughput screening libraries and wider adoption of macrocyclization as a hit expansion strategy in early stage medicinal chemistry design. References Papers of special note have been highlighted as: n of interest nn of considerable interest 1 nn 2 Oyelere AK. Macrocycles in medicinal chemistry and drug discovery. Curr. Top. Med. 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