CD73 is an extracellular mediator
of purinergic signaling. When
upregulated in the tumor microenvironment, CD73 has been implicated
in the inhibition of immune function through overproduction of adenosine.
Traditional efforts to inhibit CD73 have involved antibody therapy
or the development of small molecules, the most potent of which mimic
the acidic and ionizable structure of the enzyme’s natural
substrate, adenosine 5′-monophosphate (AMP). Here, we report
the systematic discovery of a novel class of non-nucleotide CD73 inhibitors
that are more potent than all other nonphosphonate inhibitor classes
reported to date. These efforts have culminated in the discovery of
4-({5-[4-fluoro-1-(2H-indazol-6-yl)-1H-1,2,3-benzotriazol-6-yl]-1H-pyrazol-1-yl}methyl)benzonitrile
(73, IC50 = 12 nM) and 4-({5-[4-chloro-1-(2H-indazol-6-yl)-1H-1,2,3-benzotriazol-6-yl]-1H-pyrazol-1-yl}methyl)benzonitrile (74, IC50 = 19 nM). Cocrystallization of 74 with human
CD73 demonstrates a competitive binding mode. These compounds show
promise for the improvement of drug-like character via the attenuation
of the acidity and low membrane permeability inherent to known nucleoside
inhibitors of CD73.
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