Thrombin is a serine protease that plays a central role in blood coagulation. It is inhibited by hirudin, a polypeptide of 65 amino acids, through the formation of a tight, noncovalent complex. Tetragonal crystals of the complex formed between human alpha‐thrombin and recombinant hirudin (variant 1) have been grown and the crystal structure of this complex has been determined to a resolution of 2.95 A. This structure shows that hirudin inhibits thrombin by a previously unobserved mechanism. In contrast to other inhibitors of serine proteases, the specificity of hirudin is not due to interaction with the primary specificity pocket of thrombin, but rather through binding at sites both close to and distant from the active site. The carboxyl tail of hirudin (residues 48‐65) wraps around thrombin along the putative fibrinogen secondary binding site. This long groove extends from the active site cleft and is flanked by the thrombin loops 35‐39 and 70‐80. Hirudin makes a number of ionic and hydrophobic interactions with thrombin in this area. Furthermore hirudin binds with its N‐terminal three residues Val, Val, Tyr to the thrombin active site cleft. Val1 occupies the position P2 and Tyr3 approximately the position P3 of the synthetic inhibitor D‐Phe‐Pro‐ArgCH2Cl. Thus the hirudin polypeptide chain runs in a direction opposite to that expected for fibrinogen and that observed for the substrate‐like inhibitor D‐Phe‐Pro‐ArgCH2Cl.
Our design approach led to compounds with high in vitro affinity and specificity for renin, favourable bioavailability and excellent oral efficacy in lowering blood pressure in primates. These renin inhibitors are therefore potential therapeutic agents for the treatment of hypertension and related cardiovascular diseases.
The X-ray structure of the Grb2-SH2 domain in complex with a specific phosphopeptide ligand
has revealed the existence of an extended hydrophobic area adjacent to the primary binding
site of the ligand on the SH2 domain. This has been exploited to design hydrophobic C-terminal
groups that improve the binding affinity of the minimal sequence pTyr-Ile-Asn recognized by
the Grb2-SH2 domain. The most significant increase in affinity (25-fold compared to that of
the reference peptide having a nonsubstituted carboxamide C-terminus) was obtained with a
3-naphthalen-1-yl-propyl group which was predicted to have the largest contact area with the
SH2 domain hydrophobic region. This modification combined with replacement of the minimal
sequence isoleucine residue by 1-aminocyclohexane carboxylic acid to stabilize the β-turn
conformation required for recognition by the Grb2-SH2 domain resulted in the high affinity
(47 nM in an ELISA assay) and selective phosphopeptide Ac-pTyr-Ac6c-Asn-NH(3-naphthalen-1-yl-propyl).
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