TYK2
is a key mediator of IL12, IL23, and type I interferon
signaling,
and these cytokines have been implicated in the pathogenesis of multiple
inflammatory and autoimmune diseases such as psoriasis, rheumatoid
arthritis, lupus, and inflammatory bowel diseases. Supported by compelling
data from human genome-wide association studies and clinical results,
TYK2 inhibition through small molecules is an attractive therapeutic
strategy to treat these diseases. Herein, we report the discovery
of a series of highly selective pseudokinase (Janus homology 2, JH2)
domain inhibitors of TYK2 enzymatic activity. A computationally enabled
design strategy, including the use of FEP+, was instrumental in identifying
a pyrazolo-pyrimidine core. We highlight the utility of computational
physics-based predictions used to optimize this series of molecules
to identify the development candidate 30, a potent, exquisitely
selective cellular TYK2 inhibitor that is currently in Phase 2 clinical
trials for the treatment of psoriasis and psoriatic arthritis.
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