2003
DOI: 10.1002/anie.200351179
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Benzoxazoles as Transthyretin Amyloid Fibril Inhibitors: Synthesis, Evaluation, and Mechanism of Action

Abstract: Benzoxazoles pevent misfolding: Benzoxazole‐based inhibitors of transthyretin (TTR) amyloid fibril formation are among the most effective found to date. They stabilize TTR against both acid‐mediated misfolding and urea denaturation by raising the activation barrier to tetramer dissociation, the rate‐limiting step for amyloid formation. The figure depicts the cocrystal structure of one of the better benzoxazole inhibitors bound to TTR.

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Cited by 214 publications
(188 citation statements)
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“…In this context, TTR amyloidosis has received widespread attention and several chemical classes of TTR kinetic stabilizers have been reported to date [72]. Among these, a benzoxazole series [73] was further optimized to 2-(3,5-dichlorophenyl)-benzoxazole-6-carboxylic acid (tafamidis; Table 1) [74], a potent TTR stabilizer that has been approved in Europe and Japan for the treatment of transthyretin-related hereditary amyloidosis. Tafamidis binds selectively to TTR variants and stabilizes the TTR dimer interface [74].…”
Section: Tafamidismentioning
confidence: 99%
“…In this context, TTR amyloidosis has received widespread attention and several chemical classes of TTR kinetic stabilizers have been reported to date [72]. Among these, a benzoxazole series [73] was further optimized to 2-(3,5-dichlorophenyl)-benzoxazole-6-carboxylic acid (tafamidis; Table 1) [74], a potent TTR stabilizer that has been approved in Europe and Japan for the treatment of transthyretin-related hereditary amyloidosis. Tafamidis binds selectively to TTR variants and stabilizes the TTR dimer interface [74].…”
Section: Tafamidismentioning
confidence: 99%
“…Cite this article as Cold Spring Harb Perspect Biol 2011;3:a004507 under physiological conditions, precluding amyloidogenesis (Miroy et al 1996;Baures et al 1998Baures et al , 1999Oza et al 1999Oza et al , 2002Klabunde et al 2000;Petrassi et al 2000Petrassi et al , 2005Green et al 2003;Hammarstrom et al 2003;Razavi et al 2003Razavi et al , 2005Adamski-Werner et al 2004;Miller et al 2004;Purkey et al 2004;Green et al 2005;Johnson et al 2005aJohnson et al ,b, 2008aJohnson et al ,b, 2009Wiseman et al 2005;Sekijima et al 2006;Tojo et al 2006;Choi et al 2010a,b;Connelly et al 2010). Tafamidis, a benzoxazole-based transthyretin kinetic stabilizer discovered in academia (Razavi et al 2003) and developed by FoldRx Pharmaceuticals, showing a 2 nM dissociation constant from transthyretin (Razavi et al 2003 Figure 14.…”
Section: Approaches For Adapting Proteostasismentioning
confidence: 99%
“…Another approach is to make the energetics of a specific misfolding-prone proteins less problematic (Miroy et al 1996;Sawkar et al 2002Sawkar et al , 2006aCohen and Kelly 2003;Hammarstrom et al 2003;Razavi et al 2003;Johnson et al 2005bJohnson et al , 2010Tojo et al 2006;Yu et al 2007b;Choi et al 2010a). Because the sequence of a protein specifies its folding, unfolding, misfolding, and aggregation kinetics (the latter being concentration dependent), this would at first glance seem to require sequence reprogramming-the largely unrealized goal of gene therapy.…”
mentioning
confidence: 99%
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