“…To stabilize the HIF-α protein with small chemical compounds, the inhibition of PHD enzyme activities has been a major point of focus. PHDs require ferrous ions (Fe 2+ ), 2-oxoglutarate (2-OG), and ascorbic acid to hydroxylate HIF-α ODD. , Competitive inhibitors derived from the 2-OG structure have been synthesized ,,− and developed as new types of therapeutic compounds for renal anemia. − FG4592 (roxadustat), for example, was recently approved as a therapeutic compound for anemia associated with chronic kidney disease (CKD). , However, it is estimated that more than 60 proteins have 2-OG as a cofactor. ,, Therefore, the VHL inhibitor , and FIH inhibitor − have been developed as inhibitors targeting compounds other than PHDs without mimicking 2-OG; however, they have not yet been approved. Although a large number of PHD inhibitors have been reported, there are still several HIF activators that do not harbor the 2-OG scaffold.…”