Mitochondrial fragmentation from
defective fusion or unopposed
fission contributes to many neurodegenerative diseases. Small molecule
mitofusin activators reverse mitochondrial fragmentation in
vitro, promising a novel therapeutic approach. The first-in-class
mitofusin activator, 2, has a short plasma t
1/2 and limited neurological system bioavailability, conferring
“burst activation”. Here, pharmacophore-based rational
redesign generated analogues of 2 incorporating cycloalkyl
linker groups. A cyclopropyl-containing linker, 5, improved
plasma and brain t
1/2, increased nervous
system bioavailability, and prolonged neuron pharmacodynamic effects.
Functional and single-crystal X-ray diffraction studies of stereoisomeric
analogues of 5 containing sulfur as a “heavy atom”, 14A and 14B, showed that 5 biological
activity resides in the trans-R/R configuration, 5B. Structural analysis revealed stereoselective interactions
of 5 associated with its mimicry of MFN2 Val372, Met376,
and His380 side chains. Modification of murine ALS phenotypes in vitro and in vivo supports advancement
of 5B for neurological conditions that may benefit from
sustained mitofusin activation.