Thalidomide has been found to exhibit weak nitric oxide synthase (NOS)-inhibitory activity. Structural development studies of thalidomide showed that some N-2,6-dimethylphenylhomophthalimide analogs possess NOS-inhibiting activity.Key words thalidomide; nitric oxide synthase (NOS); inhibitor; structural development Thalidomide (1) is a hypnotic/sedative drug that was withdrawn from the market because of its severe teratogenicity. [2][3][4] In spite of this, research into thalidomide was not halted, and the drug has since been established to be effective for the treatment of various diseases, including leprosy, myeloma and AIDS. [3][4][5] Although thalidomide affects production of various cytokines, the prevailing hypothesis was that the effectiveness of thalidomide in these diseases is elicited entirely through regulation of tumor necrosis factor (TNF)-a production.We have been engaged in structural development studies of thalidomide, and have demonstrated that thalidomide is in fact a multi-target drug. Our studies resulted in the creation of TNF-a production regulators (including bi-directional ones, as well as pure inhibitors and enhancers), 3,4,[6][7][8] androgen antagonists, 3,4,9,10) peptidase inhibitors, 4,[11][12][13][14][15] glucosidase inhibitors, 16,17) thymidine phosphorylase inhibitors 18) and cyclooxygenase inhibitors. 19,20) Nevertheless, not all of the beneficial pharmacological effects elicited by thalidomide can be fully interpreted in terms of the above activities, indicating the existence of other target molecules/phenomena. We suspected that nitric oxide synthase (NOS) might be another target molecule of thalidomide, because the drug is effective against diabetes and has hypoglycemic effect, whereas NO acts as disease-progressing factor.The family of nitric oxide synthases (NOS), which includes neuronal NOS (nNOS), endothelial NOS (eNOS) and inducible NOS (iNOS), 21) catalyzes the conversion of L-arginine to L-citrulline and nitric oxide (NO), an important cellular messenger molecule which has been implicated in both physiological and pathophysiological functions. In this paper, we describe evaluation of the NOS-inhibitory activity of thalidomide and its analogs.First we investigated NOS-inhibitory activity of thalidomide (1). Inhibitory activity was assayed by monitoring nitrite/nitrate production using Ichimori's protocol with a little modifications. 22,23) Although the quantitative values differed from experiment to experiment, the results were basically reproducible, and average inhibition rate are presented in Table 1. In the assay system, the IC 50 value of N G -nitro-L-arginine methyl ester (NNA, 2), which is a well-known analog of the endogenous NOS substrate, L-arginine, was determined to be 10 mM. The assay was performed in triplicate, and repeated at least three times. The result showed that thalidomide at 1 mM inhibits NOS by about 23% (Table 1). Although the NOS-inhibitory activity of thalidomide was weak, one or more of the thalidomide metabolites or decomposition products mig...