IntroductionOne of the common challenges throughout this book is how to identify small chemical fragments that bind weakly to target biological molecules. Among fragment-based approaches, Tethering is unique in using a covalent, reversible bond to stabilize the interaction between a fragment and a target protein [1,2].The general process is outlined in Fig. 14.1. First, a cysteine residue is either coopted or introduced in a target protein. Metaphorically, the cysteine residue serves as a fishing line to capture fragments (fish) that bind near the cysteine. The protein is incubated with pools of thiol-containing, small molecule fragments which are conjugated to a common, hydrophilic thiol (such as cysteamine) for improved water solubility. By controlling the redox conditions in the experiment with exogenous reducing agents, equilibria can be established so that the cysteine residue in the protein reversibly forms disulfide bonds with the individual fragments. In the absence of any affinity between a fragment and the protein, no fragment should bind more favorably than any other; a pool of fragments produces a statistical mixture of different protein-fragment complexes, as well as unmodified protein and cysteaminemodified protein. However, if a fragment has inherent affinity for the protein and binds near the cysteine residue, the fragment-protein conjugate is stabilized, and this complex predominates. A fragment thus selected can be easily identified by mass spectrometry of the equilibrium mixture, and if each fragment in a pool has a unique molecular weight, so do the resulting protein-fragment conjugates. While the identified fragments are often weak ligands, X-ray crystallography of the protein-fragment conjugates is often facilitated by the covalent bond. These captured fragments then serve as starting points for conversion to non-covalent ligands by chemical optimization and removal of the thiol functionality.In the following pages, we present an overview of the theory and uses of Tethering. After first considering the basis of the technique in thermodynamic terms (section 14.2), we show how the technology can be used in the active sites of enzymes to identify fragments (section 14.4), which can then be elaborated to more potent inhibitors. Section 14.5 considers how Tethering can be used to not only 285 Fragment-based Approaches in Drug Discovery. Edited