The crystallographic structures of the ternary complexes of human a-thrombin with hirugen (a sulfated hirudin fragment) and the small-molecule active site thrombin inhibitors BMS-186282 and BMS-189090 have been determined at 2.6 and 2.8 A. In both cases, the inhibitors, which adopt verysimilar bound conformations, bind in an antiparallel P-strand arrangement relative to the thrombin main chain in a manner like that reported for PPACK, D-Phe-Pro-Arg-CH,Cl. They do, however, exhibit differences in the binding of the alkyl guanidine moiety in the specificity pocket. Numerous hydrophilic and hydrophobic interactions serve to stabilize the inhibitors in the binding pocket. Although PPACK forms covalent bonds to both serine and the histidine of the catalytic triad of thrombin, neither BMS-186282 nor BMS-189090 bind covalently and only BMS-186282 forms a hydrogen bond to the serine of the catalytic triad. Both inhibitors bind with high affinity (K, = 79 nM and 3.6 nM, respectively) and are highly selective for thrombin over trypsin and other serine proteases.Keywords: crystallography; human a-thrombin-inhibitor complexes; structure-based drug designThe serine protease thrombin occupies a central position in the blood coagulation cascade. It cleaves circulating fibrinogen to fibrin monomers, which then polymerize and are covalently linked by thrombin-activating factor XIIIa, which is also a prodReprint requests to: Mary E Malley, Department of Solid State Chemistry, Bristol-Myers Squibb Pharmaceutical Research Institute, P.O. Box 4000, Princeton, New Jersey 08543-4000; e-mail: malley@bms.com.Present address: Department of Biological Sciences, Lilly Hall of Life Sciences, Purdue University, West Lafayette, Indiana 47907. uct of thrombin activation. In addition, thrombin activates several other coagulation and plasma factors, such as factors V, VIII, protein C, and protein S. Thrombin also induces platelet aggregation and promotes the proliferation of endothelial cells, the liberation of tissue plasminogen activator, and the contraction and dilation of blood vessels. Selective inhibition of thrombin may result in efficient control of various pathophysiologic states, such as thrombosis and arteriosclerosis, and aid in the prevention of myocardial infarction (Berliner 1992; Fenton, 1986; Fenton et al., 1991).
Abbreviations: BMS-186282, [S-(R*,R*)]-4-[Aminoiminomethyl)-amino]-N-[[l-[3-hydy-2-[(2-naphthalenyls~fony~)~no]-l-oxopropyl]-
2-pyrrolidinyl]methyI]butanamide; BMS-189090, [S-(R*,R*)]-l-(Aminoiminomethyl)-N-[[l-[N-[(2-naphthalenylsulfonyl)-~-seryl]-2-pyrrolidinyl]-Human a-thrombin consists of two polypeptide chains, A and B, connected through a single disulfide bond. The A chain has 36 residues (after the loss of a tridecapeptide during activation with prothrombin) and the B chain has 259 residues. The B chain is glycosylated at Asn 60G and contains the active site residues His 57, Asn 102, and Ser 195. The numbering scheme for the thrombin residues in this paper are assigned by homology with chymotrypsin as d...