Allosteric inhibition of human factor XIa: discovery of monosulfated benzofurans as a class of promising inhibitors

J Med Chem. 2014 Apr 24;57(8):3559-69. doi: 10.1021/jm5002698. Epub 2014 Apr 7.

Abstract

Factor XIa (fXIa) is being recognized as a prime target for developing safer anticoagulants. To discover synthetic, small, allosteric inhibitors of fXIa, we screened an in-house, unique library of 65 molecules displaying many distinct scaffolds and varying levels of sulfation. Of these, monosulfated benzofurans were the only group of molecules found to inhibit fXIa (∼100% efficacy) and led to the identification of monosulfated trimer 24 (IC50 0.82 μM) as the most potent inhibitor. Michaelis-Menten kinetics studies revealed a classic noncompetitive mechanism of action for 24. Although monosulfated, the inhibitors did not compete with unfractionated heparin alluding to a novel site of interaction. Fluorescence quenching studies indicated that trimer 24 induces major conformational changes in the active site of fXIa. Docking studies identified a site near Lys255 on the A3 domain of fXIa as the most probable site of binding for 24. Factor XIa devoid of the A3 domain displayed a major defect in the inhibition potency of 24 supporting the docking prediction. Our work presents the sulfated benzofuran scaffold as a promising framework to develop allosteric fXIa inhibitors that likely function through the A3 domain.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Allosteric Site
  • Anticoagulants / chemical synthesis*
  • Anticoagulants / pharmacology
  • Benzofurans / chemical synthesis*
  • Benzofurans / pharmacology
  • Binding Sites
  • Drug Discovery
  • Factor XIa / antagonists & inhibitors*
  • Factor XIa / chemistry
  • Humans
  • Molecular Docking Simulation

Substances

  • Anticoagulants
  • Benzofurans
  • Factor XIa