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PDBsum entry 6qhc
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References listed in PDB file
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Key reference
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Title
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Kallikrein 5 inhibitors identified through structure based drug design in search for a treatment for netherton syndrome.
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Authors
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G.V.White,
E.V.Edgar,
D.S.Holmes,
X.Q.Lewell,
J.Liddle,
O.Polyakova,
K.J.Smith,
J.H.Thorpe,
A.L.Walker,
Y.Wang,
R.J.Young,
A.Hovnanian.
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Ref.
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Bioorg Med Chem Lett, 2019,
29,
821-825.
[DOI no: ]
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PubMed id
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Abstract
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Netherton syndrome (NS) is a rare and debilitating severe autosomal recessive
genetic skin disease with high mortality rates particularly in neonates. NS is
caused by loss-of-function SPINK5 mutations leading to unregulated kallikrein 5
(KLK5) and kallikrein 7 (KLK7) activity. Furthermore, KLK5 inhibition has been
proposed as a potential therapeutic treatment for NS. Identification of potent
and selective KLK5 inhibitors would enable further exploration of the disease
biology and could ultimately lead to a treatment for NS. This publication
describes how fragmentation of known trypsin-like serine protease (TLSP)
inhibitors resulted in the identification of a series of phenolic amidine-based
KLK5 inhibitors 1. X-ray crystallography was used to find alternatives to the
phenol interaction leading to identification of carbonyl analogues such as
lactam 13 and benzimidazole 15. These reversible inhibitors, with selectivity
over KLK1 (10-100 fold), provided novel starting points for the guided growth
towards suitable tool molecules for the exploration of KLK5 biology.
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