1,2,3-Triazole Derivatives as Novel Antifibrinolytic Drugs

Fibrinolysis is a natural process that ensures blood fluidity through the removal of fibrin deposits. However, excessive fibrinolytic activity can lead to complications in different circumstances, such as general surgery or severe trauma. The current antifibrinolytic drugs in the market, aminocaproi...

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Main Authors: Bosch-Sanz, Oriol, Rabadà, Yvette, Biarnés, Xevi, Pedreño, Javier, Caveda, Luis, Balcells, Mercedes, Martorell, Jordi, Sánchez-García, David
Other Authors: Massachusetts Institute of Technology. Institute for Medical Engineering & Science
Format: Article
Published: Multidisciplinary Digital Publishing Institute 2022
Online Access:https://hdl.handle.net/1721.1/146827
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author Bosch-Sanz, Oriol
Rabadà, Yvette
Biarnés, Xevi
Pedreño, Javier
Caveda, Luis
Balcells, Mercedes
Martorell, Jordi
Sánchez-García, David
author2 Massachusetts Institute of Technology. Institute for Medical Engineering & Science
author_facet Massachusetts Institute of Technology. Institute for Medical Engineering & Science
Bosch-Sanz, Oriol
Rabadà, Yvette
Biarnés, Xevi
Pedreño, Javier
Caveda, Luis
Balcells, Mercedes
Martorell, Jordi
Sánchez-García, David
author_sort Bosch-Sanz, Oriol
collection MIT
description Fibrinolysis is a natural process that ensures blood fluidity through the removal of fibrin deposits. However, excessive fibrinolytic activity can lead to complications in different circumstances, such as general surgery or severe trauma. The current antifibrinolytic drugs in the market, aminocaproic acid (EACA) and tranexamic acid (TXA), require high doses repetitively to maintain their therapeutic effect. These high doses are related to a number of side effects such as headaches, nasal symptoms, or gastrointestinal discomfort and severely limit their use in patients with renal impairment. Therefore, the discovery of novel antifibrinolytics with a higher specificity and lower dosage could vastly improve the applicability of these drugs. Herein, we synthesized a total of ten compounds consisting of a combination of three key moieties: an oxadiazolone, a triazole, and a terminal amine. The IC<sub>50</sub> of each compound was calculated in our clot lysis assays, and the best candidate (<b>1</b>) provided approximately a 2.5-fold improvement over the current gold standard, TXA. Molecular docking and molecular dynamics were used to perform a structure&ndash;activity relationship (SAR) analysis with the lysine binding site in the Kringle 1 domain of plasminogen. This analysis revealed that 1,2,3-triazole was crucial for the activity, enhancing the binding affinity through pi&ndash;pi stacking and polar interactions with Tyr72. The results presented in this work open the door to further investigate this new family as potential antifibrinolytic drugs.
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spelling mit-1721.1/1468272024-03-19T17:27:37Z 1,2,3-Triazole Derivatives as Novel Antifibrinolytic Drugs Bosch-Sanz, Oriol Rabadà, Yvette Biarnés, Xevi Pedreño, Javier Caveda, Luis Balcells, Mercedes Martorell, Jordi Sánchez-García, David Massachusetts Institute of Technology. Institute for Medical Engineering & Science Fibrinolysis is a natural process that ensures blood fluidity through the removal of fibrin deposits. However, excessive fibrinolytic activity can lead to complications in different circumstances, such as general surgery or severe trauma. The current antifibrinolytic drugs in the market, aminocaproic acid (EACA) and tranexamic acid (TXA), require high doses repetitively to maintain their therapeutic effect. These high doses are related to a number of side effects such as headaches, nasal symptoms, or gastrointestinal discomfort and severely limit their use in patients with renal impairment. Therefore, the discovery of novel antifibrinolytics with a higher specificity and lower dosage could vastly improve the applicability of these drugs. Herein, we synthesized a total of ten compounds consisting of a combination of three key moieties: an oxadiazolone, a triazole, and a terminal amine. The IC<sub>50</sub> of each compound was calculated in our clot lysis assays, and the best candidate (<b>1</b>) provided approximately a 2.5-fold improvement over the current gold standard, TXA. Molecular docking and molecular dynamics were used to perform a structure&ndash;activity relationship (SAR) analysis with the lysine binding site in the Kringle 1 domain of plasminogen. This analysis revealed that 1,2,3-triazole was crucial for the activity, enhancing the binding affinity through pi&ndash;pi stacking and polar interactions with Tyr72. The results presented in this work open the door to further investigate this new family as potential antifibrinolytic drugs. 2022-12-12T13:08:19Z 2022-12-12T13:08:19Z 2022-11-29 2022-12-09T20:23:02Z Article http://purl.org/eprint/type/JournalArticle https://hdl.handle.net/1721.1/146827 International Journal of Molecular Sciences 23 (23): 14942 (2022) PUBLISHER_CC http://dx.doi.org/10.3390/ijms232314942 Creative Commons Attribution https://creativecommons.org/licenses/by/4.0/ application/pdf Multidisciplinary Digital Publishing Institute Multidisciplinary Digital Publishing Institute
spellingShingle Bosch-Sanz, Oriol
Rabadà, Yvette
Biarnés, Xevi
Pedreño, Javier
Caveda, Luis
Balcells, Mercedes
Martorell, Jordi
Sánchez-García, David
1,2,3-Triazole Derivatives as Novel Antifibrinolytic Drugs
title 1,2,3-Triazole Derivatives as Novel Antifibrinolytic Drugs
title_full 1,2,3-Triazole Derivatives as Novel Antifibrinolytic Drugs
title_fullStr 1,2,3-Triazole Derivatives as Novel Antifibrinolytic Drugs
title_full_unstemmed 1,2,3-Triazole Derivatives as Novel Antifibrinolytic Drugs
title_short 1,2,3-Triazole Derivatives as Novel Antifibrinolytic Drugs
title_sort 1 2 3 triazole derivatives as novel antifibrinolytic drugs
url https://hdl.handle.net/1721.1/146827
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