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1.
J Med Chem ; 60(14): 6239-6248, 2017 07 27.
Article in English | MEDLINE | ID: mdl-28671827

ABSTRACT

Ester and carbamate prodrugs of aldehyde bisulfite adduct inhibitors were synthesized in order to improve their pharmacokinetic and pharmacodynamic properties. The inhibitory activity of the compounds against norovirus 3C-like protease in enzyme and cell-based assays was determined. The ester and carbamate prodrugs displayed equivalent potency to those of the precursor aldehyde bisulfite adducts and precursor aldehydes. Furthermore, the rate of ester cleavage was found to be dependent on alkyl chain length. The generated prodrugs exhibited low cytotoxicity and satisfactory liver microsomes stability and plasma protein binding. The methodology described herein has wide applicability and can be extended to the bisulfite adducts of common warheads employed in the design of transition state inhibitors of serine and cysteine proteases of medical relevance.


Subject(s)
Antiviral Agents/chemistry , Aza Compounds/chemistry , Carbamates/chemistry , Cysteine Endopeptidases/metabolism , Cysteine Proteinase Inhibitors/chemistry , Norovirus/drug effects , Prodrugs/chemistry , Pyrrolidines/chemistry , Viral Proteins/antagonists & inhibitors , Animals , Antiviral Agents/chemical synthesis , Antiviral Agents/pharmacology , Aza Compounds/chemical synthesis , Aza Compounds/pharmacology , Blood Proteins/metabolism , Carbamates/chemical synthesis , Carbamates/pharmacology , Cell Line , Cysteine Proteinase Inhibitors/chemical synthesis , Cysteine Proteinase Inhibitors/pharmacology , Esters/chemical synthesis , Esters/chemistry , Esters/pharmacology , Humans , Hydrolysis , Mice , Microsomes, Liver/metabolism , Models, Molecular , Prodrugs/chemical synthesis , Prodrugs/pharmacology , Protein Binding , Pyrrolidines/chemical synthesis , Pyrrolidines/pharmacology , Stereoisomerism , Structure-Activity Relationship
2.
Eur J Med Chem ; 119: 300-18, 2016 Aug 25.
Article in English | MEDLINE | ID: mdl-27235842

ABSTRACT

Outbreaks of acute gastroenteritis caused by noroviruses constitute a public health concern worldwide. To date, there are no approved drugs or vaccines for the management and prophylaxis of norovirus infections. A potentially effective strategy for the development of norovirus therapeutics entails the discovery of inhibitors of norovirus 3CL protease, an enzyme essential for noroviral replication. We describe herein the structure-based design of the first class of permeable, triazole-based macrocyclic inhibitors of norovirus 3C-like protease, as well as pertinent X-ray crystallographic, biochemical, spectroscopic, and antiviral studies.


Subject(s)
Drug Design , Macrocyclic Compounds/chemistry , Macrocyclic Compounds/pharmacology , Norovirus/drug effects , Peptide Hydrolases/metabolism , Triazoles/chemistry , Chemistry Techniques, Synthetic , Macrocyclic Compounds/metabolism , Magnetic Resonance Spectroscopy , Models, Molecular , Peptide Hydrolases/chemistry , Permeability , Protease Inhibitors/chemistry , Protease Inhibitors/metabolism , Protease Inhibitors/pharmacology , Protein Conformation
3.
J Med Chem ; 59(5): 1899-913, 2016 Mar 10.
Article in English | MEDLINE | ID: mdl-26823007

ABSTRACT

Human noroviruses are the primary causative agents of acute gastroenteritis and a pressing public health burden worldwide. There are currently no vaccines or small molecule therapeutics available for the treatment or prophylaxis of norovirus infections. Norovirus 3CL protease plays a vital role in viral replication by generating structural and nonstructural proteins via the cleavage of the viral polyprotein. Thus, molecules that inhibit the viral protease may have potential therapeutic value. We describe herein the structure-based design, synthesis, and in vitro and cell-based evaluation of the first class of oxadiazole-based, permeable macrocyclic inhibitors of norovirus 3CL protease.


Subject(s)
Antiviral Agents/pharmacology , Cell Membrane Permeability , Macrocyclic Compounds/pharmacology , Norovirus/drug effects , Norovirus/enzymology , Oxadiazoles/pharmacology , Peptide Hydrolases/metabolism , Protease Inhibitors/pharmacology , Animals , Antiviral Agents/chemical synthesis , Antiviral Agents/chemistry , Cell Line , Cell Membrane Permeability/drug effects , Crystallography, X-Ray , Dose-Response Relationship, Drug , Humans , Macrocyclic Compounds/chemical synthesis , Macrocyclic Compounds/chemistry , Mice , Models, Molecular , Molecular Structure , Oxadiazoles/chemical synthesis , Oxadiazoles/chemistry , Protease Inhibitors/chemical synthesis , Protease Inhibitors/chemistry , Structure-Activity Relationship
4.
J Med Chem ; 58(7): 3144-55, 2015 Apr 09.
Article in English | MEDLINE | ID: mdl-25761614

ABSTRACT

Norovirus infection constitutes the primary cause of acute viral gastroenteritis. There are currently no vaccines or norovirus-specific antiviral therapeutics available for the management of norovirus infection. Norovirus 3C-like protease is essential for viral replication, consequently, inhibition of this enzyme is a fruitful avenue of investigation that may lead to the emergence of antinorovirus therapeutics. We describe herein the optimization of dipeptidyl inhibitors of norovirus 3C-like protease using iterative SAR, X-ray crystallographic, and enzyme and cell-based studies. We also demonstrate herein in vivo efficacy of an inhibitor using the murine model of norovirus infection.


Subject(s)
Norovirus/enzymology , Peptide Hydrolases/chemistry , Protease Inhibitors/chemistry , Protease Inhibitors/pharmacology , Viral Proteins/chemistry , Animals , Antiviral Agents/chemistry , Antiviral Agents/pharmacology , Cell Line/drug effects , Chemistry Techniques, Synthetic , Coronavirus 3C Proteases , Crystallography, X-Ray , Cysteine Endopeptidases/chemistry , Cysteine Endopeptidases/metabolism , Dipeptidyl-Peptidase IV Inhibitors/chemistry , Dipeptidyl-Peptidase IV Inhibitors/pharmacology , Dose-Response Relationship, Drug , Drug Design , Female , Macrophages/drug effects , Macrophages/virology , Mice, Inbred BALB C , Models, Molecular , Norovirus/drug effects , Norovirus/pathogenicity , Peptide Hydrolases/metabolism , Protein Conformation , Structure-Activity Relationship , Viral Proteins/antagonists & inhibitors , Viral Proteins/metabolism
5.
Bioorg Med Chem Lett ; 23(23): 6317-20, 2013 Dec 01.
Article in English | MEDLINE | ID: mdl-24125888

ABSTRACT

A class of tripeptidyl transition state inhibitors containing a P1 glutamine surrogate, a P2 leucine, and a P3 arylalanines, was found to potently inhibit Norwalk virus replication in enzyme and cell based assays. An array of warheads, including aldehyde, α-ketoamide, bisulfite adduct, and α-hydroxyphosphonate transition state mimic, was also investigated. Tripeptidyls 2 and 6 possess antiviral activities against noroviruses, human rhinovirus, severe acute respiratory syndrome coronavirus, and coronavirus 229E, suggesting a broad range of antiviral activities.


Subject(s)
Antiviral Agents/chemical synthesis , Antiviral Agents/pharmacology , Cysteine Endopeptidases/metabolism , Protease Inhibitors/chemical synthesis , Protease Inhibitors/pharmacology , Antiviral Agents/chemistry , Coronavirus 3C Proteases , Cysteine Endopeptidases/chemistry , Drug Design , Glutamine/analogs & derivatives , Glutamine/pharmacology , Humans , Models, Molecular , Protease Inhibitors/chemistry , Structure-Activity Relationship
7.
Bioorg Med Chem Lett ; 23(13): 3709-12, 2013 Jul 01.
Article in English | MEDLINE | ID: mdl-23727045

ABSTRACT

The design, synthesis, and in vitro evaluation of the first macrocyclic inhibitor of 3C and 3C-like proteases of picornavirus, norovirus, and coronavirus are reported. The in vitro inhibitory activity (50% effective concentration) of the macrocyclic inhibitor toward enterovirus 3C protease (CVB3 Nancy strain), and coronavirus (SARS-CoV) and norovirus 3C-like proteases, was determined to be 1.8, 15.5 and 5.1 µM, respectively.


Subject(s)
Coronavirus/enzymology , Macrocyclic Compounds/pharmacology , Norovirus/enzymology , Peptide Hydrolases/metabolism , Picornaviridae/enzymology , Protease Inhibitors/pharmacology , Dose-Response Relationship, Drug , Drug Design , Macrocyclic Compounds/chemical synthesis , Macrocyclic Compounds/chemistry , Models, Molecular , Molecular Conformation , Protease Inhibitors/chemical synthesis , Protease Inhibitors/chemistry , Structure-Activity Relationship
8.
Bioorg Med Chem ; 21(1): 102-13, 2013 Jan 01.
Article in English | MEDLINE | ID: mdl-23211969

ABSTRACT

1,2-Benzisothiazol-3(2H)-ones and 1,3,4-oxadiazoles individually have recently attracted considerable interest in drug discovery, including as antibacterial and antifungal agents. In this study, a series of functionalized 1,2-benzisothiazol-3(2H)-one-1,3,4-oxadiazole hybrid derivatives were synthesized and subsequently screened against Dengue and West Nile virus proteases. Ten out of twenty-four compounds showed greater than 50% inhibition against DENV2 and WNV proteases ([I] = 10 µM). The IC(50) values of compound 7n against DENV2 and WNV NS2B/NS3 were found to be 3.75 ± 0.06 and 4.22 ± 0.07 µM, respectively. The kinetics data support a competitive mode of inhibition by compound 7n. Molecular modeling studies were performed to delineate the putative binding mode of this series of compounds. This study reveals that the hybrid series arising from the linking of the two scaffolds provides a suitable platform for conducting a hit-to-lead optimization campaign via iterative structure-activity relationship studies, in vitro screening and X-ray crystallography.


Subject(s)
Antiviral Agents/chemistry , Dengue Virus/enzymology , Oxadiazoles/chemistry , Peptide Hydrolases/metabolism , Protease Inhibitors/chemistry , Triazoles/chemistry , West Nile virus/enzymology , Animals , Antiviral Agents/pharmacology , Dengue/drug therapy , Dengue Virus/drug effects , Drug Design , Humans , Models, Molecular , Oxadiazoles/pharmacology , Protease Inhibitors/pharmacology , Triazoles/pharmacology , West Nile Fever/drug therapy , West Nile virus/drug effects
9.
Bioorg Med Chem Lett ; 23(1): 62-5, 2013 Jan 01.
Article in English | MEDLINE | ID: mdl-23218713

ABSTRACT

Noroviruses are the most common cause of acute viral gastroenteritis, accounting for >21 million cases annually in the US alone. Norovirus infections constitute an important health problem for which there are no specific antiviral therapeutics or vaccines. In this study, a series of bisulfite adducts derived from representative transition state inhibitors (dipeptidyl aldehydes and α-ketoamides) was synthesized and shown to exhibit anti-norovirus activity in a cell-based replicon system. The ED(50) of the most effective inhibitor was 60 nM. This study demonstrates for the first time the utilization of bisulfite adducts of transition state inhibitors in the inhibition of norovirus 3C-like protease in vitro and in a cell-based replicon system. The approach described herein can be extended to the synthesis of the bisulfite adducts of other classes of transition state inhibitors of serine and cysteine proteases, such as α-ketoheterocycles and α-ketoesters.


Subject(s)
Antiviral Agents/chemistry , Norovirus/enzymology , Peptide Hydrolases/chemistry , Protease Inhibitors/chemistry , Sulfites/chemistry , Viral Proteins/antagonists & inhibitors , Animals , Antiviral Agents/chemical synthesis , Antiviral Agents/metabolism , CHO Cells , Cricetinae , Cricetulus , Peptide Hydrolases/metabolism , Protease Inhibitors/chemical synthesis , Protease Inhibitors/metabolism , Protein Binding , Sulfites/chemical synthesis , Sulfites/metabolism , Viral Proteins/metabolism
10.
J Virol ; 86(21): 11754-62, 2012 Nov.
Article in English | MEDLINE | ID: mdl-22915796

ABSTRACT

Phylogenetic analysis has demonstrated that some positive-sense RNA viruses can be classified into the picornavirus-like supercluster, which includes picornaviruses, caliciviruses, and coronaviruses. These viruses possess 3C or 3C-like proteases (3Cpro or 3CLpro, respectively), which contain a typical chymotrypsin-like fold and a catalytic triad (or dyad) with a Cys residue as a nucleophile. The conserved key sites of 3Cpro or 3CLpro may serve as attractive targets for the design of broad-spectrum antivirals for multiple viruses in the supercluster. We previously reported the structure-based design and synthesis of potent protease inhibitors of Norwalk virus (NV), a member of the Caliciviridae family. We report herein the broad-spectrum antiviral activities of three compounds possessing a common dipeptidyl residue with different warheads, i.e., an aldehyde (GC373), a bisulfite adduct (GC376), and an α-ketoamide (GC375), against viruses that belong to the supercluster. All compounds were highly effective against the majority of tested viruses, with half-maximal inhibitory concentrations in the high nanomolar or low micromolar range in enzyme- and/or cell-based assays and with high therapeutic indices. We also report the high-resolution X-ray cocrystal structures of NV 3CLpro-, poliovirus 3Cpro-, and transmissible gastroenteritis virus 3CLpro- GC376 inhibitor complexes, which show the compound covalently bound to a nucleophilic Cys residue in the catalytic site of the corresponding protease. We conclude that these compounds have the potential to be developed as antiviral therapeutics aimed at a single virus or multiple viruses in the picornavirus-like supercluster by targeting 3Cpro or 3CLpro.


Subject(s)
Antiviral Agents/pharmacology , Coronavirus/drug effects , Norovirus/drug effects , Picornaviridae/drug effects , Protease Inhibitors/pharmacology , Viral Proteins/antagonists & inhibitors , 3C Viral Proteases , Animals , Antiviral Agents/chemistry , Cell Line , Coronavirus/enzymology , Crystallography, X-Ray , Cysteine Endopeptidases/chemistry , Humans , Inhibitory Concentration 50 , Microbial Sensitivity Tests , Models, Molecular , Norovirus/enzymology , Picornaviridae/enzymology , Protease Inhibitors/chemistry , Protein Conformation , Viral Proteins/chemistry
11.
Bioorg Med Chem Lett ; 22(14): 4820-6, 2012 Jul 15.
Article in English | MEDLINE | ID: mdl-22698498

ABSTRACT

A series of structurally-diverse α-ketoamides and α-ketoheterocycles was synthesized and subsequently investigated for inhibitory activity against norovirus 3CL protease in vitro, as well as anti-norovirus activity in a cell-based replicon system. The synthesized compounds were found to inhibit norovirus 3CL protease in vitro and to also exhibit potent anti-norovirus activity in a cell-based replicon system.


Subject(s)
Amides/chemistry , Cysteine Endopeptidases/chemistry , Heterocyclic Compounds/chemistry , Norovirus/enzymology , Peptides/chemistry , Protease Inhibitors/chemistry , Amides/pharmacology , Cysteine Endopeptidases/pharmacology , Heterocyclic Compounds/pharmacology , Models, Molecular , Molecular Structure , Norovirus/drug effects , Protease Inhibitors/pharmacology , Structure-Activity Relationship
12.
Bioorg Med Chem ; 20(13): 4140-8, 2012 Jul 01.
Article in English | MEDLINE | ID: mdl-22632792

ABSTRACT

Dengue and West Nile viruses (WNV) are mosquito-borne members of flaviviruses that cause significant morbidity and mortality. There is no approved vaccine or antiviral drugs for human use to date. In this study, a series of functionalized meta and para aminobenzamide derivatives were synthesized and subsequently screened in vitro against Dengue virus and West Nile virus proteases. Four active compounds were identified which showed comparable activity toward the two proteases and shared in common a meta or para(phenoxy)phenyl group. The inhibition constants (K(i)) for the most potent compound 7n against Dengue and West Nile virus proteases were 8.77 and 5.55 µM, respectively. The kinetics data support a competitive mode of inhibition of both proteases by compound 7n. This conclusion is further supported by molecular modeling. This study reveals a new chemical scaffold which is amenable to further optimization to yield potent inhibitors of the viral proteases via the combined utilization of iterative medicinal chemistry/structure-activity relationship studies and in vitro screening.


Subject(s)
Antiviral Agents/chemistry , Benzamides/chemistry , Dengue Virus/enzymology , Peptide Hydrolases/chemistry , Protease Inhibitors/chemistry , West Nile virus/enzymology , Antiviral Agents/chemical synthesis , Antiviral Agents/pharmacology , Binding Sites , Catalytic Domain , Computer Simulation , Dengue Virus/drug effects , Kinetics , Peptide Hydrolases/metabolism , Phenylurea Compounds/chemical synthesis , Phenylurea Compounds/chemistry , Phenylurea Compounds/pharmacology , Protease Inhibitors/chemical synthesis , Protease Inhibitors/pharmacology , Structure-Activity Relationship , Triazoles/chemical synthesis , Triazoles/chemistry , Triazoles/pharmacology , West Nile virus/drug effects
13.
Bioorg Med Chem ; 20(6): 2111-8, 2012 Mar 15.
Article in English | MEDLINE | ID: mdl-22356738

ABSTRACT

The development of small molecule therapeutics to combat norovirus infection is of considerable interest from a public health perspective because of the highly contagious nature of noroviruses. A series of amino acid-derived acyclic sulfamide-based norovirus inhibitors has been synthesized and evaluated using a cell-based replicon system. Several compounds were found to display potent anti-norovirus activity, low toxicity, and good aqueous solubility. These compounds are suitable for further optimization of pharmacological and ADMET properties.


Subject(s)
Amino Acids/chemistry , Amino Acids/pharmacology , Antiviral Agents/chemistry , Antiviral Agents/pharmacology , Norovirus/drug effects , Sulfonamides/chemistry , Sulfonamides/pharmacology , Amino Acids/chemical synthesis , Animals , Antiviral Agents/chemical synthesis , Caliciviridae Infections/drug therapy , Cell Line , Drug Design , Humans , Sulfonamides/chemical synthesis
14.
Bioorg Med Chem ; 20(3): 1213-21, 2012 Feb 01.
Article in English | MEDLINE | ID: mdl-22249124

ABSTRACT

Two click chemistry-derived focused libraries based on the benz[d]isothiazol-3(2H)-one scaffold were synthesized and screened against Dengue virus and West Nile virus NS2B-NS3 proteases. Several compounds (4l, 7j-n) displayed noteworthy inhibitory activity toward Dengue virus NS2B-NS3 protease in the absence and presence of added detergent. These compounds could potentially serve as a launching pad for a hit-to-lead optimization campaign.


Subject(s)
Antiviral Agents/chemistry , Antiviral Agents/pharmacology , Dengue Virus/enzymology , Peptide Hydrolases/metabolism , Protease Inhibitors/chemistry , Protease Inhibitors/pharmacology , West Nile virus/enzymology , Click Chemistry , Dengue/drug therapy , Dengue/enzymology , Dengue Virus/drug effects , Humans , Models, Molecular , Thiazoles/chemistry , Thiazoles/pharmacology , West Nile Fever/drug therapy , West Nile Fever/enzymology , West Nile virus/drug effects
15.
Eur J Med Chem ; 47(1): 59-64, 2012 Jan.
Article in English | MEDLINE | ID: mdl-22063754

ABSTRACT

An optimization campaign focused on improving pharmacological activity and physicochemical properties of a recently-identified class of cyclosulfamide-based norovirus inhibitors has been carried out. Dimeric compound 4 was found to be a ∼10-fold more potent norovirus inhibitor (ED(50) 0.4 µM) compared to the original hit, however, isonipecotic acid ester derivatives 7e and 10a were shown to have superior therapeutic indices.


Subject(s)
Amides/chemistry , Amides/pharmacology , Antiviral Agents/chemistry , Antiviral Agents/pharmacology , Norovirus/drug effects , Amides/chemical synthesis , Antiviral Agents/chemical synthesis , Cell Line , Inhibitory Concentration 50 , Piperazine , Piperazines/chemistry , Structure-Activity Relationship
16.
Bioorg Med Chem ; 19(20): 5975-83, 2011 Oct 15.
Article in English | MEDLINE | ID: mdl-21925886

ABSTRACT

A new class of compounds that exhibit anti-norovirus activity in a cell-based system and embody in their structure a cyclosulfamide scaffold has been identified. The structure of the initial hit (compound 2a, ED(50) 4 µM, TD(50) 50 µM) has been prospected by exploiting multiple points of diversity and generating appropriate structure-activity relationships.


Subject(s)
Amides/chemistry , Amides/pharmacology , Norwalk virus/drug effects , Sulfonic Acids/chemistry , Sulfonic Acids/pharmacology , Cell Line, Tumor , Humans , Molecular Structure , Norwalk virus/chemistry , Structure-Activity Relationship
17.
Bioorg Med Chem ; 19(19): 5749-55, 2011 Oct 01.
Article in English | MEDLINE | ID: mdl-21893416

ABSTRACT

A scaffold hopping strategy was employed to identify new chemotypes that inhibit noroviruses. The replacement of the cyclosulfamide scaffold by an array of heterocyclic scaffolds lead to the identification of additional series of compounds that possessed anti-norovirus activity in a cell-based replicon system.


Subject(s)
Antiviral Agents/chemical synthesis , Antiviral Agents/pharmacology , Norovirus/drug effects , Amides/chemical synthesis , Amides/chemistry , Amides/pharmacology , Antiviral Agents/chemistry , Cell Line , Heterocyclic Compounds/chemistry , Humans , Structure-Activity Relationship , Virus Replication/drug effects
18.
Bioorg Med Chem Lett ; 21(18): 5315-9, 2011 Sep 15.
Article in English | MEDLINE | ID: mdl-21802286

ABSTRACT

The first series of peptidyl aldehyde inhibitors that incorporate in their structure a glutamine surrogate has been designed and synthesized based on the known substrate specificity of Norwalk virus 3C protease. The inhibitory activity of the compounds with the protease and with a norovirus cell-based replicon system was investigated. Members of this class of compounds exhibited noteworthy activity both in vitro and in a cell-based replicon system.


Subject(s)
Cysteine Proteases/metabolism , Cysteine Proteinase Inhibitors/chemical synthesis , Cysteine Proteinase Inhibitors/pharmacology , Drug Design , Norwalk virus/enzymology , Chemistry Techniques, Synthetic , Crystallography, X-Ray , Cysteine Proteinase Inhibitors/chemistry , Dose-Response Relationship, Drug , Models, Molecular , Molecular Conformation , Stereoisomerism , Structure-Activity Relationship
19.
Bioorg Med Chem Lett ; 21(10): 3177-80, 2011 May 15.
Article in English | MEDLINE | ID: mdl-21511470

ABSTRACT

The general strategy and rationale underlying the design of COPD therapeutics that possess protease inhibitory activity and are also capable of releasing a species that attenuates inflammation by inhibiting caspase-1, are described. The synthesis and in vitro biochemical evaluation of a dual function molecule that sequentially inhibits HNE and caspase-1 in a time-dependent manner is reported.


Subject(s)
Protease Inhibitors/metabolism , Pulmonary Disease, Chronic Obstructive/metabolism , Catalytic Domain , Humans , Models, Molecular , Molecular Structure , Neutrophils/enzymology , Neutrophils/metabolism , Pancreatic Elastase/metabolism , Time Factors
20.
Expert Opin Ther Pat ; 21(3): 339-54, 2011 Mar.
Article in English | MEDLINE | ID: mdl-21235378

ABSTRACT

INTRODUCTION: Chronic obstructive pulmonary disease (COPD) constitutes a worldwide health problem. There is currently an urgent and unmet need for the development of small molecule therapeutics capable of blocking and/or reversing the progression of the disorder. Recent studies have greatly illuminated our understanding of the multiple pathogenic processes associated with COPD. Of paramount importance is the key role played by proteases, oxidative stress, apoptosis and inflammation. Insights gained from these studies have made possible the exploration of new therapeutic approaches. AREAS COVERED: An overview of major developments in COPD research with emphasis on low-molecular mass neutrophil elastase inhibitors is described in this review. EXPERT OPINION: Great strides have been made toward our understanding of the biochemical and cellular events associated with COPD. However, our knowledge regarding the inter-relationships among the multiple pathogenic mechanisms and their mediators involved is still limited. The problem is further compounded by the unavailability of suitable validated biomarkers for assessing the efficacy of potential therapeutic interventions. The complexity of COPD suggests that effective therapeutic interventions may require the administration of more than one agent such as a human neutrophil elastase or MMP-12 inhibitor with an anti-inflammatory agent such as a PDE4 inhibitor or a dual function agent capable of disrupting the cycle of proteolysis, apoptosis, inflammation and oxidative stress.


Subject(s)
Proteinase Inhibitory Proteins, Secretory/therapeutic use , Pulmonary Disease, Chronic Obstructive/drug therapy , Animals , Humans , Leukocyte Elastase/physiology , Proteinase Inhibitory Proteins, Secretory/pharmacology , Pulmonary Disease, Chronic Obstructive/etiology
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