1. Academic Validation
  2. Leveraging Kinase Drugs for Neurosciences: Discovery of Selective, CNS-Penetrant Reversible Bruton's Tyrosine Kinase Inhibitors as Therapeutics for Neuroinflammation

Leveraging Kinase Drugs for Neurosciences: Discovery of Selective, CNS-Penetrant Reversible Bruton's Tyrosine Kinase Inhibitors as Therapeutics for Neuroinflammation

  • J Med Chem. 2026 Apr 23;69(8):8818-8837. doi: 10.1021/acs.jmedchem.5c02648.
Brian T Hopkins 1 2 Isaac E Marx 1 Harlod George Vandeveer 1 Marta Nevalainen 1 Rebecca Basile 3 Bekim Bajrami 4 Colin K Choi 5 Richard J Grater 6 Chungang Gu 6 Marc Hoemberger 7 Ekta Kadakia 6 Sudarshan K Kapadnis 6 Ying Liu 6 Bin Ma 1 Tom Magee 5 Claire M Metrick 8 Michael Mingueneau 3 Cathy A Muste 3 Chelsea R Parker Harp 3 Robin J Prince 1 Joseph C Santoro 7 Jurgen Schulz 1 Simone Sciabola 1 Hao Tang 3 Ti Wang 7 Robert Meissner 1 Tonika Bohnert 6
Affiliations

Affiliations

  • 1 Medicinal Chemistry, Biogen Inc, Biotherapeutics and Medicinal Sciences, Cambridge, Massachusetts 02142, United States.
  • 2 Pharmaceutical Operations and Technology, Biogen Inc, Biotherapeutics and Medicinal Sciences, Cambridge, Massachusetts 02142, United States.
  • 3 Neuroinflammation Research, Biogen Inc, Biotherapeutics and Medicinal Sciences, Cambridge, Massachusetts 02142, United States.
  • 4 Chemo-Proteomics, Biogen Inc, Biotherapeutics and Medicinal Sciences, Cambridge, Massachusetts 02142, United States.
  • 5 Non-Clinical Safety, Biogen Inc, Biotherapeutics and Medicinal Sciences, Cambridge, Massachusetts 02142, United States.
  • 6 DMPK, Biogen Inc, Biotherapeutics and Medicinal Sciences, Cambridge, Massachusetts 02142, United States.
  • 7 Bio-Assays, Biogen Inc, Biotherapeutics and Medicinal Sciences, Cambridge, Massachusetts 02142, United States.
  • 8 Structural Biology, Biogen Inc, Biotherapeutics and Medicinal Sciences, Cambridge, Massachusetts 02142, United States.
Abstract

Bruton's tyrosine kinase (Btk) is a nonreceptor tyrosine kinase clinically validated to impact B-cell development. Molecules designed to target Btk, through either covalent or reversible inhibition, have transformed the treatment of hematopoietic malignancies. Wen, T.; Wang, J.; Shi, Y.; Qian, H.; Liu, P. Inhibitors targeting Bruton's tyrosine kinase in cancers: drug development advances. Leukemia 2021, 35(2), 312-332.10.1038/s41375-020-01072-6. These advancements are paving the way for new therapeutics to treat nononcology indications, De Bondt, M.; Renders, J.; Struyf, S.; Hellings, N. Inhibitors of Bruton's tyrosine kinase as emerging therapeutic strategy in autoimmune diseases. Autoimmun. Rev. 2024, 23(5), 103532.10.1016/j.autrev.2024.103532 such as multiple sclerosis (MS), and provide benefits to patients with progressive disease. In this context, we describe the discovery of a highly selective, CNS-penetrant, reversible Btk Inhibitor designed to sequester Tyr-551, the critical phosphorylation site, into an inactive conformation, thereby blocking B-cell receptor (BCR) signaling. While this class of molecules demonstrated excellent safety when administered at doses that fully inhibited B-cell activity in the periphery, increasing exposure to achieve similar efficacy in the CNS led to adverse findings. This raises the question of whether it was a molecule-specific off-target toxicity or a consequence of blocking Btk function in microglia.

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