A Polypharmacology-Driven Approach to Alzheimer's Disease and Tauopathies: Rational Design, Synthesis and Characterization of Amino-Pyrazole-Based Multikinase (GSK-3 beta /FYN-alpha /DYRK1A) Inhibitors.
Demuro, S., Russo, D., Penna, I., Grabska, S., Grabski, H., Dalle Vedove, A., Valeri, A., Sauvey, C., Ottonello, G., Summa, M., Bertozzi, S.M., Ortega, J., Bertorelli, R., Storici, P., Girotto, S., Cruciani, G., Di Martino, R.M.C., Abagyan, R., Cavalli, A.(2026) J Med Chem 69: 9991-10018
- PubMed: 42054438 Search on PubMedSearch on PubMed Central
- DOI: https://doi.org/10.1021/acs.jmedchem.5c01810
- Primary Citation Related Structures: 
9FR5, 9FR6, 9FR7, 9FR8, 9FR9, 9FT2, 9FT3, 9FT4, 9FT6, 9FUF - PubMed Abstract: 
Accumulation of microtubule-associated protein tau is a neurotoxic hallmark in Alzheimer's disease (AD) and related tauopathies. To date, no small molecule disease-modifying therapy exists, underscoring an urgent unmet need. In this context, the multitarget-directed ligand (MTDL) approach offers a viable polypharmacological option for modulating key pathways/targets involved in tau pathology. Leveraging the interconnected roles of GSK-3β, FYN, and DYRK1A in tau hyperphosphorylation, we conducted a computational and X-ray crystallography-driven SAR exploration around our previously disclosed GSK-3β/FYN/DYRK1A inhibitor ARN25068 ( 1 ). Modification of the thieno[3,2- d ]pyrimidine central core of 1 led to the discovery of quite well-balanced GSK-3β/FYN/DYRK1A triple-targeting analogs ( 27 , 28 (ARN25699) and 31 (ARN26646)). Among these, 28 displayed a favorable ADME profile, acceptable pharmacokinetic properties, and efficacy in an in vitro tau phosphorylation assay, outperforming three single-target inhibitors tested individually or in combination. These compounds represent promising MTDL leads poised to advance therapeutic innovation in AD and related tauopathies.
- Computational and Chemical Biology, Istituto Italiano di Tecnologia, via Morego 30, 16163 Genova, Italy.
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