“…However, the positional scanning of ENKs with a 1,4-disubstituted triazole, 1,5-disubstituted tetrazole, 4-imidazolidinone, and cyclopropane ring was not successful, with an overall loss of activity in most cases. It was suggested that natural amide bonds are critical for receptor interactions, particularly through hydrogen bondings between oxygen and hydrogen atoms [ 275 , 278 , 279 , 280 ]. Another positional scanning of DER-tetrapeptide with piperazin-2-one moieties, N , N ′-ethylene-bridged dipeptides showed slightly different SAR depending on the chirality and backbone [ 281 ].…”