“…Fidarestat {(2S,4S)-6-fluoro-2',5'-dioxospiro[chroman-4,4'-imidazolidine]-2-carboxamide}, which shows higher activity and selectivity than other inhibitors, contains a carbamoyl-substituted cyclic imide-chroman system ring ( Figure 1) [29][30][31]. The structures of the respective complexes with ALR2 suggest that alteration of the interactions between the cyclic imide rings and carbamoyl groups of the substrate with residues Trp20, Val47, Tyr48, Trp79, His110, Trp111, Phe122, Trp219, Cys298, Ala299 and Leu300 could account for differences in their inhibitory potencies (Table 1).…”