Interleukin-17A (IL-17A) is a principal driver of multiple inflammatory and immune disorders. Antibodies that neutralize IL-17A or its receptor (IL-17RAInterleukin-17 (IL-17) cytokines are homo or heterodimeric proteins formed by combinations of six distinct polypeptides designated IL17A-F 1 . They are essential to a fully functional immune system 2,3 , but dysregulated expression of IL-17A is implicated in autoimmune disorders such as psoriasis, psoriatic arthritis, rheumatoid arthritis and multiple sclerosis 4-6 . The IL-17A covalent homodimer's significance in psoriasis is evidenced by the recent success of anti-IL-17A biologics as therapeutics. Secukinumab (Costentyx TM ), a monoclonal antibody targeting IL-17A, was recently approved for the treatment of moderate to severe plaque psoriasis 7,8 and is being investigated in other IL-17A-driven immunological diseases 9 . Additionally, two other biologics, ixekizumab (anti-IL17A) 10,11 and brodalumab (an antibody to the IL-17 receptor, IL-17RA) 12,13 , have shown efficacy in psoriasis in late stage clinical trials.IL-17A signaling occurs through its membrane-bound receptors, IL-17RA and IL-17RC, and elicits multiple inflammatory and immune responses [14][15][16] . The cytokine binds to IL-17RA with low single-digit nanomolar affinity 14,15,17,18 . and the structure of their complex is known 17 . The emerging biologics block this interaction by binding to one or other of the partners, but our goal was to determine whether it could be blocked or modulated with a small molecule as this could afford orally active agents.Small-molecule inhibition of a protein-protein interaction (PPI) is invariably challenging 19 . Even the discovery of early lead matter tends to be difficult because corporate compound collections are largely designed to target the active centers of enzymes, and are deficient in compounds suitable to the longer and shallower binding sites on which PPIs tend to depend. As the industry expands the "druggable genome", continued efforts at small molecule inhibition of PPIs will be required 20 .
ResultsLead small molecule IL-17A antagonists. Our effort to discover small-molecule antagonists of IL-17A was initiated from disclosed inhibitors 21,22 exemplified by compound 1 (Fig. 1), a polyamide with clear structure-activity relationships (SAR) representative of the series. For example, the amide bonds, correct chiral center and cyclopentyl group were all required for activity. Surface plasmon resonance (SPR) measurements showed