Designing Irreversible Inhibitors—Worth the Effort?
Open accessAbstract
Despite the unquestionable success of numerous irreversible drugs that are currently in clinical use, such as acetylsalicylic acid (Aspirin) and penicillin, the number of such approved drugs is much lower than that of noncovalent drugs. Over the years, the potential off‐target effects of these types of compounds have been the primary concern that has hampered their development. However, their remarkable advantages over noncovalent drugs and a better analysis of the risks have decreased the widespread skepticism surrounding them. The design of irreversible inhibitors is a challenge, particularly considering that in some cases their efficacy is due to complex and unexpected mechanisms of action. In this review the main advantages of irreversible inhibition are summarized, and the complexity of certain covalent modification mechanisms is highlighted with selected examples.
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Covalent PPI inhibitors can form chemically reactive metabolites when they bind to the target protein, which can lead to severe side effects.
“Covalent PPI inhibitors can form chemically reactive metabolites when they bind to the target protein [129], which can lead to severe side effects [130].”
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- Authors
- González‐Bello, C.
- Affiliations
- Universidade de Santiago de Compostela (ES)
- Corresponding author
- González‐Bello, Concepción
- Venue
- ChemMedChem
- Publisher
- Wiley
- Published
- 2015-11-23
- Volume
- 11
- Issue
- 1
- Pages
- 22-30
- ISSN
- 1860-7179 (ISSN-L)
- 1860-7187
- OpenAlex
- W2178945265
- Cited by
- 74
- References
- 77
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 3 · 2023: 5 · 2022: 5 · 2021: 8 · 2020: 8 · 2019: 10 · 2018: 7 · 2017: 9 · 2016: 12
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- ChemMedChem (publishedVersion)
- PubMed (publishedVersion)
- Hispana (acceptedVersion)
- Repositorio institucional da Universidade de Santiago de Compostela (University of Santiago de Compostela) (acceptedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion)
- Funders
- Spanish Ministry of Economy and Competitiveness (SAF2013-42899-R)
- Xunta de Galicia (GRC2013-041)
- European Regional Development Fund (ERDF)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Enzyme function and inhibition
- Physical Sciences › Chemistry › Organic Chemistry › Click Chemistry and Applications
- Health Sciences › Medicine › Pharmacology › Cholinesterase and Neurodegenerative Diseases
- Keywords
- irreversible inhibitors, covalent drug design, off-target effects, aspirin, penicillin, enzyme inhibition mechanism, drug development, non-covalent inhibitors
- MeSH terms
- beta-Lactamases, Enzyme Inhibitors, Humans, Hydro-Lyases, Models, Molecular, Molecular Conformation, Drug Design, H(+)-K(+)-Exchanging ATPase, Small Molecule Libraries
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