Stroke is a major cause of mortality and lifelong disability, yet effective treatment options remain limited.1 A novel strategy that might boost the survival rate of nerve cells after a stroke, is to stimulate the brain’s natural response to hypoxia.2 To achieve this, we are seeking to inhibit a regulatory enzyme called prolyl hydroxylase domain 2 (PHD2), which serves as the “off switch” for the hypoxia response. Inhibition of PHD2 unlocks cellular survival pathways and unleashes a cascade of neuroprotection mechanisms, representing a compelling therapeutic approach for stroke intervention.3
Previous pharmacophore and docking studies in the Hunter group identified two novel PHD2 inhibitors, VH-8 and VH-16, which both demonstrated neuroprotective activity when administered as pre-treatments.4 However, these lead compounds exhibit limited blood–brain barrier (BBB) permeability, restricting their therapeutic applicability. To address this limitation, we have rationally designed and synthesized a series of next-generation analogues based on the structural framework of VH-8 and VH-16, which are predicted to maintain PHD2 inhibitory activity while offering enhanced BBB permeability.
This work provides valuable insights into the development of targeted therapeutics for stroke treatment and establishes a foundation for further biological evaluation and optimization of PHD2 inhibitors as potential clinical candidates.