%0 Journal Article %T Analogues of the pan-selectin antagonist rivipansel (GMI-1070). %A Wagner B %A Smieško M %A Jakob RP %A Mühlethaler T %A Cramer J %A Maier T %A Rabbani S %A Schwardt O %A Ernst B %J Eur J Med Chem %V 272 %N 0 %D 2024 Jun 5 %M 38728868 %F 7.088 %R 10.1016/j.ejmech.2024.116455 %X The selectin family consisting of E-, P- and L-selectin plays dominant roles in atherosclerosis, ischemia-reperfusion injury, inflammatory diseases, and metastatic spreading of some cancers. An early goal in selectin-targeted drug discovery campaigns was to identify ligands binding to all three selectins, so-called pan-selectin antagonists. The physiological epitope, tetrasaccharide sialyl Lewisx (sLex, 1) binds to all selectins, albeit with very different affinities. Whereas P- and L-selectin require additional interactions contributed by sulfate groups for high binding affinity, E-selectin can functionally bind sLex-modified glycolipids and glycoproteins. Rivipansel (3) marked the first pan-selectin antagonist, which simultaneously interacted with both the sLex and the sulfate binding site. The aim of this contribution was to improve the pan-selectin affinity of rivipansel (3) by leveraging a new class of sLex mimetics in combination with an optimized linker length to the sulfate bearing group. As a result, the pan-selectin antagonist 11b exhibits an approximatively 5-fold improved affinity for E-, as well as P-selectin.