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Structure–activity relationships for the MDM2-p53 inhibitory activity of a series of A-ring substituted 2-
N-benzyl-3-(4-chlorophenyl)-3-(1-(hydroxymethyl)cyclopropyl)methoxy)isoindolinones have been investigated, giving rise to compounds with improved potency over their unsubstituted counterparts. Isoindolinone A-ring substitution with a 4-chloro group for the 4-nitrobenzyl, 4-bromobenzyl and 4-cyanobenzyl derivatives (
10a–
c) and substitution with a 6-
tert-butyl group for the 4-nitrobenzyl derivative (
10j) were found to confer additional potency. Resolution of the enantiomers of
10a showed that potent MDM2-p53 activity resided in the (−)-enantiomer ((−)-
10a; IC
50
=
44
±
6
nM). The cellular activity of key compounds has been examined in cell lines with defined p53 and MDM2 status. Compounds
10a and (−)-
10a increase p53 protein levels, activate p53-dependent MDM2 and p21 transcription in MDM2 amplified cells, and show improved selectivity for growth inhibition in wild type p53 cell lines over the parent compound.