1,1-Dioxo-5,6-dihydro-[4,1,2]oxathiazines, a novel class of 11-HSD1 inhibitors for the treatment of diabetes.
Bohme, T., Engel, C.K., Farjot, G., Gussregen, S., Haack, T., Tschank, G., Ritter, K.(2013) Bioorg Med Chem Lett 23: 4685-4691
- PubMed: 23845218 
- DOI: https://doi.org/10.1016/j.bmcl.2013.05.102
- Primary Citation of Related Structures:  
4K1L, 4K26 - PubMed Abstract: 
Racemic cis-1,1-dioxo-5,6-dihydro-[4,1,2]oxathiazine derivative 4a was isolated as an impurity in a sample of a hit from a HTS campaign on 11¦Â-hydroxysteroid dehydrogenase type 1 (11¦Â-HSD1). After separation by chiral chromatography the 4a-S, 8a-R enantiomer of compound 4a was identified as the true, potent enzyme inhibitor. The cocrystal structure of 4a with human and murine 11?-HSD1 revealed the unique binding mode of the oxathiazine series. SAR elucidation and optimization in regard to metabolic stability led to monocyclic tetramethyloxathiazines as exemplified by compound 21g.
Organizational Affiliation: 
Sanofi Deutschland GmbH, R&D, Industriepark H?chst, 65926 Frankfurt am Main, Germany.