Discovery of Small Molecule Agonist of Gonadotropin-Releasing Hormone Receptor (GnRH1R).

The gonadotrophin-releasing hormone (GnRH) is a central regulator of the human reproductive system and exerts physiological effects by binding to GnRH1R. The GnRH-GnRH1R system is a promising therapeutic target for the maintenance of reproductive function. There are several GnRH1R agonists on the market, but like GnRH, they are all peptide compounds and are limited by their way of administration (subcutaneous or intramuscular injection). To date, no published GnRH1R small molecule agonists have been reported. In this paper, the HTRF-based screening method has been used to screen our in-house chemical library, and we found and confirmed <b>CD304</b> as a hit compound. Subsequently, structure optimization led to the discovery of compound <b>6d</b>, exhibited with a certain GnRH1R activation activity (EC₅₀: 1.59 ± 0.38 μM). Further molecular dynamics simulation experiments showed that <b>6d</b> can well bind to the orthosteric site of GnRH1R through forming a hydrogen-bonding interaction with Y283^6.51. Binding of <b>6d</b> further induces conformational changes in TM6 and TM7, promoting the formation of a continuous water channel in GnRH1R, thereby promoting GnRH1R activation. This well-characterized hit compound will facilitate the further development of novel small molecule agonists of GnRH1R.