Scalable total synthesis of saxitoxin and related natural products.

Guo, Yinliang; Li, Yiheng; Chen, Sihan; Wu, Yige; Poll, Oscar; Ren, Zhouyang; Liu, Zhonglin; Vlkolinsky, Roman et al. · Nature · 2025

basic_science · Level V

Where this comes from

Abstract

Saxitoxin (STX, 1), a potent neurotoxin from shellfish, first isolated in 1957 (ref. <sup>1</sup>), offers immense pharmaceutical potential owing to its interaction with voltage-gated sodium channels<sup>2</sup>, which are ubiquitously present in all excitable cells of the central and peripheral nervous system<sup>3</sup>. Hundreds of studies towards its synthesis have been disclosed so far, yet a fully modular and scalable approach to the family remains elusive<sup>4-12</sup>. Here we show how a tactical combination of radical retrosynthesis, biocatalysis and C-H functionalization logic can be used to solve this problem, resulting in a scalable approach to the STX family in fewer than ten steps, including the first total synthesis of neosaxitoxin (neoSTX, 4), a hydroxylated naturally occurring STX analogue previously under clinical investigation<sup>13</sup>. The modular nature of the synthesis enables access to diverse analogues that were previously inaccessible and have now been evaluated through electrophysiological assays for biological activity.

Medical subject headings