Tuberculosis, caused by Mycobacterium tuberculosis (Mtb), is the infectious disease responsible for the highest number of deaths worldwide. Herein, 22 new N-oxide-containing compounds were synthesized followed by in vitro and in vivo evaluation of their antitubercular potential against Mtb. Compound 8 was found to be the most promising compound, with MIC90 values of 1.10 and 6.62 μM against active and nonreplicating Mtb, respectively. Additionally, we carried out in vivo experiments to confirm the safety and efficacy of compound 8; the compound was found to be orally bioavailable and highly effective, leading to a reduction of Mtb to undetectable levels in a mouse model of infection. Microarray-based initial studies on the mechanism of action suggest that compound 8 blocks translation. Altogether, these results indicate that benzofuroxan derivative 8 is a promising lead compound for the development of a novel chemical class of antitubercular drugs.
Tuberculosis, caused by Mycobacterium tuberculosis (Mtb), is the infectious disease responsible for the highest number of deaths worldwide. Herein, 22 new N-oxide-containing compounds were synthesized followed by in vitro and in vivo evaluation of their antitubercular potential against Mtb. Compound 8 was found to be the most promising compound, with MIC90 values of 1.10 and 6.62 μM against active and nonreplicating Mtb, respectively. Additionally, we carried out in vivo experiments to confirm the safety and efficacy of compound 8; the compound was found to be orally bioavailable and highly effective, leading to a reduction of Mtb to undetectable levels in a mouse model of infection. Microarray-based initial studies on the mechanism of action suggest that compound 8 blocks translation. Altogether, these results indicate that benzofuroxan derivative 8 is a promising lead compound for the development of a novel chemical class of antitubercular drugs.
Mycobacterium tuberculosis (Mtb), the causative agent of tuberculosis (TB)
in humans,
is considered to be responsible for the highest number of deaths caused
by an infectious disease worldwide in 2015. The World Health Organization
(WHO) reported 9.6 million new cases and 2 million deaths worldwide
in the same year.[1] The high mortality rate
of TB has even surpassed the number of deaths caused by human immunodeficiency
virus. According to an estimate, one-third of the world’s population
is infected with a latent form of TB,[2] for
which treatment is often ineffective owing to a lack of drugs with
the ability to act on mycobacteria in the dormant state.[3,4]Furthermore, the increased dissemination of multidrug-resistant
(MDR), extensively drug-resistant, and totally drug-resistant strains
has posed a huge challenge throughout the world in the fight against
TB.[5−8]For treating TB, the WHO recommends a combination of isoniazid
(INH), rifampicin (RMP), ethambutol, and pyrazinamide for 6 months.
For cases involving resistance, the treatment can be extended up to
28 months and include the use of second-line drugs, such as fluoroquinolones,
aminoglycosides, d-cycloserine, and linezolid, among others.[9−11] The current treatment suffers from several limitations, including
the prolonged standard regimen, the high rate of treatment discontinuation,
adverse effects, toxicity, drug–drug interactions, and a lack
of effectiveness against the latent mycobacteria.[2,12−16]Over the past few years, limited but significant progress
in the
development of drug candidates against TB has been achieved. After
a gap of more than 50 years without new drugs approved for TB, the
United States Food and Drug Administration approved bedaquiline (Bdq,
SIRTURO, Janssen; Beerse, Belgium) in 2012 for the treatment of MDR-TB.
The literature over the past 5 years has indicated significant advances
in the development of other compounds with potent antitubercular activity.[17−20] In this regard, several drug candidates were moved toward clinical
trials, such as sutezolid, posizolid, delamanid, and pretomanid.[21,22] Nevertheless, Mtb strains resistant to the new
compounds have already been reported,[23−25] reinforcing the urgency
to develop more potent and a larger number of novel drugs for the
treatment of TB.[11]We previously
reported a series of furoxan derivatives with potent
activity against Mtb, including MDR strains. Specifically,
the compound (E)-4-(4-((2-isonicotinoylhydrazono)methyl)phenoxy)-3-(phenylsulfonyl)-1,2,5-oxadiazole
2-oxide (Figure )
inhibited the growth of Mtb strain H37Rv by 90% at
a concentration of 1 μM. In addition, we determined that the
antitubercular activity of this furoxan derivative was related to
its ability to generate nitric oxide (NO) following biotransformation.[26]
Figure 1
Design of the N-oxide-containing heterocycle derivatives.
Design of the N-oxide-containing heterocycle derivatives.Motivated by preliminary promising
results obtained with the furoxan
derivatives, we designed new heterocyclic analogues containing the
N-oxide subunit, including amide-furoxans (series 1), benzofuroxans
(series 2), and quinoxaline 1,4-di-N-oxide (QdNO) (series 3, Figure ). Furoxans, benzofuroxans,
and QdNO derivatives represent important scaffolds in medicinal chemistry
due to their wide spectrum of biological activities,[27] including antitubercular activity.[28] The antimycobacterial activity of these compounds is attributed
to the generation of reactive oxygen species (ROS) following their
biotransformation.[29−31] For quinoxalines specifically, earlier studies have
reported that these compounds lead to increased levels of ROS under
hypoxic conditions, which could contribute to interesting properties
against latent TB.[32−34]ROS play a crucial role in the pathogenesis
of TB. Several studies
have demonstrated the relationship between the level of ROS produced
by immune cells and the susceptibility of a patient to several species
of the Mycobacterium genus.[35,36] Furthermore, the effects exerted by ROS during TB are many-fold.
For example, increased ROS levels can lead to inhibition of Mtb growth, damage to cellular components, such as lipids,
proteins, and nucleic acids, and activation of macrophage-mediated
inflammatory activity.[37−40] High levels of ROS can also induce apoptosis of macrophages (host
for tubercle bacilli), thereby preventing the growth and replication
of the bacilli.[41] Therefore, the design
of new compounds that could act by increasing the levels of ROS and
perturbing mycobacterial redox homeostasis seems to be a promising
strategy for combating TB.[42−44]In a continuing effort
to develop new drug candidates for the treatment
of TB, we herein describe the design, synthesis, and biological activities
of a series of heterocyclic compounds containing N-oxide as antitubercular
compounds.
Results and Discussion
Chemistry
Twenty-two novel compounds
containing the
N-oxide subunit were synthesized according to the synthetic methodologies
presented in Schemes , 2, and 3.
Scheme 1
Preparation
of the Compounds of Series 1
Reagents and conditions:
(a)
thionyl bromide, DMF, rt, 30 min; (b) DBU, 2, 3, or 4-hydroxybenzaldehyde,
DCM, rt, 1 h; (c) ethanol, acetic acid, rt, 12 h.
Scheme 2
Preparation of the Compounds of Series 2
Reagents
and conditions: (a)
NaN3, DMSO, 75 °C, 1 h; (b) toluene, reflux, 2 h;
(c) aromatic hydrazide, ethanol, acetic acid, rt, 12 h.
Reagents and conditions:
(a)
thionyl bromide, DMF, rt, 30 min; (b) DBU, 2, 3, or 4-hydroxybenzaldehyde,
DCM, rt, 1 h; (c) ethanol, acetic acid, rt, 12 h.
Preparation of the Compounds of Series 2
Reagents
and conditions: (a)
NaN3, DMSO, 75 °C, 1 h; (b) toluene, reflux, 2 h;
(c) aromatic hydrazide, ethanol, acetic acid, rt, 12 h.
Preparation of the Compounds of Series 3
Reagents
and conditions: (a)
toluene, ethylene glycol, p-toluenesulfonic acid,
reflux, 12 h; (b) DCM, K2CO3, 40 °C, 96
h; (c) acetone, HCl, rt, 48 h; (d) isonicotinohydrazide, ethanol,
acetic acid, rt, 12 h.Amide-furoxan derivatives 1 and 2 were
synthesized according to previously described methods.[45,46] Furoxan derivative 2 was allowed to react with 2-,
3-, or 4-hydroxybenzaldehyde in dichloromethane, using 1,8-diazabicyclo[5.4.0]undec-7-ene
(DBU) as the base, leading to the formation of furoxan derivatives
containing an aldehyde group (3a–c).[47] Then, a condensation reaction of
the aldehyde derivatives with isonicotinohydrazide was performed in
ethanolic medium catalyzed by an acid to generate hybrid furoxan derivatives 4a–c (Scheme ).The benzofuroxan derivative containing
an aldehyde group (7) was obtained according to a previously
reported methodology.[48] The compound was
allowed to react with different
aromatic hydrazides through the same condensation reaction described
above, leading to the formation of benzofuroxan derivatives 8–17 (Scheme ). The 1H and 13C nuclear
magnetic resonance (NMR) spectra of these compounds displayed proton
and carbon signals from the benzofuroxan nucleus as broad peaks, indicating
benzofuroxan tautomerism.[27,31]Dioxolan-benzofuroxan
derivative 18 was obtained from
the reaction between compound 7 and ethylene glycol.[49] The quinoxaline derivatives were obtained through
a variation of the Beirut reaction,[50−52] wherein dioxolan-benzofuroxan
derivative 18 was reacted with the appropriate nitrile
derivatives in dichloromethane. Potassium carbonate (K2CO3) was utilized as a catalyst,[53] leading to the generation of quinoxaline derivatives 19–26. Compound 28 was synthesized
from quinoxaline 19, which was submitted to cyclic acetal
hydrolysis followed by its reaction with isonicotinohydrazide through
a condensation reaction (Scheme ).[54]All compounds
were characterized by elemental analysis, infrared
(IR) spectroscopy, mass spectrometry, and 1H and 13C NMR. Furthermore, all compounds were analyzed by high-pressure
liquid chromatography (HPLC), and their purity was confirmed to be
greater than 98.5%. Experimental logP values and melting points were
determined for the final compounds.
Biological Studies
The antitubercular activity of compounds
containing N-oxide (4a–c, 8–17, 19–26,
and 28) was assessed using Mtb strain
H37Rv (ATCC 27294). The Resazurin microtiter assay (REMA)
was employed as described previously.[26,55] The results
are expressed as minimum inhibitory concentration (MIC90), and compounds showing MIC90 values below 10 μM
were selected for further characterization. The potential cytotoxicity
of the compounds was evaluated using the MRC-5 human lung fibroblast
cell line according to a previously reported methodology,[26,56] and the results are expressed as IC50 values. The selectivity
index (SI) of the tested compounds was calculated through the ratio
of IC50 to MIC90. The compounds that reported
SI ≥ 10 were considered promising for further studies according
to the cutoff value established.[56,57] Potential
anaerobic activity of the best compounds was evaluated using the method
described by Cho et al.[58]Analysis
of the spectrum of biological activities of the compounds was performed
through determination of MIC90 values against Escherichia coli (ATCC 25922) and Staphylococcus aureus (ATCC 29213) by measuring the
optical density (OD) at 570 nm (OD570) after 16 h and against Candida albicans (ATCC 10231) at OD570 after 48 h.The compounds were also tested against isogenic Mtb H37Rv strains monoresistant to RMP (ATCC
35838), INH
(ATCC 35822), streptomycin (SM, ATCC 35820), capreomycin (CAP), moxifloxacin
(MOX), and BDQ (strains were from the University of Illinois at Chicago
Institute for Tuberculosis Research) by the multiple antigen blot
assay (MABA) microdilution technique.[59] Following this step, we selected the best compound (compound 8) for further studies.Due to the ability of Mtb to survive inside macrophages,
we decided to investigate whether compound 8 could inhibit
the growth of Mtb strain H37Rv in the J774A.1 macrophage
cell line. Furthermore, time–kill experiments were performed
for up to 15 days to evaluate the bactericidal profile of compound 8.Some earlier reports[60,61] indicated
that the
growth of mycobacteria can be affected by the presence of ions and
nutrients as well as by the pH of the medium. For this reason, different
culture medium conditions were analyzed by MABA. These included (a)
adjusting the culture medium to pH 6.0, (b) including 4% bovine serum
albumin (BSA), and (c) supplementing with 10% fetal bovine serum (FBS).
The slightly acidic pH (pH 6.0) was selected because it is compatible
with the growth of Mtb and corresponds to that at
the time when Mtb-containing phagosomes fuse with
lysosomes. One of the physiological functions of albumin (synthesized
in the liver) is to transport poorly soluble molecules of both endogenous
and exogenous origins.[62] Albumin binding
constitutes an essential pharmacological parameter that affects the
mechanism of action (MOA) of antibiotics in humans.[63] We utilized FBS, as it serves as a growth factor for mammalian
cells and might interfere with the antitubercular action of some compounds.Preliminary ADMT (absorption, distribution, and metabolism)
studies were performed for compound 8 using the following in vitro assays: chemical stability, plasma protein binding,
caco-2 permeability, cytochrome P450 inhibition, and hepG2 cytotoxicity.
Additionally, we characterized the mutagenicity of compound 8 through a micronucleus assay using mouse peripheral blood
reticulocytes.To ensure greater stability and improved solubility,
compound 8 was evaluated in an in vivo assay using
a pharmaceutical formulation. The nanostructured lipid system (ME)
was synthesized as described by our group previously,[64] with the following composition: 10% oil phase (cholesterol),
10% surfactant (a mixture of soy phosphatidylcholine, sodium oleate,
and Eumulgin HRE 40 [polyoxyl 40 castor oil-hydrogenated]; 3:6:8),
and 80% aqueous phase (phosphate buffer, pH 7.4). The compounds studied
were incorporated at the desired concentration for the in
vivo experiments by mass solubilization at the respective
volume and sonicated for 3 min in batch mode at 15% amplitude. The
ME-containing compound 8 was analyzed for tolerability
and oral bioavailability following the treatment of female BALB/C
mice infected with Mtb.Microarrays have been
used to successfully define the MOA of antitubercular
compounds.[65] Therefore, a microarray analysis
was performed to obtain an unbiased view of the MOA of compound 8.
In Vitro Antimycobacterial
Activity
The ability of Mtb to remain dormant
serves as the
predominant factor that contributes to precluding sterilization with
antibiotic therapy and promotes the development of antibiotic resistance.[66,67] Therefore, an ideal antitubercular drug should (i) reduce the duration
of treatment, (ii) be active against resistant strains, (iii) not
interfere with other TB drugs and antiretrovirals, and (iv) be active
against “dormant” bacilli.[10]Recently, our research group identified the compound (E)-4-(4-((2-isonicotinoylhydrazono)methyl)phenoxy)-3-(phenylsulfonyl)-1,2,5-oxadiazole
2-oxide as a promising antitubercular drug candidate.[26] To optimize its antimycobacterial activity, we designed
novel heterocyclic compounds containing N-oxide analogues of the parent
compound, which comprised the following heterocyclic moieties: amide-furoxan
(series 1, 4a–c), benzofuroxan (series
2, 8–17), and quinoxaline 1,4-di-N-oxide
(series 3, 19–26 and 28). The amide-furoxan derivatives (4a–c) were selected to evaluate whether the replacement of the phenylsulfonyl
group from the parent compound by an amide group would increase the
antitubercular activity and/or decrease the cytotoxicity. The three
amide-furoxan regioisomers (4a–c)
displayed improved antitubercular activity compared to that of the
parent compound.[26] The compounds from series
1 exhibited MIC90 values around 0.4 μM against actively
growing Mtb strain H37Rv (Table ).
Table 1
Antitubercular
Activity of N-Oxide-Containing
Heterocycles against Actively Replicating and Dormant M. tuberculosis H37Rv (MIC90), Cytotoxicity against the MRC-5
Cell Line (IC50), Selectivity Index (SI), and Experimental
LogP
MIC90
dormant MIC90
cytotoxicity IC50
class
compound
μg/mL
μM
μg/mL
μM
μg/mL
μM
SIa
LogPb
furoxan
4a
0.16
0.42
2.95
7.72
326.70
854.00
2033.30
1.3
4b
0.15
0.40
1.60
4.20
490.10
1281.90
3204.70
1.3
4c
0.16
0.43
0.78
2.04
443.30
1159.50
2696.50
1.3
benzofuroxan
8
0.31
1.10
–
6.62
147.10
519.20
472.0
1.5
9
2.40
8.30
–
–
36.80
130.40
15.60
2.2
10
1.30
3.90
–
–
8.50
25.20
6.30
3.8
11
1.73
5.29
–
–
–
–
–
0.9
12
16.40
>62.0
–
–
–
–
–
1.3
13
>25.0
>62.0
–
–
–
–
–
1.2
14
>25.0
>62.0
–
–
–
–
–
1.2
15
3.70
12.30
–
–
36.40
122.40
9.90
2.0
16
5.30
17.80
–
–
24.40
82.10
4.60
1.4
17
3.16
10.66
>10.0
>10.0
250.0
841.0
78.90
1.2
quinoxaline
19
10.30
30.80
–
–
10.70
31.90
0.90
0.7
20
5.70
16.50
–
–
6.20
17.20
1.10
1.6
21
6.40
16.20
–
–
5.00
12.60
0.80
1.8
22
4.40
12.00
–
–
5.50
15.00
1.20
1.4
23
8.60
24.30
–
–
7.70
21.80
0.90
1.3
24
6.50
15.40
–
–
28.00
66.80
4.30
2.2
25
1.70
5.20
–
–
11.60
35.70
6.80
2.0
26
4.10
12.10
–
–
5.90
17.30
1.40
1.9
28
16.30
39.70
–
–
8.60
21.00
0.50
1.0
standard drugs
isoniazid
0.014
0.1
–
1.108.4
–
–
–
–
rifampicin
0.082
0.1
–
0.1
N.D.
N.D.
N.D.
N.D.
SI indicates the ratio between the
IC50 against MRC-5 and the MIC90; dash (−)
indicates not determined.
Determined by partition coefficient
(n-octanol/water) (HPLC method).[74]
SI indicates the ratio between the
IC50 against MRC-5 and the MIC90; dash (−)
indicates not determined.Determined by partition coefficient
(n-octanol/water) (HPLC method).[74]The benzofuroxan
moiety (series 2, 8–17) was selected
due to its possible ability to generate ROS
after its metabolism.[30] The structural
design of the series under study was based on the isosteric replacement
of substituents attached on the phenyl ring.
These included hydrogen, nitro, tert-butyl, amino, and hydroxyl groups.
Furthermore, we evaluated the substitution of the phenyl ring by a
pyridine ring owing to the presence of a heterocyclic pyridine ring
in the structure of several antituberculosis drugs and bioactive compounds,
such as INH, BDQ, and ethionamide.[68] As
expected, the replacement of the phenyl ring of compound 9 by a pyridine ring in compound 8 led to a 7-fold increase
in the antituberculosis activity (MIC90 = 1.1 μM; Table ).Among the
benzofuroxan series, our group identified the compound
(E)-6-((2-isonicotinoylhydrazono)methyl)benzo[c][1,2,5]oxadiazole 1-oxide (8) as the lead
benzofuroxan derivative with MIC90 values of 1.1 and 6.6
μM against actively growing and dormant Mtb, respectively. The nearly equimolar effects observed against replicating
and nonreplicating Mtb, suggested by the small difference
in MIC90 values, is considered to be an attractive characteristic.
Such differences are rarely observed but highly desired and beneficial.Moreover, our data revealed that the presence of bulky groups,
such as tert-butyl (10, MIC90 = 3.9 μM),
and electron-withdrawing groups, such as nitro (11, MIC90 = 5.3 μM), led to an improvement in antituberculosis
activity of the analyzed compounds. Compound 9 (unsubstituted
phenyl) presented an MIC90 value of 8.3 μM, whereas
the hydroxyl regioisomers (12–14)
presented MIC90 values greater than 62 μM. Amino
derivatives 15–17 also exhibited
a reduction in antitubercular activity in comparison to that of nonsubstituted
compound 9; however, these compounds reported MIC90 values (12.3–27.9 μM) lower than those containing
a hydroxyl substitution (Table ).With respect to the quinoxaline 1,4-di-N-oxide series,
we evaluated
the influence of electron-withdrawing and electron-donating groups
on the phenyl ring on antitubercular activity. We also performed an
isosteric substitution of the phenyl ring by furan (25) and thiophen (26) moieties. For quinoxaline-phenyl
derivatives 19–24, the MIC90 values ranged from 12.0 to 30.8 μM, implying a contribution
of the presence of substitution at the para position of the phenyl
ring to the antituberculosis activity. Since compound 19 was devoid of any substituents, it displayed a lower potency among
the phenyl quinoxaline derivatives with an MIC90 of 30.8
μM. On the other hand, compound 22, with a methoxyl
group in the para position, displayed the lowest MIC90 value
among the phenyl quinoxaline series. Nevertheless, we could not observe
a clear and accurate structure–activity relationship with regard
to the electronic properties of the substituents.For compounds 25 and 26, the isosteric
replacement of the phenyl group by a furan or thiophen ring led to
a significant increase in the antitubercular activity. Compounds 25 and 26 exhibited MIC90 values of
5.2 and 12.1 μM, respectively. Furthermore, we synthesized a
quinoxaline derivative containing an N-acylhydrazone subunit (28); the antitubercular activity of this compound decreased
in comparison to that of the previous quinoxalines, exhibiting an
MIC90 value of 39.7 μM.
Further in Vitro Biological Profiling of Selected
Compounds
We evaluated the cytotoxicity of the final compounds
against the MRC-5 cell line. This cell line is derived from healthy
human lung fibroblasts and is widely utilized for the phenotypic screening
of antitubercular drugs.[69−71]The data obtained in the
cytotoxicity studies of the amide-furoxan series (4a–c) indicated a high selectivity of these compounds against Mtb. All three regioisomers exhibited high IC50 values (>854.0 μM), thereby leading to high SI values,
which
ranged from 2033 to 3205 (Table ).Regarding the cytotoxicity studies of the
benzofuroxan series,
we observed IC50 values ranging from 25 to 841 μM
against the MRC-5 cell line. The most active benzofuroxan derivative
(8) presented an IC50 value of 519 μM;
however, compound 17 was found to be less cytotoxic among
the benzofuroxan series with an IC50 value of 841 μM.
Compounds 11–14 did not display promising
antitubercular activity (MIC90 > 62 μM) and consequently
were excluded from the cytotoxicity studies. Rather, compound 8 was selected for further experiments as it possessed the
highest potency against Mtb and the lowest cytotoxicity.Compounds from the quinoxaline series were significantly more cytotoxic
against MRC-5 cells, with IC50 values ranging from 13 to
67 μM, thereby resulting in low SI (<6.8) values and making
them less attractive candidates as antitubercular agents.[56]The data obtained from MIC90 values under different
conditions (Table ) indicated no significant differences between MIC90 values
under normal and others conditions. These conditions included (a)
adjusting the pH of the culture medium to 6.0, (b) including 4% BSA,
and (c) supplementing with 10% FBS.
Table 2
MIC Determinations
with
Compound 8 against M. tuberculosis H37Rv
(ATCC 27294) under Three Different Conditions
normala
acidic pHb
FBSc
BSAd
compound
MIC (μM)
SD
MIC (μM)
SD
MIC (μM)
SD
MIC (μM)
SD
8
5.47
1.01
3.41
1.52
11.79
0.93
9.81
1.21
rifampicin
0.05
0.03
0.02
0.02
0.10
0.08
0.10
0.03
Normal: normal pH media (6.8).
Acidic pH: media pH adjusted to
6.0.
FBS: 10% fetal bovine
serum.
BSA: 4% bovine serum
albumin.
Normal: normal pH media (6.8).Acidic pH: media pH adjusted to
6.0.FBS: 10% fetal bovine
serum.BSA: 4% bovine serum
albumin.The activity of
antimicrobials is classified as containing narrow,
intermediate, or broad spectrum. Tuberculosis is a chronic infection,
the treatment of which requires a drug with a narrow spectrum, such
as INH. All amide-furoxan and benzofuroxan (8, 11, 14, and 17) derivatives were
checked against S. aureus, E. coli, and C. albicans. No antimicrobial activity was detected up to a maximum concentration
of 200 μM.In terms of cross-resistance, compound 8 displayed
equipotent activity (<2-fold change in MIC90) against
all drug-sensitive and monoresistant strains of Mtb tested, suggesting a novel MOA or inhibition of a shared target
containing a distinct binding site by the compound (Table ). In contrast, the amide-furoxan
series (4a–c) was inactive against
half of the monoresistant strains tested and therefore was not selected
for further studies.
Table 3
Antitubercular Activity
of N-Oxide-Containing
Heterocycles against M. tuberculosis Monoresistant
Strains
INHr, isoniazid resistant; RMPr,
rifampicin resistant; MOXr, moxifloxacin resistant; ,BDQr, bedaquiline
resistant; CAPr, capreomycin resistant; and SMr, streptomycin resistant.
Dash (−) indicates not determined.We utilized J774A.1, a macrophage cell line, to study
the intracellular
inhibition of Mtb using the drugs under analysis.
We observed that compound 8 exhibited high intracellular
inhibition at all concentrations tested (around 90%). However, similar
to RMP, we could not verify the dose-dependent inhibition at different
concentrations (Figure ). In time–kill kinetic experiments, compound 8 was observed to be bactericidal with an early bactericidal effect.
Noteworthy, compound 8 could sterilize the cultures after
48 h of exposure (about of 6.7 log10; Figure ).
Figure 2
Intramacrophage activity
of compound 8 and RMP after
infection of J774A.1 macrophages with M. tuberculosis H37Rv (ATCC 27294). The percentage of inhibition was determined
as the mean of three independent assays. The concentrations of the
compounds were as follows: compound 8: 23.86 μg/mL
(4× MIC), 5.84 μg/mL (MIC), and 1.46 μg/mL (MIC/4);
positive control (RMP): 0.064 μg/mL (4× MIC), 0.016 μg/mL
(MIC), and 0.04 μg/mL (MIC/4). Bars: mean ± SD.
Figure 3
Time–kill curves of compound 8, rifampicin,
isoniazid, and moxifloxacin. Results are in log10 CFU/mL
of M. tuberculosis H37Rv (ATCC 27294)
according to time (days). The CFU count was determined as the mean
of three independent assays. The concentrations of the compounds were
0.72 μM for INH, 0.01 μM for RMP, 0.88 μM for MOX,
and 41.24 μM for compound 8. Bars: mean ±
SD.
Intramacrophage activity
of compound 8 and RMP after
infection of J774A.1 macrophages with M. tuberculosis H37Rv (ATCC 27294). The percentage of inhibition was determined
as the mean of three independent assays. The concentrations of the
compounds were as follows: compound 8: 23.86 μg/mL
(4× MIC), 5.84 μg/mL (MIC), and 1.46 μg/mL (MIC/4);
positive control (RMP): 0.064 μg/mL (4× MIC), 0.016 μg/mL
(MIC), and 0.04 μg/mL (MIC/4). Bars: mean ± SD.Time–kill curves of compound 8, rifampicin,
isoniazid, and moxifloxacin. Results are in log10 CFU/mL
of M. tuberculosis H37Rv (ATCC 27294)
according to time (days). The CFU count was determined as the mean
of three independent assays. The concentrations of the compounds were
0.72 μM for INH, 0.01 μM for RMP, 0.88 μM for MOX,
and 41.24 μM for compound 8. Bars: mean ±
SD.
Preliminary ADMT Studies
of Compound 8
On the basis of the promising
biological results described above
for compound 8, we conducted stability and ADMT studies
to assess its drug-like properties, such as absorption, distribution,
and metabolism. To analyze the chemical stability of the
compound, we conducted an in vitro assay under two
pH conditions (5.5 and 7.4) to mimic the environment of a macrophage
phagolysosome (pH 4.5–6.2)[72,73] and that of
neutral plasma (pH 7.4). At pH 5.5 and 7.4, compound 8 exhibited good stability (Figure ); however, a reduction of 20% was detected at both
pH values after 10 h. Interestingly, the concentration of compound 8 was 67 and 75% at pH 5.5 and 7.4, respectively,
after 24 h. The degradation rate of compound 8 was calculated
by HPLC-UV; however, we did not characterize the degradation products.
These results indicated that compound 8 exhibited high
stability in the physiological pH range in the target areas of bacteria,
namely, blood and phagolysosome.
Figure 4
In vitro chemical stability.
Hydrolytic profile
of compound 8 in buffer (pH 5.5 and 7.4) (data are the
mean ± SEM expressed as a percentage).
In vitro chemical stability.
Hydrolytic profile
of compound 8 in buffer (pH 5.5 and 7.4) (data are the
mean ± SEM expressed as a percentage).The in vitro ADMT properties of compound 8 are listed in Table . The benzofuroxan derivative demonstrated a 46.5% unbound
fraction when an in vitro plasma protein binding
assay was conducted. The findings from the study of compound 8 on the inhibition of cytochrome P450 isoforms indicated
no potential for inhibition, presenting IC50 values greater
than 15.0 μM against all isoforms tested. The studies in the
Caco-2 cell line demonstrated a good permeability profile. The cytotoxicity
study conducted in HepG2 cells reported an IC50 of 16.0
μM and an SI of 14.5. We also performed the micronucleus assay
using mouse peripheral blood reticulocytes for compound 8 to evaluate its intrinsic mutagenic activity. The results indicated
that compound 8 was not genotoxic at any concentration
tested (Figure ).
Table 4
In Vitro
ADMT Data for Compound 8
assay
compound 8
human plasma protein binding (% free)
46.5
Caco-2 permeability
A–B Pappa (cm/s)
5.67 × 10–6
B–A Pappa (cm/s)
3.90 × 10–6
CYP
inhibition IC50 (μM)
CYP2B6
>20
CYP2C8
>20
CYP2C19
15.3
CYP3A4
>20
HepG2 IC50 (μM)
16
Papp is the apparent permeability rate coefficient.
Figure 5
Average
frequency of micronucleated reticulocytes (MNRET) and standard
deviation of 1000 cells obtained from mice treated with the positive
control cyclophosphamide (50 mg/kg), CMC/Tween (negative control),
or compound 8 (50, 100, 200, and 500 mg/kg body weight).
*p < 0.05 (compared to negative control); **p < 0.05 (compared to the negative control and compound 8).
Average
frequency of micronucleated reticulocytes (MNRET) and standard
deviation of 1000 cells obtained from mice treated with the positive
control cyclophosphamide (50 mg/kg), CMC/Tween (negative control),
or compound 8 (50, 100, 200, and 500 mg/kg body weight).
*p < 0.05 (compared to negative control); **p < 0.05 (compared to the negative control and compound 8).Papp is the apparent permeability rate coefficient.
Tolerability, Oral Bioavailability,
and Efficacy of Compound 8 in Mice
In
vivo oral bioavailability,
toxicology, infection, and treatment studies were performed to ensure
the safety and efficacy of compound 8.For toxicology
studies, mice were monitored daily for 10 days, receiving one daily
oral dose (by gavage, 200 mg/kg body weight), and their behavior parameters
(hippocratic screening) were evaluated. No significant variation in
the behavior of mice was observed during the period of 10 days. Changes
in the weight of organs (heart, lungs, spleen, kidneys, and liver)
were evaluated using analysis of variance (ANOVA) and Dunnett’s
test, establishing a p-value < 0.05 as the significant
level. No statistically significant difference was observed between
the drug-treated and control groups. To probe for potential liver
damage, the levels of liver transaminases were checked in the plasma
and indicated no significant differences for alanine aminotransferase
(Figure a), aspartate
aminotransferase (Figure b), and alkaline phosphatase (Figure c) between the treated and control groups.
Similarly, we evaluated the levels of urea in blood samples to assess
potential changes in kidney function. Here, a significant difference
was observed for the group treated with RMP-ME when compared to the
control group (Figure d). The study of the oral bioavailability of compound 8 displayed an inhibition of Mtb growth in mouse
plasma (Table ).
Figure 6
Alanine
aminotransferase (a), aspartate aminotransferase (b), and
alkaline phosphatase enzyme activity determinations (c) and urea quantification
(d) in the plasma of BALB/c mice. Each compound was administered at
a daily oral dose (gavage) at a concentration of 200 mg/kg body weight
(n = 4 animals/group); RMP was at a concentration
of 20 mg/kg. Statistical analysis was performed using GraphPad Prism,
version 5.01, through ANOVA and Dunnett’s test, establishing P < 0.05 as the significance level. Bars: SD.
Table 5
Plasma Levels of Compound 8, RMP-ME, and RMP-CMC Following a Single Oral Administrationa
mouse datac
standardb
0.3 h
1 h
2 h
4 h
compound
MIC (μg/mL) predetermined
drug dose (mg/kg/body)
inhibition
(%)
estimate (μg/mL)
inhibition
(%)
estimate (μg/mL)
inhibition
(%)
estimate (μg/mL)
inhibition
(%)
estimate (μg/mL)
compound (8)-ME
5.84
300
65.67
42.61
79.00
51.26
76.00
49.31
51.33
33.30
RMP-ME
0.015
20
66.33
0.11
63.00
0.31
76.33
0.37
91.00
0.15
RMP-CMC
0.015
20
73.67
0.11
84.00
0.14
62.27
0.10
68.00
0.11
Experiments were carried out
in BALB/c mice.
Predetermined
by the Resazurin microtiter
assay (REMA) in vitro.
Determined using mouse plasma by
REMA in vitro; estimates in plasma are given.
Alanine
aminotransferase (a), aspartate aminotransferase (b), and
alkaline phosphatase enzyme activity determinations (c) and urea quantification
(d) in the plasma of BALB/c mice. Each compound was administered at
a daily oral dose (gavage) at a concentration of 200 mg/kg body weight
(n = 4 animals/group); RMP was at a concentration
of 20 mg/kg. Statistical analysis was performed using GraphPad Prism,
version 5.01, through ANOVA and Dunnett’s test, establishing P < 0.05 as the significance level. Bars: SD.Experiments were carried out
in BALB/c mice.Predetermined
by the Resazurin microtiter
assay (REMA) in vitro.Determined using mouse plasma by
REMA in vitro; estimates in plasma are given.The histology of the liver (Figure ) and kidneys (Figure ) revealed that the
morphology of these tissues was
the same in all groups, implying that no gross abnormalities were
caused by the treatments.
Figure 7
Histological section of liver stained with H&E
from the group
treated with compound 8. Histological sections stained
with H&E showed, in general, the presence of hepatocytes with
polyhedral morphology, grouped in strings separated by sinusoids,
forming well-defined hepatic lobes. The sinusoids, characterized as
wall capillaries coated by typical endothelial cells, had some Kupffer
cells. In each border of the hepatic lobe there was the presence of
well-organized structures called portal spaces, which are characterized
mainly by the presence of a portal hepatic vein (PHV), arteriole (A),
and bile duct (BD). This set was surrounded by a layer of intact and
continuous connective tissue, which appeared to be cut off by channels
that discharged blood into the sinusoids, which flow into the central
lobular vein.
Figure 8
Histological section
of kidneys stained with H&E from the group
treated with compound 8. Histological sections stained
with H&E generally exhibited morphologically normal, well- functional
units of the kidney. Each nephron had the Malpighi corpuscle, characterized
by the following structures: (1) Bowman’s capsule, formed by
simple pavement epithelium, and (2) glomerulus (G), characterized
by a set of capillaries of the fenestrated type. Near the Malpighi
corpuscle it was possible to observe proximal convoluted tubules formed
by a simple layer of high cuboidal epithelial cells, which have brush
edges facing the lumen of the tubules. Also adjacent to the Malpighi
corpuscles were distal tubules formed by low cuboidal cells.
Histological section of liver stained with H&E
from the group
treated with compound 8. Histological sections stained
with H&E showed, in general, the presence of hepatocytes with
polyhedral morphology, grouped in strings separated by sinusoids,
forming well-defined hepatic lobes. The sinusoids, characterized as
wall capillaries coated by typical endothelial cells, had some Kupffer
cells. In each border of the hepatic lobe there was the presence of
well-organized structures called portal spaces, which are characterized
mainly by the presence of a portal hepatic vein (PHV), arteriole (A),
and bile duct (BD). This set was surrounded by a layer of intact and
continuous connective tissue, which appeared to be cut off by channels
that discharged blood into the sinusoids, which flow into the central
lobular vein.Histological section
of kidneys stained with H&E from the group
treated with compound 8. Histological sections stained
with H&E generally exhibited morphologically normal, well- functional
units of the kidney. Each nephron had the Malpighi corpuscle, characterized
by the following structures: (1) Bowman’s capsule, formed by
simple pavement epithelium, and (2) glomerulus (G), characterized
by a set of capillaries of the fenestrated type. Near the Malpighi
corpuscle it was possible to observe proximal convoluted tubules formed
by a simple layer of high cuboidal epithelial cells, which have brush
edges facing the lumen of the tubules. Also adjacent to the Malpighi
corpuscles were distal tubules formed by low cuboidal cells.The efficacy of compound 8 was analyzed by infecting
the mice with Mtb strain H37Rv followed by subjecting
the infected animals to the treatment with compound 8 or vehicle. The homogenized lung samples were plated at dilutions
of 1:100 to 1:10000, at which no growth of Mtb colonies
was observed. Therefore, the homogenized lung samples were reinoculated
on agar plates in undiluted form and at 1:10 dilution; however, again,
no colonies were observed (Figure ). Control experiments with vehicle, RPM, and RPM-CE
behaved as expected (Figure ).
Figure 9
Efficacy of compound 8 in microemulsion and controls
administrated once daily by oral gavage of a 200 μL suspension.
Efficacy of 200 mg/kg compound 8 against acute TB in
mice. Female 20 g BALB/c mice were infected by aerosol with a low
dose (5 × 106 CFU/mL) of M. tuberculosis Erdman. The start of treatment commenced at 10 days postinfection
and terminated at 29 days postinfection. Dosages were obtained by
once-daily dosing by oral gavage. Groups of 7 mice were dosed for
5 consecutive days each week. CFU were determined after a 3 day washout
period at day 31 postinfection. Both lungs were homogenized and diluted
in Hanks’ balanced salt solution (HBSS)-Tween, and aliquots
were plated on Middlebrook 7H11 medium. Bars: SD. * indicates the
effect of sterilization.
Efficacy of compound 8 in microemulsion and controls
administrated once daily by oral gavage of a 200 μL suspension.
Efficacy of 200 mg/kg compound 8 against acute TB in
mice. Female 20 g BALB/c mice were infected by aerosol with a low
dose (5 × 106 CFU/mL) of M. tuberculosis Erdman. The start of treatment commenced at 10 days postinfection
and terminated at 29 days postinfection. Dosages were obtained by
once-daily dosing by oral gavage. Groups of 7 mice were dosed for
5 consecutive days each week. CFU were determined after a 3 day washout
period at day 31 postinfection. Both lungs were homogenized and diluted
in Hanks’ balanced salt solution (HBSS)-Tween, and aliquots
were plated on Middlebrook 7H11 medium. Bars: SD. * indicates the
effect of sterilization.
Mode of Action Studies
Although the antitubercular
activity of benzofuroxan derivative 8 was originally
attributed to its potential to generate and release nitric oxide (NO),
we no longer believe this to be the case because the compound could
not result in the release of NO in the Griess assay (a chemical test
to analyze nitrite ions in solution; data not shown). An alternative
mechanism was proposed as mentioned below.Microarray analysis
of Mtb treated with compound 8 or vehicle
control revealed a significant upregulation in the majority of ribosomal
genes as well as all genes encoding subunits of ATP synthase (Figure and Table S1). This included EF-G, which induces
GTP-dependent translocation of nascent peptide chains from the A-
to the P-site in the ribosome, and EF-Tu, which promotes GTP-dependent
binding of aminoacylated tRNAs to the A-site in ribosomes. No upregulation
of heat shock proteins was observed; in fact, a downregulation of
hsp, htrA, and hspR was demonstrated (Table S1). Similarly, upregulation of ribosomal proteins was observed upon
treatment of Mtb with inhibitors of protein synthesis.
Our data indicated an upregulation of a large number of operons as
well as single genes encoding ribosomal proteins, which in turn suggested
that compound 8 could affect protein synthesis by inhibiting
the ribosome. Boshoff and co-workers[65] divided
protein synthesis inhibitors into two classes on the basis of their
effect on the expression of heat shock proteins (either no effect
or upregulation). Compound 8 did not increase the abundance
of transcripts encoding heat shock proteins and, in fact, decreased
the levels of three transcripts (hsp, htrA, and hspR). The results of this study of the inhibition
of protein synthesis indicated that compound 8 behaves
more like an inhibitor of translation initiation, such as tetracyclines,
rather than an inhibitor of protein synthesis that leads to mistranslation,
such as aminoglycosides. Further studies are required to define the
exact MOA of compound 8, including its binding site and
inhibition of the Mtb ribosome, ATP synthase, or
other targets.
Figure 10
Gene expression after 4 h of exposure to compound 8 at 2× MIC by microarray. (a) Heatmap and (b) volcano
plot,
illustrating the effect of compound 8 versus vehicle
on gene expression in M. tuberculosis H37Rv. (c) Table showing two examples of upregulated genes associated
with the ribosome or ATP synthase.
Gene expression after 4 h of exposure to compound 8 at 2× MIC by microarray. (a) Heatmap and (b) volcano
plot,
illustrating the effect of compound 8 versus vehicle
on gene expression in M. tuberculosis H37Rv. (c) Table showing two examples of upregulated genes associated
with the ribosome or ATP synthase.
Conclusions
Twenty-two new N-oxide-containing compounds
were synthesized followed
by in vitro and in vivo evaluation
of their antitubercular activity against Mtb. The
amide-furoxan series (4a–c) was observed
to be the most promising compounds, with MIC90 values around
0.40 μM against actively replicating Mtb and
SI values ranging from 2033.3 to 3204.7. The benzofuroxan series (8–17) also presented promising antitubercular
activity, especially compound 8, which reported MIC90 values of 1.1 and 6.6 μM against actively growing
and nonreplicating Mtb, respectively. Compound 8 also displayed high activity in a macrophage model of infection.
In addition, in vivo studies employing a mouse model
of infection demonstrated the sterilizing activity of compound 8. No detectable Mtb was observed in the
lungs of treated mice, whereas control mice displayed the expected
number of CFUs. Altogether, these findings highlight benzofuroxan
derivative 8 as a novel lead compound for designing an
antitubercular drug that possesses sterilizing activity superior to
that of rifampicin in a mouse model of infection.
Experimental Section
Melting points (mp) were
measured using an
electrothermal melting point apparatus (SMP3; Bibby Stuart Scientific)
or in a Mettler FP82+FP80 apparatus (Greifense, Switzerland). Infrared
spectroscopy (KBr disc) was performed on a FTIR-8300 Shimadzu or a
Nicolet Nexu FTIR Thermo spectrometer, and the frequencies are expressed
in cm–1. NMR spectra for 1H and 13C of all compounds were recorded on a Bruker Fourier spectrometer
with a dual 13C/1H (300 MHz) probe or a Bruker
400 Ultrashield 13C/1H (400 MHz) spectrometer
using deuterated chloroform (CDCl3) or dimethyl sulfoxide
(DMSO-d6) as solvent; the chemical shifts
are expressed in parts per million (ppm) relative to tetramethylsilane.
The signal multiplicities are reported as singlet (s), doublet (d),
doublet of doublets (dd), and multiplet (m). Elemental microanalysis
(C, H, and N) was performed on a PerkinElmer model 2400 analyzer or
a CHN-900 Elemental Analyzer (LECO, Tres Cantos, Spain), and the data
were within ±0.4% of theoretical values. HRMS (ESI+) data were acquired using a Bruker Maxis Impact quadrupole time-of-flight
tandem mass spectrometer (Q-TOF MS/MS), and the mass spectra values
are reported as m/z. The compounds
were purified on a chromatography column with silica gel (60 Å
pore size, 35–75-μm particle size), and the following
solvents were used as the mobile phase: methanol, ethyl acetate, dichloromethane,
hexane, and petroleum ether in a flow rate of approximately 20 mL/min.
The reaction progress of all compounds was monitored by thin-layer
chromatography (TLC), which was performed on 2.0 × 6.0 cm2 aluminum sheets precoated with silica gel 60 (HF-254; Merck)
to a thickness of 0.25 mm and revealed under UV light (265 nm). All
compounds were analyzed by HPLC, and their purity was confirmed to
be greater than 98.5%. HPLC conditions: Shimadzu HPLC model CBM 20-A
(Shimadzu) equipped with UV–vis detector (model SPD-20A), quaternary
pumping system mobile phase (model LC-20AT), solvent degasser (model
DGU-20As), and an Agilent Eclipse XDB C-18 column (250 mm × 27
4,6 mm; 5 μm). For HPLC, an isocratic flow was used [methanol/water
(75:25)]. Reagents and solvents were purchased from commercial suppliers.
Compounds 3a–c,[45−47]7,[48]18, 19,
and 28(54) were prepared according
to previously described methods.
General Procedure for the
Synthesis of Compounds 4a–c and 8–17
A solution of compound 3a–c or 7 (0.87 mmol) in
10 mL of ethanol and 3 drops of glacial acetic
acid was stirred at room temperature for 20 min. Next, the appropriate
aromatic hydrazide (0.106 g, 0.87 mmol) was added, and the mixture
was stirred for 12 h. The solvent was concentrated under reduced pressure,
and ice was added to precipitate the desired products. If necessary,
the samples were further purified by silica gel column chromatography
using ethyl acetate/methanol (98:2 v/v) as eluent to give the appropriate
compound (4a–c and 8–17) in variable yields.
General Procedure for the Synthesis of Compounds 20–26
Compound 18 (0.3 g, 1.06 mmol) was
dissolved in dichloromethane (15 mL) and then cooled by placing it
on an ice bath. Next, the appropriate nitrile (0.15 g, 1.06 mmol)
and potassium carbonate (0.18 g, 1.32 mmol) were added in small portions.
The reaction mixture was stirred at 40 °C for 96 h. Afterward,
the solvent was evaporated under reduced pressure and the obtained
solid was dissolved in 50 mL of ethyl acetate and washed with water.
The organic phase was dried with anhydrous magnesium sulfate, and
the solvent was evaporated, giving a yellow solid. The obtained solid
was purified by silica gel column chromatography using hexane and
ethyl acetate (70:30 v/v) as eluent to give the appropriate compound
(20–26) in variable yields.
Authors: Helena I M Boshoff; Timothy G Myers; Brent R Copp; Michael R McNeil; Michael A Wilson; Clifton E Barry Journal: J Biol Chem Date: 2004-07-09 Impact factor: 5.157
Authors: Isidro Palos; Julieta Luna-Herrera; Edgar E Lara-Ramírez; Alejandra Loera-Piedra; Emanuel Fernández-Ramírez; Ma Guadalupe Aguilera-Arreola; Alma D Paz-González; Antonio Monge; Baojie Wan; Scott Franzblau; Gildardo Rivera Journal: Molecules Date: 2018-06-15 Impact factor: 4.411
Authors: Patricia B da Silva; Eduardo Sinésio de Freitas; Mariana Cristina Solcia; Paula Carolina de Souza; Monize Martins da Silva; Alzir Azevedo Batista; Carlos E Eismann; Ana Marta C M Rolisola; Amauri A Menegário; Rosilene Fressatti Cardoso; Marlus Chorilli; Fernando R Pavan Journal: Front Microbiol Date: 2018-12-06 Impact factor: 5.640
Authors: Leandro da Costa Clementino; Guilherme Felipe Santos Fernandes; Igor Muccilo Prokopczyk; Wilquer Castro Laurindo; Danyelle Toyama; Bruno Pereira Motta; Amanda Martins Baviera; Flávio Henrique-Silva; Jean Leandro Dos Santos; Marcia A S Graminha Journal: PLoS One Date: 2021-11-01 Impact factor: 3.240