Clare F Vickers1, Ana P G Silva2, Ajanta Chakraborty2, Paulina Fernandez2, Natalia Kurepina3, Charis Saville2, Yandi Naranjo4, Miquel Pons4, Laura S Schnettger5, Maximiliano G Gutierrez5, Steven Park3, Barry N Kreiswith3, David S Perlin3, Eric J Thomas1, Jennifer S Cavet2, Lydia Tabernero2. 1. The School of Chemistry , University of Manchester , Manchester M13 9PL , United Kingdom. 2. School of Biological Sciences, Faculty of Biology Medicine and Health, Manchester Academic Health Science Centre , University of Manchester , Manchester M13 9PT , United Kingdom. 3. Public Health Research Institute , New Jersey Medical School, Rutgers University , 225 Warren Street , Newark , New Jersey 07103 , United States. 4. Departament de Química Inorgànica i Orgànica , Universitat de Barcelona , Baldiri Reixac, 10-12 , 08028 Barcelona , Spain. 5. Host-Pathogen Interactions in Tuberculosis Laboratory , The Francis Crick Institute , 1 Midland Road , NW1 1AT London , United Kingdom.
Abstract
Mycobacterium tuberculosis protein-tyrosine-phosphatase B (MptpB) is a secreted virulence factor that subverts antimicrobial activity in the host. We report here the structure-based design of selective MptpB inhibitors that reduce survival of multidrug-resistant tuberculosis strains in macrophages and enhance killing efficacy by first-line antibiotics. Monotherapy with an orally bioavailable MptpB inhibitor reduces infection burden in acute and chronic guinea pig models and improves the overall pathology. Our findings provide a new paradigm for tuberculosis treatment.
Mycobacterium tuberculosis protein-tyrosine-phosphatase B (MptpB) is a secreted virulence factor that subverts antimicrobial activity in the host. We report here the structure-based design of selective MptpB inhibitors that reduce survival of multidrug-resistant tuberculosis strains in macrophages and enhance killing efficacy by first-line antibiotics. Monotherapy with an orally bioavailable MptpB inhibitor reduces infection burden in acute and chronic guinea pig models and improves the overall pathology. Our findings provide a new paradigm for tuberculosis treatment.
Tuberculosis
(TB) remains a major health problem and leading cause
of death worldwide. Antibiotic resistance is a main obstacle in the
cure and eradication of TB, with over half a million new cases of
drug-resistant TB per year. More alarming is the increasing number
of extensive or untreatable drug-resistant TB cases (WHO TB Report
2017). Critical to the pathogenesis of Mycobacterium tuberculosis, the causative agent of TB, is the secretion of virulence factors
that subvert the innate immune response and prevent bacterial control
by host macrophages.[1,2] In this context, antivirulence
drugs targeting the pathogen survival mechanisms may represent an
efficient complementary strategy to antibiotics to increase efficacy
and assist in clearing the infection. Antivirulence strategies are
now emerging as promising therapies to counterbalance antibiotic resistance
in a number of microbial infections including TB,[3−7] and yet this is a largely unexploited area in the
clinic.One such virulence factor is the MptpB phosphatase that
is secreted
into the cytoplasm of host macrophages.[8] MptpB is critical for M. tuberculosis intramacrophage
survival and for persistence of the infection in animal models[9,10] and acts by both attenuating the bactericidal immune responses and
promoting host cell survival. We report here that selective inhibition
of MptpB impairs survival of multidrug-resistant (MDR) TB in human
macrophages and reduces infection burden in acute and chronic guinea
pig models. Furthermore, inhibition of MptpB enhances mycobacterial
killing by the first-line antibiotics rifampicin (RIF) and isoniazid
(INH). Previously, we reported that MptpB dephosphorylates in vitro
the key signaling lipids phosphatidylinositol 3-phosphate (PI3P) and
phosphatidylinositol 3,5-biphosphate (PI(3,5)P2).[11] These lipids control critical steps of phagolysosomal biogenesis
and bacterial clearance.[12] We hypothesized
that inhibition of MptpB activity may thus restore the intrinsic host
response compromised by this virulence factor, offering a novel therapeutic
mechanism against M. tuberculosis infections. Since
MptpB is not essential for extracellular growth,[10] its inhibition could prove a distinct therapeutic advantage
over antibiotics as it would potentially inflict less selective pressure
and reduce acquired drug resistance. An additional advantage is that
to block the secreted MptpB there is no need for drug delivery across
the complex and poorly permeable mycobacterial cell wall. The lack
of a human orthologue also makes MptpB an attractive drug target for
specific and selective therapy.Crucially, we and others have
demonstrated that MptpB inhibitors
impair mycobacterial survival in macrophages,[13−15] supporting
our hypothesis. Our initial isoxazole-based MptpB inhibitors displayed
modest potency and selectivity.[13] Other
reported potent MptpB inhibitors showed little efficacy in animal
models,[15] indicating that optimization
of both target affinity and pharmacokinetics are needed to develop
compounds with in vivo efficacy.We report here the rational
structure-based development of our
initial C1 isoxazole inhibitor[13] to generate a new series of MptpB inhibitors with improved potency,
selectivity, and cell activity. Furthermore, an analogue from this
series showed an excellent pharmacokinetics profile, oral bioavailability,
and in vivo efficacy in guinea pig models of tuberculosis infection.
Results
and Discussion
The structure of MptpB[16] has an unusually
large active site, with a primary phosphate-binding pocket (P1) and
two unique secondary pockets (P2 and P3) not present in human phosphatases.
In the crystallographic structure of MptpB with an oxalylamino-methylene-thiophene
sulphonamide inhibitor,[17] the oxalylamino
group binds to P1 whereas the sulphonamide partially occupies P2.
Molecular docking of our C1 inhibitor[13] indicated that the isoxazole group binded to P1 and P3,
but P2 remained unoccupied (Figure ). Our strategy to develop this initial hit used a
structure-based rational approach aimed to retain binding at P1 and
P3 (isoxazole warhead) while exploiting binding at P2 to increase
potency and selectivity, see, for example, structures 2 and 5 (Scheme , Figure ).
Figure 1
Rational structure-based design of MptpB inhibitors.
(a) Active
site of MptpB with compounds C1 (cyan)[13] and 5 (orange) docked. Isoxazole head in C1 and 5 occupies the P1 pocket (P-loop) and
neighboring P3 pocket, whereas the additional dichlorophenol group
in 5 occupies P2. (b) Poor activity of the isoxazole
head alone and that of the intermediates of the series confirms that
binding at P2 is essential to achieve higher potency.
Scheme 1
Development of the New Series of Isoxazole-Based Compounds
P1/P3 binding isoxazole warhead
was used as the starting core. Subsequent addition of a 4-phenyl linker
and the dichlorophenol fragment generated the parent compound 5 providing higher potency and selectivity over human phosphatase
PTP1B.
Development of the New Series of Isoxazole-Based Compounds
P1/P3 binding isoxazole warhead
was used as the starting core. Subsequent addition of a 4-phenyl linker
and the dichlorophenol fragment generated the parent compound 5 providing higher potency and selectivity over human phosphatase
PTP1B.Rational structure-based design of MptpB inhibitors.
(a) Active
site of MptpB with compounds C1 (cyan)[13] and 5 (orange) docked. Isoxazole head in C1 and 5 occupies the P1 pocket (P-loop) and
neighboring P3 pocket, whereas the additional dichlorophenol group
in 5 occupies P2. (b) Poor activity of the isoxazole
head alone and that of the intermediates of the series confirms that
binding at P2 is essential to achieve higher potency.Computational screening of commercial fragment
libraries using
a genetic-based algorithm[18,19] and the structure of
MptpB[17] identified >300 motifs interacting
at P2, providing suitable starting points for the design of a new
series of 4,5-diarylisoxazole-3-carboxylic acids (Scheme ).
Scheme 2
Isoxazoles Identified
for Synthesis
Synthesis of 4,5-Diarylisoxazole-3-carboxylic
Acids
Isoxazoles 1–13 were
identified
for synthesis (Scheme ). The synthesis of 4,5-diarylisoxazole-3-carboxylic acids 1–4 is outlined in Scheme . Methyl 5-phenylisoxazole-3-carboxylate 14 is well known[20,21] and was synthesized
from acetophenone by a slight modification of literature procedures
(see Experimental Methods). Following bromination
of the methyl carboxylate 14, Suzuki couplings of the
bromoisoxazole 15(22) with phenyl-,
3-methoxyphenyl-, and 3-hydroxyphenyl-boronic acids gave the 4,5-diarylisoxazole-3-carboxylates 16,[23]17, and 18. Saponification of these and the isoxazolecarboxylate 14 gave the corresponding carboxylic acids 1–4.
Scheme 3
Synthesis of the 4,5-Diarylisoxazole-3-carboxylic
Acids 1–4
Reagents and conditions: (i,)
NaOH, MeOH, THF, rt, 1 h (1, 65%; 2, 60%; 3, 50%; 4, 55%); (ii) NBS, TFA, heat under reflux
48 h (64%); (iii) ArB(OH)2, Na2CO3, DMF, bis(triphenylphosphine)palladium(II) dichloride or Pd(Ph3P)4, 90 °C, 1–3 h (16,
80%; 17, 42%; 18, 49%).
Synthesis of the 4,5-Diarylisoxazole-3-carboxylic
Acids 1–4
Reagents and conditions: (i,)
NaOH, MeOH, THF, rt, 1 h (1, 65%; 2, 60%; 3, 50%; 4, 55%); (ii) NBS, TFA, heat under reflux
48 h (64%); (iii) ArB(OH)2, Na2CO3, DMF, bis(triphenylphosphine)palladium(II) dichloride or Pd(Ph3P)4, 90 °C, 1–3 h (16,
80%; 17, 42%; 18, 49%).The triflate 19 prepared from the phenol 18 was coupled with the boronate 21 that was available
from 4-bromo-2,6-dichlorophenol 20 to give the methyl
4,5-diarylisoxazole-3-carboxylate 22. This was hydrolyzed
to give the isoxazole-3-carboxylic acid 5 ready for screening,
see Scheme .
Scheme 4
Preparation
of the Isoxazole-3-carboxylic Acid 5
Reagents and conditions: (i)
(CF3SO2)2O, py., DCM, 0 °C to
rt, 90 min (94%); (ii) bis(pinacolato)diboron, [1,1′-bis(diphenylphosphino)ferrocene]palladium(II)
dichloride, dioxane, 90 °C, 18 h (59%); (iii) 19, 21, DMF, Na2CO3, Pd(PPh3)4, 90 °C, 3 h (45%); (iv) NaOH, MeOH, rt,
1 h (81%).
Preparation
of the Isoxazole-3-carboxylic Acid 5
Reagents and conditions: (i)
(CF3SO2)2O, py., DCM, 0 °C to
rt, 90 min (94%); (ii) bis(pinacolato)diboron, [1,1′-bis(diphenylphosphino)ferrocene]palladium(II)
dichloride, dioxane, 90 °C, 18 h (59%); (iii) 19, 21, DMF, Na2CO3, Pd(PPh3)4, 90 °C, 3 h (45%); (iv) NaOH, MeOH, rt,
1 h (81%).The analogous isoxazole-3-carboxylic
acids 6–12 were similarly obtained
from the triflate 19 and the requisite aryl boronic acid
or boronate. These were commercially
available except that they required the preparation of the isoxazole 12. This was prepared from the corresponding bromide (see Experimental Methods). Analogous chemistry was used
to prepare the 5-methylisoxazole-3-carboxylic acid 13 from the known methyl 4-bromo-5-methylisoxazole 24,
see Scheme .
Scheme 5
Preparation
of the 5-Methylisoxazole-3-carboxylic Acid 13
Reagents and conditions: (i)
NBS, TFA, 0 °C, heat under reflux, 16 h; (ii) ArB(OH)2, aq. NaHCO3, DMF, Pd(Ph3P)2Cl2, 90 °C, 5 h (28%); (iii) (CF3SO2)2O, py., DCM, 0 °C to rt, 6 h (66%); (iv) 21, Pd(Ph3P)4, DMF, 90 °C, 3 h;
(v) NaOH, MeOH, 0 °C, 1 h (65%).
Preparation
of the 5-Methylisoxazole-3-carboxylic Acid 13
Reagents and conditions: (i)
NBS, TFA, 0 °C, heat under reflux, 16 h; (ii) ArB(OH)2, aq. NaHCO3, DMF, Pd(Ph3P)2Cl2, 90 °C, 5 h (28%); (iii) (CF3SO2)2O, py., DCM, 0 °C to rt, 6 h (66%); (iv) 21, Pd(Ph3P)4, DMF, 90 °C, 3 h;
(v) NaOH, MeOH, 0 °C, 1 h (65%).
Activity of
the 4,5-Diarylisoxazole-3-carboxylic Acids and Biochemical
Validation
The initial isoxazole fragment alone 1 showed very poor inhibition, but the introduction of a phenyl ring
at the 4-position reduced the IC50 from >500 μM 1 to 17 μM 2. Extending the aromatic ring
with a dichlorophenol fragment, identified in the computational screen,
afforded a further reduction to 0.9 μM 5. Improved
binding for the new compounds was accompanied with increased selectivity
over the human phosphatase hPTP1B from 1.6-fold for compound C1 to 5.9-fold for compound 2 and 141-fold for
compound 5 (Figure b), supporting the notion that binding at P2 is critical
for selectivity.Computational docking analysis of the new series
of compounds showed a good correlation between the estimated free
energy of binding and the experimental activity (Supplementary Table 1). Molecular docking confirmed that additional
binding at P2 was responsible for the significant increase in potency
of 5 compared to compounds 2–4. Subsequently,
we explored variations of the dichlorophenol fragment substituents
in the derivatives 6–12 (Table ).
Table 1
Inhibitory Activity
of the 4,5-Diarylisoxazole-3-carboxylic
Acids and Selectivity over M. tuberculosis and Human
Phosphatasesa
Scaffold of the new series of
isoxazole-based compounds is shown at the top. Substitutions of the
dichlorophenol head (red square) were explored during development
of compound 5. Activities (IC50 values in
μM) toward M. tuberculosis MptpB, MptpA, and
human PTP1B and Vaccinia H1-related (VHR) phosphatases are shown.
Scaffold of the new series of
isoxazole-based compounds is shown at the top. Substitutions of the
dichlorophenol head (red square) were explored during development
of compound 5. Activities (IC50 values in
μM) toward M. tuberculosis MptpB, MptpA, and
human PTP1B and Vaccinia H1-related (VHR) phosphatases are shown.The double- and triple-substituted
aromatic groups showed similar
IC50 to 5. The introduction of the NO2 group at the meta position of the phenyl ring 12 increased potency by 50% with respect to 5, resulting
in an IC50 of 0.4 μM, and afforded an excellent selectivity
over human phosphatases (900-fold for PTP1B) and the M. tuberculosis phosphatase MptpA (Table ).Our models suggested that the para OH group of the
phenyl ring
(P2 head) could form hydrogen bonds with the Oε1 of E129 (Figure a) and that the meta
NO2 group in 12 could form additional interactions
with R136 or H94, thus explaining its increased potency. Mutational
analysis of the P2 pocket residues validated this mode of binding.
Mutations of E129 to alanine showed a 2–5-fold decrease in
inhibition (Figure b), while mutation of H94 or R136 had a milder effect (∼2-fold
decrease).
Figure 2
Binding at the P2 pocket is important for the efficacy of the new
series of MptpB inhibitors. (a) Mode of binding of the representative
compound 5 into the active site of MptpB, as suggested
from the molecular docking. (b) Mutation of key interacting residues
at the P2 pocket resulted in a loss of 2–5 fold the IC50 values (μM). (c) Cell activity of the new series results
in substantial (81–87%) reduction in the mycobacterial (BCG)
burden of infected mouse macrophages (J774) 72 h post infection, compared
to DMSO-treated macrophages. Reduction in bacterial burden is already
observed at 24 h postinfection (Supporting Information Figure 2). Plots represent the average CFUs (+SEM) per well
(from a 96-well plate, see Experimental Methods for details) of at least three independent experiments, with statistical
significance relative to the control (DMSO treated) established using
one-way ANOVA, Dunnett’s test (****p value
< 0.0001, **p = 0.012). Inset shows viability
of treated macrophages.
Binding at the P2 pocket is important for the efficacy of the new
series of MptpB inhibitors. (a) Mode of binding of the representative
compound 5 into the active site of MptpB, as suggested
from the molecular docking. (b) Mutation of key interacting residues
at the P2 pocket resulted in a loss of 2–5 fold the IC50 values (μM). (c) Cell activity of the new series results
in substantial (81–87%) reduction in the mycobacterial (BCG)
burden of infected mouse macrophages (J774) 72 h post infection, compared
to DMSO-treated macrophages. Reduction in bacterial burden is already
observed at 24 h postinfection (Supporting Information Figure 2). Plots represent the average CFUs (+SEM) per well
(from a 96-well plate, see Experimental Methods for details) of at least three independent experiments, with statistical
significance relative to the control (DMSO treated) established using
one-way ANOVA, Dunnett’s test (****p value
< 0.0001, **p = 0.012). Inset shows viability
of treated macrophages.
New MptpB Inhibitors Reduce Mycobacterial Burden in Macrophage
Infections
Next we tested the efficacy of the new compounds
in reducing mycobacterial survival in macrophage infections. The new
series of compounds showed dose-dependent efficacy in reducing intracellular
mycobacterial (BCG) burden in mouse macrophages (J774) up to 87% after
72 h of infection compared to control (DMSO treated) (Figure c). These findings are consistent
with MtpB inhibition assisting bacterial clearance in host macrophages,
even in the absence of INF-γ activation (see methods). The new compounds show increased efficacy at 80
μM (except for 5) compared to our initial C1 isoxazole inhibitor, thus correlating with the higher potency
of the new series. Toxicity of the new compounds is low as shown in
the cell survival assays (Figure c inset), with only compound 10 showing
a substantial effect (>23% reduction) on cell viability at >100
μM
doses.The new series of compounds displayed moderate permeability
and lipophilicity (logD) and good solubility, they were stable in
plasma with moderate clearance in human liver microsomes, and had
high plasma protein binding (Suppl. Table ). They also showed poor in vivo pharmacological
properties in guinea pigs, with a bioavailability below 13% (Table ). We then replaced
the phenyl ring at position 5 of the isoxazole by a methyl group to
reduce the bulk and number of rings in the compound, generating compound 13. The potency of compound 13, at 3 μM,
was lower than the best of the parent series of inhibitors 5 and 12 (by 3–7 fold), possibly due to reduced
hydrophobic interactions at the P3 pocket. However, compound 13 showed very good kinetic solubility (200 μM) and
a good PAMPA value (78.1 nM/s), suggesting a potential good cell penetration,
despite showing a higher lipophilicity than the parent series (logD
4) (see Supporting Information for details).
Importantly, compound 13 displayed improved pharmacological
properties; it is orally bioavailable and has an excellent phamacokinetic
profile (Table );
therefore, it was selected for further evaluation of its cell activity
and efficacy in animal models of infection.
Table 2
Pharmacokinetic
Parameters for MptpB
Inhibitorsa
13 (lead)
5
8
9
guinea
pig
guinea
pig
guinea
pig
guinea
pig
route
IP
oral
IP
oral
IP
oral
IP
oral
dose (mg/kg)
4
8
2.5
5
1.25
3.5
2.5
5
Cmax (ng/mL)
31 519
111 099
3714
BLQ
746
BLQ
197
BLQ
t1/2 (h)
1.4
5.1
0.7
BLQ
1.3
BLQ
1.4
BLQ
AUCinf (ng·h/mL)
71 854
230 407
4968
BLQ
1742
BLQ
399
BLQ
bioavailability
156%b
<4%
<13%
<2.5%
Compounds 3, 8, 9, and 13 were tested in guinea
igs to determine their PK profile. Cmax was observed at 0.5 h after IP (intraperitoneal) dosing and at 0.25
h after PO (oral) dosing.
High bioavailability may be due
to prolonged absorption after the oral dose limiting the rate of elimination;
BLQ, below limit of quantification.
Compounds 3, 8, 9, and 13 were tested in guinea
igs to determine their PK profile. Cmax was observed at 0.5 h after IP (intraperitoneal) dosing and at 0.25
h after PO (oral) dosing.High bioavailability may be due
to prolonged absorption after the oral dose limiting the rate of elimination;
BLQ, below limit of quantification.
MptpB Inhibitors Reduce Survival of Multidrug-Resistant Strains
in Macrophages and Enhance Killing by First-Line Antibiotics
Investigation of compound 13 desmonstrated that it also
exhibits dose-dependent efficacy in reducing intracellular mycobacterial
(BCG) burden in mouse macrophages (J774) up to 84% (Figure b), yet it does not affect
extracellular bacterial growth (Figure c), thus confirming that inhibition exclusively targets
intracellular mycobacteria, as expected. Critically, treatment with
compound 13 also reduces the intracellular mycobacterial
burden in human macrophages (THP1) up to 63% when using a drug-susceptible M. tuberculosis strain (H37Rv) or up to 74% when using a
MDR strain (Beijing-“W”) (Figure d). A similar effect was observed for the
initial C1 compound (Supplementary Figure 1), demonstrating that efficacy in reducing MDR-TB survival
is a general quality of MptpB inhibitors.
Figure 3
Compound 13 reduces intracellular bacterial burden
of H37Rv and MDR-TB in macrophage infections. (a) Structure of compound 13. (b) Effect of dose-dependent treatment with compound 13 on mycobacterial burden (BCG) in infected mouse macrophages
(J774) at 72 h post infection (****p < 0.0001,
***p < 0.0004, *p < 0.04 by
one-way ANOVA, Dunnett’s test). Inset shows macrophage viability
upon treatment with 13 (**p = 0.01).
(c) Extracellular growth of BCG is not affected by treatment with
compound 13 (80 μM) respect to DMSO control. (d)
Treatment with compound 13 (20 or 100 μM) reduces
intracellular survival of an MDR strain (Beijing-W) and of the drug-susceptible M. tuberculosis H37Rv strain in human THP1 macrophages (gray).
Controls on the effect on extracellular bacterial growth are shown
(black), **p = 0.0021; *** p = 0.0002,
****p < 0.0001 by unpaired t test).
(e) Treatment with compound 13 increases the antibacterial
activities of RIF and INH antibiotics in infected macrophages (BCG
in J774 mouse macrophages, ****p < 0.0001, **p = 0.0017, by one-way ANOVA, Dunnett’s test). (d
and e) Data are the mean CFUs at 72 h post infection of at least three
biological replicates (+SEM). Limit of detection is <10 cfu.
Compound 13 reduces intracellular bacterial burden
of H37Rv and MDR-TB in macrophage infections. (a) Structure of compound 13. (b) Effect of dose-dependent treatment with compound 13 on mycobacterial burden (BCG) in infected mouse macrophages
(J774) at 72 h post infection (****p < 0.0001,
***p < 0.0004, *p < 0.04 by
one-way ANOVA, Dunnett’s test). Inset shows macrophage viability
upon treatment with 13 (**p = 0.01).
(c) Extracellular growth of BCG is not affected by treatment with
compound 13 (80 μM) respect to DMSO control. (d)
Treatment with compound 13 (20 or 100 μM) reduces
intracellular survival of an MDR strain (Beijing-W) and of the drug-susceptible M. tuberculosis H37Rv strain in human THP1 macrophages (gray).
Controls on the effect on extracellular bacterial growth are shown
(black), **p = 0.0021; *** p = 0.0002,
****p < 0.0001 by unpaired t test).
(e) Treatment with compound 13 increases the antibacterial
activities of RIF and INH antibiotics in infected macrophages (BCG
in J774 mouse macrophages, ****p < 0.0001, **p = 0.0017, by one-way ANOVA, Dunnett’s test). (d
and e) Data are the mean CFUs at 72 h post infection of at least three
biological replicates (+SEM). Limit of detection is <10 cfu.To test whether compound 13 is compatible with first-line
TB drugs, isoniazid (INH) and rifampicin (RIF), we determined doses
of these antibiotics that caused <25% reduction in the bacterial
burden of macrophages (0.1 μg/mL for INH and 0.3 μg/mL
for RIF, Figure e).
We then used these doses of INH and RIF in combination with a low
dose, 5 μM, of compound 13. The combination resulted
in >93% reduction in bacterial burden (Figure e). Thus, treatment in combination with compound 13 enhances killing by current antitubercular drugs. This
is an important finding since tuberculosis treatments rely on drug
combination therapies to clear the infection.
MptpB Inhibition Alters
Phagosomal Phosphoinositde-3-phosphate
Dynamics during Infection
MtptB dephosphorylates PI3P and
PI(3,5)P2 in vitro,[11] two important anchors
of Rab proteins that drive phagosomal maturation and clearance of
infection. However, we do not know its effect on cellular PI dynamics.
We tested if compound 13 affected PI3P dynamics on M. tuberculosis phagosomes. For that we monitored PI3P localization
by live-cell imaging in macrophages expressing a fluorescent PI3P-binding
module (FYVE2X-EGFP) after infection with fluorescently labeled M. tuberculosis H37Rv.[24] PI3P
associated with M. tuberculosis phagosomes immediately
after infection, but PI3P signal decreased rapidly after 2–4
min as previously reported.[24] However,
in the 13-treated macrophages, the peak of PI3P was prolonged
up to 12 min (Figure ). The data indicate that MptpB inhibition extends the presence of
PI3P and its association with M. tuberculosis phagosomes,
suggesting a role for MptpB in host phosphoinositide metabolism as
hypothesized from its in vitro activity.[11]
Figure 4
MptpB
inhibition alters phagosomal PI3P dynamics. Spatiotemporal
dynamics of PI3P (as visualized by expression of EGFP-FYVE) on M. tuberculosis containing phagosomes (top figure). Plot
shows the quantitative analysis of the association of EGFP-FYVE to
PI3P at the phagosomal membrane during the first 20 min of phagocytosis
(data from 3 independent experiments). Treatment with 13 extends the peak of PI3P up to 12 min compared to the rapid decay
of the PI3P peak in the untreated phagosomes (DMSO control). DMSO,
control for untreated macrophages (RAW264.7); cpd 13,
macrophages treated with compound 13.
MptpB
inhibition alters phagosomal PI3P dynamics. Spatiotemporal
dynamics of PI3P (as visualized by expression of EGFP-FYVE) on M. tuberculosis containing phagosomes (top figure). Plot
shows the quantitative analysis of the association of EGFP-FYVE to
PI3P at the phagosomal membrane during the first 20 min of phagocytosis
(data from 3 independent experiments). Treatment with 13 extends the peak of PI3P up to 12 min compared to the rapid decay
of the PI3P peak in the untreated phagosomes (DMSO control). DMSO,
control for untreated macrophages (RAW264.7); cpd 13,
macrophages treated with compound 13.
Monotherapy with an Orally Bioavailable MptpB
Inhibitor Reduces
Infection Burden in Acute and Chronic Guinea Pig Models
In
vivo profiling of compound 13 showed high exposure (Cmax 112 μg/mL, AUC 230 μg·h/mL),
long half-life (t1/2 5 h), good oral availability,
and relevant tissue distribution in guinea pigs upon parental and
oral dosing (Table and Supplementary Figure 3), making it
suitable for efficacy studies in animal models of infection. Tolerability
studies with 13 at 50 or 100 mg/kg (dosing once daily
for 7 days) showed no adverse drug effects, and weight increases of
>5% were observed in all animals during the tolerability trial.Compound 13 was then assessed for efficacy as monotherapy
in the acute and chronic guinea
pig models of TB infection. For the acute infection, animals were
infected with 96 CFU (avg. ± 27 SEM) and after 24 h orally dosed
once daily with compound 13 for 4 weeks. Treatment resulted
in a 0.9 log reduction of bacterial burden in the lungs relative to
vehicle. For the chronic infection, guinea pigs were infected with
63 CFU (avg. ± 18 SEM), and treatments were orally administered
daily for 4 weeks starting at 28 days post infection. Treatment with
compound 13 resulted in at least 1 log reduction in bacterial
burden in lungs and spleens (Figure a and Supplementary Table 3).
Figure 5
MptpB inhibition reduces bacterial burden in animal models and
improves pahtology. (a) Efficacy of monotherapy treatment with 13 for 28 days in the acute and chronic guinea pig models
of TB (female Hartley Duncan). Treatment was with 13 (100
mg/kg)) or RIF (50 mg/kg) orally administered once daily; VEH, vehicle
control. Bars represent the mean value (±SEM) of CFUs from 4
to 5 animals. Statistical significance is indicated (* p < 0.05 by one-way ANOVA, Dunnett’s test). (b and c) Gross
pathological scoring of the TB-infected guinea pig lungs (b) and spleens
(c) based on Jain et al.[27] The lungs and
spleen from individual animals were given a score from 1 to 4 based
on the number and size of tubercles, level of involvement, inflammation,
and necrosis. Bars represent the mean value (±SEM) of CFUs from
4 to 5 animals. Statistical significance is indicated (* p < 0.05 by one-way ANOVA, Dunnett’s test). (d) Representative
images of tissues at 56 days post infection (chronic model) showing
reduction of the number granuloma in the compound 13-treated
lungs and spleen. (e) Representative histopathological images from
lungs and spleens at 56 days post infection from the chronic model.
Lungs and spleens fixed in neutral buffer formalin were sectioned
(5 μm) and stained with hematoxylin and eosin (H&E) and
imaged at 10× magnification. Vehicle-treated lungs and spleen
show an increased presence of granulomatous infiltration (black arrows)
and pathologic damage relative to compound 13-treated
lungs and spleen. Bars represent 2 mm.
MptpB inhibition reduces bacterial burden in animal models and
improves pahtology. (a) Efficacy of monotherapy treatment with 13 for 28 days in the acute and chronic guinea pig models
of TB (female Hartley Duncan). Treatment was with 13 (100
mg/kg)) or RIF (50 mg/kg) orally administered once daily; VEH, vehicle
control. Bars represent the mean value (±SEM) of CFUs from 4
to 5 animals. Statistical significance is indicated (* p < 0.05 by one-way ANOVA, Dunnett’s test). (b and c) Gross
pathological scoring of the TB-infected guinea pig lungs (b) and spleens
(c) based on Jain et al.[27] The lungs and
spleen from individual animals were given a score from 1 to 4 based
on the number and size of tubercles, level of involvement, inflammation,
and necrosis. Bars represent the mean value (±SEM) of CFUs from
4 to 5 animals. Statistical significance is indicated (* p < 0.05 by one-way ANOVA, Dunnett’s test). (d) Representative
images of tissues at 56 days post infection (chronic model) showing
reduction of the number granuloma in the compound 13-treated
lungs and spleen. (e) Representative histopathological images from
lungs and spleens at 56 days post infection from the chronic model.
Lungs and spleens fixed in neutral buffer formalin were sectioned
(5 μm) and stained with hematoxylin and eosin (H&E) and
imaged at 10× magnification. Vehicle-treated lungs and spleen
show an increased presence of granulomatous infiltration (black arrows)
and pathologic damage relative to compound 13-treated
lungs and spleen. Bars represent 2 mm.Pathological differences were observed between 13 and
vehicle-treated groups in both lungs and spleens (Figure b–e) from both the acute
and the chronic infection studies. Although the total number of tubercles
was similar in both 13 and vehicle-treated animals, larger
tubercles were consistently present in all vehicle group. Overall,
less damage to the spleens and lungs were observed in the 13-treated group relative to the vehicle-only group.Inspection
of the lungs and spleens after 56 days of infection
revealed visible necrotic lesions ranging from ∼1 to 4 mm,
with more consolidation observed in the vehicle group than in the
compound 13-treated group, and with organs presenting
up to 19% increase in weight respect to the 13-treated
group (Supplementary Table 4). The histopathological
analysis of the vehicle-treated lungs and spleens displayed large
and diffuse confluent granulomas with necrotizing cores and inflammation
throughout the parenchyma, pathology typically associated with a chronic
infection. The compound 13-treated lungs and spleens
showed an improvement in the pathology with fewer smaller lesions
and reduced inflammation both in lungs and in spleens (Figure e).These results provide
proof-of-concept that MptpB inhibitors, used
as monotherapy, can be effective in controlling TB infection in animal
models, despite not having direct bactericidal activity. Particularly
significant for clinical applications is the efficacy and improved
pathology observed in the chronic model because guinea pigs develop
a similar immunopathology and inflammatory response to the infection
as in humans, forming granulomas that contain persistent bacteria.[25,26]
Conclusions
In summary, our structure-guided drug development
approach, exploiting
unique features in the MptpB structure, has delivered an orally bioavailable
compound with excellent therapeutic properties. We have demonstrated
that MptpB inhibitors are selective and effective against MDR-TB and
that they increase the intracellular killing efficacy of first line
antibiotics RIF and INH, indicating their suitability for combination
therapies. Notably, reduction of intracellular survival occurs in
the absence of macrophage preactivation with IFNγ, suggesting
that this strategy may be particularly advantageous when impaired
macrophage activation fails to control the infection (i.e., immuno-compromised
patients).Importantly, our lead compound showed efficacy in
reducing bacterial
burden in a clinically relevant guinea pig model of infection as well
as improvement in the pathology of lungs and spleen. This is also
consistent with the enhanced pathology and reduced inflamation observed
when the mptpB gene is mutated.[9] This is the first proof of concept that MptpB inhibitors,
used as monotherapy, can significantly reduce infection burden. A
previous study[15] showed a mild effect (<0.5
log reduction) when both MptpA and MptpB inhibitors where added to
a cocktail of three first-line antibiotics, isoniazid–rifampicin–pyrazinamide
(HRZ), effectively a 5-drug combination. However, there was no effect
on bacterial burden when only MptpA or MptpB inhibitors were added
to the HRZ cocktail. No data were presented on monotherapy treatments
with either MptpA or MptpB inhibitors; thus, no direct comparison
can be made with our results.Renewed interest in developing
antivirulence agents for TB treatment
(reviewed in refs (3−7)) makes this study timely. Furthermore, MptpB inhibitors could be
developed into broad-spectrum antivirulence drugs, as MptpB orthologues
are present in more than 50 human pathogens including C. difficile,
E. faecalis, K. pneumoniae, Yesinia spp, and L. monocytogenes.[28,29]Antivirulence drugs hold great promise
for the management of TB
infections. The current challenges in eradicating TB include the following:
prevention with the existing BCG vaccine has limited efficacy; standard
treatments with antibiotics are long and complex, and chronic drug
exposure over a prolonged period is linked to development of drug
resistance; and host-directed therapies are difficult to control because
they are patient dependent. Antivirulence agents offer advantages
to overcome these challenges because their action is independent of
the host fitness and they have the potential to limit drug resistance.
Our findings suggest that MptpB inhibition offers a new paradigm for
TB therapy with the potential to treat MDR-TB and improve antibiotic
efficacy and overall pathology.
Experimental
Methods
Synthetic Chemistry
General Experimental Details
All
reactions were carried
out under an atmosphere of dry nitrogen unless otherwise stated. Low-resolution
mass spectra were recorded on a Micromass Trio 200 spectrometer using
electron impact (EI) ionization or electrospray in positive (ES+) or negative modes (ES–). High-resolution
mass spectra were recorded on a Kratos Concept IS spectrometer. Infrared
spectra were recorded on a Genesis FTIR as evaporated films on sodium
chloride plates. Proton NMR spectra (1H NMR) and carbon
NMR spectra (13C NMR) were recorded on Bruker (500 MHz),
Varian Unity 500 (500 MHz), Varian INOVA 400 (400 MHz), or Varian
INOVA Unity 300 (300 MHz) spectrometers. Residual nondeuterated solvent
was used as an internal standard. Chemical shifts (δH and δC) are quoted in parts per million (ppm) downfield
from tetramethylsilane (TMS).Flash column chromatography was
carried out using silica gel 60H from Merck. Light petroleum refers
to the fraction that boils between 40 and 60 °C and was distilled
prior to use. Ether refers to diethyl ether that was used without
further purification. Tetrahydrofuran was dried over sodium/benzophenone
and distilled under a nitrogen atmosphere. DCM was dried over calcium
hydride and distilled under an atmosphere of nitrogen. All other reagents
and solvents were used as purchased unless otherwise stated. The purity
of compounds submitted for screening was determined to be greater
than 95% by HPLC (see Supplementary Information for copies of the HPLC traces)
5-Phenylisoxazole-3-carboxylic
Acid (1): Standard
Procedure[30,31]
Aqueous sodium hydroxide (2 M,
2.7 mL, 5.4 mmol) was added to methyl 5-phenylisoxazole-3-carboxylate
14 (219 mg, 1.08 mmol) in MeOH:THF (1:1 v/v, 60 mL) at rt, and the
mixture was stirred for 1 h. Water was added (60 mL), and the mixture
was acidified to pH 1 using aqueous hydrogen chloride (2 M) and then
concentrated under reduced pressure to give a slurry that was extracted
with EtOAc (3 × 60 mL). The organic extracts were dried (NaSO4) and concentrated under reduced pressure to give an off-white
solid that was recrystallized (light petroleum:EtOAc, 100:1 v/v) to
give the title compound 1 as a white solid (132 mg, 0.7
mmol, 65%); mp 162.8–163.8 °C (lit.[31] 160–161 °C); TLC (light petroleum:EtOAc, 50:50
v/v, with 0.1% TFA) R = 0.3; HPLC (silica, EtOAc with 0.1% TFA) retention time 3.27 min,
100%; 1H NMR (500 MHz, DMSO-d6) δ 14.13 (br. s, 1H), 7.96 (d, J 8.0 Hz,
2H), 7.59–7.54 (m, 3 H), 7.44 (s, 1H); 13C NMR (125
MHz, DMSO-d6) δ 170.8, 160.9, 157.8,
130.9, 129.3, 126.2, 125.8, 100.9; IR (film) 3126, 3055, 2611, 2512,
1703, 1474, 1445, 1261, 995, 914, 820, 760, 686 cm–1.
4,5-Diphenylisoxazole-3-carboxylic Acid (2)[23]
Following the procedure outlined for
the preparation of carboxylic acid 1, methyl 4,5-diphenylisoxazole-3-carboxylate 16 (90 mg, 0.32 mmol) in MeOH:THF (1:1 v/v, 6 mL) and aqueous
sodium hydroxide (2 M, 0.8 mL, 1.6 mmol), after recrystallization
(light petroleum:EtOAc, 100:1 v/v), gave the title compound 2 as a white solid (51 mg, 0.2 mmol, 60%); mp 134.5–135.3
°C; TLC (light petroleum:EtOAc, 50:50 v/v with 0.1% TFA) R = 0.36; HPLC (silica, EtOAc
with 0.1% TFA) retention time 3.18 min, 100%; 1H NMR (500
MHz, DMSO-d6) δ 13.65 (br. s, 1H),
7.51–7.32 (m, 10H); 13C NMR (125 MHz, DMSO-d6) δ 177.9, 161.0 151.8, 130.0, 129.1,
128.6, 128.4, 126.6, 116.2; IR (film) 3058, 1711, 1429, 1225, 968,
770, 693 cm–1; LRMS (m/z, ES–) 220 ([M – 0.45]−, 100%); HRMS (m/z) [M + H]+ calcd for C16H12NO3, 266.0812;
found 266.0817.
Trifluoromethanesulfonic anhydride
(2.18 g, 7.72 mmol) was added to methyl 4-(3-hydroxyphenyl)-5-methylisoxazole-3-carboxylate
(25) (1.2 g, 5.15 mmol) and pyridine (1.01 g, 12.87 mmol) in dichloromethane
(30 mL) at 0 °C, and the reaction mixture was stirred at rt for
6 h and then poured into water (30 mL). The mixture was extracted
with dichloromethane (2 × 50 mL), and the organic extracts were
dried (NaSO4) and concentrated under reduced pressure.
Chromatography of the residue (EtOAc:light petroleum, 20:80 v/v) gave
the triflate 26 as an off-white solid (1.2 g, 66%); TLC
(EtOAc:light petroleum, 10:90 v/v) R = 0.8; 1H NMR (400 MHz, CDCl3) δ 7.45 (m, 1H), 7.40–7.10 (m, 3H), 3.90 (s, 3H) 2.45
(s, 3H); LRMS (m/z, ES+) 306 ([M – 59]+, 100%).Sodium carbonate
in water (1.3 g, 12.3 mmol in 1 mL water) was added to a solution
of methyl 5-methyl-4-(3-trifluoromethanesulfonyloxyphenyl)-isoxazole-3-carboxylate
(26) (1.5 g, 4.10 mmol) and pinacolyl (3,5-dichloro-4-hydroxyphenyl)boronate
(21) (1.77 g, 6.16 mmol) in DMF (10 mL) at 0 °C,
and the reaction mixture was degassed by bubbling nitrogen through
for 15 min. The catalyst Pd(PPh3)4 (470 mg,
0.04 mmol) was added, and the mixture was heated to 90 °C for
3 h, cooled to rt, and poured into ice–water (10 mL). The mixture
was extracted with EtOAc (2 × 20 mL), and the organic extracts
were dried (NaSO4) and concentrated under reduced pressure
to afford the methyl 4-(3′,5′-dichloro-4′-hydroxy-3-biphenyl)-5-methylisoxazole-3-carboxylate
(27) as an off-white solid (1.5 g) used without purification; TLC
(EtOAc:light petroleum, 5:95 v/v) R = 0.5; LRMS (m/z, ES–) 376 ([M(Cl35)2 – 1]−, 100%), 378 ([M(Cl35Cl37) –
1]−, 65%), 380 ([M(Cl37)2 –
1]−, 10%).Aqueous sodium hydroxide (152 mg
in 1 mL water, 3.8 mmol) was added
to the methyl ester 27 (500 mg, 1.19 mmol) in MeOH:THF
(12 mL, 3:1 v/v) at 0 °C and the mixture stirred for 1 h at 0
°C and then poured into ice–water (5 mL). The mixture
was acidified to pH ≈ 1 using aqueous hydrochlogen chloride
(2 M) and concentrated under reduced pressure to give an aqueous slurry
that was extracted with EtOAc (3 × 10 mL). The organic extracts
were dried (NaSO4) and concentrated under reduced pressure
to give an off-white solid that was crystallized (light petroleum:EtOAc,
90:10 v/v) to give the title compound 13 (315 mg, 65%)
as an off-white solid; TLC (MeOH:dichloromethane, 10:90 v/v) R = 0.2; 1H NMR
(400 MHz, DMSO-d6) δ 13.87 (br.
s, 1H), 10.27 (s, 1H), 7.75–7.60 (m, 4H), 7.50 (t, J 7.6 Hz, 1H), 7.34 (d, J 7.6 Hz, 1H),
2.47 (s, 3H); 13C NMR (100 MHz, DMSO-d6) δ 168.6, 162.0, 155.4, 149.1, 137.9, 133.1, 130.0,
129.4, 129.2, 128.1, 127.1, 126.3, 123.3, 116.5 and 11.8; LRMS (m/z, ES+) 364 ([M(Cl35)2 + 1]+, 100%), 366 ([M(Cl35Cl37) + 1]+, 50%), 368 ([M(Cl37)2 + 1]+, 10%).
Sodium methoxide (18.36
g, 340 mmol) in MeOH (80 mL) was
added to acetophenone (20 mL, 161.92 mmol) and dimethyl oxalate (28.66
g, 242.9 mmol) in MeOH (450 mL) at rt, and the solution was stirred
at rt for 2 h before being cooled to rt and poured into aqueous hydrogen
chloride (2 M, 800 mL). The solid methyl 2,4-dioxo-4-phenylbutanoate
was filtered off, washed with water, and used in the next step without
further purification.Hydroxylamine hydrochloride (10.8 g, 154.6
mmol) was added to the methyl 2,4-dioxo-4-phenylbutanoate (21.37 g,
103 mmol) in MeOH (520 mL), and the mixture was stirred under reflux
for 24 h. After cooling to rt, the mixture was poured into water (1
L) and cooled to 0 °C. The white precipitate was filtered off,
washed with water, and then dissolved in EtOAc. The solution was dried
(MgSO4) and concentrated under reduced pressure to give
the title compound 14 as a white solid (18.4 g, 90.6
mmol, 88%); mp 81.8–82.5 °C (lit.[21] 80–82 °C); TLC (Et2O:light petroleum, 10:90
v/v) R = 0.2; 1H NMR (300 MHz, DMSO-d6) δ 7.98–7.92
(m, 2H), 7.57–7.52 (m, 3H), 7.51 (s, 1H), 3.92 (s, 3H); 13C NMR (75 MHz, DMSO-d6) δ171.1,
159.8, 156.6, 131.0, 129.3, 126.0, 125.8, 100.8, 52.8; IR (film) 3130,
2951, 1724, 1612, 1591, 1571, 1445, 1425, 1246, 1141, 1004, 946, 934,
920, 851, 837, 807, 781, 764 cm–1.
A solution
of methyl 4-bromo-5-phenylisoxazole-3-carboxylate 15 (100
mg, 0.35 mmol) and phenylboronic acid (52 mg, 0.42
mmol) in DMF (4 mL) was degassed by bubbling nitrogen through it for
30 min. Aqueous sodium carbonate (2 M, 0.5 mL, 1.0 mmol) was added,
and nitrogen was bubbled through the mixture for a further 15 min.
Bis(triphenylphosphine)palladium(II) dichloride (12 mg, 0.02 mmol)
was added, and the mixture was stirred at 90 °C for 3 h. The
mixture was cooled to rt and poured into EtOAc (20 mL). The mixture
was washed with aqueous hydrogen chloride (2 M, 20 mL), water (20
mL), and brine (20 mL) and then dried (NaSO4) and concentrated
under reduced pressure. Chromatography (Et2O:light petroleum,
20:80–40:60 v/v) of the residue gave the title compound 16 as an off-white solid (94 mg, 0.34 mmol, 80%); TLC (Et2O:light petroleum, 20:80 v/v) R = 0.40; 1H NMR (400 MHz, DMSO-d6) δ 7.55–7.41 (m, 10H), 3.84 (s,
3H); 13C NMR (100 MHz, DMSO-d6) δ 166.6, 159.9, 155.0, 130.8, 130.1, 129.1, 128.7, 128.6,
128.5, 126.8, 126.3, 116.5, 52.8; LRMS (ES+, m/z) 302 ([M + 23]+, 100%), 280 ([M +
1]+, 10%); HRMS (m/z)
[M + H]+ calcd for C17H14NO3, 280.0969; found 280.0970.
A solution of methyl 4-bromo-5-phenylisoxazole-3-carboxylate 15 (6.68 g, 23.7 mmol) and 3-methoxyphenylboronic acid (4.3
g, 28.4 mmol) in DMF (230 mL) was degassed by bubbling nitrogen through
it for 30 min. Aqueous sodium carbonate (2 M, 36 mL, 72 mmol) was
added, and nitrogen was bubbled through the mixture for a further
15 min. The catalyst Pd(PPh3)4 (300 mg, 0.24
mmol) was added, and the mixture was stirred at 90 °C for 3 h.
The mixture was cooled to rt and poured into EtOAc (250 mL). The resulting
mixture was washed with aqueous hydrogen chloride (2 M, 250 mL), water
(250 mL), and brine (250 mL) and then dried (NaSO4) and
concentrated under reduced pressure. Chromatography (Et2O:light petroleum, 20:80–40:60 v/v) of the residue gave the
title compound 17 as a pale yellow solid (3.1 g, 9.95
mmol, 42%); mp 110.5–111.9 °C; TLC (Et2O:light
petroleum, 40:60, v/v) R = 0.37; 1H NMR (500 MHz, CDCl3) δ 7.46
(d, J = 7.0 Hz, 2H), 7.32–7.24 (m, 4H), 6.90
(dd, J 2.5, 8.0 Hz, 1H), 6.85 (d, J 7.5 Hz, 1H), 6.81 (m, 1H), 3.81 (s, 3H), 3.71 (s, 3H); 13C NMR (125 MHz, CDCl3) δ 167.2, 160.4, 159.7, 155.0,
130.4, 130.2, 129.8, 128.8, 127.0, 126.8, 122.5, 116.6, 115.8, 114.2,
55.3, 52.8; IR (film) 3012, 2956, 2843, 1736, 1587, 1420, 1331, 1243,
1213, 1164, 1094, 1043, 971, 872, 843, 789, 768, 709, 691 cm–1; LRMS (ES+, m/z) 332
([M + 23]+, 100%); HRMS (m/z) [M + H]+ calcd for C18H16NO4, 310.1074; found 310.1071.
A solution of methyl 4-bromo-5-phenylisoxazole-3-carboxylate 15 (9.3 g, 32.95 mmol) and 3-hydroxyphenylboronic acid (5
g, 36.5 mmol) in DMF (330 mL) was degassed by bubbling nitrogen through
it for 1 h. Aqueous sodium carbonate (2 M, 49.4 mL, 98.85 mmol) was
added, and nitrogen was bubbled through the mixture for a further
15 min. The catalyst Pd(PPh3)4 (380 mg, 0.33
mmol) was added, and the mixture stirred at 90 °C for 90 min.
The mixture was cooled to rt and poured into EtOAc (1 L). The mixture
was washed with aqueous hydrogen chloride (2 M, 500 mL), water (1
L), and brine (1 L) and then dried (NaSO4) and concentrated
under reduced presssure. Repeated chromatography of the residue (Et2O:light petroleum, 20:80–40:60 v/v, then DCM) gave
the title compound 18 as an off-white solid (4.76 g,
16.1 mmol, 49%); mp 148.7–149.9 °C; TLC (Et2O:light petroleum, 40:60 v/v) R = 0.24; 1H NMR (400 MHz, MeOD) δ 7.48–7.45
(m, 2H), 7.38–7.28 (m, 3H), 7.19 (t, J 8.0
Hz, 1H), 6.82 (ddd, J 1.0, 2.5, 8.5 Hz, 1H), 6.72–6.70
(m, 2H), 4.65 (s, 1H), 3.77 (s, 3H); 13C NMR (100 MHz,
MeOD) δ 168.4, 161.8, 158.9, 156.6, 131.7, 131.5, 131.2, 131.0,
130.0, 128.2, 128.1, 122.4, 118.1, 116.7, 53.2; IR (film) 3473, 1745,
1590, 1449, 1331, 1216, 1164, 1094, 1035, 985, 865, 811, 788, 774,
706, 691 cm–1; LRMS (m/z, ES+) 318 ([M + 23]+, 100%); HRMS
(m/z) [M + H]+, calcd
for C17H14NO4, 296.0918; found 296.0913.
A mixture of 4-bromo-2,6-dichlorophenol 20 (7 g, 28.94
mmol), KOAc (8.52 g, 86.8 mmol), bis(pinacolato)diboron
(8.82 g, 34.73 mmol), and [1,1′-bis(diphenylphosphino)ferrocene]palladium(II)
dichloride (640 mg, 0.87 mmol) in dioxane (300 mL) was stirred under
nitrogen at 90 °C for 18 h before being poured into EtOAc (600
mL). The mixture was washed with aqueous hydrogen chloride (1 M, 600
mL), dried (MgSO4), and concentrated under reduced pressure.
Chromatography (Et2O:light petroleum, 10:90 v/v) of the
residue gave the title compound 21 as a pale yellow solid
(4.9 g, 16.96 mmol, 59%); mp 103.3–104.2 °C; TLC (Et2O:light petroleum, 10:90 v/v) R = 0.38; 1H NMR (400 MHz, CDCl3) δ 7.61 (s, 2H), 5.99 (s, 1H), 1.26 (s, 12H); 13C NMR (100 MHz, CDCl3) δ 150.0, 134.5, 128.3, 120.9,
84.3, 24.8; IR (film) 3271, 2980, 1592, 1384, 1349, 1230, 1129, 961,
892, 848, 788, 676 cm–1; LRMS (m/z, ES–) 287 ([M – 1]−, 100%); HRMS (m/z, ES–) [M – H]− calcd
for C12H14O335Cl2B 287.0418; found 287.0405.
Methyl 4-(3′,5′-Dichloro-4′-hydroxy-3-biphenyl)-5-phenylisoxazole-3-carboxylate
(22): Standard Procedure
A solution of methyl
5-phenyl-4-(3-trifluoromethylsulfonyloxyphenyl)isoxazole-3-carboxylate 19 (1.9 g, 4.47 mmol) and the boronate 21 (1.42
g, 4.91 mmol) in DMF (50 mL) was degassed by bubbling nitrogen through
it for 30 min. Aqueous sodium carbonate (2 M, 6.7 mL, 13.41 mmol)
was added, and nitrogen was bubbled through the solution for a further
15 min. The catalyst Pd(PPh3)4 (50 mg, 0.045
mmol) was added, and the mixture was stirred at 90 °C for 3 h,
cooled to rt, and poured into EtOAc (100 mL). The mixture was washed
with aqueous hydrogen chloride (2 M, 100 mL), water (100 mL), and
brine (100 mL) and then dried (NaSO4) and concentrated
under reduced pressure. Chromatography (Et2O:light petroleum,
20:80–40:60 v/v) of the residue gave an off-white solid that
was recrystallized (light petroleum:EtOAc, 70:30 v/v) to give the
title compound 22 as a white solid (900 mg, 2.05 mmol,
45%); mp 149.7–150.5 °C; TLC (Et2O:light petroleum,
40:60 v/v) R = 0.26; 1H NMR (400 MHz, CDCl3) δ 7.59–7.49
(m, 5H), 7.46 (s, 2H), 7.43–7.34 (m, 4H), 5.91 (s, 1H), 3.92
(s, 3H); 13C NMR (100 MHz, CDCl3) δ 167.5,
160.4, 154.8, 147.3, 138.8, 134.2, 130.6, 129.7, 129.6, 129.4, 128.9,
128.6, 127.1, 126.9, 126.7, 121.5, 116.3, 104.8, 52.8; IR (film) 3404,
1719, 1500, 1465, 1438, 1340, 1296, 1228, 1156, 1030, 973, 866, 820,
790, 765, 688 cm–1; LRMS (m/z, ES–) 442 ([M – 1]−, 20%), 440 ([M – 1]−, 50), 438 ([M –
1]−, 100); HRMS (m/z, ES–) [M – H]− calcd
for C23H14NO435Cl2, 438.0305; found 438.0299.
Hydroxylamine hydrochloride (1.44 g, 20.8
mmol)
was added to methyl 2,4-dioxopentanoate (2 g, 13.89 mmol) in MeOH
(50 mL), and the reaction mixture stirred under reflux for 16 h. After
cooling to rt the mixture was poured into water (50 mL) and the solution
extracted with EtOAc (2 × 50 mL). The extracts were dried (Na2SO4) and concentrated under reduced pressure to
afford the methyl 5-methylisoxazole-3-carboxylate (23)[32] (1.1 g) which was used without purification;
TLC (EtOAc:light petroleum, 20:80 v/v) R = 0.50; 1H NMR (400 MHz, CDCl3) δ 6.41 (s, 1H) 3.96 (s, 3H) 2.50 (s, 3H); LRMS (m/z, ES+) 142 ([M + 1] +, 100%).N-Bromosuccinimide (965 mg, 8.578 mmol) was added
to methyl 5-methyl-isoxazole-3-carboxylate (23) (1.1
g, 7.799 mmol) in trifluoroacetic acid (15 mL) at 0 °C, and the
solution was heated under reflux for 16 h, allowed to cool to rt,
and poured onto ice–water (20 mL). The mixture was extracted
with EtOAc (2 × 50 mL), and the organic extracts were dried (Na2SO4) and then concentrated under reduced pressure
to afford methyl 4-bromo-5-methylisoxazole-3-carboxylate (24)[33] (1.2 g) as a white solid which used
without purification; TLC (EtOAc:light petroleum, 20:80 v/v) R = 0.40; 1H NMR
(400 MHz, CDCl3) δ 3.89 (s, 3H) 2.50 (s, 3H); LRMS
(m/z, ES+) 221 ([M +
1]+, 100%).Aqueous sodium hydrogen carbonate (575
mg, 6.89 mmol in 1 mL water)
was added to methyl 4-bromo-5-methylisoxazole-3-carboxylate (24) (500 mg, 2.28 mmol) and 3-hydroxyphenylboronic acid (346
mg, 2.51 mmol) in DMF (5 mL) at 0 °C, and the reaction mixture
was degassed for 30 min with argon. The catalyst Pd(PPh3)2Cl2 (160 mg) was added at rt, and the mixture
was heated at 90 °C for 5 h, cooled to rt, and poured onto ice–water
(20 mL). The mixture was extracted with EtOAc (2 × 50 mL), and
the organic extracts were dried (Na2SO4) and
concentrated under reduced pressure. Chromatography of the residue
(EtOAc:light petroleum, 20:80 v/v) gave the title compound 25 as an off-white solid (150 mg, 28%); TLC (EtOAc:light petroleum,
30:70 v/v) R = 0.3; 1H NMR (400 MHz, CDCl3) δ 7.30 (m, 1H) 6.90–6.75
(m, 3H) 4.83 (s, 1H), 3.90 (s, 3H), 2.45 (s, 3H).
Recombinant
Protein Production
The Rv2234 and Rv0153c
genes, encoding MptpA and MptpB, were amplified from M. tuberculosis H37Rv and cloned into vector pET28a as previously described.[11] Site-directed mutagenesis was performed on wild-type
pET28-MptpB, using QuikChange (Stratagene) to generate the mutants
H94A, Y125A, E129A, and R136A. His-tagged MptpA, MptpB, and derivatives
thereof were expressed in Escherichia coli BL21(DE3),
with expression induced at 18 °C with 0.5 mM IPTG for 16 h,
purified by sequential nickel affinity (in 50 mM HEPES, 500 mM NaCl,
pH 7 buffer) and anion-exchange chromatography using MonoQ column
(GE Healthcare) in 20 mM Tris, pH 8, and eluted in a NaCl gradient.
Fractions were concentrated and further purified on a Seperdex75 column
(Amersham Bioscience) with 20 mM Tris, 300 mM NaCl, pH 8. The VHR
construct, in pGEX-4T, was a gift from Prof. Rafael Pulido (BioCruces
Health Research Institute, Barakaldo, Spain), and the hPTP1B in pGEX-KG
was a gift from Prof. Jeroen der Hertog (Hubrecht Institute, Utrecht,
Netherlands). The plasmids were transformed into E. coli and protein expression induced at 18 °C with 0.5 mM IPTG for
16 h. Purification of glutathione S-transferase (GST)-tagged
proteins was achieved by GST affinity chromatography in 50 mM HEPES,
500 mM NaCl, pH 7 buffer, and eluted with 20 mM glutathione. GST tag
was removed by protease cleavage and subsequently purified using a
Superdex 75 column in 50 mM HEPES buffer at pH 7.
Inhibition
Assays
Inhibition assays were performed
as previously described,[13] where each titration
experiment was performed in triplicate and in at least three independent
assays. Experiments were conducted in 96-well microtiter plates, and
each well contained a 100 μL reaction mixture including 0.5
μg of protein, in 50 mM Tris, 50 mM BisTris, 100 mM sodium acetate
buffer (pH 7 for MptpB, pH 6.5 for MptpA, pH 6 for hPTP1B, and pH
5 for VHR), and the different compounds were dissolved in DMSO at
a concentration range between 0 and 250 μM. Reactions were incubated
for 15 min at room temperature before the addition of p-nitrophenyl phosphate (pNPP) to a final concentration of 0.35 mM.
After 15 min incubation, the reactions were quenched by the addition
of 0.5 M NaOH and the absorbance at 405 nm was measured. Production
of p-nitrophenol (pNP) was quantified using a pNP
(Sigma) calibration curve (2–2000 μM). Control reactions
without enzyme were performed to account for the spontaneous hydrolysis
of pNPP. Phosphate release was calculated as a percentage of the specific
activity and plotted as a function of inhibitor concentration to determine
the IC50.
Computational Virtual Screening and Molecular
Docking
The computational fragment screening was done using
the massive processing
algorithm (MPA), a high-throughput virtual screening genetic-based
algorithm[18,19] that combines ligand docking to the target
using Autodock4,[34] with text-based (LINGO)
similarity searches of the compound library.[35] The MPA algorithm was used to search nine different commercial libraries
that contained either building blocks (for rapid synthesis approaches)
or fragments from different sources. The crystal structure of MptpB
(PDB ID 2OZ5) was used in the screening, and a grid box was defined around the
secondary P2 pocket. Compounds were scored according to their calculated
binding energy (ΔG), and their mode of binding
was analyzed graphically using PyMol (Schrödinger). Synthesized
compounds were docked to the crystal structure of MptpB (PDB ID 2OZ5), using AutoDock4.[34] All compounds were docked using the default
parameters, and a maximum of 10 conformations was generated per ligand.
Each docking conformation was scored according to their calculated
free energy of binding, ΔG.
Bacterial Strains,
Cell Culture, and Infections
M. tuberculosis strain H37Rv (ATCC35837, drug susceptible),
the clinical isolate “W_565”[36] of multidrug-resistant M. tuberculosis, and Mycobacterium bovis Bacille Calmette-Guerin (BCG, Pasteur)
were grown at 37 °C in Middlebrook 7H9 broth containing 0.05%
Tween 80 with shaking or on Middlebrook 7H10 agar (both types of medium
were supplemented with 10% oleic acid/albumin/dextrose/catalase enrichment
and 0.5% glycerol).For infections using BCG, J774A.1 macrophages
(ATCC) were cultured in Dulbecco’s modified Eagle’s
medium (Sigma) containing glucose (25 mM) and l-glutamine
(4 mM) supplemented with 10% heat-inactivated fetal bovine serum (FBS,
Invitrogen) at 37 °C in a humidified atmosphere with 5% CO2. For infections, J774A.1 cells were seeded in 96-well culture
plates (Corning) at a density of 2 × 103 per well
(in 200 μL of media) and incubated overnight. Cells were subsequently
washed twice in prewarmed Dulbecco’s PBS (Sigma), and 100 μL
of fresh culture medium, supplemented with inhibitors (dissolved in
dimethyl sulfoxide, DMSO) or DMSO alone, was added before infecting
with BCG in 100 μL of medium at a multiplicity of infection
(MOI) of 10:1 (bacteria:macrophage). After 4 h of infection, cells
were washed four times with Dulbecco’s PBS to remove extracellular
bacteria and 200 μL of fresh culture medium (supplemented with
inhibitors or DMSO) added; this was defined as time 0 h. At 24 h post
infection, the cells were again washed twice with Dulbecco’s
PBS and fresh medium (supplemented with inhibitors or DMSO) added.
At 72 h post infection, infected cells were lysed in 0.05% (v/v) Tween
80 and the number of viable bacteria in each well determined by plating
10-fold serial dilutions on Middlebrook 7H10 agar plates in triplicates.
The plates were incubated for 3 weeks at 37 °C prior to counting
the number of viable bacteria. All assays were performed in triplicate
in at least three separate experiments.For infections using M. tuberculosis, bacteria
were grown for 1 week at 37 °C with shaking and then washed with
PBS and frozen (in 7H9 with 15% of Glycerol) at a concentration of
4 × 107 CFU ml–1. THP1 macrophage
cells were subcultured in RPMI 1640 (Gibco), supplemented with 10%
FBS and 4 mM l-glutamine, and then 1 × 106 cells were aliquoted per well (6-well plates) and treated with PMA
overnight. The media was removed the following day, and the cells
were washed with PBS, and 1.5 mL of fresh RPMI (with 10% FBS) and
inhibitors (0, 20, or 80 μM in DMSO) was added, before infecting
with thawed M.tuberculosis at MOI of 1:1. After 3
h of infection, THP1 cells were washed 4 times with PBS, and fresh
RPMI was added. After 24 h the media was removed, and cells were washed
with PBS prior to the addition of fresh RPMI and inhibitor (20 or
80 μM, dissolved in DMSO). At 72 h post infection, cells were
washed with PBS, lysed with 0.05% SDS, and plated onto 7H10 media
to determine bacterial numbers. Plates were counted after 3 weeks
of growth at 37 °C (all experimental points were plated as 10-fold
serial dilutions in duplicates). Each experiment was done in triplicate,
including controls.
Cytotoxicity Assays
Macrophage viability
was measured
using the (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide)
(MTT) assay.[37] Briefly, J774A.1 cells were
seeded in 96-well culture plates (Corning) at a density of 6 ×
103 (200 μL/well) and allowed to adhere overnight.
Fresh media supplemented with inhibitors (dissolved in dimethyl sulfoxide,
DMSO) or DMSO only were subsequently added to each well. Cell viability
at 24 h was assessed by adding 50 μL of filter-sterilized MTT
(5 mg mL–1 in PBS) to each well followed by a 4
h incubation. Media was removed, and 200 μL of DMSO and 25 μL
of Sorensen’s glycine buffer were added. The absorbance at
570 nm was measured in a plate reader.
Live Cell Imaging of M. tuberculosis-Infected
Macrophages
RAW264.7 macrophages were grown in complete DMEM
+ 10% FBS. On the day before infection with RFP, M. tuberculosis (4 × 105 cells) was plated on WillCo glass bottom
dishes (22 mm, GWST-3522). Cells were left for approximately 6 h at
37 °C to attach before transfection using JetPEI-macrophage (polyplus)
transfection reagents. EGFP-2xFYVE plasmid, 1.5 μg, and 4 μL
of JetPEI transfection reagent in 100 μL of 150 mM NaCl were
used for transfection of one dish.The day after transfection
a single-cell suspension of RFP-Mtb H37Rv was prepared and added to
the dish at MOI 5:1 together with the lead compound 13 (80 μM). Directly after addition of bacteria the cells were
imaged. Images were taken every 30 s at 512 × 512 resolution, z = 3, 3× line average.[24]
Pharmacokinetic Evaluations
Guinea pig males (Durkin
Hartley) were used to evaluate the pharmacokinetics and tissue distribution
of compounds. The route of administration was either intraperitoneal
(ip) or oral (po) with dosage varying from 3.5 to 8 mg kg–1 (op) and 2.5–4 mg kg–1 (ip). In each case
4 samples were collected per time point at 0.1, 0.5, 2, 4, and 8 h
post dose for ip and 0.25, 0.5, 2, 4, and 8 h post dose for po. Compounds
were prepared in 10% DMSO, 5% Cremaphor, and 85% physiological saline
for IP administration or 0.5% (v/v) Tween 80, 99.5% (v/v) 0.5% methylcellulose
for oral administration. Tissue samples (n = 4) from
lung, liver, and kidney were collected at the end of the study and
snap frozen prior to bioanalysis.
Efficacy Studies in Guinea
Pigs
All animals were housed
in the Public Health Research Institute’s Animal Biosafety
Level-2 (tolerability) or Animal Biosafety Level-3 (efficacy) Research
Animal Facility (ICPH RAF), a center of the New Jersey Medical School,
Rutgers University (NJMS-Rutgers). The animal facility follows the
Public Health Service and National Institute of Health Policy of Humane
Care and Use of Laboratory Animals. All experimental protocols were
approved by the Rutgers Institutional Animal Care and Use Committee
(IACUC). Female outbred Hartley Duncan Guinea Pigs (∼400 g)
were used in all studies. Tolerability studies were done prior to
the infection models. Guinea pigs (n = 5) were orally
dosed once daily for 7 days with 13 50 or 100 mg kg–1. No adverse drug effects were observed, and weight
increases of >5% were observed in all animals during the tolerability
trial. Plasma and lung drug levels were analyzed at 2 and 24 h (peak
and trough levels) after the last dose administered. Drug levels for
the 100 mg kg–1 orally administered 13 were 1748 ng mL–1 in plasma and 623 ng mL–1 in lungs at 2 h and 35 ng mL–1 in
plasma at 24 h.An acute model of TB infection was used to assess
the efficacy of compound 13 as monotherapy in reducing
bacterial burden during early acute phase of growth in the lungs.
In this infection model guinea pigs were infected with 96 CFU (average,
±27 SEM) of M. tuberculosis H37Rv via aerosol
inhalation. The animals were randomized into groups of 4 guinea pigs
per treatment or vehicle group. The infection was confirmed by lung
bacterial burden enumeration from 3 animals sacrificed at 24 h post
exposure. Compound 13 (100 mg kg–1)
and the vehicle were orally administered (feeding) daily for 4 weeks
starting at 24 h post infection. After 4 weeks of treatment all guinea
pigs on the study gained weight and had normal behavior and fecal
output.A chronic model of TB infection was used to assess the
efficacy
of compound 13 as monotherapy (100 mg kg–1). No morbidity was observed throughout the study. Guinea pigs were
infected with low-dose M. tuberculosis with 63 CFU
(average, ±18 SEM) by aerosol inhalation. The animals were randomized
into groups of 5 guinea pigs per treatment or vehicle group. The infection
was confirmed by lung bacterial burden enumeration from 3 animals
sacrificed at 24 h post exposure. The remaining animals were left
untreated for 4 weeks to develop a steady state of TB burdens in the
lungs. After 28 days of infection, 4 animals were sacrificed and bacterial
burdens of the lungs and spleens were enumerated to establish a baseline
burden level prior to the start of treatment. Compound 13 (100 mg kg –1) and the vehicle were orally administered
daily for 4 weeks starting at 28 days post infection. After 4 weeks
of treatment, all guinea pigs on the study did have varying increases
in weight and exhibited normal behavior and fecal output. For statistical
analysis, the CFUs are converted to logarithms and evaluated by a
one-way ANOVA followed by a multiple comparison analysis of variance
by Tukey and/or Dunnett’s test (Graphpad Prism 6.0 software
program). Differences were considered significant at the 95% level
of confidence. For both the acute and the chronic infection studies,
the lungs and spleens were graded from 1 to 4 based on a modified
Mitchison virulence scoring from Jain et al.[27] The scoring was based on gross pathological examination of inflammation,
extent of involvement and necrosis, number, and relative size of lesions.
Histopathology
For histology, portions of guinea pig
lungs and spleens were fixed in neutral buffered formalin and then
embedded in paraffin. Sections (∼5 μm) were cut and stained
with hematoxylin and eosin.
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