| Literature DB >> 30197997 |
Sreekanth Kokkonda1, Farah El Mazouni2, Karen L White3, John White1, David M Shackleford3, Maria Jose Lafuente-Monasterio4, Paul Rowland4, Krishne Manjalanagara5, Jayan T Joseph5, Adolfo Garcia-Pérez4, Jorge Fernandez4, Francisco Javier Gamo4, David Waterson6, Jeremy N Burrows6, Michael J Palmer6, Susan A Charman3, Pradipsinh K Rathod1, Margaret A Phillips2.
Abstract
Malaria kills nearly 0.5 million people yearly and impacts the lives of those living in over 90 countries where it is endemic. The current treatment programs are threatened by increasing drug resistance. Dihydroorotate dehydrogenase (DHODH) is now clinically validated as a target for antimalarial drug discovery as a triazolopyrimidine class inhibitor (DSM265) is currently undergoing clinical development. We discovered a related isoxazolopyrimidine series in a phenotypic screen, later determining that it targeted DHODH. To determine if the isoxazolopyrimidines could yield a drug candidate, we initiated hit-to-lead medicinal chemistry. Several potent analogues were identified, including a compound that showed in vivo antimalarial activity. The isoxazolopyrimidines were more rapidly metabolized than their triazolopyrimidine counterparts, and the pharmacokinetic data were not consistent with the goal of a single-dose treatment for malaria.Entities:
Year: 2018 PMID: 30197997 PMCID: PMC6120730 DOI: 10.1021/acsomega.8b01573
Source DB: PubMed Journal: ACS Omega ISSN: 2470-1343
Figure 1Structures of PfDHODH inhibitors.
Structure–Activity Relationshipa
The IC50 and EC50 data of DHODH and P. falciparum were collected in triplicate across the full dose range; the 95% confidence interval of the fit is provided in parenthesis. For compound 3, error represents the standard deviation for four replicates.
Albumax-based media were used to collect the indicated data. Data for 1 and 2 were previously reported.[31,32]
Physicochemical Properties and In Vitro Metabolism in Liver Microsomes
| compd | log | kinetic solubility pH 6.5 (μg/mL) | CLint (H/M μL/min/mg protein) | predicted |
|---|---|---|---|---|
| 3.6 | 12.5–25 | 4.3/2.8 | <0.2/<0.2 | |
| 2.5 | >100 | 2.2/<7 | 0.003/<0.01 | |
| nd | Nd | 6.2/28 | nd | |
| 4.3 | 1.6–3.1 | 36/183 | 0.59/0.89 | |
| 4.3 | 1.6–3.1 | 23/179 | 0.47/0.89 | |
| 4.4 | <1.6 | 32/233 | 0.56/0.91 | |
| 4.4 | <1.6 | 19/138 | 0.42/0.86 | |
| 3.7 | 3.1–6.3 | 17/143 | 0.39/0.86 | |
| 4 | 6.3–12.5 | 20/38 | 0.44/0.63 | |
| 3.6 | 6.3–12.5 | 24/28 | 0.48/0.55 | |
| 2.9 | 25–50 | 8/13 | 0.25/0.36 | |
| 4.7 | 1.6–3.1 | 26/328 | 0.5/0.93 | |
| 4.8 | 1.6–3.1 | 13/76 | 0.33/0.77 | |
| 5 | <1.6 | 13/73 | 0.34/0.76 | |
| 4.5 | 1.6–3.1 | 18/36 | 0.41/0.61 | |
| 4.7 | 1.6–3.1 | 10/26 | 0.28/0.53 |
Determined chromatographically.
Kinetic solubility range following a 30 min incubation at room temperature.
In vitro intrinsic clearance in human (H) and mouse (M) liver microsomes.
Predicted hepatic extraction ratio. Eh < 0.3 represents low, Eh 0.4–0.7 moderate, and Eh > 0.8 high predicted clearance.
Values for compounds 1 and 2 have been previously reported;[19,26,31] nd, not determined.
Figure 2X-ray structure comparison of the inhibitor-binding site for PfDHODH bound to 1 versus 15. Select residues within 4 Å of the inhibitor in the binding site are shown for the comparison of 1 (4rx0) (purple, highlighted with transparent spheres) and 15 (green, highlighted with transparent spheres). The X-ray structure of 1 bound to PfDHODH has been previously reported.[19] The FMN cofactor and the product orotic acid (l-Oro) are also shown bound in the pocket. The coordinates for the structure of PfDHODH bound to 15 have been submitted to the Protein Data Bank (PDB, 6GJG).
Scheme 1
Scheme 4
Scheme 2
Scheme 3Mouse Pharmacokinetics (PK) Comparison between Isoxazolopyrimidines (13 and 14) and Triazolopyrimidines (1 and 38) Following Oral Administration
| dose (mg/kg) | 10 | 10 | 20 | 20 |
| apparent | 2.5 | 1.9 | 2.5 | 0.9 |
| 3.1 | 1.3 | 29 | 2.1 | |
| 1.5 | 0.75 | 1 | 1.0 | |
| AUCinf (μM·h) | 23 | 3.8 | 170 | 4.2 |
Based on plasma concentrations.
Data taken from ref (19).
Based on blood concentrations.
Data taken from ref (32).
Figure 3Exposure profiles following a single oral administration of 10 (1 and 14) or 20 (13 and 38) mg/kg to mice, respectively. The data represent plasma concentrations for all compounds except 14, which represents blood concentration. To aid comparison between the compounds, data for 13 and 38 have been scaled to a dose of 10 mg/kg, assuming dose-proportional kinetics. The symbols represent individual data points (1, 38, 13) or mean ± SD (n = 5) (14). Note that the error bars for 14 are smaller than the symbols at most time points.
Figure 4P. falciparum efficacy study in SCID mice treated with 14. The mice were infected with P. falciparum on day 0 and were dosed with 14 orally once per day for 4 days (i.e., days 3–7). Parasitemia and blood levels of 14 were monitored daily to assess the efficacy. (A) Parasitemia levels. (B) Blood levels of 14 measured after the first dose on day 3. The dose levels are indicated in the figure legend.
Figure 5Schematic depicting the hit-to-lead chemistry pathway and key results.