Boron neutron capture therapy (BNCT) for cancer is on the rise worldwide due to recent developments of in-hospital neutron accelerators which are expected to revolutionize patient treatments. There is an urgent need for improved boron delivery agents, and herein we have focused on studying the biochemical foundations upon which a successful GLUT1-targeting strategy to BNCT could be based. By combining synthesis and molecular modeling with affinity and cytotoxicity studies, we unravel the mechanisms behind the considerable potential of appropriately designed glucoconjugates as boron delivery agents for BNCT. In addition to addressing the biochemical premises of the approach in detail, we report on a hit glucoconjugate which displays good cytocompatibility, aqueous solubility, high transporter affinity, and, crucially, an exceptional boron delivery capacity in the in vitro assessment thereby pointing toward the significant potential embedded in this approach.
Boron neutron capture therapy (BNCT) for cancer is on the rise worldwide due to recent developments of in-hospital neutron accelerators which are expected to revolutionize patient treatments. There is an urgent need for improved boron delivery agents, and herein we have focused on studying the biochemical foundations upon which a successful GLUT1-targeting strategy to BNCT could be based. By combining synthesis and molecular modeling with affinity and cytotoxicity studies, we unravel the mechanisms behind the considerable potential of appropriately designed glucoconjugates as boron delivery agents for BNCT. In addition to addressing the biochemical premises of the approach in detail, we report on a hit glucoconjugate which displays good cytocompatibility, aqueous solubility, high transporter affinity, and, crucially, an exceptional boron delivery capacity in the in vitro assessment thereby pointing toward the significant potential embedded in this approach.
Entities:
Keywords:
boron neutron capture therapy; cancer therapeutics; carbohydrates; drug delivery; glucose transporters; medicinal chemistry
As
one of the leading causes of morbidity and mortality on a global
scale, cancer is a significant societal economic burden with annual
global costs of 723–930 billion euros. Head and neck cancers
account for up to 10% of all cancers with 630 000 new cases annually
diagnosed worldwide.[1,2] Despite traditional treatments
featuring surgery, radiation, and chemotherapy, all of which are arduous
for the patients, many of these cancers recur. In head and neck cancers,
the inoperable recurrent ones are accompanied by a poor survival rate
with a mean survival time of only a few months.[3] A number of novel treatment strategies have recently gained
ground. These include antibody–drug conjugates,[4] proton therapy,[5,6] and, especially, boron
neutron capture therapy (BNCT).[7] BNCT represents
one of the most promising noninvasive binary treatment modalities
for head and neck cancers since it can eradicate cancer cells while
simultaneously sparing healthy cells (the basis of our approach is
displayed in Figure ).[8,9] The selectivity in BNCT arises from a 2-fold effect.
First, only cells with a sufficient concentration of 10B atoms are destroyed and, second, the external neutron beam can
be applied to a narrow and highly specific area where malignant cells
are present. Previously, the applications of, and interest in, clinical
BNCT have been hampered by the need for nuclear reactors, as a neutron
source, and the poor properties of clinically used boron delivery
agents. In recent years, new in-hospital neutron accelerators[10] have emerged thus revolutionizing the clinical
aspects of patient treatments; a renewed interest in the BNCT field
has been invoked—now, the final challenge to solve is that
of developing improved boron delivery agents.
Figure 1
Principles of our approach
to BNCT. Blue dots represent boron atoms
while gray dots represent carbon atoms in the ortho-carboranylmethyl moiety.
Principles of our approach
to BNCT. Blue dots represent boron atoms
while gray dots represent carbon atoms in the ortho-carboranylmethyl moiety.An optimally functioning delivery agent for BNCT should display
a minimal systemic toxicity, a cellular uptake of 20–35 μg/g
of tumor (i.e., ppm range), and tumor/normal tissue (T/N) and tumor/blood
(T/B) ratios above 3:1, with higher ratios naturally desirable. Combining
these different aspects into one single delivery agent has proved
challenging. Despite the large number of delivery agents (amino acids,
carbohydrates, porphyrins, antibody–boron conjugates, polymers,
peptides, liposomes, and nanoparticles) evaluated in the literature,[11−13] only three are in clinical use. These are sodium borocaptate (BSH),
boronophenylalanine (BPA and its fructose-complex) and decahydrodecaborate
(GB-10). None of them exhibit optimal properties. BPA has poor water
solubility, contains only one boron atom/delivered molecule, and gives
poor T/B- and T/N-ratios.[14,15] BSH[16] and GB-10[17] lack active targeting
and uptake mechanisms and have an ionic nature which may cause undesired
interactions with other biomolecules in a biological context.The intrinsic properties of carbohydrates, i.e., high aqueous solubility,
low systemic toxicity, and high biocompatibility make them seemingly
ideal candidates for clinical BNCT. Polysaccharide and oligosaccharide
carriers are, however, suboptimal from a BNCT-perspective: polysaccharides
are constrained to the extracellular matrix while oligosaccharides
display low lectin-binding affinities. Thus, we have chosen to focus
on monosaccharides in combination with carbohydrate transporters,
glucose transporters (GLUTs and SGLTs) in particular.Glucose
is an essential nutrient for mammalian cells. An increased
expression of GLUTs and SGLTs, especially GLUT1, has been observed
in head and neck cancers.[18] The basis for
this increase is the switch in glucose metabolism which in cancer
cells proceeds by an inefficient aerobic glycolysis route in contrast
to the oxidative metabolism in healthy noncancerous cells.[19] This inefficient metabolic pathway leads to
a substantial increase in glucose uptake which allows the cancer cells
to grow rapidly and proliferate.[20] Exploiting
this “Warburg effect”, named after Nobel laureate Otto
Heinrich Warburg, provides the foundation for the development of novel
glucose-based “Trojan horses” for clinical BNCT. Before
reaching the end stages of the development process (in vivo-studies with/without neutron sources), the biochemical foundations
of the approach need to be addressed in detail. In this regard, it
is important to note that concerns have been raised regarding the
effects of glucoconjugates on glucose metabolism in healthy cells,
the possible incorporation of metabolic products into other biomolecules,
and the competition for the transporters with the high glucose levels
found in blood.[21] Therefore, for a GLUT1
targeting approach to be successful, it is crucial to address these
issues already at the design stage.To this end, we have designed
and synthesized three glucoconjugates
bearing an ortho-carboranylmethyl substituent. The
carboranyl provides ten boron nuclei per delivery molecule in a charge-neutral,
chemically stable form, and is thus highly suitable for the purposes
of BNCT. In addition, a neutral and hydrophobic boron cluster should
be advantageous when aiming for transport through a transmembrane
protein since possible unfavorable interactions between charged boron
clusters and amino acids can be avoided.[22]Figure shows the
three 6-O-carboranylmethyl glucoconjugates targeted:
the hemiacetal and both methyl glycosides. The attachment of boron
clusters at the sixth position in glucose is rare in the scientific
literature, and conjugates with charge-neutral boron clusters have
not been prepared earlier.[23,24] A modification at this
site will, however, remove the concerns regarding interference with
glucose metabolism and incorporation into other biomolecules through
the glycolysis route; the 6-O-carboranylmethyl glucoconjugates
are no longer substrates for the glycolysis route in which the first
transformation is a phosphorylation at the sixth position.[25]
Figure 2
Two of the delivery agents in clinical use (left box)
and the 6-O-ortho-carboranylmethyl
glucoconjugates
prepared in the current study (right box). Blue dots represent boron
atoms while gray dots represent carbon atoms in the carboranyl moiety.
Two of the delivery agents in clinical use (left box)
and the 6-O-ortho-carboranylmethyl
glucoconjugates
prepared in the current study (right box). Blue dots represent boron
atoms while gray dots represent carbon atoms in the carboranyl moiety.In addition to synthesizing the glucoconjugates
and conducting
the most detailed structural characterization of such conjugates to
date, we have addressed the biochemical foundations of the GLUT1-targeting
approach through a preliminary, yet, comprehensive in vitro evaluation study featuring cytotoxicity, computational/experimental
receptor affinity, and cellular uptake experiments in the relevant
human head and neck cancer cell line CAL 27 (oral adenosquamous carcinoma
cell line). To our satisfaction, the new glucoconjugates display a
significantly stronger binding affinity to GLUT1 than glucose. This
shows that the previous fear regarding their competition with the
high levels of free glucose in blood has been unfounded. Moreover,
the glucoconjugates display a boron delivery capacity 40 times higher
than the best agents currently in clinical use—showing that
there is considerable potential embedded in this alternative approach.
Experimental Section
Synthesis and Structural
Characterization
Reaction solvents were purified by the VAC
vacuum solvent purification
system prior to use when dry solvents were needed. All reactions containing
moisture- or air-sensitive reagents were carried out under an argon
atmosphere. All reagents were purchased from commercial sources. The
NMR spectra were recorded with a Bruker Avance III NMR spectrometer
operating at 500.13 MHz (1H: 500.13 MHz, 13C:
125.76 MHz, 11B: 160.46 MHz). The probe temperature during
the experiments was kept at 23 °C. All products were characterized
by utilization of the following 1D-techniques: 1H, 13C, 11B, and 1D-TOCSY and the following 2D-techniques:
Ed-HSQC, HMBC, and COSY by using pulse sequences provided by the instrument
manufacturer. Chemical shifts are expressed on the δ scale (in
ppm) using TMS (tetramethylsilane), residual chloroform, methanol,
or 15% BF3 in CDCl3 (11B NMR) as
internal standards. Coupling constants have been obtained through
spectral simulations with the Perch Peak Research software, are given
in Hz, and are provided only once, when first encountered. Coupling
patterns are given as s (singlet), d (doublet), t (triplet), etc.
HRMS were recorded using Bruker Micro Q-TOF with ESI (electrospray
ionization) operated in positive mode. The purity of the compounds
was determined to be >95% in all cases. TLC was performed on aluminum
sheets precoated with silica gel 60 F254 (Merck). Flash chromatography
was carried out on silica gel 40. Spots were visualized by UV, followed
by spraying the TLC plates with a solution of H2SO4:MeOH (1:4) and heating.
General Experimental Procedures
General
Procedure for Selective Silylation of the 6-OH Group
in Glucopyranose
tert-Butyldimethylsilyl
chloride (1.35 equiv) was added portion-wise to a solution of d-glucose (1 equiv) in pyridine (10 mL/g of starting material)
at 0 °C. The mixture was brought to rt and stirred for 21 h.
The solvent was removed in vacuo, and the crude product
was purified by column chromatography (DCM:MeOH 7:1), the solvents
were removed, and the corresponding silylated glycopyranose was dried
on the vacuum line.
General Procedure for Selective Silylation
of the 6-OH Group
in Glucopyranosides
The corresponding methyl d-glucopyranoside
(1 equiv) was dissolved in dry DMF (10 mL/g of starting material)
at 0 °C under an atmosphere of argon. Imidazole (1.5 equiv) and
the tert-butyldimethylsilyl chloride (1.35 equiv)
were added, and the reaction mixture was brought to rt. The mixture
was stirred o/n. The reaction was quenched by the addition of MeOH
(0.25 mL/g of starting material) and concentrated in vacuo. The crude product was purified by column chromatography (DCM:MeOH
7:1), the solvents were removed, and the corresponding silylated glycoside
was dried on the vacuum line.
General Procedure for Alkylation
of Free Hydroxyl Groups
The partially protected glucoside/glucopyranose
(1 equiv) was dissolved
in dry DMF (2 mL/100 mg of starting material) under an atmosphere
of argon. The solution was cooled on an ice bath, and NaH (1.9 equiv)
was added. The reaction mixture was stirred for 15 min and then brought
to rt and stirred for a further 10 min. The corresponding bromide
(1.5 equiv/free OH-group) was added, and the resulting mixture was
stirred for 1–4 h, quenched with MeOH (0.4 mL/mmol of starting
material), diluted with DCM (4 mL/100 mg), and washed with a satd.
NaHCO3-solution. The organic phase was separated, and the
aqueous phase was extracted with DCM (3 × 3 mL/100 mg). The organic
phases were combined and washed with brine (3 mL/100 mg), dried over
Na2SO4, filtered, and concentrated. The crude
product was purified by column chromatography (EtOAc:hexane 1:8),
the solvents were removed, and the corresponding alkylatedglycoside
was dried on the vacuum line.
General Procedure for Deprotection
of Silyl Protective Groups
To a solution containing the protected
glycoside (1 equiv) in dry
THF (3 mL/200 mg of starting material) at 0 °C, HF-pyridine (18
μL/0.03 mmol of starting material) was added. The resulting
mixture was brought to rt and stirred for 20 h. The reaction mixture
was diluted with DCM (30 mL/0.5 g of starting material) and quenched
by the addition of a satd. NaHCO3-solution (20 mL/200 mg
of starting material). The aqueous phase was extracted with DCM (3
× 20 mL), and the organic phases were combined and washed with
brine (20 mL/500 mg of starting material). The combined organic phase
was dried over Na2SO4, filtered, and concentrated.
The crude product was purified by column chromatography (hexane:EtOAc
2:1), the solvents were removed, and the corresponding deprotected
glycoside was dried on the vacuum line.
General Procedure for Coupling
Reaction with Decaborane
B10H14 (1.8
equiv) in dry ACN (5 mL/150 mg)
under argon was heated to 60 °C and stirred for 1 h. Meanwhile,
the propargylated glycoside (1 equiv) was dissolved in dry toluene
(5 mL/150 mg) and added after the first hour. The reaction mixture
was stirred for 15–18 h at 80 °C. The mixture was quenched
by the addition of dry methanol (1.8 mL/200 mg starting material)
and allowed to stir for 30 min at 80 °C. The solvent was removed,
and the crude product was purified by column chromatography (EtOAc:hexane
1:3), the solvents were removed, and the corresponding carboranylglycoside was dried on the vacuum line.
General Procedure for Deprotection
of Benzyl Groups
The corresponding protected glucoside was
dissolved in EtOAc:MeOH
7:1 (1 mL/10 mg of starting material). Pd/C (10% Pd, 1 weight equiv)
was added, and the reaction mixture was stirred in an autoclave under
H2 (3–5 bar) for 4–6 h. The resulting mixture
was filtered through Celite, washed with EtOAc:MeOH 7:1 (3 ×
10 mL), and concentrated under vacuum. The crude product was purified
by column chromatography (DCM:MeOH 5:1), the solvents were removed,
and the product was dried on the vacuum line to give the corresponding
deprotected glucoside/glucopyranose.
Substrate Specific Analytical
Data
6-O-(tert-Butyldimethylsilyl)-d-glucopyranose
Synthesized from d-glucose
(9.99 g/55.5 mmol), according to the general procedure for selective
silylation of the 6-OH group in glucopyranoses. This reaction yielded
an off-white powder (10.64 g, 69%; α:β 58:42). R = 0.61 (DCM:MeOH 5:1).1H NMR of the α-anomer (500.13 MHz; CD3OD): δ 5.08 (d, 1H, J1,2 = 3.7
Hz, H-1), 3.85 (dd, 1H, J6a,5 = 2.1, J6a,6b = −11.2 Hz, H-6a), 3.84 (dd, 1H, J6b,5 = 4.6 Hz, H-6b), 3.75 (ddd, 1H, J5,4 = 9.8 Hz, H-5), 3.67 (dd, 1H, J3,4 = 9.1, J3,2 = 9.6 Hz,
H-3), 3.35 (dd, 1H, H-4), 3.33 (dd, 1H, H-2), 0.90 (s, 9H, 6-OSi(CH3)2C(CH)3) and 0.08 and 0.07 (each s, each 3H, 6-OSi(CH)2C(CH3)3) ppm.13C NMR of the α-anomer (125.76 MHz;
CD3OD): δ 93.9 (C-1), 74.9 (C-3), 73.8 (C-2), 73.2
(C-5), 71.6
(C-4), 64.1 (C-6), 26.4 (6-OSi(CH3)2C(CH3)3), 19.3 (6-OSi(CH3)2C(CH3)3) and −5.0
and −5.1 (6-OSi(CH3)2C(CH3)3) ppm.1H NMR of the β-anomer
(500.13 MHz; CD3OD): δ 4.44 (d, 1H, J1,2 = 7.8
Hz, H-1), 3.94 (dd, 1H, J6a,5 = 2.0, J6a,6b = −11.2 Hz, H-6a), 3.78 (dd, 1H, J6b,5 = 5.4 Hz, H-6b), 3.33 (dd, 1H, J3,4 = 8.9, J3,2 =
9.8 Hz, H-3), 3.30 (dd, 1H, J4,5 = 9.4
Hz, H-4), 3.26 (ddd, 1H, H-5), 3.11 (dd, 1H, H-2), 0.90 (s, 9H, 6-OSi(CH3)2C(CH)3) and 0.08 and 0.07 (each s, each 3H, 6-OSi(CH)2C(CH3)3) ppm.13C NMR of the β-anomer (125.76 MHz;
CD3OD): δ 98.1 (C-1), 78.2 (C-3, C-5), 76.2 (C-2),
71.5 (C-4),
64.3 (C-6), 26.4 (6-OSi(CH3)2C(CH3)3), 19.3 (6-OSi(CH3)2C(CH3)3) and −5.1 (6-OSi(CH3)2C(CH3)3)
ppm.HRMS: m/z calcd. for
C12H26O6SiNa [M + Na]+ 317.1397; found
317.1385.
Synthesized from
methyl 2,3,4-tri-O-benzyl-6-O-(o-carboranylmethyl)-β-d-glucopyranoside (0.15 g, 0.25 mmol), according to the general
procedure for the deprotection of benzyl groups. This reaction yielded
a white solid (0.068 g, 81%). R = 0.61 (DCM:MeOH 5:1).1H NMR (500.13 MHz;
CD3OD): δ 4.63 (br s, 1H, carborane-CH), 4.17 (d, 1H, J1,2 = 7.8 Hz, H-1),
4.06 (each d, each 1H, J = −11.1 Hz, 6-OCH-carborane), 3.84 (dd, 1H, J6a,5 = 2.1, J6a,6b = −11.3 Hz, H-6a), 3.73 (dd, 1H, J6b,5 = 5.2 Hz, H-6b), 3.53 (s, 3H, 1-OCH), 3.38 (ddd, 1H, J5,4 = 10.0 Hz,
H-5), 3.35 (dd, 1H, J3,2 = 9.3, J3,4 = 9.3 Hz, H-3), 3.30 (dd, 1H, H-4), 3.16
(dd, 1H, H-2) and 2.54–1.54 (br m, 10H, carborane-BH) ppm.13C NMR (125.76 MHz; CD3OD): δ
105.4
(C-1), 77.8 (C-3), 76.9 (C-5), 75.2 (carborane-C), 74.9
(C-2), 73.9 (6-OCH2-carborane), 72.2 (C-6),
71.2 (C-4), 60.5 (carborane-CH) and 57.4 (1-OCH3) ppm.11B NMR (160.46 MHz; CDCl3): δ –2.06,
–3.97, –8.30, –10.50 and −12.08 ppm.HRMS: m/z calcd. for C10H26B10O6Na [M + Na]+ 375.2558;
found 375.2557.
Molecular Modeling
The initial geometries
of the ligands were optimized to a local minimum at the DFT level,
using the dispersion-corrected hybrid Tao–Perdew–Scuseria–Staroverov
functional TPSSh-D3(BJ),[26−28] with the doubly polarized triple-ζ
basis set def2-TZVPP.[29] The structures
of the different ligands were aligned so that geometries would be
as similar as possible. Partial atomic charges were computed using
the restrained electrostatic potential (RESP) protocol.[30] For the RESP charge calculation, the molecule
was divided into two parts, with one part consisting of the carborane
and a linking carbon and the other part comprising the sugar. Partial
charges of hydrogens bonded to the same carbon were constrained to
be equal. The geometry optimizations were performed with Turbomole
7.3,[31,32] and the RESP calculations with NWChem 6.8.[33] Noncovalent interactions (NCI)[34] between the ligands and protein were computed using the
promolecular approach of NCIPLOT.[35]Molecular docking studies were performed using AutoDock 4.2.6.[36,37] All rotatable bonds in the carborane part were set to nonrotatable
(inactive). For docking, the number of torsional degrees of freedom
for the carboranes was set to 8 (torsdof 8). The docking studies were
performed using the XylE inward-open 4QIQ and outward-open 6N3I PDB
structures. The XylE protein structures were mutated using PyMOL,
changing Gln-415 to Asn-415. The most probable rotamer, that is, the
one with the least clashes with surrounding amino acids, as suggested
by PyMOL was used. Each protein was prepared by removing the ligand
and other superfluous small molecules (Zn for 4QIQ), adding hydrogens,
merging them, and then computing Gasteiger partial charges. For all
proteins, a grid of size 46 × 56 × 60 was used, with a grid
spacing value of 0.375. The grid center was in the middle of the protein
cavity, for the grid box to cover the binding site. During docking,
the protein was kept rigid and only ligand torsional angles changed.
For each ligand, 6000 (3 × 2000) independent search runs, each
with max 2.5 million energy evaluations and population size of 150
with max 27000 generations, were performed using the default settings
of the Lamarckian genetic algorithm (LGA), that is, a mutation rate
of 0.02 and crossover rate of 0.8, with one top individual surviving
to the next generation. Conformations were clustered (ranked) with
a cluster RMS 2.0 Å.Parameters for boron, missing from
the standard distribution of
Autodock, were added to the parameter file: R 2.285, Rii 4.57, epsilon 0.179, vol 49.9744; other parameters were set to their
corresponding carbon values. R and epsilon were taken from Oda et
al.,[38] as reproduced by Couto et al.,[39] and were used to calculate Rii and
vol. The complete parameter definition was thus:atom_par B
4.57 0.179 49.9744–0.00143 0.0 0.0 0 −1
−1 0 # Boron for Carborane
Cytotoxicity
Studies
The CellTiter-Glo
luminescent cell viability assay was purchased from Promega Corporation
(Madison, WI, USA). The PierceTM BCA Protein Assay Kit was obtained
from Thermo Fisher Scientific (Waltham, MA, USA). Human CAL 27 squamous
cell carcinoma was acquired from American Type Culture Collection
(Manassas, VA, USA). The cell culturing flasks and 96-well plates
were purchased from Corning (Corning, NY, USA). Dulbecco’s
Modified Eagle’s Medium (DMEM), Dulbecco’s phosphate
buffer saline (10 × DPBS), fetal bovine serum (FBS), and Penicillin-Streptomycin
(10,000 U/mL) were obtained from Gibco (Life Technologies, Carlsbad,
CA, USA).The in vitro cell cytotoxicity was
carried out using a commercial CellTiter-Glo luminescent cell viability
assay. The human epithelial CAL 27 squamous carcinoma cell line was
used as a head-and-neck cancer cell model in this experiment. The
cells were plated on a 96-well plate at 15,000 cells per well in 100
μL DMEM supplemented with 10% FBS and 1% Penicillin-Streptomycin,
and cells were allowed to attach overnight. The medium was removed
and replaced with 100 μL of the glucoconjugates 1, 2, 3, or sodium borocaptate (BSH) solution
in complete cell culture medium at concentrations of 5 μM, 25
μM, 50 μM, 125 μM, and 250 μM. Fresh medium
and 1% (v/v) Triton X-100 were used as positive and negative controls
of cell viability, respectively. The incubation time points of the
compounds were set at 6 and 24 h in a temperature and humidity controlled
incubator (37 °C, 95% relative humidity and 5% CO2). At predetermined time points, the plates were equilibrated to
room temperature for 30 min. The incubated solutions were discarded,
and the cells were washed twice with 1 × PBS. Then, 50 μL
of both 1 × PBS and CellTiter-Glo reagent were added to the wells.
The plates were protected from light with aluminum foil and placed
on an orbital shaker for 2 min before luminescence measurement with
a Varioskan LUX multimode microplate reader (Thermo Fisher Scientific,
Waltham, MA, USA). All measurements were done in quadruplicate.Furthermore, the total protein content in each sample was quantified
using the colorimetric bicinchoninic acid (BCA) assay (Pierce, Thermo
Fisher Scientific, Waltham, MA, USA). The procedures were carried
out according to the manufacturer protocol. Cell lysates (25 μL
each) from the cytotoxicity assay was transferred to a new 96-well
plate. Working reagent (200 μL) was subsequently added to each
sample at a 1:8 ratio. The plates were kept in the dark with aluminum
foil and gently mixed on an orbital shaker for 30 s before proceeding
to incubate at 37 °C for 30 min. The absorbance was read at 562
nm on a plate reader, and the protein content was determined against
a bovine serum albumin (BSA) standard curve (0–2000 μg/mL).
The total protein content results were used to normalize the cell
viability from the CellTiter-Glo assay by dividing the luminescence
value in each sample by the total protein content (μg) in the
same sample before the percent cell viability determination. The experiment
was carried out in quadruplicate and the statistical significance
of the mean viability was determined using an unpaired Student’s t-test against the negative control for cell viability.
GLUT1 Affinity and Cellular Uptake Studies
CAL 27 squamous cell carcinoma cells were purchased from the American
Type Culture Collection (ATCC, Manassas, VA, USA) or supplied by the
University of Helsinki. The CAL 27 cells were cultured in Dulbecco’s
Modified Eagle Medium (DMEM; Gibco, ThermoFisher Scientific, Waltham,
MA, USA) supplemented with l-glutamine (2.0 mM; ThermoFisher
Scientific, Waltham, MA, USA), heat-inactivated fetal bovine serum
(10%; Gibco, ThermoFisher Scientific, Waltham, MA, USA), penicillin
(50 U/mL), streptomycin (50 μg/mL) solution (ThermoFisher Scientific,
Waltham, MA, USA). The CAL 27 cells (passages 7–20) were seeded
at the density of 5 × 105 cells/wells onto 24-well
plates. The cells were used in the affinity and uptake studies 2 days
after seeding. The culture medium was removed, and the cells were
washed with prewarmed HBSS (Hank’s balance salt solution) without
glucose (pH 7.4). The cells were then incubated with HBSS at 37 °C
for 10 min before the experiments. Additional information on the experimental
protocols is supplied in the Supporting Information.In order to determine the ability of the compounds to bind
to GLUT1 in the CAL 27 cell line, the cells were cultured, seeded,
and preincubated as described above. The HBSS was removed, and the
ability of the compounds to inhibit the uptake of the known GLUT1
substrate, [14C]-d-glucose (PerkinElmer, Waltham,
MA, USA), was studied by incubating the cells at rt for 5 min in a
buffer with a pH 7.4 (250 μL) and further containing 1.8 μM
(0.1 mCi/ml) of [14C]-d-glucose. The compounds
were studied at concentrations ranging from 0.1–1800 μM
and the HBSS was used as a blank. After incubation, the experiment
was ended by the addition of ice-cold HBSS and the cells were washed
twice with ice-cold HBSS. The cells were then lysed with 250 μL
of 0.1 M sodium hydroxide, the lysate was mixed with 1.0 mL of Emulsifier
safe cocktail (PerkinElmer, Waltham, MA, USA), and the radioactivity
was measured by liquid scintillation counter (MicroBeta[2] counter, PerkinElmer, Waltham, MA, USA). The
inhibition of [14C]-d-glucose in the presence
of the boron containing compounds compared to the control (HBSS) was
calculated as percentages (%). See Supporting Information Figure 44.The concentration-dependent uptake
studies of the glucoconjugates
were performed by adding 10–400 μM of the compounds in
250 μL of prewarmed HBSS buffer on the cell layer. The incubation
times for each compound were 5 and 30 min. After incubation the cells
were washed and lysed as described above. The lysate from 4 wells
was combined in a Eppendorf tube, centrifuged at 4 °C, and 800
μL of the supernatant was collected and digested in 1.0 mL of
conc. HNO3 (TraceMetal grade, Fisher Chemical) for 24 h.
After sample digestion, Milli-Q water (USF Elga Purelab Ultra) was
added in order to reach a total volume of 10 mL, and the boron concentrations
were analyzed by inductively coupled plasma mass spectrometry (ICP-MS).The boron concentrations were analyzed by ICP-MS using a NeXION
350D ICP-MS instrument (PerkinElmer Inc., Waltham, MA, USA) and ESI
PrepFAST autosampler (Elemental Scientific, Omaha, NE, USA). For sample
injection a peristaltic pump and nebulizer were used. The instrument
was operated with an RF power of 1.6 kW and with nebulizer gas, auxiliary
gas, and plasma gas flows of 0.90, 18, and 1.2 l/min, respectively.
The sample uptake rate was 3.5 mL/min, and dwell times were set at
100 ms per AMU. To remove polyatomic interferences, a triple-quadrupole
reaction system operating in collision mode with kinetic energy discrimination
(KED) was used (with He as the cell gas (3.7 mL/min)). An internal
standard, 89Y, was mixed online with the samples to compensate
for matrix effects and instrument drift. Boron was determined against
a certified multielement calibration standard (TraceCERT Periodic
Table Mix 1, Sigma-Aldrich) under acid conditions (6.7% HNO3, TraceMetal grade, Fisher Chemical). The calibration range used
for 11B was 4–400 μg/lL, and the detection
limit (LOD) was 1.0 μg/L. Three replicates were obtained for
each sample. The data was processed using the PerkinElmer Syngistix
Data Analysis Software.
Results
Synthesis
and Structural Characterization
of 6-O-Carboranylmethyl Glucoconjugates
The construction of the targeted glucoconjugates requires insights
in boron cluster chemistry and carbohydrate chemistry. A significant
amount of progress has been achieved in both areas over a considerable
timespan, and robust reaction methodologies can be found in the existing
literature.[23,24] Yet, each new synthetic target
requires the development of a suitable strategy, and unlike the 3-O-carboranylmethyl,[40] the carboranylmethyl-glucosides,[41] and other types of glucoconjugates previously
evaluated,[23,42,43] the 6-O-carboranylmethyl glucoconjugates (Figure ) have been explicitly
designed for clinical BNCT of head and neck cancers. The methyl glucopyranosides
were included in order to evaluate if there is a difference between
the affinity and cellular uptake of the two anomers since the hemiacetal
exists as a mixture of both. In addition, the methyl group is minimally
intrusive which is beneficial since information on the substrate tolerance
of GLUT1 is limited.[44]It was important
to account for the susceptibility of decaborane to free hydroxyl groups
and the possibility for carboranes to undergo degradation under strongly
basic conditions when planning the synthesis of the 6-O-carboranylmethyl glucoconjugates. With these issues in mind, we
developed the multistep synthetic routes to the three 6-O-carboranylmethyl glucoconjugates 1, 2,
and 3. The synthesis and structural characterization
discussion will herein be limited to glucoconjugate 1 (Scheme ). The reaction
routes to 2 and 3 are displayed in Supporting Information Scheme 1, and the synthesis
and characterization of 2 and 3, and all
intermediates on these routes, were conducted in a similar fashion
as described below for 1.
Reagents and conditions: (i)
(1) TBDMSCl, pyridine, rt, 24 h, 69%; (2) BnBr, NaH, DMF, rt, 4 h,
88%; (ii) (1) HF-pyridine, THF, rt, 18 h, 99%; (2) propargyl bromide,
NaH, DMF, rt, 15 h, 83%; (iii) (1) B10H14, acetonitrile,
60 °C, 1 h; (2) 5, toluene, 80 °C, 16 h, 55%;
(iv) H2, 10% Pd/C, EtOAc:MeOH 7:1, 3–5 bar, rt,
4–6 h, 79%.In short, the synthesis
commenced from d-glucose. In the
first step, the sterically least hindered primary hydroxyl group was
temporarily protected as a bulky silyl ether with TBDMSCl in pyridine
in an acceptable yield. The remaining hydroxyl groups were benzylated,
through standard alkylation protocols,[45] using BnBr and NaH in an 88% isolated yield. The temporary silyl
protective group was removed with Olah’s reagent in excellent
yield,[46] followed by the alkylation of
the unmasked hydroxyl group with propargyl bromide and NaH in an 87%
yield. The coupling between decaborane (B10H14) and the terminal alkyne was achieved by first forming a decaborane–ACN
complex[47] followed by a substitution reaction
with 5. In the pioneering work of Tietze et al., which
encompassed the synthesis of carboranyl C-glycosides,
the removal of benzyl groups was reported to proceed in high yields
(61%–quant.).[48] In our first attempts,
we encountered challenges regarding the debenzylation reaction, and d-glucose was formed in considerable amounts as a side product
(>40%). These observations were consistent regardless of the employed
transition metal catalyst. While we did not optimize the reaction
conditions fully, we did note that performing the reaction at a lower
substrate concentration (40 mg/mL vs 14 mg/mL) led to a marked increase
in the isolated yields (59% → 79%). The isolated yields on
the synthetic routes were high throughout and the overall yield for
the synthesis of 1 was 22%.In order to understand
how the glucoconjugates interact with GLUT1,
insights on their structural properties were required. As a result,
we performed a detailed conformational characterization of the synthesized
molecules by NMR-spectroscopy (1H, 13C, 11B, 1D-TOCSY, DQF-COSY, ed-HSQC, and HMBC) further coupled
with spectral simulations by quantum mechanical optimization utilizing
the PERCH peak research software. The 1H NMR spectrum of 1 was challenging to solve because the hemiacetal exists as
an anomeric mixture (59% α, 41% β) and the signals overlap
in several parts of the spectrum. In order to overcome these challenges,
1D-TOCSY was utilized.[49,50] The well separated H-1α
(5.10 ppm) and H-1β-protons (4.46 ppm) were irradiated, and
a mixing time of 300 ms was applied in order to ensure the transfer
of magnetization throughout the spin-systems. This experiment resulted
in information on the chemical shifts of all proton signals on both
residues. By the use of standard 2D-NMR techniques, all of the 1H and 13C NMR signals of both anomers could be
assigned. The coupling constants which provide information on the
angles between adjacent protons and constitute the basis of a conformational
characterization could not be reliably extracted from the 1H NMR spectra alone. By use of the PERCH-software, the 1H NMR spectrum was simulated and the coupling constants were obtained.
The coupling constants confirmed that the glucoconjugates exist primarily
in the 4C1-conformation and
that the gg and gt rotamers (C5–C6-bond)
are dominating in solution (JH-5,H-6a = 1.8–2.0 Hz, JH-5,H-6b = 4.9–5.2 Hz and JH-6a,H-6b = −11.3 Hz).[51]The last
step on the road to a complete NMR-spectroscopic characterization
was to confirm that the boron cluster had remained intact. To this
end, we measured decoupled 11B NMR spectra and the signals
appearing in the 0 to −30 ppm region confirmed[52] that the carboranyl cluster was indeed intact. In addition,
we assigned all the signals (carboranylmethyl moiety, protective groups,
and carbohydrate) in the 1H and 13C NMR spectra
of all compounds and verified their structural identity and purity
also by high resolution mass spectrometry.
Experimental
and Computational GLUT1 Affinity
Studies
We were interested in understanding how the glucoconjugates
interact with GLUT1 since this provides the biochemical foundation
for their potential use in the intended application. We sought inspiration
from the previous work of Lippard et al. focusing on cytotoxic glucose-platinum
conjugates.[53] While the requirements for
a successful GLUT1 targeting approach are similar, there is a significant
conceptual difference between the therapeutic approaches of using
either nontoxic boron delivery agents (with a targeted external neutron
beam) or delivery agents containing cytotoxic compounds since the
glucoconjugates are likely to be transported into all cells expressing
GLUT1—albeit in different amounts. In order to study the GLUT1
affinities of the glucoconjugates, an experimental cis-inhibition assay was devised using the human CAL 27 cell line. The
CAL 27 cell line represents a head and neck cancer type amenable to
treatment with BNCT. The overexpression of GLUT1 in CAL 27 is responsible
for the aberrant growth of these tumors,[54,55] and therefore the GLUT1 targeting approach is warranted. Before
conducting the assays, we validated the GLUT1 function of CAL 27 (see Supporting Information). The cis-inhibition assay was devised as a competition experiment between
the glucoconjugates and [14C]-d-glucose, with d-glucose serving as a control. This experiment accurately mimics
the situation that the delivery agents would face in a biological
context. It has been previously speculated and shown that 6-O-substituted glucoconjugates display a higher affinity
to GLUT1 than free d-glucose.[53,56] In our current
study, the affinities for the glucoconjugates 1–3 were in the low μM range in contrast to the low mM-affinity
displayed by free d-glucose. The exact GLUT1 IC50-values were determined to be 43.96 μM for 1,
262.4 μM for 2, 15.2 μM for 3, and >1 mM for free d-glucose. The 4–67 times
stronger
affinity displayed by the glucoconjugates confirm that at least glucoconjugates 1 and 3 are capable of targeting GLUT1 in the
intended application despite the high glucose levels found in blood
(6 mM).In order to elucidate the interactions between the glucoconjugates
and the transporters on a molecular level, we next turned to molecular
modeling. We focused on the differences in binding to GLUT1 and studied
the protein–ligand interactions of the glucoconjugates 1–3 in the outward- and inward-open conformations
of the transporter, i.e., on the outside and inside of the cell. To
set up a computational model, an experimental structure of the transporter
was required. However, only the crystal structure of the inward-open
conformation of GLUT1 has been reported.[57] In order to perform the docking studies on equal footing for both
the inward and outward-open conformations, we created a model based
on XylE, a d-xylose-proton symporter found in E.
coli for which crystal structures of both the inward-open
(PDB ID 4QIQ),[58] and outward open (PDB ID 6N3I)[59] conformations exist. XylE is structurally very similar
to the GLUT1–4 proteins (29% sequence identity and 49% similarity).[60] Importantly, the binding site residues are identical
to GLUT1 except for the Gln415 in XylE which is Asn411 in GLUT1.[61,62] After virtual mutation of this residue, we estimated binding energies
by molecular docking studies. In our models, the glucoconjugates 1–3 bind significantly stronger to both
the outward- and inward-open binding sites of the transporter than d-glucose, in line with the experimental observations above.
For the outward-open conformation, the binding free energy difference
is estimated to be up to 5 kcal/mol in favor of the glucoconjugates,
corresponding to a binding affinity increase on the order of 103 (see Supporting Information for
details).There are a few observations of importance from the
BNCT delivery
agent perspective. The estimated binding affinity of each glucoconjugate
is an order of magnitude lower in the inward-open binding pocket than
in the corresponding outward-open one; that is, the ligand binds more
tightly on the outside. This is beneficial from a functional point-of-view,
as it implies that after the conformational change of the protein
from the outward-open to the inward-open conformation, the ligand
is more readily released to the inside of the cell. For d-glucose, this difference in binding energy between the inward- and
outward-open conformations is absent.For the outward-open structure,
two major binding poses for the
glucoconjugates were identified. In one, the sugar end of the glucoconjugate
overlaps with the most favorable binding pose of free glucose, while
the carboranyl end extends toward the hydrophobic end of the binding
pocket; see Figure . This agrees with the hydrophobic nature of the carboranes,[22] as manifested by the almost neutral partial
atomic charges of both boron and hydrogen in the B–H bonds
(see Supporting Information). In the second
pose, the glucoconjugate is slightly rotated. This pose is estimated
to bind with practically equal affinity (see Table S1).
Figure 3
Glucoconjugate 3 bound to the outward-open conformation
of the transporter. Top: Green areas indicate intramolecular noncovalent
interactions between 3 and the protein. Bottom: The closest
amino acids surrounding the ligands, using PDB 6N3I numbering; hydrogen
bonds shown as blue dashes, the binding pose of β-Glc superimposed
in green color over the glucoconjugate.
Glucoconjugate 3 bound to the outward-open conformation
of the transporter. Top: Green areas indicate intramolecular noncovalent
interactions between 3 and the protein. Bottom: The closest
amino acids surrounding the ligands, using PDB 6N3I numbering; hydrogen
bonds shown as blue dashes, the binding pose of β-Glc superimposed
in green color over the glucoconjugate.In general, the binding pocket seems rather accommodating from
a structural point-of-view, with enough space for the bulky carboranylmethyl
substituent at the sixth position in addition to the sugar. In order
to corroborate this, we performed a quantum mechanical noncovalent
interaction (NCI) analysis[34] on the ligand/transporter
complex. The analysis revealed favorable interactions between ligand
and protein at both ends of the glucoconjugate (Figure , top). Importantly, no repulsive intramolecular
steric interactions are identified; even the largest of the boron
cluster conjugates fits snugly to the transporter pocket. The inward-open
conformation, on the other hand, displays greater flexibility in the
binding site, which leads to a number of binding poses for both glucose
and the glucoconjugates. This might also explain the lower binding
affinity for the glucoconjugates to this site.
Cytotoxicity
and Cellular Uptake Studies
With the biochemical foundations
of the GLUT1 targeting approach
investigated, we continued by addressing the cellular uptake and cytotoxicity
of the glucoconjugates since these are essential properties of boron
delivery agents and important factors for eventual translation into
the clinics. The CAL 27 cell line was used in these studies because
of its clinical relevance. In the cytotoxicity assays, the glucoconjugates 1, 2, and 3 were incubated with
the cells at concentrations of 5 μM, 25 μM, 50 μM,
125 μM, and 250 μM for 6 and 24 h. These concentrations
were chosen based on the affinity results and the time points were
selected with the clinical perspective related to intravenous administration
of the boron carriers in mind. In these studies, the clinically deployed
BSH was used as a reference. BPA was omitted because its IC50-value has been previously reported to be in the low mM range.[14] The cell viability was quantified by the detection
of ATP metabolic activity-generated luminescence from the viable cells
after incubation using a commercially available Cell-Titer Glo assay.
The glucoconjugates 1–3 displayed
IC50-values in the μM range and were consistently
less toxic than BSH. The IC50-values were obtained from
nonlinear regression fitting of the cell viability data and were found
to be 214.8 μM for 1, 196.1 μM for 2, 276.6 μM for 3, and 98.7 μM for
BSH (see Figure ).
From a toxicity standpoint, there is therefore no objection to their
use as delivery agents in BNCT.
Figure 4
Cell cytotoxicity studies in CAL 27 cells
after incubation with
negative (cell culture medium) and positive (1% Triton X-100) controls,
and glucoconjugates 1, 2, 3, and BSH at 5 μM, 25 μM, 50 μM, 125 μM,
and 250 μM for 6 and 24 h. Error bars represent the mean ±
s.d. (n = 4) in comparison with the negative control.
The statistical hypothesis was evaluated by unpaired Student’s t-test where the significant probabilities were set at *p < 0.05, **p < 0.01, and ***p < 0.001.
Cell cytotoxicity studies in CAL 27 cells
after incubation with
negative (cell culture medium) and positive (1% Triton X-100) controls,
and glucoconjugates 1, 2, 3, and BSH at 5 μM, 25 μM, 50 μM, 125 μM,
and 250 μM for 6 and 24 h. Error bars represent the mean ±
s.d. (n = 4) in comparison with the negative control.
The statistical hypothesis was evaluated by unpaired Student’s t-test where the significant probabilities were set at *p < 0.05, **p < 0.01, and ***p < 0.001.Our final focus in this
study was to determine if the glucoconjugates
are transported into the cells through GLUT1 or if they, at the very
least, remain attached to the cells. This is within the critical range
required in clinical BNCT for the generated alpha particles to exert
a cell-killing effect. This information was obtained by determining
the boron content in the CAL 27 cell lysates after incubation with
the compounds and careful washing. The development of a functioning
protocol featuring suitable incubation times, compound concentrations,
workup protocols, and methods for the robust analysis of boron content
required an extensive number of trials. In the end, incubation times
of 5 and 30 min were selected based on the optimal performance of
[14C]-d-glucose under these conditions, and the
concentration range 10–400 μM was selected based on the
GLUT1 affinity results. The ICP-MS instrument used in determination
of the boron content was found to be somewhat insensitive, and cells
from four wells were combined and digested in order to obtain results
of high reliability. The results are summarized in Figure .
Figure 5
Cell uptake studies in
the CAL 27 cell line after incubation with
glucoconjugates 1 (▲), 2 (■), 3 (●), BPA (⧫), and BSH (▼) in the 10–400
μM range for 5 min (A; n = 3) and 30 min (B; n = 3). The Michaelis–Menten kinetic parameters for
glucoconjugates when available: At 5 min incubation time (A), glucoconjugate 2: Vmax = 2.791; Km = 80.49. At 30 min incubation time (B), glucoconjugate 1: Vmax = 16.29; Km = 630.5,
glucoconjugate 2: Vmax =
6.417; Km = 488.3, glucoconjugate 3: Vmax = 16.89; Km = 894.2, and BPA: Vmax = 3.625; Km = 3737.
Cell uptake studies in
the CAL 27 cell line after incubation with
glucoconjugates 1 (▲), 2 (■), 3 (●), BPA (⧫), and BSH (▼) in the 10–400
μM range for 5 min (A; n = 3) and 30 min (B; n = 3). The Michaelis–Menten kinetic parameters for
glucoconjugates when available: At 5 min incubation time (A), glucoconjugate 2: Vmax = 2.791; Km = 80.49. At 30 min incubation time (B), glucoconjugate 1: Vmax = 16.29; Km = 630.5,
glucoconjugate 2: Vmax =
6.417; Km = 488.3, glucoconjugate 3: Vmax = 16.89; Km = 894.2, and BPA: Vmax = 3.625; Km = 3737.In addition to studying the uptake of glucoconjugates 1–3, both BSH and BPA were included as
representatives
of delivery agents in clinical use. All glucoconjugates delivered
a significantly higher boron content to the CAL 27 cells than BPA
and BSH across the entire concentration range. To a certain degree,
the observations may be explained by the different uptake mechanisms
of the glucoconjugates, BPA, and BSH. Nevertheless, according to our
preliminary assessment, targeting GLUT1 translates into a competitive
strategy for BNCT—outperforming the passive transport of BSH
and the LAT1-targeting approach of BPA in the in vitro cellular uptake model used. Glucoconjugates 1 and 3 were found to have the best boron delivery capacity, with 3 being slightly better at the 5 min mark and 1 being considerably better at the 30 min mark. We note that the correlation
to the GLUT1 affinity results is perhaps weaker than one would expect.
The difference is natural when considering that the two methods provide complementary insights on two separate properties: the ability
to compete with other GLUT1 substrates for the transporter and the
ability to remain attached to the cell or internalized.Lastly,
in order to distinguish which of our two prime candidates,
glucoconjugates 1 and 3, would be better
suited for future in vivo and potential preclinical
BNCT studies, we determined their aqueous solubility. This is an important
factor from the formulation and treatment perspective, as exemplified
by BPA which is administered as a fructose complex due to the low
aqueous solubility of BPA itself. Surprisingly, glucoconjugate 1 displayed a significantly higher aqueous solubility than 3 (1 mg/mL vs <1 mg/500 mL). When this property is further
coupled with its high GLUT1 affinity, low cytotoxicity, and outstanding in vitro delivery capacity, we are pleased to report that
6-O-(ortho-carboranylmethyl)-d-glucopyranose, our “Trojan horse”, has considerable
potential as a delivery agent for BNCT.
Discussion
Head and neck cancers account for up to 10% of all cancers, and
the recurrent ones are accompanied by a poor survival rate in patients.[3] BNCT has been successfully applied to the treatment
of head and neck cancers[63,64] and is currently attracting
large investments on a global scale due to the recent development
of in-hospital neutron accelerators which is a game-changer from a
patient treatment perspective.In this work, we have designed
and synthesized molecular-scale
“Trojan horses”, i.e. conjugates of glucose and boron
clusters containing a high boron content, and studied the biochemical
foundations of a GLUT1-targeting strategy to BNCT. In more detail,
we have used a chemistry-based approach featuring both experimental
and computational methodologies. From the onset, important factors
such as the possible interference with glucose metabolism through
the glycolysis route was accounted for. In addition to addressing
the biochemical foundations of this approach, we have identified a
hit molecule which displays good cytocompatibility, sufficient aqueous
solubility, and high cellular uptake in the relevant human CAL 27
head and neck cancer cell line. In our in vitro assessment,
glucoconjugate 1 was able to outperform the current delivery
agents in clinical use (BPA and BSH) in terms of boron delivery capacity
while simultaneously having a sufficiently high affinity to GLUT1
to permit competition with the high levels of glucose found in blood.
Therefore, in addition to providing a missing link on the biochemical
foundations of a GLUT1-targeting strategy to BNCT—we have identified
a potentially promising new glucoconjugate for clinical BNCT. With
the solid basis reported herein, the development of a suitable formulation
featuring the 10B-enriched version of glucoconjugate 1 with accompanied in vivo-testing is soon
to follow. The results from these studies will be reported in due
course.
Authors: Rashmirekha Satapathy; Barada Prasanna Dash; Barrie P Bode; Emily A Byczynski; Sumathy N Hosmane; Sajit Bux; Narayan S Hosmane Journal: Dalton Trans Date: 2012-06-21 Impact factor: 4.390
Authors: Dominika Skwierawska; José Antonio López-Valverde; Marcin Balcerzyk; Antonio Leal Journal: Cancers (Basel) Date: 2022-06-10 Impact factor: 6.575
Authors: Jelena Matović; Juulia Järvinen; Iris K Sokka; Philipp Stockmann; Martin Kellert; Surachet Imlimthan; Mirkka Sarparanta; Mikael P Johansson; Evamarie Hey-Hawkins; Jarkko Rautio; Filip S Ekholm Journal: ACS Omega Date: 2022-08-17