Margherita Ortalli1, Stefania Varani1,2, Giorgia Cimato1, Ruben Veronesi3, Arianna Quintavalla3,4, Marco Lombardo3,4, Magda Monari3, Claudio Trombini3,4. 1. Unit of Clinical Microbiology, Regional Reference Centre for Microbiological Emergencies (CRREM), St. Orsola-Malpighi University Hospital, Via Massarenti 9, 40138 Bologna, Italy. 2. Department of Experimental, Diagnostic and Specialty Medicine, Alma Mater Studiorum - University of Bologna, Via Massarenti 9, 40138 Bologna, Italy. 3. Department of Chemistry "G. Ciamician", Alma Mater Studiorum - University of Bologna Via Selmi 2, 40126 Bologna, Italy. 4. Centro Interuniversitario di Ricerca sulla Malaria (CIRM) - Italian Malaria Network (IMN), University of Milan, 20100 Milan, Italy.
Abstract
Leishmaniases are neglected diseases that can be treated with a limited drug arsenal; the development of new molecules is therefore a priority. Recent evidence indicates that endoperoxides, including artemisinin and its derivatives, possess antileishmanial activity. Here, 1,2-dioxanes were synthesized with their corresponding tetrahydropyrans lacking the peroxide bridge, to ascertain if this group is a key pharmacophoric requirement for the antileishmanial bioactivity. Newly synthesized compounds were examined in vitro, and their mechanism of action was preliminarily investigated. Three endoperoxides and their corresponding tetrahydropyrans effectively inhibited the growth of Leishmania donovani promastigotes and amastigotes, and iron did not play a significant role in their activation. Further, reactive oxygen species were produced in both endoperoxide- and tetrahydropyran-treated promastigotes. In conclusion, the peroxide group proved not to be crucial for the antileishmanial bioactivity of endoperoxides, under the tested conditions. Our findings reveal the potential of both 1,2-dioxanes and tetrahydropyrans as lead compounds for novel therapies against Leishmania.
<span class="Disease">Leishmanian>ses are neglected diseases that can be treated with a limited drug arsenal; the development of new molecules is therefore a priority. Recent evidence indicates that <span class="Chemical">endoperoxides, including artemisinin and its derivatives, possess antileishmanial activity. Here, 1,2-dioxanes were synthesized with their corresponding tetrahydropyrans lacking the peroxide bridge, to ascertain if this group is a key pharmacophoric requirement for the antileishmanial bioactivity. Newly synthesized compounds were examined in vitro, and their mechanism of action was preliminarily investigated. Three endoperoxides and their corresponding tetrahydropyrans effectively inhibited the growth of Leishmania donovani promastigotes and amastigotes, and iron did not play a significant role in their activation. Further, reactive oxygen species were produced in both endoperoxide- and tetrahydropyran-treated promastigotes. In conclusion, the peroxide group proved not to be crucial for the antileishmanial bioactivity of endoperoxides, under the tested conditions. Our findings reveal the potential of both 1,2-dioxanes and tetrahydropyrans as lead compounds for novel therapies against Leishmania.
<span class="Disease">Leishmania protozoan> are endemic in most tropical and subtropical areas
worldwide and in the Mediterranean Europe.[1−4] Due to global warming and climate change, these parasites
and their sand fly vectors are at risk to spread into countries previously considered
nonendemic, including central and w<span class="Chemical">estern Europe.[5−10] The protozoa of the genus
Leishmania are responsible for various forms of humanleishmaniasis.
While cutaneous leishmaniasis can be self-limiting, mucocutaneous infection can lead to
profoundly disfiguring lesions, and visceral leishmaniasis is fatal if left
untreated.[11] Collectively, the parasites belonging to the genus
Leishmania cause one of the most burdensome neglected tropical diseases,
affecting predominantly poor populations, providing annually 1.5–2 million new cases
and roughly 70,000 deaths.[12] Currently, the pharmacological treatment for
humanleishmaniasis is based on few drugs[13] (Figure
), which lead to unsatisfactory results due to their toxicity,
complex administration protocols (slow and painful intravenous infusion or intramuscular
injection), variable effectiveness (depending on the disease clinical form or the infecting
Leishmania species), and, more recently, growing drug
resistance.[14−26]
Figure 1
Drugs currently employed for the treatment of human leishmaniases (the reported
IC50 values are relative to bioassays on promastigotes of
Leishmania donovani strains).
Drugs currently employed for the treatment of <span class="Species">humann> <span class="Disease">leishmaniases (the reported
IC50 values are relative to bioassays on promastigotes of
<span class="Species">Leishmania donovani strains).
The early efforts to overcome these limitations were directed to the improvement of the
drug delivery systems[27,28] and the formulation of more effective combination therapies.[29] However, the cost increase[30−32] an class="Chemical">nd the rapid
recurrence of resistance phenomena[33−37]
prompted the scientific community to turn its attention toward the development of new
anti<span class="Disease">leishmanial drugs,[38−51] which should be effective, safe, and not expensive.
Concerning the research and development of new improved drugs, four main approaches are
exploited: (i) drug repurposing, as in the case of fexinidazole[40] (Figure ); (ii) diversity-oriented screening of
collections of chemicals, such as oxaborole AN-4169(39,52) and aminopyrazole amide
1(39) (Figure );
(iii) phenotypic screening, leading to the identification of new biological targets and
effective inhibitors,[53−56] such as 17-AAG (HSP90 inhibitor)[57] (Figure ); and (iv) use of known
or new natural products with limited side effects,[58−61] especially those deriving
from plants, such as fucoidan[58] and 11,13-dehydrocompressanolide[61] (Figure ).
Figure 2
Some potential new leads for the treatment of leishmaniasis.
Some potential new leads for the treatment of <span class="Disease">leishmanian class="Chemical">sis.
Among the plant-derived antiparasitic compoun class="Chemical">nds, some natural <span class="Chemical">endoperoxides have shown a
certain anti<span class="Disease">leishmanial activity.[62−65] In particular, artemisinin and some of its
semisynthetic derivatives (Figure ) have shown
remarkable biological activities,[66,67] especially as antimalarials; these compounds are currently recommended
by World Health Organization as first-line treatment for Plasmodium
falciparum malaria.[68,69] Artemisinin and its derivatives also exhibited a promising bioactivity
against other pathogenic protozoa, including Trypanosoma spp. and
Leishmania spp.[66,67,70−76] Focusing on the
antileishmanial properties, it is worth mentioning that the in vitro
potency of some semisynthetic artemisinin derivatives (BB201 and
BB241; Figure ) is comparable to or
higher than those of some currently employed drugs (amphotericin B and
miltefosine).[66,67]
Moreover, artemisinin-derived endoperoxides are able to inhibit the parasite metabolism with
limited adverse effects on the host cells.[66,77]
Figure 3
Antileishmanial activity of some recently studied natural and synthetic cyclic
peroxides (IC50 values are relative to bioassays on promastigotes for all
compounds, except for N-251, where the value is relative to
amastigotes).[78]
Anti<span class="Disease">leishmanian>l activity of some recently studied natural and synthetic cyclic
<span class="Chemical">peroxides (IC50 values are relative to bioassays on promastigotes for all
compounds, except for N-251, where the value is relative to
amastigotes).[78]
One of the limits to the development of drugs based on natural products is the low
availability of the desired compoun class="Chemical">nd in the natural source, which renders the large-scale
production difficult and expensive. For this reason, the total synthesis of structurally
simple <span class="Chemical">cyclic peroxides has been recently proposed. In 2015, Cortes and co-workers reported
on the fully synthetic trioxolanes LC50 and LC95 (Figure ), showing a promising bioactivity when tested in
vitro against promastigotes (IC50 range, 3.5–9.4 μM) and
intracellular amastigotes (IC50 range, 79.8–107.9 μM) of L.
infantum.[79] In 2019, Iwanaga et al. described
the oral activity of the fully synthetic tetraoxaspiro N-251 (Figure ) against amastigotes of L. donovani
(IC50 = 6.7 μM).[80]
We recently proposed new structurally simple <n class="Gene">span class="Chemical">3-methoxy-1,2-dioxanes 2 (Figure ), obtained through an efficient and cheap
synthetic approach.[81−87] The
simple and flexible protocol developed for their synthesis allowed us to collect a small
library of <span>n class="Chemical">1,2-dioxanes 2, variably substituted on C3, C4, and C6. When tested
for in vitro antileishmanial activity on promastigotes of L.
donovani, some of these compounds exhibited good inhibitory activities
(IC50 range, 4.0–16.3 μM) and low toxicity (selectivity index
range, 12.2–35).[87] The most interesting compounds in terms of
activity and selectivity were further tested in vitro on L.
donovani amastigotes and L. tropica, L. major,
and L. infantum promastigotes, showing good performance. A preliminary
investigation of the structure–activity relationships (SARs) allowed us to identify
some of the key pharmacophoric requirements for this class of antileishmanial endoperoxides
(Figure ): (i) lipophilic side chains must be
present on C6; (ii) a long lipophilic side chain on C3 increases the cytotoxicity; (iii) the
C3–C4 relative stereochemistry weakly affects the antileishmanial activity; and (iv)
a heteroaromatic ring must be present on the C4 side chain and its nature significantly
affects both activity and toxicity of 1,2-dioxane.
Figure 4
Previously identified pharmacophoric requirements of 3-methoxy-1,2-dioxanes
2 as antileishmanial agents[87] and aim of the present
work.
Previously identified pharmacophoric requirements of <span class="Chemical">3-methoxy-1,2-dioxanesn>
2 as anti<span class="Disease">leishmanial agents[87] and aim of the present
work.
In the present study, we further investigate the structure–activity relationship of
our synthetic <span class="Chemical">1,2-dioxanesn>, in order to establish whether the <span class="Chemical">peroxide group is a crucial
pharmacophoric requirement for the antileishmanial bioactivity (Figure
). Concerning P. falciparum malaria, it has
been demonstrated that the antimalarial peroxides act via intraerythrocytic
activation of the O–O bond by Fe(II). The homolytic reductive decomposition of the
peroxide function generates radical oxygen species, which trigger alkylation processes,
leading to the parasite death.[88−100] A pharmacophoric role of
the peroxide bond in dioxanes has also been suggested against Leishmania
parasites,[62,64,65,79,80,101] but
it has not yet entirely proved. Few studies investigated the mechanism of action of
endoperoxides on Leishmania parasites, focusing only on natural scaffolds.
In fact, Chatterjee et al. established that artemisinin exerts its activity
on L. donovani promastigotes by an iron-dependent generation of free
radicals.[102,103]
Gille and co-workers stated that the activation by Fe(II) of the peroxide bond in ascaridole
and artemisinin is an essential part of their pharmacological mechanism in
vitro on L. tarentolae promastigotes.[104]
Accordingly, the objectives of the present study are as follows: (i) the synthesis of
tetrahydropyrans 3, bearing the same substitution pattern of the already
studied endoperoxides 2 and lacking the peroxide bridge (Figure ); (ii) the evaluation of their antileishmanial
properties to establish the role played by the O–O bond; and (iii) the preliminary
investigation of the mechanism of action of the most promising bioactive compounds.
Results
Synthesis of Tetrahydropyrans 3
Our ret<span class="Chemical">rosn>ynthetic analysis for the construction of <span class="Chemical">tetrahydropyrans 3 is
sketched in Scheme . The amino side chain is
installed on C3 exploiting the ester group of intermediate 9, while the
six-membered ring is built by a spontaneous intramolecular ketalization of intermediate
A. The unsaturated β-ketoester 8 could in turn be
obtained via a Knöevenagel condensation, starting from the
protected 2,2-disubstituted 3-hydroxypropanal 7.
Scheme 1
Retrosynthetic Analysis of Tetrahydropyrans 3 (PG = Protective
Group)
Considering the good anti<n class="Gene">span class="Disease">leishmanial properties of C6-diphenyl and C6-dibutyl
<ne">span>n class="Chemical">endoperoxides bearing the aminopropyl imidazole side chain on C4 (2b and
2a, respectively; Table ),[87] we initially decided to prepare the analogous tetrahydropyrans
3b (R2 = Ph and R1 = Me) and 3a
(R2 = Bu and R1 = Me) as well as the tetrahydropyran
3c (R2 = R1 = Me), analogue of the inactive
endoperoxide 2c (Table ), to
confirm the pharmacophoric requirements of the lipophilic side chains on C6. The synthesis
of 3b (Scheme ) started with the
commercially available diphenylacetaldehyde, which was converted to the desired
2,2-disubstituted propanediol 4b using a reported literature
procedure.[105] The protected aldehyde 7b was thus
obtained exploiting a sequence of three simple and high-yielding synthetic steps,
consisting of a trans-acetalization (step a), a DIBALH-promoted acetal
reduction (step b), and a Dess–Martin periodinane-promoted oxidation (step c).
Table 1
Inhibitory Activity of Tetrahydropyrans 3 and Endoperoxides
2 against Promastigotes of L. donovani, Cytotoxicity
in Mammalian Kidney Epithelial Cells (Vero), and Selectivity Index (SI)
Compounds tested as racemates.
IC50 represents the concentration of a compound that causes 50% growth
inhibition. Results represent the mean (± standard deviation, SD) of three
independent experiments performed in duplicate.
Additional susceptibility tests for selected compounds were performed on L.
donovani cultures using 10% FBS in the culture medium, in order to
compare the variation of IC50 with a less nutrient- and antioxidant-rich
environment (see the Supporting Information, Table S2).
CC50 represents 50% cytotoxic concentration on Vero cells. Results
represent the mean (± standard deviation, SD) of three independent experiments
performed in duplicate.
Selectivity index (SI) = CC50/IC50; nd = not determined due
to the low antileishmanial potency.
Scheme 2
Synthetic Route Developed for the Construction of Tetrahydropyrans 3
(See Experimental Section for Details)
Reagents and conditions: (a) CSA (1 mol %), DCM, 0 °C to rt, and 2–12
h; (b) DIBALH (2 equiv), DCM, −78 °C to rt, and 12 h; (c)
Dess–Martin periodinane (1.05 equiv), DCM, 0 °C to rt, and overnight;
(d) methyl acetoacetate (2 equiv), pyridine (4 equiv), TiCl4·2THF (2
equiv), THF, 0 °C to reflux, and 18 h; (e) Pd/C (20% w/w), H2
(filled balloon), MeOH, rt, and 12–16 h; (f) LiAlH4 (1 equiv),
THF, 0 °C, and 1–3 h; (g) Dess–Martin periodinane (1.05 equiv),
DCM, 0 °C to rt, and overnight; (h) 1-(3-aminopropyl)imidazole (1 equiv), MeOH,
rt, and overnight; and (i) NaBH4 (1.5 equiv), 0 °C to rt, and 1
h.
Synthetic Route Developed for the Construction of Tetrahydropyrans 3
(See Experimental Section for Details)
Reagents and con class="Chemical">nditions: (a) CSA (1 mol %), DCM, 0 °C to rt, and 2–12
h; (b) DIBALH (2 equiv), DCM, −78 °C to rt, and 12 h; (c)
<span class="Chemical">Dess–Martin <span class="Chemical">periodinane (1.05 equiv), DCM, 0 °C to rt, and overnight;
(d) methyl acetoacetate (2 equiv), pyridine (4 equiv), TiCl4·2THF (2
equiv), THF, 0 °C to reflux, and 18 h; (e) Pd/C (20% w/w), H2
(filled balloon), MeOH, rt, and 12–16 h; (f) LiAlH4 (1 equiv),
THF, 0 °C, and 1–3 h; (g) Dess–Martin periodinane (1.05 equiv),
DCM, 0 °C to rt, and overnight; (h) 1-(3-aminopropyl)imidazole (1 equiv), MeOH,
rt, and overnight; and (i) NaBH4 (1.5 equiv), 0 °C to rt, and 1
h.
Compounds tested as racemates.IC50 represents the concentration of a compound that causes 50% growth
inhibition. Results represent the mean (± stan class="Chemical">ndard deviation, SD) of three
independent experiments performed in duplicate.
Additional susceptibility tests for selected compounds were performed on L.
donovani cultures un class="Chemical">sing 10% FBS in the culture medium, in order to
compare the variation of IC50 with a less nutrient- and antioxidant-rich
env<span class="Chemical">ironment (see the Supporting Information, Table S2).
CC50 represents 50% cytotoxic concentration on Vero cells. Results
represent the mean (± standard deviation, SD) of three independent experiments
performed in duplicate.Selectivity index (n class="Chemical">SI) = CC50/IC50; nd = not determined due
to the low anti<span class="Disease">leishmanial potency.
The β-keto<span class="Chemical">estern> moiety was inserted on the intermediate <span class="Chemical">aldehyde 7bvia a Knöevenagel reaction. The high steric hindrance close to the
reactive site of the α,α-disubstituted aldehyde and the generation of a
congested trisubstituted olefin particularly hampered this process, which required harsh
reaction conditions and excess of reagents.[106] Despite the optimization
attempts by varying the reaction temperature and reagent ratio, the yield of
8b could not be significantly improved. A single stereoisomer of the
diphenyl olefin 8b was observed and isolated from the crude mixtures. The
benzyl O-protecting group was selected in order to integrate in a single
synthetic step the alcohol deprotection and the double bond hydrogenation, leading to the
desired intermediate A (Scheme ).
Unexpectedly, 2-methoxy tetrahydropyran 9b (Scheme ) was directly obtained in good yield after the hydrogenation step,
proving that four different transformations took place in a one-pot fashion:
O-debenzylation, double bond reduction, cyclization, and methyl ketal
formation.[107] Moreover, this process was not only very efficient but
also highly cis-stereoselective, as established by the X-ray
crystallographic analysis of the isolated product 9b (Figure
, see the Supporting Information
for details).[108]
Figure 5
Determination of the relative stereochemistry of 2-methoxy tetrahydropyran
9b through X-ray crystallographic analysis (thermal ellipsoids are
drawn at 30% of the probability level).
Determination of the relative stereochemistry of <span class="Chemical">2-methoxy tetrahydropyrann>
9b through X-ray crystallographic analysis (thermal ellipsoids are
drawn at 30% of the probability level).
At last, the replacement of the <span class="Chemical">estern> group on C3 with the <span class="Chemical">aminopropyl imidazole side
chain was accomplished following the protocol developed for the corresponding
endoperoxides 2,[87] consisting in the reduction to an
alcohol, followed by oxidation to the corresponding aldehyde and reductive amination
(steps f–i, Scheme ).
The synthetic approach proposed for <span class="Chemical">tetrahydropyrann> 3b was applied also to
the construction of 3a and 3c (Sc<span class="Chemical">heme ). The <span class="Chemical">dibutyl (4a) and dimethyl (4c)
diols are both commercially available, and they were efficiently converted into the
corresponding α,α-disubstituted aldehydes 7a and 7c,
respectively. The Knöevenagel reaction proceeded, as expected, with a moderate
yield on the hindered α,α-dibutyl aldehyde 7a but with an
excellent yield on the α,α-dimethyl aldehyde 7c, proving that the
performance of this process is governed by the steric hindrance. In addition, it is worth
mentioning that unlike the diphenyl derivative 8b (Scheme
), the dialkyl-substituted olefins 8a and
8c were obtained as mixtures of two isomers (8a:
Z/E = 65:35, 8c:
Z/E = 60:40).[109] To investigate the
impact of the double bond geometry on the outcome of the following one-pot transformation,
providing the tetrahydropyran system 9, we carried out the reaction on the
two isomers Z-8a and E-8a,
separately (Scheme ). Invariably, we obtained
only the 2,3-cis tetrahydropyran 9a from both olefins,
demonstrating not only the cis-stereoconvergence[110]
proper of the process but also the comparable reaction rates for the two isomers. On this
basis, the mixtures of Z and E isomers were directly
used without separation.
Scheme 3
Reagents and Conditions: Pd/C (20% w/w), H2 (filled balloon), MeOH,
rt, and Overnight
The subsequent usual manipulations of the C3 side chain provided the den class="Chemical">sired aminopropyl
<span class="Chemical">imidazole tetrahydropyrans 3a and 3c (Scheme
).
Finally, the intermediate <span class="Chemical">alcohol 10bn> (Sc<span class="Chemical">heme ) was used as the starting material for the synthesis of the
tetrahydropyran 3d, analogue of the highly active antileishmanial
endoperoxide 2d (Table ). This
molecule, characterized by the presence of a triazole ring and a phosphonium salt in the
C3 side chain, was prepared through an alkylation/click cycloaddition sequence developed
for the construction of the corresponding endoperoxide 2d (Scheme ).[87]
Scheme 4
Synthesis of Tetrahydropyran 3d Starting from Intermediate Alcohol
10b (see Experimental Section for
Details)
In Vitro Growth Inhibition of L. donovani
Promastigotes and Amastigotes
The bioactivity of the new <span class="Chemical">tetrahydropyransn> 3 was initially evaluated
against the extracellular promastigote forms of <span class="Species">L. donovani
(MHOM/NP/02/BPK282/0cl4) as the reference strain, indicative of the leishmaniasis in the
Old World. The results were expressed as IC50, i.e., the
concentration of the product required to inhibit the parasite growth by 50%. When a
compound could inhibit the promastigote growth, its cytotoxicity was also evaluated on
Vero cells (Table ) and on THP-1 cells (see the
Supporting Information, Table S3) and the corresponding selectivity indexes (SIs) were calculated.
The performance of each tetrahydropyran 3 was compared with that of the
corresponding endoperoxide 2 (Table ).
We observed a similar bioactivity profile for <n class="Gene">span class="Chemical">endoperoxides 2 and the
corresponding <span class="Chemical">tetrahydropyrans 3; the aminopropyl imidazole derivatives
3a/2a and 3b/2b showed
IC50 in the low micromolar range (Table ). The parallel behavior was maintained also for methyl derivatives
3c and 2c, which were both inactive under our bioassay
conditions (40 μM compound). The same set of tetrahydropyrans 3 and
endoperoxides 2 was also tested on intramacrophage amastigote forms of
L. donovani (Table ).
Table 2
Inhibitory Activity of Tetrahydropyrans 3 and Endoperoxides
2 against Amastigotes of L. donovani, Cytotoxicity in
Mammalian Kidney Epithelial Cells (Vero), and Selectivity Indexes (SIs)
Compounds tested as racemates.
IC50 represents the concentration of a compound that causes 50% growth
inhibition. Results represent the mean (± standard deviation, SD) of three
independent experiments performed in duplicate.
CC50 represents 50% cytotoxic concentration on Vero cells. Results
represent the mean (± standard deviation, SD) of three independent experiments
performed in duplicate. Additional cytotoxicity tests were performed employing the
THP-1 cell line (see the Supporting Information, Table S3).
Selectivity index (SI) = CC50/IC50.
Compounds tested as racemates.IC50 represents the concentration of a compound that causes 50% growth
inhibition. Results represent the mean (± stan class="Chemical">ndard deviation, SD) of three
independent experiments performed in duplicate.
CC50 represents 50% cytotoxic concentration on Vero cells. Results
represent the mean (± standard deviation, SD) of three in class="Chemical">ndependent experiments
performed in duplicate. Additional <span class="Disease">cytotoxicity tests were performed employing the
<span class="CellLine">THP-1 cell line (see the Supporting Information, Table S3).
Selectivity index (n class="Chemical">SI) = CC50/IC50.
The good anti<span class="Disease">leishmanian>l potency in the low micromolar range observed on promastigotes
was preserved on amastigotes for both classes of compounds. Moreover, it is interesting to
note that our synthetic structurally simple compounds, <span class="Chemical">endoperoxides 2 and
tetrahydropyrans 3, are significantly more potent against L.
donovani parasites (promastigote and amastigote forms) than artemisinin and
artesunate (Tables and 2).
In particular, <span class="Chemical">tetrahydropyransn> 3 revealed to be slightly more active
against amastigotes than the corresponding <span class="Chemical">endoperoxides 2.
Investigation on the Mechanism of Action of 1,2-Dioxanes 2 and
Tetrahydropyrans 3 against L. donovani
Study on the Iron Role in the Activation of Synthetic Antileishmanial Compounds
2 and 3
Little is known about the mechanism of action of <span class="Chemical">en class="Chemical">ndoperoxides on
<ne">span>n class="Disease">Leishmania parasites. To investigate whether iron plays a role in
triggering the antileishmanial bioactivity of our synthetic compounds, we studied
whether the inhibition caused by 2a and 3a on L.
donovani promastigotes was influenced by the presence of an iron chelator
(desferrioxamine, DFO);[111,112] the results are presented in Table .
Table 3
Inhibitory Activity of Tetrahydropyran 3a and Endoperoxide
2a against Promastigotes of L. donovani in the
Presence or Absence of the Iron Chelator DFO
Compounds tested as racemates.
IC50 represents the concentration of a compound that causes 50% growth
inhibition. Results represent the mean (± standard deviation, SD) of three
independent experiments performed in duplicate. We also tested these compounds in
the presence of deferiprone (DFP), which is a more lipophilic iron chelator than
DFO (see the Supporting Information, Table S5 and Figure S3). DFO = desferrioxamine.
Compounds tested as racemates.IC50 represents the concentration of a compound that causes 50% growth
inhibition. Results represent the mean (± stan class="Chemical">ndard deviation, SD) of three
independent experiments performed in duplicate. We also tested these compounds in
the presence of <span class="Chemical">deferiprone (DFP), which is a more lipophilic iron chelator than
DFO (see the Supporting Information, Table S5 and Figure S3). DFO = desferrioxamine.
At first, we determined IC50 and CC50 values of the <n class="Gene">span class="Chemical">iron chelator
DFO (187 and >400 μM, respectively). Then, the effect of the <ne">span>n class="Chemical">iron chelator
presence on the bioactivity of the two compounds was studied by coincubating
2a and 3a with DFO at different concentrations. The
variation of IC50 of the compounds in relation to the different doses of DFO
was determined by the alamarBlue assay (Table ), and the isobole technique was employed to depict the interactions of
2a and 3a with DFO (Figure ).
Figure 6
(A, B) Isobolograms depicting the interaction of (A) tetrahydropyran
3a with the iron chelator DFO and (B) endoperoxide 2a
with the iron chelator DFO. A dark gray line is line of additivity.
X axes depict the fractional inhibitory concentration (FIC =
IC50 of the drug in the combination/IC50 of the drug when
tested alone). Y axes depict the fractional of DFO. Square in the
figure indicates ΣFIC values from each drug combination.
(A, B) Isobolograms depicting the interaction of (A) <span class="Chemical">tetrahydropyrann>
3a with the <span class="Chemical">iron chelator DFO and (B) endoperoxide 2a
with the iron chelator DFO. A dark gray line is line of additivity.
X axes depict the fractional inhibitory concentration (FIC =
IC50 of the drug in the combination/IC50 of the drug when
tested alone). Y axes depict the fractional of DFO. Square in the
figure indicates ΣFIC values from each drug combination.
As shown in Table , the inhibitory activity
of 3a and 2a against <n class="Gene">span class="Disease">Leishmania parasites did
not undergo significant variation in the presence of various concentrations of DFO,
proving a scarce influence of the iron chelator on the bioactivity of the compounds. The
isobole technique was used for depicting synergistic or antagonistic interaction between
the iron chelator and the two compounds on the parasite growth (Figure
). Combinations are expressed as the sum of the fractional
inhibitory concentrations (ΣFIC), and FIC values are defined as synergism
(<0.5), antagonism (>4.0), and additivity (no interaction). The strength of
synergism (or antagonism) is indicated by the degree of deviation from the line of
additivity. As shown in Figure , combination
of DFO with 2a or 3a resulted in additive effects as no
antagonism or synergism was observed. These findings suggest that low-molecular-weight
iron species do not play a crucial role in triggering the antileishmanial activity of
the tested compounds.
The effect of the <span class="Chemical">ironn> chelator DFO was investigated also on the pair of compounds
2b and 3b, confirming the same behavior observed for
2a and 3a, respectively (see the Supporting Information,
Table S4 and Figure S2).
Reactive Oxygen Species (ROS) Production Induced by Antileishmanial Compounds
2 and 3 in L. donovani Promastigotes
We evaluated the ability of our synthetic compounds to generate <n class="Gene">span class="Chemical">reactive oxygen species
(<ne">span>n class="Chemical">ROS) in L. donovani promastigotes. We selected the endoperoxide
2a and the tetrahydropyran 3a as model substrates, which
were administered to the parasites in the presence of 2,7-dichlorodihydrofluorescein
diacetate (H2DCFDA), a live-cell-permeable dye, which is oxidized by ROS,
providing a fluorescent compound (DCF) (see Experimental Section
for details).[103] Therefore, the resultant fluorescence is a direct
measure of the amount of ROS generated.
As shown in Figure , <span class="Chemical">en class="Chemical">ndoperoxide
2a and <ne">span>n class="Chemical">tetrahydropyran 3a were both capable of inducing an
increase in the intracellular ROS levels at their IC50 as compared to the
negative control (untreated promastigotes). In details, 3a showed a higher
ROS production when compared to H2O2 (20 μM, positive
control) but a slightly lower ROS production when compared to miltefosine (22 μM,
positive control). Compound 2a showed a lower fluorescence intensity when
compared to H2O2 and miltefosine; however, a higher amount of ROS
was detected in 2a-treated promastigotes in comparison with untreated
cells. Quantification of the generated ROS was monitored for 1–60 min. As shown
in Figure , intracellular ROS levels increased
over time in untreated and treated promastigotes, but the increase was higher in
parasites that were treated with 3a and 2a than in untreated
cells. These results indicate that 3a and 2a induced oxidative
stress in L. donovani promastigotes, with ROS production induced by
3a overlapping with the positive control H2O2
(Figure ). The data obtained from the ROS
levels evaluation led us to two main observations: (i) the tetrahydropyran
3a induced a higher increase in intracellular ROS levels than the
endoperoxide 2a, and (ii) the amount of ROS generated by 3a
and 2a was in accordance with the IC50 profile of the compounds
as a higher inhibitory activity was found for 3a (IC50 3.4
μM) as compared to 2a (IC50, 7.5 μM).
Figure 7
Measurement of ROS in promastigotes of L. donovani in the presence
of endoperoxide 2a and tetrahydropyran 3a tested at their
IC50. Generation of ROS was measured using
2,7-dichlorodihydrofluorescein diacetate (H2DCFDA). Miltefosine (22
μM) and H2O2 (20 μM) were used as positive
controls. NC: negative control (untreated parasites). The parasites were analyzed by
fluorimetry. Results represent the mean of three independent experiments performed
in triplicate.
Figure 8
Quantification of ROS generated upon treatment of L. donovani
promastigotes with tetrahydropyran 3a (IC50), endoperoxide
2a (IC50), miltefosine (22 μM), and
H2O2 (20 μM) or without treatment (negative control,
NC) for 1–60 min. Results represent the mean (± standard deviation, SD)
of three independent experiments performed in triplicate.
Measurement of <span class="Chemical">ROSn> in promastigotes of <span class="Species">L. donovani in the presence
of endoperoxide 2a and tetrahydropyran 3a tested at their
IC50. Generation of ROS was measured using
2,7-dichlorodihydrofluorescein diacetate (H2DCFDA). Miltefosine (22
μM) and H2O2 (20 μM) were used as positive
controls. NC: negative control (untreated parasites). The parasites were analyzed by
fluorimetry. Results represent the mean of three independent experiments performed
in triplicate.
Quantification of <span class="Chemical">ROSn> generated upon treatment of <span class="Species">L. donovani
promastigotes with tetrahydropyran 3a (IC50), endoperoxide
2a (IC50), miltefosine (22 μM), and
H2O2 (20 μM) or without treatment (negative control,
NC) for 1–60 min. Results represent the mean (± standard deviation, SD)
of three independent experiments performed in triplicate.
Localization Studies of Tetrahydropyrans 3 and 1,2-Dioxanes
2 in Parasitic Cells
In order to acquire information on the ability of the tested compounds to enter the
<n class="Gene">span class="Species">L. donovani promastigote cell and on their biodistribution within the
parasite, we accomplished a confocal mic<ne">span>n class="Chemical">roscopy investigation. For this purpose, we
synthesized new compounds carrying a fluorescent probe (Schemes and 6). In particular, the most active butyl
derivatives were labeled with an acridine-based fluorescent dye (2e and
3e, Scheme ), which was
introduced exploiting the final reductive amination step of the previously developed
synthetic route. The isolation yields of the fluorescent endoperoxide 2e and
tetrahydropyran 3e were moderate due to their poor solubility in organic
solvents, which made the purification difficult.
Scheme 5
Reagents and Conditions: (a)
N1-(6-Chloro-2-methoxyacridin-9-yl)butane-1,4-diamine (1
equiv), MeOH, rt, and Overnight and (b) NaBH4 (1.5 equiv), 0 °C to rt,
and 1 h (see Experimental Section for Details)
For the synthesis of 13, see ref (87).
Scheme 6
Reagents and Conditions: (a) tert-Butyl (4-Aminobutyl)carbamate
(1 equiv), MeOH, rt, and Overnight; (b) NaBH4 (1.5 equiv), 0 °C to rt,
and 1 h; (c) HCl in Et2O (1 M, 20 equiv), Et2O, rt, and
Overnight; and (d) NBD-Cl (1.1 equiv), TEA (3 equiv), DCM, 0 °C to rt, and 4 h
(see Experimental Section for Details)
For the synthesis of 13, see ref (87).
Reagents and Conditions: (a)
N1-(6-Chloro-2-methoxyacridin-9-yl)butane-1,4-diamine (1
equiv), MeOH, rt, and Overnight and (b) NaBH4 (1.5 equiv), 0 °C to rt,
and 1 h (see Experimental Section for Details)
For the synthesis of 13, see ref (87).
Reagents and Conditions: (a) tert-Butyl (4-Aminobutyl)carbamate
(1 equiv), MeOH, rt, and Overnight; (b) NaBH4 (1.5 equiv), 0 °C to rt,
and 1 h; (c) HCl in Et2O (1 M, 20 equiv), Et2O, rt, and
Overnight; and (d) NBD-Cl (1.1 equiv), TEA (3 equiv), DCM, 0 °C to rt, and 4 h
(see Experimental Section for Details)
For the synthesis of 13, see ref (87).We were aware that the fluorescence of <span class="Chemical">acridinen>-derived labels can be quenched under
certain conditions (e.g., acidic pH value, presence of hematin, etc.) and
that this kind of fluorophore can easily bind to DNA, leading to altered results.[113] To validate the biodistribution data obtained from <span class="Chemical">acridine-containing
compounds 2e and 3e, we synthesized also the endoperoxide
2f (Scheme ) bearing the
nitrobenzyldiazole (NBD) fluorophore, to be used as a comparison since it does not have
the abovementioned limitations. The construction of 2f (Scheme ) was difficult as the nitrobenzyldiazole system
revealed to be not stable under reductive amination conditions. In particular, the
introduction of the diamino side chain on C4 proceeded smoothly (14, 79%
yield). Conversely, the N-Boc deprotection employing anhydrous HCl and
the isolation of the corresponding product as the hydrochloride salt revealed to be
critical (step c, Scheme ). For this reason, the
coupling with NBD-Cl was carried out on the crude intermediate. However, the isolated
unoptimized yield of the fluorescent endoperoxide 2f was modest.
At first, the bioactivity of the new fluorescent compounds was evaluated on promastigotes
of <n class="Gene">span class="Species">L. donovani and the corresponding <span>n class="Disease">cytotoxicity on Vero cells was also
assayed (Table ). The acridin-containing
derivatives 3e and 2e revealed to be more potent against
L. donovani promastigotes than the corresponding imidazole-containing
products 3a and 2a, respectively (Table ). This effect could be due to a toxicity contribution of the
acridin system, as suggested by the low selectivity index (SI) of these compounds, which
were more toxic on Vero cells than the corresponding nonlabeled compounds. However, it is
important to emphasize that the behavior of endoperoxide 2e and
tetrahydropyran 3e remains comparable also for this set of labeled
molecules.
Table 4
Inhibitory Activity of Fluorescent Compounds 2e, 2f,
and 3e against Promastigotes of L. donovani,
Cytotoxicity in Mammalian Kidney Epithelial Cells (Vero), and Selectivity Index
(SI)
Compounds tested as racemates.
IC50 represents the concentration of a compound that causes 50% growth
inhibition.
CC50 represents 50% cytotoxic concentration on Vero cells.
Selectivity index (SI) = CC50/IC50.
Compounds tested as racemates.IC50 represents the concentration of a compound that causes 50% growth
inhibition.CC50 represents 50% cytotoxic concentration on Vero cells.Selectivity index (n class="Chemical">SI) = CC50/IC50.
The <span class="Chemical">n class="Chemical">NBD derivative 2f showed lower activity against L.
donovani promastigotes than the corresponding <ne">span>n class="Chemical">acridin-derivative
2e (Table ), and its
IC50 value was similar to that of the corresponding imidazole-containing
compound 2a (Table ). However, its
SI was low, confirming a significant toxicity of these fluorescent products on Vero
cells.
The labeled compounds were incubated with <n class="Gene">span class="Species">L. donovani promastigotes, and
then confocal mic<ne">span>n class="Chemical">roscopy images were acquired (see Experimental
Section for details). Figure shows
data obtained with the NBD-labeled endoperoxide 2f. We noticed a marked
accumulation of the fluorescent probe in the parasite cytoplasm, whereas a dark area was
evident inside the parasite (Figure A), likely
corresponding to the nucleus. To confirm this interpretation, we marked the nucleus and
kinetoplast of the parasite with TO-PRO-3 (Figure C), a specific dye for nucleic acids.[114,115] The overlapped color image (Figure B) clearly shows the dark blue nucleus (red arrows,
Figure ) and the cyan kinetoplast (yellow
arrows, Figure 9), whose color derived from a colocalization of green and blue
fluorescence. This finding suggested that endoperoxide 2f spread throughout
the parasite cytoplasm and it was able to enter the kinetoplast but not the nucleus.
Figure 9
Cell localization of labeled endoperoxide 2f and TO-PRO-3 in
promastigotes of L. donovani. (A–C) Confocal microscopy images
show (A) uptake of 2f with green fluorescence, (B) overlay of uptake of
2f with green fluorescence and uptake of TO-PRO-3 with blue
fluorescence, and (C) uptake of TO-PRO-3, staining nuclei and kinetoplasts with blue
fluorescence. Red arrows indicate nuclei, and yellow arrows indicate kinetoplasts.
Cell localization of labeled <span class="Chemical">en class="Chemical">ndoperoxide 2f and <ne">span>n class="Chemical">TO-PRO-3 in
promastigotes of L. donovani. (A–C) Confocal microscopy images
show (A) uptake of 2f with green fluorescence, (B) overlay of uptake of
2f with green fluorescence and uptake of TO-PRO-3 with blue
fluorescence, and (C) uptake of TO-PRO-3, staining nuclei and kinetoplasts with blue
fluorescence. Red arrows indicate nuclei, and yellow arrows indicate kinetoplasts.
A similar intraparan class="Chemical">sitic distribution was observed for <span class="Chemical">acridine-labeled <span class="Chemical">tetrahydropyran
3e by confocal microscopy (Figure ).
Figure 10
Cell localization of labeled tetrahydropyran 3e and TO-PRO-3 in
promastigotes of L. donovani. (A–C) Confocal microscopy images
show (A) uptake of 3e with green fluorescence, (B) overlay of uptake of
3e with green fluorescence and uptake of TO-PRO-3 with blue
fluorescence, and (C) uptake of TO-PRO-3 with blue fluorescence. Red arrows indicate
nuclei, and yellow arrows indicate kinetoplasts.
Cell localization of labeled <span class="Chemical">tetrahydropyrann class="Chemical">3e and <ne">span>n class="Chemical">TO-PRO-3 in
promastigotes of L. donovani. (A–C) Confocal microscopy images
show (A) uptake of 3e with green fluorescence, (B) overlay of uptake of
3e with green fluorescence and uptake of TO-PRO-3 with blue
fluorescence, and (C) uptake of TO-PRO-3 with blue fluorescence. Red arrows indicate
nuclei, and yellow arrows indicate kinetoplasts.
Concerning <span class="Chemical">acridinen>-labeled <span class="Chemical">endoperoxide 2e, we observed a colocalization of
green and blue fluorescence not only in the kinetoplast but also in the nucleus (Figure B). This finding suggests that this
peculiar <span class="Chemical">acridine-containing compound can enter the nucleus core.
Figure 11
Cell localization of labeled endoperoxide 2e and TO-PRO-3 in
promastigotes of L. donovani. (A–C) Confocal microscopy images
show (A) uptake of 2e with green fluorescence, (B) overlay of uptake of
2e with green fluorescence and uptake of TO-PRO-3 with blue
fluorescence, and (C) uptake of TO-PRO-3 with blue fluorescence. Red arrows indicate
nuclei, and yellow arrows indicate kinetoplasts.
Cell localization of labeled <span class="Chemical">en class="Chemical">ndoperoxide 2e and <span class="Chemical">TO-PRO-3 in
promastigotes of L. donovani. (A–C) Confocal microscopy images
show (A) uptake of 2e with green fluorescence, (B) overlay of uptake of
2e with green fluorescence and uptake of TO-PRO-3 with blue
fluorescence, and (C) uptake of TO-PRO-3 with blue fluorescence. Red arrows indicate
nuclei, and yellow arrows indicate kinetoplasts.
Discussion and Conclusions
Little is known on the mechanism of action of <span class="Chemical">en class="Chemical">ndoperoxides against
<ne">span>n class="Disease">Leishmania. Previous mechanistic studies on natural endoperoxides, such
as artemisinin, suggested that they act through an iron(II)-mediated homolytic cleavage of
the peroxide function, leading to the formation of cytotoxic radicals.[102−104] Based on these studies, we expected that endoperoxides 2
would exhibit higher antileishmanial activity than the corresponding tetrahydropyrans
3, the latter lacking the O–O bond. Surprisingly, we observed a
similar bioactivity profile for the two classes of compounds (Table ) and tetrahydropyrans 3 revealed to be slightly more
active against intracellular amastigotes than the corresponding endoperoxides 2
(Table ). The latter finding is particularly
meaningful taking into account that Leishmania amastigotes obtain the iron
necessary for its metabolism from the host macrophage.[102,116] Considering the greater iron availability for
amastigotes than promastigotes, the compounds activated by iron are normally more active
against amastigotes than promastigotes,[102] while we observed an opposite
behavior for our products. These findings suggest that in the tested conditions, the primary
mechanism of action of endoperoxides 2 and tetrahydropyrans 3 on
L. donovani parasites does not involve an iron-mediated activation. Thus,
the peroxide group appears not to be a crucial pharmacophoric requirement for the tested
1,2-dioxanes, which is divergent from previous findings obtained with the natural
endoperoxideartemisinin and ascaridole.[102−104]
<span class="Chemical">Ironn> is an essential nutrient for all the organisms, including <span class="Disease">Leishmania,
and its supply plays a crucial role in the parasite survival.[117,118] However, the parasitic cells are
also vulnerable to the toxicity of iron and iron-induced ROS. Based on the abovementioned
results, we investigated the role of iron in the activation of our synthetic compounds
2 and 3. In contrast with the mentioned previous studies, we
showed that the inhibitory activity of 3a and 2a against
Leishmania did not undergo significant variation in the presence of
various concentrations of the iron chelators DFO and DFP, suggesting that
low-molecular-weight iron species do not play a crucial role in triggering the
antileishmanial bioactivity of our synthetic endoperoxides. This result is particularly
meaningful for endoperoxide 2a, and it is supported by the previous
observations that tetrahydropyrans 3 and endoperoxides 2 show a
similar antileishmanial potency (Table ) and that
they have a comparable activity against both promastigote and amastigote forms of L.
donovani (Tables and 2).
To further investigate the role of the <span class="Chemical">peroxiden> bridge on bioactivity, we analyzed the
levels of <span class="Chemical">free radicals in Leishmania cultures treated with our synthetic
compounds 2 and 3. We observed that the tetrahydropyran
3a induced a higher increase in intracellular ROS levels than the
endoperoxide 2a in L. donovani promastigotes. This finding
corroborates our hypothesis that the generation of free radicals by cleaving the O–O
bond is not the main mechanism of action of the synthetic peroxides tested in our biological
model. Indeed, the peroxide bond in our compounds could be very stable, thus not
contributing to the pharmacological activity.
At last, in order to acquire information on the ability of the tested molecules to enter
the <span class="Species">L. donovanin> promastigote cell and on the compound distribution within
the parasite, we carried out confocal mic<span class="Chemical">roscopy investigations on new synthesized
fluorescent endoperoxides and tetrahydropyrans. We detected endoperoxide 2f and
tetrahydropyran 3e in the parasite cytoplasm and in the kinetoplast but not in
the nucleus, while the acridine-labeled endoperoxide 2e was also found in the
nucleus. Although these findings are preliminary, they allow us to make some considerations.
It is known that the localization of a labeled species in a cell depends on the structure of
both the bioactive compound and the fluorescent tag. By tagging our products with different
probes, we observed a common feature, i.e., a marked
accumulation of fluorescent compounds in the parasitic cytoplasm and kinetoplast. Compound
2f, bearing the nitrobenzyldiazole (NBD) fluorophore, appears as the most
similar to the corresponding not labeled bioactive product 2a, considering its
IC50 value (Table ) and calculated
log P (see the Supporting Information).
Therefore, considering the cell localization of the most representative labeled derivative
2f, we speculate that cytoplasm and kinetoplast are the main accumulation
sites of the newly synthesized molecules, where the biological target/s of this family of
compounds might be localized.
In conclusion, we synthen class="Chemical">sized a small library of <span class="Chemical">tetrahydropyrans 3, bearing
the same substitution pattern of the corresponding endoperoxides 2 but lacking
the peroxide bridge. Both classes of compounds were tested for their antileishmanial
activity, and we observed a similar bioactivity profile for 1,2-dioxanes 2 and
tetrahydropyrans 3. We also found that in our biological systems: (i) iron
appeared not to play a crucial role in triggering the activity against
Leishmania of the selected molecules; (ii) both 1,2-dioxanes
2 and tetrahydropyrans 3 induced a significant oxidative stress
in L. donovani promastigotes, implying that the cleavage of the O–O
bond is not necessary for the generation of free radicals in treated promastigotes; and
finally, (iii) fluorescent-tagged 1,2-dioxanes and tetrahydropyrans mainly accumulated in
the Leishmania cytoplasm and kinetoplast, suggesting that their biological
target/s might be localized in these parasitic compartments. Our findings reveal the
potential role of both 1,2-dioxanes and tetrahydropyrans as lead compounds for novel
therapies against Leishmania and provide new insights into their mechanism
of action; the peroxide group proved not to be a crucial pharmacophoric requirement for the
antileishmanial bioactivity of the new synthesized endoperoxides in our biological system.
Additional studies are needed to corroborate our findings.
Experimental Section
Chemistry
General Information
All the commercial chemicals were purchased from Sigma-Aldrich, VWR, Alfa Aesar, or TCI
Chemicals an class="Chemical">nd used without additional purifications. The 1H and
<span class="Chemical">13C NMR spectra were recorded on a Varian INOVA 400 NMR instrument with a 5
mm probe. All chemical shifts have been quoted relative to deuterated solvent signals;
chemical shifts (δ) are reported in ppm, and coupling constants
(J) are reported in hertz (Hz). Low-resolution MS (LRMS) ESI analyses
were performed on an Agilent Technologies MSD1100 single-quadrupole mass spectrometer.
Mass spectrometric detection was performed in the full-scan mode from
m/z 50 to 2500, with a scan time of 0.1 s in the positive ion mode,
ESI spray voltage of 4500 V, <span class="Chemical">nitrogen gas pressure of 35 psi, drying gas flow rate of
11.5 mL min–1, and fragmentor voltage of 30 V. LRMS EI analyses were
performed on a Hewlett-Packard 5971 with EI ionization at 70 eV. High-resolution MS
(HRMS) ESI analyses were performed on an LTQ Orbitrap XL (Thermo Scientific) mass
spectrometer. Melting point (mp) measurements were performed on Bibby Stuart Scientific
SMP3 apparatus. Flash chromatography purifications were carried out using VWR silica gel
(40–63 μm particle size). Thin-layer chromatography was performed on Merck
60 F254 plates.
The purity of bioactive target compounds was ≥95% established by HPLC analyses
performed on an Agilent Technologies HP1100 instrument. A Phenomenex Gemini C18 3
μm (100 × 3 mm) column was employed for the chromatographic separation, an class="Chemical">nd
two different analytical methods were used: method A: mobile phase,
<span class="Chemical">H2O/CH3CN; gradient from 30 to 80% of CH3CN in 8 min,
80% of CH3CN until 22 min, then up to 90% of CH3CN in 2 min, and
stop time at 25 min; and flow rate, 0.4 mL min–1; method B: gradient
analogous to method A employing a mobile phase (<span class="Chemical">H2O/CH3CN)
containing 0.2% of formic acid. The peak identity was confirmed by LRMS ESI
analyses.
<span class="Chemical">En class="Chemical">ndoperoxides 2a–2d are known, and they were prepared
according to our previous work.[87] Compound 4b is known,
and it was synthesized according to the literature procedure.[119] Its
physical and spect<ne">span>n class="Chemical">roscopic data matched the reported ones.
N1-(6-Chloro-2-methoxyacridin-9-yl)butane-1,4-diamine is a
known compound, and it was prepared according to the literature procedure.[120] Its physical and spectroscopic data matched the reported ones.
Benzaldehydediethyl acetal is known, and it was prepared according to the literature
procedure.[121] After being synthesized, it was used in the following
reaction without purification.
Synthetic Procedures and Compound Characterizations
Synthesis of 2-Phenyl-5,5-disubstituted-1,3-dioxanes (5)
Compounds 5 were prepared according to the literature procedure[122] modified as follows. (1S)-(+)-<n class="Gene">span class="Chemical">Camphorsulfonic acid
(CSA, 0.01 equiv) was added at 0 °C to a solution of the starting <ne">span>n class="Chemical">diol
4 and benzaldehydediethyl acetal (1.05 equiv) in anhydrous
CH2Cl2 (2 mL mmol–1) under a N2
atmosphere. The reaction mixture was warmed to room temperature and stirred for
2–12 h, before being quenched with a saturated aqueous solution of
NaHCO3. The mixture was extracted with CH2Cl2 (3
× 10 mL), and the organic phase was dried over Na2SO4 and
filtered. The solvent was removed under reduced pressure, and the product was purified
by flash chromatography on silica gel.
The compound is known, an class="Chemical">nd its physical and spect<span class="Chemical">roscopic data matched the reported
ones.[122]
Synthesis of the Knöevenagel Adducts (8)
Compounds 8 were synthen class="Chemical">sized according to the literature
procedure[106] from the corresponding starting materials
7 using the commercially available preformed <span class="Chemical">titanium complex (2 equiv)
and by stirring the reaction mixture at reflux for 18 h.
Synthesis of Methyl Tetrahydropyran-3-carboxylates (9)
The appropriate starting materials 8 were added to a suspension of 10%
n class="Chemical">Pd/C (20% w/w with respect to the substrate) in <span class="Chemical">MeOH (10 mL mmol–1),
and the mixture was vigorously stirred at room temperature under a H2
atmosphere (1 atm) for 12–16 h. The reaction mixture was then filtered, and the
solvent was removed under reduced pressure. The product was isolated from the crude by
flash chromatography on <span class="Chemical">silica gel.
Synthesis of Tetrahydropyran-3-carboxyaldehydes (11)
Compounds 11 were synthen class="Chemical">sized from the corresponding starting materials
10 according to our previously reported procedure,[87]
and they were immediately used in the following step.
Synthesis of 3-Aminopropyltetrahydropyrans (3)
Compounds 3 were synthen class="Chemical">sized from the corresponding starting materials
11 according to our previously reported procedure.[87]
Compounds n class="Chemical">2e and3e were synthesized from the corresponding
starting materials (13[87] and 11a,
respectively) and
<span class="Chemical">N1-(6-chloro-2-methoxyacridin-9-yl)butane-1,4-diamine
following our previously reported procedure.[87]
Compound 14 was prepared from 13(87) an class="Chemical">nd
the commercially available <span class="Chemical">N-Boc-1,4-butanediamine following our
previously reported procedure.[87]
Yield: 79%. Colorless waxy solid. Mobile phase for the chromatographic purification:
<span class="Chemical">Cn class="Chemical">H2Cl2/<ne">span>n class="Chemical">MeOH, 9:1. 1H NMR (400 MHz,
CDCl3): δ 4.76 (bs, 1H), 3.30 (s, 3H), 3.14 (d, J =
6.6 Hz, 2H), 2.87 (bs, 1H), 2.68 (bs, 2H), 2.07 (bs, 1H), 1.95–1.83 (m, 1H),
1.74–1.46 (m, 14H), 1.44 (s, 9H), 1.32 (s, 3H), 1.37–1.23 (m, 4H), 0.91
(dt, J = 9.1, 6.8 Hz, 6H). 13C NMR (100 MHz,
CDCl3): δ 156.0, 102.0, 81.7, 50.5, 49.5, 48.5, 40.2, 38.8, 36.3,
32.1, 31.4, 28.3, 27.7, 26.6, 25.4, 24.7, 23.1, 18.7, 14.0, 13.8. LRMS
(ESI+) m/z: 445.6 [M + H]+, 711.8 [2M
– Boc]+.
Compound 14 was subsequently converted into the correspon class="Chemical">nding
<span class="Chemical">N-deprotected hydrochloride salt according to a literature
procedure,[100] and it was immediately used in the following
synthetic step without any purification.
Compound 2f was prepared according to a literature procedure[100] modified as follows: <n class="Gene">span class="Chemical">4-chloro-7-nitrobenzofurazan (1.1 equiv) was
added to a solution of the <ne">span>n class="Chemical">hydrochloride salt and triethylamine (3 equiv) in anhydrous
CH2Cl2 (30 mL mmol–1) at 0 °C under a
N2 atmosphere. The reaction mixture was warmed at room temperature and
stirred for 4 h. The solvent was removed under reduced pressure, and the product was
isolated by flash chromatography on silica gel.
Promastigotes of a <span class="Species">L. donovanin> reference strain
(MHOM/NP/02/BPK282/0cl4) were maintained at 26 °C in a liquid custom-made medium,
<span class="CellLine">HOMEM Cat. no: 1140-082 (Gibco Thermo Fisher Scientific Inc., Waltham, USA), complete
composition: S-MEM (Eagle) 1 × 1 liter pack, glucose (1–2 g), sodium
bicarbonate (0.3 g), sodium pyruvate (0.11 g), p-aminobenzoic acid (1
mg), biotin (0.1 mg), HEPES (4.77–5.96 g), MEM amino acids (10 mL), MEM
nonessential amino acids (10 mL), pH 7.5–7.6, supplemented with 20% fetal bovine
serum (FBS, EuroClone SpA, Milan, Italy)[123] and 1%
penicillin–streptomycin (EuroClone SpA).
Cell Cultures
Vero cells (kidney of <span class="Species">African green monkeyn> epithelial cell line) were cultured at 37
°C in the <span class="Chemical">MEM liquid medium supplemented with 10% FBS (EuroClone SpA), 1%
levoglutamine (EuroClone SpA), and 1% penicillin–streptomycin (EuroClone SpA).
THP-1 cells (humanleukemia monocytic cell line) were cultured at 37 °C in the RPMI
1640 (EuroClone SpA) liquid medium supplemented with 10% FBS (EuroClone SpA), 1%
levoglutamine (EuroClone SpA), 1% penicillin–streptomycin, and mercaptoethanol
(Gibco) 50 μM.
Promastigote Growth Inhibition Assay
To evaluate the efficacy of the compounds on the extracellular forms of L.
donovani, promastigotes in their late log/stationary phase were seeded with
the complete <n class="Gene">span class="Chemical">HOMEM medium at 106 cells mL–1 in 96-well
plates and incubated with tested compounds at a range concentration of 600–1.6
μM in a 26 °C incubator for 72 h. The anti<ne">span>n class="Disease">leishmanial drug amphotericin B was
used as the positive control, and untreated promastigotes were the negative control.
Each experiment was performed in duplicate. Stock solution of the compounds was 8 mM in
DMSO. To estimate the concentration at which the compounds caused 50% inhibition of
growth (IC50), the alamarBlue assay was employed (Life Technologies, Thermo
Fisher Scientific Inc., Waltham, USA). The alamarBlue assay includes a colorimetric
growth indicator based on detection of metabolic activity. Specifically, the system
incorporates an oxidation–reduction (REDOX) indicator that changes color in
response to chemical reduction of the growth medium resulting from cell growth. The
method monitors the reducing environment of proliferating cells; the cell-permeable
resazurin is added (nonfluorescent form, blue color) and, upon entering cells, is
reduced to resorufin (fluorescent form, red color) as a result of cellular metabolic
activity. Evaluation was performed by adding 20 μL of alamarBlue and incubating at
26 °C for 24 h. The reducing environment was evaluated after 24 h by absorbance
measurement at the Multiskan ascent plate reader (Thermo Fisher Scientific Inc.) at 550
and 630 nm.
Cytotoxicity Test
The <span class="Disease">cytotoxicityn> of the compounds was determined using <span class="Species">mammalian kidney epithelial
cells (Vero cell line) and human acute monocytic leukemia cell line (THP-1). Cells were
seeded (105 cells mL–1) on 96-well plates with the complete
MEM medium and incubated with test compounds at 37 °C in a 5% CO2
incubator. After 72 h of incubation, 20 μL of the alamarBlue reagent was added to
each well and incubated at 37 °C for 24 h. Reduction of resazurin to resorufin was
evaluated after 24 h by absorbance measurement at the Multiskan ascent plate reader
(Thermo Fisher Scientific Inc.,) at 550 and 630 nm. DMSO used for compound dilution was
also tested to control the employed concentration, which was not toxic and did not
influence the toxicity of the compounds. Each experiment was performed in duplicate. The
selectivity index (SI) for each compound was calculated as the ratio between
cytotoxicity (CC50/72 h) and activity (IC50/72 h) against
Leishmania promastigotes.
Amastigote Growth Inhibition Assay
To evaluate the efficacy of the compounds on the intracellular form of L.
donovani, <n class="Gene">span class="Species">human acute monocytic <ne">span>n class="Disease">leukemia cell line (THP-1) was infected with
L. donovani promastigotes. Cells were harvested and seeded in a
96-well plate (105 cells mL–1) in the complete RPMI 1640
medium, and PMA (0.1 μM, Cayman Chemical Company, Ann Arbor, Michigan, USA) was
added for obtaining maturation and cell adherence. Cells were incubated at 37 °C in
a 5% CO2 incubator. After 48 h, the medium was replaced with the fresh medium
containing stationary-phase promastigotes that were then phagocyted by monocytic cells
and transformed into intracellular amastigotes. After 24 h of incubation, newly
synthesized compounds were added and the plates were incubated at 37 °C in a 5%
CO2 incubator for 72 h. After incubation, wells were washed, fixed, and
stained with Giemsa. Staining was detected using a Nikon Eclipse E200 light microscope
(Nikon, Tokyo, Japan). The infectivity index (% of infected macrophages × average
number of amastigotes per macrophage) was determined by counting at least 100 cells in
duplicate cultures.
Role of an Iron Chelator in the Activation of Compounds[111,112]
To analyze the effect of an <span class="Chemical">ironn> chelator (DFO or <span class="Chemical">DFP) on the compounds, the late
log/stationary phase of promastigotes was seeded with the complete HOMEM medium at
106 cells mL–1 in 96-well plates and incubated with the
iron chelator for 24 h at 26 °C. Four nontoxic doses of the iron chelator were
prepared, in 1:2 dilutions. Each compound was added using a concentration range
including the IC50 of each compound. Each experiment was performed in
duplicate. The viability of the parasites was determined by the alamarBlue assay. The
fractional inhibitory concentration (FIC; FIC = IC50 of the drug in the
combination/IC50 of the drug when tested alone) of each compound was
calculated and plotted as an isobologram.
Evaluation of Intracellular ROS Levels
To monitor the effect of the compounds on the production of <n class="Gene">span class="Chemical">ROS in promastigotes of
<ne">span>n class="Species">L. donovani, an oxidant-sensitive green fluorescent dye
(2,7-dichlorofluorescein diacetate, H2DCFDA) was used. Promastigotes in their
late log/stationary phase were seeded with the complete HOMEM medium at 106
cells mL–1 in 96-well plates and incubated with tested compounds at
their IC50 in a 26 °C incubator for 24 h. Subsequently, parasitic cells
were washed in PBS (pH 7.4), loaded with 10 μM permeant probe H2DCFDA
(Sigma, St. Louis, MO, USA), and incubated in the dark for 35 min at 26 °C.[103] H2O2 (20 μM)[124] and
miltefosine (22 μM)[125] were used as positive controls. Each
experiment was performed in triplicate. Reactive oxygen species (ROS) production was
measured as an increase in fluorescence caused by the conversion of nonfluorescent dye
to highly fluorescent 2,7-dichlorofluorescein, with an excitation wavelength of 488 nm
and an emission wavelength of 530 nm. Plates were read by employing a fluorescence
microplate reader Varioskan Flash (Thermo Fisher Scientific Inc.).
Confocal Microscopy
For imaging, promastigotes of <span class="Species">L. donovanin> were seeded (106
cells mL–1) on 96-well plates at 26 °C for 72 h. Then, the
labeled compounds, at their IC50 concentrations, were added and the plate was
incubated at 26 °C for 45/50 min. Subsequently, cells were collected, washed with
<span class="Chemical">PBS, and immobilized on a slide. TO-PRO-3 (1 μM) (Thermo Fisher Scientific Inc.),
a specific dye for nucleic acids,[114,115] was also added after cell permeabilization, made by
incubating promastigotes in methanol/acetone for 10 min at −20 °C.
Fluorescence microscopy analysis was performed using a TCS SP2 scanning confocal
microscope (Leica Microsystems, Wetzlar, Germany) with a 63× oil objective, the
excitation wavelength utilized for the labeled compounds was 488 nm, and emission was
detected at 505 nm. The excitation wavelength for TO-PRO-3 was 642 nm, and emission was
detected at 661 nm. An antifade agent to reduce photo bleaching was not used.
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