Sangmi Oh1, M Daben J Libardo1, Shaik Azeeza1, Gary T Pauly2, Jose Santinni O Roma1, Andaleeb Sajid1, Yoshitaka Tateishi1, Caroline Duncombe1, Michael Goodwin1, Thomas R Ioerger3, Paul G Wyatt4, Peter C Ray4, David W Gray4, Helena I M Boshoff1, Clifton E Barry1,5. 1. Tuberculosis Research Section, Laboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland 20892, United States. 2. Chemical Biology Laboratory, National Cancer Institute, Frederick, Maryland 21702, United States. 3. Department of Computer Science and Engineering, Texas A&M University, College Station, Texas 77843, United States. 4. Drug Discovery Unit, Division of Biological Chemistry and Drug Discovery, School of Life Sciences, University of Dundee, Dundee DD1 5EH, United Kingdom. 5. Institute for Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town 7935, South Africa.
Abstract
Pyrazolo[1,5-a]pyrimidin-7(4H)-one was identified through high-throughput whole-cell screening as a potential antituberculosis lead. The core of this scaffold has been identified several times previously and has been associated with various modes of action against Mycobacterium tuberculosis (Mtb). We explored this scaffold through the synthesis of a focused library of analogues and identified key features of the pharmacophore while achieving substantial improvements in antitubercular activity. Our best hits had low cytotoxicity and showed promising activity against Mtb within macrophages. The mechanism of action of these compounds was not related to cell-wall biosynthesis, isoprene biosynthesis, or iron uptake as has been found for other compounds sharing this core structure. Resistance to these compounds was conferred by mutation of a flavin adenine dinucleotide (FAD)-dependent hydroxylase (Rv1751) that promoted compound catabolism by hydroxylation from molecular oxygen. Our results highlight the risks of chemical clustering without establishing mechanistic similarity of chemically related growth inhibitors.
Pyrazolo[1,5-a]pyrimidin-7(4H)-one was identified through high-throughput whole-cell screening as a potential antituberculosis lead. The core of this scaffold has been identified several times previously and has been associated with various modes of action against Mycobacterium tuberculosis (Mtb). We explored this scaffold through the synthesis of a focused library of analogues and identified key features of the pharmacophore while achieving substantial improvements in antitubercular activity. Our best hits had low cytotoxicity and showed promising activity against Mtb within macrophages. The mechanism of action of these compounds was not related to cell-wall biosynthesis, isoprene biosynthesis, or iron uptake as has been found for other compounds sharing this core structure. Resistance to these compounds was conferred by mutation of a flavin adenine dinucleotide (FAD)-dependent hydroxylase (Rv1751) that promoted compound catabolism by hydroxylation from molecular oxygen. Our results highlight the risks of chemical clustering without establishing mechanistic similarity of chemically related growth inhibitors.
Tuberculosis
(TB) is a bacterial
infection caused by Mycobacterium tuberculosis (Mtb), which is spread through coughing.[1,2] The
World Health Organization (WHO) estimates that 1.7 billion people,
almost one-quarter of the world’s population, are infected
with Mtb, including both active and latent TB patients.[3] The urgency of eradicating TB is therefore compelling
not only because it is the single deadliest infectious disease but
also due to its growing resistance toward available drugs. In 2018,
there were about half a million new cases with resistance to rifampicin,
of which 78% are multidrug-resistant TB (MDR-TB).[3] Among cases of MDR-TB in 2018, 6.2% was estimated to have
extensively drug-resistant TB (XDR-TB), requiring complex regimens
and an especially long duration of treatment.[3] However, treatment success remains low due to a limited selection
of highly active drugs.[4] There is, therefore,
an urgent need for the development of new drug candidates exhibiting
novel mechanisms of action to address drug resistance and shorten
treatment duration.To discover new antitubercular agents, high-throughput
screening
(HTS) against whole cells has produced most of the existing TB drugs
and clinical candidates.[5] An in-house HTS
campaign of diverse
small-molecule libraries yielded compound 1 (Figure ) as a confirmed
hit. This compound displays an embedded pyrazolo[1,5-a]pyrimidin-7(4H)-one scaffold. Several previous
studies have reported pyrazolo[1,5-a]pyrimidin-7(4H)-one derivatives with moderate antitubercular activities
with varying modes of action.[6−8] From whole-cell screens against Mtb H37Rv, compounds 2 and 3,
which have a similar pyrazolo[1,5-a]pyrimidin-7(4H)-one scaffold, were identified as hits.[6] However, the mode of action profiling by selecting spontaneous
resistant mutants revealed important differences. Resistant clones
selected against 2 had mutations in eccB3 (Rv0283), which is a component of the ESX-3 type VII secretion system
in the Mtb genome.[6] Further
study of this compound demonstrated that ESX-3 was likely not the
real target but, rather, the molecule perturbs iron metabolism in
which ESX-3 plays a crucial part.[8] On the
other hand, mutants selected for resistance to 3 exhibited
insertions of a transposon (IS6110) in rv1685c, a transcription factor whose biological role and regulatory targets
are not known.[6] Furthermore, another analogue 4 (Figure ) was reported to be an inhibitor of the Mtb 1-deoxy-d-xylulose 5-phosphate synthase (DXS) with a moderate MIC value.[7,9] Strikingly, although all three compounds display a high degree of
chemical similarity, each molecule has been shown to have a different
mode of action.
Figure 1
Chemical structure of the hit compound, 1, and analogues 2–4 that have been
previously reported.[6−8]
Chemical structure of the hit compound, 1, and analogues 2–4 that have been
previously reported.[6−8]In this work, we undertook
a structure–activity relationship
(SAR) study starting from pyrazolo[1,5-a]pyrimidin-7(4H)-one analogue 1 to shine light on the confusing
landscape of potential targets and resistance mechanisms.
Results and Discussion
Synthesis
of Analogues and Structural Elucidation by X-ray Crystallography
To identify the essential structural moieties for antitubercular
activity, we designed and synthesized a set of modified analogues.
The general synthesis of these fused heterocycle pyrazolo[1,5-a]pyrimidin-7(4H)-ones (1, 2, 4, P6, P8–P27) relies on the one-step cyclocondensation reaction of
commercially available β-ketoesters 5 with aminopyrazoles 6 (Scheme ). The core scaffold, pyrazolo[1,5-a]pyrimidin-7(4H)-one, has three plausible tautomeric structures (Figure A). Different tautomeric
forms of small molecules are known to interact with different biological
targets in unique ways; therefore, we wanted to establish which tautomer
we were studying. The crystalline form of 4 generated
by normal reaction conditions in this study was verified to have the
structure shown as 4a in Figure A by single crystal X-ray diffraction (Cambridge
Structural Database
ID. CCDC 2034666). It was clear that the electron density around the
two nitrogen atoms N1 and N3, along with the C=O bond length
of 1.23 ± 0.01 Å, support the tautomer 4a as
being dominant. This bond length is consistent with the expected sp2 C=O bond length observed in aldehydes and ketones
and comfortably different from the ar C–O bond length of 1.36
Å expected for phenolic compounds.[10] Therefore, we used this tautomer structure (4a) to
depict the synthetic derivatives.
Scheme 1
General Synthetic
Scheme of Pyrazolo[1,5-a]pyrimidin-7(4H)-one Derivatives 1, 2, 4,
and P6, P8–P27
(A) Three
probable tautomeric structures (4a–c) of the pyrazolo[1,5-a]pyrimidin-7(4H)-one scaffold in 4; (B) X-ray crystal structure
of 4.
(A) Three
probable tautomeric structures (4a–c) of the pyrazolo[1,5-a]pyrimidin-7(4H)-one scaffold in 4; (B) X-ray crystal structure
of 4.
General Synthetic
Scheme of Pyrazolo[1,5-a]pyrimidin-7(4H)-one Derivatives 1, 2, 4,
and P6, P8–P27
Reagents and conditions: (a)
toluene, reflux, overnight; (b) AcOH, reflux, overnight.O-Methylation (P1) and N-methylation (P2) of hit 1 were
performed
to evaluate the importance of these different tautomeric configurations
of the pyrazolopyrimidine core. Following conversion to the chlorinated
intermediate by POCl3, quenching with sodium methoxide
afforded P1.[11] Direct methylation
of 1 with methyl iodide in the presence of Cs2CO3 generated N-Me analogue P2 (Scheme ).
Scheme 2
Synthesis
of P1 and P2
Reagents and conditions:
(a)
POCl3 (2.5 equiv), DIPEA (0.2 equiv), 90 °C, overnight;
(b) NaOMe in MeOH (2.0 equiv), rt, overnight; (c) MeI (5.0 equiv),
Cs2CO3 (3.0 equiv), rt, overnight.
Synthesis
of P1 and P2
Reagents and conditions:
(a)
POCl3 (2.5 equiv), DIPEA (0.2 equiv), 90 °C, overnight;
(b) NaOMe in MeOH (2.0 equiv), rt, overnight; (c) MeI (5.0 equiv),
Cs2CO3 (3.0 equiv), rt, overnight.To validate substituent effects in the C2 position, the
replacement
of methyl with a hydroxyl (P3) or an amino group (P4) was performed as described in Scheme . P3 was generated from methyl
phenylcyanoacetate 9 through a key intermediate, amino
pyrazolone 10, by the addition of hydrazine[12] followed by intramolecular cyclization. Intermediate 9 in turn was prepared by coupling benzyl cyanide 7 with dimethyl carbonate 8. On the other hand, the coupling
reaction between iodobenzene 11 and malononitrile 12 provided phenylmalononitrile 13,[13] which generated the diamino pyrazole 14 after the reaction with hydrazine.[12] The
fused heterocyclic P4 was finally generated by an intramolecular
condensation reaction after the reaction with β-ketoester 5.
Reagents and conditions: (a) 7 (1.0 equiv), 8 (10 equiv), NaOMe (2.0 equiv),
90 °C, overnight; (b) N2H4·H2O (2.0 equiv), EtOH, reflux, overnight; (c) 5 (1.0 equiv),
EtOH, reflux, overnight; (d) 11 (1.0 equiv), 12 (2.0 equiv), K2CO3 (4.0 equiv), CuBr2 (0.1 equiv), DMSO, 120 °C, overnight; (e) methanolic HCl, rt,
overnight; (f) ethyl chloroformate (1.2 equiv), K2CO3 (1.0 equiv), CH2Cl2, rt, 36 h; (g)
EtOH, AcOH, reflux, 5 h.The triazinone analogue P5 was synthesized for the
evaluation of the main core scaffold, pyrazolo pyrimidinone. Benzonitrile 15 was reacted with methanol in acidic conditions to generate
iminoester 16, and then, condensation with ethyl chloroformate
resulted in the formation of imidate 17. After the reaction
with aminopyrazole 6, the desired product, P5, was obtained.[14]The trifluoromethylated
analogue P7 was synthesized
by a light-promoted reaction with trifluoromethyl iodide combined
with Cs2CO3 (Scheme ). Instead of blue LEDs as a light source,[15] 365 nm UV light was alternatively used for this
photoactivation reaction, and the efficient and practical incorporation
of a trifluoromethyl group into the α-carbonyl carbon was confirmed.
Scheme 4
Synthesis of Analogue P7
Reagents and conditions:
(a) 1 (1.0 equiv), Cs2CO3 (3 equiv),
CF3I in DMSO, 365 nm UV irradiation during overnight rt
stirring.
Synthesis of Analogue P7
Reagents and conditions:
(a) 1 (1.0 equiv), Cs2CO3 (3 equiv),
CF3I in DMSO, 365 nm UV irradiation during overnight rt
stirring.
Structure–Activity Relationship Study
of Synthetic Analogues
and Their Antitubercular Activities
Preliminary SAR studies
to address important questions around the hit scaffold were focused
on determining key moieties or functionalities that may play important
roles in antitubercular activity. Minimum inhibitory concentrations
were determined against Mtb strain H37Rv in the presence
(ADC) or absence (GCas) of albumin. Lower MICs in GCas generally mean
lower protein binding. A focused library containing 27 compounds (P1–P27) was constructed for the preliminary
SAR (Tables and 2). For comparative purposes, we also resynthesized
the literature compounds 2 and 4. In order
to explore the core pyrazolo[1,5-a]pyrimidin-7(4H)-one scaffold, the methylated analogues P1 with O-Me and P2 with N-Me were synthesized, resulting in loss of activity. Among the three
different tautomeric configurations in Figure A, the structure of the O-methylated P1 derivative was constrained to the tautomer
(4b) form, while the N-methylated P2 was confined to the tautomer (4a) and lost
its hydrogen bond donor capability. Polar functional groups in the
C2
position including hydroxyl (P3) or amino (P4) groups can cause significant changes in the original scaffold including
conformational differences and hydrogen bonding characteristics. All
of these changes resulted in the loss of antimicrobial activity. In
addition, it was found that the triazinone derivative, P5, was almost inactive against whole cells (Table ).
Table 1
Structure and Antitubercular
Activities
of Compounds 1, 2, 4, and P1–P5c
MIC of
compounds tested against Mtb H37Rv in Middlebrook
7H9/ADC/Tween.
MIC of compounds
tested against Mtb H37Rv in 7H9/glucose/casitone/tyloxapol.
See the Methods section.
Table 2
Structural Aspects
and Antitubercular
Activities of Compounds P6–P27
MIC of
compound tested against Mtb H37Rv in Middlebrook
7H9/ADC/Tween.
MIC of compound
tested against Mtb H37Rv in 7H9/glucose/casitone/tyloxapol.
See the Methods section.
Cytotoxicity of compound tested
against HepG2 cells in DMEM/10% FBS supplemented with glucose.
Cytotoxicity of compound tested
against HepG2 cells in DMEM/10% FBS with galactose.
Not determined.
MIC of
compounds tested against Mtb H37Rv in Middlebrook
7H9/ADC/Tween.MIC of compounds
tested against Mtb H37Rv in 7H9/glucose/casitone/tyloxapol.See the Methods section.MIC of
compound tested against Mtb H37Rv in Middlebrook
7H9/ADC/Tween.MIC of compound
tested against Mtb H37Rv in 7H9/glucose/casitone/tyloxapol.
See the Methods section.Cytotoxicity of compound tested
against HepG2 cells in DMEM/10% FBS supplemented with glucose.Cytotoxicity of compound tested
against HepG2 cells in DMEM/10% FBS with galactose.Not determined.Compounds P6–P27 were
used to
evaluate four different positions around the core, pyrazolo[1,5-a]pyrimidin-7(4H)-one (Table ). First, P6, which
has a methyl group, and P7, which has a trifluoromethyl
group at the R1 position, retained activities in ADC media
but displayed slightly detrimental effects in albumin containing media,
suggesting strong protein binding and no electronic effect in the
R1 position compared to the initial hit. The next series, P8–P20, were derivatized specifically
in the R2 position with diverse moieties and substituents.
Benzyl (P8) instead of phenyl retained its activity in
GCas media, but cyclohexylmethyl (P9), morpholinomethyl
(P10), cyclohexyl (P11), and isobutyl (P12) were not tolerated at this position. However, P8 displayed a somewhat large discrepancy in the MIC with or without
protein in the media as evidenced by the markedly increased MIC in
7H9/ADC media. Some heteroaryl groups including 3-picolyl (P13), 3-furyl (P14), and pyrazinyl (P15) also
showed the same pattern of relatively big MIC differences in the two
media. With the phenyl group at the R2 position, a fluoro
substituent as a small electron-withdrawing group was confirmed to
retain its original potency or generate slightly better activities
regardless of the substitution pattern (P16–P18). Furthermore, the compounds embedding 3,4-difluoro (P19) or 3,4-dichloro (P20) were favorable for
activity in 7H9/ADC due to less protein binding as seen by the 5-fold
improvement in the MIC compared to the initial hit, 1.To assess the importance of the phenyl group at the R3 position, P21 was synthesized, resulting in
loss of
antitubercular activity. Therefore, an aromatic ring in positions
R2 and R3 was confirmed to be necessary for
antitubercular activity in the main scaffold. To evaluate the effect
of the methyl group at the R4 position, several analogues
were designed (P22, P23, P26, and P27). The removal of the methyl group at position
R4 (P22) was detrimental to the activity compared
to 1. On the other hand, P26, the R4 des-methyl analogue of P25, showed 4-fold better
potency. In addition, the isopropyl substituted P23 was
inactive against Mtb. P19 showed improved
potency (2.73 μM in 7H9/ADC and 1.56 μM in 7H9/GCas).
Surprisingly, the R4 trifluoromethyl analogue of P19 and P27, completely lost activity, suggesting
the possible effects of this electron withdrawing functionality on
the properties of this heterocycle. After modifications of R2 and R3, P24 and P25 were found
to retain their activities in GCas and were 8-fold more potent in
the presence of protein than the initial hit without serious cytotoxicity.
Most active derivatives were not cytotoxic against HepG2 cells and
additionally did not exert overt mitochondrial toxicity as seen by
the lack of cytotoxicity during the growth of these cells on galactose
as the carbon source. Specifically, P25 showed a selectivity
index of >60 in glucose media and >30 in galactose media, respectively
(Table ). In addition,
our data indicated that the compounds were not highly vulnerable to
host metabolism as seen by the moderate stability in the microsomal
stability assays (Table S1). Therefore,
active compounds without serious cytotoxicity against HepG2 cells
including P19, P24, and P25 were selected and used for further biological studies.
In
Vitro and Ex Vivo Antitubercular
Activity of Pyrazolo[1,5-a]pyrimidin-7(4H)-one Derivatives
Targets in mycolyl-arabinogalactan biosynthesis
as well as in the bc1 complex of the terminal respiratory oxidase
have been reported to be promiscuous targets on the basis of high
hit rates of compound libraries against these proteins.[16] To generate an early understanding of the potential
mechanism of action, compounds 1, 2, 4, and P19 were profiled using assays that report
on the inhibition of these targets using a pini-LUX
strain that informs on the inhibition of cell wall biosynthesis[17] as well as a cydC::aph mutant
that is hypersusceptible to QcrB inhibitors.[18,19] These assays indicated that these compounds did not inhibit these
apparently promiscuous targets (Table ). In addition, the reporters for compounds that result
in DNA damage indicated that the primary mechanism of action did not
involve the modulation of DNA homeostasis.[17] MIC determination under a variety of carbon sources with in vivo relevance including dipalmitoyl-phosphatidylcholine,
cholesterol, and glucose showed that these compounds retained activity
against Mtb under all these conditions. In addition,
these compounds were active against Mtb, slowly replicating
under the growth restriction imposed by low pH and nitrosative stress,
suggesting that these compounds inhibit targets of functional importance
under a wide diversity of growth conditions.
Table 3
Biological
Evaluation of Pyrazolo[1,5-a]pyrimidin-7(4H)-one Derivatives
MIC (μM)
reporter gene assay
hit
7H9a
GASTb
GBSA/DBSAc
nitrate/butyrated
Chole
CydKOf
cell wallg
DNA damageh
1
12.5
2.3
12.5
12.5
9.40
12.5
no
no
2
19.0
19.0
4.70
6.25
12.5
25.0
no
no
4
12.5
3.13
9.40
6.25
12.5
9.40
no
no
P19
3.13
1.20
3.13
1.56
3.13
3.13
no
no
INH
0.39
0.10
0.30
N/Di
0.20
0.30
N/D
N/D
SQ109
N/D
N/D
N/D
N/D
N/D
N/D
yes
N/D
MOX
N/D
N/D
N/D
N/D
N/D
N/D
N/D
yes
MIC of compound against Mtb strain H37Rv in Middlebrook 7H9/BSA containing glucose/glycerol/Tween
80.
MIC of compound against Mtb strain H37Rv in GAST/Fe.
MIC of compound against Mtb strain H37Rv
in Middlebrook 7H9/BSA/Tyloxapol with glucose
(GBSA) or dipalmitoylphosphatidylcholine (DBSA) as the carbon source.
MIC of compound against Mtb strain H37Rv in Middlebrook 7H9/BSA/Tyloxapol/butyrate/0.1
mM nitrite/pH 6.0.
MIC of
compound against Mtb strain H37Rv in Middlebrook
7H9/BSA/Tyloxapol/cholesterol.
MIC of compound against Mtb strain H37Rv in Middlebrook
7H9/ADC with cydC::aph.
Induction of the cell wall responsive iniBAC promoter as measured using the piniB-LUX reporter strain.
Induction of the DNA damage responsive recA and radA reporters using the precA-LUX and pradA-LUX reporter strains.
Not determined.
MIC of compound against Mtb strain H37Rv in Middlebrook 7H9/BSA containing glucose/glycerol/Tween
80.MIC of compound against Mtb strain H37Rv in GAST/Fe.MIC of compound against Mtb strain H37Rv
in Middlebrook 7H9/BSA/Tyloxapol with glucose
(GBSA) or dipalmitoylphosphatidylcholine (DBSA) as the carbon source.MIC of compound against Mtb strain H37Rv in Middlebrook 7H9/BSA/Tyloxapol/butyrate/0.1
mM nitrite/pH 6.0.MIC of
compound against Mtb strain H37Rv in Middlebrook
7H9/BSA/Tyloxapol/cholesterol.MIC of compound against Mtb strain H37Rv in Middlebrook
7H9/ADC with cydC::aph.Induction of the cell wall responsive iniBAC promoter as measured using the piniB-LUX reporter strain.Induction of the DNA damage responsive recA and radA reporters using the precA-LUX and pradA-LUX reporter strains.Not determined.Prompted by the favorable selectivity indices obtained for several
of the synthesized derivatives, the efficacy of the compounds against
intracellular Mtb was determined. For that, the cytotoxicity
of selected analogues was first evaluated against the murine macrophage
cell line, J774. While largely tolerated by HepG2 cells, the tested
compounds P19, P24, and P25 exhibited modest cytotoxicity against J774 cells (Figure A) with IC50 values
of 29.6 ± 1.2, 22.5 ± 2.1, and 20.2 ± 0.8 μM
respectively.
Figure 3
(A) Murine macrophage cytotoxicity was measured using
a standard
luminescence-based assay. Curves represent the average of three trials
done in duplicates. (B) J774 cells were infected with Mtb H37Rv (MOI 1:5) and treated with the corresponding compounds for
7 days. Survival of intracellular bacteria was measured by plating
serial dilutions following J774 lysis. Bars: mean ± SEM obtained
from two trials done in duplicates.
(A) Murine macrophage cytotoxicity was measured using
a standard
luminescence-based assay. Curves represent the average of three trials
done in duplicates. (B) J774 cells were infected with Mtb H37Rv (MOI 1:5) and treated with the corresponding compounds for
7 days. Survival of intracellular bacteria was measured by plating
serial dilutions following J774 lysis. Bars: mean ± SEM obtained
from two trials done in duplicates.J774 cells were then infected with Mtb H37Rv at
a multiplicity of infection of 5 (MOI 1:5) and treated with P19 or P25 for 7 days. Taking into consideration
both their in vitro MICs and corresponding IC50 values against J774 cells, we settled on a low dose of 7.5
μM and a high dose of 15 μM for both compounds, concentrations
above the MIC but below the cytotoxic threshold for J774 cells. It
was found that both P19 and P25 possess
cidal activity against intramacrophage Mtb H37Rv
(Figure B) at the
tested concentrations. High doses of P19 reduced the
bacterial burden by ∼0.5 logs while P25 reduced
bacterial counts by 1.5 and 2 orders of magnitude at 7.5 and 15 μM,
respectively.
Biological Evaluation of Pyrazolo[1,5-a]pyrimidin-7(4H)-ones
Compound 2, which was previously
shown to interfere with iron homeostasis in mycobacteria by directly
binding to intracellular Fe2+, shares a similar scaffold
with 1, 4, P19, and P24.[8] To deplete the iron levels in the medium,
we added 100 μM desferrioxamine (DFO; MIC = 250 μM), a
siderophore produced by Streptomyces that cannot
be utilized by mycobacteria.[20] While siderophores
selectively bind to Fe3+, the loss of extracellular Fe3+ due to chelation would lead to the depletion of intracellular
Fe2+ during growth. We also supplemented the iron levels
by the addition of 250 μM FeCl3, half the concentration
of the inorganic salt’s MIC (500 μM). We utilized in-house
controls, the antitubercular benzoxazoles (593 and 596), compounds that interfere with iron metabolism as evidenced
by transcriptional upregulation of mycobactin biosynthetic genes and
the esx3 operon (unpublished results), as positive
controls to qualify the assay. The benzoxazoles 593 and 596 were 8- to 16-fold more potent under iron-depleted conditions
(Figure A). Similarly,
it was confirmed that 2 had greater efficacy under iron-limited
conditions in accordance to previously published results.[8] In contrast, neither 4 nor the newly
described pyrazolo[1,5-a]pyrimidin-7(4H)-ones (P19 and P24) were affected by iron
depletion, producing at best, a negligible 2-fold decrease in MIC.
Excess iron in the medium led to neither activation nor attenuation
of any of the drugs tested, indicating that none of these compounds
act as ionophores that shuttle iron into the cell.
Figure 4
(A) Effect of iron levels
on the potency of test compounds. MICs
were measured in the presence of 100 μM desferrioxamine (DFO)
or 250 μM FeCl3. The increase in potency of the compounds
is expressed as MIC ratios equal to MIC in pure 7H9 media divided
by MIC in 7H9 supplemented with either DFO or FeCl3. Bars
represent mean ± SEM (n = 2). (B) Effect of 1 in the iron uptake of Mtb in vitro. Cells
treated with the specified compound were fed 55Fe, and
the radioactivity inside H37Rv was measured over a 72 h time course.
Data represent mean ± SD (n = 3). CPM, counts
per minute.
(A) Effect of iron levels
on the potency of test compounds. MICs
were measured in the presence of 100 μM desferrioxamine (DFO)
or 250 μM FeCl3. The increase in potency of the compounds
is expressed as MIC ratios equal to MIC in pure 7H9 media divided
by MIC in 7H9 supplemented with either DFO or FeCl3. Bars
represent mean ± SEM (n = 2). (B) Effect of 1 in the iron uptake of Mtb in vitro. Cells
treated with the specified compound were fed 55Fe, and
the radioactivity inside H37Rv was measured over a 72 h time course.
Data represent mean ± SD (n = 3). CPM, counts
per minute.We further determined the effect
of the hit compound 1 directly on iron uptake by Mtb, on the basis of
the reported accumulation of intracellular iron in M. smegmatis following treatment with 2.[8] We treated Mtb cells with 1 in a growth
medium labeled with 55Fe and tracked the influx of radioactivity
into the cells. As shown in Figure B, compound 1 did not inhibit iron uptake
unlike DFO, which completely inhibited uptake. Taken together with
the result of our iron limitation experiments, the antitubercular
activities of these pyrazolo[1,5-a]pyrimidin-7(4H)-one analogues based on hit 1 were not related
to the perturbations in iron homeostasis.To determine the mechanism
of action of the most active analogues,
we independently raised mutants against P19 and P24 at 5× and 10× of their in vitro MIC. Despite having minimal structural differences, we were only
able to raise resistant mutants against P19. These clones
arose at a frequency of 3 × 10–8 at 5×
MIC and 4 × 10–9 at 10× MIC.We
measured resistance of the mutants (P19R) against P19, P24, 1, 2, and 4. We found that mutants raised against 5× MIC of P19 were 4- to 7-fold more resistant than the WT, and those
that were raised against 10× MIC were highly resistant (≥8-fold)
to P19. Unsurprisingly, the resistant mutants exhibited
similar resistance profiles against P24. P19R strains were also highly resistant to the original hit compound, 1. On the other hand, the resistant mutants exhibited relatively
small increased MICs against 2 or 4, values
that are within the margin of error of typical MIC measurements, indicating
a lack of cross-resistance of P19R strains against 2 and 4. This data suggested that 1, P19, and P24 had distinct targets or
resistance mechanisms from those of 2 and 4 (Table ).
Table 4
Spontaneous Resistant Mutants Raised
against P19 and Their Corresponding MICs
SNPs identified
in P19 resistant mutants
in rv1751 (# of independent mutants isolated)
Cpd
MIC (μM)
WT
L399W (7)
V96L (6)
H97Y/N (2)
L250Q (2)
P152S (1)
A434T (1)
P19
MIC
0.78
12.5
2.3
1.56
2.3
1.56
1.56
fold change
16
3
2
3
2
2
P24
MIC
1.56
18.8
7.82
6.25
6.26
3.90
3.12
fold change
12
5
4
4
2.5
2
1
MIC
1.2
12.5
2.3
1.56
3.13
2.3
1.56
fold change
10
2
1.3
2.6
2
1.3
2
MIC
0.39
0.39
1.2
0.39
1.2
1.2
1.2
fold change
1
3
1
3
3
3
4
MIC
1.56
3.13
2.3
1.56
4.7
2.3
2.3
fold
change
2
1.5
1
3
1.5
1.5
INH
MIC
0.04
0.04
0.04
0.04
0.04
0.04
0.04
The genomic DNA of the isolated P19R strains
was extracted
and sequenced, and it was found that all single-nucleotide polymorphisms
(SNPs) mapped onto rv1751, a nonessential gene annotated
as a probable oxidoreductase but whose function has not been definitively
demonstrated. A closer examination of the SNPs and their corresponding
MICs showed that the level of resistance can be classified into three
categories: (1) mutations in P152, L250, and A434 resulting in low-level
resistance, (2) mutations in V96 and H97 imparting intermediate resistance,
and (3) mutations in L399 conferring high-level resistance to P19 and P24. Sequence similarity searching showed
primarily flavin adenine dinucleotide (FAD)-dependent hydroxylases
and monooxygenases from different organisms (a logical result considering
Rv1751 is also predicted to have a FAD-binding domain) whose known
substrates are aromatic compounds (e.g., phenols and hydroxybenzoates).[21−23] One of the more similar proteins was Rox, a rifampicin monooxygenase
from Streptomyces venezuelae (PDB ID: 5VQB).[24] We modeled Rv1751 using the crystal structure of Rox as
a template (Figure A). In this modeled structure, the SNPs that conferred intermediate-
and high-level resistance were located proximal to the RIF binding
site, while those that lead to low-level resistance were distal to
this site (Figure B). H97 and L399 both point directly toward the RIF binding site,
suggesting that mutations in these positions will likely lead to a
change in the substrate binding affinity, in this case, a change in
the binding affinity of P19 to Rv1751 (Figure B). Taken together, these results
suggested that the resistant clones have mutations that affected the
catabolism of P19, resulting in decreased susceptibility.
Figure 5
(A) Calculated
structure of Rv1751 (red ribbons) superimposed on
crystal structure of rifampicin monooxygenase (Rox, green ribbons)
from S. venezuelae. Rifampicin (RIF) is shown
in magenta, and FAD is shown in cyan. (B) Co-crystal structures of
RIF and FAD are superimposed onto the calculated structure of Rv1751
(red ribbons). Residues mutated in P19R are highlighted
in yellow (conferring high-level resistance) and cyan (conferring
low-level resistance).
(A) Calculated
structure of Rv1751 (red ribbons) superimposed on
crystal structure of rifampicin monooxygenase (Rox, green ribbons)
from S. venezuelae. Rifampicin (RIF) is shown
in magenta, and FAD is shown in cyan. (B) Co-crystal structures of
RIF and FAD are superimposed onto the calculated structure of Rv1751
(red ribbons). Residues mutated in P19R are highlighted
in yellow (conferring high-level resistance) and cyan (conferring
low-level resistance).To determine the potential
role of Rv1751 in the resistance toward P19, the degree
of P19 degradation when exposed
to Mtb was measured via a LC/MS-based assay. Under
conditions that saturated the compound with Mtb cells
(P19 at 10× MIC added to 109 CFUs of
H37Rv), it was found that there was about 10% degradation of P19 by Mtb after 24 h of exposure. When we
performed a similar experiment using the P19R–intermediate
Rv1751 V96L mutant, almost 30% of the compound was degraded, and when
the L399W mutant was used, nearly 50% of P19 was metabolized
(Figures A and S1). Interestingly, the degree to which P19 was catabolized by the various forms of Rv1751 matches
the level of resistance that these polymorphisms impart to cells.
That is, the higher level of resistance (higher MICs) of specific
strains are associated with their greater catabolic capability (Figure B). Finally, in accordance
with the slight cross-resistance of the P19R strains to 4, there were only small differences in the degree of degradation
of 4 when it was exposed to either the WT or the P19R strains. To identify the major metabolites of P19 generated in mutant cells, a heavy oxygen (18O) stable
isotope labeling experiment coupled with MS-based analysis was performed.
On the basis of the preliminary LC/MS analysis of the metabolites
(Figure S1), we speculated that one or
two oxygen atoms were incorporated into some of the major metabolites.
Due to the fact that the incorporation test with 18O-enriched
water (H218O) did not provide any meaningful
information, P19 was incubated with the L399W mutant
cells under an 18O2 environment for 2 days,
and then, the media was analyzed by a triple quadrupole tandem MS
fragmentation technique to characterize the degradation pattern. As
shown in Figures S2–S4, L399W mutant
cells accelerated the catabolic degradation of P19 by
the hydroxylation of R1, hydroxylation of the phenyl ring
in the R3 position, and/or N-methylation
of the pyrimidinone ring.
Figure 6
(A) Degree of compound degradation upon exposure
to WT H37Rv and
the indicated P19R strains was measured via LC/MS. Bars
represent mean ± SEM (n = 3). (B) The correlation
between compound degradation by Mtb and in
vitro MIC shows the dependence of antimycobacterial activity
to compound metabolism.
(A) Degree of compound degradation upon exposure
to WT H37Rv and
the indicated P19R strains was measured via LC/MS. Bars
represent mean ± SEM (n = 3). (B) The correlation
between compound degradation by Mtb and in
vitro MIC shows the dependence of antimycobacterial activity
to compound metabolism.
Conclusions
Although
the pyrazolo[1,5-a]pyrimidin-7(4H)-one scaffold has been found in several antitubercular
agents with different mode of actions, there are no reports regarding
the exploration of the SAR based on the evaluation of activity against Mtb cells. We confirmed the exact tautomeric structure by
small-molecule X-ray crystallography and explored the SAR from 1 by the design and synthesis of a focused library containing
26 analogues in which we modified each moiety in the original pyrazolo[1,5-a]pyrimidin-7(4H)-one scaffold to understand
its contribution to whole-cell activity. The compounds were found
to be active against Mtb under a variety of in vitro growth conditions that reflect the carbon sources
thought to be important for in vivo pathogenesis
of the organism. The compounds were found to have favorable selectivity
indices against Mtb compared to eukaryotic cells
with greater than 10-fold selectivity for the pathogen than HepG2
cells. The most promising analogues including P19, P24, and P25 were found to exert growth inhibition
of Mtb during parasitism of host macrophages. These
compounds were selected and evaluated for further biological studies,
which indicated that the compounds did not inhibit the targets in
cell wall biosynthesis of respiration that have previously been reported
to be apparently promiscuous targets. Despite being nearly identical
in structure to a known iron chelator, these compounds did not exert
their antitubercular effect by perturbation of iron homeostasis. We
were, however, unable to decipher the intracellular target of this
scaffold since resistant mutants mapped to rv1751 encoding a putative FAD-dependent hydroxylase, which we could confirm,
led to increased catabolism of the compound. These studies suggest
that structural similarity does not necessarily imply mechanistic
similarity. Highly similar scaffolds with completely different targets
have been reported previously; for example, very closely related indazole
sulfonamides have been reported to be potent inhibitors of inosine
monophosphate dehydrogenase[25] and the β-ketoacyl-ACP
synthase involved in mycolic acid biosynthesis.[26] Such profound changes in the target with closely related
structures suggests that the chemical clustering of the hit series,
as is commonly done in Mtb whole-cell-based screening
programs, must be done with additional care when selecting a hit series
and interpreting the SAR in the absence of mechanistic information.
Methods
Chemistry
1H and 13C NMR spectra
were recorded on a Varian Mercury-300 NMR spectrometer or a Bruker
AVANCE III HD NanoBay 400 MHz spectrometer, and chemical shifts were
measured in ppm relative to the specific solvent signal. Routine mass
and purity analyses (LRMS) were performed on an HP Agilent LC/MS series
1100 system equipped with a reverse phase column (Agilent Poroshell
120 EC-C18, 2.7 μm, 50 × 2.1 mm) and photodiode array detector
coupled to an Agilent 1946 DSL quadrupole mass selective detector
using electrospray ionization (ESI). The gradient mobile phase consisting
of acetonitrile/water with 0.1% formic acid and UV detection at 254
and 210 nm were used to confirm all final products to be ≥95%.
The melting point was measured on an Electrothermal 9100 apparatus.
Most reagents used in the synthetic procedure were purchased from
Sigma-Aldrich, Alfa Aesar, and TCI. The progress of the reaction was
monitored using thin-layer chromatography (TLC) (silica gel 60 F254
0.25 mm), and the products were visualized by UV light (254 and 365
nm). SiliaFlash P60 (40–60 μm) used in flash column chromatography
was purchased from Silicycle Inc. Other solvents were purchased from
commercial vendors and used without further purification unless otherwise
mentioned.
Synthesis for the Compounds and Their Characterization Data
General syntheses of 1, 2, 4, and P6–P27 and the final cyclocondensation
reactions for P3–P5 were performed
using the previously reported procedure with some modifications.[27−29] The synthetic procedures of P1(11,29) and P2(30) were followed by
the previously reported procedure with some modifications. The key
intermediate 10 for the synthesis of P3,[12,31] intermediate 14 for the precursor of P4,[12,13] and intermediate 17 for the P5(14) were prepared using the previously
reported procedure with some modifications.
A crystal
of compound 4 of approximate dimensions 0.100 ×
0.200 × 0.800 mm was
used for X-ray crystallographic analysis at T = 100
K. The X-ray data were collected on a Bruker D8 QUEST system equipped
with a multilayer mirror monochromator using a Cu Kα microfocus
sealed tube. A total of 3013 frames were collected. The total exposure
time was 3.20 h. The frames were integrated with the Bruker SAINT
software package using a narrow-frame algorithm. The integration of
the data using a monoclinic unit cell yielded a total of 55 109
reflections to a maximum θ angle of 61.24° (0.88 Å
resolution), of which 2473 were independent (average redundancy of
22.284, completeness = 99.4%, Rint = 5.22%, Rsig = 1.59%) and 2299 (92.96%) were greater
than 2σ(F2). The final cell constants
of a = 12.9908(5) Å, b = 10.2770(4)
Å, c = 12.2626(5) Å, β = 98.196(2)°,
and volume = 1620.41(11) Å3 are based upon the refinement
of the XYZ-centroids of 165 reflections above 20σ(I) with 11.33° < 2θ < 118.2°. Data were corrected
for absorption effects using the Multi-Scan method (SADABS). The ratio
of minimum to maximum apparent transmission was 0.904. The calculated
minimum and maximum transmission coefficients (based on crystal size)
are 0.5500 and 0.9200.The structure was solved and refined
using the Bruker SHELXTL Software Package, using the space group P121/c1, with Z = 4 for
the formula unit, C20H16FN3O2. The final anisotropic full-matrix least-squares refinement
on F2 with 238 variables converged at
R1 = 3.76% for the observed data and wR2 = 10.14% for all data. The
goodness-of-fit was 1.167. The largest peak in the final difference
electron density synthesis was 0.545 e–/Å3, and the largest hole was −0.395 e–/Å3 with an RMS deviation of 0.133 e–/Å3. On the basis of the final model, the calculated
density was 1.432 g/cm3 and F(000), 728
e–.Crystallographic data has been deposited
in the Cambridge Structural
Database under CCDC 2034666. These data can be obtained free of charge
from FIZ Karlsruhe via www.ccdc.cam.ac.uk/structures.
Biology
Efficacy
and Validating Inhibition of Pyrazolo[1,5-a]pyrimidin-7(4H)-one Series against Mtb In Vitro and Ex Vivo
The antimicrobial
susceptibility testing against Mtb H37Rv and the
P19R strains was performed in either 7H9/ADC (4.7 g/L 7H9
base, 5 g/L albumin fraction V, 2 g/L glucose, 0.81 g/L NaCl, 0.02%
glycerol, and 0.05% Tween 80) or 7H9/GCas (4.7 g/L 7H9 base, 4 g/L
glucose, 0.81 g/L NaCl, 0.3 g/L Casitone, and 0.05% Tyloxapol). Bacteria
were grown in the corresponding media up to an OD650nm of
0.2–0.4. A 2-fold serial dilution series of the test compounds
was placed in each well of a sterile 96-well round-bottom plate, and
then, 50 μL of H37Rv diluted to an OD650nm of 0.0002
was added. Plates were incubated at 37 °C for 2 weeks prior to
determining the MIC. The MIC is defined here as the drug concentration
that completely inhibits the growth of the cells. The MICs under iron-replete
or -deplete conditions were done by supplementing the growth medium
with either 100 μM of DFO (deplete) or 250 μM FeCl3 (replete).For the ex vivo efficacy
test, J774 cells (2 × 104 cells/well) were seeded
in flat-bottom 24 well plates (Corning Inc.) in DMEM GlutaMAX (Gibco/ThermoFisher
Scientific) supplemented with 10% fetal bovine serum, 20 mM HEPES
+ 0.5 mM sodium pyruvate (hereafter abbreviated DMEM/FBS). Cells were
infected with Mtb (1 × 105 cells/well,
MOI 1:5) for 24 h, followed by medium removal and washing (2×)
with an equal volume of Dulbecco’s PBS. Infected cells were
fed DMEM/FBS and exposed to test compounds at the specified concentrations
in fresh growth medium (1000 μL/well). Cells were incubated
at 37 °C and 95% humidity in 5% CO2 incubator for
7 days. The medium was changed every 2 days, and the infected cells
were treated with drugs each time. After 7 days of incubation, 0.1%
SDS was added in each well to lyse the J774 cells. After 5 min, the
lysate was thoroughly mixed and diluted in 7H9/ADC, and the appropriate
dilutions were plated in duplicate on 7H11/OADC plates to calculate
most probable number of bacteria. Colonies were counted manually in
each plate following 6–8 weeks of incubation at 37 °C.
Cytotoxicity Testing against Mammalian Cells
The in vitro cytotoxicity of the pyrazolopyrimidinones were
measured in DMEM supplemented with 10% FBS using either glucose (5
mM) or galactose (10 mM) as the carbon source. Briefly, 1 × 104 cells (HepG2 or J774) were seeded onto each well of a sterile
96-well tissue culture treated flask and left to attach overnight.
The next day, media was aspirated and replaced with a 2-fold serial
dilution of compounds in the same media. Cells were treated for 24
h, prior to viability determination using CellTiter-Glo (Promega)
according to the manufacturer’s instructions.
Iron Uptake
Studies
To determine the role of the test
compounds in the iron uptake of Mtb, logarithmically
growing cells were labeled with 55Fe metabolically by supplementing
the growth medium with 0.75 μM 55FeCl3. The cells were then treated with either DFO (39 μM) or 1 (10 μM) for 24 h prior to collecting the cells and
washing exhaustively in PBS. The cells were pelleted and resuspended
in 200 μL of scintillation fluid, and counts per minute (CPM)
was counted by a scintillation counter (Beckman Coulter LS6500).
Generation
and Characterization of Pyrazolo[1,5-a]pyrimidin-7(4H)-one Resistant Mutants
To generate mutants against
the pyrazolo[1,5-a]pyrimidin-7(4H)-one series, 107, 108, and 109 cells
of Mtb H37Rv were plated on 7H11/OADC
plates containing with 5× and 10× MIC of the drugs, with
drug-free plates used to enumerate bacterial load. The plates were
incubated at 37 °C for 4–6 weeks. After 4 weeks, colonies
on both the 5× and 10× MIC of P19 were picked
and inoculated in 7H9/ADC/Tween medium and the MIC was tested to confirm
their resistance against P19. Genomic DNA of mutants
was isolated by the cetyl trimethyl ammonium bromide method. Whole
genome
sequencing was performed and analyzed as described.[25,32]
Determination of Drug Metabolism in Live Bacteria
To
determine the degree of drug metabolism in live Mtb and P19R strains, the LC/MS-based protocol following
compound exposure was employed. Cells were grown to an OD of 1.0,
washed twice with PBS, and resuspended using PBS at 1/3 the original
culture volume (final OD ∼ 3.0). Then, 1 mL of the cell suspension
was added to enough compound in DMSO to create a final compound concentration
of 10× MIC. A 200 μL aliquot was removed for the 0 h time
point and mixed with an equal volume of acetonitrile and kept at 4
°C. After 24 and 48 h, another 200 μL aliquot was removed
and mixed with acetonitrile. The cells in these aliquots were pelleted,
and the supernatant was filtered through a 0.2 μm centrifuge
filter prior to injecting directly into the LC/MS. The LC gradient
used to separate the metabolites was 5–95% acetonitrile in
H2O over 20 min. Extracted ion chromatograms were used
to determine the % degradation, which was calculated by comparing
0, 24, and 48 h time points. The structural evaluation of the P19 catabolism into the metabolites was performed on an Agilent
1290 Infinity HPLC with a 6460C triple quadrupole mass selective detector
in product ion mode. Separation was achieved with an Agilent EclipsePlus
C18 column (2.1 × 50 mm, 1.8 μm) with a linear gradient
of 95% aq. 0.1% formic acid to 95% acetonitrile (with 0.1% formic
acid) over 5 min with a 0.8 mL/min flow rate. Energy resolved mass
spectrometry profiles were created in product ion mode with collision
energy ranging from 0 to 80 V (x-axis is the center-of-mass
calculation with nitrogen gas) with electro-spray ionization in positive
mode. For high resolution mass spectrometry (HRMS) by Waters Xevo-G
XS QTof, ions were produced using positive ion electrospray at a capillary
voltage of 2.8 kV. The ESI source temperature was 280 °C. The
LC system was a Waters Acquity Class I UPLC. Samples were stream injected
using the loop method into the mobile phase consisting of MeOH/acetonitrile
= 1/1 with 0.2% formic acid and 0.1% trifluoroacetic acid added. The
flow rate was 0.2 mL/min. The MS was operated at a resolution of at
least 25 000, and accurate mass assignments were determined
using the internal standard method.
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