The parasitic protozoan Trypanosoma brucei utilizes glycolysis exclusively for ATP production during infection of the mammalian host. The first step in this metabolic pathway is mediated by hexokinase (TbHK), an enzyme essential to the parasite that transfers the γ-phospho of ATP to a hexose. Here we describe the identification and confirmation of novel small molecule inhibitors of bacterially expressed TbHK1, one of two TbHKs expressed by T. brucei, using a high throughput screening assay.
Exploiting optimized high throughput screening assay procedures, we interrogated 220,233 unique compounds and identified 239 active compounds from which ten small molecules were further characterized. Computation chemical cluster analyses indicated that six compounds were structurally related while the remaining four compounds were classified as unrelated or singletons. All ten compounds were ~20-17,000-fold more potent than lonidamine, a previously identified TbHK1 inhibitor. Seven compounds inhibited T. brucei blood stage form parasite growth (0.03≤EC50<3 µM) with parasite specificity of the compounds being demonstrated using insect stage T. brucei parasites, Leishmania promastigotes, and mammalian cell lines. Analysis of two structurally related compounds, ebselen and SID 17387000, revealed that both were mixed inhibitors of TbHK1 with respect to ATP. Additionally, both compounds inhibited parasite lysate-derived HK activity. None of the compounds displayed structural similarity to known hexokinase inhibitors or human African trypanosomiasis therapeutics.
The novel chemotypes identified here could represent leads for future therapeutic development against the African trypanosome.
African sleeping sickness is a disease found in sub-Saharan Africa that is caused by the single-celled parasite Trypanosoma brucei. The drugs used widely now to treat infections are 50 years old and notable for their toxicity, emphasizing the need for development of new therapeutics. In the search for potential drug targets, researchers typically focus on enzymes or proteins that are essential to the survival of the infectious agent while being distinct enough from the host to avoid accidental targeting of the host enzyme. This work describes our research on one such trypanosome enzyme, hexokinase, which is a protein that the parasite requires to make energy. Here we describe the results of our search for inhibitors of the parasite enzyme. By screening 220,223 compounds for anti-hexokinase activity, we have identified new inhibitors of the parasite enzyme. Some of these are toxic to trypanosomes while having no effect on mammalian cells, suggesting that they may hold promise for the development of new anti-parasitic compounds.
Citation: Sharlow ER, Lyda TA, Dodson HC, Mustata G, Morris MT, et al. (2010) A Target-Based High Throughput Screen Yields Trypanosoma brucei Hexokinase Small Molecule Inhibitors with Antiparasitic Activity. PLoS Negl Trop Dis 4(4): e659. doi:10.1371/journal.pntd.0000659
Editor: Jennifer Keiser, Swiss Tropical Institute, Switzerland
Received: December 7, 2009; Accepted: March 4, 2010; Published: April 13, 2010
Copyright: © 2010 Sharlow et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Funding: This work was supported by US National Institutes of Health 1 R03 MH082340-01A1 and 1R15AI075326 to JCM, U54MH074411 to JSL, and 5P41GM076152 to KHL. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing interests: The authors have declared that no competing interests exist.
African sleeping sickness conjures historical images of disease-induced fatal slumbering striking down men, women, and children, consequently decimating villages of colonial Africa. Unfortunately, people living in many countries of sub-Saharan Africa today know that African sleeping sickness is not a disease of history but rather is a much-neglected disease of the present, particularly in areas that suffer the additional burdens of war, famine, global and local climate changes, and other infectious agents. The causative agents of sleeping sickness (or human African trypanosomiasis, HAT) are subspecies of the African trypanosome Trypanosoma brucei. Approximately 500,000 people in sub-Saharan Africa are infected annually with the parasite leading to 50,000–70,000 deaths per year . Similar to other neglected tropical diseases, limited therapeutics for HAT are available and of the drugs currently used, most have serious adverse side effects, including encephalopathy, toxicity, and death . Thus, there is a desperate need for new HAT therapeutics with the preference shifting from general cytotoxic agents towards molecular target-based therapeutics that should display fewer toxic effects.
Bloodstream form (BSF) T. brucei parasites generate ATP exclusively through glycolysis and T. brucei hexokinase TbHK, the first enzyme in glycolysis, has previously been validated as a target for therapeutic development. In these experiments, BSF parasites were shown to be sensitive to RNA interference (RNAi)-based silencing of TbHKs , , with cell toxicity observed after 3–5 days of RNAi exposure. Additonally, known inhibitors of HKs have been demonstrated to inhibit T. brucei hexokinase 1 (TbHK1), one of two nearly identical TbHKs that the parasite expresses. These compounds are furthermore toxic to the parasite . While some mammalian HK inhibitors can inhibit TbHK1, TbHK1 is distinct enough from mammalian HKs to suggest that it can be specifically targeted. Supporting this notion, TbHK1 shares only 30–33% sequence identity with the mammalian HKs and differs further by unusual oligomerization into hexamers . Moreover, the unusual spectrum of known inhibitors of the trypanosome enzymes, including fatty acids and other small molecules (like pyrophosphate, ), support the idea that this essential parasite protein is sufficiently distinct from any mammalian counterpart to make an ideal target for therapeutic development. Indeed, targeting TbHK using structurally based inhibitors has yielded trypanocidal compounds, albeit at high concentrations , .
Here we describe our high throughput target-based approach to identify specific inhibitors of the essential parasite enzyme, TbHK1. Overall, ten compounds were confirmed as novel TbHK1 small molecule inhibitors exhibiting little or no similarity to known HK inhibitors (or HAT therapeutics). Most of the potent TbHK1 inhibitors were toxic to culture-grown BSF T. brucei while not exhibiting toxicity towards mammalian cells, suggesting that they may be useful lead compounds in the development of new therapies for African trypanosomiasis.
Chemicals and reagents
Clear 384-well microtiter plates were purchased from Greiner (Monroe, NC) and used for all experiments. Glucose-6-phosphate dehydrogenase, β-nicotinamide adenine dinucleotide (NAD+), adenosine triphosphate (ATP), lipoic acid (PubChem SID 11532893) and glucose were purchased from Sigma (St. Louis, MO). Phosphoenol pyruvate (PEP), ebselen (PubChem SID 856002) and glucosamine were obtained through VWR (West Chester, PA) and dimethyl sulfoxide (DMSO) was purchased from Fisher (Pittsburgh, PA). The following PubChem SID compounds were obtained from commercial vendors: 3716597, 24830882, 17386310, and 16952891 (Enamine/Kiev, Ukraine); 24797131 (Chembridge/San Diego, CA); 14728414 and 17387000 (Specs/Delft, The Netherlands); 17507245 (Asinex/Moscow, Russia); and 24785302 (ChemDiv, San Diego, CA).
The library of pharmacologically active compounds (LOPAC) (1,280 compounds) was purchased from Sigma-Aldrich. The Pittsburgh Molecular Libraries Screening Center (PMLSC) provided the 220,233 compound library screened for TbHK1 small molecule inhibitors, which was made available as part of the NIH Molecular Libraries Roadmap Initiative. Cherry-picked compounds from the PMLSC library were supplied by BiofocusDPI (San Francisco, CA).
Purification of bacterially expressed TbHK1
For purification of bacterially expressed TbHK1 (rTbHK1), a previously described protocol  was modified to increase yield. Briefly, a starter culture of E. coli M15(pREP) harboring pQE30 (Qiagen, Valencia, CA) with the TbHK1 gene cloned in frame of a 6-His tagging sequence was grown in ECPM1  and then inoculated into a 5 L bioreactor (Biostat B, B. Braun Biotech International, Allentown, PA) and grown at 37°C. At OD600 between 3–5, the culture was induced with IPTG (0.8 mM), grown without supplement O2 (37°C, 16 hr), and cells collected by centrifugation (5000×g, 20 min, 4°C). The pellet was resuspended in lysis buffer (50 mM NaPO4, pH 8.1, 5 mM glucose, 150 mM NaCl, and 0.1% Tween) and lysed by using a cell disruptor (Constant Cell Disruption Systems, Sanford, NC). The resulting supernatant was applied (5 ml/min) to a 50 ml ProBind column (Invitrogen, Eugene, OR) on a FPLC (GE Lifesciences, Piscataway, NJ) and protein eluted by gradient (5 to 250 mM imidazole) in lysis buffer. Fractions were screened using HK activity assays and Western blotting and those containing rTbHK1 were pooled, concentrated, and applied to a HiTrap SP HP column (GE Lifesciences, Piscataway, NJ).
Automated primary TbHK1 HTS and glucose-6-phosphate dehydrogenase coupled assays
TbHK1 assays were an adaptation of a coupled enzyme HK assay to a 384-well format , . Briefly, test and control compounds (30 µM in 15 µL volume) were added to a 384 well black, opaque microtiter plate using a Velocity 11 V-prep (Santa Clara, CA) for a final test compound concentration of 10 µM. Negative (vehicle) controls contained 1% DMSO, positive controls contained 133 mM glucosamine and IC50 controls contained 1.3 mM glucosamine (final well concentrations). A mixture containing glucose (1.5 mM), ATP (1.05 mM), MgCl2 (4.5 mM), NAD+ (9 mM), glucose-6-phosphate dehydrogenase (G6PDH, 0.018 mUnits/µL) and triethanolamine (TEA, 100 mM, pH 8.0) in a 15 µL volume was then added to each well of the assay plate using a Perkin Elmer FlexDrop (Waltham, MA) followed by addition of rTbHK1 (1.5 ng/µl in 15 µL volume). The 45 µL reaction mixture was incubated at RT for 2 hr and then quenched with 5 µL EDTA (500 mM). The resulting signal, which remained stable for up to 5 hr after addition of stop reagent, was collected on a Molecular Devices SpectraMax M5 (absorbance at OD340)(Sunnyvale, CA).
To account for possible inhibition of the reporter enzyme in the primary coupled reaction, putative inhibitors were screened to assess their activity against a G6PDH coupled assay. Briefly, test and controls compounds were added to the wells of a 384 well assay plates as described above. Negative (vehicle) controls contained 1% DMSO, positive controls contained 100 mM PEP and IC50 controls contained 8.6 mM PEP (final well concentrations). A mixture containing glucose-6-phosphate (G6P, 0.6 mM) and NAD+ (1.8 mM) in a volume of 15 µL was then added to each assay plate well. The reaction was initiated by addition of 15 µL G6PDH (0.018 mUnits/mL) (for a final volume of 45 µl), incubated at RT for 1 hr, and then quenched with 5 µl of EDTA (500 mM). The change in absorbance at OD340 was monitored as above.
Additional specificity assays were performed using human HK 4 (human glucokinase, hGlk, GenBank accession no. BC001890) that was expressed from a cloned cDNA (OPEN Biosystems, Huntsville, AL) in pQE30. After sequencing, the plasmid was transformed into E. coli M15 (pREP) and cultures were grown to an OD600 of 0.9 in terrific broth and protein expression induced (3 hr, 37°C) with 1 mM IPTG followed by purification by nickel-affinity chromatography.
Inhibition assays of lysate-derived TbHK
Parasite lysates from BSF parasites were prepared by incubation (5 min on ice) of 1.5×107 cells in lysis buffer (0.1 M TEA, pH 7.4, and 0.1% Triton X-100) supplemented with 1 mM PMSF, 5 µg/ml leupeptin, and 100 µg/ml TLCK. In triplicate, cell equivalents (2×105) were incubated with increasing concentrations of inhibitor for 15 minutes at RT prior to initiation of the coupled reaction. In short, the 200 µl reactions included 50 mM TEA, pH 7.4, 33 mM MgCl2, 20 mM glucose, 5.25 mM ATP, 0.75 mM NADP, and 0.1 units of G6PDH, with kinetic analyses performed using KaleidaGraph 4.1 (Synergy Software, Reading, PA).
T. brucei viability assay
To determine the impact of TbHK1 inhibitors on cell growth, we seeded 5×103 BSF parasites (cell line 90–13, a 427 strain) into 96-well clear-bottomed polystyrene plates in 200 µl HMI-9 supplemented with 10% fetal bovine serum and 10% Serum Plus (Sigma-Aldrich, St. Louis, MO) and grown in the presence of compound (2 µl) or equivalently diluted carrier for 3 days in 5% CO2 at 37°C. CellTiter Blue (Promega, Madison WI) was added (20 µl) and the plates incubated an additional 3 hr under standard culture conditions. Fluorescence emission at 585 nm was then measured after excitation at 546 nm in a GENios microtiter plate reader (Phenix Research Products, Hayward CA). DMSO solvent was maintained at or below 1%, with 1% causing a 16% reduction in cell number at the end of the three day assay.
Procyclic form (PF) parasites (29–13, a 427 strain, 5×104/well) were grown in 96-well clear-bottomed polystyrene plates in 200 µl SDM-79 for 2 days (5% CO2, 25°C) and then CellTiter Blue (20 µl) added. Plates were then incubated for 1 hr under standard culture conditions. Fluorescence of samples was then characterized as above.
Mammalian cell-line and Leishmania promastigote specificity assays
Cell-based specificity assays were performed as previously described . Briefly, mammalian cell line and Leishmania promastigote assays were performed in final volumes of 25 µL using our previously described 384-well microtiter format . All mammalian cell lines were cultured and maintained in complete growth medium preparations according to ATCC specifications (ATCC, Manassas, VA). Leishmania promastigotes were cultured as previously described . A549 (1,000 cells/22 µL), IMR-90 (1,000 cells/22 µL), HeLa (1,000 cells/22 µL), MDA-MB-231 (3,000 cells/22 µL), Leishmania promastigotes (5,000 parasites/22 µL) were seeded into each well of 384-well microtiter plates and test and control compounds (3 µl) were added to individual wells. Vehicle and positive controls were 1% and 10% DMSO, respectively. For mammalian cells, assay plates were incubated for 44–46 h at 37°C in the presence of 5% CO2 and for the Leishmania promastigotes, assay plates were incubated for 44 h at 28°C with 5% CO2. Five µL of CellTiter Blue reagent was added to each assay plate well and incubated for 2–4 h at 37°C with 5% CO2. Data were captured on a Molecular Devices SpectraMax M5 (excitation A560; emission A590).
HTS data analysis and statistical analysis
Primary HTS data analysis and subsequent compound IC50 calculations were performed using ActivityBase (IDBS, Guilford, UK) and Cytominer (University of Pittsburgh Drug Discovery Institute, Pittsburgh, PA). Structural similarity of the confirmed inhibitors was determined using Leadscope software (Columbus, OH). Additional visualization and statistical analysis were performed using GraphPad Prism software 5.0 and Spotfire (Somerville, MA). The PubChem database (http://PubChem.ncbi.nim.nih.gov) was used to verify if the confirmed TbHK1 small molecule inhibitors exhibited bioactivity in other assays.
In silico ADME/toxicity analysis
Computational modeling tools were used to estimate the bioavailability, aqueous solubility, blood brain barrier potential, human intestinal absorption, the cytochrome P450 (i.e. CYP2D6) enzyme inhibition potential, mutagenicity, and hERG inhibition of the confirmed TbHK1 inhibitors. The bioavailability, aqueous solubility, and human intestinal absorption were estimated using the ADME Boxes v4.0 software (Pharma Algorithms, Toronto, Canada), while mutagenicity and hERG inhibition were estimated with TOX Boxes v2.9 software (Pharma Algorithms, Toronto, Canada). The CYP2D6 inhibition and blood brain barrier potential were predicted using Accord for Excel 6.2.2 (Accelrys, Inc, San Diego).
Validation of optimized HTS assay conditions using the LOPAC set
The TbHK1 coupled assay was optimized and validated for HTS by screening the LOPAC set. Compounds were assayed in duplicate at a single concentration (10 µM) and reproducibility between the duplicate screens is represented in Fig. 1 (R2 = 0.96). Average Z-factors were 0.69±0.02 for the two LOPAC assays demonstrating the robustness of the developed assay format . Eighteen compounds inhibited TbHK1 enzymatic activity ≥40% at 10 µM including myricetin, a structural analog of quercetin, which was previously identified as a TbHK1 small molecule inhibitor (IC50 = ~85 µM) (Lyda and Morris, unpublished). These data confirmed that our automated HTS assay conditions were robust and could be used to identify compounds that inhibited TbHK1 activity.
Plot of percent inhibition for duplicate screen of the 1280 LOPAC compounds. LOPAC compounds (blue), minimum control, which should equal ~100% inhibition of signal readout (red), IC50 control compounds (yellow), and maximum control compounds, which should equal ~0% inhibition of signal readout (green), are indicated.
Interrogation of 220,233 compounds for TbHK1 small molecule inhibitors
We next screened 220,223 compounds at a single concentration (10 µM) for small molecule inhibitors of TbHK1 (Fig. 2). The HTS assay performed robustly (average Z-factors of 0.80±0.1) and identified 239 compounds as primary actives (>50% inhibition at 10 µM), for an overall hit rate of 0.1%. The 239 active compounds were cherry-picked, and the initial inhibitory activity confirmed in the primary TbHK1 assay. Additionally, the compounds were tested against the reporter enzyme, G6PDH, to confirm that they did not interfere with the assay format. Following initial 20 point IC50 value determinations using cherrypicked compounds, compounds with IC50 values <50 µM were obtained from commercial sources. The activity of the 13 resupplied compounds was empirically determined to control for possible TbHK1 inhibitory effects associated with compound library degradation. Ten small molecules confirmed with TbHK1 IC50 values <50 µM while three compounds failed to inhibit TbHK1. Leadscope analysis of the 10 confirmed TbHK1 inhibitors classified six compounds into a cluster of structurally related compounds (cluster 1) while the remaining four compounds were classified as singletons (Table 1, Fig. 3). Ebselen (SID 856002) was the most potent compound in cluster 1 with an IC50 = 0.05±0.03 µM. For the majority of the compounds IC50 values either improved or remained similar to cherry-picked compounds with the exceptions of SID 17386310 and SID 14728414 (Table 1) which were 7.5 and 6.6-fold less potent, respectively, upon resupply (data not shown). Moreover, all ten novel TbHK1 inhibitors were 20-17,000-fold more potent than londiamine, a previously described TbHK1 inhibitor  and 2-1720-fold more potent than quercetin (Lyda and Morris, unpublished).
Additional experiments to assess the in vitro specificity included testing the compounds against hGlk. The activity against hGlck was varied, with the cluster 1 compounds yielding a spectrum of efficacy, from very low inhibition at 10 µM (for example, SID 17387000, with 6.7% inhibition, Table 1) to near complete inhibition by ebselen (97.8% inhibition). Singletons also demonstrated a spectrum of activity against hGlck with SID 22401406 and SID 14728414 having minimal impact on the enzyme while 17386310 was a more potent inhibitor (Table 1). Moreover, data mining of the PubChem database (http://pubchem.ncbi.nlm.nih.gov/) determined the frequency with which a compound was found to be active in other assays. In general, the cluster 1 compounds were active in other assays more frequently than the singletons, with SID 17387000 the most frequently active (identified in 7.2% of the 238 assays in which it was tested). Singletons, on the other hand, were less frequently active. For example, SID 14728414 was confirmed as an active in one of 216 assays (<1%) (Table 1).
TbHK1 small molecule inhibitors are toxic to BSF parasites
TbHK1 has previously been shown to be an essential gene for BSF T. brucei , suggesting that inhibitors of the enzyme may be promising lead compounds for therapeutic development. To initially explore this possibility, we grew cultured BSF parasites in the presence of 10 µM compound and cell density monitored after 72 hr (Table 1). The ten resupplied compounds were tested in this assay, with EC50s determined for those that inhibited cell growth >50% at 10 µM (Table 1). Compounds in cluster 1 included two of the most potent anti-trypanosomal compounds, SID 17387000 and SID 24785302. Singletons were also toxic, with SID 17386310 being one of the most potent compounds tested to date. Four molecules, including a member of cluster 1 (SID 3716597) and three singletons (SID 22401406, SID 24797131, SID 14728414) inhibited TbHK1 but were not toxic to BSF at 10 µM. With the exception of ebselen, the resupplied anti-parasitic compounds exhibited EC50 values that were 10–1000 fold lower than the TbHK1 IC50 values. This discrepancy could result from other actions or concentration of the inhibitors in the glycosome, which is a small peroxisome-like organelle where TbHK1 is located. Additionally, we have found that RNAi of TbHK1, which reduces expression but does not necessarily ablate it, is toxic to BSF parasites, suggesting that modest inhibition of cellular TbHK1 activity could be lethal to the parasite .
To explore the likelihood of off-target whole parasite effects, we assessed the toxicity of the TbHK1 inhibitors against PF parasites. Unlike BSF parasites, PF parasites can utilize both amino acids and glucose for ATP production. This dynamic metabolism suggests that the PF parasites may be less sensitive to TbHK1 inhibitors. Indeed, at 10 µM most of the resupplied compounds had only a modest impact on PF parasite growth, inhibiting growth between 0–51% when compared to control cell lines. Compounds toxic to T. brucei were also assayed against a related kinetoplastid parasite, Leishmania. The Leishmania promastigotes were typically less sensitive to the resupplied compounds (with EC50s >12.5 µM), with the exception of the cluster 1 compounds ebselen, SID 17387000, SID 24785302 and the singleton, SID 17386310. These compounds had EC50 values against Leishmania between 1–5 µM in exponentially growing parasites (Table 1). Moreover, our identified TbHK1 inhibitors have minimal impact on human cell lines with EC50 values >12.5 µM, suggesting at least 400-fold greater toxicity toward parasites for the most potent T. brucei cytotoxic compounds (Table 1).
In silico predictions for the identified TbHK1 inhibitors
To investigate the chemical similarity of our newly identified TbHK1 small molecule inhibitors to current treatments for African sleeping sickness as well as previously described TbHK1 inhibitors, we performed a similarity search using the Tanimoto coefficient. The data indicated that the TbHK1 inhibitors displayed low levels of similarity with all compounds examined with the highest similarity being between lonidamine and SID 16952891 (47%) (Table 2). Thus, these results demonstrate that the newly identified TbHK1 inhibitors are unique, either displaying no or very low similarity to known TbHK1 inhibitors and current therapies for African sleeping sickness.
Additional in silico ADME-tox predictions indicated that all ten TbHK1 compounds had an extremely low probability for being either a hERG channel inhibitor or mutagenic (data not shown). Moreover, all compounds, except SID 3716597 were predicted to be moderately to highly bioavailable and nine of 10 compounds displayed medium to very high blood brain barrier (BBB) potential, with the majority of the cluster one compounds predicted to have high to very high BBB potential (Table 3). Six of 10 TbHK1 inhibitors were predicted to have no inhibitory activity on CYP2D6 enzyme with the exceptions being cluster one compounds SID 3716597 and SID 24785301 and singletons SID 14728414 and SID 24797131 (Table 3). The majority of the compounds had a predicted low aqueous solubility (Table 3), suggesting that if these compounds were to be used in future analogue development, they would need to be refined to improve their aqueous solubility. Thus, based on empirically derived data and in silico analyses, we focused on cluster 1 compounds for subsequent analyses.
Further characterization of two structurally related cluster 1 TbHK1 small molecule inhibitors
Ebselen, 2-phenyl-1,2-benzisoselenazol-3(2H)-one, was the most potent TbHK1 inhibitor (IC50 = 0.05±0.03 µM) identified in our studies while the structurally related inhibitor SID 17387000 (2-phenyl-1,2-benzisothiazol-3(2H)-one) was the next potent compound identified with an IC50 = 2.0±0.5 µM (Table 1). Analysis of the nature of TbHK1 inhibition revealed that both ebselen and SID 17387000 were mixed inhibitors with respect to ATP, with Ki values of 6.13 µM and 6.89 µM, respectively (Fig. 4). However, both ebselen and SID 17387000 exhibited comparable IC50 values against T. brucei lysate-derived TbHK1 enzymatic activity with IC50 values of 0.43±0.02 µM and 1.2±0.12 µM respectively (Fig. 5). Thus, while compound SID 17387000 was nearly as potent against lysate activity as the bacterially expressed protein, ebselen was significantly less potent against parasite lysate-derived TbHK1 activity (than the bacterially expressed protein). These results suggest that ebselen may be metabolized by cellular components or that lysate-derived TbHK1 may be associated with various cofactors that result in less potent IC50 values. Ebselen was also a potent inhibitor of hGlck (97.8% inhibition at 10 µM), while SID 17387000 had relatively little activity (6.7% inhibition) against the kinase (Table 1). Moreover, ebselen was ~100-fold less active against BSF parasites (Table 1). Taken together, these data suggest that the subtle structural differences between the two compounds result in remarkable changes in their pharmacological behavior.
Lineweaver-Burk plots of inhibition with ebselen (A.) or SID 17387000 (B.). Assays were performed as described for cell lystates (see Materials and Methods) with ATP concentrations varied.
Increasing amounts of (A.) ebselen or (B.) SID 17387000 were incubated with 2×105 BSF cell equivalents for 15 min at RT and HK assays were performed as described in the Materials and Methods. (C.) Growth in the presence of Ebselen or SID 17387000 causes a reduction in cellular G6P levels. BSF parasites (1×107) were cultured for 1 or 4 hours in the presence of 30 µM or 1 µM (10-fold the EC50) ebselen or SID 17387000 followed by lysate preparation and comparison of G6P levels to an equivalent number of untreated parasites .
Both ebselen and SID 17387000 are potent trypanocides, with EC50s of 2.9±0.28 µM and 0.030±0.067 µM, respectively. To determine if indeed the toxicity to BSF parasites is related to inhibition of cellular TbHK1, we measured the impact of the compounds on cellular G6P levels after culturing the parasites in the presence of ebselen and SID 17387000  (Fig. 5C). To reduce the likelihood that toxicity was impacting G6P levels non-specifically, we limited the incubation period to 1 and 4 hours, while employing high doses (10 times the EC50) of the compounds. Incubation with ebselen for either 1 or 4 hours led to a 56% or 70% reduction in G6P, while SID 17387000 was less effective, reducing G6P levels 29% and 18% after 1 and 4 hours, respectively (Fig. 5C). While these observations suggest a direct impact on TbHK activity, other off-target impacts could be ultimately responsible for toxicity.
There are currently four drugs approved for treatment of HAT. However, suramin and pentamidine, developed in 1921 and 1941, respectively, are not effective against the late stage of disease that occurs when the parasite crosses the blood-brain barrier. Melarsoprol, which was introduced in 1949, leads to fatal complications in 5–10% of patients receiving the drug . The most recently developed drug, eflornithine, is only efficacious against T. b. gambiense, but is curative for both the early blood-borne infection and the late stage of disease with central nervous system involvement; delivery of eflornithine is difficult, as the compound must be administered intravenously four times a day for 14 days (delivering ~360 g/patient).
A number of screens of chemical libraries have been undertaken to identify therapeutic leads against the African trypanosome. These include a phenotypic screen that interrogated a library of FDA-approved drugs for anti-trypanosomal activity , as well as screens developed to identify inhibitors of essential parasite enzymes. A screen for UDP-Glc 4′-epimerase inhibitors using a small natural products library  and a screen of a commercial 134,500 compound library for trypanothione reductase inhibitors  are two examples of target-based screens used to identify lead compounds for therapeutic development. In the last few years, TbHK inhibitors have been explored as potential anti-parasitic compounds. Previous efforts to identify TbHK inhibitors include the development of compounds based on models of the TbHK structure (predicted from homology studies of the yeast structure), and exploring the activity of HK inhibitors from other systems . Here we have used a HTS of 220,223 compounds to identify new inhibitors of the parasite enzyme.
In our screens, we have identified several novel inhibitors of TbHK1. One compound, ebselen, was the most potent inhibitor from both the LOPAC validation screen and the HTS. Ebselen is a lipid-soluble seleno-organic compound that has been employed in clinical trials to assess its value in prevention of ischemic damage in brain hemorrhage and stroke , . Ebselen inhibits lipid peroxidation through a glutathione peroxidase-like action , but may act through other mechanisms as well. Notably, a single oral dose (100 mg/kg) of ebselen yields serum values of 4–5 µM  and brain levels of the drug reach 21% of plasma levels , suggesting that the compound (or its derivatives) may be useful for both early and late stage sleeping sickness therapy development.
Ebselen likely has polypharmacological effects on BSF parasites, as the compound is known to inhibit a number of enzymes in addition to TbHK1, including the trypanosome UDP-Glc 4′-epimerase . Ebselen, unlike other cluster 1 compounds, has an IC50 that is significantly lower than the EC50, suggesting its metabolism may be distinct from the sulfur-bearing compounds. Alternatively, a cellular “sink” could be interacting with ebselen, thereby lowering its effective concentration.
The remaining cluster 1 compounds have EC50s notably lower than their TbHK1 IC50s, suggesting possible actions on other cellular targets. Alternatively, differences between the two values could result from the concentration of the compound within the parasite (perhaps in the glycosome) or metabolism of the inhibitor to a more potent form. These hypotheses would seem worthy of further investigation.
An ideal therapeutic drug for African sleeping sickness would target the parasite (while perhaps enhancing host immune responses) and work at concentrations low enough to limit the severity of side effects. In the search for potential drug targets, we have focused on the trypanosome TbHK1, a protein that the parasite requires to make ATP and have identified compounds that may serve as leads in for the development of therapeutics in the continuing fight against the African trypanosome.
The authors would like to thank Marcia Hesser, Robyn Reed, and Tongying Shun for their technical assistance.
Conceived and designed the experiments: ERS TAL HCD GM MTM SSL JSL JCM. Performed the experiments: ERS TAL HCD GM SSL DC. Analyzed the data: ERS TAL HCD GM SSL DC JSL JCM. Contributed reagents/materials/analysis tools: ERS TAL GM KHL YK JCM. Wrote the paper: ERS TAL GM MTM JSL JCM.
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