Discovery of novel, orally bioavailable, antileishmanial compounds using phenotypic screening

Autor: Yizhe Chen, W. Armand Guiguemde, Diana Ortiz, Fangyi Zhu, Kayla Stalheim, Anang A. Shelat, Michele Connelly, Lei Yang, David C. Smithson, Jaeki Min, Alex G. Johnson, Angela K. Carrillo, Carolyn Elya, R. Kiplin Guy, Scott M. Landfear, Jared T. Hammill
Jazyk: angličtina
Rok vydání: 2017
Předmět:
0301 basic medicine
Life Cycles
Chemistry
Pharmaceutical

Leishmania mexicana
Drug Evaluation
Preclinical

Administration
Oral

Drug resistance
Protozoology
Pharmacology
Mice
White Blood Cells
Animal Cells
Zoonoses
Drug Discovery
Medicine and Health Sciences
Leishmaniasis
Mice
Inbred BALB C

Drug discovery
lcsh:Public aspects of medicine
Animal Models
3. Good health
Phenotype
Infectious Diseases
Experimental Organism Systems
Female
Protozoan Life Cycles
Cellular Types
Research Article
Amastigotes
Neglected Tropical Diseases
medicine.drug
lcsh:Arctic medicine. Tropical medicine
lcsh:RC955-962
Immune Cells
Phenotypic screening
Immunology
030106 microbiology
Antiprotozoal Agents
Leishmaniasis
Cutaneous

Mouse Models
Library Screening
Biology
Research and Analysis Methods
Microbiology
Cell Line
03 medical and health sciences
Model Organisms
Cutaneous leishmaniasis
In vivo
Parasitic Diseases
medicine
Animals
Humans
Pharmacokinetics
Molecular Biology Techniques
Amastigote
Molecular Biology
Molecular Biology Assays and Analysis Techniques
Miltefosine
Blood Cells
Protozoan Infections
Macrophages
Promastigotes
Public Health
Environmental and Occupational Health

Biology and Life Sciences
lcsh:RA1-1270
Cell Biology
Tropical Diseases
medicine.disease
biology.organism_classification
030104 developmental biology
Developmental Biology
Zdroj: PLoS Neglected Tropical Diseases, Vol 11, Iss 12, p e0006157 (2017)
PLoS Neglected Tropical Diseases
ISSN: 1935-2735
1935-2727
Popis: Leishmaniasis is a parasitic infection that afflicts approximately 12 million people worldwide. There are several limitations to the approved drug therapies for leishmaniasis, including moderate to severe toxicity, growing drug resistance, and the need for extended dosing. Moreover, miltefosine is currently the only orally available drug therapy for this infection. We addressed the pressing need for new therapies by pursuing a two-step phenotypic screen to discover novel, potent, and orally bioavailable antileishmanials. First, we conducted a high-throughput screen (HTS) of roughly 600,000 small molecules for growth inhibition against the promastigote form of the parasite life cycle using the nucleic acid binding dye SYBR Green I. This screen identified approximately 2,700 compounds that inhibited growth by over 65% at a single point concentration of 10 μM. We next used this 2700 compound focused library to identify compounds that were highly potent against the disease-causing intra-macrophage amastigote form and exhibited limited toxicity toward the host macrophages. This two-step screening strategy uncovered nine unique chemical scaffolds within our collection, including two previously described antileishmanials. We further profiled two of the novel compounds for in vitro absorption, distribution, metabolism, excretion, and in vivo pharmacokinetics. Both compounds proved orally bioavailable, affording plasma exposures above the half-maximal effective concentration (EC50) concentration for at least 12 hours. Both compounds were efficacious when administered orally in a murine model of cutaneous leishmaniasis. One of the two compounds exerted potent activity against trypanosomes, which are kinetoplastid parasites related to Leishmania species. Therefore, this compound could help control multiple parasitic diseases. The promising pharmacokinetic profile and significant in vivo efficacy observed from our HTS hits highlight the utility of our two-step phenotypic screening strategy and strongly suggest that medicinal chemistry optimization of these newly identified scaffolds will lead to promising candidates for an orally available anti-parasitic drug.
Author summary Leishmaniasis, caused by the protozoa of the Leishmania species, represents a spectrum of diseases that afflicts roughly 12 million individuals worldwide. Current drug therapies for this parasitic disease are suboptimal because they are toxic, expensive, difficult to administer, and subject to drug resistance. In order to identify new and improved drug candidates, we screened a large library of small molecules for compounds that inhibit parasitic growth inside mammalian host macrophages, and have low toxicity toward the macrophages. We discovered two compounds that significantly impaired disease progression when administered orally in an animal model of cutaneous leishmaniasis. The promising pharmacokinetic and in vivo efficacy profile of the compounds make them attractive starting points for pharmaceutical development.
Databáze: OpenAIRE