1. Covalent Macrocyclic Proteasome Inhibitors Mitigate Resistance in Plasmodium falciparum .
- Author
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Bennett JM, Ward KE, Muir RK, Kabeche S, Yoo E, Yeo T, Lam G, Zhang H, Almaliti J, Berger G, Faucher FF, Lin G, Gerwick WH, Yeh E, Fidock DA, and Bogyo M
- Subjects
- Humans, Macrocyclic Compounds pharmacology, Macrocyclic Compounds chemistry, Malaria, Falciparum drug therapy, Malaria, Falciparum parasitology, Sulfones pharmacology, Sulfones chemistry, Plasmodium falciparum drug effects, Plasmodium falciparum enzymology, Proteasome Inhibitors pharmacology, Proteasome Inhibitors chemistry, Antimalarials pharmacology, Antimalarials chemistry, Antimalarials chemical synthesis, Drug Resistance, Proteasome Endopeptidase Complex metabolism
- Abstract
The Plasmodium proteasome is a promising antimalarial drug target due to its essential role in all parasite lifecycle stages. Furthermore, proteasome inhibitors have synergistic effects when combined with current first-line artemisinin and related analogues. Linear peptides that covalently inhibit the proteasome are effective at killing parasites and have a low propensity for inducing resistance. However, these scaffolds generally suffer from poor pharmacokinetics and bioavailability. Here we describe the development of covalent, irreversible, macrocyclic inhibitors of the Plasmodium falciparum proteasome. We identified compounds with excellent potency and low cytotoxicity; however, the first generation suffered from poor microsomal stability. Further optimization of an existing macrocyclic scaffold resulted in an irreversible covalent inhibitor carrying a vinyl sulfone electrophile that retained high potency and low cytotoxicity and had acceptable metabolic stability. Importantly, unlike the parent reversible inhibitor that selected for multiple mutations in the proteasome, with one resulting in a 5,000-fold loss of potency, the irreversible analogue only showed a 5-fold loss in potency for any single point mutation. Furthermore, an epoxyketone analogue of the same scaffold retained potency against a panel of known proteasome mutants. These results confirm that macrocycles are optimal scaffolds to target the malarial proteasome and that the use of a covalent electrophile can greatly reduce the ability of the parasite to generate drug resistance mutations.
- Published
- 2023
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