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Gold compounds form an attractive class of cytotoxic metal compounds of potential application as anticancer agents. Notably, the mode of action of cytotoxic gold compounds appears to differ from that of the widely used anticancer Pt drugs -to which they were initially inspired- and to be basically DNA-independent. However, mechanistic details are still largely lacking for this class of metal-based drugs. To shed light on these issues we have developed a proteomic strategy that is capable of highlighting the perturbations in protein expression elicited by gold drugs in a selected cancer cell line with the final aim to disclose the underlying molecular mechanisms. In recent years, this type of strategy has been systematically applied, in our laboratory, to a representative panel of gold compounds including seven outstanding cytotoxic agents, i.e. six experimental gold(III) and gold(I) compounds and the clinical gold(I) drug, auranofin. A2780 human ovarian cancer cells were used as the standard cellular model for these studies. Proteins differentially expressed upon treatment were separated by 2-DE and identified by MALDI TOF and their meaning tentatively assessed through bioinformatic analysis. The occurrence of various and often overlapping molecular mechanisms was revealed. The affected proteins were found to belong -in most cases- to redox control systems and/or to the proteasome machinery implying that the severe cellular damage induced by gold compounds predominantly originates at these two distinct levels. However, for one Au(III) and one Au(I) compound, i.e. [(bipydmb-H)Au(OH)][PF6] (bipydmb-H = deprotonated 6-(1,1-dimethylbenzyl)-2,2′-bipyridine) (Aubipyc) and the bis(1-butyl-3-methyl-imidazole-2-ylidene) gold(I) [Au(NHC)2]PF6, a substantially greater number of proteomic alterations were detected pointing out, in both cases, to glucose metabolism as an additional target process of the cytotoxic action. The results that were obtained with the seven gold complexes are discussed in the frame of the available knowledge on anticancer gold drugs and their mechanisms. In general, our studies underscore the large amount of information that proteomic measurements may provide on the mode of action of metal-based drugs at the cellular level and delineate a very effective methodology for the identification of the respective cytotoxic mechanisms. We propose that the interpretation of the proteomic data in terms of the main affected cellular processes is further supported and validated through the implementation of complementary metabolomics and metallomics experiments.

The reactions with a few model proteins of two structurally related gold carbene compounds, namely the gold(I) monocarbene complex Au(NHC)Cl and the corresponding bis-carbene complex [Au(NHC)2]PF6 (where NHC is an N-heterocyclic carbene ligand), were comparatively studied by ESI MS measurements. The investigated proteins were: human serum albumin, human carbonic anhydrase and bovine superoxide dismutase; in addition, the reactions of the two gold carbenes with the C-terminal synthetic dodecapeptide of thioredoxin reductase were analyzed. Formation of metallodrug-protein adducts was observed in all cases made exception for the reactions of [Au(NHC)2]PF6 with carbonic anhydrase and superoxide dismutase. Notably, in line with expectations, the monocarbene gold complex turned out to be more effective than its dicarbene counterpart in forming protein adducts. The reactivity of these gold carbene complexes with model proteins is compared to that of a few other gold(III) and gold(I) complexes whose reactions with model proteins had been previously investigated with the same methodology; it emerges that the two gold carbenes react more selectively with proteins at well-defined anchoring sites. The implications of these results are discussed in the light of the current knowledge on medicinal gold compounds.

Aurothiomalate (AuTm) is an old, clinically established, antiarthritic gold drug that is currently being reconsidered as a candidate drug for cancer treatment and for other therapeutic indications within a more general drug repositioning program. As the biological effects of gold drugs seem to be mediated, mainly, by their interactions with protein targets we have analyzed here, in detail, the metalation patterns produced by aurothiomalate in a few model proteins. In particular, the reactions of aurothiomalate with the small proteins ribonuclease A, cytochrome c and lysozyme were explored through ESI MS (electrospray ionization mass spectrometry) analysis. Notably, characteristic and rather constant features emerged in the protein metalation patterns induced by AuTm that are markedly distinct from those caused by auranofin; a non-covalent interaction mode is invoked for AuTm binding to the mentioned proteins. The affinity constants of AuTm toward the three mentioned proteins were also initially assessed. The implications of the present findings are discussed.

Auranofin is a gold based drug in clinical use since 1985 for the treatment of rheumatoid arthritis. Beyond its antinflammatory properties, auranofin exhibits other attractive biological and pharmacological actions such as a potent in vitro cytotoxicity and relevant antimicrobial and antiparasitic effects that make it amenable for new therapeutic indications. For instance, auranofin is currently tested as an anticancer agent in four independent clinical trials; yet, its mode of action is highly controversial. With the present study, we explore the effects of auranofin in Saccharomyces cerevisiae and its likely mechanism. Notably, auranofin is reported to induce remarkable yeast growth inhibition. Solid evidence is provided that growth inhibition is the consequence of a direct cytotoxic insult occurring at the mitochondrial level; a profound depression of cell respiration is indeed clearly documented as the main cause of cell death while induction of ROS plays only a secondary role. More in detail, the mitochondrial NADH kinase Pos5 is identified as a primary target for auranofin. The implications of these results are discussed in the frame of current mechanistic knowledge on the cellular effects of auranofin and of its role as a prospective anticancer drug.

Aubipyc is an organogold(III) compound endowed with encouraging anti-proliferative properties in vitro that is being evaluated pre-clinically as a prospective anticancer agent. A classical proteomic approach is exploited here to elucidate the mechanisms of its biological actions in A2780 human ovarian cancer cells. Based on 2-D gel electrophoresis separation and subsequent mass spectrometry identification, a considerable number of differentially expressed proteins were highlighted in A2780 cancer cells treated with Aubipyc. Bioinformatic analysis of the groups of up-regulated and down-regulated proteins pointed out that Aubipyc primarily perturbs mitochondrial processes and the glycolytic pathway. Notably, some major alterations in the glycolytic pathway were validated through Western blot and metabolic investigations. Biological significance This is the first proteomic analysis regarding Aubipyc cytotoxicity in A2780/S ovarian cancer cell line. Aubipyc is a promising gold(III) compound which manifests an appreciable cytotoxicity toward the cell line A2780, being able to overcome resistance to platinum. The proteomic study revealed for Aubipyc different cellular alterations with respect to cisplatin as well as to other gold compound such as auranofin. Remarkably, the bioinformatic analysis of proteomic data pointed out that Aubipyc treatment affected, directly or indirectly, several glycolytic enzymes. These data suggest a new mechanism of action for this gold drug and might have an impact on the use of gold-based drug in cancer treatment.

A micro-electrochemical reaction cell was coupled to an electrospray mass spectrometer in order to track redox transformations for two representative medicinal gold compounds - i.e. [(2,3,4,6-tetra-O-acetyl-1-thio-β-D-glucopyranosato-S)(triethylphosphine)gold(I)] and [Au(bipydmb-H)(OH)][PF6] (where bipydmb-H is deprotonated 6-(1,1-dimethylbenzyl)-2,2′-bipyridine), known as Auranofin and Aubipyc respectively - in parallel to square wave voltammetry (SWV) measurements. Irreversible oxidation of thio-glucose tetraacetate was the dominant reaction for the gold(I) compound Auranofin; oxidation was accompanied by hydrolysis leading to progressive deacetylation. Two main active forms were identified for this prodrug: the triethylphosphinegold(I) cation and a gold(I) thioglucose species, with a variable number of acetyl groups. For the gold(III) complex Aubipyc irreversible reduction of the gold(III) center was highlighted, accompanied by a ligand exchange process. The free gold(I) ion is proposed to be the final species that subsequently binds transport proteins in the bloodstream. Molecule specific mass spectrometry determinations provide complementary data to square wave voltammetry helping to understand the nature of the electrochemical conversions of complex or unstable compounds. Finally, it was possible to establish that oxidizing conditions during drug preparation and administration should be avoided in the case of Auranofin; conversely, reduction conditions typical for the blood or the cytosol environment are suitable to obtain the active gold(I) species from the gold(III) complex Aubipyc.

Since the first approval of cisplatin for cancer treatment in 1978, a lot of attempts have been carried out to characterize in detail its interactions with serum albumin, by far the most important and most abundant plasma protein. The state of the art of those studies was recapitulated by Keppler and coworkers in a comprehensive review article which appeared in Chem. Rev. in 2006. Yet, the general picture was still rather incomplete at that time due to the lack of conclusive structural data. We report here on the main achievements obtained on this system in the period 2006–2018 and try to describe what is now clearly ascertained and what are the still open issues. Remarkably, a detailed structural characterization of this metallodrug/protein system was recently gained thanks to the resolution of the crystal structure of a cisplatin/serum albumin adduct; crystallographic results are nicely complemented by independent MS data. Accordingly, detailed information is obtained on the number and the location of the platinum binding sites. In turn, metallomics investigations permitted to monitor platination of this serum protein in real blood samples. Thus, a rather complete molecular description of the system could be achieved. Conversely, the biological and pharmacological profiles of platinum drugs/serum albumin adducts were drafted in a couple of specific studies; however the results on theses issue are in our opinion still preliminary and controversial and more studies are needed, aimed in particular at establishing clear correlations between the nature of the various platinum/serum albumin derivatives and their biological actions. In any case, the relevance and the impact of cisplatin/serum albumin adducts are herein highlighted and future perspectives briefly depicted.