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Antimicrobial Agents and Chemotherapy, October 2006, p. 3435-3443, Vol. 50, No. 10
0066-4804/06/$08.00+0 doi:10.1128/AAC.00386-06
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Department of Biochemistry, Dartmouth Medical School, Hanover, New Hampshire 03755,1 Department of Pharmaceutical Science, University of Connecticut, Storrs, Connecticut 062692
Received 29 March 2006/ Returned for modification 9 May 2006/ Accepted 30 June 2006
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Dihydrofolate reductase (DHFR) has been a widely recognized antimicrobial drug target as it plays a key role in the generation of the DNA base dTMP. Specifically, DHFR catalyzes the reduction of dihydrofolate, using NADPH to form tetrahydrofolate and NADP+. B. anthracis exhibits a natural resistance to trimethoprim (TMP), a clinically used antibacterial DHFR inhibitor, due to a lack of affinity between the enzyme and the inhibitor (2). In fact, most reported cases of DHFR insensitivity to antibiotics stem from changes of residues at the active site. For example, mutations of active-site residues also occur in strains of Plasmodium falciparum resistant to pyrimethamine and cycloguanil (23). Trimethoprim resistance reported to occur in bacteria, including Streptococcus pneumoniae (1, 12) and Staphylococcus aureus (7), also involves amino acid substitutions. In both cases, although other mutations may modulate the degree of resistance, active-site mutations of Ile100Leu and Phe98Tyr, respectively, were necessary for resistance. At positions homologous to these two residues, Bacillus cereus and B. anthracis DHFRs (DHFRBc and DHFRBa, respectively) contain phenylalanine, explaining the natural resistance of the Bacillus enzymes to TMP.
In spite of the resistance to TMP, other classes of DHFR inhibitors may inhibit the enzyme with sufficient potency to have potential use as clinical agents. In this report, we present data that show 98% sequence identity between the DHFR proteins of B. cereus and B. anthracis, allowing both proteins to be evaluated as drug targets. B. anthracis and B. cereus are closely related genetically (15) but exhibit different phenotypes after infection; infection with B. cereus, usually as a food contaminant, causes endophthalmitis, bacteremia, septicemia, endocarditis, pneumonia, and meningitis (10). The B. cereus DHFR protein was cloned, expressed, and purified. Twenty-seven inhibitors were tested using an in vitro enzyme assay; four inhibitors were tested in antibacterial assays, and all of these showed growth inhibition of B. cereus. Two inhibitors with the lowest 50% inhibitory concentrations (IC50s), other than methotrexate, showed MIC50 values of 1.6 and 2.6 µg/ml and minimal bactericidal concentrations at which 50% of strains are killed (MBC50s) of 0.09 and 1.4 µg/ml against the B. cereus strain. Finally, we built homology models of the B. cereus and B. anthracis DHFR proteins, docked all of the tested inhibitors, and developed a structure-activity relationship (SAR) that explains the enzyme inhibition results. These results show that antifolates are capable of inhibiting the Bacillus DHFR enzyme as well as inhibiting the growth of Bacillus in culture.
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FIG. 3. Group 1 compounds, including pteridines, 5-deazapteridines, a quinazoline, and a pyrrolopyrimidine, tested as DHFRBc enzyme inhibitors.
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FIG. 5. Group 3 compounds, including the complex diaminonaphthoquinazoline, tested as DHFRBc enzyme inhibitors.
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Cloning.
The sequence for the B. cereus DHFR gene was PCR amplified (LA Taq polymerase; Takara) from genomic DNA (ATCC 14579) obtained from the Bacillus Genomic Stock Center (Department of Biochemistry, The Ohio State University) with primers from Integrated DNA Technologies (IDT). The gene included 486 nucleotides and encoded a protein of 162 amino acids. The forward primer 5'-GCTCATATGATTGTTTCATTTATGGTCGCTATG-3' and reverse primer 5'-GCACTCGAGTTGTCGCTTCTCATATACATGATAATA-3' were used under standard PCR conditions, with an annealing temperature of 50°C. The gene was inserted into the pET41 vector (Novagen) to include a six-His tag at the C terminus for nickel affinity column purification. The expression plasmid was created by digesting the vector and insert with the restriction endonucleases NdeI and XhoI (New England Biolabs), followed by ligation with T4 DNA ligase. Competent DH5
cells (Invitrogen) were transformed, and a circularized-plasmid-containing insert was recovered and sequenced to ensure that no errors were generated in the PCR. Competent BL21(DE3) cells (Novagen) were transformed with purified plasmid for recombinant protein expression.
Recombinant protein overexpression and purification. BL21(DE3) transformants were grown in Luria broth (LB) containing 30 µg/ml kanamycin at 37°C with shaking at 250 rpm to mid-logarithmic-phase growth, and expression was induced by the addition of isopropyl-ß-D-thiogalactopyranoside (IPTG) to a final concentration of 1 mM. Recombinant protein expression was extended for 6 h at 37°C. Expressed cells were harvested by centrifugation at 10,000 x g for 10 min and placed at 80°C until cell lysis occurred. To harvest proteins, the cell pellet from 1 liter of induced cells was resuspended in 15 ml of Bug Buster (Novagen) for chemical lysis. The cell suspension was placed on an orbital shaker for 20 min at room temperature in the presence of 2 mM phenylmethylsulfonyl fluoride (PMSF). The cell extract was centrifuged at 50,000 x g for 20 min, and the clarified supernatant was passed through a 0.45-µm filter (Millipore) before it was loaded onto a 6-ml nickel affinity column (Fast Flow nickel resin; QIAGEN) for single-step purification to homogeneity. The column was preequilibrated with buffer (50 mM Tris [pH 7.0], 50 mM KCl) and eluted using a 0 to 250 mM imidazole gradient over 10 column volumes after being washed with 5 column volumes of the equilibration buffer. Fractions containing purified DHFR, as determined by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) analysis with silver staining, were pooled and exchanged into a buffer containing 50 mM Tris-HCl (pH 7.0), 50 mM KCl, 0.5 mM EDTA, and 10 mM dithiothreitol. Protein was frozen using an ethanol-dry ice bath and stored at 80°C.
In vitro inhibition assays. Enzyme activity assays were performed at 25°C by monitoring the rate of enzyme-dependent NADPH consumption at an absorbance of 340 nm over a period of several minutes. Reactions were performed in the presence of 20 mM TES [N-tris(hydroxymethyl)methyl-2-aminoethanesulfonic acid; pH 7.0], 50 mM KCl, 10 mM 2-mercaptoethanol, 0.5 mM EDTA, and 1 mg/ml bovine serum albumin. Saturating cofactor and substrate concentrations (100 µM NADPH and 1 mM DHF, respectively) were used in the presence of a limiting concentration of enzyme. After an incubation period of 5 min in the presence or absence of the inhibitor, the reaction was initiated with the addition of dihydrofolate. The reactions were performed a minimum of four times to determine the average rate and 50% inhibitory concentration values with standard deviations in the presence of various concentrations of inhibitor near the IC50.
Antibacterial assays. Spores (Bacillus Genetic Stock Center) were added to a petri dish of LB agar in the absence of antibiotic selection in a sterile environment. Three drops of LB were added to rehydrate the spores. The plate was streaked with a sterile tip, and a second plate was streaked from the first and placed in a 37°C incubator overnight. A third plate was streaked to isolate single colonies. A culture (50 ml) was inoculated from the single colony and grown overnight at 37°C with shaking at 225 rpm.
The optical density at 600 nm (OD600) of the log-phase culture was estimated from the OD600 of the stationary-phase growth. A 1:100 dilution of an overnight culture was grown until the OD600 reached 1.0, and the numbers of CFU were determined by plating 100 µl of 102, 104, and 106 dilutions of the log-phase culture. The numbers of CFU determined for cultures at an OD600 of 1.0 were used to estimate appropriate dilutions for plating test cultures in the presence and absence of the inhibitor.
To monitor cell growth in the presence and absence of the inhibitor, methods described previously were used as guides (24). A 1:100 dilution of an overnight culture at stationary-phase growth was grown until the OD600 reached 1.0. From the mid-logarithmic-phase culture, 6 x 105 cells were added to 1-ml test cultures in the presence or absence of an antibiotic ranging in concentration from 0.11 to 21.1 µg/ml. Cultures were grown for 9 hours, and the OD600 was monitored during that period to determine MIC50 values for each inhibitor tested. For control cultures, the corresponding volume of DMSO was added.
The numbers of CFU were determined by adjusting the cultures from the growth inhibition assay to an OD600 of 1.0 and then diluting the cultures further to 104, 105, and 106 cells/ml. One hundred microliters from each dilution was plated on an LB agar plate and incubated overnight at 37°C. Single colonies were counted from the respective plates, and the numbers of CFU/ml of cells were calculated.
Homology modeling. Using the 3D-JIGSAW (3) server and an automated approach, homology models of DHFRBc and DHFRBa were determined based on the structure of E. coli DHFR, the closest known homolog. Both homology models were superimposed to detect any differences. Since there was no significant difference between the models, one model was minimized with SYBYL (Tripos, Inc.). Methotrexate (MTX) bound to DHFRBc was modeled using FlexE (Tripos, Inc.). Briefly, ensembles of the protein active site were prepared by molecular dynamic runs using a radius of 2.5 Å around the ligand bound in the active site for 1,000 fs. The inhibitor, MTX, was docked to the ensemble with an incremental ligand construction and scored using the empirical scoring function available in FlexE. The modeled enzyme-bound MTX was brought into XtalView to analyze the SARs of the inhibitors. Briefly, the inhibitors were individually minimized using SYBYL. The 2,4-diaminopyrimidine ring common to each inhibitor was superimposed on the diaminopyrimidine ring of MTX, and the remainder of the structure was manipulated through any rotatable bonds to place the conserved derivatized phenyl group in the hydrophobic pocket.
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FIG. 1. (a) Alignment of the DHFRBc sequence with that of DHFRs from B. anthracis, E. coli, and Homo sapiens (Protein Data Bank accession numbers AAP09158, AAT40581, AAN78554, and NP000782, respectively). Sequence identity with DHFRBc is shown in bold. Gaps included to maximize alignment are shown as dashes. Residue numbers are shown to the left of the alignment. The consensus symbol (*) indicates sequence identity, colons indicate sequence conservation, periods indicate semiconserved residues, and arrows indicate residues that comprise the active site occupied by the ligand. (b) Model of DHFRBc showing residues that differ from DHFRBa in ribbon form. Methotrexate is modeled in the active site.
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150 mg of expressed protein per liter of cells. Protein was determined to be soluble at concentrations in excess of 25 mg/ml. DHFRBc is a single polypeptide as determined by both SDS-PAGE (Fig. 2) and native gel electrophoresis.
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FIG. 2. Twelve percent SDS-PAGE showing the purification of recombinant DHFRBc. Lane T, cell extract from BL21(DE3) cells transformed with DHFRBc expression plasmids; lanes 13 to 21, fractions from the nickel affinity chromatography column; MW, molecular weight markers (molecular weights are indicated at the left in thousands). The bottom edge of the gel is indicative of the dye front.
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TABLE 1. IC50 values for inhibitor compounds
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The second group of inhibitors (compounds 19 to 24) represents pyrimidine derivatives with IC50 values between 37 and >1,000 µM. Both TMP (compound 19) and pyrimethamine (compound 24) are included in this group (Fig. 4). The third group of inhibitors, representing complex diaminonaphthoquinazoline derivatives (compounds 25 to 27), showed no inhibition of DHFRBc, even at concentrations greater than 1 mM (Fig. 5).
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FIG. 4. Group 2 diaminopyrimidine compounds tested as DHFRBc enzyme inhibitors.
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Antibacterial assays. Four of the most potent compounds (2, 6, 7, and 8) were tested in standard growth inhibition assays and were found to inhibit the growth of B. cereus in culture. The values for the MIC50 and MIC90 relative to those for control cultures were determined experimentally (Table 2). Bacterial growth was monitored by recording the optical densities at 600 nm prior to the addition of antibiotic and every hour for up to 10 h after the addition of antibiotic to capture the lag, log, and stationary phases of growth in the presence and absence of the inhibitor (Fig. 6a and b show these curves for compounds 2 and 8). The compounds are sensitive to light and temperature and appear to degrade after overnight incubation at 37°C; therefore, cultures were covered with aluminum foil to minimize light exposure, and incubation times did not exceed 10 h.
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TABLE 2. MICs and MBCs determined in antibacterial assaysa
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FIG. 6. Growth inhibition of B. cereus. Growth curves are shown for control cultures (without the inhibitor present) and for several cultures containing different concentrations of compound 2 (a) and compound 8 (b). Bactericidal concentrations were determined for compound 2 (c) and compound 8 (d).
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A number of necrotic cells appeared in the cultures with higher concentrations of inhibitor. These cells most likely contribute to the overall turbidity of the culture but are incapable of forming colonies on agar plates, explaining the lower MBC50 values relative to the MIC50 values shown in Table 2. The MBC90 values in all of these experiments are
2.5 times the MIC50 values, as has been noted in detailed studies investigating the accuracy of MBC determinations (24) and in numerous studies of Staphylococcus aureus (14) and pneumococci (26).
Homology modeling results. Since there is no structural information for DHFRBc or DHFRBa, we created homology models of both DHFRBa and DHFRBc based on the structure of an Asp 27-to-Glu 27 mutation of the well-characterized E. coli DHFR (Protein Data Bank no. 1DRA) (4) using the program 3D-JIGSAW (3). E. coli DHFR was chosen as a parent structure because it has 39% overall identity with DHFRBc and 61.5% sequence identity (the remaining residues are considered similar) within the active site. Ramachandran plots of the homology models show that 99.4% of the residues fell within acceptable ranges. Ile 93, which is peripheral to the active site, has backbone angles that fall outside the allowed regions. Minimization of the two models independently did not yield any conformational differences, and the two models were superimposed with no apparent structural differences, allowing for the modeling results to pertain to both species. All compounds were modeled in the active site, and interactions with the active-site residues were assessed to interpret the results of the in vitro enzyme assays.
Methotrexate (compound 1) was docked into the active site using FlexE (5) and an ensemble of molecular dynamic snapshots to simulate a flexible protein model (Fig. 7a). The protonated N-1 and the amino group at position 2 of the diaminopyrimidine ring appear to form the expected hydrogen bonds with Glu 28; other hydrogen bonds are apparent between Tyr 102 and the carbonyl of Met 6. Additional van der Waals interactions are formed between the pteridine ring and Met 6, Phe 96, Ala 8, and Thr 115. The bridge region forms van der Waals interactions with Asn 47, which may also form a hydrogen bond with the carbonyl of Phe 96 and aid in the proper positioning of Phe 96 in the active site. The phenyl ring fits nicely in a hydrophobic pocket comprised of Ile 51, Leu 55, Leu 29, and Val 32. Arg 58 forms hydrogen bonds with one carboxylic acid group, whereas the second appears to extend into solvent.
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FIG. 7. Models of several DHFR inhibitors interacting with residues in the active site. (a) Methotrexate (compound 1) (yellow); (b) compound 2 (cyan); (c) compound 20 (salmon); (d) compound 23 (orange). (b, c, and d) Characteristic group 1, 2, and 3 inhibitors, respectively.
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The other compounds in group 1 include several pteridines (compounds 11 to 17) and a pyrrolopyrimidine (compound 18). Again, the pteridine rings of these compounds are expected to form the same interactions as the pteridine ring in methotrexate. The two-atom bridge forms van der Waals interactions with Phe 96 and Asn 47. For compounds 11 to 15, the substituted naphthyl rings appear to make hydrophobic interactions with Leu 29, Val 32, Ile 51, and Leu 55. The decrease in the affinity of these inhibitors relative to that of methotrexate could be caused by the loss of the interactions of the glutamate tail, including the salt bridge formed with Arg 58, or the projection of the hydrophobic naphthyl ring into the solvent exterior. The dibenzazepine ring of compound 17 likely forms hydrophobic contacts with Ile 51, Ala 50, Lys 46, and Leu 21 and additionally explores a larger hydrophobic binding pocket defined by Leu 21, Lys 46, Trp 23, and Ile 15, usually left vacant by the standard single-phenyl ring inhibitors.
Pyrimidine inhibitors in group 2 (compounds 19 to 24), illustrated by the model of compound 20 in the active site (Fig. 7c), generally have IC50 values between 37 and 73 µM, with the exception of compounds 23 and 24, which have values of 150 and >1,000 µM, respectively. The higher IC50 values for compounds 19 to 22, relative to those observed with the pteridines and the 5-deazapteridines are explained by the inability of the single-pyrimidine ring and single-atom bridge to place the phenyl ring in the hydrophobic pocket normally occupied by the p-aminobenzoic acid ring of MTX. Pyrimethamine (compound 24), a common antifolate, exhibits very poor binding to DHFRBc. The chlorophenyl group projects directly into the space occupied by Asn 47, causing steric interactions. Additionally, pyrimethamine does not utilize the hydrophobic pocket comprised of Ile 51, Leu 55, Leu 29, and Val 32. However, the ethyl group projecting from position 5 of 2,4-diaminopyrimidine has revealed a further small hydrophobic binding pocket defined by Leu 21 and Trp 23. Trimethoprim (compound 19) forms the canonical interactions between the diaminopyrimidine ring and Glu 28, Tyr 102, Met 6, Ala 8, and Thr 115; however, the trimethoxyphenyl ring does not appear to extend fully into the hydrophobic pocket and may exhibit steric conflict with Asn 47, possibly explaining its lower potency.
The inhibitors that comprise group 3 are generally ineffective due to steric interactions with residues in the binding pocket (Fig. 7d shows compound 23 in the active site). Phe 96 normally forms hydrophobic contacts with the bicyclic ring structure of the diaminopyrimidine rings of the more potent analogs, yet in these inhibitors, there are steric interactions with Phe 96. Asn 47 also appears to form steric interactions with the multiple-ring structures of these inhibitors.
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In this report, we present data showing the validity of dihydrofolate reductase as a drug target for two different microbes, B. cereus and B. anthracis, sharing 98% sequence identity for this enzyme. The residue differences are conservative. Purified DHFRBc was shown to be stable and soluble at high concen-trations and to have catalytic activity comparable to those of other species of DHFR. Using 27 inhibitors with a 2,4-diaminopyrimidine scaffold, we describe an SAR model supported by structural evidence based on homology models of DHFRBa and DHFRBc. Four inhibitors that were potent in vitro were also shown to be potent in vivo; two of the most potent inhibitors display growth inhibition with a correspondingly high degree of cell death.
Inhibitory profiles have been developed previously for many of these compounds against Pneumocystis carinii (DHFRPc), Toxoplasma gondii (DHFRTg), Mycobacterium avium (DHFRMa), and rat liver DHFR (rlDHFR). Clearly, methotrexate (compound 1) is a very potent compound, but it possesses a high degree of mammalian cell toxicity and is currently used for the treatment of human cancer; therefore, it is not a viable option for the treatment of anthrax. Compound 2 is potent against DHFRPc, DHFRTg, and DHFRMa (IC50s of 0.87, 0.072, and 0.041 µM, respectively); it is less potent against rat liver DHFR (25 µM), yielding some selectivity (17). Inhibition data for compounds 4 to 6 show that an alkyl tail with four methylene carbons is most potent toward Bacillus DHFRs, but for DHFRMa there was little difference in inhibition among alkyl tails with chain lengths of five to eight carbons (18). Data for compounds 7 to 9 show that an alkyl tail with six methylene carbons is most potent against DHFRPc and DHFRTg (18), although the differences in IC50 values as the lengths of the alkyl tails varied were smaller. Against DHFRBc, compound 8 (tail length of four carbons) was one of the most potent compounds. Compound 3 is most potent against DHFRTg (IC50 = 0.039 µM); the IC50 value for DHFRBc was similar to that for DHFRPc and rlDHFR (9). Compound 17, the dibenzazepine, has submicromolar IC50 values against all three pathogenic species: DHFRPc, DHFRTg, and DHFRMa. The value for DHFRBc is closer to that for rlDHFR (4.4 µM) (16). Compound 18 has relatively high IC50 values for all species, including DHFRBc but with the exception of DHFRTg (IC50 = 8.1 µM) (9). Compounds 21 to 23 have submicromolar IC50 values for DHFRPc, DHFRTg, and DHFRMa; the values for rat liver and DHFRBc are higher (17, 18). This profile is expected, since compounds 21 to 23 are TMP analogs and the IC50 for TMP against DHFRBc is much higher than those for these other species.
These studies have shown that a class of DHFR inhibitors is capable of inhibiting the enzyme with sufficient efficiency to suggest further development of DHFR inhibitors for potential clinical use against B. cereus and B. anthracis. The inhibitors tested in these studies are potent, but specificity must also be incorporated in an effective inhibitor. Interestingly, compound 2 exhibits low activity (IC50 = 25 µM) against rat liver DHFR (17) and exhibits submicromolar affinity for DHFRBc, suggesting that it may be a good lead for further development for increased potency and selectivity. Among the residues which strictly comprise the DHFRBa or DHFRBc active site and are intimately involved in substrate binding, there are several key differences that can be exploited in the development of specific inhibitors. Met 6 in DHFRBc is replaced by an isoleucine in the human form of DHFR, Asn 47 is replaced by a Thr, and Ala 50 is replaced by a serine in the human form. Two phenylalanine residues in human DHFR (Phe 31 and Phe 34) are replaced by smaller hydrophobic residues (Leu 29 and Val 32, respectively). These residues may be critical to the development of potent antimicrobials specific for DHFRBc or DHFRBa. In addition, structural information will be valuable for further insight into the development of new inhibitors.
We thank Andre Rosowsky and Aleem Gangjee for providing inhibitors and James Throckmorton for assistance with initial FlexE docking runs.
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-carboxyalkoxy)benzyl]pyrimidines: marked improvement in potency relative to trimethoprim and species selectivity relative to piritrexim. J. Med. Chem. 45:233-241.[CrossRef][Medline]This article has been cited by other articles:
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