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Structure-based identification of small molecule ACE2 activators as novel antihypertensives José A. Hernández Prada1*, Anderson J. Ferreira1,5*, Michael J. Katovich3, Vinayak Shenoy3, Yanfei Qi3, Robson A. S. Santos6, Ronald K. Castellano4, Andrew J. Lampkins4, Vladimir Gubala4, David A. Ostrov2, Mohan K. Raizada1 McKnight Brain Institute1 and Departments of Physiology and Functional Genomics1 and Pathology, Immunology and Laboratory Medicine 2, College of Medicine; Department of Pharmacodynamics3, College of Pharmacy; and Department of Chemistry4, College of Liberal Arts and Sciences, University of Florida, Gainesville, Florida 32610, USA; Department of Morphology5 and Department of Physiology and Biophysics6, Biological Sciences Institute, Federal University of Minas Gerais, Belo Horizonte, MG 31270-901, Brazil. Address for Correspondence: Mohan K Raizada, Ph.D. Department of Physiology and Functional Genomics PO Box 100274, e-mail: [email protected] Phone: (352) 392-9299 Fax: (352) 294-0191 *Jose A. Hernandez Prada and Anderson J. Ferreira contributed equally to this work. Running title: ACE2 activators as antihypertensive agents MS# 108944 1 SUPPLEMENTAL INFORMATION: Compounds and synthesis: Initial functional screening was performed using compounds obtained from the NCI/DTP. Dry compounds were dissolved in 100% dimethyl sulfoxide (DMSO) and used in an in vitro angiotensin-converting enzyme (ACE) 2 assay. A member of the xanthone family, CAS# 86456-22-6, 1-[[2-(dimethylamino)ethyl]amino]-4(hydroxymethyl)-7-[[(4-methylphenyl)sulfonyl]oxy]- 9H-xanthen-9-one (hereafter referred to as XNT) was dissolved in saline at low pH (2-2.5) for in vivo studies. This compound was consistently prepared 24-48 hours before delivery in animals. The XNT was prepared on a gram scale in six synthetic steps from 5methoxysalicylic acid and m-chloroiodobenzene through modifications of a published procedure.1,2 Synthetic details and the first structural characterization data (1H NMR, 13C NMR, and HRMS) for XNT and its precursors are as follows. Synthesis of xanthenone3 (1) General: Reagents and solvents were purchased from commercial sources and used without further purification unless otherwise specified. THF, ether, CH 2Cl2, and DMF were degassed in 20 L drums and passed through two sequential purification columns (activated alumina; molecular sieves for DMF) under a positive argon atmosphere. Thin layer chromatography (TLC) was performed on SiO2-60 F254 aluminum plates with visualization by UV light or staining. Flash column chromatography was performed using Purasil SiO2-60, 230−400 mesh MS# 108944 2 from Whatman. 300 (75) MHz 1H (13C) NMR spectra were recorded on Varian Mercury 300, Gemini 300, or VXR 300 spectrometer. Chemical shifts () are given in parts per million (ppm) relative to TMS and referenced to residual protonated solvent (CDCl3: H 7.27 ppm, C 77.00 ppm; DMSO-d6: H 2.50 ppm, C 39.50 ppm). Abbreviations used are s (singlet), d (doublet), t (triplet), q (quartet), quin (quintet), hp (heptet), b (broad), and m (multiplet). ESI spectra were recorded on a Bruker APEX II FTICR spectrometer. MS# 108944 3 2-(3-Chlorophenoxy)-5-methoxybenzoic acid (4): A suspension of 5-methoxysalicylic acid (2) (14.1 g, 83.9 mmol) and anhydrous K2CO3 (20.9 g, 151 mmol) in dry DMF (200 mL) was heated to 120 °C for 10 min. m-Chloroiodobenzene (3) (20.0 g, 83.9 mmol), Cu powder (0.39 g, 6.2 mmol), and freshly purified CuI (0.25 g, 1.2 mmol) were then added, and the mixture was allowed to reflux under argon for 48 h. The cooled suspension was suction filtered and the filtrate was concentrated to a gummy residue, which was taken up in DI water and acidified with HCl. The resulting mixture was extracted three times with EtOAc, and the combined organics were washed with water and brine, dried over MgSO4, clarified with activated carbon, and concentrated under reduced pressure. The resulting residue was recrystallized from hexanes/EtOAc to give a mixture of 2 and 4. This mixture was recrystallized from 60% MeOH in water to give 4 (10.9 g, 47%) as colorless needle-like crystals: 1H NMR (CDCl3) δ 3.85 (s, 3H), 6.84 (dd, J = 8.4 Hz, J = 2.4 Hz, 1H), 6.93 (d, J = 2.4 Hz, 1H), 6.95 (d, J = 9.3 Hz, 1H), 7.07 (dd, J = 8.4 Hz, J = 0.9 Hz, 1H), 7.10 (dd, J = 9.0 Hz, J = 3.3 Hz, 1H), 7.23 (t, J = 8.4 Hz, 1H), 7.59 (d, J = 3.3 Hz, 1H). 13C NMR (CDCl3) δ 56.4, 115.5, 116.2, 116.7, 120.3, 122.5, 124.9, 126.6, 131.8, 134.4, 147.3, 156.8, 160.5, 166.6. HRMS (ESI) calculated for C14H11ClO4 + Na (M+) 301.0238, experimentally determined 301.0253. 1-Chloro-7-methoxy-9H-xanthen-9-one (5): To polyphosphoric acid (84%, 50 g) preheated to 120 °C was added 4 (8.5 g, 30 mmol). The solution was stirred for 6 h, after which it was poured into water (300 MS# 108944 4 mL). After dissolving the yellow gum, the resulting white suspension was neutralized with 10% NaOH. The mixture was filtered and washed with water. The solid was dried in vacuo to give a dull white mixture of 5 and the 3-chloro isomer (6.8 g, 85%); the mixture was carried through to the next step without further purification: 1H NMR (CDCl3) δ 3.91 (s, 3H), 3.92 (s, 3H), 7.32–7.45 (m, 6H), 7.51 (d, 1H), 7.55 (t, 1H), 7.68 (d, 1H), 7.69 (d, 1H), 8.26 (s, 1H), 8.29 (s, 1H). HRMS (ESI) calculated for C14H10ClO3 + Na (M+) 261.0312, experimentally determined 261.0318. 1-[[2-(Dimethylamino)ethyl]amino]-7-methoxy-9H-xanthen-9-one (6): In a sealed pressure tube, a solution of 5 (8.00 g, 30.8 mmol) in freshly distilled pyridine (20 mL) was added N,N-dimethylethylenediamine (11.2 mL, 98.4 mmol) and the solution was heated to 120–130 °C for 12 h. Upon cooling to rt, the solvent was evaporated and the residue was diluted with CH 2Cl2 and extracted twice with 1 M HCl. The combined aqueous extracts were made basic with 10% NaOH and extracted an additional three times with CH2Cl2. The combined organic layers were dried over MgSO4 and concentrated to a crude residue, which was purified using column chromatography (15:1 CH2Cl2 / MeOH) to afford 6 (2.88 g, 30%) as a bright yellow solid: 1H NMR (CDCl3) δ 2.35 (s, 6H), 2.68 (t, J = 6.6 Hz, 2H), 3.35 (dt, J = 6.3 Hz, J = 5.1 Hz, 2H), 3.90 (s, 3H), 6.39 (d, J = 8.4 Hz, 1H), 6.56 (d, J = 8.4 Hz, 1H), 7.24 (ddd, J = 9.3 Hz, J = 3.3 Hz, J = 0.8 Hz, 1H), 7.32 (d, J = 9.0 Hz, 1H), 7.44 (t, J = 8.4 Hz, 1H), 7.65 (d, J = 3.0 Hz, 1H), 9.59 (bs, 1H). MS# 108944 13C NMR (CDCl3) δ 41.0, 45.5, 55.8, 58.0, 102.1, 103.1, 105.6, 5 106.6, 118.5, 122.3, 123.8, 135.7, 150.0, 151.6, 155.6, 158.1, 179.6. HRMS (ESI) calculated for C18H21N2O3 + Na (M+) 313.1546, experimentally determined 313.1556. 1-[[2-(Dimethylamino)ethyl]amino]-7-hydroxy-9H-xanthen-9-one (7): A solution of 6 (6.0 g, 19 mmol) in 60 mL of 56% HI was heated to reflux for 6h. The mixture was cooled, and the HI salt of 6 was filtered and washed with ether. The salt was then dissolved in H2O (300 mL) and made alkaline with NaOH. The solution was clarified by filtration through a bed of Celite and then the filtrate was carefully neutralized with dilute acetic acid. The yellow crystals that resulted were filtered, washed with H2O, and dried to yield 4.2 g (73 %) of 7. 1H NMR (DMSOd6) δ 2.18 (s, 6H), 2.50 (t, J = 5.7 Hz, 2H), 3.22 (t, J = 5.1 Hz, 2H), 6.39 (d, J = 8.4 Hz, 1H), 6.49 (d, J = 8.1 Hz, 1H), 7.17 (m, 1H), 7.39 (m, 3H), 9.45 (s, 1H), 9.85 (bs, 1H). 13C NMR (DMSO-d6) δ 40.2, 45.1, 57.3, 101.6, 103.5, 105.6, 108.5, 118.4, 122.0, 123.5, 136.1, 148.2, 151.0, 153.6, 157.4, 178.4. HRMS (ESI) calculated for C17H19N2O3 + Na (M+) 299.1390, experimentally determined 299.1393. 1-[[2-(dimethylamino)ethyl]amino]-7-[[(4-methylphenyl)sulfonyl]oxy]- 9H- xanthen-9-one (8): To a stirring solution of 7 (4.0 g, 13 mmol) was added p-TsCl (3.0 g, 16 mmol) and the mixture was allowed to stir at 50–60 °C, under argon, for 4 h. Upon cooling, the solvent was evaporated and the residue was dissolved in EtOAc / DI MS# 108944 6 H2O and poured into a separatory funnel. The organic layer was separated and the aqueous layer was extracted a second time with EtOAc. The organic layers were combined, washed with brine (containing a few mLs aq. HCl to scavenge pyridine), dried over MgSO4 and concentrated to a crude residue, which was purified using column chromatography (15:1 CH2Cl2 / MeOH) to afford 8 (5.3 g, 88%) as an orange/yellow solid: 1H NMR (CDCl3) δ 2.32 (s, 6H), 2.41 (s, 3H), 2.63 (t, J = 6.3 Hz, 2H), 3.30 (q, J = 6.3 Hz, 2H), 6.36 (d, J = 8.4 Hz, 1H), 6.47 (d, J = 8.4 Hz, 1H), 7.24–7.41 (m, 5H), 7.69 (m, 3H), 9.41 (bs, 1H). 13C NMR (CDCl3) δ 21.6, 40.9, 45.5, 57.8, 102.0, 103.9, 106.3, 118.7, 119.1, 122.6, 128.4, 128.5, 129.9, 131.9, 136.3, 145.1, 145.6, 151.5, 153.5, 157.8, 178.4. HRMS (ESI) calculated for C24H25N2O5S + Na (M+) 453.1478, experimentally determined 453.1482. 1-[[2-(Dimethylamino)ethyl]amino]-4-(hydroxymethyl)-7-[[(4methylphenyl)sulfonyl]oxy]-9H-xanthen-9-one (1): In a sealed pressure tube, a solution of 8 (4.6 g, 10 mmol), 37% aqueous formaldehyde (400 mL), and 5 M HOAc (10 mL) was allowed to stir at 70–80 °C for 72 h. Upon cooling, the solution was made basic by addition of aqueous Na2CO3, poured into a separatory funnel and extracted with CHCl3. The organics were combined, dried over MgSO4 and concentrated to a crude residue. EtOAc and CH2Cl2 were added and the mixture was sonicated at ambient temperature for 15 min prior to removal of the solid material by suction filtration. The filtrate was concentrated and purified via column chromatography (15:1 CH2Cl2 / MeOH) MS# 108944 7 to afford 1 (1.37 g, 29%) as an orange/yellow solid: 1H NMR (CDCl3) δ 2.35 (s, 6H), 2.45 (s, 3H), 2.65 (t, J = 6.0 Hz, 2H), 3.07 (bs, 1H), 3.30 (q, J = 5.1 Hz, 2H), 4.76 (s, 2H), 6.34 (m, 1H), 7.30 (m, 4H), 7.46 (d, J = 8.7 Hz, 1H), 7.71 (m, 3H), 9.40 (bs, 1H). 13C NMR (CDCl3) δ 21.7, 40.8, 45.5, 57.7, 59.8, 103.6, 106.0, 113.5, 118.8, 119.1, 122.5, 128.4, 129.9, 131.9, 136.7, 137.6, 145.2, 145.6, 151.2, 153.1, 155.0, 178.3. HRMS (ESI) calculated for C25H27N2O6S + Na (M+) 483.1584, experimentally determined 483.1570. Measurement of ACE2 activity: Human recombinant ACE and ACE2 were obtained from R&D systems, Minneapolis, MN, along with their respective fluorogenic substrates (ACE, catalog ID: 929-ZN-10; ACE2, 933-ZN-10; ACE substrate, fluorogenic peptide V, Mca RPPGFSAFK(Dnp)-OH, catalog ID: ES005; ACE2 substrate, fluorogenic peptide VI, Mca-YVADAPK(Dnp)-OH, ES007). Enzymatic activity was measured with a Spectra Max Gemini EM Fluorescence Reader (Molecular Devices) as previously described.4 Compounds were tested against 50 μM substrate. All assays were performed at least in triplicate in a reaction mixture containing 10 nM enzyme, 1 M NaCl, 75 mM Tris-HCl, 1% DMSO and 0.5 μM ZnCl2, at pH 7.4. Samples were read every 15-30 seconds for at least 30 minutes immediately after the addition of fluorogenic peptide substrates at 37 °C. DMSO did not affect the activity of ACE or ACE2 under these conditions. Enzyme activity was corrected for background. MS# 108944 8 Histological analysis: At the end of the chronic study, hearts and kidneys were fixed in 10% buffered formalin, embedded in paraffin, and sectioned to a thickness of 5 μm. Sirius red staining was carried out to assess the extent of collagen deposition. Cardiac and renal interstitial fibrosis at 100X magnification was measured by percent area analysis. Perivascular fibrosis was measured at 250X magnification and data was normalized to vessel lumen. An Olympus BX 41 microscope was used for imaging and quantification of collagen density data was carried out with ImageJ software from the NIH.5 Statistical analysis: Data are expressed as mean ± SEM. Unpaired Student’s t-test and 1-way ANOVA were performed for statistical analysis. For cardiac function, response to Angiotensin II, bradykinin (BK), and losartan experiments, statistical significance was estimated using 2-way ANOVA followed by the Bonferroni test. Differences were considered significant at a p<0.05 or p<0.001, as indicated. Tests were performed with the PRISM software package from GraphPad, San Diego. References (1) Archer S, Zayed AH, Rej R, Rugino TA. Analogues of hycanthone and lucanthone as antitumor agents. J Med Chem. 1983;26:1240-1246. MS# 108944 9 (2) Archer S, Pica-Mattoccia L, Cioli D, Seyed-Mozaffari A, Zayed AH. Preparation and antischistosomal and antitumor activity of hycanthone and some of its congeners. Evidence for the mode of action of hycanthone. J Med Chem.1988;31:254-260. (3) Lipinski CA, Lombardo F, Dominy BW, Feeney PJ. Experimental and computational approaches to estimate solubility and permeability in drug discovery and development settings. Adv Drug Deliv Rev. 2001;46:3-26. (4) Huentelman MJ, Zubcevic J, Katovich MJ, Raizada MK. Cloning and characterization of a secreted form of angiotensin-converting enzyme 2. Regul Pept. 2004;122:61-67. (5) Abramoff MD, Magelhaes PJ, Ram SJ. Image Processing with ImageJ. Biophotonics International. 2004;11:36-42. MS# 108944 10 Supplemental Table S1 – Top ten scoring compounds for the three different docking sites. Rank # Site 1 1 2 3 4 5 6 7 8 9 10 Site 2 1 *2 *3 4 5 6 7 8 *9 10 Site 3 1 *2 3 4 *5 *6 *7 *8 *9 *10 Catalog Number xlogP NSC269897 NSC72361 NSC354677 NSC72756 NSC21221 NSC354317 NSC43058 NSC43083 NSC21044 NSC354297 NA** 3.41 NA NA 1.84 NA 3.03 5.06 3.38 0.75 0 1 2 0 0 2 2 0 0 0 2 5 8 5 2 5 5 2 1 8 0 0 0 0 0 0 0 0 0 0 224 295 483 228 159 382 241 274 184 320 3 3 6 4 2 0 3 4 2 2 -19.26 -17.35 -16.03 -15.68 -14.00 -13.38 -12.15 -11.52 -11.09 -10.95 NSC121146 NSC243619 NSC324063 NSC90568 NSC371456 NSC42370 NSC631816 NSC103522 NSC624460 NSC371140 -0.7 -4.35 -1.42 1.46 2.49 2.62 1.12 5.33 2.55 -0.06 5 0 8 7 2 2 5 5 5 2 11 10 14 7 8 10 7 6 6 9 -2 -4 -1 0 0 -1 0 0 0 0 400 302 467 258 384 337 312 442 305 305 9 6 9 3 6 4 3 4 3 6 -32.43 -30.57 -28.99 -26.01 -25.94 -25.62 -25.56 -25.47 -25.30 -25.26 NSC83458 NSC138120 NSC658245 NSC152085 NSC138115 NSC82526 NSC694478 NSC704636 NSC657774 NSC407491 1.26 8.12 -1.12 2.55 7.77 0.54 2.41 2.98 8.01 2.24 6 1 5 8 1 6 5 2 0 1 10 3 11 5 3 10 9 10 6 6 2 0 2 2 0 2 0 -1 2 0 493 506 468 298 417 465 394 598 471 243 4 3 8 3 3 4 7 6 5 3 -27.71 -26.40 -26.31 -25.86 -25.63 -25.42 -25.35 -25.31 -24.91 -24.77 HHnet molecular rotatable donors acceptors charge weight bonds Score All compounds were requested from the NCI/DTP for in vitro testing. Active compounds are highlighted. The top ten scoring compounds of each site share some general characteristics. Site 1 clearly selected for smaller uncharged compounds with relatively few hydrogen bond donors and acceptors. Site 2 favored neutral or negatively charged compounds and Site 3 seems to have MS# 108944 11 favored positively charged compounds. Several compounds in sites 2 and 3 meet Lipinski criteria less conservatively. The shared characteristics of these compounds likely reflect the properties of the sites selected for virtual screening and it appears site 1 is better fit for the ligation of a drug-like molecule. * Not available from the NCI. **Information not available. MS# 108944 12 Supplemental Figure S1 a 225 mmHg 200 SHR * 175 XNT vehicle 150 WKY 125 b 0 3 5 10 15 20 4 d 4000 Dose (ng/Kg) 0 MAP (mmHg) 1 2 Weeks 25 -30 30 * -60 WKY mmHg/sec 100 -1 e 10 15 20 25 30 -30 * -60 SHR mmHg/sec MAP (mmHg) 1000 SHR Dose (ng/Kg) 5 MS# 108944 * 2000 0 0 -90 3000 0 -90 c + dP/dt 10 20 30 40 Time (minutes) - dP/dt 4000 3000 2000 * 1000 SHR 0 0 10 20 30 40 Time (minutes) 13 Supplemental Figure S2 MS# 108944 14 Figure Legends Supplemental Figure S1: Functional effects of chronic infusion of XNT. Nine rats in each group were fitted with osmotic minipumps and infused with vehicle (black bullets) or XNT at 60 µg/day (white bullets). Indirect blood pressure (BP) was monitored as described in Methods. (a) Effect of chronic XNT infusion in BP of SHR and WKY rats. The decrease of BP started at the first week of infusion and it achieved the maximal decrease by the third week in SHR (p<0.05 n=9). (b, c) Effect of BK on BP in WKY (b) and SHR (c). After 28 days of XNT infusion, as described previously, rats were injected with the indicated doses of BK and BP was monitored as described in Methods. The BK effect was more pronounced in hypertensive rats. XNT treatment potentiated the BK hypotensive effect in both strains. (d, e) Cardiac function in isolated hearts from XNT-treated SHR. Chronic infusion of XNT resulted in an increase (n=8) in (d) + dP/dt and (e) - dP/dt in the SHR. *p<0.05 and *** p<0.001 compared with vehicle-infused rats (n=6). Supplemental Figure S2: Effects of XNT on cardiac and renal fibrosis: representative images. Heart and kidney were sectioned and stained with Sirius Red and examined. A significant increase in myocardial (b) and perivascular (e) fibrosis was seen in the SHR compared with the WKY rat (a,d). XNT treatment reduced this fibrosis (c,f). Increased fibrosis in the SHR kidney (h) compared to the WKY kidney (g) was also diminished by XNT treatment (i). MS# 108944 15