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TP219 acts as a selective inhibitor of in vitro enterovirus replication by indirectly targeting morphogenesis Hendrik Jan Thibaut1, Bert Thys2, Lonneke van der Linden3, Maria-Dolores Canela4, Mathy Froeyen1, Leire Aguado4, Jan Paeshuyse1, Armando De Palma1, Bart Rombaut2, María-Jesús Pérez-Pérez3, Frank van Kuppeveld2 and Johan Neyts1 Rega Institute for Medical Research, University of Leuven, Belgium, 2Vrije Universiteit Brussel, MICH, Dept. Pharmaceutical Biotechnology & Molecular Biology, Brussel, Belgium, 3Department of Medical Microbiology, Radboud University Nijmegen Medical Centre, Nijmegen Centre for Molecular Life Sciences, 4Instituto de Química Médica (CSIC), Madrid, Spain 1 ABSTRACT We identified a class of 9-arylpurines as selective inhibitors of the replication of CVB3 and several CVAs. Analogue TP219 [9-(3-acetylphenyl)-6-chloropurine], was selected for further studies. First, we demonstrated that TP219 inhibits virus-induced CPE formation, without affecting (i) viral RNA synthesis, (ii) polyprotein synthesis/processing or (iii) the formation of replication vesicles. In addition no infectious virus particles were detected in TP219-treated infected cells, suggesting that the drug interferes with the formation of novel infectious viral progeny. TP219-resistant (TP219res) CVB3 was selected by serial passaging in increasing sub-optimal concentrations of TP219. TP219res CVB3 carries several mutations in VP1 (T77M, V150I and N212S) and VP3 (A180T). By means of reverse genetics it was shown that T77M is sufficient for the drug-resistant phenotype. Analysis of the structural model of the CVB3 capsid revealed that T77M (and the other mutations) are located at the interface of two protomers, suggesting that the molecule may prevent (by targeting directly or indirectly this region) viral morphogenesis. To determine at which step during this process the compound interferes, we determined the effect by means of sucrose gradient ultracentrifugation and SDS-PAGE on the presence of different assembly intermediates. The data suggest that TP219 prevents protomer:protomer interactions. Interestingly, the T77M mutant proved cross-resistant with L-BSO (buthionine sulfoximine), a known inhibitor of glutamate-cysteine ligase enzyme which is key in the glutathione (GSH) metabolism. Addition of GSH-reduced-ethyl-ester (GEE) to the culture supernatant reversed the antiviral effect of TP219 (as was evident from a rescue of the formation of infectious virus particles). Next, we demonstrated that TP219 reduces rapidly and efficiently intracellular levels of GSH. This was corroborated by the observation that TP219 and GSH, when incubated in cell free conditions, form an adduct via a covalent bond. The effect of an oxidizing environment (as a result of the depletion of intracellular GSH) on VP1, and more specifically on T77, is currently being explored by means of MALDI-MS and nanoLC-MS. Oxidation of T77 may possibly be detrimental for protomer:protomer interaction. Taken together, TP219 provides a most exciting tool to obtain insights into a poorly understood part of enterovirus replication. [Fig 7] IDENTIFICATION OF 9-ARYL PURINES [TABLE1]. ANTI-COXSACKIEVIRUS B3 EVALUATION OF A SERIES OF RELATED ANALOGUES R1 R2 R3 EC50 (µM) ± CC50 (µM) ± SD SD TP186 H CH2OH H 14.2 ± 3.9 158 ± 23 TP219 H COCH3 H 7.3 ± 2.3 206 ± 14 TP276 CH3 COCH3 OH 6.7 ± 2.1 >250 TP279 271 573 104 [Fig 7] HPLC separation of TP219 and/or GEE directly coupled to ES-MS analysis was performed to identify this new fraction. These data suggest a covalent non-enzymatic coupling of TP219 with GEE resulting in the formation of an adduct and may provide an explanation on the rapid depletion of intracellular GSH levels. 104 287 158 444 C(CH3)2OH CH3 [Fig 6] HPLC separation of TP219 and/or GEE. Detection of TP219 or GEE at 254nm or 230nm respectively. Upon co-incubation peak intensities of TP219 and GEE decreases, whereas a new fraction appears that has a retention time different than that of TP219 and GEE. % [FIG1]. IDENTIFICATION OF A LEAD COMPOUND WITH ANTICOXSACKIEVIRUS B3 ACTIVITY 271 100 H 8.0 ± 287 159 >250 3.4 574 444 378 575 0 [TABLE2]. ANTIVIRAL EVALUATION OF MOST POTENT COMPOUNDS AGAINST A PANEL OF PICORNAVIRUSES [Fig 1]. In a large screening effort, using an MTS-based cell protection assay 9-(3methoxyphenyl)-6-chloropurine [TP186] was discovered to exhibit antiCoxsackievirus B3 activity. Percentage CPE was calculated and antiviral activity was expressed as EC50. Virus Strain Cell line IC50[µM] EV-A CVA16 G-10 MRC-5 2.7 0.76 239 EV71 BrCr Hela >100 114 14 12 CVA9 Bozek Hela >100 114 14 10 CVB3 Nancy Vero 7.3 2.3 Hela > 100 Echo9 EV-C EV-D Hill 3.3 1.2 RD > 100 PV1 Sabin Vero >100 CVA21 Coe MRC-5 4.5 1.6 RD > 100 239 >250 239 4 2.7 0.87 239 4 EV-68 Clinical MRC-5 ND 239 4 hRV-B #5 Hela / Theilovirus >100 Hela [Table 1]. Using TP186 as a scaffold, 56 structurally related analogues were synthesized and evaluated for anti-Coxsackievirus B3 activity and cellular toxicity. TP219, TP276 and TP279 were identified as having the best potency. 4 MRC-5 / 114 >100 114 Mengovirus BHK-21 >100 / Saffold virus Hela >100 / [Table 2]. TP219 and TP276 were subsequently evaluated for antiviral activity against a panel of enteroviruses. Antiviral and cell dependent activity was demonstrated for CVA16, CVA21, CVA24 and for echovirus 9. Cellular toxicity was determined in three different cell lines, as assessed with the MTS-method and luminescence (data not shown). 14 14 [Fig 2] [Fig 3A] Enviroxime - + TP219 6 TP219 TP219 5 [Fig 8B] + - [Fig 3B] - 14S 6 2 2 1 0 0 3 5 7 9 11 13 15 17 19 21 23 25 75S 1 27 [Fig 8C] 18 [Fig 8]. To analyze the effect of BSO and TP219 on the different assembly intermediates, metabolically labeled viral proteins were separated on sucrose gradients. Equal volumes of control and treated cell extracts were fractionated over 5–20% (A and C) or 15–30% (B and D) sucrose gradients. Following TCA precipitation, aliquots were counted by liquid scintillation and expressed as normalized CPM. Both TP219 and BSO prevented the formation of 150S, 75S and 14S assembly intermediates. 150S 3 4 1 Viruscontrol Viruscontrol TP219 TP219 4 Viruscontrol 16 Viruscontrol L-BSO 14 TP219 12 3 5 7 9 11 13 15 17 19 21 23 [Fig 8D] Viruscontrol Viruscontrol L-BSO 10 [Fig 9]. To analyze intensities of 5S and 14S intermediates in the presence of absence of TP219 [Fig 9A] and BSO [Fig 9B]. Following immunoprecipitation (using a polyclonal anti-enterovirus antibody), fractions of 5-20% sucrose gradients were counted by liquid scintillation and expressed as normalized CPM. In the presence of TP219 or BSO, no 14S assembly intermediates could be observed whereas 5S peak intensities were only slightly reduced. Additional assembly intermediates appeared between 5S and 14S. TP219 12 8 10 6 8 6 4 4 2 0 0 1 3 5 7 9 11 13 15 17 19 21 23 + 25 5 7 9 11 13 15 17 19 21 23 25 Fraction Number VP2 17 19 181.8 115.5 P2-P3 23 92.2 25 64.2 27 48.8 P2 2BC3AB 37.1 VP0/2C VP1 29 VP3 31 -1 0 1 2 3 4 5 6 7 25.9 VC 19.4 19.0 Fig 2. To define the stage in the viral replication cycle at which TP219 2A exerts its antiviral activity, time of drug addition studies were performed. 8 hours post infection intracellular viral RNA was quantified by means of RT-qPCR (expressed as Ct-values). No inhibition of viral RNA replication was observed after a single replication cycle (8 h) when added at any given time point. Enviroxime was used as a control and acts at a stage in the replication cycle that coincides with viral RNA synthesis. 5 10000 4 1000 3 100 2 10 1 1 0 VC TCA precipitation TP219 TCA precipitation 18 16 18 14 16 14 16 14 12 12 10 10 8 8 6 6 11 13 15 17 19 21 23 25 8 8 6 6 2 2 0 0 0 0 9 10 2 2 7 12 10 4 4 5 14 12 4 4 3 20 1 27 3 5 7 9 11 13 15 17 19 21 23 25 27 Fraction Number Renilla Luciferase VPg VP4 VP2 VP3 VP1 2A 2B 2C 3A VPg 100000 TP219 immunoprecipitation 16 IRES 6 Virus titers [Log TCID50/ml] 1000000 BSO TCA precipitation VC immunoprecipitation 18 1 [Fig 4] VC TCA precipitation [Fig 9B] 20 18 The effect of TP219 on protein synthesis and processing was monitored using Western Blot (targeting VP1) [Fig 3B] and pulselabeling experiments [Fig 3A]. TP219 has no effect on polyprotein processing. BSO immunoprecipitation Normalized c.p.m. after TCA P2-3ABC/P1 P3 P2-3AB/3CD VC immunoprecipitation Normalized c.p.m. after immunoprecipitation [Fig 9A] Normalized c.p.m. after immunoprecipitation 21 Time of Addition [hours p.i.] Luciferase activity [8h post infection] Viruscontrol Viruscontrol 2 Normalized c.p.m. after TCA Reduction in intracellular viral RNA at 7 hours p.i. [Ct values] TP219 WORKS LATE IN THE REPLICATION CYCLE 15 5S 8 Clinical # 10 [Fig 8A] >250 CVA24 hRV-A Cardiovirus MRC-5 4 Normalized CPM after TCA precipitation EV-B CC50[µM] TP219 AFFECTS MORPHOGENESIS Species 3C 3D AAAAAAA 5’ UTR 3’ UTR [Fig 4]. The effect of TP219 (50µM) on RNA replication was monitored using a CVB3 expressing a Renilla luciferase (RLuc-CVB3). Virus yields were determined by endpoint titration according to the method of Reed and Muench and expressed as 50% tissue culture infective doses (TCID50). GuaHCl (inhibits viral RNA replication) and Geldanamycin (inhibits morphogenesis by targeting Hsp90) are used as controls. TP219 has no effect on RNA replication, but inhibits the production of mature virions VIRAL RESISTANCE TO TP219 Three independent TP219-resistant CVB3-clones were generated by serially passaging wildtype CVB3 in the presence of increasing concentrations of the compound [Fig 10]. [Fig 10] [Fig 11A] Phenotype Virus Strain EC50 [µM] (fold change) wildtype 7.3 2.3 (1) TP219r >100 (>13.7) TP219 DEPLETES INTRACELLULAR GSH [Fig 5A] [Fig 5B] 10 TP219 Untreated Control Nucleotide L-BSO LOG10 TCID50/ml GSH per well [µM] 8 Data are mean values ± SD for three independent experiments as determined by a MTS-based CPE-reduction assay 6 4 2 8 6 4 2 0 0 0h 1h 3h 6h 24h 48h Env TP219 GEE GEE GEE GEE GEE GEE (5µM) (50µM) (0,5mM) (1mM) (2mM) (5mM) (10mM) (10mM) 72h Time point [hours post incubation] protein AA Substitution Substitution Position Pool VP3 K115R AAG AGG 1337 2 VP3 A180T GCT ACT 1531 1 VP1 T77M ACG ATG 1937 1,2,3 VP1 V150I GTA ATA 2155 3 VP1 N212S AAC AGC 2342 2 2A E54K GAG AAG 2797 1,2 2A E59V GAA GTA 2813 1,2 3A I22V ATT GTT 4348 1,2 3A K39R AAA AGA 4400 1,2 WT - + TP219 50µM [Fig 6] Cl TP219 N N TP219 254nm N New 254nm TP219 N [Fig 11B] [Table 3]. Amino acid mutations identified in 3 independently generated TP219-resistant variants VC The effect of TP219 and BSO on glutathione (GSH) depletion was quantified in a luminescence-based system in which GSH-dependent conversion of a GSH probe (Luciferin-NT) to luciferin by GST is coupled to a firefly luciferase reaction. TP219 reduces efficiently and rapidly intracellular GSH levels, in a way different than that of BSO [Fig 5A]. Addition of GSH-reduced-ethyl-ester (GEE) reversed the antiviral effect of TP219 (as was evident from a rescue of the formation of infectious virions) [Fig 5B]. [Fig 11A] PDB1-based structure as determined with X-ray diffraction (1COV) of a single pentamer of CVB3, which consists of one copy of VP1 (yellow), VP2 (green), VP3 (blue). Identified amino acids are labeled in red and are located on VP1:VP3 interace + α-Tubulin T77M - + On membrane trypsinisation Analysis with nanoLC-MS α -VP1 [Fig 12] [Fig 12] Mass spectometry analysis to determine the effect of TP219-induced oxidative stress on wild type and mutant VP1 [Fig 11B] Ligplot analysis of possible interaction partners of Thr-77 based on 1COV. Thr-77, a solvent exposed residue, interacts with Tyr-75 (van der Waals). Tyr-75 might be implicated in stabilization of the antiparallel β-sheets through aromatic stacking with Trp-90. Theoretically, oxidation of Thr-77 could be detrimental for this process. H3C CONCLUSIONS O GEE (2 mM) + TP219 (10 µM) pH 7.4 , 37 ºC GEE GEE 230nm 230nm GEE Retention Time [min] Retention Time [min] TP219 does not affect entry, RNA replication or polyprotein processing, but targets morphogenesis TP219 depletes very rapidly intracellular glutathione levels in way different than that of L-BSO TP219 may form covalent bonds with glutathione TP219 may interfere with protomer > pentamer assembly intermediates TP219-resistant CVB3-clones were generated. T77M and A180T/N212S/V150I mutations in VP1 and VP3 were identified in the drug-resistant phenotype. 1. Identified mutations are located on the VP1-VP3 interface 2. NanoLC-MS experiments are optimized to determine possible oxidation of VP1 3. Oxidation of Thr-77 might be affecting the stability of pentamers Wallace A C, Laskowski R A and Thornton J M (1995). LIGPLOT: A program to generate schematic diagrams of protein-ligand interactions. Prot.Eng 8,127-34.