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Selective BET bromodomain inhibition as an antifungal therapeutic strategy PDF

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Preview Selective BET bromodomain inhibition as an antifungal therapeutic strategy

ARTICLE Received4Oct2016 |Accepted 31 Mar2017 |Published 18May 2017 DOI:10.1038/ncomms15482 OPEN Selective BET bromodomain inhibition as an antifungal therapeutic strategy Flore Mietton1,2,*, Elena Ferri3,*, Morgane Champleboux1,*, Ninon Zala1, Danie`le Maubon4,5, Yingsheng Zhou3, Mike Harbut6, Didier Spittler2, Ce´cile Garnaud4,5, Marie Courc¸on1, Murielle Chauvel7, Christophe d’Enfert7, Boris A. Kashemirov3, Mitchell Hull6, Muriel Cornet4,5, Charles E. McKenna3, Je´roˆme Govin1 & Carlo Petosa2 Invasive fungal infections cause significant morbidity and mortality among immunocompro- mised individuals, posing an urgent need for newantifungal therapeutic strategies. Here we investigate a chromatin-interacting module, the bromodomain (BD) from the BET family of proteins,asapotentialantifungaltargetinCandidaalbicans,amajorhumanfungalpathogen. WeshowthattheBETproteinBdf1isessentialinC.albicansandthatmutationsinactivatingits two BDs result in a loss of viability in vitro and decreased virulence in mice. We report small-moleculecompoundsthatinhibitC.albicansBdf1withhighselectivityoverhumanBDs. CrystalstructuresoftheBdf1BDsrevealbindingmodesfortheseinhibitorsthataresterically incompatible with the human BET-binding pockets. Furthermore, we report a dibenzothia- zepinone compound that phenocopies the effects of a Bdf1 BD-inactivating mutation on C. albicans viability. These findings establish BET inhibition as a promising antifungal therapeutic strategy and identify Bdf1 as an antifungal drug target that can be selectively inhibited without antagonizing human BETfunction. 1InstitutdeBiosciencesetBiotechnologiesdeGrenoble,LaboratoireBiologiea`GrandeE´chelle,Universite´deGrenobleAlpes,CEA,Inserm,38000Grenoble, France.2InstitutdeBiologieStructurale(IBS),Universite´deGrenobleAlpes,CEA,CNRS,38044Grenoble,France.3DepartmentofChemistry,Danaand DavidDornsifeCollegeofLetters,ArtsandSciences,UniversityofSouthernCalifornia,UniversityParkCampus,LosAngeles,California90089,USA. 4LaboratoiredeParasitologie-Mycologie,InstitutdeBiologieetPathologie,CHUGrenobleAlpes,38043Grenoble,France.5LaboratoireTIMC-IMAG- TheREx,UMR5525CNRS,Universite´GrenobleAlpes,38058Grenoble,France.6CaliforniaInstituteforBiomedicalResearch,11119NTorreyPinesRd, LaJolla,California92037,USA.7Unite´BiologieetPathoge´nicite´Fongiques,InstitutPasteur,INRA,75015Paris,France.*Theseauthorscontributedequallyto thiswork.CorrespondenceandrequestsformaterialsshouldbeaddressedtoC.E.M.(email:[email protected])ortoJ.G.(email:[email protected]) ortoC.P.(email:[email protected]). NATURECOMMUNICATIONS|8:15482|DOI:10.1038/ncomms15482|www.nature.com/naturecommunications 1 ARTICLE NATURECOMMUNICATIONS|DOI:10.1038/ncomms15482 I nvasive fungal infections are a major global health concern, inFig.1a.TheBDsfromC.albicansBdf1(CaBdf1)share31–46% with B2 million cases and 4800,000 deaths estimated sequence identity with human BET BDs and 58–66% identity annually worldwide1. Candida species such as C. albicans with those from ScBdf1 and hence are likely to bind multi- and C. glabrata are among the most significant human fungal acetylatedH3andH4tails(Fig.1b).Toverifythishypothesis,we pathogens, with invasive candidiasis yielding 30–40% purifiedrecombinantCaBdf1BD1andBD2andassessedbinding mortality2,3. An increase in drug-resistant fungal strains and to a microarray of human histone tail peptides bearing diverse the limited repertoire of available drugs has led to an urgent post-translational modifications. While H2A and H2B tail need for novel therapeutic agents1,4–6. Promising results have sequences differ considerably between human and C. albicans, emerged from the study of chromatin-interacting proteins as thoseofH3andH4arenearlyperfectlyconserved,justifyinguse antifungal targets, including histone acetyltransferases and of the array (Fig. 1c). As expected, CaBdf1 BDs showed weak deacetylases7,8. Histone deacetylase inhibitors have weak binding to mono-acetylated peptides and stronger binding to antifungal activity when used alone but synergize with antifungal peptides bearing two or more acetylation marks (Fig. 1d,e and drugs such as azoles and echinocandins8,9. Deletion of either the Supplementary Data 1). Of the two BDs, BD1 exhibited more histone deacetylase (HST3) or histone acetyltransferase (RTT109) promiscuous binding, recognizing 14 distinct H3 and H4 regulating histone H3 Lys56 acetylation (H3K56ac) in C. albicans acetylation patterns, versus only 7 for BD2. We replaced a con- increases susceptibility to genotoxic and antifungal agents10. In a served tyrosine residue in the binding pocket of each BD by studyoftheMediatorcomplexsubunitMed15,whichinteractsvia phenylalanine, a mutationknownto compromise ligand binding its KIX domain with a transcription factor (Pdr1) implicated in in ScBdf1 (refs 22,23) (Supplementary Fig. 1a,b). These two ‘YF’ pleiotropic drug resistance in C. glabrata, drug-resistant strains mutations(Y248FandY425F)abolishedbindingtoallacetylated were re-sensitized to antifungals by a small-molecule inhibitor peptides, confirming interaction specificity (Fig. 1d,e). For both targetingtheKIXdomain–Pdr1interface11.Thesefindingspointto BD1 and BD2, the strongest binding was observed with an H4 animportantroleofchromatin-interactingproteinsinfungaldrug peptide tetra-acetylated on lysines 5, 8, 12 and 16 (hereafter susceptibility. denoted H4ac4). A pull-down assay confirmed H4ac4 peptide Here we investigated an epigenetic reader module, the recognition by both BDs, which was abolished by the YF bromodomain (BD) from the bromo- and extra-terminal domain mutation (Fig. 1f). Interestingly, CaBdf1 BD1 and BD2 bound (BET) family, as a potential antifungal target in C. albicans. BET tetra-acetylated H4 peptides with comparable strength (Fig. 1e), proteins are chromatin-associated factors that regulate transcrip- in contrast with mammalian Brd2, Brd4 and Brdt, which bind tion and chromatin remodelling12. Human BET family members tetra-acetylatedH4moretightlythroughBD1thanthroughBD2 are Brd2, Brd3, Brd4 and Brdt. BET proteins bind chromatin (refs 13,14), highlighting a certain redundancy in the ligand- through their two BDs (BD1 and BD2), which specifically binding activity of the two CaBdf1 BDs. recognize histones acetylated on lysine residues. Whereas canonical BDs bind mono-acetylated histone peptides, BET BDs possess a wider ligand-bindingpocketallowingthem torecognize Bdf1BDfunctionalityisessentialinC.albicans.Wenextasked diacetylated peptides13,14. Small-molecule inhibitors, such as JQ1 whether Bdf1 BD function is important for the viability of and IBET, which selectively target BET BDs have been used to C. albicans. Although a heterozygous BDF1 deletion mutant validate BET inhibition as a therapeutic strategy against cancer, generated in strain SN152 (derived from SC5314) exhibited no cardiovascular disease, inflammatory disorders and other medical significant phenotype, we were unable to obtain a homozygous conditions,withseveralinhibitorscurrentlyinclinicaltrials12,15–21. bdf1D/D mutant, suggesting that BDF1 is essential. To confirm ThefungalBETproteinBdf1hasbeencharacterizedasaglobal essentialityweplacedtheremainingalleleoftheBDF1geneinthe transcriptional regulator in Saccharomyces cerevisiae, where it heterozygous strain under the control of a conditional promoter regulates over 500 genes22. S. cerevisiae Bdf1 (ScBdf1) associates and evaluated survival under repressive conditions. We used with acetylated histones H3 and H4 (refs 22–24) and with the either a methionine-repressible promoter or a newly engineered general transcription factor TFIID25, and is a subunit of the tetracycline (Tet)-regulatable cassette compatible with animal SWR1 chromatin remodelling complex24,26,27. ScBdf1 is also studies. Tet-dependent gene expression in C. albicans is usually important for chromatin compaction during sporulation28 and achieved by integrating a chimeric transactivator protein and a for the salt stress response29. In addition to BDF1, S. cerevisiae Tet-responsive promoter independently into the genome33,34. possesses a second BET gene, BDF2, which is partly functionally Hereweconstructedacassetteallowingintegrationofallrequired redundant with BDF1 (refs 24,25,30,31). Disruption of BDF1 components in a single step. The cassette contains the causesseveremorphologicalandgrowthdefects,whiledeletionof transactivator (TetR-VP16), a selective marker (ARG4) and both BDF1 and BDF2 is lethal22,23. Point mutations that abolish seven tandem Tet-operator elements, which we inserted ligand binding by ScBdf1 BD1 and BD2 cause growth and upstream of the BDF1 open reading frame (ORF) to generate sporulationdefects24andaffectthemajorityoftranscriptsaltered strain Dbdf1/pTetO-BDF1 (Fig. 2a). Immunoblotting with a by disruption of the entire gene22. Many pathogenic fungal polyclonal antibody developed in this study to allow specific species (including C. albicans, C. glabrata, Aspergillus fumigatus, CaBdf1detection(Supplementary Fig. 1c,d)confirmedthatBdf1 Cryptococcus neoformans and Pneumocystis jirovecii) lack BDF2, was expressed from the pTetO promoter in the absence of suggesting that inhibition of the sole BET family protein Bdf1 doxycycline (Dox), albeit at a weaker level than from the might significantly reduce viability and virulence32. endogenousBDF1promoter,andwaseffectivelyrepressedinthe HerewedemonstratethatBdf1BDfunctionalityisessentialin presenceofDox(Fig.2b).Strikingly,thegrowthofstrainDbdf1/ C.albicansandidentifysmall-moleculeinhibitorsthattargetBdf1 pTetO-BDF1 mirrored these expression levels: compared to wild BDs without inhibiting human BET proteins, establishing Bdf1 type (WT), growth was reduced in the absence of Dox and inhibition as a potential antifungal therapeutic strategy. abrogatedinitspresence(Fig.2c).Thephenotypewasrescuedby re-introducingafunctionalcopyofBDF1(strainBDF1-R/pTetO- BDF1), confirming that BDF1 is essential in C. albicans. Results ToverifytheimportanceofBDfunctionforfungalgrowth,we C. albicans Bdf1 BDs bind multi-acetylated histone tails. generatedstrainsinwhichoneorbothBdf1BDswereinactivated AphylogenetictreeofhumanandfungalBETproteinsisshown by domaindeletion orbytheYFpointmutationwhiletheother 2 NATURECOMMUNICATIONS|8:15482|DOI:10.1038/ncomms15482|www.nature.com/naturecommunications ARTICLE NATURECOMMUNICATIONS|DOI:10.1038/ncomms15482 a b % identity within BD1 Human BET paralogs human S.cer C.alb C.gla Bromodomains Extra-terminal domain Brd2 Brd3 Brd4 Brdt Bdf1 Bdf1 Bdf1 BBrdr4d3 11 22 726 1,362 within BD2 Human BBBBrrrrdddd234t 887-212- 887-711- 787-914- 777-443- 33335253 33331121 33335341 Brd2 1 2 801 entity SC..caelbr BBddff11 3494 3482 4404 4416 5-8- 6-6- 8641 Brdt 1 2 947 % id C.gla Bdf1 40 38 37 38 71 57 -- c Fungal Bdf1 orthologs 686 10 20 30 S. cerevisiae 1 2 H2A C. glabrata 732 C. albicans 1 2 H2B A. fumigatus Y248 Y425 C. gattii H3 C. neoformans P. jirovecii H4 e d BD1 BD2 CaBdf1-BD1 CaBdf1-BD2 Acetylation Spot wt YF wt YF 4 9 1418 27 36 1..4..7..10..13..16..19..22.. 1. .4. .7. .10. .13. .16. .19. .22. . H3ac0 None A1 1 19 A- 4 A9 - D 9 A16 -- H3ac1 14 A19 G- 18 J11 7 26 wt - 27 K3 16 35 J - 36 L11 26 45 - M 4/9 F3 -- H3ac2 9/14 D4 P 14/18 J14 581216 A - H4ac0 None L12 1 19 - D 5 L16 -- 8 L17 % intensity YF G- H4ac1 12 L18 45–100 J- 16 L19 15–45 -- 5/8 M3 5–15 M- H4ac2 8/12 M4 2–5 - 8/16 M5 0–2 P 12/16 M6 5/8/12 M11 Control H4 H4ac3 8/12/16 M12 Peptides: H3 – + ac0 ac4 H4ac4 5/8/12/16 M17 H4 wt BD1 f H2A Mut YF Input Bound H2B wt CaBdf1 Brd4 CaBdf1 Brd4 BD2 wt YF wt wt YF wt Controls Mut YF BD1 BD2 H4ac0 – – – + – + – + – H4ac4 – – – – + – + – + 1 2 3 4 5 6 7 8 9 Figure1|CaBdf1BDsbindmulti-acetylatedhistonetails.(a)PhylogenyanddomainorganizationoffungalBdf1andhumanBETproteins.Theneighbour- joiningtreebasedonanalignmentofBETproteinsequenceswasgeneratedusingprogramsClustalXandNJPlot.(b)Sequenceidentityamonghumanand fungalBETBDs.(c)Human(Hs)andC.albicans(Ca)histonetailsequences.(d)BindingofWTandmutant(YF)CaBdf1BDstoahistonepeptide microarray.Thearraycomprisedcontrolpeptides(greyoutline)orN-terminalpeptidesfromhistonesH3,H4,H2AandH2B(blue,cyan,darkorangeand lightorangeoutlines,respectively).Signalsforbackgroundandpositive-bindingcontrols(boxedinlightanddarkgreen)orforH4ac0andH4ac4peptides (boxedinmagentaandpurple)areshownmagnifiedbelowthearray.MicroarraydataaresummarizedinSupplementaryData1.(e)Bindingintensitiesfor H3andH4peptides.Peptidesareshownasblue(H3)andcyan(H4)rectangles,withacetylationmarksindicatedbyblackboxes.(f)Pull-downassay. ImmobilizedH4ac0andH4ac4peptideswereincubatedwithGST-taggedCaBdf1BDsorwiththecorrespondingYFmutants.Afterwashing,boundproteins wereelutedandvisualizedbywesternblottingwithananti-GSTantibody.ThefullblotsareshowninSupplementaryFig.13a. NATURECOMMUNICATIONS|8:15482|DOI:10.1038/ncomms15482|www.nature.com/naturecommunications 3 ARTICLE NATURECOMMUNICATIONS|DOI:10.1038/ncomms15482 a b – Dox ‡ = pTetO-BDF1 ON WT bdf1Δ / ‡ BDF1-R / ‡ ARG4 TetR - VP16 TetO x7 BDF1 Dox: – + – + – + Single step insertion Bdf1 + Dox( ) H4 OFF ARG4 TetR - VP16 TetO x7 BDF1 c e – Dox + Dox pTetO ON pTetO OFF BD1BD2 WT – Dox (pTetO ON) + Dox (pTetO OFF) bdf1Δ / ‡ OD at 600 nm BDF1-R / ‡ 0 0.5 1 d WT BDF1-R / ‡ bdf1Δ / ‡ BDF1-R / ‡ bdf1-bd1Δ / ‡ bdf1Δ / ‡ bdf1-bd1Δ / ‡ *** *** bdf1-bd2Δ / ‡ bdf1-bd2Δ / ‡ bdf1-bd1Δ-bd2Δ / ‡ bdf1-bd1Δ-bd2Δ / ‡ *** bdf1-Y248F / ‡ BDF1-R / ‡ bdf1Δ / ‡ bdf1-Y425F / ‡ bdf1-Y248F-Y425F / ‡ bdf1-Y248F / ‡ ‡ = pTetO-BDF1 bdf1-Y425F / ‡ bdf1-Y248F-Y425F / ‡ ‡=pTetO-BDF1 Y248F Y425F f g – Dox (pTetO ON) + Dox (pTetO OFF) + Dox (pTetO OFF) *** *** * ** 106 106 –1g) –1g) U ** U CF 104 CF 104 d ( d ( a a o o gal l 102 gal l 102 n n u u F F 1 1 Dox: – + – + – + WT bdf1Δ BDF1 bdf1 bdf1 WT bdf1Δ / ‡ BDF1-R / ‡ / ‡ -R / ‡ -bd1Δ -Y248F -bd2Δ -Y425F ‡ = pTetO-BDF1 / ‡ / ‡ ‡ = pTetO-BDF1 Figure2|Bdf1BDsareessentialforC.albicansviabilityandvirulence.(a)Tet-OFFconstructusedinthisstudy.DoxinhibitsthebindingofTetR-VP16to theTetO,preventingBDF1transcription.(b)Bdf1proteinexpressionindifferentstrains.ThefullblotsareshowninSupplementaryFig.13b.(c,d)Colony formationassaysshowingtheeffectof(c)Bdf1repressionand(d)Bdf1BDinactivationongrowth.Thisexperimentwasrepeatedthreetimeswithsimilar results.(e)Growthassaysinliquidmedia.Anequalfungalloadwasseededforeachstrainandgrowthmonitoredbyopticaldensityat600nm.Meanand s.d.valuesareshownfromthreeindependentexperiments.***Pr0.01.Pvaluesweredeterminedinatwo-sidedWelcht-test.(f)Kidneyfungalloadof miceinjectedwithstrainsshownin(c)measured7dayspostinfection,showingthatBdf1isrequiredforvirulence.Datashownaremeanands.d.values (n¼6).*Pr0.07;**Pr0.05.Pvaluesweredeterminedusingatwo-sidedWilcoxonranksumtestwithcontinuitycorrection.(g)Kidneyfungalloadof miceinfectedwithstrainsshownin(d),showingthelossofvirulenceonBDinactivation.Datashownaremeanands.d.values(n¼6).***Pr0.01;Pvalues weredeterminedusingatwo-sidedWilcoxonranksumtestwithcontinuitycorrection. 4 NATURECOMMUNICATIONS|8:15482|DOI:10.1038/ncomms15482|www.nature.com/naturecommunications ARTICLE NATURECOMMUNICATIONS|DOI:10.1038/ncomms15482 WTalleleisexpressedfromtheDox-repressiblepromoter.Strains BETiresistancebyCaBdf1isduetosmallerpocketresidues.To in which both BDs were inactivated grew as poorly as the identify features differentiating the ligand-binding pockets of conditional deletion mutant, whereas strains in which only BD1 humanandfungalBETBDs,wedeterminedcrystalstructuresfor or BD2 was inactivated displayed milder growth defects, with CaBdf1BD1andBD2(SupplementaryTable2).Thesestructures BD2 inactivation yielding the more pronounced defect (Fig. 2d). exhibit the canonical BD fold (comprising helices Z,A,B and C, Additionalassaysevaluatingstressresistanceorcellwallintegrity with the ZA and BC loops defining the ligand-binding pocket; did not reveal any significant phenotype. Growth rates in liquid Fig. 4a) and closely resemble those of their human BET coun- media recapitulated the phenotypes observed in the colony terparts (mean pairwise root-mean-square deviations (RMSDs) formation assay (Fig. 2e). Analogousresults were obtainedwhen r1.5Å; Supplementary Table 3). The ligand-binding loops are BDF1expressionwasrepressedusingthemethionine-regulatable structurally well conserved, including nearly all water molecules promoter (Supplementary Fig. 2). Thus, C. albicans viability implicatedinligandrecognition(SupplementaryFig.3),although invitrorequiresthepresenceofatleastonefunctionalBDwithin theoverallbindingsurfacesarelessnegativelychargedinCaBdf1 Bdf1. (Fig. 4b). Superimposing the CaBdf1 BD structures onto that of JQ1-boundBrd4BD1revealsnomajorstericclashesbetweenJQ1 and the fungal BDs. However, whereas JQ1 fits snugly into the Bdf1 BDs are required for virulence in a mouse model. Using Brd4-binding pocket, the fit with the CaBdf1-binding pockets is our Tet-OFF system for Dox-repressible Bdf1 expression, we poor.InBrd4thefusedringsystemofJQ1issandwichedbetween verified the role of Bdf1 in a murine model of invasive candi- the ‘WPF’ shelf (Trp81, Pro82 and Phe83) and Leu residues 92 diasis.Initially,micewereinjectedwitheitherWTC.albicans,the and 94, with the thiophene ring positioned within the ‘ZA conditional BDF1 deletion strain (bdf1D/pTetO-BDF1) or the channel’ defined by Trp81 and Leu92 (ref. 41). Replacement of rescue strain (BDF1-R/pTetO-BDF1). Mice injected with the WT Trp81 by a Val or Phe residue in CaBdf1 BD1 and BD2, or rescue strains exhibited a high fungal load respectively, widens the ZA channel, resulting in a poorer fit (4110,000CFUg(cid:2)1)inthekidney7dayspostinfection(Fig.2f). (black diamonds in Fig. 4c). Replacement of Brd4 residue Leu94 The fungal load observed with strain bdf1D/pTetO-BDF1 was reducedby30-fold(B3,500CFUg(cid:2)1)intheabsenceofDoxand by a Val or Ile residue further contributes to the poor fit. In addition, the p-chlorophenyl group of JQ1 occupies a groove in was abolished in its presence, mirroring the growth phenotypes Brd4, which is absent (BD1) or shallower (BD2) in CaBdf1 observed in vitro (Fig. 2c). Subsequently, we evaluated the viru- (asterisks in Fig. 4c). A similar lack of complementarity between lence of strains in which both Bdf1 BDs were deleted or inacti- theligandandbindingpocketexplainstheinsensitivityofCaBdf1 vatedbytheYFpointmutations(Fig.2g).Thesestrainsexhibited markedly reduced fungal loads (by B8,800- and 1,600-fold, BDs towards PFI-1, IBET-151 and bromosporine. More generally, recognition of the four BETi compounds by respectively), consistent with the in vitro growth rates associated human BET BDs involves 16 residues, including the eight withthesemutations(Fig.2d,eandSupplementaryFig.2).Hence, signatureresiduespreviouslyusedtoclassifyhumanBD-binding Bdf1 BD functionality appears critical for the virulence of sites42(Fig.5).FiveoftheseresiduesinBD1andfourinBD2are C. albicans in vivo. invariant across human BET proteins but diverge in CaBdf1 (magentaarrowsin Fig.5),including theWPF-shelf Trpresidue CaBdf1 BDs are resistant to human BET inhibitors. For Bdf1 and the Leu residue opposite this shelf, at signature positions inhibition to be a feasible antifungal therapeutic strategy, small- 1and3,respectively.Remarkably,nearlyalloftheseresidueshave moleculeinhibitorsneedtodiscriminatefungalfromhumanBET shorter side chains in CaBdf1 than in the human BET proteins, BDs.Toprobethesimilaritybetweentheligand-bindingpockets implying that selective CaBdf1 inhibition could conceivably be of C. albicans and human BET BDs, we asked whether human achievedviasmallmoleculesthatclashstericallywiththehuman, BET inhibitors (BETi) could inhibit CaBdf1 BDs. We used a butnotfungal,sidechains.Interestingly,otherpathogenicfungal homogeneous time-resolved fluorescence (HTRF) assay to eval- Bdf1 sequences also diverge from human BET proteins at these uate the ability of four chemically diverse BETi compounds residue positions, suggesting that selective chemical inhibition (JQ1,PFI-1,IBET-151andbromosporine)toinhibitBDbinding might also be feasible for these targets. to an H4ac4 peptide (Fig. 3a). The four compounds inhibited human Brd4 BD1 and BD2 with median inhibitory concentra- tions (IC values) in the low nM range (3–95nM), consistent CaBdf1BDscanbeselectivelytargetedbysmallmolecules.We 50 with previous reports16,35,36. In contrast, the CaBdf1 BDs were next set out to identify small-molecule inhibitors that would relativelyinsensitivetotheseinhibitors,withIC valuesbetween targetC.albicans Bdf1BDswithoutinhibitinghumanBETBDs. 50 0.3 and 410mM, or approximately a two- to threefold log- We used our HTRF inhibition assay to screen a library of reductioninsensitivity(Fig.3b).Theseresultswereconfirmedfor B80,000 chemically diverse compounds, resulting in several JQ1 by isothermal titration calorimetry (ITC): whereas JQ1 hundred hits for each BD (Fig. 6a). Dose–response curves mea- boundBrd4 BD1tightly(K of 62nM), nobindingwasdetected suredforCaBdf1andBrd4BDsidentified125and44compounds d for CaBdf1 BD1 or BD2 (Fig. 3c and Supplementary Table 1). selective for the fungal BD1 and BD2, respectively. In particular, None of the BETi compounds significantly inhibited growth of several compounds possessing a dibenzothiazepinone scaffold C.albicansinvitroat10mMconcentration(Fig.3d).Thisfinding exhibited low-micromolar IC values towards CaBdf1 BD1 and 50 isconsistentwiththepoorIC valuesobservedforJQ1andPFI- no or only weak inhibition of Brd4 BD1 at the highest 50 1 towards CaBdf1 BDs. It also indicates that IBET-151 and concentration(20mM)tested.Onesuchinhibitorwascompound bromosporine, which display (sub)micromolar IC values, have 1(Fig.6b).ITCmeasurementsshowedthat1bindsCaBdf1BD1 50 poor cellular potency, possibly due to mechanisms known to with a K of 5mM, consistent with the IC value (4.3mM) d 50 reducedrugpotencyinC.albicans,includingcellwallandplasma determined by HTRF, whereas no or only modest binding and membrane permeability barriers37,38 and the activity of efflux inhibitionweredetectedforBrd4BD1andCaBdf1BD2(Fig.6c,d pumpsleadingtorapiddrugextrusion39,40.Insummary,CaBdf1 andSupplementaryTable1).Furthermore,aBROMOscanscreen and human BET BDs have distinct BETi-binding activity, fromDiscoverXrevealedthatcompound1showednosignificant supporting the feasibility of targeting CaBdf1 BDs with highly activity against 32 representative human (BET and non-BET) selective small-molecule inhibitors. BDs (Supplementary Fig. 4); indeed, an ITC experiment NATURECOMMUNICATIONS|8:15482|DOI:10.1038/ncomms15482|www.nature.com/naturecommunications 5 ARTICLE NATURECOMMUNICATIONS|DOI:10.1038/ncomms15482 a c – BETi High FRET JQ1 + 0.2 Acceptor CaBdf1-BD1 ( ) Donor 0 BD Anti-GST –1s) 0.2 CaBdf1-BD2 ( ) al 0 c 0.4 μ hBRD4-BD1 ( ) SA GST P ( Δ 0.2 H4ac4 0 0 25 50 75 100 Time (min) + BETi Low FRET Acceptor J) 0 μn ( –2 o Donor Bd ecti –4 BETi GST at of inj ––68 NKd = = 612.0 ±0 1±6 0 n.0M3 e SA H –10 0 1 2 Molar ratio (JQ1 / protein) H4ac4 b O O NH N N S N NN N O O N N N H N N N S N N O O Cl O O O O O NH O NH O NH S JQ1 PFI-1 IBET-151 Bromosporine al 100 n g si RF 50 T H % 0 0.1 1 10 100 103 104 0.1 1 10 100 103 104 0.1 1 10 100 103 104 0.1 1 10 100 103 104 Inhibitor (nM) Inhibitor (nM) Inhibitor (nM) Inhibitor (nM) CaBFD1 BD1 >10,000 >10,000 303 ± 120 >10,000 IC valu5e0s " BD2 ~10,000 ~10,000 1470 ± 90 313 ± 2 (nM) hBRD4 BD1 18.7 ± 11.2 14.7 ± 3.3 2.9 ± 0.1 6.0 ± 0.7 " BD2 64.9 ± 8.1 94.8 ± 2.8 24.1 ± 1.1 16.5 ± 1.5 d 1.0 DMSO JQ1 m 00 n 0.5 iBET-151 6 Bromosporine D O PFI-1 0 WT BDF1-R / ‡ bdf1-bd1Δ /‡ bdf1-bd2Δ /‡ ‡ = pTetO-BDF1 Figure3|CaBdf1BDsareresistanttoBETi.(a)HTRFassay.Abiotinylatedtetra-acetylatedhistoneH4peptideisboundtostreptavidinbeadscoupledto thedonorfluorophore.AGST-taggedBDisboundbyananti-GSTantibodycoupledtotheacceptorfluorophor.PeptidebindingbytheBDresultsinFRET. TheadditionofaBETireducesFRET.(b)HTRFassaysperformedonBDsfromCaBdf1andhumanBrd4inthepresenceoftheindicatedBETi.Inhibition curvesareshownasclosed(BD1)andopen(BD2)circlesingreen(Brd4)andmagenta(Bdf1).IC valuesarelistedbeloweachgraph.Datarepresentthe 50 meanands.d.valuesfromthreeindependentexperiments.(c)RepresentativeITCexperimentsmeasuringthebindingofJQ1toCaBDF1BDs(magenta)and tohumanBrd4BD1(green).ThevaluesindicatedforK andNrepresentthemeanands.d.fromthreeindependentexperiments.SeealsoSupplementary d Table1.(d)BETinhibitorsdonotaffectC.albicansgrowth,evenwhenBdf1BD1orBD2isdeleted.Inhibitorsweretestedat10mMconcentration. ExperimentswereperformedinthepresenceofdoxycylinetorepressexpressionfromthepTetO-BDF1allele.Datarepresentthemeanands.d.valuesfrom threeindependentexperiments. 6 NATURECOMMUNICATIONS|8:15482|DOI:10.1038/ncomms15482|www.nature.com/naturecommunications ARTICLE NATURECOMMUNICATIONS|DOI:10.1038/ncomms15482 a b BD1 Brd4 BD2 Brd4 BD1 Brd4 BD2 CaBdf1 αB αB αZ αZ αA αA αC αC JQ1 JQ1 90° 90° CaBdf1 BD1 CaBdf1 BD2 αA αA αZ αZ αB αB αC αC c Brd4 BD1 CaBdf1 BD1 CaBdf1 BD2 L94 V245 I422 L92 Y139 F290 F467 W81 V232 F409 D145 G296 D473 40° 40° 40° L92 Y139 F290 F467 W81 V232 F409 D145 G296 D473 Figure4|StructuralbasisofBETiresistancebyCaBdf1BD1andBD2.(a)AlignmentofBD1(left)andBD2(right)structuresfromhumanBrd4 (green;PDBcodes3MXFand2OUO)andCaBdf1(magenta).Forclarity,the18and20N-terminalresiduesprecedinghelixaZareomittedfromtheBrd4 BD1andCaBdf1BD1structures,respectively.Brd4-boundJQ1isshownincyan.(b)PlotsofelectrostaticsurfacepotentialofBD1(left)andBD2(right) structuresfromhumanBrd4andCaBdf1.Regionsofnegativeandpositivepotentialareshowninredandblue,respectively.JQ1boundtoBrd4isshownin cyan.ThebindingsurfacesofthefungalBDsarelessnegativelychargedcomparedtohumanBETBDs,suggestingdifferencesinthebindingpartnersof thesedomains.(c)Comparisonoftheligand-bindingpocketsofCaBdf1BD1andBD2withthatofBrd4BD1.JQ1wassuperimposedontheCaBdf1BDsviaa structuralalignmentwithBrd4BD1.ThediamondandasteriskindicatetheZAchannelandsurfacegroovewhichinBrd4BD1interactwiththethienoand p-chlorophenylgroupsofJQ1,respectively,andthecorrespondingpositionsintheCaBdf1BDs.Theviewintheupperpanelsisthatof(b)rotated50(cid:2) counter-clockwise. confirmedthatthetwohumanBDs(SMARCA2andSMARCA4) awayfromthepocket,adoptingdifferentorientationsinthefour withthestrongestBROMOscanresponsedidnotdetectablybind complexes present in the crystal’s asymmetric unit compound 1 (Supplementary Fig. 5a). Compound 1 also exhib- (Supplementary Fig. 7). Superimposing the ligand-bound struc- ited low cytotoxicity towards HeLa and IMR90 (primary fibro- turewiththatofBrd4BD1resultsinastericoverlapbetweenthe blast) cells as measured in an MTT colorimetric assay largerBrd4sidechainsatsignaturepositions1and3(Trp81and (EC Z100mM; Supplementary Fig. 6). Leu94) and the oxadiazole and distal benzene groups of 50 To understand themolecular basis of selectivity we solved the compound 1, explaining why 1 fails to inhibit the human BD crystalstructureofCaBdf1BD1boundto1.Compound1mimics (Fig. 6f,h). Steric hindrance from the corresponding residues in the acetyllysine ligand by interacting with the conserved Tyr248 CaBdf1 BD2 (Phe409 and Ile422) also account for this domain’s and Asn291 residues, forming direct and water-mediated insensitivity to compound 1. hydrogen bonds via the thiazepinone carbonyl group (Fig. 6e–g). Similarly, we identified an imidazopyridine compound 2 The dibenzothiazepinone ring system engages hydrophobic (Fig.7a),whichinhibitsCaBdf1BD2withhighselectivity:HTRF residues from the Val-Pro-Phe (VPF) shelf (Pro233), helix B and ITC assays yielded IC and K values of 1.1 and 2.1mM, 50 d (Phe290) and the ZZ0 loop (Val238, Leu243 and Val245), while respectively, whereas human Brd4 BD2 and CaBdf1 BD1 the cyclopropyl group interacts with the VPF shelf (Pro233 and were only weakly inhibited (IC Z40mM) (Fig. 7b,c and 50 Phe234),helixB(Cys287)andthegatekeeper residueonhelixC Supplementary Table 1). Moreover, no significant inhibition of (Ile297). In contrast, the oxadiazole and pyrazine groups point any human BDs was observed for compound 2 by BROMOscan NATURECOMMUNICATIONS|8:15482|DOI:10.1038/ncomms15482|www.nature.com/naturecommunications 7 ARTICLE NATURECOMMUNICATIONS|DOI:10.1038/ncomms15482 Signature res. 1 2 3 4 567 8 VdW contact Bromosporine H-bond PFI-1 HO-mediated IBET-151 2 H-bond JQ1, IBET-762 Divergent αZ αZ’ 30 αB αC BD1 res Brd4 75 153 Human Brd3 51 129 BET Brd2 91 169 Brdt 44 124 C. albicans 226 304 S. cerevisiae 165 243 Fungal C. glabrata 152 230 Bdf1 A. fumigatus 296 374 H. capsulatum 294 371 C. neoformans 223 322 P. jirovecii 105 183 BD2 Brd4 365 446 Human Brd3 325 404 BET Brd2 361 442 Brdt 284 365 C. albicans 400 481 S. cerevisiae 329 410 Fungal C. glabrata 324 407 Bdf1 A. fumigatus 489 570 H. capsulatum 493 574 C. neoformans 414 495 P. jirovecii 271 347 Identical between BD1 & BD2: Human BET CaBdf1 Figure5|Structure-basedsequencealignmentofhumanandfungalBETproteinsshowingtheligand-bindingregion.Residueshighlightedingreyare conservedinatleastthreehumanBETsequenceswithineachBD.TheconservedTyrandAsnresiduesinvolvedinwater-mediatedanddirecthydrogen bondstotheligandareshownininversefont.HumanBETBDresiduesinteractingwithBETicompoundsthroughdirectorwater-mediatedhydrogenbonds orthroughvanderWaalscontactsareindicatedbyasterisks,arrowheadsandgreencircles,respectively.Interactionsaretakenfromthecrystalstructures ofBrd4BD1boundtoJQ1,IBET-762orPFI-1(PDBcodes3MXF,3P5Oand4E96),fromthatofBrd2BD1boundtoIBET-151(PDB4ALG),andfroma structuralalignmentofBrd4BD1withhumanBRPF1BDboundtobromosporine(PDB4C7N).ThesignatureresiduesusedtoclassifyhumanBD-binding sitesarenumbered1–8(ref.42).MagentaarrowsandboxesindicateBETi-contactingresidueswhichareconservedinhumanBETproteinsbutdifferin CaBdf1andotherfungalsequences.BluedotsbelowthealignmentindicateresidueswhichareidenticalbetweenBD1andBD2acrosshumanBETproteins orwithinCaBdf1. profiling and by an ITC assay on the two most sensitive BDs shows that larger Brd4 side chains at four of these contact identified by this screen (SMARCA2 and SMARCA4; positions, including signature positions 1,3 and 5 (Trp374, Supplementary Figs 4 and 5b); while only mild cytotoxicity Leu387 and His437) and residue Tyr432 (Fig. 7e,g), reduces the was observed towards mammalian cells (EC B60mM; volumeavailableforcompound2,explainingtheinabilityof2to 50 Supplementary Fig. 6). The crystal structure of CaBdf1 BD2 inhibit the human BD. In contrast, the poor affinity for CaBdf1 boundto2revealsthatthecompoundformsahydrogenbondvia BD1 its amino group with the conserved Asn468 residue, as well as a is due to smaller side chains at signature positions 1 and 3 cation–pi interaction involving the phenolic ring and the partial (Val232andVal245),resultinginpoorcomplementaritybetween positivechargeonAsn468(Fig.7d–f).However,unlikemostBET thebindingpocketandligand.Theaboveresultsestablishproof- inhibitors, a water-mediated hydrogen bond with Tyr425 is not of-principle that CaBdf1 BDs can be selectively targeted by observed for 2 (presumably because the ligand dislodges water small-molecule inhibitors in vitro without compromising the molecule 1, consistent with the dislodgement of this water by a function of human BD-containing proteins. glycerol molecule in the unbound BD structure; Supplementary Fig.3d).Instead,thecompound’simidazolylandhydroxylgroups form water-mediated hydrogen bonds with backbone atoms of ABdf1BD1inhibitorphenocopiesgeneticinactivationofBD1. the Phe-Pro-Phe (FPF) shelf (Pro410) and helix B (Val460). Wenextassessedtheantifungalactivityofcompoundsidentified Replacement of the hydroxyl group in 2 by a hydrogen (2a) or in our screen by evaluating their effect on C. albicans growth in fluorine (2b) atom severely reduces inhibitory activity, under- liquid media. Not surprisingly, none of the compounds sig- scoring the importance of this group for high-affinity binding nificantly inhibited growth of the WT strain, consistent with the (SupplementaryFig.8).Themethylpyridinylandphenolicgroups fact that inactivating a single CaBdf1 BD only weakly affects are sandwiched between the FPF shelf and gatekeeper residue growth (Fig. 2d,e) and that none of the compounds tested can Val474 on one side, and residues Val415 and Leu420 on the individually inhibit both CaBdf1 BDs. Attempts to simulta- other, while the tolyl group additionally contacts residues Ile422 neously inhibit both BDs by testing binary combinations of and Phe467 (Fig. 7d–f). A structural alignment with Brd4 BD2 compounds also did not result in significant growth inhibition. 8 NATURECOMMUNICATIONS|8:15482|DOI:10.1038/ncomms15482|www.nature.com/naturecommunications ARTICLE NATURECOMMUNICATIONS|DOI:10.1038/ncomms15482 a b d 0.6 ~80,000 compounds 1 + CaBdf1 BD1 ( ) N O 0.3 CaBdf1 BHDT1RF asCsaaBydf1 BD2 N ONN S μ–1cal s) 0.03 Hit compounds: 880 450 N 1 ΔP ( 0 1 + CaBdf1 BD2 ( ) 0.3 IC50 determination c IC (μM) 1 + Brd4 BD1 ( ) 50 0 CaBfd1BD1 4.3 ± 1.5 0 25 50 75 100 Confirmed hits: 498 227 " BD2 ND Time (min) 150 Brd4 BD1 ~40 0 Counter screen μJ) Scoemlepcotivuends: Brd142 5BD1 Brd44 4BD2 HTRF signal 10500 of injection ( –––11505 KNd == 50..09 1± ±2 .05. 0μ6M Additional criteria % eat –20 (IC , logD) 0 H 50 –25 Inhibitors further 0.1 1 10 100 103 104 105 0 1 2 3 characterized: 35 44 Compound 1 (nM) Molar ratio (compound 1 / protein) e f Brd4 BD1 CaBdf1 BD1 L94 CaBdf1 L243 V245 BD1 αZ’ Y248 αZαA αB V238 Y139 αC F290 75° 15° ZA loop W81 N291 VPF ZA V232 C287 αB shelf loop P233 1 F234 I297 BC αZ’ loop αC g h CaBdf1 BD1 L243 αC αB αA (M256) H236 M256 M283 αZ (H236) O O O H2NO VPF (V238) –1(M283) 3 –1 ShelfF234 4 3 2 0 N286αZ’ w OV232O4F234I297C2827 1 (N0) OHN286 V232 I297 V232 P233 1 w PN233 N O V2N3H82 Y248 Alignment with Brd4 BD1 O Y248 N N S O N291 L94 N291 F290 * 1 L243 N L243 V245 BC loop * W81 *Steric clash Figure6|IdentificationofaselectiveCaBdf1BD1inhibitor.(a)ScreeningstrategytoidentifyselectiveCaBdf1BD1andBD2inhibitors.Followingthe counter-screenstep,mostcompoundsyieldedatleasta20-folddifferenceinIC valuerelativetothehumanBD,althoughafewexhibitedonlyathree-to 50 fourfolddifference.(b)Chemicalstructureof1.(c)HTRFassaysshowingselectiveinhibitionofCaBdf1BD1by1.(d)RepresentativeITCexperiments showingselectivebindingof1toCaBdf1BD1.ThevaluesindicatedforK andNrepresentthemeanands.d.fromthreeindependentexperiments.Seealso d SupplementaryTable1.(e)CrystalstructureofCaBdf1BD1boundto1.Upperinset.Simulated-annealingomitF-F densityfor1contouredat3s.Lower o c inset.Conservedwaterstructureandhydrogenbondinginteractionsinthebindingsite.Residuesinteractingwith1throughdirectandwater-mediated hydrogenbonds(dashedlines)areshowninstickrepresentation.Residuesinteractingthroughbackboneatomsarelabelledinparentheses.Water moleculesarenumberedasinref.70.(f)AlignmentofCaBdf1BD1(violet)withBrd4BD1(green;PDBcode3UVW).SidechainsareshownforCaBdf1 residuesincontactwith1andforthecorrespondingBrd4residuesifdivergentfromCaBdf1.(g)Schematicsummaryofligandinteractions.Hydrogenbonds areshownasdashedlines.ResiduesmediatingvanderWaalscontactswith1areindicatedbylabelswithinacartouche.Watermoleculesareindicatedin red.(h)SurfacerepresentationshowingthebindingpocketofCaBdf1BD1boundtocompound1(top)andthatofBrd4BD1(bottom)superimposedonthe fungalcomplex.Asterisksindicatestericoverlapbetweencompound1andBrd4BD1residues. NATURECOMMUNICATIONS|8:15482|DOI:10.1038/ncomms15482|www.nature.com/naturecommunications 9 ARTICLE NATURECOMMUNICATIONS|DOI:10.1038/ncomms15482 a d CaBdf1 N OH BD2 αB N αA αB αZ αA (M433) NH αZ (A413) αC αC ZA loop (V415) (V460) FPF 2 Shelf F411 4 3–1 0 N463 2 αZ’ b IC50 (μM) FshPeFlf αZ’ P410 5 CaBDF1 BD1 >20 2 F409 Y425 " BD2 1.1 ± 0.4 N468 hBRD4 BD2 >20 2 L420 100 BC loop al gn 65° si F 50 R g e T % H CaBdf1 BD2 Brd4-BD2 LI432827 0 CaBdf1-BD2 V415 I422 0.1 1 10 100 103 104 105 L420 L420 Y425 Compound 2 (nM) Y432 F467 F467 c N463 0.8 N468 2 + CaBdf1 BD1 ( ) F409 V474 P410 –1s) 1.06 WF430794 F41V1474 N46H8437 αB μcal 2 + CaBdf1 BD2 ( ) Alignment with Brd4 BD2 αC T472 P ( 0.8 Δ L387 * 0 * f M433 0 25 50 75 100 Y432 A413 V460 Time (min) O O O O 0 W374 3 H2N ction (µJ) ––2100 * StericH h4in3d7rance P4O10 54F411 OH2 0 O H N463 e Heat of inj ––4300 KNd == 21..12 1± ±0 .02. 1μ1M VF447049 NN NH Nδ+HV2415(N) –1 Y425 O 0 1 2 L420 N468 Molar ratio (compound 2 / protein) F467 I422 Figure7|IdentificationofaselectiveCaBdf1BD2inhibitor.(a)Chemicalstructureofcompound2.(b)HTRFassaysshowingselectiveinhibitionof CaBdf1BD2by2.(c)Bindingof2toCaBdf1BDsmeasuredbyITC.ThevaluesindicatedforK andNrepresentthemeanands.d.fromthreeindependent d experiments.SeealsoSupplementaryTable1.(d)CrystalstructureofCaBdf1BD2boundto2.Lowerinset.Simulated-annealingomitF-F densityfor o c 2contouredat3s.Rightinset.Detailsofthebindingsite.Residuesinteractingwith2throughdirectandwater-mediatedhydrogenbonds(dashedlines)are showninstickrepresentation.Residuesinteractingthroughbackboneatomsarelabelledinparentheses.Watermoleculesarenumberedasinref.70. (e)AlignmentofCaBdf1BD2(violet)withBrd4BD2(green;PDBcode4Z93).SidechainsareshownforCaBdf1residuesincontactwith2andforthe correspondingBrd4residuesifdivergentfromCaBdf1.(f)Schematicsummaryofinteractions.Hydrogenbondsareshownasdashedlines.Watermolecules areinred.Thecation–pitypeinteractionbetweenthepartiallychargedN468aminogroupandthephenolringisshownasathickdashedline.Residues mediatingvanderWaalscontactswith2areindicatedbylabelswithinacartouche.(g)SurfacerepresentationshowingthebindingpocketofCaBdf1BD2 boundtocompound2(top)andthatofBrd4BD2(bottom)superimposedonthefungalcomplex.Asterisksindicateclosecontactspredictedtosterically inhibittherecognitionof2byBrd4BD2.Doublearrowsindicateshortdistanceswhichmaycontributeadditionalsterichindrance. We therefore tested individual compounds on mutant strains in against these strains. We speculate that the compounds failed to which either BD1 or BD2 was inactivated. Most inhibitors, enterthefungalcellbecauseofcellularpermeabilitybarriers37,38, including compounds 1 and 2, showed little antifungal activity or were extruded by efflux pumps39,40 or metabolized before a 10 NATURECOMMUNICATIONS|8:15482|DOI:10.1038/ncomms15482|www.nature.com/naturecommunications

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4 Laboratoire de Parasitologie-Mycologie, Institut de Biologie et Pathologie, CHU Grenoble Alpes, 38043 Grenoble, France. 5 Laboratoire TIMC-IMAG-. TheREx, UMR 5525 CNRS, Diffraction data were collected at beamlines of the European Synchrotron. Radiation Facility (ESRF), as indicated in
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