1. Academic Validation
  2. Miconazole-like Scaffold is a Promising Lead for Naegleria fowleri-Specific CYP51 Inhibitors

Miconazole-like Scaffold is a Promising Lead for Naegleria fowleri-Specific CYP51 Inhibitors

  • J Med Chem. 2023 Dec 28;66(24):17059-17073. doi: 10.1021/acs.jmedchem.3c01898.
Vandna Sharma 1 Valentina Noemi Madia 2 Valeria Tudino 3 Jennifer V Nguyen 1 Anjan Debnath 1 Antonella Messore 2 Davide Ialongo 2 Elisa Patacchini 2 Irene Palenca 4 Silvia Basili Franzin 4 Luisa Seguella 4 Giuseppe Esposito 4 Rita Petrucci 5 Paola Di Matteo 5 Martina Bortolami 5 Francesco Saccoliti 6 Roberto Di Santo 2 Luigi Scipione 2 Roberta Costi 2 Larissa M Podust 1
Affiliations

Affiliations

  • 1 Skaggs School of Pharmacy and Pharmaceutical Sciences, Center for Discovery and Innovation in Parasitic Diseases, University of California San Diego, La Jolla, California 92093, United States.
  • 2 Dipartimento di Chimica e Tecnologie del Farmaco, Istituto Pasteur-Fondazione Cenci Bolognetti, "Sapienza" Università di Roma, p.le Aldo Moro 5, Rome I-00185, Italy.
  • 3 Dipartimento di Biotecnologie, Università degli Studi di Siena, Chimica e Farmacia via Aldo Moro 2, Siena 53100, Italy.
  • 4 Department of Physiology and Pharmacology "V. Erspamer", "Sapienza″ Università di Roma, p.le Aldo Moro 5, Rome I-00185, Italy.
  • 5 Dipartimento di Scienze di Base e Applicate per l'Ingegneria, "Sapienza" Università di Roma, Via Castro Laurenziano 7, Rome 00161, Italy.
  • 6 D3 PharmaChemistry, Italian Institute of Technology, Via Morego 30, Genova 16163, Italy.
Abstract

Developing drugs for brain Infection by Naegleria fowleri is an unmet medical need. We used a combination of cheminformatics, target-, and phenotypic-based drug discovery methods to identify inhibitors that target an essential N. fowleri Enzyme, sterol 14-demethylase (NfCYP51). A total of 124 compounds preselected in silico were tested against N. fowleri. Nine primary hits with EC50 ≤ 10 μM were phenotypically identified. Cocrystallization with NfCYP51 focused attention on one primary hit, miconazole-like compound 2a. The S-enantiomer of 2a produced a 1.74 Å cocrystal structure. A set of analogues was then synthesized and evaluated to confirm the superiority of the S-configuration over the R-configuration and the advantage of an ether linkage over an ester linkage. The two compounds, S-8b and S-9b, had an improved EC50 and KD compared to 2a. Importantly, both were readily taken up into the brain. The brain-to-plasma distribution coefficient of S-9b was 1.02 ± 0.12, suggesting further evaluation as a lead for primary amoebic meningoencephalitis.

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