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Indomethacin did not show toxicity in any of the cell lines tested.
Following these observations, further experiments aimed at de-
convoluting the mechanism of action of compound
performed.
1 were
Compound 1 was shown to be reversibly cytostatic in T. brucei
and mammalian cell lines with similar potencies in both. (Fig 2, Ta-
ble 1) However, when tested against primary human mammary
epithelial or foreskin fibroblast cell lines, 1 appeared completely
non-toxic. Since podophyllotoxin, a tubulin destabilizing agent, is
known to be a reversible cytostatic compound the effects of 1 on
T. brucei tubulin was evaluated. Staining of T. brucei in the presence
of 1 lM compound 1 with Tubulin Tracker (Molecular Probes, Eu-
gene, OR), a fluorescently labeled taxol analogue which binds to
polymerized tubulin, showed that the test compound caused a de-
crease in the amount of polymerized tubulin present in the cell.
Rhizoxin (D), a microtubule toxin known to be active in T. brucei
displayed similar potencies (IC50 = 150 20 nM) and phenotypes
in these assays. After 24 h of exposure to either 1 or D, the cells be-
came rounded and began displaying aberrant nuclei counts. (Fig 3)
This phenotype has been reported for 100 nM rhizoxin and has
been interpreted as an indication of inhibition of microtubule
dependent cellular processes.8 These results suggest that the com-
pound is acting via the classical podophyllotoxin mechanism in
which polymerization of the microtubules is inhibited.9
This caused us to hypothesize that indomethacin was increasing
the import of podophyllotoxin into the cell. Indomethacin is a non-
steroidal anti-inflammatory drug (NSAID) which works by inhibit-
ing the cyclooxygenase enzymes (COX-1 and COX-2), which are
not present in T. brucei.10,11 Therefore, it is unlikely that the NSAID
was acting in COX dependent manner. A second possible mecha-
nism for the increased uptake is the sterol pathway. T. brucei is
known to possess high affinity transporters for low density
lipoprotein (LDL) and it is possible that the linked NSAID could
be acting as a cholesterol mimetic and entering the cells via this
pathway.12
To determine if the observed increase in potencies was NSAID
dependent, a set of podophyllotoxin analogues conjugated to vari-
ous NSAIDs as well as non-NSAID groups were synthesized. The ef-
fects of varying the linker were also evaluated in this effort.
Synthesis of the test library of podophyllotoxin conjugates was
performed using liquid phase parallel synthetic methodologies,
where succinyl-podophyllotoxin was reacted with tethered NSA-
IDs or other moieties containing terminal amino-groups. The
succinylpodophyllotoxin (A) was synthesized from a reaction of
succinic anhydride and podophyllotoxin. Tethered NSAIDs contain-
ing a terminal amino-group were synthesized from the reaction of
carboxylic acid containing NSAIDs with BOC-protected alkyldimine
or pyperzinyl, or aminomethylaniline in the presence of ethyl-1-
{3-(dimethylamino)propyl}-3-ethylcarbodiamide (EDCI) followed
Figure 3. Phase contrast and fluorescence images of T. brucei showing the effect of 1
(1 M, 24 h exposure) and D (100 nM, 24 h exposure) on tubulin polymerization
and DNA content. Green fluorescence indicates polymerized tubulin as determined
l
by Tubulin Tracker™ while blue is Hoescht stained DNA.
by treatment with HCl gas. Compounds were purified via LC/MS
and Prep-HPLC. Structures were assigned by NMR and mass spec.
analysis. All compounds were tested in cytotoxicity assays versus
T. brucei, HEPG2, HEK293, BJ, and Raji cell lines. In addition, com-
pounds were tested for their ability to inhibit COX-I and COX-II en-
zymes as well as tubulin polymerization.
After testing, it was clear that compounds containing NSAID
groups (4–7) were more potent against T. brucei than those with-
out NSAIDs (8–10). However, with the exception of some indo-
methacin containing compounds (1, 2, 11, 12), most of the
compounds were unable to directly inhibit purified human COX
enzymes. This suggests that if a NSAID binding target in T. brucei
is responsible for the observed activities, the pharmacophore nec-
essary for activity is substantially different than that for mamma-
lian COX enzymes. All of the tested compounds displayed
significant selectivity (>100-fold) for T. brucei and transformed hu-
man cell lines versus primary fibroblast and epithelial human cells.
The modest set of linker modifications explored (1, 2, 11, and
12) show that some modifications are tolerated. The lengthening
by a single methylene group (11), only lowers potency fourfold
against T. brucei while the piperizine linker (12) lowers potency
20-fold. Shortening the linker and substituting an ester linkage
for the amide (2), lowers potency by 60-fold. Compounds 4 and
8, also follow this pattern.
Since the linkers used in this study contained ester and amide
moieties, a subset of the compounds were tested for stability in
simulated gastric fluid (SGF, pH 1) as well as stability in mouse
plasma. All tested compounds displayed T1/2 > 24 h in SGF. Half-
lives in plasma ranged from 2.6 to 9.8 h. Plasma T1/2 was affected
more by the NSAID moiety than linker type, indicating that stable
compounds based on this scaffold may be achievable. (see com-
pounds 1, 5, 10–12).
The ability of the compounds to inhibit tubulin polymerization
did not correlate with anti-trypanosomal potencies, suggesting
that cellular uptake was driving the observed differential activities.
In support of this, it was observed that the potencies against T. bru-
cei directly correlated with ALog P values. (P <0.001) T. brucei pos-
sesses an extremely high rate of membrane turnover, recycling the
cellular surface once every 12 min.13 If the hydrophobic conjugates
are interacting directly with the cellular membrane, this could re-
sult in the rapid uptake and concentration of the compounds.
In summary, we have reported the ability of NSAID motifs con-
jugated to podophyllotoxin to increase the potency of both com-
pounds against T. brucei by over 1300-fold. This phenomenon is
not a result of synergy of the two compounds and is hypothesized
Figure 2. T. brucei growth curve of 1
counted manually by haemocytometer. Values are a mean of three experiments.
lM 1 (j) and DMSO control (N). Cells were