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SAYER ET AL.
Funding information
Wellcome Trust, Grant/Award Numbers:
082227, 096617/Z/11/Z; Biotechnology and
Biological Sciences Research Council, Grant/
Award Number: BBS/SE/2006/1326/9
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INTRODUCTION
to act as a molecular switch that controls the export of DNA and the
assembly of the T4SS pilus. Hence, there has been much interest in
the structure and function of this protein. There have been extensive
studies into the crystal structures of the H. pylori VirB11 homolog
HP0525 bound to both ADP23 and the non-hydrolysable ATPγS as
well as the nucleotide-free, apo-form.24 HP0525 forms double
hexameric ring structures where each subunit monomer consists of
328 amino acid residues comprising the N-terminal domain (NTD) and
C-terminal domain (CTD). Each of the NTDs and CTDs form two sepa-
rate ring structures (Figure 1a) with the CTD ring forming a six-clawed
grapple mounted on the hexameric ring formed by the NTD creating a
cylindrical chamber. The structures of ADP- and ATPγS-HP0525 are
virtually identical; however, apo-HP0525 exists as an asymmetric
hexamer, very different to that of the nucleotide bound forms. Exami-
nation of the crystal structures of HP0525 showed that nucleotide
binding and not hydrolysis is responsible for ATP-induced conforma-
tional changes23,24 and allowed a mechanism for the mode of action
of the ATPase to be proposed (Figure 1b).
Since its isolation in 1983,1 Helicobacter pylori (H. pylori) has been
identified as the most common human bacterial infection, present in
approximately half of the world's population.2 This type of Gram-
negative bacteria is found in the human stomach and causes illnesses
such as gastric ulcers, gastritis, and various cancers including mucosa-
associated lymphoid tissue (MALT)-lymphoma and gastric adenocarci-
noma.3,4 Although the majority of those infected are asymptomatic,
H. pylori-positive patients have a 10%–20% lifetime risk of developing
ulcer disease and a 1%–2% risk of developing gastric cancer,5 and as
such, the bacteria have been classified as a category 1 carcinogen.6 It
has been estimated that between 2008 and 2015, the proportion of
noncardiac gastric cancer attributable to H. pylori increased from
74.7% to 89.0%.7 The current standard treatment of H. pylori infec-
tions is based upon triple therapy,8,9 consisting of a proton pump
inhibitor and a choice of two antibiotics or quadruple therapy8–10 in
which bismuth compounds are also used. The success of these thera-
pies is unfortunately under pressure due to rising antibiotic resistance
and off-target effects caused by prolonged antibiotic treatment.11
Multi-drug resistant H. pylori (resistance to ≥3 antibiotics of different
classes) ranges from ≤10% in Europe to >20% in India and >40% in
Peru.12 So far, no eradication therapy can provide high eradication
rates (>90%), and a variety of approaches to targeting H. pylori includ-
ing antivirulence therapeutics, mucolytic agents, and antibacterial
agents are currently being investigated.13
Selective inhibitors of VirB11 have the potential to combat the
proteins and pathways that lead to pathogenic, symptomatic coloniza-
tion of the stomach, and may also be useful chemical biology tools to
elucidate the pathways of assembly of the T4SS macromolecular com-
plex. However, only a small number of small molecule inhibitors of
H. pylori HP0525 have so far been reported.15 Thiadiazolidine-3,-
5-diones26 and the non-competitive inhibitor 4-(5-methylpyridin-2-yl)
oxybenzoic acid27 have been shown to inhibit VirB11 ATPase,
whereas heterocyclic 2-pyridone inhibitors28 have been shown to
disrupt T4SS apparatus biogenesis by attenuating the delivery of
peptidoglycan and CagA to host cells. Unsaturated 2-alkynoic fatty
acids have also been shown to inhibit conjugation in TrwD, a VirB11
homolog.29
Gram-negative bacteria have evolved a range of secretion sys-
tems to transport substrates across their cell membranes. They can
release small molecules, proteins, and DNA into extracellular space or
can inject these substrates into a target cell.14 Seven classes of double
membrane-spanning secretion systems, Type I–Type VII, have so far
been identified. The Type IV secretion system (T4SS) is of particular
interest, as it mediates the transfer of plasmid DNA between bacterial
cells, thus contributing to the spread of antibiotic resistance genes.
Inhibitors of the T4SS are therefore of interest as antimicrobial agents
with the potential to slow the development of antimicrobial
resistance.15
H. pylori can be grouped into two classes,16,17 and the more viru-
lent type I strains contain the cytotoxin-associated genes pathogenic-
ity island (cagPAI)18 and are referred to as CagA+ strains. The cagPAI
consists of 31 genes, the majority of which code for T4SS,5,16 which
in H. pylori is responsible for penetrating the gastric epithelial cells and
facilitating the translocation of toxic bacterial factors into host
cells.19–21 T4SS are multifunctional macromolecular nanomachines,
incorporating 12 different types of protein subunit with specific roles
in the complex.22 The VirB11 ATPase HP0525 is a key component of
this complex, which provides energy to power the system and is
required to drive CagA secretion and delivery. It is also hypothesized
We have previously reported the synthesis and high throughput
screen of a series of novel 8-amino imidazo[1,2-a]pyrazine derivatives
against VirB11 ATPase HP0525.30 Biochemical evaluation showed
moderate to good potency, highlighting these compounds as competi-
tive inhibitors of HP0525 and potential antibacterial agents. However,
as these molecules probably bind at the ATPase active site, to avoid
inhibiting other ATPases in mammalian cells, we wished to try to
improve their selectivity for VirB11 ATPase. We were also motivated
to exploit the potential of these compounds as chemical biology tools
for probing the assembly of the HP0525 hexamer. In order to achieve
both of these aims, in this paper, we have explored the design and
synthesis of potential bivalent inhibitors of the VirB11 ATPase
HP0525.
Affinity and specificity of an inhibitor can be greatly enhanced by
taking advantage of hydrophobic/hydrophilic features near the
enzyme active site. By linking an active site binding compound to a
moiety that interacts with these features on the enzyme surface, it is