10.1002/cmdc.202100509
ChemMedChem
COMMUNICATION
transporter;[29] High Affinity Pentamidine Transporter (TbAQP2)]
into the parasite’s interior.[30] Having studied the SAR of the
transporter-diamidine interactions, we hypothesized that mono-N-
arylation of the pentamidine scaffold would abolish their ability to
act as substrates for the T. brucei drug transporters, and therefore
would not display cross-resistance with pentamidine and
MPAs.[31] To test this hypothesis, 30-36 were also tested against
a T. b. brucei clonal line, B48,[32] lacking both the TbAT1/P2 and
HAPT1/AQP2 transporters, and against a diminazene-resistant T.
congolense[11c] clone. Although minor differences in drug
sensitivity were observed (±50% of WT EC50), these variations
were trivial compared to the resistance levels to pentamidine
(116-fold) and diminazene (6.4-fold), respectively. We therefore
conclude that mono-N-arylated pentamidine analogues are not
cross-resistant with un-substituted diamidines, arising from
differences in their mechanism of uptake.
directly prepare mono-N-arylated analogues of pentamidine,
which displayed promising in vitro activity against three species of
kinetoplast parasites of clinical and veterinary importance. Most
importantly, the mono-N-arylated analogues were not cross-
resistant with pentamidine and diminazene, bypassing known
drug transporters. In addition, 36 accumulated rapidly in all three
kinetoplastid species and localized to the parasite nucleus and
kinetoplast, consistent with a putative mechanism of action being
a DNA minor groove binder. These findings highlight that the
potential utility of mono-N-arylation of diamidines, and potentially
their expansion to guanidine analogues,[35] as an emerging class
of therapeutic agents against neglected parasitic diseases.
Acknowledgements
To gain further insights into the uptake of the mono-N-
arylated pentamidines, the fluorescent analogue (36) was used to
monitor uptake in each of the three parasite species in real-time
(Figure 1). In all three species, 36 was taken up rapidly (3.3 µM
and 10 µM), consistent with an EC50 3 - 7 µM against the
kinetoplastid species (Table 2). The rate of uptake of 36 was
dose-dependent and showed an approximately 2.3 - 10-fold
higher rate at 10 µM [36] than for 3.3 µM after 30 min (Figure 1).
This shows that the uptake mechanism was not saturable in the
lower µM range, unlike TbAT1/P2 and HAPT/TbAQP2, which
display Km values of 0.26 ± 0.03 and 0.036 ± 0.06 µM, respectively,
for pentamidine.[30] Moreover, the rate of uptake of 36 was not
substantially different in the presence of 10 µM pentamidine
(within 10% in all cases), clearly indicating that uptake did not
involve a high affinity pentamidine transporter. Taken collectively,
these data show that mono-N-arylated analogues such as 36
evade known pentamidine transporters TbAT1 and TbAQP2 in T.
brucei.
One of the putative mechanisms of action of pentamidine is
the inhibition of replication via binding to A/T-rich sequences of
duplex DNA.[33] Indeed, selective accumulation of 36 to the
nucleus and kinetoplast of T. brucei was observed, as confirmed
by co-localization with Hoechst 33342 (Figure 2), consistent with
DNA binding. UV melt analyses were undertaken to explore the
ability of 33 and 36 to stabilize DNA duplexes relative to
pentamidine (Table S7, Figure S4). A 7.0 °C stabilization of an A-
tract duplex was observed for 33, relative to a 6.0 °C stabilization
for pentamidine. Although a reduced level of duplex stabilization
was observed using 36 for the same sequence (Tm 4.6 °C), both
analogues exhibited a similar binding bias for an A-tract duplex
relative to a duplex containing an alternating A-T sequence.[34]
These data indicate that the likely mechanism of action of these
analogues is via binding to DNA duplexes with a selectivity profile
similar to that observed for pentamidine. The stronger DNA
binding of 33 correlated with its stronger anti-kinetoplastid activity
compared to 36.
J.R. and G.A.B. thank GlaxoSmithKline (GSK) and the
Engineering and Physical Sciences Research Council (EPSRC)
for an industrial CASE studentship. MMA is supported by a
studentship from the government of Libya, and MAU by a
studentship from the Petroleum Technology Development Fund
(PTDF), Abuja, Nigeria. We thank Dr Alan Kennedy (University of
Strathclyde) and Dr Nicola Bell (University of Glasgow) for
assistance in the analysis of crystal structures.
Keywords: antiparasitics • amidine • arylation • copper •
medicinal chemistry
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In summary, we have developed a general approach to
prepare mono-N-arylated amidines from mono- and bisamidine
substrates based on Chan–Lam cross-coupling methodology.
During our optimization phase, key mechanistic insights into Cu
intermediates pertinent to the Chan–Lam reaction were identified,
and the procedure was broadly applicable to the formation of
mono-N-arylated substrates. This methodology was used to
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