Attacking Mycobacterium tuberculosis with designer drugs Chem 3000; Literature review Shayne Rybchinski March 26, 2009 Taken from: Davis, N., Decoding Genomes Of Tuberculosis Bacteria , accessed online at http://medicineworld.org/images/news-blogs/ on March 12, 2009 Taken from: Casanas, B.,Tuberculosis -- Are You at Risk?, Accessed online at http://a.abcnews.com/Health/Germs on March 12, 2009 The Resurgence of an insidious disease: * 1st line drugs: • Isoniazid • Rifampicin • Streptomycin • Ethambutol 2nd line drugs: • Amikacin • Kanamycin • Capreomycin • Fluoroquinilone * Taken from: Fordyce, M., What is XDR-TB? Found online at www.clinicalcorrelations.org/?m=200702 on March 12, 2009 Benzofuro[3,2Synethesis and f][1]benzopyrans: A new antimycobacterial evaluation class of antitubercular of benzopyran analgoes. agents Bioorganic and Medicinal Chemistry 14 (2006) 5423-5428 Prado, P., Ledeit, H., Michel, S., Kock, M., Darbord, J. C., Cole, S. T., Tillequin, F., and Brodin, P. Bioorganic and Medicinal Chemistry 15 (2007) 2177-2186 Prado, P., Janin Y. L., Saint-Joanis, B., Brodin, P., Michel, S., Koch, M., Cole, S. T., Tiellequin, F., and Bost, P. A new synthetic access to furo[3.2,-f]chromene analogues of anantimycobacterial Bioorganic and Medicinal Chemistry 16 (2008) 8264-8272 Alvey L., Prado, S., Huteau, V., Saint-Joanis, B., Michel, S., Koch, M., Cole, S. T., Tillequin, F., and Janin, Y. L., Drug Design Strategy: O OH O O Inspiration from NatureOH HO O O O Usnic Acid In vivo assays Chemical Design and Synthesis of Structural O with Potential Analogues 3,3-dimethyl-3Hbenzofuro[3,2-ƒ][1]benzopyran Acitivity DBB Assay antimycobacterium activity Assay cyto-toxicity in mammalian cells Determination of specific activity Test selectivity by testing toxic activity against other bacteria Fused dimethylpyran rings in nature: OMe O OH O O O OH O H3COC O Benzopyran methylripariochromene A Pyranoflavanone 5-methyllupinifoliol O O N O O O Acridone alkaloid acrynycine Design Targets: O O X X R O O X O O OH, OCO X = H, OCOCH3 O X X = COH, CO, X = CH, N R = H, Me 3,3-dimethyl-3Hbenzofuro[3,2f][1]benzopyran as a synthetic target: Δ 12 hrs O O OH OH Cl O 1.3-dichloro benzene 3,3-dimethyl3Hbenzofuro-[3,2ƒ][1]benzopyran O Dimethylpropargyl ether + O 3-chloro-3methyl-1-butyne + 2-hydroxydibenzofuran Prado, P., Ledeit, H., Michel, S., Kock, M., Darbord, J. C., Cole, S. T., Tillequin, F., and Brodin, P., Bioorganic and Medicinal Chemistry 14 (2006) 5423-5428 Addition across the C-C π-bond: O Pd-C H2 Ethanol O O OCOCH3 O H3COCO OsO4 NMNO 1. Acetic Anhydride O O OH HO O 2. H2O O NNCdM Δ 2-butanone O O O O Prado, P., Ledeit, H., Michel, S., Kock, M., Darbord, J. C., Cole, S. T., Tillequin, F., and Brodin, P., Bioorganic and Medicinal Chemistry 14 (2006) 5423-5428 O Biological Activity; MIC99(μg/ml): OH HO O O O O O Isoniazid (INH) O M. smegmatis 5 1 30 13 M. Tuberculosis H37Ra 5 5 60 0.1 M. Tuberculosis INH resistant 5 1 --- 5 E. coli >600 >500 5 --- S. aureus >100 ND --- --- N. asteroides 15 15 --- --- Vero cells 80 100 --- --- Macrophages 80 >100 --- --- Drug Design Strategy: Inspiration from Nature In vivo assays Chemical Design and Synthesis of Structural Analogues with Potential Acitivity Assay antimycobacterium activity Assay cyto-toxicity in mammalian cells Determination of specific activity Test selectivity by testing toxic activity against other bacteria Replacement of the furan ring of dibenzofuran: O 1.2-dichlorobenzene, Δ O O DBU CuCl2∙2H2O, inert atm. N + O O CH2Cl2, k10 O OH OH Br + O O Ethanol NaBH3 O O O OH O Prado, P., Janin Y. L., Saint-Joanis, B., Brodin, P., Michel, S., Koch, M., Cole, S. T., Tiellequin, F., and Bost, P. , Bioorganic and Medicinal Chemistry 15 (2007) 2177-2186 O H O 1. CH2Cl2 2. AlCl3 O Cl O + OH Biological Activity; MIC95 (μg/ml): O O OH M. smegmatis O O O O O H O 20 20 50 4 M. Tuberculosis H37Ra 20 40 30 62 Vero cells 16 32 75 ND Synthesis of 4-pyridal derivatives: O O O N O O N O Alvey L., Prado, S., Huteau, V., Saint-Joanis, B., Michel, S., Kock, M., Cole, S. T., Tillequin, F., and Janin, Y. L., Bioorganic and Medicinal Chemistry 16 (2008) 8264-8272 Synthesis of 4-pyridal analogues: 1.3-dichloro benzene R R O O Δ, 12 hrs Inert atm. X O X O N , inert atm 1. 2. DBU, CuCl2∙2H20 3. C4H5Cl O R EtOH H2O Na2S2O5 + X N O O R OH X O Biological Activity; MIC95 (μg/ml): O O N O N O O O >500 3 6.2 32 2.5 3 M. smegmatis M. Tuberculosis H37Ra Summary and Conclusions: Pyridine containing DBB analogues have excellent potential to develop new TB drugs and shorten time necessary for effective treatment. Minor perturbations in structure can have a large impact on biological activity The design of new drugs against TB remains a global imperative Claissen Rearrangement: O O OH H O Acronycines: