Calcium dependent protein kinases and Malaria: Identification of chemical start point for drug discovery Oliver Billker & Katie Chapman Symposium: Academic Drug Discovery: Challenges and perspectives Imperial College London, March 2011 Antimalarial drugs Chloroquine Artemisinin • No longer useful against P. falciparum • First-line treatment of P. falciparum • Component of a combination. Wide spread resistance • Reduced efficacy observed in SE Asia. • Important to develop a well supplied pipeline of new antimalarials. Antimalarial drug development • Antimalarials are not economically attractive to the pharmaceutical industry. • Public-private partnerships play a key role. E.g. Medicines for Malaria Venture, Wellcome Trust, Bill & Melinda Gates Foundation Opportunity and need for academic institutions to make an impact. A paradigm shift in antimalarial screening Prioritise by chemistry, IP, etc. Target based screening Cell based screens Libraries of >20.000 starting points for drug development Identify mechanism of induced resistance. Screen against validated targets Genetic tools for target identification at scale (Sanger team) https://www.ebi.ac.uk/chembl/ Nature, March 2010 13533 inhibitors of P. falciparum growth IC50 < 1 µM 2 million GSK compounds 242 inhibitors P. falciparum CDPK 1, 4 or 5 Systematic prioritisation of parasite kinase targets in a malaria parasite of rodents • Gene deletion analysis of 65 protein kinases. • Kinomes are highly conserved across Plasmodium species. • >1/3 of parasite protein kinases are redundant in blood stages. Comparative analysis of Plasmodium kinomes Redundant in P. berghei Different in P. falciparum Rita Tewari Calcium dependent protein kinases (CDPKs) • Plant-like kinases with a unique activation mechanism. calmodulin-like domain kinase domain Billker & Doerig 2010 Target selection Plant like Opportunity for selectivity Family Opportunity for multi-target inhibitor. CamK CDPK1 and 5: Essential in blood stages. CDPK1 and 4 Essential for transmission. Redundant in P. berghei Predicted CDPK functions CDPK4 CDPK1 CDPK1 CDPK5 CDPK1 CDPK4 CDPK1 CDPK4 is required for male gamete formation OH N X a n th u re n ic a c id Te m p e ra tu re C O OH OH R e c e p to r P LC Guanlyl cyclase Phosphodiesterases cGMP PKG P IP 2 PKG IP 3 ER C a2+ SRPK Male gamete formation Map-2 C a2+ CDPK4 C a2+ Differential gene expression Host cell lysis Katie Chapman, Imperial College Drug Discovery M e xile tin e H C l PH A 665752 3 -1 B P P 1 3 -M B P P 1 1 -N A P P 1 C1 selective 3 -B R P P 1 1 -N M P P 1 .. S ta u ro s p o rin e R O 318820 . unselective P u rfa lc a m in e Q u e rc e tin PP1 PP2 R e s v e ra to l P ic e a ta n n o l 1 /p IC 5 0 Comparative profiling of recombinant PfCDPK1 and 4 C4 selective 10 9 8 CDPK1 CDPK4 7 6 5 4 3 2 CDPK4 is required for male gamete formation cdpk4 A ve ra g e n u m b e r o f o o cysts The CDPK4 inhibitor 1NM-PP1 blocks parasite transmission to mosquitoes 50 40 30 20 10 0 D M S O 1NM-PP1 R m -1 -1 3 2 1 N M -P P 1 DMSO DMSO 1NM-PP1 Lotta Burström P. berghei CDPK1-GFP is expressed throughout life cycle schizont ookinete gametocytes Sarah Sebastian oocyst sporozoites cdpk1 knock down blocks development… zygote retort WT ookinete Sarah Sebastian ookinete …and prevents transmission of P. berghei to mosquitoes average oocysts/midgut feed n WT CDPK1 fold change 1 20 120 0.05 2,400 2 35 275 0.09 3,000 Sarah Sebastian Target prioritisation: CDPK5 is also essential for blood stage development. Science 238 (2010) Target summary • CDPK1, 4 & 5 are individually essential for parasite development at different life cycle stages. • Absence of redundancy due to different subcellular localisations (lipid modification), expression patterns, substrate preferences. • Pan-CDPK inhibitor could exploit synergies and delay emergence of resistance. Aim: Screen P. falciparum versions of all three targets to explore feasibility of pan-CDPK inhibition