In the Quest for Potent and Selective Malic Enzyme 3 Inhibitors for the Treatment of Pancreatic Ductal Adenocarcinoma.
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Letter
In the Quest for Potent and Selective Malic Enzyme 3 Inhibitors for
the Treatment of Pancreatic Ductal Adenocarcinoma
Gaurav Sheth, Shailesh R. Shah,* Prabal Sengupta, Tushar Jarag, Sabbirhusen Chimanwala,
Kalapatapu V. V. M. Sairam, Vaibhav Jain, Rashmi Talwar, Avinash Dhanave, Mehul Raviya,
Soumya Menon, Shivangi Trivedi, and Trinadha Rao Chitturi*
Cite This: ACS Med. Chem. Lett. 2023, 14, 41−50
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ABSTRACT: The genome of pancreatic ductal adenocarcinoma
(PDAC) is associated with frequent deletion of the tumor
suppressor gene SMAD family member 4 (SMAD4) with collateral
deletion of its chromosomal neighbor malic enzyme 2 (ME2). In
SMAD4−/−/ME2−/− PDAC cells, ME3 takes over the function of
the ME2 enzyme, and hence therapeutic targeting of ME3 is
expected to arrest tumor growth. Hitherto no selective small
molecule inhibitor of ME3 has been reported in the context of
PDAC. Based on the molecular docking studies and structure−
activity relationships with the reported ME1 inhibitor, several
analogues of 6-piperazin-1-ylpyridin-3-ol amides have been
synthesized and screened for their ME inhibition activity. Among
them, compound 16b is identified as the most potent and selective
ME3 inhibitor with an IC50 of 0.15 μM on ME3, and with 15- and 9-fold selectivity over ME1 and ME2, respectively. In the cell
viability assay, compound 16b exhibited an IC50 of 3.5 μM on ME2-null PDAC cells, viz., BxPC-3.
KEYWORDS: ME3 inhibitors, Anticancer compounds, PDAC, Collateral lethality, Malic enzyme, Molecular Docking
P
and de novo fatty acid synthesis. Advancement of glycolysis and
fatty acid synthesis is supported by bioprecursors like pyruvate
and cofactors like nicotinamide adenine dinucleotide (NAD)
phosphate NAD(P)+ and NAD(P)H.
Expression of enzymes involved in the mitochondrial
tricarboxylic acid (TCA) cycle is also upregulated in numerous
cancers leading to metabolic alterations to meet the enhanced
demand for bioenergy and biomass for chronic proliferation of
cancer cells. In this context, malic enzymes (MEs) play a
crucial role in catalyzing oxidative decarboxylation of L-malate
to form pyruvate and CO2 while simultaneously reducing
NAD(P)+ to NAD(P)H.7 Both pyruvate and NADPH have an
important role in energy production in cells, for the
maintenance of redox balance and for the production of
building blocks for biosynthesis. In mammalian context, three
isoforms of malic enzyme have been identified. These are
classified based on their cofactor specificities and subcellular
ancreatic ductal adenocarcinoma (PDAC) is an aggressive
pancreatic cancer originating from exocrine cells and
accounts for more than 90% of pancreatic tumors.1 PDAC
patients remain asymptomatic at early stages, and a majority of
them are diagnosed only at unresectable stages.2 Due to its
poor prognosis, it is one of the leading causes of cancer-related
mortalities with a five year survival rate of less than 11%.3
Chemotherapeutic combinations, viz., gemcitabine and paclitaxel or FOLFIRINOX (a combination of 5-fluorouracil,
irinotecan, oxaliplatin, and folinic acid), are the current
major standards of care for PDAC. However, there is an
unmet clinical need for novel targeted therapies.4
Activating mutations in the Kirsten rat sarcoma virus
(KRAS) oncogene is associated with more than 90% of
PDAC cases along with subsequent deletion of tumorsuppressor genes like INK4A/ARF, tumor protein 53
(TP53), and SMAD family member 4 (SMAD4).5 In PDAC,
oncogenic KRAS mutation (KRasG12D) driven activation of
downstream signaling pathways like MAPK and PI3K-mTOR
mobilizes uncontrolled proliferation and survival of cancer
cells. Rapid proliferation of neoplastic cells requires an
adequate supply of energy and biosynthetic precursors as
cellular building blocks.6 This enhanced energetic and anabolic
requirement is satisfied through metabolically rewired
processes which include aerobic glycolysis, glutaminolysis,
© 2022 American Chemical Society
Received: August 7, 2022
Accepted: December 8, 2022
Published: December 13, 2022
41
https://doi.org/10.1021/acsmedchemlett.2c00369
ACS Med. Chem. Lett. 2023, 14, 41−50
ACS Medicinal Chemistry Letters
pubs.acs.org/acsmedchemlett
localization: cytosolic NADP+-dependent ME (ME1), mitochondrial NAD(P)+-dependent ME (ME2), and mitochondrial
NADP+-dependent ME (ME3).8 These enzymes are essential
for the maintenance of mitochondrial health and related
energetics.
ME1 is a potential oncogene product linked to energy
metabolism, redox status, and epithelial to mesenchymal
transition (EMT) in squamous cell carcinoma (oral, head,
and neck), breast cancer, and gastric cancer.9−11 ME2 is
overexpressed in human primary oral squamous cell carcinoma
tissue and in lung carcinoma tissue for helping tumor cell
proliferation and colony formation.12,13 ME2 is also known to
promote cell proliferation, invasion, and migration of glioma
cells in glioblastoma.14 ME3, a paralogous isoform of ME2, is
localized in mitochondria, and its aberrant expression
contributes to the carcinogenesis of pancreatic cancer.15
In nearly one-third of PDAC cases, the tumor-suppressor
gene SMAD4 is homozygously deleted, and neighboring gene
ME2, which is in the same locus, is codeleted conferring
“collateral lethality”. Through systematic in vitro and in vivo
genetic experiments, Dey et al. have demonstrated that, in such
a situation, the paralogous enzyme ME3 takes over the role of
ME2, and depletion of this enzyme creates cancer specific
metabolic vulnerability leading to cell death.16 Based on their
compelling data, it was conceived that targeting ME3 with
selective small molecule pharmacological inhibitors could be
an attractive therapeutic strategy for specific PDAC patients
having the SMAD4/ME2 deletions. Herein, we report the
design and synthesis of small molecules that potently and
selectively inhibit ME3.
In order to choose appropriate chemotype(s) for the
development of novel ME3 inhibitors, the reported inhibitors
A−E (Table 1) were synthesized and screened for their
inhibitory potency against all three ME isoforms.17−20 Among
these, compound A showed superior inhibition on ME3 with
an IC50 of 0.15 μM. Hence, compound A was selected as a lead
chemotype for the design and optimization of potent and
selective ME3 inhibitors.
To understand and to analyze the possible binding
interactions of compound A with the ME3 enzyme, docking
studies needed to be carried out. Since the crystal structure of
ME3 either in the apo form or with a substrate/inhibitor and
cofactor (NADP+) was not available in the protein data bank
(PDB), it was crystallized as an oxalate whose crystal structure
was resolved (resolution: 1.8 Å). Using this crystal structure,
the in silico binding mode of compound A and its analogues in
the malate binding site of the ME3 enzyme was established by
the induced fit docking (IFD) (...truncated)